Abstract: A method for conducting electrosurgery using increased crest factors employs an electrosurgical instrument having at least one conductive element that is surrounded by an insulation layer except at a conductor edge portion of the conductive element. The conductor edge portion and insulation layer each having unique geometric shapes and composition of the parts concentrate the electrosurgical power, reduce or eliminate the production of smoke and eschar and reduce tissue damage. The outer profile of the insulation layer and conductive element are configured to facilitate the flow of electrosurgical decomposition products away from the conductor edge where they are formed. The combined effects of the electrosurgical instrument configurations enable safe use of crest factors of 5 or greater in electrosurgical procedures.

Abstract: Provided is a bipolar high frequency treatment device including a catheter tube insertable into a body through a treatment device passage of an endoscope; a first forceps blade and a second forceps blade at the top end of the catheter tube, which first forceps blade and second forceps blade can be opened and closed by operating from outside the body; a support member for supporting the first forceps blade and the second forceps blade so that the blades are able to open and close; and a voltage supplier for supplying a high frequency voltage to the first forceps blade and the second forceps blade, wherein the first forceps blade and the second forceps blade are electrically insulated with an insulating element.

Abstract: A microwave applicator for insertion into living body tissue for use in microwave coagulation and ablation treatments includes a microwave transmission line extending between an attachment end of the applicator and an antenna toward an insertion end of the applicator with an outer conductive sleeve forming an enclosed cooling fluid space around the transmission line. Circulation of cooling fluid is guided in the cooling fluid space by a guide sleeve. A fluid circulation system provides a plurality of fluid supply connectors and fluid return connectors which can be connected and used with any number of applicators between one and the number of the fluid supply connectors provided by the system. A portion of the applicator inserted into the tissue can stick to the tissue to stabilize the applicator during treatment. A warning marking on the applicator can be used during track ablation to prevent ablation of the patient skin tissue.

Abstract: The present disclosure includes an electrosurgical instrument which further includes a housing having distal and proximal ends. The electrosurgical instrument also includes a light-emitting diode adapter having distal and proximal ends configured to selectively engage the distal end of the housing. The light-emitting diode adapter also includes at least one light-emitting diode disposed therein. The light-emitting diode is adapted to connect to an electrosurgical energy source and being selectively activatable to emit light from the adapter. The at least one electrode is configured to selectively engage the distal end of the light-emitting diode adapter and adapted to connect to the electrosurgical energy source.

Abstract: A curved ablation catheter imparts ablative energy to target tissue, for example, along a trabecular slope, e.g., in the right atrium along the isthmus between the ostium of the inferior vena cava and the tricuspid valve. The catheter is formed with a preset curvature that, when deployed, both translates linearly and increases in radius to aid in the formation of spot or continuous linear lesions. A method of treating atrial flutter employs the curved ablation catheter.

Abstract: A bipolar high-frequency treatment tool for an endoscope comprising a flexible sheath having a multi-lumen tube which is rotatable about an axis of the flexible sheath and is formed to have a pair of guide lumens, a pair of high-frequency electrodes which are arranged to be movable at a tip end of the flexible sheath and are adapted to be electrically insulated from each other, a pair of operating wires which are made of an electrically conductive material but are adapted to be electrically insulated from each other, wherein each of the pair of operating wires is respectively arranged in each of the guide lumens, and wherein the pair of high-frequency electrodes is rotated as the pair of operating wires is rotated and as the multi-lumen tube is rotated about the axis of the flexible sheath accordingly, is provided.

Abstract: A method for mitigating leakage in an RF electrosurgical generator includes delivering an RF signal from an RF electrosurgical generator to an electrosurgical electrode by way of a patient box; providing a balanced and symmetrical shielded transmission line coupling said electrosurgical generator disposed in a first housing to said patient box disposed in a second, different housing; providing a common mode choke in said patient box, said common mode choke including an output winding and a return winding, said output winding and said return winding spaced apart and in parallel to maintain a desired impedance, said output winding comprising a wire carrying said RF signal as an output signal and said return winding carrying a return signal from a return electrode; and directing a common mode signal from said RF signal to said common mode choke thereby blocking said common mode signal.

