Abstract: A steerable catheter system is provided including an elongated shaft having a proximal end, a distal end and an outer surface. The outer surface includes at least one cavity configured to facilitate movement of the distal end relative to the proximal end so as to steer the elongated shaft. A catheter tip is attached to the distal end of the shaft. The catheter tip comprises a curved body having at least one RF cutting edge and at least one non-cutting area recessed from the at least one cutting edge.

Abstract: Embodiments are directed to various monopolar and bipolar electrosurgical scissor instruments. An electrosurgical scissor instrument includes at least one scissor blade that has an electrically conductive tapered edge, where the tapered edge is insufficiently sharp to shear or otherwise mechanically cut tissue. The scissors also include another scissor blade movably mounted to the first scissor blade. The second scissor blade includes a flat contact surface that is aligned with the tapered edge of the first scissor blade. The scissors further include a scissor body that transfers electrical energy from an energy source to at least one of the scissor blades to electrically cut interlaying tissue located between the blades. In a monopolar embodiment, only one blade is conductive; whereas, in a bipolar embodiment, both blades are conductive.

Abstract: An electrosurgical device comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode; and wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration so that both the forceps and the first therapy current are disabled.

Abstract: Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

Abstract: An operation handle for electrocautery includes: a grip, an operation rod, a stopping part, a positioning bar, and a driven member. One end of the operation rod is jointly connected to the grip, and the other end has a pressing portion. The operation rod moves selectively from an initial position to at least one work position. The stopping part is disposed on the operation rod and adjacent to the pressing portion. The positioning bar is disposed on the grip and comprises at least one positioning groove. When the pressing portion of the operation rod is forced, the operation rod moves from the initial position to the at least one work position, and one end of the driven member is lodged in the at least one positioning groove.

Abstract: Distal tips for use with delivery catheters are disclosed that are configured to maintain complete engagement between the distal tip and a distal opening of a sheath component of the delivery catheter so as to prevent separation therebetween and/or to prevent fish-mouthing of a distal leading edge of the sheath component during in vivo use. Distal tips so configured realize one or more of the objectives of safer tracking of the delivery catheter through the vasculature, safe crossing of the delivery catheter through structural components of the vasculature and heart, such as through native valves, and safe removal of the delivery catheter post deployment.

Abstract: Systems and methods for managing pain in a patient using an electrical waveform that link the modulation of a waveform parameter for different areas of a patient. One embodiment in a system for managing pain in a patient comprises an electric device configured to be implanted into the patient and including a plurality of electrodes having at least a first electrode associated with a first area of the patient and a second electrode associated with a second area of the patient. The system further includes an implantable device configured to be coupled to the electrode device and having a computer-operable medium programmed to change the waveform parameter applied to the first electrode and automatically set the waveform parameter applied to the second electrode based on a relationship between a first therapy range and a second therapy range of the waveform parameter.

Abstract: A high-frequency knife conduit line and opening hole opening communicate allowing fluid to flow between a rod-shaped electrode outer peripheral surface and the opening hole inner peripheral surface. The guide hole is smaller than the opening and is further toward a radial inner side than the opening outer edge and further toward a radial outer side than the rod-shaped electrode. The fluid is released from the opening to the outside of the sheath over the whole circumference of the rod-shaped electrode on the radial outer side while an electrode portion protrudes toward the sheath distal end portion separating a larger-diameter portion from a supporting member. The fluid is injected to the larger-diameter portion front through the guide hole as the opening hole and the guide hole communicate while the electrode portion is pulled back toward the sheath proximal end portion so that the larger-diameter portion abuts against the supporting member.

Abstract: Systems and methods are provided for treating chronic pain occurring secondarily to subacromial impingement syndrome in a human body. A system is provided to deliver percutaneous electrical stimulation through at least one electrode to neurological motor points of the posterior and middle deltoid muscles to mediate such pain. One-time, continued and/or periodic dosing of treatment methods according to the present invention may result in a change to central nervous system maladaptive neuroplasticity.

Abstract: An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing. The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated.

Abstract: A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate relatively flexible member having a proximal end and a distal end, the flexible member includes at least a first working channel. A first and second electrode extends from a working channel at the distal end of the flexible member. The first and second electrodes are adapted to be endoscopically located in a tissue treatment region. The first and second electrodes are adapted to couple to an electrical waveform generator to receive an irreversible electroporation electrical waveform sufficient to ablate tissue located between the first and second electrodes. The waveform parameters of the irreversible electroporation electrical waveform are determined based on image information received from the tissue treatment region.

