Abstract: Systems, apparatus, and methods for monitoring electrosurgical systems are disclosed. In one variation, an electrosurgical monitoring apparatus includes at least two monitoring channels. Each of the monitoring channels in this embodiment are configured to monitor fault current between at least two separate conductive components of an electrosurgical system, and the at least two monitoring channels are each configured to send a control signal so as to control an application of power to an electrosurgical device responsive to the fault currents.

Abstract: Systems, apparatus, and methods for monitoring electrosurgical systems are disclosed. In one variation, an electrosurgical monitoring apparatus includes at least two monitoring channels. Each of the monitoring channels in this embodiment are configured to monitor fault current between at least two separate conductive components of an electrosurgical system, and the at least two monitoring channels are each configured to send a control signal so as to control an application of power to an electrosurgical device responsive to the fault currents.

Abstract: Systems, apparatus, and methods for monitoring electrosurgical systems are disclosed. In one variation, an electrosurgical monitoring apparatus includes at least two monitoring channels. Each of the monitoring channels in this embodiment are configured to monitor fault current between at least two separate conductive components of an electrosurgical system, and the at least two monitoring channels are each configured to send a control signal so as to control an application of power to an electrosurgical device responsive to the fault currents.

Abstract: A system and method for performing an electrosurgical procedure are disclosed. The method includes applying an active electrode to a patient and placing a return electrode on the patient so as to create a current path in tissue of the patient between the active electrode and the return electrode. A conductive element, which is operatively coupled to the active electrode, is coupled to a reference voltage with a low impedance path and a voltage is imparted to the active electrode so as to generate current in the current path. Any undesirable current flow that would otherwise flow from the active electrode to the reference voltage through the patient is limited to reduce a risk of harm to the patient.

Abstract: A system and method for performing an electrosurgical procedure are disclosed. The method includes obtaining information indicative of at least one physical characteristic of the patient and generating a reference voltage that is derived, at least in part, from the information. The reference voltage is coupled to a body of the electrosurgical apparatus, and the reference voltage is generated to a level so as to limit any difference between a voltage of the patient and a voltage of the body of the electrosurgical apparatus. In variations, the reference voltage is varied on an ongoing basis so as to adapt the reference voltage to one or more changing physical characteristics of the patient.

Abstract: An electrosurgical instrument having a safety shield for use in laparoscopic or like electrosurgical procedures designed to receive a plurality of electrosurgical instrument inserts. The electrosurgical inserts are designed so as to provide quick and easy attachment to the electrosurgical apparatus while still providing enhanced resistance to rotation forces encountered during an electrosurgical procedure, and to distribute actuation forces occurring during use. The safety shield includes a crimped portion for transferring forces that occur during operation of an articulating instrument inserted therein to a handle assembly of the electrosurgical instrument. The electrosurgical instrument has a seal that reduces or prevents electrical current from flowing between the active electrode and shield assemblies. The electrosurgical instrument further includes a connector assembly for receiving a mating cable connector and providing a fail-safe interconnection therewith.

Abstract: A bipolar, fluid assisted coagulator/ablator probe having a coaxial bipolar electrode arrangement in which an elongated outer electrode is positioned concentrically around an elongated inner electrode. An elongated concentric electrical inner insulating layer is positioned between the outer electrode and the inner electrode. An outer insulating layer is concentrically disposed over the outer electrode such that only the annular distal end of the outer electrode is exposed for surgical activity. The inner electrode is hollow and forms a conduit for drawing fluid through the probe. The inner and outer insulating layers are a high-temperature cross-linked polyethylene. In addition, the elongated hollow electrode portion is curved near the distal end of the electrode portion, and the distal end has a beveled face that forms an acute angle with a common axis of the hollow elongated probe portion.

Abstract: An electrosurgical instrument having a safety shield for use in laparoscopic or like electrosurgical procedures designed to receive a plurality of electrosurgical instrument inserts. The electrosurgical inserts are designed so as to provide quick and easy attachment to the electrosurgical apparatus while still providing enhanced resistance to rotation forces encountered during an electrosurgical procedure, and to distribute actuation forces occurring during use. The safety shield includes a crimped portion for transferring forces that occur during operation of an articulating instrument inserted therein to a handle assembly of the electrosurgical instrument. The electrosurgical instrument has a seal that reduces or prevents electrical current from flowing between the active electrode and shield assemblies. The electrosurgical instrument further includes a connector assembly for receiving a mating cable connector and providing a fail-safe interconnection therewith.

Abstract: A bipolar blood coagulator probe has a coaxial or other bipolar arrangement for use submerged in a sterile fluid during arthroscopy of joints, with an elongated outer electrode positioned in juxtaposition to an elongated inner electrode and with an elongated electrical inner insulation layer positioned between the outer electrode and the inner electrode. The outer electrode, inner electric, and inner insulation can be concentric to each other or in other configurations, including sandwiched or laminated together. The bipolar probe also has an elongated outer electrical insulation sleeve over the outer electrode and a proximal end outer housing terminating in a plug with two prongs that are electrically connected in the housing to outer electrode and inner electrode. The prongs of the plug are adapted to plug into a suitable receptacle for connection to an RF generator.

Abstract: An electrosurgical instrument having a safety shield for use in laparoscopic or like electrosurgical procedures designed to receive a plurality of electrosurgical instrument inserts. The electrosurgical inserts are designed so as to provide quick and easy attachment to the electrosurgical apparatus while still providing enhanced resistance to rotation forces encountered during an electrosurgical procedure, and to distribute actuation forces occurring during use. The safety shield includes a crimped portion for transferring forces that occur during operation of an articulating instrument inserted therein to a handle assembly of the electrosurgical instrument. The electrosurgical instrument has a seal that reduces or prevents electrical current from flowing between the active electrode and shield assemblies. The electrosurgical instrument further includes a connector assembly for receiving a mating cable connector and providing a fail-safe interconnection therewith.

Abstract: A safety shield for use in laparoscopic or like electrosurgical procedures where the shield surrounds the active electrode and extends from a trocar or the like to the field of view of the surgical procedure. The shield is connected to the return lead via a low impedance path which includes monitor circuitry for determining whether the shield current is associated with an abnormal condition. The shield may also serve as a structural element of the instrument and be connected to the instrument body so that the instrument is maintained at or near patient potential. Moreover, a unitary connector is provided whereby connection to the active electrode and shield may be made by a single connector. Attached to the connector is a cable in which both the active and shield conductors are contained for at least a distance sufficient to minimize clutter in the operative site.

Abstract: A safety shield for use in laparoscopic or like electrosurgical procedures where the shield surrounds the active electrode and extends from a trocar or the like to the field of view of the surgical procedure. The shield is connected to the return lead via a low impedance path which includes monitor circuitry for determining whether the shield current is associated with an abnormal condition.