Inclusion Criteria:  Primary laparoscopic or open procedure (thoracic, urologic or ear, nose, and throat [ENT]) where at least one vessel is planned to be transected by the ENSEAL X1 curved jaw tissue sealer (ENSEAL X1) device per the Instructions for use (IFU) Willingness to give consent and comply with all study-related evaluations and treatment schedule At least 18 years of age  Exclusion Criteria:  Physical or psychological condition which would impair study participation Enrollment in a concurrent interventional clinical study that could impact the study endpoints