Abstract: An ultrasonic surgical instrument includes a transducer assembly having a distal engagement member and configured to supply ultrasonic energy. A waveguide defines a longitudinal axis and has a proximal engagement member configured to threadingly engage the distal engagement member. The waveguide is configured to transmit the ultrasonic energy therealong to a distal end thereof for treating tissue. A torque member is coupled to the transducer assembly and is disposed about the longitudinal axis. The torque member is selectively rotatable about the longitudinal axis and relative to the waveguide to threadingly engage the transducer assembly and the waveguide to one another. The torque member includes a plurality of fingers pivotably coupled thereto and movable between a closed position and an open position. In the open position, each finger extends substantially perpendicularly from the longitudinal axis to define a moment arm that facilitates the engagement of the transducer assembly and the waveguide.

Abstract: A reduced pressure treatment system includes a control unit having a control system and a reduced pressure source. The reduced pressure treatment system further includes a manifold unit in fluid communication with the reduced pressure source and a component module to augment treatment. The component module is configured to communicate with the control system of the control unit, and the component module includes a first mounting region configured to be coupled to a complimentary mounting region of the control unit. The component module further includes a second mounting region identical to the complimentary mounting region of the control unit to allow a second component module to be coupled to the first component module.

Abstract: A cutting device includes an elongated shaft that extends between a proximal end and a distal end. A distal arm extends from the distal end of the elongated shaft. The distal arm includes an inner surface defining a cavity and an outer surface defining a blunt tip. At least one proximal arm extends from the distal end of the elongated shaft at a position proximal to the distal arm. The at least one proximal arm having an inner surface defines a cavity including a cutting portion configured to cut tissue.

Abstract: A tissue cutting device has an outer sleeve with a distal window and an inner cutting sleeve which moves past the window to cut tissue. The inner cutting sleeve has a lumen which may have a larger proximal diameter than distal diameter. A perimeter of the window may comprise a dielectric material. A distal edge of the inner sleeve may be displaced inwardly.

Abstract: An endoscope treatment tool includes a sheath having electric insulation; and an electrode unit provided at a distal end portion of the sheath. The electrode unit includes a rod-shaped electrode that is provided to extend in an axis direction of the sheath and is capable of being arranged in a state where the electrode protrudes from the distal end portion of the sheath and is exposed to the outside; and a chip that is fixed in a state where a distal end portion of the electrode is inserted into a concave portion provided in a proximal end surface so as to extend in the axis direction, has a greater external diameter than the external diameter of the electrode, and is formed from a single electric insulation material. The concave portion is formed with a smaller-diameter portion that allows the distal end portion of the electrode to be inserted thereinto.

Abstract: A steerable catheter system is provided including an elongated shaft having a proximal end, a distal end and an outer surface. The outer surface includes at least one cavity configured to facilitate movement of the distal end relative to the proximal end so as to steer the elongated shaft. A catheter tip is attached to the distal end of the shaft. The catheter tip comprises a curved body having at least one RF cutting edge and at least one non-cutting area recessed from the at least one cutting edge.

Abstract: Electrosurgical wand. At least some of the illustrative embodiment are electrosurgical wands including: an elongate housing that defines a handle end and a distal end; an aspiration aperture on the distal end of the elongate housing the aspiration aperture fluidly coupled to a first fluid conduit, the first fluid conduit within the elongate housing; a discharge aperture on the distal end of the elongate housing, the discharge aperture fluidly coupled to a second fluid conduit, and the second fluid conduit within the elongate housing; a first active electrode of conductive material on the distal end of the elongate housing, the first active electrode between the discharge aperture and the aspiration aperture; and a conductive plate that abuts the discharge aperture, at least a portion of the conductive plate disposed over the discharge aperture.

Abstract: A medical instrument having an elongate frame with proximal and distal ends. An operating assembly is at a proximal region of the frame with a working assembly at a distal region of the frame. The working assembly has a tip with a leading free end to be engaged with a human body at an operation site. The working assembly has at least one cautery component that: a) contacts a human body at the cutting location; and b) is operable to generate a current that alters a contacted portion of the human body at the cutting location. An insulating material is located at least one of: i) at the leading free end; and ii) between the at least one cautery component and the leading free end so that current does not conduct from the at least one cautery component to body tissue during a medical procedure.

