Abstract: An endoscopic high-frequency treatment instrument includes a sheath, an operation wire, a first gripping part, a second gripping part and a first electrode. The sheath includes a front end, a rear end, and a longitudinal shaft. The operation wire is provided in the sheath so as to advance and retreat. The first gripping part is fixed to extend from the front end of the sheath along the longitudinal shaft. The second gripping part is connected to the operation wire and is moved about a base end thereof as a rotation center so as to approach and be separated from the first gripping part as the operation wire advances and retreats with respect to the sheath. The first electrode is provided on a surface of the first gripping part which faces the second gripping part.

Abstract: An endoscopic surgical instrument includes an insertion section which is inserted into a body cavity, and a surgical section which is disposed on a tip of the insertion section and treats an object. The surgical section includes a body section, and a first electrode, a second electrode, and a third electrode which are disposed on the body section. The surgical section coagulates and cuts the object by using a combination of not less than two of the first electrode, the second electrode, and the third electrode.

Abstract: This invention relates to surgical instruments for applying energy to tissue using a a vapor-to-liquid phase transition which delivers large amount of energy to the targeted tissue. In one embodiment, the system is configured for volumetric removal of tissue by means of high velocity ejection of a vapor media from a first vapor port proximate to soft tissue wherein the vapor-to-liquid phase change of the media applies energy to the tissue. The system provides a second port coupled to a suction source that cooperates with the first vapor port to suction tissue debris from the targeted site.

Abstract: A catheter system for positioning an instrument within a body that includes a hub defining a lumen therethrough for passage of the instrument toward the body. The catheter system also includes an elongate tubular member defining a lumen therethrough. The lumen of the elongate tubular member is in communication with the lumen of the hub for further passage of the instrument toward the body. The system also includes a slitter member that is coupled to the hub. The slitter member is disposed to slit the elongate tubular member as the elongate tubular member moves relative to the hub.

Abstract: A surgical instrument and safety system comprises a safety shield having an inner surface and an outer surface, an active conductor having a first end adapted to connect with an electrode and a second end adapted to connect with an electrosurgical generator, the electrosurgical generator including contact quality monitoring circuitry, an insulator surrounding the active conductor and disposed between the active conductor and the safety shield, and a circuit interruption device in electrical communication with the safety shield. The circuit interruption device is adapted to couple to the contact quality monitoring circuitry of the electrosurgical generator and disable the flow of current to the electrode upon the occurrence of a fault condition.

Abstract: A handle used to control movement of a medical instrument. The medical instrument may be coupled to a robotic arm that is connected to a controller. The medical instrument may have a plurality of functions such as wrist locking and motion scaling. One of the functions may be selected through a graphical user interface operated by the end user. The handle may have a plurality of buttons. One of the buttons may allow the end user to control the selected function. For example, when wrist locking/unlocking is selected, depressing the button can toggle the medical instrument wrist between a locked state and an unlocked state.

Abstract: RF power is applied to a circular RF electrode cutting a side opening in a graft material of a main stent-graft in situ. As the side opening is formed by the applied RF power and the associated plasma discharge, the side opening is formed with a minimal application of force to the graft material. Further, the side opening is circular and has a fused edge.

Abstract: Various devices and methods for dissecting and/or coagulating tissue are provided. In one embodiment, a surgical device is provided that includes an elongate member having proximal and distal ends, an energy emitter coupled to the distal end of the elongate member, and an insulating element that is disposed around the energy emitter. The insulating element can have an opening for receiving energy from the energy emitter, and the opening can be shaped to control a direction of energy emitted from the energy emitter.

