A61B2018/00077

Electrosurgical (RF) medical instruments for cutting and coagulating tissue

An electrosurgical device is disclosed. The electrosurgical device includes a handle, a shaft extending distally from the handle, and an end effector coupled to a distal end of the shaft. The end effector comprises a first electrode and a second electrode. The second electrode includes a first position and a second position. The second electrode is configured to move from the first position to the second position when a force is applied to the end effector by a tissue section. The first electrode and the second electrode define a treatment area when the second electrode is in the second position.

Ablation catheter tip

Aspects of the present disclosure are directed to, for example, a high-thermal-sensitivity ablation catheter tip including a thermally-insulative ablation tip insert supporting a plurality of temperature sensors positioned within longitudinally-extending sensor channels and a radially-extending sensor channel within the tip insert. The sensor channels position the temperature sensors in thermal communication with a conductive shell that encapsulates, or essentially encapsulates, the ablation tip insert and the plurality of temperature sensors. Also disclosed is a method of controlling the temperature of an ablation catheter tip while creating a desired lesion using various ablative energies and energy delivery methodologies.

Monopolar telescopic electrosurgery pencil with argon beam capability
11246651 · 2022-02-15 · ·

A monopolar telescopic electrosurgery pencil with argon beam capabilities which includes telescoping members contained within the pencil and a monopolar electrosurgery blade assembly with a non-conductive tube member for an inert gas.

ABLATION INSTRUMENTS WITH A MEMBER HAVING A TRIANGULAR CROSS-SECTION
20170319267 · 2017-11-09 ·

An ablation needle assembly includes an outer member, an inner member, and a feedline. The outer member defines a first lumen that receives the inner member therein. The inner member defines a second lumen that receives the feedline therein. The first and second lumens cooperate to circulate fluid about the feedline. Either the inner or outer member has a triangular cross-section.

Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same
09808259 · 2017-11-07 · ·

A clip-over disposable assembly includes a switch assembly and a disposable body. The disposable body includes a first disposable member, a second disposable member including first and second wall portions, and a third disposable member. The first wall portion defines a first aperture therethrough and a first cavity configured to receive therein a first portion of the switch assembly. The third disposable member includes a third wall portion, wherein a body of the second disposable member and the third wall portion define an opening configured to allow a shaft of a hemostat-style surgical instrument to pass therethrough. The second wall portion and the third wall portion cooperatively define a chamber in communication with the opening and configured to receive therein at least a portion of the shaft of the hemostat-style surgical instrument, wherein the at least a portion of the shaft is received in the chamber from an off-axis position.

Arthroscopic devices and methods
11246650 · 2022-02-15 · ·

An arthroscopic tissue resecting probe includes an elongated shaft having outer and inner sleeves which are formed from an electrically conductive material extending about an axis to a working end. Outer and inner resecting windows are formed in the sleeves in the working end. The working end includes a ceramic body having a collar portion extending fully around a region of the outer sleeve proximal to outer resecting window. A radiofrequency (RF) electrode is disposed on an outer surface of the ceramic body and is spaced-apart from the outer resecting window.

END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC AND ELECTROSURGICAL FEATURES

An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a clamp pad and an electrode. The clamp pad is configured to compress tissue against the ultrasonic blade. The clamp pad has a proximal end, a distal end, and a pair of lateral sides extending from the proximal end to the distal end. The electrode is operable to apply RF energy to tissue. The electrode extends along both lateral sides of the clamp pad. The electrode further extends around the distal end of the clamp pad.

Balloon catheter apparatus for renal neuromodulation

Methods and apparatus are provided for non-continuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a non-continuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such non-continuous circumferential treatment are provided.

Device and methods for nerve modulation using a novel ablation catheter with polymeric ablative elements

The disclosure pertains to an intravascular catheter for nerve modulation, comprising an elongate member having a proximal end and a distal end, a balloon having a lumen and a balloon wall, the balloon wall comprising RF permeable sections and non-electrically conductive sections, an electrode disposed within the balloon and extending distally to the furthest distal RF permeable section. The RF permeable sections may comprise a plurality of RF permeable windows, each window having a greater circumferential dimension than an axial dimension. The intravascular system is suited for modulation of renal nerves.

CATHETER CONFIGURED TO MEASURE A FORCE ACTING ON THE CATHETER
20220233815 · 2022-07-28 · ·

The disclosure relates to a catheter, comprising: an elongated shaft body extending along a longitudinal axis and having a distal end portion connected to a catheter tip at a distal end of the catheter, wherein the shaft body comprises a first lumen extending along the longitudinal axis, and an optical fiber for measuring a force, wherein the optical fiber extends in the first lumen and comprises at least a first Bragg grating arranged in in the distal end portion of the shaft body. The distal end portion of the shaft body encloses at least a first stiffening element, wherein the first stiffening element extends along the longitudinal axis for stiffening the distal end portion of the shaft body.