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Cutting

Subclass of:

606 - Surgery

606001000 - INSTRUMENTS

606032000 - Electrical application

606041000 - Applicators

Patent class list (only not empty are listed)

Deeper subclasses:

Class / Patent application numberDescriptionNumber of patent applications / Date published
606046000 Endoscopic 62
606048000 Bipolar electrodes 56
Entries
DocumentTitleDate
20130030433Electrosurgical Tissue Sealer and Cutter - A surgical instrument comprises an end effector including a pair of jaw members configured to move with respect to one another between an open configuration and a closed configuration for clamping tissue. At least one jaw member includes an elongate cam slot extending in a longitudinal direction over a substantial a length a tissue clamping surface of the at least one jaw member. A plurality of electrically isolated, and longitudinally spaced electrodes is supported by the tissue clamping surface and is configured to deliver electrosurgical energy to tissue. A reciprocating member engages the elongate cam slot and is extendable to a sealing position with respect to each of the electrodes to define a predetermined gap distance between a particular electrode and an opposing tissue clamping surface.01-31-2013
20100087815Electrosurgical Plenum - An electrosurgical probe having a plenum which prevents contact of the active electrode with tissue, while simultaneously allowing a fluid/interfacing agents to contact the active electrode.04-08-2010
20100023006RF intervertebral disc surgical system - A spinal surgical system comprising a plurality of surgical components for cooperating with a electrosurgical handpiece comprising an elongated tubular member housing an electrode, with the tubular member configured to fit within and be extended down a standard sized cannula in a MIS procedure. The system components comprise one or more cannulas, straight or beveled; one or more guide wires, with and without pointed ends for piercing tissue; a tapered dilator; a trephine; and one or more depth control stops for mounting on the cannula for monitoring its depth. The system is especially useful for performing a discectomy.01-28-2010
20110196367ABLATOR WITH IMPROVED CUTTING TIP - An ablator having an electrode positioned at a distal end is disclosed. The ablator may be configured such that the ablator includes an inner shaft having a plurality of distal slots therein and contained within an outer hollow shaft. The inner shaft may extend distally from a distal end of the outer, hollow shaft. The configuration of the distal end of the ablator may increase the operating efficiency of the ablator by reducing the power requirements.08-11-2011
20130085496Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members, each jaw member including a tissue sealing plate disposed thereon. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members defines a first channel extending therethrough and an opening in the tissue sealing plate thereof that is aligned with the first channel. A stop member having a pre-determined configuration is removably engaged within the first channel. At least a portion of the stop member is configured to extend through the opening of the tissue sealing plate to define a minimum gap distance between the tissue sealing plates of the jaw members when the jaw members are disposed in the approximated position.04-04-2013
20130085497Articulating Ablation And Division Device With Blood Flow Sensing Capability - A laparoscopic liver resection device is described. The device combines the Radiofrequency Ablation (RFA) technology with a cutting mechanism, a blood-flow sensor and a flexible actuation mechanism to simultaneously coagulate and cut the liver tissue and detect the presence of blood flow to confirm avascularity. The present invention eliminates the risk of excess bleeding due to cutting too deep and reduces recovery time and the time spent on re-coagulation of coagulated areas, thereby shortening duration of surgery. Also embodiments prevent excess ablation by stopping ablation activity on the target tissue as soon as insufficient or no blood flow in the target tissue is detected. Thus a closed loop control for a bloodless tissue/organ division method is provided.04-04-2013
20130079772METHOD FOR PERFORMING LUNG VOLUME REDUCTION - This invention relates to surgical instruments for applying, energy to tissue. In one embodiment, an elongated introducer has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid under pressure. An energy source causes a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the introducer. The flow of vapor is controlled by a computer controller to cause a selected pressure, a selected volume of vapor, and an optional aspiration of vapor condensate. Contemporaneous with tissue contact, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the targeted tissue. In one embodiment, the system is configured for volumetric removal of tissue by means of high velocity ejection of a vapor media from a first vapor port proximate to soft tissue wherein the vapor-to-liquid phase change of the media applies energy to the tissue. The system provides a second port coupled to a suction source that cooperates with the first vapor port to suction tissue debris from the targeted site.03-28-2013
20130035687INSTRUMENT FOR THE FUSION AND CUTTING OF BLOOD VESSELS - An instrument suitable for minimal invasive surgery. The instrument can be introduced into a body, for example, through a trocar, and has two arms and a centrally guided knife for clamping vessels. The central guidance of the knife in at least one of the arms avoids disadvantages that could otherwise develop as a result of the off-center severing of coagulated tissue. Moreover, the clean central guidance of the knife results in lower wear on the knife. Thus, a better cut quality and a longer service life of the knife can be achieved.02-07-2013
20130041371MOTORIZED SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING A MAGNETIC DRIVE TRAIN TORQUE LIMITING DEVICE - A surgical cutting and fastening instrument. The instrument comprises an end effector and a shaft connected to the end effector. The shaft comprises a drive train for powering the end effector. The instrument also comprises an electric, DC motor connected to the drive train for powering the drive train. The instrument also comprises a torque-limiting device connected between to an output pole of the motor and an input pole of the drive train.02-14-2013
20130041372Surgical Snare with Electrosurgical Tip and Method of Use - A medical device includes a tissue dissector and a snare loop on a common shaft. At least the distal tip of the snare loop is energizable to function as an electrosurgical element for tissue dissection. In use the snare loop is partially extended from the shaft to expose the electrosurgical element for electrosurgical dissection, and the snare loop is fully extended from the shaft to deploy the snare loop for retrieval and positioning of an implant such as a gastric banding device. The snare loop may be deployed through a pair of jaws also mounted on the shaft for use in tissue dissection.02-14-2013
20130046305Cardiac Electrosurgery - Devices and methods are disclosed for providing access to the pericardial cavity while reducing risk of myocardial damage. The methods include maintaining the positions of a puncture device and of a portion of a parietal pericardium relative to one other while delivering energy from the puncture device to create a channel through the pericardium. Additional embodiments disclosed include delivering a pulse or pulses of energy to the parietal pericardium and attempting to advance the puncture device through the parietal pericardium between deliveries of energy pulses.02-21-2013
20100094284ORGAN INCISION METHOD - A method of making an incision in an organ includes piercing, by a puncture needle having a proximal end and a distal end, an abdominal wall and an organ that is to be incised, disposing, via the puncture needle, an electrode, to which a first end of a cable is electrically connected, inside the organ, and disposing a second end of the cable outside a body, performing insufflation using a conduit so as to form a space between the abdominal wall and the organ, pulling the cable farther from the second end so that the electrode is placed in contact with an incision position of the organ, and the incision position of the organ is pulled into the space, and supplying power to the cable so that an incision is made by the electrode at the incision position of the organ.04-15-2010
20130046304TISSUE EXTRACTION DEVICES AND METHODS - The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.02-21-2013
20130046303Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members. One (or both) of the first and second jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes a longitudinally-extending blade channel defined therein. An electrical cutting insert is releasably engageable within the blade channel of the jaw member such that the jaw member is transitionable between a mechanical cutting mode, wherein the electrical cutting insert is disengaged from the jaw member to permit reciprocation of a knife blade through the blade channel for mechanically cutting tissue grasped between the jaw members, and an electrical cutting mode, wherein the electrical cutting insert is engaged within the blade channel of the jaw member for electrically cutting tissue grasped between the jaw members.02-21-2013
20090306657SPLIT FLEXIBLE TUBE BIASING AND DIRECTIONAL ATHERECTOMY DEVICE AND METHOD - The invention provides a rotational atherectomy system, device and method comprising a flexible, elongated, rotatable catheter tube that is split into two elements, a biasing element and a cutting element, distally and wherein the biasing element and cutting element are capable of forming a first and retracted position for insertion into a lumen and a second and expanded position for ablation. The biasing element is biased in the expanded position, thereby placing a biasing force against the lumen wall and pressing the cutting element against the opposite side of the lumen wall for directional cutting and/or grinding, either by rotation, axial translation, vibration or a combination thereof.12-10-2009
20080281323Tissue specimen isolating and damaging device and method - A device and method for treatment of a tissue specimen disposed in surrounding tissue has a tissue specimen isolating toot and a tissue specimen damager. The tissue specimen isolating tool isolates the tissue specimen from the surrounding tissue. The tissue specimen damager damages the tissue, with a possible end result being necrosis. The severing tool may have a cutting member that is extendable to an outwardly radially bowed position about device. The tissue specimen is isolated by rotating the cutting member about the tissue specimen. The cutting member may be functionally connected to a cutting member radio frequency generation source. The tissue specimen damager may damage the tissue specimen using ionizing radiation, cutting devices, thermal treatment devices, chemical treatment devices, or sealing an outer boundary of the tissue specimen.11-13-2008
20120226275Vessel Sealing Instrument With Cutting Mechanism - An end effector assembly for use with an instrument for sealing and cutting tissue includes a pair of opposing first and second jaw members movable relative to the to grasp tissue therebetween. Each jaw member including a jaw housing and an electrically conductive surface adapted to connect to a source of electrosurgical energy such that the electrically conductive surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a tissue seal. One of the electrically conductive surfaces including a channel defined therein and extending along a length thereof that communicates with a nozzle disposed in the jaw housing. The nozzle is configured to direct high pressure fluid from a fluid source into the channel for cutting tissue grasped between the jaw members.09-06-2012
20120116397ELECTROSURGICAL APPARATUS WITH RETRACTABLE BLADE - An electrosurgical apparatus with a retractable blade for use in cold plasma applications, electrosurgical cutting and mechanical cutting is provided. The electrosurgical apparatus employs a tip of the retractable blade as a sharp conductive point to generate a plasma beam or discharge. When the blade is retracted within the electrosurgical apparatus, it is electrically energized while an inert gas flows over it, producing a cold plasma discharge. In the de-energized state, the blade is advanced and used as a traditional, mechanical surgical blade.05-10-2012
