Abstract: The present disclosure relates to a rotational atherectomy device and a medical device including the rotational atherectomy device. The rotational atherectomy device includes a drive shaft and a rotational atherectomy component connected to the drive shaft. The rotational atherectomy component includes a base and a rotational atherectomy block. The rotational atherectomy block is relatively movably assembled on the base. When the rotational atherectomy component rotates, the rotational atherectomy block moves in a direction away from the base.

Abstract: A compression device includes: an adhesive sheet having an adhesion surface; and a compression member configured to compress a biological surface. The compression member includes: a pressing body configured to press the biological surface by extending in a thickness direction of the adhesive sheet; and a holding body fixed to the adhesive sheet and configured to hold the pressing body. In a plan view seen in the thickness direction, a receiving portion, which is a region in which the adhesive sheet is not disposed or a region defined by a concave portion in an outer edge of the adhesive sheet and which is configured to receive a medical insertion member, is provided outside an outer edge of the holding body. The holding body includes, at a position adjacent the receiving portion, an identification portion configured to be visually identified in the plan view seen in the thickness direction.

Abstract: A cartridge configured to store a clip unit is disclosed herein. The first cartridge includes a sheath connection portion configured to receive a sheath of an applicator. The second cartridge included a storage area configured to store at least a part of the clip unit. The second cartridge is movable relative to the first cartridge in a moving direction of the clip unit.

Abstract: A cartridge configured to store a clip unit is described herein. The cartridge body having a storage area configured to store at least a part of the clip unit. The sheath connection portion is configured to receive a sheath of an applicator. The storage area includes a first area and a second area. The first area is configured to retract wings of the clip unit and configured to prevent a connection arm from connecting to the applicator. The second area is configured to connect the connection arm with the applicator.

Abstract: Introducer sheath systems including a pressure regulator operably coupled to a hemostatic valve, wherein the pressure regulator includes a chamber filled with a gas that is fluidly isolated from the hemostatic valve. The introducer sheath systems may include a tubular sheath, a hub assembly, and a dilator disposed therein connected to a proximal end of the sheath; the hub assembly including a housing and a hemostatic valve disposed therein; a pressure regulator connected to the hub and in fluid communication with the hemostatic valve; and a sealed chamber defined by the pressure regulator, the chamber having an interior, wherein the interior of the chamber is filled with a gas that is fluidly isolated from the hemostatic valve.

Abstract: An ultrasonic surgical instrument includes an ultrasonic transducer and an ultrasonic waveguide coupled to the ultrasonic transducer and extending therefrom. The ultrasonic waveguide includes a proximal body portion coupled to and extending distally from the ultrasonic transducer and defining a longitudinal axis. The ultrasonic waveguide further includes a distal body portion defining a blade, and a plurality of spheres of material arranged in a series. The plurality of spheres of material extend between and interconnect the proximal body portion and the distal body portion. At least one sphere of material of the plurality of spheres of material is configured to articulate relative to at least one other sphere of material of the plurality of spheres of material to thereby articulate the distal body portion from an aligned orientation on the longitudinal axis to an articulated orientation angled off the longitudinal axis.

Abstract: The present disclosure, in its various aspects, is directed to expandable guide devices, implementation methods, and related delivery systems. Embodiments according to the present disclosure, including as described herein, may increase the effectiveness and efficiency of endoscopy procedures. In one example, an expandable guide device is configured to receive an instrument through an instrument lumen of the device, wherein the device comprises first and second bodies, with first and second expandable members disposed about the first and second bodies.

Abstract: Introducer sheath systems including a pressure regulator operably coupled to a hemostatic valve, wherein the pressure regulator includes a chamber filled with a gas that is fluidly isolated from the hemostatic valve. The introducer sheath systems may include a tubular sheath, a hub assembly, and a dilator disposed therein connected to a proximal end of the sheath; the hub assembly including a housing and a hemostatic valve disposed therein; a pressure regulator connected to the hub and in fluid communication with the hemostatic valve; and a sealed chamber defined by the pressure regulator, the chamber having an interior, wherein the interior of the chamber is filled with a gas that is fluidly isolated from the hemostatic valve.

Abstract: A surgical instrument, slave operating equipment applied in the surgical instrument, and a surgical robot having the slave operating equipment. The surgical instrument includes an end effector, a drive device, and a cable. The drive device is configured to drive the end effector to move by means of the cable. The cable includes a first pair of cables and a second pair of cables which are used for driving the end effector to execute yaw movement, and a third pair of cables used for driving the end effector to execute pitch movement. The third pair of cables have a coupling relation with the first pair of cables and the second pair of cables on the end effector due to orthogonality of the pitch movement and the yaw movement. The drive device has a mechanical decoupling mechanism used for releasing the coupling relation.

Abstract: Exclusion devices for anatomical structures, and related instruments and related methods, are disclosed. An exclusion device for an anatomical structure may include a first beam, a second beam, and/or a first spring operatively coupled to the first beam and the second beam to exert a closing force on the first beam and the second beam. The first spring may be generally U-shaped and/or may include a first end portion and a second end portion generally opposite a connecting portion.

Abstract: A hollow balloon catheter device (100) includes a catheter portion (10) including a passage (101) defined therethrough, and a balloon (20) located at one end of the catheter portion (10). An inflation tube (30) passes through the passage (101) and extends into a balloon element (202). A blood flow channel (201) extends through the balloon (20). The balloon (20) is inflated via the inflation tube (30) to dilate a blocked blood vessel (200), while the blood flow channel (201) forms an open configuration and communicates with the blood vessel (200) after the balloon (20) is inflated so that blood continues to flow through the blood flow channel (201). This ensures that blood flow is not hindered or blocked, eliminating concerns about blood reflux or blockage for the doctor and avoiding operational errors due to time constraints.

