Abstract: A tissue harvesting and processing apparatus comprises a body and a distally extending needle. The needle includes an aperture configured to receive tissue. A tissue cutting member is movable relative to the needle to sever a specimen from tissue protruding through the aperture. A tissue processor is operable to mince tissue severed by the tissue cutting member. The minced tissue may be mixed with a medical fluid component contained in a reservoir. The medical fluid mixture may be expelled through an applier tip coupled with the body. The tissue processor may comprise a mincing die such that tissue specimens are minced upon being extruded through the mincing die. The tissue processor may comprise a blade that cooperates with a sliding press. The tissue processor may comprise auger blade sections that cooperate with inwardly extending pins. A mixing piston may mix the minced tissue with the medical fluid component.

Abstract: An endoscopic surgical blade having a low-profile design, with an upper cutting surface and a lower cutting surface at its distal end and having a non-cutting radiused surface at the top end of the upper cutting surface, and the upper cutting surface and lower cutting surface meet at a crotch therebetween is disclosed. The blade is part of an endoscopic knife assembly which also contains a hollow knife tube hollow that allows the insertion of an endoscope for viewing of the surgical procedure. The endoscopic knife assembly can be used for in endoscopic surgery by insertion of the assembly through a slotted cannula. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic knife assembly having a low-profile blade with an upper cutting surface and a lower cutting surface is also described.

Abstract: A surgical device is provided that includes a jaw portion with a first jaw and a second jaw moveable relative to the first jaw. The surgical device also includes a shaft portion coupled to a proximal end of the jaw portion. A driver is configured to cause relative movement of the jaw portion and the shaft portion. The driver may be configured to cause the jaw portion to pivot relative to the shaft portion about a pivot axis that is perpendicular to first and second longitudinal axes defined by the jaw portion and the shaft portion, respectively. The driver may also be configured to cause at least a portion of the jaw portion to rotate relative to the shaft portion about the first longitudinal axis. Advantageously, the surgical device includes a surgical member, e.g., a cutting element and/or a stapling element, disposed within the first jaw.

Abstract: A system for providing wireless remote control over one or more devices. Included in the system is at least one wireless button that can be placed at various locations and which communicates with at least one sensor when the wireless button and sensor are brought within close proximity to one another. According to one embodiment, a wireless button can only be activated when the button is located within an authorized activation area. In another embodiment, a wireless button can only be activated by an authorized user. In yet a further embodiment, a wireless button can only be activated by an authorized user when the button is located within an authorized activation area.

Abstract: A surgical cutting device and method for performing surgery using such is provided. The surgical device includes a handpiece or other, a stationary outer cannula connected to the base, a rotatable inner cannula connected to the base, an inner elongated shaft member connected to a distal interior surface of the lumen of the outer cannula, and a tissue cutting opening. The inner cannula includes a plurality of blades that interact with a plurality of ridges on the inner elongated shaft upon rotation of the inner cannula facilitating maceration of tissue within the lumen to prevent clogging of the device.

Abstract: A biopsy device includes a body portion, a cannula, a cutter, and a tissue stop having a proximal face. The cannula has a transverse aperture that is defined in part by a proximal edge and a distal edge. The cutter is movable to a distal position to sever tissue protruding through the transverse aperture. A tip at the distal end of the cannula has a sharp edge that extends proximally to a longitudinal position that is proximal to the longitudinal position of the distal edge of the transverse aperture. The sharp edge of the tip extends to a longitudinal position that is proximal to the longitudinal position of the distal cutting edge of the cutter when the cutter is at the distal position. The sharp edge of the tip extends to a longitudinal position that is proximal to the longitudinal position of the proximal face of the tissue stop.

Abstract: A device for manipulating tissue at a vessel includes an elongated member having a proximal end and a distal end, a guide member at the distal end of the elongated member, the guide member having a blunt distal tip for engagement against an interior wall of the vessel, and a tissue cutting device at the distal end of the elongated member, wherein the tissue cutting device has a sharp tip that is proximal to the blunt distal tip of the guide member.

