Abstract: A retrieval device may have a contracted state and an expanded state. The retrieval device may include a sheath and at least three support members. Each of the support members may have a first portion with a first cross-sectional shape and a second portion with a second cross-sectional shape different from the first cross-sectional shape. A proximal end fixed of each of the support members may be coupled to the sheath, and a distal end may be movable relative to the sheath. The retrieval device may further include at least three movable members movable relative to the support members. Each movable member may extend through a lumen of one support member of the at least three support members and through a lumen of a different support member of the at least three support members.

Abstract: An endovascular medical system for use with a clot located in a target vessel. The system including a guidewire formed by a core wire. The guidewire extending in a longitudinal direction from a proximal end to an opposite atraumatic clot-circumventing configured distal end; and a lateral direction of the atraumatic clot-circumventing configured distal end of the guidewire being defined transverse to the longitudinal direction of the guidewire. The atraumatic clot-circumventing configured distal end is designed to prevent injury to an inner wall of the target vessel and prohibit insertion of any portion of the guidewire into a perforator vessel.

Abstract: A medical retrieval tool including a sheath; and a basket device connected to the sheath. The basket device includes a shaft and a basket located at a distal end of the shaft. The shaft is movably located in the sheath. The basket includes a first basket cage section and a second basket cage section. The first basket cage section is located in front of the second basket cage section. The basket is configured to be extended from a distal end of the sheath in a plurality of deployment modes including a first deployment mode where the first basket cage section is deployed in a first fully expanded shape and the second basket cage section is located in the sheath; and a second deployment mode where both the first basket cage section and the second basket cage section are deployed out of the distal end of the sheath.

Abstract: The present disclosure relates generally to the field of medical devices and methods to assist in the introduction of an instrument into a patient, and more particularly to medical devices for measuring and/or monitoring forces applied during introduction of an access sheath through a body lumen.

Abstract: Self-rolling mechanical apparatuses for removing material from a body lumen include a tractor tube portion that rolls and inverts over itself in a continuous motion, tractor-like, to draw material into the tractor tube, wherein the tractor tube rolls over itself without requiring any additional internal support at the distal-facing region of the tractor tube.

Abstract: Novel catheter with longitudinal expandable arid contractile elements which promote wave propagation. The tension-band characteristics of these elements enhance the “crawling” dynamics of the catheter. Tauglit is an aspiration catheter with three key components: an inner spring coil system, a soft pleated jacket with annuli that buckles under load and an outer proleg or leaf-spring that fattens the. diameter of the catheter. Smart features, robotics and AI may be on-boarded. As shown, subject catheters shall piston in a fixed environment (muscular structure such as an artery) and propagate forward akin to earthworm locomotion (Lumbricm terrestris).

Abstract: Provided is an intra-abdominal tissue retrieval bag. The bag has an inflated state and a deflated state. The bag is introduced into the abdomen in a deflated state through a small incision and placed underneath the specimen to be retrieved. The bag is defined by an inflatable defining circumferential ring at the opening and an inflatable collection sac. Both inflated using external pneumo source sequentially, the same that is used to maintain pneumoperitoneum during laparoscopic surgery. After insufflation, the specimen becomes fully contained and ready for retrieval after desufflation.

Abstract: A method of performing a medical procedure in a cerebral vessel of a patient including advancing a first catheter system towards an embolus within a cerebral blood vessel and a second catheter system towards the embolus through the first catheter, applying aspiration pressure through the lumen of the second catheter; anchoring a distal end of the second catheter onto the embolus via the aspiration pressure; applying a proximally-directed force on the second catheter; and advancing the first catheter over the second catheter towards the embolus while the distal end of the second catheter remains anchored onto the embolus; and automatically applying aspiration pressure within the first catheter upon the second catheter portion entering into the first catheter.

Abstract: A surgical device is disclosed for cutting tissue, including for performing a capsulotomy of a lens capsule of an eye. This device includes a reversibly collapsible cutting element for cutting a portion of a capsule membrane of the eye. The cutting element includes an outer layer, an inner layer, and a bottom layer that has a higher electrical resistance than the electrical resistance of the outer layer and the inner layer. The bottom layer is configured to conduct an electrical current between the outer layer and the inner layer, which causes a temperature increase in the bottom layer for cutting tissue.

