A vitreous enamel coating for an electrosurgical metal cutting blade, the coating having a coefficient of thermal expansion substantially near the coefficient of thermal expansion of the metal cutting blade. Selection of materials having similar coefficients of thermal expansion results in an electrosurgical cutting blade with an improved insulating layer, substantially improved durability, or both.

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices may comprise an elongated body having a proximal end and a distal end. A conical tip may be disposed at the distal end of the elongated body. In addition, the surgical instrument may include one or more surgical instruments moveable in a longitudinal direction along an axis substantially parallel to a central longitudinal axis of the cannula from a retracted position proximally of a distal end of the tip to an advanced position toward the distal end of the tip to seal and cut a blood vessel.

An electrosurgical resector tool having an energy delivery structure that provides a plurality of operational modalities that facilitate biological tissue cutting and sealing using radiofrequency (RF) electromagnetic (EM) energy and/or microwave EM energy. The tool comprises a static first blade element, and a pivotable second blade element that has a length commensurate with the first blade element whereby, in a closed position, it lies adjacent to a laterally facing surface of the first blade element. The blade elements constitute an energy delivery mechanisms that is compact enough to enable the tool to be insertable through an instrument channel of a surgical scoping device, such as an endoscope, gastroscope or bronchoscope.

The invention provides a tissue cutting device comprising a handle, a first blade, and a second blade. The second blade is coupled to the handle. The second blade is rotatable relative to the first blade such that the second blade is configured to rotate between a first position and a second position. The second blade is in a same plane as the first blade when the second blade is in the first position. The second blade is rotated into a different plane from the first blade when the second blade is rotated from the first position toward the second position.

Disclosed is a medical system that may comprise: a shaft having a working channel; a first medical instrument extending through the working channel; a second medical instrument disposed radially outside the shaft. The first medical instrument may be a tensioning tool and the second medical instrument may be a cutting tool comprising a first blade and a second blade. The first blade may be attached to a first actuation wire and the second blade may be attached to a second actuation wire.

Provided are Scissors for an endoscope that include a scissor mechanism part that includes a pair of scissor members connected to each other by a first spindle, and cuts a target site by opening and closing of the one scissor member and the other scissor member with the first spindle as a fulcrum; and an electrode part in which a monopolar electrode (electrode part) is formed on a distal end part of the one scissor member of the one scissor member and the other scissor member. An operator can quickly and extensively cut the target site by using the scissor mechanism part by the pair of scissor members, or can stop bleeding at the target site or cut the target site by using the electrode part.

A multifunctional surgical instrument (1) is provided. The multifunctional surgical instrument (1) comprises a proximal portion (13) and two legs (14), each leg comprising a distal end (11, 12), wherein a default position of the multifunctional surgical instrument is an open position, wherein the distal ends (11, 12) of the legs (14) do not meet in the open position, characterized in that each leg (14) comprises an aspiration half-channel (26, 27), the proximal portion (13) comprises an aspiration connection (29) and at least one of the distal ends (11, 12) comprises at least one aspiration orifice (28), wherein the two half-channels (26, 27) are configured to form an air-tight and water-tight continuous channel (25) connecting the at least one aspiration orifice (28) to the aspiration connection (29) when the multifunctional surgical instrument is in a fully closed position and are configured to open the aspiration channel (25) when the multifunctional surgical instrument is not in the fully closed position.

A medical device for facilitating a minimally invasive surgical procedure may include a housing and an arm. The housing may be configured for engagement around an outer circumferential surface of an endoscope and may include a first cavity. The arm may include at least one cutting surface and may be movably received within the first cavity. The arm may be configured to perform a first predetermined movement along at least a first plane at a predetermined frequency.

Unitary endoscopic vessel harvesting devices with an elastic force are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body. The tip having a visual cue indicating a location of at least one cutting element extending from the elongated body.

The invention provides a tissue cutting device comprising a handle, a first blade, and a second blade. The second blade is coupled to the handle. The second blade is rotatable relative to the first blade such that the second blade is configured to rotate between a first position and a second position. The second blade is in a same plane as the first blade when the second blade is in the first position. The second blade is rotated into a different plane from the first blade when the second blade is rotated from the first position toward the second position.