Abstract: The invention provides an apparatus having a tubular member for receiving an endocardial lead implanted within a patient's body. Disposed generally at a distal end of the tubular member is at least one blade or cutting surface. An adjustment mechanism moves the blade between retracted and extended positions to engage the cutting surface with the endocardial lead to cut the lead. Once severed, the cut portion of the lead remains within an inner channel of the tubular member and the apparatus and cut portion of the lead are removed from within the patient. Alternatively, in some embodiments, the cut portion of the lead is disposed externally to the tubular member, and the cut portion and the apparatus are removed from the patient, either separately or together. Various embodiments include the blade pivotally connected to the distal end of the tubular member and activated by a wire adjustment mechanism. Others include a metallic wire for slicing through the lead.

Abstract: A tissue removal device is disclosed. In one arrangement, the tissue removal device comprises a cutting member operatively connected to an actuator assembly and a fixed member. The cutting member is configured to slide with respect to the fixed member in a reciprocating manner. The fixed member includes an upwardly extending foot plate that defines a contact surface that is configured with an uneven texture that serves as a grip to operatively retain material to be cut when the cutting member is moved toward the foot plate.

Abstract: A handheld instrument for minimizing pain during administration by injection of a liquid, such as, an anesthetic that has a main body, a vibration unit mounted in the main body when initiated to cause the main body to vibrate, and a detachable tip cantilever mounted on the main body to vibrate with it, the tip having a free end characterized by a bifurcation to form two spaced projections defining a space between them, whereby the spaced projections can be placed in proximity to, adjacent to and bracketing a preselected injection site on a human or animal and the tissue at said preselected injection site and vibrated while an injection is given.

Abstract: The invention is directed to a system and method for separating and collecting one or more tissue specimens from a target site within a patient and flushing the specimen to remove blood, debris and the like before the specimen is removed from the biopsy device. The flow of flushing fluid to the tissue collector is preferably controlled to coincide with delivery of one or more specimens to the collecting tray or basket of the device or after the receipt of the specimen within the tissue collector to ensure that the fluid is applied to a fresh specimen. The tissue tray or basket within the tissue collector has an open or foraminous portion to facilitate removal of fluid, such as the applied fluid and blood, and other debris from the tissue specimens on the tray. Vacuum is provided within the tissue collector, preferably under the tray to remove fluid and debris from the collector interior.

Abstract: The invention concerns an electrosurgical instrument comprising two articulated limbs, which can be actuated in the manner of a cutting or a clamping tool. The instrument further comprises opposing electrode parts with coagulating surfaces at the distal ends of the limbs for grasping a vessel or tissue and for conducting a coagulating current through the vessel or tissue in order to cause it to coagulate, as well as current-supplying devices for supplying the coagulating current to the electrode parts from a HF generator. In addition, the electrode parts each have at least one clamping region, such that clamped tissue is pretensioned between the electrode parts in order that a cutting procedure can be carried out on the pretensioned tissue by means of a cutting instrument.

Abstract: An ultrasonic surgical tool has an elongate waveguide (102) operatively connected or connectable to a source of ultrasonic vibrations. An operative element (100, 130, 140) at a distal end of the waveguide (102) has a diameter less than that of the waveguide (102). A connecting portion of intermediate diameter may connect the operative element (100, 130, 140) and the waveguide (102). A proximal end of the operative element (100, 130, 140) forms a first step junction (126, 134), located at a nodal plane of ultrasonic vibrations in the waveguide (102) and operative element, producing a velocity amplitude gain across the step junction. A second zero-gain step junction between the connecting portion and the waveguide (102) is located at an anti-nodal plane. The operative element (100, 130) may comprise a curved distal cutting and welding element (114) having a pair of elongate welding grooves defining a cutting ridge.

Abstract: An atherectomy system having a variably exposed cutter wherein a distally located positionable tip closely associated with the cutter and a high pressure fluid jet emanator can be variably and angularly deployed about a hinge mechanism subsequent to entry into the vasculature. The fixed cutter slices or parts atheromatous material and/or thrombotic material from a blood vessel for interaction with high pressure jets to macerate, break up or otherwise reduce the materials for evacuation from the site.

