Abstract: Devices and methods of use of such devices for pumping fluid and for use in surgical procedures preferably include vacuum-driven pumps for providing irrigation and suction functions to the surgical field. Such pumps may be freestanding, external to or integrated into handpieces of the surgical instruments.

Abstract: A multi-purpose medical suctioning device, comprising a first tubular body portion, a second tubular portion operatively connected to said first tubular body portion, said second tubular portion having a flexible tip portion which has an entrance of reduced area, there being a side inlet associated with at least one of said first and second portion, to be manually blocked and unblocked to control suctioning of fluid from said tip portion entrance and through said second and first tubular portion.

Abstract: Electrosurgical methods, systems, and apparatus for the controlled ablation of tissue from a target site of a patient. An electrosurgical apparatus of the invention includes an active electrode assembly having an active electrode screen surrounded by a plurality of flow protectors. Each flow protector defines a shielded region of the active electrode screen, each shielded region of the screen characterized by enhanced plasma formation. The active electrode assembly is adapted for removing tissue from a surgical site, and the active electrode screen is adapted for digesting fragments of resected tissue. In one embodiment, the apparatus is particularly suited to simultaneously removing both hard and soft tissue in, or around, a joint.

Abstract: Cross stream thrombectomy catheter and system for fragmentation and removal of thrombus or other material from blood vessels or other body cavities. High velocity saline jets emitted from a toroidal loop jet emanator or other jet emanator in a catheter distal end entrain fluid through inflow orifices, and with flow resistances create a back-pressure which drives cross stream streams through outflow orifices in a radial direction and thence radially and circumferentially to apply normal and drag forces on thrombotic deposits or lesions in the blood vessel or other body cavity, thereby breaking apart and transporting thrombus particles to be entrained through the inflow orifices, whereupon the high velocity jets macerate the thrombus particles which then transit an exhaust lumen or recirculate again via the outflow orifices.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to contract collagen fibers within the tissue structures. In one aspect of the invention, a system and method is provided for treating herniated or swollen discs within a patient's spine by applying sufficient electrical energy to the disc tissue to contract or shrink the collagen fibers within the nucleus pulposis. This causes the pulposis to shrink and withdraw from its impingement on the spinal nerve.

Abstract: Clot disruption and dissolution are achieved using a catheter having the ability to infuse a thrombolytic agent, agitate the clot and agent, and aspirate broken-up clot from the blood vessel. A flow resistor in the catheter provides for infusion and/or aspiration to be concentrated primarily at a clot treatment area in a blood vessel while also providing optional infusion and/or aspiration distal to the treatment area. In some embodiments, infusion, aspiration and guidewire passage occur through a common lumen. The thrombolytic agent, such as tPA, streptokinase, or urokinase, is directly released into the clot at the point where the agitator is engaging the clot. In this way, the thrombolytic activity of the agent is enhanced and the dissolution of the clot is improved.

Abstract: A method for removing thrombus or other material from a natural or synthetic body vessel or cavity without the need for direct surgical access. The method includes providing a device supplying high pressure fluid to at least one distal orifice, causing high pressure fluid to emanate from the orifice creating at least one fluid jet, and using the fluid jet to break up material in the vessel. The method further includes directing at least one fluid jet at the opening of an exhaust lumen or target incorporated into the device and using the jet to provide a localized negative pressure which entrains material into the jet for break-up. The method optionally includes using the jet to provide stagnation pressure which drives material along the exhaust lumen. The method optionally includes metering the exhaust to match the fluid input or to be greater or less than the input. A positive displacement pump operating at steady or pulsatile flow provides the high pressure saline to the distal end of the catheter.

Abstract: The in-line hand operated valve controls the flow of at least the irrigation fluid or suction to a surgical site. First and second sources provide fluid and suction to the valve. Valve body source ports communicate with the source lines and a delivery port communicates with a delivery line. The valve includes collapsible internal fluid carrying channels linking these ports. Each valve mechanism includes an operator control surface, a stem, and a compressor member acting on and closing and opening the collapsible channels. A biasing element keeps the stem and compressor either open or closed. A two position interlocking mechanical switch, coupled to the stem, is extended in the ON valve position and withdrawn in the OFF position. The method of providing a valve control utilizes these shape and click open and click close systems.