Abstract: A high-frequency treatment device includes a tubular body having a front end portion and a rear end portion; an operating handle having a high-frequency port and a main push rod extending through the body, the operating handle slidably fitted to the body; a front tube having a rear end portion connected to the front end portion of the body; an auxiliary push rod rotatably connected to the main push rod, the auxiliary push rod extending into the front tube; a wire fixed to the auxiliary push rod, the wire extending through the front tube; a rotary knob rotatably attached to the body, the rotary knob configured to rotate together with the auxiliary push rod and the wire; and an arc-shaped knife fixed to the wire and connected to the high-frequency port of the operating handle via the wire, the auxiliary push rod and the main push rod.

Abstract: Provided is a medical treatment device capable of eliminating inconvenience of manipulation in actual clinical use, and ensuring a visual field by introducing a curve in the vicinity of an electrode portion of an outer cylindrical tube.

Abstract: An introducer sheath for a medical device is provided. The sheath includes a deformable, elongate body disposed about a longitudinal axis. The body has proximal and distal ends and defines a lumen extending between the proximal and distal ends and configured to allow passage of the medical device therethrough. The body is configured to allow an electric current to pass radially between a space outside of the body and the lumen such that the position of the medical device within a patient can be monitored and electrogram readings from body tissues can be measured while the device is in the sheath. In some embodiments of the invention, the body may include a one or more apertures extending from the radially outer surface of the body to the lumen or a portion of the body may be made from a conductive and/or fluid permeable material.

Abstract: A bipolar forceps includes a housing having a shaft extending therefrom including an end effector assembly at a distal end thereof. The end effector assembly has a wheel assembly opposing a jaw member and having a pair of opposing wheels configured to facilitate movement of the wheel assembly relative to the jaw member. A drive rod is operably coupled at a proximal end to a movable handle and at a distal end to the wheel assembly. The movable handle is movable relative to a stationary handle to move the wheel assembly relative to the jaw member. At least one electrically conductive tissue sealing plate is disposed on each of the wheel assembly and the jaw member and is adapted to connect to an electrosurgical energy source configured to deliver electrosurgical energy to tissue held between the wheel assembly and the jaw member to effect a tissue seal.

Abstract: An electrosurgical apparatus is provided. The electrosurgical apparatus includes a cannula insertable into a patient and positionable adjacent abnormal tissue. The electrosurgical apparatus includes a microwave antenna that includes a distal end having a radiating section receivable within the cannula and positionable within a patient adjacent abnormal tissue. The microwave antenna is adapted to connect to a source of electrosurgical energy for transmitting electrosurgical energy to the radiating section. A portion of the radiating section substantially encompasses a portion of the abnormal tissue and may be configured to apply pressure thereto. The microwave antenna is actuated to electrocautery treat tissue to reduce blood flow to the abnormal tissue.

Abstract: Embodiments are directed to various monopolar and bipolar electrosurgical scissor instruments. A monopolar electrosurgical scissor instrument includes one scissor blade that has an electrically conductive tapered edge, where the tapered edge is insufficiently sharp to shear or otherwise mechanically cut tissue. The scissors also include another electrically insulated scissor blade movably mounted to the first scissor blade. The second scissor blade includes a flat contact surface that is aligned with the tapered edge of the first scissor blade. The scissors further include a scissor body that includes a conductor that transfers electrical energy from an energy source to the tapered edge of the first electrically conductive scissor blade to electrically cut interlaying tissue located between the first electrically conductive scissor blade and the second electrically insulated scissor blade.

Abstract: A cartridge assembly to couple an electrosurgical device to treat tissue with an electrosurgical unit includes a cartridge member to operate with a power delivery apparatus of the electrosurgical unit and a fluid delivery apparatus of the electrosurgical unit. An electrosurgical unit includes a power delivery apparatus and a fluid delivery apparatus arranged to operate with a cartridge member to be located in a cartridge receptacle of the electrosurgical unit. An electrosurgical device includes a first electrode spaced alongside the second electrode, with each electrode having a blade shaped member. Each blade shaped member has opposing sides bounded by edges, with the edges having a medial edge and a lateral edge. At least one fluid outlet is adjacent each blade shaped member, and each fluid outlet is in fluid communication with a fluid passage.

Abstract: A method and device for single-point identification of neural tissue during endoscopic spinal surgery including the use of an electrical switch that accepts separate inputs from a bipolar generator and an electrical nerve stimulator.