Abstract: A fluid ejection device includes: a pressure chamber; an actuator having a displacement plane that varies the volume of the pressure chamber; a delivery channel pipe communicating with the pressure chamber; a first reflection surface of pressure wave formed as part of a paraboloid of revolution that reflects a plane pressure wave by displacement of the actuator, the plane pressure wave propagating through the pressure chamber; and a second reflection surface of pressure wave formed as part of a paraboloid of revolution or an ellipsoid of revolution which is disposed so as to face the first reflection surface of pressure wave, wherein the first reflection surface of pressure wave and the second reflection surface of pressure wave have a common first focus, and a pressure wave reflected from the second reflection surface of pressure wave propagates through the delivery channel pipe and ejects fluid.

Abstract: A device configured to facilitate resection of tissue. The device may include a proximal end configured to be secured to a distal portion of an introduction sheath and a distal end defining an opening that may communicate with a channel extending between the proximal and distal ends. The opening may be defined by at least one straight edge.

Abstract: An endoscopic surgical blade is disclosed. The blade is of a low-profile design, having a downward angled cutting surface that is radiused at its upper end. The blade is part of an endoscopic knife assembly which also contains a knife tube. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly through a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. A method for a performing an operative procedure on a target tissue in a subject using an endoscopic knife assembly having a low-profile, downward angled blade is also described.

Abstract: Embodiments of the invention include a medical instrument with a sealing device. In embodiments, the medical instrument is endoscopic device having a seal between an elongate shaft member and/or on a portion of a handle to, for example, prevent flow communication between a lumen of the elongate member and the external environment.

Abstract: A surgical tool can comprise an end effector, a shaft, an articulation joint rotatably connecting the end effector to the shaft, and a translatable drive member which can at least partially extend through the articulation joint. The drive member can be resiliently flexible or bendable to accommodate the articulation of the end effector. The drive member can comprise a body including a plurality of articulation joints defined therein. The articulation joints can be intrinsic to the drive member body and can form an array or lattice of articulation joints. The drive member can also comprise a drive thread extending around the body. The drive thread can be configured to outwardly constrain the portions of the body when the drive member is articulated. The drive member can also comprise a flexible inner core extending therethrough which can be configured to inwardly constrain the articulated body portions.

Abstract: A surgical cutting and fastening instrument. The instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode.

Abstract: A one-piece handle assembly and a method of assembling the one-piece handle assembly. The one-piece handle assembly includes an outer tube connected to a fixed jaw and an inner tube connected to a moveable jaw. The inner tube is installed within the outer tube. The surgical instrument assembly further includes a handle body overmolded onto the outer tube and a handle grip connected to the handle body. The handle grip controls movement of the moveable jaw along an axis about defiend through the outer tube. The one-piece handle assembly further includes a knife plunger for controlling activation of a knife rod assembly. The one-piece handle assembly is void of any welds, adhesives, or fasteners to complete the final assembly of the one-piece handle assembly.

Abstract: A laparoscopic scissor instrument can include a scissor assembly pivotally coupled to an elongate shaft. The scissor assembly can be formed of scissor blades having pivot posts thereon. The pivot posts can engage apertures on the elongate shaft, thus eliminating the need for a through-pinned pivot connection of the scissor blades. The scissor blades can also include actuation posts thereon. An actuation mechanism can include a slot to engage the actuation posts and open or close the blades of the scissor assembly. The scissor assemblies described herein can have a relatively low operational height such that they do not extend beyond a diameter of the elongate shaft during opening and closing of the scissor assembly.

Abstract: A device and method for minimally invasive tendon sheath release is presented herein. The device and method enables a surgeon to cut (“open”) a pulley that is obstructing a nodule and keeping a tendon from sliding smoothly. A guide probe of the device is inserted through a small incision and is used to find the edge of the pulley. Once found, the probe is guided to an end of the pulley. After proper position is assured, a hemi-cannula is moved over the guide probe to isolate the pulley from the surrounding tissue. A cutting blade is then used to sever the pulley. A dilation device may be inserted prior to the insertion of the ball tipped guide probe to dilate the area.