Abstract: The present invention relates to methodology of and apparatus for accurately positioning devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. The sphincterotome with a steerable or adjustable distal segment of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to one embodiment of the present invention, a threaded portion of a cable assembly cooperates with a torque transmission element and a cog to enable the operator to rotate a cutting wire into a desired position relative to the catheter. Alternate embodiments allow the operator to fix the depth of a needle knife while allowing, if desired, accurate rotational positioning of the associated catheter. Threaded stabilizing elements, pivot elements and a steering wire may be used together or individually to accomplish these features.

Abstract: A debrider apparatus is disclosed. The debrider includes a first tubular member that is adapted to connect to a first potential of an electrosurgical generator. A second tubular member is at least partially disposed within the first tubular member and is adapted to connect to a second potential of the electrosurgical generator. At least one tubular member is selectively movable relative to the other. A first set of teeth is disposed around at least a portion of a distal periphery of the first tubular member. A second set of teeth is disposed around at least a portion of a distal periphery of the second tubular member. At least one switch is operably coupled to at least one of the tubular members and activates movement of one tubular member and supplies respective electrical potentials to the tubular members.

Abstract: A disposable open electrosurgical forceps for sealing tissue is disclosed in the present disclosure. The disposable open electrosurgical forceps comprise a pair of first and second shaft members containing a fiber reinforced thermoplastic blend material having fiber strands of at least 2 millimeters in length. Each shaft member includes a jaw member disposed at a distal end thereof which are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members also includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting mechanism therealong.

Abstract: A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members 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. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.

Abstract: A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members 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. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.

Abstract: Disclosed is a tissue removal device having an outer tube with a resection window and an inner tube disposed within the outer tube. The inner tube is slidable and rotatable relative to the outer tube so that the distal end of the inner tube moves back and forth across the resection window to sever tissue extending therethrough. The inner tube may be driven to rotate at a speed of at least about 1100 rpm, to axially translate at a rate of at least about 1.5 cps, and with an advance ratio of no more than about 0.25. The drive system for controlling axial reciprocation and rotation of the inner tube may be totally mechanical.

Abstract: Methods and systems for resecting and debulking prostatic tissue to utilize a shaft carrying an energy source. The shaft is anchored by a balloon or other structure expanded in the bladder, and the energy source is capable of directing ablative energy radially outwardly from the urethra, where the energy source will be moved in order to remove a pre-defined volume of prostatic tissue.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A disposable neonatal circumcision device that secures the foreskin of the penis in a precise location, applies radially circumferential clamping, and delivers a longitudinal circumferential cutting device along the path precisely controlled by the device itself, not the operator, ensuring the incision to the clamped foreskin is made in the precise location, independent of the operator.

Abstract: According to an aspect of the present invention, a medical device is provided, which comprises the following: (a) a hollow elongate body (e.g., a elongate cylinder, such as a needle) having distal and proximal ends; and (b) a rotatable member comprising a tissue morselizer and an elongate shaft (e.g., an auger-like tissue-drilling bit). In the devices of the present invention, the elongate shaft is disposed within the hollow elongate body and cooperates with the hollow elongate body to (i) advance material (e.g., morselated tissue) toward the proximal end of the hollow elongate body when the shaft is rotated in a first direction, and (ii) advance material (e.g., a therapeutic agent and/or a bulking agent) toward the distal end of the hollow elongate body when the shaft is rotated in a second direction that is opposite the first direction.

Abstract: In various embodiments, a phacoemulsification cutting tip with a straight shaft and an angled portion off of the straight shaft may include a hook on the angled portion to move an axis of rotation of the cutting tip closer to alignment with an extended centerline of the shaft. The cutting tip may be configured to torsionally rotate back and forth on an axis perpendicular to a centerline of the shaft (e.g., rotation around a y-axis). In some embodiments, lateral vibrations (e.g., side to side along an x-axis or z-axis perpendicular to the y-axis) that result from torsional rotation around the y-axis in a cutting tip without the hook may be reduced through use of the hook to balance the otherwise eccentrically weighted hook.