Abstract: An apparatus and procedure for defining the area for a thermo-electric knife to perform a bloodless intrastromal abdominal hysterectomy procedure while minimizing damage to the pericervical ring. The apparatus is configured to be inserted into the center cavity of the cervix and uterus to engage the uterine wall. The apparatus comprises an elongate member having a first end configured to extend into the center cavity of the uterus and cervix, and a thermo-electric knife guide plate secured concentrically to the elongate member proximal to the second end of the member to define the area for dissection of connective tissue between the cervix and the pericervical ring by a thermo-electric knife. A barb is secured to the elongate member between the first end and the guide plate, and configured to engage the uterine wall so that upon removal of the apparatus when in use the barb becomes attached to the uterus sufficient to remove the uterus and cervix through the abdomen.

Abstract: A forceps includes first and second shaft members, each having a jaw member disposed at a distal end thereof. The first and second shaft members are pivotably coupled to one another toward the distal ends thereof and are moveable relative to one another between an open position and a closed position for moving the jaw members between a spaced-apart position and an approximated position. A knife assembly including a handle and a knife extending from the handle is also provided. The knife assembly is selectively translatable between a retracted position and an extended position, wherein the knife extends between the jaw members. The handle is disposed between the first and second shaft members and is configured to block further closure of the first and second shaft members beyond the closed position, thereby defining a minimum gap distance between the jaw members.

Abstract: A coating and devices using the coating are provided. The coating is applied in liquid form and dried or otherwise cured to form a durable adherent coating resistant to high temperatures and having optional hydrophobic properties. The coating formulation contains an aqueous formulation of silica, one or more fillers, and sufficient base, (e.g., potassium hydroxide), to have a pH exceeding about 10.5 during at least part of the formulation process. The formulation may contain a compound(s) that affects surface free energy, energy to make the cured coating hydrophobic. Such compounds include silanes containing halogens (e.g., fluorine or chlorine) and in particular silanes containing one or more hydrolyzable groups attached to at least one silicon atom and a group containing one or more halogens (e.g., chlorine or fluorine). A medical instrument (e.g., electrosurgical instrument) may be at least partially covered by a coating using the formulation.

Abstract: In one embodiment, a surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger defining an energy button hole, an energy button located within the energy button hole, and a firing trigger. A shaft assembly is coupled to the handle assembly and comprises an outer tube, a closure actuator coupled to the closure trigger, and a firing actuator operatively coupled to the firing trigger. An end effector is coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a first and a second jaw member. The first and second jaw members define a longitudinal slot. The closure actuator is coupled to the first jaw member to pivotally move the first jaw member from an open position to a closed position. A cutting member is deployable within the longitudinal slot.

Abstract: A device comprising: a handpiece having one or more attachment ports; a tubeset having one or more attachment features for connecting the tubeset to the one or more attachment ports in the handpiece; a removable tip having an attachment arm for attaching to the one or more attachment ports in the handpiece; wherein the device comprises one or more of the following: the handpiece includes an attachment port that attaches the handpiece to an active lead and a return lead and the device is adapted to use only the active lead or both leads so that the device can switch between bi-polar energy and mono-polar energy; the tubeset has one or more fluid conduits that are in fluid communication with the removable tip, wherein the removable tip is located at a distal end of the device; and the handpiece connects to one or more electrical input lines; the tubeset connects to one or more fluid lines, and the removable tip is free of direct connection to both the one or more electrical input lines and the one or more fluid

Abstract: A cutting device for tissue separation includes a cutting edge using electrical energy such as RF power that is coupled to, but thermally insulated from, a catheter in an elongated medical device. Thermal insulation between a ring-type cutting device and the catheter is provided by a gap, slots within the ring, and/or slanted slots within the ring. In one embodiment, tissue separation occurs by rotation of a ring-type electrically-powered cutting edge having internal cross-bar elements. In an alternate embodiment, tissue separation occurs by longitudinal movement of an offset electrically-powered cutting edge that is pressed against tissue by an inflatable balloon. In a further alternate embodiment, a cutting edge is coupled longitudinally to a catheter, is provided electrical energy by wired connection to the braided catheter, but is thermally isolated from the catheter.

Abstract: An electrosurgical instrument includes an instrument shaft having a longitudinal axis, and an electrode assembly at one end of the shaft, the electrode assembly including first, second and third electrodes which are electrically insulated one from another by means of one or more insulation members. The instrument further includes first and second connections by which RF energy can be supplied to the instrument from an electrosurgical generator. The first electrode is movable longitudinally between an advanced position in which it extends from the instrument shaft and a retracted position in which it is less advanced with respect to the instrument shaft. When the first electrode is in its advanced position, the first and second connections are in electrical communication with the first and second electrodes. When moved to its retracted position, the first and second connections are caused to be in electrical communication with the second and third electrodes.

