A device for thermal incision of tissue including a tissue heating element, an oscillatory mechanism that advances the tissue heating element toward tissue and retracts the tissue heating element from tissue, a detector that detects when the tissue heating element contacts the tissue, and a heat controller that controls heating of the tissue heating element, wherein the heat controller for the tissue heating element controls heating the tissue heating element based on detecting when the tissue heating element contacts tissue. Related apparatus and methods are also described.

A device for thermal incision of tissue including a tissue heating element, an oscillatory mechanism that advances the tissue heating element toward tissue and retracts the tissue heating element from tissue, a detector that detects when the tissue heating element contacts the tissue, and a heat controller that controls heating of the tissue heating element, wherein the heat controller for the tissue heating element controls heating the tissue heating element based on detecting when the tissue heating element contacts tissue. Related apparatus and methods are also described.

A single-use laser probe with reusable optic fiber fixtures may include a transitory connector having a transitory connector distal end and a transitory connector proximal end; a tube having a tube distal end and a tube proximal end; and an optic fiber having an optic fiber distal end and an optic fiber proximal end. The optic fiber may be disposed in the transitory connector wherein the optic fiber proximal end extends a distance from the transitory connector distal end. The optic fiber may be disposed in the tube wherein the optic fiber distal end is coplanar with the tube distal end. The transitory connector may be configured to interface with a reusable optic fiber fixture.

A single-use laser probe with reusable optic fiber fixtures may include a transitory connector having a transitory connector distal end and a transitory connector proximal end; a tube having a tube distal end and a tube proximal end; and an optic fiber having an optic fiber distal end and an optic fiber proximal end. The optic fiber may be disposed in the transitory connector wherein the optic fiber proximal end extends a distance from the transitory connector distal end. The optic fiber may be disposed in the tube wherein the optic fiber distal end is coplanar with the tube distal end. The transitory connector may be configured to interface with a reusable optic fiber fixture.

A delivery system extends from a laser radiation source for connecting to a medical device that utilizes the laser radiation for medical treatment. The delivery system comprises an optical fiber connecting to a male launch connecter. The male launch connector having a body portion with the optical fiber fixed or constrained therein and the optical fiber terminating at a male ferrule with a forward directed fiber facet, the male ferrule may be cantilevered within the body portion by the optical fiber line providing freedom of movement of the male ferrule. The launch connector engages a receiving connector on the medical device first with mechanical connection portions and then more finely aligning optical connection portions by the male ferrule self aligning in a female ferrule with cooperating tapered surfaces. The male portion may fully seat in the female portion with cooperating cylindrical surfaces.

A surgical device that has an external sheath having a proximal end and a distal end for insertion through an opening of a body and a plurality of tool components extending from the distal end of the external sheath. The tool components are independently deflectable with respect to each other and with respect to the external sheath and removable from the device without requiring withdrawal of the sheath through the opening of the body. The external sheath is flexible and deflectable intermediate the distal and proximal ends. This permits the device to be steered in a curvilinear manner towards a surgical target.

The invention relates to a cardiac lead extraction system, comprising: a handle; an elongated body in communication with said handle; a bendable flexible portion in communication with said elongated body, said bendable flexible portion comprising a first lumen sized and shaped to fit over a cardiac lead; said bendable flexible portion being more flexible than said elongated body; an operational distal end in communication with said bendable flexible portion; where said bendable portion is configured to bend to a bending radius of less than 4 cm while keeping said first lumen open; and where said operational distal end comprises at least one lead extraction assistive tool, said operational distal end comprising a second lumen sized and shaped to fit over a cardiac lead, said second lumen being in communication with said first lumen, and said first lumen comprises an inner diameter of from about 1 mm to about 5 mm.

A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states.

The invention relates to a method and an arrangement for the cleaning of a circumferentially closed canal by means of a light guide conducting a laser beam. The entry of the laser beam into the light guide is interrupted when the free end of the light guide is outside of the canal and/or the movement of the light guide within the canal is monitored and that if there is no movement or the movement is below a threshold value then a signal is triggered and/or the laser radiation is turned off or its output is reduced.

An integrated surgical smoke filtration and detoxification system. The system includes a housing that may include an interior chamber for detoxification and filtration performed by a detoxification system. The detoxification system may include a suction device and a filter and may be used to receive surgical smoke through a first portion of the chamber and exhaust detoxified surgical smoke through a second portion of the chamber.