An end effector has three degrees of freedom in operation: (1) opening and closing of the jaws, (2) adjustable articulation of the jaw plane relative to the longitudinal axis, and (3) rotation of the jaw assembly, regardless of its articulation, about the longitudinal axis. A split yoke assembly is coupled to rotatable jaw mounts, which in turn are coupled to the jaws. A pushrod is configured to open and close the jaws, and cables coupled to the rotatable jaw mounts cause articulation of the jaw plane.

An electrode for high frequency medical device includes: a base; and a coating layer which is laminated onto the base, includes at least either one of a fluororesin and a silicon compound, has a volume resistivity of 1.010.sup.0 to 1.010.sup.13.Math.cm, and has a thickness of 1 to 30 m. The electrode is configured to denature and dissect a living tissue by a Joule heating due to a high frequency current and an arc discharge.

Certain aspects relate to systems and apparatuses with shielded wrists, and methods of actuating instruments with wrists. In one aspect, an instrument includes a shaft, an end effector, and a wrist connecting the shaft to the end effector. For example, the wrist may include a proximal clevis, a distal clevis, and an intermediary frame positioned between the proximal clevis and the distal clevis.

An electrosurgical forceps includes first and second shaft members pivotably coupled to one another via a pivot member such that pivoting of the first and second shaft members between spaced-apart and approximated positions pivots jaw members thereof between open and closed positions. A knife is translatable between retracted and extended positions. The knife has a stop to prevent distal movement of the knife beyond the extended position.

Embodiments relate to robotic arm assemblies. Embodiments include shoulder segment and upper arm segment having motor drive portion. Embodiments include shoulder coupling joint assembly connecting upper arm segment to shoulder segment. Shoulder coupling joint assembly includes distal shoulder joint subassembly connected to upper arm segment. Distal shoulder joint subassembly includes distal shoulder joint forming first axis. Distal shoulder joint subassembly includes shoulder planetary gear assembly having shoulder sun gear configured to rotate relative to first axis when motor drive portion is driven to rotate. Shoulder planetary gear assembly includes shoulder planetary gear carrier. When shoulder sun gear rotates, shoulder planetary gear carrier drives upper arm segment to rotate relative to first axis. Shoulder coupling joint assembly includes proximal shoulder joint subassembly connecting shoulder segment to distal shoulder joint subassembly. Proximal shoulder joint subassembly includes proximal shoulder joint forming second axis, which rotates distal shoulder joint subassembly relative to second axis.

Apparatus for performing a minimally-invasive procedure, the apparatus comprising: a shaft having a distal end and a proximal end; a monopolar knife assembly attached to the distal end of the shaft, the monopolar knife assembly comprising a knife; a handle attached to the proximal end of the shaft; wherein the shaft comprises a flexible portion and an articulating portion, wherein the flexible portion extends distally from the handle and the articulating portion extends distally from the flexible portion; wherein at least one articulation cable extends from the handle to the articulating portion, such that when tension is applied to the at least one articulation cable, the articulating portion deflects; wherein an actuation element extends through the shaft from the handle to the knife, such that when the actuation element is moved, the knife is moved; and wherein the actuation element transmits electrical power from the handle to the knife.

An electrosurgical system is provided and includes a bipolar electrosurgical instrument and an electrosurgical generator. The bipolar electrosurgical instrument is arranged to seal and cut tissue captured between jaws of the instrument. The jaws include particularly positioned, shaped and/or oriented electrodes to perform the sealing of tissue. The electrosurgical generator is arranged to supply RF energy through the instrument, monitor the supplied RF energy and adjust or terminate the supplied RF energy to optimally seal the tissue.

A medical device including an elongate member having a proximal end and a distal end and an end-effector disposed at the distal end of the elongate member is disclosed. The end-effector further includes a plurality of arms, which may pivot or move relative to one another. Further, each arm includes an inner edge defining a cutting edge, and an outer edge having at least one geometric feature for manipulating tissue.

A robotic surgical instrument comprising a shaft, an electrocautery end effector powered by a first electrocautery element and a second electrocautery element, and an articulation. The articulation connects the electrocautery end effector to the shaft, and comprises a first joint driveable by a first pair of driving elements, the first joint permitting the electrocautery end effector to rotate about a first axis transverse to a longitudinal axis of the shaft. The first joint comprises a pulley arrangement around which the first pair of driving elements and the first and second electrocautery elements are constrained to move, the first and second electrocautery elements having symmetrically opposing paths around the pulley arrangement. The first and second electrocautery elements are distinct from the first pair of driving elements.

An electrically energized medical instrument uses one or more drive cables to both actuate mechanical components of a wrist mechanism or an effector and to electrically energize the effector. Electrical isolation can be achieved using an insulating main tube through which drive cables extend from a backend mechanism to the effector, an insulating end cover that leaves only the desired portions of the effector exposed, and one or more seals to prevent electrically conductive liquid from entering the main tube. Component count and cost may be further reduced using a pair of pulleys that are shared by four drive cables.