20120116396SURGICAL INSTRUMENT WITH MODULAR END EFFECTOR - A surgical instrument may include a reusable body assembly, a reusable transducer and blade assembly, and a disposable end effector. The transducer and blade assembly may be latched into the body assembly. One version may include an electrical connector on the latch member to electrically couple the body assembly to the transducer. The end effector may include an outer sheath portion coupleable to an outer sheath of the body assembly via a bayonet connection and a clamp arm pivotably coupled to the outer sheath portion. In some versions, an inner tubular member of the body assembly may also couple to an inner tube portion via a bayonet connection. The inner tubular member may include a key to align with a slot on the transducer and blade assembly to align the clamp arm with the blade. The end effector may alternatively couple via threading or ratcheting teeth having a slip feature.05-10-2012
20120116395SURGICAL INSTRUMENT WITH MODULAR SHAFT AND TRANSDUCER - An ultrasonic surgical device comprises a detachable transducer module, a handle, and a shaft assembly. The shaft assembly includes an end effector having a harmonic blade. The transducer module is removably coupled with the shaft assembly to form an active assembly. The active assembly is removably coupled with the handle. The handle may include a resilient wall structure that deflects outwardly to receive the active assembly in a snap fit. The handle may include a pivoting latch feature to selectively retain the active assembly relative to the handle.05-10-2012
20120116394SURGICAL INSTRUMENT WITH PIVOTING COUPLING TO MODULAR SHAFT AND END EFFECTOR - A surgical instrument comprises a body and a shaft assembly. The body includes an energy source such as an ultrasonic transducer. The shaft assembly comprises an end effector and a transmission member such as an acoustic waveguide. The end effector may include a harmonic blade and a pivoting clamp member. One or both of the body or the shaft assembly includes a pivot feature. The pivot feature is operable to secure the shaft assembly to the body. The pivot feature may include a bar defining a pivot axis about which the shaft assembly pivots to secure the shaft assembly to the body. The pivot axis may be perpendicular to a longitudinal axis defined by the shaft assembly. The pivot feature may also include a pivoting cover configured to cover a recess in the body in which a proximal portion of the shaft assembly is received.05-10-2012
20100274244Electrosurgical Tissue Sealer and Cutter - A surgical instrument comprises an end effector including a pair of jaw members configured to move with respect to one another between an open configuration and a closed configuration for clamping tissue. At least one jaw member includes an elongate cam slot extending in a longitudinal direction over a substantial a length a tissue clamping surface of the at least one jaw member. A plurality of electrically isolated, and longitudinally spaced electrodes is supported by the tissue clamping surface and is configured to deliver electrosurgical energy to tissue. A reciprocating member engages the elongate cam slot and is extendable to a sealing position with respect to each of the electrodes to define a predetermined gap distance between a particular electrode and an opposing tissue clamping surface.10-28-2010
20120059371Dynamic and Static Bipolar Electrical Sealing and Cutting Device - An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.03-08-2012
20090024125AUTOMATICALLY RETRACTING NEEDLE-TIP ELECTROCAUTERY DEVICE - Medical devices that useful during electrocauterization procedures. The present invention encompasses a needle-tipped electrocautery device in which the needle tip is housed within the body of the device when the device is not in use. When an extension mechanism on the electrocautery stylus is activated, the tip is exposed and may be used for surgical procedures. The mechanism may be either mechanically driven or electronically driven. The present invention thereby dramatically reduces the risk of injury or infection by inadvertent pricks from an electrocautery tool.01-22-2009
20110301598Electrocautery Cutting Instrument with Elastic Wire Loop - An electrocautery cutting instrument includes a shaft having a first handle at one end and an elastic wire loop at the other. An outer tube is longitudinally displaceable over the shaft to collapse and permit expansion of the wire loop. The wire loop is sized for surrounding the uterus during a gynecological procedure. The wire loop has bends that bias the loop into a planar configuration when the wire loop is in an expanded configuration. The distal portion of the wire loop is integrally formed of the same flexible wire as the proximal portion of the wire loop, but has a different cross-sectional shape from the proximal portion.12-08-2011
20120010614Optimal Geometries for Creating Current Densities in a Bipolar Electrode Configuration - An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly has a first jaw member having a first pair of tissue contacting surfaces and an insulator disposed therebetween. The end effector assembly also has a second jaw member that includes a second pair of tissue contacting surfaces, a pair of insulators disposed between the second pair of tissue contacting surfaces, and a cutting element disposed between the pair of insulators. The relative movement of the first jaw member toward the second jaw member causes the insulator of the first jaw member and the pair of insulators of the second jaw member to pinch tissue disposed between the first jaw member and the second jaw member.01-12-2012
20110288547Electrosurgical Plenum - An electrosurgical probe having a plenum which prevents contact of the active electrode with tissue, while simultaneously allowing a fluid/interfacing agents to contact the active electrode.11-24-2011
20120191089SYSTEMS AND METHODS FOR TURBINATE REDUCTION - The present disclosure includes an electrosurgical apparatus for treating tissue at a target site. The apparatus has a shaft with a proximal end and a distal end, and the distal end includes an active disposed laterally on the shaft distal end and return electrode. The return electrode may have a plurality of apertures through it, which are fluidly connected to a fluid delivery element, operable to deliver a conductive fluid to the shaft distal end. The return electrode may encircle at least a portion of the shaft and may extend distally and proximally from the active electrode.07-26-2012
20120022527ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT - A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a damper. The damper may have barrel and a plunger.01-26-2012
20120191090GUIDE DEVICE - Provided is a guide device including a cylindrical insertion part that is inserted into a body and that opens near a distal end thereof and on a proximal side thereof, a perforating part that is disposed at the distal end of the insertion part and that perforates tissue, a moving part disposed near the distal end of the insertion part so as to be displaceable between a nearby position near the insertion part and a farther position farther away from the insertion part than the nearby position, a biasing mechanism that biases the moving part in a direction away from the insertion part, and a displacement-detecting mechanism that detects displacement of the moving part in the body.07-26-2012
20120109123HARD TISSUE ABLATION SYSTEM - An electrosurgical system and method for treating hard and soft tissues in the body comprises a shaft, a distal end section, an active electrode associated with the distal end section, a first fluid supply adapted to deliver a first electrically conductive fluid to the target site, and a second fluid supply adapted to deliver a second electrically conductive fluid to the active electrode. The system is adapted to treat a wide variety of hard tissues such as, for example, bones, calcified structures, calcified deposits, teeth, plaque, kidney-stones, gall-stones and other types of tissue by generating plasma in the vicinity of the active electrode, and applying the plasma to the tissue or structures.05-03-2012
20080269738MULTI-ELECTRODE LEAD - A multi-electrode lead (10-30-2008
20110172660Battery-Powered Electrosurgical Forceps With Multi-Turn Selectable-Ratio Transformer - An electrocautery surgical device includes a battery power source and radio-frequency signal generating circuitry electrically coupled to the battery power source and operable to deliver power to an electrosurgical forceps. The radio-frequency signal generating circuitry includes a transformer having a primary winding and a secondary winding. The primary winding includes first and second primary sub-windings. At least one switching component is electrically coupled to the first and second primary sub-windings and is operable to switch between engaging the first primary sub-winding and engaging the second primary sub-winding such that a current flows through the first and/or second primary sub-windings. The first and second primary sub-windings have a different number of turns such that the radio-frequency signal generating circuitry produces a different impedance value depending on which one of the first and second primary sub-windings is engaged.07-14-2011
20100087814DEVICE FOR CUTTING AND COAGULATING TISSUE - The invention concerns an application device for electrosurgical cutting and coagulation of body tissue, wherein the instrument is in the form of a gripping instrument having two gripping arms which are movable relative to each other and which each have at their distal end at least two respective electrodes, namely at least one coagulation electrode and at least one cutting electrode.04-08-2010
20080275445METHOD AND APPARATUS FOR GASTROINTESTINAL TRACT ABLATION FOR TREATMENT OF OBESITY - Devices and methods for ablating tissue in the wall of various organs of the gastrointestinal tract of a patient in order to cure or ameliorate metabolic pathophysiological conditions such as obesity, insulin resistance, or type 2 diabetes mellitus are provided. Ablational treatment of target areas may be fractional or partial, rendering a post-treatment portion of target tissue ablated and another portion that is substantially intact. Fractional ablation is achieved by controlling the delivery of ablational energy across the surface area being treated, and controlling the depth of energy penetration into tissue. Surface area control of energy delivery may controlled by the spatial pattern of distributed ablation elements or by the selective activation of a subset of a dense pattern of ablation elements. Embodiments of the device include an ablational electrode array that spans 360 degrees and an array that spans an arc of less than 360 degrees.11-06-2008
20100292690SURGICAL APPARATUS FOR TISSUE SEALING AND CUTTING - A surgical apparatus for coagulating and cutting tissue includes a handle assembly having a housing. A tool cartridge is receivable in the housing. The tool cartridge includes a first jaw and a second jaw for grasping tissue therebetween. The first jaw is hingably movable between an open position and a closed position. A first jaw connection wire is operatively connected to the first jaw. A sheath encompasses at least part of the longitudinal portion of the jaw connection wire. A grip is disposed around at least part of the sheath. A piston is disposed within the sheath and operatively connected to the grip such that the grip and piston move in relation to one another. The jaw connection wire is operatively connected to the piston for moving the first jaw in response to movement of the grip.11-18-2010
20080249526Method and apparatus for surgical dissection - An apparatus for dissecting tissue in a substantially uniform plane of dissection includes a housing configured to be advanced under a tissue layer, and control one of a depth of dissection or tissue flap thickness. The housing thermally shields at least a portion of the tissue flap. A roller is coupled to the housing. The roller is configured to smoothly advance housing over tissue. An energy delivery device is coupled to housing. The energy delivery device is configured to be coupled to an energy source. The energy delivery device has a geometry that substantially defines a plane of dissection.10-09-2008
20080234673MULTI-ELECTRODE INSTRUMENTS - Multi-electrode instruments and methods for applying electrical energy to the multiple electrodes are described. An assembly having at least two electrodes may be configured such that the electrodes are positioned at an angle relative to one another and/or are each configured to treat different tissue types. Moreover, power may be applied to one, some, or all of the electrodes utilizing various switching systems and/or electrical monitoring systems.09-25-2008
20130218159MULTI-FUNCTIONAL MEDICAL DEVICE AND RELATED METHODS OF USE - A medical device including an elongate member having a proximal end and a distal end and an end-effector disposed at the distal end of the elongate member is disclosed. The end-effector further includes a plurality of arms, which may pivot or move relative to one another. Further, each arm includes an inner edge defining a cutting edge, and an outer edge having at least one geometric feature for manipulating tissue.08-22-2013
