Abstract: A surgical instrument includes a handle assembly, an elongated portion, a first jaw member, a second jaw member, and a needle assembly. Each jaw member includes a plurality of undulations and a needle channel. Each undulation includes a peak, a valley and a connecting portion interconnecting one peak with one valley. Each needle channel extends through each undulation of the respective jaw member and is parallel to a longitudinal axis defined by the elongated portion. The needle assembly includes a first needle and a second needle. Each of the first needle and the second needle includes a suture catch configured to releasably engage a portion of a suture. Each needle is movable from a first position where a distal end of the needle is positioned proximally of the respective jaw member, to a second position where the distal end of the needle is positioned distally of the respective jaw member.

Abstract: A surgical stitching device is configured for single hand operation that enables passage of a suture needle through tissue with minimal operational requirement. The surgical needle is selectively securable to first and second jaws that are pivotably coupled to each other. When the first and second jaws are in an open configuration, in which, the first and second jaws are spaced apart, the suture needle is detachably secured to the first and second jaws. When the first and second jaws are in a closed configuration, in which, the first and second jaws are approximated, the suture needle is detachably secured to one of the first and second jaws and is detached from the other one of the first and second jaws. Such single hand operation facilitates procedures such as, e.g., extraterritorial loop suture closure.

Abstract: Provided herein is an endoscopic suturing system configured for attachment to, and use with, an endoscope.

Abstract: The present invention relates to microclosures and methods for treating microwounds in the skin (e.g., after incising or excising tissue portions from a subject). Exemplary microclosures include a material having at least one dimension of from about 10 um to about 1 mm after application to a microwound. The microclosure maintains a first compressive force when applied to the microwound.

Abstract: A fastener delivery tool configured to deliver a fastener into tissue of a patient including a shaft, a handle assembly connected to a proximal end of the shaft, one or more prongs connected to a distal end of the shaft, and a fastener push rod received at least partially within the shaft, wherein the fastener push rod is connected to the handle assembly, wherein the fastener push rod is moveable relative to the shaft, and wherein the fastener push rod includes one or more detents configured to be received within a passageway of a fastener and secure the fastener to the fastener push rod with friction.

Abstract: A surgical fastener applier having a housing containing a compartment therein, an elongated member extending distally from the housing and first and second jaws. A firing mechanism is positioned within the housing movable to a second position to effect firing of fasteners. A power pack is removably loadable into the compartment, the power pack having one or both of a) a first motor and a first engagement member removably engageable with the firing mechanism when the power pack is loaded into the compartment to effect movement of the firing mechanism; and b) a second motor and a second engagement member removably engageable with an articulating mechanism in the housing of the surgical fastener applier to effect movement of an articulation mechanism to effect articulation. One or both of a firing position and an articulation position are tracked during the surgical procedure. Sensors are provided to detect select parameters and instrument functions.

Abstract: A surgical instrument and a linear surgical stapler are provided. The instrument includes: a suturing mechanism including an anvil assembly and a mounting part for mounting a staple cartridge assembly, in which the staple cartridge assembly includes a staple cartridge for accommodating staples, and the anvil assembly includes an anvil matched with the staple cartridge; a staple pushing assembly, configured to push the staples so that the staples are sequentially fired; a transmission assembly, configured for driving the staple cartridge assembly to move relative to the anvil assembly and driving the staple pushing assembly to move to push the staples; and a drive assembly, connected to the transmission assembly and configured for driving the transmission assembly to move.

Abstract: In various embodiments, a surgical instrument can comprise an end effector including a staple cartridge and a datum portion positioned proximal to the staple cartridge. The surgical instrument can further comprise a shaft and an articulation joint configured to articulate the end effector relative to the shaft. In addition, the surgical instrument can further comprise a firing member configured to deploy a plurality of staples from the staple cartridge and a drive assembly including a drive member configured to move the firing member. The drive assembly may also include a stop configured to engage the datum portion to limit the movement of the drive member after the plurality of staples are fired.

