Abstract: A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may be configured to pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may be coupled with the blood pump and extend proximally from the blood pump to the housing. The first sheath may extend over the elongate shaft distal of the housing and include a lumen with an inner diameter. The second sheath may extend over the elongate shaft distal of the housing and include an outer diameter that is less than the inner diameter of the lumen of the first sheath. The first sheath and the second sheath are configured to longitudinally adjust over the elongate shaft and an entirety of the second sheath is configured to adjust through the first sheath.

Abstract: A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may couple with the blood pump and extend proximally from the blood pump to the housing. The first sheath may have a first hub and a lumen with an inner diameter. The second sheath may have a second hub and an outer diameter that is less than the inner diameter of the lumen. The first sheath and the second sheath may longitudinally advance over the elongate shaft and a distal end of the second sheath may advance through the lumen and extend distally beyond a distal end of the first sheath.

Abstract: A medical device, comprising a tube including at least one lumen, an absorbent located at a distal portion of the tube, the absorbent being configured to transition from a compressed state to an expanded state, and a structure fixed to the absorbent, wherein the structure is configured to flex into a compressed state and an expanded state simultaneously with the compressed state and the expanded state of the absorbent, and the structure exposes at least a portion of the absorbent.

Abstract: A medical delivery device that includes a body, a fluid source configured to store a pressurized fluid, an enclosure configured to store an agent, the enclosure is movably coupled to the body, and a first actuator configured to release the pressurized fluid from the fluid source into the body. The enclosure is configured to move relative to the body between a first position and a second position. The enclosure is fluidly decoupled from the fluid source when in the first position such that the pressurized fluid released into the body is not in fluid communication with the agent stored in the enclosure. The enclosure is fluidly coupled to the fluid source when in the second position such that the pressurized fluid released into the body is in fluid communication with the agent stored in the enclosure.

Abstract: In one example, a medical device may include a handle including a proximal portion and a distal portion, and the proximal portion may pivot relative to the distal portion. The medical device may also include an insertion portion coupled to the distal portion of the handle and configured to be positioned within a body lumen; and an articulation wire extending from the handle through the insertion portion. Pivoting of the proximal portion of the handle relative to the distal portion of the handle may move the articulation wire relative to the insertion portion to bend a distal portion of the insertion portion.

Abstract: An endoscope (e.g., a duodenoscope) includes a bifluidic valve for controlling the flow of a liquid (e.g., water) and a gas (e.g., air) through a flexible tubular probe to respectively irrigate or insufflate an internal cavity of a patient. The bifluidic valve can be a single component, an interconnected assembly of components, or a plurality of separate components. Some examples of the bifluidic valve include a stepped diameter valve spool with radial or circumferential fluid passageways. In some examples, the bifluidic valve includes a tube pincher that can stop the water or other liquid from flowing through a flexible tube by pinching the tube shut. Some example bifluidic valves include a valve housing that is resiliently flexible to urge the valve to a normally closed position. In some examples, selectively covering or uncovering a vent in the valve housing controls the flow of air for insufflation.

Abstract: A tissue traction device including a scaffold structure configured to anchor the tissue traction device in place such that a tissue traction element is anchored upon deployment of the scaffold structure and without further manipulation of the tissue traction device (such as to grasp tissue or otherwise anchor the tissue traction element to tissue). The scaffold structure may be self-supporting/self-standing to be in a deployed expanded configuration to anchor the tissue traction device with respect to the tissue. The tissue traction element may be pivotably coupled to the scaffold structure, such as to a rigid element of the scaffold structure. The tissue traction element, when anchored by the scaffold, exerts a force (e.g., traction force) on a region of target tissue to which the tissue traction element is coupled, such as via a tissue engagement member.

Abstract: An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.

Abstract: According to one aspect, a hand assist device may be configured for use with an endoscope. The hand assist device may comprise a body configured to removably couple to a handle of the endoscope. The body may comprise a recess configured to receive the handle of the endoscope. The recess may extend from a proximal end of the body to a distal end of the body. The body may also comprise a palm support portion and a finger support portion proximal to the palm support portion. The body may further comprise a base support portion distal to the palm support portion.

Abstract: A steerable catheter control handle and method are provided for bi-directional control of a steerable catheter, the catheter including at least two control wires, a distal end of each of the control wires being coupled to the catheter at a distal region thereof. The control system comprises a housing. A wire actuation mechanism is disposed within the housing and is operably coupled to at least two control wires for enabling actuation of the at least two control wires. The steerable catheter control handle additionally comprises a proximal control knob that is operably coupled to the wire actuation mechanism to enable actuation of the at least two control wires for causing a distal end deflection of the steerable catheter.

