Abstract: A surgical fastener including a filament formed into a generally helical shape around a fastener axis and having a plurality of coils. The proximal end of the filament has an engagement member and the distal end of the filament has a penetrating tip. The engagement member may be driven to rotate the penetrating tip about the fastener axis such that the coils screw into tissue held in the path of the penetrating tip.

Abstract: A medical instrument includes a medical end effector and a user-actuated media transporter. The medical end effector includes an ultrasound propagating element and includes a path adapted for directing a medical agent, when conveyed therealong, to the ultrasound propagating element. The user-actuated media transporter is adapted for conveying the medical agent along the path and into contact with the ultrasound propagating element. A medical system includes a medical instrument and a user-actuated hemostatic-agent transporter. The medical instrument is adapted for treating patient tissue and is a mechanical-based ligation instrument or an energy-based ligation instrument. The user-actuated hemostatic-agent transporter is adapted for conveying a hemostatic agent to the patient tissue.

Abstract: A medical instrument is disclosed having a flexible tube, an end effector, and an actuator. A control member, such as a control wire, can extend through the flexible tube. A mechanical coupling is disclosed for attaching the control member to the actuator. A method for mechanically coupling the control member to the actuator is also disclosed.

Abstract: A medical instrument is disclosed having a flexible tube, an end effector, and an actuator. A control member, such as a control wire, can extend through the flexible tube. A mechanical coupling is disclosed for attaching the control member to the actuator. A method for mechanically coupling the control member to the actuator is also disclosed.

Abstract: Disclosed is an ultrasonic surgical instrument that combines end-effector geometry to best affect the multiple functions of a shears-type configuration. The shape of the blade is characterized by a radiused cut offset by some distance to form a curved geometry. The cut creates a curved surface with multiple asymmetries causing multiple imbalances within the blade. Imbalance due to the curve of the instrument is corrected by a non-functional asymmetry proximal to the functional asymmetry. Imbalance due to the asymmetric cross-section of the blade is corrected by the appropriate selection of the volume and location of material removed from a functional asymmetry. The shape of the blade in one embodiment of the present invention is characterized by two radiused cuts offset by some distance to form a curved and potentially tapered geometry. These two cuts create curved surfaces including a concave surface and a convex surface.

Abstract: A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

Abstract: An ultrasound medical system includes an ultrasound end effector and at least one non-ultrasound tissue-property-measuring sensor. The ultrasound end effector includes a medical ultrasound transducer assembly having at least one medical-treatment ultrasound transducer. The at-least-one non-ultrasound tissue-property-measuring sensor is supported by the ultrasound end effector and is positionable in contact with patient tissue.

Abstract: An ultrasound medical system has an end effector including a medical ultrasound transducer and an acoustic coupling medium. The acoustic coupling medium has a transducer-proximal surface and a transducer-distal surface. The medical ultrasound transducer is positioned to emit medical ultrasound through the acoustic coupling medium from the transducer-proximal surface to the transducer-distal surface. The end effector is adapted to change a property (such as the shape and/or the temperature) of the acoustic coupling medium during emission, and/or between emissions, of medical ultrasound from the medical ultrasound transducer during a medical procedure on a patient. In one example, such changes are used to change the focus and/or beam angle of the emitted ultrasound during the medical procedure.

Abstract: An ultrasound medical system includes an ultrasound end effector. The ultrasound end effector has an exterior surface, includes a medical ultrasound transducer assembly having at least one medical-treatment ultrasound transducer, and includes at least one tine. The at-least-one tine is deployable to extend away from the exterior surface into patient tissue to provide at least some stabilization of the ultrasound end effector with respect to patient tissue and is retrievable to retract back toward the exterior surface.

Abstract: An ultrasound medical system includes an ultrasound end effector. The ultrasound end effector includes a shaft, a sheath, and a medical ultrasound transducer assembly. The medical ultrasound transducer assembly is supported by the shaft and has at least one medical-treatment ultrasound transducer. The sheath surrounds the shaft. The sheath includes at least one balloon portion which is expandable against patient tissue to provide at least some stabilization of the ultrasound end effector with respect to patient tissue.

Abstract: An ultrasound medical system includes an interstitial end effector. The interstitial end effector is interstitially insertable into patient tissue, includes at least one medical-treatment ultrasound transducer, and includes at least one end-effector-tissue-track ablation device. One method for ultrasonically treating a lesion in a patient includes the steps of obtaining the interstitial end effector and inserting it into the patient creating a tissue track which is surrounded by patient tissue and which ends at the distal end of the inserted interstitial end effector. Other steps include ultrasonically ablating the lesion using the at-least-one medical-treatment ultrasound transducer, using the at-least-one end-effector-tissue-track ablation device to ablate the patient tissue surrounding the tissue track along substantially the entire tissue track, and withdrawing the end effector from the patient.

Abstract: An ultrasound medical system includes an ultrasound transducer assembly having various combinations of ultrasound transducers having different-shaped ultrasound emitting surfaces and/or different ultrasound transducer types, wherein the types are ultrasound-medical-treatment-only type, ultrasound-medical-treatment-and-imaging type, and ultrasound-medical-imaging-only type ultrasound transducers. Another ultrasound medical system includes a transducer assembly having an RF (radio-frequency) medical-treatment electrode and an ultrasound medical transducer.

Abstract: An ultrasound medical system includes a handpiece and an end effector which is operatively connected to the handpiece and which is insertable into a patient. The end effector includes a shaft, a medical ultrasound transducer assembly, and a shaft head. The shaft has a longitudinal axis, has a distal end, and is rotatable about the longitudinal axis with respect to the handpiece. The transducer assembly is non-rotatably attached to the shaft and is adapted to emit medical ultrasound. The shaft head is attached to the distal end of the shaft and has a piercing tip which is insertable into patient tissue.

Abstract: Disclosed is an ultrasonic surgical device having a distally/proximally movable fluid management system consisting of single lumen or multiple lumens. The invention provides for the delivery of irrigation fluid or the removal of fluid, debris or vapor from the tissue-effecting portion of the blade while minimizing the loading on the blade. The blades of the surgical device, when excited at a natural blade system frequency, will have modal shapes characterized by longitudinal, transverse and/or torsional motion and will have nodal locations for these motions at positions along the tissue effecting length of the blade. The instrument is designed to allow for the fluid management system to be positioned at one or more motion nodes to facilitate efficient removal of tissue or fluid, which tends to accumulate at such nodes of the ultrasonic surgical blades.