A medical system includes an insertion device including a handle and a delivery portion, a laser fiber, a conductive wire, and a lock. The laser fiber extends through the insertion device and is coupled to a laser slider to control a position of the laser fiber relative to a distal end of the delivery portion. The conductive wire extends through the insertion device and is coupled to a wire slider to control a position of the laser fiber relative to a distal end of the delivery portion. The lock is positioned within the handle and is movable in order to selectively lock either the movement of the laser slider or lock the movement of the wire slider.

At a distal portion of a shaft of a guide portion included in a medical device, a first portion is configured to be capable of coming into contact with an inner wall of a living organ. A second portion is disposed on a proximal side of the shaft with respect to the first portion. The second position is configured to be capable of coming into contact with the inner wall of the living organ at a position different from that of the first portion on a transverse cross section of the inner wall of the living organ. A treatment portion is movable in a lumen of the shaft in a state where at least a part of the first portion and at least a part of the second portion come into contact with the inner wall of the living organ.

Electrosurgery blades including electrosurgery blade assemblies having argon beam capability. The electrosurgery blade includes a thin conductive member having a lead sharp cutting end and an opposite noon-cutting end and a non-conductive coating covering the thin conductive member such that at least a portion of the lead cutting end and at least a portion of the opposite non-cutting end of the thin conductive member remain exposed. An electrosurgery blade assembly having argon beam capability includes the previously described electrosurgery blade, a non-conductive tube member having a hollow tubular shaped opening positioned on top of the electrosurgery blade, and a conductive hollow tubular member contained within at least a portion of the non-conductive tube member.

A bipolar forceps may include a first forceps arm having a first forceps arm aperture, a first forceps jaw, and a first forceps arm conductor tip; a second forceps arm having a first forceps arm aperture, a second forceps jaw, and a second forceps arm conductor tip; and an input conductor isolation mechanism having a first forceps arm housing and a second forceps arm housing. The first forceps arm may be disposed in the first forceps arm housing and the second forceps arm may be disposed in the second forceps arm housing. An application of a force to a lateral portion of the forceps arms may be configured to close the forceps jaws. A reduction of a force applied to a lateral portion of the forceps arms may be configured to open the forceps jaws.

A treatment instrument includes a probe including a treatment portion which treats a treatment target part by ultrasonic vibration, and a back portion provided on a side opposite to the treatment portion. The treatment instrument includes a hollow sheath which surrounds the probe, the sheath having a cutout made to expose the treatment portion. The treatment instrument includes protrusion which is provided in the sheath to cover the back portion on a side opposite to the cutout and which has dimensions smaller than the dimensions of the probe in a direction that intersects with a central axis of the probe.

A tool has a handle and an elongate shaft that extends distally from the handle. A distal portion of the shaft is inserted into a subject during a surgical procedure. An optical fiber delivers laser energy to a tip at the distal portion of the shaft. The tip includes a mechanical cutting mechanism including a moving part that absorbs the laser energy, thermally conducts the absorbed energy to tissue that is disposed between the moving part and another part, and moves with respect to the other part in order to cut tissue that is disposed between the parts using a mechanical force that is lower than a mechanical force that would be required to cut the tissue in the absence of the laser energy. Other embodiments are also described.

A surgical treatment device includes: a treatment portion including a treatment surface that treats biological tissue by supplying at least one type of energy; a heat insulation coating that covers at least a part of an outer surface of the treatment portion; and a protection coating that is provided in a manner to cover the heat insulation coating and is higher in coating strength than the heat insulation coating.

An organ resection tool has a first conductor configured to apply microwaves, a second conductor configured to receive the microwaves, an insulator with which at least one of the first conductor and the second conductor is partially or entirely covered, and a brush structure connected directly or indirectly to the insulator or to at least one of the first conductor and the second conductor.

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.

A therapeutic treatment device heats a living tissue for treatment. The therapeutic treatment device includes a heat conduction plate, an electric resistance pattern, an adhesive sheet and an insulating thin film. The heat conduction plate includes a first principal surface that is brought into contact with the living tissue and a second principal surface. The electric resistance pattern is formed on an insulation substrate and generates heat upon receipt of electric power. The adhesive sheet has a high heat resistance, a high thermal conductivity, and electric insulation properties. The sheet adheres the electric resistance pattern with the heat conduction plate, and transfers the heat generated from the electric resistance pattern to the heat conduction plate. The insulating thin film coveres at least an exposed portion of the electric resistance pattern.