Abstract: A method of operating a microsurgical instrument, such as a vitrectomy probe, is disclosed. The probe includes a port for receiving tissue and an inner cutting member. A flow of tissue is induced into the port with a vacuum source, and the member is actuated in a cyclic manner to open and close the port over a plurality of cut rates. A duty cycle of the member is varied with the cut rate to vary the flow of the tissue into the port. The method yields the ability to adjust flow rate into the probe and aperture of the probe for a given cut rate so as to effectively perform a wide variety of vitreoretinal surgical objectives.

Abstract: An ultrasonic medical device comprises an ultrasonic vibration generator that generates vibration along its longitudinal axis. The ultrasonic vibration is transmitted through an ultrasonic coupler and a series of transformer sections that amplify the ultrasonic vibration. A flexible member is coupled to the distal end of the transformer sections, and is thus supplied with a longitudinal vibration at its base by the transformer sections. The flexible member is designed so that it converts the longitudinal vibration into a standing wave that runs along the length of the flexible member. The standing wave produces a series of nodes and anti-nodes along the length of the flexible member. Each of the anti-nodes produces cavitation in fluids in contact with the probe. The cavitation of the fluids causes destruction of adjacent tissue. In this manner, the entire length of the flexible member becomes a working surface that may be utilized for destroying tissue.

Abstract: A connecting device for a surgical instrument having at least one mobile cutting element which is reciprocally movable relative to a fixed jaw by operation of a resiliently loaded mobile grip wherein the connecting device includes an indexing mechanism which can be moved to a first position to permit mounting or removal of the mobile cutting element and a second position to permit independent mounting or removal of the mobile grip.

Abstract: A surgical osteotome for being reciprocatively driven to cut anatomical tissue includes an elongate shaft having a proximal end and a distal end presenting a cutting element. The cutting element comprises an upper part and a lower part, with the lower part having inwardly angled lateral surfaces merging at a cutting edge. The upper part forms a blunt tip disposed distally of the cutting edge. A handpiece adapter assembly includes the osteotome removably coupled to a handpiece adapter. The handpiece adapter includes a motion converting mechanism for converting rotary motion of a powered surgical handpiece into reciprocating motion of the osteotome. A powered surgical handpiece assembly includes the osteotome, the handpiece adapter and a powered surgical handpiece having a rotatable drive shaft.

Abstract: A cutting device for ophthalmologic surgery in the eye of a living being specifically for suctioning, cutting and removing portions of the vitreous humor of the eye and/or tissue particles, includes a housing and a probe disposed thereon for insertion into the vitreous humor with the probe including a guide tube with a suction opening at its distal end and an inner tube co-axially inserted therein which is slideably movable in axial direction relative to the suction opening, and a control member configured to translate a rotational movement of the drive into a linear movement of the inner tube to thereby move the inner tube in the guide tube in the direction of the longitudinal axis from the resting position to the closing position and back to the resting position while preventing a linear movement of the inner tube at rotating drive when the inner tube is in the resting position.

Abstract: The present invention is directed towards a surgical system and method of use for treating and removing unwanted tissue, preferably from an organ or other internal part of a patient. The system includes a cryosurgical component for first freezing the unwanted living tissue by forming an ice mass which completely encompasses the unwanted living tissue and means for treating the cryogenically-treated tissue and then removing the tissue while it remains in a frozen state. In one embodiment, an ultrasonic device is used to ultrasonically vibrate the cryogenically-treated tissue to break apart the frozen tissue and the frozen broken-up pieces of tissue are removed using a technique, such as an aspiration process.

Abstract: A surgical device including: a first shaft having a first projection radially offset from an axial direction of the first shaft, the first projection having a first clamping surface; a second shaft slidably disposed relative to the first shaft, the second shaft having a second projection radially offset from the axial direction, the second projection having a second clamping surface; a dissector for dissecting tissue from a blood vessel to be harvested; a first actuator for sliding the second projection relative to the first projection to capture a side branch of the vessel between the first and second clamping surfaces; at least one electrode for applying cauterizing energy to cauterize the captured side branch; a cutting blade movably disposed on one of the first or second projections; and a second actuator for moving the cutting blade to sever the side branch captured between the first and second projections.

