Abstract: A reusable medical procedure power too incudes a housing having an aperture. A removable attachment interface is connected to the power tool via the aperture. The attachment interface provides for receiving a power tool attachment. A removable and replaceable cover is provided on the entire housing, and the cover includes a single opening aligned with and immediately adjacent to the aperture.

Abstract: A dual speed medical procedure power tool includes first and second gear sets. The first and second gear sets may be engaged and disengaged, selectively, to provide a first speed for a high-speed, low-torque drilling function and a second speed for a low-speed, high-torque reaming function.

Abstract: A flexible bone tool comprising a bone tissue removal element configured at a distal end of the tool, at least two links coupled proximally to the bone tissue removal element, the links connected to each other by a radial interference connection in which at least one radially outwards extending protrusion of a first link is received within a recess of a subsequent link. In some embodiments, the links are interconnected by a “snap-fit” connection. In some embodiments, the flexible bone tool is configured for transferring torque at a magnitude sufficient for drilling and/or reaming a bore in a bone.

Abstract: A system for generating a model of a patient specific cut guide instrument for harvesting a graft comprises a model of a graft defined by an implant interface surface, a bone interface surface, and a spatial geometry therebetween, the model being specific to a patient.

Abstract: An instrument can comprise an instrument body, a cross-pin, and a ring. The instrument body can be configured to be partially inserted into an intramedullary canal of a bone having a bone resection. The cross-pin can extend through the instrument body, and the ring can be movably coupled to the cross-pin and positionable on the bone resection. The ring can be configured to pivot about a longitudinal axis of the cross-pin such that an angle of the ring relative to the instrument body approximates a surface angle of the bone resection relative to the instrument body. Additional apparatus, methods, and systems are disclosed.

Abstract: A surgical snare is provided having an operating wire and an outer sheath having a lumen extending therethrough, wherein the operating wire is disposed within the lumen and is longitudinally movable within the lumen. The surgical snare also has a first locking member attached to the operating wire and a second locking member attached to the outer sheath. The first locking member is frictionally engageable with the second locking member by sliding the outer sheath longitudinally along the operating wire until the first locking member contacts the second locking member. The operating wire is prevented from moving longitudinally with respect to the outer sheath when the first locking member is frictionally engaged with the second locking member.

Abstract: A surgical instrument includes a shell having a housing and a shaft. The shell including first and second shell components configured to engage one another to form the shell, each of which is monolithically formed to include a housing portion and a shaft portion. Upon engagement of the first and second shell components with one another, the housing portions cooperate to form the housing of the shell while the shaft portions cooperate to form the shaft of the shell. An end effector assembly is operably coupled to the shaft at a distal end of the shaft. A handle assembly is operably coupled to the housing. A drive assembly disposed within the shell is operably coupled between the handle assembly and the end effector assembly such that actuation of the handle assembly manipulates the end effector assembly.

Abstract: A forceps includes an end effector assembly having first and second jaw members, each including a proximal flange and a distal jaw body defining a tissue-treating surface. The second jaw member is both proximally offset and spaced-apart from the first jaw member. One or more resilient bands extends between and interconnects the proximal flanges of the jaw members. The resilient band(s) is configured to bias the first and second jaw members towards an open position. The resilient band(s) is configured to flex in response to distal translation of the second jaw member relative to the first jaw member to thereby move the second jaw member relative to the first jaw member to a closed position for grasping tissue between the tissue-treating surfaces thereof. In the closed position, the second jaw member is disposed in an aligned orientation and is approximated relative to the first jaw member.

Abstract: A forceps includes an end effector assembly having first and second jaw members each defining a proximal portion, a distal portion, and an intermediate portion. The distal portions define tissue-treating surfaces and the intermediate portions are disposed in overlapping relation relative to one another. A shaft is configured to receive the proximal portions and includes a retention feature for operably retaining the first and second jaw members at the distal end of the shaft. A drive bar is disposed within the shaft and operably associated with the proximal portions such that translation of the drive bar through the shaft and relative to the end effector assembly moves the first and second jaw members between a spaced-apart position and an approximated position for grasping tissue between the tissue-treating surfaces thereof.

