A catheter and catheter system can use energy tailored for remodeling and/or removal of target material along a body lumen, often of atherosclerotic material of a blood vessel of a patient. An elongate flexible catheter body with a radially expandable structure may have a plurality of electrodes or other electrosurgical energy delivery surfaces to radially engage atherosclerotic material when the structure expands. An atherosclerotic material detector system may measure and/or characterize the atherosclerotic material and its location, optionally using impedance monitoring.

A catheter apparatus includes an elongated body having a distal portion including a distal end, a plurality of flexible segments, and at least one intermediate segment that is less flexible than the flexible segments. Adjacent flexible segments are spaced from each other longitudinally by the at least one intermediate segment. Each of the flexible segments include a sidewall having at least one elongated gap extending at least partially therethrough and forming interlocking members. The at least one intermediate segment is shorter than the flexible segments.

A catheter apparatus comprises an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, each pair of neighboring flexible electrode segments being spaced from each other longitudinally by a corresponding electrically nonconductive segment. Each flexible electrode segment comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter body. The electrically nonconductive segment is substantially smaller in length than each of the corresponding pair of neighboring flexible electrode segments.

Various embodiments provide a microwave amplification apparatus for an electrosurgical instrument. The microwave amplification apparatus comprises: a cable assembly; a proximal launch portion, and a distal amplification portion. The proximal launch portion is connected to a proximal end of the cable assembly, and comprises: a DC source configured to launch a DC signal along the cable assembly, and a microwave source configured to launch a microwave signal along the cable assembly. The distal amplification portion is connected to a distal end of the cable assembly, and comprises: a power amplifier configured to receive the microwave signal as an input signal to be amplified. The distal amplification portion is configured to apply the DC signal as a drain voltage across the power amplifier. The power amplifier has an output that is connectable to deliver an amplified microwave signal to a structure that is configured to deliver microwave energy into biological tissue.

A forceps can include a first jaw and a second jaw. The first jaw can include a first jaw frame and a first movable jaw segment coupled with the first jaw frame. The second jaw can be coupled with the first jaw and the first movable jaw segment can be in communication with a first electromagnetic actuation system. The first movable jaw segment is configured to be electromagnetically actuatable relative to the first jaw frame.

Electrosurgical devices that reduce surgery time while still adhering to surgical standards are provided. An electrosurgical device can include a tripolar configuration. A primary electrode can be used to generate a vapor pocket. A secondary electrode can be activated after the vapor pocket is generated. The vapor pocket can be steered to be between the primary and secondary electrodes and a surgery target.

A method is disclosed for delivering energy to a region of tissue within a patient's body using a medical treatment system. The medical treatment system comprises an energy delivery device coupled to an energy source and the method includes steps of delivering energy, measuring an energy delivery parameter, determining distance of the energy delivery device from a conductive object and optionally adjusting a position of the energy delivery device based on the determined distance.

An electrosurgical system is provided and includes a bipolar electrosurgical instrument and an electrosurgical generator. The bipolar electrosurgical instrument is arranged to seal and cut tissue captured between jaws of the instrument. The jaws include particularly positioned, shaped and/or oriented electrodes to perform the sealing of tissue. The electrosurgical generator is arranged to supply RF energy through the instrument, monitor the supplied RF energy and adjust or terminate the supplied RF energy to optimally seal the tissue.

A uterine manipulator including an elongate shaft having a distal portion configured to be inserted into a uterus through a lumen of a cervix, and a return electrode coupled to the elongate shaft. The return electrode is configured to be electrically coupled to an electrosurgical generator.

A treatment system can include a treatment tool including an ultrasound transducer and an end effector. The system can also include an ultrasound power source configured to output a drive signal to the ultrasound transducer, and a processor configured to detect an abnormality in the end effector, and whether end effector is immersed in a liquid. The system can continue an output of the drive signal from the ultrasound power source to the ultrasound transducer when the abnormality is detected and the end effector is immersed in the liquid.