摘要:
Extraction devices for extracting chronically implanted devices such as leadless cardiac pacemakers (LCP). In some cases, the extraction devices may be configured to cut, tear or ablate through at least some of the tissue ingrowth around and/or over the chronically implanted device such that a retrieval feature on the chronically implanted device may be grasped for removal of the chronically implanted device. Implantable medical devices such as LCPs may include features that facilitate their removal.
摘要:
A device and method for treating a patient with total or near total occlusion is provided. The device can be positioned in a blood vessel at a treatment site. An occlusion at the treatment site is enlarged by a catheter. The catheter can be advanced over a guidewire into the occlusion. One or more of [a] compression or torsion applied to the guidewire or [b] compression or torsion applied to the catheter body expands or creates a path through the occlusion. The expansions or creation of the access path can be by cutting or abrading the occlusion or by a shoe-horn effect.
摘要:
An ablation catheter system is disclosed that comprises a channel and a tubular braided element having an outer circumferential surface and a lumen. The tubular braided element is sized and shaped to be placed in the channel when in a compressed configuration and to be expanded in a target area of a blood vessel in a manner that the outer circumferential surface touches the walls of the target blood vessel in the target area when in an expanded configuration. The system also includes a longitudinal maneuvering element which is mechanically connected to a distal end of the tubular braided element and set to pull the distal end into the lumen so as to curve radially and outwardly a plurality of annular segments of the expand tubular braided element in a sequential manner.
摘要:
The invention provides a microdermabrasion device (1) comprising a microdermabrasion zone (300) for abrading a part of a skin of a subject, wherein the microdermabrasion zone (300) comprises a support material (310) and abrasive structures (320) at least partially associated with the support material (310), wherein the microdermabrasion zone (300) comprises a releasable material (330), releasable comprised by the microdermabrasion zone (300), wherein the releasable material (330) is a solid in air at 20° C. and at 1 bar, and wherein the releasable material (330) comprises a functional material (1330).
摘要:
A high-speed rotational atherectomy device for opening a stenosis in an artery having a given diameter, comprising: a guide wire; a flexible elongated, rotatable drive shaft advanceable over the guide wire, the drive shaft having a proximal end and a distal end; and a piloting member fixedly attached to the drive shaft. When the piloting member is advanced to a stenosis, the piloting member creates a piloting hole when the drive shaft is rotated.
摘要:
A differential dissecting instrument for differentially dissecting complex tissue is disclosed. The differential dissecting instrument comprises a handle and an elongate member having a first end and a second end, wherein the first end is connected to the handle. The differential dissecting instrument comprises a differential dissecting member (2800) configured to be rotatably attached to the second end and further comprises at least one tissue engaging surface (2850). The differential dissecting instrument comprises a mechanism configured to mechanically rotate the differential dissecting member around an axis of rotation (2830), thereby causing the at least one tissue engaging surface to move in at least one direction (2840) against the complex tissue. The at least one tissue engaging surface (2850) is configured to selectively engage the complex tissue such that the at least one tissue engaging surface disrupts at least one soft tissue in the complex tissue, but does not disrupt firm tissue in the complex tissue.
摘要:
An undercutting system for preparing a region between an ilium and a sacrum for sacroiliac fusion. The undercutting system includes a probe assembly and a cutting assembly. The probe assembly is operably mounted to the insertion apparatus. The probe assembly is moveable with respect to the insertion apparatus between a retracted configuration and an extended configuration. In the extended configuration at least a portion of the probe assembly extends laterally from the insertion apparatus. The cutting assembly is operably mounted with respect to the probe assembly and the insertion apparatus. The cutting assembly is movable with respect to the insertion apparatus between a retracted configuration and an extended configuration. In the extended configuration at least a portion of the cutting assembly extends laterally from the insertion apparatus.
摘要:
The invention provides devices with integrated intravascular imaging and methods for crossing a CTO within the true lumen of a vessel. An interventional catheter with intravascular imaging capabilities can be guided into an affected vessel and to a CTO. An included intravascular imaging device captures a 3D image of the environment. The catheter includes a crossing member that can be extended out from a distal tip of the catheter, causing the crossing member to directly cross through the CTO creating a new channel through the CTO.
摘要:
An ultrasonic surgical blade has a blade body at a distal end and a shank at a proximal end, the shank being connectable at a proximal end to a source of ultrasonic mechanical vibrations. A sheath surround at least a portion of the shank. The sheath is configured to define a space between an outer surface of the shank and an inner surface of the sheath. The shank is provided with a liquid-conducting channel terminating in at least one outlet at the outer surface of the shank to enable delivery of irrigant to the space between the shank and the sheath for eventual conduction along an outer surface of the blade body.