Abstract: An electrosurgical blade includes a conductive element that is surrounded by an insulation layer except at a conductor edge portion of the conductive element. The conductor edge portion and insulation layer each have unique geometric shapes and composition of the parts to reduce or eliminate the production of smoke and eschar and reduce tissue damage. The outer profile of the insulation layer and conductive element are configured to facilitate the flow of electrosurgical decomposition products away from the conductor edge where they are formed.

Abstract: An battery-powered electrosurgical instrument includes a blade having a conductor edge portion and insulation layer with geometric shapes and composition that concentrate electrosurgical energy and reduce or eliminate the production of smoke and eschar and reduce tissue damage, thereby providing more efficient application of electrosurgical energy. The more efficient use of electrosurgical energy permits configuring the system to be battery-powered. The system may be portable or configured as a battery-backup powered system.

Abstract: An electrosurgical needle includes a body having at least one conductive element in the form of a needle that is surrounded by an insulation layer except at a conductor tip portion of the conductive element. The conductor tip portion and insulation layer each have unique geometric shapes and composition of the parts to reduce or eliminate the production of smoke and eschar and reduce tissue damage. The electrosurgical needle electrode is configured to concentrate the flow of electrosurgical energy at the tip region.

Abstract: An electrosurgical instrument includes a conductive element in the form of a needle that is surrounded by an insulation layer except at a conductor tip portion of the conductive element. The conductor tip portion and insulation layer each have unique geometric shapes and composition of the parts to reduce or eliminate the production of smoke and eschar and reduce tissue damage. The electrosurgical needle electrode is configured to concentrate the flow of electrosurgical at the tip region.

Abstract: A signal processing utility is disclosed involving time-to-frequency domain transforms for applications including medical diagnostic signal processing. Such transforms can be used to define a continuous spectral density function or other spectral density function including nonzero values at irregularly spaced frequency intervals. The invention thereby enables more accurate representation of certain real spectra and reduced spectral broadening. The utility also accounts for digitization errors associated with analog-to-digital conversion. The invention has particular advantages with respect to medical contexts where the received signal has a changing spectral content as a result of interaction of an interrogating signal with moving physiological material such as blood flowing through an artery.

Abstract: A coating and devices using the coating are provided. The coating is applied in liquid form and dried or otherwise cured to form a durable adherent coating resistant to high temperatures and having optional hydrophobic properties. The coating formulation contains an aqueous formulation of silica, one or more fillers, and sufficient base, (e.g., potassium hydroxide), to have a pH exceeding about 10.5 during at least part of the formulation process. The formulation may contain a compound(s) that affects surface free energy, energy to make the cured coating hydrophobic. Such compounds include silanes containing halogens (e.g., fluorine or chlorine) and in particular silanes containing one or more hydrolyzable groups attached to at least one silicon atom and a group containing one or more halogens (e.g., chlorine or fluorine). A medical instrument (e.g., electrosurgical instrument) may be at least partially covered by a coating using the formulation.

Abstract: A method and system for determination of dimension related information such as volumetric flow rate(s) of a fluid flowing through a channel. In one implementation, the method and system analyzes temporal changes in a moving fluid's velocity profile to calculate the fluid channel dimensions. In turn, the fluid channel dimensions and the fluid velocity profile data may be combined to calculate the volumetric flow rate of the fluid flowing through the channel. In this regard, the geometry of the channel can be characterized using dimensionless variables that relate dimensions, such as the radius across a circular cross-section, to the largest extent of a dimension. For example, in the case where the channel is a cylindrical tube and a pressure gradient is applied long enough for the fluid to have reached a steady state, the dimensionless radius will be the radius at any point divided by the overall radius of the tube.

Abstract: A method and system for determination of dimension related information such as volumetric flow rate(s) of a fluid flowing through a channel. In one implementation, the method and system analyzes temporal changes in a moving fluid's velocity profile to calculate the fluid channel dimensions. In turn, the fluid channel dimensions and the fluid velocity profile data may be combined to calculate the volumetric flow rate of the fluid flowing through the channel. In this regard, the geometry of the channel can be characterized using dimensionless variables that relate dimensions, such as the radius across a circular cross-section, to the largest extent of a dimension. For example, in the case where the channel is a cylindrical tube and a pressure gradient is applied long enough for the fluid to have reached a steady state, the dimensionless radius will be the radius at any point divided by the overall radius of the tube.

Abstract: An improved insulating layer for electrosurgical instruments and its use for electrosurgical instruments for reducing smoke generation at a surgical site is disclosed. The insulating layer may include a ceramic material that is substantially sealed with a coating comprising substantially of a material based on polydiorganosiloxanes or derivatives thereof that have been cured. Such an insulating layer may advantageously include one or more insulating materials with pores that have been sealed so as to prevent biological materials from entering the pores with such sealing material preferably containing one or more of silicate materials or materials that form silicates. Heat sinks may be included in various embodiments to establish a thermal gradient away from functional portions of the instrument.

Abstract: A surgical system that applies electrical energy to obtain predetermined surgical effects while improving the control of the application of the energy that is supplied by electrosurgical generators. In one embodiment, a surgical assembly interfaces with and receives power from an electrosurgical generator for executing a first electrosurgical procedure. This surgical assembly may employ a shunt circuit between its power and return lines for providing in effect a voltage limitation and/or to allow a constant power electrosurgical generator to execute an at least substantially constant voltage electrosurgical technique. The electrosurgical assembly may also include a return coupler for directing energy from the patient back to the electrosurgical generator, which in turn may include a dielectric material which interfaces with the patient and which at least initially conveys the return energy via one or more electric fields versus conduction.

