Abstract: The instrument according to the invention for electrosurgically impacting biological tissue comprises an electrode (18) as well as a light guide (21), which is connected to a light inlet window (19), which is formed by means of a fluid body (27). The light guide is connected to a light analysis device (13), so as to absorb the light, which is generated at the electrode (18) in response to the HF surgery and so as to supply it to the light analysis device (13). The light inlet window (19) is arranged at the point of origin of the light, namely immediately at the electrode, that is, at the spark, which is generated. An adulteration of the absorbed light by means of smoke or particle deposition on the light inlet window (19) can virtually be avoided.

Abstract: The device and method according to the invention allow a particularly fast, gentle, and secure fusion of vessels between two coagulation electrodes. Resistance oscillations are generated in the biological tissue, said oscillations alternatingly moving above and below a tissue resistance value of, e.g., 50 Ohm. Subsequently, a phase of slowed tissue cooling is passed, during which phase a current is applied to the tissue with chronologically decreasing coagulation voltage to achieve a substantially slowed cooling process compared to the instant voltage disconnection. In doing so, a good fusion of the collagen of the pressed-together vessel walls and a mechanically stable solidification of the collagen is achieved. Due to the mentioned process control, the required fusion time is shortened compared to conventional methods, the unwanted damage to surrounding tissue is reduced, and the closure of the vessel is more secure.

Abstract: A method for the selective elevation and separation of tissues comprised of multiple layers and a surgical instrument for performing the method. The method may be performed without the requirement of a solid mechanical device insertion or transection through the mucosal layer. In particular, the method and surgical instrument may be used for the selected separation and/or resection of selected portions of benign or malignant tissues (e.g. defining tissue planes, polyp elevation and removal, submucosal tissue tunneling, endoscopic mucosa resection, etc).

Abstract: A nozzle for the supply of biological material, in particular tissue cells, having a mixing chamber (11) which is delimited by a proximal end surface (21) and a distal end surface (22) spaced apart from the proximal end surface (21), at least one nozzle opening (23) which is formed in the distal end surface (22), and at least two supply ducts (30, 40, 50) which discharge into the mixing chamber (11). A first supply duct (30) is arranged in the proximal end surface (21) and discharges into the mixing chamber (11) coaxially to the nozzle opening (23) and a second supply duct (40) has an inlet opening (42) which discharges into the mixing chamber (11) laterally, in particular tangentially at the distal end surface (22).

Abstract: A cryosurgical instrument, in particular a biopsy instrument for transbronchial biopsy, having an elongated instrument base body with a distal and proximal end, in relation to the operational position, a cooled section close to the distal end and which removes tissue, said section being designed such that surrounding biological material adheres thereto, by means of cryoadhesion, when said instrument is in use in the cooled state, and a security section which is provided at a distance from the tissue removal section and which comprises means for preventing or reducing the adhesion of biological material.

Abstract: A method for the selective elevation and separation of tissues comprised of multiple layers and a surgical instrument for performing the method. The method may be performed without the requirement of a solid mechanical device insertion or transection through the mucosal layer. In particular, the method and surgical instrument may be used for the selected separation and/or resection of selected portions of benign or malignant tissues (e.g. defining tissue planes, polyp elevation and removal, submucosal tissue tunnelling, endoscopic mucosa resection, etc).

Abstract: A water jet surgical instrument including a supply line for supplying a cutting fluid and a discharge nozzle for forming and discharging a fluid jet, wherein the fluid jet has a predetermined spread angle and/or a predetermined emergence energy. A jet shaping device is arranged relative to the discharge nozzle such that the fluid jet is able to be adjusted by the jet shaping device with regard to the spread angle and/or emergence energy thereof.

Abstract: The ablation device (11) according to the invention is distinguished by a head (20) having a noncircular cross-section and by electrodes (32, 33) being positioned at an acute angle relative to each other. Due to the angular arrangement of the electrodes and the appropriate configuration of the channels (28, 29), there results an approximately fan-shaped plasma beam with which—in particular with the alternating activation of the two electrodes—a wide strip-shaped ablation region can be achieved on hollow organs of living beings. Handling is reliable and simplified, and, compared to existing measures, the treatment time is reduced.

Abstract: The ablation system (10) according to the invention works with an ablation probe (12, 12a) that comprises two alternatingly working spark plasma electrodes (31, 32). They generate a plasma beam (47, 48) having a non-circular cross-section, which beam is to be guided—transversely with respect to the large longitudinal axis of its preferably oval cross-section—over the tissue to be ablated, in particular the mucosa (14). In doing so, it is possible to treat large-area tissue regions by means of a reliable and easily controllable procedure.

Abstract: A method for the selective elevation and separation of tissues comprised of multiple layers and a surgical instrument for performing the method. The method may be performed without the requirement of a solid mechanical device insertion or transection through the mucosal layer. In particular, the method and surgical instrument may be used for the selected separation and/or resection of selected portions of benign or malignant tissues (e.g. defining tissue planes, polyp elevation and removal, submucosal tissue tunneling, endoscopic mucosa resection, etc).