Abstract: A device and method for minimally invasive tendon sheath release. The device and method that enables a surgeon to cut (“open”) a pulley that is obstructing a nodule and keeping a tendon from sliding smoothly. A ball tipped guide probe goes through a small incision and is used to find the edge of the pulley. Once found, the probe is guided to an end of the pulley. After proper position is assured, a cutting blade is deployed by pushing and holding a blade deployment switch. This deploys the sharp end of a retractable cutting shaft beyond the sheath. The entire device is then pushed or pulled using the device handle along the pulley until the pulley is completely released or where resistance is no longer felt. In an alternate embodiment, the cutting blade is static.

Abstract: Provided herein is a method for treating spinal stenosis comprising percutaneously accessing the epidural space from a first side of the spine. The first side of the spine is located on one side of the medial plane with respect to the spinal cord. A tissue removal tool is then advanced through the first side of the epidural space into the other side of the epidural space, where the other side of the epidural space is located on the other side of the medial plane of the spinal cord. Once the tissue removal tool is located on the second side of the medial plane, stenosis can be reduced using the tissue removal tool.

Abstract: Provided is an improved morcellator for severing and removing tissue from a patient's body with functional and structural improvements in disposable cutter assembly and reusable drive assembly to prevent body fluid from entering the sterile region of the cutter assembly and infection from transmitting to reusable drive assembly.

Abstract: A medical device for performing a surgical procedure may include an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a handle connected to the proximal end of the elongate member, an end effector assembly connected to the distal end of the elongate member, and a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly.

Abstract: A method of modulating a physiological parameter of a patient by percutaneously or transcutaneously disabling one or more pre-aortic ganglion cells within a pre-aortic ganglion via the anterior abdominal wall and improving the physiological parameter is provided. The pre-aortic ganglion cells may be disabled by applying radiofrequency, high intensity or low intensity focused ultrasound.

Abstract: A cutting implement includes a first tubular portion and a second tubular portion. Each tubular portion is hollow and includes a blade element at a distal end. The blade element helps define an aperture that allows access to the interior hollow portion of the tubular portion. A ligament graft element is threaded through the aperture of each tubular portion and the respective tubular portions are interoperated to cut the ligament graft.

Abstract: A cutting implement includes a first tubular portion and a second tubular portion. Each tubular portion is hollow and includes a blade element at a distal end. The blade element helps define an aperture that allows access to the interior hollow portion of the tubular portion. A ligament graft element is threaded through the aperture of each tubular portion and the respective tubular portions are interoperated to cut the ligament graft.

Abstract: Devices, apparatus, and methods of using a modified scalpel tool that is removable from a polyurethane mated sheath for use in carpal tunnel surgeries and the like. The modified scalpel tool has an elongated stem with a flat blade at the distal end and an elongated handle at the proximal end. The sheath has a cavity for allowing the elongated blade to be inserted therein, two slots to receive two metal studs and a handle at its proximal end. The flat blade tool-polyurethane when combined (mated) produces a stable configuration that allows motion in only one rotational plane and with an arc of 90-95 degrees.

Abstract: A method and apparatus for sizing a member. The apparatus may include a first member and a second member movable relative to one another to impinge the member. The apparatus may be used in a small area to achieve a selected sizing of the member.

Abstract: The invention comprises an atherectomy probe for mechanically cutting core prostatic tissue to alleviate the condition of benign prostatic hyperplasia (BPH) or for use in orthopedic procedures. The blade shapes and lengths are adaptable but in a preferred embodiment the device includes an end-cutting bur tip. The cutting motion may be one of: guillotine (incising between two parallel edges), radial reciprocating (changing radial directions and cuts between two horizontal edges), circular (continuously radial in one direction), and end-cutting, etc. The power source used to drive the blade may be one of: pneumatic, hydraulic, manual mechanical, electrical, solar, etc. The probe also includes several channels that may be used for providing live aspiration and removal of severed tissue and fluids, as well as insufflation of gases and optionally, pharmaceuticals and/or a secondary therapy.