Abstract: The methods and devices disclosed provides for the delivery of agents to an orifice cavity and subsequent aspiration of the agent and orifice contents from the orifice cavity and related areas. In one form, the delivery and aspiration system comprises an agent delivery sub-assembly, an aspiration sub-assembly and a device tip sub-assembly. The subassemblies operate to first deliver an agent contained within the device to an orifice cavity and after an optional time delay, subsequently aspirate the delivered agent and orifice contents from the orifice cavity and related areas. In another form, a removable reservoir is provided whereby the aspirated agent and orifice contents from the orifice are assayed either independent of or within the device itself.

Abstract: A surgical system and cassette, the cassette having a series of identifying tabs that are variably opaque to translucent. By varying the opaqueness of the tabs, the surgical system can readily identify the type of cassette being used.

Abstract: The liposuction device (10) for removing subcutaneous fatty tissue (12) comprises a suction cannula (16) with suction openings (22) for sucking the subcutaneous fatty tissue (12) and an injection line (18) with an injection opening (20) for injecting a working fluid. The injection opening (20) is placed on the front end of the injection line (18) and is provided in the shape of a slit so that the working fluid exits in the shape of a fan (21). The width of the slit of the injection opening (20) is less than 1.0 mm. This constricts the injection opening so that the use of the working liquid is reduced to a justifiable quantity, at the same time, the exiting working fluid fan guarantees a uniform and effective removal of subcutaneous fatty tissue.

Abstract: An elongated, rigid cannula has a peripheral wall defining a central bore and a side port for introduction of material into the bore. A covering of resilient, flexible material is provided in the area of the side port, with a corresponding aperture aligned with the port of the cannula. The aperture of the resilient covering can be somewhat smaller than the underlying cannula port, forming a resilient margin that overhangs and surrounds the port.

Abstract: A method and apparatus provided for controlling fluid control to and from an eye or a phacoemulsification handpiece. The handpiece includes an ultrasonically driven, hollow, sleeved needle and the method includes inserting the needle and sleeve into an eye for phacoemulsification of eye tissue and introducing fluid into the eye through an annulus established between the sleeve and the needle. Aspiration of fragmented tissue and fluid from the eye is conducted through the hollow needle. An initial irrigation fluid pressure is determined and the irrigation fluid flow and aspiration fluid flow are adjusted based upon the initial determination. Thereafter continued determination of irrigation fluid pressure is utilized to continuously adjust irrigation fluid flow and/or aspiration fluid flow.

Abstract: Methods and apparatus for resecting and ablating tissue at a target site of a patient, the apparatus including a probe having an elongate shaft. The shaft includes a shaft distal end portion and a shaft proximal end portion, and a resection unit located at the shaft distal end portion. The resection unit includes a resection electrode support and at least one resection electrode arranged on the resection electrode support. The at least one resection electrode includes a resection electrode head. The probe and resection electrode head are adapted for concurrent electrical ablation and mechanical resection of target tissue. The shaft may include at least one digestion electrode capable of aggressively ablating resected tissue fragments. At least one fluid delivery port on the shaft distal end portion may provide an electrically conductive fluid to the resection unit or to the target site.

Abstract: A smoke evacuating system for use during surgical procedures, particularly minimally invasive procedures involving the use of a laser or cautery at a surgical site having an associated higher than ambient pressure, wherein the system includes a filter with a site side and an outlet side and a fluid conduit extending between the surgical site and the filter. The filter includes a filter media and a housing substantially surrounding the filter media with a space between the filter media and the housing to collect condensed vapor. The filter exhibits low resistance or a low pressure drop and resists fluid flow, whereby the higher than ambient pressure is not substantially diminished and generates a fluid flow in the fluid flow path tending to carry smoke to and through the filter.

Abstract: An improved suction and irrigation system for debriding a tract wound includes a suction and irrigation handpiece and a dual lumen suction and irrigation tip that is removably connectible to the handpiece. The tip has a flexible shaft and a connector for connecting the shaft to the handpiece. The flexibility of the shaft facilitates advancement of the shaft to the deepest part of the tract wound while also limiting further trauma to the wound.

Abstract: A rapid exchange fluid jet thrombectomy device for removal of thrombus or unwanted tissue debris from a vein, artery or the like. The device includes a semi-rigid intermediate tube between a proximal and a distal exhaust tube which accommodates a guidewire tube exit located along the catheter at less than one-half the length of the catheter measured from the catheter most distal point. Such a location of the guidewire is convenient for maneuvering and longitudinal advancement of the guidewire, as well as maneuvering and longitudinal advancement of the catheter by one practitioner.

