An improved flexible endoscopic instrument to precisely and efficiently obtains samples of flat polyps and multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope. In one aspect, the cutting tool is coupled to a flexible torque coil or torque rope that is configured to transfer rotational energy from a powered actuator through the length of the endoscope onto the cutting tool.

Disclosed herein is a medical device. The medical device includes a blade tube section, a solenoid, and a mechanical arrangement. The blade tube section includes an outer blade tube, an inner blade tube, and a cutting window at a distal end of the blade tube section. The solenoid is offset from a central axis of the blade tube section. The mechanical arrangement is between the inner blade tube and the solenoid.

A device for removal of a tissue specimen from a patient includes a housing and a morcellator segment. The device includes a spindle capable of traveling through a longitudinal bore of the housing, and a specimen bag at a distal portion of the housing. In use, the specimen bag is extended from the distal portion of the housing and the spindle passes through the housing and specimen bag, exterior of the specimen bag, thereby forming an opening in the specimen bag. The spindle passes through a tissue specimen, at which point the spindle is retracted to bring the tissue specimen through the specimen bag, and into the longitudinal bore of the housing. The tissue specimen passes through the morcellator segment of the device, whereby the tissue specimen is broken into smaller pieces for ease of removal from the patient's body and further examination.

Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

A lateral disc cutter for morcellating and decorticating tissue of an intervertebral disc from between adjacent vertebrae. The device can be arranged in a retracted configuration for insertion via an access tube, and in an extended configuration for cutting of tissue in the target region. The blades may be extended to contact the concave endplate in an orientation that is substantially parallel to a mid-plane of the intervertebral disc. Blades of the device may be configured with a convex profile that substantially conforms to the concave shape of the endplate for enhanced contact length between the blade and the endplate. In some embodiments, the blades are configured for removal and replacement without need for tools, with the blades selectively determining a maximum displacement width of the morecellator assembly.

An excision apparatus for removing cellular tissue includes a housing provided with a fixation portion. The fixation portion is configured to be arranged on cellular tissue such that a closed space is formed by the cellular tissue and an inner surface of the fixation portion. The fixation portion is configured to fixedly retain the cellular tissue near the inner surface by removal of air from the closed space via an air evacuating means. The apparatus further includes a cutting element moveably arranged in the housing such that the cutting element is movable between a retracted position and an extended position with respect to the fixation portion. The cutting element includes an electrode arranged at a distal end of the cutting element and is configured for cutting a section of cellular tissue retained by the fixation portion when the cutting element is in the extended position.

A device for use with a debridement system is disclosed. The device includes an outer tubular shaft having an inner surface defining a lumen along an axis, the inner surface having an inner surface diameter. An inner tubular shaft is disposed within the lumen and rotatable within the outer tubular shaft. The inner tubular shaft includes an outer surface having an outer surface diameter less than the inner surface diameter. The inner surface of the outer tubular shaft with the outer surface of the inner tubular shaft forms a channel along the axis to receive fluid from the fluid source. The rotor is disposed in the channel and includes an axially extending helicoid blade coupled to the inner tubular shaft. The blade rotates within and with respect to the outer tubular shaft and exerts an axial thrust on the fluid in the channel with respect to the outer tubular shaft.

A tissue containment system includes a bag body, a member extending from the bag body and defining a channel, and a viewing window. The bag body at least partially defines an interior region configured to contain a loose tissue specimen and defines an opening sized to receive the loose tissue specimen. The bag body is configured such that a first portion of the bag body can be disposed in an abdominal cavity of a patient while a second portion of the bag body extends outside of the patient. The viewing window is at least partially transparent and provides a seal between the interior region of the bag body and an ambient environment. The channel of the member is configured to receive a tissue visualization device that can be used to view the interior region of the containment bag through the viewing window.

A lead extraction tool includes a lever for enhanced mechanical advantage. A belt of the tool which causes rotation of a cutter on an end of a sheath can be driven both when a trigger of the handheld tool is squeezed and when the trigger is relaxed. A pair of winged engagers are carried upon a pedestal which moves with the trigger, with a driver coupled to a portion of the trigger causing a rear winged engager or a front winged engager to engage the belt, both when squeezing the trigger and when relaxing the trigger.

Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.