Abstract: A compact medical robot provides guidance and actuation of a medical instrument with five or more degrees of freedom. The robot has a lower actuator arm movable within a lower plane. A lower gimbal mount is attached to the lower actuator arm. An upper actuator arm is movable within an upper plane and an upper gimbal mount is attached to the upper actuator arm. A guide tube is attached to the lower gimbal mount and to the upper gimbal mount. A linear actuator is attached to the guide tube to longitudinally move a medical instrument which extends through the guide tube. The linear actuator includes an actuating rod and a linear motor arranged within a main body portion of the linear actuator. An additional rotational actuator for rotating the medical instrument may be provided and firmly connected to the actuating rod.

Abstract: A depth limiter that is configured to couple with first and second trocar cannulas having different diameters. The depth limiter includes first and second body portions. First and second body portions each include first and second gripping surfaces. The first and second body portions are pivotably coupled together and are movable between an open configuration and a closed configuration. In the open configuration, the first and second body portions are configured to allow for axial movement of the depth limiter relative to the first and second trocar cannulas. The first gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the first trocar cannula in the closed configuration. The second gripping surfaces of the first and second body portions are configured to restrict axial movement of the depth limiter relative to the second trocar cannula in the closed configuration.

Abstract: A surgical tool includes a drive housing having an elongate shaft extending therefrom, an end effector operatively coupled to a distal end of the shaft, a drive input rotatably mounted to the drive housing and having an input shaft extending therefrom, an upper capstan assembly rotatably mounted to the input shaft and having a first drive cable coupled thereto and extending to the end effector, a lower capstan assembly rotatably mounted to the input shaft and having a second drive cable coupled thereto and extending to the end effector, and a compliant member mounted to the input shaft and arranged in-line and extending between the upper and lower capstan assemblies, the compliant member providing a constant opposing torsional load on the upper and lower capstan assemblies and thereby removing slack in the first and second drive cables as the input shaft rotates.

Abstract: A bone anchor for attaching a suture thread or ligament comprises a main body extending along a longitudinal axis and having a fork-shaped end portion. The end portion is provided with a first and a second fork arm each extending between a constrained end and a free end and spaced apart by an axial slit for receiving a suture thread. Said first and second fork arms have, at their constrained ends, a transverse notch defining two axial retention shoulders for the suture thread.

Abstract: Systems and methods for providing a blood pump system having a variable stiffness distal extension are disclosed. A variable stiffness distal extension may have at least one section of continuously varying stiffness, resulting in a stiffness profile that decreases in a distal direction along a length of the distal extension. The varying stiffness may be accomplished by varying one or more radial dimensions of the extension. For example, in some implementations, an outer diameter of a distal extension may decrease along at least a portion of a distal extension. The distal extension may include a lumen configured to receive a longitudinally extending element.

Abstract: A thrombectomy system may include an elongate shaft that defines a high pressure lumen and a low pressure lumen. The high pressure lumen may terminate near an end of the low pressure lumen. An expandable capture basket may be disposed near the end of the low pressure lumen. A thrombectomy apparatus may include an elongate shaft, an evacuation lumen extending within the elongate shaft and a high pressure lumen extending within the elongate shaft. A capture apparatus may be disposed within a wire lumen that extends within the elongate shaft such that the capture apparatus extends distally from the wire lumen.

Abstract: Tensionable, knotless, self-locking surgical constructs and methods for surgical repairs are disclosed. A tensionable, knotless, self-locking surgical construct includes a flexible coupler (repair suture) and a plurality of shuttle/pull devices loaded onto a fixation device. The fixation device can be a knotless fixation device such as a knotless soft anchor, for example, an all-suture knotless anchor. The knotless surgical construct provides multiple passes of the flexible coupler itself (repair suture itself), to achieve the desired friction and to also create a reverse purchase resistance to loosening. The flexible coupler (repair suture) is passed around tissue two or more times (and subsequently through the cannulation of the anchor sheath two or more times) creating a stuffed friction effect. There is no cinching loop in the final repair.

Abstract: An instrument guide is removably inserted into a proximal portion of a cannula and extends to a distal end of the cannula to guide and support multiple surgical instruments within the cannula. The instrument guide is designed to be manufactured by injection molding of plastic material. The instrument guide includes a tube and several radial walls connected to the tube to form passageways within the tube. The radial walls are joined to a core where they intersect. The tube and radial walls have substantially the same wall thickness and the core has a minimum diameter that is substantially larger than the wall thickness to facilitate delivery of plastic material. Portions of the tube and radial walls are thinner than the general wall and rib thickness to form guideways that support surgical instruments within the passageways. Channels may be formed on an outside of the tube to deliver insufflation gas.

Abstract: A robotic surgical instrument comprising: a shaft; driving elements running through the shaft; an articulation at a distal end of the shaft for articulating an end effector, the articulation driveable by the driving elements; and an instrument interface at a proximal end of the shaft for driving the driving elements, the instrument interface comprising: a monocoque chassis; and a routing pulley component housed by the monocoque chassis and separable from the monocoque chassis; wherein the instrument interface is configured to be assembled by: routing the driving elements from the shaft around pulleys of the routing pulley component; securing the driving elements to the monocoque chassis; and after the routing and securing steps, placing the routing pulley component into the monocoque chassis.