Abstract: A liposuction apparatus and method optionally having a sonic or ultrasonic source with an axial lumen passage in which the shaft can be made to reciprocate (oscillate) in a non-rectilinear fashion. The apparatus may also contain the concomitant use of rectilinear reciprocation motion in addition to ultrasonic motion or energy along the shaft of the apparatus. The advantages of the liposuction apparatus are as follows: 1) non-rectilinear single shaft reciprocating cannula, 2) sonic or ultrasonic energy delivered to the distal tip, 3) rectilinear reciprocating cannula with ultrasonic energy along the shaft from the handle, and 4) any of the above reciprocating components powered by excess unused vacuum capacity in the liposuction aspirator (suction engine) apparatus.

Abstract: The present invention aids a person who is assisting with fetal extraction by monitoring and recording the pressure inside a vacuum device. The device includes a cable that is attachable to a monitor enabled to record a detected pressure, and a pressure detection device coupled to the cable. The pressure detection device is coupled to tubing such that the pressure detection device detects the pressure in the tubing. In yet another embodiment, the invention is a pump-attachable device for monitoring and recording a pressure in a vacuum device. In another embodiment, the invention is embodied as a method that includes the acts of attaching a suction device to a fetus, detecting the vacuum pressure, and recording the vacuum pressure.

Abstract: A surgical handpiece having at least two lumens or tubes mounted to a body. At least one tube is used for aspiration and at least one other tube is used to inject heated surgical fluid for liquefying a cataractous lens. A portion of the second tube is enlarged to form a pumping chamber. The pumping chamber works by boiling a small volume of the surgical fluid. As the fluid boils, it expands rapidly, thereby propelling the liquid downstream of the pumping chamber out of the second tube. The pumping chamber may use a pair of electrodes.

Abstract: A handpiece system for multiple phacoemulsification procedures is provided which includes a housing having a distal end adapted for sealably and releasably engaging a plurality of nose cones and a sonic generator disposed within the housing. A horn having a body connected to the sonic generator and a needle is provided for radiating sonic energy into an eye for fragmenting eye tissue. A plurality of nose cones are provided which are adapted for being sealably and releasably engaged with the housing and provide structure enabling varied phacoemulsification procedures.

Abstract: An irrigation/aspiration apparatus capable of detecting an aspiration pressure accurately while preventing an aspirated liquid from entering an aspiration pressure detecting system. The apparatus, which supplies an irrigation liquid to a surgical site and aspirates the supplied liquid with eliminated tissue to be discharged out of a body, has an aspiration channel, a shape-alterable diaphragm in pouch form, including a liquid chamber which communicates with the aspiration channel, a gas chamber which stores and surrounds the diaphragm, and a pressure sensor connecting with the gas chamber via a connecting part.

Abstract: Methods and apparatus are presented for extracting and collecting bone material from an extraction site of a patient. The method and apparatus further provides a readily accessible, and easily harvested, source of bone material without the drawbacks of current extraction methods.

Abstract: An aspirating ablator of simple construction and low cost is disclosed. The aspirating ablator is provided with a mandrel connected to a tubular member which houses a suction assembly. An electrode having a rectangular ablation surface formed of multiple parallel ribs or protuberances is assembled onto the mandrel so that the ablation surface is parallel with the longitudinal axis of the mandrel. A ceramic insulator provided with an opening of rectangular shape is assembled to the electrode-mandrel assembly. The insulator is further provided with a cylindrical passage in communication and aligned with a radial passage of the mandrel.

Abstract: A suction device for applying vacuum to a tissue surface is provided. The suction device including: a suction cup portion having a wall defining a cavity and an engagement surface for engaging the tissue surface; a vacuum inlet portion connected to the suction cup portion, the vacuum inlet portion having an inlet for connection to a vacuum source and a conduit in fluid communication with the vacuum inlet and the cavity such that a vacuum applied to the inlet is transferred to the cavity; and a valve disposed in the bore for selectively venting the vacuum in the cavity.

Abstract: Methods and apparatus are disclosed for treating body tissue whereby a section of tissue is drawn into contact with the open distal end of the first passageway of the apparatus. A tissue treatment fluid is introduced into the second passageway for treating the desired section of tissue retained within the first passageway. Methods and apparatus are also disclosed for positioning a medical device at a desired location within the heart. A portion of the apparatus is retained at a desired location of the heart and a medical device is extended through a passageway of the apparatus for contacting the heart at the desired location.

Abstract: Methods and devices for selectively removing an agent from a physiological efferent fluid collection site are provided. A feature of the invention is that a non-occlusive aspiration device is employed to selectively remove the target agent from the site only when the target agent is present in the site. Also provided are systems and kits for performing the subject methods. The subject invention finds use in a variety of different applications, including the selective removal of both therapeutic and diagnostic agents from a variety of different physiological sites.

