A61B2018/00083

Surgical suturing instrument configured to manipulate tissue using mechanical and electrical power

A surgical instrument comprising a jaw assembly is disclosed. The surgical instrument further comprises a motor-driven drive system configured to open the jaw assembly. The surgical instrument also comprises a control system configured to control the drive system and, also, control a power supply system configured to supply electrical power to electrodes defined in the outer surface, or outer surfaces, of the jaw assembly. In use, the surgical instrument can be used to apply mechanical energy and electrical energy to the tissue of a patient at the same time, or at different times. In certain embodiments, the user controls when the mechanical and electrical energies are applied. In some embodiments, the control system controls when the mechanical and electrical energies are applied.

RADIO-FREQUENCY ABLATION CATHETER AND RADIO-FREQUENCY ABLATION SYSTEM

Disclose are a radio-frequency ablation catheter and a radio-frequency ablation system. The radio-frequency ablation catheter includes a needle tube portion and a handle portion. A sleeve of the handle portion is mounted around a booster of the handle portion. A puncture tube of the needle tube portion is fixed to an end of the sleeve. An electrode tube and a signal conduit of the needle tube portion are disposed passing through the puncture tube. A plurality of needles are provided on the electrode tube and a plurality of supports are provided on the signal conduit. The plurality of supports correspond to the plurality of needles respectively. A plurality of temperature sensors are provided at ends of the plurality of supports.

POLYSILOXANES AND FLUOROSILANES ON INSULATION ELEMENTS
20220332974 · 2022-10-20 ·

Various embodiments disclosed relate to a non-stick layer for insulative elements on electrosurgical cutting tools. The present disclosure includes systems, devices, and methods of making and using a non-stick layer on insulative element. The non-stick layer can include coatings, surface structures, or combinations thereof.

SURGICAL INSTRUMENTS AND METHODS INCORPORATING ULTRASONIC AND ELECTROSURGICAL FUNCTIONALITY

A surgical instrument includes an ultrasonic transducer supported by a housing and an elongated assembly extending distally therefrom. The elongated assembly includes a jaw and a waveguide coupled to the transducer and defining a blade having upper and lower tissue-contacting surface and first and second lateral surfaces disposed therebetween that are coated with a material. The jaw is pivotable relative to the blade and includes a structural base having a backspan and first and second uprights extending from the backspan. The jaw further includes a jaw liner supported within the structural base and positioned to oppose the upper tissue-contacting surface with the first and second uprights disposed on either side of the blade. In an ultrasonic mode, ultrasonic energy produced by the transducer is transmitted along the waveguide to the blade. In an electrosurgical mode, electrosurgical energy is conducted between the blade and the first and second uprights.

ULTRASONIC TRANSDUCER AND ULTRASONIC TREATMENT INSTRUMENT

The ultrasonic transducer has a cylindrical shape having a first end surface and a second end surface, and includes a piezoelectric material that generates ultrasonic vibration for treating biological tissue with ultrasonic energy, a first electrode that is disposed in contact with the first end surface and to which an ultrasonic driving voltage is applied for generating ultrasonic vibration to the piezoelectric material, a second electrode that is disposed in contact with the second end surface and to which a reference voltage is applied for generating ultrasonic vibration to the piezoelectric material, an insulating plate that opposes the second end surface with the second electrode interposed therebetween, a third electrode that opposes the second electrode with the insulating plate and to which high-frequency power for treating biological tissue is supplied with high-frequency energy, and a short-circuit prevention unit that prevents short-circuiting between the first and third electrodes.

Electrosurgical forceps

An electrosurgical forceps includes first and second shaft members and first and second jaw members extending distally from the respective first and second shaft members. A pivot couples the first and second shaft members with one another such that the first and second shaft members are movable relative to one another between a spaced-apart position and an approximated position to move the first and second jaw members relative to one another between an open position and a closed position. The jaw members are configured to facilitate tissue treatment, tissue division, and blunt tissue dissection.

Medical apparatus

A medical apparatus includes a first jaw; a second jaw that opens and closes with the first jaw; a shaft to which the second jaw is pivotably attached; and a sliding member provided between the second jaw and the shaft, abutted to each of the second jaw and the shaft, and configured to be slidable with respect to at least one of the second jaw or the shaft.

Insulation of an Electrosurgical Instrument
20230124601 · 2023-04-20 ·

A device for applying an insulating sleeve to an electrosurgical instrument, the device comprising a housing, the housing comprising: a first end; a second end; a hollow channel extending from the first end to the second end, the channel being configured to receive an electrosurgical instrument comprising an end effector connected to a shaft by a distal articulation; a support structure internal to the housing; the support structure being configured to: support an insulating sleeve such that the insulating sleeve surrounds the electrosurgical instrument when the electrosurgical instrument is received by the channel; and when the electrosurgical instrument is advanced through the channel from the first end to the second end, release the insulating sleeve onto the electrosurgical instrument.

DETECTION MECHANISM, RADIO-FREQUENCY ABLATION CATHETER AND RADIO-FREQUENCY ABLATION SYSTEM

Disclosed are a detection mechanism, a radio-frequency ablation catheter, and a radio-frequency ablation system. The radio-frequency ablation catheter includes a handle portion, a needle tube portion, a central electrode, and a detection mechanism. The needle tube portion includes a first tube and a second tube, the handle portion includes a cylinder sleeve and a sliding button, the central electrode includes an electrode body, an electrode wire, and an electrode connector, and the detection mechanism includes a fixing base, a pulling string, a connecting base, and multiple detection electrodes arranged in a claw-shaped configuration. A distal end of the pulling string is fixed to the fixing base, and a proximal end of the pulling string is fixed to the sliding button; and the detection electrodes are fixed to the fixing base, and slidably provided in the connecting base.

CIRCUMFERENTIAL ABLATION DEVICES AND METHODS

Methods and apparatuses are disclosed for providing pulsed electrical treatment (including high voltage, sub-microsecond pulsed electric energy) to body vessels. The apparatus may include deployable electrodes that conform to transitional surfaces. These apparatuses may include multiple wire loops forming petal-like electrodes configured to expand with an expandable member, such as a balloon.