This invention relates to high-frequency ablation of tissue in the body using a cooled high-frequency electrode connected to a high frequency generator including a computer graphic control system and an automatic controller for control the signal output from the generator, and adapted to display on a real time graphic display a measured parameter related to the ablation process and visually monitor the variation of the parameter of the signal output that is controlled by the controller during the ablation process. In one example, one or more measured parameters are displayed simultaneously to visually interpret the relation of their variation and values. In one example, the displayed one or more parameters can be taken from the list of measured voltage, current, power, impedance, electrode temperature, and tissue temperature related to the ablation process. The graphic display gives the clinician an instantaneous and intuitive feeling for the dynamics and stability of the ablation process for safety and control. This invention relates to monitoring and controlling multiple ground pads to optimally carry return currents during high-frequency tissue ablation, and to prevent of ground-pad skin burns. This invention relates to the use of ultrasound imaging intraoperatively during a tissue ablation procedure. This invention relates to the use of nerve stimulation and blocking during a tissue ablation procedure.

A method for attaching a drive rod to a knife includes: forming a knife having proximal and distal ends; forming an aperture within the proximal end of the knife, the aperture including a series of fins disposed therein; weaving a distal end of a knife rod through the series of fins in an alternating manner; and engaging a cap onto the distal end of the knife drive rod to secure the knife drive rod within the aperture of the knife.

A surgical instrument includes a housing including an actuator disposed thereon and an elongated shaft extending therefrom. The elongated shaft includes an end effector assembly including a pair of opposing jaw members including a knife channel defined therein. An articulation section is disposed between the housing and the end effector assembly and is configured to articulate the end effector assembly upon actuation of the actuator, the articulating section and a proximal end of the knife channel defining a first distance therebetween. A knife assembly includes a knife having a length, the proximal end including an engagement feature disposed thereon. A knife drive rod is configured to engage the engagement feature to secure the knife drive rod to the knife such that the distal end of the knife extends beyond the engagement feature and wherein the knife length is less than the length of the first distance.

A jaw member for a surgical instrument includes an outer housing having a sealing plate operably coupled thereon including an upper knife channel defined therethrough and extending therealong. A pair of opposing jaw flanges is configured to operably couple to a corresponding pair of jaw flanges of an opposing jaw member. An insulative insert is disposed within the outer housing and includes opposing sidewalls and a connector portion which define an engagement channel and a lower knife channel in vertical registration with the upper knife channel, the upper and lower knife channels configured to receive a knife of a knife assembly, the engagement channel configured to receive a tube of the knife assembly. A top plate is engaged between the jaw flanges, a portion of the top plate is configured to extend across the engagement channel and retain the tube within the engagement channel during translation of the knife assembly.

Systems, methods and devices for creating an effect using microwave energy to specified tissue are disclosed herein. A system for the application of microwave energy to a tissue can include, in some embodiments, a signal generator adapted to generate a microwave signal having predetermined characteristics, an applicator connected to the generator and adapted to apply microwave energy to tissue, the applicator comprising one or more microwave antennas and a tissue interface, a vacuum source connected to the tissue interface, a cooling source connected to said tissue interface, and a controller adapted to control the signal generator, the vacuum source, and the coolant source. The tissue may include a first layer and a second layer, the second layer below the first layer, and the controller is configured such that the system delivers energy such that a peak power loss density profile is created in the second layer.

An electrosurgical apparatus for tightening ligaments using microwave energy. A detector is used to obtain information about a treatment zone. Based on this information, an energy delivery profile is determined. The energy delivery profile is selected to cause desired thermal effects in target tissue (e.g. ligaments, tendons or the like) without unwanted thermal side effects is determined and delivered. With this apparatus, energy can be delivered in a precise manner to the target tissue. The energy delivery profile may be based on a complex impedance, or attenuation and/or phase constants of the type of body tissue in the treatment zone.

A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

An electrosurgical instrument for applying microwave energy to biological tissue, where the instrument is capable of freezing biological tissue in a region around a radiating tip portion and applying microwave energy to the frozen tissue. By freezing the region around the radiating tip portion, microwave energy radiated from the radiating tip portion can be transmitted through the frozen region with low losses and into tissue surrounding the frozen region. This enables the size of the treatment area to be increased without having to increase the amount of microwave energy delivered to the radiating tip portion. The instrument comprises a transmission line, a radiating tip, a fluid feed for conveying a tissue-freezing fluid, and a thermal transfer portion arranged to provide thermal communication between the tissue-freezing fluid and biological tissue in a treatment zone.

A surgical energy system includes a first and second surgical instruments and a generator including a universal interface. The first surgical instrument includes a first instrument connector having one or more instrument couplers disposed in a first instrument coupler configuration. The second surgical instrument includes a second instrument connector having one or more instrument couplers disposed in a second instrument coupler configuration. The first and second instrument coupler configurations are different. The generator includes a universal interface including generator couplers arranged to provide generator coupler configurations at the universal interface. Each generator coupler configuration accommodates one of the first and second instrument coupler configurations in order to electronically couple the generator to a respective one of the first and second surgical instruments.

The invention generally relates to systems and methods for therapeutically modulating nerves in or associated with a nasal region of a patient for the treatment of a rhinosinusitis condition.