Abstract: A tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return tissue guard configured to connect to the return electrode port. Another tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return specimen bag configured to connect to the return electrode port.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing first and second jaw members each including a jaw housing supporting a sealing plate disposed thereon and movable relative to one another to grasp tissue therebetween. The sealing plates adapted to connect to opposite potentials of an electrosurgical energy source and the sealing plate of the first jaw member having an open T-shaped configuration defining a channel along a length thereof. A plasma blade is disposed within the channel and extends to a distal end portion thereof, the plasma blade electrically connected to the energy source and independently activatable from the sealing plates. The plasma blade includes an insulative material on either side thereof configured to focus electrical and thermal energy to an exposed edge defined along a length of the plasma blade.

Abstract: A multifunction surgical instrument having a low-profile configuration to deliver both small vessel sealing through a bipolar clamping mechanism and transcollation sealing of diffused bleeding in a broad tissue plane, the multifunction surgical instrument including a first jaw and a second jaw configured to transition between an open position and a closed position to serve as a clamp for sealing of tissue, and a disposable electrode portion comprising a first conductive surface positioned in proximity to the first jaw and a second conductive surface positioned in proximity to the second jaw, the first and second conductive surfaces configured to emit a high-frequency alternating current, and two or more electrodes and at least one saline port, wherein the two or more electrodes in the at least one saline port cooperate to affect transcollation sealing of diffused bleeding within a broad tissue plane.

Abstract: An electrosurgical device including an elongated body extending from a proximal portion to a distal portion and defining an internal passageway configured to convey tissue from the distal portion to the proximal portion, and a coring electrode positioned at the distal portion of the elongated body, where the coring electrode is at an opening to the internal passageway, and where the coring electrode is configured to deliver electromagnetic energy to adjacent tissue to cut a volume of the tissue as the tissue is conveyed into the internal passageway.

Abstract: An electrosurgical device including an elongated body extending from a proximal portion to a distal portion and defining an internal passageway configured to convey tissue from the distal portion to the proximal portion; a coring electrode at the distal portion of the elongated body, where the coring electrode is positioned at an opening to the internal passageway, and where the coring electrode is configured to deliver electromagnetic energy to adjacent tissue to cut a volume of the tissue as the tissue is conveyed into the internal passageway; and a powered conveyance mechanism positioned within the internal passageway configured to further cut the volume of the tissue and convey the volume of the tissue proximally within the internal passageway.

Abstract: An electrosurgical smoke evacuation pencil includes a handle housing having a proximal end portion and a distal end portion, the handle housing defining a first lumen therethrough. The electrosurgical pencil also includes a nozzle disposed within the first lumen and defining a second lumen, the nozzle being movable relative to and within the handle housing and extending proximally past the proximal end portion of the handle housing. The electrosurgical pencil may further include a swivel connector coupled to the distal end portion of the handle housing, the swivel connector configured to couple to a suction source. The electrosurgical pencil includes a hub assembly securedly disposed within the second lumen, the hub assembly including a conductive tube configured to couple to a source of electrosurgical energy, and an electrode slidably disposed within the conductive tube, the electrode being movable relative to and within the conductive tube.

Abstract: An electrosurgical device including an elongated body extending from a proximal end to a distal end and defining an evacuation lumen. The elongated body including an irrigation channel carried by the elongate body, the irrigation channel configured to deliver a fluid to a target tissue adjacent to the distal end, a coring electrode at the distal end of the elongated body, where the coring electrode defines an opening to the evacuation lumen, and where the coring electrode is configured to operate in a monopolar configuration to deliver radio frequency (RF) plasma energy to adjacent tissue to cut a volume of the target tissue, and a dielectric coating on at least a distal portion of the elongated body, the dielectric coating electrically insulating the elongated body from target tissue and the volume of cut target tissue, where the dielectric coating comprises a ceramic material.

Abstract: An electrosurgical device including the disclosure describes an electrosurgical device including an elongated body having a tubular section extending from a proximal end to a distal end and defining an evacuation channel configured to evacuate tissue from the distal end to the proximal end, a curette at the distal end of the tubular section, wherein the curette defines a perimeter cutting edge that forms a distal opening to the evacuation channel, a plasma cutting electrode defined by the perimeter cutting edge of the curette, where the plasma cutting electrode is configured to operate in a monopolar configuration to deliver radio frequency (RF) plasma energy to adjacent tissue to cut a volume of the target tissue, and a dielectric coating on at least a portion of the curette, the dielectric coating electrically insulating the curette from target tissue and the volume of cut target tissue, wherein the dielectric coating comprises a ceramic material.

