Abstract: A tissue removal device, and methods of using the same, are described. An exemplary detachable, handheld tissue removal device comprises a hand piece and a blade assembly removably attachable to the hand piece. The blade assembly includes a rotatable resection member driven to rotate and surgically remove tissue from a target tissue site, and a coupling assembly including a locking member to detachably couple the blade assembly to the hand piece and operatively enable or disable the rotation of the blade assembly relative to the hand piece. The rotation of the blade assembly causes a change in rotating angle of the blade assembly. The coupling assembly can secure the rotating angle of the blade assembly during the tissue resection procedure.

Abstract: A device having a hub assembly and a lever coupled with the hub assembly is provided. The device includes a sheath coupled with the lever and extending from the hub assembly. The sheath has a surgical elevator with a surgical elevator edge along with a hypotube having an access hole. The device has a shaver blade assembly with an outer shaft having an outer blade and an inner blade within the outer blade. The outer shaft has a stop and an access hole near the outer and inner blades. The sheath partially surrounds the outer shaft and the lever moves between a first position and a second position. In the first position, the surgical elevator edge abuts the outer shaft stop and the outer shaft access hole aligns with the hypotube access hole. In the second position, the surgical elevator edge is spaced apart from the outer shaft stop.

Abstract: An endoscope may include an expandable and collapsible working channel, a flexible endoscope body, and an optical sensor located at a distal tip of the endoscope body. The optical sensor can provide a distal field of view from the distal tip. In the collapsed configuration, the working channel can be collapsed such that a channel wall is in a first position relative to the endoscope body and the working channel defines a first cross-sectional area. In the expanded configuration, the channel wall is displaced relative to the first position and the working channel defines a second cross-sectional area that is larger than the first cross-sectional area.

Abstract: A method for delivering surgical material comprises inserting a delivery device into an anatomic area, coupling a surgical material delivery system to the delivery device, the surgical material delivery system having a reservoir of surgical material, positioning an anatomic electrode relative to the anatomic area, applying a first charge to the anatomic electrode, dispensing surgical material from the delivery device, applying a second charge to surgical material leaving the delivery device opposite the first charge, and delivering charged surgical material to the anatomic area proximate the anatomic electrode via a directional-oriented electrostatic field.

Abstract: An endoscope can comprise a proximal section, an insertion section extending longitudinally from the proximal section and comprising an elongate tubular body disposed along an insertion section longitudinal axis and a lumen extending through the elongate tubular body, and a distal section extending from the insertion section and comprising an elevator portion comprising an elevator configured to position and orient one or more endotherapy tools extending from the lumen, and a camera module comprising an illumination unit and an imaging unit. The camera module can be positioned longitudinally spaced apart from the elevator portion in an in-line configuration, such that the insertion tube longitudinal axis passes through the elevator portion and the camera module. The camera module can be user-detachable from the elevator portion. The camera module can be cleaned and sanitized for reuse and the insertion section can be disposable.

Abstract: An assembly can include a first component having at least one drainage channel and at least one fluid channel. The assembly can also include a second component having at least one drainage channel and at least one fluid channel. The assembly can also include a quick-connect coupling. The quick-connect coupling can be configured to couple the first component and the second component, fluidically connect the at least one drainage channel of the first component to the at least one drainage channel of the second component, and fluidically connect the at least one fluid channel of the first component to the at least one fluid channel of the second component.

Abstract: An endoscope can comprise a proximal section, an insertion section extending longitudinally from the proximal section and comprising an elongate tubular body disposed along an insertion section longitudinal axis and a lumen extending through the elongate tubular body, and a distal section extending from the insertion section and comprising an elevator portion comprising an elevator configured to position and orient one or more endotherapy tools extending from the lumen, and a camera module comprising an illumination unit and an imaging unit. The camera module can be positioned longitudinally spaced apart from the elevator portion in an in-line configuration, such that the insertion tube longitudinal axis passes through the elevator portion and the camera module. The camera module can be user-detachable from the elevator portion. The camera module can be cleaned and sanitized for reuse and the insertion section can be disposable.

Abstract: A handpiece for a handheld surgical instrument having a motor and a heatsink is provided. The motor is within a motor housing and the heat sink is disposed around and thermally coupled with the motor housing. The handpiece is formed from a material having a first thermal conductivity and the heat sink has a second thermal conductivity that is greater in value than the first thermal conductivity of the material of the handpiece. The heat sink is configured to dissipate heat from the motor during operation of the motor to the handpiece.

Abstract: A rotatable surgical instrument, system, and method includes an outer tubular member and an inner tubular member contained, at least in part, within the outer tubular member and configured to rotate relative to the outer tubular member. A distal tip is coupled to and configured to rotate with the inner tubular member, the distal tip forming a channel around a portion of the distal tip. A bearing is rotatably positioned within the channel, wherein the channel inhibits radial and axial movement of the bearing, with respect to the distal tip, along a major axis of the outer tubular member and inner tubular member, and wherein the bearing is configured to inhibit deflection of the distal tip from the major axis.

Abstract: A surgical device for cutting bone or tissue in a patient can include a cutting blade having a rigid portion, a flexible portion, and a liner to provide a seal to the flexible portion. The blade has an outer member and an inner member disposed within a lumen of the outer member. The inner member has a rigid portion and a flexible portion. The liner can be disposed within a lumen of the inner member and can engage the rigid portion such as to retain the liner adjacent to the flexible portion of the inner member.

