A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises an ultrasonic transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit, configured to detect an immersion of the end effector in a liquid and compensate for heat flux lost due to the immersion of the end effector in the liquid.

Ablation systems and methods of the present disclosure include a catheter including one or more image sensors. The one or more image sensors can facilitate, for example, positioning an ablation electrode at a treatment site of an anatomic structure and, additionally or alternatively, can facilitate controlling delivery of therapeutic energy to a treatment site of an anatomic structure.

A method of controlling the temperature of an ultrasonic blade includes applying a power level to an ultrasonic transducer to achieve a desired temperature at an ultrasonic blade coupled to the transducer via an ultrasonic waveguide, inferring a temperature of the blade based on a voltage V.sub.g(t) signal and a current I.sub.g(t) signal applied to the transducer, comparing the inferred temperature of the blade to a predetermined temperature; and adjusting the power level to the transducer based on the comparison. In some aspects, the method includes measuring a phase angle φ between the voltage V.sub.g(t) and the current I.sub.g(t) and inferring the temperature of the blade from the phase angle φ. In some aspects, the method includes measuring an impedance Z.sub.g(t) equal to a ratio of the voltage V.sub.g(t) to the current I.sub.g(t) and inferring the temperature of the blade from the impedance Z.sub.g(t).

Mitigating a user interface display function of a modular energy system includes receiving formatted video data at a video data converter circuit, providing differential video signaling data to the display from the video data converter circuit, providing a copy of the differential video signaling data to a processor, and determining that the differential video signaling data is changing over time. Mitigating erroneous outputs from an isolated interface includes receiving a state of a first switch of a first footswitch coupled to a first comparator and a reference voltage coupled to the first comparator, receiving the state of the first switch coupled to the first duplicate comparator and the reference voltage coupled to the first duplicate comparator, comparing the output of the first comparator with the output of the first duplicate comparator, and determining activation or deactivation of a surgical instrument coupled to the controller based on the comparison.

A method having: sending, to a spatially separately arranged server device, a configuration request having an item of identification information of the electrosurgical generator; receiving an item of operating information indicative of an operating mode, wherein the operating mode is capable of partially controlling the energy supply of the electrosurgical instrument by the electrosurgical generator; and storing the operating information in a data memory of the electrosurgical generator. Furthermore, a method for operating a server device, the method having: receiving a configuration request having an item of identification information of an electrosurgical generator; determining, at least partially in dependence on the identification information, an item of operating information indicative of one operating mode of a plurality of predefined operating modes, wherein operating modes are each capable of partially controlling an energy supply of an electrosurgical instrument by the electrosurgical generator; and sending, to the electrosurgical generator, the operating information.

An apparatus for controlling an electroporation catheter is provided. The electroporation catheter includes a distal end, a proximal end, a plurality of splines extending from the distal end to the proximal end, and a plurality of electrodes arranged on the plurality of splines and defining at least one quadripolar array, each quadripolar array defined by four electrodes of the plurality of electrodes. The apparatus includes a pulse generator coupled to the electroporation catheter, and a computing device coupled to the pulse generator, the computing device operable to control the pulse generator to selectively energize the electrodes defining the at least one quadripolar array according to a first energization pattern, and selectively energize the electrodes defining the at least one quadripolar array according to a second energization pattern, wherein the first and second energization patterns are different from one another.

An instrument for coagulation and dissection of biological tissue including a tool with coagulation electrodes and at least one cutting electrode. The electrodes are actuated via an operating circuit including an evaluation circuit, to which an external apparatus delivers an evaluation signal with first and second half-waves having opposite polarities. During at least one first half-wave, the evaluation circuit checks whether a first switch or a second switch are actuated on the instrument. Depending on the evaluation result, a triggering signal is transmitted to a switching unit. Depending on the triggering signal, the switching unit is switched into a first or second switching state. In the second switching state, no voltage suitable for dissection and no current suitable for dissection, respectively, is applied to the cutting electrode. In the first switching state, a voltage suitable for dissection or a current suitable for dissection is applied to the cutting electrode.

Methods and apparatus for monitoring and actively reducing leakage currents flowing on patient applied parts used in ablation therapy. In an example, a signal-processing circuit connected between a toroidal-coil sensor and a sleeve-capacitor coupler, both AC-coupled to the catheter cable, applies a Fourier transform and an energy minimization algorithm to the output of the toroidal-coil sensor to determine amplitudes and phases for frequency components of the signal applied to the sleeve-capacitor coupler. A corresponding current coupled through the sleeve-capacitor coupler into the catheter cable counteracts the leakage current to force the total non-therapy electrical current flowing on the patient applied parts to a level that is lower than a fixed threshold value, e.g., selected in accordance with an applicable standard.

Systems and methods for facilitating assessment and convenient display of graphical output indicative of lesion formation and outputting data indicative of lesion formation to a 3D mapping system to display on a 3D model are disclosed herein.

An electrode assembly for use with an electrosurgical instrument includes a base portion, a return lead adapted to be electrically coupled to a return terminal of an electrosurgical generator, an electrical insulator supported on a distal portion of the return lead, a tensioning mechanism, and an active lead adapted to be electrically coupled to an active terminal of the electrosurgical generator. The tensioning mechanism includes a slider slidably disposed in the base portion, a rotation rod threadably coupled to the slider, and a spring proximally biasing the slider. The active lead having a first end portion securely fixed to the base portion and a second end portion slidably coupled to the rotation rod of the tensioning mechanism. A portion of the active lead extends around the electrical insulator. Rotation of the rotation rod causes axial displacement of the second end portion of the active lead to tension the active lead about the electrical insulator.