Abstract: A system for altering an energizable instrument for performing a procedure on the subject. The instrument may be tracked during a procedure and a controller may alter operation thereof during the selected procedure. The energizable instrument may have energy provided to a working end to heat a working end to a selected temperature for various procedures such as cutting, coagulation, vaporization, or the like.

Abstract: An electrosurgical device vision system, comprising at least one of one or more fiber-optic cables and/or digital image sensor positioned to capture a corresponding one or more views of the surgical site in proximity to a distal tip portion of an electrosurgical device, and a processor configured to utilize multiple images captured by the vision system to construct a composite image with at least one of an improved resolution, clarity, dynamic range, and/or size.

Abstract: Devices, kits, and methods described herein are usable for medical treatments by generating local maxima using constructive interference of multiple oscillator outputs. Where constructive interference occurs between the oscillator waves, the output signal can have significant strength to cause heating and coagulation at a bleeding vessel, for instance, while at areas with little interaction (or with destructive interference) there is insufficient power dissipated by the output signal to cause heating sufficient to cause coagulating heating.

Abstract: A surgical tool may include a mechanical tool for selectively cutting or removing anatomical tissue, and an electrosurgery device selectively operable to apply an electric current to anatomical tissue. The mechanical tool may include a tool bit and a driver operatively connected to the tool bit, and the electrosurgery device may include a first electrode and a second electrode different than the first electrode.

Abstract: A bipolar forceps includes a mechanical forceps including first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot. A disposable housing is configured to releasably couple to at least one of the shafts and an electrode assembly has electrodes releasably coupleable to the jaw members and adapted to connect to a source of electrosurgical energy to allow selective conduction of electrosurgical energy through tissue held therebetween to effect a tissue seal. An electrically conductive cutting element is disposed on at least one of the electrodes and is adapted to connect to the source of electrosurgical energy to allow selective conduction of electrosurgical energy through tissue held between the electrodes to effect a tissue cut.

Abstract: A tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return tissue guard configured to connect to the return electrode port. Another tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return specimen bag configured to connect to the return electrode port.

Abstract: A tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return tissue clip configured to connect to the return electrode port. Another tissue removal system includes an electrosurgical generator including an active electrode port and a return electrode port, an active electrode device configured to connect to the active electrode port, and a return tissue harpoon configured to connect to the return electrode port. Another tissue removal system includes an active electrode device and a return electrode attachment configured to releasably engage the active electrode device.

Abstract: A system includes an energy source and a surgical device. The energy source has a receptacle configured to delivery energy to the surgical device through a receptacle. The surgical device is configured to deliver the energy to tissue. The surgical device includes a plug selectively engagable to the receptacle to couple the surgical device to the energy source. The plug includes a prong configured to mechanically transition from a condition permitting engagement of the plug and the receptacle to another condition inhibiting engagement of the plug with the receptacle upon reaching a predetermined usage threshold.

Abstract: An electrosurgical smoke evacuation pencil includes a handle housing having a proximal end portion and a distal end portion, the handle housing defining a first lumen therethrough. The electrosurgical pencil also includes a nozzle disposed within the first lumen and defining a second lumen, the nozzle being movable relative to and within the handle housing and extending proximally past the proximal end portion of the handle housing. The electrosurgical pencil may further include a swivel connector coupled to the distal end portion of the handle housing, the swivel connector configured to couple to a suction source. The electrosurgical pencil includes a hub assembly securedly disposed within the second lumen, the hub assembly including a conductive tube configured to couple to a source of electrosurgical energy, and an electrode slidably disposed within the conductive tube, the electrode being movable relative to and within the conductive tube.

Abstract: The systems and methods according to embodiments of the present disclosure provide optimal tissue effect during an electrosurgical procedure. A system and method for controlling an electrosurgical generator is provided including sensing an impedance of target tissue; generating electrosurgical energy in a first phase at a first power level until the sensed impedance of the target tissue is greater than a first threshold impedance; generating a plurality of pulses of electrosurgical energy in a second phase at a second power level, each pulse being generated until the sensed impedance of the target tissue is greater than a second threshold impedance set for that pulse; and generating at least one high-voltage pulse in a third phase at a third power level for a predetermined duration to divide the target tissue.

Abstract: A jaw member includes an insulative member and a substrate. The substrate is formed as a single, integral component that has first and second side portions interconnected by a connector portion. The connector portion has first and second side portions that are interconnected by an arc-shaped portion. The connector portion is configured to be removed before use of the jaw member such that the first and second portions are electrically insulated from one another.

Abstract: An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablation energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and a tissue sensor probe operatively coupled to the controller. The tissue sensor provides a tissue temperature and at least one tissue dielectric property to the controller. During an electromagnetic tissue ablation procedure, the controller monitors tissue temperature and the at least one tissue dielectric property to determine tissue status, and to activate and deactivate the generator in accordance therewith.