Abstract: An electrosurgical resection instrument for applying to biological tissue radiofrequency electromagnetic energy has a protective hull comprising a shaped piece of dielectric material mounted to cover an underside of an instrument tip of the instrument. The protective hull acts as a shield to protect tissue that may lie under the instrument tip from damage during treatment. The instrument may be particularly useful in procedures performed in a gastrointestinal tract, where bowel perforation is a concern, or in the pancreas, where damage to the portal vein or the pancreatic duct may occur when a tumor or other abnormality is being resected, dissected or removed.

Abstract: In a high voltage, variable frequency radiation generation system, a carrier signal supplied to a primary coil of a transformer is varied, e.g., turned ON and OFF at variable frequencies. The ON duration and/or the average amplitude of the carrier signal may also be varied. Moreover, the carrier signal may be modulated using an audio signal. The parameters to control the variation of the carrier can be provided as a recipe via a software application. A server can provide different types of apps providing different control features. The server may also collect user characteristic data and recipe usage data, and may facilitate exchange of these data and may recommend recipes based on a particular user characteristic.

Abstract: A high-frequency generator for an electric surgical instrument that treats a living tissue includes a power supply that generates a power, and a resonant circuit that excites a high-frequency signal. The resonant circuit includes a parallel resonant circuit which is connected to the power supply, and a series resonant circuit which is coupled to the parallel resonant circuit and is connected to the electric surgical instrument. The parallel resonant circuit has a higher parallel resonant frequency than a series resonant frequency of the series resonant circuit.

Abstract: A bipolar electrosurgical device is disclosed that operates in a mechanical cutting mode and a hemostasis mode. The device includes a housing and a blade assembly extending from the housing. The blade assembly forms a cutting tip and cutting window at a distal end region to provide mechanical cutting of tissue and first and second electrode assemblies to provide electrical energy to tissue. The first electrode assembly includes an outer shaft defining a first electrode surface and the second electrode assembly includes an electrode body extending along and electrically isolated from an outer shaft and defining a U-shape in cross section.

Abstract: A connection system for an electrosurgical instrument comprises first and second connectors capable of being mated one with the other, the first connector (5) being associated with an electrosurgical generator (1) and the second connector (12) being associated with the electrosurgical instrument (9). The first and second connectors each include at least three connector components, each of the three connector components of the first connector (5) being capable of being connected and disconnected to a to respective one of the three connector components of the second connector (12). When the first connector components (14, 19) are connected to each other they are capable of delivering an RF energy output from the electrosurgical generator (1) to the electrosurgical instrument (9). When the second connector components (16, 22) are connected to each other they are capable of delivering a supply of ionizable gas to the electrosurgical instrument (9).

Abstract: A surgical instrument including a housing, an elongated portion, an end effector, a drive beam and a force applier is provided. The housing includes a first actuator and a second actuator. The elongated portion extends distally from the housing and defines a longitudinal axis. The end effector is disposed adjacent a distal portion of the elongated portion, and includes a first jaw member and a second jaw member. The first jaw member has a cavity defined therein. Actuation of the first actuator causes distal translation of the drive beam to move the first jaw member relative to the second jaw member toward the approximated position, which applies a fist force against tissue disposed between the jaw members. Actuation of the second actuator causes distal translation of the force applier such that at least a portion of the force applier moves into the cavity of the first jaw member and applies an additional force against tissue disposed between the jaw members.

Abstract: Methods and devices for allowing articulation of an end effector on a surgical instrument are provided. In one embodiment, a surgical device can include a flexible neck portion having an end effector coupled to a distal end thereof. The flexible neck portion is configured to bend to as to allow the end effector to articulate. The flexible neck portion can include a monolithic flexible outer shell defining an inner lumen extending therethrough. At least one flexible divider can be disposed within the inner lumen such that it separates the outer shell into elongate pathways configured to receive articulation members extending through the shaft assembly and the flexible neck and coupled to the end effector to cause articulating movement thereof.

Abstract: A surgical instrument is disclosed. The surgical instrument can include an end effector, a shaft, and a handle. The handle can include a trigger assembly. The trigger assembly can include a first trigger and a second trigger, which are movable as a nested unit during a first actuation of the trigger assembly to affect a first surgical function. The second trigger can be movable away from the first trigger after the first actuation of the trigger assembly and can be movable toward the first trigger during a second actuation of the trigger assembly to affect a second surgical function.

Abstract: The present invention relates to apparatus and methods for cardiac ablation and to sensor structures useful in such apparatus and methods.

Abstract: A medical device for treating tissue includes a tissue-contacting surface and a solid state heating element that is thermally coupled to the tissue-contacting surface. The solid state heating element is configured to generate heat to thermally treat tissue.

Abstract: A method for dispensing cryogenic substances including: predisposing a pressurized container for a cryogenic substance which includes a valve active at the opening and regulating an emission of the cryogenic substance, predisposing a coupling element stably constrained to the container, predisposing an activating element engaged to the coupling element in such a way that it is interposed between the container and the activating element.

