Abstract: A tourniquet for restricting a flow of blood in a body part is presented. In accordance with embodiments of the present invention, the tourniquet comprises a first elongated member, and a second elongated member in slidable engagement with the first elongated member. In addition, the tourniquet includes a tensioning mechanism connected to the second elongated member, wherein a compressive force is applied to the body part upon applying a tensile force to the second elongated member using the tensioning mechanism. The tourniquet is suited for emergency use, and may be applied by using only one hand. Thus, the tourniquet may be applied, manipulated and tightened by the wearer, even if the wearer is limited to the use of a single hand.

Abstract: A patient-customized surgical instrument used to form a surgical site in a tibia for implantation of an implant into the tibia, and a surgical module using the same. A body part is coupled to the tibia to surround a portion of the tibia. A cutting-member insertion window is formed through a side of the body part to receive a cutting member that is inserted to form a cutting plane of the tibia. A position setting hole is formed through the upper side of the body part to receive and guide a post recess forming member that is used to form a post recess in the tibia. A post of the tibia element is received in the post recess. A surgical site can be accurately and easily formed in a damaged tibia.

Abstract: A disposable kerrison rongeur. A base includes a handle portion, a body portion and a shaft portion. The shaft portion is made of a metal material and includes a male mold-on interlock portion configured to non-removably interlock with an over-molded plastic material. The body portion is made of plastic material and includes an over-mold interlock portion that is over-molded onto and non-removably fixed onto the mold-on interlock portion of the shaft portion. A slide shaft includes a distal portion and a proximal portion. The distal portion is made of a metal material and includes a male mold-on interlock portion configured to non-removably interlock with an over-molded plastic material. The proximal portion is made of a plastic material and includes an over-mold interlock portion that is over-molded onto and non-removably fixed onto the mold-on interlock portion of the distal portion.

Abstract: The invention relates to a surgical tool (1) for cutting a helical groove in a bone with a body (2) receiving at least a portion of a drive shaft (9) and a tool part (3) held on same comprising a functional element (5) that produces the groove in the bone by oscillating. The tool part (3) comprises a projecting, rotatable shaft (4) at whose end opposite the body (2) the pin (5) constituting the functional element extends through an aperture (8) out of the shaft (4) that, in order to remove material of the bone, can oscillate longitudinally. The shaft (4) is coupled in such a way with the drive shaft (9) that the latter exerts torque on the shaft (4) and the pin (5) at least indirectly, at least one wing (6) projecting radially from the shaft (4) that extends at a spacing beginning behind the pin (5) in the peripheral direction of the shaft (4) helically in the direction of the body (2).

Abstract: A surgical bone rasp includes a body having posterior, anterior, medial, and lateral surfaces. The medial surface includes a proximal curved portion shaped to extend substantially along a concave medial curve. The proximal curved portion includes a plurality of teeth. Each tooth in the plurality includes a tooth gullet wall, a tooth undercut, and a tooth land between the proximal and tooth undercuts. The tooth lands can be generally flat and can extend along the concave medial curve The tooth gullet walls can be parallel to one another and can be angled to extend away from the body between a distal direction and a medial direction. The tooth undercuts can be parallel to one another, can be angled to extend away from the body in a medial direction, and can be equally spaced apart along the longitudinal axis.

Abstract: An anatomic femoral guide positions bone tunnels corresponding to the AM and PL bundles in ACL repair and reconstruction procedures. A template guide disposed in a surgical field proximate to a surgical member such as a femur or tibia defines a surgical footprint of the resulting bone tunnel. The template includes apertures corresponding to the size of the bone tunnels for the respective (AM or PL) bundles, and allows positioning at the drilling site to identify the size and location of the bone tunnel, as well as the relative distance between tunnels for double bundle procedures. An offset angle in the template provides differing orientations of the template apertures for visualizing the actual bone tunnel placement. The template has an aperture positionable parallel to a tibial plateau formation on the tibia, and the template orients a second aperture angled by the offset angle for positioning the second tunnel.

