A system for cutting leaflet tissue at a cardiac valve may comprise a guide catheter having a proximal end and a distal end, wherein the distal end of the guide catheter is steerable to a position above a cardiac valve. The system may also include a handle coupled to the proximal end of the guide catheter, the handle comprising at least one control configured to steer the guide catheter to the position above the cardiac valve. Finally, the system may comprise a cutting mechanism routable through the guide catheter and able to be positioned at the distal end of the guide catheter, the cutting mechanism configured to cut a portion of leaflet tissue of the cardiac valve.

A surgical forceps including an end effector assembly has first and second jaw members. At least one of the first or second jaw members has a jaw frame defining a channel therein, an insulative member disposed within the channel of the jaw frame, and an electrically-conductive plate having a tissue contacting surface and at least one folded side portion. The insulative member includes a top portion having a tissue facing surface. The tissue contacting surface of the electrically-conductive plate is disposed on the tissue facing surface of the insulative member. The at least one folded side portion of the electrically-conductive plate is folded over the top portion of the insulative member such that the electrically-conductive plate conforms to a shape of the top portion of the insulative member.

An articulable wrist for an end effector includes a distal linkage provided at a distal end of the articulable wrist, a proximal linkage provided at a proximal end of the articulable wrist, and a central channel cooperatively defined by the distal and proximal linkages and extending between the distal and proximal ends. A flexible member is arranged within the central channel, and one or more stiffening members are arranged within the flexible member and extend at least partially between the first and second ends. The stiffening members operate to increase a stiffness of the flexible member and the articulable wrist against bending.

A surgical instrument includes: a handpiece; a movable member configured to transmit a driving force to a treating member to treat a subject by moving relatively to the handpiece; and a connector arranged inside the handpiece, and including a strip to apply a pressing force to the movable member. The movable member includes a first conductive portion formed therein. The connector includes a second conductive portion formed on the strip. The second conductive portion abutting against the first conductive portion to connect the movable member and the handpiece electrically. The second conductive portion of the connector is a molded interconnect device constituting a three-dimensional circuit.

An audio control system for a modular energy system. The audio control system can include a first controller and a second controller. The first controller can be configured to output an audio signal and an audio signal ID associated with the audio signal. The second controller can be coupled to the first controller and configured to receive the audio signal ID from the first controller and determine whether the audio signal ID corresponds to an expected audio signal ID.

An electrosurgical device having a first shaft with a tang positioned along an intermediate portion to provide a pivot point that is offset from the longitudinal axis. A second shaft is pivotally coupled to the tang of the first shaft using a slot that accepts the tang of the first shaft. The second shaft is formed from three portions, each of which extends along a different longitudinal axis so that the jaws of the device will be closed when the second shaft abuts a stop of the first shaft.

An electrosurgical instrument end effector has first and second jaw members each including an electrically conductive tissue-contacting surface. The first and second jaw members are configured to grasp and electrosurgically treat tissue between the tissue-contacting surfaces. A thermal cutting element includes a body portion extending along the tissue-contacting surface of the second jaw member and a distal probe portion extending distally therefrom. The distal probe portion extends distally beyond a distal-most extent of the second jaw member, has a free end distally-spaced from this distal-most extent, and is exposed about the entire outer periphery thereof between the distal-most extent the free end. The body portion of the thermal cutting element is energizable for thermally treating tissue grasped between the tissue-contacting surfaces, while the distal probe portion of the thermal cutting element is energizable for thermally treating tissue positioned distally of the first and second jaw members.

A jaw member for a surgical instrument includes a jaw housing and a first electrically conductive material deposited atop the jaw housing. An electrical wire is operably associated with the jaw housing and includes an exposed, electrically conductive tip. The exposed, electrically conductive tip is disposed atop the first electrically conductive material. A second electrically conductive material is deposited atop the exposed, electrically conductive tip to secure the exposed, electrically conductive tip in electrical contact with the first electrically conductive material.

An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each having a jaw housing supporting an electrically conductive tissue engaging surface thereon disposed in opposition relative to one another. The electrically conductive tissue engaging surfaces are adapted to connect to an electrosurgical energy source. A thermal cutting element is disposed the electrically conductive tissue engaging surface and is independently activatable relative to the electrically conductive tissue engaging surfaces and is adapted to connect to the electrosurgical energy source. The thermal cutting element is exposed along the length of the electrically conductive tissue engaging surface and includes an exposed distal end extending through a distal end of the jaw housing. The exposed distal end of the thermal cutting element is configured to facilitate tissue dissection upon activation thereof.

A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises a transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit configured to monitor a parameter of the surgical instrument, wherein crossing an upper predetermined threshold of the parameter causes the control circuit to effect a first electromechanical system, and wherein crossing a lower predetermined threshold of the parameter causes the control circuit to effect a second electromechanical system different than the first electromechanically system.