Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath insertable into a body and positionable relative to a reference point includes a primary actuator configured to move a primary electrode to a first position. A secondary actuator is configured to move a secondary electrode to a second position. A shrouding device is configured to selectively prevent access to the secondary actuator until the primary actuator has been manipulated to extend the primary electrode to the first position.

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 system is disclosed that includes an optical fiber including a first optical module and a gate. The gate can be capable of moving between closed and opened states to form a slit. At least one storage medium can be included having encoded thereon executable instructions that, when executed by the at least one processor, cause the system to carry out a method including directing light from the first optical module through the slit onto the stone to form a pair of lines with a spacing between the pair of lines; and determining a size of the stone, based on a distance from a distal tip of the optical fiber and the spacing between the pair of lines.

A treatment system that includes a treatment instrument to apply a treatment energy to a living tissue from an end effector according to a supplied electric power to incise the living tissue, an imaging device to generate a captured image capturing a state in which the treatment energy is applied from the end effector to the living tissue, and a control device that includes a processor to control operation of the imaging device. The processor acquires the captured image, calculates a temporal change amount based on any one of a predetermined point and a predetermined area in the captured image as a determination value, determines whether incision of the living tissue has been completed based on the determination value, and in response to determining that incision of the living tissue has been completed, execute an instruction to stop supply of the electric power to the treatment instrument.

Methods, apparatus, and systems for medical procedures are disclosed herein and include receiving a first electrical activity at a first time for a plurality of points on an intrabody surface. A first cluster of points is identified from the plurality of points, based on the first electrical activity, the first cluster of points each exhibiting electrical activity above an activity threshold. A second electrical activity is received at a second time for the plurality of points on the intra-body surface. A second cluster of points is identified from the plurality of points, based on the second electrical activity. The first cluster of points and the second cluster of points are determined to be related based on a propagation threshold. A first visual indication for a first propagation route is provided from the first cluster of points to the second cluster of points.

Systems and methods for controlling an irrigation flow rate during a lithotripsy procedure are provided. The system includes a laser configured for lithotripsy procedure, a lithotripsy irrigation system, and a temperature sensor configured to provide input to enable control of a flow of the lithotripsy irrigation system in response to a change in temperature from the operation of the laser.

A medical device system for the delivery of energy to a region of a patient's anatomy is provided. An introducer tube defines a lumen therein and bears a first electrode. A second electrode is movable within the lumen between a retracted position and an extended position. In the retracted position, the second electrode is substantially disposed within the lumen. In the extended position, the second electrode extends at least partially beyond the distal end of the introducer tube. In one form, the introducer tube is configured to substantially hold the second electrode within the lumen in a predetermined orientation in the extended position, and the introducer tube prevents the second electrode from substantially rotating within the lumen of the introducer tube during movement into the extended position. In one form, the introducer tube is more flexible in a first plane than in a second plane.

A radio frequency surgical instrument includes a tubular body; a metal wire having a tip end and a base end, and including a first portion exposed from and disposed outside a distal portion of the tubular body and a second portion disposed in the first lumen; and a fixture fixed to a tip end portion of the wire, being in contact with an inner wall of the first lumen, and having a tip end and a base end, wherein the fixture has a first segment including a portion decreased in outer diameter toward the tip end, and when the first segment is equally tripartitioned into a tip portion, a center portion, and a base portion, a base end of the tip portion in the first segment and a base end of the base portion in the first segment are different in radial sectional shape of the fixture.

Neuromodulation catheter systems with controlled irrigation capabilities and methods for using such systems are disclosed herein. One such method includes, for example, positioning an irrigated neuromodulation catheter at a treatment site within a renal blood vessel of a human patient, delivering neuromodulation energy at the treatment site, and delivering irrigation fluid to the treatment site having characteristics coordinated with the delivered energy. The characteristics can be adjusted to maintain an energy delivery element and/or tissue of the blood vessel at a constant temperature as power is increased. The method can further include monitoring at least one parameter of the tissue and/or of the energy delivery element, and adjusting the neuromodulation energy and/or the characteristics of the irrigation fluid if the at least one parameter falls outside of a treatment range of values.

A laser light irradiation system that irradiates a stone in a body with laser light to cause the stone to be dust, the laser light irradiation system including a laser fiber that emits the laser light, and a processor configured to control a frequency of the laser light emitted from the laser fiber, wherein the processor is configured to switch between first laser light of a first frequency and second laser light of a second frequency such that the second laser light is emitted at least before or after an emission timing of the first laser light, the first laser light generating a water flow that pulls the stone toward the laser fiber, the second laser light generating a water flow that stirs the stone.