Electrosurgical forceps in which one or more pairs of non-resonant unbalanced lossy transmission line structures are arranged on the inner surfaces of the jaws of the forceps provide both (i) active and return electrodes for a radiofrequency (RF) signal, and (ii) lossy structures for delivering a microwave signal into biological tissue in conjunction with a mechanical gripping arrangement for applying pressure to material held within the jaws. The location of the pairs of transmission lines on the jaws of the forceps and the selection of the material of the jaws is arranged to ensure that any biological tissue gripped by the jaws become the propagation medium for the RF signal and the medium into which the microwave signal is lost.

A surgical device includes a forceps and a blade. The forceps includes a first working jaw and a second working jaw. The blade extends along a longitudinal axis and includes a notched section. The blade is located between the first working jaw and the second working jaw. A first therapy current can be connected to the first working jaw, the second working jaw, or both so that tissue gripped between the first working jaw and the second working jaw and within the notched section can be coagulated. While the tissue is gripped between the first working jaw and the second working jaw, the blade is moveable along its longitudinal axis so that the tissue is cut with the notched section without repositioning the first working jaw, the second working jaw, or both.

A hemostatic surgical blade is formed of five symmetrically layers. A martensitic stainless steel core with oppositely disposed faces is bonded to layers exhibiting a high thermal conductivity which, in turn, are supported by buttressing layers of austenitic stainless steel. A thin aluminum layer is deposited on one side of blade blanks to enable chemical reaction bonding to electrically insulative dielectric inks formulated for use with aluminum substrates. The blade is heated by a blade heating circuit that is manufactured by thick-film printing and firing an electrically resistive heating element layer and an electrically conductive leads on an electrically insulative dielectric layer with all layers subsequently covered by a thick-film printed electrically insulative dielectric overcoat. Tissue contacting portions of blade are coated with a very thin non-stick coating. The surgical blade operates at a temperature below the threshold for pyrolysis and/or thermal decomposition of human tissue and body fluids.

A device includes a handle having a trigger in combination with a distal portion, the distal portion including a rigid elongated hollow member which receives tissue therein and a plunger fitted with and configured to slide longitudinally within the hollow member to induce suction at a distal end of the hollow member as the plunger is moved proximally within the hollow member. The trigger is hingedly coupled to the plunger so that pulling the trigger slides the plunger proximally with respect to the hollow member to generate suction to draw the tissue into the distal end of the hollow member. The device further includes a tissue treatment mechanism for encircling the tissue received at the distal end of the hollow member.

An end effector is disclosed. The end effector includes a first jaw member. The first jaw member comprises a first electrode. The first jaw member defines a first aperture at a distal end. The end effector includes a second jaw member. The second jaw member comprises a second electrode. The second jaw member defines a second aperture at a distal end. The second jaw member is operatively coupled to the first jaw member. The first and second apertures are configured to define a single aperture when the first and second jaw members are in a closed position. The first and second electrodes are configured to deliver energy.

Adapters for use with surgical systems including a surgical forceps, and a surgical clip; and methods for providing clip-applying functionality are disclosed. The adapter is releasably engagable with the end effector assembly of the surgical forceps. The surgical clip is releasably engagable with the adapter. With the surgical clip engaged with the adapter and the adapter engaged with the end effector assembly, the jaw members of the end effector assembly are configured to move from the spaced-apart position towards the approximated position to move the jaw bodies of the adapter towards one another to, in turn, urge the legs of the surgical clip towards one another to form the surgical clip.

A treatment device is disclosed, which includes a dissecting section main body which is configured to dissect tissue in a living body when inserted into the living body along a blood vessel, and which has a slit permitting a branch vessel branched from the blood vessel to enter into the slit, a stanching section which is disposed at the slit and which presses and cauterizes the branch vessel introduced into the slit, and a cutting section which is disposed at the slit and which cuts the cauterized branch vessel.

Medical methods and devices for treating aortic dissections. A catheter-based cutting device permits cutting a septum of acute or chronic aortic dissections, in a retrograde manner. The catheter includes a base section having a central lumen therethrough and two flexible arms extending from a distal end thereof. The flexible arms can each have a guide wire channel therethrough. With distal ends of the two flexible arms separated, the two arms form a Y-shape with the base section. In one embodiment, with distal ends of the two flexible arms together, the two arms have a longitudinal profile, about a periphery thereof, identical to a longitudinal profile of the base section. A cutting component resides between the two arms. The cutting component can face distally outward between the two arms with the distal ends of the two flexible arms separated.

A sealing and/or cutting instrument having a thermally active surface or element which may be used to seal and then cut tissue, ducts, vessels, etc., apart. The instrument may include a thermally active surface or element comprised of a conductor covered with a ferromagnetic material. The instrument may contact tissue with one or more surfaces comprised of a non-stick material. A sensor in communication with the instrument may be used to monitor a therapeutic procedure and signal when sealing and/or cutting of a tissue is complete.

A computer implemented method for estimating tissue parameters, includes collecting data, from a surgical system including an instrument and an energy source, the data including at least one electrical parameter associated with delivering energy from the instrument to tissue, communicating the data to at least one machine learning algorithm, determining, using the at least one machine learning algorithm, a tissue parameter based upon the data, communicating the determined tissue parameter to a computing device associated with the energy source for use in formulating an energy-delivery algorithm for delivering energy from the instrument to tissue, and delivering energy from the instrument of the surgical system to tissue in accordance with the energy-delivery algorithm.