Abstract: An electrosurgical device including a reinforcing underlayment having a non-stick, anti-microbial coating. In one embodiment, the coating includes a non-stick material having anti-microbial particles interspersed in the non-stick material. This coating is applied to the surfaces of the electrode to minimize the build-up of charred tissue on the surfaces of the electrode. Also, the coating tends to kill harmful organisms residing on the surfaces of the electrode. In another embodiment, a primer coating is initially applied to the surfaces of the electrode. A plurality of anti-microbial particles are then applied to the primer coating layer and engage and are embedded in the primer coating layer. A top coat including a non-stick material is applied to the anti-microbial particle layer. In either embodiment, the coating layers applied to the surfaces of the electrode are cured to harden and adhere the layers to the electrode.

Abstract: A urological resectoscope (1) includes a tubular, metallic external stem (2) fitted with holes (3) in its distal end zone, a tubular insulating element (7, 27, 37, 47) being affixed distally to the external stem, further comprising a tubular internal stem (8) configured within the external stem and resting against it in sealing manner and an electrode support (13) longitudinally displaceable inside the internal stem and supporting a cutting loop (15) in the region of the insulating element (7, 27, 37, 47), the inside space of the internal stem (8) and the gap (12) between the stems (2, 8) being proximally connected to liquid hookups (10, 11), the insulating element (7, 27, 37, 47) being configured in longitudinally mutually overlapping manner within an affixation zone (6) and the insulating element (7, 27, 37, 47) exhibiting a wall thickness distally from the affixation zone (6) larger than the wall thickness of the external stem (2), wherein the inside diameter of the insulating element (27, 47) is the same

Abstract: An electrosurgical instrument for ablating cartilage while limiting collateral damage includes a non-conducting head with a small electrically conductive surface. The head of the instrument is coupled to a shaft by a flexible portion. The flexible portion biases the electrically conductive surface towards a tissue surface. The head is pivotably coupled to the shaft such that the electrically conductive surface is oriented substantially parallel to the tissue surface as the head slides across the tissue surface. A method of performing electrosurgery includes positioning the electrically conductive surface adjacent to the tissue surface, and sliding the shaft across the tissue surface with the head pivoting such that the electrically conductive surface is oriented substantially parallel to the tissue surface.

Abstract: An electrosurgical instrument for spinal procedures comprises an elongated tubular member configured to fit within and be extended down a standard sized cannula. The instrument comprises a proximal end including a handle for the surgeon and supplied with fittings for connection to a source of irrigation fluid and a source of suction. The distal end of the instrument has an active end comprising a slightly-flexible curved wire electrode that extends in the plane of the tubular member. Beyond the wire electrode is an exit port for irrigation fluid, and in front of the electrode is a receiving port for suction. The wire electrode is thus flanked in front by the exiting irrigation fluid and behind by the suction, with the result that fluid flow is drawn by the suction across the wire electrode creating pressure forces that direct removed tissue to the suction entrance and its removal from the surgical site.

Abstract: Devices for enhancing minimally invasive cardiac surgery include a visualization device including an inflatable balloon at or near the distal end. Some visualization devices also include one or more lumens for allowing the introduction of one or more devices to a surgical site through the visualization device. Systems of the invention involve a visualization device which has at least one lumen for allowing introduction of an ablation device and/or other devices. A visualization device with an inflatable balloon may be positioned to create a space between a heart and pericardium when the balloon is inflated.

Abstract: A multifunctional telescopic monopolar/bipolar electrosurgery pencil is disclosed for use with an electrosurgery unit (ESU). The monopolar/bipolar electrosurgery pencil includes a bipolar electrode having an insulator sandwiched between an active electrode and a return electrode wherein the bipolar electrode is connected to a handpiece capable of alternately effectuating cutting and coagulation with the bipolar electrode. The monopolar/bipolar electrosurgery pencil is capable of functioning as both a monopolar and bipolar device and can be used for open and closed laparoscopic and endoscopic procedures. Telescopic means for adjusting the length of the bipolar electrode is also provided as are means for smoke evacuation and suction/irrigation. The multifunctional telescopic monopolar/bipolar device can also be adapted for use with an ESU argon beam coagulator.