Abstract: The invention generally relates to systems and methods for therapeutically modulating nerves in or associated with a nasal region of a patient for the treatment of a rhinosinusitis condition.

Abstract: A medical device may include an insertion device having a proximal end, a distal end, and a lumen extending therethrough. The medical device may further include a snare device configured to transition between a contracted state within the lumen of the insertion device, and an expanded state extending distally of the insertion device. The snare device may include a loop including a pair of legs and a distal tip. The distal tip may include a plurality of stabilizers between the pair of legs.

Abstract: A medical system may include an insertion device having a handle, a shaft coupled to the handle of the insertion device, and a port positioned on the handle of the insertion device. The port may be in fluid communication with a working channel of the shaft. The port may be a female luer port. The medical system may further include a medical device having a control member terminating in an end effector, a handle having a plurality of circumferential slots along the length of the handle, and a plunger moveable along a longitudinal axis of the handle of the medical device between a first position and a second position. In the first position, the end effector may be positioned within the shaft, and in the second position, the end effector may be positioned distally of the shaft.

Abstract: A tissue specimen retrieval bag assembly includes a tissue specimen bag having an open proximal end and a closed distal end, the proximal end including a cuff defined therein and extending therearound. A flexible bag brim is disposed within the cuff, the flexible bag brim transitionable between a first, collapsed configuration and a second, expanded configuration. The flexible bag brim includes a D-Shaped cross section configured to facilitate both furling the tissue specimen bag onto itself around the bag brim when the bag brim is disposed in the second, expanded configuration and securing the tissue specimen bag in a desired furled configuration. The flexible bag brim defines a cavity therein configured to facilitate compression thereof and to facilitate handling of the bag brim by a surgical instrument.

Abstract: An endoscope treatment tool includes: a sheath; an operating wire in the sheath; a gripping portion provided at a distal end of the operating wire and having one or more wires; a tip attached to a distal end of the sheath; and a resin member disposed at a position adjacent to the tip on a radially inner or outer side thereof, wherein the tip includes clearance grooves extending toward a proximal end of the tip from a distal end of the tip, passing therethrough from an inner circumferential surface of the tip to an outer circumferential surface of the tip, and having sizes enabling the wires to pass therethrough, and at least proximal-end sides of the grooves overlap with the member in a radial direction of the tip and a distal end of the member is disposed farther on a distal-end side than proximal ends of the grooves are.

Abstract: A basket actuator includes a base including a base body and a base guide installed in the base body, a slider including a slider body configured to slide along the base guide, and a first slider arm and a second slider arm formed to protrude from the slider body and facing each other, a roller including a roller body rotatably disposed between the first slider arm and the second slider arm and a plurality of roller blades formed to protrude outwardly from the roller body, a wire guide connected to a front end portion of the base body, a wire disposed inside the wire guide and having a first end fixed to the roller, and a basket connected to a second end of the wire. The second slider arm is located rearward in comparison to the first slider arm.

Abstract: A method and apparatus for performing facial registration includes selecting a plurality of target locations for registration. It is indicated that registration is taking place at each of the plurality of target locations, and it is indicated that registration is complete at the each of the plurality of target locations as each target location is registered. Once the registration of all target locations is complete, it is indicated to the system.

Abstract: A foreign substance removing device includes a tubular member and a retriever configured to be expandable to and contractible from a predetermined shape. The retriever includes main wires disposed to be centered around a tube axis of the tubular member, and sub wires each connecting adjacent ones of the main wires to each other. Each of the main wires is configured to curve when the retriever is expanded such that a space having a predetermined size is provided by the main wires. Each of the sub wires is configured to be foldable at at least one point between the adjacent ones of the main wires. When the retriever is expanded, the folding points of the sub wires are positioned inside the space such that the sub wires do not protrude out of the main wires.

Abstract: A capturing unit provided on a distal end of a second tube can be deformed into a contracted state and an expanded state, in which the capturing unit is deployed to form a capturing chamber. The capturing chamber has an opening area decreased as it goes from a distal end opening of the capturing chamber toward a proximal end opening of the capturing chamber. A third tube rotatable relative to the second tube and a cutting unit provided on a distal end of the third tube for cutting a foreign substance are arranged in a second lumen. In the expanded state of the capturing unit, the cutting unit is arranged more toward the proximal end opening of the capturing chamber than the distal end opening.