Abstract: An endoscopic instrument includes a housing having shaft. The shaft includes an articulating section disposed thereon. The articulating section includes a plurality of annular stationary and rotatable links arranged in an alternating configuration therealong. Each link of the plurality of rotatable links seated within a corresponding stationary link of the plurality of stationary links to collectively define a central annulus therethrough. An end effector assembly operatively connected to a distal end of the shaft includes a pair of first and second jaw members. An articulation catheter operably disposed through the central annulus is configured to rotate the rotatable links with respect to the stationary links to articulate the shaft about the articulating section.

Abstract: An endoscopic surgical blade is disclosed. The blade is of a low-profile design, having a downward angled cutting surface that is radiused at its upper end. The blade is part of an endoscopic knife assembly which also contains a knife tube. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly through a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. A method for a performing an operative procedure on a target tissue in a subject using an endoscopic knife assembly having a low-profile, downward angled blade is also described.

Abstract: A medical liquid supply device includes a liquid supply unit configured to cause a liquid to flow into a liquid supply path in a flow amount greater than or equal to a standard flow amount so that the liquid supply path constantly has no parts lacking the liquid up to a communication path in a liquid supply direction, and a suction unit configured to perform suction via a suction path. The medical liquid supply device includes a control unit configured to control an amount of suction by the suction unit in accordance with a switching operation in a liquid supply mode input section to adjust a flow amount of the liquid flowing from the liquid supply path into the suction path via the communication path between a liquid-supply ON mode and a liquid-supply OFF mode.

Abstract: The present invention provides a replaceable micro-surgical instrument which comprises a pull structure and a hollow tube attached to a grip. The hollow tube has a sleeve at one end with a U-type elastic element sliding in. The U-type elastic element includes a spring tension section and two opposite extending arms and the outer edge of each arm is against the inner wall of the sleeve. Two arms could move according to the pull structure to selectively extend out of the sleeve to be opened or pull back into the sleeve to be clip together. Particularly, there is a replaceable micro-surgical element set in the front-end of each arm, so when the micro-surgical element becomes blunt or broken, the doctor could only replace the micro-surgical element without replace a whole new instrument in order to reduce instrument cost, increase replacement rate, and maintain the quality of medical surgery.

Abstract: A surgical instrument for use in a therapeutic treatment of a patient has a stem connected to a handle, and a slide connected to a trigger. An end effector forms a distal portion for manipulating body tissue, for example a curette, and a proximal portion that is pivotally connected to either the stem or slide. A lever extends from near the pivot and is engaged by the other of the stem or slide. When the slide and stem are slid relative to each other, the lever is engaged to pivot the end effector within the body, for example to cut tissue. A post on the lever engages a channel in the stem or slide, to guide movement of the end effector. A link may be pivotally connected between the lever and a stem or slide, to increase a range of motion of the end effector.

Abstract: A surgical tool system including a handpiece with a motor and a cutting accessory with a shaft that is rotated by the handpiece motor. The handpiece includes a coupling assembly with plural locking elements for holding the accessory shaft to an output drive shaft that is actuated by the handpiece motor. The locking elements are longitudinally spaced apart from each other. The accessory shaft is formed with retention features against which the handpiece locking elements engage. The shaft retention features are in columns. The retention features in adjacent retention features are longitudinally offset from each other. This allows the coarse or fine adjustment of the extent to which the accessory shaft extends forward from the handpiece coupling assembly.

Abstract: Apparatus, systems, and methods for forming a hole in biological material, such as tissue walls, adjacent vessels or adjacent regions of an organ such that access to opposing surfaces of the biological material can be achieved. In general overview the system may include an elongate member for positioning and deploying a flexible member in the heart. In one embodiment apparatus and methods are provided for aligning and fixing the position of the tip of a cutting member for cutting a hole in the septal wall of a heart. In another embodiment, subsequent to cutting a tissue wall an apparatus for obstructing holes in the septal wall is inserted to limit the flow of blood through a plurality of holes in a tissue wall.

