Abstract: Systems, methods, and apparatus for providing power to an electrosurgical instrument. A method of providing power to an electrosurgical instrument includes generating a non-sinusoidal driving voltage having a substantially constant driving frequency; providing the non-sinusoidal driving voltage to a series LC circuit having a resonant frequency of substantially twice the substantially constant driving frequency and configured to present an impedance that limits current spikes and voltage transient spikes during load fluctuations; generating a quasi-sinusoidal current in the series LC circuit from the non-sinusoidal driving voltage; and providing the quasi-sinusoidal current to an electrical output, wherein the electrical output is configured for coupling to an electrical input of a bipolar tissue-sealing surgical instrument.

Abstract: A surgical system and method for fusing tissue are disclosed. The system has an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer the electrosurgical power from the electrosurgical generator to a distal end of the surgical instrument, and a power control circuit for controlling the delivery of radio frequency energy to the tissue in contact with the distal end of the surgical instrument. The surgical system is configured to: deliver the radio frequency energy at a non-pulsing power to the tissue for a period of time of 3 seconds or less, wherein the non-pulsing power is held constant, the output current is held under 2 Amperes RMS, and the output voltage is held under 100 Volts RMS, the non-pulsing power further causing the tissue to begin to desiccate and to fuse within the period of time.

Abstract: A surgical stapler, a cartridge for a surgical stapler, a cutting mechanism for a surgical stapler, and a method of applying surgical staples in a patient are disclosed herein. The stapler may have an anvil movably coupled to a support jaw between a clamped configuration and a closed configuration. The cartridge may be configured to fit within an envelope diameter and to removably house a plurality of B-form staples, at least one of the plurality of B-form staples having a base length and a leg length, the leg length at least 53% of the envelope diameter. The cartridge may have slots shaped to house at least a second one of the plurality of staples at an angle oblique to the first one of the plurality of staples.

Abstract: A device for use in laparoscopic surgery is provided. The device has a sheath, a surgical action mechanism configured to deliver an action and to limit the device to a single use, at least one telescoping section configured to structurally support the surgical action mechanism, a first spacer, and a second spacer. The surgical action mechanism, the telescoping section, the first spacer, and the second spacer are configured to move within the sheath from a pre-action configuration, to an action configuration, and to a return configuration.

Abstract: Systems, methods, and apparatus for providing power to an electrosurgical instrument. A method of providing power to an electrosurgical instrument includes generating a non-sinusoidal driving voltage having a substantially constant driving frequency; providing the non-sinusoidal driving voltage to a series LC circuit having a resonant frequency of substantially twice the substantially constant driving frequency and configured to present an impedance that limits current spikes and voltage transient spikes during load fluctuations; generating a quasi-sinusoidal current in the series LC circuit from the non-sinusoidal driving voltage; and providing the quasi-sinusoidal current to an electrical output, wherein the electrical output is configured for coupling to an electrical input of a bipolar tissue-sealing surgical instrument.

Abstract: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.

Abstract: A surgical system and associated method for fusing tissue are disclosed. The system has an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument, and a power control circuit. The surgical instrument is electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a distal end of the surgical instrument. The power control circuit controls the delivery of radio frequency energy to tissue in contact with the distal end of the surgical instrument. The surgical system is configured to deliver radio frequency energy at a non-pulsing power to the tissue for a period of time of 3 seconds or less. The non-pulsing power has no less than 7 Watts and no more than 35 Watts, and further causes the tissue to begin to desiccate and to fuse within the period of time.

Abstract: A surgical system and associated method for sealing the passageway of a fluid-carrying vessel with a diameter up to 5 millimeters comprises an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a pair of end effectors disposed at a distal end of the surgical instrument. The system also includes a power control circuit for controlling the delivery of radio frequency energy to the vessel through the end effectors, wherein the delivery of the radio frequency energy to the vessel comprises, raising the output current to a range below 1.75 Amperes RMS and the output voltage to a range below 135 Volts RMS. Radio frequency energy is applied to the vessel for a period of time while the power is held approximately constant.

Abstract: Systems, methods, and apparatus for providing power to an electrosurgical instrument. In particular, a power supply is disclosed in which non-sinusoidal (e.g., pulsed) constant frequency voltage having a variable amplitude is passed to an LC circuit to produce a quasi-sinusoidal current in the LC circuit. The constant driving frequency can be one half the resonant frequency of the LC circuit allowing the LC circuit to operate as an impedance, and thus limit current spikes and arcing. The frequency and phasing of the driving voltage also enables the LC circuit to discharge energy back into a power provider of the power supply so that energy does not build up in the LC circuit. These features result in less severe current spikes and arcing, as well as reduced cutoff times.

Abstract: A device for use in laparoscopic surgery is provided. The device has a sheath, a surgical action mechanism configured to deliver an action and to limit the device to a single use, at least one telescoping section configured to structurally support the surgical action mechanism, a first spacer, and a second spacer. The surgical action mechanism, the telescoping section, the first spacer, and the second spacer are configured to move within the sheath from a pre-action configuration, to an action configuration, and to a return configuration.

Abstract: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.

Abstract: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.

Abstract: A surgical system and associated method for sealing the passageway of a fluid-carrying vessel with a diameter up to 5 millimeters comprises an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a pair of end effectors disposed at a distal end of the surgical instrument. The system also includes a power control circuit for controlling the delivery of radio frequency energy to the vessel through the end effectors, wherein the delivery of the radio frequency energy to the vessel comprises, raising the output current to a range below 1.75 Amperes RMS and the output voltage to a range below 135 Volts RMS. Radio frequency energy is applied to the vessel for a period of time while the power is held approximately constant.