Abstract: Methods, apparatus, systems and articles of manufacture (e.g., physical storage media) to detect media watermarks in magnetic field data are disclosed herein. Example media monitors disclosed herein include a magnetic field estimator to determine first magnetic field data, the magnetic field estimator in communication with a magnetometer. Disclosed example media monitors also include a correlator to correlate the first magnitude field data with a reference sequence to determine second magnetic field data. Disclosed example media monitors further include a watermark decoder to process the second magnetic field data to detect an audio watermark encoded in an audio signal.

Abstract: A device may be used for capturing and retrieving vascular debris. The device may include: at least two segments radially expandable from a collapsed state to an expanded state, each of the at least two segments having (a) a waist including a radially largest region of the segment and (b) two longitudinal ends; at least one intermediate portion, each of the at least one intermediate portion including a pivot that connects adjacent segments, each pivot having a diameter less than a diameter of the waist; wherein each of the at least two segments includes at least two struts that extend longitudinally from a proximal end to a distal end of the segment, the at least two struts tapering from the waist radially inward toward a longitudinal axis of the device as the at least two struts approach an adjacent intermediate portion.

Abstract: A thrombectomy device includes a handle at a proximal end portion of the device, a first tube connected to the handle, and a second tube extending to a distal end portion of the device. The thrombectomy device also includes a cage at the distal end portion of the device, the cage being adjustable between a contracted orientation and an expanded orientation and including a scraping element formed with one or more of a round wire, a flat wire, or a blade disposed between a proximal end portion of the cage and a distal end portion of the cage, and a suction device, including a source of suction connected to the proximal end portion of the device, the suction device being configured to apply suction towards an interior of the second tube and to an extraction passage formed between the first tube and the second tube in a radial direction.

Abstract: A microelectronic controlled magnetic cleaning system, comprising a micron-scale fine line inner-end part, a micro-scale fine line outer motor control part, and a micro-scale fine line outer system electronic control part. The micron-scale fine line inner-end part is manufactured as a plurality of micron-scale magnetic fine lines, wherein the central magnetic fine lines are slightly wider than the periphery magnetic fine lines. The inner-end part of the central magnetic fine lines is spiral shaped. The micro-scale fine line outer motor control part is made by adding a high-precision micro-motor at the middle portion outside the central magnetic fine lines, When a larger obstruction is found by an endoscope or other optical device imaging system, the central magnetic fine lines can be controlled to arrive at a designated position, and motor speed can be controlled to clean the obstruction. Also disclosed is a micro-electronic controlled magnetic cleaning method.

Abstract: A method for capturing an object in a cavity in a patient is described. The method includes advancing a ureteroscope into the cavity containing the object. A basket is advanced through a working channel of the ureteroscope. The basket is opened within the cavity and is positioned so as to enclose the object. Then, two actions are performed simultaneously. The basket is collapsed while simultaneously the basket tool is advanced forward so that the object remains within the basket, ideally near the center of the basket, as the basket closes around the object. Once the object is captured, the basket is retracted to remove the object out of the cavity. Further, this process may be automated by having the method carried out by robotic arms acting in tandem, with one or more robotic arms advancing the basket tool or ureteroscope, and another robotic arm collapsing the basket.

Abstract: An endoscopic instrument provides a flexible three-arm snare structure that is adapted to retrieve stones from a human body.

Abstract: Systems and methods for directing a device to a target region within a body cavity are provided. One embodiment includes a first catheter having a handle, an expandable cage, and a lumen therethrough, the expandable cage having a plurality of members that expand to engage a wall of the body cavity, a second catheter within the first catheter lumen having a hub at a distal end, and a plurality of pairs of wires secured at a first end within the handle of the first catheter and secured at a second end to the hub of the second catheter, each pair of wires being movable in conjunction with each other by manipulation of the handle so as to move the hub, a first pair of wires movable to move the hub in a first direction and a second pair of wires movable to move the hub in a second direction.