Abstract: Hand-held surgical instruments include magnetic couplings which impart simultaneous reciprocal rotary and longitudinal motions or oscillations to a distally located workpiece. In preferred embodiments, the magnetic couplings include a drive shaft, an output shaft coaxially aligned with the drive shaft relative to a central axis, and drive and driven magnet assemblies connected operatively to the drive and output shafts, respectively. The drive and driven magnet assemblies include permanent magnets arranged to translate continuous rotation of the drive shaft into simultaneous rotary and longitudinal movements of the driven magnet assembly relative to the drive axis. A resilient support member exhibiting torsional and longitudinal resiliency (e.g., an annular elastomeric disc) is most preferably operatively connected to the output shaft to allow for such simultaneous rotary and longitudinal movements thereof.

Abstract: A device and method of using the device to access a desired tissue site within a patient's body and separating a tissue specimen from the tissue site suitable for evaluation. The device includes a probe member having an arcuate tissue-cutting RF powered electrode secured to and distally spaced from the distal end of the probe and a small dimensioned distal extremity which when an inner lumen thereof is subjected to a vacuum, secured tissue for the specimen to the surface of the distal extremity. A circular tissue-cutting blade preferably secured to the distal end of a supporting tube is configured to rotate and move longitudinally along the shaft of the probe member effective to sever a tissue specimen from tissue secured to the surface of the distal extremity of the probe member. The supporting tube covers the separated specimen, and may be disposed within an accessing cannula.

Abstract: An atherectomy burr includes a number of cutting blades having a less aggressive cutting action when rotated in a first direction and a more aggressive cutting action when rotated in a second direction. In accordance with one embodiment of the invention, each cutting blade includes an abrasive surface that is substantially parallel to the outer surface of the cutting burr. Each blade further includes a second cutting surface that is substantially perpendicular to the outer surface of the burr. By selectively rotating the burr in either direction, a physician can cause the less aggressive or more aggressive cutting surface to engage deposits in a patient's vessel.

Abstract: An endoscopic bipolar forceps for sealing and dividing tissue includes an elongated shaft having opposing jaw members at a distal end thereof which are movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. Each jaw member including an electrically conductive sealing surface having a non-stick coating disposed thereon which is designed to reduce tissue adherence. A source of electrical energy is connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal. A longitudinally reciprocating knife is included which severs tissue proximate the seal. The vessel sealer and divider also includes a non-conductive stop member disposed on the electrically conductive surface of one of the jaw members which controls the distance between the jaw members when tissue is held therebetween.

Abstract: A process has been developed to reduce or relieve prostatic obstruction. The steps involved in the TUVOR Process include: 1. Transurethral Incision; 2. De-bulking and Intra-Prostatic Volume Reduction; 3. Intra-prostatic void exclusion and space filling with adhesive and/or therapeutic polymeric materials, alone or in combination with bioactive agents and/or mechanical means for closure; 4. Endourethral compression and prostatic mass remolding; 5. Endourethral Polymer Liner Layer. This liner formed from structurally supportive, yet eventually biodegradable, polymers further bolsters and supports the urethra and peri-urethral tissue during healing, eliminating the need for post-procedure catheter drainage. This step may be optional in specific clinical circumstances. The process is designed to allow outpatient treatment under local anesthesia for BPH.

Abstract: A hard drive vitrectomy cutter generally includes a hand held probe for cutting tissue of a body, and a mechanical system for driving cutting action of the probe. The probe includes an outer sleeve having a perforation therein for receiving a portion of tissue, and a cutter sleeve, coaxially disposed within the cutter sleeve, for shearing the portion from the body of tissue. Importantly, the mechanical system for driving the probe includes a coaxial cable having a stationary outer cable and a slidable inner cable, said coaxial cable being connected with a stepper motor adapted for moving the inner cable axially within the outer cable. The inner cable is mounted in operative relationship with the cutter sleeve such that the stepper motor may be operated to move the inner cable and consequently drive cutting strokes of the cutter sleeve. A spring may be included for biasing the cutter sleeve against a pulling force exerted by the stepper motor.