Abstract: The present disclosure relates generally to the field of medical instruments. In particular, the present disclosure relates to a biopsy cap and endoscope biopsy cap housing with improved stability and stress distribution to securely and removably attach to an endoscope biopsy port. In one example, a biopsy cap housing may include a first center-split half comprising a first half of an upper and lower chamber and first pivot member, and a second center-split half comprising a second half of an upper and lower chamber, and second pivot member, wherein mating surfaces of the first and second center-split halves may be configured to interlock to define the upper and lower chambers.

Abstract: Attachments for endoscopes as well as methods for making and using attachments are disclosed. An example attachment may include a housing. One or more angled locking members may extend from an inner surface of the housing. The angled locking members may be designed to engage a biopsy port of an endoscope. One or more stabilizing members may extend from the inner surface of the housing. A locking apparatus may be coupled to the housing. A sealing member may be disposed within the housing.

Abstract: A steerable elongate medical device includes a composite shaft and a handle that is removably securable to the composite shaft. The composite shaft includes a first shaft component and a second shaft component. The composite shaft bends in a first direction when the first shaft component is heated above a transition temperature and bends in the first direction. The composite shaft bends in an opposing second direction when the second shaft component is heated above the transition temperature and bends in the second direction. The handle enables a user to selectively pass an electrical current through either of the first shaft component or the shaft component in order to electrically heat the selected shaft component.

Abstract: A medical device that includes a handle including a first body and a second body that are movable relative to one another, and an actuator including a first housing movably coupled to the first body and a second housing movably coupled to the second body. The medical device is configured to move between an open configuration in which the first body is at least partially decoupled from the second body and the first housing is at least partially decoupled from the second housing, and a closed configuration in which the first body is coupled to the second body and the first housing is coupled to the second housing.

Abstract: A medical device may comprise a sheath and an expandable member. The expandable member may comprise a support member and a liner coupled to the support member. The liner may include a plurality of teeth. Proximal movement of the sheath may be configured to uncover the expandable member so that the expandable member transitions from a constrained configuration to a constrained configuration.

Abstract: A medical device includes a handle, an end cap, a sponge, one or more wires, and one or more actuation elements. The handle includes a main body and a movable body, and the movable body is movable relative to the main body. The end cap includes a stationary portion and an extendable portion, and the stationary portion includes one or more through-holes. At least a portion of the sponge surrounds a portion of the extendable portion of the end cap. The one or more actuation elements are connected to a portion of the extendable portion of the end cap. Movement of the movable body of the handle controls a movement of the wires and the extendable portion of the end cap. Proximal movement of the actuation elements controls another movement of the extendable portion of the end cap to separate the extendable portion of the end cap from the sponge.

Abstract: A medical device may comprise a proximal component. The proximal component may comprise a handle with a coupling portion. The coupling portion is configured to releasably couple to a distal joint of a distal component of the medical device. A proximal wire may extend distally from the handle. The distal end of the proximal wire may include a connector that may be configured to releasably connect to a distal wire of the distal component of the medical device.

Abstract: Embodiments of medical devices and methods are disclosed. The medical devices typically comprise a flexible elongate member defining a lumen, and a support spine affixed to the distal end and extending proximally therefrom within the elongate member lumen. In some embodiments, the support spine is pre-shaped such that the support spine biases the distal region of the elongate member to adopt a straight configuration, or the support spine biases at least a portion of the distal region of the elongate member to adopt a curved shape to form a curved portion. Some embodiments include apertures at or near the distal end for enabling fluid communication between the lumen and the outside environment. In some embodiments, the support wire extends proximally from the distal end within a distal portion of the lumen such that a proximal portion of the lumen is substantially unobstructed.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to medical devices and systems with control knobs designed for improved usability and ergonomics. For example, the control knobs of the present disclosure may include surface features for improved gripping, surface features for improved perception of medical device orientation within a patient and/or knobs dimensioned for improved thumb reach and reduced torque.

Abstract: The present disclosure relates generally to the field of medical instruments. More particularly, the present disclosure pertains to medical instruments for use with an endoscope, such as a biopsy cap and a biopsy cap housing with improved stability and stress distribution, for example, to securely attach to an endoscope biopsy port.