Systems and techniques for a medical apparatus, specifically a handheld electrosurgical device, are described herein. In an example, the device includes an electrosurgical end effector, a temperature sensor to measure a temperature of the end effector, a cooler to cool the end effector based on the measured temperature, and a heater to heat the end effector based on the measured temperature. The end effector may be kept within a temperature range or band such as by allowing the end effector to be heated or cooled as desired during a surgical procedure.

An electrosurgical forceps includes first and second shafts configured to rotate about a pivot to move jaw members between an open position and a closed position. A knife deployment mechanism is operably coupled to a knife and is configured to move the knife between a retracted position and an extended position. A knife lockout is configured to move between a first position wherein the jaw members are in the open position and movement of the knife from the retracted position to the extended position is prevented, a second position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is permitted, and a third position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is prevented.

A method for detecting a marker in a body, comprising receiving an input signal from a probe, where the input signal is generated by a probe in response to detecting a marker signal from the marker; determining a marker proximity value based on the input signal, the marker proximity value corresponds to a distance between the probe and the marker; generating a feedback signal for output by a user interface device based on the marker proximity value, and outputting feedback signal, wherein range of the marker proximity value is divided into predetermined distance bands; and wherein at least one parameter of the feedback signal, or a rate of change of the at least one parameter of the feedback signal in relation to marker proximity value, is varied discontinuously at a boundary between at least two adjacent bands. The feedback signal may be an audio signal and/or a haptic signal.

A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises a transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit configured to monitor a parameter of the surgical instrument, wherein crossing an upper predetermined threshold of the parameter causes the control circuit to effect a first electromechanical system, and wherein crossing a lower predetermined threshold of the parameter causes the control circuit to effect a second electromechanical system different than the first electromechanically system.

A surgical instrument is disclosed that comprises a motor, a radio frequency (RF) energy generator, a first jaw, a second jaw movable relative to said first jaw in response to an actuation from said motor to capture tissue, and a segmented circuit comprising a first electrode configured to measure tissue impedance at a first position and a second electrode configured to measure tissue impedance at a second position. The RF energy generator is configured to transmit RF energy to the tissue by way of said first electrode or said second electrode. A controller is configured to control said motor based on the measured tissue impedances, energize said first electrode with a first amount of RF energy based on the tissue impedance measured at said first position, and energize said second electrode with a second amount of RF energy based on the tissue impedance measured at said second position.

A surgical clip applier includes a handle assembly, an elongated shaft, a drive shaft, a cam pin, and an end effector. The cam pin is disposed in mechanical cooperation with the drive shaft. The end effector is disposed adjacent a distal end of the elongated shaft and includes a first jaw member and a second jaw member. The end effector is disposed in operative engagement with the drive shaft such that longitudinal translation of the drive shaft relative to the housing of the handle assembly causes the first jaw member to move toward the second jaw member. The first jaw member includes a first cam slot configured to slidingly receive the cam pin. The first cam slot defines a first portion having a first slope and a second portion having second slope.

An energy module is disclosed. The energy module includes a hand-switch circuit, a surgical instrument interface coupled to the hand-switch circuit, and a control circuit coupled to the surgical instrument interface and the hand-switch circuit. The control circuit is configured to control the hand-switch circuit to communicate with a surgical instrument coupled to the hand-switch circuit using a plurality of communication protocols over a single wire. The control circuit is configured to control the hand-switch circuit to supply power to the instrument over the single wire.

A surgical instrument is disclosed. The surgical instrument includes a shaft, a sensing array and a fluid detection circuit. The sensing array is positioned within the shaft. The fluid detection circuit is electrically coupled to the sensing array, and is configured to determine when a fluid originating from an environment external to the shaft is present within the shaft.

The present teachings provide for a device with a membrane and an underlying switch, an underlying switch actuator, or both that has a unique tactile pattern that is felt through the membrane when the membrane is aligned with the switch, switch actuator, or both, corresponding to the electrical state of the device. The membrane, the switch, the switch actuator or a combination thereof can be repositioned from a first position to a second position so that a different tactile feel is present through the membrane corresponding to a second electrical state.

Medical devices and methods for puncturing tissue in a patient. The devices include a needle with a rigid proximal shaft, a flexible distal shaft, and a distal tip. The distal tip includes an electrode for delivering energy to puncture a tissue. In some embodiments, the distal shaft includes a superelastic material. In other embodiments, the distal shaft includes both a superelastic material and a non-superelastic material. The distal shaft includes shape memory enabling formation of an anchor within the patient.