Abstract: Thrombus evacuator devices are provided. A cystothrombus provides an aspirator tube fluidly communicating to a suction intake, wherein a maceration blade is provided within the aspirator tube adjacent to the suction intake. A rotational element us operatively associated to the maceration blade for morcellating blood clots urged through the suction intake, wherein the aspirator tube is dimensioned to slidably nest in a cystoscope sheath adapted to be inserted into a human urethra. In another embodiment, a gastroentro-thrombus evacuator includes a double lumen tube having non-fluidly connected first and second lumens terminating into a coupling cavity of a coupling device removably attached to a distal end of the double lumen tube. The coupling device provides a suction intake and a flushing outlet fluidly communicating with the coupling cavity. A rotating maceration blade is operational adjacent to the suction intake, while a suction is urged through the first lumen.