Abstract: A cutter for a blood vessel tissue harvesting instrument is disposed at the distal end of an insertion member. A cutter body projecting from the distal end of the insertion member includes a slit that extends from the distal end toward a base edge. High-frequency electrodes are disposed along the sides of the slit. A feeding mechanism has rotating surfaces which are rotated as a result of being pressed by the tissue, and which feed the tissue toward the base edge of the slit. The rotating surfaces are provided by two rotary members disposed opposite each other along the two side edges of the slit, respectively, so that the first and second rotating surfaces move in a direction from the opening of the slit toward the base edge of the slit.

Abstract: Control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: Control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: The invention features compact apparatuses useful in electrosurgery. The compact apparatuses have a housing having a cavity, an electrosurgical system located within the cavity, the electrosurgical system having optionally a monopolar output system, optionally a bipolar output system, optionally an argon plasma coagulation output system, a processor located within the cavity, the processor operatively coupled to each output system of the electrosurgical system to control outputs generated by each output system, optionally a high frequency generator located within the cavity and operatively coupled to the processor; and a gas canister holder and control system located within the cavity of the housing for receiving a gas canister within the cavity of the housing.

Abstract: A carrier for an ablation element is provided. The carrier includes a plurality of walls defining a receiving portion configured to receive at least a portion of an ablation element. A plurality of connection formations are disposed on an exterior surface of least one of the plurality of walls. Each of the plurality of connection formations is disposed at a different vertical position of the carrier. A device for epicardial ablation is also provided. The device includes a plurality of carriers disposed adjacent to each other. Each carrier includes a plurality of walls defining a receiving portion configured to receive at least a portion of an ablation element. A plurality of connection formations are disposed on an exterior surface of at least one of the plurality of walls of each carrier. Each of the plurality of connection formations is disposed at a different vertical position of a carrier.

Abstract: An electrosurgical generator system includes an electrical generator having an RF stage for outputting electrical energy having at least one waveform for performing an electrosurgical procedure. The system further includes at least one control module executable on at least one processor which controls at least one parameter of the outputted electrical energy and a configuration controller operably associated with the electrical generator which generates configuration data to configure the at least one control module to provide at least one modality of control of the outputted electrical energy based on the configuration data.

Abstract: An electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, includes a pair of electrodes each including an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting), an insulating substrate having a first edge, and an insulating layer positioned in a channel formed by the electrically conductive surface within the first edge between the conductive surface and the first edge of the insulating substrate. The insulating layer has a portion proximal to the electrically conductive surface and a portion distal from the electrically conductive surface and a gradient such that the proximal portion has a lower dielectric strength than the distal portion. A coating on one of the pair of electrodes may be disposed in at least partial non-vertical registration with a coating on the opposing one of the pair of electrodes.

Abstract: A medical device system and method provide an RF electrosurgical generator coupled to an electrosurgical electrode via a patient box disposed in close proximity to the patient. An RF signal is delivered from the generator to the patient box where signal power is increased and the RF signal delivered to the electrosurgical electrode. The patient box is coupled to the electrosurgical electrode by a short cable capable of carrying an HV, high frequency 5 MHz signal without leakage. An electrical characteristic associated with the electrosurgical electrode is monitored and a desired RF power output and duty cycle maintained by adjusting DC input voltage applied to an RF amplifier, responsive to the monitoring. The system determines when the electrosurgical cutting electrode has started cutting and switches from a start mode to a run mode having a different RF duty cycle and a reduced RF power output controlled by a servo system.

Abstract: The present invention is directed to bipolar ablation systems. A bipolar electrode system for ablation therapy is disclosed, including a pressure-sensitive conducting composite layer and a pair of electrodes in electrical conductive contact or communication with the pressure-sensitive conducting composite layer. Energy (e.g., ablation energy) is delivered via the pressure-sensitive conductive composition when sufficient pressure is applied to transform the pressure-sensitive conductive composite to an electrical conductor. An electrically insulative flexible layer, which may include a passageway for a fill material is also disclosed. In some embodiments, the systems can also be used for targeted delivery of compounds, such as drugs, using a bipolar electrode.

Abstract: There is provided a balloon catheter system, enabling only a target site to be efficiently ablated, ensuring a balloon to be able to be brought into close contact with the target site in conformity to a shape of the target site. A balloon includes a contact portion that is to contact a target site and a noncontact portion that is not to contact the target site. A membrane thickness of the contact portion is thinner than that of the noncontact portion. Then, the target site that is in contact with the thin contact portion is selectively ablated, while making heat leak from the thick noncontact portion less likely to occur. Hence, only the target portion can be efficiently ablated.

Abstract: An electrosurgical generator is disclosed. The generator includes an RF output stage configured to generate a sinusoidal waveform for a selected electrosurgical mode. The RF output stage includes first and second connections, the first connection including a first switching component and a first parallel inductor-capacitor resonant circuit and the second connection including a second switching component and a second parallel inductor-capacitor resonant circuit. The first parallel inductor-capacitor resonant circuit is configured to produce a first half-sinusoidal waveform and the second parallel inductor-capacitor resonant circuit is configured to produce a second half-sinusoidal waveform. The first and second switching components are in a 180 degree out-of-phase relationship and are configured to operate at a predetermined frequency based on a phase-correlated dual drive signal.

