Abstract: An endoscope includes a shaft assembly having proximal and distal ends and a longitudinal axis therebetween. A handle is coupled to the proximal end of the shaft assembly, and an elastomeric body housing an image sensor and at least one LED is comprises a distal end of the shaft. The elastomeric body is deformable between a repose straight insertion profile and a deflected offset profile by the insertion of a tool shaft through the shaft assembly and an expandable-collapsible working channel in the elastomeric body. The viewing angle of the image sensor is moved from a first selected angle to a second selected angle when the elastomeric body is actuated from the repose profile to the deflected offset profile.

Abstract: Disclosed herein are endoscope assemblies, and more particularly endoscopes with a working channel for use in hysteroscopy, and methods of use thereof. Devices and systems related to an integrated hysteroscopic treatment system including an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems. Also disclosed are integrated hysteroscopic treatment systems that include an endoscopic viewing system, a fluid management system, a resecting device and a controller for operating all the systems.

Abstract: Hysteroscopic system includes a hysteroscope having a main body coupled to an extension portion. The extension portion may be a shaft configured to extend transcervically to a patient's uterine cavity. First, second, and third channels extend from the main body to a distal end of the extension portion. A fluid source is coupleable to a proximal end of the first channel, and a pressure sensor is coupleable to a proximal end of the second channel. A tissue resecting probe is configured for introduction through the third channel. At least one resistance feature is included which is configured to provide a selected level of resistance to axial sliding of the probe through the third channel while permitting rotation of the probe within the third channel.

Abstract: Medical devices and methods for treating and occluding a female patient's fallopian tubes to provide permanent birth control or sterilization.

Abstract: Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.

Abstract: Devices and methods, and for remodeling tissues to treat Peyronie's disease including devices and methods adapted for cryogenic cooling of targeted plaque in a male penis to selectively remodel targeted tissue.

Abstract: An endoscope includes a shaft assembly having proximal and distal ends and a longitudinal axis therebetween. A handle is coupled to the proximal end of the shaft assembly, and an elastomeric body housing an image sensor and at least one LED is comprises a distal end of the shaft. The elastomeric body is deformable between a repose straight insertion profile and a deflected offset profile by the insertion of a tool shaft through the shaft assembly and an expandable-collapsible working channel in the elastomeric body. The viewing angle of the image sensor is moved from a first selected angle to a second selected angle when the elastomeric body is actuated from the repose profile to the deflected offset profile.

Abstract: Hysteroscopic system includes a hysteroscope having a main body coupled to an extension portion. The extension portion may be a shaft configured to extend transcervically to a patient's uterine cavity. First, second, and third channels extend from the main body to a distal end of the extension portion. A fluid source is coupleable to a proximal end of the first channel, and a pressure sensor is coupleable to a proximal end of the second channel. A tissue resecting probe is configured for introduction through the third channel. At least one resistance feature is included which is configured to provide a selected level of resistance to axial sliding of the probe through the third channel while permitting rotation of the probe within the third channel.

Abstract: Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO2) through the probe into the uterine cavity and monitoring the rate of the flow to characterize the uterine cavity as perforated or non-perforated based on a change in the flow rate.

Abstract: Light stimulation systems and methods for elevating testosterone levels in male patients.

Abstract: Endoscopes and methods of their use, where the endoscopes provide a low profile or cross-section which facilitates introduction through small body passages, such as patient's cervix, and into body cavities, such a patient's uterus.

Abstract: Tissue is treated using a radiofrequency power supply connected to an applicator having a chamber filled with an electrically non-conductive gas surrounded by a thin dielectric wall. A radiofrequency voltage is applied at a level sufficient to ionize the gas into a plasma and to capacitively couple the ionized plasma with the tissue to deliver radiofrequency current to ablate or otherwise treat the tissue.

Abstract: Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.

Abstract: The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.

Abstract: A medical introducer includes an elongated tubular member having a proximal end, a distal portion, and a central lumen extending from the proximal end to a distal port in the distal portion. A frame structure is coupled to the distal portion of the elongated tubular member, where frame structure supports the distal portion of the elongated tubular member in a tapered shape and alternatively in a non-tapered shape. The elongated tubular member may include a rigid outer tube and a rigid inner tube carried in an interior lumen of the outer tube. The distal portion is typically a reinforced elastomeric tubular extension of the outer tube, and the reinforced elastomeric tubular extension may have a conical shape.

Abstract: A medical instrument includes a tubular cutter extending along an axis and having a windowed outer sleeve and a moveable inner cutting sleeve. An ultrasound transducer is operatively coupled to the inner cutting sleeve in order to induce motion in the inner cutting sleeve to enhance cutting or resection of tissue by the inner cutting sleeve as it is reciprocated or otherwise moved past the cutting window. The instrument typically will include a motor drive configured to reciprocate and/or rotate the inner cutting sleeve relative to the windowed outer sleeve, usually at a reciprocation rate between 1 and 10 Hz.

Abstract: Endoscopes and methods of their use, where the endoscopes provide a low profile or cross-section which facilitates introduction through small body passages, such as patient's cervix, and into body cavities, such a patient's uterus.

Abstract: Devices and methods for resecting tissue from the interior of a patient's body with a motor-driven rotating tubular cutter and multiple cutting windows located at a working end of the resecting device.

Abstract: Endoscopes and methods of their use, where the endoscopes provide a low profile or cross-section which facilitates introduction through small body passages, such as patient's cervix, and into body cavities, such a patient's uterus.

Abstract: Endoscopes include a shaft having a diameter extending about a longitudinal axis to a distal housing. An image sensor is carried by the distal housing, and a channel extends through the shaft and distal housing. A distal portion of the channel is adjustable or curved to accommodate introduction of a tool while maintaining a reduced shaft diameter. In some embodiments, a diagonal dimension of the image sensor when combined with a channel diameter is greater than a shaft diameter. In some embodiments, the distal housing is flexible to accommodate passage of a straight tool through a curved distal portion of a working channel. In some embodiments, a curved distal portion of a working channel may be reoriented to deflect a flexible tool.