Abstract: A femoral drill guide assembly constructed in accordance to one example of the present disclosure includes a handle portion, a parallel slider, a perpendicular slider, a feeder guide and a receiving guide. The handle portion can extend along a first plane and include a first adjustable mating portion formed thereon. The parallel slider can have a second and a third adjustable mating portion thereon. The first and second adjustable mating portions can selectively move relative to each other causing the parallel slider to move relative to the handle portion between a plurality of positions along the first plane. The perpendicular slider can extend along a second plane and have a fourth adjustable mating portion thereon. The third and fourth adjustable mating portions can selectively move relative to each other causing the perpendicular slider to move relative to the parallel slider between a plurality of positions along the second plane.

Abstract: Implementations described and claimed herein provide an arthroplasty system for making resections in a patient knee. In one implementation, the system includes a femoral cutting guide having a patient specific mating region, and a distal planar surface distally spaced from a distal resection surface based on thicknesses of femoral and tibial implants. The distal planar surface may be used to check ligament balance. The system further includes a tibial cutting guide having a patient specific mating region and a an anchor pin hole intersecting with a proximal resection slot near a medial or lateral edge of the proximal resection slot. The anchor pin hole being configured to receive an anchor pin that may serve as a sawing stop during a proximal resection.

Abstract: A catheter for recanalizing a blood vessel having an occlusion therein via a subintimal pathway. The catheter includes a catheter shaft having an inflatable balloon mounted to the distal end portion of the catheter shaft. A flexible tubular member extends from the catheter shaft and along an exterior of the inflatable balloon. Inflation of the inflatable balloon deflects the flexible tubular member into a deflected configuration away from a longitudinal axis of the catheter shaft to effect re-entry into the true lumen distal of the occlusion.

Abstract: An embolectomy device includes a tubular body having a plurality of interconnected primary struts that define a plurality of openings when the tubular body is in a radially expanded deployed configuration, and a plurality of secondary struts connected to the primary struts that move from being aligned with the primary struts to a non-aligned configuration in which the secondary struts extend at least partially into and/or across the openings, to thereby ensnare or encapsulate a vascular obstruction within the primary and secondary struts after the tubular body is deployed proximate the obstruction and allowed to expand into or through the obstruction.

Abstract: An apparatus for spreading tissues. The apparatus includes a sheath member including an open end, a closed end, and a barrel extending between the open end and the closed end; and at least one flap-tip for engaging with tissues, wherein the at least one flap-tip is attached to the sheath member, each flap-tip projecting from the sheath member, wherein the at least one flap-tip is moved in response to movement of the sheath member.

Abstract: A surgical tool has a base portion, a tool portion, and a transfer portion. The base portion defines a base axis and comprises at least one trigger member. The tool portion defines a tool axis and comprises at least one tool assembly. The transfer portion is operatively connected between the base portion and the tool portion such that a pivot angle between the base axis and the tool axis may be altered and movement of the at least one trigger member causes movement of the tool assembly.

Abstract: Described here are systems, devices, and methods for providing remote manipulation or traction to tissue using one or more graspers, delivery devices, and magnetic control assemblies. The graspers may be configured for insertion into the patient during a minimally-invasive procedure, such as a laparoscopic operation. The graspers may be configured to releasably connect to tissue. In some embodiments, the grasper may comprise a clip, a clamp, a suction device, a coil, or the like, and may be configured to connect to any suitable tissue. Delivery devices may be configured to releasably engage a grasper to deliver the grasper, remove it from the patient, or reposition it. The delivery devices may additionally be configured to actuate the grasper to attach it to tissue and/or detach it from tissue. The magnetic control elements may be configured to be positioned externally of the body to move, reposition, and/or hold the grasper.

