Relign Corporation

Boston Scientific Scimed, Inc.

Dfine, Inc.

Minerva Surgical, Inc.

Iogyn, Inc.

Arqos Surgical, Inc.

Merit Medical Systems, Inc.

Hermes Innovations, LLC

Corinth Medtech, Inc.

Aaron Germain

Michael D Walker

Kyle Klein

Csaba Truckai

Benedek Orczy-Timko

John H Shadduck

Jan M Echeverry

Balazs Lesko

Steffan A Benamou

Jeff Norton

Robin B Bek

Jacob Tonkel

Simon Malkevich

Ben Poser

Jeffrey Norton

Evan Nessim

Jacob Roland

Salvatore G Mangano

Andrew C Kohm

Robert D Poser

Kirti P Kamdar

Sal Mangano

Steve Kramer

Robin Bek

Csabi Truckai

Devices, systems, and methods for resecting tissue are disclosed. In some embodiments, a tissue resecting device may comprise an elongated structure having a longitudinal axis, the elongated structure comprising an outer sleeve with a distal window configured to receive uterine polyp tissue and an inner sleeve configured to move between a proximal position and a distal position relative to the window. In some further embodiments, the device may also comprise an electrode element coupled to the inner sleeve. In some even further embodiments, the device may include an insulative layer covering at least a portion of the inner sleeve, wherein the tissue resecting device is configured to fail when used to resect tissue more fibrous than uterine polyp tissue.

Tissue resecting device and methods

A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.

Medical systems and methods

An electrosurgical probe for ablating tissue includes an elongated shaft having an axis and a distal end. An electrically insulating housing at the distal end of the shaft has a window, and an interior channel in the shaft extends through the housing to the window. The window faces laterally relative to the axis, and a moveable member with a blade-like electrode edge is disposed within the window. A motor drives the energized electrode edge axially in the window to ablate tissue.

Arthroscopic devices and methods

A bipolar radiofrequency (RF) device for treating tissue in the presence of an electrically conductive fluid includes a headpiece and a probe. The handpiece has a motor drive, a receiving channel, and an active electrical contact on an inner wall of the receiving channel. A return electrical contact is disposed proximally of the active electrical contact on the inner wall of the receiving channel. A probe includes a proximal hub and an elongated shaft extending distally about a longitudinal axis from the proximal hub, and the hub being may be inserted into and removed from the receiving channel of the handpiece. A working end of the probe is located at a distal end of the elongated shaft, and the working end includes an active electrode and a return electrode. A return electrical contact is located proximally of an active electrical contact on an outer surface of the hub. In this way, the return electrical contacts in the receiving channel and on the outer surface of the hub, respectively, and the achieve electrical contacts in the receiving channel and on the outer surface of the hub, respectively, engage each other when the hub is inserted into the receiving channel of the handpiece.

A hysteroscopic fluid management system includes a saline source with an electrolyte concentration, at least one pressure mechanism for circulating saline to and from a targeted site and through a filter having filter characteristics back to the source, and a controller. The controller provides a saline inflow in a first flow path to the site and a saline outflow in a second flow path from the site through the filter and back to the source at a controlled flow rate. A diagnostic or therapeutic procedure is performed at the site in the presence of the saline. The filter characteristics and the controlled flow rate are selected to (1) cause substantially no change in the electrolyte concentration in the saline, (2) to prevent hemolysis of greater than 5% of filtered red blood cells exposed to the saline, and/or (3) to minimize effect on prothrombin time of plasma exposed to the filter.

Fluid management system and methods

A tissue cutting device has an outer sleeve with a distal window and an inner cutting sleeve which moves past the window to cut tissue. The inner cutting sleeve has a lumen which may have a larger proximal diameter than distal diameter. A perimeter of the window may comprise a dielectric material. A distal edge of the inner sleeve may be displaced inwardly.

Tissue extraction devices and methods

An arthroscopic or other surgical cutter has features which facilitate fabrication by ceramic molding. The arthroscopic cutter includes a cutter body having a longitudinal axis and a window, an interior channel, and a plurality of cutting edges extending radially outwardly from an outer surface thereof. The features include non-helical, longitudinally aligned cutting edges, controlled thicknesses of the cutting edges, controlled heights of the cutting edges, controlled areas of the windows, controlled diameters of the internal channels, controlled rake angles of the cutting edges, and other parameters.

