Abstract: A catheter has a distal section that includes a spring member having at least a slot, a rib and a spine for biasing the distal section for deflection within a single plane. Depending on the plurality and orientation of slot(s), rib(s) and spine(s)s, the distal section can allow for deflection in two opposing directions while allowing only limited deflection in perpendicular directions to maintain torquability, axial loading capabilities, and side force performance.

Abstract: A surgical instrument includes a shaft defining a proximal end, a distal end, an interior surface, and an exterior surface. The shaft includes a pair of channels defined in the interior surface thereof towards the distal end of the shaft. A drive member is movably disposed within the shaft. An end effector assembly is pivotably coupled to the shaft towards the distal end of the shaft. A cam pin operably couples the end effector assembly and the drive member such that movement of the drive member relative to the shaft manipulates the end effector assembly. Ends of the cam pin extend outwardly from the end effector assembly and are received within the channels of the shaft to guide movement of the cam pin relative to the shaft in response to movement of the drive member relative to the shaft.

Abstract: A cryogenic needle of a cryogenic system is coupled to a heater. While the needle is inserted into target tissue beneath skin, the heater provides heat to protect the skin. Power supplied to the heater is used to interpolate performance of the needle and/or operating parameters of the cryogenic system.

Abstract: A surgical forceps includes a knife bar having a knife translatable between a retracted position, a first extended position, and a second extended position. A trigger is operably coupled with the knife bar such that movement of the trigger between an un-actuated position, a first actuated position, and a second actuated position correspondingly moves the knife. An actuator is movable between locked and unlocked positions such that: with the trigger in the un-actuated or first actuated position and the actuator in the locked position, movement of the trigger to the second actuated position is inhibited; with the trigger in the second actuated position and the actuator in the locked position, the trigger is retained in the second actuated position; and with the actuator in the unlocked position, the trigger is movable between the un-actuated or first actuated position and the second actuated position.

Abstract: A vapor delivery system and method is provided that includes a number of features. In one embodiment, a method comprises inserting a vapor delivery needle into tissue of a patient, activating a flow of vapor from a vapor generator through vapor delivery ports of the vapor delivery needle to cause condensed liquid to exit vapor delivery ports of the vapor delivery needle, generating vapor in the vapor generator, delivering a dose of vapor through the vapor delivery ports of the vapor delivery needle into the tissue, and after the dose of vapor is delivered, re-activating the flow of vapor from the vapor generator through the vapor delivery ports of the vapor delivery needle to prevent a vacuum from forming in the vapor delivery needle. Vapor therapy systems are also provided.

Abstract: An isolating circuit for an electrosurgical generator arranged to produce radiofrequency (RF) energy and microwave energy for treating biological tissues is provided. The generator has an RF channel and a microwave channel which are combined at a signal combiner to enable the RF energy and microwave energy to be delivered into tissues along a common feed path. The isolating circuit includes a tunable wavelength isolator at a junction between the microwave channel and the signal combiner, and can include a capacitive structure between a ground conductor of the signal combiner and a conductive input section of the waveguide isolator to inhibit coupling of the RF energy and leakage of the microwave energy. The isolating circuit can combine into a single tunable unit all the necessary components to isolate the microwave and RF channels from one another while providing a high withstanding voltage.

Abstract: An endoscopic bipolar forceps includes a housing, a shaft affixed to the housing,. and a pair of jaw members attached to a distal end of the shaft. The forceps also includes a tubular reciprocating sleeve for moving one of the jaw members relative to the other jaw member from a first position in which the jaw members are disposed in spaced relation to each other to a second position in which the jaw members are closer to one another for manipulating tissue. The forceps is connected to a source of electrosurgical energy connected to each jaw member such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal.

Abstract: An electrosurgical generator is disclosed. The electrosurgical generator includes: a power supply configured to output DC power; an inverter coupled to the power supply, the inverter including a plurality of switching elements; and a controller coupled to the inverter and configured to signal the inverter to simultaneously generate based on the DC power a radio frequency heating waveform and an electroporation waveform.

Abstract: The invention relates to an inductive disturbance reduction device (18) for reducing an inductive disturbance of a signal like an ultrasound signal to be transmitted via first connection conductors (25, 26) of an electrical connector (11), which is caused when ablation current flows through a second connection conductor (24) of the electrical connector. The inductive disturbance reduction device is adapted to induce a voltage, which at least partly compensates a voltage induced in the electrical connector, in order to reduce the inductive disturbance in the signals to be transmitted via the first connection conductors of the electrical connector. Since the inductive disturbance is reduced, a high quality electrical connection can be provided, without necessarily using, for instance, a technically relatively complex and expensive coaxial connector. The inductive disturbance reduction device may be integrated, for instance, in a part of the electrical connector or in a cable.

Abstract: An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.

Abstract: A grasping treatment device includes a first electrode portion provided at least one of in a part between a jaw and a probe electric conducting portion in opening-and-closing directions of the jaw and in the probe electric conducting portion, and a second electrode portion provided at least one of in a part between the jaw and the first electrode portion in the opening-and-closing directions of the jaw and in a jaw electric conducting portion. The grasping treatment device includes an inter-electrode distance changing unit changing an inter-electrode distance so that a second distance between the electrode portions in a second treatment mode, in which the high-frequency current alone is transmitted to the first electrode portion and second electrode portion, is smaller than a first distance between the electrode portions in a first treatment mode, in which at least an ultrasonic vibration is transmitted to a probe electric conducting portion.