Abstract: Disclosed herein are high efficiency surgical devices and methods of using same using radio frequency (RF) electrical power and/or electrically heated filaments to destroy tumors, form lesions, denaturize, desiccate, coagulate and ablate soft tissues, as well as to drill, cut, resect and vaporize soft tissues. According to the principles of this invention, the electrosurgical instruments can be used with externally supplied conductive or non-conductive liquids, as well as without externally supplied liquids, a mode of operation often referred to as “dry field” environment.

Abstract: An intra-atrial ablation therapy apparatus is disclosed. The apparatus comprises a balloon adapted for intra-atrial inflation to fill at least part of the atrium, the balloon being adapted to permit a flow of blood from a pulmonary vein to a mitral valve when inflated in the atrium. The apparatus further comprises an inflation lumen being in fluid communication with the balloon and adapted for conducting an inflation fluid to the balloon. The apparatus also comprises an ablation tool connected to the catheter.

Abstract: A suction flow regulator including an adapter and a grommet fixed inside the adapter for permitting air to access a vacuum flow path according to a vacuum level. The grommet is fixed inside an adapter by a securing mechanism (for example, a compression plate). The grommet may be used with an additional elastomeric element (for example, a smaller grommet) that provides flexibility during vacuum exposure and deflects to expose holes in the grommet under vacuum. Alternatively, the grommet may be a single unit grommet with a cantilever configuration.

Abstract: A microwave applicator for insertion into living body tissue for use in microwave coagulation and ablation treatments includes a microwave transmission line extending between an attachment end of the applicator and an antenna toward an insertion end of the applicator with an outer conductive sleeve forming an enclosed cooling fluid space around the transmission line. Circulation of cooling fluid is guided in the cooling fluid space by a guide sleeve. A temperature sensor senses the approximate temperature of cooling fluid to indicate cooling fluid is circulating. A multiplexing and power splitting circuit provides outputs tuned for one or for more than one applicator to be attached and detects the number of applicators and correct connection. A cadence sound generator can be used in conjunction with depth markings on the applicator to provide substantially constant withdrawal of the applicator from the treated tissue after treatment to provide track ablation.

Abstract: In one embodiment of the invention, a replaceable electrosurgical end effector cartridge is provided to couple to a mechanical wrist of a surgical instrument for a robotic surgical system. The replaceable electrosurgical end effector cartridge includes two pluggable end effectors and a pair of spring latches. The two end effectors are moveable end effectors having a jaw portion, an off-center portion, and a base portion in one embodiment. The replaceable electrosurgical end effector cartridge may further include a fastener to rotatably couple the end effectors together.

Abstract: A high-frequency treatment tool comprising: a flexible sheath to be inserted into a treatment tool insertion channel of an endoscope; a treatment tool body provided inside the flexible sheath and comprising: a flexible cord; and a high-frequency knife to which a high-frequency current is applied, formed to the front end of the flexible cord; and a hard cylinder having an electrical insulating property, inserted and fixed inside the flexible sheath, wherein the high-frequency knife comprises blade portions radially provided in its axial direction, each of the blade portions including an engaging part, and wherein, when the high-frequency knife is made to stick out from the hard cylinder, engaging parts of the blade portions abut against a rear end portion of the hard cylinder so that: the high-frequency knife is engaged with the hard cylinder; and communicating channels that communicate an inside and an outside of the flexible sheath are formed between the blade portions adjacent to each other.

Abstract: A method for producing hemostasis of an artery of a patient having a puncture following arterial catheterization including introducing a hemostasis device including at least one electrode into the vicinity of the puncture, supplying an electric current to the at least one electrode, thereby heating blood in the vicinity of the puncture and causing coagulation of the blood and subsequently removing the hemostasis device from the patient.

