A shaver arrangement for a surgical instrument includes an outer member and cutting blade at a distal end; the cutting blade being serrated to form teeth forming one or more tissue engaging cutting points being arranged to snag and/or cut tissue and being located inwardly from the outer member such that there are no tissue engaging cutting points capable in use of snagging and/or cutting tissue located on or outwards of an outer surface of the outer member. The shaver arrangement reduces the likelihood of collateral damage to surrounding non-target tissue. The shaver arrangement does not have tissue engagement cutting points on the outer profile of the cutting blade of the shaver arrangement, thereby reducing the likelihood of collateral damage when manoeuvring the surgical instrument as tissue is less likely to be inadvertently caught by the tissue cutting points.

A medical device includes a shaft including a distal end including a passive electrode that defines a central opening extending through the passive electrode, and an active electrode within the central opening. The active electrode is movable between at least an extended position in which the active electrode does not contact the passive electrode, and a retracted position in which the active electrode contacts the passive electrode.

A treatment tool includes: a pair of grippers configured to grip living tissue, at least one of the pair of grippers being configured in an openable and closable manner; a transmission portion connected to the at least one of the pair of grippers, the transmission portion being configured to move forward and backward along a first direction to open and close the pair of grippers; an operating portion configured to receive user operation for gripping the living tissue; an elastic body configured to transmit, to the transmission portion, an operating force applied to the operating portion by the user operation while being compressively deformed in accordance with the operating force; and an adjustment mechanism configured to adjust an amount of compressive deformation of the elastic body when the user operation is performed on the operating portion, to thereby adjust a gripping force of the pair of grippers.

A surgical instrument includes an ultrasonic transducer supported by a housing and an elongated assembly extending distally therefrom. The elongated assembly includes a jaw and a waveguide coupled to the transducer and defining a blade having upper and lower tissue-contacting surface and first and second lateral surfaces disposed therebetween that are coated with a material. The jaw is pivotable relative to the blade and includes a structural base having a backspan and first and second uprights extending from the backspan. The jaw further includes a jaw liner supported within the structural base and positioned to oppose the upper tissue-contacting surface with the first and second uprights disposed on either side of the blade. In an ultrasonic mode, ultrasonic energy produced by the transducer is transmitted along the waveguide to the blade. In an electrosurgical mode, electrosurgical energy is conducted between the blade and the first and second uprights.

The ultrasonic transducer has a cylindrical shape having a first end surface and a second end surface, and includes a piezoelectric material that generates ultrasonic vibration for treating biological tissue with ultrasonic energy, a first electrode that is disposed in contact with the first end surface and to which an ultrasonic driving voltage is applied for generating ultrasonic vibration to the piezoelectric material, a second electrode that is disposed in contact with the second end surface and to which a reference voltage is applied for generating ultrasonic vibration to the piezoelectric material, an insulating plate that opposes the second end surface with the second electrode interposed therebetween, a third electrode that opposes the second electrode with the insulating plate and to which high-frequency power for treating biological tissue is supplied with high-frequency energy, and a short-circuit prevention unit that prevents short-circuiting between the first and third electrodes.

A surgical device, is disclosed herein. The surgical device can include an end effector including a clamp jaw, a trigger configured to open and close the clamp jaw, a sensor configured to detect a relative position of the trigger, and a control circuit communicably coupled to the sensor and a generator, wherein the control circuit is configured to cause the generator to administer energy associated with a surgical operation to be performed on the tissue, receive a signal from the sensor, determine that the clamp jaws are not positioned to administer the energy associated with the surgical operation, and cause the generator to administer energy configured to release the tissue from an ultrasonic blade, wherein the energy configured to release the tissue from the clamp jaw is different than the energy associated with a surgical operation to be performed on the tissue.

A surgical system is disclosed including an end effector, a control circuit, a closure member, and a firing member. The end effector includes a first jaw, a second jaw, and an electrode. The first jaw is rotatable relative to the second jaw between an open position and a close position to capture tissue therebetween. The electrode is configured to conduct a sub-therapeutic RF current to the tissue. The control circuit is operably coupled to the electrode. The control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current. The closure member is configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue. The firing member is configured to move within the end effectors towards a fired position at a firing rate based on the impedance of the tissue.

In general, systems, methods, and devices for electrosurgical devices with monopolar and bipolar functionality are provided. In an exemplary embodiment, a surgical device can have bipolar functionality, in which tissue engaged by the device is treated in a bipolar energy delivery mode, and can have monopolar functionality in which tissue engaged by the device is treated in a monopolar energy delivery mode.

A surgical instrument with a shaft is constructed as a hollow tube and has a longitudinal axis, proximal and distal ends and a metal wire having a first end section, a shaft section and a working section. The first end section is arranged in the area of the proximal end of the shaft or is guided out of the shaft on the proximal end. The shaft section is guided in the hollow tube and the wire is arranged such that it can move along the longitudinal axis of the shaft into a first position of the working section on the distal end projecting out of the shaft and into a second position of the working section within the shaft. The instrument is constructed as a bipolar instrument, wherein the metal wire is part of a first electrode and a second electrode is arranged in some sections on the shaft.

An electrosurgical generator for an electrosurgical instrument includes a DC voltage supply and a high-voltage inverter that generates a high-frequency AC voltage having a variable voltage and frequency that is output at an output for the connection of the electrosurgical instrument. The inverter is configured as a multilevel inverter and includes a plurality of inverter cells connected in a cascaded manner that are driven by a control device. Thanks to the cascading, switching losses incurred in the power semiconductors are reduced, both in terms of value (through the divided and thus lower voltage) and in terms of frequency (through the reduced switching frequency).