Abstract: A medical device includes a sheath extending longitudinally from a proximal end to a distal end and a handle coupled to the proximal end of the sheath. The handle includes a deflection lever coupled thereto. The deflection lever is rotatable proximally and distally along the handle to deflect a distal end of the shaft to which it is operably coupled and a locking mechanism movable between an locked configuration in which the locking mechanism engages an engagement feature on the outer surface of the handle, preventing the deflection lever from rotating and locking the distal end of the shaft in a desired position, and an unlocked configuration in which the locking mechanism releases the engagement feature to allow rotation of the deflection lever and deflection of the distal end of the shaft.

Abstract: Medical devices and uses thereof are described, including a medical device with a handle, an insertion portion, and a distal tip. The distal tip may include a light source, an imaging device, and a core. First and second articulation members may extend longitudinally from the handle through the insertion portion and the distal tip, e.g., in respective first and second channels of the core. The insertion portion may define a first lumen. The core may include a second lumen between the first channel and the second channel, the second lumen being in communication with the first lumen of the insertion portion. Each of the first articulation member and the second articulation member may terminate proximal to a distalmost end of the core.

Abstract: A medical device includes a sheath extending longitudinally from a proximal end to a distal end and a handle coupled to the proximal end of the sheath. The handle includes a deflection lever coupled thereto. The deflection lever is rotatable proximally and distally along the handle to deflect a distal end of the shaft to which it is operably coupled and a locking mechanism movable between an locked configuration in which the locking mechanism engages an engagement feature on the outer surface of the handle, preventing the deflection lever from rotating and locking the distal end of the shaft in a desired position, and an unlocked configuration in which the locking mechanism releases the engagement feature to allow rotation of the deflection lever and deflection of the distal end of the shaft.

Abstract: Electronic assemblies for medical devices are described, including an electronic assembly that includes a body, at least one imaging device, and at least one light source. The body may include a plurality of electrical connection points and a plurality of electrical traces in a material that is electrically insulative. The plurality of electrical connection points may be on one or more external surfaces of the body. The plurality of electrical connection points may include proximal and distal connection points. Each electrical trace may connect a proximal connection point to a respective distal connection point. The at least one imaging device may be coupled to one or more of the distal connection points and/or the at least one light source may be coupled to one or more of the distal connection points.

Abstract: Systems are described, including a system that includes an insertion device with a shaft and a distribution adapter with a housing and a piston. The shaft includes irrigation and aspiration channels providing a fluid circulation through a target area of a body within which the shaft is inserted. The housing includes first and second pairs of diametrically opposed ports. A first port of the first pair is connected to an irrigation port and a second port of the first pair is connected to the irrigation channel. A first port of the second pair is connected to an aspiration port coupled to a negative pressure source and a second port of the second pair is connected to the aspiration channel. The piston is slidably received within a cavity of the housing to be movable between default and reverse configurations.

Abstract: A medical device includes a sheath extending longitudinally from a proximal end to a distal end and a handle coupled to the proximal end of the sheath. The handle includes a deflection lever coupled thereto. The deflection lever is rotatable proximally and distally along the handle to deflect a distal end of the shaft to which it is operably coupled and a locking mechanism movable between an locked configuration in which the locking mechanism engages an engagement feature on the outer surface of the handle, preventing the deflection lever from rotating and locking the distal end of the shaft in a desired position, and an unlocked configuration in which the locking mechanism releases the engagement feature to allow rotation of the deflection lever and deflection of the distal end of the shaft.

Abstract: According to a general aspect, an insertion device can include an elongate barrel having an opening defined in a distal end; a lumen defined within the elongate barrel, the lumen being accessible through the opening; and an obturator disposed within the lumen of the elongate barrel. The obturator can be movable within the lumen between a proximal position in the elongate barrel and a distal position in the elongate barrel. The obturator, in its distal position in the elongate barrel, can be configured to receive a needle via the opening. The obturator, in its proximal position in the elongate barrel, can be configured to secure the needle within the elongate barrel.

Abstract: A medical device includes a sheath extending longitudinally from a proximal end to a distal end and a handle coupled to the proximal end of the sheath. The handle includes a deflection lever coupled thereto. The deflection lever is rotatable proximally and distally along the handle to deflect a distal end of the shaft to which it is operably coupled and a locking mechanism movable between an locked configuration in which the locking mechanism engages an engagement feature on the outer surface of the handle, preventing the deflection lever from rotating and locking the distal end of the shaft in a desired position, and an unlocked configuration in which the locking mechanism releases the engagement feature to allow rotation of the deflection lever and deflection of the distal end of the shaft.

Abstract: According to a general aspect, an insertion device can include an elongate barrel having an opening defined in a distal end; a lumen defined within the elongate barrel, the lumen being accessible through the opening; and an obturator disposed within the lumen of the elongate barrel. The obturator can be movable within the lumen between a proximal position in the elongate barrel and a distal position in the elongate barrel. The obturator, in its distal position in the elongate barrel, can be configured to receive a needle via the opening. The obturator, in its proximal position in the elongate barrel, can be configured to secure the needle within the elongate barrel.

