A tissue treatment device has a shaft assembly including an outer sleeve and an inner sleeve. The inner sleeve is co-axially and rotatably received in an axial passageway in the outer sleeve. A dielectric housing has an outer cutting window forming a distal portion of the outer sleeve, and a distal portion of the inner sleeve forms an RF electrode and has an inner cutting window formed therein. The outer and inner cutting windows have outer and inner cutting edges disposed to close together as the inner sleeve is rotated relative to the outer sleeve.

A surgical device for cutting bone or tissue in a patient can include a cutting blade having a rigid portion, a flexible portion, and a liner to provide a seal to the flexible portion. The blade has an outer member and an inner member disposed within a lumen of the outer member. The inner member has a rigid portion and a flexible portion. The liner can be disposed within a lumen of the inner member and can engage the rigid portion such as to retain the liner adjacent to the flexible portion of the inner member.

The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.

Provided is a medical device comprising an inner tubular member, an outer tubular member having a distal end and an open window disposed at the distal end, a first electrode and/or a second electrode disposed at the distal end of the outer tubular member, and a cannulated plunger or armature or shaft configured to drive the inner tubular member to cut tissue in cooperation with the open window of the outer tubular member. The first electrode and the second electrode may be configured to provide RF energy needed for a surgical operation and may be configured to be substantially symmetrical or asymmetrical along a longitudinal axis of the outer tubular member.

A resecting probe includes a shaft assembly having an outer sleeve and an inner sleeve. The outer sleeve has an axial bore and an outer window in a distal side thereof, and the inner sleeve has an axial extraction channel and inner window in a distal side thereof. The inner sleeve is rotationally disposed in the axial bore of the outer sleeve to allow the inner sleeve window to be rotated in and out of alignment with the outer sleeve window, and the shaft assembly forms a flow aperture in a distal portion when the inner cutting window and the outer cutting window are out of alignment. An electrode is carried on the inner sleeve, and a motor drive is coupled to rotate the inner sleeve relative to the outer sleeve. A controller is coupled to the motor drive and controls rotation of the inner sleeve and can stop rotation of the inner sleeve in a stop position where the outer and inner windows are out of alignment, providing the flow aperture to allow cooling of fluid in a working space and cooling of the probe handpiece during use.

A tissue cutting device is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. A delivery sleeve may be selectively provided that is configured to be disposed about the outer cannula for delivery of a variety of devices.

An electrosurgical probe includes an elongated shaft assembly having a proximal end, a distal end, and a longitudinal axis. A distal housing is mounted on the distal end of the shaft and optionally includes a laterally open window where a plane of the window is generally perpendicular to the longitudinal axis of the shaft. An interior channel extends axially through the shaft and further through an interior of the housing to the window in the housing. An electrode member with a serrated or other elongated edge may extend longitudinally across the window and may be configured to reciprocate the elongated edge longitudinally relative to the window.

A forceps includes an end effector assembly having first and second jaw members. One (or both) of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes an opposed jaw surface having an electrically-conductive tissue sealing plate disposed thereon. The electrically-conductive tissue sealing plate includes a first portion configured to conduct energy through tissue grasped between the jaw members to create a main tissue seal and a second portion including a plurality of spaced-apart fingers extending from the first portion. The second portion is configured to conduct energy through tissue grasped between the jaw members to create an auxiliary tissue seal extending from the main tissue seal for reducing stress concentrations adjacent the main tissue seal.

A hysteroscopy system includes a scope having an internal channel, a sheath removably coupled to the scope, and an outflow channel. The sheath has a distal flange extending internally towards an outer surface of the scope. The outflow channel is formed between an inner surface of the sheath and an outer surface of the scope. The distal flange forms a distal end of the outflow channel and is generally located between the scope and the sheath.

A tissue removal device includes an outer tubular member coupled to a housing and a having a tissue resection window, an inner tubular member slidably disposed within the outer tubular member, a tissue trap having a sealed interior in fluid communication with a vacuum chamber, an open proximal end of the inner tubular member being disposed within the tissue trap interior, and an actuator moveably coupled to the housing and operatively connected to a movable piston in the vacuum chamber, such that movement of the actuator relative to the housing generates a vacuum in the tissue trap.