A treatment system includes a generator and a fluid transfer cartridge. The fluid transfer cartridge includes a cartridge shell having a cartridge cavity. The cartridge cavity is between a front face and a rear face. A syringe barrel is disposed within the cartridge cavity, and has a syringe cavity. The fluid transfer cartridge includes a cartridge manifold in the cartridge cavity. The cartridge manifold includes a fluid transfer plate having a front fluid channel in a front plate surface, and a rear fluid channel in a rear plate surface. The cartridge manifold includes a fluid port extending through the fluid transfer plate from the front fluid channel to the rear fluid channel. The front fluid channel, the rear fluid channel, and the fluid port are in fluid communication with the syringe cavity. Other embodiments are also described and claimed.

Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

A prepuce extruding, cutting, hemostasis, and healing assembly using ultrasonic wave. Ultrasonic wave is applied in extruding, cutting, hemostasis, and healing of prepuce at a conjunction of internal and external tissues of a distal part of a human body. The assembly includes an ultrasonic generating device, a transmission device and a circumcision device. The ultrasonic generating device is used for generating ultrasonic waves, is connected to the transmission device and can send the ultrasonic waves to the transmission device. The transmission device is connected to the circumcision device and can send the ultrasonic waves to the circumcision device. The circumcision device is used for extruding and cutting a prepuce and/or performing hemostasis and/or healing of wounds. In this way, circumcision can be completed within just several seconds, and immediate healing can be achieved, preventing bleeding during and after a surgery.

Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.

Aspects of embodiments pertain to a lens capsule shielding device for cataract surgery, the shielding device comprising a handle and at least one shielding element slidably mounted inside the handle. The shielding element is selectively configurable in an deployed configuration and a retracted configuration, wherein the at least one shielding element, in the deployed configuration, is operable to be positionable between lens portions of the patient's eye and posterior lens capsule portion of the eye and configured to function as a shield for preventing damage of the posterior lens capsule portion during the application of energy for fragmenting lens portions and/or for preventing damage from suction forces applied for the removal of lens fragments.

A surgical instrument includes a body, an ultrasonic blade, a clamp arm, and a resilient member. The body includes an electrical conductor and defines a longitudinal axis. The clamp arm is pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The clamp arm includes an electrode operable to apply RF energy to tissue, wherein the clamp arm is configured to be loaded onto and removed from the body at the pivot assembly along a path that is transverse to the longitudinal axis defined by the body. The resilient member is located within the pivot assembly. The resilient member is configured to provide electrical continuity between the electrode of the clamp arm and the electrical conductor of the body.

In some aspects, the present disclosure pertains to hydrogel-securing structures that comprise anchoring element that is configured to anchor the structure to bodily tissue and a hydrogel-retaining element that is configured to retain a hydrogel mass. Other aspects of the present disclosure include kits that contain such hydrogel-securing structures. Other aspects of the present disclosure pertain to methods that comprise (a) delivering a structure that comprises a hydrogel-retaining element in a body of a subject comprising first and second tissues, such that the hydrogel-retaining element may be disposed between the first tissue of tissue and the second tissue and (b) delivering a hydrogel to the structure, such that the hydrogel is loaded onto and/or into the hydrogel-retaining element and retained in place by the hydrogel-retaining element, and such that the hydrogel is disposed between the first and second tissues thereby separating the first tissue from the second tissue.

An apparatus for tissue ablation according to an embodiment of the present disclosure includes an ultrasound output unit to output focused ultrasound, and a control unit to control an intensity of the focused ultrasound, wherein the control unit may be configured to control the intensity of the focused ultrasound below a setting value, when a first condition in which a vapor bubble is formed in a tissue or a second condition in which a temperature of the tissue reaches a threshold is accomplished during the output of the focused ultrasound to the tissue. According to this embodiment, it is possible to precisely control vapor bubble dynamics without generating the shockwave scattering effect by instantaneously controlling the acoustic pressure and the intensity of the focused ultrasound, and prevent damage to a tissue other than a lesion to be removed.

A surgical instrument includes a body, an ultrasonic blade, a clamp arm assembly, and a detent assembly. The clamp arm assembly includes a clamp arm pivotably coupled with the body at a pivot assembly. The clamp arm is operable to compress tissue against the ultrasonic blade. The detent assembly is configured to provide tactile resistance to pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle. The detent assembly is configured to permit pivotal movement of the clamp arm relative to the body beyond a predefined pivot angle upon application of a force sufficient to overcome the tactile resistance.

A first subassembly includes a body and an ultrasonic blade. A second subassembly is configured to removably couple with the first subassembly and includes a first clamp arm and a first clamp arm actuator. The first clamp arm is configured to be located on a first side of the longitudinal axis of the body, and the first clamp arm actuator is configured to be located on a second side of the longitudinal axis, when the second subassembly is coupled with the first subassembly. The third subassembly is similar to the second subassembly except that the second clamp arm of the third subassembly is configured to be located on the second side of the longitudinal axis of the body when the third subassembly is coupled with the first subassembly.