An injectate delivery device for expanding tissue is provided. The injectate delivery device comprises: at least one fluid delivery tube comprising a proximal end, a distal end and a lumen therebetween; at least one fluid delivery element in fluid communication with the at least one fluid delivery tube lumen; a radially expanding element comprising the at least one fluid delivery element; a supply of vacuum constructed and arranged to cause tissue to tend toward the at least one fluid delivery element; and at least one control constructed and arranged to perform a function. The at least one control can be constructed and arranged to expand the radially expandable element and activate the supply of vacuum. Systems and method of injectate delivery are also provided.

A detector system for a medical motor system includes a multi-channel redundantly-configured detection device, which is accommodated in a hand-held control device that is adapted to control the medical motor system and which is positioned to detect the actuation of an actuation device of the hand-held control device. The multi-channel redundantly-configured detection device allows the plausibility of its output signals to be checked.

Methods and devices for performing ablation. In some examples an ablation delivery system is configured to allow separate voltage levels of a capacitor stack to be accessed for use in therapy delivery. Ablation therapy systems switchable between current and voltage controlled output are described. Methods of treating a patient using adjustable interphase or interpulse delay are disclosed as well.

A surgical instrument includes a shaft that includes an elongated tube having distal and proximal end portions. The tube houses an electrical conductor that includes distal and portions and that extends between the proximal and distal end portions of the elongated tube. An end effector at the distal end portion of the elongated tube includes an electrode electrically coupled to the distal portion of the electrical conductor. A switch at the proximal end portion of the shaft is operatively disposed between the distal and proximal portions of the electrical conductor that is configured to electrically couple and decouple the distal and proximal portions of the electrical conductor.

A surgical instrument having an end effector mounted on the end of an elongate shaft extending from a handle is described, the shaft and end effector being rotatable with respect to the housing, to allow different rotational orientations of the end effector to be attained without rotating the whole instrument. To provide for control over the degree of rotation, shaft rotation control elements are provided to give rotation or torsion control. The shaft rotation control elements may be located at several different longitudinal positions along the shaft. Alternatively, rotation control elements in the form of mutually co-operating stops may be provided elsewhere, such as in a rotatable shaft support member at the distal end of the handle. In other embodiments rotation control stops are provided on both elements, thus providing for effective rotation control, which has a high quality feel to the user.

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.

A surgical instrument for treating body tissues through narrow body passages employs an elongated cantilevered beam having a proximal end supported in a rigid block and a narrower distal end extendable through the narrow passages. One or more piezoelectric actuators are fixed to the beam surface and energized from an AC source provided by an electrical excitation system through electrodes interspersed with the piezoelectric actuators to produce oscillatory motion of the beam distal end in multiple modes of movement.

A surgical instrument has an ultrasonic blade that connects to a distal end of an ultrasonic waveguide. A clamp arm assembly is moveable from an opened position for receiving a tissue, toward a closed position for clamping the tissue. A clamp arm actuator connected to the clamp arm assembly directs the clamp arm assembly from the opened position toward the closed position. An outer sheath surrounds at least a portion of the ultrasonic waveguide. The outer sheath includes a cover removably received against a sheath body, and a sheath securement feature able to detachably couple the cover to the sheath body such that the cover can be detached from the sheath body for accessing the ultrasonic waveguide within the outer sheath.