Abstract: A catheter for scoring or slicing a lesion. The catheter has a first receiver at a distal end of an expandable portion of the catheter shaft. A first carrier at least partially within the first receiver is moveable axially along the catheter shaft to deploy a first cutter along the expandable portion for cutting or scoring the lesion. In an alternative embodiment, the first carrier may be a wire having a loop, and thus forming a first length including the first cutter and a second length including a second cutter. Actuation of the wire thus causes simultaneous, reciprocal movement of the first and second cutters. Related methods are also disclosed.

Abstract: A catheter for actively scoring or slicing a lesion. A catheter body includes first and second lateral openings. A selectively deployable cutter is connected to the catheter body. The cutter has a retracted configuration in which it does not perform a slicing or scoring function, such as while tracking through the vasculature, and a deployed configuration for slicing or scoring an obstruction. The cutter may include a plurality of retractable blades, such that when deployed, each blade projects in a different direction, such as from one of the lateral openings. Related methods are also disclosed.

Abstract: A catheter assembly including, in some embodiments, a sonic connector at a proximal end of a core wire, a damping mechanism around a proximal end portion of the core wire, and a heat sink connected to the damping mechanism. The sonic connector is configured to couple to an ultrasound-producing mechanism and transmit vibrational energy to the proximal end of the core wire, which core wire includes a distal end portion configured to modify intravascular lesions. The damping mechanism includes a gasket system around the proximal end portion of the core wire in a damping-mechanism bore of the catheter assembly. The damping mechanism is configured to damp the vibrational energy. A system including, in some embodiments, the catheter assembly and the ultrasound-producing mechanism is also disclosed.

Abstract: An atherectomy catheter includes a sheath and an elongate corewire. The sheath has a side wall configured to define, in a lumen and in a distal sheath portion, an entrapment boundary region having a drilling allowance region. The elongate corewire has a distal wire portion having an outer bulge portion that is proximal to an elongate drill tip portion. The elongate corewire is located in the lumen of the sheath with the outer bulge portion of the elongate corewire slidably disposed in the drilling allowance region of the sheath, and with the elongate drill tip portion of the elongate corewire distally protruding from the distal end of the sheath.

Abstract: A biopsy apparatus includes a cannula assembly having a cannula hub and a cutting cannula. A stylet assembly has a stylet hub and a stylet. The stylet is coaxial with the cutting cannula. An operator mechanism is configured to effect axial movement of the stylet hub and the cannula hub. The operator mechanism has a head portion configured to releasably engage the stylet hub and an arm member configured to releasably engage the cannula hub. The stylet hub is configured to be rotationally movable between an engaged position and a disengaged position, wherein in the engaged position the stylet hub is releasably connected to the head portion of the operator mechanism, and in the disengaged position, the stylet hub is disconnected from the head portion of the operator mechanism to facilitate axial movement of the stylet assembly in a proximal direction independent of the operator mechanism.

Abstract: A catheter assembly including, in some embodiments, a sonic connector at a proximal end of a core wire, a damping mechanism around a proximal end portion of the core wire, and a heat sink connected to the damping mechanism. The sonic connector is configured to couple to an ultrasound-producing mechanism and transmit vibrational energy to the proximal end of the core wire, which core wire includes a distal end portion configured to modify intravascular lesions. The damping mechanism includes a gasket system around the proximal end portion of the core wire in a damping-mechanism bore of the catheter assembly. The damping mechanism is configured to damp the vibrational energy. A system including, in some embodiments, the catheter assembly and the ultrasound-producing mechanism is also disclosed.

Abstract: A sealant injection needle assembly includes a cannula assembly and a stylet assembly. The cannula assembly has a cannula hub and a cannula having a first longitudinal sealant passage and a second longitudinal sealant passage. The first longitudinal sealant passage has a first proximal sealant port and a first distal sealant port. The second longitudinal sealant passage has a second proximal sealant port and a second distal sealant port. The stylet assembly has a stylet advance hub and a stylet configured for longitudinal movement in a lumen of the cannula. The stylet has a first stage position and a second stage position. The stylet has a first exterior circumvolving channel longitudinally spaced apart from the second exterior circumvolving channel that are separately selectively and sequentially positionable in fluid communication with both of the first distal sealant port and the second distal sealant port of the cannula.

Abstract: Provided herein is a system including, in some embodiments, a streamlined port and a port tunneler. The port includes a septum and a stabilizing element. The septum is disposed over a cavity in a body of the port, and the septum is configured to accept a needle therethrough. The stabilizing element is configured to stabilize the port in vivo and maintain needle access to the septum. The port tunneler includes an adapter and a release mechanism. The adapter is in a distal end portion of the port tunneler, and the adapter is configured to securely hold the port while subcutaneously tunneling the port from an incision site to an implantation site for the port. The release mechanism is configured to release the port from the adapter at the implantation site for the port.

Abstract: An ultrasonic catheter assembly includes a sheath having a sheath lumen. A core wire is at least partially disposed within the sheath lumen. The core wire has a proximal portion and a distal portion. The proximal portion of the core wire is configured to be coupled to an ultrasound-producing mechanism. A working length of the distal portion of the core wire extends distally from the sheath. The working length is configured for longitudinal displacement, transverse displacement, or a combination of longitudinal and transverse displacement, in accordance with a plurality of output modes for vibrational energy supplied to the core wire proximal portion by the ultrasound-producing mechanism.

Abstract: A biopsy device includes a device housing, a linear motor, and a controller circuit. The controller circuit has a processor circuit, a first feedback circuit, and a second feedback circuit. The first feedback circuit and the second feedback circuit operate simultaneously. The processor circuit executes program instructions to control an axial advancement of the distal end of the linear motor shaft in accordance with a linear motor shaft advancement profile based on first control signals received from at least one drive characteristic sensor of the first feedback circuit, and executes program instructions to keep the distal end of the linear motor shaft at a constant axial position, as offset by the position indicated by the linear motor shaft advancement profile, based on second control signals received from the housing position detector of the second feedback circuit so as to compensate for user movement of the device housing.

