Abstract: An arthroscopic or other surgical cutter has features which facilitate fabrication by ceramic molding. The arthroscopic cutter includes a cutter body having a longitudinal axis and a window, an interior channel, and a plurality of cutting edges extending radially outwardly from an outer surface thereof. The features include non-helical, longitudinally aligned cutting edges, controlled thicknesses of the cutting edges, controlled heights of the cutting edges, controlled areas of the windows, controlled diameters of the internal channels, controlled rake angles of the cutting edges, and other parameters.

Abstract: An arthroscopic or other surgical cutter has features which facilitate fabrication by ceramic molding. The arthroscopic cutter includes a cutter body having a longitudinal axis and a window, an interior channel, and a plurality of cutting edges extending radially outwardly from an outer surface thereof. The features include non-helical, longitudinally aligned cutting edges, controlled thicknesses of the cutting edges, controlled heights of the cutting edges, controlled areas of the windows, controlled diameters of the internal channels, controlled rake angles of the cutting edges, and other parameters.

Abstract: An arthroscopic tissue resecting probe includes an elongated shaft having outer and inner sleeves which are formed from an electrically conductive material extending about an axis to a working end. Outer and inner resecting windows are formed in the sleeves in the working end. The working end includes a ceramic body having a collar portion extending fully around a region of the outer sleeve proximal to outer resecting window. A radiofrequency (RF) electrode is disposed on an outer surface of the ceramic body and is spaced-apart from the outer resecting window.

Abstract: Arthroscopic cutters are used for resecting tissues, such as meniscal tissues, in meniscectomies or other arthroscopic procedures. The arthroscopic cutters have a shaft assembly with openable-closeable jaws at a working end of the shaft. A handpiece having a motor drive may be detachably coupled to a hub on a hub end of the handpiece. When the shaft is coupled to the handpiece, the motor drive will couple to the jaw structure to open and close the jaw structure to cut meniscal and other tissues.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member extends distally from the distal end of the elongated sleeve and has sharp cutting edges. The cutting head is formed from a wear-resistant ceramic material, and a motor coupled to the proximal end of elongated sleeve rotate the cutting member. The cutter is engaged against bone and rotated to cut bone tissue without leaving any foreign particles in the site.

Abstract: Cartilage and other tissues are treated by generating a plasma in an interior space of a probe and exposing the tissue to the plasma. The plasma is released through a gap in a working end of the probe.

Abstract: Arthroscopic cutters are used for resecting tissues, such as meniscal tissues, in meniscectomies or other arthroscopic procedures. The arthroscopic cutters have a shaft assembly with openable-closeable jaws at a working end of the shaft. A handpiece having a motor drive may be detachably coupled to a hub on a hub end of the handpiece. When the shaft is coupled to the handpiece, the motor drive will couple to the jaw structure to open and close the jaw structure to cut meniscal and other tissues.

Abstract: An elongated shaft assembly includes a rotatable inner cutting sleeve and a non-rotating outer sleeve. A window of the inner cutting sleeve is selectively rotatable within an opening of the non-rotating outer sleeve to cut tissue with a sharpened cutting blade when rotated in a first rotational direction and to cut tissue with an electrode when rotated in a second rotational direction.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member having a plurality of sharp edges is formed from a wear-resistant ceramic material is carried at the distal end of the elongated sleeve. A motor drive is coupled to the proximal end of the elongated sleeve to rotate the sleeve at cutting member at high RPMs to cut bone and other hard tissue. An electrode is carried in a distal portion of ceramic cutting member for RF ablation of tissue when the sleeve and cutting member are is a stationary position. In methods of use, (i) the ceramic member can be engaged against bone and then rotated at high speed to cut bone tissue, and (ii) the ceramic member can be held in a stationary (non-rotating) position to engage tissue and RF energy can be delivered to the electrode to create a plasma that ablates tissue.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member extends distally from the distal end of the elongated sleeve, and has sharp cutting edges. The cutting head is formed from a wear-resistant ceramic material, and a motor coupled to the proximal end of elongated sleeve rotate the cutting member. The cutter is engaged against bone and rotated to cut bone tissue without leaving any foreign particles in the site.

Abstract: A system for mechanical cutting and radiofrequency (RF) treatment of bone and soft tissue includes a probe and an RF power supply. The probe includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member formed of a dielectric material is mounted on the elongated sleeve, and a metal electrode is attached to a surface of the cutting member and configured to deliver RF current. The RF power supply generates current having a pulsed RF waveform and may be connected to the metal electrode to deliver the current having the pulsed RF waveform to the tissue. The use of a pulsed RF waveform reduces a thermal stress on the dielectric material at the interface of the metal electrode and the dielectric material of the cutting member.

