Abstract: A method for controlling delivery of energy to seal and divide tissue includes applying energy to tissue in a first phase through an electrosurgical forceps having at least one electrically energizable electrode. The method also includes detecting a predetermined condition based on the application of energy to tissue during the first phase. The method also includes applying energy to tissue during a second phase upon detection of the predetermined condition and providing tension to the tissue during the second phase to separate the tissue.

Abstract: A surgical instrument comprises an end effector including a pair of jaw members configured to move with respect to one another between an open configuration and a closed configuration for clamping tissue. At least one jaw member includes an elongate cam slot extending in a longitudinal direction over a substantial a length a tissue clamping surface of the at least one jaw member. A plurality of electrically isolated, and longitudinally spaced electrodes is supported by the tissue clamping surface and is configured to deliver electrosurgical energy to tissue. A reciprocating member engages the elongate cam slot and is extendable to a sealing position with respect to each of the electrodes to define a predetermined gap distance between a particular electrode and an opposing tissue clamping surface.

Abstract: A forceps includes an end effector assembly including first and second jaw members. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members is configured to conduct energy between the jaw members and through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is configured to apply energy to tissue to treat tissue when the insulative tubular member is disposed in the extended position.

Abstract: A vein harvesting device is disclosed. The vein harvesting device includes a handle assembly, at least one elongated portion, first and second end effectors, and a tip. Each end effector is disposed adjacent a distal portion of the at least one elongated portion. Each end effector includes a first jaw member and a second jaw member, and at least one jaw member is movable toward the other jaw member. The tip is disposed in mechanical cooperation with the elongated portion. A distal end of the tip extends distally beyond a distal-most end of the first end effector. The first end effector is movable independently of the tip, and the second end effector is movable independently of the tip.

Abstract: A method of forming a jaw member of an end effector includes providing a metal support base; engaging a plurality of ceramic stops to the metal support base; and coupling an insulative plate and a sealing plate to the metal support base by aligning the plurality of ceramic stops through a plurality of openings defined in the insulative plate and a plurality of openings defined in the sealing plate.

Abstract: A surgical instrument includes a housing, an inner shaft coupled to and extending distally from the housing, an end effector assembly disposed at a distal end of the inner shaft, an outer sheath that is fixed to the housing, extends distally from the housing, and is disposed about the inner shaft, and an insulative sleeve. The insulative sleeve is positioned between the inner shaft and the outer sheath. The insulative sleeve is movable relative to the inner shaft and the outer sheath between a storage position, wherein the insulative sleeve is positioned proximally of the end effector assembly, and a deployed position, wherein the insulative sleeve substantially surrounds the end effector assembly.

Abstract: A surgical instrument comprises an end effector including a pair of jaw members configured to move with respect to one another between an open configuration and a closed configuration for clamping tissue. At least one jaw member includes an elongate cam slot extending in a longitudinal direction over a substantial a length a tissue clamping surface of the at least one jaw member. A plurality of electrically isolated, and longitudinally spaced electrodes is supported by the tissue clamping surface and is configured to deliver electrosurgical energy to tissue. A reciprocating member engages the elongate cam slot and is extendable to a sealing position with respect to each of the electrodes to define a predetermined gap distance between a particular electrode and an opposing tissue clamping surface.

Abstract: An electrosurgical device is configured for connection to a source of electrosurgical energy and includes a housing and an electrical circuit supported within the housing. The electrical circuit is connectable to the source of electrosurgical energy. The electrical circuit is provided with at least one tactile enhancement feature. A controller is slidably supported on the housing. The controller is configured to exert a force on the electrical circuit to affect a change in the electrical circuit and to exert a force on a surface of the housing to engage the tactile enhancement feature and provide a tactile feedback to a user of the electrosurgical device as the controller is moved relative to the housing.

Abstract: A control system for controlling the output of an electrosurgical generator is disclosed. The control system includes a control module configured to receive an optical signal from a surgical site, the optical signal being related to an optical tissue characteristic, the control module configured to process the optical signal using a closed loop control loop and provide continual control of the output of the electrosurgical generator in response to the optical tissue characteristic.

Abstract: A forceps includes an end effector assembly including first and second jaw members. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members is configured to conduct energy between the jaw members and through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is configured to apply energy to tissue to treat tissue when the insulative tubular member is disposed in the extended position.

Abstract: A system for monitoring and/or controlling tissue modification during an electrosurgical procedure is disclosed. The system includes a sensor module and a control module operatively coupled to the sensor module and configured to control the delivery of electrosurgical energy to tissue based on information provided by the sensor module. The sensor module further includes at least one optical source configured to generate light and at least one optical detector configured to analyze a portion of the light transmitted through, and/or reflected from, the tissue.

Abstract: A forceps includes an end effector assembly having first and second jaw members configured to grasp tissue therebetween and conduct energy through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is selectively deployable relative to the end effector assembly from a first position to a second position, wherein, in the second position, a portion of the monopolar member extends distally from the end effector assembly and the insulative tubular member for applying energy to tissue to treat tissue.

Abstract: A forceps includes an end effector assembly including first and second jaw members. One or both of the jaw members is movable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One or both of the jaw members is configured to conduct energy between the jaw members and through tissue grasped therebetween to treat tissue. An insulative tubular member is movable relative to the end effector assembly between a retracted position, wherein the insulative tubular member is positioned proximally of the end effector assembly, and an extended position, wherein the insulative tubular member is disposed about the end effector assembly. A monopolar member is configured to apply energy to tissue to treat tissue when the insulative tubular member is disposed in the extended position.

Abstract: 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.

Abstract: An electrosurgical device is provided that includes a handset having a shaft extending therefrom, a pair of active electrodes at a distal end of the shaft, and a movable, electrically floating electrode selectively positionable between the active electrodes. The floating electrode, when positioned to contact tissue between the active electrodes, modifies the electrosurgical current flows through tissue. The resultant modified current flows enables a surgeon to more effectively to control tissue desiccation by focusing electrosurgical energy toward targeted tissue and by reducing peripheral current flows. Embodiments are provided wherein the active electrodes include cooling provisions. Related electrosurgical systems and method of use are also provided.

Abstract: A surgical instrument including housing having a shaft extending distally therefrom, an outer sleeve disposed about the shaft and selectively translatable relative to the shaft, a first drive shaft disposed within the shaft and translatable relative to the shaft independently of the outer sleeve, a second drive shaft disposed within the first drive shaft and coupled to the outer sleeve to translate in conjunction with the outer sleeve, and a rotatable nose wheel. The rotatable nose wheel is mounted about a distal end of the housing and is rotatably coupled to each of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft such that rotation of the rotatable nose wheel effects corresponding rotation of the outer sleeve, the shaft, the first drive shaft, and the second drive shaft in conjunction with one another and relative to the housing.

Abstract: 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.

Abstract: 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.

Abstract: 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.

Abstract: 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.