Abstract: The instrument according to the invention for electrosurgically impacting biological tissue comprises an electrode (18) as well as a light guide (21), which is connected to a light inlet window (19), which is formed by means of a fluid body (27). The light guide is connected to a light analysis device (13), so as to absorb the light, which is generated at the electrode (18) in response to the HF surgery and so as to supply it to the light analysis device (13). The light inlet window (19) is arranged at the point of origin of the light, namely immediately at the electrode, that is, at the spark, which is generated. An adulteration of the absorbed light by means of smoke or particle deposition on the light inlet window (19) can virtually be avoided.

Abstract: A surgical spatula has a planar transmission line for carrying microwave energy formed from a sheet of a first dielectric material which has first and second conductive layers on opposite sides thereof. The surgical spatula also has a coaxial cable for delivering microwave energy to the planar transmission line. The coaxial cable has an inner conductor, an outer conductor coaxial with the inner conductor and a second dielectric material separating the inner and outer conductors. The inner and outer conductors extend beyond the second dielectric to overlap opposite surfaces of the transmission line and electrically contact the first conductive layer and second conductive layer respectively. The width of the first and second conductive layers is selected to create an impedance match between the transmission line and the coaxial cable.

Abstract: Devices and methods are disclosed for providing and using an ablation catheter. The catheter may include an expandable member having a plurality of electrodes, where each electrode is in association with at least one contact sensor and at least one light emitting element. Light is emitted in response to the contact of the contact sensor with the tissue to be ablated. A light sensor disposed centrally to the catheter gathers light emitted from the light emitting elements and sends a signal to a system controller for display.

Abstract: A system and method for assessing effective delivery of ablation therapy to a tissue in a body is provided. A three-dimensional anatomical map of the tissue is generated and displayed with the map defining a corresponding volume. An index is generated corresponding to a location within the volume with the index indicative of a state of ablation therapy at the location. The index may be derived from one or more factors such as the duration an ablation electrode is present at the location, the amount of energy provided, the degree of electrical coupling between an ablation electrode and the tissue at the location and temperature. A visual characteristic (e.g., color intensity) of a portion of the anatomical map corresponding to the location is then altered responsive to the index.

Abstract: A catheter adapted for pulmonary vein isolation, has a distal electrode assembly that can sit stably in an ostium as secured by a plurality of spines and a membrane member. Preshapened and flexible, the spines support the membrane in a concave configuration when the distal electrode assembly approaches the ostium, the spines and membrane member being sized and configured to span across and over the ostium. As the distal electrode assembly is pushed into the ostium, the membrane member elastically deforms, generally turning inside out to expose surface electrodes carried on a contact surface of the membrane member and ring electrodes carried on the spine for contact with the ostium. The membrane member may be inflated. The ring electrodes contact tissue along axial lines of the ostium. The surface electrodes contact tissue along radial lines of the ostium.

Abstract: Surgical generator systems and related methods are disclosed herein. An exemplary generator system can include one or more auxiliary transformer stages to boost the amount of power applied to low-impedance tissue, or to adjust the output voltage and current delivered to a surgical instrument. The auxiliary transformer stage(s) can be disposed in the generator, in the surgical instrument, and/or in an intermediate component. Exemplary generator systems can also include an accessory box disposed inline between a generator and a surgical instrument to provide expanded functionality to the system. The accessory box can have a ground plane that is isolated from the ground planes of the mains supply, the generator, and/or the surgical instrument to reduce or eliminate patient leakage current.

Abstract: The present disclosure is directed to an electrosurgical generator including a resonant inverter having an H-bridge and a tank. The generator also includes a pulse width modulation (PWM) controller configured to output PWM timing signals to the H-bridge. A switch is configured to select a modality from among a plurality of modalities and the PWM controller adjusts a frequency of the PWM timing signals based on the selected modality.

Abstract: A resector balloon includes an outer wall having a resecting surface that resects biological material. The balloon also includes a woven sleeve including at least one woven thread disposed on at least a portion of the outer wall. The woven sleeve forms at least a portion of the resecting surface. In certain embodiments, the woven sleeve includes weft knit threads including crossover points where the threads overlap. In some embodiments, the woven sleeve includes electrically conductive threads.

Abstract: Described embodiments include a system and a method. A system includes an electromagnetic structure having a surface and a radiofrequency electromagnetic field source. The field source includes electronically controllable, artificially structured electromagnetic unit cells configured to create quasi-static electromagnetic fields within the electromagnetic structure. Each unit cell is responsive to a control signal. A selector circuit selects a quasi-static electromagnetic field pattern creating a high contrast electric field in a subwavelength electromagnetic cavity and is defined by the surface of the electromagnetic structure and an exterior surface of a perturbing object. The high contrast electric field has a power density that is localized to a volume adjoining the exterior surface of the perturbing object. A field pattern implementation circuit generates the control signal assigning electromagnetic field characteristic to each of the electromagnetic unit cells.