Abstract: An elevator for an endoscope comprises a first end secured to the endoscope, a second end movable by an actuator, a flexible portion positioned between the first and second ends that is rotatable when the second end is moved by the actuator, and a guide portion extending between the flexible portion and the second end to receive an endotherapy instrument extending from the endoscope, the guide portion comprising a chute to guide the endotherapy instrument leaving the endoscope. A method of forming an elevator comprises forming from a planar sheet of material an elongate body comprising a length between first and second ends, a width, and a thickness, forming a guide body in the elongate body, bending the elongate body such that first and second lengths of the elongate body oppose each other to form an interior space, and bending the guide body to extend into the interior space.

Abstract: A disposable attachment of the handheld surgical instrument having a distal section extending from the handpiece is provided. The disposable attachment has a proximal tube extending from the disposable attachment. The distal section includes an outer tube and a flexible shaft disposed within the outer tube. The flexible shaft couples with the proximal tube via a proximal coupler at a proximal end of the flexible shaft. The distal section also has an irrigation hypotube, a cooling orifice, and a cutting implement. The irrigation hypotube is disposed on an outer surface of the outer tube and the cooling orifice is disposed at a distal end of the distal section. The cutting implement is disposed at a distal end of the distal section opposite the handpiece.

Abstract: A clotting agent delivery system comprises a frame, a passageway extending along the frame, a discharge opening connected to the passageway, a clotting agent reservoir fluidly connected to the passageway to hold a clotting agent substance, a valve in the passageway to control flow of the substance through the passageway, and an actuator to allow propellent to flow into the passageway, wherein the valve and clotting agent reservoir cooperate to provide clotting agent substance to the discharge opening at constant pressure using the propellant. A method for delivering a clotting agent comprises inserting a delivery catheter into an anatomic area, coupling a clotting agent delivery system to the delivery catheter, the clotting agent delivery system having a reservoir of a clotting agent, operating a valve to release propellant for propelling the clotting agent, and conveying the propellant and the clotting agent to the delivery catheter at a constant pressure.

Abstract: Systems and methods are disclosed including apparatuses and methods for endoscopy such as an endoscope device operable to produce suction. An endoscope can include or use a cylinder for use at a distal end of an endoscope, and the cylinder can include a cylinder channel extending from a first end of the cylinder to a second end of the cylinder, and a rotor arranged within a working channel of the endoscope at the distal end of the endoscope. The rotor can be movable within the cylinder or the channel such as to help fragment or clear foreign bodies during a procedure.

Abstract: A method of performing a surgical procedure comprises inserting a medical instrument into anatomy of a patient to reach target tissue within an anatomical cavity, disinfecting anatomy within the patient with the medical instrument and performing treatment of the target tissue with the medical instrument. A medical device for providing disinfecting to a surgical site, the medical device comprises an elongate shaft extending from a proximal end to a distal end, an imaging device located proximate the distal end of the elongate shaft, a lighting element located proximate the distal end of the elongate shaft, a working channel extending at least partially through the elongate shaft and a disinfecting system attached to the elongate shaft to deliver a disinfecting capability proximate the distal end of the elongate shaft.

Abstract: An endoscopic medical system can include an endoscopic end effector including three or more jaws. Each of the three or more jaws can respectively include a corresponding electromagnetic energy signal conductor. The end effector can also include two or more jaw linkages, an individual jaw linkage corresponding to a respective one of the jaws, such that at least two of the jaws are configured to move, independent of one another.

Abstract: A medical device may include a handpiece having a housing and a drive system arranged within the housing. The drive system may be adapted to operate a tool in direct contact with human matter of a patient at a treatment site. The device may also include a suction system integrated into the drive system and configured to remove human matter from the treatment site. The device may also include a motor removably attached to the housing and configured for delivering rotational power to the drive system while avoiding contact with the human matter.

Abstract: A rotatable surgical instrument, system, and method includes an outer tubular member and an inner tubular member contained, at least in part, within the outer tubular member and configured to rotate relative to the outer tubular member. A distal tip is coupled to and configured to rotate with the inner tubular member, the distal tip forming a channel around a portion of the distal tip. A bearing is rotatably positioned within the channel, wherein the channel inhibits radial and axial movement of the bearing, with respect to the distal tip, along a major axis of the outer tubular member and inner tubular member, and wherein the bearing is configured to inhibit deflection of the distal tip from the major axis.

Abstract: A handheld surgical instrument having a handpiece and a shaft extending from the handpiece is provided. The instrument includes a cutting implement disposed at a distal end of the shaft and an articulation portion disposed proximate to the cutting implement. The articulation portion includes a set of first slits and a set of second slits opposite the first set of slits. The articulation portion also has first and second passageways disposed in the slits along with first and second flat pull wires disposed in the passageways. The instrument also has an articulation control assembly that includes an articulator having first and second anchor points coupled with the first and second flat pull wires. The articulator moves the first flat pull wire in a first direction and moves the second flat pull wire in a second direction opposite the first direction during actuation.

Abstract: A powered surgical instrument can include a cutting assembly including an outer tubular member defining an outer cutting window, an inner tubular member arranged to be rotatable concentrically within the outer tubular member and defining an inner cutting window, and a control system. The control system can include a controller, an angular position sensor to provide to the controller, with respect to at least one of the inner and outer tubular members, an indication of angular orientation therebetween to allow the controller to control the angular orientation of the inner cutting window relative to the outer cutting window, without requiring user intervention, such that the inner and outer cutting windows are aligned when relative rotation between the inner and outer tubular members is stopped or paused.