20120143182ELECTROSURGICAL SEALING TOOL HAVING HAPTIC FEEDBACK - A surgical tool system includes an electrosurgical tool for sealing and transecting tissue and a tactile feedback system integrated onto a handle of the tool that generates relevant feedback in at least the form of haptic effects to the user. The tactile feedback alerts the user of tissue properties, i.e., when tissue located within jaws of the tool is completely sealed, when the tissue is ready to be cut, the cutting rate or speed, the quantity of tissue located within jaws of the tool, and whether a blood vessel is fully located within jaws of tool. In addition, the tactile feedback alerts the user to the operating status of energy application during the procedure.06-07-2012
20120143183PLASMA-GENERATING DEVICE HAVING A THROTTLING PORTION - The present invention relates to a plasma-generating device comprising an anode, a cathode, and intermediate electrodes. The intermediate electrodes and the anode form an elongate plasma channel that extends from a point between the cathode and the anode and through the anode. The plasma channel has a throttling portion with a throat having the smallest cross-sectional area of the entire plasma channel. As a plasma flow passes through the throttling portion, the plasma flow's speed is increased while its pressure is decreased. By varying the position of the throttling portion in the plasma channel properties of the discharged plasma can be changed. Plasma flows with different properties can be used for various applications, especially, medical procedures.06-07-2012
20090125026APPARATUS SYSTEM AND METHOD FOR COAGULATING AND CUTTING TISSUE - A combination tissue coagulation and cutting apparatus, system and method for coagulating and cutting tissue. A clamp element includes first and second clamp members having respective first and second porous electrodes, such as sintered metal electrodes. A portion of tissue, such as a blood vessel, is held between the porous electrodes, and fluid from a fluid source can pass through the porous electrodes. The tissue portion can be coagulated when electrical current is applied to the first and second porous electrodes, and an adjustable cutting element that is associated with the clamp members is positioned to cut a segment or all of the coagulated tissue portion. In this manner, the same surgical instrument is used to coagulate and cut tissue.05-14-2009
20080306478Method and Apparatus for Electrochemically Dissolving Selected Regions of Conducting Objects in Tissue - A method and apparatus are described for selectively removing parts of a conducting object imbedded in tissue using an electrolytic process. The method includes steps for protecting the surrounding tissue from damage during the electrolytic process. Applications for the invention include sectioning surgical and/or post-mortem tissue for gross and microscopic examination, in situations where the tissue is complicated by the presence of a metal implant.12-11-2008
20090062793CUTTING WIRE ELECTRODE - The present invention pertains to a cutting wire electrode, comprising at least one elongated shaft with a main longitudinal axis having at least one bore located at its distal portion, said bore being approximately perpendicular to said main longitudinal axis; and at least one wire loop located in the distal portion of said shaft; said loop comprising at least one continuous portion adapted to cut biological tissues, especially by electrocoagulation, and at least one abutment, wherein said abutment is adapted to be anchored within said bore and hence integrating said loop with said shaft.03-05-2009
20090054895DEVICE TO OPEN AND CLOSE A BODILY WALL - A medical device and method for performing transluminal procedures that reduces procedure time as well as the number of instruments used is disclosed. An elongate medical device has both a cutting tool and a suturing tool disposed at a distal end of the elongate medical device. The suturing tool includes a plurality of needles connected to one or more sutures. The elongate medical device is advanced through a bodily lumen to a position proximate the visceral wall. A perforation is formed in the visceral wall using the cutting tool. The elongate medical device and its suturing tool are advanced through the perforation and a plurality of needles are passed through the visceral wall around the periphery of the perforation. The plurality of needles are withdrawn through the bodily lumen and the perforation is closed using the suture.02-26-2009
20090062792ELECTRICAL ABLATION SURGICAL INSTRUMENTS - An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade is located in the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.03-05-2009
20110230880Surgical Forceps - A forceps includes an end effector assembly. The end effector assembly includes first and second jaw members. At least one of the jaws is moveable with respect to the other between a spaced-apart position and at least one approximated position for grasping tissue therebetween. At least one of the jaw members is adapted to connect to a source of energy for sealing tissue disposed between the jaw members. A chamber is defined within and extends longitudinally along at least one of the jaw members. The chamber is configured to retain a fluid therein and includes a series of apertures disposed on a tissue-facing surface thereof such that, upon application of energy to the jaw member(s), fluid within the chamber is heated to thermally expand within the chamber and forcefully exit the apertures to divide tissue disposed between the jaw members.09-22-2011
20120078249ULTRASONIC DEVICE FOR CUTTING AND COAGULATING - Apparatus and method to permit selective cutting and coagulation required in fine and delicate surgical procedures. The apparatus includes two body members having proximal ends and distal ends with jaw members located adjacent the body member's distal ends. The body members are joined at a pivot located adjacent to the first and second jaw members joining the first and second body members where the body members' rotation about the pivot defines a plane of rotation. The scissors are adapted for selective application of energy to at least one jaw member by a switch located in the plane of rotation.03-29-2012
20120078248ARTICULATION JOINT FEATURES FOR ARTICULATING SURGICAL DEVICE - An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft extending between the body and the end effector. The end effector includes a pair of jaws and at least one electrode operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The articulation section may include beads, segments, asymmetric features, preformedly bent features, an integral hinge, a helical cutout or spring, clevis features, an angled joint, a beaded actuation linkage, and/or an offset pivot, among other things. The device may also include a crimped cutting member, a retroacting cutting member, dual pivoting jaws, and/or a wire tensioning assembly.03-29-2012
20120078247ARTICULATION JOINT FEATURES FOR ARTICULATING SURGICAL DEVICE - An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.03-29-2012
20110144641High-Intensity Pulsed Electric Field Vitrectomy Apparatus - A high-intensity pulsed electric field (HIPEF) vitrectomy apparatus is disclosed. An exemplary apparatus includes a HIPEF probe comprising at least one electrode disposed at a distal end of the HIPEF probe, such that the distal end is configured for insertion into an eye. Various embodiments include a probe shaft assembled from a modular end segment and one or more additional modular shaft segments, each of the modular end segment and one or more modular shaft segments in turn comprising at least two longitudinal channels adapted to accommodate an electrode unit. In some of these probe shafts, each of the modular end segment and one or more modular shaft segments has a central longitudinal channel, and the probe shaft further comprises an aspiration tube disposed within the central longitudinal channel.06-16-2011
20080275444Endoscopic treatment instrument and tissue incision method - An endoscopic treatment instrument according to the present invention includes: a flexible catheter inserted through a channel in an endoscope; a conductive electrode capable of freely extending and retracting through the catheter; and an insulator extending a retracting together with the electrode relative to the catheter so that the insulator isolates not the distal end portion of the electrode but the rest of the electrode protruding from the catheter.11-06-2008
20090259223Apparatus for retrieving a tissue volume with improved positioning precursor assembly - Apparatus for retrieving a tissue volume of a variety utilizing an electrosurgically excited cable implemented capture component which performs in combination with an improved precursor assembly. Where that assembly is electrosurgically excited, then it is located and dimensioned to avoid arc-over with the capture component cables. A precursor assembly also is implemented with electrically insulative ceramic blade and trocar configurations.10-15-2009
20120095461Power generating and control apparatus for the treatment of tissue - Apparatus, systems, and methods are provided for the generation and control of energy delivery in a dosage to elicit a therapeutic response in diseased tissue. A balloon catheter can have electrodes attached to a power generator and controller such that the balloon and electrodes contact tissue during energy treatment. Energy selectively may be applied to tissue based on measured impedance to achieve gentle heating. Calibration of the apparatus and identification of attached accessories by computing the circuit impedance prior to energy dosage facilitate regulation of power delivery about a set point. Energy delivery can be controlled to achieve substantially uniform bulk tissue temperature distribution. Energy delivery may beneficially affect nerve activity.04-19-2012
20120143184PLASMA-GENERATING DEVICE HAVING A PLASMA CHAMBER - A plasma-generating device comprising an anode, a plurality of intermediate electrodes, an insulator sleeve, and a cathode is disclosed. The plurality of the intermediate electrodes and the anode form a plasma channel. One of the intermediate electrodes forms a plasma chamber. The cathode has a tapering portion that projects downstream the distal end of the insulator sleeve only partially. Also, the distal-most point of the cathode is located some distance away from the plasma channel inlet. Methods of surgical use of the plasma-generating device are also disclosed.06-07-2012
20100228250CUT AND SEAL INSTRUMENT - A combined electrical tissue sealing and mechanical tissue cutting instrument. The instrument has two opposing jaw members. A removable cartridge is positioned in one of the jaw members. The cartridge includes a tissue sealing electrode and a tissue cutter. As either the tissue sealing electrode or the cutter deteriorates with use, the cartridge is replaced with a new cartridge. Cartidges are configured with various electrode geometries to accommodate various associated electro-surgical units. One or more pressure sensors in the cartridge or in the instrument jaw that supports the cartridge provide an indication that a required clamping pressure exists between the jaw members to carry out the tissue sealing. A cut and seal controller allows various actions to be carried out when particular clamping pressures are sensed, or when an indication that tissue sealing is complete is sensed.09-09-2010
20090076504Four-position rocker switch for electrosurgical handpiece - A surgical apparatus includes an actuation unit disposed on a handle and a control unit providing at least three modes for controlling the electrical instrument. The actuation unit contains a switching rocker with an operating element, which is rotatable about a rocker axis that can be shifted perpendicular to the surface of the handle, so that starting from an initial position a first or second function position can be reached by forwards or backwards rotation about the rocker axis, and a third function position can be reached by pressing the operating element inward, two sensors being disposed on the operating element, one on the left and the other on the right side of the rocker axis, in such a way that by means of the sensors the function position selected by means of the switching rocker can be determined by the control unit.03-19-2009
