Methods and devices for harvesting cancellous bone are disclosed. The bone-harvesting device may include a cannula and a bone receptacle in communication with the cannula, wherein the cannula including a cutting surface positioned at or adjacent the distal end, the cutting surface being oriented at an angle, the angle being greater than 90 degrees relative to the longitudinal axis of the cannula, and the harvested bone is adapted to move from a position adjacent to the cutting surface through the cannula into the bone receptacle. The cutting surface of the cannula may be positioned at or adjacent the distal end, and positioned at least in part radially outward of the outer face of the cannula. The cannula may include a cutting surface positioned at or adjacent the distal end and an occluding geometry that partially occludes the distal end of the cannula adjacent the cutting surface. In addition, a suction port may be provided in communication with the bone receptacle.

A surgical instrument includes a first member defining an axis and having a scraping surface configured to scrape tissue. A second member includes a cutting surface that is rotatable relative to the first member. The second member has a maximum length defined by opposite end surfaces of the second member. The end surfaces are each disposed within the first member. A third member includes an outer surface defining at least a portion of a passageway configured for disposal of the scraped tissue. The third member is fixed with the first member. The cutting surface is rotatable relative to the third member to transfer the scraped tissue along the axis. Systems and methods are disclosed.

A disposable dual ended ear curette incorporates specialized tip configurations and a depth measurement system. The ear curette may comprise a central handle portion; a first tip extending from one end of the handle portion and including an annular array of projections; and a second tip extending from an opposed end of the handle portion and including a blade member having a first lateral scraping edge on one edge of the blade member positioned adjacent a concave surface of the blade member, and a second lateral scraping edge on an opposed edge of the blade member. The ear curette may further include a sequence of spaced, visible measurement indicia on each tip, configured to provide an operator with a visual indication of the depth of operation of the associated tip in a patient's ear.

A tissue removal device including customizable tips and method of use thereof. The tissue removal device may include an outer shaft having a removable tip attached to the outer shaft and a rotatable inner shaft extending through the outer shaft and having a rotatable cutting portion extending from the inner shaft. Disc material may be cut and removed from a surgical area using an auger-like and/or suction mechanism to facilitate the transfer of removed tissue away from the surgical area.

Methods for creating a void within a bone. An elongate member is directed into a tube of an access cannula, and a handle is positioned adjacent the access cannula. A working tip and pre-bent elbow are disposed within the tube such that the pre-bent elbow is straightened. The device remains slidable relative to the access cannula. A control assembly is actuated to distally move the shaft relative to the handle. Bone adjacent the tube of the access cannula may resist the working tip from protruding from the access cannula so as to displace the handle of the device proximally, or the handle may be manually maintained adjacent the access cannula. The pre-bent elbow and the working tip are moved beyond the distal end of the tube to be freed from the constraint of the tube of the access cannula to assume a curve within the bone.

An elongate endovascular element for crossing through an obstruction in a blood vessel comprises: a proximal section; a distal tip section of smaller diameter than the proximal section; and a distally-tapering intermediate section extending between the proximal and distal tip sections; wherein the tapered intermediate section has a length that is substantially λ/2 or a multiple of λ/2 , where λ is a wavelength of a driving frequency that will produce longitudinal resonance in the element.

The device comprises a generally cylindrically shaped body having an elongated base with a distal end and a proximal end, and is conformed to be received by a fingertip of a medical practitioner. A plurality of prongs for debridement scrapping are formed on an outer surface of the base. A pair of arcuately shaped portions are integrally formed with the base to secure the device to any finger of a medical practitioner.

An improved curette for removing tissue samples and delivering liquid and anti-pathogen to the treated area is presented. Curette has a soft and squeezable reservoir-handle, allowing for easy maneuvering around the crevices of the treated area. The handle is filled with liquid and attached to a scraping end, that is connected to the handle via hollow tube. The scraping end of the curette is made of a metal or a hard plastic and could be coated in anti-pathogen material. The liquid delivery mechanism allows placing liquid directly to the treated area. The method of scraping debris and medication delivery is particularly useful for a treatment of the toenail fungus. Main portions of the curette could be detachable, allowing for the easy reservoir replacement and for the use of multiple scraping utensils. Similarly, the device could be manufactured for a single use when all parts are molded together.

A surgical cutting device for cutting and removing cartilage from a diseased area. The surgical cutting device includes an elongated shaft having a proximal portion and a distal portion connected between a proximal end and a distal end. A central longitudinal axis extends through the elongated shaft. The proximal portion has a first diameter and the distal portion has a second diameter. The first diameter being larger than the second diameter. The cutting device also includes a cutting tip at the distal end of the elongated shaft. The cutting tip extends along a second axis at an angle relative to the central longitudinal axis and includes a curved blade. The curved blade includes an inner wall extending to a base of the cutting tip.

Disclosed are nozzles and nozzle assemblies of liquid jet-forming surgical instruments, surgical instruments employing such nozzles and/or nozzle assemblies, and methods of fabricating the nozzle assemblies in forming surgical instruments. Also, disclosed are liquid jet-forming surgical instruments including both liquid jet-forming nozzles and optional evacuation lumens, which when provided can be configured to receive the liquid jet and evacuate the liquid forming the liquid jet. Certain embodiments of such surgical instruments include inventive nozzle alignment component(s) to facilitate alignment of the nozzles and evacuation lumen upon assembly. In certain embodiments, surgical instruments are provided that include a nozzle that is shaped to form a liquid jet, which has surfaces that are optically smooth. In certain embodiments, the nozzle has a configuration enabling the nozzle to form a liquid jet that has the ability to remain collimated over longer distances than is typically achievable with conventional liquid jet surgical instrument nozzles having the same ratio of nozzle length to minimum inner diameter of the jet opening. In certain embodiments, nozzle assemblies comprising an operative assembly of at least two subcomponents, which together provide a nozzle are provided. In certain embodiments, the at least two sub-components may comprise a nozzle-providing component, such as a nozzle ring, and a holder that is configured to retain and position the nozzle-providing component in the nozzle assembly. In certain embodiments, the nozzle-providing component can comprise a liquid flow passage having a diameter that continuously decreases along at least a portion of its length.