A medical device includes: a tube through which fluid flows; a handle part coupled to a proximal end part of the tube; an electrode tip coupled to a distal end part of the tube; a fluid injection part configured to inject fluid into the tube; one or more openings formed in the tube; and a guide member disposed in the tube, and having an inclined part to guide the direction of the fluid sprayed out through the opening.

A medical puncture device includes an elongate shaft having a proximal portion defining a proximal end and a distal portion defining a distal end. The distal portion tapers in outer diameter going towards the distal end to define a dilating tip. A lumen extends through the shaft from the proximal end to the distal end. The shaft includes a first electrical conductor that extends from the proximal portion to the distal portion and is electrically connectable to a radiofrequency generator. A radiofrequency puncture electrode is positioned proud of the distal end and is electrically connected to the first electrical conductor.

The present invention provides a cardiac ablation system including a spline assembly and a catheter wire. The spline assembly is provided with a plurality of electrodes and a plurality of first conductive layers encapsulated therein. A total number of the plurality of first conductive layers is corresponding to a total number of the plurality of electrodes. Each of the plurality of first conductive layers is electrically connected to each of the plurality of electrodes. The spline assembly is configured to transform into various configurations along a radial direction. A distal end of the catheter wire is connected to a proximal end of the spline assembly. The catheter wire includes a plurality of second conductive layers encapsulated therein. A total number of the plurality of second conductive layers is corresponding to the total number of the plurality of first conductive layers.

The present invention provides a device for rejuvenating a region of skin or mucosal tissue, comprising: a pulsed electromagnetic frequency generator; a plurality of electrodes in communication with the pulsed electromagnetic frequency generator and an RF tissue diathermy device. The electrodes apply the pulsed electromagnetic power and the RF tissue diathermy to the tissue, heating it such that one portion of the region of mucosal tissue is maintained at a predetermined temperature range T.sub.1 while another portion of the region of mucosal tissue is at least temporarily maintained at predetermined temperature range T.sub.2.

Electrosurgical coagulation devices. At least some of the example embodiment are methods including: applying RF energy between a first electrode and a second electrode, the first and second electrodes define an interstice; flowing an electrically conductive fluid through a first nozzle and a second nozzle of the first electrode, the first nozzle defines a first spray direction, the second nozzle defines a second spray direction, and a first angle between the first spray direction and the second spray direction is 180 angular degrees or less measured through the interstice; flowing an electrically conductive fluid through a third nozzle and a fourth nozzle of the second electrode, the third nozzle defines a third spray direction, the fourth nozzle defines a fourth spray direction, and a second angle between the third spray direction and the fourth spray direction is 180 angular degrees or less measured through the interstice.

Medical apparatus includes a flexible insertion tube, which has a first outer diameter and has a distal end configured for insertion into a cavity within a body of a patient. A rigid cylindrical electrode is fixed to the distal end of the flexible insertion tube and is configured to contact tissue within the cavity, and which has a second outer diameter that is at least 10% greater than the first outer diameter.

An electrosurgical lysing device and related methods. In some embodiments, the device may comprise a lysing tip comprising one or more beads. The bead(s) may comprise an at least substantially electrically non-conductive surface and may define, at least in part, both a distally-facing and a proximally-facing recess. At least one electrically conductive lysing member configured to deliver electrosurgical energy may be positioned adjacent to the at least one bead, the at least one lysing member defining at least one lysing segment extending within a recess at least partially defined by the at least one bead.

A self-contained, battery powered transseptal crossing system is disclosed. An elongate, flexible electrically conductive needle body has a proximal end and a distal end. An insulation layer surrounds the sidewall and leaves exposed a distal electrode tip. A generator is configured to deliver RF energy to the electrode tip, and includes a processor configured to take impedance measurements at the tip to confirm contact with the intra atrial septum and/or confirm entry into the left atrium.

A self-contained, battery powered transseptal crossing system is disclosed. An elongate, flexible electrically conductive needle body has a proximal end and a distal end. An insulation layer surrounds the sidewall and leaves exposed a distal electrode tip. A generator is configured to deliver RF energy to the electrode tip, and includes a processos configured to take impedance measurements at the tip to confirm contact with the intra atrial septum and / or confirm entry into the left atrium.

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.