20100211066Use of IMP3 as a Prognostic Marker for Cancer - Provided herein are methods and compositions for the prognostic evaluation of a patient suspected of having, or having, cancer by assessing the expression of IMP3 in a biological sample of a patient. Methods can be used at the time of initial diagnosis of malignant tumors to identify a group of patients with a high potential to develop progression or metastasis later. Therefore, methods not only are able to provide very useful prognostic information for patients but also can help clinicians to select a candidate patient likely to benefit from early and aggressive cancer therapy. Methods and compositions for the treatment of cancer associated with expression of IMP3 are also provided.08-19-2010
20110028970ELECTROSURGICAL SYSTEMS AND METHODS FOR REMOVING AND MODIFYING TISSUE - The present invention provides systems, apparatus and methods for selectively applying electrical energy to body tissue in order to ablate, contract, coagulate, or otherwise modify a tissue or organ of a patients. An electrosurgical apparatus includes an electrode support bearing an active electrode in the form of a plasma blade or hook having an active edge and first and second blade sides. The active edge is adapted for severing a target tissue via localized molecular dissociation of tissue components. The first and second blade sides are adapted for engaging against, and coagulating, the severed tissue. A method of the present invention comprises positioning an electrosurgical probe adjacent to the target tissue so that a blade- or hook-like active electrode is brought into at least close proximity to the target tissue in the presence of an electrically conductive fluid. A high frequency voltage is applied between the active electrode and a return electrode to effect cool ablation or other modification of the target tissue. During application of the high frequency voltage, the electrosurgical apparatus may be translated, reciprocated, or otherwise manipulated such that the active edge is moved with respect to the tissue. The present invention volumetrically ablates or otherwise modifies the target tissue with minimal or no damage to surrounding, non-target tissue.02-03-2011
20100198218REPLACEABLE END-EFFECTOR CARTRIDGES WITH CAM MECHANISMS - In one embodiment of the invention, a replaceable electrosurgical end effector cartridge is provided to couple to a mechanical wrist of a surgical instrument for a robotic surgical system. The replaceable electrosurgical end effector cartridge includes two end effectors, a fastener to rotatably couple the two end effectors together, and a cam mechanism. At least one of the two end effectors is a moveable end effector having a jaw portion, an off-center portion, and a base portion. The cam mechanism is coupled to the base portion of the at least one moveable end effector to pivot it about the fastener to open and close the jaw portion of the at least one moveable end effector with respect to the other.08-05-2010
20100198219INSTRUMENT AND SYSTEM FOR SURGICAL CUTTING AND EVOKED POTENTIAL MONITORING - A surgical cutting instrument for use with a drive motor, and related system and method, is described. The surgical cutting instrument includes an elongated drive member, a cutting tip secured to the drive member, a non-conductive coupling body adapted for connection to a motor assembly, a housing maintaining the coupling body, a fluid coupling assembly and an electrical connector for connection to a stimulating energy source. The electrical connector is in electrical communication with the cutting tip via an electrical pathway.08-05-2010
20100174283ELECTROSURGICAL DEVICES FOR TONSILLECTOMY AND ADENOIDECTOMY - Monopolar electrosurgery devices adapted for resecting tonsil and adenoid tissue. The devices minimize thermal injury by employing a plasma generated by pulsed electrical signals to precisely and effectively cut or coagulate the tissues. Suction may also be applied to the tissues to enhance the cutting, coagulation, and tissue manipulation functions. The devices include an interchangeable tip that may be switched for another tip, depending on which tip may be more suitable for tonsillectomy or adenoidectomy.07-08-2010
20090149852Accurate Cutting About and Into Tissue Volumes with Electrosurgically Deployed Electrodes - Method, system and apparatus for carrying out accurate electrosurgical cutting. A thin resilient electrode is utilized at the forward end region of an instrument that is deployable from a longitudinally disposed slot positioned rearwardly of the tip of the instrument. Lateral sides of the slot extend between a forward location adjacent the tip and a rearward location. The electrode is deployed by urging it forwardly in compression to form an arch profile supported by the abutting slot sides adjacent the forward and rearward locations. Electrosurgically excitable with a cutting output, the electrode may carry out a cutting action both during its deployment and retraction into the noted slot. This permits a pivoting maneuver effective for circumscribing a volume of targeted tissue.06-11-2009
20130138101Open Vessel Sealing Instrument and Method of Manufacturing the Same - An open electrosurgical forceps is provided and includes a pair of first and second shaft members each having a jaw member at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. A cutting mechanism is adapted to selectively and removably couple to one of the first and second shaft members. The cutting mechanism includes a cutting trigger for selectively advancing a knife blade extending therefrom through a knife channel defined along one or both of the jaw members. The first shaft member includes a stop feature formed thereon and the second shaft feature includes a stop member formed thereon. The stop feature and stop member configured to selectively engage one another to limit rotation of the first and second shaft members with respect to one another.05-30-2013
20130138102Electrosurgical Instrument with a Knife Blade Lockout Mechanism - An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly operably coupled to the shaft includes a pair of first and second jaw members. One or both of the first and second jaw members is movable from an open configuration, to a clamping configuration. A knife blade assembly includes a knife blade translatable within the first and second jaw members. A knife blade lockout mechanism is in operative communication with the knife blade assembly and includes an elongated cam slot with a cam pin translatable therein from a distal end of the elongated cam slot corresponding to the knife blade lockout mechanism engaged with the knife blade assembly, to a proximal position corresponding to the knife blade lockout mechanism disengaged from the knife blade assembly.05-30-2013
20130138103ELECTROSURGICAL UNIT WITH MICRO/NANO STRUCTURE AND THE MANUFACTURING METHOD THEREOF - An electrosurgical unit having micro/nano structure formed thereon and the manufacturing method thereof are disclosed, in which the electrosurgical unit is formed by the irradiation of a laser beam upon a blade so as to have a hybrid of micro/nano elements formed on the surface of the blade. The application of the hybrid of micro/nano elements on the surface of the blade has proven to be a valuable asset not only in providing a non-stick surface and a good heat dissipation ability to the blade, but also in providing a electrosurgical blade that will not release any toxic material under high temperature.05-30-2013
20130138104OPEN VESSEL SEALING INSTRUMENT WITH PIVOT ASSEMBLY - An open electrosurgical forceps includes a pair of first and second shaft members each having a jaw member disposed at its distal end. The jaw members are movable about a pivot assembly from an open position in spaced relation relative to one another to a closed position wherein the jaw members cooperate to grasp tissue. Each of the jaw members includes an electrically conductive sealing surface for communicating electrosurgical energy through grasped tissue. One or both of the jaw members includes a knife channel defined along its length. The pivot assembly includes a knife slot and is configured to prevent reciprocation of a cutting mechanism when the jaw members are disposed in the open position and to permit reciprocation of the cutting mechanism when the jaw members are disposed in the closed position. An actuator selectively advances the cutting mechanism from a first position to at least one subsequent position.05-30-2013
20090036887Electrosurgical Instrument - The invention relates to an electrosurgical instrument for cutting and/or coagulating a tissue to be treated, comprising at least one cutting electrode for conducting a high-frequency (“HF”) current through the tissue for carrying out a cutting process and comprising power supply devices for supplying the HF current at least to the cutting electrode. The design of the electrosurgical instrument is improved so that the cutting process can be carried out with an increased reliability while prolonging the serviceable life of the cutting electrode at the same time. To this end, the cutting electrode is mounted on the electrosurgical instrument in a manner that enables it to rotate about a rotation axis and comprises at least one cutting area which is provided in the form of a helical curve or similar three-dimensional curve running around the rotation axis and which is arranged in such a manner that when the cutting electrode rotates about the rotation axis it is active over its length in sections on the tissue when a section falls below a defined minimum distance from the tissue and/or is located within a defined window area.02-05-2009
20090062791Integrated smoke evacuation electrosurgical pencil and method - An electrosurgical pencil includes an adjustable-length suction tube which surrounds a stationary electrode to evacuate smoke and electrosurgical byproducts from a surgical site. An electrode anchor unit is located within the interior of the suction tube to allow relative movement of the suction tube relative to a stationarily-retained electrode, and to receive and connect to different lengths of the electrodes. Adjusting the length of the suction tube relative to the different lengths of the electrode achieves effective evacuation, among other things.03-05-2009
20110087221Vessel Sealer and Divider With Captured Cutting Element - A forceps includes a housing having a shaft extending therefrom. The shaft has an end effector assembly that defines a longitudinal axis therethrough. The end effector assembly includes first and second jaw members disposed in opposed relation and moveable from a first, open position to a second, closed position for grasping tissue therebetween and a knife. One or more jaw members include knife blade channels defined therein. Each knife blade channel includes a polygonal longitudinal cross-section defined therein. The knife includes a knife edge and a knife base. The knife base includes a corresponding polygonal longitudinal cross-section. The knife is configured to translate through the knife blade channels and the knife base is configured to slidingly engage the knife base channel having the polygonal cross section upon translation of the knife. In embodiments, the knife blade channel and the knife base have a T-shaped longitudinal cross-section.04-14-2011
20090216227ELECTROSURGICAL METHOD AND SYSTEM FOR TREATING FOOT ULCER - An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body's natural healing response.08-27-2009
20090216226ELECTROSURGICAL METHOD AND SYSTEM FOR TREATING FOOT ULCER - An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body's natural healing response.08-27-2009
20090216225THERMAL CAPSULOTOMY TOOL AND SYSTEM - A system and tool for performing a capsulotomy procedure. The system includes an air pressure unit, a capsulotomy and movement control unit providing electrical current and movement control, and a capsulotomy tool, and an extendable-retractable burning element coupled to the tool. A capsulotomy and movement control unit provides electrical current to the burning element and movement control for extending and retracting the burning element. When the burning element is in a flattened, retracted configuration, the tip of the tool can be inserted through a relatively small corneal incision. Then, the burning element is opened to a circular, extended configuration, allowing a capsulotomy by applying an electrical pulse to the burning element. Optionally, predefined points of weakness allow removal of the tool should breakage occur during surgery.08-27-2009
20100069903Vessel Sealing Instrument With Cutting Mechanism - An end effector assembly for use with an instrument for sealing and cutting tissue includes a pair of opposing first and second jaw members movable relative to the to grasp tissue therebetween. Each jaw member including a jaw housing and an electrically conductive surface adapted to connect to a source of electrosurgical energy such that the electrically conductive surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a tissue seal. One of the electrically conductive surfaces including a channel defined therein and extending along a length thereof that communicates with a nozzle disposed in the jaw housing. The nozzle is configured to direct high pressure fluid from a fluid source into the channel for cutting tissue grasped between the jaw members.03-18-2010