Abstract: A signal processing utility is disclosed involving time-to-frequency domain transforms for applications including medical diagnostic signal processing. Such transforms can be used to define a continuous spectral density function or other spectral density function including nonzero values at irregularly spaced frequency intervals. The invention thereby enables more accurate representation of certain real spectra and reduced spectral broadening. The utility also accounts for digitization errors associated with analog-to-digital conversion. The invention has particular advantages with respect to medical contexts where the received signal has a changing spectral content as a result of interaction of an interrogating signal with moving physiological material such as blood flowing through an artery.

Abstract: A surgical system that applies electrical energy to obtain predetermined surgical effects while improving the control of the application of the energy that is supplied by electrosurgical generators. In one embodiment, a surgical assembly interfaces with and receives power from an electrosurgical generator for executing a first electrosurgical procedure. This surgical assembly may employ a shunt circuit between its power and return lines for providing in effect a voltage limitation and/or to allow a constant power electrosurgical generator to execute an at least substantially constant voltage electrosurgical technique. The electrosurgical assembly may also include a return coupler for directing energy from the patient back to the electrosurgical generator, which in turn may include a dielectric material which interfaces with the patient and which at least initially conveys the return energy via one or more electric fields versus conduction.

Abstract: A surgical system that applies electrical energy to obtain predetermined surgical effects while improving the control of the application of the energy that is supplied by electrosurgical generators. In one embodiment, a surgical assembly interfaces with and receives power from an electrosurgical generator for executing a first electrosurgical procedure. This surgical assembly may employ a shunt circuit between its power and return lines for providing in effect a voltage limitation and/or to allow a constant power electrosurgical generator to execute an at least substantially constant voltage electrosurgical technique. The electrosurgical assembly may also include a return coupler for directing energy from the patient back to the electrosurgical generator, which in turn may include a dielectric material which interfaces with the patient and which at least initially conveys the return energy via one or more electric fields versus conduction.

Abstract: A surgical device includes a return electrode, an active electrode, and an insulating region adjacent to the active electrode. A rasping surface is provided by either the active electrode or the insulating region. Another surgical device includes an adapter configured to couple to a generator and to convert monopolar output from the generator into bipolar output. A method of applying electricity to tissue includes bringing a surgical device into close proximity with tissue and applying electricity to the tissue using the surgical device.

Abstract: A method and system for determination of dimension related information such as volumetric flow rate(s) of a fluid flowing through a channel. In one implementation, the method and system analyzes temporal changes in a moving fluid's velocity profile to calculate the fluid channel dimensions. In turn, the fluid channel dimensions and the fluid velocity profile data may be combined to calculate the volumetric flow rate of the fluid flowing through the channel. In this regard, the geometry of the channel can be characterized using dimensionless variables that relate dimensions, such as the radius across a circular cross-section, to the largest extent of a dimension. For example, in the case where the channel is a cylindrical tube and a pressure gradient is applied long enough for the fluid to have reached a steady state, the dimensionless radius will be the radius at any point divided by the overall radius of the tube.

Abstract: An electrosurgical system is disclosed that applies electrical energy to obtain a predetermined surgical effect, while also reducing eschar deposits on a working surface of an electrosurgical instrument, producing an eschar deposit which is easily removed from the working surface and/or facilitating removal of eschar deposits during a cleaning procedure. Such benefits may be realized by providing a negative bias on the working surface relative to a return path to source during electrosurgical procedures and/or during a cleaning procedure which may include contacting the working surface with an electrically conductive liquid. To reduce smoke generation at a surgical site, the electrosurgical instrument may comprise a metal body having an outer insulating layer to reduce thermal/electrical discharge from non-functional portions of the instrument. An insulating layer having a thermal conductance of about 1.2 W/cm2° K and a dielectric withstand strength of at least about 50 volts may be employed.

Abstract: A medical system for facilitating the removal of body matter including solids, liquids and gases from a body cavity. The system includes mechanical energy applied to the interior surface of a catheter or other type of body drainage conduit to substantially inhibit the adherence of body matter to the catheter, thus minimizing the likelihood of blockage in the catheter.

Abstract: A medical apparatus and method for managing one or more conveyance tubes used to inject or remove fluids, solids or semi-solids from a patient's body without the need for sutures. The device further includes a biohazard control system to reduce the risk of exposure of the medical biohazards such as blood and tissue to attending medical personnel.

Abstract: An improved directed energy surgical method and assembly is disclosed. The method and assembly contemplate the application of a directed energy stream to tissue and the application of a liquid mist stream at a particular predetermined transverse angle to the tissue to reduce or eliminate smoke at the surgical site. The invention may be advantageously implemented in an assembly having a surgical pencil for emitting the directed energy stream and liquid mist stream. The liquid mist stream is generated by the surgical pencil, preferably by atomizing a liquid stream supplied thereto (e.g., pressurized via jet atomization). The invention may be utilized in connection with conventional electrosurgical, laser surgery, ultrasound, and other techniques and devices.

Abstract: A medical infusion pump (10) for delivering liquids to a patient includes an elastomeric pump chamber (140) contractable between a refill position and a discharge position. An inlet valve (122) is operatively associated with an elastomeric inlet (142) supplying liquid to the pump chamber (140). The inlet valve (122) is selectively positionable in an open position permitting and a closed position preventing flow of liquid between the inlet (142) and the pump chamber (142). An outlet valve (124) is operatively associated with an elastomeric outlet (144) which conveys liquid from the pump chamber (140). The outlet valve (124) is selectively positionable in an open position permitting and a closed position preventing flow of liquid between the outlet (144) and pump chamber (140). A pump motor (256) and associated plunger (120) contracts and expands the pump chamber (140) between the refill position and the discharge position.