Abstract: A medical device for cutting bone and soft tissue includes a shaft having a rotating component with a distal working end. A cutting member is carried on the working end of the rotating component and a motor rotates the rotating component. The cutting member has a ceramic body with cutting edges, and the ceramic body is formed of a ceramic composite including alumina and zirconia, wherein the alumina has a grain size ranging between 0.5-1.5 microns and the zirconia has a grain size ranging between 0.1-1.0 micron. The alumina grain shape and zirconia grain shape are non-elongated.

Abstract: A bipolar radiofrequency (RF) device for treating tissue in the presence of an electrically conductive fluid includes a headpiece and a probe. The handpiece has a motor drive, a receiving channel, and an active electrical contact on an inner wall of the receiving channel. A return electrical contact is disposed proximally of the active electrical contact on the inner wall of the receiving channel. A probe includes a proximal hub and an elongated shaft extending distally about a longitudinal axis from the proximal hub, and the hub being may be inserted into and removed from the receiving channel of the handpiece. A working end of the probe is located at a distal end of the elongated shaft, and the working end includes an active electrode and a return electrode. A return electrical contact is located proximally of an active electrical contact on an outer surface of the hub.

Abstract: An arthroscopic cutting probe includes a shaft assembly having a distal end, a proximal end, and a longitudinal axis. A distal cutting member is rotatably attached at the distal end of the shaft assembly, and at least a portion of an exterior surface of the distal cutting member is electrically insulated. One or more burr elements extend radially outwardly from the electrically insulated portion of the exterior surface of the distal cutting member, wherein the burr element is electrically conductive to form an active electrode.

Abstract: An arthroscopic cutting probe includes an outer sleeve having a longitudinal bore and an outer cutting window at its distal end. An inner sleeve is rotationally disposed in a bore of the outer sleeve, and the inner sleeve has a distal end, a proximal end, a longitudinal passageway, and an inner cutting window at its distal. An active electrode sleeve is disposed on an outer surface of the inner sleeve in a position opposed to the inner cutting window. Rotation of the inner sleeve relative to the outer sleeve causes the inner cutting window to rotate past the outer cutting window to resect tissue received through the cutting windows as they pass each other. Radiofrequency current can be applied to the active electrode to enhance tissue cutting then the cutting windows are being rotated or to able or cauterize tissue when the cutting windows are held stationary with the active electrode disposed through the outer cutting window.

Abstract: An arthroscopic cutting probe includes an outer sleeve having a longitudinal bore and an outer cutting window at its distal end. The outer sleeve has a metal body electrically insulated over its exterior except for a portion at least partially surrounding the outer cutting window which comprises an active electrode. An inner sleeve is rotationally disposed in a bore of the outer sleeve, and the inner sleeve has a distal end, a proximal end and a longitudinal passageway having an electrically conductive inner surface which comprises a return electrode. A dielectric cutting member is attached to the distal end of the inner sleeve and has a central passage extending from an inner cutting window at its distal end to an opening at its proximal end.

Abstract: An arthroscopic cutting probe includes an elongated shaft assembly having a distal end, a proximal end, and a longitudinal axis therebetween. A working end at the distal end of the elongated shaft assembly includes a first active electrode and a second active electrode The shaft assembly is rotates the first electrode relative to the second electrode about the longitudinal axis, and a return electrode is carried on the shaft assembly proximal of the working end. The first and second active electrodes are electrically coupled to each other and electrically isolated from the return electrode.

Abstract: A medical for removing tissue from a patient includes an elongated probe with a working end. A pair of jaws is provided at the working end. The jaws may be closed for cutting and treatment of the tissue. Cutting may be effective through a sharpened cutting blade, and RF cutting blade, and similar cutting edges. The tissue may be remodeled using heat generated from passive heating elements on the jaws, active heating elements on the jaws, a PTCR heating element carried by the jaws, or resistive heaters on the jaws.

Abstract: A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member having a plurality of sharp edges is formed from a wear-resistant ceramic material is carried at the distal end of the elongated sleeve. A motor drive is coupled to the proximal end of the elongated sleeve to rotate the sleeve at cutting member at high RPMs to cut bone and other hard tissue. An electrode is carried in a distal portion of ceramic cutting member for RF ablation of tissue when the sleeve and cutting member are is a stationary position. In methods of use, (i) the ceramic member can be engaged against bone and then rotated at high speed to cut bone tissue, and (ii) the ceramic member can be held in a stationary (non-rotating) position to engage tissue and RF energy can be delivered to the electrode to create a plasma that ablates tissue.

Abstract: Cartilage and other tissues are treated by generating a plasma in an interior space of a probe and exposing the tissue to the plasma. The plasma is released through a gap in a working end of the probe.