A medical device includes: a sheath; a first bending portion provided at a distal end side of the sheath; a second bending portion provided between the first bending portion and the sheath; a first wire fixed to a first wire fixing portion provided at a distal end side of the first bending portion and inserted in the sheath toward a proximal end side of the sheath; and a second wire fixed to a second wire fixing portion provided between the first bending portion and the second bending portion and inserted in the sheath toward the proximal end side of the sheath, wherein a part of the first wire positioned in the first bending portion and a part of the first wire positioned in the second bending portion have straightness, and at least a part of the second wire positioned in the second bending portion has straightness.

Certain aspects relate to systems and techniques for an articulating monopolar medical instrument. In one aspect, the medical instrument includes a wrist comprising a proximal clevis and a distal clevis; an end effector coupled to the distal clevis via a distal axle; at least one proximal pulley in the proximal clevis; at least one distal pulley in the distal clevis and coupled to the distal axle; a first cable configured to engage with the at least one proximal pulley and the at least one distal pulley; and a second cable configured to engage with the at least one proximal pulley without engaging the at least one distal pulley.

A surgical instrument includes an end effector assembly having first and second jaw members at least one of which is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. A sheath is movable relative to the end effector assembly between a retracted position, wherein the sheath is positioned proximally of the first and second jaw members, and an extended position, wherein the sheath is disposed about the first and second jaw members. The sheath is configured to fluidly couple to a source of at least one of suction or irrigation to provide at least one of suction or irrigation at a surgical site.

Surgical devices, systems and methods for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device comprises a handle (20a) having a proximal end and a distal end; a shaft extending distally beyond the distal end of the handle, the shaft having a proximal end and a distal end; an electrode tip (45), at least a portion of the electrode tip extending distally beyond the distal end of the shaft, the electrode tip extending distally beyond the distal end of the shaft comprising a spherical end surface portion (25) and a cylindrical side surface portion, the spherical end surface portion located distal to the cylindrical side surface portion and comprising at least a portion of the distal end surface of the surgical device; and a fluid passage directed to provide a fluid towards the cylindrical side portion of the electrode tip.

Surgical tools for use during scarless or near scarless surgical procedures. At least some of the surgical tools can include a handle portion and a working end removably connected to the handle portion.

A method of treating tissue includes extending a distal tip of an electrode of a surgical instrument from a body of the surgical instrument to expose the distal tip by sliding the electrode along a longitudinal axis defined by the body, delivering energy from the distal tip to tissue, and applying suction adjacent the distal end of the body with a suction pipe of the surgical instrument. The distal tip of the electrode may include a collapsible portion. Extending the distal tip of the electrode may include moving the collapsible portion to extend beyond an outer radial dimension of a nose of the surgical instrument.

A method of disassembling a surgical instrument includes obtaining a surgical instrument including a housing, an input shaft defining an axis and extending from the housing, and a paddle engaged with the input shaft and configured to pivot about the axis. The method further includes disengaging a cover plate of the paddle from a body of the paddle by providing a force to the cover plate substantially in a direction parallel to the axis and disengaging the body from the input shaft by providing a force to the body substantially in a direction parallel to the axis.

Certain aspects relate to systems and techniques for an articulating monopolar medical instrument. In one aspect, the medical instrument includes a wrist comprising a proximal clevis and a distal clevis; an end effector coupled to the distal clevis via a distal axle; at least one proximal pulley in the proximal clevis; at least one distal pulley in the distal clevis and coupled to the distal axle; a first cable configured to engage with the at least one proximal pulley and the at least one distal pulley; and a second cable configured to engage with the at least one proximal pulley without engaging the at least one distal pulley.

Tissue regions are treated using a multiple lead electrode probe. A plurality of electrodes may be disposed about an elongate shaft. The elongate shaft may be slidably disposed within a lumen of a delivery sheath. One or more probes including one or more electrically active regions may also be slidably disposed within the delivery sheath. The one or more probes may be configured to extend radially about the elongate shaft. The plurality of electrodes and the electrically active regions may be individually connected to a control and power unit through individual channels.

Surgical devices, systems, and methods are provided for applying monopolar energy and bipolar energy to tissue. In one embodiment, a surgical device is provided with an end effector that has first and second jaws movable between an open position and a closed position, and a conductive member that extends through the end effector. The conductive member has a retracted position in which the conductive member is substantially disposed within the end effector and an extended position in which the conductive member extends at least partially distally beyond the end effector. The conductive member is configured to conduct energy through tissue adjacent thereto at least when the conductive member is in the extended position.