Abstract: An assembly tool for facilitating assembly of a surgical instrument includes a handle, a neck extending from the handle, and a portion of or an entire pivot pin engaged with the neck via a frangible connection. The pivot pin is engagable with the surgical instrument. The frangible connection is configured to break upon application of stress thereto above a threshold, thereby separating the pivot pin (or portion thereof) from the neck. A method of assembling using such an assembly tool includes positioning a component of a surgical instrument for receipt of a pivot pin, manipulating the assembly tool to operably engage the pivot pin with the component, and manipulating the assembly tool to apply stress to the frangible connection to break-off the pivot pin (or portion thereof) from the assembly tool along the frangible connection.

Abstract: A forceps includes a shaft defining first opposed distal recesses, a drive bar slidably disposed within the shaft and defining second opposed distal recesses, and an end effector assembly including first and second jaw members. Each jaw member defines a proximal flange and a distal jaw body. The proximal flanges each define an aperture and a cam slot. A pivot pin extends through the apertures with ends of the pivot pin extending outwardly from the jaw members to be at least partially disposed within the first recesses and fixedly engaged therewith. A drive pin extends through the cam slots with ends of the drive pin extending outwardly from the jaw members to be at least partially disposed within the second recesses and fixedly engaged therewith such that translation of the drive bar relative to the end effector assembly pivots the jaw members between spaced-apart and approximated positions.

Abstract: A treatment device includes an insertion portion, an end effector, a grasp portion, a transmitting member, a first locking portion, a second locking portion, and an operational body. The operational body is configured to switch between a first position where the transmitting member is moved forward along the longitudinal axis of the insertion portion to keep the end effector in a first state to extend along the longitudinal axis to the distal end of the insertion portion along the longitudinal axis, and a second position where the transmitting member is moved backward along the longitudinal axis of the insertion portion to keep the end effector in a second state to be rotated relative to the longitudinal axis with respect to the distal end of the insertion portion.

Abstract: An exemplary hand-held, power operated dermatome comprises a blade housing assembly, a skin deflector, an annular rotary knife blade, a cutting plane, and a depth gauge. The rotary knife blade has an inner region, an upper body portion, and a lower cutting portion. The lower cutting portion has an inner surface, an outer surface, and a bottom surface. A cutting edge of the rotary knife blade is formed by the intersection between the inner surface and the bottom surface of the lower cutting portion. The cutting plane of the dermatome is defined by the cutting edge of the rotary knife blade, and the depth gauge is disposed within the inner region of the rotary knife blade.

Abstract: An inner member rotatable in an angled outer tubular member of a rotary surgical cutting instrument includes first and second tubular members. The first tubular member includes rigid proximal and distal portions comprised of a first material and a flexible intermediate portion comprised of a second material. The proximal portion includes a hub. The distal portion terminates at a distal end configured to couple with a cutting tip. The intermediate portion extends between and is fixedly coupled to the proximal and distal portions.

Abstract: A surgical device is provided which is formed of a pair of engageable members each having first and second channels which define respective first and second tunnels through the removably engaged members. Apertures through a proximal endwall provide a path for a cabled imaging component through said first tunnel to provide images of tissue surrounding the device, and an opening in the endwall of the paired members provides access to the second tunnel for a surgical blade for cutting tissue positioned in a gap between the paired members.

Abstract: A non-coring hair implantation needle is provided which provides for a smaller opening than a conventional hypodermic needle, and comprises a bevel of shorter length. The needles are configured to provide a non-cutting feature, and aid in placement and retention of an implanted hair graft when the needle is withdrawn from the body surface. Furthermore, methods of fabricating needles comprising bevels of shorter length and non-cutting features are disclosed.

Abstract: A contained tissue extraction device for morcellating a tissue inside an intracorporeal cavity is disclosed. Particularly, the contained tissue extraction device includes serrated-blade wire segments that are sandwiched between an inner bag and an outer bag. The contained tissue extraction device may capture a target tissue such that a surgeon may pull the contained tissue extraction device taught through an incision that is smaller than the target tissue. The contained tissue extraction device allows a surgeon to morcellate the contained tissue by oscillating wire ends of the wire segments back and forth.

