Abstract: A medical probe, consisting of an insertion tube having a distal end configured for insertion into a body of a patient and containing a lumen having an electrical conductor for conveying electrical energy. The probe also has a conductive cap attached to the distal end of the insertion tube and coupled electrically to the electrical conductor, the cap including a side wall having multiple longitudinal bores therein. There are a plurality of thermocouples disposed in respective ones of the longitudinal bores, and an electrically conductive cement at least partially fills the longitudinal bores so as to secure the thermocouples in the bores while making electrically conductive contact between the thermocouples and the conductive cap.

Abstract: The present application provides an endoscopic device having at least one shaft, which has at least one portion deflectable in at least one plane, and having at least one deflection mechanism, which is configured to deflect the deflectable portion of the shaft and includes, arranged in series, at least one first connection member and at least one second connection member interacting for a deflection with the first connection member, and includes at least one flexurally slack control train, which is configured to adjust a deflection of the deflectable portion. At least the second connection member includes at least one connection member main body, which includes a passageway for guiding the control train, and at least one radial opening which is connected to the passageway and via which the control train is insertable into the passageway.

Abstract: Disclosed herein is a system for assessing ablation lesions. The system includes an ablation catheter configured to ablate a target cardiac tissue site to form an ablation lesion thereon, and a mechanical probe operable to impart mechanical force to the target cardiac tissue site. The mechanical probe includes at least one sensor configured to measure a mechanical response of the target cardiac tissue site to the mechanical force. The system further includes a controller communicatively coupled to the mechanical probe, and configured to determine systolic and diastolic stiffness values of the target cardiac tissue site based on the mechanical response. The controller is further configured to determine a transmurality value of the ablation lesion based on the determined systolic and diastolic stiffness values.

Abstract: A surgical instrument includes a housing having an elongated shaft extending distally therefrom and configured to support an end effector assembly at a distal end thereof. The end effector assembly includes first and second jaw members each having a tissue sealing plate disposed thereon and adapted to connect to an electrosurgical energy source for delivery thereto upon activation thereof. A sensor is disposed on one (or both) of the tissue sealing plates and is configured to communicate data relating to tissue disposed between the first and second jaw members to the electrosurgical energy source for correlation to a resonance frequency of the tissue. The resonance frequency of the tissue, in turn, is used to adjust one or more parameters associated with the delivery of electrosurgical energy to the tissue upon activation thereof.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each having a jaw housing supporting an electrically conductive tissue engaging surface thereon. The electrically conductive tissue engaging surfaces are disposed in opposition relative to one another. The jaw members are movable relative to one another to grasp tissue therebetween and are connect to an electrosurgical energy source. A thermal cutting element is disposed in one of the electrically conductive tissue engaging surfaces and is independently activatable relative to the electrically conductive tissue engaging surfaces. The thermal cutting element is exposed along the length of the electrically conductive tissue engaging surface and includes an exposed distal end extending through a distal end of the jaw housing. The thermal cutting element includes a scallop defined proximal to the exposed distal end thereof configured to facilitate tissue scoring upon movement and activation thereof.

Abstract: Surgical devices and related methods are disclosed. An example surgical device may include an end effector disposed at a distal end of the shaft, the end effector comprising a head, the head comprising an articulating mechanism, the articulating mechanism being operable to move a first jaw between an open position in which the first jaw and a second jaw are separated and substantially non-parallel and a closed position in which the first jaw and the second jaw are substantially adjacent and substantially parallel, where each of the first jaw and the second jaw comprises a first substantially straight portion proximate the head, a second substantially straight portion, a third substantially straight portion distant from the head, a first curved portion between the first substantially straight portion and the second substantially straight portion, and a second curved portion between the second substantially straight portion and the third substantially straight portion.

Abstract: An ablation device includes a first jaw, a second jaw including an ablation unit including a protrusion for ablating a tissue and being rotatable with respect to the first jaw under the first jaw, and a signal unit configured to provide a signal to the tissue and receive a reflected signal and disposed on the second jaw, in which the signal unit moves in a longitudinal direction of the ablation unit, the first jaw does not overlap the signal unit in a vertical direction, and the second jaw overlaps the signal unit in the vertical direction.

Abstract: An improved electrosurgical instrument, specifically a scissor style vessel sealer, comprising two overmoulded jaws formed from a structural polymer held in place by a pivot pin. The moulded structural polymer replaces many metal components which would otherwise be required for such an assembly. Not only does the use of the moulded structural polymer simplify the assembly of the instrument, it also enables the following additional functionality: moulded pivot holes, flanges providing lateral support, and a flexible lever arm which is designed to provide the force needed to clamp and seal vessels.

Abstract: Electrosurgical handheld devices are used mainly for endoscopic applications in urology or in gynaecology. However, the field of use of these instruments is not limited to these regions of the human body and instead also includes the treatment of further organs in the lower part of the human abdomen. The invention makes available an electrosurgical handheld device and also a handle, a main body and an adapter, which are particularly easy and cost-effective to produce and which at the same time ensure a laminar flow of the irrigation liquid at the distal end of the handheld device. This is achieved by the fact that a feedthrough extending through a handle is funnel-shaped, wherein a cross section of the feedthrough tapers from a distal side to a proximal side of the handle.