Abstract: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation lock assembly. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer and includes a flexible portion. The articulation section is coupled with the shaft and encompasses the flexible portion of the waveguide. The articulation section comprises a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector comprises an ultrasonic blade in acoustic communication with the ultrasonic transducer. The articulation lock comprises a tensioning feature, which is configured to selectively apply tension to at least one of the first member and the second member of the articulation section to thereby increase rigidity in the articulation section.

Abstract: An abrading device and method for irritating and blotting a membrane, particularly the pleural membrane. The method uses a device which is small enough to be inserted and withdrawn through a thoracoport. The device includes a proximal end configured to be gripped by a surgeon and a distal end configured to be inserted into the patient. A stainless steel shaft connects the distal and proximal ends of the abrading device. The distal end includes a series of nylon bristles. The bristles are attached to the device wire wrapped around the distal end of the device. The connecting shaft and wrapped wire are malleable. Once the device is inserted, the surgeon grips the proximal end and manipulates the device so that the series of nylon bristles abrades the walls of the pleural space. Once the abrading process is complete, the surgeon can easily withdraw the device back through the thoracoport.

Abstract: A dermatome having a head, a neck, and a handle. The head of the dermatome may include a main housing at least partially defining a cavity and a removable member that may be configured to removably engage the main housing. The main housing may include one or more features configured to guide the removable member into alignment with the main housing and/or one or more features configured to engage the removable member. The removable member of the dermatome may be made from a different material than the main housing. The neck may include a first portion and a second portion, where the first portion is made from a different material than the second portion. The dermatome may be configured to connect to one or more of a fluid power source, a battery power source, and a wall power source.

Abstract: A surgical instrument includes an elongate body defining a longitudinal axis, an actuation rod extending through the elongate body and a tool assembly coupled to the elongate body. The tool assembly includes a coupling member coupling the tool assembly to the elongate body and a tool portion pivotally associated with the coupling member. The tool portion includes a projection member including a blunt end portion and a cutting member extending distally outward from the projection member. The tool portion is operatively coupled to the actuation rod. Translation of the actuation rod causes pivotal movement of the tool assembly.

Abstract: A phacoemsulsification needle for use with an ultrasonic handpiece in performing cataract surgery has a plurality of external grooves along its shaft. The external grooves are configured to convert longitudinal drive motion delivered by the handpiece at the base of the needle into torsional motion at the needle tip. The torsional motion at the needle tip has a magnitude greater than the magnitude of the longitudinal drive motion at the base, i.e. the longitudinal to torsional gain is greater than one. The grooves may be helical grooves, wherein the groove configuration is defined by a set of groove parameters including a helical pitch of the grooves, a width of the grooves, a depth of the grooves, an axial length of the grooves, and a total number of grooves.

Abstract: An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, an articulation drive assembly, and a locking feature. The shaft extends distally from the body assembly. The waveguide comprises a flexible portion. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis of the shaft. The articulation drive assembly comprises an actuator. The actuator is movable relative to the body assembly to drive articulation of the articulation section. The locking feature is in communication with the actuator. The locking feature is movable between an unlocked state and a locked state. The locking feature is configured to permit movement of the actuator relative to the body assembly in the unlocked state. The locking feature is configured to prevent movement of the actuator relative to the body assembly in the locked state.

Abstract: A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.

Abstract: An apparatus comprises a body assembly and a shaft extending distally therefrom. The shaft defines a longitudinal axis. The apparatus further comprises an acoustic waveguide and an articulation section coupled with the shaft. A portion of the articulation section encompasses a flexible portion of the waveguide. The articulation section further comprises first member and a second member that is longitudinally translatable relative to the first member. The apparatus further comprises an end effector including an ultrasonic blade in acoustic communication with the waveguide. A distal portion the ultrasonic blade is disposed in a first direction away from the longitudinal axis at a bend angle. The end effector also includes a clamp arm that is coupled with the first member and the second member, and an articulation drive assembly operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis in the first direction.