Abstract: Surgical clips and surgical applicators used in performing rapid tissue closure in either minimally invasive surgeries or traditional open procedures are provided. In one example approach, a surgical clip comprises opposing sides extending from a top portion and terminating at tips positioned below the top portion. The resting position of the clip is its closed position, and in the closed position, the tips are set at a first distance apart. Each side has a cut-out (or hole or aperture) opposite one another. Each cut-out is fully surrounded by the side and does not extend to the top or tips. Each cut-out is configured to engage an inwardly turned hook at the end of a clip array or clip applicator such that the sides bend outwardly away from each other when pressure is applied on the top portion of the clip, thereby placing the clip in an open position.

Abstract: A punching device, for punching a lumen and implanting an implant device, includes at least the implant device for punching the lumen and for implantation into the lumen. In addition, the punching device includes an implantation device, a closure device, and an actuation device.

Abstract: A composite nerve conduit comprising an elongated body comprising one or more hollow elongated internal channels for guiding and promoting nerve regeneration. The conduit is a three-dimensional scaffold comprising a crosslinked hybrid/composite matrix of collagen and soy protein isolate having improved mechanical and biocompatibility properties. Methods of using the conduit for promoting nerve regeneration at a site of neural tissue damage by bridging wounded, severed, or damaged nerve sections in a peripheral and/or central nervous system. Methods of fabricating composite neural conduits are also disclosed.

Abstract: A powered circular stapling device (10) includes a transfer switch assembly (90) for a transmission assembly (40) to selectively direct power between clamping and firing mechanisms of the stapling device (10). The transfer switch assembly (90) includes a carriage (92), a worm gear assembly (94), and first and second biasing mechanisms (96). The worm gear assembly (94) is supported on the carriage (92) and movable in relation to the carriage (92) to allow the worm gear assembly (94) to engage with a first or second gear (44, 46) of the transmission assembly (40). The biasing mechanisms (96) allow the worm gear assembly (94) to move in relation to the carriage (92) when the gear teeth of the worm gear (94) are misaligned with the gear teeth of one of the first and second gears (44, 46) of the transmission assembly (40), to allow the gear teeth of the worm gear (94) to move into alignment with the gear teeth of the other one of the first and second gears (44, 46) of the transmission assembly (40).

Abstract: A method of displaying an operational parameter of a surgical system is disclosed. The method includes receiving, by a cloud computing system of the surgical system, first usage data, from a first subset of surgical hubs of the surgical system; receiving, by the cloud computing system, second usage data, from a second subset of surgical hubs of the surgical system; analyzing, by the cloud computing system, the first and the second usage data to correlate the first and the second usage data with surgical outcome data; determining, by the cloud computing system, based on the correlation, a recommended medical resource usage configuration; and displaying, on respective displays on the first and the second subset of surgical hubs, indications of the recommended medical resource usage configuration.

Abstract: A method of improving an operational parameter of a surgical system using data analytics is disclosed. The method includes transmitting, from each of a plurality of surgical hubs of the surgical system, operational data of a plurality of surgical instruments communicatively coupled to the plurality of surgical hubs, to a cloud computing system of the surgical system; aggregating, by the cloud computing system, the operational data into aggregate medical resource data; analyzing, by the cloud computing system, the aggregate medical resource data to determine a recommendation to change the operational parameter based on the analyzed aggregate medical resource data, wherein the aggregate medical resource data comprises one or more of usage data, patient derived parameter data, surgical performance data, and surgical outcome data; receiving, by the plurality of surgical hubs, the recommendation from the cloud computing system; and displaying, by the plurality of surgical hubs, the recommendation.

Abstract: A surgical anvil assembly for use with a circular stapling instrument includes an anvil center rod defining a longitudinal axis and an anvil head pivotally coupled to the anvil center rod and movable between a first operative condition and a second tilted condition. The anvil assembly further includes a locking assembly configured to selectively lock the anvil head in each of the first and second conditions.

Abstract: Disclosed is a surgical system that includes a first modular device and aa surgical hub, including a control circuit configured to receive first perioperative data from a second modular device; anonymize the first perioperative data; receives second perioperative data from a third modular device; anonymize the second perioperative data; and adjust at least one setting of the first modular device based on contextual information derived from the anonymized first and second perioperative data.