Abstract: An endoscopic forceps for treating tissue includes a handle assembly having a elongated shaft extending therefrom that is movable relative to the handle assembly by an actuator. The forceps also includes an end effector assembly with first and second jaw members that are movable about a pivot for clamping tissue. Each of the jaw members include: an insulative housing having an electrically conductive, inwardly facing tissue contacting surface and a flange with a camming surface. The flange includes a spring-like tail that mounts at least partially within the distal end of the elongated shaft to bias the jaw members in an open configuration. A proximal portion of the spring-like tail is biased radially outward within the distal end of the elongated shaft. The actuator is movable to actuate the elongated shaft to cam the flanges to pivot the jaw members to clamp tissue.

Abstract: Instruments and methods are provided for performing submucosal medical procedures in a desired area of the digestive tract using endoscopy. The instruments include a mucosal resection device, a tissue grasper and a snare. Systems include a combination of one or more of such instruments. Embodiments of various methods for performing the procedures are also provided.

Abstract: A high-frequency treatment tool for an endoscope, having an electrically insulating flexible tube, an operating wire, a high-frequency electrode, which is provided at a distal end of the operating wire and configured to be protrusible and retractable from a distal end of the flexible tube in the axial direction of the flexible tube, and a tubular member, is provided. The tubular member is fitted on the operation wire and immovably attached thereon by plastic deformation, which is caused as at least a part of the tubular member is deformed to interfere with an inner circumferential surface of the flexible tube so that the operating wire is halted with respect to the flexible tube at an arbitrary position in the flexible tube by frictional resistance caused between an interfering part of the tubular member and the inner circumferential surface of the flexible tube.

Abstract: An ultrasonic treatment apparatus includes a sheath which has an opening at a distal-end thereof; an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy; an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer; a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and a high-frequency power supply unit which supplies high-frequency current which is of the treatment energy to the treatment unit.

Abstract: The present invention provides for an apparatus and method to excise a tissue sample having a conducting element configured to receive power, an insulating holder coupled to said conducting element, and a connector coupled to said insulating holder for connection to a medical device.

Abstract: A disposable bipolar or unipolar electrosurgical handpiece having an extendable and retractable active electrode end and housed in a relatively inexpensive body comprising an activating handle for use in various electrosurgical procedures. The housing comprises slidable axially-aligned body sections coupled to rigid axially-spaced arms of the actuating handle, the arms extending both below and above the common axis of the body sections and comprising concave portions configured to receive fingers of the user. The arrangement allows the user to use 2, 3 or 4 fingers and thumb to operate the handpiece both in a normal and an inverted position.

Abstract: An end effector assembly for use with a forceps includes a pair of jaw members, a knife assembly, and one or more cam assemblies. One or more of the jaw members are moveable relative to the other about a pivot from a first, open position to a second, closed position. One or more of the jaw members include a knife channel. The pivot includes a bore. The knife assembly includes a knife blade and an actuation shaft. The knife blade is disposed distally relative to the pivot. The actuation shaft is configured for slidable translation through the bore to allow selective advancement of the knife blade through the knife channel. The one or more cam assemblies are operably coupled to the one or more moveable jaw members and are actuatable to move the one or more jaw members from the first to second position for grasping tissue therebetween.

Abstract: A reconfigurable surgical apparatus that includes a surgical instrument assembly that is formed with a hollow manipulation shaft. A linearly or rotationally movable prime mover is received within the shaft and is activated by an actuator located at a proximal end. A coupler is formed about a distal end of the shaft to have a capture ledge that is configured to releasably engage an interchangeable surgical tool that is formed with an anchor adapted to releasably mate to the capture ledge. The coupler may optionally incorporate a frangible portion that severs a portion of the coupler when the interchangeable surgical tool is removed from the apparatus to ensure single use operation of the tool. The apparatus may also have a predetermined mode of failure ensuring a known point of failure upon exposure to a predetermined force. The apparatus may also be partially enclosed by a shroud.

