Abstract: A thermal cutting element of an electrosurgical instrument includes a base substrate defining a first side and a second side, at least one insulating layer disposed on at least the first side of the base substrate, and a heater circuit trace disposed on the at least one insulating layer. The thermal cutting element has an operating temperature of at least about 350° C. Temperature Coefficient of Resistance (TCR) of at least about 50 ppm/° C. An electrosurgical instrument and electrosurgical system including the thermal cutting element are also provided.

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 device for endometrial ablation includes a selectively expandable bladder configured for insertion through a cervical canal of a patient and into a patient's cervix. The selectively expandable bladder defines an interior volume for receiving a thermally conductive medium which, when introduced into the interior volume, expands the selectively expandable bladder against the uterine tissue of the cervix. One or more insulative substrates is operably disposed within the interior volume and supports a thermal assembly on the one or more insulative substrates. The thermal assembly couples to an energy source and is configured to conduct thermal energy to a thermally conductive substrate upon activation of the thermal assembly, which, in turn, heats the thermally conductive medium in contact with the thermally conductive substrate to treat the uterine tissue of a patient.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each including a jaw housing supporting an electrically conductive tissue engaging surface thereon. The jaw members are movable relative to one another to grasp tissue therebetween. A thermal cutting element is operatively associated with the electrically conductive tissue engaging surface of one jaw member and is independently activatable relative to the electrically conductive tissue engaging surfaces. The thermal cutting element is selectively moveable in a first direction relative to the electrically conductive tissue engaging surface along a transverse axis perpendicular to a longitudinal axis defined through the jaw member and is selectively moveable in a second direction along the longitudinal axis to extend relative to a distal end of the jaw member.

Abstract: A forceps includes an instrument housing, an elongated shaft assembly extending distally from the instrument housing, and a rotation knob assembly. The rotation knob assembly is supported in the instrument housing and includes a rotation knob and an inner housing. The rotation knob is coupled to the shaft assembly and positioned to rotate about the inner housing to rotate the elongated shaft assembly relative to the instrument housing. The inner housing is coupled to the instrument housing and supports electrical contacts configured to transmit electrical energy through the rotation knob assembly.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each having a jaw housing supporting an electrically conductive tissue engaging surface thereon. The electrically conductive tissue engaging surfaces are disposed in opposition relative to one another. The jaw members are movable relative to one another to grasp tissue therebetween and are connect to an electrosurgical energy source. A thermal cutting element is disposed in one of the electrically conductive tissue engaging surfaces and is independently activatable relative to the electrically conductive tissue engaging surfaces. The thermal cutting element is exposed along the length of the electrically conductive tissue engaging surface and includes an exposed distal end extending through a distal end of the jaw housing. The thermal cutting element includes a scallop defined proximal to the exposed distal end thereof configured to facilitate tissue scoring upon movement and activation thereof.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each having a jaw housing supporting an electrically conductive tissue engaging surface thereon. The tissue engaging surfaces are disposed in opposition relative to one another and one or both of the jaw members are movable relative to one another to grasp tissue therebetween. First, second and third thermal cutting elements are disposed on one or both of the tissue engaging surfaces. Each thermal cutting element is independently activatable (or activatable in pairs) relative to the tissue engaging surfaces and each thermal cutting element connects to an electrosurgical energy source. The first thermal cutting element is exposed along the length of the tissue engaging surface, the second thermal cutting element surrounds the distal tip of the jaw member and the third thermal cutting element is disposed on the back of the jaw housing.

Abstract: An end effector assembly for an electrosurgical instrument includes a pair of opposing jaw members each having a jaw housing supporting an electrically conductive tissue engaging surface thereon disposed in opposition relative to one another. The electrically conductive tissue engaging surfaces are adapted to connect to an electrosurgical energy source. A thermal cutting element is disposed the electrically conductive tissue engaging surface and is independently activatable relative to the electrically conductive tissue engaging surfaces and is adapted to connect to the electrosurgical energy source. The thermal cutting element is exposed along the length of the electrically conductive tissue engaging surface and includes an exposed distal end extending through a distal end of the jaw housing. The exposed distal end of the thermal cutting element is configured to facilitate tissue dissection upon activation thereof.

Abstract: An electrosurgical instrument including an end effector assembly having first and second jaw members and at least first and second thermal cutting elements. Each of the first and second jaw members includes an electrically conductive tissue contacting surface. At least one of the first or second jaw members is movable relative to the other from a spaced apart position to an approximated position to grasp tissue between the tissue contacting surfaces. The first and second jaw members are adapted to connect to a source of energy for electrosurgically treating tissue grasped between the tissue contacting surfaces. Each of the first and second thermal cutting elements is disposed on or within one of the first or second jaw members and adapted to connect to a source of energy for thermally treating tissue.

Abstract: A jaw member for a surgical instrument includes a jaw housing and a first electrically conductive material deposited atop the jaw housing. An electrical wire is operably associated with the jaw housing and includes an exposed, electrically conductive tip. The exposed, electrically conductive tip is disposed atop the first electrically conductive material. A second electrically conductive material is deposited atop the exposed, electrically conductive tip to secure the exposed, electrically conductive tip in electrical contact with the first electrically conductive material.