Abstract: A non-linear cut-rate multiplier for a vitreous cutter is provided whereby a signal from a host drive system may be multiplied in non-linear fashion to achieve significantly higher cut-rates for the vitreous cutter. Depending upon the cut-rate received from the host drive system, the multiplier may be configured to generate a subsequent cut-rate which is, potentially, linear for lower cut-rates of the host drive system and variably non-linear for higher cut-rates of the host drive system.

Abstract: The invention relates to shielded reciprocating surgical file system for precisely removing bone and/or other tissue material. The system allows a user to maneuver the system and navigate into hard to access sites under a direct vision mechanism included in the system. A transmission mechanism converts rotary motion from a motor into reciprocating motion and provides it to the surgical file for precision bone and/or tissue removal. A pulsatile pump mechanism is operatively coupled with the transmission mechanism and provides irrigating fluid to the surgical site.

Abstract: The invention provides an instrument and methods for minimally invasive surgical scaling and/or planning procedures, thus reducing patient recovery time. Furthermore, the present invention overcomes the shortcoming in the prior art of inadequately preparing the diseased site or creating an aerosol by providing a device that is more mechanically abrasive by way of utilizing a rotational mechanical action of a plurality of bristles.

Abstract: Tissue can be removed from a patient with a catheter or other medical device having a cutting member. A source of suction can be coupled to the device for suctioning removed tissue through a lumen in the device and out of the patient's body.

Abstract: A rotary surgical instrument includes an outer member having an aperture in a distal portion thereof, and an inner member for being rotatably disposed within the outer member to move a cutting element on the inner member past the aperture to cut anatomical tissue. The inner member has an aperture, and the cutting element comprises first and second rows of cutting teeth extending longitudinally along opposite sides of the inner member aperture. Each cutting tooth is convexly curved, the cutting teeth of one row curving in opposition to the cutting teeth of the other row. The rows of cutting teeth have their tips staggered.

Abstract: The invention relates to an electrosurgical instrument comprising two limbs that have an articulated connection and that can be actuated in the manner of a cutting or a clamping tool. The instrument also comprises opposing electrode parts with coagulation surfaces on distal ends of its limbs for holding a vessel or tissue and for passing a current through said vessel or tissue to cause it to coagulate. At least one electrode part has an open region that acts as a guide gap for a cutting instrument, so that the electrode part(s) is/are divided into at least two areas and the cutting instrument can be applied to the clamped vessel or tissue to execute a cutting operation. In addition, current supply devices supply the coagulation current from a high-frequency generator to the electrode parts.

Abstract: A smart connector system includes a machine connector disposed on a face of a surgical machine, an illumination ring located on the face of the surgical machine and disposed around a periphery of the machine connector, an RFID reader antenna located in close proximity to the machine connector and the face of the surgical machine, and an accessory connector adapted to couple with the machine connector. The accessory connector has an RFID tag antenna and is capable of attaching a tool to the surgical machine. When the accessory connector is brought within close proximity to the machine connector, a communications connection is established between the RFID tag antenna and the RFID reader antenna.

Abstract: A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes.

Abstract: A microkeratome 10 for use in ophthalmic surgery includes a bar-link drive 20 connected to a cutting-head 36. A fixation ring 34 attaches to a patient's eye and is coupled to the bar-link drive 20 to the drive the cutting-head 36 at least partially across the fixation ring 34.

Abstract: For examining tissue samples that were taken from a tissue area with suspicion of tumor it is proposed that the tissue samples be examined shortly afterward for a measurement value typical of tissue alteration. With tissue samples taken spatially-systematically, a measurement value distribution at the sampling site can be ascertained, and an image of the tissue alteration before sampling can be represented. The device for performing the method includes a sampling device (PU), a supply device (TU), a detector (Det), an evaluation unit (CPU), a storage unit (SU) and an output device (AV) that allows an online examination of taken tissue samples (Pr), and with which the three-dimensional image can be represented by, for instance, a distribution at the sampling site of fluorescence achieved by means of systemically applied markers.

Abstract: A corneal punch comprising a base unit having a first annular mating surface surrounding a well in which a donor cornea may be located, and a separate guide unit including an inner annular guide shaft and an outer locating ring connected to the guide shaft and having a second annular mating surface. The base unit and the guide unit may be releasably positioned in registration with each other by way of the first and second mating surfaces such that the guide shaft is substantially coaxial with the well.