Abstract: A debridement extension including a proximal end and a distal end, with the proximal end being adapted for connection to both an irrigation source and a suction source. The debridement extension includes a fitting adjacent the proximal end which includes both an irrigation port and a suction port. An inner cannula and an outer cannula are both attached to the fitting of the debridement extension and are, respectively, in fluid communication with the irrigation port and the suction port. A debridement tip is affixed to the distal end of the debridement extension and is independently in fluid communication with both the irrigation path and the suction path formed by the inner and outer cannulas, respectively.

Abstract: An agent delivery device includes an inner tubular body having a proximal end, a sharpened distal end, a delivery lumen extending therebetween, and one or more outlet ports on the distal end communicating with the delivery lumen. The device also includes one or more seals sealing the one or more outlet ports, the one or more seals capable of being melted to allow a fluid to be delivered from the delivery lumen through the one or more outlet ports. The agent delivery device may further include a monopolar or bipolar electrode and/or a radio-opaque marker carried at the distal end of the device. The inner tubular body can be made from a conductive material to thereby allow the inner tubular body to function as an electrode.

Abstract: An ultrasonic surgical system enables connection of a hand switch as well as a foot switch, which is used to operate a driving signal generator, without the necessity of retrofitting a main unit including the driving signal generator used to drive an ultrasonic transducer incorporated in a connected handpiece. An extension unit is included for connecting the foot switch and hand switch to the main unit. The foot switch and hand switch are connected to the main unit via the extension unit.

Abstract: A pulsed irrigation handpiece comprises a pulsed irrigation liquid outlet for applying liquid pulses to a surgical site, a pump unit reciprocatingly driveable for pumping pulses of irrigation liquid through the outlet, an electric powered drive unit for reciprocatingly driving the pump unit, and a housing containing the pump and drive units. A irrigation inlet hose leads from the pump unit out of the handpiece housing and is connectable to a remote irrigation liquid source. An irrigation inlet hose adjacent the remote end thereof and electric conductors extending along the irrigation inlet hose transfer electric power from the supply unit to the drive unit in the handpiece. Removable tips are alternatively removably attachable to the irrigation liquid outlet adjacent the front end of the handpiece.

Abstract: Cross stream thrombectomy catheter and system for fragmentation and removal of thrombus or other material from blood vessels or other body cavities. High velocity saline jets emitted from a toroidal loop jet emanator or other jet emanator in a catheter distal end entrain fluid through inflow orifices, and with flow resistances create a back-pressure which drives cross stream streams through outflow orifices in a radial direction and thence radially and circumferentially to apply normal and drag forces on thrombotic deposits or lesions in the blood vessel or other body cavity, thereby breaking apart and transporting thrombus particles to be entrained through the inflow orifices, whereupon the high velocity jets macerate the thrombus particles which then transit an exhaust lumen or recirculate again via the outflow orifices.

Abstract: A disposable, integrated extracorporeal blood circuit employed during cardiopulmonary bypass surgery performs gas exchange, heat transfer, and microemboli filtering functions in a way as to conserve volume, to reduce setup and change out times, to eliminate a venous blood reservoir, and to substantially reduce blood-air interface. Blood from the patient or prime solution is routed through an air removal device that is equipped with air sensors for detection of air. An active air removal controller removes detected air from blood in the air removal device. A disposable circuit support module is used to mount the components of the disposable, integrated extracorporeal blood circuit in close proximity and in a desirable spatial relationship to optimize priming and use of the disposable, integrated extracorporeal blood circuit. A reusable circuit holder supports the disposable circuit support module in relation to a prime solution source, the active air removal controller and other components.

Abstract: An apparatus and method for the removal of condensate from an operational gas directing conduit. Unlike prior devices, the apparatus and method of the present invention provide for condensate removal along a gas directing conduit or system at points other than between gas directing conduit connections or at terminal points of the gas directing conduit. Periodic aspiration of accumulated liquid from the apparatus without interruption of gas flow through the gas directing conduit may also be facilitated.

Abstract: An apparatus and method for the removal of condensate from an operational gas directing conduit. Unlike prior devices, the apparatus and method of the present invention provide for condensate removal along a gas directing conduit or system at points other than between gas directing conduit connections or at terminal points of the gas directing conduit. Periodic aspiration of accumulated liquid from the apparatus without interruption of gas flow through the gas directing conduit may also be facilitated.