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 biopsy device may include a housing and a disposable biopsy assembly releasably received in the housing. The disposable biopsy assembly may include a cutter coaxially disposed with respect to a needle, and a plurality of gears may be engaged when the disposable biopsy sample is inserted in the housing. A tissue sample holder may be disposed within housing.

Abstract: A tool for a medical instrument includes an effecting device, a transmission rod, of which the distal end is coupled to the effecting device, for transferring at least either a force or a torque to the effecting device, and a cutting device, which, to cut tissue, is movable in a channel in the transmission rod and in the effecting device. To cut tissue, the cutting device is movable in a channel in the transmission rod and in the effecting device.

Abstract: A surgical instrument including a reusable and sterilizable hub assembly and a releasably connectable disposable blade assembly allows multiple reuse of the hub assembly in conjunction with single use disposable blade assemblies.

Abstract: Tissue severing devices and methods as provided in embodiments herein are operable to be inserted through small surgical openings and advanced to tissue to be severed. A support ribbon is provided to allow a user to present a cutting element at various angles to an axis of the tissue severing device. The cutting element is exposed by withdrawing a tube member from over the cutting element.

Abstract: A surgical instrument includes first and second cutting blades, each including a tubular body having proximal and distal ends, with a cutting window disposed at a side of each cutting blade near its distal end. The second cutting blade rotates within the first cutting blade to cut tissue while a vacuum is applied through an internal bore of the second cutting blade. The distal end of each of the cutting blades includes a suction aperture. An area of the first cutting blade suction aperture is smaller than an area of the second cutting blade suction aperture. The instrument is used as a suction tool by applying the vacuum through the internal bore of the second cutting blade while the second cutting blade is stopped from rotating with the cutting windows of the first and second cutting blades misaligned with each other to apply the vacuum through the suction apertures.

Abstract: A laparoscopic scalpel includes a shaft and a recess disposed in a surface of the shaft proximal to a distal end of the shaft. A blade is attached to the shaft. The blade includes a cutting edge having a portion exposed by the recess and oriented outwardly from the recess. A proximal end of the portion of the cutting edge exposed by the recess is disposed further from the surface than is a distal end of the portion of the cutting edge exposed by the recess.

Abstract: The disclosure provides a tissue removal device including customizable tips. The tissue removal device may include an outer shaft and a threaded shaft. One aspect of disclosure may include a shaft cutting tool that emerges from the end of the outer shaft. Another aspect of the disclosure may include a flexible cutting blade extending from the threaded shaft. Threaded shaft may be driven by a driving mechanism in order to provide an auger-like suction mechanism to facilitate the transfer of removed tissue to a collection chamber that is coupled to the outer shaft and the threaded shaft.

Abstract: A transseptal punch with a steering mechanism within the punch, such that punch can be steered and deflected within a guide catheter during delivery, to avoid skiving of the guide catheter inner wall by passage of the punch tip through the guide catheter. The punch can be advanced through a body lumen in its straight configuration and then be selectively articulated or curved to permit negotiation of tortuous curvature or to permit optimal approach or access to a puncture site. The punch is able to create holes in the atrial septum of the heart or other structures and is easier to use than punches that are pre-curved near their distal tip since it is easier to advance through accessory catheters.

Abstract: A surgical instrument for use in releasing soft tissue within the human body. The surgical instrument has a handle with proximal and distal ends with a tube connected to the distal end. The surgical instrument also includes a blade member that slidingly engages the tube moving along the length of the tube to cut soft tissue. Further included in the surgical instrument is a guard member that is attached to the blade member. The guard member has a hood portion and a capture portion. The hood portion is connected to the blade member with the distally positioned capture portion acting to displace surrounding tissue while capturing certain soft tissue structures resulting in the blade member being in operative position to cut and release the soft tissue. A surgical instrument kit including a plurality of modular surgical instruments and method for releasing soft tissue using the surgical instrument are also disclosed.

