A medical punching/cauterizing device includes a handle having a body, a cap detachably coupled to a front portion of the body, a connection terminal coupled to the body and electrically connected to a power supply means, a conductor provided in the front portion of the body and having one end electrically connected to the connection terminal, and a guide wire provided on a front portion of the handle and having one end electrically connected to the conductor.

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.

An irreversible electroporation (IRE) system includes an IRE ablation power source configured to generate bipolar IRE pulses, a switching assembly, and a processor. The switching assembly is configured to short-circuit a first group and a second group of electrodes of a catheter, the groups of electrodes configured to be placed in contact with tissue of organ, so as to create respective combined electrodes of a first size and a second size smaller than the first size, and to connect the IRE ablation power source to the groups of electrodes. The processor is configured to receive target tissue depth of ablation, select the groups of the electrodes, to control the switching assembly to create the combined electrodes and to ablate the tissue by controlling the switching assembly to apply the bipolar IRE pulses to the groups of electrodes to ablate tissue location in contact with a combined electrode to target depth.

An electrocautery unit for connecting to a handle of an electrocautery device, the unit comprises a body, a light unit and an electrode. The body has a body proximal end and a body distal end, and a body axis extending lengthwise along the center of the body. The body’s proximal end comprises a connecting element for connecting said body to a handle having a handle axis extending lengthwise along the center of the handle, so that said body axis is coaxial with said handle axis when said body is connected to said handle. The light unit may be constructed and arranged to emit a light having a central axis coaxial with said body axis. The electrode comprises a proximate end connected to the body distal end, and an electrode tip at a distal said. When the electrode is connected to the body, the electrode lays outside of the body axis and extends into said body axis such that the electrode tip is within said body axis, wherein said light and said electrode tip are coaxial to said body axis and said handle axis.

A medical probe includes a generally tubular member with a tip portion coupled to the tubular member. A puller wire is disposed in the tubular member and configured for movement along the longitudinal axis to bend the tip portion with respect to the longitudinal axis. An anchor is disposed within the tubular member and connected to the puller wire such that the anchor has a t-bar. The t-bar includes a generally transverse extension and a ferrule connected to the puller wire. The probe includes a fiber engaged to the generally transverse extension and extending distally into the probe to increase a strength of the anchor with respect to forces applied to the puller wire to deflect the tip of the medical probe.

Neuromodulation catheter systems with controlled irrigation capabilities and methods for using such systems are disclosed herein. One such method includes, for example, positioning an irrigated neuromodulation catheter at a treatment site within a renal blood vessel of a human patient, delivering neuromodulation energy at the treatment site, and delivering irrigation fluid to the treatment site having characteristics coordinated with the delivered energy. The characteristics can be adjusted to maintain an energy delivery element and/or tissue of the blood vessel at a constant temperature as power is increased. The method can further include monitoring at least one parameter of the tissue and/or of the energy delivery element, and adjusting the neuromodulation energy and/or the characteristics of the irrigation fluid if the at least one parameter falls outside of a treatment range of values.

A containment bag assembly for extracting a tissue specimen comprises a bag having one or more segmenting wires, an outer tube comprising a proximal and distal end, a flexible ring configured to form a top opening of the containment bag, wherein the flexible ring comprises two ring subassemblies, each having a proximal and distal end, a flexible member positioned between and coupled to the distal ends of the two ring subassemblies, wherein, when the flexible member is in a collapsed position, the two ring subassemblies are in a collapsed position and the containment bag is configured to be stored within the outer tube, and wherein, when the flexible member is in an expanded position, the two ring subassemblies and the flexible member bias the top opening of the containment bag to an open position to enable placement of the tissue specimen within the containment bag.

A tissue segmentation device comprises segmenting wires, a grasper, an introducer tube that is shaped and sized to allow introduction of the segmenting wires and the grasper into a patient incision, a specimen bag configured to be deployed through the introducer tube and into the patient incision, at least one actuator positioned adjacent a proximal end of the introducer tube and coupled to proximal portions of the segmenting wires and the grasper, and wherein the at least one actuator is configured for manipulating the grasper to grasp a tissue specimen prior to or during tissue segmentation, wherein manipulation of the grasper further enables pulling the tissue specimen into the segmenting wires for segmentation, positioning the tissue specimen such that it contacts the segmenting wires, and/or enabling placement of the tissue specimen in the bag.

An ablation device and an ablation system provided with an ablation device, include an ablation assembly and an adjustment assembly provided at the proximal end of the ablation assembly. The adjustment assembly includes an outer catheter and an inner catheter which extend axially. The ablation assembly includes a supporting framework and an ablation member provided on the supporting framework. The supporting framework includes a positioning frame and a bearing frame. The positioning frame is provided at the distal end relative to the bearing frame, the distal end of the outer catheter is connected to the proximal end of the bearing frame, the distal end of the inner catheter is connected to the distal end of the positioning frame. During moving of the inner catheter relative to the outer catheter, the supporting framework deforms, and the deformation ratio of the positioning frame is less than that of the bearing frame.

Instruments, systems and methods are provided for performing submucosal medical procedures in a desired area of the digestive tract using endoscopy. Instruments include a safe access needle injection instrument, a submucosal tunneling instrument, a submucosal dissection instrument, a mucosal resection device. Systems include a combination of one or more of such instruments with or without injectable agents. Embodiments of various methods for performing the procedures are also provided.