Abstract: Disclosed is a surgical system, comprising surgical hubs configured to be communicatively coupled to surgical instruments in surgical procedures; and a cloud computing system, comprising an input/output interface configured for accessing data from the surgical hubs. The cloud computing system is configured to aggregate surgical instrument data and patient outcome date from the surgical hubs; determine a correlation between the surgical instrument data and the patient outcome data; access a live surgical procedure data for a live surgical procedure; and determine an irregularity in the live surgical procedure data based on the correlation.

Abstract: Disclosed is a cloud computing system for use with surgical hubs communicatively coupled to surgical instruments in surgical procedures. The cloud computing system includes an input/output interface configured for receiving raw data from the surgical hubs, wherein the raw data are generated from operation of the surgical instruments in the surgical procedures. The cloud computing system further includes a data collection and aggregation module configured to: identify patterns in the raw data; generate metadata based on the patterns; aggregate raw data into data sets based on a predetermined classification system; and store aggregated data sets in a database.

Abstract: Disclosed is a surgical system that includes a surgical hub couplable with inventory items of an institution, and a cloud-based analytics system communicatively coupled to the surgical hub. The cloud-based analytics system is configured to receive a selection of a surgical procedure to be performed; determine a property of a tissue to be treated in the surgical procedure; select from the inventory items a surgical device for use in the surgical procedure based on the tissue property; and suggest using the surgical device in the surgical procedure based on availability of the surgical device in inventory.

Abstract: A disassembly-free and flushable clip applier includes: a fixing handle and a triggering handle, the fixing handle being hinged with the triggering handle, the fixing handle being provided with a locking key; an end of the cavity tube being provided with a mounting head which is configured for detachably connecting the ligating clip; a turning mechanism sleeved at the other end of the cavity tube and rotatably connected with the fixing handle through a rolling ball, the turning mechanism being provided with a flushing valve which is communicated with the cavity tube for flushing; and a thimble axially infixed into the cavity tube and reciprocating along an axial direction of the cavity tube. The clip applier does not need disassembly and reassembly during cleaning and disinfection and prevent a risk of accidental touching triggering when the ligating clip is being assembled and fails to reach a clipping position.

Abstract: A medical device includes a clip having an arm member and a pressing tube configured to receive the arm member; an applicator having an operation wire configured to advance and retract to open and close the arm member and a sheath configured to accommodate the operation wire; and a link configured to engage the operation wire with the clip and transition between an engagement configuration in which the clip and the operation wire is engaged with each other and a release configuration in which the engagement of the clip and the operation wire is released.

Abstract: A clip-cartridge assembly and a clip applicator are provided. The clip-cartridge assembly includes a clip-cartridge, a clip delivery device, and a clip jaw provided on a side of the clip-cartridge. The clip-cartridge includes an accommodation cavity for placing a ligation clip and the clip delivery device; the clip delivery device includes an elastic member and a clip pushing block for pushing the ligation clip within the accommodation cavity to move; and if the clip jaw is closed, the elastic member, by an elastic force of the elastic member, drives the clip pushing block to move in a movement direction toward the clip jaw.

Abstract: A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.

Abstract: Blood vessel occlusion devices, systems and methods, in particular embodiments of devices for aortic occlusion. The device includes one or more locator portions and an occluder portion. The device is delivered via transcatheter delivery. The locator portion may be radially expanded using a handle and actuator at the proximal end of the delivery catheter. Tactile feedback from the locator portion is used to determine proper location of the occluder portion, for example within the abdominal aorta. The occluder is then radially expanded to occlude the vessel.

Abstract: Systems and methods for blood flow control are described herein. In some variations, a blood flow control system may comprise a blood flow control device. The blood flow control device may be placed within a body of a patient and may comprise an expandable member and a sensor. The sensor may be configured to measure at least one of a physiologic condition of the patient and a pressure associated with the expandable member. The blood flow control system may include at least one controller communicably coupled to the sensor to: receive data indicative of at least one of the physiologic condition of the patient and the pressure associated with the expandable member from the sensor, compare the received data with target data, identify at least one error based on the comparison, and in response to identifying the error, inhibit at least one function of the blood flow control system.