Abstract: Embodiments hereof relate to a delivery system for a transcatheter valve prosthesis, the delivery system having an integral centering mechanism to circumferentially center both the delivery system and the valve prosthesis within a vessel at the target implantation site. The centering mechanism may include expandable wings that may be selectively aligned with openings formed through a sidewall of an outer shaft of the delivery system, a coiled wing that may be selectively exposed through an opening formed through a sidewall of an outer shaft of the delivery system, a plurality of elongated filaments extending through a plurality of lumens of an outermost shaft of the delivery system that may be selectively deployed or expanded, an outer shaft that includes at least one pre-formed deflection segment formed thereon, a tool having a deployable lever arm, and/or a plurality of loops deployable via simultaneous longitudinal and rotational movement.

Abstract: An anchor device to simplify catheterization procedures, particularly for insertion and maneuvering of large catheters in tortuous arteries, vessels, or other lumen is disclosed. In some embodiments, the anchor device includes an anchor stent formed from a plurality of zig-zag shaped wire elements that are coupled together. The device further includes a plurality of connector struts attached at a proximal end of the anchor stent, the connector struts coalescing to form a strut tip. A guide device, such as a guidewire, is attached to the anchor stent at the strut tip and may be used to guide the anchor stent into the arteries or other vessels and toward a target treatment site.

Abstract: The present technology is directed generally to devices, systems, and methods for capturing and cutting fibrous and trabeculated structures (such as synechiae) in vessel lumens. In one embodiment, the present technology includes an intraluminal tissue modifying system configured to capture the fibrous structures, put the fibrous structures in tension, and controllably cut through the fibrous structures without applying appreciable additional force to the vessel wall. The system may include an expandable capture device and a cutting device.

Abstract: The present invention relates generally to expandable medical devices including a light-activated shape-memory polymer. In certain embodiments, the devices include, for example, balloon catheters, used to treat narrowed or obstructed portions of a body vessel, and retrieval devices, used to remove obstructions from a body vessel. Certain aspects of the invention relate to methods of manufacturing and using such devices.

Abstract: A device arranged to sustain and/or provide at least partial patency of a small blood vessel exhibiting an occlusion, the device constituted of a tubular body expandable from a first small diameter state for manipulation to, and through, the occlusion of the small blood vessel and a second large diameter state, the inner dimensions of the second large diameter state being no more than 50% of the diameter of the small blood vessel at the occlusion location, the device presenting a conduit for blood flow through the occlusion when in the large diameter state. In one embodiment the small blood vessel is an intracranial blood vessel.

Abstract: An arterial embolus retrieval system that includes an outer sheath configured as a tubular structure and that is able to move independent of a vessel wall. The arterial embolus retrieval system includes a retriever within the outer sheath, and configured to move independent of the outer sheath. The arterial embolus retrieval system also includes a handle configured to deploy the retriever, and a guidewire opposite of the handle and surrounded by the vessel wall. The outer sheath and the retriever can be configured to be guided to a location of an embolus using the guidewire. The guidewire can be configured to be retrieved once the outer sheath and the retriever are proximal to the embolus.

Abstract: A vascular remodeling device is provided. The device has an anchor portion, sized for deployment in a blood vessel, that is radially expandable from a collapsed state to an expanded state. The device also includes a distal portion sized for deployment in a blood vessel. The distal portion is radially expandable from a collapsed state to an expanded state and has a distal face that is sufficiently occlusive in the distal-to-proximal direction to perform a therapeutic blocking function in an aneurysm neck. The device also has an intermediate portion that interconnects a distal end of the anchor portion and a proximal end of the distal portion. In some embodiments, the anchor portion and/or distal portion has a plurality of interconnected struts.

Abstract: A retractor is configured to manipulate for vascular structures during minimally invasive surgical procedures such as mitral valve repair. A long wire has a spring loop at one end surrounded by a helical spring coil forming a toroidal ring. The spring maintains a circular shape while expanding and shrinking under manual control to a desired size for initiating and maintaining the retraction. The looping end of the spring wire is enclosed by the helical coil spring. The other end of the long wire is mounted through a frame with two hollow support arms carrying separate sides of the long wire and guiding them through a long support tube to a proximal end of the tube where each separate portion of the long wire attaches to a coupler. The coupler includes a handle or other push/pull mechanism to adjust the size of toroidal ring.

