Devices and methods are described for electrolytically, ultrasonically, or both electrolytically and ultrasonically disrupting debris on an eyelid margin. A device includes an eyelid contacting portion having at least a first electrode, a second electrode, and a power supply electrically coupled to at least one of the first and second electrodes. The eyelid contacting portion may optionally have a shelf separating an upper portion from a lower portion with electrodes on the upper and lower portions. The eyelid contacting portion may optionally include at least one channel with electrodes. The device may optionally include an ultrasonic driver. Another device includes an ultrasonic driver but no electrodes. A method contacts debris on an eyelid margin with a first electrode and contacting a surface of an eyelid with a second electrode and supplying electrical energy to one of the first or second electrodes to disrupt the debris. Another method applies ultrasonic energy to the eyelid margin to disrupt debris on the eyelid margin.

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.

A surgical system for performing a capsulotomy of a lens capsule of an eye includes an elastic ring, a suction cup, an interface, a converter, and a control console. The elastic ring includes a conductive surface. The interface may be coupled to an air port and/or a fluid line of a phacomachine. The converter detects a pulse of air from the phacomachine via the interface, and produce an electrical signal in response. Fluid received from the phacomachine is delivered into the suction cup. The system is configured to remove the fluid from the suction cup and between the suction cup and a surface of the eye to form a suction seal. The control console is configured to, in response to receiving the electrical signal, drive a series of electrical pulses through the conductive surface of the elastic ring, causing the elastic ring to perform a tissue cutting operation.

A medical device includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member extends distally from the distal end of the elongated sleeve and has sharp cutting edges. The cutting head is formed from a wear-resistant ceramic material, and a motor coupled to the proximal end of elongated sleeve rotate the cutting member. The cutter is engaged against bone and rotated to cut bone tissue without leaving any foreign particles in the site.

The invention may be applied to selectively heat a diseased area in the lung while minimizing heating to the healthy area and surrounding tissue. This can be done by exposing the lung to an electromagnetic field causing dielectric or eddy current heating. The invention is particularly useful for treating emphysema as the diseased areas in emphysema patients have reduced blood flow. The diseased area will heat up rapidly while the healthy tissue will be cooled by the blood flow. This is particularly effective for treating emphysema because of the low mass of the lungs and the high blood flow. To avoid heating of surrounding organs the direction of the electromagnetic energy may be switched in a way it always passes through lungs but only intermittently passes through adjacent organs.

An electrode device for wrapping a vessel in the body according to an embodiment of the present invention comprise an electrode part that surrounds the vessel and denervates or modulates at least some nerves of the vessel; and a guide part that guides movement of the electrode part, wherein the electrode part includes: a first layer that is bent in order for the electrode part to be wound around the vessel; a second layer that is placed on the first layer and is bent in order for the electrode part to be wound in close contact with the vessel; an electrode that is placed on the second layer and denervates or modulates at least some nerves of the vessel with energy from an energy source generator.

A medical device is disclosed that can reduce variations in the degree of cauterization by an energy transfer element, and can suppress generation of thrombus formation, tissue damage, and the like due to the cauterization. The medical device can include an elongated shaft portion, and an expansion body that is provided in a distal portion of the shaft portion and can expand and contract in a radial direction, in which: the expansion body includes a plurality of wire portions that are linked with a shaft portion, and a clamping portion that is formed by at least one wire portion and clamps a biological tissue; the clamping portion includes an energy transfer element that outputs energy, and a back support portion; the back support portion includes a receiving surface that can face the energy transfer element when the expansion body expands; and the receiving surface can be inclined.

A medical device includes an elongate shaft and an expansion body at a distal portion of the shaft portion. The shaft includes an outer tube, and an inner tube that is slidable inside the outer tube. The expansion body includes a first connecting portion connected to the outer tube, and a second connecting portion connected to the inner tube. The outer tube includes an open end where an opening portion is formed, and the inner tube enters/exits from the opening portion. The expansion body is settable to a reference form where the expansion body is radially widened, and is settable to a contracted form where the expansion body is radially contracted. In the reference form, the open end is between the first and second connecting portions, and when the expansion body is deformed from the reference form into the contracted form, the inner tube is extracted from the opening portion.

An ablation device includes a handle, an elongated body extending distally from the handle, and an end effector assembly selectively deployable relative to the elongated body. The end effector assembly includes a shaft having a curved configuration defining an inside portion and an outside portion. A plurality of electrode tines extends from the inside portion. At least one electrode tine and the shaft are configured to conduct RF energy therebetween and through tissue to treat tissue. Another end effector assembly includes a tongue having a concave side corresponding to an inside portion and a convex side corresponding to an outside portion. A plurality of electrodes is disposed on the concave side of the tongue and an insulating layer is disposed on the convex side of the tongue. At least one electrode and the tongue are configured to conduct RF energy therebetween and through tissue to treat tissue.

Disclosed herein are methods, systems, and devices for diagnosing and treating heart failure. In some variations, a method of treating a patient may comprise forming an anastomosis between a right atrium and a left atrium of the patient by removing a portion of an interatrial septum. The removed portion of the interatrial septum may be analyzed for a cardiac amyloidosis diagnosis.