Abstract: A biopsy device includes a device housing, a linear motor, and a controller circuit. The controller circuit has a processor circuit, a first feedback circuit, and a second feedback circuit. The first feedback circuit and the second feedback circuit operate simultaneously. The processor circuit executes program instructions to control an axial advancement of the distal end of the linear motor shaft in accordance with a linear motor shaft advancement profile based on first control signals received from at least one drive characteristic sensor of the first feedback circuit, and executes program instructions to keep the distal end of the linear motor shaft at a constant axial position, as offset by the position indicated by the linear motor shaft advancement profile, based on second control signals received from the housing position detector of the second feedback circuit so as to compensate for user movement of the device housing.

Abstract: A biopsy device includes a first cannula driver connected to a first cannula and a second cannula driver connected to a second cannula. The first cannula driver has a first rack member and a flange. The second cannula driver has a second rack member. A drive assembly has a linear motor drive, a transmission assembly, a switching motor drive, and an electrical controller circuit. The electrical controller circuit is configured to execute program instructions to selectively operate the linear motor drive and the switching motor drive. The transmission assembly has a gear assembly drivably coupled to the switching motor drive and configured to releasably engage at least one of the first rack member of the first cannula driver and the second rack member of the second cannula driver. A coupler member is connected to the linear motor drive, and is configured to engage the flange of the first cannula driver.

Abstract: A biopsy device includes a hydraulic drive assembly, a drive mechanism, and a biopsy member. The hydraulic drive assembly includes a chamber housing, a drive piston, a driven piston, a cavity in the chamber housing between the drive piston and the driven piston, and a hydraulic fluid that fills the cavity and hydraulically connects the drive piston to the driven piston. The chamber housing defines a proximal chamber, a distal chamber, and a transition chamber, collectively forming a continuous passage. The drive mechanism includes a motor, a drive gear attached to the motor, a driven gear engaged with the drive gear, and a drive link member coupling the driven gear to the drive piston. The drive mechanism is drivably connected to the drive piston to move the drive piston in the proximal chamber. The driven piston moves in the distal chamber. The biopsy member is connected to the driven piston.

Abstract: A catheter comprising a base material, an optional body material, and a braid structure having crescent-shaped ribbons braided into the structure. Various biocompatible polymers can function as base or body materials. When a ribbon is metallic, various biocompatible materials can function in the ribbon. The crescent of a crescent ribbon can face luminally or abluminally.

Abstract: A catheter for scoring or slicing a lesion. The catheter has a first receiver at a distal end of an expandable portion of the catheter shaft. A first carrier at least partially within the first receiver is moveable axially along the catheter shaft to deploy a first cutter along the expandable portion for cutting or scoring the lesion. In an alternative embodiment, the first carrier may be a wire having a loop, and thus forming a first length including the first cutter and a second length including a second cutter. Actuation of the wire thus causes simultaneous, reciprocal movement of the first and second cutters. Related methods are also disclosed.

Abstract: A biopsy device includes a hydraulic drive assembly, a drive mechanism, and a biopsy member. The hydraulic drive assembly includes a chamber housing that defines a proximal chamber, a distal chamber, and a transition chamber that collectively form a continuous passage in the chamber housing. The proximal chamber has a first transverse area and the distal chamber has a second transverse area, with the first transverse area being larger than the second transverse area. A drive piston is located in the proximal chamber and a driven piston is located in the distal chamber. A hydraulic fluid fills a cavity between the drive piston and the driven piston to establish a hydraulic connection between the drive piston and the driven piston. The drive mechanism is connected to the drive piston to move the drive piston in the proximal cylinder. The biopsy member is connected to the driven piston.

Abstract: A catheter comprising a base material, an optional body material, and a braid structure having crescent-shaped ribbons braided into the structure. Various biocompatible polymers can function as base or body materials. When a ribbon is metallic, various biocompatible materials can function in the ribbon. The crescent of a crescent ribbon can face luminally or abluminally.

Abstract: A catheter for scoring or slicing a lesion. The catheter has a first receiver at a distal end of an expandable portion of the catheter shaft. A first carrier at least partially within the first receiver is moveable axially along the catheter shaft to deploy a first cutter along the expandable portion for cutting or scoring the lesion. In an alternative embodiment, the first carrier may be a wire having a loop, and thus forming a first length including the first cutter and a second length including a second cutter. Actuation of the wire thus causes simultaneous, reciprocal movement of the first and second cutters. Related methods are also disclosed.

Abstract: A catheter for scoring or slicing a lesion. The catheter has a first receiver at a distal end of an expandable portion of the catheter shaft. A first carrier at least partially within the first receiver is moveable axially along the catheter shaft to deploy a first cutter along the expandable portion for cutting or scoring the lesion. In an alternative embodiment, the first carrier may be a wire having a loop, and thus forming a first length including the first cutter and a second length including a second cutter. Actuation of the wire thus causes simultaneous, reciprocal movement of the first and second cutters. Related methods are also disclosed.

Abstract: A catheter for actively scoring or slicing a lesion. A catheter body includes first and second lateral openings. A selectively deployable cutter is connected to the catheter body. The cutter has a retracted configuration in which it does not perform a slicing or scoring function, such as while tracking through the vasculature, and a deployed configuration for slicing or scoring an obstruction. The cutter may include a plurality of retractable blades, such that when deployed, each blade projects in a different direction, such as from one of the lateral openings. Related methods are also disclosed.