Tray for a soft tissue cutting device and methods of use

1. A soft tissue cutting device, comprising:

a handle;

a shaft extending from the handle;

a blade at least partially within the shaft;

a blade shaft housed within the shaft and extending from the blade to the handle;

one or more balloons on the shaft;

a bellows in the handle, in fluid communication with the one or more balloons, the bellows comprising;

a body; and

a spring-biased plunger; and

a balloon activation lever coupled with the handle and pivotably coupled with the spring-biased plunger of the bellows, wherein the balloon activation lever is configured to move from an extended position to a depressed position to move the spring-biased plunger toward a distal end of the shaft to activate the bellows and thus inflate the one or more balloons, wherein the balloon activation lever is configured to deflate the one or more balloons by moving from the depressed position to the extended position and thus pulling a gas or a fluid from the one or more balloons into the bellows.

2. The soft tissue cutting device of claim 1 , wherein the balloon activation lever is spring biased to remain in the extended position.

3. The soft tissue cutting device of claim 1 , further comprising a balloon lock on the handle, configured to hold the balloon activation lever in the depressed position.

4. The soft tissue cutting device of claim 1 , further comprising an axial depth indicator on the shaft, configured to indicate a depth of insertion of the distal end of the shaft into a subject.

5. The soft tissue cutting device of claim 1 , wherein the blade includes a cutting edge.

6. The soft tissue cutting device of claim 5 , wherein the blade is configured as a hook, wherein the cutting edge of the hook includes an inner cutting edge that faces a proximal end of the soft tissue cutting device.

7. The soft tissue cutting device of claim 6 , wherein an outer surface of the blade includes a blunt surface.

8. The soft tissue cutting device of claim 7 , wherein the outer surface of the blade adjoins the inner cutting edge at a top point that extends over the inner cutting edge and is blunt.

9. The soft tissue cutting device of claim 1 , wherein the blade is echogenic.

10. The soft tissue cutting device of claim 1 , further comprising a slider on the handle, wherein the slider is coupled with the blade shaft and configured to move the blade from an inactive position inside the shaft to an active position at least partially outside the shaft.

11. The soft tissue cutting device of claim 10 , wherein the slider is configured to slide the blade from the inactive position to the active position only when the one or more balloons are inflated.

12. The soft tissue cutting device of claim 10 , wherein, in the active position, the blade protrudes through a slot in the distal end of the shaft.

13. The soft tissue cutting device of claim 10 , wherein the shaft has a flat top surface.

14. The soft tissue cutting device of claim 1 , further comprising a blade guideway within the shaft, comprising a track having variable elevation along a length of the shaft, such that the blade is configured to be elevated and lowered as it moves along the blade guideway, wherein the blade guideway includes at least one incline and a plateau.

15. The soft tissue cutting device of claim 1 , wherein the one or more balloons expand radially outwardly from a distal portion of the shaft.

16. The soft tissue cutting device of claim 1 , wherein the soft tissue cutting device is sized and shaped for use as a transverse carpal ligament cutting device.