Abstract: A trocar assembly includes an elongate trocar device and a surrounding cannula. The trocar device incorporates an electrosurgical cutting element which is used to make a guide hole for the cannula and thus enables the remainder of the trocar assembly to enlarge the puncture. An electronic control circuit senses the current flow to the cutting element and, when the trocar device breaks through the wall of the organ being cut, this circuit cuts off the connection to the associated electrosurgical generator. Further control circuitry prevents a surgeon from resuming electrosurgery until a predetermined time period has elapsed. Multiple trocars of different diameters are provided for the same assembly.

Abstract: A suction and irrigation apparatus is provided for selectively delivering suction or irrigation fluid to a patient during surgery or the like. A pair of resilient tubes are provided which is connected with a suction source and irrigation source at one end and is connected through a Y-shaped connector at the other end with a handpiece having clamping valves thereon disposed between the ends of the resilient tubes. The handpiece has a housing with openings in the ends thereof to provide passageways for the resilient tubes. Clamping valves are mounted in the housing which are spring urged to close the resilient tubes. A bracket is slidably mounted on the sides of the handpiece housing and the bracket is slidable to a position overlying the clamping valves so as to maintain the clamping valves in an open position. When the clamping valves are held in an opened position by the bracket, the handpiece can be moved along the length of the resilient tubes to position the handpiece at any desired location.

Abstract: A simple and reliable electrosurgical instrument includes a cable having a main contact wire and first second insulated switch wires all provided with a short insulated or bare portion. The cable is received in a main member having a first holding mechanism for holding the switch wires adjacent uninsulated portions thereof on one lateral side and spaced from one another as well as a second holding mechanism for holding the switch wires adjacent the uninsulated portions thereof on the other lateral side so that the uninsulated portions span between the first and second holding mechanisms and are spaced longitudinally from one another. A blade receiver receives an electrode blade and is then electrically connected to the contact wire. A switch device selectively connects one of the uninsulated portions of the switch wires to the contact wire during operation. The first and second holding mechanisms preferably include channels and a cover includes projections which hold the wires in place.

Abstract: A cannula is provided for laparoscopic surgery wherein the cannula comprises a housing and elongated tube with a passageway formed within the housing so that laparoscopic instruments may be passed through the housing and the elongated hollow tube into the abdominal cavity of a patient. A pair of rollers are mounted within the housing, the rollers being spring-urged together to close the passageway through the housing when an instrument is withdrawn. A slidable plate having apertures of different sizes are mounted in the housing with the apertures provided with slitted seals therein to close the passageway through the housing. The varying sized apertures in the slidable plate permit laparoscopic instruments of varying diameters to be used and to maintain an effective seal around the instrument. In another embodiment of the cannula a valve is provided which is closed when the rollers within the housing are in engagement with each other.