A surgical instrument comprising an end effector is disclosed. The end effector comprises a surgical dissector. The surgical dissector can apply mechanical and/or electrosurgical energy to treated tissue.

A plasma probe comprises a hose with a conductor arranged therein that supports an electrode at least at its distal end. The electrode is either directly secured on the conductor or the conductor is provided with a plastic sheathing at least at its distal end by means of which the electrode is held. The electrode can be inserted between the conductor and the plastic sheathing and can be clamped in this manner. After first use the plastic sheathing can be fused to the electrode. The conductor is placed with clearance inside a channel or hollow space of electrode, however, whereby also in case of spot-like contact between the conductor and the electrode due to the gap provided between them apart therefrom the heat transmission from the electrode on the conductor is impeded and thereby the heat introduction in the plasma probe is limited.

The present invention provides a cardiac ablation system including a spline assembly and a catheter wire. The spline assembly is provided with a plurality of electrodes and a plurality of first conductive layers encapsulated therein. A total number of the plurality of first conductive layers is corresponding to a total number of the plurality of electrodes. Each of the plurality of first conductive layers is electrically connected to each of the plurality of electrodes. The spline assembly is configured to transform into various configurations along a radial direction. A distal end of the catheter wire is connected to a proximal end of the spline assembly. The catheter wire includes a plurality of second conductive layers encapsulated therein. A total number of the plurality of second conductive layers is corresponding to the total number of the plurality of first conductive layers.

An apparatus configured to deliver electrical energy to energize an end effector coupled via a clevis to a shaft of a medical instrument comprises an electrical transmission conduit configured to extend along the shaft from a proximal portion to a distal portion and configured to deliver electrical energy to energize the end effector, and a connector assembly configured to couple to the end effector. The connector assembly comprises an electrically conductive contact portion configured to electrically couple the electrical transmission conduit to the end effector, the electrically conductive contact portion defining a pivot surface about which the end effector is rotatable in a coupled state of the connector assembly to the end effector; and an electrically insulating member configured to electrically insulate the end effector from the clevis in a coupled state of the connector assembly to the end effector.

A flow controllable type suction and irrigation device includes: a handle having an installation space therein; a cannula provided with a conductive tube and an insulating protective tube, the conductive tube extending in a forward direction of the handle to be inserted into the abdominal cavity of a patient and being coupled to an electrode for surgery, the insulating protective tube being disposed to surround the conductive tube; and a suction supply unit provided to the handle and supplying an irrigation fluid to the cannula or suctioning blood or contaminants from the abdominal cavity of the patient through the cannula.

An apparatus includes a tube, a tip electrode coupled to a distal end of the tube and shaped to define at least one cavity, a microelectrode disposed within the cavity and including an outer surface that is of lesser convexity than that of a portion of the tip electrode surrounding the cavity, and a conductive polymeric coating that coats the outer surface. Other examples are also described.

An apparatus includes a flexible electrically-insulating substrate including an inner surface and an outer surface. The substrate is shaped to define multiple channels passing between the inner surface and the outer surface, at least some of the channels being concave channels. The apparatus further includes an outer layer of an electrically-conducting metal covering at least part of the outer surface, an inner layer of the electrically-conducting metal covering at least part of the inner surface, and respective columns of the electrically-conducting metal that fill the channels such as to connect the outer layer to the inner layer.

A colpotomy system includes an energy source and a uterine manipulator that is electrically coupled to the energy source. The uterine manipulator supports a colpotomy cup and extends to a conductive distal tip portion. The colpotomy cup includes a conductive surface. One or both of the conductive distal tip portion and the conductive surface of the colpotomy cup are configured to return monopolar energy to the energy source.

A monopolar surgical tool is disclosed. The monopolar surgical tool comprises a shaft assembly comprising an electrically-conductive proximal portion and an electrically-insulative distal portion comprising a distal end. The monopolar surgical tool further comprises an end effector coupled to the distal end, an RF conductor extending distally through the shaft assembly to the end effector, and a guard electrode extending distally through the shaft assembly to an electrical contact region along the electrically-insulative distal portion, and a multi-layer sheath assembly. The multi-layer sheath assembly comprises an electrically-insulative inner layer surrounding a portion of the end effector and extending proximally along a portion of the shaft assembly, an electrically-insulative outer layer, and an electrically-conductive layer positioned between the electrically-insulative inner layer and the electrically-insulative outer layer. The electrically-conductive layer provides a return path for leaked current to the electrical contact region and along the guard electrode within the shaft assembly.

A catheter system (100) for treating a treatment site (106) includes an energy source (124), a balloon (104), an energy guide (122A), and a balloon integrity protection system (142). The energy source (124) generates pulses of energy. The balloon (104) is positionable substantially adjacent to the treatment site (106). The balloon (104) has a balloon wall (130) that defines a balloon interior (146). The balloon (104) is configured to retain a balloon fluid (132) within the balloon interior (146). The energy guide (122A) is configured to receive the energy from the energy source (124) and guide the energy into the balloon interior (146) so that plasma is formed in the balloon fluid (132) within the balloon interior (146). The balloon integrity protection system (142) is operatively coupled to the balloon (104). The balloon integrity protection system (142) is configured to inhibit temperature-induced rupture of the balloon (104) due to the plasma formed in the balloon fluid (132) within the balloon interior (146) during use of the catheter system (100).