Abstract: A surgical cutting and fastening instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode.

Abstract: An actuator assembly for selectively transmitting a heating current from a bipolar electrical generator to a surgical tool includes an actuating component with a connector for mounting the actuator assembly to the tool in a predetermined orientation. A lever arm mounted for rotation to the actuating component controls a switch that introduces current to tool electrodes when the switch is closed. A user holds the tool and the mounted actuator assembly in one hand and operates the switch with an ergonomic lever arm rotatably mounted to the actuating component. Different left- and right-hand versions of the lever arm can be used with the same actuator assembly, or the actuator assembly can accept a different lever arm configuration for use with either hand. In another version, the actuator assembly can include a guard for preventing inadvertent actuation of the switch during one-handed manipulation of the tool.

Abstract: A catheter probe configured with a capability to present a larger tissue contact area or “footprint” for larger, deeper lesions, without increasing the french size of the catheter, especially its distal section, includes an elastically deformable electrode configured to adopt a neutral configuration and a tissue contact configuration. The deformable electrode comprising a hollow porous tube with a distal portion having a closed distal end, and a proximal portion defining an opening to an interior of the tube, where the distal tip end is received in the tube through the opening and the distal section is generally surrounded by tube, with the proximal portion being affixed to an outer surface of the distal section. In some embodiments, the closed distal end is shaped with a bulbous portion that can spread and widen to provide a larger surface contact area.

Abstract: The ablation device (11) according to the invention is distinguished by a head (20) having a noncircular cross-section and by electrodes (32, 33) being positioned at an acute angle relative to each other. Due to the angular arrangement of the electrodes and the appropriate configuration of the channels (28, 29), there results an approximately fan-shaped plasma beam with which—in particular with the alternating activation of the two electrodes—a wide strip-shaped ablation region can be achieved on hollow organs of living beings. Handling is reliable and simplified, and, compared to existing measures, the treatment time is reduced.

Abstract: The electrosurgical systems and corresponding methods of the present disclosure involve an electrosurgical generator, sensing circuitry, and a controller. The electrosurgical generator includes a radio frequency (RF) output stage that supplies power to tissue. The sensing circuitry measures impedance of tissue. The controller controls the power supplied from the RF output stage to track a nonlinear power curve until the power supplied from the RF output stage has reached a predetermined peak power of the nonlinear power curve. The controller further determines whether a tissue reaction has occurred based on impedance measured by the sensing circuitry and controls the power supplied from the RF output stage during a cooling phase if the controller determines that a tissue reaction has occurred. The controller may further control the power supplied from the RF output stage to track a linear power curve.

Abstract: An electronic device includes: a multilayered dielectric substrate including a plurality of dielectric layers; a planar magnetic device disposed on at least one internal dielectric layer of the plurality of dielectric layers; and an overlapping shield assembly including a first shield layer and a second shield layer separated by at least one of the plurality of dielectric layers.

Abstract: An electrosurgical snare device is provided which uses a flow of inert gas to assist in the cutting and sealing process of tissue, while substantially reducing the formation of eschar and collateral tissue damage. The electrosurgical device includes a housing having a longitudinal axis; a support shaft attached to a distal end of the housing, and an end effector coupled to a distal end of the support shaft. The end effector includes a tube including a plurality of apertures and an electrically conducting spring disposed around the tube, where a spacing of the coils of the spring coincides with a spacing of the plurality of apertures, wherein a gas assisted electrosurgical effect is formed at each of the plurality of apertures when an inert gas flows through the tube and the spring is energized. The tube may be configured as a loop or snare.

Abstract: A neurotrophic electrode system includes a non-conductive cone, a multi-channel electrode assembly, a dielectric ribbon and a neurite-attracting substance disposed within the cone. The non-conductive cone consists essentially of a material that is stable in a neural environment and defines a cavity. The cavity opens to a small opening at a first end of the cone and opens to a large opening at a second end of the cone that is opposite the first end. The multi-channel electrode assembly includes at least two recording sites that are disposed within the cavity defined by the cone. Each recording site is coupled to a wire that extends out of the large end of the cone. Each wire ends in a connection pad. The dielectric ribbon encases all of the wires but exposes each recording site and exposes each connection pad.

Abstract: The ablation system (10) according to the invention works with an ablation probe (12, 12a) that comprises two alternatingly working spark plasma electrodes (31, 32). They generate a plasma beam (47, 48) having a non-circular cross-section, which beam is to be guided—transversely with respect to the large longitudinal axis of its preferably oval cross-section—over the tissue to be ablated, in particular the mucosa (14). In doing so, it is possible to treat large-area tissue regions by means of a reliable and easily controllable procedure.

Abstract: Disclosed are an electrode for high-frequency surgery, a high-frequency surgery device, and a method for controlling same, wherein the electrode for high-frequency surgery can be easily inserted and moved inside the lumens inside the body, and can expand a conduction area of a high-frequency current after reaching an area to be treated. The electrode for the high-frequency surgery, according to the present invention, comprises: a balloon; and a conductive structure, which is arranged on the outside of the balloon and the exterior shape of which varies according to the volume of the balloon.

