A surgical instrument has an end effector disposed on an elongate shaft end, the shaft projecting from a handle. The end effector grasps, cuts, and seals and/or coagulates tissue, and one of the operations is controlled by a rotatable drive shaft contained within the elongate shaft. The drive shaft moves longitudinally within the elongate shaft to move the end effector between a first and second condition. The instrument may have a further component such as a cutting blade arranged to move longitudinally within the drive shaft. The drive shaft is provided with apertures so as to reduce the surface area of the drive shaft and hence the friction between either the drive shaft and the elongate shaft and/or the drive shaft and the cutting blade, whilst at the same time providing channels through the drive shaft through which fluid can drain.

A surgical instrument has an end effector on the end of an elongate shaft extending from a handle. The end-effector has different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one operation is controlled by a switch on the handle proximal end upper surface. The switch is connected to the end-effector to deliver a current to a component in the end-effector. The electrical wire assemblies pass through respective pockets/chambers formed within the handle, an electrical connector contained within each chamber for connecting wires extending from electrodes on the end-effector to wires extending through the handle and on connecting to an electrosurgical generator. The pockets provision within which connectors are contained, one per pocket, prevents insulation damage to wires by connectors, as they are contained within the pockets. The pockets provision pockets side-by-side provides large separation between two connectors, so it is hard for liquid to short the connectors.

An improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector has different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a drive handle mechanism. The drive handle mechanism includes an actuator, a drive shaft and a spring assembly for transferring movement of the actuator to the drive shaft, which in turn controls the end effector. The drive handle mechanism limits the amount of force transferred from the drive handle mechanism to the end effector, preventing damage to the tissue. As the actuator is operated, the spring assembly transfers the movement of the actuator to the drive shaft and the end effector. At the same time, the spring assembly compresses to absorb some of the force applied. Such configuration prevents the tissue being unintentionally damaged by the end effector.

Various embodiments disclosed relate to a lubricant. The lubricant includes a first non-amphiphilic triglyceride. The lubricant further includes a second non-amphiphilic triglyceride. The second non-amphiphilic triglyceride is different from the first non-amphiphilic triglyceride. The lubricant further includes a non-amphiphilic glycol ester.

In accordance with some embodiments of the invention there is provided a device for vaporizing one or more holes in tissue, comprising an array of vaporizing elements and a heating element configured to heat the vaporizing elements, wherein a geometry of at least a portion of the vaporizing elements is configured to prevent excessive penetration of other vaporizing elements into the tissue. In some embodiments, the vaporizing elements are heated to a temperature ranging between 300-600 degrees Celsius.

A catheter system includes a proximal base having a distal diagonal end surface and a distal tip connected to the proximal base and movable relative to the proximal base, wherein the distal tip has a proximal diagonal end surface. The distal diagonal end surface and the proximal diagonal end surface contact opposing sides of a tissue portion to create the fistula. A peripheral edge defines the proximal distal end surface. A proximal point is disposed on the peripheral edge. The proximal point comprises a shortened angle and a fully radiused edge relative to a remaining portion of the peripheral edge and a relief recess is disposed on a distal end of the proximal base, both for the purpose of minimizing tissue snagging.

An improved surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle. The end-effector is capable of several different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by a trigger mechanism contained within the handle. In some embodiments, the end effector includes a blade assembly, the trigger mechanism being formed of a three pivot slider-crank mechanism arranged to drive the blade assembly longitudinally along a rotatable drive shaft contained within the elongate shaft. As such, the mechanism is configured so as to drive the blade assembly with enough force that the cutting blade is able to cut through tissue without the user needing to apply any additional force to the trigger, the me. Such an arrangement is particularly advantageous when the blade is being used to cut thick tissue.

A medical instrument tip for penetrating tissue may include a body having a diameter of less than 5 mm, and a blade having a plurality of faces and a plurality of cutting edges. At least one cutting edge may have a dihedral angle of less than 50 degrees. A medical instrument tip may be included in an ablation instrument that also includes a cable and a conductive antenna body coupled to the cable for delivering ablative energy to a target tissue. A medical instrument tip may be configured to pass through a working lumen of a catheter having an inner diameter of less than 5 mm such that the medical instrument tip may penetrate a target tissue

An improved surgical instrument having an end-effector capable of several different operations, including grasping, cutting, and sealing and/or coagulating tissue, and one of the operations is controlled by handle that is moveable relative to instrument to move end effector between two conditions. Providing a simplified latching mechanism for this moveable handle, which latching mechanism is formed of single integrally formed component arranged to engage with handle to allow end effector to be retained in one condition, thus leaving user's hand free to perform other functions of instrument. Therefore, a user may use surgical instrument to grasp tissue between end effector by activating end effector using handle, then use latch mechanism to latch handle in the end effector activation position, allowing surgeon to remove his hand from handle and perform some other task.

This invention relates to an advance in the delivery of laser beams to internal surgical sites using optical fibers with a novel distal tip design made using a fusion assembly procedure suitable for directing laser beams out of the side of an optical fiber. This side-fire fiber delivery tip assembly is fabricated by fusing a transparent tube onto the distal ends of a laser beam delivery fiber and an associated coaxial stub fiber that have beveled and parallel end faces that meet inside of the transparent tube. The result is a rugged fiber delivery tip assembly that is almost entirely solid, except for a very narrow gap between the beveled end surfaces of the two fibers. A loose fitting transparent capsule is placed over this fiber tip to contain a transparent perfluorocarbon lubricating oil or a perfluorocarbon heat-transfer agent that serves as a cooling agent for the fiber tip assembly.