A coating assembly for coating jaws of an electrosurgical instrument includes a dispensing device and a jaw applicator. The dispensing device has a non-stick coating material contained therein and includes a discharge port. The jaw applicator includes an applicator body defining a cavity therein. The applicator body includes a first wall and a second wall disposed in spaced relation relative to each other and the cavity extends therebetween. Each of the first and second walls has openings defined therethrough that are in open communication with the cavity. The discharge port of the dispensing device is configured to engage the jaw applicator in a fluid tight manner to define a flow path for the non-stick coating material that extends out of the discharge port, into the cavity of the applicator body, and out of the openings defined in the first and second walls.

An end effector assembly of a surgical instrument includes an ultrasonic blade adapted to receive ultrasonic energy from a source of ultrasonic energy to vibrate the ultrasonic blade. A jaw member is movable relative to the ultrasonic blade from a spaced-apart position to an approximated position for clamping tissue. A jaw liner is engaged with the jaw member such that the jaw liner contacts the ultrasonic blade when the jaw member is in the approximated position. The ultrasonic blade is adapted to receive electrosurgical energy from a source of electrosurgical energy. The ultrasonic blade defines a distal tip. The distal tip of the ultrasonic blade is configured to direct electrosurgical energy.

A catheter-based device tracks over a guidewire which has been placed from a first blood vessel into a second blood vessel. The distal tip of the catheter is advanced into the second vessel while a proximal member remains in the first vessel. Matching blunt tapered surfaces on each of the distal tip and the proximal member are clamped together, with adjacent walls of each vessel between them, after which a known, controlled pressure is applied between the two surfaces. Heat energy is then applied to the blunt surfaces for approximately 1-30 seconds to weld the walls of the two vessels together. After coaptation of the vessel walls, the heat is increased to then cut through the vessel walls to create a fistula of the desired size.

An end effector assembly for use with an electrosurgical instrument is provided. The electrosurgical instrument includes a handle having a shaft that extends therefrom, an end effector disposed at a distal end of the shaft, at least one electrode operably coupled to the end effector and adapted to couple to a source of electrosurgical energy, a chromium nitride coating covering at least a portion of the electrode, and a hexamethyldisiloxane plasma coating covering at least a portion of the chromium nitride coating.

A conductive adhesion preventing film for medical use, includes: a nonconductive base material; and a linear conductor having a length of 10 m or more and a diameter of more than 50 nm and contained in the conductive adhesion preventing film by an amount of 5% by mass or more and 40% by mass or less, wherein the conductive adhesion preventing film is formed on an electrode surface of a medical device performing at least one of incision, resection, coagulation, and ablation on living tissue by applying a high frequency voltage.

A bipolar surgical instrument having a front region (3) with at least four coagulation elements (6, 7, 8, 9) entered in the slots at the at least four corners of a rectangle or at least four quarters of a circle of the insulation body (22) for coagulating and one cutting element at the centre of insulating body for cutting the tissue and/or vessel in the body, thereby having an at least five electrode arrangement for handling and treating the tissue and/or vessel. The cutting element (10) can be at least one blade or at least one needle and it can be fixed or moved longitudinally in an advanced position or retracted position.

An electrosurgical instrument includes a jaw member having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy for treating tissue. A polydimethylsiloxane coating having a thickness in the range of from about 35 nm to about 85 nm is disposed on the tissue sealing plate.

An electrosurgical instrument includes a jaw member having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy for treating tissue. A polydimethylsiloxane coating having a thickness in the range of from about 35 nm to about 85 nm is disposed on the tissue sealing plate.

An electrosurgical instrument includes a jaw member having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy for treating tissue. A polydimethylsiloxane coating having a thickness in the range of from about 35 nm to about 85 nm is disposed on the tissue sealing plate.

A catheter-based device tracks over a guidewire which has been placed from a first blood vessel into a second blood vessel. The distal tip of the catheter is advanced into the second vessel while a proximal member remains in the first vessel. Matching blunt tapered surfaces on each of the distal tip and the proximal member are clamped together, with adjacent walls of each vessel between them, after which a known, controlled pressure is applied between the two surfaces. Heat energy is then applied to the blunt surfaces for approximately 1-30 seconds to weld the walls of the two vessels together. After coaptation of the vessel walls, the heat is increased to then cut through the vessel walls to create a fistula of the desired size.