Abstract: An apparatus comprises a body assembly, a shaft assembly, an end effector, an articulation section, and an articulation control assembly. The end effector is located at a distal end of the shaft assembly and comprises an ultrasonic blade. The articulation section is coupled with the shaft assembly and is operable to articulate to thereby deflect the end effector from the longitudinal axis. The articulation control assembly comprises first and second threaded members and an articulation control. The first and second threaded members have respective first and second pitch orientations. The articulation control is rotatable to thereby drive articulation of the articulation section by causing translation of the first and second threaded members along a path that is parallel to the longitudinal axis of the shaft assembly. The axis of rotation of the articulation control is non-parallel with the longitudinal axis of the shaft assembly.

Abstract: An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing. The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated.

Abstract: An apparatus for performing a vascular treatment includes an intraluminal member that is controllingly moved during the vascular treatment. The intraluminal member of the vascular treatment device can be connected to a motor. The rotation direction of the intraluminal member can be reversed to reduce the incidence and duration of vein entanglement during a vascular ablation procedure. Reversal of direction could occur automatically, or in response to a sensor such as a load sensor provided as part of the motorized drive system.

Abstract: A surgical cutting instrument including a first tubular member, a second tubular member, a sleeve member, a third tubular member, and an orientation member. A distal section of the first tubular member includes a cutting tip. The distal region of the second tubular member forms a cutting window. The first elongated member is co-axially disposed within the second tubular member such that the cutting tip is selectively exposed at the cutting window. The first and second tubular members are co-axially disposed within the sleeve member. The third tubular member is co-axially disposed around the intermediate section of the first tubular member, the intermediate region of the second tubular member and the sleeve member. The orientation member is rotatable to transmit a rotational force applied to the orientation member to selectively rotate the second and third tubular members relative to the sleeve to effectuate spatial rotation of the cutting window.

Abstract: A puncture treatment tool includes a needle tube whose distal end is insertable into tissue, a cylindrical main body through which the needle tube is inserted, a needle stopper through which the main body is inserted and which is provided such that a position where the needle stopper is fixed to the main body can be changed in a direction of a longitudinal axis of the main body, and a slider which is fixed to a proximal end part of the needle tube, the slider being disposed to be operated movable relative to the main body. The slider is configured to be capable of selecting from a first state in which the slider is movable in the axial direction relatively to the main body without rotating in the circumferential direction of the main body, or a second state in which the slider is rotatable in the circumferential direction.

Abstract: A method for performing a surgical procedure within lungs of a patient. The method comprising the steps of providing a plurality of surgical instruments and providing a housing. Attaching a flexible, elongated shaft with distal and proximal ends to the housing. Engaging at least one working end to the distal end of the housing, the working end including a plurality of tubes disposed therein that define a corresponding plurality of working channels for housing a corresponding plurality of surgical instruments. Controlling an actuator to engage at least one of the corresponding plurality of surgical instruments, wherein rotation of the working end with respect to a longitudinal axis of the elongated shaft engages at least one of the plurality of surgical instrument with the actuator to deploy the at least one surgical instrument to the lung as needed during a surgical procedure.

Abstract: A device for producing a pneumoperitoneum in a medical procedure includes a main body having a ring portion defining a main opening, and a domed portion extending from the ring portion to an apex. The ring portion is adapted to form a positive seal with the skin of the patient upon application of a suction force within the main body abutting the patient. The device includes a suction port extending from the domed portion of the main body and is configured to facilitate application of the suction within the main body. The access port is operably engaged with the domed portion of the main body proximate to the apex and is adapted to receive a surgical instrument therethrough. A pair of opposed grips operably engaged with the domed portion of the main body is adapted to facilitate one-handed application and removal of the main body with respect to the patient.