20110098704ELECTRICAL ABLATION DEVICES - An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. At least one electrode is movable between a first position and a second position. A first necrotic zone having a first shape is created when the electrodes are energized in the first position and a second necrotic zone having a second shape is created when the electrodes are energized in the second position. At least one electrode may be pre-formed with a radius.04-28-2011
20110082456SURGICAL SNARE WITH ELECTROSURGICAL TIP AND METHOD OF USE - A medical device includes a tissue dissector and a snare loop on a common shaft. At least the distal tip of the snare loop is energizable to function as an electrosurgical element for tissue dissection. In use the snare loop is partially extended from the shaft to expose the electrosurgical element for electrosurgical dissection, and the snare loop is fully extended from the shaft to deploy the snare loop for retrieval and positioning of an implant such as a gastric banding device. The snare loop may be deployed through a pair of jaws also mounted on the shaft for use in tissue dissection.04-07-2011
20110077645Electrosurgical Pencil with Synchronous Evacuation Function - An electrosurgical pencil with synchronous evacuation function includes a pencil body defined with a first containing space and a second containing space therethrough. The first containing space is adapted to contain an electropencil. The second containing space is adapted to be an evacuation passage. A first front end of the electropencil is mounted with a replaceable electrode. A first rear of the electropencil is adapted to connect to an electric wire connected to a current generator. A second front end of the second containing space is integrally formed a tubular body having an opening. A second rear end of the second containing space is mounted with a connector. The connector is connected to a suction instrument with a negative pressure via a soft tube. When the end portion of the electrode operates, the opening of the evacuating passage draws smoke and blood at the same time.03-31-2011
20110071524OPHTHALMIC SURGICAL DEVICE FOR CAPSULOTOMY - A surgical device and procedure are provided for performing microsurgery, including a capsulotomy of a lens capsule of an eye. The device has an elastically deformable cutting element mounted within an elastomeric suction cup. The suction cup is attached to an arm for manipulating the device. The device can be inserted into the anterior chamber of the eye, through a corneal incision, to cut a piece from the anterior portion of the lens capsule of the eye. The device is secured against the lens capsule using suction applied by one or more suction elements. The device is then removed from the eye, with the cut piece of membrane retained within the device by suction.03-24-2011
20110071523Vessel Sealer with Self-Aligning Jaws - An end effector assembly of a surgical forceps, the end effector assembly including first and second jaw members disposed in opposing relation relative to one another. At least one of the jaw members is moveable from an open position to a closed position for grasping tissue therebetween. The jaw members including opposing sealing surfaces configured to grasp tissue therebetween. Each of the opposing sealing surfaces has a knife channel defined therein. The opposing sealing surfaces of the first and second jaw members are shaped complementarily to one another to align the knife channels of the first and second jaw members upon movement from the first position to the second position.03-24-2011
20120123412Electrode with Rotatably Deployable Sheath - A sheath system for selectively covering a distal end of an electrocautery blade is provided. The sheath system includes a hub having a body portion defining a lumen therethrough and a sheath having a body portion defining a lumen therethrough. The lumen of the sheath is configured and dimensioned to operatively receive an electrocautery blade therein. The sheath is translatably associated with the hub such that rotation of the hub in a first direction results in axial movement of the sheath in a first direction to expose a distal end of the electrocautery blade and rotation of the hub in a second direction, opposite to the first direction, results in axial movement of the sheath in a second direction to cover the distal end of the electrocautery blade. The hub and the sheath may be concentric with one another.05-17-2012
20120303022Endovascular Tissue Removal Device - A monopolar electrosurgical apparatus is disclosed which includes a tissue removal device having electrical, mechanical and chemical tissue removal capabilities. The device can be operated to use any of its tissue removal capabilities alone or in combination with one or more of the other capabilities.11-29-2012
20110257650Battery Assembly for Battery-Powered Surgical Instruments - A battery assembly is used in battery-powered surgical instruments with handles having a battery chamber and different handle types. The battery assembly includes a housing having an exterior shape formed to removably connect with the battery chamber of the handles and a voltage-control circuit. The housing has at least one energy storage cell operable to power a signal generation assembly of the surgical instruments and a battery/handle interface having a plurality of connectors shaped to mate with a plurality of corresponding connectors within the battery chamber of the handles. The voltage-control circuit is operable to communicatively couple with and provide power to the signal generation assembly, detect which one of the handle types is connected to the housing, provide a first output in response to a detection of a first handle type, and provide at least a second output in response to a detection of a second handle type.10-20-2011
20110054468Apparatus for Performing an Electrosurgical Procedure - A surgical instrument is provided. The surgical instrument including an end effector assembly operatively connected to a distal end of the shaft and having a pair of first and second jaw members, one or both of the first and second jaw members moveable from an open position to a clamping position, wherein each of the first and second jaw members includes a cutting channel defined therein that extends therethrough. A cutting element is movable within the cutting channel and includes a stationary blade and a pivoting blade that pivots with respect to the stationary blade when first and second jaw members are in the clamped position and the cutting element is advanced through the cutting channel. The jaw members include an actuator operably connected to the housing and configured to impart reciprocating movement of the cutting element.03-03-2011
20110054467Cutting Assembly for Surgical Instruments - The present disclosure relates to an end effector assembly for use with a forceps. The end effector assembly includes a pair of jaw members and a cutting element. The pair of jaw members having at least one jaw member that is moveable relative to the other from a first, open position to a second, closed position for grasping tissue. Each of the jaw members includes a cutting channel that is defined therein and extends therealong. The cutting element includes a fixed end and a movable end. The fixed end is disposed within the cutting channel of one of the jaw members and the moveable end is disposed within the cutting channel of the other of the jaw member. The cutting element defines a movable cutting loop disposed between the cutting channels and between the fixed end and the movable end. The cutting loop has an arcuate portion that is reciprocatable to cut tissue.03-03-2011
20110022047Active Cooling System and Apparatus for Controlling Temperature of a Fluid used During Treatment of Biological Tissue - A system for controlling temperature of a fluid used during treatment of biological tissue includes a fluid temperature control apparatus. The apparatus includes at least one heat transfer device and a solution bag and/or a heat transfer membrane. The solution bag and/or the heat transfer membrane reside in thermal communication with the heat transfer device. When the solution bag and/or the heat transfer membrane is fluidically coupled to an electrosurgical device, fluid is supplied to the electrosurgical device at a controlled temperature during a surgical procedure utilizing the electrosurgical device to enable more efficient treatment of the biological tissue. A corresponding method includes fluidically coupling the fluid temperature control apparatus to the electrosurgical device and supplying fluid at a controlled temperature during a surgical procedure utilizing the electrosurgical device to enable more efficient treatment of the biological tissue.01-27-2011
20110071522In Vivo Attachable and Detachable End Effector Assembly and Laparoscopic Surgical Instrument and Methods Therefor - A method of performing surgery includes the steps of providing a forceps having a housing including a shaft that extends therefrom and at least one handle moveable relative to the housing and providing an end effector assembly configured to selectively engage a distal end of the shaft. The method also includes the steps of inserting the forceps through a first opening formed in a body; inserting the end effector assembly through a second opening formed in the body; engaging the end effector assembly with the distal end of the shaft in vivo; and actuating the end effector assembly by moving the handle relative to the housing. The method may also include the steps of providing a coupling at the distal end of the shaft, and engaging, via the coupling, the distal end of the shaft with the end effector assembly.03-24-2011
20100292691CUT AND SEAL INSTRUMENT - A combined electrical tissue sealing and mechanical tissue cutting instrument. The instrument has two opposing jaw members. A removable cartridge is positioned in one of the jaw members. The cartridge includes a tissue sealing electrode and a tissue cutter. As either the tissue sealing electrode or the cutter deteriorates with use, the cartridge is replaced with a new cartridge. Cartridges are configured with various electrode geometries to accommodate various associated electro-surgical units. One or more pressure sensors in the cartridge or in the instrument jaw that supports the cartridge provide an indication that a required clamping pressure exists between the jaw members to carry out the tissue sealing. A cut and seal controller allows various actions to be carried out when particular clamping pressures are sensed, or when an indication that tissue sealing is complete is sensed.11-18-2010
20100292692Sphincterotome With Stiffening Member - A sphincterotome is disclosed including an elongate shaft having a lumen extending through at least a portion of the elongate shaft. The lumen includes a proximal segment and a distal segment. A cutting element extends within the lumen through the proximal segment of the lumen and extends exterior of the elongate shaft along the distal segment of the lumen. A stiffening member is positioned within the distal segment of the lumen.11-18-2010
20110118734CAPSULARHEXIS DEVICE USING PULSED ELECTRIC FIELDS - A capsulorhexis apparatus is disclosed. An exemplary apparatus includes a cutting electrode device that in turn comprises a handle, a flexible ring having a single ring-shaped wire electrode embedded therein, and a shaft connecting the flexible ring to the handle, wherein the flexible ring is configured for insertion into an eye through an incision. The apparatus further includes a grounding electrode configured for placement in or on the eye, independently of the cutting electrode device, and a pulse generator electrically connected to the ring-shaped wire electrode and the grounding electrode and configured to supply pulsed power to the eye via the ring-shaped wire electrode and the grounding electrode05-19-2011
20110046623Electrical Cutting and Vessel Sealing Jaw Members - The present disclosure relates to an end effector assembly for use with an electrosurgical instrument. The end effector assembly includes a pair of opposing first and second jaw members and a first electrically conductive cutting plate. The pair of opposing first and second jaw members is movable to cooperatively grasp tissue. Each of the jaw members includes a tissue contacting plate that is disposed thereon and has a longitudinal channel that is defined therealong. The first electrically conductive cutting plate includes a cutting element that extends along the first electrically conductive cutting plate and into the longitudinal channel of the first jaw member to engage and electrosurgically sever tissue upon activation thereof.02-24-2011
