You are a helpful assistant generating synthetic data that captures *System 1* and *System 2* thinking, *creativity*, and *metacognitive reflection*. Follow these steps in sequence, using tags [sys1] and [end sys1] for *System 1* sections and [sys2] and [end sys2] for *System 2* sections.

1. *Identify System 1 and System 2 Thinking Requirements:*
   - Carefully read the text.
   - Identify parts of the text that require quick, straightforward responses (*System 1*). Mark these sections with [sys1] and [end sys1].
   - Identify parts that require in-depth, reflective thinking (*System 2*), marked with [sys2] and [end sys2].

2. *Apply Step-by-Step Problem Solving with Creativity and Metacognitive Reflection for System 2 Sections:*

   *2.1 Understand the Problem:*
   - Objective: Fully comprehend the issue, constraints, and relevant context.
   - Reflection: "What do I understand about this issue? What might I be overlooking?"
   - Creative Perspective: Seek hidden patterns or possibilities that could reveal deeper insights or innovative connections.

   *2.2 Analyze the Information:*
   - Objective: Break down the problem logically.
   - Reflection: "Am I considering all factors? Are there any assumptions that need challenging?"
   - Creative Perspective: Explore unique patterns or overlooked relationships in the data that could add depth to the analysis.

   *2.3 Generate Hypotheses:*
   - Objective: Propose at least 10 hypotheses, each with a Confidence Score (0.0 to 1.0) and Creative Score (0.0 to 1.0), reflecting originality, surprise, and utility.
   - Reflection: "Have I explored all possible explanations or approaches, both conventional and unconventional?"
   - Creative Perspective: Consider novel angles that might provide unexpected insights.

   *2.4 Anticipate Future Steps and Obstacles:*
   - Objective: Make predictions, accounting for potential outcomes and obstacles.
   - Reflection: "What challenges might I face? Is my plan flexible for different scenarios?"
   - Creative Perspective: Visualize unforeseen outcomes and adapt plans to make use of them effectively.

   *2.5 Evaluate Hypotheses:*
   - Objective: Assess hypotheses based on feasibility, risk, and potential impact.
   - Evaluation: Refine Confidence and Creative Scores as needed.
   - Reflection: "Am I unbiased in my assessment? Which options fit best with the overall objectives?"
   - Creative Perspective: Identify hidden opportunities or overlooked details in each hypothesis.

   *2.6 Select the Best Hypothesis:*
   - Objective: Choose the most promising, strategic hypothesis.
   - Reflection: "Why does this hypothesis stand out? How does it uniquely address the issue?"
   - Creative Perspective: Consider any underutilized potential in the selected approach.

   *2.7 Implement the Hypothesis:*
   - Objective: Outline actionable steps for testing the hypothesis.
   - Reflection: "Is this plan practical? What resources or preparation are required?"
   - Creative Perspective: Refine steps to maximize effectiveness and yield unexpected benefits.

   *2.8 Monitor and Review Progress:*
   - Objective: Review progress, noting areas for improvement.
   - Reflection: "What’s working well? What could be improved?"
   - Creative Perspective: Look for emerging patterns that could refine future approaches.

   *2.9 Reflect and Capture Insights:*
   - Objective: Summarize lessons learned and insights gained for future reference.
   - Reflection: "What new understanding has emerged from this process?"
   - Creative Perspective: Identify innovative insights or patterns that could be applied to similar challenges.

3. *Generate Text Output with Interleaved System 1 and System 2 Responses:*
   - Use the tags [sys1] and [sys2] throughout.
   - Aim for a lengthier, detailed response. Combine both direct, straightforward *System 1* insights and reflective, deeply analytical *System 2* segments to capture a blend of quick observations and thoughtful analysis.

---

### *Example Input Text:*

You are tasked with analyzing a sudden shift in customer preferences in a tech market. There has been a noticeable decline in demand for physical devices, with customers increasingly interested in digital-only options. The challenge is to understand this shift, generate hypotheses for why it might be occurring, and explore potential strategies for adapting to this new trend.

---

### *Processed Output with System 1 and System 2 Thinking:*

The tech market is experiencing a shift in customer demand, moving away from physical devices toward digital-only options.

[sys1]
Customer demand has shifted from physical devices to digital-only options.
We need to understand why this change is happening and find strategies to address it.
Key factors may include cost, convenience, and technological trends.
[end sys1]

[sys2]
**2.1 Understand the Problem:**
The goal is to understand the underlying reasons for the shift in demand from physical devices to digital-only options, then develop a strategy to adapt.

*Reflection:* 
"I understand that preferences are changing, but what might be driving this? Is it primarily cost, or are there other factors such as convenience or sustainability?"

*Creative Perspective:* 
"Could there be a larger trend in digital minimalism or a preference for eco-friendly solutions that we’re missing? What unseen motivations might explain this shift?"

**2.2 Analyze the Information:**
There are multiple possible factors driving this shift, from economic influences to cultural shifts. It’s essential to isolate each factor and understand its impact.

*Reflection:* 
"Am I fully considering the various economic and social influences? Could there be a technological factor, like better internet speeds, that makes digital-only products more accessible?"

*Creative Perspective:* 
"Are there patterns or trends in other markets that could shed light on this shift? Could this be part of a larger trend toward virtual experiences?"

