A61B2018/1475

Treatment instrument and high-voltage connectors for robotic surgical system

Described herein are methods and systems for using the treatment tip apparatuses and high-voltage connectors with robotic surgical systems. For example, retractable treatment tip apparatuses (e.g., devices, systems, etc.) including one, or more preferably a plurality, of electrodes that are protected by a housing (which may be retractable) until pressed against the tissue for deployment of the electrodes and delivery of a therapeutic treatment, are disclosed. In particular, these apparatuses may include a plurality of treatment needle electrodes and may be configured for the delivery of nanosecond pulsed electric fields. Also described herein are high-voltage connectors configured to provide high-voltage energy, such as nsPEF pulses, from a generator to the retractable treatment tip apparatuses.

ULTRAPOLAR TELESCOPIC ELECTROSURGERY PENCIL AND ULTRAPOLAR ELECTROSURGERY BLADE
20230135303 · 2023-05-04 ·

An ultrapolar telescopic electrosurgery pencil that can be used in both monopolar and bipolar modes for cutting and coagulation. The ultrapolar telescopic electrosurgery pencil can operate at very low power levels (such as 15-20 Watts or less) to both cut and coagulate tissue thereby reducing patient risk and damage to tissue. An ultrapolar electrosurgery blade having a top, a bottom, opposing planar sides, a cutting edge, and a non-cutting end, an active electrode positioned on one of the opposing planar sides such that at least a portion of the opposing planar side is exposed near the cutting edge, and a return electrode positioned on the other opposing planar side such that at least a portion of the other opposing side is exposed near the cutting edge.

VESSEL HARVESTING APPARATUS AND METHOD
20230134921 · 2023-05-04 · ·

An apparatus for harvesting a vessel from a body, includes: a cannula having a dissector for advancing along the vessel to create a tunnel, the dissector having a transparent portion; and an energy tool moveably coupled to the cannula, wherein the energy tool is configured to separate a pediculated vessel having at least a segment of the vessel and a pedicle around the segment of the vessel from surrounding tissue, and wherein at least a part of the energy tool is visible through the transparent portion of the dissector during use of the energy tool.

SYSTEMS AND METHODS FOR TREATING TISSUE REGIONS OF THE BODY

Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.

SURGICAL INSTRUMENTS INCORPORATING ULTRASONIC AND ELECTROSURGICAL FUNCTIONALITY

A surgical instrument end effector assembly includes a first jaw member defining an insulative tissue-contacting surface and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the insulative surface. A second jaw member of the end effector assembly includes an ultrasonic blade body positioned to oppose the insulative surface of the first jaw member, and first and second electrically-conductive tissue-contacting surfaces disposed on either side of the ultrasonic blade body and positioned to oppose the first and second electrically-conductive surfaces, respectively, of the first jaw member. The first jaw member is movable relative to the second jaw member between a spaced-apart position and an approximated position to grasp tissue therebetween. The first and second electrically-conductive surfaces of the second jaw member are movable, independent of the first jaw member, relative to the first jaw member and the ultrasonic blade body between a retracted position and an extended position.

SYSTEMS AND METHODS FOR APPLYING ENERGY TO OVARIAN TISSUE
20230200890 · 2023-06-29 · ·

Described herein are methods and systems for performing a procedure for ovarian rebalancing. The methods and systems may be used in the treatment of polycystic ovary syndrome (PCOS). The systems and methods may also be useful in the treatment of infertility associated with PCOS.

SURGICAL DEVICE FOR PERFORMING COLPOTOMY ON PATIENT

A colpotomy device includes a shaft assembly having a hollow outer shaft and an inner shaft disposed within, and rotatable and translatable relative to, the outer shaft, a handle assembly operably coupled to a proximal end of the shaft assembly, and configured to selectively rotate the inner shaft relative to the outer shaft, a colpotomy cup assembly including an outer cup and an inner cup disposed within the outer cup, wherein the inner cup is fixedly coupled to a distal end of the inner shaft, and the outer cup is fixedly coupled to a distal end of the outer shaft, and a cutting element coupled to the inner cup, such that the inner shaft the shaft assembly, inner cup, and cutting element rotate together relative to the outer shaft.

COVER FOR FLEXIBLE-CIRCUIT ELECTRODES OF AN ELECTROPHYSIOLOGY BALLOON CATHETER
20230200897 · 2023-06-29 ·

Flexible circuit strips of a catheter balloon may comprise a substrate and a contact electrode disposed on the substrate. A cover may be disposed over a peripheral portion of the contact electrode and an adjacent portion of the substrate The cover is intended to increase robustness of the contact electrode in response to fatigue that might arise from repeated expansion and contraction of the catheter balloon.

CATHETER BALLOON HAVING INCREASED RESILIENCE TO INTERNAL PRESSURIZATION
20230200896 · 2023-06-29 ·

A catheter balloon comprises an ellipsoidal membrane. A plurality of flexible circuit strips, each of which comprises a substrate and a contact electrode, are disposed about the membrane. A coating is disposed atop at least the outer surface of the membrane and may also be disposed atop a portion of each of the substrates. The coating may comprise a dielectric material, such as parylene. The coating may increase the smoothness of the balloon. When subject to internal pressures that expand the balloon, the coating may also increase the resilience of the balloon relative to a balloon that lacks the coating as determined by changes in the balloon's diameter before and after expansion.

DISPOSABLE BIPOLAR COAXIAL RADIO FREQUENCY ABLATION NEEDLE, SYSTEM AND METHOD
20170360501 · 2017-12-21 ·

Some implementations include a coaxial bipolar ablation instrument comprising an outer needle and an inner needle inserted into the outer needle. The instrument can also include a first insulating layer disposed between the inner needle and the outer needle, and a second insulating layer disposed over a portion of the outer needle. The instrument can further include a first exposed region of the instrument disposed near a proximate end of the instrument, the first exposed region including a first exposed portion of the inner needle and a first exposed portion of the outer needle, the first exposed region constructed to provide contact to a connector, and a second exposed region of the instrument disposed near a distal end of the instrument, the second exposed region forming the active region of the instrument and including a second exposed portion of the inner needle and a second exposed portion of the outer needle.