Abstract: A method and apparatus for relieving insufflation pressure in a body cavity (18) in excess of a predetermined value are provided. A conduit assembly (24) extends from the body cavity (18) through the surface (61) of a fluid reservoir and has a port (63) positioned beneath the fluid surface (61). The relief pressure is selected by setting the relative positioning of the open end (63) and fluid surface (61). The apparatus avoids insufflation gas leakage problems associated with known insufflation pressure relief devices.

Abstract: An irrigator/aspirator surgical probe for laparoscopic surgery includes a rotatable handle assembly and a probe assembly having an electrosurgical electrode. The handle assembly has two valves, one for controlling the flow of irrigation fluid and one for controlling the flow of aspiration fluid. One of the valves can be locked at any selected setting with a locking lever. Fine adjustment of the valve is achieved in the locked position. The handle assembly further includes a valve body and valve members which are easily removable and disposable. The valve members in the valve body are made of an elastomeric material to provide effective sealing and inherent self return. The probe assembly can be rotated relative to the handle assembly as needed to reduce operator fatigue. The probe can be rotated in the probe assembly to position the electrode.

Abstract: An irrigator/aspirator surgical probe for laparoscopic surgery includes a rotatable handle assembly and a probe assembly having an electrosurgical electrode. The handle assembly has two valves, one for controlling the flow of irrigation fluid and one for controlling the flow of aspiration fluid. One of the valves can be locked at any selected setting with a locking lever. Fine adjustment of the valve is achieved in the locked position. The handle assembly further includes a valve body and valve members which are easily removable and disposable. The valve members in the valve body are made of an elastomeric material to provide effective sealing and inherent self return. The probe assembly can be rotated relative to the handle assembly as needed to reduce operator fatigue. The probe can be rotated in the probe assembly to position the electrode.

Abstract: A probe for use in minimally invasive surgery incorporates a nozzle and electrode assembly at the distal end of the probe for achieving gas assisted electro-fulguration. In addition, the probe accommodates the simultaneous use of other auxiliary surgical instruments, such as standard electrosurgical electrodes, laser fiber optic conduits and mechanical tools. Further still, the probe includes a passageway for achieving evacuation, irrigation or aspiration at the surgical site. The probe thus allows a surgeon to achieve multiple different surgical functions during a minimally invasive surgical procedure without removing one probe and inserting a different probe to achieve a different surgical function.

Abstract: A surgical instrument which easily disassembles for sterilization comprises an inner rod coaxially disposed in a hollow tube with a handle at one end of the rod and a working tip at the other end. The handle is detachably interconnected to the inner rod and the inner rod is detachably interconnected to the hollow tube by means of at least one locking pin.

Abstract: A current leakage control circuit regulates the output power of an electrosurgical generator to limit the amount of leakage current. The leakage current is monitored with a differential transformer which has the output and return leads of the electrosurgical generator as first and second windings. A third or sense winding produces a control signal whenever the currents in the output and return leads are not equal, thus indicating current leakage. The control signal is compared to a predetermined maximum safe level of leakage current. If this predetermined level is exceeded, a power control feedback loop of the electrosurgical generator reduces the output power to a sufficiently lower level to reduce the leakage current within a maximum acceptable limit.

Abstract: An electrosurgical generator in an electrosurgical unit (ESU) controls the repetition rate and the energy content of bursts of RF energy delivered to a gas jet supplied by the ESU, in order to maintain RF leakage current within acceptable limits while still achieving a sufficient state of ionization in the gas jet to reliably initiate the conduction of arcs to the tissue. The repetition rate of the RF bursts is substantially reduced in an inactive state when no arcs are delivered. A relatively small number of the RF bursts delivered during the inactive state have an increased or boosted energy content to assure an adequate ionization state in the gas jet.

Abstract: An electrosugrical unit for conducting a predetermined ionizable gas in a jet stream to the tissue at a predetermined flow rate sufficient to clear natural fluids from the tissue and to substantially expose the tissue stroma and for exposing the gas to an electrical radio frequency energy to ionize the gas in conductive pathways in the gas jet stream. The unit includes a nozzle which is releasably connected to a handle for easy manipulation by a surgeon with the nozzle including means for supporting an electrode in an optimal position for initiation of the ionization of the gas. Also, a connecting system is disclosed for connecting the hose on which the handle is mounted to a gas delivery apparatus and supply or electrical energy which permits the hose to rotate while maintaining a positive hermetic seal to prevent the hose from kinking during use by a surgeon.