Abstract: Surgical instruments including a shaft, a jaw assembly and an ultrasonic assembly are disclosed. The shaft may extend along a shaft axis. The jaw assembly may be coupled to a distal end of the shaft and may include a first jaw member and a second jaw member. The jaw assembly may be configured to pivot about a first axis between a first location and a second location. The first and second jaw members may be positioned substantially parallel to the shaft axis at the first location and the first and second jaw members may be positioned at an angle from the shaft axis at the second location. The ultrasonic assembly may comprise an ultrasonic blade, a waveguide, and a transducer. The ultrasonic assembly may be positioned substantially parallel to and offset from the shaft axis and may be axially translatable to at least partially retract the ultrasonic blade within the shaft.

Abstract: A medical device for minimally invasive removal of tissue from a body lumen, can include: a sheath having a proximal and a distal end; and a tool configured to pass through the sheath and configured to transition from a crimped state to a deployed state and to a closed state, wherein the tool forms an aperture at a distal end, the distal end of the tool having at least one tube loop and at least one wire loop, wherein the tool is configured to dissect tissue in the deployed state.

Abstract: Various embodiments of devices and systems comprising a polymer driveshaft for use in high-speed rotational medical procedures, e.g., atherectomy, are disclosed. Generally, the primary driveshaft for transferring torque and activating rotation of a tool attached thereto, e.g., an abrasive element, is constructed with at least a polymer outer and inner surface. In certain embodiments, the polymer driveshaft may comprise a metallic band for fixed attachment of a structure, e.g., an abrasive element, thereto. Various embodiments may comprise a coupler that connects a drive shaft connected with a prime mover, e.g., a turbine or electric motor, with the polymer drive shaft, the coupler comprising openings through the coupler wall to the inner diameter of the coupler to allow fluid flow to the inner diameter of the coupled polymer drive shaft.

Abstract: An angle guidance device includes a base, which can be flexible and self-adhesive; a connector piece, including a rotatable connection, which is tiltable to a left or right side, and right and left connector plates, each including center and protractor cutouts; and a guidance piece, including an insert or protractor piece, and v-shaped needle guide, such that the v-shaped needle guide can be adjusted to a predetermined device inclination angle relative to the base. Optionally included are longitudinal and lateral level components, a bullseye level, a laser pointer, a screen, and an angle-guidance control unit, including a processor, a non-transitory memory, an input/output, a CT controller, an angle sensor, an angle viewer, a 3-axis accelerometer, and a data bus. Also disclosed is an angle-guidance method, including obtaining CT images, measuring angle and depth, setting biopsy angle, marking entry point, positioning angle-guidance device, marking position, inserting procedure needle.

Abstract: A trocar surgical seal or surgical access device is provided. The trocar surgical seal comprises first and second supports coupled together by a film passageway. The trocar surgical seal provides an instrument seal for instruments inserted therethrough. The trocar surgical seal occupies minimal surgical space.

Abstract: This invention provides a device for delivering substances such as medical implants and tissues. The device comprises a mandrel and a mandrel guide whereby substances are delivered by retracting the mandrel guide relative to the mandrel. Included among the various embodiments are devices specialized for delivering retinal pigment epithelial (RPE) cells or nanoplates containing RPE cells to the retina, devices with precise control of delivery, devices with specialized mandrels and/or nozzles, and multifunctional devices adapted to provide additional functions such as infusion and/or suction, illumination, and diathermy.

Abstract: An apparatus configured to control a lead extraction tool for assisting in removal of an implanted lead. The apparatus comprises at least one valve configured to control fluid flow to the lead extraction tool. When the at least one valve is open, the at least one valve is configured to allow fluid stored in the apparatus to flow thereby applying, when the apparatus is fluidly coupled to the lead extraction tool, fluid pressure to at least one component of the lead extraction tool. The apparatus further comprises at least one controller configured to control opening and/or closing of the at least one valve.

Abstract: The present invention comprises systems, methods and devices for the delivery of compositions for occluding or of means for opening conduits. The implantable occlusive material may be delivered pre-formed or in situ cured and, may be a resorbable material that supports tissue ingrowth that eventually replaces the material leaving little or no original material in place. The delivery system is positioned to allow for placement of the occlusive material into the body conduit. Use of delivery systems, methods and devices for re-opening an occluded body conduit are also included.

