Abstract: Featured is a surgical instrument including a rotating cutting implement and a heat transfer mechanism configured to absorb heat energy during the use of such a rotating cutting implement. The heat transfer mechanism is configured so the absorbed heat energy is communicated to an external heat sink. Such a heat transfer mechanism includes a heat pipe, e.g., a scintered or wick type heat pipe. The heat energy is absorbed at one end of the heat pipe to minimize the potential for damage to the tissue and the like at and/or about the surgical site. Also featured are a surgical apparatus embodying such a surgical instrument and surgical or medical methods or procedures for manipulating, rotatably cutting, grinding, abrading or debriding tissue, bone or other structures or components of a mammalian body using such surgical instruments or surgical apparatus.

Abstract: A uterine manipulator for manipulation of a uterus of a patient is provided. The uterine manipulator includes an elongate member having a distal end. The elongate member is configured to be inserted into a patient's anatomy, and the elongate member defines a center line through a center of the elongate member. An expandable membrane is coupled with the distal end of the elongate member. The expandable membrane has an expanded configuration and a collapsed configuration, wherein in the expanded configuration, the expandable membrane is configured to manipulate the patient's anatomy. A sensor is disposed adjacent to the elongate member and arranged non-coaxially with the center line of the elongate member.

Abstract: An apparatus and method are presented for a therapy delivery device including a catheter, an endoscope and an endoscope shaft, one or more attachment features for attaching the catheter to the endoscope, wherein the catheter has an expandable lumen at a distal end and Wherein the expandable lumen expands upon injection of a therapy at the proximal end of the catheter. Attachment features may be a series of clips along the length of the catheter for attaching to an endoscope or a second lumen on the catheter wherein an endoscope may through one of said. lumens. Targeted therapy delivery may be a hydrogel or a chitosan hydrogel to provide a treatment within a sinus of a patient.

Abstract: An electrosurgical device comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode; and wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration so that both the forceps and the first therapy current are disabled.

Abstract: A bipolar electrosurgical colpotomy device includes a colpotomy cup and a tissue containment bag. The colpotomy cup includes a first electrode located adjacent to a rim of the cup, the rim being configured to contact an internal surface of a patient's cervico-vaginal junction. The tissue containment bag includes an opening and a second electrode located adjacent to the opening. The tissue containment bag is configured to surround the patient's uterus and the opening is configured to fit over an external surface of the patient's cervico-vaginal junction. Applying a voltage potential between the first and second electrodes vaporizes tissue at the patient's cervico-vaginal junction by electrosurgical energy passing through the tissue disposed between the first and second electrodes. The tissue containment bag then can be used to remove the uterus from the patient, possibly after masticating the uterus within the bag.

Abstract: A method of treating a patient with a bioelectrical system is provided. The method may include inserting a probe into a first position in an anatomy of the patient, the system being provided with a plurality of electrodes; energizing a first electrode of the plurality of electrodes with a measurement level of power; determining a complex impedance in the patient's anatomy; determining whether the first position is a desired position of the probe for ablating a predetermined portion of tissue of the patient, based on the complex impedance determined; and energizing one of the plurality of electrodes with an ablation level of power, the ablation level of power being greater than the measurement level of power. An apparatus for performing BIA on a patient is also provided.

Abstract: An apparatus includes a hollow sleeve member with an open interior section and a sleeve proximal and a sleeve distal end. Two or more probes are disposed within the open interior section and extending beyond the sleeve distal end when in a deployed position. Distal ends of the probes have a lateral space between each other. One or more tissue manipulators are disposed at the distal end of each of the at least two probes. The hollow sleeve member and the two or more probes move axially relative to each other to reduce the lateral space. A method of closing a vaginal cuff of a vaginal canal is also provided.

Abstract: A bipolar electrosurgical assembly is for use in female pelvic surgical procedures. A first shaft includes a uterine manipulator, a second shaft that fits over the first shaft includes a colpotomy cup and first and second electrodes, and a third shaft can be provided over the second shaft and carries a seal for maintaining pneumoperitoneum. The colpotomy cup uses the first and second electrodes for resecting uterine tissue. Incision and resection may be performed by positioning the colpotomy cup near the cervico-vaginal junction, activating the first electrode, and moving one or both of the electrodes.

Abstract: An electrosurgical instrument comprising a first arm carrying at least a first and optionally a second and third electrode, and a second arm opposing the first arm, the second arm carrying one of a nonconductor element or one or more conductive elements.

Abstract: An electrosurgical device comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical device is capable of being switched between a first electrical configuration so that the electrosurgical device delivers a first therapy current through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical device delivers a second therapy current through the blade electrode: and wherein the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration so that both the forceps and the first therapy current are disabled.