Abstract: A urolithiasis removing device according to one embodiment can comprise: an insertion tube; a guide which is inserted into the insertion tube and which is relatively movable with respect to the insertion tube; a wire which is inserted into the guide and which is relatively movable with respect to the guide; a basket positioned in front of the wire and capable of holding urolithiasis; and a control unit for determining the size of the urolithiasis on the basis of the relative movement of the guide with respect to the insertion tube or the relative movement of the wire with respect to the guide.

Abstract: A device and a method for increasing or restoring a flow in a body lumen are provided. The device and the method may treat conditions related to a stroke, such as an ischemic stroke, by removing an occlusion from a blood vessel and/or reopen a blood vessel. The device may comprise a tubing compartment, a central wire, and an engaging compartment. The engaging compartment may comprise a distal engaging element and a proximal engaging element. A clot or occlusion present in the body lumen such as an artery may be engaged in and/or between the distal and proximal engaging elements. Further, the positions of one or both of the engaging elements and the distance therebetween can be adjusted to ensure the engagement of the clot or occlusion.

Abstract: Methods and systems for retrieving temporary Inferior Vena Cava (IVC) filters, other medical implants, or foreign bodies are described. These methods may employ a locking sheath or a proximal-aperture capture feature for IVC filter (or other device) retrieval. One of the methods includes: passing an elongate member having a braided funnel-shaped distal extension through a sheath, where the braided funnel-shaped distal extension includes a distal bend to form a distal aperture and a flap that defines a proximal aperture; passing an end of the medical device through the distal aperture and then through the proximal aperture to capture the medical device; and covering the medical device with the sheath.

Abstract: An endoscopic snare device (10, 100, 100?) includes a pair of bowed, resiliently deformable, snare wires (12, 14) with bow shaped memory, a mesh (20) attached to mid-portions (16, 18) and distal portions (22, 24) of the snare wires (12, 14) for a mesh length (A) that is less than the snare length (L), a bowed, resiliently deformable, support wire (116) extending in a plane out of the plane of the snare wires (12, 14), and a pair of bowed, resiliently deformable, incising wires (112, 114) side by side with the snare wires (12, 14). The support wire (116) is electrically insulated. A mouth cord or wire (46) extends from one snare wire (12), through the support wire (116), and to the other snare wire (14).

Abstract: A retrieval method for removing clots is provided using a device that includes a shaft carrying an expandable cage. The expandable cage includes a plurality of struts, each strut including proximal and distal ends coupled to non-expandable sections of the shaft distal end and an intermediate region that expands from a collapsed configuration to an expanded configuration. The struts have radial surfaces extending in a radial direction and outer circumferential surfaces in the collapsed configuration, and the intermediate regions of the struts are configured to twist along their lengths when expanded to the expanded configuration, e.g., such that the radial surfaces become oriented substantially circumferentially and the outer surfaces become oriented substantially radially.

Abstract: A surgical tissue retrieval instrument has a collapsible pouch at the distal end of an elongated pusher rod that is introduced into a patient through a cannula. The instrument includes a two jaw fork that forms a loop when in an unconstrained configuration and that supports the pouch. Deployment and operation of the fork and the pouch are controlled by a securing mechanism. The two jaws and the securing mechanism are slid in a hem surrounding the opening of the pouch when the device is assembled.

Abstract: The devices and methods described herein relate to jointless construction of complex structures. Such devices have applicability in through-out the body, including clearing of blockages within body lumens, such as the vasculature, by addressing the frictional resistance on the obstruction prior to attempting to translate and/or mobilize the obstruction within the body lumen.

Abstract: According to an example of the present disclosure, a retrieval device having a contracted state and an expanded state may include at least three support members each having a lumen, a fixed proximal end, and a movable distal end, and at least two members movable relative to the support members. Each movable member may include a first end and a second end and extending distally through a lumen of a support member and proximally through a lumen of a different support member. The device may include a stop located at the second end of at least one movable member to restrict movement of the second end after moving a distance distally during movement of the retrieval device toward the expanded state.

