Patent application number | Description | Published |
20090024120 | Connection cable and method for activating a voltage-controlled generator - A connection cable is disclosed for controlling a voltage-controlled generator such as an electrosurgery generator from a controlling device such as a robotic surgery system. The cable includes a first connector adapted to connect to a voltage-controlled generator and a second connector adapted to connect to a controlling device. Within the cable is a voltage divider interdisposed between the first connector and the second connector. The voltage divider is configured to divide a reference voltage provided by the voltage-controlled generator into at least one control voltage which is selectable by the controlling device. The cable additionally includes a plurality of electrical wires which operatively connect the first connector, the second connector and the voltage divider. During robotic electrosurgery, said operating parameters can be actuated by a surgeon operating at the robotic surgical system console, which causes a corresponding control voltage to be switched to a control voltage input on an electrosurgery generator, which, in turn, generates a corresponding electrosurgical signal in response thereto. | 01-22-2009 |
20090048594 | GAS-ENHANCED SURGICAL INSTRUMENT WITH PRESSURE SAFETY FEATURE - An electrosurgical instrument for providing pressurized ionized gas to a surgical site includes a hand-held applicator having proximal and distal ends, a gas delivery member adapted to deliver pressurized ionizable gas to the proximity of an electrode located adjacent the distal end of the hand-held applicator. A portable actuator assembly is included that is capable of receiving a source of pressurized ionizable gas therein. The actuator controls the delivery of the gas and energy to the hand-held applicator. A pressure safety connects to the portable actuator and to the hand-held applicator. A pressure safety system having two or more cascaded pressure change members connects between the input port and the output port, the pressure change members are configured to regulate pressurized gas into the environment until the portable actuator assembly exceeds a predetermined threshold. | 02-19-2009 |
20090054893 | GAS-ENHANCED SURGICAL INSTRUMENT WITH PRESSURE SAFETY FEATURE - A pressure safety system is provided for use with electrosurgical instruments providing pressurized ionized gas to a surgical site. The pressure safety system includes a series of three cascaded pressure change members to control the pressure of gas delivered to a patient. Pressure safety apparatus for use with electrosurgical instruments providing pressurized ionized gas to a surgical site are also provided. Electrosurgical instruments utilizing the pressure safety system and apparatus are also provided. The instruments include a hand-held applicator, a portable actuator assembly and the pressure safety system to control the pressure of gas delivered to a patient. | 02-26-2009 |
20090198228 | Bipolar Scissors for Adenoid and Tonsil Removal - A bipolar electrosurgical instrument is disclosed for use in excising tissues. The disclosed bipolar electrosurgical instrument includes a pair of jaws or legs having shearing surfaces, one of which is electrically nonconductive. The disclosed bipolar surgical instrument also includes conductive surfaces on the legs which allow energy flux to flow through tissue on a plane other than that defined by the relative shearing surfaces. | 08-06-2009 |
20090275941 | Gas-Enhanced Surgical Instrument - A gas-enhanced electrosurgical instrument includes a hand-held applicator and a portable actuator assembly. The hand-held applicator has a gas delivery member adapted to deliver pressurized ionizable gas to the proximity of an electrode located adjacent a distal end of the applicator. The portable actuator assembly is capable of holding a source of pressurized ionizable gas, such as a cylinder or cartridge, and includes at least one controller to control the delivery of the gas from the source to the hand-held applicator and to control the delivery of electrosurgical energy to the hand-held applicator. | 11-05-2009 |
20100023007 | Electrosurgical devices, systems and methods of using the same - According to an aspect of the present disclosure, a desiccation device for operation on a target tissue is provided. The device includes a handle; a shaft extending distally from the handle, wherein the shaft defines a lumen therethrough; and a head having a loop configuration supported on a distal end of the shaft, the head being hollow and defining a lumen therethrough, said lumen being in fluid communication with the lumen of the shaft. At least a portion of the cutting head is electrically connected to a source of electrosurgical energy. A fluid is circulatable through the lumen of the shaft and the head. | 01-28-2010 |
