Abstract: The present invention involves a tissue removal device. The tissue removal device comprises a base, a barrel slideably connected to the base, an aspirator system for receiving bone and tissue matter from the barrel, and an actuating lever to move the barrel relative to the base. The base has a distal portion and a track portion extending from the distal portion. The barrel includes a chamber wall having a vacuum chamber formed therein and along the length of the barrel. The vacuum chamber has a distal receiving end configured to cooperate with the distal portion for cutting and removing. The aspirator is in fluid communication with the vacuum chamber to provide a vacuum therein and to receive bone matter from the distal receiving end. The actuating lever is connected to the base and the barrel. The actuating lever is configured to actuate tissue cutting and removing.