Abstract:
Devices and methods (2) for removing an obstruction from a blood vessel are described. The devices (2) are deployed in a collapsed condition and are then expanded within the body. The devices (2) are then manipulated to engage and remove the obstruction.
Abstract:
An endoscopic surgical device 10 for retrieving severed tissue or foreign bodies from within a subject, the device comprises a support unit 12 and a tissue retrieving net system 16. The net system 16 is carried by the support unit 12 and may be inserted into the subject through an orifice or small incision and operated to retrieve tissue that has been severed by a conventional method. The net system 16 comprises a net 20, a net actuator24, a net deployment and retrieval assembly 28 for transmitting motion between the net 20 and its actuator 24. The net system 16 further comprises at least one net connector 80, 82disposed such that only one connector 82 is within an articulation zone bounded by A1, A2, defined by locations of severe bending of the device 10 during operation.
Abstract:
An embolus extractor (10) including elongate shaft (16) having a proximal end and a distal end. The embolus extractor may include first (12) and second struts (14) coupled to the distal end of the shaft (16). The struts (12, 14) may define a proximally disposed mouth.
Abstract:
Surgical apparatus (100) for immobilization and evacuation of foreign objects from a body organ or passage comprises a retrieval basket (112) and a basket control means (114). The basket (112) is defined by a first section (122), suitable for capturing the object and by a second section (124), suitable for retention the captured object. The first section (122) comprises at least two branches (126) and distal ends of at least some of the branches (126) are provided with loops (134), which overlap and define spatially the second section of the basket (124).
Abstract:
A tissue separator assembly includes a proximal end assembly, typically a handle, and a catheter assembly, including a shaft and a tissue seperator movable between a retracted state and an outwardly extending, operational state. An energy source may be selectively coupled to the tissue separator element. The tissue separator element may be moved to the operational state and then automatically rotated to separate a tissue section from the surrounding tissue. A tissue holding element may be used to help secure a separated tissue section to the catheter assembly. A tubular braided element may be used to surround the tissue separator element and any separated tissue section.
Abstract:
Apparatus (20) and methods are provided for use in filtering emboli from a vessel and/or performing thrombectomy and embolectomy, wherein a vascular device comprises one or more support hoops (24) connected near a distal end (23) of a guide wire, each support hoop (24) having an articulation region, and a blood permeable sac (28) affixed to the support hoop (24) or hoops to form a mouth of the blood permeable sac (28). The mouth of the sac (28) closes when the apparatus (20) is collapsed for removal to prevent material from escaping from the sac (28).
Abstract:
A system (100) for removing an obstruction from a blood vessel includes an obstruction engaging element (106) and an expandable capture element (102). The capture element (102) preferably has a flexible cover and an expandable support structure. The engaging element (106) engages the obstruction and moves the obstruction into the capture element. The capture element (102) protects the obstruction when the obstruction is moved into the catheter.
Abstract:
Disclosed is a device for removing a foreign object from the body of a human or animal patient, the device being formed from a single length of tubing, slit lengthwise at its distal end to define an envelope of a basket cavity, the envelope featuring a set of second strands, each formed by slitting one of the first strands over a distal portion of the first strand, which distal portion is less than the full length of the first strand.
Abstract:
A replaceable handle (14) for side loading the proximal end of a medical device (12) therein, which is typically inserted with the operating lumen of an endoscope. The replaceable handle can side-load the proximal end of the device into the handle for added manipulation of the distal end such as in removing a stone from the kidney or ureter leading therefrom. An inner housing (52) is rotatable within an outer housing (50) of the handle to secure the medical device in the housing passageway, and is spring biased to then move proximally with respect to the outer housing, moving the inner control rod (22) of the medical device proximally to withdraw the stone basket (16) mostly into the outer cannula (24) and capture the stone (18) for removal from the patient. A push button (70) in the proximal end portion (68) of the inner housing (52) is depressible to permit insertion or withdrawal of the proximal end (34) of the inner control rod (22) of the stone retriever (12) within the inner housing, and is releasable to secure the inner control rod in the handle.
Abstract:
A laparoscopic port adapter assembly (10) for conducting bile duct and related procedures, including a laparoscopic port (11), an introducer sheath (12) and a multiple conduit instrument guide (13). The instrument guide (13) may be inserted into a bile duct (14) to facilitate concurrent introduction of multiple instruments directly into a bile duct (14) without the need for forceps manipulation of instruments through additional laparoscopic ports. The procedure may be conducted and viewed in real-time video to improve procedural efficiency and safety. Inventive related useful instruments and procedures are included to complement use and flexibility of the laparoscopic port adapter assembly (10). A preferred embodiment may include use of a three-conduit instrument guide (13) and concurrent introduction of a lithotripter (32), choledochoscope (31) and irrigative catheter (34) directly into bile duct (14). Embodiment variations of the multiple channel instrument guide may be made to facilitate use of the guide in various other surgical procedures.