Abstract: A medical device to eradicate abnormality is provided. In one embodiment, the medical device includes a needle and an electrode. The medical device further includes a processor to automatically determine a portion of a biological tissue is associated with an abnormality when a sample density of an immediate area surrounding the needle in the biological tissue matches a target density as determined based on one or more of a chemical composition and a pigmentation of the abnormality. The processor calculates a resonant frequency to eradicate a presence of the abnormality based on the chemical composition and/or the pigmentation of the abnormality as determined through one or more of a conductivity, a capacitance, and an inductance of the abnormality. The medical device also includes a signal source to electrically couple the needle with the electrode to form a closed circuit when the needle and electrode contact the biological tissue.

Abstract: An electrosurgical generator is disclosed. The electrosurgical generator includes a power supply for generating a DC voltage. The electrosurgical generator also includes a first parallel inductor-capacitor circuit being driven by a first signal at a first predetermined frequency and a second parallel inductor-capacitor circuit driven by a second signal at the first predetermined frequency phase shifted 180 degrees. The electrosurgical generator further includes a series inductor-capacitor resonant circuit operably connected in series with a primary winding of a transformer. The first and second parallel inductor-capacitor circuits are operably connected to the transformer, such that the first inductor-capacitor circuit generates a positive half sine wave and the second inductor-capacitor circuit generates a 180 degrees phase-shifted positive half sine wave to generate a full sine wave in a secondary winding of the transformer.

Abstract: A medical device system and method provide an RF electrosurgical generator coupled to an electrosurgical electrode via a patient box disposed in close proximity to the patient. An RF signal is delivered from the generator to the patient box where signal power is increased and the RF signal delivered to the electrosurgical electrode. The patient box is coupled to the electrosurgical electrode by a short cable capable of carrying an HV, high frequency 5 MHz signal without leakage. An electrical characteristic associated with the electrosurgical electrode is monitored and a desired RF power output and duty cycle maintained by adjusting DC input voltage applied to an RF amplifier, responsive to the monitoring. The system determines when the electrosurgical cutting electrode has started cutting and switches from a start mode to a run mode having a different RF duty cycle and a reduced RF power output controlled by a servo system.

Abstract: An electrosurgical system for sealing tissue is disclosed that includes an electrosurgical forceps. The forceps includes a drive rod and an end effector assembly coupled to the drive rod at a distal end thereof. The end effector assembly includes jaw members wherein longitudinal reciprocation of the drive rod moves the jaw members from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes a sealing plate that communicates electrosurgical energy through tissue held therebetween. The jaw members are adapted to connect to an electrosurgical generator. The system also includes one or more sensors that determine a gap distance between the sealing plates of the jaw members and a pressure applicator coupled to the drive rod. The pressure applicator is configured to move the drive rod in a longitudinal direction.

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 end effectors, a fastener to rotatably couple the two end effectors together, and a cam mechanism. At least one of the two end effectors is a moveable end effector having a jaw portion, an off-center portion, and a base portion. The cam mechanism is coupled to the base portion of the at least one moveable end effector to pivot it about the fastener to open and close the jaw portion of the at least one moveable end effector with respect to the other.

Abstract: A surgical instrument for providing an ionized gas to a surgical site includes a receptacle for a 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 an electrode that is adapted for connection to a source of electrosurgical energy. A puncture assembly for rupturing a seal on the cylinder to release the surgical gas into the passageway includes a spring movable between a first state for storing mechanical energy and a relaxed state. An actuator is operable to move the spring to the relaxed state. A puncture pin is operatively coupled to the spring such that energy released by movement of the spring to the relaxed state is effective to move the puncture pin relative to the cylinder to rupture the seal.

Abstract: The invention features compact apparatuses useful in electrosurgery. The compact apparatuses have a housing having a cavity, an electrosurgical system located within the cavity, the electrosurgical system having optionally a monopolar output system, optionally a bipolar output system, optionally an argon plasma coagulation output system, a processor located within the cavity, the processor operatively coupled to each output system of the electrosurgical system to control outputs generated by each output system, optionally a high frequency generator located within the cavity and operatively coupled to the processor; and a gas canister holder and control system located within the cavity of the housing for receiving a gas canister within the cavity of the housing.

Abstract: An electrosurgical generator system includes an electrical generator having an RF stage for outputting electrical energy having at least one waveform for performing an electrosurgical procedure. The system further includes at least one control module executable on at least one processor which controls at least one parameter of the outputted electrical energy and a configuration controller operably associated with the electrical generator which generates configuration data to configure the at least one control module to provide at least one modality of control of the outputted electrical energy based on the configuration data.

Abstract: An electrosurgical pencil includes an adjustable-length suction tube which surrounds a stationary electrode to evacuate smoke and electrosurgical byproducts from a surgical site. An electrode anchor unit is located within the interior of the suction tube to allow relative movement of the suction tube relative to a stationarily-retained electrode, and to receive and connect to different lengths of the electrodes. Adjusting the length of the suction tube relative to the different lengths of the electrode achieves effective evacuation, among other things.