20100023008 | Suction Coagulator - An electrosurgical suction coagulator is disclosed having improved thermal insulation between the active electrode and adjacent tissue. In embodiments, passive insulation is used to control the transfer of thermal energy from an electrosurgical electrode into surrounding tissue. Braided, closed-sell foam material, and open cell foam materials may be used to thermally insulate the outer surface of a suction coagulator shaft from an inner electrode. In embodiments, a suction coagulator shaft includes an external covering formed from open-cell foam material, which may be saturated with a coolant, such as water or saline, to increase the thermal mass of the shaft. In other embodiments, active cooling delivers coolant to the operative site. In yet other embodiments, a suction coagulator shaft includes a cooling jacket through which coolant is passed to actively cool the instrument. The improved electrosurgical suction coagulator disclosed herein may have a reduced operating surface temperatures which may result in reduced risk of undesirable effects to adjacent tissue, and may result in reduced operative times and improved patient outcomes. | 01-28-2010 |
20100069902 | Self Contained, Gas-Enhanced Surgical Instrument - An electrosurgical apparatus for coagulating tissue includes an elongated housing and an electrode located adjacent the distal end of the housing. The electrode can be connected to a source of electrosurgical energy. At least one actuator is included which electrosurgically energizes the electrode. The apparatus also includes a relatively small gas cylinder which contains a pressurized gas consisting of inert gas and which is selectively seated in the housing. Upon actuation of the actuator, gas is dispersed under pressure from the gas cylinder to the electrode and is ionized prior to the distribution of the gas into the operating field. | 03-18-2010 |
20110004210 | Flexible Endoscopic Catheter with Ligasure - An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws. | 01-06-2011 |
20110018164 | Molded Insulating Hinge for Bipolar Instruments - An electrosurgical instrument includes a pair of first and second elongated shafts each having an end effector attached to a distal end thereof and a handle. The handle is movable from a first position wherein the end effectors are disposed in spaced relation relative to one another to a second position wherein the end effectors are closer relative to one another. Each of the elongated shafts includes a hinge plate which mounts atop a pivot assembly for effecting movement of the end effectors relative to one another. The instrument also includes a hinge assembly made from an overmold composition which encapsulates and secures the hinge plates and the pivot assembly. The overmold composition is made from an electrically insulating material which insulates the end effectors from one another. | 01-27-2011 |
20110028969 | Connection Cable and Method for Activating a Voltage-Controlled Generator - A connection cable is disclosed for controlling a voltage-controlled generator such as an electrosurgery generator from a controlling device such as a robotic surgery system. The cable includes a first connector adapted to connect to a voltage-controlled generator and a second connector adapted to connect to a controlling device. Within the cable is a voltage divider interdisposed between the first connector and the second connector. The voltage divider is configured to divide a reference voltage provided by the voltage-controlled generator into at least one control voltage which is selectable by the controlling device. The cable additionally includes a plurality of electrical wires which operatively connect the first connector, the second connector and the voltage divider. During robotic electrosurgery, said operating parameters can be actuated by a surgeon operating at the robotic surgical system console, which causes a corresponding control voltage to be switched to a control voltage input on an electrosurgery generator, which, in turn, generates a corresponding electrosurgical signal in response thereto. | 02-03-2011 |
20110092971 | Electrosurgical Pencil with Advanced ES Controls - An electrosurgical system is provided that includes an electrosurgical generator; and an electrosurgical pencil selectively connectable to the electrosurgical generator. The electrosurgical pencil includes an elongated housing; at least one electrocautery end effector removably supportable within the housing and extending distally from the housing, the electrocautery end effector being connected to the electrosurgical generator; and at least one voltage divider network supported on the housing. The at least one voltage divider network is electrically connected to the electrosurgical generator and controls at least one of the intensity of electrosurgical energy being delivered to the electrosurgical pencil and the mode of electrosurgical energy being delivered to the electrosurgical pencil. The voltage divider network generates a plurality of characteristic voltages which are measurable by the electrosurgical generator and which electrosurgical generator in turn transmits a corresponding waveform duty cycle at a particular intensity to the electrocautery end effector of the electrosurgical pencil. | 04-21-2011 |