Abstract: An endoscopic forceps includes a housing having a shaft attached thereto that supports a pair of jaws disposed at a distal end thereof. A drive assembly having a drive shaft with a proximal end is operable to move the jaws relative to one another from an open to closed positions. A knife assembly is operable to advance a knife through tissue disposed between the jaws and includes a flange disposed thereon. A knife lockout is included that has a flange configured to engage the proximal end of the drive shaft and a lockout arm configured to engage the flange of the knife assembly to prevent movement thereof. Movement of the jaws to the closed position causes the proximal end of the drive shaft to engage the flange on the lockout which causes the lockout arm to disengage the flange on the knife assembly to permit advancement of the knife.

Abstract: A high-frequency incision instrument for an endoscope is provided with an electrically insulative flexible sheath constituted of a distal tube disposed at a tip portion thereof and a proximal tube disposed on a proximal side such that one is loosely inserted into the other so as to rotate around an axial line thereof, a high-frequency electrode exposed along a lateral surface of the distal tube and connected to a conductive operating wire extending throughout inside the distal tube and the proximal tube, so that a high-frequency current is supplied to the high-frequency electrode through the operating wire, and so that rotating the operating wire at a proximal end portion of the proximal tube around an axial line causes the distal tube to rotate around the axial line with respect to the proximal tube, thus to change an orientation of the high-frequency electrode.

Abstract: Delivery systems, and methods using the same, having an ultrasound viewing window for improved imaging and a needle for ablation treatment of target tissues. In an embodiment, the target tissue is a fibroid within a female's uterus. In an embodiment the delivery system includes a rigid shaft having a proximal end, and a distal end, and an axial passage extending through the rigid shaft. In an embodiment, the axial passage is configured for removably receiving the ultrasound imaging insert having an ultrasound array disposed on a distal portion.

Abstract: According to the present invention, a high-frequency treatment apparatus includes: an electrode assembly electrically connected to the high-frequency generating unit for generating a high-frequency current, the assembly having at the distal end thereof a current-applying electrode for discharging the high-frequency current, the proximal end of the current-applying electrode being covered with a first insulating member; an insertion section receiving the electrode assembly such that the electrode assembly is movable in predetermined directions, the insertion section being located on the return side of the high-frequency current applied from the current-applying electrode; a liquid supply unit for supplying an irrigation liquid to the vicinity of the current-applying electrode; and a second insulating member for covering a predetermined area on the surface of base part of the current-applying electrode, the base part being exposed from the distal end of the first insulating member.

Abstract: An endoscopic forceps for treating tissue includes a housing having a shaft affixed thereto which has first and second jaw members attached to a distal end thereof. The forceps also includes an actuator for moving jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members is connected to a source of electrosurgical energy such that the jaw members are selectively capable of operating in a bipolar mode which enables the jaw members to conduct bipolar energy through tissue held therebetween to treat tissue. The forceps also includes a monopolar element housed within the first jaw member which is selectively movable from a first position within the first jaw member to a second position distal to the first jaw member.

Abstract: An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws.

Abstract: A surgical instrument comprises a hollow tube (18) having a cutting window (16) at the distal end portion. An inner tube (15) is disposed within the tube (18) and is mounted for rotation about its longitudinal axis. A cutting tool (17) is located at the distal end of the tube (15), and is positioned adjacent to the cutting window (16). An outer tube (14) is provided over the tube (18). A motor (5) is provided for rotating the inner tube (15), and saline is fed to the cutting window (16) via a passageway (25) between the tubes (15) and (18). The inner tube (15) has a central lumen (24) through which tissue cut by the cutting tool (17) is removed under the action of a source of suction (12). The outer surface of the tube 18 is covered with an electrically insulating layer (22) and coagulating RF signals are supplied between the tube (18) and the outer tube (14) so as to coagulate tissue at the cutting window (16).

