An improved multifunction cable for use in an operating room avoids the usual tangle of wires and tubes can be a significant hazard. The cable comes pre-sterilized with a number of wires and tubes pre-installed in a protective housing making it easy to conduct myriad wires and tubes from one region of the operating room to another without any possibility of tangling or violation of sterility. At the sterile end of the cable a special terminus acts as a holder to keep the various operating instrument organized. The terminus is designed to accept a special smoke evacuating monopolar electrosurgery instrument.

An electrosurgical lysing device and related methods. In some embodiments, the device may comprise a lysing tip comprising one or more beads. The bead(s) may comprise an at least substantially electrically non-conductive surface and may define, at least in part, both a distally-facing and a proximally-facing recess. At least one electrically conductive lysing member configured to deliver electrosurgical energy may be positioned adjacent to the at least one bead, the at least one lysing member defining at least one lysing segment extending within a recess at least partially defined by the at least one bead.

Example electrosurgical devices and systems are disclosed. An example electrosurgical device includes a body, an electrosurgical electrode secured to the body, the electrosurgical electrode including a distal tip. The electrosurgical device also includes a shroud translatable relative to the electrosurgical electrode between a first position and a second position, a first magnetic component which is operably connected to the body, and a second magnetic component which is operably connected to the shroud, wherein the first and second magnetic components magnetically interact to releasably maintain the shroud in the first position.

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.

A medical device system for the delivery of energy to a region of a patient's anatomy is provided. An introducer tube defines a lumen therein and bears a first electrode. A second electrode is movable within the lumen between a retracted position and an extended position. In the retracted position, the second electrode is substantially disposed within the lumen. In the extended position, the second electrode extends at least partially beyond the distal end of the introducer tube. In one form, the introducer tube is configured to substantially hold the second electrode within the lumen in a predetermined orientation in the extended position, and the introducer tube prevents the second electrode from substantially rotating within the lumen of the introducer tube during movement into the extended position. In one form, the introducer tube is more flexible in a first plane than in a second plane.

A medical RF apparatus using an RF pulse and a method of controlling the medical RF apparatus are provided. The medical RF apparatus includes an RF generator, which generates a test pulse for detecting characteristics of tissue, a monitoring unit, which monitors the change in the information on the tissue state while the test pulse is transmitted to the tissue, and a measurement unit, which determines the tissue characteristics of a patient by comparing the values monitored in the monitoring unit with the reference data.

A system for deploying needles in tissue includes a controller and a visual display. A treatment probe has both a needle and tines deployable from the needle which may be advanced into the tissue. The treatment probe also has adjustable stops which control the deployed positions of both the needle and the tines. The adjustable stops are coupled to the controller so that the virtual treatment and safety boundaries resulting from the treatment can be presented on the visual display prior to actual deployment of the system.

A self-contained, battery powered transseptal crossing system is disclosed. An elongate, flexible electrically conductive needle body has a proximal end and a distal end. An insulation layer surrounds the sidewall and leaves exposed a distal electrode tip. A generator is configured to deliver RF energy to the electrode tip, and includes a processor configured to take impedance measurements at the tip to confirm contact with the intra atrial septum and/or confirm entry into the left atrium.

A conductive coating may be adhered to a structure comprising a hydrophobic and/or adhesion-resistant surface. The conductive coating may have a polymer backbone with conductive particles suspended in the backbone. In some embodiments, the conductive coating may be applied directly to the surface. In other embodiments, the conductive coating may be indirectly applied by first applying a primer adhesive to the outer surface, and then applying the conductive coating over the primer adhesive. An example structure may be a catheter of an endoscopic medical device, such as a bipolar sphincterotome, where the conductive coating functions as a return electrode.

A tissue resecting device includes an outer sleeve having an axial bore extending along a longitudinal axis from a proximal end to a distal end and opening to an outer window near the distal end. An inner sleeve is rotatably received in the axial bore of the outer sleeve and has an axial channel adapted for communication with a negative pressure source. A distal housing is attached to a distal end of the inner sleeve and has an annular dielectric portion and a circumferentially adjacent annular metal portion having an inner window with circumferentially spaced-apart sharp cutting edges that opens to the axial channel. An active electrode is carried by the annular dielectric portion, and the inner window is circumferentially spaced-part from the active electrode so that the inner window and the active electrode rotate alternately into alignment with the outer window as the inner sleeve is rotated within the outer sleeve.