An end-effector configured to grasp tissue is disclosed herein. The end-effector includes an ultrasonic blade configured to transfer ultrasonic energy to the tissue and a clamp arm. The clamp arm includes a clamp arm pad including an electrically conductive material and an electrically non-conductive material. The clamp arm pad is configured as an electrode of a radiofrequency energy circuit, wherein the electrode is configured to transfer radiofrequency energy through the tissue to a return electrode of the radiofrequency energy circuit, and wherein the electrically non-conductive material is configured to reduce the possibility of an electrical short between the electrically conductive material and the ultrasonic blade as the clamp arm pad degrades throughout the usable life of the end effector.

A device for creating an arteriovenous (AV) fistula includes a proximal base having a distal tapered end surface and a distal tip connected to the proximal base and movable relative to the proximal base. The distal tip has a proximal tapered end surface. A first heating assembly, including an energized heating element, is disposed on at least one of the distal tapered end surface and the proximal tapered end surface. A second heating assembly, comprising a passive non-energized heat spreader, is disposed on the other one of the distal tapered end surface and the proximal tapered end surface. The distal tapered end surface and the proximal tapered end surface are adapted to contact opposing sides of a tissue portion to create the fistula. The taper of the proximal tapered end surface matches the taper of the distal tapered end surface, so that the two surfaces match one another.

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.

A heating blade unit, a treatment tool, and a method of manufacturing a heating blade unit are disclosed. The heating blade unit includes: an electric heater, a blade, and a cover made of a thermosetting resin. The blade includes a treatment surface, an installation surface that is provided on a side opposite to the treatment surface and on which the electric heater is installed, and a support surface that is provided at a position different from a position at which the installation surface is provided. The cover integrally covers the electric heater, and one or more surfaces of the blade.

An electrosurgical generator configured to generate electrical energy to be applied to biological tissue via electrical communication with an electrosurgical instrument, the electrosurgical generator including a power source configured to activate to output the electrical energy to the electrosurgical instrument, a measurement circuit configured to measure a resistive value associated with an erodible coating deposited on a portion of the electrosurgical instrument, and a control circuit configured to compare a measured resistive value of the erodible coating to a threshold resistive value of the coating, and control activation of the power source based on the comparison between the measured resistive value and the threshold resistive value.

A device for creating an arteriovenous (AV) fistula includes a proximal base having a distal tapered end surface and a distal tip connected to the proximal base and movable relative to the proximal base. The distal tip has a proximal tapered end surface. A first heating assembly, including an energized heating element, is disposed on at least one of the distal tapered end surface and the proximal tapered end surface. A second heating assembly, comprising a passive non-energized heat spreader, is disposed on the other one of the distal tapered end surface and the proximal tapered end surface. The distal tapered end surface and the proximal tapered end surface are adapted to contact opposing sides of a tissue portion to create the fistula. The taper of the proximal tapered end surface matches the taper of the distal tapered end surface, so that the two surfaces match one another.

A treatment tool includes: a treatment surface for treating of a treatment target; and a plurality of recessed portions that are provided in at least a part of the treatment surface and in which first resins are disposed, the treatment surface including a surface region not covered with the first resins, the surface region functioning as a first electrode supplying a high-frequency current to the treatment target to treat the treatment target.