In some embodiments, a vitrectomy probe may include an inner cutting tube reciprocating in an outer tube. The outer tube includes a side port and the inner tube includes a distal cutting port, and, in some embodiments, an additional side port. In some embodiments, the inner tube may also include a flat upper edge that cuts across the outer tube side port. In some embodiments, a diaphragm drives the inner tube and may have an open-stroke side with a lower hardness material than a closed-stroke side. In some embodiments, an aspiration tube coupled to the vitrectomy probe may include a first aspiration tubing and a second aspiration tubing with a lower hardness than the first aspiration tubing. In some embodiments, the vitrectomy probe may be coupled to pneumatic tubing that is stepped or tapered.

Systems and devices for resecting and removing tissue or organs from the interior of a patient's body, in a minimally invasive laparoscopic procedure while preventing any dispersion of potentially malignant tissue during the resection process.

Methods and devices described herein facilitate ablation patterns on the heart within a pericardial sac and without opening or deflating the lungs.

The present disclosure is directed to a method of facilitating treatment via a vascular wall defining a vascular lumen containing an occlusion therein. The method may include providing an intravascular device having a distal portion and a longitudinal axis and inserting the intravascular device into the vascular lumen. The method may further include positioning the distal portion in the vascular wall, rotating the intravascular device about the longitudinal axis, and advancing the intravascular device within the vascular wall.

A surgical bone cutting device, including a handle configured to facilitate operation and control of said device by an operator, and an elongated hollow member extending from the handle, the hollow member having a proximal end and a distal end; wherein the hollow member includes an opening at the distal end thereof and a rotatable cutting element extending through the opening, and wherein the hollow member includes a first bend at the proximal end thereof, such that the part of the hollow member distal to the proximal bend is offset a central axis of the hand.

A tissue resecting device includes an outer sleeve having an axial bore extending along a longitudinal axis from a proximal end to a distal end and opening to an outer window near the distal end. An inner sleeve is rotatably received in the axial bore of the outer sleeve and has an axial channel adapted for communication with a negative pressure source. A distal housing is attached to a distal end of the inner sleeve and has an annular dielectric portion and a circumferentially adjacent annular metal portion having an inner window with circumferentially spaced-apart sharp cutting edges that opens to the axial channel. An active electrode is carried by the annular dielectric portion, and the inner window is circumferentially spaced-part from the active electrode so that the inner window and the active electrode rotate alternately into alignment with the outer window as the inner sleeve is rotated within the outer sleeve.

A minimally invasive ultrasonic osteotome head and a minimally invasive ultrasonic powered system for bone; the minimally invasive ultrasonic osteotome head comprises an osteotome rod (11, 21, 31, 41, 51, 61) and a head end (12, 22, 32, 42, 52, 62), the head end (12, 22, 32, 42, 52, 62) being located at a front end of the osteotome rod(11, 21, 31, 41, 51, 61), and the head end (12, 22, 32, 42, 52, 62) being bent laterally at a certain angle, wherein knurled teeth or skewed teeth are provided on the bent portion. By means of bending the head end (12, 22, 32, 42, 52, 62), bone tissue around the transforaminal endoscope may be removed. Therefore, a surgeon may, as much as possible, have more operation space under the limited endoscope channel, thereby increasing bone removal efficiency.

The present disclosure provides a clamp for attaching or detaching a medical shaver, in which the clamp is provided for attaching and detaching a suction tube (30) detachably coupled to and rotated together with a shaft (20) rotated in a shaver body, and includes: a body; a detachment groove (120) formed in a direction perpendicular to a longitudinal direction on a front surface of the body; a detachment slit (125) formed in a direction perpendicular to the longitudinal direction on an upper surface of the body to communicate with the detachment groove; and an attachment groove (145) formed along the longitudinal direction at a center of a right side surface of the body.

A discectomy tool comprising: a) a cannula having an outer surface having a longitudinal bore therein, a proximal end and a distal end; b) a steering wire disposed in the longitudinal bore; c) a flexible, hollow transmission shaft disposed in the cannula, the shaft having a throughbore, a proximal end portion, a distal end portion and an outer surface having a thread extending therefrom; d) an irrigation source fluidly connected to the throughbore; e) a cutting tip attached to the distal end portion of the transmission shaft.

A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.