Abstract: A bone cutting guide for preparing both donor and recipient bone, including one or more articular referencing platforms contoured to a bony surface to be prepared, fixation structure to secure the articular referencing platforms on an articular surface, cutting slots spaced apart from the articular referencing platforms at predetermined distances configured to allow the passage of a saw blade in such a way to remove a bone segment either from an allograft donor or from a graft recipient in such a way that both the removed donor and recipient grafts are of the same exact dimensions, whereby when the allograft is placed in the recipient site of the patient's joint, it completely restores the articular surface to the desired level with healthy articular cartilage from the donor.

Abstract: In one embodiment, the present invention includes a method for securing tissue to bone, including drilling a bone hole into the bone; passing a filament through the tissue, the filament including a first end, a second end and a length therebetween, the second end having a loop; passing the first end of the filament through the loop of the filament; pulling on the first end of the filament such that the loop travels along the length of the filament and to the tissue; passing an anchor along the length of the filament, from the first end towards the loop and tissue; engaging the loop with a distal end of the anchor; positioning the distal end of the anchor, with the loop of the filament, into the bone hole; and securing the anchor in the bone.

Abstract: Multi-directional drilling of a bone to create a perforation of bone cortex. The disclosure presents methods of using a drill having a measurement system to advance a drill bit through a bone with detection of penetration or eruption of the leading edge of the drill bit through the exterior of the cortex layer of the bone. In this regard, operation of the drill may be controlled to limit soft tissue damage adjacent to the distal side of the bone. The drill bit may be at least partially retracted through a first bore, repositioned, and one or more additional bores may be created, all while monitoring for penetration of the leading edge of the drill bit relative to the cortical layer. In turn, a perforated distal side of the cortical layer of the bone may be created that creates a desired weakness in the bone, which may be useful in various operations including when performing a corticotomy or the like.

Abstract: A handheld surgical instrument comprising an energy storage element, wherein the energy storage element is a spring coupled to the impacting mechanism, an impacting mechanism has a tip configured to impact a bone, wherein the tip includes a tapered point, a power transmission mechanism is configured to transmit energy from the energy storage element to the impacting mechanism, wherein the power transmission mechanism includes a semi-flexible metal wire guided by a hollow shaft, wherein the hollow shaft includes a distal end, the semi-flexible metal wire is includes a bend toward the distal end, a trigger mechanism is configured to release energy from the energy storage element, wherein the bend includes an angle between 14 degrees and 46 degrees, wherein the trigger mechanism includes a manual lever which, when actuated, simultaneously retracts the tip and charges the energy storage element.

Abstract: Embodiments of the invention include devices and methods for implanting arthroplasty devices. Some embodiments include designs that allow for use of x-ray images as the only images used to fully and accurately preoperatively and intraoperatively size and align arthroplasty device components and prepare all necessary tissue.

Abstract: Devices, systems and methods for controlling gap height for posterior resection in a partial knee arthroplasty can comprise A) use robotic surgery planning software to adjust an extension gap to suit a flexion gap to manually position a manual posterior cut guide; B) use a surgical navigation system to determine a femur rotation axis to properly manually position a manual posterior cut guide; C1) use shims to adjust the position of a manual posterior cut guide; C2) use a robotically-guided femur and tibia partial cut guide block to position a robot-configured posterior cut guide relative to the distal end of a femur; and D) use a robotically-guided femur and tibia partial cut guide block to guide pin holes for a robot-configured posterior cut guide relative to the distal end of a femur.

Abstract: A system for replacing a portion of an articular surface including providing an implant site and installing an implant into the implant site. The implant site includes a first and a second excision site which at least partially intersect with one another. Each of the first and second excision sites are formed by providing a respective axis and excising a portion of the articular surface relative to the respective axes.

Abstract: Provided is a method of resecting a humerus, including positioning a multi-part guide on the humerus, where the multi-part guide includes a support portion and a positioning jig; advancing at least two mounting pins through the support portion along diverging paths; removing the positioning jig; and resecting the humerus with reference to a cutting surface of the support portion.