Abstract: An electrosurgical forceps for sealing tissue is adapted to include a pair of movable jaw members that cooperate to grasp tissue. At least one of the jaw members has a blade channel defined therein configured for sliding reception of a surgical blade assembly, the blade channel including a plurality of troughs and a blade body having a plurality of cutting elements extending therealong, each of the cutting elements including a cutting edge extendable into the blade channel and a flange extending into each of the troughs. The blade body is selectively movable from a first position wherein the cutting edges of the cutting elements are spaced relative to the blade channel and the flanges are rest within the troughs to at least one second position wherein the cutting edges extend within the blade channel.

Abstract: A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The inner cannula includes a hinge between a body section and a cutting section that allows the cutting section to pivot when the inner cannula reciprocates within the outer cannula. The inner cannula also includes a bending portion between the proximal end of the inner cannula and the hinge which is bendable with the outer cannula. The device is particularly suited for accessing neurosurgical sites that are not accessible along a linear path.

Abstract: An endoscopic scissor instrument includes an elongate hollow member having a proximal end and a distal end, an actuator that moves axially through the hollow member, and first and second scissor blades with respective cutting surfaces. At least one of the first and second scissor blades are rotatably coupled to the hollow member adjacent its distal end. At least one of the first and second scissor blades includes a base supporting a resilient leaf-spring portion that includes a respective cutting edge. The resilient leaf-spring portion extends from the base in a cantilevered arrangement along the length of the leaf-spring portion.

Abstract: A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The inner cannula includes a hinge between a body section and a cutting section that allows the cutting section to pivot when the inner cannula reciprocates within the outer cannula. A tissue collector is also provided and is in fluid communication with the lumen of the inner cannula. The inner cannula and the outer cannula define an annular space between the inner cannula and the outer cannula, and a seal is provided at the proximal end of the annular space. The seal is preferably a thixotropic, semi-solid material such as a high vacuum, halogenated polymeric grease. The device may also include an inner cannula stop position control for selectively controlling the position of the inner cannula when it is at rest.

Abstract: A pneumatically driven vitrectomy probe system includes a movable member disposed within a cylinder to define an enclosed pressure chamber, which has an inlet and an outlet. A pressure transducer senses the pressure level within the enclosed pressure chamber, and a valve communicates pressurized air to the inlet of the enclosed pressure chamber based on the pressure level. A displacement device coupled to the movable member extends and retracts the movable member within the enclosed pressure chamber, to respectively increase and decrease the pressure level of pressurized air communicated via the chamber outlet. The pressurized air is communicated to enclosed volume within a pneumatically activated vitrectomy probe, which includes a hollow inner cutting member disposed within the hollow outer member.

Abstract: A soft tissue biopsy device is provided which allows for the recovery of a biopsy of tissue flat in shape, particularly suitable for lymph node biopsy. The device includes twin opposing primary blades preferably aligned in parallel planes, to cut the upper and lower surfaces of the biopsy. A detachment blade is provided to cut the side walls and distal ends of the biopsy. In a preferred embodiment, each primary blade has a sharpened tip set at an angle with a sharpened point to assist tissue penetration. The detachment blade, preferably has inwardly curving flexible sharpened tips at its distal end, and is attached to the handle at its proximal end by a slider such that when in a retracted position, the detachment blade is retracted from the tip of the twixt blades; and when in an advanced position, the tip of the detachment blade abuts the tip of the twin blades.

Abstract: A biopsy device and method are provided for obtaining a tissue sample, such as a breast tissue biopsy sample. The biopsy device may include an outer cannula having a distal piercing tip, a cutter lumen, a side tissue port communicating with the cutter lumen, and at least one fluid passageway disposed distally of the side tissue port. The inner cutter may be advanced in the cutter lumen past the side tissue port to sever a tissue sample. After the tissue sample is severed, and before the inner cutter is retracted proximally of the side tissue port, the cutter may be used to alternately cover and uncover the fluid passageway disposed distally of the side tissue.