Abstract: Apparatus and methods for maintaining contact between tissue and diagnostic and therapeutic elements.

Abstract: Methods and devices for treating vulnerable plaque deposits within a blood vessel, having an inner surface and one or more plaque deposits containing a core material are disclosed. A device in accordance with an exemplary embodiment of the present invention includes an elongate shaft having a proximal end and a distal end, a balloon disposed about the elongate shaft for engaging one or more plaque deposits and extracting the core material therefrom, a first venturi section disposed proximally of the balloon, and a second venturi section disposed distally of the balloon.

Abstract: Methods of modifying total MMP activity levels in the vitreous of an eye are provided. In a preferred embodiment, the method results in reduced MMP activity and comprises introducing plasmin into the vitreous of the eye. Enzyme assisted vitrectomy procedures are also provided, and comprise introducing plasmin into the vitreous in an amount sufficient to induce posterior detachment of the vitreous, mechanically detaching the vitreous from the eye, introducing a replacement fluid into the eye, and introducing plasmin into the eye in an amount sufficient to decrease the total MMP activity in vitreous. Considering the purported roles of MMPs in a variety of vitreal pathologies, the present invention provides methods of inhibiting the progression of various disease conditions, including prolifertaive diabetic retinopathy.

Abstract: A heart muscle irrigation device comprises a short rivet like member with one closed and one open end, and a barrel including a plurality of holes, slots, an area mesh, or a grid. The irrigation device is inserted into the heart muscle so as to provide a channel from, for example, the left ventricle, to provide an adequate oxygenated blood supply to a starved muscle. The irrigation device is inserted from either outside or inside the rib cage by an insertion device. The insertion device comprises a plunger and barrel assembly adapted to contain the irrigation device. The tip of the insertion device includes members adapted to penetrate the heart muscle. If the irrigation device is inserted through an insertion into the rib cage, an applicator comprising a tubular member with a planar tip including a soft elastomeric seal can be used whereby a portion of the heart muscle is held more or less rigidly for the short period during which the irrigation device is inserted.

Abstract: A method and apparatus is disclosed for mechanically-assisted liposuction treatment. The apparatus includes a hand-holdable housing, an electro-cauterizing cannula assembly, and a reciprocation mechanism. The hand-holdable housing has a cavity adaptable for receipt of a portion of the electro-cauterizing cannula assembly. The electro-cauterizing cannula assembly includes an inner cannula and an outer cannula, each having a distal end and a proximal end and at least one aspiration aperture about the distal end. The inner cannula is disposed within the outer cannula and the inner and outer aspiration apertures are in at least partial registration to form an effective aspiration aperture. The reciprocation mechanism is disposed within the housing and is operably associated with either the inner or outer cannula so that one of the cannulas can be selectively caused to reciprocate relative to the housing while the other is stationarily disposed relative to the housing.

Abstract: An irrigation/aspiration apparatus for ophthalmic surgery, includes: an irrigation fluid supplying unit, which supplies irrigation fluid into a patient eye; an aspiration unit provided with a hand piece having an aspiration hole, which aspirates through the aspiration hole a removed tissue along with the irrigation fluid supplied into the patient eye; a pressure sensor which detects vacuum pressure caused by the aspiration unit; and a control unit connected to the irrigation fluid supplying unit and the pressure sensor, which varies at least one of irrigation rate and irrigation pressure by controlling the irrigation fluid supplying unit based on the detected vacuum pressure.

Abstract: The present invention provides A surgical dissector, comprising: a housing having a first end and a second end, and on the first end is formed a suction inlet; a circuit board disposed within the housing; a first switch connected to the circuit board for performing function of electrical coagulating, and disposed on the housing; a second switch connected to the circuit board for performing function of electrical cutting, and disposed on the housing; a tube disposed in the housing and extended out of the second end of the housing, the extended end of the tube having a means for performing suction and/or blunt dissectingion and/or scraping and/or push peeling at the situs of operation; an electrosurgical knife disposed in the housing and extended out of the second end of the housing, the electrosurgical knife being connected electrically to the circuit board, and having the functions of electrical coagulating and cutting; and a retractable means for relative retractable movement between the tube and the electro

Abstract: Electrosurgical methods and apparatus for the controlled ablation of tissue from a target site of a patient. The instrument includes a shaft having proximal and distal end portion and an active screen electrode on the distal end portion; a return electrode arranged on the shaft spaced from the screen electrode; at least one electrical connector extending through the shaft that connects the active electrode with a high frequency power supply; at least one electrical coupling member (such as a ball wire) adapted to secure the active screen electrode to the shaft and to electrically couple the screen electrode to the at least one electrical connector; and an aspiration lumen within the shaft having a distal opening coupled to the single active electrode wherein the screen electrode inhibits clogging of the aspiration lumen.