Abstract: A medical instrument having an elongate frame with proximal and distal ends, an operating assembly at a proximal region of the frame, and a working assembly at a distal region of the frame. The working assembly has a cantilevered tip with a free end and is reconfigurable by an operator through the operating assembly by selectively reorienting the tip relative to: a) the frame; and b) a reference plane extending through the frame orthogonally to the central axis at a location on the frame spaced axially from the working assembly toward the operating assembly. The tip in one position projects in a first axial direction toward the reference plane. The working assembly has at least one cautery component that: a) contacts a human body part at the cutting location; and b) is operable to generate a current that dissects a contacted portion of the human body part.

Abstract: The present disclosure relates to an end effector assembly including first and second jaw members and a knife body. The first and second jaw members have a curved configuration and are disposed in opposed relation to each other. One or both of the jaw members include a ledge, a first knife channel and a second knife channel. The ledge is disposed along the length of one of the jaw members. The first knife channel is defined along the length of a portion of the ledge. The second knife channel is defined along the length of a portion of the jaw member, and below a bottom portion of the ledge such that the ledge covers a portion of the second knife channel. The knife body includes a knife blade at a distal end thereof and a recessed portion proximal to the knife blade.

Abstract: An endoscopic electrosurgical instrument is presented for encapsulating and resecting biologic tissue, such as a polyp, from an anatomical structure, such as a lumen. The instrument includes an encapsulation assembly which includes a snare coupled to an electrically non-conductive, shrinkable pouch in a drawstring-like configuration. The encapsulation assembly may be folded within the elongated cylindrical housing of the endoscopic instrument, positioned within the patient at the surgical site, and deployed for use. Once positioned over the polyp, the snare is tightened around the peduncle thereof, and the pouch is activated, thereby shrinking and encapsulating the polyp. The polyp may then be resected using conventional or electrosurgical techniques. The disclosed instrument may include surgical tools and/or electrosurgical electrodes for performing surgical procedures. The disclosed system may reduce the occurrence of undesirable arcing and may aid retrieval of resected tissue.

Abstract: According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery.

Abstract: Disclosed herein is a cutting and/or coagulating device that includes a cutting and/or coagulating member and a radio frequency generator such that an output of the radio frequency generator is connected to the cutting and/or coagulating member. The cutting and/or coagulating member is electrically resonant at the frequency of the radio frequency generator. Further, the cutting and/or coagulating member may include a resistance wire which is configured to directly contact a target cutting material. The cutting and/or coagulating member may be further heated to a visible glow. Furthermore, a method of cutting and/or coagulating is also contemplated.

Abstract: The devices and method described herein allow for therapeutic damage to increase volume in these hyperdynamic hearts to allow improved physiology and ventricular filling and to reduce diastolic filling pressure by making the ventricle less stiff.

Abstract: An electrosurgical instrument for removal of tissue from a patient and a method for doing the same. The electrosurgical instrument includes a pair of lever members each of which having an associated end effector associated. One of the end effectors includes a cutting element forming a loop on the end of the end effector. The cutting element is also configured to receive electrical energy from an electrical energy source. The other of the end effectors includes a pad that can be brought into a position generally opposing the cutting element during relative movement of the end effectors toward one another. When electrical energy is discharged from the cutting element and the end effectors moved toward one another, dissection and cauterization of tissue from a patient is facilitated.

Abstract: An electrosurgical Cobb elevator instrument, a soft tissue dissection and/or retraction tool, can be used with and without suction, and is capable of delivering monopolar or bipolar RF energy for cutting and coagulating soft tissue. The device is capable of footswitch or handswitch activation. The tool has a spoon-shaped edge that is preferably sharp to provide blunt dissection in addition to the energy-driven dissection. The instrument of the invention could be used in any procedure that requires soft tissue dissection and/or coagulation.

Abstract: The invention relates to the encapsulation of oxidizable lipids. In particular, the invention provides an oil-in-water emulsion comprising droplets of a core lipid coated with nanoemulsion droplets, wherein the nanoemulsion droplets comprise a surface lipid coated with protein. The emulsions of the invention provide an oxidatively stable form of the lipid, which can be added to foods and cosmetics requiring a long shelf-life.