Abstract: Herein is disclosed a probe, including a first electrode disposed at least partially on the probe surface, a second electrode disposed at least partially on the probe surface, a first conductor electrically coupled to the first electrode, a second conductor electrically coupled to the second electrode, and a reactive element electrically coupling the first conductor and the second conductor.

Abstract: Method, system and apparatus for carrying out electrosurgical procedures interstitially. Elevated temperature fluid such as steam generated by an instrument born electrosurgical cutting arc is evacuated through an intake port located adjacent the cutting electrode. Instrument cannula surface heating caused by transport of the heated fluid is isolated. Such thermal isolation is provided by a thermal shield which may be configured as an enveloping sheath.

Abstract: A method for creating a channel through an occlusion located in a substantially elongated body vessel of a patient, The method uses a channel creating apparatus defining an apparatus distal end portion insertable into the body vessel, the channel creating apparatus including an energy delivery component operatively coupled to the apparatus distal end portion for delivering energy substantially adjacent the apparatus distal end portion. The method includes: inserting the apparatus distal end portion into the body vessel; creating a channel first portion through the occlusion harder section using, at least in part, a delivery of energy into the occlusion harder portion; and creating a channel second portion through the occlusion softer portion by pushing the apparatus distal end portion through at least a portion of the occlusion softer portion substantially without delivering energy into the occlusion softer portion.

Abstract: A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.

Abstract: Electrosurgical methods and apparatus for treating tissue at a target site of a patient. An electrosurgical instrument includes a shaft, having a shaft distal end and a shaft proximal end, and an electrode assembly disposed at the shaft distal end. The electrode assembly includes at least one active electrode disposed on an electrode support. The instrument is adapted for coupling to a high frequency power supply or electrosurgical generator. Each active electrode is adapted for removing tissue from a target site and/or for localized coagulation of the target tissue. In one embodiment, the instrument is adapted for laparoscopic procedures.

Abstract: The present invention provides systems, apparatus and methods for selectively applying electrical energy to body tissue in order to, ablate, contract, coagulate, or otherwise modify a tissue or organ of a patient. An electrosurgical apparatus includes an electrode support bearing an active electrode in the form of a plasma blade or hook having an active edge and first and second blade sides. The active edge is adapted for severing a target tissue via localized molecular dissociation of tissue components. The first and second blade sides are adapted for engaging against, and coagulating, the severed tissue. s. A method of the present invention comprises positioning an electrosurgical probe adjacent to the target tissue so that a blade- or hook-like active electrode is brought into at least close proximity to the target tissue in the presence of an electrically conductive fluid.

Abstract: A treatment tool for an endoscope which grasps an object of treatment, includes: a flexible sheath; a forward-and-backward moving section; and elastic grippers, wherein each of the pair of arms includes: a connector; a bent portion; a rectilinear portion; and a distal clasp, wherein in conjunction with the forward and backward movement operation of the forward-and-backward moving section, the distal ends of the pair of arms are deployed when the pair of arms are projected from the distal end of the sheath, the distal ends of the pair of arms are closed by elastic deformation when the pair of arms are moved into the sheath.

Abstract: Various methods and devices are provided for surgically treating tissue. In one embodiment, the device can include a shaft having proximal and distal ends and a conductive tip disposed within the distal end of the shaft and movable between a first and second position. In the first position, the conductive tip is disconnected from a conductive contact which is adapted to communicate with an energy source. In the second position, the conductive tip is in contact with the conductive contact such that energy can be delivered from an energy source through the conductive contact to the conductive tip. The conductive tip can have a variety of shapes and sizes, but in one exemplary embodiment, the conductive tip is a blunt tip. The conductive contact can include at least one lead extending therefrom and adapted to communicate with an energy source.