Abstract: Multipurpose fluid applicators, particularly suitable for surgical purposes, are disclosed. The applicators are specifically designed for dispensing various combinations of sterile pressurized gas, suction, irrigation and sealant agents, including a mixed liquid sealant agent. Preferred embodiments employ a dual-acting valve selectively to control the flow of gas or suction which valve is capable of simultaneously varying flow from a source and the venting of that flow to atmosphere.

Abstract: A wound treatment device comprises a polyurethane or polyether foam pad, adapted for insertion substantially within a wound cavity; a pump for supplying fluid flow to the wound site; and a collection canister for receiving wound fluids drawn from the wound cavity. The foam pad, pump and collection canister are in fluid communication with one another through a single hospital grade hose having a plurality of tiny apertures in the portion that is central to the foam pad. These apertures are adapted to allow fluids from the wound cavity to be drawn into the flow from the pump to the canister according to Bernoulli's theorem.

Abstract: Cross stream thrombectomy catheter and system for fragmentation and removal of thrombus or other material from blood vessels or other body cavities. High velocity saline jets emitted from a toroidal loop jet emanator or other jet emanator in a catheter distal end entrain fluid through inflow orifices, and with flow resistances create a back-pressure which drives cross stream streams through outflow orifices in a radial direction and thence radially and circumferentially to apply normal and drag forces on thrombotic deposits or lesions in the blood vessel or other body cavity, thereby breaking apart and transporting thrombus particles to be entrained through the inflow orifices, whereupon the high velocity jets macerate the thrombus particles which then transit an exhaust lumen or recirculate again via the outflow orifices.

Abstract: A device for colonic lavage has a tubular body (10) having a forward portion (12) and a rearward portion (14). An opening (16) is provided at the front end of the forward portion (12). A side tube (18) includes an outlet (20), thereby defining a continuous passage (22) from the opening (16) to the outlet (20). A port (24) is located at the other end of the tubular body (10) and incorporates a seal (28) having a free internal dimension (I) less than the minimum cross-sectional dimension (M) of the passage (22). The junction (17) between the forward portion and the side tube (18) is flexible. A discharge tube (32) extends from the outlet (20) to a sealable container. In use, the forward portion (12) of the tubular body (10) is inserted into the bowel of a patient. A hose (26) is inserted into the port (24) to extend through the tubular body (10) and through the opening (16) into the colon of the patient. Irrigation fluid is passed through the hose (26) to cleanse obstructed fecal matter from the colon.

Abstract: A method and apparatus is disclosed for mechanically-assisted liposuction treatment. The apparatus includes a hand-holdable housing, an electro-cauterizing cannula assembly, and a reciprocation mechanism. The hand-holdable housing has a cavity adaptable for receipt of a portion of the electro-cauterizing cannula assembly. The electro-cauterizing cannula assembly has a distal end and a proximal end and at least one aspiration aperture about the distal end. The reciprocation mechanism is disposed within the housing and is operably associated with either the cannula so that the cannulas can be selectively caused to reciprocate relative to the housing. As the cannula is caused to reciprocate relative to the housing, the aspiration aperture formed through the distal end of the cannula assembly is caused to undergo periodic displacement.

Abstract: A single operator exchange fluid jet thrombectomy device having an outer catheter assembly and separable and exchangeable components in the form of an inner catheter assembly allowing functioning as a rheolytic thrombectomy catheter or as a crossflow thrombectomy catheter. Embodiments include an outer catheter assembly common to any mode of usage having a guide catheter having a lumen through which a guidewire and the greater portion of a hypo-tube carrying a flow director are passed and advanced. For use as a rheolytic thrombectomy catheter, thrombus is dislodged, entrained, and broken into pieces by jets and evacuated through the lumen of the guide catheter. For use as a crossflow thrombectomy catheter, a flow director having outflow and inflow orifices is provided.

Abstract: An aspirating device for an eye includes a tubular member having a predetermined length that enables the tubular member to fit into an open eye and to rest on the surface of the eyeball adjacent one of the eyelids. The tubular member has one or a plurality of spaced openings therein along its length that allow liquid on the surface of the eyeball to be drawn into the tubular member upon the application of suction to the tubular member.