A surgical device which combines cautery and tissue debris conveyance via a combination of suction and an Archimedes screw, the cautery electrode encased within the Archimedes screw, the device comprising a device body housing a motor for rotating the screw, a cannula having an aperture for exposing an instrument, extending from the body portion, and a connector system operatively associated with the body portion, the connector system organized to provide pre-determined relative locations of connection for operably connecting the cannula, a cautery electrode and an Archimedes screw to the device body such the cautery electrode tip is positionable outside the aperture of the cannula and the Archimedes screw is disposed within the cannula in a position for conveying tissue entering the cannula via suction.

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 apparatus is provided including a connector, a flexible shaft, and a distal tip. The connector may further be coupled to an electrosurgical generator and gas supply. The distal tip of the electrosurgical apparatus may be grasped by a grasping tool, such that the orientation and position of the distal tip relative to the shaft may be manipulated to achieve a plurality of positions. The electrosurgical apparatus provides electrosurgical energy and inert gas to an electrode within the distal tip of the electrosurgical apparatus to generate a plasma beam. In one aspect, the distal tip is configured as a sheath that is extendable and retractable over the electrode to expose the electrode when the sheath is in a first position and conceal or cover the electrode when the sheath is in a second position.

An ablation system, configured to create a shunt between a left atrium and a coronary sinus of a patient, includes an ablation device comprising a proximal body defining a distal-facing surface configured to contact the coronary sinus wall, a distal body defining a proximal-facing surface positioned opposite the distal-facing surface and configured to contact the left atrium wall, and first and second heating elements disposed on the distal-facing and proximal-facing surfaces, respectively. The heating elements are configured to ablate tissue between the left atrium and the coronary sinus of the patient to create the shunt. The system further includes an expandable dilation element configured to dilate a puncture formed through the coronary sinus wall and the left atrium wall to facilitate introduction of the distal body of the ablation device into the left atrium.

Systems and methods for treating tissue are disclosed. The target tissue is ablated. A real-time image of the target tissue is generated during the ablation. The real-time blood perfusion level of the target tissue is determined from the real-time image and compared to an initial blood perfusion level of the target tissue. The comparison provides a metric for the progress of the ablation, and ablation is halted when the real-time blood perfusion drops below a threshold level relative to the initial blood perfusion level.

An electrosurgical instrument has a hollow shaft portion defining a plurality of fluid ports configured for suction and/or irrigation. The electrosurgical instrument also includes a plurality of different electrode tips configured to detachably couple to the shaft portion. Each of the electrode tips have an active electrode and a return electrode to provide bipolar electrosurgical energy therebetween.

A radio frequency ablation catheter having the function of a movable guide wire, comparing an electric support, a catheter body and a control handle which are sequentially provided. The catheter body is provided there with a cavity for the sliding of the movable guide wire. The distal end of the movable guide wire passes through the catheter body and protects from the distal end of the electric support, a soft guide wire provided at the distal end of the movable guide wire is always kept outside the electric support. The proximal end of the movable guide wire protects from the proximal end of the catheter body and enters the control handle, then, the proximal end of the movable guide wire is fixed to a controlling member provided on the control handle or is fixed to a controlling member provided outside the control handle.

A medical device for performing a hysterectomy is provided. The medical device has a tissue incision assembly that includes a first cup nested within a second cup. The tissue incision assembly also includes a spacer assembly between the first cup and the second cup in order to maintain a spacing between the first and second cups. The tissue incision assembly also has a cutting implement that has a portion extending between, and movable with respect to, the first and second cups. The cutting implement can provide a circular cut guided via the spacing between the first and second cups.

Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath insertable into a body and positionable relative to a reference point includes a primary actuator configured to move a primary electrode to a first position. A secondary actuator is configured to move a secondary electrode to a second position. A shrouding device is configured to selectively prevent access to the secondary actuator until the primary actuator has been manipulated to extend the primary electrode to the first position.

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 processos configured to take impedance measurements at the tip to confirm contact with the intra atrial septum and / or confirm entry into the left atrium.