Abstract: An electrosurgical forceps includes first and second shaft members and first and second jaw members extending distally from the respective first and second shaft members. A pivot couples the first and second shaft members with one another such that the first and second shaft members are movable relative to one another between a spaced-apart position and an approximated position to move the first and second jaw members relative to one another between an open position and a closed position. The jaw members are configured to facilitate tissue treatment, tissue division, and blunt tissue dissection.

Abstract: System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, the curved cannula comprising a curved distal end configured to be extended outward from the distal opening to generate a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured to allow a treatment device to be delivered through the central passageway to a location beyond the curved path.

Abstract: Various embodiments are directed to an electrosurgical system including an end effector, a jaw closure trigger, and a control circuit. The end effector includes a first jaw and a second jaw. The control circuit is configured to receive an input indicating a repeat mode, apply a first tissue bite algorithm to a first electrode and a second electrode based on an occurrence of a first tissue bite, enter a hold state at a termination of the first tissue bite algorithm, and determine an occurrence of a second tissue bite. The first tissue bite is based on the second jaw moving toward a closed configuration via the jaw closure trigger. Entering the hold state includes maintaining a sub-therapeutic signal. Determining the occurrence of the second tissue bite includes sensing a reduction in impedance between the first electrode and the second electrode via the sub-therapeutic signal.

Abstract: Treatments for prostatic disease use a urethral catheter with ports positioned outside a patient. The catheter's lumen has a cross-sectional shape and an electrode assembly with a shaft having a corresponding cross-sectional shape that interlocks with the shape of the lumen. The shaft includes a plurality of shaft channels, an extendable electrode in each channel, and a collar with a protruding flange that interfaces with a port when the electrode assembly is within the lumen. An electrode actuator controls actuation of the electrodes. The collar and actuator are interfaced via a keyed structure. A plurality of ports in the assembly interface with the lumen and project the electrodes outward through the catheter and into the prostate when actuated. The electrodes are extended in a predefined rotational orientation relative to the keyed structure. A power source is coupled to the electrodes and delivers direct current to the prostate.

Abstract: In one embodiment, the present disclosure relates to an electrosurgical device that includes an outer body, an inner body disposed partially within the outer body, three plates and an insulator. A first plate of the three plates includes a plurality of apertures and is positioned so that each of two projections extending from the inner body extend through a respective aperture of the plurality of apertures of the first plate. A second plate and a third plate of the three plates are both disposed on the first plate such that each of the two projections extends through an aperture of the second plate or the third plate, the second and third plates being fixed to a respective projection. The insulator is disposed around the inner body and is attached to the outer body at a first end and abuts the first plate at a second end opposite the first end.

Abstract: A medical device for directionally focusing energy to a treatment site, the medical device including a shaft having an elongated body defining a proximal portion and a distal portion opposite the proximal portion, the distal portion including at least one electrode having a contact portion and a permeable sheath at least partially surrounding the at least one electrode, the permeable sheath and the at least one electrode defining an insulation cavity, the permeable sheath being impermeable to an insulation material introduced to the insulation cavity from a fluid source configured to be coupled to the shaft.

Abstract: A method of controlling the temperature of an ultrasonic blade between two temperature set points includes applying a first power level to an ultrasonic transducer to set an ultrasonic blade temperature to a first target temperature T1, monitoring a phase angle ? between voltage Vg(t) and current Ig(t) signals applied to the transducer, inferring the temperature of the blade based on the phase angle ?, determining that a transection process is complete, and applying a second power level to the transducer to set the blade temperature to a second target temperature T2. The transducer may be coupled to the blade via an ultrasonic waveguide. The first target temperature may be optimized for vessel sealing and the second target temperature may be optimized for clamp arm pad life. The control circuit may determine that transection is complete by determining that the ultrasonic blade contacts the clamp arm pad.

Abstract: An assembly for radiofrequency ablation of tissue. A cannula includes a cannula hub and a cannula body including a cannula bend, a lumen, and side opening within an outer side of the cannula bend. An electrode includes an electrode hub and an electrode body dimensioned to be inserted within the lumen of the cannula body in at least first and second rotational orientations as indicated by registration of respective indicia on the cannula and electrode hubs. A distal section of the electrode body extends past the side opening of the cannula body in the first rotational orientation, and the distal section extends through the side opening in the second rotational orientation. The indicia of the cannula hub and the electrode hub may be indicative of the orientation of the cannula bend and an electrode bend, respectively. Methods of performing radiofrequency ablation of the tissue with the assembly are also disclosed.

Abstract: A high-frequency treatment device according to the present invention can comprise: a handpiece; a plurality of needles formed on one side of the handpiece so as to be able to come out and retract, and receiving a high-frequency current; and a pressing part disposed in the coming out and retracting direction of the plurality of needles, and tensing the skin by applying a predetermined pressure to the skin. The high-frequency treatment device according to the present invention has an effect of enabling pain occurring due to the insertion of a plurality of conventional needles to be alleviated by adjusting the tension of a patient's skin before inserting a plurality of needles such that the needles are smoothly inserted into the skin.

