The present technology is directed generally to devices, systems, and methods for capturing and cutting fibrous and trabeculated structures (such as synechiae) in vessel lumens. In one embodiment, the present technology includes an intraluminal tissue modifying system configured to capture the fibrous structures, put the fibrous structures in tension, and controllably cut through the fibrous structures without applying appreciable additional force to the vessel wall. The system may include an expandable capture device and a cutting device.

An electrosurgical wand is disclosed for treating a plurality of tissues at a variety of tissue locations. The electrosurgical wand includes a handle on a proximal end and an elongate shaft with a combination active electrode at the distal end. The combination active electrode includes with a blade and screen portion; the blade portion extending along and laterally from the wand longitudinal axis, forming a dissecting tip. The screen portion extends from the blade portion at an obtuse angle and has at least one aspiration aperture through it. The wand also includes a second and third electrode, proximally spaced from the combination active electrode. The second electrode spans a portion of an outside surface of the wand adjacent the blade portion, while the third electrode spans a portion of the outside surface of the wand opposite the second electrode.

Tissue is treated using a radiofrequency power supply connected to an applicator having a chamber filled with an electrically non-conductive gas surrounded by a thin dielectric wall. A radiofrequency voltage is applied at a level sufficient to ionize the gas into a plasma and to capacitively couple the ionized plasma with the tissue to deliver radiofrequency current to ablate or otherwise treat the tissue.

A monopolar electrosurgical instrument and electrosurgical system for treating biological tissue by a plasma. The instrument includes a tubular line for conducting a gas to the treatment location, wherein the line consists of electrically insulating material and has a distal opening for the exit of the gas in the direction of the tissue to be treated, and an electrode arranged in the region of the distal opening in the line, wherein the electrode is connectable to an electrosurgical generator to ignite a plasma discharge in the gas. Improving the ignition behavior, the inner surface of the line has an enhanced electrical conductivity in the distal opening. Furthermore, a method for producing an electrosurgical instrument for providing a line made of nonconductive material, an electrode, and enhancing the conductivity of an inner surface of the line in the region of the opening, for enhancing the conductivity in the line.

An arthroscopic cutting probe includes a shaft assembly having a distal end, a proximal end, and a longitudinal axis. A distal cutting member is rotatably attached at the distal end of the shaft assembly, and at least a portion of an exterior surface of the distal cutting member is electrically insulated. One or more burr elements extend radially outwardly from the electrically insulated portion of the exterior surface of the distal cutting member, wherein the burr element is electrically conductive to form an active electrode.

The invention relates to an electrosurgical apparatus for cutting and coagulating biological tissue. In particular, the present invention provides an electrosurgical generator arranged to generate radiofrequency (RF) electromagnetic (EM) energy and microwave frequency EM energy; wherein the electrosurgical generator is operable in each of a coagulation mode and a cutting mode, wherein in the coagulation mode the electrosurgical generator is arranged to deliver the RF EM energy and the microwave EM energy simultaneously in a coagulation composite waveform comprising a dominant microwave signal and a supplementary RF signal, and wherein in the cutting mode the electrosurgical generator is arranged to deliver the RF EM energy and the microwave EM energy simultaneously in a cutting composite waveform comprising a dominant RF signal and a supplementary microwave signal.

The present invention provides a knife head assembly of a novel medical electrotome and a novel medical electrotome. The knife head assembly comprises a snare ring and a cutting knife, the cutting knife comprises a knife handle fixedly connected to a distal end of the snare ring and a knife head fixedly connected to a distal end of the knife handle; the surface of the knife handle is provided with two grooves that are arranged symmetrically and extend in a length direction of the knife handle, the knife handle is further provided with a through-hole penetrating through the knife handle, the two ends of the through-hole are in communication with the two grooves respectively, the distal end of the snare ring is inserted through the through-hole, and the parts of the snare ring on the two sides of the through-hole are limited in the grooves, thus the distal end of the snare ring is embedded and fixed in the knife handle. In the present invention, the snare ring and the cutting knife are mechanically fixed in an embedded manner, and the distal end of the snare ring is inserted and embedded in the knife handle of the cutting knife; the fixed connection structure is stable and reliable, effectively prevents the cutting knife from falling off from the distal end of the snare ring accidentally, and thereby improves the safety of surgical operations.

An arthroscopic cutting probe includes a shaft assembly having a distal end, a proximal end, and a longitudinal axis. A distal cutting member is rotatably attached at the distal end of the shaft assembly, and at least a portion of an exterior surface of the distal cutting member is electrically insulated. One or more burr elements extend radially outwardly from the electrically insulated portion of the exterior surface of the distal cutting member, wherein the burr element is electrically conductive to form an active electrode.

Various aspects of the invention relate to methods and devices for treating diseases and conditions including atherosclerosis and endocarditis using low-temperature, non-equilibrium plasmas. A device may be, for example, a catheter that carries electrodes and a dielectric material for generating a localized, non-equilibrium plasma in a bodily fluid such as blood.

Various aspects of the invention relate to methods and devices for treating diseases and conditions including atherosclerosis and endocarditis using low-temperature, non-equilibrium plasmas. A device may be, for example, a catheter that carries electrodes and a dielectric material for generating a localized, non-equilibrium plasma in a bodily fluid such as blood.