Abstract: A sheathed tubular semi-rigid balloon catheter for performing probing, irrigation, dilation, suction and potential intubation of the nasolacrimal system or paranasal sinus system to treat for stenosis or obstruction. The catheter includes a sheathed tubular probe portion through which a tracer fluid can be injected and through which suctioning of blood or other material can be conducted. The sheath portion of the device can have a distal segment that is inflated in order to dilate parts the nasolacrimal or paranasal sinus system. The high axial load accommodating catheter tool includes a more secure and inexpensively manufactured bond between the metallic semi-rigid tube of the probe portion and the plastic hand-manipulable, multi-connector hub using an enlarged bonding collar.

Abstract: A clot removal device including an elongated member including a distal end; and an expandable frame including a proximal end, and one or more frame members including one or more pinching cells operable to be slidably and rotatably placed thereon, each of the pinching cells including a collapsed state within a microcatheter and an expanded state distal of the microcatheter configured to tweeze at least a portion of a clot.

Abstract: A clot removal device including a first scaffolding section, a second scaffolding section distal of the first scaffolding section by a first hinged element including a pinching cell. The pinching cell has a collapsed state and an expanded state configured to pinch at least a portion of a clot. A third scaffolding section is distal of the second scaffolding section by a second hinged strut element including a pinching cell that has a collapsed state and an expanded state configured to pinch at least a portion of the clot. An outer diameter of the third scaffolding section is greater than an outer diameter of the second scaffolding section, which is greater than an outer diameter of the first scaffolding section.

Abstract: A clot removal device can include a caged portion which can include a distal end; a proximal end; an inner cage having a network of inner struts; and an outer cage having a network of outer struts. The inner cage and the outer cage can include a delivery configuration within a microcatheter and a deployed configuration distal of the microcatheter operable to retrieve at least a portion of the clot. The device can include a distal pinching portion located proximate the distal end of the caged portion, and a proximal pinching portion located proximate the proximal end of the caged portion, each pinching portion can include at least one pinching cell can include a collapsed state and an expanded state distal of the microcatheter operable to tweeze at least a portion of the clot.

Abstract: A device for capturing and removing an obstruction in a bodily duct of a patient. The device includes a cylindrical body having a circumference and a longitudinal axis. According to some implementations the cylindrical body is comprised of a plurality of closed cell structures arranged in diagonal rows around the longitudinal axis. At least some of closed cell structures have substantially the same shape and size. According to some implementations at least some of the closed cell structures of substantially the same shape and size occupy a same circumferential location in the cylindrical body and are longitudinally separated from one another by no less than two, three, four or more diagonal rows of closed cell structures. According to other implementations the closed cell structures include diagonally extending struts having at least a curve portion and a straight portion.

Abstract: A lithotripter is provided for fragmenting a stone inside a patient's body. In one form, the lithotripter includes a motor having at least two modes of operation and is configured to produce first and second waveforms. A wave guide shaft is configured to transmit the first and second waveforms to the stone. In one form, at least one of the first and second waveforms is provided to the stone at a frequency that is about equal to a natural frequency of the stone. In a variation, the lithotripter may include an ultrasonic driver configured to produce an ultrasonic frequency waveform and a sonic driver configured to produce a sonic frequency waveform. The sonic driver is mechanically coupled to the ultrasonic driver. The ultrasonic driver and the sonic driver may be disposed within a driver housing. In another variation, the lithotripter may include a brushless DC motor.

Abstract: The present disclosure provides a surgical shunt assembly tool that provides a more efficacious grip on the catheter tubes and prevent the tip of the catheter from buckling while the catheter is pushed onto the tip of the valve during installation of shunts during CSF shunt surgery. The tool includes standard handles such as used in a shodded misquito tool having a clamping jaw integrated into the distal end section of the handle. The distal jaw includes two forcep jaw sections each having a proximal end integrally formed with a distal end of a distal end arm section of one of the two handle arms, and a distal end section extending away from the distal end arm section. The distal end sections of the forcep jaw sections are cylindrically shaped such that when the forcep jaw is closed by bringing the two forcep jaw sections together, a cylinder is formed having a diameter substantially equal to a diameter of a catheter tube to be attached to a shunt valve tip.