Abstract: A medical device includes a sheath extending longitudinally from a proximal end to a distal end and a handle coupled to the proximal end of the sheath. The handle includes a deflection lever coupled thereto. The deflection lever is rotatable proximally and distally along the handle to deflect a distal end of the shaft to which it is operably coupled and a locking mechanism movable between an locked configuration in which the locking mechanism engages an engagement feature on the outer surface of the handle, preventing the deflection lever from rotating and locking the distal end of the shaft in a desired position, and an unlocked configuration in which the locking mechanism releases the engagement feature to allow rotation of the deflection lever and deflection of the distal end of the shaft.

Abstract: A ureteroscope system includes a handle including a first port and a second port and an elongated shaft extending from the handle to a distal end and including a shaft lumen open at the distal end of the shaft. The shaft is be inserted through a bodily lumen to a target surgical site. The first port is in communication with a handle channel which is in communication with the shaft lumen and the second port is in communication with a working channel extending through the handle and the shaft lumen to the distal end of the shaft. The system also includes a fluid source connected to the first port and pumps fluid through the handle channel and the shaft lumen to irrigate the site and a vacuum source connected to the second port and applies suction through the working channel to dislodge debris from the site.

Abstract: A medical device may include a spool element, including a channel to receive or store a coiled element, and a handle element. The handle element may be coupled to the spool element and include a lumen that at least partially opens into the channel. The medical device may also include an introducer element coupled to the handle, and relative rotation of the spool element and the handle element may dispense or retract the coiled element from the introducer.

Abstract: A tissue removal device may include a handle. The device may include a sheath coupled to the handle. A first portion of the sheath may be within the handle. A second portion of the sheath may protrude from the handle. The sheath may include a passage. The device may include an end effector coupled to an end of the sheath. The device may include a drive member coupled to the handle and to the end effector. The drive member may extend through the passage of the sheath to the end effector. Actuation of the handle may move the end effector between an open state, for receiving material, and a closed state, for holding onto material, by causing relative movement between the drive member and the sheath. Further actuation of the handle may move the end effector relative to the handle while the end effector remains in the closed state.

Abstract: According to a general aspect, an insertion device can include an elongate barrel having an opening defined in a distal end; a lumen defined within the elongate barrel, the lumen being accessible through the opening; and an obturator disposed within the lumen of the elongate barrel. The obturator can be movable within the lumen between a proximal position in the elongate barrel and a distal position in the elongate barrel. The obturator, in its distal position in the elongate barrel, can be configured to receive a needle via the opening. The obturator, in its proximal position in the elongate barrel, can be configured to secure the needle within the elongate barrel.

Abstract: A medical device may include a spool element, including a channel to receive or store a coiled element, and a handle element. The handle element may be coupled to the spool element and include a lumen that at least partially opens into the channel. The medical device may also include an introducer element coupled to the handle, and relative rotation of the spool element and the handle element may dispense or retract the coiled element from the introducer.

Abstract: A device may include a handle, and a sheath coupled to the handle. The sheath may include a lumen. The device may also include an instrument assembly coupled to the handle, and extending through the lumen of the sheath. The instrument assembly may include a basket configured to move relative to the sheath, and between contracted and expanded states. The instrument assembly may also include a forceps configured to reciprocate along a central longitudinal axis of the basket and through an interior of the basket, and move between contracted and expanded states.

Abstract: A hand-holdable steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a housing, a first actuator, and a second actuator. The first actuator is configured to move the steerable portion along a first plane when the first actuator is moved between first and second positions. The second actuator is configured to move the steerable portion along a second plane different than the first plane when the second actuator is moved between first and second positions.

Abstract: Embodiments of the present disclosure provide a device for extracting and/or morcellating tissue or other unwanted material from within a patient's body. In one embodiment, a medical device may include an elongate member including a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include an expandable member disposed at the distal end, wherein an interior of the expandable member is in fluid communication with the lumen in the elongate member, wherein the expandable member includes a plurality of conducting elements extending from and disposed circumferentially about the elongate member, wherein at least two of the plurality of conducting elements are joined together by a material extending therebetween.

Abstract: A medical device may include an elongate member, and a plurality of grasping members extending from the elongate member. Each of the grasping members may include a proximal end, and a distal end. Each of the grasping members may include at least one first section formed of a first material and a second material, and a second section located at the distal end of the grasping member. The second section may be formed without the first material and being less stiff than the at least one first section.

Abstract: A retrieval device includes a sheath having a distal end, and a plurality of support members extending distal of the distal end, the support members each including a distal loop. The retrieval device further includes a hollow member extending distal of the distal end, and a movable member extending distally from the hollow member and slidably extending through the distal loops of the support members.