Abstract: The present invention pertains to a wire-shaped ultrasonic catheter for ultrasonic angioplasty. The ultrasonic catheter head is provided with a diamond coating. The catheter has a cylindrical sonotrode and a thin ultrasound catheter which together form a resonant system. The catheter is made from a thin stainless steel ultrasound waveguide. The catheter is coupled to a mechanical connection system at one end and at the other end to a hardened, bulb-shaped stainless steel catheter tip having a cylindrical, spherical or rounded conical shape with a diamond powder coating.

Abstract: A device for delivery of a biocompatible polymer composition for treatment of urinary incontinence provides for delivery of biocompatible polymer material and a solidification agent through two lumens. The delivery device provides better control of the precipitation of the polymer in the periurethral tissue and detachment of the precipitated mass from the delivery device. The medical device includes a needle having a lumen and an inner cannula positioned within the needle lumen and movable longitudinally in the needle lumen from an extended position to a withdrawn position to sheer or cut the delivered mass of polymer material away from the needle tip.

Abstract: A surgical instrument useful in harvesting blood vessels such as veins and arteries. The instrument has a pair of jaws and a central cutting element displaceable distally and proximally to dissect tissue contained between the jaws. The distal ends of the jaws form a dissecting tip.

Abstract: A surgical instrument is provided having a tubular shaft with working elements arranged at its distal end, at least one of which may be spread apart. The working elements engage through an actuator element with a handle arranged at the proximal end of the shaft for opening and closing the working elements. A continuous hollow channel is provided in the interior of the instrument, into which at least one additional instrument may be inserted. The hollow channel preferably has a cross section corresponding to the inner clearance diameter of the tubular shaft. The working elements are configured such that they do not extend into the cross section of the hollow channel either in opened or in closed condition.

Abstract: A medical device 10 particularly adapted for debriding an abscess, phlegmon, or hematoma in a human or veterinary patient, for removing debrided and other materials from the abscess and for draining the abscess first includes a flexible catheter 12 having a longitudinally extending flow lumen 14, a rounded distal tip 16, a side portion 18 extending proximally from the distal tip 16 and an oval or other lateral opening 20, 44 or 46 extending through the side portion 18. The device also includes a cutting cannula 22 positionable in and longitudinally slidable in the flow lumen 14 in the catheter 12. The cannula 22 has an open distal end 24 and a sharp, beveled circumferential cutting edge 26 formed on the open distal end 24, the circumferential cutting edge 26 being disposed perpendicularly to the flow lumen 14 of the catheter 12.

Abstract: A surgical tool for cutting and/or coagulating tissue includes a piezo-electric driver to generate ultrasonic energy including torsional mode vibrations. A waveguide is operatively connected at a proximal end to the driver and extends a distance of n&lgr;T/2, where &lgr;T is the wavelength of ultrasonic vibration in the material of the work horn or waveguide. A distal end of the waveguide is provided with a cutting and/or coagulating tool.

Abstract: A surgical instrument useful in harvesting blood vessels such as veins and arteries. The instrument has a pair of jaws and a central cutting element displaceable distally and proximally to dissect tissue contained between the jaws. A sequencing element prevents the cutting element from being engaged when the jaws are in the open configuration.

Abstract: The illuminating light transmitted by the light guide inserted through the elongate inserted section is projected out of the distal end surface of the inserted section. The illuminated objects pass through the respective pupils of the two objective lens systems arranged in parallel within the distal end section of the inserted section and their images are formed on the focal surface. The respective images are transmitted to the rear side by one common relay lens system. The transmitted final images are formed respectively on the image taking surfaces of the image taking devices. The respective images photoelectrically converted by the respective image taking devices are processed to be signals, are displayed in the monitor and are stereo-inspected through shutter spectacles.