20120150177COATING SUITABLE FOR SURGICAL INSTRUMENTS - A coating and devices using the coating are provided. The coating is applied in liquid form and dried or otherwise cured to form a durable adherent coating resistant to high temperatures and having optional hydrophobic properties. The coating formulation contains an aqueous formulation of silica, one or more fillers, and sufficient base, (e.g., potassium hydroxide), to have a pH exceeding about 10.5 during at least part of the formulation process. The formulation may contain a compound(s) that affects surface free energy, energy to make the cured coating hydrophobic. Such compounds include silanes containing halogens (e.g., fluorine or chlorine) and in particular silanes containing one or more hydrolyzable groups attached to at least one silicon atom and a group containing one or more halogens (e.g., chlorine or fluorine). A medical instrument (e.g., electrosurgical instrument) may be at least partially covered by a coating using the formulation.06-14-2012
20100179543Vessel Sealing Instrument With Electrical Cutting Mechanism - An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.07-15-2010
20100030212METHODS, SYSTEMS, AND DEVICES FOR PERFORMING ELECTROSURGICAL PROCEDURES - An electrosurgical system including a sharpened electrosurgical electrode, which can have a coated surface, and an automatically adjusting electrosurgical wave generator is disclosed. The automatically adjusting wave generator and the sharpened electrode tip provide or enhance the properties, attributes and/or characteristics of the electrosurgical system and prevent tissue damage and reduce incidences of post-operative complications, thereby quickening the healing process. The wave generator detects various circuit parameters and automatically adjusts the output settings, such as the output power level, based on the various circuit parameters, such as tissue impedance, to prevent undesirable tissue damage.02-04-2010
20110118735Electrosurgical device for creating a channel through a region of tissue and methods of use thereof - An electrosurgical device and methods are disclosed for creating a channel through a region of tissue. The device comprises an elongate member for receiving the energy from an electrical energy source. An electrical insulation layer surrounds the elongate member along the device proximal region. An electrode tip is coupled to the distal end of the elongate member for delivering the energy, the electrode tip being configured and sized for delivering the energy in a manner such that electrical arcing is generated in the region of tissue in order to create a channel through at least a portion of the region of tissue. An electrically insulative thermal shield is disposed between the electrode tip and the device proximal region for preventing arcing therebetween during the delivery of the energy and for thermally protecting the device proximal region from heat produced by the delivery of the energy through the electrode tip.05-19-2011
20120041438Surgical Forceps Including Shape Memory Cutter - A forceps includes a housing having a shaft attached thereto. The shaft has an end effector assembly disposed at a distal end thereof. The end effector assembly includes a pair of jaw members disposed in opposing relation relative to one another. At least one of the jaw members is moveable relative to the other between a spaced apart position and an approximated position for grasping tissue therebetween. At least one shape memory cutting member is coupled to one of the jaw members. The shape memory cutting member(s) is transitionable between a retracted state and an extended state. In the extended state, the cutting member(s) extends between the jaw members to cut tissue disposed therebetween when the jaw members are in the approximated position.02-16-2012
20110306972ELECTROSURGICAL INSTRUMENT EMPLOYING A THERMAL MANAGEMENT SYSTEM - An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue thereby causing current to flow through the tissue and, as a result, generate heat within the tissue. The surgical instrument can further comprise a fluid circulatory system embedded within at least a portion the end effector wherein, in at least one embodiment, the fluid can be dispensed from the fluid circulatory system and onto the jaws of the end effector and/or the tissue positioned between the jaws.12-15-2011
20120046661HIGH-FREQUENCY TREATMENT INSTRUMENT - A high-frequency treatment instrument (02-23-2012
20120004657Electrosurgical Devices with Wire Electrode And Methods of Use Thereof - The invention provides an electrosurgical device and methods of use thereof. In one embodiment, the device may comprise a handle, a shaft distal to the handle, a first electrode tip and a second electrode tip adjacent a distal end of the shaft, with the first electrode tip spaced from the second electrode tip and wherein the first electrode tip comprises a first U-shaped electrode and the second electrode tip comprises a second U-shaped electrode, and at least one fluid outlet. In another embodiment, the device may comprise a handle, a shaft distal to the handle, and a first electrode and a second electrode adjacent a distal end of the shaft with the first electrode coplanar with the second electrode and comprising a wire electrode having a U-shape which surrounds a perimeter of the second electrode and is spaced from the second electrode by an aperture.01-05-2012
20120209263Surgical Instrument with Dispensable Components - A surgical instrument includes an active electrode coupled to a source of electrosurgical energy. The active electrode includes a tissue-contacting surface on an exterior surface of the instrument such that the tissue-contacting surface of the active electrode may intimately engage tissue. A replacement electrode includes a tissue-contacting surface, and is located in an interior cavity of the instrument. A seal is formed between the active electrode and the interior cavity of the instrument such that the tissue-contacting-surface of the replacement electrode is isolated from contamination exposed to the exterior of the instrument. The active electrode is removable from the instrument to expose the tissue-contacting surface of the replacement electrode, and the replacement electrode is connectable to the source of electrosurgical energy when the active electrode is removed.08-16-2012
20080287947RF intervertebral electrosurgical probe - An electrosurgical instrument for spinal procedures comprises an elongated tubular member configured to fit within and be extended down a standard sized cannula. The instrument comprises a proximal end including a handle for the surgeon and supplied with fittings for connection to a source of irrigation fluid and a source of suction. The distal end of the instrument has an active end comprising a slightly-flexible curved wire electrode that extends in the plane of the tubular member. Beyond the wire electrode is an exit port for irrigation fluid, and in front of the electrode is a receiving port for suction. The wire electrode is thus flanked in front by the exiting irrigation fluid and behind by the suction, with the result that fluid flow is drawn by the suction across the wire electrode creating pressure forces that direct removed tissue to the suction entrance and its removal from the surgical site.11-20-2008
20120059372Electrosurgical Instrument - An end effector assembly for an electrosurgical instrument is provided. The end effector assembly has a pair of first and second jaw members including respective seal having a width. Each of the seal plates adapted to connect to an energy source. The first and second jaw members are operable in a first mode of operation for treating tissue and a second mode of operation for separating tissue. The width of the seal plate of the first jaw member is smaller than the width of the seal plate of the second jaw member. In the second mode of operation the seal plate of the first jaw member is independently activatable from the seal plate of the second jaw member to facilitate the separation of tissue when the first and second jaw members are in one of the open and clamping positions.03-08-2012
20120022530ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT - A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The surgical instrument may have a indicator to provide feedback signals during the operational stroke. The feedback signals assist in regulating the rate of distal translation of the tissue-cutting element.01-26-2012
20120022528ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT - A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by an electromagnetic brake.01-26-2012
20120022526ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT - A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke is regulated by at least one biasing member, such as a spring, for example.01-26-2012
20120022529ELECTROSURGICAL CUTTING AND SEALING INSTRUMENT - A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by at least one electromagnet and at least one electromagnetic engagement surface.01-26-2012
20120022525ELECTROSURGICAL INSTRUMENT WITH SEPARATE CLOSURE AND CUTTING MEMBERS - In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.01-26-2012
20090192510Polyp Encapsulation System and Method - An endoscopic electrosurgical instrument is presented for encapsulating and resecting biologic tissue, such as a polyp, from an anatomical structure, such as a lumen. The instrument includes an encapsulation assembly which includes a snare coupled to an electrically non-conductive, shrinkable pouch in a drawstring-like configuration. The encapsulation assembly may be folded within the elongated cylindrical housing of the endoscopic instrument, positioned within the patient at the surgical site, and deployed for use. Once positioned over the polyp, the snare is tightened around the peduncle thereof, and the pouch is activated, thereby shrinking and encapsulating the polyp. The polyp may then be resected using conventional or electrosurgical techniques. The disclosed instrument may include surgical tools and/or electrosurgical electrodes for performing surgical procedures. The disclosed system may reduce the occurrence of undesirable arcing and may aid retrieval of resected tissue.07-30-2009
20110092972Methods for Ultrasonic Tissue Sensing and Feedback - An ultrasonic surgical instrument including an ultrasonic transmission member having a proximal end and a distal end is provided. The instrument also includes an ultrasonically-actuated cutting element having a tissue contacting surface and a clamp member supported adjacent to the cutting element for clamping tissue. The clamp member includes a sensing mechanism that senses load variations. A handle member located at the proximal end of the transmission member moves the clamp member relative to the cutting element. Also, a feedback mechanism is operatively coupled to the sensing mechanism that supplies information related to the load variations where the output of the tissue cutting element is adjusted based on the sensed load variations.04-21-2011
20120157994ENDOSCOPIC RESECTION METHOD - Embodiments of the invention are directed to a method of excising tissue including injecting fluid into the submucosa to raise targeted tissue. A first electrode is positioned below the targeted tissue within the injected fluid and a second electrode is positioned adjacent a surface of the raised targeted tissue opposite the first electrode. Electrical current is applied between the first and second electrodes and the targeted tissue is excised with the second electrode.06-21-2012
20110066149MEDICAL RESECTOR - A medical resector for oblating, cutting, or coagulating human or animal tissue includes a rotatable high-frequency electrode on the distal end of a shaft of the medical resector and an axle that runs from the proximal end to the distal end of the shaft and is mechanically coupled with the high-frequency electrode on the distal end. The axle is positioned on the distal end of the shaft in the center or as close as possible to the center of the cross-section of the shaft and on the proximal end of the shaft on the border or as close as possible to the border of the cross-section of the shaft.03-17-2011
20110106077TREATMENT INSTRUMENT - This treatment instrument includes: a flexible wire that has a first end part and a second end part, and that has a treatment part at an intermediate part for conducting treatment within a body cavity; small-diameter parts where at least a portion of the outer circumferential face of the wire has a smaller diameter or is denuded relative to the rest; a bundled part where the wire is bundled so as to at least include the small-diameter parts; and a manipulation wire that is connected to this bundled part.05-05-2011