Abstract: A surgical instrument for cutting and grasping tissue comprising a handle assembly, an elongated member and first and second jaws. A first movable member moves the second jaw in a first direction about a first pivot axis in a grasping action and a second movable member moves the second jaw in a second direction different than the first direction and about a second pivot axis in a cutting action. A switch is positioned at the proximal portion of the instrument and a selecting member is actuated by movement of the switch, the selecting member movable between a first position to enable movement of the second jaw in the first direction and prohibit movement in the second direction and a second position to enable movement of the second jaw in the second direction and prohibit movement in the first direction.

Abstract: A surgical tool system with a handpiece and a cutting accessory that has inner and outer hubs. The handpiece has a spring biased lock ring that abuts a complementary stop member integral with the accessory outer hub to hold the accessory to the handpiece. An RFID chip is disposed against an inner wall of the accessory outer hub. An elastomeric seal pressed against the inner wall of the accessory outer hub provides environmental protection for the RFID chip. The seal has a rib that extends around the outer perimeter of the proximal end of the outer hub so as to form a seal between the accessory and an adjacent inner wall of the handpiece. Stop tabs extend inwardly from the seal to prevent the drive hub disposed inside the outer hub from falling out.

Abstract: An end effector assembly for use with a forceps includes a pair of jaw members, a knife assembly, and one or more cam assemblies. One or more of the jaw members are moveable relative to the other about a pivot between open and closed positions. One or more of the jaw members include a knife channel. The pivot includes first and second sections defining a passage therebetween. The knife assembly includes a knife blade and an actuation shaft. The knife blade is disposed distally relative to the pivot. The actuation shaft is configured for slidable translation through the passage to allow selective advancement of the knife blade through the knife channel. The one or more cam assemblies are operably coupled to the one or more moveable jaw members and are actuatable to move the one or more jaw members between the open and closed positions for grasping tissue therebetween.

Abstract: A suprapubic transurethral cystotomy apparatus and method of forming a surgical opening therewith. The apparatus includes an elongate tubular body including a proximal portion and a distal portion inclined relative to one another. The distal portion extends along an axis to an end configured for receipt through a urethra. An elongate arm has a first end operably attached to the proximal portion of the tubular body and a second end providing an indicator establishing an axis aligned coaxially with the axis of the distal portion. A surgical opening is formed with a cutting member being extended along the axis of the indicator.

Abstract: A method and apparatus for transecting soft tissue, such as a ligament, and more particularly, the transverse carpal ligament. An hollow introducer needle and a threadlike cutting element enable the method to performed in a minimally invasive manner. The cutting element is routed into position about the target ligament such that the cutting element both enters and exits the body from the same side of the ligament. The substantially smooth exterior surface of the cutting element serves to provide for a kerf-less cut.

Abstract: A method and apparatus for transecting soft tissue, such as a ligament, and more particularly, the transverse carpal ligament. A retrieval tool and a threadlike cutting element enable the method to performed in a minimally invasive manner. The cutting element is routed into position about the target ligament such that the cutting element both enters and exits the body from the same side of the ligament. The smooth exterior surface of the cutting element serves to provide for a kerf-less cut.

Abstract: A surgical instrument has a hollow tubular member, and a pressurization unit that has an outer valve portion, a pressurization device having a movable part configured to generate pressurized fluid when the movable part is moved, and an inner valve portion. The inner valve portion includes a first flow passage that is configured to connect a first port and a second port of the outer valve portion to each other when the inner valve portion is in a first position, and a second flow passage that is configured to connect the first port of the outer valve portion to the pressurization device when the inner valve portion is in a second position. Pressurized fluid from the pressurization device causes the inner valve portion to move from the first position to the second position, thereby providing positive pressure to the hollow tubular member.