Abstract: A surgical apparatus for removing a vitreous in an eyeball, comprises a cylinder, a piston disposed in the cylinder so as to be capable of moving, a moving device for reciprocating the piston in the cylinder, and a vitreous cutter. The vitreous cutter comprises a first gas chamber which connects with a second has chamber in the cylinder via a tube, an outer tubular blade having a hole, an inner tubular blade, a moving body which is capable of moving in a longitudinal axial direction of the outer tubular blade with holding the inner tubular blade, and an energisation device which causes the moving body to perform a backward movement toward the opposite side of the hole relative to the outer tubular blade.

Abstract: A surgical handpiece adapter for converting rotary motion of a powered surgical handpiece into reciprocating motion to drive a cutting member includes a rear drive shaft for being removably coupled to a rotatable drive shaft of the handpiece, a front drive shaft for being removably coupled to the cutting member and a motion converting mechanism causing reciprocation of the front drive shaft and, therefore, the cutting member coupled thereto, in response to rotation of the rear drive shaft by the drive shaft of the handpiece. A handpiece adapter assembly is formed by an adapter and a cutting member coupled thereto, and a powered surgical handpiece assembly is formed by an adapter, a cutting member coupled to the adapter and a powered surgical handpiece coupled to the adapter.

Abstract: A medical instrument for treating, in particular for removing tissue, bone cement or the like in the human or animal body, comprising a hand piece having a distal end; an application part arranged at said distal end said hand piece, said application part being axially movable to-and-fro relative to said hand piece; a drive mechanism for said application part, said drive mechanism being provided in said hand piece, said drive mechanism transferring a pressure being continuously present in said hand piece into said to-and-fro movement of said application part, wherein said application part has at least in a region of a distal end of said application part a conduit, which has, in a distal region of said conduit, at least a suction and/or irrigation aperture.

Abstract: Intralumenal material removal systems are provided. The intralumenal material removal system includes a cutter assembly positionable in the lumen of a mammalian subject and operably connected to system controls. One composite cutter assembly comprises a distal, fixed diameter cutter and a proximal, adjustable diameter cutter, the cutter assembly being axially advanceable by translating the drive shaft and rotatable by rotating the drive shaft. The adjustable cutting assembly is adjustable between a smaller diameter condition and a larger diameter condition by rotation of the drive shaft in opposite directions. The cutter may thus be introduced to and withdrawn from the material removal site in a retracted, smaller diameter condition that facilitates translation and navigation of the device through various lumens. The adjustable cutting assembly may be selectively expanded at the material removal site to facilitate cutting, removal and aspiration of the occlusive material.

Abstract: A method and apparatus stabilize a vascular wall or vascular tissue during a surgical procedure. A stiffening member is inserted in a vessel to be accessed. The stiffening member is formed of a material having sufficient rigidity to significantly dampen movement of the vessel caused by normal heart action.

Abstract: A surgical handpiece adapter for converting rotary motion of a powered surgical handpiece into reciprocating motion to drive a cutting member includes a rear drive shaft for being removably coupled to a rotatable drive shaft of the handpiece, a front drive shaft for being removably coupled to the cutting member and a motion converting mechanism causing reciprocation of the front drive shaft and, therefore, the cutting member coupled thereto, in response to rotation of the rear drive shaft by the drive shaft of the handpiece. A handpiece adapter assembly is formed by an adapter and a cutting member coupled thereto, and a powered surgical handpiece assembly is formed by an adapter, a cutting member coupled to the adapter and a powered surgical handpiece coupled to the adapter.