Abstract: Electrosurgical forceps for delivering microwave energy into biological tissue from a non-resonant unbalanced lossy transmission line structure located within or formed by the jaws of the forceps. The transmission line structure may be formed across the gap between the jaw element by opposed conductive elements, which are respectively electrically connected to inner and outer conductors of a coaxial cable. Alternatively, each jaw element may comprise its own lossy transmission line, whereby a power splitter is used to divide microwave energy from the coaxial cable. The forceps may be used endoscopically in the gastrointestinal tract or laparoscopically or in open surgery.

Abstract: Electrosurgical forceps for delivering microwave energy into biological tissue from a non-resonant unbalanced lossy transmission line structure located within or formed by the jaws of the forceps. The transmission line structure may be formed across the gap between the jaw element by opposed conductive elements, which are respectively electrically connected to inner and outer conductors of a coaxial cable. Alternatively, each jaw element may comprise its own lossy transmission line, whereby a power splitter is used to divide microwave energy from the coaxial cable. The forceps may be used endoscopically in the gastrointestinal tract or laparoscopically or in open surgery.

Abstract: A balun includes a center conductor, a dielectric material, a tapered wall, a ring, and a prong. The center conductor extends a length of the balun. The dielectric material surrounds the center conductor along the length of the balun. The tapered wall forms a portion of a tube between a first wall and a second wall. The first wall is opposite the second wall. The tapered wall is formed of a conductive material. The portion of the tube forms a slot exposing the dielectric material. The ring connects to the second wall of the tapered wall and is formed of the conductive material. The ring forms a tube surrounding the center conductor and the dielectric material. The prong connects to the ring to extend toward the first wall and is formed of the conductive material. The prong extends over a portion of the dielectric material exposed by the slot.

Abstract: A multi-function high-frequency tool for an endoscope, comprising an insert portion and a handle portion, the insert portion comprising an insulating tip, a first electrode having a needle-knife function, a second electrode having an IT-knife function, and a spray head; the handle portion comprising a first slider, a connector, an injection connector, and a second slider. The second electrode has a hollow structure, and the first electrode extends through the second electrode; the proximal end of the first electrode is fixedly connected by means of a mandrel connecting member to the distal end of a mandrel; the proximal end of the mandrel is connected to the first slider of the handle portion, and moves axially on the handle portion by means of the first slider, thereby causing the first electrode to expose from/retract into the second electrode.

Abstract: A microwave ablation system incorporates a microwave thermometer that couples to a microwave transmission network connecting a microwave generator to a microwave applicator to measure noise temperature. The noise temperature is processed to separate out components the noise temperature including the noise temperature of the tissue being treated and the noise temperature of the microwave transmission network. The noise temperature may be measured by a radiometer while the microwave generator is generating the microwave signal or during a period when the microwave signal is turned off. The microwave ablation system may be configured as a modular system having one or more thermometry network modules that are connectable between a microwave applicator and a microwave generator. Alternatively, the modular system includes a microwave generator, a microwave applicator, and a microwave cable that incorporate a microwave thermometry network module.

Abstract: An electrode arrangement for forming a dielectric barrier plasma discharge between a flat surface (4) of the electrode arrangement and a surface to be treated which functions as a counter surface and on which a fluid can collect, comprising a flat electrode (14) which can be connected to a high-voltage source by means of a connector and which is completely embedded in a flat dielectric (2), except for the connector for the high-voltage source, wherein the dielectric (2) forms an upper surface (1) and a lower surface (4) which appears as a flat surface to the surface to be treated, enables the drainage or supply of a fluid by means of a simple design.

Abstract: An end effector assembly of a forceps includes a first jaw member and a second jaw member. The first jaw member and the second jaw member are selectively positionable relative to one another. At least one of the jaw members includes an electrically conductive tissue engaging surface configured to connect to an electrosurgical energy source, and at least one of the jaw members includes two blade channels defined therein and extending therealong and a feed in member selectively positioned between the two blade channels. The end effector further includes a cutting blade that is translatable such that selective positioning of the feed in member enables the cutting blade to selectively enter into at least one of the two blade channels.

Abstract: Systems and methods for continuous infusion of a fluid, which may be heated, into a balloon catheter. A system for balloon inflation, the system comprising a catheter having an inflow lumen and an outflow lumen, a balloon positioned at a distal end of the catheter, the balloon being in fluid communication with the inflow and the outflow lumen, and an infusion device in fluid communication with the balloon through the inflow and outflow lumens, the infusion device configured for continuously circulating a fluid into and out of the balloon to maintain the balloon at a constant pressure and volume by matching a flow of the fluid into the balloon via the inflow lumen with a flow of the fluid out of the balloon via the outflow lumen in order to keep the balloon volume and pressure constant during an entire infusion.

Abstract: A vessel dissector for harvesting a target vessel has a tubular member carrying a blunt transparent tip with a terminus for blunt dissection of tissue and a base affixed to the tubular member. An active ring set has first and second ring segments mounted to distal ends of respective manipulator bars in the tubular member. The ring segments juxtapose to define a closed loop with an inner diameter larger than the outside diameter of the tip base. The ring segments are movable between a retracted position nested at the base and respective extended positions distally forward of the terminus. At least one of the ring segments is energizable to cut and cauterize a cylindrical pedicle including the target vessel. The ring segments independently extend longitudinally to provide a variable gap between the ring segments to capture, cut, and cauterize side branches to the target vessel between the ring segments.