20120165816COMBINED ULTRASOUND AND HF SURGICAL SYSTEM - The invention relates to a combined ultrasound and HF surgical system, including at least one ultrasound generator which operatively provides an excitation signal through which an ultrasound converter can generate an ultrasound vibration, at least one HF generator which operatively generates HF energy, and at least one ultrasound and HF instrument electrically connected with the HF generator and the ultrasound generator, wherein the ultrasound vibrations and the HF energy are introducible into biological tissue through the HF instrument which includes at least one ultrasound converter and at least one HF electrode. In order to be able to use HF energy and ultrasound energy simultaneously without damaging the instrument or wearing the it out, the system includes a protective device which prevents sparks operatively generated through HF energy or reduces the probability of occurrence of the sparks.06-28-2012
20120221003System and Method for a Physiochemical Scalpel to Eliminate Biologic Tissue Over-resection and Induce Tissue Healing - Removal of damaged tissue itself can enable biosynthetic activity in vivo as an unburdened homeostatic or repair response. By removing a biologic and mechanical irritant, the lesion site can be altered to a more favorable perturbation-specific mechanotransductive environment supportive of differentiated gene expression. One aspect of one embodiment of the present invention provides an engineered irrigant that produces ion exchanges in tissues for example deliver of protons which interact with biology tissues.08-30-2012
20120215219Apparatus with Multiple Channel Selective Cutting - A forceps includes an end effector assembly and one or more cutting blades. The end effector assembly defines a longitudinal axis and has a pair of jaw members selectively positionable relative to one another about a pivot. One or more of the jaw members includes an electrically conductive tissue engaging surface adapted to connect to an electrosurgical energy source. One or more of the jaw members includes two or more blade channels defined therein and extending therealong. The one or more cutting blades are selectively movable within one or more of the two or more blade channels.08-23-2012
20110184410ELECTROSURGICAL ELECTRODE WITH ELECTRIC FIELD CONCENTRATING FLASH EDGE - An electrode tip for use in performing electro surgical operative procedures to concentrate electrical energy communicated to the patient tissue is disclosed. The electrode tip includes a main body that can receive electrical energy from an electrosurgical generator. The main body includes a working surface defining a flash edge. The working surface communicates the electrical energy to patient tissue during an operative procedure. The flash edge concentrates the electrical energy as it is communicated to the patient tissue. The concentration of the electrical energy from the flash edge reduces excessive tissue damage surrounding an incision site and improves the efficiency of the electrode tip.07-28-2011
20120083783SURGICAL INSTRUMENT WITH JAW MEMBER - A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.04-05-2012
20120221002ELECTRICAL ABLATION DEVICES AND METHODS - An ablation apparatus may generally comprise an elongated body having a proximal end and a distal end and a non-conductive tip at the distal end, a conductive sheath at least partially surrounding a portion of the elongated body intermediate the proximal end and the tip, and an electrical conductor electrically connected to the conductive sheath. The ablation apparatus may comprise a first electrode having a first diameter and a plurality of second electrodes each having a second diameter, wherein the first diameter is greater than the second diameter. Methods of using the ablation apparatus are also described.08-30-2012
20120232552METHOD AND APPARATUS FOR MINIMALLY INVASIVE INSERTION OF INTERVERTEBRAL IMPLANTS - A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.09-13-2012
20110004208ELECTROSURGICAL INSTRUMENT WITH REPLACEABLE CARTRIDGE - Various embodiments provide an electrosurgical instrument with a disposable electrosurgical cartridge. In one embodiment, the cartridge has first and second energy-delivery surfaces that carry first and second opposing polarity conductors coupled to a voltage source, together with first and second temperature-responsive variable impedance bodies exposed partly in the respective-delivery surfaces. The cartridge further carries a slidable blade member. The temperature-responsive variable impedance bodies are coupled to the voltage source by series and parallel circuitry. In use, the variable impedance bodies are adapted to modulate current flow and ohmic heating in engaged tissue by providing controlled current paths in the tissue and through the variable impedance bodies as the temperature-responsive bodies sense the temperature of adjacent engaged tissue. The engagement surfaces are capable of highly localized modulation of Rf energy application to engaged tissue to provide high and low temperatures, voltage and current in the tissue to create high strength welds.01-06-2011
20120271304ELECTROSURGICAL DEVICE WITH IMPROVED INCISION - To achieve a safe transition from the ignition of a plasma in incision mode to the combustion of the plasma during a cutting mode, an electromedical device to supply an instrument with electrical power is equipped with an ignition recognition mechanism formed by a sensor device. This ignition recognition mechanism switches the HF generator provided in the device from an incision operating mode to a cutting operating mode as soon as ignition is recognized. The switching is brought about by the switching of an HF modulation from a low crest factor in the incision operating mode to a high crest factor in the cutting operating mode.10-25-2012
20110238065SURGICAL CUTTING AND SEALING INSTRUMENT WITH REDUCED FIRING FORCE - A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member's longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced.09-29-2011
20120277742METHODS AND DEVICES FOR REMOVING OMENTAL TISSUE - The invention relates to a method of treating obesity, insulin resistance and co-morbidities of these conditions by removing tissue from the abdomen. More specifically, it relates to a method of removing abdominal fat and omentum to which the fat is attached, in order to improve health. The invention includes a device for safely removing this tissue material11-01-2012
20110276049Pinion Blade Drive Mechanism for a Laparoscopic Vessel Dissector - A surgical instrument comprises a handle assembly including an actuator mounted for manipulation through an actuation stroke. An elongate shaft extends distally from the handle assembly and defines a longitudinal axis. A reciprocating member extends at least partially through the elongate shaft, and is mounted for longitudinal motion through the elongate shaft in response to manipulation of the actuator through the actuation stroke. A drive mechanism includes a first rotating component coupled to the actuator about a first circumference to induce rotational motion in the first rotating component. A second rotating component is coupled to the first rotating component such that rotational motion in the first rotating component induces rotational motion in the second rotating component. The second rotating component is coupled to the reciprocating member about a second circumference such that rotational motion of the second rotating component induces longitudinal motion in the reciprocating member. The second circumference is greater than the first circumference.11-10-2011
20120095460Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members moveable with respect to one another between an open position and a closed position. A knife channel having a body and a base is defined within each jaw member. A knife assembly includes a knife having a bifurcated distal end. The bifurcated end includes first and second cutting members each defining an opposed cutting surface and having a tab at a free end thereof for translation through the base of a knife channel. The knife is translatable into the channels when the jaw members are in the closed position such that the cutting members are approximated when translated through the channels. The knife is also translatable into the channels when the jaw members are in the open position such that the cutting members are flexed apart when translated through the jaw members.04-19-2012
20120330310MEDICAL TREATMENT APPARATUS AND CONTROL METHOD OF MEDICAL TREATMENT DEVICE - A medical treatment device to treat body tissues for conjugation, includes at least a pair of holding members configured to hold the body tissues, an energy output portion provided in at least one of the holding members and connected to an energy source to form a joined portion by supplying energy to the body tissues held by the pair of holding members and joining the body tissues, and a conjugation coating portion to a region from a neighborhood of a joined portion to coat joined surfaces with a substance capable of preventing fluid from invading during or after the body tissues being joined by adding the energy to the body tissues.12-27-2012
20120330309Forceps - A forceps includes first and second shaft members, each having a jaw member disposed at a distal end thereof. The first and second shaft members are pivotably coupled to one another toward the distal ends thereof and are moveable relative to one another between an open position and a closed position for moving the jaw members between a spaced-apart position and an approximated position. A knife assembly including a handle and a knife extending from the handle is also provided. The knife assembly is selectively translatable between a retracted position and an extended position, wherein the knife extends between the jaw members. The handle is disposed between the first and second shaft members and is configured to block further closure of the first and second shaft members beyond the closed position, thereby defining a minimum gap distance between the jaw members.12-27-2012
20120330308Forceps - A forceps includes first and second shaft members each having a jaw member disposed at a distal end thereof. The first and second shaft members are pivotably coupled to one another toward the distal ends thereof. One or both of the first and second shaft members is moveable relative to the other between an open position and a closed position for correspondingly moving the jaw members between a spaced-apart position and an approximated position. A knife assembly is also provided. The knife assembly includes a handle and a knife extending from the handle. The knife assembly is selectively translatable between a retracted position and an extended position, wherein the knife extends between the jaw members. The handle is disposed between the first and second shaft members and is configured to regulate a closing pressure of the jaw members.12-27-2012
20120150176CONTROL OF JAW COMPRESSION IN SURGICAL INSTRUMENT HAVING END EFFECTOR WITH OPPOSING JAW MEMBERS - A surgical instrument comprising a surgical instrument with opposing jaw members for clamping tissue therebetween. The surgical instrument may comprise a latch at a distal end of the end effector. The latch latches the distal end of the first jaw member to the distal end of the second jaw when the jaw members are in the closed position. Also, one of the jaw members may comprise a moveable tissue-contacting portion and a thermally-controlled spring adjacent to the tissue-contacting portion. The thermally-controlled spring is transitionable between a contracted state and an expanded state. The thermally-controlled spring may comprise a temperature-dependent, two-way memory effect, shape memory material. In the expanded state, the thermally-controlled spring urges the moveable tissue-contacting portion in a direction toward the other jaw member when the jaw members are in the closed position.06-14-2012
20130018372Surgical ForcepsAANM Sims; Grant T.AACI LittletonAAST COAACO USAAGP Sims; Grant T. Littleton CO USAANM Collings; ChaseAACI HaydenAAST IDAACO USAAGP Collings; Chase Hayden ID USAANM Townsend; Jeffrey R.AACI LovelandAAST COAACO USAAGP Townsend; Jeffrey R. Loveland CO US - A forceps includes first and second shaft members each having a jaw member disposed at a distal end thereof. One (or both) of the first and second jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. The first jaw member includes a jaw frame fixedly engaged to the first shaft member and a disposable jaw housing releasably engageable with the jaw frame. The disposable jaw housing includes a knife assembly disposed therein. The knife assembly includes a knife blade biased toward an initial position, wherein the knife blade is disposed within the jaw housing. The knife blade is moveable between the initial position and an extended position, wherein the knife blade extends at least partially from the jaw housing to cut tissue grasped between the first and second jaw members.01-17-2013