Abstract: A method for controlling an electrosurgical electrode of a medical device includes providing an electrosurgical tissue cutting electrode having an arcuate electrode portion; delivering energy from an RF generator to the electrosurgical electrode, said RF generator including an RF amplifier; monitoring an electrical characteristic associated with said electrosurgical electrode; and establishing a desired RF power output and a desired RF duty cycle at said RF generator by adjusting DC input voltage applied to an output stage of said RF amplifier based on said monitoring to effect tissue cutting by the arcuate electrode portion.

Abstract: It is an object to provide a surgical tool for excising a hard solid organ such as cirrhotic liver or cutting the organ into a groove without causing bleeding. The inventors of the present invention have found that an organ resection tool including a brush-like structure capable of performing microwave irradiation and/or a brush-like structure capable of receiving a microwave can achieve the above-mentioned object, to thereby arrive at the present invention (organ resection tool including a brush structure capable of performing microwave irradiation). For example, an organ can be crushed or scraped away by manually abrading the organ with a brush of a solid organ resection tool including a brush structure capable of performing microwave irradiation according to the present invention. Further, the organ can be concurrently coagulated through the microwave irradiation to stop bleeding.

Abstract: Bipolar electrosurgical forceps for use with a robotic surgical system. Electrodes on a first grasping jaw member align with corresponding electrodes on a second jaw member, allowing localized energy to seal tissue between the first and second jaw members. The first jaw member has an open centerline slot, exposing the tissue in the slot. The exposed tissue enables a second, similar forceps to be used with an opposing arm to treat the tissue in the slot. In embodiments, the precise motion of the robotic arms supporting the first and second forceps guides a distal tip electrode of the second forceps precisely within the open centerline slot of the first forceps to treat tissue. In this manner, the complex assemblies and control systems associated with moving blades of conventional electrosurgical forceps are eliminated.

Abstract: A thermal surgical tool comprising a conductor having a ferromagnetic material attached thereto is provided. The conductor may include a support of sufficiently high Young's modulus to resist bending when the surgical tool is being used to treat tissue. One or more intervening layers may be disposed between the support and the ferromagnetic material. Each of the intervening layers may be selected for a property that facilitates construction of the surgical tool and/or enhances a functionality of the surgical tool. The thermal surgical tool can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrosurgical generator arranged to supply radio frequency (RF) energy to fuse tissue is provided. The generator is arranged to supply RF energy through a removably coupled electrosurgical instrument to fuse tissue grasped by the instrument. The generator monitors a phase angle of the supplied RF energy and adjusts or terminates the supplied RF energy based on the monitored phase angle in comparison to predetermined thresholds and conditions to optimally fuse the tissue. The electrosurgical instrument conducts radio frequency energy to fuse tissue captured between the jaws and a blade to mechanically cut tissue between the jaws. A conductive post positioned on the jaw adjacent to the blade.

Abstract: A surgical system that includes a surgical glove configured to be removably attached to a human hand is disclosed. The surgical glove can include a first surgical instrument attached to the surgical glove, where the first surgical instrument is nonremoveably, integrally attached to the surgical glove during the formation of the surgical glove, and where the first surgical instrument is coupled to a finger of the surgical glove; a first switch attached to the surgical glove for controlling the first surgical support system; and a first actuating element attached to a thumb of the surgical glove. The first actuating element can be a discrete element. The first switch can be actuated when the first actuating element is placed in close proximity to the first switch, and a thumb of said surgical glove can be free of surgical support systems.

Abstract: An energy-delivery device suitable for delivery of energy to tissue includes an antenna assembly, a chamber defined about the antenna assembly, and a cable having a proximal end suitable for connection to an electrosurgical energy source. The energy-delivery device also includes a flexible, fluid-cooled shaft coupled in fluid communication with the chamber. The flexible, fluid-cooled shaft is configured to contain a length of the cable therein and adapted to remove heat along the length of the cable during delivery of energy to the antenna assembly.

Abstract: An apparatus for operating on tissue includes an elongate shaft extending distally from a body and an end effector at a distal end of the elongate shaft. The end effector includes a first jaw that is selectively pivotable toward and away from a second jaw to capture tissue and a firing beam. The firing beam is configured to advance relative to the first and second jaws to sever captured tissue and retract relative to the first and second jaws after the captured tissue has been severed. The apparatus further includes a debris removal element in communication with the firing beam. The debris removal element is configured to engage at least a portion of the firing beam at least during retraction of the firing beam relative to the first and second jaws to thereby remove at least some debris from the firing beam.

Abstract: Systems and methods for non-thermal ablation of tissue are provided. A non-implantable minimally invasive system for treatment of tissue in a body via direct current ablation is provided including a catheter, a plurality of electrodes for deployment through the catheter, a power source for applying power to the electrodes, and a fixation element for maintaining the catheter in a treatment position during treatment of the tissue. A minimally invasive method for treating tissue in a body via direct current ablation is provided including inserting a catheter into the body such that a portion of the catheter remains outside of the body, deploying a fixation element to fix the catheter in a treatment position, deploying a plurality of electrodes through the catheter, applying power to the plurality of electrodes, using the electrodes to apply a current to the tissue, and removing the catheter from the body.