Abstract: Growing rod systems and methods for correcting spinal deformities include at least one growing rod assembly and at least one fluid delivery assembly. Each growing rod assembly includes a fluid actuator that is operable to extend first and second rod segments in opposite directions along the spine. The fluid actuator can be provided by, for example, a piston-cylinder actuator. Each fluid delivery assembly includes a fluid pump operably connectable to a fluid line, which in turn is connected to the fluid actuator. In one embodiment, the fluid actuator is of a linear design. In another embodiment, two linear or curvilinear fluid actuators are provided back-to-back and connected by a connecting rod that mounts to the mid-spine and is contourable. In another embodiment, the fluid actuator is of a curvilinear design to generally conform the normal spine. And in another embodiment, the fluid actuator includes a fluid-over-fluid shock absorber.

Abstract: An improved dynamic longitudinal connecting member includes a rod portion joined with a tensioned cord portion, for use in a medical implant assembly having at least two bone attachment structures, a spacer covering the join of the rod and cord portions and extending between the at least two bone attachment structures, a sleeve, a bumper and a cord blocker. The spacer and bumper are compressed. The cord portion is slidable with respect to at least one of the bone attachment members.

Abstract: A screw insertion instrument includes a housing, a knob, a drive shaft, and a screw alignment post. The housing includes a proximal portion and a distal portion, and the proximal portion includes a proximal body portion defining a channel extending longitudinally therethrough along a longitudinal axis of the housing. The knob is coupled to the proximal portion of the housing and defines an aperture therethrough that is aligned with the longitudinal axis of the housing. The drive shaft extends through the aperture of the knob and the proximal portion of the housing. The screw alignment post is coupled to the distal portion of the housing and is aligned with the longitudinal axis of the housing.

Abstract: A spinal construct comprises a pliable lead. A longitudinal member is flexible relative to the lead. The longitudinal member extends between a first end connected to the lead and a second end defining an opening configured for movement of the lead therethrough and disposal of the longitudinal member such that the longitudinal member is disposed about spinal tissue. Systems and methods are disclosed.

Abstract: A cervical minimal access fusion system is presented. The system has a plate with a longitudinal axis and defining at least two bone screw bores therethrough and an inter-vertebral cage configured to be positioned between two adjacent cervical vertebrae. A method for a cervical minimal access fusion system is also presented. In one aspect, the method comprises the steps of accessing the facet joints of two adjacent cervical vertebrae, distracting the joints so as to increase the space between the two adjacent cervical vertebrae, placing an implant or structural bone graft in the space between the two adjacent cervical vertebrae to maintain the distraction, and compressing the two lateral masses to induce lordosis around the facet joint.

Abstract: A facet screw system for surgical implantation into bone tissue having a shaft, a compression member and a washer. The shaft includes a shaft having a bone engaging portion and a compression member engaging portion. The compression member includes a spherical head portion having a recess for engaging with a driving instrument, and an elongated coupling portion having internal threads for coupling with the compression member engaging portion of the shaft and a washer coupled to the spherical head portion of the compression member and having a plurality of bone engaging protrusions. The washer is adapted to be polyaxially rotatable with respect to the compression member.

Abstract: Facet joint replacement implants may be designed for use on multiple adjacent vertebral levels. Each superior implant may have a substantially semispherical concave surface, and each inferior implant may have a cooperating semispherical convex surface that is deformable to enable it to be pressed into the superior implant concave surface to fix the relative orientations of the superior and inferior implants. Thus, the inferior implant may be attached to the same pedicle as the superior implant, but may also be oriented independently of the superior implant and then fixed in position. Similar mounting structures may be used to attach one or more fusion implants to a level adjacent to that of a facet joint replacement implant.

Abstract: An interspinous fusion device is described. The interspinous fusion device includes a spacer member and an anchor member. The spacer member has a ring with two or more anchor assemblies projecting laterally from substantially opposite sides of the spacer member ring. The spacer member further has a first zip lock flange and a second zip lock flange, each of the first and second zip lock flanges extends transversely from the spacer member ring wherein each of the first and second zip lock flanges each comprises a series of teeth protruding from it. The anchor member has a ring with two or more anchor assemblies projecting laterally from substantially opposite sides of the anchor member ring. The anchor member further has a barrel extending transversely from the anchor member ring. The barrel comprises a first column of recesses adapted to mate with the teeth of the first zip lock flange and a second column of recesses adapted to mate with the teeth of the second zip lock flange.