Abstract: An instrument comprises a plurality of elongate members having a proximal end and a distal end, a shaft, an actuation member extending through the shaft, and a tube member extending through the shaft and housing at least a portion of a length of the actuation members. An end effector is coupled to a distal end of, and a force transmission mechanism is coupled to a proximal region of, at least one of the plurality of elongate members. At least one of the plurality of elongate members comprises a first electrically conductive length portion, a second electrically conductive length portion, and an electrically insulative length portion between and connecting the first electrically conductive length portion and the second electrically conductive length portion. The electrically insulative length portion reduces a conductive length of the elongate member, thereby reducing a capacitive coupling effect in the instrument.

Abstract: An operation system that detects force acting on a forceps unit is provided. The operation system includes: an arm including one or more links; the forceps unit including: a first blade, a second blade, and a forceps pivoting unit that pivotably couples the first blade and the second blade to each other, disposed at a tip of the arm; and a first distortion detecting unit configured to detect distortion occurring in the first blade and the second blade. Both blade edge parts of the first blade and the second blade have offsets in a positive direction with respect to a predetermined reference axis defined to be parallel to a forceps long axis.

Abstract: A laparoscopic instrument includes a handgrip and an articulated lever. A shank is attached to the handgrip at its closer end, and tissue acting actuators are installed at the further end of the shank. A string moves the actuators. A further end of the string is connected to the actuators, and a closer end is connected to the lever. The movement of the lever is coupled with movement of the actuators. The instrument has an integrated latching mechanism, which includes a toothed bar and a latch, holding the actuators in the operating position, and a locking and releasing mechanism equipped with a switching lever for holding and disengaging the latching mechanism. The switching lever is rotatably mounted on the handgrip and has a pushback element which, in the release position of the switching lever, disengages the latching mechanism move the toothed bar away from the latch.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

Abstract: The disclosure provides a surgical apparatus comprising: a steerable member that is bendable and comprises a plurality of bending segments with channels therein; and a plurality of bending actuation wires that are arranged to pass through the steerable member and cause the steerable member to bend, the steerable member comprising at least one outwardly opening lumen through which the bending actuation wires pass.

Abstract: A tissue resecting device includes a housing having an outer shaft, the outer shaft including a tool portion disposed at a distal end thereof having a window defined therein with a proximal cutting edge. An inner shaft is disposed within the outer shaft and includes proximal and distal ends, the inner shaft configured to rotate upon actuation thereof. A cork-screw member extends distally from the distal end of the inner shaft and into the window. The cork-screw member is configured to rotate concomitantly with the inner shaft and includes a barb at a distal end thereof configured to pierce and retain tissue thereon. Upon rotation of the inner shaft, the barb pierces and retains tissue and withdraws tissue proximally along the cork-screw member and into the outer shaft and wherein excess tissue is excised by the proximal cutting edge of the window as the tissue is withdrawn through the outer shaft.

Abstract: An end effector assembly of a tissue-resecting device includes an outer shaft defining a window, a drive wire extending through the outer shaft, and a distal cutting tip disposed within the outer shaft. The drive wire includes a cylindrical body and a distal end portion defining a semi-cylindrical configuration including a semi-cylindrical bottom surface and a planar top surface having a semi-cylindrical cut-out defined therein. The distal cutting tip at least partially overlaps the window and has a semi-cylindrical lumen defined by a semi-cylindrical bottom surface and an open top. The distal end portion of the drive wire is at least partially received and within the semi-cylindrical lumen with the semi-cylindrical surfaces substantially mating. The drive wire is configured to drive rotation or oscillation of the distal cutting tip relative to the outer shaft.

Abstract: In accordance with an aspect of the present disclosure, a tissue extraction device may include a bag having an interior and a plurality of cutters elements extending along an interior surface of the bag. The cutters can be offset to facilitate collapsing of the bag prior to introducing the bag into a patient.

Abstract: Devices and methods for the treatment of chronic total occlusions are provided. One disclosed embodiment comprises a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method includes providing an intravascular device having a distal portion, inserting the device into the vascular lumen, positioning the distal portion in the vascular wall to at least partially surround the occlusion, and removing at least a portion of the surrounded occlusion from the lumen.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device for cutting substances inside a body lumen including a rotatable tubular drive shaft; an expanding part connected to a distal side of the tubular drive shaft; a cutting part covering the expanding part; and an elongated tube extending through the tubular drive shaft and connected to the expanding part, wherein a distal end of the expanding part is placed distal to a distal end of the cutting part.