Abstract: Insertion devices and associated systems and methods for the percutaneous placement of patient leads are disclosed herein. A system in accordance with a particular embodiment includes a cannula having a lumen and a first dilator. The first dilator can be positioned within the lumen and the first dilator and the cannula can be used to create a percutaneous entry point. An additional dilator can be positioned over the first dilator and advanced into the percutaneous entry point to expand the percutaneous entry point. A final dilator can be inserted into the patient and two leads can be advanced into the patient through the final dilator.

Abstract: An embryo transfer syringe has a roller (30) coupled with the rear end of its plunger (15). The roller (30) is displaceable along an elongate housing (20) extending from the rear of the barrel (10) of the syringe. The roller (30) can be manually engaged through a slot (23) along the housing (20) to rotate it and roll it along the housing thereby smoothly and controllably displacing the plunger (15).

Abstract: A blocking screw insertion guide useful for proper alignment of blocking screws used in intramedullary nail fixation of fractured long bones. The insertion guide including a intramedullary nail dummy head consisting of a short segment of the proximal portion of an intramedullary nail; a nail insertion handle of the type used to insert intramedullary nails; and a blocking screw guide portion. The invention also includes a method of intramedullary nail fixation of fractured long bones using the inventive blocking screw insertion guide.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

Abstract: Orthopedic fixation devices and methods of installing the same. The orthopedic fixation device may include a coupling element and a bone fastener, whereby the bone fastener can be loaded into the coupling element through the bottom of a bore in the coupling element.

Abstract: A spinal stabilization system may be formed in a patient. In some embodiments, a minimally invasive procedure may be used to form a spinal stabilization system in a patient Bone fastener assemblies may be coupled to vertebrae Each bone fastener assembly may include a bone fastener and a collar. The collar may be rotated and/or angulated relative to the bone fastener. Detachable members may be coupled to the collar to allow for formation of the spinal stabilization system through a small skin incision. The detachable members may allow for alignment of the collars to facilitate insertion of an elongated member in the collars. An elongated member may be positioned in the collars and a closure member may be used to secure the elongated member to the collars.

Abstract: A spinal fixation system that includes at least two pedicle screws and a connector plate attached to each pedicle screw with a locking nut at a first end. A rod connector member attached to a second end of each connector plate with a rod connecting member locking lock. A spinal rod connected to at least two of the rod connector members. The pedicle screw including a cup shaped member that conforms to a lower mating surface on the connector plate and the locking nut having a mating surface with the upper surface of the connector plates to provide a polyaxial connection between the pedicle screw and the connector plate. The rod connector, connecting plate, and, rod connector locking nuts having mating surfaces that allow polyaxial motion between the rod connector member and the connector plate. The spinal fixation system provides a low profile system that is more easily implanted and adjustable so as to reduce the stress to the spinal column and trauma to the surgical incision.

Abstract: Described herein are devices and methods for fusion of adjacent vertebral bones using distractor platforms for exposure and resection of at least a portion of the facet joint, such as in performance of a TLiF procedure. In one embodiment, the distractor platform contains at least a first receptacle and/or extension adapted to couple to the implanted screw/bone marker and the method includes advancing a threaded segment of a bone fastener assembly into the identified first pedicle of the first vertebral bone, the first bone fastener assembly further comprises a second segment adapted to couple with a distraction platform adapted to concurrently attach onto at least one tissue retention blade and adapted to retain the tissue retention blade in the displaced position. Stabilization of a spinal segment is also provided by advancing a substantially concave orthopedic implant through an opening made in a posterior aspect of a disc space.

Abstract: A tool set for implanting a rod in a human spine in conjunction with bone screws includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Each end guide tool includes a laterally extending, rigid, rod holding structure located near a bottom surface thereof. Intermediate guide tools having pass-through slots are utilized to guide the rod to the bone screws at intermediate locations. For bone screw implantation, the end guide tools and intermediate guide tools are assembled with a driver. The driver is coaxial with the respective guide tool and rotatingly mateable thereto. The driver includes a stem and a nut-type fastener, the stem receivable in the guide tool. The fastener allows for rotation of the bone screw without rotating the attached guide tool.