Abstract: A web-based endoscope management system and method for managing, scheduling and tracking in real-time the processing of endoscopy equipment in a single site or across multiple sites. The system allows various useful information relating to the managed endoscopy equipment and its processing history (such as equipment status, equipment movement, equipment repair history, cost and procedural efficiencies, what individuals have processed or come into contact with the equipment) to be tracked and analyzed. The system incorporates a user display and prompt to assist users in following the proper processing and cleaning protocols (preparation, pre-cleaning, automated reprocessing, repair, etc.) for the equipment. The system uses a color-coded display so that pertinent information can be seen at a glance. This system is used in conjunction with a suitable color-coded labeling scheme to reduce the possibility that users will process the wrong equipment or improperly store it.

Abstract: A urological resectoscope (1) including a tubular, metallic external stem (2) fitted with holes (3) in its distal end zone, a tubular insulating element (7, 27, 37, 47) being affixed distally to the external stem, further including a tubular internal stem (8) configured within the external stem and resting against it in a sealing manner and an electrode support (13) longitudinally displaceable inside the internal stem and supporting a cutting loop (15) in the region of the insulating element (7, 27, 37, 47). The insulating element (7, 27, 37, 47) is configured in a longitudinally mutually overlapping manner within an affixation zone (6) and the insulating element (7, 27, 37, 47) exhibiting a wall thickness distally from the affixation zone (6) larger than the wall thickness of the external stem (2), wherein the inside diameter of the insulating element (27, 47) is the same as the inside diameter of the external stem (2).

Abstract: A delivery system includes a rigid shaft, an imaging core, and an interventional core. The rigid delivery shaft has a proximal end, an angled distal tip, and an axial passage therethrough. The imaging core comprises an ultrasound imaging insert disposed within the axial passage. The imaging insert has an ultrasound array within a distal portion thereof, wherein the ultrasound array is tilted relative to a shaft axis. The interventional core comprises a curved ablation needle coupled to the rigid shaft. An angle of needle curvature may be inversely proportional to the ultrasound array tilt and tip angle.

Abstract: An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting blade therealong. An actuator is included which is operatively connected to one of the shaft members and selectively advances the cutting mechanism from a first position wherein the cutting blade is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting blade is disposed distal to tissue held between the jaw members.

Abstract: A method of treating bone tissue (e.g., a tumor, such as an osteoid osteoma) is provided. The method comprises introducing an ablation probe into bone tissue, deploying at least one ablative element transversely from the probe into the bone tissue, and conveying ablation energy from the ablative element(s) to ablate the bone tissue. In one method, the ablative element(s) comprises a pair of ablative elements, in which case, the ablative elements are transversely deployed from the ablation probe in opposite directions. In another method, the ablative element(s) comprises a plurality of ablative elements, in which case, the ablative elements are transversely deployed outward from the ablation probe in a plane. The ablation energy conveyed from the ablative element(s) may have a non-spherical profile, e.g., an elongated profile, to match a non-spherical profile of the bone tissue to be treated.

Abstract: Surgical treatment of tissue includes electrocauterization of blood vessels interposed between spaced sets of electrodes of opposite polarity, and includes transection of such tissue by a cutter that is mounted between the spaced sets of electrodes for translational and lateral movement relative to the sets of electrodes. Orientations of the sets of electrodes within a range of angles about an elongated axis of a supporting body are controlled by manual movement of an actuator mounted near a proximal end of the body for movement through a smaller range of angles via linkage connecting the actuator to the electrodes. Tissue dissection with gas insufflation to form an anatomical space in tissue is facilitated by a fluid outlet port located near the tissue-dissecting tip at the distal end of the elongated body that delivers through the tissue-dissecting tip to the dissected tissue a fluid under pressure that is supplied along a lumen within the elongated body.

