Abstract: This invention relates to a surgical instrument. Specifically, a surgical instrument is disclosed which dispenses incising, transecting, or tissue treating energy to a body site or part undergoing an operation or treatment where energy is discharged from a conduit to effect the treatment. The disclosed instrument is inserted to an operative site that effectively rules out proximal manipulation of the instrument. Therefore, proximal insertion with subsequent distal manipulation excluding proximal side-to-side or up and down manipulation is disclosed. The disclosure further includes a deployable shield and is ideal for operative engagement to surgical sites on the body such as the carpal tunnel, tarsal tunnel, the wrist, temporomandibular joint, or scar tissue capsules forming around implants of the breast.

Abstract: This invention relates to a process for incising the transverse carpal ligament in the hand for relief of the symptoms of carpal tunnel syndrome. More specifically, a process is disclosed in which incising energy, preferably laser energy, is introduced from under the ligament for transecting the transverse carpal ligament while permitting the surgeon to view the interface of transection. A probe, preferably attached to a pistol-type grip, includes at least one tube containing an optic viewing device (preferably fiber-optic), and a conduit for directing incising radiation for the ligament transection. The fiber-optic viewing device, energy conduit, and an optional suction tube commence at the pistol grip where they are connected to the requisite viewing device, energy source, and suction pump. The fiber-optic viewing device terminates at a sufficient distance from the pistol grip to permit extension from the insertion at the wrist to pass under the entire length of the transverse carpal ligament.