Abstract: An electrosurgical system is provided for the treatment of tissue, the system comprising an electrosurgical generator (1) and an instrument (3) comprising an instrument shaft (10) having a longitudinal axis, and an electrode assembly (12) at one end of the shaft. The electrode assembly (12) comprises a first tissue treatment electrode (11), a second tissue treatment electrode (14), and first and second return electrodes (24, 25) electrically insulated from the first and second tissue treatment electrodes by means of insulation members (12, 15). The first and second tissue treatment electrodes (11, 14) each have an exposed surface for treating tissue, the exposed surface of the first tissue treatment electrode (11) being such as to treat tissue disposed on the longitudinal axis, and the exposed surface of the second tissue treatment electrode (14) being such as to treat tissue disposed laterally of the longitudinal axis.

Abstract: A surgical instrument includes an end effector assembly and a deployment mechanism for deploying a proximal hub associated with an energizable member between proximal and distal positions. The deployment mechanism includes a rotatable shaft, a cord including a proximal end engaged to the rotatable shaft and a distal end engaged to the proximal hub, a biasing member positioned to bias the proximal hub towards the distal position, and a gear assembly operably coupled to the rotatable shaft. The gear assembly is configured to move the proximal hub from the distal position to the proximal position against the bias of the biasing member by rotating the rotatable shaft relative to the cord to at least partially wind-up the cord about the rotatable shaft.

Abstract: A medical device includes an energy-generating unit configured to produce energy for conduction through tissue to treat tissue. Waste heat produced by the energy-generating unit during energy production is conducted to tissue to facilitate treating tissue.

Abstract: A surgical instrument includes a housing, an energizable member, a proximal hub, and a deployment mechanism. The energizable member is movable between a storage position and a deployed position. The proximal hub is disposed within the housing, coupled to the energizable member, and translatable relative to the housing along a translation axis to deploy the energizable member. The deployment mechanism is configured to selectively translate the proximal hub and includes an actuator movable along a surface of the housing that extends in non-parallel orientation relative to the translation axis. The actuator is operably coupled to the proximal hub and is movable along the surface of the housing in non-parallel orientation relative to the translation axis between a proximal position and a distal position to translate the proximal hub along the translation axis and move the energizable member between the storage position and the deployed position.

Abstract: The present disclosure relates to an electrosurgical apparatus to generate a dual plasma stream to perform electrosurgery on a surgical site on a patient. The apparatus and method of the present disclosure generates a hot gas jet to a surgical site by generating two plasma beams that are electrically up to 180 degrees out of phase from each other. Since each beam uses the other beam to establish plasma currents at a load, the combined dual plasma stream can be used on non-conductive surfaces, e.g., a tissue at the surgical site. Furthermore, by applying different flow rates to the plasma beams, various scanning effects by the hot gas jet can be achieved.

Abstract: A surgical instrument includes a shaft having a proximal end and a bifurcated distal end defining a first shaft portion and a second shaft portion. An end effector assembly is disposed at the distal end of the shaft and includes first and second jaw members. One (or both) of the jaw members is moveable relative to the other between an open position and a closed position for grasping tissue therebetween. Each of the jaw members defines an opposed jaw surface and is independently coupled to one of the first and second shaft portions. The first and second shaft portions are configured to flex relative to one another during movement of the jaw members to the closed position to grasp tissue therebetween such that the opposed jaw surfaces of the jaw members are disposed in substantially parallel orientation relative to one another when grasping tissue therebetween.

Abstract: Tumors can be treated with an alternating electric field. The size of cells in the tumor is determined prior to the start of treatment by, for example, biopsy or by inverse electric impedance tomography. A treatment frequency is chosen based on the determined cell size. The cell size can be determined during the course of treatment and the treatment frequency is adjusted to reflect changes in the cell size. A suitable apparatus for this purpose includes a device for measuring the tumor impedance, an AC signal generator with a controllable output frequency, a processor for estimating the size of tumor cells and setting the frequency of the AC signal generator based thereon, and at least one pair of electrodes operatively connected to the AC signal generator such that an alternating electric field is applied to the tumor.

Abstract: Cardiac tissue ablation catheters including an inflatable and flexible toroidal or spherically shaped balloon disposed at a distal region of an elongate member, a flexible circuit carried by an outer surface of the balloon, the flexible circuit including, a plurality of flexible branches conforming to the radially outer surface of the balloon, each of the plurality of flexible branches including a substrate, a conductive trace carried by the substrate, and an ablation electrode carried by the substrate, the ablation electrode in electrical communication with the conductive trace, and an elongate shaft comprising a guidewire lumen extending in the elongate member and extending from a proximal region of the inflatable balloon to distal region of the inflatable balloon and being disposed within the inflatable balloon, wherein a distal region of the elongate shaft is secured directly or indirectly to the distal region of the inflatable balloon.

Abstract: An endoscopic forceps includes a housing having a shaft extending therefrom for treating tissue. A longitudinal axis is defined through the shaft. An end effector assembly is operably coupled to a distal end of the shaft and includes a pair of first and second jaw members. A rotating assembly operably coupled to the shaft is configured to rotate the shaft and the end effector about the longitudinal axis. A drive assembly is configured to selectively and releasably engage the rotating assembly. Engagement of the rotating assembly with the drive assembly couples the rotating assembly to the shaft such that the shaft is rotatable about the longitudinal axis in a predetermined direction when the rotating assembly is rotated. And, disengagement of the rotating assembly from the drive assembly uncouples the rotating assembly from the shaft such that the shaft is non-rotatable about the longitudinal axis when the rotating assembly is rotated.