Abstract: A bone filling device includes a catheter that defines a longitudinal axis and extends between a proximal end and a distal end. A first lumen extends along the longitudinal axis of the catheter and defines a first passageway. A second lumen extends along the longitudinal axis of the catheter and defines a second passageway. An inflatable body includes a wall that defines a fillable cavity. The fillable cavity is in fluid communication with the first passageway. A bone filler delivery port continuous with the second passageway and configured to dispense bone filling material.

Abstract: A bone idler implanting system comprises a bag (1) and a delivery device (2). A distal end of the bag (1) is fixedly connected to a sealing head (11); the sealing head is closed at its distal end and has a blind hole (111) at its proximal end, and the blind hole (11) has an opening towards the interior of the bag (1). The bag (1) has micro-pores (12). The delivery device (2) comprises a liner core (23), a delivery tube (21), and a sleeve tube (22). The delivery tube (21) is a rigid tube, and a distal end of the delivery tube (21) is detachably connected to a. proximal end of the bag (1). When the delivery device (2) is operated, the sleeve tube (22) slides axially towards the proximal end of the conveying tube (21), and the bag (1) is exposed.

Abstract: Various devices and methods for breaking and retaining surgical reduction tabs are provided. In general, the devices and methods can allow a single surgical instrument to break a plurality of surgical reduction tabs off one or more surgical implants and retain the broken tabs within the instrument. In an exemplary embodiment, a surgical instrument can include an opening at a distal end thereof that is configured to receive a surgical reduction tab therein when the tab is connected to a surgical implant. A retention element at least partially disposed within the instrument can be configured to engage the tab received in the opening so as to hold the tab securely within the instrument. With the tab received in the opening and held by the retention element, the surgical instrument can be configured to be manipulated to break the tab off the surgical implant. The broken tab can be retained within the surgical instrument by being held therein by the retention element.

Abstract: A surgical instrument for applying a rotational force to a structural element during a surgical procedure. The instrument may be designed for increasing an input force to produce an enlarged output force adequate for fracturing an excess section of the elongated element from a remainder of the structural element. The instrument may include an input mechanism that receives an external rotational input force, a planetary gear system that multiples the input force, and an output mechanism that attaches to and delivers the multiplied rotational output force to the excess section of the structural element. The output mechanism may also be configured to capture the separated excess section. The instrument may include a housing and a handle for grasping and manipulating during the surgical procedure.

Abstract: An apparatus comprises a body assembly, a shaft, an end effector, a rotation input feature, and a locking feature. The shaft extends distally from the body assembly and defines a longitudinal axis. The end effector is positioned at the distal end of the shaft. The rotation input feature comprises a proximal end and a distal end. The rotation input feature is configured to rotate one or both of the shaft assembly or the end effector about the longitudinal axis. The locking feature is configured to transition between a locked state and an unlocked state. The locking feature is configured to prevent rotation of the one or both of the shaft assembly when the locking feature is in the locked state. The locking feature is configured to permit rotation of the one or both of the shaft assembly when the locking feature is in the unlocked state.

Abstract: A device for treating esophageal target tissue comprises a catheter, a balloon and a refrigerant delivery device. The catheter has a distal portion and a refrigerant delivery lumen. The balloon is mounted to and the refrigerant delivery device is coupled to the distal portion. The refrigerant delivery device comprises a chamber with the refrigerant delivery lumen opening into the chamber, a refrigerant delivery opening fluidly coupled to the balloon interior, and a distribution passageway fluidly coupling the chamber and the refrigerant delivery opening. A refrigerant is deliverable through the refrigerant delivery lumen, into the chamber, through the distribution passageway, through the refrigerant delivery opening and into the balloon interior so to place the balloon into an expanded, cooled state so that the balloon can press against and cool esophageal target tissue. The medical device may include means for sensing a leak in the balloon.