Abstract: An instrument for breaking off and retaining the tab of a reduction screw is provided. The instrument includes a breaking arm and a retaining mechanism. The breaking arm is configured to break off an excess portion of the tab of the reduction screw about a weakened section. The retaining mechanism is configured to retain the broken off tab and preventing the tab from falling into a surgical site. The retaining mechanism is further configured to allow the instrument to engage another tab while simultaneously holding a predetermined number of previously broken off tabs. Accordingly, the instrument reduces surgical time as the surgeon may simply move from one reduction screw to another while breaking off the tabs until the instrument can no longer retain additional broken off tabs.

Abstract: An intermedullary device and methods of use are described. The device is configured for fixation of a long bone and to facilitate healing of the long bone. The device comprises an elongate member having a first end, a second end, and a mid region. The mid region comprises a band or collar extending outwardly away from the outer surface of the device to increase all or a portion of the cross-sectional diameter of the mid region. The elongate member has a length that may be about the same as or less than the length of the long bone's diaphyseal region. The band further comprises at least one engaging surface configured for engaging with a cortical region of the long bone at a defect site. Use of the device facilitates healing of the long bone at or near the defect site. The method comprises providing a first end of the device in a first exposed region of the long bone's medullary canal. The method further comprises providing a second end of the device in a second exposed region of the medullary canal.

Abstract: System, including apparatus and methods, for fixing bone with a bone plate supported temporarily at a slant on bone by a leg member before the bone plate is used as a lever to reposition a region of the bone. In some embodiments, the leg member may be a post member that attaches to the bone plate by threaded engagement with an aperture of the bone plate. In some embodiments, the bone plate and the leg member may be used near the end of a long bone, such as on a distal portion of a radial bone.

Abstract: System, including apparatus and methods, for fixing bone with a bone plate supported temporarily at a slant on bone by a leg member before the bone plate is used as a lever to reposition a region of the bone. In some embodiments, the leg member may be a post member that attaches to the bone plate by threaded engagement with an aperture of the bone plate. In some embodiments, the bone plate and the leg member may be used near the end of a long bone, such as on a distal portion of a radial bone.

Abstract: A fixation system includes a plate comprising a top surface, a bottom surface, a central longitudinal axis, at least one fixation hole extending between the top and bottom surfaces and comprising an undercut therein, and at least one passage intersecting one of the undercuts. At least one resilient clip is disposed in at least a portion of the undercut, with the at least one clip having a pair of generally parallel sides and an end tab. At least one fastener is provided and comprises a head and a threaded shaft, with the head comprising a perimetral groove extending around at least a portion thereof and an instrument receiving portion. The at least one clip is configured and dimensioned to seat in the undercut with the end tab extending within the passage, and the at least one fastener is configured and dimensioned to be received in the at least one fixation hole and securable therein when the at least one clip abuts the perimetral groove of the head.

Abstract: This invention provides a calcaneal plate implanted using a sinus tarsi approach and comprises an anterior section having two locking screw holes, an s-shaped posterior facet section having a four locking holes and which rounds toward the bone at both the inferior and superior edges and is reinforced at the superior edge, and a blade shaped posterior portion having three linearly aligned locking holes and terminating in a tapered portion. There is also, a drill guide assembly having a drill guide column inserted through a hole in a targeting guide and locking to one of the locking holes in the plate, and cannulated drill guide sleeves that lock into holes in the targeting guide in a spaced relation whereby when the targeting guide is locked into the plate, the targeting guide can be used as a handle and wherein locking screws can be implanted percutaneously.

Abstract: A surgical implant for fixing a soft tissue to a bone comprising a staple and a plate. The staple and the plate are positionable on an instrument in such a way that the plate may be manipulated with the instrument to hold the soft tissue against the bone and in such a way that the staple is fixable to the bone with the plate positioned between a bridge of the staple and the soft tissue when legs of the staple are driven through the plate and into the bone.

Abstract: The application relates to a bone screw assembly for fixation into a bone, comprising a first screw element with a body including a threaded first end with a first external screw thread having a first handedness and a first lead length. The first screw element comprises an internal thread feature with a second handedness and a second lead length located within a bore within said body. The screw assembly includes a second screw element comprising a second external screw thread with the second handedness and the second lead length. Said second screw element is arranged within said bore and said second external screw thread is engaged with said internal thread feature. The second screw element is movable from a first implantation configuration where the second screw element is arranged completely within said bore and a second implantation configuration where the second screw element protrudes from said bore.