20110098689 | Apparatus for Tissue Sealing - An ultrasound forceps for sealing tissue is provided. The forceps includes one or more shaft members having an end effector assembly disposed at a distal end thereof. The end effector assembly includes opposing jaw members movable from a first position in spaced relation relative to another subsequent position wherein the jaw members cooperate to grasp tissue therebetween. One or both of the jaw members includes an ultrasound transducer coupled to an ultrasound generator adapted to provide an electrical signal to the ultrasound transducer to induce treatment pulses therein. | 04-28-2011 |
20110202056 | Laparoscopic Apparatus for Performing Electrosurgical Procedures - A system and apparatus for irrigating a surgical site during an electrosurgical procedure are disclosed. The system includes a hand piece having an elongated housing connected to a multi-lumen tube extending proximally from the housing and having an irrigation tube for delivering irrigation fluid, a suction tube for withdrawing irrigation fluid, and electrical wiring, a first controls for adjusting flow of irrigation fluid within the irrigation tube and second controls for adjusting flow of irrigation fluid within the suction tube. A valve cassette is connected to the multi-lumen tube, which includes an irrigation valve configured to control the flow within the irrigation tube and a suction valve configured to control the flow within the suction tube. A hardware control module controls the irrigation valve and the suction valve based on control signals from the first and second controls. | 08-18-2011 |
20120316557 | Septoplasty Instrument - A septoplasty instrument includes at least one shaft having an end effector at a distal end thereof. The end effector includes first and second electrode members, each having an electrode disposed within an insulative housing. At least one of the housings includes a lumen configured to circulate a cooling fluid therethrough. The lumen extends the length of the electrode member along an outer periphery thereof. At least one of the electrodes is adapted to conduct energy through tissue disposed therebetween. The electrode members are positionable on either side of the nasal septum. Upon application of energy to the electrode(s), energy is conduced between the electrodes and through the nasal septum such that the nasal septum is heated above about 50° C. and up to about 57° C. to allow reformation thereof, while the cooling fluid is circulated within the lumen to maintain tissue surrounding the electrode in a cooled state. | 12-13-2012 |
20130103033 | Suction Coagulator - An electrosurgical suction coagulator is disclosed having improved thermal insulation between the active electrode and adjacent tissue. In embodiments, passive insulation is used to control the transfer of thermal energy from an electrosurgical electrode into surrounding tissue. Braided, closed-sell foam material, and open cell foam materials may be used to thermally insulate the outer surface of a suction coagulator shaft from an inner electrode. In embodiments, a suction coagulator shaft includes an external covering formed from open-cell foam material, which may be saturated with a coolant, such as water or saline, to increase the thermal mass of the shaft. In other embodiments, active cooling delivers coolant to the operative site. In yet other embodiments, a suction coagulator shaft includes a cooling jacket through which coolant is passed to actively cool the instrument. The improved electrosurgical suction coagulator disclosed herein may have a reduced operating surface temperatures which may result in reduced risk of undesirable effects to adjacent tissue, and may result in reduced operative times and improved patient outcomes. | 04-25-2013 |
20130172876 | Apparatus, System, and Method for Performing Surface Tissue Desiccation Having an Internal Cooling system - Three types of internal cooling mechanisms for cooling one or more electrodes of a surface tissue desiccation device are described. Each cooling mechanism is closed-ended thereby preventing the cooling fluid from being dispensed from an electrosurgical handset of the device and onto the surgical site. The cooling fluid re-circulates in a conduit or lumen assembly between a fluid source, such as a fluid reservoir, and the electrode(s) at a distal end of the electrosurgical handset. A method is also provided for performing an electrosurgical procedure using the surface tissue desiccation device. The method includes activating an energy source; causing one or more electrodes to heat tissue; and internally cooling at least a portion of the at least one electrode(s) via an internal cooling mechanism. The internal cooling mechanism keeps the electrode(s) in a cooled state during the electrosurgical procedure, such as surface tissue desiccation. | 07-04-2013 |
