Abstract: A hand-held gynecologic instrument for use in manipulating a uterus comprises an elongate body and a handle with a contour. An actuating lever used to control uterine movement is operable by the same hand that grips the handle. A uterus manipulation member pivotally connected to the elongate body comprises a tube formed with a shallow curve and fitted with an elastomeric tip and an irrigation conduit. The tube is releasably connected to a pivot block which has a tapered bore. A tapered bushing which mates with the bore is disposed about the tube. The tube and bushing are releasably secured by a nut to permit alteration of the effective length and rotational position of the tube to accommodate different uteruses. The pivot block is pivotally connected to the elongate body and to one end of a rod. The rod's other end is pivotally connected to the actuating lever to translate movement of the actuating lever into pivotal movement of the pivot block and hence into rotation of the tube about the anteverting axis.

Abstract: An apparatus for facilitating diathermy coagulation or ablation of tissue by the application of an electrical current to tissue is connectable to an electrosurgical generator having an active lead and a return lead, and has both monopolar and bipolar embodiments. A preferred monopolar embodiment includes a shaft and a knurled active electrode rotatably secured to the shaft. A preferred bipolar embodiment includes a knurled active electrode separated by an insulator from a return electrode, with the active and return electrodes rotatably secured to a shaft by axles. The shafts may be Y-shaped, crook-shaped, or otherwise. The active electrodes have a plurality of discrete electrically conductive discharge points for applying the electrical current to a plurality of discrete tissue locations, the discharge points preferably being formed as knurl peaks.