Abstract: A medical instrument which is insertable into a vascular system to incise a stent embedded within a stenosis is provided herein and includes a multi-luminal catheter with a distal expandable balloon mounted with a reciprocating cutting member. The cutting member is selectively activated by an external reciprocating mechanism which is transmitted through the catheter to the cutting member mounted on the balloon's surface. The cutting member is designed to have the characteristics necessary to cut the metallic struts of a stent. In operation, the device is placed within the stenosis having an embedded stent and the expandable balloon is inflated. Preferably, the cutting member will be facing the myocardium. Then reciprocating motion is activated and the cutting member proceeds to sever the struts of the stent and make an incision in the stenosis. It is anticipated that more than one cutting member may be mounted on the balloon's surface.

Abstract: An improved, asynchronous method of operating a microsurgical instrument, such as a vitrectomy probe, is disclosed. The instrument includes a port for receiving tissue and an inner cutting member. A flow of tissue is induced into the port with a vacuum source. The port is at least partially occluded with the tissue. The occlusion is detected, and the inner cutting member is actuated to close the port and cut the tissue.

Abstract: Wires are used for conducting ultrasound energy. These wires achieve optimum properties by creating a multiple material coaxial construction. For example, in a particular embodiment it is desirable to have an elastic core (nitinol) for conducting axial vibrations (sonic or ultrasonic) and a thin stiff cladding (stainless steel) in order to minimize traverse vibrations which result in loss of energy.

Abstract: A surgical cutting system. The cutting system includes a cutter which has an inner sleeve that moves adjacent to an aspiration port of an outer sleeve. The inner sleeve is coupled to a source of vacuum that pulls tissue into the outer port when the inner sleeve is moved away from the port. The inner sleeve then moves across the outer port and severs the tissue in a guillotine fashion. The tip of the inner sleeve may exert a spring force that assist in the cutting action of the cutter. The cutter includes a motor which creates an oscillating translational movement of the sleeve. The motor can be controlled by a controller that is coupled a foot pedal. The foot pedal and controller can be configured so that the motor decreases speed as the pedal is depressed by the operator. The inner sleeve is coupled to an aspiration line that pulls the severed tissue out of the cutter. The level of the aspiration vacuum pressure can be controlled by a variable regulator valve.

Abstract: An ultrasonic clamp coagulator assembly embodying the principles of the present invention is configured to permit selective cutting, coagulation, and clamping of tissue during surgical procedures. In an ultrasonic blade according to the present invention, the blade is constructed such that the cross-sectional area of the blade is smaller at the proximal end of the compression zone than at the distal end. This performance-enhancing feature creates a more consistent cutting and coagulation of the tissue along the length of the blade reducing the time the blade is in operation and reducing overall heat generation.

Abstract: An endoscopic tissue collecting instrument is provided, which can collect a large tissue specimen by cutting the tissue positively with a blade of an outer sheath. The blade formed at the distal end of the outer sheath is directed oblique to the circumferential direction of the outer sheath.

Abstract: A medical device for treating the hemorrhoid or airway obstructions by reducing the mass of cellular tissues, wherein an elongate tubular shaft includes at least one ultrasonic transducer means disposed at its distal section of the shaft and facing one side of the shaft, an ultrasonic energy generating means, and a means for generating vibration at the distal section of the tubular element to effect the ablation having an additional vibrational massage therapy for the tissues.

Abstract: A longitudinal position translator includes a probe drive module and a linear translation module. The probe drive module is coupled operatively to an ultrasonic imaging probe assembly having a distally located ultrasound transducer subassembly in such a manner that longitudinal shifting of the transducer subassembly may be effected. The probe drive module is preferably mounted to the linear translation unit so as to be moveable between a condition whereby longitudinal shifting of the transducer subassembly can be conducted either manually or automatically. When in the automatically-operable condition, the probe drive module will be engaged with a motor-driven screw associated with the linear translation module so as to cause the probe drive module to be longitudinally displaced at a constant motor-driven rate.