20130261536 | System and Method for Cholecystectomy - A method for performing a cholecystectomy procedure is disclosed. The method includes the steps of ligating a cystic artery and a cystic duct of a gallbladder, separating the gallbladder from a liver by grasping the gallbladder and stretching a connective tissue therebetween and positioning a plasma applicator adjacent the connective tissue. The method also includes the steps of generating a selectively reactive plasma effluent at the plasma applicator and directing the selectively reactive plasma effluent at the connective tissue to separate the gallbladder from the liver. | 10-03-2013 |
20140100571 | ELECTROSURGICAL DEVICES, SYSTEMS AND METHODS OF USING THE SAME - According to an aspect of the present disclosure, a desiccation device for operation on a target tissue is provided. The device includes a handle; a shaft extending distally from the handle, wherein the shaft defines a lumen therethrough; and a head having a loop configuration supported on a distal end of the shaft, the head being hollow and defining a lumen therethrough, said lumen being in fluid communication with the lumen of the shaft. At least a portion of the cutting head is electrically connected to a source of electrosurgical energy. A fluid is circulatable through the lumen of the shaft and the head. | 04-10-2014 |
20140155891 | FLEXIBLE ENDOSCOPIC CATHETER WITH LIGASURE - An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws. | 06-05-2014 |
20140236142 | ELECTROSURGICAL GENERATOR AND SYSTEM - An electrosurgical generator includes an electrosurgical energy output configured to deliver electrosurgical energy to a bipolar end effector assembly in a conductive fluid environment for treating tissue. A controller having a processor is configured to control a waveform of the electrosurgical energy such that the waveform oscillates between a cut phase for initiating and sustaining tissue cutting, wherein the waveform includes a cut energy greater than the energy needed to create and sustain arcing, and a hemostasis phase, for desiccating/coagulating tissue, wherein the waveform includes a hemostasis energy less than the energy needed to sustain arcing. | 08-21-2014 |
20140257276 | SYSTEM AND METHOD FOR SINUS SURGERY - A method for treating a sinus cavity is provided. The method includes the steps of inserting a plasma applicator into a sinus cavity defined in a bone mass, positioning the plasma applicator adjacent a tissue formation, generating a selectively reactive plasma effluent at the plasma applicator and directing the selectively reactive plasma effluent at the tissue formation. The selective nature of the reactive plasma enables treatment of specific targets inside the sinus while minimizing the effect on other tissues. Such treatment includes, but not limited to, sterilization of bacterial colonies, vaporization of unwanted tissues or foreign masses, stimulation of tissues by enriching the content of reactive oxygen and nitrous oxide pathways, and combinations thereof. | 09-11-2014 |
20140276717 | BIPOLAR GAS PLASMA COAGULATION NOZZLE - A plasma instrument is disclosed. The plasma instrument includes an elongated body defining a first lumen therethrough, the lumen being in fluid communication with an ionizable media source; an applicator tip coupled to a distal end of the elongated body and disposed within the first lumen, the applicator tip defining a second lumen in fluid communication with the first lumen; a first electrode disposed on an outer surface of the applicator tip; and a second electrode disposed within at least one of the first lumen or the second lumen, wherein the first and second electrodes are configured to be energized to ignite ionizable media supplied by the ionizable media source. | 09-18-2014 |
20140276751 | SYSTEM CONFIGURED TO PROVIDE CONTROLLED DEPTH OF HEMOSTASIS - An electrosurgical device is provided and includes a handset having a shaft extending therefrom. The electrosurgical device includes a pair of electrodes disposed at a distal end of the shaft. One or more sensors are in operable communication with the pair of electrodes to detect a pressure applied thereto. The amount of electrosurgical energy that is transmitted to the pair of electrodes is proportional to the amount of pressure that is applied to the pair of electrodes and detected by the sensor. | 09-18-2014 |
20140276784 | SYSTEM AND METHOD FOR BIOFILM REMEDIATION - A method for removing biofilm from a lumen of a medical implant is disclosed. The method includes the steps of inserting a plasma applicator into a lumen defined in a medical implant, the lumen having a proximal end portion and a distal end portion having an opening therein, positioning the plasma applicator adjacent a biofilm formation, generating a selectively reactive plasma effluent at the plasma applicator and directing the selectively reactive plasma effluent at the biofilm formation. | 09-18-2014 |