Abstract: A device for crossing a lesion in a tissue lumen includes a crossing wire configured to pass through a lumen of a catheter, the crossing wire including a loop at a distal end of the crossing wire. The loop can have a configuration that prevents a width of the loop from exceeding a width of the tissue lumen, and the loop having a pair of lateral opposing portions configured for alignment with a wall of the tissue lumen and a leading portion interconnecting the pair of lateral opposing portions, the leading portion being configured to interrogate the lesion. The loop has a length in an axial direction of the crossing wire extending from the leading portion to proximal ends of the pair of lateral opposing portions, the length being perpendicular to the width, and the length of the loop is at least twice the width of the loop.

Abstract: The present disclosure relates to a calculus removing device which is used in the medical field. More particular, the present disclosure relates to a calculus removing device which has a lithotripsy probe capable of simultaneously destructing and removing the calculus formed in the human body regardless of the size of the calculus by optionally using attractivity or electricity through a lithotripsy probe.

Abstract: A fastening system includes first and second fastening members and a penetrating member. The first fastening member includes a backspan and a set of lobes that extend from the backspan. The second fastening member includes a backspan and a set of lobes that extend from the backspan. The penetrating member includes a first body which is substantially planar, a set of teeth, and a first trailing wall that extends from the first body orthogonal to a plane that is defined by the first body. The set of teeth extend from a leading edge of the first body which is opposite a trailing edge of the first body and are configured to pierce and spread tissue over the set of lobes of the first fastening member. The first trailing wall is configured to support the backspan of the first fastening member.

Abstract: A ureteral stent including a tubular body that defines a lumen and has (i) a distal kidney section to be placed in or near a patient's kidney, (ii) a proximal bladder section to be placed within or near the patient's bladder, and (iii) a ureter section between the distal and proximal sections to be placed within the patient's ureter. A first anti-migration feature may be provided at the proximal bladder section. A second anti-migration feature may be provided at the proximal bladder section, the distal kidney section, or both. A proximal end of the tubular body includes a one-way valve that allows fluid to flow out of the lumen, while preventing fluid from entering the lumen.

Abstract: A retrieval device may have a contracted state and an expanded state and may include a sheath defining a longitudinal axis; a first arm, a second arm, and a third arm; a first member extending between a distal end of the first arm and a distal end of the third arm; and a second member extending between a distal end of the second arm and the distal end of the third arm. In the expanded state and from a distal-end view, the first and second members and the distal ends of the first arm, second arm, and third arm may form a V-shape with an open mouth.

Abstract: Method for using a clot retrieval device for treating a clot in a blood vessel for use in the treatment of ischemic stroke to reperfuse an obstructed vessel.

Abstract: Mechanical thrombectomy apparatuses, and particularly knitted rolling tube mechanical thrombectomy apparatuses configured to have improved tracking for delivery through tortious vessels are described herein. Also described herein are methods of removing clots using a mechanical thrombectomy apparatuses in which the clot is larger than the tractor portion of the mechanical thrombectomy apparatus.

Abstract: Apparatus and methods relating to a medical retrieval device that may include or be used with a catheter. A basket is included with an opening that is oriented transverse to the longitudinal direction in which the catheter extends. The basket may be extended and/or retracted relative to the catheter, and/or may be expanded and/or contracted to, for example, facilitate ensnaring and extraction of a foreign body, object, or polyp, etc. from a patient's esophagus, biliary tree, GI tract, urinary tract, abdominal cavity, kidney, bile duct, urethra, etc.

Abstract: A clot retrieval device (9501) for removing clot from a blood vessel comprises an inner elongate body (9503) and an outer elongate body (9504) at least partially overlying the inner elongate body (9503). The device also comprises an elongate member or shaft (9502) having a proximal end which extends exterior of a patient so that a user can retrieve the stent-basket device and captured clot by retracting the shaft (9502). The outer elongate body (9504) and the inner elongate body (9503) are connected to the distal end of the shaft (9502) and are expandable relative to the shaft (9502) from a collapsed delivery configuration to an expanded deployed configuration. The outer elongate body (9504) is expandable relative to the inner elongate body (9503) to a radial extent which is greater than the radial extent of the inner body (9503) in the deployed configuration.