20090138012Electrode with Rotatably Deployable Sheath - A sheath system for selectively covering a distal end of an electrocautery blade is provided. The sheath system includes a hub having a body portion defining a lumen therethrough and a sheath having a body portion defining a lumen therethrough. The lumen of the sheath is configured and dimensioned to operatively receive an electrocautery blade therein. The sheath is translatably associated with the hub such that rotation of the hub in a first direction results in axial movement of the sheath in a first direction to expose a distal end of the electrocautery blade and rotation of the hub in a second direction, opposite to the first direction, results in axial movement of the sheath in a second direction to cover the distal end of the electrocautery blade. The hub and the sheath may be concentric with one another.05-28-2009
20130172885TREATMENT DEVICE AND TREATMENT METHOD - A surgical device which is configured to apply energy to living tissue and to be used to perform a surgical procedure includes a grasping portion, an incising portion, an introduction portion and a treatment portion. The grasping portion grasps the living tissue having a first surface and a second surface. The incising portion is movable forward and backward with respect to the living tissue and incises the living tissue. The introduction portion is movable forward and backward with respect to the living tissue and introduces a biocompatible material, which is chemically bound with the living tissue, to a space between the first surface and the second surface. The treatment portion is configured to apply high-frequency energy and thermal energy to the living tissue.07-04-2013
20130090654COMBINATION CYSTOTOME AND ACCESS NEEDLE DEVICE AND METHOD - A system and method are provided for accessing and cannulating a target mass. The system includes a combined cystotome and access needle that provides for efficient operation. The access needle may be embodied as a polymeric sheath with a piercing stylet configured to extend beyond its distal end. The device embodiments allow a user to access and cannulate a target site such as, for example, a pancreatic pseudocyst with a single device. The device is also configured to allow introduction of a wire guide such that the cannulated target site can readily receive a wire-guided stent, or a stent delivered over the access needle.04-11-2013
20130123782TRIGGER LOCKOUT MECHANISM - A medical instrument includes a housing, an RF generation circuit activation button coupled to an activation button lever supported by the housing. The activation button lever includes a top surface, the activation button lever rotatable about an activation button pivot point. A cutting blade is operably coupled to a sheath. A control lever is supported by the housing and pivotally coupled to a trigger lever including a projection to engage the top surface of the activation button lever and to control the actuation of the cutting blade by actuating the sheath in a distal direction by rotatably moving the control lever proximally about a trigger pivot point. The top surface of the activation button lever and the projection of the trigger lever remain engaged to prevent actuation of the cutting blade until the activation button is fully rotatably moved proximally about the activation button pivot.05-16-2013
20130123783SURGICAL DEVICE WITH POWERED ARTICULATION WRIST ROTATION - A surgical instrument for treating tissue, the instrument including a housing and a shaft with an articulating portion and an end effector. The surgical instrument including a first casing connected to and rotatable with the proximal end of said shaft with an internal frame housed within the first casing and a plurality of posts supported by the internal frame and connected on their distal ends to at least one drive wire, and connected on their proximal ends to a threaded shaft; and a second casing connected to the first casing and rotatable therewith, said second casing housing the threaded shafts. The surgical instrument includes a first electric motor driving a first gear interfacing with the threaded shafts such that a first pair of the plurality of threaded shafts rotate in the same direction and cause the articulating portion to articulate in a first plane.05-16-2013
20130131672OPEN VESSEL SEALING INSTRUMENT WITH PIVOT ASSEMBLY - An open electrosurgical forceps includes a pair of first and second shaft members each having a jaw member disposed at its distal end. The jaw members are movable about a pivot assembly from an open position in spaced relation relative to one another to a closed position wherein the jaw members cooperate to grasp tissue. Each of the jaw members includes an electrically conductive sealing surface for communicating electrosurgical energy through grasped tissue. One or both of the jaw members includes a knife channel defined along its length. The pivot assembly includes a knife slot and is configured to prevent reciprocation of a cutting mechanism when the jaw members are disposed in the open position and to permit reciprocation of the cutting mechanism when the jaw members are disposed in the closed position. An actuator selectively advances the cutting mechanism from a first position to at least one subsequent position.05-23-2013
20110276048Surgical Forceps - A forceps includes a housing, a shaft, and an end effector assembly. The end effector assembly includes first and second jaw members. At least one of the jaw members is moveable with respect to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. A cutting member having a plurality of cutting edges symmetrically-disposed about a longitudinal axis thereof is disposed within the shaft and is longitudinally translatable between a retracted position and an extended position. The cutting member extends between the jaw members to cut tissue grasped therebetween when in the extended position. The cutting member is fixedly-oriented with respect to the shaft and is configured for translation between the jaw members to cut tissue therebetween when the jaw members are rotated with respect to the shaft between about zero degrees and about 180 degrees in at least one of the clockwise and counterclockwise directions.11-10-2011
20120259330MEDICAL TREATMENT DEVICE - In order to reliably cut off a living tissue by using a microwave in a surgical operation without causing excessive damage to the living tissue or without bleeding, it is necessary to suppress energy attenuation until the microwave reaches electrode blades for nipping, coagulating, and cutting off a tissue. However, it is difficult to suppress the energy attenuation. The present invention relates to a medical treatment device capable of reliably cutting off a living tissue by using a microwave while sealing vasculature by coagulating the living tissue without excessively damaging the living tissue. Specifically, the present invention relates to a medical treatment device including a movable first electrode blade connected to an external conductor and a fixed second electrode blade connected directly to a central electrode. The medical treatment device has a function of holding a living tissue between the movable first electrode blade and the fixed second electrode blade, coagulating the living tissue by supplying a microwave from the fixed second electrode blade, and cutting off the living tissue by turning the movable first electrode blade. In the medical treatment device, a turning mechanism for the movable first electrode blade is arranged at a certain clearance from the central electrode.10-11-2012
20120283727Surgical Forceps - A forceps includes an end effector assembly having first and second jaw members disposed in opposed relation relative to one another. One (or both) of the jaw members is moveable with respect to the other from a spaced-apart position to an approximated position for grasping tissue therebetween. A knife is longitudinally translatable with respect to the first and second jaw members between a retracted position, an intermediate position, and an extended position. The knife coupled to one or both of the jaw members via a pin-slot engagement such that, upon translation of the knife from the retracted position to the intermediate position, the first and second jaw members are moved to the approximated position to grasp tissue therebetween and such that, upon translation of the knife from the intermediate position to the extended position, the knife is extended between the jaw members to cut tissue grasped therebetween.11-08-2012
20130123781TARGETING MICROBUBBLES - This invention related to manufactured microbubbles, as well as methods of using manufactured microbubbles, for example, in medicinal applications. The invention pertains to the physical structure and materials of the microbubbles, as well as to methods for manufacturing microbubbles, methods for targeting microbubbles for specific medicinal applications, and methods for delivering microbubbles in medical treatment.05-16-2013
20130190757MOTORIZED SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING HANDLE BASED POWER SOURCE - A surgical cutting and fastening instrument. The instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train in the shaft for powering the drive train. The handle also comprises a power pack that comprises at least one charge-accumulating device connected to the DC motor for powering the DC motor.07-25-2013
20120029514SILANE COATING FOR MEDICAL DEVICES AND ASSOCIATED METHODS - A titanium electrosurgical instrument, such as a scalpel (02-02-2012
20130197514USE OF IMP3 AS A PROGNOSTIC MARKER FOR CANCER - Provided herein are methods and compositions for the prognostic evaluation of a patient suspected of having, or having, cancer by assessing the expression of IMP3 in a biological sample of a patient. Methods can be used at the time of initial diagnosis of malignant tumors to identify a group of patients with a high potential to develop progression or metastasis later. Therefore, methods not only are able to provide very useful prognostic information for patients but also can help clinicians to select a candidate patient likely to benefit from early and aggressive cancer therapy. Methods and compositions for the treatment of cancer associated with expression of IMP3 are also provided.08-01-2013
20120035606Body Tissue Incision Apparatus - The body tissue harvesting instrument is provided with a cutter which is disposed at the distal end of an insertion member that is inserted into the body to sever tissue inside the body. The cutter includes a slit that extends from the distal end toward the base end; a first high-frequency electrode disposed along the two side edges of the slit on the outer surface of the cutter body and a second high-frequency electrode disposed at the base end of the slit; and a mechanism which is disposed on both sides of the distal end of the slit in the projection of the cutter body which rotates as a result of being pressed by the tissue, and which feeds the tissue toward the interior of the slit. Parts located on both sides of the distal end of the slit in the projection may mutually separate in the thickness direction.02-09-2012
20090248020ELECTROSURGICAL SYSTEM - An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.10-01-2009
20120296332Thread-Like Knife for Tissue Cutting - An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. The assembly also includes a thread-like member having a first end coupled to at least one jaw member and a drive member coupled to a second end of the thread-like member. The drive member is configured to position the thread-like member between a first position and a second position, wherein the thread-like member cuts tissue when positioned in the second position.11-22-2012
20120046660Surgical Forceps - A forceps includes a housing having a shaft attached thereto and an end effector assembly disposed at a distal end of the shaft. The end effector assembly includes first and second jaw members disposed in opposed relation relative to one another. At least one of the jaws is moveable with respect to the other between a spaced-apart position and an approximated position for grasping tissue between the jaw members. A cutting assembly is disposed within a cavity defined within the first jaw member. The cutting assembly includes a cutting member that is rotatably coupled to the first jaw member and configured to rotate with respect to the first jaw member about a longitudinal axis thereof to cut tissue disposed between the jaw members.02-23-2012

Patent applications in class Cutting

Patent applications in all subclasses Cutting