A system for creating an arteriovenous (AV) fistula comprises a vessel access sheath having a hollow interior and an exit port, a side access needle catheter configured to fit within the hollow interior of the sheath, a needle configured to be inserted into a blood vessel through the side access needle catheter, a toggle delivery catheter configured to fit within the hollow interior of the sheath, and a toggle apparatus configured to be delivered into a vessel through the toggle delivery catheter. The toggle apparatus comprises a shaft and a toggle member pivotably attached to a distal end of the shaft. A source of RF energy or resistive heat energy may be provided for application to the toggle member and/or to a heater insert in the toggle delivery catheter, for the purpose of creating the fistula.

A method for cryogenically treating tissue. A connection is detected between a probe having a disposable secure processor (DSP) to a handpiece having a master control unit (MCU) and a handpiece secure processor (HSP), the probe having at least one cryogenic treatment applicator. The probe is fluidly coupled to a closed coolant supply system within the handpiece via the connection. An authentication process is initiated between the DSP and the HSP using the MCU. As a result of the authentication process, one of at least two predetermined results is determined, the at least two predetermined results being that the probe is authorized and non-authorized.

An electrosurgical forceps includes first and second shafts configured to rotate about a pivot to move jaw members between an open position and a closed position. A knife deployment mechanism is operably coupled to a knife and is configured to move the knife between a retracted position and an extended position. A knife lockout is configured to move between a first position wherein the jaw members are in the open position and movement of the knife from the retracted position to the extended position is prevented, a second position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is permitted, and a third position wherein the jaw members are in the closed position and movement of the knife from the retracted position to the extended position is prevented.

An electrosurgical instrument is provided that captures, compresses, fuses and cuts tissue between upper and lower jaws connected to pivotably movable handles. The instrument includes a force and over compression regulation mechanism that is configured such that in a clamped configuration, the jaws delivers a gripping force between the first jaw and the second jaw between a predetermined minimum force and a predetermined maximum force.

Electrosurgical coagulation devices. At least some of the example embodiment are methods including: applying RF energy between a first electrode and a second electrode, the first and second electrodes define an interstice; flowing an electrically conductive fluid through a first nozzle and a second nozzle of the first electrode, the first nozzle defines a first spray direction, the second nozzle defines a second spray direction, and a first angle between the first spray direction and the second spray direction is 180 angular degrees or less measured through the interstice; flowing an electrically conductive fluid through a third nozzle and a fourth nozzle of the second electrode, the third nozzle defines a third spray direction, the fourth nozzle defines a fourth spray direction, and a second angle between the third spray direction and the fourth spray direction is 180 angular degrees or less measured through the interstice.

A laser irradiation device for performing treatment on human skin includes a casing that includes a grip part and a barrel part; a laser oscillator that is accommodated in the casing and configured to generate a laser beam to be irradiated through the barrel part; a contact sensor unit that includes electrodes exposed at the end of the barrel part and a contact sensing unit configured to sense an electric current flowing through the electrodes; and a skin treatment unit that is detachably connected to the barrel part and is operated based on electric signals transmitted through the electrodes of the contact sensor unit.

A universal motor cartridge for a surgical instrument includes a reusable housing having a distal face and a bottom surface and configured to securely engage a disposable surgical instrument. Couplers disposed on the distal face are adapted to engage couplers disposed on the surgical instrument upon engagement of the housing. A plurality of electrical interfaces on the bottom surface are adapted to electrically engage corresponding electrical interfaces on the surgical instrument, such that, upon activation of each switch disposed on the surgical instrument, the corresponding electrical interface on the surgical instrument communicates with the corresponding electrical interface on the bottom surface of the housing, which, in turn, actuates the corresponding coupler to engage and actuate the respective coupler on the surgical instrument causing the surgical instrument to rotate/articulate a shaft, open/close a pair of jaw members, deform staples, move a knife or energize an end effector.

A medical device may comprise a handle having at least one actuator, a shaft having a proximal end, a distal end, and a lumen extending therebetween, the proximal end connected to the handle, the shaft including a distal articulable section including a distal tip, wherein the distal articulable section is configured to be articulated along a plane, a needle having a delivery lumen, the needle being movably positioned within the lumen of the shaft, and a vapor generator in fluid communication with the delivery lumen.

Disclosed herein is a medical RF apparatus using an RF pulse, comprising an RF generator, which generates a test pulse for detecting characteristics of tissue; a monitoring unit, which monitors the change in the information on the tissue state while the test pulse is transmitted to the tissue; and a measurement unit, which determines the tissue characteristics of a patient by comparing the values monitored in the monitoring unit with the reference data; and a method for controlling the same.

An electrosurgical system includes an electrosurgical device having: a main switch, a button configured to actuate the main switch, at least one secondary switch, and a movable component configured to actuate the second switch. The system also includes an electrosurgical generator coupled to the electrosurgical device, the electrosurgical generator is configured to generate an electrosurgical output in response to actuation of the main switch and the at least one secondary switch.