This document describes minimally invasive surgical instruments and methods for their use. For example, this document describes devices and methods for transcatheter modification of mitral valve leaflets to reduce or prevent the potential for full or partial blockages of the left ventricular outflow tract by anterior displacement of the anterior leaflet of the native mitral valve.

A surgical instrument includes a housing having an elongated shaft extending distally therefrom configured to support an end effector at a distal end thereof. A handle operably couples to a drive assembly and is moveable to actuate the end effector. The drive assembly includes: front and rear drive tubes, the rear drive tube including a front washer disposed at a distal end thereof, the front drive tube including a rear washer disposed at a proximal end thereof; a stopper slidably disposed atop the front tube, the stopper and the rear washer defining a dead space therebetween; and a spring operably associated with the stopper. Initial actuation of the handle moves the front and rear drive tubes to close the end effector to grasp tissue and, once closed, further movement of the handle moves the rear drive tube to slide the stopper to eliminate the dead space.

Electrosurgery blades including electrosurgery blade assemblies having argon beam capability. The electrosurgery blade includes a thin conductive member having a lead sharp cutting end and an opposite noon-cutting end and a non-conductive coating covering the thin conductive member such that at least a portion of the lead cutting end and at least a portion of the opposite non-cutting end of the thin conductive member remain exposed. An electrosurgery blade assembly having argon beam capability includes the previously described electrosurgery blade, a non-conductive tube member having a hollow tubular shaped opening positioned on top of the electrosurgery blade, and a conductive hollow tubular member contained within at least a portion of the non-conductive tube member.

An electrosurgical pencil includes a housing having proximal and distal ends, the proximal end adapted to connect to an energy source and the distal end adapted to receive an end effector assembly therein, the end effector assembly defining a surface area along a length thereof. An activation switch is operably associated with the housing and is configured to deliver electrosurgical energy to the end effector assembly upon actuation thereof. An air control valve is operatively coupled to the activation switch and is configured to simultaneously deliver a gas from a gas source to the surface area around the end effector upon actuation of the activation switch. One or more vents are defined in the distal end of the housing and are configured to direct the gas towards the surface area of the end effector.

Structures for treating tissue with high-frequency energy, methods of making a structure for treating tissue with high-frequency energy, and methods of treating tissue with high-frequency energy. A structure for use in treating tissue may include multiple microblades composed of an electrical conductor. Each of the microblades may include a shaft and a tip arranged adjacent to an end of the shaft. The tip includes multiple surfaces that surround a solid core of the tip and at least two of the surfaces may taper toward the end of the shaft.

A treatment device includes a flexible sheath; a wire configured to be inserted into the sheath; a first treatment member disposed at distal side from the wire; a second treatment member disposed at a distal side from the first treatment member; and a protection member configured to cover the second treatment member when the first treatment member projects from a distal end of the sheath.

An electrosurgical device comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode; and wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration so that both the forceps and the first therapy current are disabled.

A surgical instrument includes a switch base, a power bus coupled to the switch base, an electrical lead coupled to the power bus, an actuator operatively engaged with the power bus, an actuator operatively engaged with the power bus, a membrane, and a housing. The switch base has top, bottom, and side surfaces. The membrane is disposed over the top surface of the switch base and over the power bus to seal the top surface of the switch base. The housing defines proximal and distal ends and a switch base cavity between the proximal and distal ends. The housing includes bulkheads that form a plurality of fluid impermeable seals that are disposed adjacent one of the proximal and distal ends. The fluid impermeable seals are configured to deter fluid from penetrating a proximal portion of the switch base cavity within which the electrical lead is coupled to the power bus.

Disclosed is a soft tissue excision apparatus having a handle and an elongated blade support member extending from the handle. The distal end of blade support member includes a first thermally conductive blade support arm and a second thermally conductive blade support arm. An electrically heatable blade is supported at and electrically isolated from the distal ends of the two thermally conductive blade support arms. A first electrically conductive lead extends from the proximal end of the thermally conductive blade support member to a first blade heater contact pad. A second electrically conductive lead extends from the proximal end of the thermally conductive blade support member to a second blade heater contact pad. First and second electrically conductive flexible leads extend from the proximal end of the thermally conductive blade support member to a controller.

Disclosed herein are various embodiments of electrosurgical devices. In one embodiment a removable tip for use with an electrosurgical tool comprises a first tip member having a proximal end and a distal end; a second tip member having a proximal end and a distal end; an actuator coupled to the first tip member and the second tip member, the actuator for moving the first and second tip members between a closed position where the distal end of the first tip member and the distal end of the second tip member are proximate one another, and an open position where the distal end of the first tip member and the distal end of the second tip member are separated by a distance from one another; and an insertion member coupled with the proximal ends of the tip members for inserting the removable tip within an opening in the electrosurgical tool.