Abstract: The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

Abstract: Devices and methods for bending or cutting implants are disclosed herein. In some embodiments, an instrument can include a rotatable drive shaft that urges first and second portions of a modular bending or cutting template toward one another to bend or cut an implant disposed between the template portions. A linkage assembly can be included to provide a mechanical advantage in urging the template portions toward one another. In some embodiments, an instrument can include a rotatable drive shaft that, depending on direction of rotation, pushes or pulls a first modular template portion with respect to a second modular template portion to bend an implant disposed between the template portions in one direction or another direction. In some embodiments, an instrument can include a worm drive that rotates a cutting wheel with respect to a cutting plate to cut an implant inserted through openings formed in the cutting wheel and the cutting plate.

Abstract: Devices and methods for bending or cutting implants are disclosed herein. In some embodiments, an instrument can include a rotatable drive shaft that urges first and second portions of a modular bending or cutting template toward one another to bend or cut an implant disposed between the template portions. A linkage assembly can be included to provide a mechanical advantage in urging the template portions toward one another. In some embodiments, an instrument can include a rotatable drive shaft that, depending on direction of rotation, pushes or pulls a first modular template portion with respect to a second modular template portion to bend an implant disposed between the template portions in one direction or another direction. In some embodiments, an instrument can include a worm drive that rotates a cutting wheel with respect to a cutting plate to cut an implant inserted through openings formed in the cutting wheel and the cutting plate.

Abstract: A surgical assembly includes a first guidewire and a second guidewire, in which each of the first guidewire and the second guidewire are configured to be received by a bone block, a first suture loop, a second suture loop, a first locking component, and a second locking component, in which the first locking component is coupled to the first suture loop and the second locking component is coupled to the second suture loop. The locking component has a hole formed therethrough, in which the hole of the locking component is configured to receive the suture, and may be tethered to a suture by knots engaging a counterbore at opposed ends of a bore defined by the hole.

Abstract: An electrocautery device for use in a surgical operation to coagulate tissue and/or organs in a patient. The cautery device includes a sheath defining a longitudinal axis, a handle coupled to a proximal end of the sheath, a cauterizing tip coupled to the distal end of the sheath, and at least one actuator configured to move the cauterizing tip relative to the sheath. The movement of the cauterizing tip is configured to mitigate the risk of tissue or organ adherence to the cauterizing tip during a cauterizing operation.

Abstract: Methods and apparatus for treating a patient include an ablation device for ablating a target tissue of a patient. The device includes a housing having proximal and distal ends, and an energy source adjacent the distal end of the housing. The energy source comprises an active portion and an inactive portion surrounded by and extending continuously within the active portion. The active portion comprises a first solid material and is configured to emit ablation energy towards the target tissue when the energy source is energized to create a partial or complete zone of ablation in the target tissue. The inactive portion comprises a second solid material different from the first solid material and does not actively emit energy when the energy source is energized.

Abstract: The invention relates to a heat sink parameter determination apparatus for determining a parameter of a heat sink like a blood vessel within an object such as a person (3) by minimizing a deviation between a measured temperature distribution, which has preferentially been measured by ultrasound thermometry, and a modeled temperature distribution, wherein the modeled temperature distribution is modeled based on a provided heat source parameter like the location of an ablation needle (2) and the heat sink parameter to be determined by using a given thermal model. This determination of heat sink parameters, which may be geometric and/or flow parameters, considers the real temperature distribution and is thus based on real heat sink influences on the temperature distribution. This can lead to an improved determination of heat sink parameters and hence to a more accurate temperature distribution which may be determined based on the determined heat sink parameters.

Abstract: An electrosurgery handpiece/pencil with smoke evacuation having features that support use at high frequencies without insulation breakdown and that provides increased efficiency of smoke evacuation during cutting and/or coagulation.

Abstract: An electrosurgical device: forceps having: a first working arm, a second working arm, wherein the electrosurgical device has a first electrosurgical configuration where the first working arm and the second working arm are in an opposed position so that the forceps deliver a first therapy current that flows between the first working arm and the second working arm; and wherein the electrosurgical device has a second electrosurgical configuration when the first working arm, the second working arm, or both are repositionable relative to each other so that the first working arm is extended with respect to the second working arm or vice versa and a second therapy current is delivered from the first working arm to a remote electrode.