Abstract: Various embodiments provide an electrosurgical instrument comprising: a flexible coaxial transmission line arranged to convey microwave energy; a radiating tip portion connected at a distal end of the flexible coaxial transmission line and configured to receive the microwave energy, the radiating tip portion comprising: a distal coaxial transmission line for conveying the microwave energy; and a needle tip mounted at a distal end of the distal coaxial transmission line, the needle tip being arranged to deliver the microwave energy into biological tissue; and a heat sink mounted at an interface between the flexible coaxial transmission line and radiating tip portion. The heat sink is in thermal communication with a proximal end of the distal coaxial transmission line and configured to draw thermal energy from the radiating tip portion. Also, a maximum outer diameter of the radiating tip portion is smaller than an outer diameter of the flexible coaxial transmission line.

Abstract: A system for altering an energizable instrument for performing a procedure on the subject. The instrument may be tracked during a procedure and a controller may alter operation thereof during the selected procedure. The energizable instrument may have energy provided to a working end to heat a working end to a selected temperature for various procedures such as cutting, coagulation, vaporization, or the like.

Abstract: An endoscopic surgical device includes: a sheath; a forceps section protruding from a cover provided at a distal end of the sheath and including a pair of openable-closable forceps components; an operable member that is connected to a proximal end of the forceps section, that opens the forceps components when moved forward in a longitudinal direction, and that closes the forceps components when moved rearward; and a flow-path formation member having a through-hole through which the operable member extends and having a first liquid delivery hole constituted by a gap between the through-hole and the operable member and a second liquid delivery hole constituted by a gap between the flow-path formation member and an inner peripheral surface of the cover. The operable member is provided with a large-diameter section that abuts on the flow-path formation member when the operable member is moved forward to block the first liquid delivery hole.

Abstract: The present application is directed to an endoscopic device with a shaft which has at least one segment that can be deflected in at least one plane, with an end effector which is arranged on an end segment of the shaft and which includes at least one tool piece, with an actuating unit that is designed for actuating the end effector and which extends at least in part through the shaft and is embodied flexible, at least in segments. The actuating unit has at least one electrical pole conductor for providing at least one electrical potential for the tool piece.

Abstract: An instrument (10) that is usable for tissue fusion and cutting includes a counter support (22) configured as a thin membrane that is assigned to a cutting electrode (17) arranged between two electrode pairs. The thin membrane is spanned in a frame (25) on which it is held with its circumferential surface in a substance bond manner. The circumferential surface thereby extends in an angle, preferably in a right angle, relative to the coagulation electrodes (28, 29) formed by the frame top side. The pressing force applied by the membrane with which biological tissue (32) is pressed against cutting electrode (17) is thus predominantly created by the tensile stress present in the membrane.

Abstract: An access and radio-frequency (RF) ablation system and method for use thereof is provided. The access and RF ablation system can include an RF ablation probe, a stylet, a cannula, a needle, and a drill.

Abstract: Disclosed is a high frequency treatment handpiece having roller electrodes. The handpiece includes: a handpiece casing part; and a plurality of roller electrode members rotatably positioned on a lower surface of the handpiece casing part and applying a high frequency by being brought into contact with the skin. The handpiece prevents burning when the continuous rubbing of a treated area is performed during a treatment, allows a practitioner to conveniently perform the treatment, and allows a person being treated to comfortably receive the treatment with minimum pain. Ball electrodes and roller electrodes can be selectively used, and a roller fixed mode, which limits the rotation of the roller electrodes, can also be selectively used, and thus various massage effects can be selectively provided in accordance with the condition of a patient's skin, and the effect of the high frequency treatment can be maximized by means of the various massage effects.

Abstract: A working fluid cassette for an intravascular heat exchange catheter includes a frame holding two closely spaced, square polymeric membranes along the sides of which are disposed inlet and outlet tubes. Working fluid from the catheter is directed from the inlet tube between the membranes to the outlet tube. The cassette is closely received between two refrigerant cold plates to exchange heat with the working fluid, which is circulated back to the catheter.

Abstract: A microwave ablation needle head and a microwave ablation needle are provided. The microwave ablation needle head comprises an outer tube, a cooling tube provided within and spaced apart from the outer tube, a coaxial cable, and an electrode. The outer tube comprises a first and a second branch tube sequentially provided from the outer tube's distal end to proximal end. The first branch tube has an end away from the second branch tube that forms the distal end of the outer tube, and is made of a ceramic material or a polymer material. A first cooling flow channel is formed between the cooling tube and the outer tube, the cooling tube is made of a polymer material, and the distal end of the cooling tube is located inside the distal end of the first branch tube, forming a mounting space in a distal end region of the cooling tube.

Abstract: Disclosed embodiments relate to devices, systems, and methods of shaping, shrinking, opening, dilating, stiffening, or otherwise modifying a Eustachian tube and its surrounding tissue in order to improve the Eustachian tube's function. For example, patients with blocked, closed, or hypertrophic Eustachian tubes may be able to achieve improved function including easier equalization of pressure between the inner ear and environment.

Abstract: An electro-surgical pencil comprising: a housing forming an axially extending main suction passage from a proximal opening to a distal opening; a tube forming an extension of the main suction passage from the proximal opening to a proximal extension opening, the tube being configured for telescoping movement through the proximal opening; an electrode for cutting and/or coagulating tissue, the electrode being attached to the tube and extending axially from the proximal extension opening; and a suction tip attached to the tube and forming a further extension of the suction passage. Since both the tube and the suction tip are movable relative to the housing, a short and a long configuration can be obtained while good smoke removal capabilities are maintained.