Abstract: An electrosurgical device comprising: forceps including: (i) a first working arm having a contact surface and (ii) a second working arm having a contact surface; wherein the forceps has a first electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surfaces of the forceps can be used to grip an item between the working arms and so that the forceps is configured to deliver a first therapy current through the first working arm, the second working arm, or both; and wherein the forceps has second electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other and an electrode edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge.

Abstract: An electrosurgical device comprising: forceps including: (i) a first working arm having a contact surface and (ii) a second working arm having a contact surface; wherein the forceps has a first electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surfaces of the forceps can be used to grip an item between the working arms and so that the forceps is configured to deliver a first therapy current through the first working arm, the second working arm, or both; and wherein the forceps has second electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other and an electrode edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge.

Abstract: An electrosurgical system comprising: a handpiece including: a first power connector; a second power connector; and one or more moveable members having a first position and a second position; and an activation circuit having a first switch state and a second switch state, wherein the activation circuit in the first switch state does not allow either a first electrosurgical therapy signal or a second electrosurgical therapy signal to exit the handpiece; wherein when the activation circuit is in the second switch state and the one or more moveable members are in the first position the activation circuit allows the first electrosurgical therapy signal to exit the handpiece so that a first therapy current extends between the first power connector and the second power connector, and wherein when the activation circuit is in the second switch state and the one or more moveable members are in the second position the activation circuit allows the second electrosurgical therapy signal to exit the handpiece so that a s

Abstract: An electrosurgical instrument comprising a first arm carrying at least a first and optionally a second and third electrode, and a second arm opposing the first arm, the second arm carrying one of a nonconductor element or one or more conductive elements.

Abstract: A bipolar electrosurgical assembly is for use in female pelvic surgical procedures. A first shaft includes a uterine manipulator, a second shaft that fits over the first shaft includes a colpotomy cup and first and second electrodes, and a third shaft can be provided over the second shaft and carries a seal for maintaining pneumoperitoneum. The colpotomy cup uses the first and second electrodes for resecting uterine tissue. Incision and resection may be performed by positioning the colpotomy cup near the cervico-vaginal junction, activating the first electrode, and moving one or both of the electrodes.

Abstract: An electrosurgical instrument connectivity system providing monopolar and bipolar plugs each having a plurality of conductors which allow for use of combination monopolar/bipolar electrosurgical devices with industry standard electrosurgical generator outlets.

Abstract: An electrosurgical system comprising: a handpiece including: a first working arm, a second working arm, and an activation circuit having a first switch state and a second switch state, wherein a therapy current is conducted between the first working arm and the second working arm when the activation circuit is in the second switch state and the handpiece is in a first position; wherein the therapy current is conducted between the first working arm or the second working arm, and an adjacent handpiece component when the activation circuit is in the second switch state and the handpiece is in a second position; and wherein the therapy current is not conducted when the activation circuit is in the first switch state.

Abstract: An electrosurgical system comprising: a handpiece including: (a) a first power connector; (b) a second power connector; and (c) one or more moveable members having a first position and a second position; and an activation circuit having a first switch state and a second switch state, wherein the activation circuit in the first switch state does not allow either a first electrosurgical therapy signal or a second electrosurgical therapy signal to exit the handpiece; wherein when the activation circuit is in the second switch state and the one or more moveable members are in the first position the activation circuit allows the first electrosurgical therapy signal to exit the handpiece so that a first therapy current extends between the first power connector and the second power connector, and wherein when the activation circuit is in the second switch state and the one or more moveable members are in the second position the activation circuit allows the second electrosurgical therapy signal to exit the handpiece

Abstract: An electrosurgical device: forceps having: a first working arm, a second working arm, wherein the electrosurgical device has a first electrosurgical configuration where the first working arm and the second working arm are in an opposed position so that the forceps deliver a first therapy current that flows between the first working arm and the second working arm; and wherein the electrosurgical device has a second electrosurgical configuration when the first working arm, the second working arm, or both are repositionable relative to each other so that the first working arm is extended with respect to the second working arm or vice versa and a second therapy current is delivered from the first working arm to a remote electrode.

Abstract: An electrosurgical system comprising: a handpiece including: (a) a first working arm, (b) a second working arm, and (c) a blade electrode; and an activation circuit having a first switch state and a second switch state, wherein a therapy current is conducted between the first working arm and the second working arm when the activation circuit is in the second switch state and the handpiece is in a first position; wherein the therapy current is conducted between the blade electrode, the first working arm, the second working arm, or a combination thereof and an adjacent handpiece component when the activation circuit is in the second switch state and the handpiece is in a second position; and wherein the therapy current is not conducted when the activation circuit is in the first switch state.