A blood vessel dissecting device is disclosed, which includes a dissecting device configured to be inserted into a living body along a blood vessel to dissect tissue surrounding the vessel from tissue surrounding the vessel in a direction along a longitudinal extent of the blood vessel; and a cutting device configured to fee inserted into the living body along the longitudinal extent of the blood vessel to cut the tissue surrounding the blood vessel so the direction of longitudinal extent of the blood vessel.

A monopolar telescopic electrosurgery pencil with argon beam capabilities which includes telescoping members contained within the pencil and a monopolar electrosurgery blade assembly with a non-conductive tube member for an inert gas.

Electrosurgery blades including electrosurgery blade assemblies having argon beam capability. The electrosurgery blade includes a non-conductive planar member having opposite planar sides and a sharp cutting tip and a conductive layer located on one or both of the opposing planar sides of the non-conductive layer. In embodiments of the electrosurgery blade assemblies having argon beam capability, the electrosurgery blade assembly includes a non-conductive tube member having a hollow tubular shaped opening and a slot where at least a portion of the conductive layer of the electrosurgery blade is positioned within the slot of the non-conductive tube member.

Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

Provided is a medical system comprising a medical device, a feature sensor and a logic controller or processor wherein the logic controller is configured to monitor or control an operation of the medical device in response to the input of the feature sensor. Also provided is a method of monitoring or controlling an operation of a medical device by a logic controller through a plurality of sensors. Further provided is a method of minimizing or preventing tissue sticking of an electrosurgical device during a medical procedure on a patient.

An improved electrosurgical scalpel, with fume evacuation, for generating electrical signals intended for applications to the body of a patient via an electrosurgical electrode is provided that includes a channel to evacuate fumes generated. An electrosurgical scalpel includes a handle with a receptacle portion of a conductive hollow member for mounting and retaining an electrode blade and evacuating fumes, an optional light source with a power source that may be encapsulated within the handle and a vacuum port for applying a vacuum source to draw fumes away from the electrode tip through the chanel. Operation of a slide on the handle serves to retract or extend the electrode blade, and direct fume evacuation.

A combination medical includes a first arm and a second arm interconnected to the first arm. The first arm and the second arm are biased towards each other by a closing force. A biasing member is disposed between the first arm and the second arm. The biasing member has a first position that biases the first arm and the second arm away from each other against the closing force and a second position that does not oppose the closing force. The combination medical device may be an electrosurgical device with a mono-polar and bi-polar configuration.

An endoscope attachment of the present invention includes a light-shielding member disposed in a distal direction from a distal end of an endoscope insertion portion of an endoscope and shields a part of light emitted from a light source of the endoscope at a position separated from the light source; and a support portion connected to the endoscope insertion portion and being capable of holding the light-shielding member at a position distant from the distal end of the endoscope insertion portion.

Devices and methods are described for the treatment of heart conditions such as heart failure with preserved ejection fraction, including diastolic heart failure, by performing a pericardial modification procedure. Intraoperative test procedures for assessing the efficacy of the pericardial modification procedure are also described.

An electrosurgical tool for conveying electrical energy comprising an elongated electrode extending in an axial direction from a proximal electrode end to a distal electrode end. The distal electrode end defining a working end configured for cutting or coagulation of tissue by way of electrical energy received by the electrosurgical tool. At least one layer of an insulation material covering an outer surface of the working end so that a portion of the outer surface of the working end is not covered by the insulation material. When electrical energy is provided to the elongated electrode, current is only conducted through an exposed portion of the outer surface of the working end. At least one layer of the insulation material prevents current from straying from the outer surface of the working end covered with the insulation material.