Abstract: An electrocautery device is disclosed. In accordance with one aspect of the invention, the electrocautery electrode/tip is provided with a hollow, conductive tube terminating at its distal end in a ball point type tip. Fluid, preferably conductive fluid, is applied to the proximal end of the hollow electrode/tip, and expelled from the distal end thereof during electrocautery. The ball point distal tip allows the distal tip to be directly applied to the tissue and “rolled” or slid along the tissue. This allows the distal tip to be moved across the tissue without dragging or snagging on the tissue. In addition, the conductive fluid expelled from the distal tip further lubricates the distal tip as it moves across the tissue. If conductive fluid is used, the conductive fluid emanating from the electrode/tip conducts the RF electrocautery energy away from the distal tip so that it is primarily the fluid, rather than the distal tip that actually accomplishes the cauterizing of tissue.

Abstract: A surgical instrument has a channel dimensioned to receive a viewing instrument and enable the viewing instrument to be moved to or from a position near an optically transparent portion of a blunt, enclosed distal end of a shaft to provide unobstructed viewing through the distal end, and a position to the proximal side of an enclosed working area to provide viewing of the enclosed working area. A surgical instrument also or alternatively has a fluid routing switch within a shaft which can selectively connect a fluid infusion channel to at least one fluid export pore or a return channel. A method involves moving a viewing instrument to or from a position near an optically transparent portion of a blunt, enclosed distal shaft end and a proximal side of an enclosed working area. A method also or alternatively involves changing a position of a fluid routing switch within the shaft.

Abstract: A radio frequency (RF) treatment flexible endoscope, for the in depth destruction of tumors by endo luminal access, like in a lung, esophagus, colon, rectum, etc . . . The electrodes (2?,2?) working in bipolar mode, deploy laterally and in parallel from the endoscope main body (1), reaching a tumor deeply located in the organ parenchyma. The use of different disposable distal end portions (15) of the endoscope allows the deployment of the electrodes (2?,2?) at different distances one from each other, in order to fit the destruction are to the tumor's size and shape. The deployment of the parallel electrodes (2?,2?) from the endoscope's main body (1) is controlled by motor drives (4) or a mechanical handled system (3), in order to reach the tumor with near a millimeter precision.

Abstract: A device for resection and/or ablation of organic tissue by means of high-frequency current comprises, at the distal end, a loop that can be acted upon by high-frequency voltage and, in the proximal direction from the loop, at least one helix that can likewise be acted upon by high-frequency voltage, the arrangement of loop and helix being able to be moved in rotation about the longitudinal axis of the helix.

Abstract: Embodiments of the invention are directed to a method of excising tissue including injecting fluid into the submucosa to raise targeted tissue. A first electrode is positioned below the targeted tissue within the injected fluid and a second electrode is positioned adjacent a surface of the raised targeted tissue opposite the first electrode. Electrical current is applied between the first and second electrodes and the targeted tissue is excised with the second electrode.

Abstract: Method and apparatus for guiding ablative therapy of abnormal biological electrical excitation. The excitation from the previous excitatory wave is significant at the beginning of the next excitation. In particular, it is designed for treatment of fast cardiac arrhythmias. Electrical signals are acquired from recording electrodes, and an inverse dipole method is used to identify the site of origin of an arrhythmia. The location of the tip of an ablation catheter is similarly localized from signals acquired from the recording electrodes while electrical pacing energy is delivered to the tip of the catheter close to or in contact with the cardiac tissue. The catheter tip is then guided to the site of origin of the arrhythmia, and ablative radio frequency energy is delivered to its tip to ablate the site.

Abstract: A medical probe assembly and method for ablating tissue using radio frequency energy. The medical probe assembly includes an elongated shaft, a needle electrode array, and a hinged handle. The handle has a collar, which when in the up position covers the hinge so that the device can be used as a conventional medical probe. When the collar is in the down position the hinge is exposed, and the handle can be bent to reduce its overall height. With this reduced height the probe can be used while a patient is lying in a CT scanner or an MRI chamber. Therefore, the surgeon can monitor the ablation during the procedure, and thus avoid unnecessary damage to the surrounding healthy tissue on the one hand, and insufficient ablation of the diseased tissue on the other hand. An alternate embodiment uses a flexible handle instead of a hinged one.