An electrosurgical end effector for a surgical tool to perform teleoperated surgical operations. The electrosurgical end effector comprises a first end effector jaw; a second end effector jaw coupled to the first end effector jaw; and a coupling pin configured to rotatingly couple the first end effector jaw to the second end effector jaw so as to cooperatively rotate open and close about an axis of rotation. The electrosurgical end effector further comprises an actuation mechanism coupled to an end of the first end effector jaw to rotate the first end effector jaw about the coupling pin; an otomy feature coupled to the second end effector jaw; and a first electrical conductor to electrically couple the otomy feature to a generator. In one embodiment, the otomy feature is electrically activated by contact with a cam portion of the first end effector jaw, when opened beyond a predetermined jaw angle.

A surgical cauterizer includes an elongate body member having a tapered distal-end portion terminating at an apex. A cauterizing tip extends from the apex. A hollow passageway is formed in the interior of the elongate body member. Formed in the tapered distal-end portion of the elongate body member is at least one smoke intake port for providing a smoke evacuation pathway between regions proximate the cauterizing tip and the hollow passageway within the elongate body member. A tube connected to an outlet of the hollow passageway may provide a vacuum for evacuating the smoke generated by cauterization. In an embodiment, the elongate body member may include a first and second arms that define a forceps operable between an open position and a closed position.

Lysing surgical instruments and related systems and methods. In some embodiments, the instrument may comprise a lysing tip comprising at least one bead. The at least one bead may comprise an at least substantially electrically non-conductive surface and at least one lysing member defining at least one lysing segment extending within a recess defined, at least in part, by the at least one bead. The at least one bead may also protrude both distally and proximally relative to the at least one lysing member.

Methods and apparatuses (e.g., devices, instruments and systems, including applicator handles for use with pulse generators) for automatically and/or mechanically setting impedance matching for connecting the applicator handle with different electrode tips. These methods and apparatuses may be useful for applying therapeutic energy, including but not limited to short, high field strength electric pulses, while avoiding the risk of arcing or otherwise harming the tissue.

A device (10) to occlude the left atrial appendage (1) of a heart of a subject comprises an implantable occlusion apparatus (30) configured for radial expansion upon deployment to fluidically occlude the left atrial appendage, an elongated catheter member (80) having a distal end attachable to the implantable occlusion apparatus for transluminal delivery of the implantable occlusion apparatus to the left atrial appendage, a tissue energising module (20) having a plurality of electrodes (26) disposed around a circumference of the implantable occlusion apparatus in which each electrode is configured to contact a wall of the left atrial appendage at a tissue focal point upon deployment of the implantable occlusion apparatus, and an electrical controller (40) including a pulsed field energy delivery generator operably attachable to an electrical power source (50) and the plurality of electrodes and configured to energise the electrodes in a pulsed field ablation modality. The electrical controller is configured to independently energise each of the plurality of electrodes to apply a non-uniform pulsed field ablation treatment circumferentially around the wall of the left atrial appendage.

A surgical instrument includes a reusable component and a disposable component selectively separable from and engagable with the reusable component. The disposable component includes an end effector and a mechanical actuator operable to induce mechanical movement of the end effector. The reusable component is configured for providing electrosurgical energy to the disposable component when engaged with the disposable component. A physical mating feature is configured to maintain engagement between the reusable and disposable components when the reusable and disposable components are engaged, and an electrical mating feature is configured to transmit electrical energy between the disposable and reusable components when the disposable and reusable components are engaged. All mechanical motion resulting from operation of the mechanical actuator may be contained within the disposable component.

An electrosurgical instrument is disclosed including a pencil-grip handle, a shaft coupled to the pencil-grip handle, and an end effector coupled to the shaft. The end effector includes a body, a source electrode, and one or more return electrodes. The source electrode and the one or more return electrodes are configured to provide a multi-phase bipolar electrosurgical signal to tissue. The one or more return electrodes each comprise a first return electrode and a second return electrode. The electrosurgical instrument further includes an electrosurgical generator coupled to the end effector. The electrosurgical generator is configured to produce the multi-phase bipolar electrosurgical signal including a first phase, a second phase, and a third phase. The electrosurgical generator is coupled to the source electrode, the first return electrode, and the second return electrode. The first phase, the second phase, and the third phase are combined to generate the multi-phase bipolar electrosurgical signal.

A method of assembling an electrosurgical instrument includes coupling first and second shafts to each other about a pivot. Each of the shafts has an interior side facing the other shaft and an exterior side opposite the interior side. The method also includes disposing a knife blade at least partially through a passageway defined through the pivot from the exterior side of the first shaft and coupling a knife actuation mechanism to the first shaft from the exterior side of the first shaft. The knife actuation mechanism is configured to move the knife blade through the passageway.

A device for treating a tissue includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough, the capsule releasably coupled to a proximal portion of the device and clip arms, proximal ends of which are slidably received within the channel of the capsule so that the clip arms are movable between an open configuration, and a closed configuration. A core member is coupled to the clip alms, the core member including a proximal portion and a distal portion releasably connected to one another so that, when the core member is subjected to a predetermined load, the proximal and distal portions are separated from one another. An electrically conductive control member is connected to the core member, a proximal end of the connected member connected to a power source for delivering an electrical current to the clip arms.

A portable electrosurgical device (ESD) has a housing, a probe connected to the housing and a heating element connected to the probe for destroying human tissue. The heating element is detachable from the probe and/or the probe with heating element can be detachable from the housing. The user can set a drive signal's electrical characteristics, such as operating frequency, duty cycle, peak voltage, and the like for a customized drive signal formed in the ESD based on the heating element used. Memory storage allows for storage of inputted data from a keyboard, downloaded reference documents and information off the Internet from an Ethernet connector that can be displayed for reference on a screen of the ESD. Another even more compact ESD is an integral one-piece portable device having a type of pistol hand-held grip, dis-connectable probe, and a rechargeable, removable battery in the handle provides approximately 30, one-minute treatments on a single battery charge.