Abstract: An electrosurgical vessel sealing device that can seal biological vessels using a confined microwave field that yields a well-defined seal location with low thermal margin. The device comprises a pair of jaws that are movable relative to each other to grip biological tissue. A blade for cutting the gripped tissue is slidable between the jaws. A coplanar microstrip antenna is mounted on the inner surface of one or both of the pair of jaws to emit microwave energy into the gap therebetween. The device may comprise a separate dissector element to enable fine tissue cutting and dissection to be performed.

Abstract: An electrosurgical apparatus and method for performing thermal treatment in the gastrointestinal tract, e.g. to ablate duodenal mucosal tissue. The apparatus comprises an instrument having a flexible cable and an applicator suitable for use with a gastroscope, which can be deployed within a patient to delivery energy in a targeted or otherwise controllable manner. The applicator can deliver microwave energy by radiation. The direct and depth-limited nature of microwave energy can be make it more effective than treatments that rely on thermal conduction. The applicator may include a radially extendable portion arranged to move an microwave energy delivery structure into contact with duodenal mucosal tissue at the treatment region. The applicator may comprise any of a balloon, bipolar radiator, movable paddle, and rotatable roller element.

Abstract: An electrosurgical vessel sealing device that can seal biological vessels using a confined microwave field that yields a well-defined seal location with low thermal margin. The device comprises a pair of jaws that are movable relative to each other to grip biological tissue. A blade for cutting the gripped tissue is slidable between the jaws. A coplanar microstrip antenna is mounted on the inner surface of one or both of the pair of jaws to emit microwave energy into the gap therebetween. The device may comprise a separate dissector element to enable fine tissue cutting and dissection to be performed.

Abstract: An electrosurgical apparatus comprising an electrosurgical instrument for delivering RF energy and/or microwave frequency energy into biological tissue, an interference cable for conveying radiofrequency (RF) and/or microwave frequency energy between an electrosurgical generator and the electrosurgical instrument, wherein a sterile barrier sheath surrounds a connection interface between the instrument and interface cable. The sterile barrier sheath and instrument may be a sterilisable unit suitable for repeated use.

Abstract: An electrosurgical instrument for applying to biological tissue RF electromagnetic energy and/or microwave frequency EM energy, wherein the instrument tip has a protective hull with a smoothly contoured convex undersurface facing away from a planar body, and wherein the planar body has a tapering distal edge, and wherein an underside of the planar body extends beyond the protective hull at the tapering distal edge. Also disclosed herein is an interface joint for integrating into a single cable assembly all of (i) a fluid feed, (ii) a needle movement mechanism, and (iii) an energy feed (e.g. a coaxial cable), and a torque transfer device for permitting controlled rotation of the cable assembly within the instrument channel of an endoscope. The interface joint and torque transfer device may be integrated as a single component.

Abstract: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube having a distal end portion, and a bipolar electrosurgical electrode assembly located at the distal end of the tube. The electrosurgical electrode assembly comprises first and second electrodes separated by an insulation member, the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube. When an electrosurgical cutting voltage is applied to the electrode assembly, and relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. A tissue-pulling device such as a jaw assembly can be employed to pull tissue against the distal end of the tube.

Abstract: A bipolar coagulating instrument includes a blade-like electrode assembly comprising an upper planar face and a lower planar face separated by an intermediate portion of insulating material therebetween. The upper face includes first and second electrodes separated by a first insulating member, and the lower face includes third and fourth electrodes separated by a second insulating member. The first and second insulating members are out of correlation one with respect to the other, such that there is at least one region in which the first electrode overlies the third electrode, and at least one other region in which the first electrode overlies the fourth electrode. A cutting electrode is provided between the upper and lower faces, extending marginally beyond the periphery thereof.

Abstract: An arthroscopic bone burr having an articulated sheath tube. The sheath tube may be articulated angularly and transversely relative to the housing by a ball-type joint, a flange-in-socket joint with sufficient play to permit displacement of the sheath tube, or by use of an elastomer. Anti-rotation means are provided to prevent the sheath tube from rotating relative to the housing.

Abstract: An arthroscopic bone burr having an articulated sheath tube. The sheath tube may be articulated angularly and transversely relative to the housing by a ball-type joint, a flange-in-socket joint with sufficient play to permit displacement of the sheath tube, or by use of an elastomer. Anti-rotation means are provided to prevent the sheath tube from rotating relative to the housing.