Abstract: A surgical instrument comprises a hollow tube (18) having a cutting window (16) at the distal end portion. An inner tube (15) is disposed within the tube (18) and is mounted for rotation about its longitudinal axis. A cutting tool (17) is located at the distal end of the tube (15), and is positioned adjacent to the cutting window (16). An outer tube (14) is provided over the tube (18). A motor (5) is provided for rotating the inner tube (15), and saline is fed to the cutting window (16) via a passageway (25) between the tubes (15) and (18). The inner tube (15) has a central lumen (24) through which tissue cut by the cutting tool (17) is removed under the action of a source of suction (12). The outer surface of the tube (18) is covered with an electrically insulating layer (22) and coagulating RF signals are supplied between the tube (18) and the outer tube (14) so as to coagulate tissue at the cutting window (16).

Abstract: A debrider apparatus is disclosed. The debrider includes a first tubular member that is adapted to connect to a first potential of an electrosurgical generator. A second tubular member is at least partially disposed within the first tubular member and is adapted to connect to a second potential of the electrosurgical generator. At least one tubular member is selectively movable relative to the other. A first set of teeth is disposed around at least a portion of a distal periphery of the first tubular member. A second set of teeth is disposed around at least a portion of a distal periphery of the second tubular member. At least one switch is operably coupled to at least one of the tubular members and activates movement of one tubular member and supplies respective electrical potentials to the tubular members.

Abstract: A bearing system useful in an intracorporeal device connects an operating head, a rotatable drive shaft and a catheter. The bearing system includes a static member in fixed communication with the distal end of the catheter, an interior shaft that is in rotatable communication with the drive shaft and the operating head, and at least one connecting structure. The static member has at least one opening through which the connecting structure moveably rests against a seat of the interior shaft. The position of the connecting structure within the seat enables the bearing to accept a rotational load of the rotating drive shaft and/or thrust load in the direction of the longitudinal length of the catheter. The connecting structure further retains the internal shaft and static member of the bearing system.

Abstract: Disclosed herein is an endoscopic surgical assembly having improved cutting efficiency. In particular, the present invention provides an endoscopic shaver assembly configured for automated axial as well as rotational motion so as to enhance tissue resection.

Abstract: A flexible inner member for rotation within an angled outer tubular member of a rotary tissue cutting instrument to cut anatomical tissue includes a flexible region for conforming to the configuration of an angled region of the outer tubular member and formed of a labyrinthine cut through a cylindrical wall of a tubular body of the inner member. The labyrinthine cut includes a plurality of labyrinthine areas rotationally spaced on the tubular body and in which the labyrinthine cut defines a labyrinth configuration including minor curves of opposed curvature respectively arranged within major curves of opposed curvature, with each of the minor curves being continuous with a major curve of opposed curvature thereto.

Abstract: A surgical cutting blade for cutting bone material when the blade is coupled to a hand-held surgical saw having protrusions extending therefrom that interface with the cutting blade. The cutting blade includes a distal end comprising a plurality of cutting teeth and a shank portion adjacent the distal end. It also includes a proximal end adjacent the shank portion. The proximal end is shaped to attach to the surgical saw and includes an upper substantially planar surface and a lower substantially planar surface and a side edge extending between the upper and lower planar surfaces. The side edge at least in part defines an outer perimeter extending about the proximal end. The outer perimeter includes a plurality of indentations forming openings configured to receive and interface with the protrusions of the surgical saw in a manner that the protrusions cooperatively impart motion to drive the blade.

Abstract: A blade coupling mechanism for a hand-held surgical cutting instrument includes a first coupling member including a first blade-contacting surface and a first outer perimeter sidewall adjacent the first blade contacting surface. It also includes a second coupling member including a second blade-contacting surface facing the first blade-contacting surface of the first coupling member. The second coupling member includes a second outer perimeter sidewall adjacent the second blade contacting surface. The second blade-contacting surface and the second outer perimeter sidewall meet to define an outer edge. The second coupling member including a bore through the second blade contacting surface. The bore and the second blade contacting surface meeting to define an inner edge. Blade-engaging protrusions project from at least one of the first and second blade-contacting surfaces. The protrusions are spaced closer to the outer edge than the inner edge.