Abstract: An improved electrosurgical instrument includes a body having more than two electrodes with at least two electrodes having alternating current power supplied to them provide a bipolar alternating current configuration and employ a means other than electrode spacing for reducing or preventing accumulation of eschar. The electrodes are separated from each other using electrically insulating materials such that electric current does not flow between at least two of the bipolar alternating current electrodes unless they contact at least one other electrically conductive medium, such as patient tissue. The conductor edge portion and insulation layer each have geometric shapes and composition to reduce or eliminate the production of smoke and eschar and reduce tissue damage. The outer profile of the insulation layer and conductive element are configured to facilitate the flow of electrosurgical decomposition products away from the conductor edge where they are formed.

Abstract: A forceps includes a housing, a shaft, an end effector assembly coupled to the distal end of the shaft and including opposing jaw members, and a drive rod slidingly disposed within the shaft. Each of the jaw members includes a sealing plate attached thereto. Longitudinal reciprocation of the drive rod moves at least one of the jaw members from a first position in spaced relation relative to the other jaw member to at least one subsequent position wherein the sealing plates cooperate to grasp tissue therebetween. The forceps also includes at least one sensor configured to sense a gap distance between the opposing jaw members, and a linear actuator operably coupled to the drive rod. The linear actuator is configured to reciprocate the drive rod in a longitudinal direction as a function of the sensed gap distance in response to signals provided by the at least one sensor.

Abstract: An electrosurgical instrument blade includes a body having more than two electrodes with at least two electrodes having alternating current power supplied to them provide a bipolar alternating current configuration and employ a means other than electrode spacing for reducing or preventing accumulation of eschar. The electrodes are separated from each other using electrically insulating materials such that electric current does not flow between at least two of the bipolar alternating current electrodes unless they contact at least one other electrically conductive medium, such as patient tissue. The conductor edge portion and insulation layer each have geometric shapes and composition to reduce or eliminate the production of smoke and eschar and reduce tissue damage. The outer profile of the insulation layer and conductive element are configured to facilitate the flow of electrosurgical decomposition products away from the conductor edge where they are formed.

Abstract: A high frequency treatment tool for an endoscope includes a flexible insulating tube to be inserted into and pulled out of an accessory channel of the endoscope, the flexible insulating tube including a wire insertion channel and a water channel through which water is conveyed, a conductive wire configured to move back and forth in an axis line direction thereof through the wire insertion channel, and an electrode configured to project and recede from a distal end of the flexible insulating tube. The wire insertion channel and the water channel are separately formed in an axis line direction of the flexible insulating tube such that each of axis lines of the wire insertion channel and the water channel is eccentric with respect to the axis line of the flexible insulating tube. The electrode is coupled to the conductive wire such that an axis line of the electrode is eccentric with respect to an axis line of the conductive wire.

Abstract: A surgical instrument for providing an ionized gas to a surgical site includes a receptacle for at least one cylinder of pressurized surgical gas and a frame having a port near the distal end for emitting the surgical gas. A passageway extending between the receptacle and the port delivers the surgical gas to the port. A puncture assembly for rupturing a seal on at least one cylinder to release the surgical gas into the passageway includes at least one bank for storing mechanical energy which may include at least one spring. An actuator is operable to actuate the at least one bank release the mechanical energy. At least one puncture pin is operatively coupled to the at least one bank such that energy released by the at least one bank is effective to move the at least one puncture pin relative to at least one cylinder to rupture the seal.

Abstract: A medical device for performing a surgical procedure may include an elongate member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a handle connected to the proximal end of the elongate member, an end effector assembly connected to the distal end of the elongate member, and a cutting device configured to extend from the end effector assembly, wherein the cutting device has a retracted configuration in which the cutting device is withdrawn into the end effector assembly and a deployed configuration in which the cutting device extends from the end effector assembly.