Abstract: An ultrasonic treatment apparatus according to the present invention comprises an ultrasonic transducer for generating ultrasonic vibration, a vibration transmitting member for transmitting the ultrasonic vibration generated by the ultrasonic transducer, the vibration transmitting member having a proximal end connected to the ultrasonic transducer and a distal end portion used to treat a living organism by means of the transmitted ultrasonic vibration, a grasping member opposed to the distal end portion of the vibration transmitting member and having a grasping surface capable of grasping the living organism in cooperation with the distal end portion, an operating mechanism for moving the grasping member between a closed position in which the grasping member engages the distal end portion of the vibration transmitting member and an open position in which the grasping member is separated from distal end portion, and a follow-up mechanism for driving or allowing the grasping member in the closed position to fol

Abstract: Bone harvest or bone biopsies so far are made with the use of rotating hollow drills or through axial insertion of a hollow device. Upon retraction of the instrument the problem exists that the bone core often does not detach from its basis and thus cannot be harvested with ease. Additionally, using these methods, often the histology of the bone is disturbed significantly. This problem is solved by this invention by the use of a bone harvesting device which consists of a hollow cylinder, has cutting teeth at one end and has an interior cross-section which is not round. This device can be inserted into the bone using circular oscillation, creating a bone core which has a shape deviating from a strict cylinder shape. Once the desired depth has been achieved, the bone core can be reliably sheared off its basis by rotating the instrument in an angle exceeding the angle of the oscillation.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A surgical instrument for ophthalmic surgery, allowing the user to form a uniform circular incision of the anterior lens capsule of an eyeball, as part of an anterior capsulotomy. The capsulectomy device of the preferred embodiment of the present invention has first and second ends, with a rotor emanating from one end, the rotor having a cutting blade or bin situated at the distal end of the rotor, the rotor rotating in pivotal fashion up to 360 degrees, while simultaneously reciprocating the cutting blade at a consistent stroke so as to provide optimal incision edge and depth of the anterior lens capsule of the eyeball. The device is hand held and relatively compact, having provided therein a motor and gear reduction/transmission system for driving the rotor and providing the reciprocating action to the cutting blade or pin.

Abstract: A stent delivery system with a stabilizing manipulator handle is disclosed. The system has a self-expanding stent in a contracted condition disposed on the distal end of a delivery catheter and a retractable sheath covering the stent. The delivery catheter is advanced through a guide catheter to a desired location within a patient's body lumen. The manipulator handle at the proximal end of the delivery catheter is attached to the guide catheter. The handle has a slidable stem connected to the sheath, and features a screw down spacer between the distal end of the handle and the proximal end of the guide catheter. The spacer situates the position of the guide catheter relative to the delivery catheter even during deployment of the stent. Once the stent is at the target site, the sheath is retracted by pulling back on the stem to expose the self-expanding stent.

Abstract: A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Abstract: A saw blade (12) for use with a surgical saw (10). The surgical saw has a head (18) that is driven in a oscillating motion in order to cause like motion in the saw blade. The saw blade has a base (22) that is dimensioned to be inserted into a slot (24) in the front of the saw head. The base has a width less than the width of the slot to facilitate the easy insertion/removal of the saw blade. The saw blade also has a main section (36) formed integrally with the base (22) that has the cutting surface of the blade. The saw blade is further formed to have springs (42) that extend from the sides of the base. When the blade is inserted in the slot (24), the springs abut the interior walls (25) of the head that define the slot. A gap (48) separates each leaf spring from the adjacent side of the base.

Abstract: A ring blade and drive system, and method of using same, for harvesting bone-tendon-bone ligament grafts having substantially cylindrical bone plugs. The ring blade disclosed is a circular ring having a predetermined arcuate gap formed in its periphery. The drive system includes a blade holder to peripherally hold the ring blade and a fixed-center oscillating mechanism to oscillate the ring blade about its axis within a predetermined arcuate range of motion. The ring blade structure enables the production of a substantially cylindrical bone plug of unlimited length. Harvesting of a bone-tendon-bone ligament graft is facilitated with the ring blade and method disclosed which enables the ring blade to be placed partially around a tendon segment to create bone plugs aligned with the tendon fibers included in the defined tendon segment. The cuts into the bone may be initiated into the bone at either end of the tendon segment from the tendon side through to the exterior of the bone to which the tendon is attached.