Abstract: An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end. The end effector assembly includes two jaw members for grasping tissue therebetween. The jaw members are adapted to connect to an electrosurgical energy source which enable them to conduct energy through the tissue to create a tissue seal. A drive assembly is disposed within the housing which moves the jaw members. A switch is disposed within the housing which activates the electrosurgical energy. A knife assembly is included which is advanceable to cut tissue held between the jaw members. A movable handle is connected to the housing. Continual actuation of the movable handle engages the drive assembly to move the jaw members, engages the switch to activate the electrosurgical energy source to seal the tissue, and advances the knife assembly the cut the tissue disposed between the jaw members.

Abstract: A flexible inner member for rotation within an angled outer tubular member of a rotary tissue cutting instrument to cut anatomical tissue includes a flexible region for conforming to the configuration of an angled region of the outer tubular member and formed of a plurality of intertwined helical cuts in a cylindrical wall of a tubular body of the inner member. The helical cuts are congruent but differ by a translation or offset along a central longitudinal or helix axis of the tubular body. The helical cuts result in formation of a plurality of intertwined helical strip members in the cylindrical wall, each having opposed ends unified integrally and unitarily or monolithically with the cylindrical wall.

Abstract: An energy based partial circumferential hemorrhoid repair device including an actuator assembly, and an energy based partial circumferential hemorrhoid repair device head assembly operatively connected to the actuator assembly, wherein the head assembly includes a proximal electrode assembly and a distal electrode assembly, and further wherein at least one of the electrode assemblies includes an electrode mounted thereon to facilitate sealing of hemorrhoid tissue as the two electrode assemblies are approximated.

Abstract: Methods and devices are provided for dissecting tissue. In one embodiment, a surgical device can include an elongate shaft configured to be introduced into a body of a patient. A transducer coupled to the elongate shaft can be configured to deliver mechanical energy to the elongate shaft, e.g., axially along the elongate shaft, to rotate, vibrate, and/or flex the elongate shaft to facilitate dissection of tissue adjacent at least a leading end or a distal end of the elongate shaft. In some embodiments the elongate shaft can include at least two coaxial coils, and the transducer can be configured to move at least one of the coaxial coils to facilitate tissue dissection using the elongate shaft.

Abstract: A probe for a vitrectomy tool is provided having a vitreous cutter tube having a blunt tip at a distal end and adapted to be coupled at a proximal end to a handpiece of a vitrectomy tool; a retractable outer trocar tube surrounding the vitreous cutter tube having an open distal end with a sharpened edge; and a retraction mechanism coupled to a proximal end of the outer trocar for selectively extending and retracting the outer trocar tube between a first extended position wherein the sharpened edge of the outer trocar is extended beyond the blunt tip of the vitreous cutter tube to facilitate insertion into the eye and a second retracted position wherein the sharpened edge of the outer trocar is retracted behind the blunt tip of the vitreous cutter tube to facilitate safe operation of the probe. A vitrectomy tool for removing material from an eye of a patient is provided having a housing having a proximal end and a distal end and a probe coupled to the proximal end of the housing.

Abstract: An instrument for precisely cutting tissue to controlled dimensions (length, width, depth, and shape) is provided for the removal of tissue specimens from remote sites in the body of a patient, such as from the gastrointestinal tract, urinary tract, or vascular structures, or any tissue surface or soft tissue of the body. The instrument has a housing and a substantially flexible shaft extending from the housing to a distal end. The distal end of the instrument has an open cavity into which tissue is receivable. Suction can be communicated along the shaft to the distal end for distribution across the cavity utilizing a manifold having a grated tissue engaging surface with opening(s) for applying the suction, thereby pulling tissue adjacent to the distal end into the cavity against the tissue engaging surface of the manifold. One or more hollow needles are extendable from the housing through the shaft into the cavity to enable infusion of fluid, such as saline or a hemostatic agent, into the tissue.

Abstract: A device to access a desired tissue site within a patient's body and separate a tissue specimen from the tissue site. The device includes a probe member having a tissue penetrating distal tip having a plurality of concaved surfaces which form curved cutting edges at the intersection of adjacent concave surfaces. The probe member has an inner lumen which when subjected to a vacuum, secures tissue for the specimen to the surface of a distal tubular section of the probe which may be off-set from a central longitudinal axis. A circular tissue-cutting blade is configured to move longitudinally to sever a tissue specimen from tissue secured to the surface of the distal tubular section by the application of a vacuum to the inner lumen of the probe.