Vascular treatment devices and methods include a woven structure including a plurality of bulbs that may be self-expanding, a hypotube, for example including interspersed patterns of longitudinally spaced rows of kerfs, and a bonding zone between the woven structure and the hypotube. The woven structure may include patterns of radiopaque filaments measurable under x-ray. Structures may be heat treated to include various shapes at different temperatures. The woven structure may be deployable to implant in a vessel. A catheter may include a hypotube including interspersed patterns of longitudinally spaced rows of kerfs and optionally a balloon. Laser cutting systems may include fluid flow systems.

A surgical instrument assembly is disclosed. The surgical instrument assembly comprises a housing, a shaft assembly configured to be operably attached to the housing, a retraction assembly configured to manually retract a firing member, and a lock operably coupled with the retraction assembly and a drive unit.

A medical instrument having a tool assembly including a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The medical instrument includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces. The drive assembly includes a controller configured to variably control the rate at which the motor actuates the pair of opposing tissue engaging surfaces in response to the force exerted on the movable handle.

A surgical instrument includes an end effector, a drivetrain configured to transmit at least one motion to the end effector, and an electric motor operably coupled to the firing drivetrain, wherein the electric motor is configured to generate a mechanical output to motivate the drivetrain to transmit the at least one motion to the end effector. The surgical instrument further includes a controller that has a processor and a memory storing program instructions, which when executed by the processor, cause the processor to activate a safe mode in response to an acute failure of the drivetrain and activate a bailout mode in response to a catastrophic failure of the drivetrain.

An electrosurgical system having an ultrasound generator, configured to emit a high-frequency electrical signal, and an ultrasound instrument, including an ultrasound transducer configured to convert the signal into an ultrasound oscillation, wherein the generator is further configured to determine a resonance frequency of the transducer and adapt a frequency of the signal to the resonance frequency, and wherein the generator is further configured to detect a phase position between the current and the voltage of the signal and based on the detected phase position to determine whether the frequency of the signal corresponds to the resonance frequency. To enable the resonance frequency of the transducer to be determined correctly irrespective of component tolerances, the electrosurgical system is characterized in that the generator is configured to consider, during determination of the phase position, correction values, which are or can be stored in a memory of the generator and/or of the instrument.

Various systems and methods for controlling an ultrasonic surgical instrument according to the location of tissue grasped within an end effector are disclosed. A control circuit can be configured to apply varying power levels, via a generator, to an ultrasonic transducer driving an ultrasonic electromechanical system to oscillate an ultrasonic blade. Further, the control circuit can measure impedances of the ultrasonic transducer corresponding to the varying power levels and determine a location of tissue positioned within the end effector according to a difference between the impedances of the ultrasonic transducer relative to a threshold.

An ultrasonic electromechanical system for an ultrasonic electromechanical system may include an ultrasonic blade, a clamp arm disposed opposite the ultrasonic blade, an ultrasonic transducer acoustically coupled to the ultrasonic blade, in which the ultrasonic transducer is configured to oscillate the ultrasonic blade in response to a drive signal, and a control circuit coupled to the ultrasonic transducer. The control circuit can be configured to determine a position of a tissue clamped between the ultrasonic blade and the clamp arm, and control an amount of power of the drive signal based at least in part on the position of the tissue.

An ultrasonic electromechanical system for an ultrasonic surgical instrument may include an ultrasonic blade, a clamp arm disposed opposite the ultrasonic blade, an ultrasonic transducer configured to oscillate the ultrasonic blade in response to a drive signal, and a control circuit coupled to the ultrasonic transducer. The control circuit can be configured to determine a temperature of the ultrasonic blade, increase an amount of power of the drive signal when the temperature of the ultrasonic blade is less than a first predetermined value, and decrease the amount of power of the drive signal when the temperature of the ultrasonic blade is greater than a second predetermined value. The second predetermined value may be greater than the first predetermined value. An ultrasonic generator connectable to the ultrasonic electromechanical system may include the control circuit.

A device (10) to occlude the left atrial appendage (1) of a heart of a subject comprises an implantable occlusion apparatus (30) configured for radial expansion upon deployment to fluidically occlude the left atrial appendage, an elongated catheter member (80) having a distal end attachable to the implantable occlusion apparatus for transluminal delivery of the implantable occlusion apparatus to the left atrial appendage, a tissue energising module (20) having a plurality of electrodes (26) disposed around a circumference of the implantable occlusion apparatus in which each electrode is configured to contact a wall of the left atrial appendage at a tissue focal point upon deployment of the implantable occlusion apparatus, and an electrical controller (40) including a pulsed field energy delivery generator operably attachable to an electrical power source (50) and the plurality of electrodes and configured to energise the electrodes in a pulsed field ablation modality. The electrical controller is configured to independently energise each of the plurality of electrodes to apply a non-uniform pulsed field ablation treatment circumferentially around the wall of the left atrial appendage.

A control apparatus for a phacoemulsification system is disclosed. The control apparatus is configured to supply electrical energy to an actuator for a phaco needle during a plurality of time intervals, wherein the time intervals includes a first time interval, in which electrical energy for pulses with a constant maximum amplitude is supplied, a second time interval following the first time interval, wherein electrical energy with a value equal to zero is supplied, and a third time interval following the second time interval, wherein the third time interval has a first time duration in which electrical energy for pulses which have a lower constant amplitude than the maximum amplitude during the first time interval is supplied.