Abstract: A medical device including one or more components positioned to contact contaminants during use of the medical device. The one or more components including one or more limited-use portions transitionable upon use from an initial state, wherein the limited-use portion(s) exhibits a clean appearance, to a used state, wherein the limited-use portion(s) exhibits a contaminated appearance that visually indicates to a user that the at least one component is not further usable.

Abstract: A surgical forceps includes a first shaft member including a proximal portion having a handle at a proximal end thereof and a distal portion having a jaw member at a distal end thereof. The proximal and distal portions are pivotable between an aligned position and an angled position. A second shaft member includes a jaw member at a distal end thereof and a handle at a proximal end thereof. The shaft members are pivotable relative to one another between a spaced-apart position and an approximated position for moving the jaw members relative to one another between an open position and a closed position to grasp tissue therebetween. The proximal portion of the first shaft member is pivoted relative to the distal portion of the first shaft member from the aligned position to the angled position upon movement of the first and second shaft members towards the spaced-apart position.

Abstract: Medical devices and methods for using medical devices are disclosed. An example medical device may include an open-irrigated ablation catheter. The open-irrigated ablation catheter may include a catheter body, an electrode tip body with one or more irrigation ports at a distal end, and a proximal insert for providing cooling fluid to a proximal end of the electrode tip body.

Abstract: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube (8) having a distal end portion, and a bipolar electrosurgical electrode assembly (13) located at the distal end of the tube. The electrosurgical electrode assembly (13) comprises first and second electrodes (14, 16) separated by an insulation member (15). When an electrosurgical cutting voltage is applied to the electrode assembly (13), and relative movement is initiated between the tube (8) and the tissue, a slug of resected tissue is formed within the tube such that it can be removed from the body cavity of the patient. The bipolar electrosurgical assembly (13) has a first circumferential region (A) and a second circumferential region (B), the first circumferential region (A) being longer than the second circumferential region (B), the bipolar electrosurgical assembly being adapted to cut tissue preferentially in the first circumferential region (A) as compared with the second circumferential region (B).

Abstract: An ablation device and a method of ablating a tissue are provided. The ablation device includes a tubular member having a proximal portion, a distal portion, a lumen extending at least partially therethrough and a conductive portion. The tubular member has a first configuration and a second configuration. The ablation device includes a distal cap operably connected to the distal portion having a diameter that is smaller than a diameter of a distal end portion of an endoscope and a proximal ring connected to the proximal portion having a diameter greater than a diameter of the distal end portion. The ablation device also includes a first catheter operably connected to the distal cap and a second catheter operably connected to the proximal ring, where the proximal ring is movable relative to the distal cap to move the tubular member between the first configuration and the second confirmation.

Abstract: A method and system for assessing lesion formation in tissue is provided. The system includes an electronic control unit (ECU) configured to acquire magnitudes for a component of a complex impedance between an electrode and tissue, and the power applied to the tissue during lesion formation. The ECU is configured to calculate a value responsive to the complex impedance component and the power. The value is indicative of a predicted lesion depth, a likelihood the lesion has reached a predetermined depth, or a predicted tissue temperature. The method includes acquiring magnitudes for a component of a complex impedance between an electrode and tissue and the power applied during lesion formation. The method includes calculating a value responsive to the complex impedance component and the power, the value being indicative of a predicted lesion depth, a likelihood the lesion has reached a predetermined depth, and/or a predicted tissue temperature.

Abstract: Systems for ablating tissue can include a pair of electrode assemblies. The electrode assemblies can automatically align on opposing sides of operative tissue due to magnetic interaction. One assembly can move automatically in response to the other assembly due to the magnetic interaction. Some systems are capable of cooling the electrode assemblies during ablation procedures.

Abstract: A catheter adapted for simultaneous tissue contact with two opposing ring electrodes carried on a generally linear portion of an electrode assembly is adapted to straddle an ostium for ablating two lesions along a chord of the ostium, wherein the generally linear portion is stabilized on the ostium to ensure proper tissue contact when a force is applied down the length of the catheter body.

Abstract: Apparatus and methods for performing glandular reduction are described. In an example embodiment, an apparatus includes a needle-like probe containing a scintillation detector for converting gamma and x-rays emitted from a radio-labeled gland into photons that are then carried from the probe through a fiberoptic cable to a photodetector, and a therapy element for causing selective tissue destruction by directing energy toward the radio-labeled gland.

Abstract: In an ultrasonic treatment instrument, a vibration generation section is connected to a probe from a proximal direction side in an inside of a case by coupling a drive assembly integrally and detachably to a handle assembly. An opposite extended portion is extended from the case in a state where the opposite extended portion is opposed to the movable handle on the proximal direction side with respect to the movable handle and a space between the opposite extended portion and the movable handle can be opened and closed, when the drive assembly is coupled to the handle assembly. A battery is located in the opposite extended portion, when the drive assembly is coupled to the handle assembly.

Abstract: An end effector assembly is provided. The end effector assembly includes a pair of first and second jaw members including respective seal plates adapted to connect to a source of electrosurgical energy. The first and second jaw members operable in a first bipolar mode of operation for treating tissue and a second bipolar mode of operation for separating tissue. A dissector translatable through one of the first and second jaw members is in electrical communication with one of the seal plates of the first and second jaw members and activatable in the second bipolar mode of operation for separating tissue when the first and second jaw members are in one of the open and clamping position and tissue is adjacent thereto.