a medical for removing tissue from a patient includes an elongated probe with a working end . a pair of jaws is provided at the working end . the jaws may be closed for cutting and treatment of the tissue . cutting may be effective through a sharpened cutting blade , and rf cutting blade , and similar cutting edges . the tissue may be remodeled using heat generated from passive heating elements on the jaws , active heating elements on the jaws , a ptcr heating element carried by the jaws , or resistive heaters on the jaws .