Abstract: A surgical system includes a generator that delivers a first RF power signal during a seal cycle, and a second RF power signal during a cut cycle. A surgical device is electrically coupled to the generator and has first and second jaws having respective opposing conductive seal surface electrodes configured for bi-polar sealing of spaced apart first and second portions of tissue compressed between the jaws during a seal cycle. The device further includes a cut electrode disposed within the first jaw, the cut electrode having an elongate conductive edge surface that presses against a third portion of the tissue located between the first and second portions when the jaws are compressing the tissue, wherein the cut electrode acts as a monopolar electrode that severs the third portion of the tissue during a cut cycle performed after the seal cycle.

Abstract: An electrosurgical instrument has a movable tissue cutting mechanism, a shaft housing at least a portion of the movable tissue cutting mechanism, and a pair of opposing jaws rotatable relative to the shaft. Each jaw has an electrically conductive core member, a slot for receiving the cutting mechanism, and a sealing surface. A pin is coupled to the shaft and the jaws. The pin passes through the jaws and the cutting mechanism. A first link is rotatably coupled to the first jaw and a rod. The rod is interior of and translatable relative to the shaft. Each jaw has a coating made of a substantially non-conductive material covering a portion of the conductive core member but exposing the seal surface, whereby the coating limits an energy path from the respective conductive medium to the respective seal surface.

Abstract: An electrosurgical instrument has a power supply operatively coupled to an end effector. The end effector has a pair of jaws for effectuating an action on tissue positioned therebetween. The power supply is configured to input a first signal and a second signal to a buck-boost converter. The buck-boost converter is configured to transmit an output to an H-bridge circuit. The H-bridge circuit is configured to pass a signal to a resonant LC transformer circuit. The power supply is configured to transmit a power signal. The pair of jaws are operatively coupled to the power supply to receive the power signal, the power having no more than 80 Volts RMS, and less than 2 Amps RMS. The power is configured to seal the tissue positioned between the pair of jaws in 3 seconds or less.

Abstract: An electrosurgical instrument has a power supply operatively coupled to an end effector. The end effector has a pair of jaws for effectuating an action on tissue positioned therebetween. The power supply is configured to input a first signal and a second signal to a buck-boost converter. The buck-boost converter is configured to transmit an output to an H-bridge circuit. The H-bridge circuit is configured to pass a signal to a resonant LC transformer circuit. The power supply is configured to transmit a power signal. The pair of jaws are operatively coupled to the power supply to receive the power signal, the power having no more than 80 Volts RMS, and less than 2 Amps RMS. The power is configured to seal the tissue positioned between the pair of jaws in 3 seconds or less.

Abstract: An electrosurgical instrument has a movable tissue cutting mechanism, a shaft housing at least a portion of the movable tissue cutting mechanism, and a pair of opposing jaws rotatable relative to the shaft. Each jaw has an electrically conductive core member, a slot for receiving the cutting mechanism, and a sealing surface. A pin is coupled to the shaft and the jaws. The pin passes through the jaws and the cutting mechanism. A first link is rotatably coupled to the first jaw and a rod. The rod is interior of and translatable relative to the shaft. Each jaw has a coating made of a substantially non-conductive material covering a portion of the conductive core member but exposing the seal surface, whereby the coating limits an energy path from the respective conductive medium to the respective seal surface.

Abstract: An electrosurgical instrument has a movable tissue cutting mechanism, a first elongated shaft housing at least a proximal portion of the movable tissue cutting mechanism, and a pair of jaws for clamping tissue. Each jaw of the pair of opposing jaws is rotatable relative to the first elongated shaft, and the movable tissue cutting mechanism is slidable relative to the first elongated shaft. A first link has a distal end rotatably coupled to a proximal one of a pair of non-conductive bushings in the first jaw and a proximal end rotatably coupled to a second elongated shaft, the second elongated shaft interior of and translatable relative the first elongated shaft.

Abstract: An electrosurgical instrument has a movable tissue cutting mechanism, a first elongated shaft housing at least a proximal portion of the movable tissue cutting mechanism, and a pair of jaws for clamping tissue. Each jaw of the pair of opposing jaws is rotatable relative to the first elongated shaft, and the movable tissue cutting mechanism is slidable relative to the first elongated shaft. A first link has a distal end rotatably coupled to a proximal one of a pair of non-conductive bushings in the first jaw and a proximal end rotatably coupled to a second elongated shaft, the second elongated shaft interior of and translatable relative the first elongated shaft.

Abstract: An electrosurgical instrument has a power supply operatively coupled to an end effector. The end effector has a pair of jaws for effectuating an action on tissue positioned therebetween. The power supply is configured to input a first signal and a second signal to a buck-boost converter. The buck-boost converter is configured to transmit an output to an H-bridge circuit. The H-bridge circuit is configured to pass a signal to a resonant LC transformer circuit. The power supply is configured to transmit a power signal. The pair of jaws are operatively coupled to the power supply to receive the power signal, the power having no more than 80 Volts RMS, and less than 2 Amps RMS. The power is configured to seal the tissue positioned between the pair of jaws in 3 seconds or less.

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: An electrosurgical instrument has a movable tissue cutting mechanism and a pair of opposing jaws having a first jaw and a second jaw. The jaws move between a closed position for clamping and sealing tissue therebetween and an open position. At least one jaw has a conductive core member and a non-conductive coating, the non-conductive coating covering a portion of the core member and exposing a portion of the core member to form a sealing surface area recessed relative to the non-conductive coating. Each jaw has an elongated slot for receiving a portion of the cutting mechanism, the cutting mechanism movable between a proximal position and a distal position for cutting tissue clamped between the pair of opposing jaws. A related method is also described.

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 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 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: 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: A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.

Abstract: A system and method for controlling electrosurgical snares are disclosed. The system includes an electrosurgical instrument having an elongate tubular sheath having proximal and distal ends, the sheath having a longitudinal axis defined therethrough and a shaft having proximal and distal ends. The shaft extends through and is axially movable relative to the sheath. A snare loop is provided at the distal end of the shaft and is configured for encircling tissue. Movement of the shaft relative to the tubular sheath changes the diameter of the exposed snare loop. A feedback sensor operatively connected to the elongated tubular sheath which determines at least one condition of the snare loop, and an electrosurgical generator provides electrosurgical energy to the electrosurgical snare instrument. The generator is configured to receive feedback measurements from the electrosurgical snare instrument and to adjust electrosurgical energy as a function of the measurements.