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.

An end effector assembly for a surgical instrument includes first and second jaw members, each including a jaw frame, spacer, electrically-conductive plate, and outer housing. The jaw frame includes at least one proximal flange and a distal jaw support extending distally therefrom. The spacer defines a body and a wing disposed on either side of the body. The body defines a channel configured to receive the distal jaw support while each wing defines a slot. The plate defines a tissue-contacting portion and first and second legs extending perpendicularly from the tissue-contacting portion. The tissue-contacting portion is configured to sit atop the body of the spacer. Each of the legs is configured for receipt within the slot defined within one of the wings. The outer housing at least partially surrounds the distal jaw support, spacer, and legs and is configured to retain these components in position relative to one another.

A tissue resecting device includes a handle, a shaft assembly movably attached to the handle, a housing secured to a distal end of the shaft, and an electrode. The electrode is disposed in the housing to move across a window, and at least one motor in the handle both reciprocates the shaft assembly relative to the handle and drives the electrode across the window.

An in vivo capsule has a cauterization element that may be deployed by physician while in vivo for cauterizing a lesion, such as bleeding. Energy is transferred from outside of the patient's body to the capsule and specifically to the ablating element, such as via a resonance circuit. Accordingly, it is the object of the present invention to provide a method and apparatus for precisely cauterizing or ablating tissue in-vivo. Embodiments of the invention may provide an in-vivo device having a cauterization or ablation element incorporated therein and a system and method for controlled navigation of the in-vivo cauterization device through a body lumen.

A surgical end effector assembly includes a pair of jaw members, a knife defining a longitudinal slot, a pivot pin coupling the jaw members to one another, and a drive member including a drive pin that is engaged to the jaw members. The pivot pin and/or the drive pin extends through the longitudinal slot of the knife to couple the knife to the jaw members and/or the drive member. The end effector assembly is transitionable between a use position, wherein the knife and drive member are generally aligned with one another to facilitate releasable engagement of the end effector assembly with a surgical instrument, and a cleaning position, wherein the jaw members, knife, and drive member are fanned apart from one another to facilitate cleaning of the end effector assembly. Methods of disengaging and sterilizing end effector assemblies for reuse are also provided.

A microwave ablation system includes a first cannula, a trocar insertable through the first cannula and configured to facilitate insertion of the first cannula into a target tissue, and a microwave antenna assembly configured to interlock with the first cannula, the microwave antenna assembly including a coaxial feedline having a radiating section formed thereon, the microwave antenna configured to be inserted into the first cannula. The microwave ablation system further includes an actuator operatively connected to one of the first cannula or microwave antenna assembly. Operation of the actuator between a first position and a second position exposes the radiating section of the microwave antenna assembly from a distal portion of the first cannula.

An electrosurgical tool or pencil for use in performing surgery includes an elongate, non-conductive housing having an elongate passage extending from a front end. An elongate electrode is mounted in the passage and slidable therein and has an operating forward section, an insulated central section, and an non-insulated rear section. The electrode can be adjusted in its longitudinal direction by a user. A conducting member is mounted on the rear section of the electrode and an elongate conducting strip is fixedly mounted in the elongate passage adjacent one side of the electrode and parallel thereto. The strip is supported by the housing so as to be in electrical contact with the conducting member which is slidable relative to the conducting strip. A circuit board for controlling the tool's operation is mounted in the housing and connected to the conducting strip.

A surgical instrument has an end-effector located on the end of a rotatable shaft, the shaft projecting from a handle. A thumbwheel is provided at the proximal end of the handle, which controls the rotation of the shaft, and hence the rotational orientation of the end-effector. The end-effector is capable of grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a switch located on the upper surface of the proximal end of the handle. The switch is oriented on the handle to be generally above the thumbwheel, in a relative position to the thumbwheel so that both the thumbwheel and the switch may be activated by the user's thumb, without the user having to alter his grip on the handle. In one embodiment of the invention the switch is therefore vertically oriented above the thumbwheel.

The present invention relates to a treatment apparatus and a method of controlling the same. There are provided a treatment apparatus, including a handpiece, an RF generator generating RF energy, an insertion unit configured to advance and retract toward one direction of the handpiece, selectively inserted into a tissue, and electrically connected to the RF generator to transfer the RF energy to the inside of the tissue, and a substance storage unit receiving a therapeutic substance therein and detachably installed on one side of the handpiece to transfer the substance to the inside of the tissue by the advancing operation of the insertion unit and a method of controlling the same.

An electrosurgical instrument includes an end effector comprising two movable jaws for grasping tissue therebetween. The jaws connect to an electrosurgical energy source to deliver energy through tissue between the jaws to effect a seal. The jaws include a knife channel to reciprocate a knife therealong for severing tissue held between the jaws. A two-stage articulation joint is coupled to the end effector and to articulation bands configured to articulate the end effector. The two-stage articulation joint includes an outer cut metal tube comprising a plurality of sections and a solid but flexible inner core positioned within the outer cut metal tube. The electrosurgical instrument also may include a rotatable closure ring and a closure link operatively coupled to the rotatable closure ring, a rotatable coupling joint coupled to the articulation section, and/or a hollow flexible tube coupled to the knife and an active rod extending longitudinally therethrough.