Abstract: Wireless energy transfer devices and systems for medical environments include, in at least some implementations, a wirelessly powered surgical device including: a device resonator configured to generate an oscillating voltage from a captured oscillating magnetic field; and a surgical tool electrically coupled to the device resonator, the surgical tool having a functional output that is capable of being directly powered by the oscillating voltage, and the surgical tool having a rechargeable battery backup; wherein the oscillating voltage is at least 30 volts and has a frequency of at least 1 kHz. Wireless energy transfer is utilized to eliminate cords and power cables from operating instruments and electronic equipment, facilitating mobility.

Abstract: Apparatus includes Flexible Sheath extending from a proximal end which extends into living body; Capsule extending from a proximal to a distal end and having an opening formed in a proximal end thereof; Clip Assembly provided in Capsule and configured to be operably movable between a closed configuration in which first and second arms of Clip Assembly are drawn toward one another and an expanded configuration in which the first and second arms are separated from one another to receive target tissue therebetween; Bushing extending between a proximal end coupled to Sheath and a distal end releasably coupled to Capsule via a tab on the distal end of Bushing engaging the opening of Capsule; and Control Member a distal end of which is releasably coupled to Clip Assembly to transmit to Clip Assembly forces applied thereto to move Clip Assembly between the insertion and expanded configurations.

Abstract: An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly operably coupled to the shaft includes a pair of first and second jaw members. One or both of the first and second jaw members is movable from an open configuration, to a clamping configuration. A knife blade assembly includes a knife blade translatable within the first and second jaw members. A knife blade lockout mechanism is in operative communication with the knife blade assembly and includes an elongated cam slot with a cam pin translatable therein from a distal end of the elongated cam slot corresponding to the knife blade lockout mechanism engaged with the knife blade assembly, to a proximal position corresponding to the knife blade lockout mechanism disengaged from the knife blade assembly.

Abstract: A forceps includes a housing, a shaft, and an end effector assembly. The end effector assembly includes first and second jaw members. At least one of the jaw members is moveable with respect to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. A cutting member having a plurality of cutting edges symmetrically-disposed about a longitudinal axis thereof is disposed within the shaft and is longitudinally translatable between a retracted position and an extended position. The cutting member extends between the jaw members to cut tissue grasped therebetween when in the extended position. The cutting member is fixedly-oriented with respect to the shaft and is configured for translation between the jaw members to cut tissue therebetween when the jaw members are rotated with respect to the shaft between about zero degrees and about 180 degrees in at least one of the clockwise and counterclockwise directions.

Abstract: A surgical instrument includes a housing that supports an elongated shaft. A selectively movable drive rod extends through the elongated shaft and carries a cam pin in a longitudinal direction. An end effector for surgically treating tissue is supported by the elongated shaft and includes upper and lower jaw members pivotally coupled to one another about a pivot axis. The upper jaw member includes a first pair of laterally spaced flanges, and the lower jaw member includes a second pair of laterally spaced flanges defining a camming slot for engaging the cam pin. The flanges are arranged in an offset configuration where one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member.

Abstract: Methods, apparatus and systems for tissue dissection and modification are disclosed herein. A method for tissue dissection and modification may comprise inserting a tissue dissecting and modifying wand (TDM) through an incision in a patient's body. The TDM may comprise a tip having a plurality of protrusions with lysing segments positioned between the protrusions to dissect and/or modify tissue. The TDM may also comprise an energy window positioned on top of the TDM that is configured to deliver energy to modify tissues. After separating tissue using the lysing segment(s) to define a target region, the energy window may be activated and moved around within the target region to modify tissues. In some implementations, the energy window may be activated prior to and/or during dissection of the tissue such that the tissue is separated while tissue is modified within the target region.

Abstract: Apparatus, systems, and methods for tissue dissection and modification are disclosed herein. A method for tissue dissection and modification may comprise inserting a tissue dissecting and modifying wand (TDM) through an incision in a patient's body. The TDM may comprise a tip having a plurality of protrusions with lysing segments positioned between the protrusions to dissect and/or modify tissue. The TDM may also comprise an energy window positioned on top of the TDM that is configured to deliver energy to modify tissues. After separating tissue using the lysing segment(s) to define a target region, the energy window may be activated and moved around within the target region to modify tissues. In some implementations, the energy window may be activated prior to and/or during dissection of the tissue such that the tissue is separated while tissue is modified within the target region.