Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

A treatment system includes a treatment tool and a generator. The treatment tool includes a first grasper configured to apply treatment energy to a living tissue, and a second grasper. The generator includes a power circuit, a detecting circuit configured to detect an index value indicating a treatment state of a test material, and a processor configured to, based on the index value, measure a treatment completion time. At least one of the treatment tool and the generator further includes a memory configured to store property data which indicates a property of the test material, and based on the measured treatment completion time, the intensity of the treatment energy applied to the test material, and the property data, the processor is configured to calculate a control parameter related to the intensity of the treatment energy when the living tissue is treated, and output the control parameter to the power circuit.

A medical device includes a pair of jaws that grips biological tissue, is coupled at first ends of the jaws, opens and closes as a result of swiveling of at least one of the jaws, and comprises a pair of gripping surfaces facing when the jaws are closed, a motor that generates a closing driving force for closing the jaws, a driving-force transmission member that connects the jaws to the motor and that is configured to transmit the closing driving force from the motor to at least one of the jaws, and a controller that is connected to the motor and that controls the motor. The controller temporally changes magnitude of the closing driving force generated by the motor so as to shift peak positions of gripping pressure for gripping the biological tissue in the pair of gripping surfaces.

A heating blade unit, a treatment tool, and a method of manufacturing a heating blade unit are disclosed. The heating blade unit includes: an electric heater, a blade, and a cover made of a thermosetting resin. The blade includes a treatment surface, an installation surface that is provided on a side opposite to the treatment surface and on which the electric heater is installed, and a support surface that is provided at a position different from a position at which the installation surface is provided. The cover integrally covers the electric heater, and one or more surfaces of the blade.

Developed is a tissue joining device for endoscopic surgery, which can be used in NOTES, or the like. As a result of intensive studies carried out to solve the problem described above, the inventors of the present invention have conceived of two tissue joining device having quite novel structures and completed the present invention.

An end effector assembly includes first and second jaw members movable between an open and closed position to grasp tissue therebetween. First and second proximal flanges extending proximally from the second jaw member and defining a space therebetween, a proximal flange extend proximally from a proximal portion of the first jaw member and define a cam slot. A cam driver operably is coupled to the proximal flange of the first jaw member to define a space between the cam driver and the proximal flange of the first jaw member. A cam bar is disposed within the space defined between the cam driver and the proximal flange of the first jaw member. The cam bar includes a cam pin configured to move within a cam slot of the cam driver to move the first jaw member relative to the second jaw member between the open position and the closed position.

A structure of a surgical instrument configured for thermally cutting tissue. The structure includes a frame and a thermal cutting element. The frame includes a proximal flange portion and a distal body portion. The distal body portion includes a proximal section extending from the proximal flange portion, a distal section, and a center section extending between the proximal and distal sections. The distal body portion includes first and second distal body portion segments. The distal body portion segments are disposed a first distance apart from one another at the proximal section, a second distance apart from one another at the distal section, and a third distance apart from one another at the center section. The third distance is greater than the first and second distances. The thermal cutting element is disposed within the distal body portion of the frame and extends from the proximal section, through the center section, to the distal section.

A surgical instrument for use with a robotic surgical system includes a knife blade configured to cut tissue and a knife tube coupled to the knife blade and configured to translate to move the knife blade for cutting tissue. The surgical instrument also includes a gearbox assembly coupleable to a robotic surgical system and configured to translate the knife tube to move the knife blade for cutting tissue and a knife blade lock operably coupled to the gearbox assembly. The knife blade lock is movable from a locked position wherein the knife blade lock prevents translation of the knife tube to an unlocked position in response to coupling of the gearbox assembly to the robotic surgical system wherein the knife tube is permitted to translate to move the knife blade for cutting tissue.

A treatment energy application structure includes a flexible substrate having an electric resistance pattern and a lead wire connection portion. A heat transfer plate faces the flexible substrate and transfers heat to the body tissue. An insulating adhesive sheet is interposed between the flexible substrate and the heat transfer plate. The insulating adhesive sheet comprises a first area to cover an entire surface of the electric resistance pattern and the heat transfer plate and a second area protruding from the heat transfer plate to cover a part of the lead wire connection portion. The heat transfer plate has a chamfered corner facing the insulating adhesive sheet. An adhesive may adhere the second area to at least one of the heat transfer plate and the substrate. The insulating adhesive sheet may adhere the substrate to both the heat transfer plate and the bridge portion of a cover.

A medical treatment device includes: a pair of holding members configured to grasp a target part to be connected in a body tissue; an energy application portion provided on at least one holding member of the pair of holding members, the energy application portion being configured to contact the target part when the target part is grasped by the pair of holding members to apply energy to the target part; and a processor including hardware. The processor is configured to cause the energy application portion to: apply high-frequency energy to the target part for a first period; apply ultrasound energy to the target part for a second period subsequent to the first period; and apply heat energy to the target part for a third period subsequent to the second period.