Mechanical thrombectomy apparatuses that may be configured to prevent or reduce jamming (e.g., “anti-jamming” thrombectomy devices), grab clot, and/or macerate the thrombus, e.g., clot, being removed. These mechanical thrombectomy apparatuses may include a tractor comprising a flexible tube of material that inverts as it rolls over itself while being drawn into a catheter in a conveyor-like motion. In particular, described herein are mechanical thrombectomy apparatuses having tractors selectably extendable projections that may aid in grabbing and/or macerating a clot. Also described herein are seesawing tractors for mechanical thrombectomy apparatuses.

Anti-jamming and macerating thrombectomy apparatuses and methods

Rolling tractor tube mechanical thrombectomy apparatuses that may be deployed from out of a catheter in situ are described herein. These apparatuses may be delivered out of a catheter from a collapsed delivery configuration within the catheter to a deployed configuration out of the catheter, in which the same catheter is re-inserted between a tubular tractor and an elongate puller. In particular, any of these methods and apparatuses may be adapted to work with a tractor tube having an open end that is biased open, including using an annular bias.

Inverting thrombectomy apparatuses and methods

Mechanical thrombectomy apparatuses including an inverting, rolling conveyor region (“tractor”) at the distal end that are configured to grab and remove thrombus material. In particular, described herein are mechanical thrombectomy apparatuses that are adapted to prevent premature deployment of the tractor, e.g., by including a tractor hold (e.g., a housing, a lock, a clamp, etc.) or the like to secure the outer end of the tractor against and/or relative to the elongate inversion support.

Pre-loaded inverting tractor thrombectomy apparatuses and methods

Mechanical thrombectomy apparatuses (devices, systems, etc.) and methods for positioning them within a vessel and using them to remove a thrombus, e.g., clot, from within a vessel. In particular, described herein are methods of advancing an inverting tractor thrombectomy apparatus having a tractor comprising a flexible tube of material that inverts over itself as it rolls over a distal end opening of an elongate inversion support by extending the tractor region and/or a puller coupled to the tractor distally beyond the end of the catheter. Also described herein are power-driven mechanical thrombectomy apparatuses.

Methods for advancing inverting mechanical thrombectomy apparatuses in the vasculature

Methods and apparatuses for mechanically removing objects from a body. In particular, described herein are thrombectomy methods and mechanical thrombectomy apparatuses for removal of blood clots from within a lumen of a blood vessel.

Mechanical thrombectomy apparatuses and methods

Propellable apparatus, assemblies and related methods including a self-enclosed member are disclosed. The self-enclosed member can include an inner surface at least partially defining an enclosed region, and an outer surface that turns outwardly to engage a cavity or lumen wall in addition to turning inward to at least partially encompass a central region defining a longitudinal path. The apparatus can include an internal drive mechanism engageable with the outer surface of the self-enclosed member to provide relative movement between the self-enclosed member and the cavity or lumen wall. A tapered member, positioned on the apparatus adjacent an end of the self-enclosed member, can provide a size transition between an outer surface portion of the self-enclosed member and an outer surface of a payload insertable within the central region. In some examples, one or more reinforcing members can be integrated within the self-enclosed member for increased durability and rotational use.

Propellable apparatus and related methods

An insertion assisting device includes a rotary body in the form of toroid, and a support and drive part for supporting the rotary body in a rotatable manner and rotating it. The support and drive part has an approximately cylindrical supporting member for supporting the rotary body in a rotatable manner. The rotary body is provided with a convex portion for increasing the thickness to improve the strength thereof. A concave portion having a shape corresponding to the shape of the convex portion is formed on a portion of a front end surface of the supporting member, which is made in contact with the convex portion. The concave portion prevents the rotary body from stopping rotating, which may be caused by point contact between the convex portion and the supporting member.

Endoscope insertion assisting device

A self-propelled device nips an endless belt between a worm wheel and a driven roller. The endless belt is circulated by rotating the worm wheel, and thereby an insertion section of an endoscope advances and retreats inside a body cavity. The driven roller has a width larger than the worm wheel, and is provided with a pair of flanges at both ends. The worm wheel is disposed between the pair of flanges. When the endless belt is nipped between the worm wheel and the driven roller, the endless belt is deformed by the pair of flanges.

Self-propelled device for endoscope

An assist assembly for propulsion of a tip device of an endoscope in a body cavity includes an attachment sleeve and a support sleeve. A deformable circulation device is disposed to extend over inner and outer surfaces of the support sleeve, for endlessly moving in an axial direction of the tip device. Plural rollers are disposed on the support sleeve in a rotatable manner, for pressing an inner surface of the circulation device. An alignment projection is formed on the inner surface of the circulation device to project at a height L1. A location offset prevention groove is formed in the rollers at a depth L2, for receiving the alignment projection, and satisfying a condition L1≧L2, to prevent location offset of the circulation device from the rollers. Drive wheels tension the circulation device in cooperation with the rollers by deforming the alignment projection in the location offset prevention groove.

Assist assembly for propulsion of endoscope

A propelling device includes a traveling body that rotates in a state of being brought into contact with an inner wall of an alimentary canal, an external cylinder around which the traveling body is wound, and a mounting cylinder on which a tip end portion of an endoscope is mounted. Three driven rollers are rotatably attached to the external cylinder. The traveling body is pinched between the driven rollers and driving gears. As the driving gears rotate, the traveling body travels in a circulating manner. A rotating shaft of the driven roller located at the center among the three driven rollers is held by a shaft hole that is made long in a gear arrangement direction in which the driving gears are disposed side by side.

Endoscope propelling device

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