Abstract: The invention relates to a supply system having at least one outlet for connecting to an applicator instrument, and having a controller (51) that controls at least one valve (50, 50?, 50?, 50??) such that, within an application time interval of less than 4 s, in particular less than 2 s: a) a first fluid during at least a first delivery interval (T1) with a first pressure (ph) is conveyed in a first feed line (11); b) a second fluid during a second delivery interval (T2) following the first conveying interval (T1) is conveyed with a second pressure (pz) in a second feed line (23); and c) the first fluid, during at least a third delivery interval (T3), is conveyed with a third pressure (pl) in the first feed line (11).

Abstract: The invention relates to an instrument head, comprising: an exit opening (23); a first feed line (11) for the feed of a first fluid; a second feed line (12) for the feed of a second fluid; a reservoir (24) for storing the fluid fed via the second feed line (12); wherein the reservoir (24) is in fluid communication with the first feed line (11) and/or is adapted to be brought in fluid communication with the first feed line (11) via at least a valve (25) arranged in the instrument head, to deliver fluid stored in the reservoir (24) via the exit opening (23).

Abstract: The invention relates to a method for mixing at least two fluids using an externally mixing nozzle for medical purposes, which has at least two outlet channels (10, 20) and at least two inlet openings (13, 23) with different or identical cross-sections, wherein two fluids with different volumetric flows and/or different viscosity are sprayed, and wherein the ratio of the cross-sections of the inlet channels (13, 23) and/or the outlet channels (10, 20) corresponds to the ratio of the volumetric flows so that the fluids flow with substantially identical flow speeds through the outlet channels (10, 20) and/or the inlet openings (13, 23). The invention furthermore relates to an externally mixing nozzle, a medical instrument and a medical device for spraying substances, in particular biological material.

Abstract: An anti carbonization device to prevent the carbonization of tissue upon plasma coagulation by a suitable surgical instrument, wherein the surgical instrument has a feed line for an oxidizing agent, a feed line for a gas and an electrode for generating a plasma. A gas-oxidizing agent mixture for generating a gas oxidizing agent plasma is provided by the anti-carbonization device.

Abstract: A multi-functional element suitable for performing at least two surgical/therapeutic interventions, for example, the injection and cutting of tissue, with an anti-carbonization device to prevent the carbonization of tissue upon plasma coagulation by way of a suitable surgical instrument, where the surgical instrument has a feed line for an oxidizing agent, a feed line for a gas and an electrode for generating a plasma. A gas oxidizing agent mixture for producing a gas oxidizing agent plasma is provided by the anti-carbonization device.

Abstract: The instrument according to the invention for electrosurgically impacting biological tissue comprises an electrode (18) as well as a light guide (21), which is connected to a light inlet window (19), which is formed by means of a fluid body (27). The light guide is connected to a light analysis device (13), so as to absorb the light, which is generated at the electrode (18) in response to the HF surgery and so as to supply it to the light analysis device (13). The light inlet window (19) is arranged at the point of origin of the light, namely immediately at the electrode, that is, at the spark, which is generated. An adulteration of the absorbed light by means of smoke or particle deposition on the light inlet window (19) can virtually be avoided.

Abstract: An electrosurgical instrument for minimally invasive surgery, the instrument including two gripping parts which can be brought together into a gripping direction or moved apart counter to the gripping direction. At least one gripping part includes three or more electrically conductive sections, electrically insulated relative to each other. Each electrically conductive section may be separately connected to a high frequency (RF) current generator such that each electrically conductive section can be configured in various electrical configurations by the RF current generator.

Abstract: A method for the selective elevation and separation of tissues comprised of multiple layers and a surgical instrument for performing the method. The method may be performed without the requirement of a solid mechanical device insertion or transection through the mucosal layer. In particular, the method and surgical instrument may be used for the selected separation and/or resection of selected portions of benign or malignant tissues (e.g. defining tissue planes, polyp elevation and removal, submucosal tissue tunnelling, endoscopic mucosa resection, etc).

Abstract: A nozzle for the supply of biological material, in particular tissue cells, having a mixing chamber (11) which is delimited by a proximal end surface (21) and a distal end surface (22) spaced apart from the proximal end surface (21), at least one nozzle opening (23) which is formed in the distal end surface (22), and at least two supply ducts (30, 40, 50) which discharge into the mixing chamber (11). A first supply duct (30) is arranged in the proximal end surface (21) and discharges into the mixing chamber (11) coaxially to the nozzle opening (23) and a second supply duct (40) has an inlet opening (42) which discharges into the mixing chamber (11) laterally, in particular tangentially at the distal end surface (22).

Abstract: An anti-carbonisation device (1) is proposed to prevent the carbonisation of tissue upon plasma coagulation by means of a suitable surgical instrument (3), wherein the surgical instrument (3) has a feed line for an oxidising agent (7), a feed line for a gas (5) and an electrode (9) for generation of a plasma, and wherein a gas-oxidising agent mixture for generation of a gas-oxidising agent plasma is provided by the anti-carbonisation device (1).