20140350555 | SUCTION COAGULATOR - An electrosurgical suction coagulator includes a housing having proximal and distal ends and an elongated tube-like shaft extending longitudinally from the distal end of the housing. The elongated tube-like shaft includes a tube-like dielectric sheath, a tube-like conductor, and an external insulator. The tube-like conductor is disposed coaxially through the tube-like dielectric sheath. The distal end of the tube-like conductor protrudes at least partially from the distal end of the tube-like dielectric sheath. The external insulator is disposed coaxially around the tube-like dielectric sheath. The external insulator extends from about the proximal end of the dielectric sheath to about the distal end of the dielectric sheath. | 11-27-2014 |
20150018815 | DEVICES, SYSTEMS, AND METHODS FOR TISSUE MORCELLATION - A morcellator includes a housing, an elongated tube extending distally from the housing, and first and second electrodes. A distal end of the elongated tube is configured to cut tissue. The first electrode extends from the housing to the distal end of the elongated tube and is disposed around at least a portion of the distal end of the elongated tube. The second electrode extends distally beyond the first electrode. Another morcellator includes a housing, an elongated tube extending distally from the housing, and an oscillating mechanism. A distal end of the elongated tube includes opposing blade sections and at least one blunt section. The opposing blade sections are configured to cut tissue. The oscillating mechanism is configured to drive oscillation of the elongated tube to cut tissue with the blade sections. | 01-15-2015 |
20150018837 | DEVICES, SYSTEMS, AND METHODS FOR TISSUE MORCELLATION - A morcellation system includes a morcellator and a grasper. The morcellator includes a housing and a tube extending from the housing and having at least one blade section. The morcellator further includes an oscillating mechanism configured to oscillate the tube. An end cap is coupled to the proximal end of the housing and is configured to receive the tube. The end cap defines a passage and includes an aligning structure disposed in the passage. The grasper includes a tubular member having a grasping end including first and second jaws moveable relative to one another. The grasper further includes a handle assembly operatively associated with the grasping end. A keyed collar is disposed about the tubular member. The keyed collar includes a key configured to cooperate with the aligning structure of the end cap to align the first and second jaws relative to the distal end of the tube. | 01-15-2015 |
20150073224 | SYSTEM FOR MYOMECTOMY AND MORCELLATION - A method for dissecting a myoma from a uterine wall includes inserting a myomectomy screw retractor into a surgical site, articulating a tool assembly positioned at a distal end of the myomectomy screw retractor such that a screw of the tool assembly is positioned adjacent to the myoma orthogonal to the uterine wall, rotating the screw of the tool assembly into the myoma until the screw is substantially engaged with the myoma, manipulating the myoma by pitching, rotating, and/or providing traction to the myoma to expose cutting planes, and dissecting the myoma from the uterine wall by cutting along the exposed cutting planes. | 03-12-2015 |
20150073429 | SYSTEM FOR MYOMECTOMY AND MORCELLATION - Surgical instruments and surgical systems including the surgical instrument and a morcellator. The surgical instrument includes a tool assembly having an articulating joint and a screw positioned at a distal end of the articulating joint. The articulating joint is configured to articulate a distal portion of the tool assembly at an angle in relation to the longitudinal axis of the surgical instrument. The screw is configured to engage tissue, for example, a myoma in the uterine wall of a patient, and is configured to pitch and roll the tissue to expose cutting planes. The morcellator is configured to engage the tissue to morcellate the tissue and remove the tissue from a patient. | 03-12-2015 |
20150080880 | ELECTROSURGICAL INSTRUMENT WITH END-EFFECTOR ASSEMBLY INCLUDING ELECTRICALLY-CONDUCTIVE, TISSUE-ENGAGING SURFACES AND SWITCHABLE BIPOLAR ELECTRODES - An electrosurgical instrument includes a housing, an elongated shaft, and an end-effector assembly. The proximal end of the shaft is operably associated with the housing. The end-effector assembly is operably coupled to the distal end of the shaft and includes first and second jaw members. Each of the first and second jaw members includes a sealing plate and a bipolar electrode. Either one or both of the first and second jaw members is movable from a position in spaced relation relative to the other jaw member to at least one subsequent position wherein the sealing plates cooperate to grasp tissue therebetween. The electrosurgical instrument includes a semiconductor switch operably coupled to at least one of the sealing plates and at least one of the bipolar electrodes. The semiconductor switch is configured to enable user selection between energizing the at least one sealing plate or the at least one bipolar electrode. | 03-19-2015 |