Abstract: A grasper-cutter instrument for a resecting procedure including (a) an elongated shaft; (b) a stationary jaw connected at a distal end of the elongated shaft; (c) a rotating jaw connected at the distal end of the elongated shaft; (d) a grasp-release mechanism for rotating the rotating jaw in relation to the shaft and the stationary jaw to thereby actuate grasp and release relations of the stationary and rotating jaws; (e) a translating blade extending along a side of the shaft, the blade having a blade end and being translatable from a retracted position to an extended position in which the blade end is extended substantially up to distal ends of the stationary and rotating jaws; and (f) a retracting-extending mechanism for translating the blade from its retracted position to its extended position, and back.

Abstract: An intraocular surgical tool for removing material from an eye of a patient. The tool is provided with a cutting assembly and an aspiration apparatus to remove a portion of vitreous from the eye for inspection and testing. The tool is also fitted with a mechanism for replacing the removed vitreous with saline or similar fluid. The tool is capable of varying cutting speed over a range of fifty cycles per minute. The tool is portable having a housing and battery pack releasably coupled to one another. The cutting assembly is releasably secured to the housing. Accordingly, the housing may be removed and the cutting assembly discarded so that the housing may be sterilized before performing a vitrectomy.

Abstract: A system for controlling a plurality of ophthalmic microsurgical instruments is disclosed. Particularly, the present invention includes a handpiece for activating a surgical instrument (i.e., such as scissors) connected to the handpiece. The handpiece includes a housing and a linear activator operatively retained within the housing. A nosepiece is mounted to one end of the housing and is adapted for correction of a linearly actuated surgical instrument. The nosepiece is fixed to the linear activator in a preselected calibrated position relative to the longitudinal axis of the linear actuator.

Abstract: A motor driven reciprocating surgical file apparatus and method for trimming and shaping hard body materials. A small file is detachably mounted on the distal end of a reciprocating offset arm. The offset arm allows the file to be inserted and manipulated in a surgical site. The file is comprised of a slender elongated upward extending arm and an adjoining lower file portion. A plurality of teeth surround the file portion and are arranged to shape and trim bone and cartilage in a direction which is substantially parallel to the reciprocating motion of a motor's output shaft. A coupling is provided on the reciprocating arm for detachably mounting optional files. A control circuit allows a surgeon to vary the rate at which the file reciprocates. In a first aspect of the invention, the reciprocating file is driven by a battery operated electric motor. In a second aspect of the invention, the reciprocating arm is driven by an AC motor.

Abstract: An electronic surgical probe including an axially elongated member adapted to receive ultrasonic vibrations from an ultrasonic motor or transducer and having a circular cross-section, has a coaxially positioned cannula or sheath and outer layer of TEFLON surrounding the elongated member, the cannula or sheath defining an aperture adjacent the distal end portion of the elongated member, wherein fluid adjacent the distal end portion of the elongated member is activated or cavitated by ultrasonic vibrations from the distal end of the elongated member and passing through the aperture of the cannula acts upon tissue and/or other matter.

Abstract: An appliance for the removal of body substance, in particular an ophthalmological vitrectomy device, uses a mechanical cutting edge or laser radiation (18) for detaching vitreous body material. Detached parts of vitreous body material (22) are suctioned off by an aspiration cannula (10). To avoid traction in the vitreous body material (12), a control system (C) for the time sequence, energy and length of the laser pulses (18) and for the suction pump (P) is provided. The control is effected in such a way that a volume (22) of vitreous body material suctioned through the opening (14) is in each case detached free of traction, by one or more laser pulses, from the remaining vitreous body material (12) located in the eye, before a further volume of vitreous body material is suctioned in. The exit direction of the laser beam pulses (18) from the radiation conductor (16) is transverse to the aspiration direction.