Abstract: The invention discloses a plague removal device, comprising, a push catheter, a plaque scraping stent, a support tube, an elastic filter membrane, a guide catheter, and a handle, wherein the plaque scraping stent is a mesh structure sleeved outside the support tube, a distal end of the plaque scraping stent is fixed on a distal end of the support tube, a proximal end of the plaque scraping stent is fixed on a distal end of the push catheter, the support tube is sleeved inside the push catheter; a distance between the distal end of the push catheter and the distal end of the support tube is adjusted by the handle, so that an outer diameter of the plaque scraping stent is varied. The unique structure design of “tapered structure” in the present invention can ensure good compliance during the entry and withdrawal of the stent.

Abstract: A medical instrument includes two jaw members, at least one of which creates conditions of frustrated total internal reflection at a tissue-contacting surface when tissue is grasped between the two jaw members. The first jaw member may include an optical element having a tissue-contacting surface. The medical instrument also includes a light source that provides a light beam for sealing tissue. The light source is positioned so that the light beam is totally internally reflected from an interface between the tissue-contacting surface and air when tissue is not grasped by the jaw members. When tissue is grasped by the jaw members, at least a portion of the light beam is transmitted through that portion of the tissue-contacting surface that is in contact with the tissue. The light source may be movably coupled to a jaw member to scan the light beam and/or to change the incident angle based on optical properties of the tissue.

Abstract: A medical instrument includes two jaw members, at least one of which creates conditions of frustrated total internal reflection at a tissue-contacting surface when tissue is grasped between the two jaw members. The first jaw member may include an optical element having a tissue-contacting surface. The medical instrument also includes a light source that provides a light beam for sealing tissue. The light source is positioned so that the light beam is totally internally reflected from an interface between the tissue-contacting surface and air when tissue is not grasped by the jaw members. When tissue is grasped by the jaw members, at least a portion of the light beam is transmitted through that portion of the tissue-contacting surface that is in contact with the tissue. The light source may be movably coupled to a jaw member to scan the light beam and/or to change the incident angle based on optical properties of the tissue.

Abstract: The present invention discloses a new phacoemulsification tip which can be used during cataract surgery. Particularly, the phacoemulsification tip of the invention physically separates the aspiration function from the ultrasonic energy release point, where the distal region of the tip is blind, and the aspiration port is at a suitable distance from the distal end of the tip of the invention.

Abstract: A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

Abstract: A medical probe includes a shaft, a camera, a hollow cutting tool, and an inflatable balloon. The shaft is configured for insertion through a cut in a body of a patient, whereas the shaft includes a working vacuum channel running therethrough. The camera is fitted at a distal end of the shaft and is configured to provide images of a target tissue site in the body. The hollow cutting tool is for insertion over a guidewire in the working vacuum channel of the shaft, whereas the hollow cutting tool is configured to pierce the target tissue site under guidance of images taken by the camera. The inflatable balloon is configured to stabilize the distal end of the shaft, whereas the inflatable balloon is located proximally to the camera so as not to obstruct the images of the target tissue site.

Abstract: An operation system, a surgical system, a control device, a distortion generating body, a surgical instrument and the like for detecting a force acting on an end effector are provided. The surgical system includes an arm including one or more links, an end effector arranged at a tip end of the arm, a first distortion detecting unit that detects distortion generated in the end effector, a second distortion detecting unit that detects distortion generated in the link, and a processing unit that calculates a force acting on the end effector in a living body on the basis of detection results of the first distortion detecting unit and the second distortion detecting unit.

Abstract: A method of controlling movement of the tip of a surgical endoscope from a first position (E) to an intermediate position (E?), the field of view from the tip of the endoscope being at an angle (?) relative to a longitudinal shaft of the endoscope, the method comprising: receiving a command to move from the first position in a first direction; identifying a nominal view point (N) from the tip of the endoscope in the first position; calculating a tip movement path from the first position based on the received command, the identified nominal view point and the angle (?); determining the intermediate position; and moving the tip to the intermediate position, the intermediate position being such that the nominal view point remains within the field of view from the tip.

Abstract: Biopsy caps and seals, and methods for making and using the same may be provided in conjunction with an endoscope assembly. A seal may include a main body including a circumferential outer wall surrounding a central lumen. The seal may include at least one support wall extending radially from the outer wall towards a center of the lumen, and at least one helical flap extending from the support wall helically downward along an inner surface of the outer wall, where the at least one helical flap defines an opening at the center of the lumen. The seal may alternatively include a plurality of projections extending radially inward from the outer wall towards a center of the lumen, where the plurality of projections are arranged in a series of circumferentially and angularly offset layers.

Abstract: Embodiments of the disclosures made herein are directed to facilitating adjustability of operative apparatuses. More specifically, embodiments of the disclosures made herein are directed to mitigating adverse implications of having to adjust a control portion of an operative apparatus to a user-defined setting that is not otherwise a predefined setting position of the control portion. Such adverse implications may arise, for example, due to the time required for performing such adjustment with a required degree of precision. Thereby, such embodiments serve to mitigate, if not eliminate, that manner in which adjusting the control portion of the operative apparatus to the user-defined setting during a procedure can undesirably and/or unacceptably limit efficiency and/or effectiveness of the procedure.

