The invention provides an electrosurgical instrument for delivering radiofrequency and microwave energy to biological tissue in order to cut and coagulate the tissue. The electrosurgical instrument comprises a coaxial transmission line for conveying radiofrequency (RF) energy and microwave energy, and an energy delivery tip coupled to a distal end of the coaxial transmission line. The energy delivery tip comprises: a first electrode electrically coupled to an inner conductor of the coaxial transmission line and protruding beyond a distal end of an outer conductor of the coaxial transmission line; a second electrode electrically coupled to the outer conductor of the coaxial transmission line and extending coaxially along a portion of the first electrode; and a dielectric body disposed between the first electrode and second electrode. The first electrode comprises a projecting nib that protrudes beyond a distal end of the dielectric body. The second electrode and the dielectric body comprise portions that are exposed at the distal end of the energy delivery tip. The first electrode and second electrode are configured as (i) a bipolar structure for delivering the RF energy conveyed by the coaxial transmission line, and (ii) an antenna for radiating the microwave energy conveyed by the coaxial transmission line.

The invention is a device for the enucleation of intracorporeal tissue regions, in particular of the prostate, with a probe at whose distal end at least one freely accessible electrode body is mounted to which electrical energy can be applied via at least one electrical line running in the longitudinal extent of the probe. The electrode body has a dome-shaped electrode surface and has cross-sectional surfaces which are orientated orthogonally to the longitudinal extent of the probe surface areas along a first axial portion which contains a distal dome end of the electrode body, which increase continuously as the distance from the distal dome end increases.

A medical probe, consisting of an insertion tube having a distal end configured for insertion into a body of a patient and containing a lumen having an electrical conductor for conveying electrical energy. The probe also has a conductive cap attached to the distal end of the insertion tube and coupled electrically to the electrical conductor, the cap including a side wall having multiple longitudinal bores therein. There are a plurality of thermocouples disposed in respective ones of the longitudinal bores, and an electrically conductive cement at least partially fills the longitudinal bores so as to secure the thermocouples in the bores while making electrically conductive contact between the thermocouples and the conductive cap.

A surgical instrument includes a housing, an elongated shaft assembly extending from the housing, and an end effector extending from the elongated shaft assembly. An inner shaft of the assembly defines proximal and distal portions and a longitudinal lumen. The proximal portion inhibits passage of gas while the distal portion permits passage of gas. An intermediate collar is disposed about the inner shaft between the proximal and distal portions. An outer sleeve of the assembly is disposed about the inner shaft and the intermediate collar to define a proximal area therebetween proximally of the intermediate collar and a distal annular area therebetween distally of the intermediate collar. The outer sleeve includes a proximal portion surrounding the proximal annular area and a distal portion surrounding the distal annular area. The proximal portion permits passage of gas while the distal portion inhibits passage of gas.

A control device (1) for an electrosurgical instrument (2), in particular a high-frequency sealing instrument, including a fixed handle part (3), a movable handle part (4), an activation element (5) for activating a current flow, in particular a first type, preferably a sealing current, wherein the activation element (5) is or can be adjusted between a deactivation position and at least one activation position when the movable handle part (4) is actuated, wherein, when the movable handle part (4) is actuated, the activation element (5) is or can be adjusted about an axis of rotation (7).

A device and method for cutting or ablating tissue in a human or veterinary patient includes an elongate probe having a distal end, a tissue cutting or ablating apparatus located adjacent within the distal end, and a tissue protector extending from the distal end. The protector generally has a first side and a second side and the tissue cutting or ablating apparatus is located adjacent to the first side thereof. The distal end is structured to be advanceable into tissue or otherwise placed and positioned within the patient's body such that tissue adjacent to the first side of the protector is cut away or ablated by the tissue cutting or ablation apparatus while tissue that is adjacent to the second side of the protector is not substantially damaged by the tissue cutting or ablating apparatus.

A probe is configured with a flushing port and an evacuation port to establish a flow path to remove blood from a resected tissue. The probe comprises a balloon configured to expand and contact the resected tissue to compress filaments and improve access to the underlying blood vessels for coagulation with an energy source. An endoscope can be used to view the tissue, and the balloon may comprise a transparent material or a viewing port to allow imaging of the bleeding tissue through the balloon. The probe may have a light source to illuminate the tissue with a beam oriented at an oblique angle to the tissue surface, which can decrease interference from blood and may allow more localized coagulation of the blood vessel.

An electrosurgical electrode (30) includes a conductive rod (32) having a working portion (38) at a distal end portion (35). The electrode (30) also includes a composite coating (40) disposed on the working portion (38). The composite coating (40) includes a first coating (42) disposed on an outer surface of the working portion (38) and a second coating (44) disposed over the first coating (42).

Provided is a method for managing radio frequency (RF) and ultrasonic signals output by a generator that includes a surgical instrument comprising an RF energy output and an ultrasonic energy output and a circuit configured to receive a combined RF and ultrasonic signal from the generator. The method includes receiving a combined radio frequency (RF) and ultrasonic signal from a generator, generating a RF filtered signal by filtering RF frequency content from the combined signal; filtering ultrasonic frequency content from the combined signal; generating an ultrasonic filtered signal; providing the RF filtered signal to the RF energy output; and providing the ultrasonic filtered signal to the ultrasonic energy output.

An endoscopic treatment tool, includes an elongated member having a distal end and a proximal end; a braid disposed between the distal end and the proximal end of the elongated member; a distal indicator disposed on the elongated member between a distal end and a proximal end of the braid, the distal indicator extending along a longitudinal axis of the elongated member; a proximal indicator disposed between the distal end and the proximal end of the braid on the elongated member at a more proximal side of the elongated member than the distal indicator, the proximal indicator extending along the longitudinal axis; and a pre-curved shape portion formed in a curved shape, wherein each of the distal indicator and the proximal indicator has a width less than half of an outer circumferential surface of the elongated member in a circumferential direction of the elongated member, respectively.