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An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while providing fluid management during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic tube having an inner

An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while providing fluid management during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic tube having an inner surface, outer surface, proximal end, and distal end. The atraumatic sheath further comprises a plurality of ribs extending from the inner surface of the tube and designed to contact an outer surface of the arthroscope thereby creating outer lumens facilitating the inflow and outflow of fluid to a surgical site. The distal tip of the tube is made of an elastic material having a higher modulus of elasticity than the modulus of elasticity in the material of the proximal end of the tube.

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1. An atraumatic sheath comprising: a tube characterized by a wall, a distal section having a distal tip with a first diameter, a proximal section, an outer surface, an inner surface, an inner diameter and an outer diameter;wherein the inner diameter of said tube is sized and dimensioned to permit f

1. An atraumatic sheath comprising: a tube characterized by a wall, a distal section having a distal tip with a first diameter, a proximal section, an outer surface, an inner surface, an inner diameter and an outer diameter;wherein the inner diameter of said tube is sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube;wherein the distal tip of the tube is made of an elastic material having a higher modulus of elasticity than the modulus of elasticity in the material of the proximal section of the tube;wherein the first diameter of the distal tip of the tube is less than an outer diameter of the arthroscopic instrument, forming a seal at the distal tip of the tube when the arthroscopic instrument is disposed within the tube;a plurality of ribs extending inwardly from the inner surface of the tube and running longitudinally along the tube;wherein said ribs further define lumens between the outer surface of the arthroscopic instrument and inner surface of the tube; andwherein said distal section further comprises a plurality of holes in a sidewall of the distal section of the tube, said holes in fluid communication with one or more outer lumens and a surgical site. 2. The atraumatic sheath of claim 1 wherein the proximal section further comprises a hub attachable to a fluid source and a vacuum source, said hub in fluid communication with an outer lumen. 3. The atraumatic sheath of claim 1 further comprising a working channel disposed within an inwardly projecting land extending longitudinally along the inner surface of the tube, said channel characterized by a lumen having an open distal and an open proximal end. 4. The atraumatic sheath of claim 1 further comprising a working channel disposed within an outwardly projecting land extending longitudinally along the outer surface of the tube, said channel characterized by a lumen having an open distal and an open proximal end. 5. The atraumatic sheath of claim 1 further comprising a pressure port disposed within the distal section of the sheath, said port adapted to be placed in fluid communication with a pressure transducer. 6. The atraumatic sheath of claim 1 further comprising one or more optical fibers disposed within the wall. 7. The atraumatic sheath of claim 1 further comprising one or more optical fibers disposed within an inwardly projecting land extending longitudinally along the inner surface of the tube. 8. The atraumatic sheath of claim 1 further comprising one or more optical fibers disposed within a rib. 9. An atraumatic sheath comprising: a tube characterized by a wall, a distal section having a distal tip with a first diameter, a proximal section, an outer surface, an inner surface, an inner diameter and an outer diameter;wherein the inner diameter of said tube is sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube;wherein the distal tip of the tube is slit longitudinally along the distal tip;wherein the first diameter of the distal tip of the tube is less than an outer diameter of the arthroscopic instrument, forming a seal at the distal tip of the tube when the arthroscopic instrument is disposed within the tube;a plurality of ribs extending inwardly from the inner surface of the tube and running longitudinally along the tube;wherein said ribs further define lumens between the outer surface of the arthroscopic instrument and inner surface of the tube; andwherein said distal section further comprises a plurality of holes in a sidewall of the distal section of the tube, said holes in fluid communication with one or more outer lumens and a surgical site. 10. The atraumatic sheath of claim 9 wherein the proximal section further comprises a hub attachable to a fluid source and a vacuum source, said hub in fluid communication with an outer lumen. 11. The atraumatic sheath of claim 9 further comprising a working channel disposed within an inwardly projecting land extending longitudinally along the inner surface of the tube, said channel characterized by a lumen having an open distal and an open proximal end. 12. The atraumatic sheath of claim 9 further comprising a working channel disposed within an outwardly projecting land extending longitudinally along the outer surface of the tube, said channel characterized by a lumen having an open distal and an open proximal end. 13. The atraumatic sheath of claim 9 further comprising a pressure port disposed within the distal section of the sheath, said port adapted to be placed in fluid communication with a pressure transducer. 14. The atraumatic sheath of claim 9 further comprising one or more optical fibers disposed within the wall. 15. The atraumatic sheath of claim 9 further comprising one or more optical fibers disposed within an inwardly projecting land extending longitudinally along the inner surface of the tube. 16. The atraumatic sheath of claim 9 further comprising one or more optical fibers disposed within a rib.