Abstract: An anti-clogging device for a vacuum-assisted tissue removal system is provided. The device includes a tissue-separation chamber in a close proximity to (i) a cutting head operated by a physician and (ii) the physician for a filling and emptying by the physician during a tissue removal procedure, the cutting head and the tissue separation chamber in an operable communications with the suction assembly. The tissue separation chamber has an entry port in an operable communication with the cutting head for the entry of an excised tissue into the chamber, the excised tissue having a solid component and a liquid component; a baffle to separate the liquid component from the solid component; and, an exit port for the exit of liquid component out of the chamber. The tissue can include any tissue accessible through a small surgical opening, such as a nucleus pulposus tissue removed during a discectomy procedure.

Abstract: An apparatus and a method are provided to generate an ultrasound to be transmitted from an ultrasound irradiation device. The apparatus and the method include acquiring a medical image including anatomical information about a subject, and calculating characteristics of a tissue in the subject, which may affect propagation of the ultrasound based on the medical image. The apparatus and method also determine a parameter of the ultrasound to create a focal point on the subject using the calculated characteristics, and generate the ultrasound according to the determined parameter.

Abstract: Devices for removing implanted objects from body vessels are provided. A device includes a sheath assembly having a cutting tip. The cutting tip includes a cutting surface that is adapted to cut tissue coupled to an implanted object as the cutting tip rotates. The sheath assembly further includes an outer shield carried outside of the cutting tip. The outer shield includes a distal opening, and the outer shield is translatable relative to the cutting tip from a first position to a second position and vice versa. In the first position the cutting surface of the cutting tip is disposed within the outer shield, and in the second position the cutting tip extends through the distal opening and the cutting surface is at least partially disposed outside of the outer shield.

Abstract: An anchoring device (1) for anchoring a boring tool (3) in a lumen (4) for boring through an occlusion (6) in the lumen (4) comprises an expandable element (18) adapted for securing to a balloon (12) of a balloon catheter (8) adjacent a distal end (7) thereof. The expandable element (18) is expandable and contractible with the balloon (12) of the balloon catheter (8) for engaging the lumen and for anchoring the anchoring device (1) in the lumen (4). A guide element (33) extends coaxially from the expandable element (18), and a guide bore (34) extending through the guide element (33) is provided with an internal primary screw thread (35) for engaging a corresponding external screw thread (36) on the boring tool (3).

Abstract: An ultrasound needle guide apparatus to aid guidance of a puncturing needle to locate blood vessel positions of a living body and perform puncturing operation includes an ultrasound detection device, a display element connected to the ultrasound detection device in a rotatable manner and a needle positioning aid element fastened to the ultrasound detection device. The display element obtains ultrasonic signals from the ultrasound detection device and displays the blood vessel positions of the living body in an image fashion. The ultrasound needle guide apparatus is directly in contact with the intended ultrasound probing position so that users can directly and intuitively observe the blood vessel position through the display element, and swivel the display element according to operating position to control adjustment of display angle, and perform blood vessel puncturing operation via the needle positioning aid element to meet use requirement.

Abstract: An access device for placing a medical article within a body space includes a needle, a dilator, and a medical article. The needle can include an elongated needle body with a distal end and a hub from which the needle body extends. The elongated needle body can include at least one side fenestration and an outer diameter. The dilator can be slideably disposed on the needle body and include a dilator hub and an elongated dilator shaft that extends from the dilator hub. The dilator shaft can include at least one side fenestration in communication with the needle side fenestration. The dilator shaft can also include an inner diameter that is less than the outer diameter of the needle. The medical article can include a tubular section and a hub. The tubular section can be disposed on the dilator and define a space between the medical article and the dilator in communication with the needle side fenestration through the dilator side fenestration.

Abstract: A catheter insertion device includes a hollow needle having a distal skin-piercing end opposite a proximal base end, and an insertable catheter that is extended by a spring loaded plunger. A housing for the catheter insertion device includes a slot which extends from a slot open end to a slot closed end with a slot turn there between. At least a portion of the slot extending from the slot open end to the slot turn is non-linear with respect to a longitudinal axis of the hollow needle. A plunger moves with a button and a portion of the button is configured to be movable within the slot between a stored position, an armed position and an extended position. The plunger is configured to rotate about the longitudinal axis of the needle as the portion of the button passes through the non-linear portion of the slot.

Abstract: A laparoscopic port is disclosed which includes a tubular member comprising a proximal end and a distal end and a lumen extending there between. At least one seal member provided in the lumen adapted to prevent pressurized gas flow from the distal end to the proximal end of the tubular member. The laparoscopic port further includes a shielding trigger positioned distal to the seal member in the lumen, the shielding trigger is shaped so as at least a proximal portion of the shielding trigger has a narrowing cross-section that extends towards the seal member, the proximal portion is adapted to actuate a reversibly opening and protection of the seal member upon a proximally projected pressure from a distal end of an artifact.

