An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.

A gas removal apparatus and a method for removing gas bubbles from at least a part of a medical device disposed in an interior chamber of a gas removal apparatus. The gas removal apparatus includes an interior chamber, a filling surface, a first opening arranged at an end of the filling surface and that provides a first path into the interior chamber, and a second opening that provides a second path into the interior chamber. When the apparatus is arranged in a liquid receiving position, at least a portion of the at least the part of the medical device is disposed above an uppermost surface of liquid in the interior chamber, and when the apparatus is arranged in another position different from the liquid receiving position, the entirety of the at least the part of the medical device is disposed below an uppermost surface of liquid in the interior chamber.

Certain aspects relate to systems and techniques for a bipolar medical instrument. In one aspect, the medical instrument includes a first end effector, a first set of one or more distal pulleys coupled to the first end effector, and a wrist configured to house the first set of distal pulleys. The medical instrument also includes a plurality of cables extending through the wrist and a first insulating member formed between the first end effector and the first set of one or more distal pulleys.

A system for working biological tissue, the system comprising: a tool comprising a laser operable to perform at least one action of work; positioning means for positioning the tool relative to the biological tissue to perform the at least one action of work; a controller; storage storing electronic program instructions for controlling the controller; and an input means; wherein the controller is operable, under control of the electronic program instructions, to: receive input via the input means; process the input and, on the basis of the processing, control the positioning means and the tool to work the biological tissue.

Certain aspects relate to systems and techniques for an articulating monopolar medical instrument. In one aspect, the medical instrument includes a wrist comprising a proximal clevis and a distal clevis; an end effector coupled to the distal clevis via a distal axle; at least one proximal pulley in the proximal clevis; at least one distal pulley in the distal clevis and coupled to the distal axle; a first cable configured to engage with the at least one proximal pulley and the at least one distal pulley; and a second cable configured to engage with the at least one proximal pulley without engaging the at least one distal pulley.

A surgical tool with a bendable shaft. At least one inelastic cable and at least one elastic cable extend along the shaft. The shaft moves relative to the body to which the shaft is attached. When the shaft is so displaced, the shat bends around the inelastic cable. The inelastic and elastic cables cooperate to hold the bendable section of the shaft in compression so the bendable section of the shaft resists deformation.

An endoscopic surgical instrument includes at least one endoscopy shaft, with at least one suction and/or rinse unit, with at least one securing element, which is configured to secure the at least one endoscopy shaft on the at least one suction and/or rinse unit in a coupled state, and with at least one fixation unit, which is configured for a captive fixation of the at least one securing element on the at least one suction and/or rinse unit, wherein the at least one fixation unit comprises at least one cover element which, in a mounted state, encompasses the at least one securing element at least partly, wherein the at least one cover element comprises at least one operational recess for an operation of the at least one securing element.

An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

Electrosurgical procedures. At least some of the example methods for detecting that an electrosurgical wand is effected by a blockage, including supplying a high frequency energy to an active electrode of an electrosurgical wand; drawing an electrically conductive fluid from the vicinity of the active electrode; sensing a temperature signal indicative of a temperature of the electrically conductive fluid drawn from the vicinity of the active electrode; and cycling the high frequency energy supplied upon the temperature of the electrically conductive fluid drawn from the vicinity of the active electrode exceeding a first threshold temperature.

Apparatus, consisting of a probe with a temperature sensor and a transducer in contact with a living subject's tissue. A power supply delivers electrical power to the transducer for tissue ablation. A controller receives a signal from the temperature sensor and in response outputs a tissue temperature. During a first time period the power supply delivers no more than a first target power to the transducer, and reduces the power when a first maximum allowable temperature of the tissue is exceeded. During a transition time period the power supply delivers no more than a second target power, while reducing the delivered power when the first maximum allowable temperature of the tissue is exceeded. During a second time period the power supply delivers no more than the second target power, while reducing the delivered power when a second maximum allowable temperature, less than the first maximum allowable temperature, is exceeded.