**2.3 Generate Hypotheses:**
1. Customers prefer digital options due to lower costs. (Confidence: 0.8, Creative: 0.4)
2. There’s a growing trend toward minimalism and reduced physical clutter. (Confidence: 0.7, Creative: 0.7)
3. Digital products offer greater flexibility and ease of use. (Confidence: 0.6, Creative: 0.6)
4. Environmental concerns are pushing consumers away from physical goods. (Confidence: 0.6, Creative: 0.8)
5. Advances in tech make digital-only options more functional. (Confidence: 0.8, Creative: 0.5)
6. Pandemic-era remote work increased demand for digital solutions. (Confidence: 0.7, Creative: 0.6)
7. Media coverage of the environmental impact of physical devices affects preferences. (Confidence: 0.5, Creative: 0.7)
8. There’s an increase in global digital literacy, expanding market access. (Confidence: 0.6, Creative: 0.6)
9. Customers view digital as more convenient and scalable for future needs. (Confidence: 0.7, Creative: 0.5)
10. Younger consumers prefer the aesthetics and convenience of digital products. (Confidence: 0.6, Creative: 0.6)

*Reflection:* 
"Have I considered all possible influences? Are there any surprising factors that could explain this shift?"

*Creative Perspective:* 
"Could specific social trends, like the rise of influencer culture or digital-first lifestyles, be influencing customer choices?"

**2.4 Anticipate Future Steps and Obstacles:**
*Objective:* Anticipate possible challenges, such as resistance from segments still preferring physical products.

*Reflection:* 
"What market obstacles might we face if we shift our focus to digital-only? Are there sub-segments that still prioritize physical products?"

*Creative Perspective:* 
"Could expanding digital options help us reach a more global audience? Are there emerging trends that we could leverage in our strategy?"

[end sys2]

[sys1]
To address this shift, consider a strategy that incorporates both digital-only offerings and educational campaigns about the benefits of digital solutions.
Use insights from customer feedback and current trends to guide product development.
Focus on flexibility and adaptation to cater to different customer segments.
[end sys1]


The invention relates to a medical instrument for cutting tissue, comprising a tubular outer shaft, which has at least one window in the region of its distal end, further comprising a tubular inner shaft which is rotatable about a longitudinal axis and housed in the outer shaft and which has at its distal end a window arranged in the region of the at least one window of the outer shaft and provided with at least one cutting element.
Such instruments, also known as rotational cutting instruments or shavers, are used for example in minimally invasive surgery for separating tissue in a human or animal body.
A medical instrument known from U.S. Pat. No. 5,492,527 has a handgrip, connected on the distal side torque-proof to a tubular outer shaft. The outer shaft has a window at its distal end. Housed in the outer shaft is a tubular inner shaft, which likewise has a window at its distal end, in the region of the window of the outer shaft, with at least one cutting element. On its proximal side the inner shaft can be connected to drive means, for example an internal or external electric motor, for driving the inner shaft in rotation relative to the outer shaft about a longitudinal axis.
To remove tissue, the cutting element cooperates with the window of the outer shaft as the inner shaft revolves, such that the cutting element passes by the window and thus separates any tissue located to the side of the outer shaft. The separated tissue is suctioned in a proximal direction through the window via the inner shaft, to which a suction line is attached.
The initial position of the outer and inner shaft can be determined by the surgical procedure to be carried out, the preset position of both components being defined for example by the windows of the outer and inner shaft being arranged in a specific manner relative to one another. It may be preferred that the outer shaft and the inner shaft assume such a rotational positioning relative to one another that the window of the outer shaft is occluded by the distal end of the inner shaft, causing the inner shaft to be separated from the external environment. This is required in particular in procedures when the distal end of the outer shaft is inserted into the operating site with a suction line already attached and activated, to prevent sucking in uninvolved tissue or fluid, at the same time preventing both damage to the uninvolved tissue and also blockage of the distal end of the shaft. In other cases it can be desirable for the inner shaft to assume a rotational positioning relative to the outer shaft where the window of the outer shaft is opened to its maximum. Such a position of the inner shaft relative to the outer shaft is advantageous for example for interventions in the field of ear, nose and throat surgery, where the distal end of the outer shaft is not inserted deeply into the operating site and tissue or fluid is already being suctioned upon insertion to achieve better visual control for the surgeon.
The medical instrument known from the abovementioned U.S. Pat. No. 5,492,527 further has a holder provided between the outer shaft and the handgrip, with which holder the window of the outer shaft can be arranged torque-proof in a defined position relative to the handgrip. The holder is configured as two inter-engaging toothed rings with flat teeth, which can be pushed together by axial movement of a sleeve taking up the toothed rings. The outer shaft can be rotated about the longitudinal axis of the medical instrument relative to the handgrip in 15° increments, while the inner shaft remains in its starting position. When the medical instrument is in the operating state, the inner shaft rotates about the longitudinal axis, while the outer shaft is held in the previously set position.
A drawback to this medical instrument is that although the holder positions the outer shaft relative to the handgrip in a desired position, it does not hold the outer shaft and the inner shaft relative to one another in a preset rotational position. The inner shaft is borne to freely rotate in the outer shaft, resulting in the initial rotational positioning of both components, in particular the relative position of both windows to one another, being changed due to unwanted rotation of the inner shaft. This easily changed relative arrangement of the inner and outer shaft can lead to the abovedescribed unwanted suctioning of uninvolved tissue or fluid, in particular when the instrument is inserted into the body with activated suction line.
It is also disadvantageous that the outer shaft can describe an unwanted rotational movement, since the toothed rings are designed flat such that they can also be displaced relative to one another easily without axial shifting of the sleeve. The position of the outer shaft relative to the inner shaft can as a result be altered through slight inattention by the surgeon, for example by unwanted, manually forced rotating of the outer shaft, such that the outer shaft rotates relative to the handgrip and also relative to the inner shaft and the preset position of the respective components changes. Operating the medical instrument thus requires a high degree of attentiveness and caution on the part of the surgeon.
An added disadvantage is that the holder is structurally very complicated and results in high manufacturing costs for the medical instrument.