Abstract: Systems and methods for removing a material from a lumen or duct include a guide wire to navigate to the material and a cutting assembly that can then be guided along the guide wire to reach the material. A proximal wire end can be connected to a pump device configured to provide an irrigation substance along a delivery channel of the guide wire and release the irrigation substance at a distal wire end. A power source can apply a current to the guide wire to magnetize a coupling assembly disposed on the guide wire. The cutting assembly can couple to the guide wire by engaging a locking mechanism of the cutting assembly with a coupling assembly of the guide wire.

Abstract: Systems and methods for removing a material from a lumen or duct include a guide wire to navigate to the material and a cutting assembly that can then be guided along the guide wire to reach the material. A proximal wire end can be connected to a pump device configured to provide an irrigation substance along a delivery channel of the guide wire and release the irrigation substance at a distal wire end. A power source can apply a current to the guide wire to magnetize a coupling assembly disposed on the guide wire. The cutting assembly can couple to the guide wire by engaging a locking mechanism of the cutting assembly with a coupling assembly of the guide wire. The locking mechanism can receive torque provided by a motor coupled to the proximal wire end of the guide wire to rotate the cutting tool of the cutting assembly to remove the material.

Abstract: A method for removing materials from a subject can include inserting an endoscope into the subject through an esophagus of the subject; introducing, through a cavity wall of a stomach of the subject to access a site within the subject outside the stomach, an endoscopic tool coupled with the endoscope; actuating a cutting assembly of the endoscopic tool to cut material at the site, the material associated with at least one of a pancreatic fluid collection in a pancreas of the subject or an extra-pancreatic fluid collection external to the pancreas; and applying suction to a first end of an aspiration channel of the endoscopic tool to remove the material through the aspiration channel, the aspiration channel extending from the first end to a second end at an opening of the cutting assembly.

Abstract: A surgical instrument includes a cutting assembly, an outer tubing, and a flexible torque component. The cutting assembly extends from a first proximal end to a first distal end. The cutting assembly includes an outer cannula defining a cutting window and an inner cannula disposed within the outer cannula. The outer tubing extends from a proximal tubing end to a distal tubing end. The distal tubing end is coupled to the outer cannula. The outer tubing is configured to receive a torque at the proximal tubing end and transmit the torque to the outer cannula to rotate the outer cannula. The outer tubing includes a plurality of first wires and a plurality of second wires each including more than eight wires and less than twenty four wires. The flexible torque component is coupled to a third proximal end of the inner cannula to rotate the inner cannula.

Abstract: An endoscopic instrument (312, 820, 824) includes an outer tubing (206) extending from a proximal tubing end to a distal tubing end, a flexible torque component (200) extending through the outer tubing, an articulation assembly (400, 500, 600, 700, 828), and an end effector (450, 550, 650, 750, 824). The articulation assembly (400, 500, 600, 700, 828) is coupled to the distal tubing end and includes a plurality of segments (404, 408, 504, 604, 704) and at least one control member (412, 512, 612, 712) extending from a proximal control end to a distal control end coupled with the plurality of segments. The control member manipulates an orientation of at least one segment of the plurality of segments responsive to receiving a control input at the proximal control end.

Abstract: A method for removing materials from a subject can include inserting an endoscope into the subject through an esophagus of the subject; introducing, through a cavity wall of a stomach of the subject to access a site within the subject outside the stomach, an endoscopic tool coupled with the endoscope; actuating a cutting assembly of the endoscopic tool to cut material at the site, the material associated with at least one of a pancreatic fluid collection in a pancreas of the subject or an extra-pancreatic fluid collection external to the pancreas; and applying suction to a first end of an aspiration channel of the endoscopic tool to remove the material through the aspiration channel, the aspiration channel extending from the first end to a second end at an opening of the cutting assembly.

Abstract: Systems and methods for removing a material from a lumen or duct include a guide wire to navigate to the material and a cutting assembly that can then be guided along the guide wire to reach the material. A proximal wire end can be connected to a pump device configured to provide an irrigation substance along a delivery channel of the guide wire and release the irrigation substance at a distal wire end. A power source can apply a current to the guide wire to magnetize a coupling assembly disposed on the guide wire. The cutting assembly can couple to the guide wire by engaging a locking mechanism of the cutting assembly with a coupling assembly of the guide wire. The locking mechanism can receive torque provided by a motor coupled to the proximal wire end of the guide wire to rotate the cutting tool of the cutting assembly to remove the material.

Abstract: A surgical instrument includes a cutting assembly, an outer tubing, and a flexible torque component. The cutting assembly extends from a first proximal end to a first distal end. The cutting assembly includes an outer cannula defining a cutting window and an inner cannula disposed within the outer cannula. The outer tubing extends from a proximal tubing end to a distal tubing end. The distal tubing end is coupled to the outer cannula. The outer tubing is configured to receive a torque at the proximal tubing end and transmit the torque to the outer cannula to rotate the outer cannula. The outer tubing includes a plurality of first wires and a plurality of second wires each including more than eight wires and less than twenty four wires. The flexible torque component is coupled to a third proximal end of the inner cannula to rotate the inner cannula.

Abstract: An endoscopic instrument includes an outer cannula and an inner cannula disposed within the outer cannula, a tool channel, a retractable tool, and a retractable tool actuator. The tool channel is defined within a radial wall of the outer cannula or positioned adjacent to the radial wall of the outer cannula.

Abstract: A surgical instrument includes a cutting assembly, an outer tubing, and a flexible torque component. The cutting assembly extends from a first proximal end to a first distal end. The cutting assembly includes an outer cannula defining a cutting window and an inner cannula disposed within the outer cannula. The outer tubing extends from a proximal tubing end to a distal tubing end. The distal tubing end is coupled to the outer cannula. The outer tubing is configured to receive a torque at the proximal tubing end and transmit the torque to the outer cannula to rotate the outer cannula. The outer tubing includes a plurality of first wires and a plurality of second wires each including more than eight wires and less than twenty four wires. The flexible torque component is coupled to a third proximal end of the inner cannula to rotate the inner cannula.

Abstract: A method for removing materials from a subject can include inserting an endoscope into the subject through an esophagus of the subject; introducing, through a cavity wall of a stomach of the subject to access a site within the subject outside the stomach, an endoscopic tool coupled with the endoscope; actuating a cutting assembly of the endoscopic tool to cut material at the site, the material associated with at least one of a pancreatic fluid collection in a pancreas of the subject or an extra-pancreatic fluid collection external to the pancreas; and applying suction to a first end of an aspiration channel of the endoscopic tool to remove the material through the aspiration channel, the aspiration channel extending from the first end to a second end at an opening of the cutting assembly.

Abstract: A surgical instrument includes a cutting assembly, an outer tubing, and a flexible torque component. The cutting assembly extends from a first proximal end to a first distal end. The cutting assembly includes an outer cannula defining a cutting window and an inner cannula disposed within the outer cannula. The outer tubing extends from a proximal tubing end to a distal tubing end. The distal tubing end is coupled to the outer cannula. The outer tubing is configured to receive a torque at the proximal tubing end and transmit the torque to the outer cannula to rotate the outer cannula. The outer tubing includes a plurality of first wires and a plurality of second wires each including more than eight wires and less than twenty four wires. The flexible torque component is coupled to a third proximal end of the inner cannula to rotate the inner cannula.