Abstract: External fixator assemblies, systems, and methods thereof. An external fixator system may include a plurality of fixator assemblies configured to connect a plurality of pins, for example, positioned on opposite sides of a fractured bone, with one more rods. The fixator assemblies may include a plurality of clamp assemblies which are configured to rotate relative to one another when the fixator assembly is in an unlocked position.

Abstract: Disclosed is an adjustable and partially removable calcaneal restraint system and treatment method in the context of a first phase of surgery wherein a transverse calcaneal pin is inserted through the calcaneus and the calcaneal restraint system is then installed pending the second surgery. An aspect of the calcaneal restraint system also provides a partially removable framework to allow better or unimpeded access to the desired site for the second surgery stage of the treatment.

Abstract: Elongated pin (1) for an external fixator for temporary and/or permanent fixation applications to treat bone fractures and to connect two or more bone fragments to each other, comprising an elongated cylindrical stem (2) extending along a longitudinal axis (X) and a conical end portion (3) with a tip and an external thread for inserting the pin (1) into a bone, wherein said conical end portion (3) with a tip has an overall length, measured along the longitudinal axis (X), equal to the diameter (d) of the stem (2) ±20% of said diameter (d) and wherein the stem (2) comprises a cylindrical end area (4) extending adjacent to the conical portion (3) and having an external thread which extends over a length, measured along the longitudinal axis (X), equal to the diameter (d) of the stem (2) ±25% of said diameter (d).

Abstract: A bone anchoring device includes a receiving part including a rod receiving portion with a first end, a second end, and a U-shaped recess for receiving a rod, the recess defining two free legs, and a head receiving portion at the second end for introducing and clamping the head, and a locking ring configured to be arranged around the head receiving portion, the locking ring including an engagement structure for engagement with a tool, the engagement structure defining a width of the locking ring that is greater than a greatest width of the rod receiving portion, wherein the locking ring can assume a locking position exerting a greatest compressive force on the head receiving portion of the receiving part to lock an inserted head, and wherein the locking ring is movable out of the locking position towards the first end of the rod receiving portion.

Abstract: The present disclosure includes a polyaxial bone fixation element for use in spinal fixation to interconnect a longitudinal spinal rod with a patient's vertebra. The polyaxial bone fixation element preferably includes a bone anchor, a collet, a body, and a locking cap. The polyaxial bone fixation element preferably enables in-situ assembly. That is, the polyaxial bone fixation element is preferably configured so that in use, the bone anchor may be secured to the patient's vertebra prior to being received within the body. Accordingly, the polyaxial bone fixation element enables a surgeon to implant the bone anchor without the body to maximize visibility and access around the anchoring site. Once the bone anchor has been secured to the patient's vertebra, the body can be snapped-onto the bone anchor. The bone anchor preferably also includes a second tool interface so that a surgical instrument can be directly coupled to the bone anchor.

Abstract: The present invention generally provides a polyaxial fixation device having a shank with a spherical head formed on a proximal end thereof, and a receiver member having an axial passage formed therein that is adapted to polyaxially seat the spherical head of the shank. The polyaxial bone screw further includes an engagement member that is adapted to provide sufficient friction between the spherical head and the receiver member to enable the shank to be maintained in a desired angular orientation before locking the spherical head within the receiver member.

Abstract: A spinal cross-connector comprises an elongated member, a first connector and a second connector. The first connector and the second connector are configured to receive spinal rods and adaptable to directly attach with pedicle screws. The first connector includes a first collet head, a first clamp and a first locking means. The second connector includes a second collet head, a second clamp and a second locking mans. The first locking means is configured to tighten over a first collet head and engage with the first connector. Similarly, the second locking means is configured to tighten over a second collet head and engage with the second connector. The engagement of the first locking means with the first connector and the second locking means with the second connector locks the spinal cross-connector.

Abstract: Expandable spinal fixation assemblies, systems, and methods thereof. An expandable spinal fixation system may include expandable barrel assembly including an upper barrel half and a lower barrel half and a fixed barrel assembly. The fixed barrel assembly is insertable between the upper barrel half and the lower barrel half such that the fixed barrel assembly is clamped between the upper barrel half and the lower barrel half. Each of the expandable barrel assembly and the fixed barrel assembly includes fixation plates adapted to secure spinous processes to the fixation system.

Abstract: This disclosure describes example embodiments of rod reduction instrumentation and other rod and vertebrae manipulation instruments. The rod reducers can be used during the installation of a rod based surgical fixation system to help urge the rod into the fixation anchors. The reducers described provide various configurations delivering large reduction distance capabilities, strong controlled reduction coupled with an ability to quickly advance the reducer if desired, and reduction of bulk through the surgical corridor.

