Disclosed herein are a surgical navigation instrument having a needle electrode depth adjusting structure for detecting impedance and a high frequency energy control method using the same. The present invention can detect impedance of tissues while applying a pilot signal to an electrode of a high frequency needle according to impedance conditions of the tissues to detect impedance of the tissues, and determine an applied amount of high frequency energy output to high frequency needles according to the detected impedance, thereby reducing patients' pains, maximizing treatment effect, and reducing treatment time according to high frequency energy applied to various depths at the same treatment point when performing a surgical procedure with the same or different treatment parameters according to disease symptoms while selecting the insertion number of high frequency needles, which can be adjusted in penetration depth, into the skin.

An esophageal ablation system including a positioner, an elongated, flexible shaft extending from the positioner, and a microwave emitter, assembly disposed near the distal end of the shaft. The emitter assembly includes one or more microwave antennas and a balloon for spacing the antennas relative to target tissue. The device may have an inner balloon for deploying the antenna. The systems, devices and methods disclosed are useful for treating Barrett's Esophagus, Esophageal Adenocarcinoma, and Squamous Cell Carcinoma.

Ablation systems and methods of the present disclosure include a catheter including one or more image sensors. The one or more image sensors can facilitate, for example, positioning an ablation electrode at a treatment site of an anatomic structure and, additionally or alternatively, can facilitate controlling delivery of therapeutic energy to a treatment site of an anatomic structure.

A control handle for a surgical tool, e.g., an irrigated ablation catheter for use with a fluid side arm, has a housing defining an interior cavity and having a port through which the component can extend into the interior cavity. The housing has a detachable plug covering at least a portion of the port and being at least partially surrounded by a recessed groove to facilitate detachment of the plug from the housing. The recessed groove may be formed on an outer surface of the housing and there may be a second recessed groove on an inner surface of the housing generally tracing the first groove. The plug may also include a hinge to allow the plug to be arranged at an angled position relative to the housing without being fully detached from the housing.

A guiding sheath assembly has an elongated shaft, and a control handle with a control knob and a shuttle configured for translation in response to manipulation of the control knob. The assembly includes a puller wire extending along the shaft and responsive to translation of the shuttle to deflect the shaft. The puller wire has a stop at its proximal end wherein a deflection sensor is affixed to stop subject to compression between to generate a signal in response to distortion between the first shuttle and the first stop. A catheter having a control handle and a control knob for manipulation of a deflection puller wire whose proximal end is affixed to a stop anchored in the control handle housing includes a strain gauge affixed to the stop configured to detect deformation resulting from actuation of the puller wire in deflecting the catheter shaft. A drip chamber.

An electrosurgical pencil (10) includes a handle (14), a manifold (15) disposed within the handle (14), a suction tube (18) and a blower tube (16) operably coupled to the manifold (15), and an electrode assembly (20) removably coupled to the manifold (15). The suction tube (18) is configured to evacuate fluid from a surgical site and the blower tube (16) is configured to deliver fluid to a surgical site. The electrode assembly (20) includes an outer tubular member (28), an inner tubular member (26), and an electrode (25). The outer tubular member (28) defines at least one suction aperture (28A) and a suction lumen (28L) in fluid communication with the suction tube (18). The inner tubular member (26) is disposed within the suction lumen (28L) of the outer tubular member (28) and defines at least one blower aperture (26A) and blower lumen (26L) in fluid communication with the blower tube (16). The electrode (25) is configured to deliver electrosurgical energy to tissue.

The disclosed technology includes couplers, nose pieces, and strain relief hubs for ablation catheter assemblies and methods of using the same. The disclosed technology can include a medical probe having a coupler having a first portion, a second portion, and a vent port. The second portion can slide between a first position and a second position. When in the first position, the vent port can be at least partially obstructed by the first portion and, when in the second position, the vent port can be unobstructed by the first portion. The medical probe can include a nose piece having an outer diameter of less than 0.14 inches and an aperture extending therethrough. The aperture can be sized to receive a catheter. The medical probe can include a strain relief hub having a first portion and a second portion and configured to be coupled to a handle of the medical probe.

Medical ablation devices with user and patient feedback are disclosed herein. An example system a first haptic feedback element, a handpiece that is configured to deliver therapeutic light, a foot pedal that is configured to receive user input to control the therapeutic light, and a controller including a processor and memory, the processor executing instructions stored in the memory to: determine a selection of an operating mode of a plurality of operating modes, the operating mode having a haptic feedback feature; receive the user input from a user; and cause the first haptic feedback element to generate haptic feedback based on the user input.

A method and apparatus or system are disclosed for a procedure with minimal or no fluoroscopy, for example an electrosurgical procedure, and which uses a three dimensional mapping system. The procedure typically involves electrical measurement of the electrode of a needle to determine its position. Some embodiments further include intracardiac echocardiography (ICE) for tracking devices. The apparatus includes a needle with a tip electrode, an electroanatomical mapping (EAM) system, and an electrical generator, wherein a switching device is used to restrictively electrically connect the needle to only one of the mapping system or generator at a given time.

A surgical instrument includes a housing, a shaft extending therefrom, an end effector assembly supported by the shaft, a movable handle, and a drive assembly. The drive assembly includes a translatable drive member for actuating the end effector assembly, and a torsion spring including first and second legs. The first leg is configured to translate through the housing in response to movement of the movable handle relative to the housing. The second leg is configured to translate through the housing in cooperation with the first leg to move the drive member longitudinally when a force acting on the drive member is less than a threshold force, and to remain in fixed position, thereby tensioning the torsion spring and retaining the drive member in fixed position when the force acting on the drive member is equal to or exceeds the threshold force.