A steerable sheath catheter for providing access into body vasculature, the catheter including a sheath handle with an actuator and a control mechanism operative to selectively deflect a tip section of the catheter, and a feedback mechanism that provides, for example, tactile feedback that is felt by the user as the control mechanism passes a neutral position while deflecting the tip section.

A bipolar electrosurgical instrument includes first and second shafts each having a jaw member extending from its distal end. Each jaw member is adapted to connect to a source of electrosurgical energy such that the jaw members are capable of selectively conducting energy through tissue held therebetween. A knife channel is configured to reciprocate a cutting mechanism therealong. An actuator selectively advances the cutting mechanism. A switch is disposed on the first shaft and is configured to be depressed between a first position and at least one subsequent position upon biasing engagement with a mechanical interface disposed on the second shaft. The first position of the switch relays information to the user corresponding to a desired pressure on tissue and the at least one subsequent position is configured to activate the source of electrosurgical energy to supply electrosurgical energy to the jaw members.

Medical devices include a ground link, a first actuator pivotably coupled to the ground link and a first movable element operatively coupled to the first actuator by a linkage. The linkage including: the ground link; a second link that is pivotable with respect to the ground link; a fourth link that is pivotable with respect to the ground link; and a third link having a main body extending from a first portion to a second portion and a blocking tab extending away from the main body. The medical device further including a second actuator operatively coupled to the ground link, the second actuator having a blocking surface including a blocking tab that is positioned to engage with at least a portion of the blocking surface of the second actuator to limit movement of the second actuator until the first actuator is at least partially actuated.

A forceps having an outer tube extending from a proximal portion to a distal portion and defining a longitudinal axis. A reciprocating inner tube can be located within the outer tube and extend along the longitudinal axis. A stationary jaw can be coupled to the distal portion of the outer tube and a moving jaw can be pivotably moveable relative to the stationary jaw. The moving jaw can be engaged with a portion of the reciprocating inner tube such that translation of the reciprocating inner tube pivots the moving jaw relative to the stationary jaw between an open and closed position.

An apparatus includes a body, a shaft assembly, an articulation section, an end effector, and an articulation drive assembly. The articulation drive assembly is configured to drive the articulation section to deflect the end effector relative to the longitudinal axis from a non-articulated configuration to an articulated configuration. The articulation drive assembly includes a rotatable housing, a static member, and an indication feature. The rotatable housing is rotatably coupled to the body. The static member is fixed relative to the body. The indication feature is configured to indicate when the end effector is deflected into the non-articulated configuration. The indication feature includes a ridge and a cantilever arm. The ridge extends from an exterior surface of the rotatable housing. The cantilever arm defines a slot configured to house the ridge when the end effector is in the non-articulated configuration.

Surgical forceps can include a jaw, a blade, and a tongue. The jaw can include a grip surface defining a slot. The blade can be configured to reciprocate along the slot between an extended position and a retracted position. The tongue can be connected to the jaw where at least a portion of the tongue can be located proximal of the grip surface to guide the blade into the blade slot when the blade moves from the retracted position into the blade slot.

Methods and systems for modulating articular branch nerves emanating from sensory and/or motor nerves to treat joint pain. The methods and systems described may be used to modulate (e.g., denervate, ablate) articular branch nerves of, for example, cranial gluteal, femoral, sciatic, and/or obturator nerves, the sensory and/or motor nerves themselves, and/or other nerves innervating a joint. The modulation of these nerves may facilitate treatment of chronic joint pain (e.g., hip) and lameness (e.g., osteoarthritis (OA), degenerative joint disease (DJD), etc.). The modulation may be performed using a neuromodulation device (e.g., an energy delivery device). The device may use bipolar radiofrequency energy to form a linear or arcuate lesion. The lesion may follow curvature of bone, for example in a joint capsule.

Medical devices, such as forceps including a handpiece having a housing and an inner shaft that extends out of the handpiece along a longitudinal axis to transfer motion to an end effector. The inner shaft being rotatable with respect to the handpiece. An outer shaft that is rotatable with respect to the housing is boated around the inner shaft. The medical device further including an end effector coupled to the inner shaft and the outer shaft. The outer shaft rotationally constrained to the inner shaft at a first longitudinal location and at a second longitudinal location.

A surgical instrument includes a handle movable between first and second positions for transitioning an end effector assembly between states and to a third position for returning the handle. A latch arm coupled to the handle includes one or more engagement members. A latch block defines a guide track having a latching path configured to guide the engagement member(s) therealong, an engagement portion configured to engage the engagement member(s) to latch the handle in the second position, and a return path configured to guide the engagement member(s) therealong. A first step interdisposed between the latching path and engagement portion guides the engagement member(s) into engagement with the engagement portion and inhibits the engagement member(s) from returning along the latching path. A second step interdisposed between the engagement portion and the return path guides the engagement member(s) along the return path and inhibits the engagement member(s) from re-engaging the engagement portion.

Medical devices, such as forceps including a handpiece having a housing and an inner shaft that extends out of the handpiece along a longitudinal axis to transfer motion to an end effector. The inner shaft being rotatable with respect to the handpiece. An outer shaft that is rotatable with respect to the housing is loated around the inner shaft. The medical device further including an end effector coupled to the inner shaft and the outer shaft. The outer shaft rotationally constrained to the inner shaft at a first longitudinal location and at a second longitudinal location.