Abstract: This disclosure describes embodiments of a surgical apparatus including a handpiece configured to modify a feature of a jet of argon gas. An alternative embodiment of the surgical apparatus includes a handpiece configured to modify a feature of a jet of argon gas, wherein the handpiece includes a nozzle member with one or more bores configured to direct argon gas as the jet. An additional embodiment of the surgical apparatus includes a handpiece configured to modify a feature of a jet of argon gas; wherein the handpiece includes a nozzle member with one or more bores configured to direct argon gas as the jet; and a collar around the nozzle member, wherein sliding the collar along the nozzle member changes the feature of a the jet of argon gas.

Abstract: A plasma treatment system includes a spout, a suction hole, a first electrode and a second electrode, an impedance acquisition unit, a liquid volume adjustment unit, and a first control unit. The first electrode and a second electrode are configured to generate plasma to treat a living tissue by the application of a voltage. The impedance acquisition unit acquires impedance between the first electrode and the second electrode. The liquid volume adjustment unit adjusts the supply volume or suction volume of the electrically conductive solution. The first control unit controls the liquid volume adjustment unit to increase or decrease the supply volume or suction volume of the electrically conductive solution based on the impedance.

Abstract: An electrosurgical instrument. The electrosurgical instrument includes a first arm, a second arm and a coupling system. The first arm includes a first jaw. The second arm is pivotably connected to the first arm and includes a second jaw, a cutting member movable within the first and second jaws, and a cutting member trigger. The coupling system includes a coupling member mechanically coupled to the cutting member trigger. The coupling member is movable between a first position and a second position. In the first position of the coupling member, the cutting member is mechanically uncoupled from the cutting member trigger. In the second position of the coupling member, the cutting member is mechanically coupled to the cutting member trigger.

Abstract: A treatment device to treat a living tissue, includes: first and second holding portions; a rotary member including a working portion including an edge portion which is rotated around a central axis equal to or substantially parallel with the longitudinal axis, the rotary member capable of moving the edge portion from the first holding portion to the second holding portion; a first guide portion provided in the first holding portion and capable of guiding the edge portion toward the second holding portion through the holding surface of the first holding portion; and a second guide portion provided in the second holding portion, and capable of guiding the edge portion to the second holding portion through the holding surface of the first holding portion.

Abstract: An electrosurgical system includes an electrosurgical power generating source, an energy applicator operably associated with the electrosurgical power generating source, a processor unit, and a data acquisition module configured to receive a reflected signal. The processor unit is disposed in operative communication with the data acquisition module and adapted to determine a tissue desiccation rate around at least a portion of the energy applicator based on one or more signals received from the data acquisition module.

Abstract: An electrosurgical generator may reduce unintended tissue damage by improving regulation of output power. The electrosurgical generator may control the power during a cycle, and react to a change in power if arcing occurs. Voltage sources, especially, demonstrate the tendency to have large, uncontrolled power excursions during normal electrosurgical use. The magnitude of the power excursions may be dependent on various factors. An exemplary electrosurgical generator control scheme reduces or minimizes the thermal spread by accurately supplying the specified power within a few cycles. Additionally, fast and accurate regulation provided by the constant voltage mode reduces or minimizes unintentional tissue charring. Thus, reduced thermal spread and charring should result in better surgical outcomes by reducing scarring and decreasing healing times.

Abstract: An electrosurgical system includes an electrosurgical instrument coupled to an electrosurgical generator. The electrosurgical system may include a first sensor and a second sensor, which are configured to detect redundant tissue properties and output a signal corresponding thereto. The electrosurgical system has a signal processing circuit for receiving and modifying the output signal from the second sensor. The electrosurgical generator may include a controller for receiving an output signal from the first sensor and a processed signal from the signal processing circuit. The controller compares the two signals received and shuts down the system based on the comparison of the first sensor and a processed signal.