Abstract: Visualization and ablation systems and catheters. The systems can capture a plurality of different 2D images of the patient's anatomy adjacent an expandable member, each of which visualizes at least one part of the patient that is in contact with the expandable membrane, tag each of the plurality of different 2D images with information indicative of the position and orientation of a locational element when each of the plurality of different 2D images was captured, create a patient map, wherein creating the patient map comprises placing each of the plurality of different 2D images at the corresponding tagged position and orientation into a 3D space, and display the patient map.

Abstract: The present disclosure provides electroporation systems and methods of preconditioning tissue for electroporation therapy. An electroporation generator includes an electroporation circuit, a preconditioning circuit, and a controller. The electroporation circuit is configured to be coupled to a catheter for delivering the electroporation therapy to target tissue of the patient. The electroporation circuit is further configured to transmit an electroporation signal through the catheter. The preconditioning circuit is configured to be coupled to a preconditioning electrode for stimulating skeletal muscle tissue of the patient. The preconditioning circuit is further configured to transmit a preconditioning signal to the preconditioning electrode.

Abstract: Adjacent tissue layers can be accessed using a catheter device with a distal tip having a conductive portion including a first cutting feature and one or more projections extending from the first cutting feature towards an outer diameter of the distal tip. Electrical energy can be supplied to the conductive portion of the device to cut tissue. A stent can be delivered to form a fluid communication between the adjacent tissue layers.

Abstract: An electrosurgical apparatus comprises: a main body formed with a suction passage therein; an extension member including a length adjusting tube coupled to a side of the main body and formed therein with an induction passage communicating with the suction passage, and a sliding part configured to slide while being guided by the length adjusting tube; and a blade configured such that a first end thereof protrudes outside through the sliding part, and a second end thereof extends to be electrically connected to the main body and receives high frequencies from the main body, wherein an entire length of the extension member is adjusted according to a position of the sliding part sliding along the length adjusting tube.

Abstract: A forceps includes a first portion and a second portion. The first portion includes a shaft, an end effector assembly disposed at a distal end of the shaft, and a drive assembly including a drive bar. The end effector assembly includes jaw members movable between spaced-apart and approximated positions. The drive bar is slidably disposed within the shaft and coupled to the end effector assembly such that translation of the drive bar relative to the shaft moves the jaw members between the spaced-apart and approximated positions. The second portion includes a housing (or portion thereof) and a handle assembly including a movable handle that is coupled to the housing and movable relative thereto between first and second positions. The first and second portions are releasably couplable with one another to operably couple the movable handle with the drive bar such that moving the movable handle actuates the jaw members.

Abstract: Method and devices for delivering pulsed RF ablation energy to enable the creation of lesions in tissue are disclosed. The delivery of RF energy is controlled such that the generator power setting remains sufficiently high to form adequate lesions while mitigating against overheating of tissue. An ablation catheter tip having high-thermal-sensitivity comprises a thermally-insulative ablation tip insert supporting at least one temperature sensor and encapsulated, or essentially encapsulated, by a conductive shell. A system for delivering pulsed RF energy to a catheter during catheter ablation comprises an RF generator and a pulse control box operatively connected to the generator and configured to control delivery of pulsatile RF energy to an ablation catheter comprising at least one temperature sensor mounted in its tip. Also disclose is a method of controlling the temperature of an ablation catheter tip while creating a desired lesion using pulsatile delivery of RF energy.

Abstract: Methods, systems and devices for endometrial ablation. In accordance with a method, a working end of an RF ablation device is positioned in a patient uterus to contact endometrial tissue, the working end comprising a dielectric wall capable of non-expanded and expanded shapes. An indicator mechanism is operatively coupled to the wall and configured to indicate non-expanded and expanded shapes of the wall.

Abstract: The embodiments disclosed herein relate to various robotic and/or in vivo medical devices having compact joint configurations. Other embodiments relate to various medical device components, including forearms having grasper or cautery end effectors, that can be incorporated into certain robotic and/or in vivo medical devices.

Abstract: Systems, devices, and methods for identifying a target in vivo are disclosed. A target identification system for use in electrosurgery includes a probe, an optical splitter, and a spectroscopy system. The probe includes an optical pathway to pass a first optical signal to an anatomical target and at least a portion of a second optical signal from the anatomical target. The optical splitter includes a first port to direct the first optical signal to the optical pathway and to receive the at least a portion of the second optical signal from the optical pathway, a second port to receive the first optical signal, and a parabolic reflector to redirect the portion of the second optical signal. The spectroscopy system can identify a characteristic of the anatomical target based on the redirected at least a portion of the second optical signal.

Abstract: A cooled radiofrequency ablation system including a probe assembly having a proximal region, a distal tip region, and a shaft is provided. First and second internal cooling fluid tubes extend from the proximal region and are positioned inside a cavity defined by the shaft. The distal tip region includes a conductive portion for delivering energy to a target location within tissue. The system also includes a radiofrequency generator for delivering energy to the target location and a cooling fluid reservoir and a bidirectional pump assembly for circulating a cooling fluid from the reservoir through the first internal cooling fluid tube then the second internal cooling fluid tube when the pump operates in a first direction or through the second internal cooling fluid tube then the first internal cooling fluid tube when the pump operates in a second direction to form lesions of different sizes at the target location.

Abstract: The present invention relates to comprehensive systems and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems and methods are provided for identifying and treating a target tissue region adjusting for ablation-related anatomical changes (e.g., tissue contraction).