Abstract: An electrosurgical instrument end effector has first and second jaw members each including an electrically conductive tissue-contacting surface. The first and second jaw members are configured to grasp and electrosurgically treat tissue between the tissue-contacting surfaces. A thermal cutting element includes a body portion extending along the tissue-contacting surface of the second jaw member and a distal probe portion extending distally therefrom. The distal probe portion extends distally beyond a distal-most extent of the second jaw member, has a free end distally-spaced from this distal-most extent, and is exposed about the entire outer periphery thereof between the distal-most extent the free end. The body portion of the thermal cutting element is energizable for thermally treating tissue grasped between the tissue-contacting surfaces, while the distal probe portion of the thermal cutting element is energizable for thermally treating tissue positioned distally of the first and second jaw members.

Abstract: A forceps includes an instrument housing, an elongated shaft assembly extending distally from the instrument housing, and a rotation knob assembly. The rotation knob assembly is supported in the instrument housing and includes a rotation knob and an inner housing. The rotation knob is coupled to the shaft assembly and positioned to rotate about the inner housing to rotate the elongated shaft assembly relative to the instrument housing. The inner housing is coupled to the instrument housing and supports electrical contacts configured to transmit electrical energy through the rotation knob assembly.

Abstract: A thermal element configured for thermally treating tissue includes a substrate, an insulating layer disposed on the substrate, and a resistive trace circuit disposed on the insulating layer and including first and second ends adapted to connect to a source of energy for energizing the resistive trace circuit, thereby heating the thermal element. The resistive trace circuit: includes at least first and second sections defining different configurations and disposed between the first and second ends; is configured to maintain a temperature variation of no greater than about 25° C. along at least a majority of a length of the thermal element; and/or is configured to define a temperature gradient profile that varies at least about 50° C. along a length of the thermal element at a target operating temperature thereof.

Abstract: A jaw member of a surgical instrument includes a structural body including a tissue-facing surface having an elongated opening defined therethrough and defining an internal cavity in communication with the elongated opening. A jaw liner of a material that is not conducive to molding includes an internal portion substantially filling the internal cavity and extending to the elongated opening. A method of manufacturing a jaw member of a surgical instrument includes preparing a material, forging the material into an internal cavity defined within a structural body of a jaw member, and setting the material such that the material substantially fills the internal cavity and is retained therein thereby forming a jaw liner of the jaw member.

Abstract: A surgical system includes at least one audio sensor configured to sense audio during a surgical procedure and to output audio data based on the sensed audio. The surgical system further includes a computing device operably coupled to the at least one audio sensor and configured to receive the output audio data from the at least one audio sensor. The computing device includes a processor and memory storing instructions that, when executed by the processor, cause the processor to determine at least one of a cause or a location of a sound based at least on the output audio data and to output an indication of the at least one of the cause or location of the sound.

Abstract: A method for applying a polydimethylsiloxane coating having a thickness in the range of from about 35 nm to about 85 nm on a tissue sealing plate. The method includes: placing the electrically conductive component into a plasma deposition chamber; supplying an ionizable media into the plasma deposition chamber; igniting the ionizable media to generate a first plasma at a first power level to prepare the electrically conductive component to receive the coating; supplying the ionizable media and a precursor composition into the plasma deposition chamber; and igniting the ionizable media and the precursor composition to generate a second plasma at a second power level thereby forming the coating on the electrically conductive component.

Abstract: An end effector assembly for use with an electrosurgical instrument is provided. The electrosurgical instrument includes a handle having a shaft that extends therefrom, an end effector disposed at a distal end of the shaft, at least one electrode operably coupled to the end effector and adapted to couple to a source of electrosurgical energy, a titanium nitride coating covering at least a portion of the electrode, a chromium nitride coating covering at least a portion of the electrode and/or titanium nitride coating, and a hexamethyldisiloxane plasma coating covering at least a portion of the chromium nitride coating.

Abstract: An end effector assembly for use with an electrosurgical instrument is provided. The electrosurgical instrument includes a handle having a shaft that extends therefrom, an end effector disposed at a distal end of the shaft, at least one electrode operably coupled to the end effector and adapted to couple to a source of electrosurgical energy, a titanium nitride coating covering at least a portion of the electrode, a chromium nitride coating covering at least a portion of the electrode and/or titanium nitride coating, and a hexamethyldisiloxane plasma coating covering at least a portion of the chromium nitride coating.

Abstract: An electrosurgical system includes an electrosurgical instrument having an electrode with a polymeric dielectric coating; and an electrosurgical generator, which includes a power converter configured to generate RF energy; a sensor coupled to the power converter and configured to sense a parameter of the RF energy; and a controller coupled to the sensor and the power converter. The controller is configured to control the power converter to output an RF waveform to achieve conductor breakthrough through the polymeric dielectric coating. The controller is further configured to determine whether the conductor breakthrough occurred based on the parameter; and execute a treatment algorithm based on a determination of the conductor breakthrough.

Abstract: An end effector assembly for use with an electrosurgical instrument is provided. The electrosurgical instrument includes a handle having a shaft that extends therefrom, an end effector disposed at a distal end of the shaft, at least one electrode operably coupled to the end effector and adapted to couple to a source of electrosurgical energy, a chromium nitride coating covering at least a portion of the electrode, and a hexamethyldisiloxane plasma coating covering at least a portion of the chromium nitride coating.