A surgical instrument comprising a waveguide, an end effector, and an electrical switch is disclosed. The waveguide comprises a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm. The ultrasonic blade is mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm comprises a movable jaw member electrically coupled to another output of the RF generator. The electrical switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

A device for (RF) skin treatment comprising an active electrode having a first skin contact surface for electrical contact with a skin of a user and during use A return electrode having a second skin contact surface for electrical contact with the skin of the user during use. An RF generator to supply an RF treatment voltage between the active electrode and the return electrode to heat the skin below the active electrode. A coupling member arranged on the first skin contact surface comprising an electrically conductive material to improve the electrical coupling of the active electrode to the skin surface. The coupling member comprising a first layer of a first electrically conductive material arranged on the first skin contact surface, and a second layer of a second electrically conductive material, arranged on a side of the first layer remote from the first skin contact surface.

The present disclosure is directed to ablative devices comprising biocompatible materials in the form of a mesh to provide porosity to allow for the conveyance of conductive fluid to target tissue to be ablated. The mesh also increases the durability of the biocompatible material, reducing the amount of biocompatible material needed for both reusable devices and disposable ablative devices, such as ablative forceps and ablative probes.

A branch of an instrument comprising a metal part, which is embodied in one piece seamlessly, which comprises the electrode support as well as the electrode plate and connection webs. Preferably, this metal part is produced in an additive production method, for example selective laser melting (SLM). The branches are suitable for instruments for open surgery as well as for laparoscopic and flexible endoscopic instruments.

A surgical instrument comprising a motor assembly, a shaft defining a shaft axis, a distal head, a rotary drive member, and a distal head lock member movable between a first position where the distal head is unlocked from the shaft and a second position where the distal head is locked to the shaft is disclosed. The motor assembly comprises a motor and a controller configured to operate the motor in first and second operating modes. The distal head comprises an end effector movable between an open configuration and a closed configuration. The distal head is rotated about the shaft axis when the distal head lock member is in the first position and the rotary drive member is actuated. The end effector is moved from the open configuration toward the closed configuration when the distal head lock member is in the second position and the rotary drive member is actuated.

An instrument includes a probe hose in the center of which a conductor is provided for electrical supply of an electrode. Concentrically around the conductor multiple gas-guiding lumens are arranged that are isolated from one another by separation walls. The separation walls support a center section that is centrally arranged and accommodates the conductor. With this probe design particularly flexible and particularly slim probes can be created that have a particularly high dielectric strength.

An electrosurgical blade (900) configured to couple to an RF electrosurgical instrument (100). The electrosurgical blade (900) includes a proximal portion (900a) configured to couple to a blade receptacle (104) of an RF electrosurgical instrument (100), a coagulation section (920) extending distally from the proximal portion (900a), a blade edge (940) defined around a periphery of the electrosurgical blade (900), and a ramped surface (930) extending between the coagulation section (920) and the blade edge (940). The blade edge (940) includes a right-angled tip (944) and is defined by a first side (941) extending longitudinally, a second side (942) extending longitudinally and having a curved portion (942c), and a distal side (943) extending laterally.

An electrosurgical hook electrode includes an intermediate portion (36), a hook portion (38) connected to the intermediate portion (36) at a bend angle, and a coating (40) disposed over the intermediate portion (36) and the hook portion (38), the coating (40) having a varying thickness.

In one embodiment, a medical system includes a medical instrument includes an elongated shaft having a distal end, at least one cutting element disposed at a distal end of the shaft, a position-tracking transducer disposed at the distal end of the shaft, and electrically insulated from the shaft and the at least one cutting element, and at least one metal coagulation electrode disposed at least partially over the position-tracking transducer, which electrically isolates the at least one metal coagulation electrode from the shaft, a signal generator coupled to apply an electrical current to the at least one metal coagulation electrode, and processing circuitry configured to receive signals generated by the position-tracking transducer, and track a location of the distal end responsively to the received signals.

Nasal airway reshaping is accomplished using a fractional treatment device applied externally to the nose to insert needle electrodes into nasal tissue to be reshaped. Energy is applied via the electrodes to cause at least partial coagulation of the nasal tissue within zones around each of the plurality of needle electrodes while pressure is applied internally to achieve the desired reshaping.