A probe for resecting and coagulating tissue comprises an outer sleeve having a tissue cutting window and an inner sleeve having a tissue cutting distal end. And RF cutting region is formed at the distal end of the inner member and an RF coagulation region is formed on an exterior surface of the inner member immediately proximal to the cutting surface. A single power supply providing a single RF energy mode can be connected to both RF applicator regions to simultaneously cut and coagulate tissue.

Tissue cutting systems and methods

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.

An electrosurgical probe can be detachably secured to a handpiece having a motor drive unit and an RF current contact. The electrosurgical probe includes an elongate shaft having a longitudinal axis, a distal dielectric tip, and a proximal hub which is detachably securable to the handpiece. A hook electrode is reciprocatably mounted in the distal dielectric tip, and an RF connector on the hub is couplable to the RF current contact in the handpiece when the hub is secured to the handpiece. A drive mechanism in the hub mechanically couples to the hook electrode, and drive mechanism engages a rotational component in the motor drive unit when the hub is secured to the handpiece. The drive mechanism converts rotational motion from the rotational component into axial reciprocation and transmits the axial reciprocation to the hook electrode to axially displace the hook electrode between a non-extended position and an extended position relative to the dielectric tip.

An arthroscopic cutter according to one embodiment of the present disclosure includes an elongated outer sleeve that extends about a longitudinal axis with an interior bore having an open distal end. An inner sleeve is rotatable in the interior bore in the outer sleeve. The inner sleeve carries a distal housing having a longitudinal metal member and a longitudinal ceramic member that respectively form longitudinal-extending sides of the housing around an inner channel that communicates with a negative pressure source. The arthroscopic cutter also includes an electrode that is disposed in an outer surface of the longitudinal ceramic member.

A system for mechanical cutting and radiofrequency (RF) treatment of bone and soft tissue includes a probe and an RF power supply. The probe includes an elongated sleeve having a longitudinal axis, a proximal end and a distal end. A cutting member formed of a dielectric material is mounted on the elongated sleeve, and a metal electrode is attached to a surface of the cutting member and configured to deliver RF current. The RF power supply generates current having a pulsed RF waveform and may be connected to the metal electrode to deliver the current having the pulsed RF waveform to the tissue. The use of a pulsed RF waveform reduces a thermal stress on the dielectric material at the interface of the metal electrode and the dielectric material of the cutting member.

An arthroscopic system includes a re-useable, sterilizable handle integrated with a single umbilical cable or conduit. The single umbilical cable or conduit carries electrical power from a power and/or control console to the handle for operating both a motor drive unit within the handle and delivering the RF power to a disposable RF probe or cutter which may be detachably connected to the handle. The RF power delivered to the handle and on to the probe or cutter is typically bi-polar, where the handle includes first and second electrical bi-polar contacts that couple to corresponding bi-polar electrical contacts on a hub of the disposable RF probe or cutter is connected to the handle.

A probe for treating shoulders and other joints has a working end which includes a first element for cutting soft tissue, a second element for applying RF energy to tissue, and a third element for cutting or burring bone. The probe is introduced to a working space in a patient's joint, such as the patient's subacromial space, typically under endoscopic viewing. Soft tissue is cut with the first element. Radiofrequency energy is applied with the second element to ablate or cauterize tissue, while bone may be burred with the third element. Successive treatments steps are performed by reorienting the treatment device in situ with removal or withdrawal of the working end.

A fluid management system for use with a fluid reservoir includes an inflow pump and an outflow pump. The inflow pump is connectable to a probe for delivering a distention fluid to a body cavity. The outflow pump removes the distention fluid through the same probe, thus establishing a re-circulating volume of distention fluid within the body cavity. The removed fluid is filtered and returned to a fluid reservoir for eventual recycling to the body cavity. A controller adjusts the flow rates of the inflow pump and the outflow pump to maintain a pre-selected fluid pressure or volume within the body cavity.

Growing community of inventors

Campbell, CA, United States of America

Aaron Germain