Abstract: A surgical instrument includes a housing having an elongated body extending distally therefrom. The elongated body defines a first articulating portion and a second articulating portion. The elongated body defines a lumen therein. An end effector is supported at a distal end portion of the elongated body. A flexible waveguide extends through the lumen of the elongated body. A proximal end portion of the flexible waveguide connects to an ultrasonic transducer. A distal end portion of the flexible waveguide is connected with the end effector. the flexible waveguide defines a first articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide and a second articulating portion having a narrower thickness than a thickness of other portions of the flexible waveguide.

Abstract: An endoscope includes: an insertion section; an operation section; a bending portion; a longitudinal member for maintaining a constant distance from the operation section to a distal end portion of the insertion section along a longitudinal axis of the insertion section; and a flexible tube portion provided in a movable manner with respect to the operation section and the longitudinal member in a longitudinal axis direction, and making the bending portion extend and contract with movement of the flexible tube portion with respect to the operation section in the longitudinal axis direction.

Abstract: Medical devices for delivering compositions or medical articles to a patient are disclosed. The medical plug delivery devices can include a fluid delivery device (e.g., a syringe), a frame, and a rotatable magazine. The rotatable magazine can include a plurality of chambers that each hold a composition or a medical article (e.g., a medical plug). By rotating the rotatable magazine relative to the frame, material within the chambers of the rotatable magazine can be sequentially deployed to a patient.

Abstract: A medical device and can remove an object inside a biological lumen while allowing a positional change of the device inside the biological lumen. The medical device includes a drive shaft, an outer tube accommodating the drive shaft, a cutting portion fixed to a distal portion of the drive shaft, and a hub unit housing proximal portions of the drive shaft and the outer tube. The hub unit has an operation unit fixed to the outer surface of the outer tube to rotate the outer tube, a first support portion rotatably supporting the operation unit, a first housing having an aspiration port for discharging fluid to outside, and causing communication of an aspiration lumen of the outer tube with the aspiration port, and a first seal between the first housing and the outer tube. The first support portion and the first seal are disposed in parallel along an axial direction.

Abstract: Minimally invasive, multi-functional robotic surgical tool devices for use as lavaging, material aspiration or delivery surgical forceps, scissors or clamp or other device, consisting of a monolithic work element and open central lumen with various functional tips. Such devices may in use follow a central lumen of another device or over a wire in a longitudinal direction upon introduction to a body. Flush and vacuum transport mechanisms, imaging mechanisms or energy source mechanisms may be incorporated. Inner and outer sheaths which may be co-axially disposed relative to a work element may be configured to actuate a beak or beaks and provisions for simultaneous beak closing under rotation may be incorporated.

Abstract: A delivery catheter system includes a guide catheter, an anchor catheter, a collapsible and expandable anchor, a balloon formed from a portion of the positioning catheter, and a needle. The anchor may be for anchoring a prosthetic heart valve in a native heart valve. The anchor may be configured to be received within the anchor catheter. The balloon may be inflated or deflated and provide mechanical support to enable the needle to pierce a ventricle wall. A metallic guide wire can simultaneously be inserted through the aorta to outline the heart when viewed through fluoroscopic imaging.

Abstract: An adjustable heart valve repair system includes a suture implanting apparatus and a suture locker. The suture implanting apparatus is operable to implant a suture into at least one leaflet of a heart valve. The suture locker is operable to fix the suture. The suture locker includes an adjusting device to adjust tensioning or loosening of the suture.

Abstract: The present disclosure relates to delivery devices for transcatheter stented prosthesis loading, delivery and implantation. The delivery devices provide a loaded delivery state in which the stented prosthesis is loaded and compressed over the delivery device. The compression of the stented prosthesis can be adjusted with one or more elongate tension members, which extend around the stented prosthesis and proximately to an actuation and release assembly that can be provided as part of a handle assembly. The delivery device can be manipulated to adjust tension in the tension members to permit the stented prosthesis to compress, self-expand, and ultimately release from the shaft assembly. In some embodiments, the tension in one or more tension members is adjusted with one or more actuation and release assemblies.

Abstract: Embodiments of a robotic medical system comprise a steerable instrument that includes a bendable body and a connector assembly configured to detachably connect the bendable body to an actuation unit. A controller is configured to control the actuation unit. The connector assembly comprises a connection receptor coupled to the actuation unit and a connecting shaft coupled to the bendable body. The connecting shaft includes a plurality of driving rods that are attached in a one-to-one correspondence to a plurality of driving wires and that detachably attach to the connection receptor. In a connected state where the bendable body is connected to the actuation unit via the connector assembly, the controller causes the actuation unit to transmit an actuating force from an actuator to a driving rod, and the driving rod actuates or moves a driving wire in a same direction as the actuating force applied by the actuator.

Abstract: A medical instrument includes a hollow shaft (2) with a proximal end (3) connected to a handle (4) and a distal end (5) with a tool (6) arranged with one jaw part (8) pivotable relative to another jaw part (7). A distal end region of the shaft as a tool tip (10) deflects relative to a longitudinal axis (9) via an axially displaceable first actuation element (11) connected to the handle. The pivotable jaw part is adjustable via a second actuation element (13) mounted axially displaceably in the hollow shaft and connected to the handle. The first actuation element and the second actuation element are parallel to each other in the longitudinal axis direction of the shaft and mounted to be guided on each other. One of the two actuation elements is mounted on the inner side. The mutual axial mounting is effected via a pin-and-slot control (19).