Abstract: Rod link reducer assemblies, systems, and methods thereof. The rod link reducer assembly provides a manipulator rod having a first end, a second end, and an elongate body extending along a body axis between the first end and the second end. A post extends outwardly from the rod. A rod manipulating joint comprise an elongate joint rod extending along a joint rod axis, a first coupling clamp disposed along the joint rod, the first coupling clamp releasably connectable to the post, and a second coupling clamp disposed along the joint rod adjacent to and rotatable about the joint rod relative to the first coupling clamp. The second coupling clamp is releasably connectable to a shaft. A biasing member is adapted to bias the second clamp against the first clamp.

Abstract: Examples of devices and methods for stabilizing a fracture in a bone include a body having an elongate distal portion having an outer surface defining a screw thread and an elongate proximal portion having a non-threaded outer surface.

Abstract: A flexible fastening device having multiple segments, one or more of which are flexible and one or more segments that also include threads. The flexibility is created through the use of at least one helical slot formed generally in the center segment of the element. Additional flexible segments also have at least one helical slot in either the same helical rotation and pattern or in an opposite rotation and/or different pattern. An elastomeric material can fill the hollow body, extend into the slots and/or encompass the exterior. The flexible fastening device can have a hollow body, including leading and trailing edge, or can have a partially hollow body.

Abstract: A bone fixation device includes an elongated bone fixation plate and a rotational member that are secured to an oblique fractured bone. The fixation plate can be secured to the bone across the fracture. The rotation member can include two tabs that extend around opposite sides of the bone. The bone segments can be aligned and secured to the fixation plate. The rotation member can then be rotated so that the tabs physically contact and prevent movement of the bone segments.

Abstract: Fusion plates and interbody fusion devices have been developed that contain slots to allow the use of pins to position and to guide the placement of the plate while the screws are being secured, reducing the likelihood of improper placement and localization of the plate and screws. The slots contain ridges formed of a plurality of teeth that are configured to engage with corresponding ridges and teeth on the shaft of a distraction pin. After the plate is placed over the distraction pins, the plate is immobilized in the inferior and superior directions and also in the anterior-posterior direction even prior to placement of the bone screws in the plate. Optionally, the pins may be compressed together to apply compression to the vertebra prior to placement of the bone screws.

Abstract: The present disclosure provides, in certain aspects, unique methods and systems for connecting orthopedic components. In some forms, a male-type projection of a first orthopedic component is securely lodged within a female-type aperture in a second orthopedic component. In one embodiment, the projection, while received through a proximal entryway in the aperture, includes a first longitudinal region with deformed surface elements that provide a first securing zone within the aperture and a second longitudinal region with deformed surface elements that provide a second securing zone within the aperture. The first securing zone is located proximate the distal end of the projection, and the second securing zone is located proximate the proximal entryway of the aperture.

Abstract: Systems and methods for treating vertebral compression fractures are discussed. In an embodiment, a method includes mixing bone cement precursors thereby causing a first chemical curing reaction characterized by a first time-viscosity profile, controllably applying energy to the bone cement from an external source to modify the first time-viscosity profile to a second time-viscosity profile, and injecting the cement into bone at a substantially constant viscosity greater than about 1000 Pa·s to greater than about 5000 Pa·s over an extended working time. In another embodiment, a bone cement injector system is provided that includes a first handle component that is detachably coupled to a second sleeve component having a distal end for positioning in bone and a flow channel extending through the first and second components. The system includes first and second thermal energy emitters for delivering energy to bone cement flows in a flow channel portion in the first and second components, respectively.

Abstract: The present invention relates to a medical device for freeing an implant from the bone of a patient to which the implant adheres to and to an implant for insertion into a bone of a patient, designed such that the implant is more homogenously heatable or coolable in a controlled way. Also provided is a method of removing an implant from a bone of a patient and a computer readable storage medium having recorded thereon a database structure.

Abstract: A medical device may include a stimulation member configured to apply a stimulus to a nerve that is configured to control a contraction of an airway distal to the nerve, and a measurement member configured to measure an effect of the stimulus on the airway. The medical device also may include an energy delivery element configured to deliver energy to tissue defining the airway to reduce an effect of the stimulus on the airway. The energy delivery element may be disposed at or distally of the stimulation member.

Abstract: An RF electrode can have a straight shaft to generate an RF heat lesion that is asymmetric about the central axis of the cannula through which the RF electrode is introduced into bodily tissue.

Abstract: An apparatus comprises a body, a shaft, an end effector and a sensor. The shaft extends distally from the body. The end effector is configured to receive energy from an energy source. The end effector comprises a first jaw and a second jaw. The second jaw is pivotable relative to the first jaw to transition the end effector from an open configuration to a closed configuration. In the closed configuration, the first jaw and second jaw define a closure gap. The sensor is operable to detect when the end effector is in the closed configuration. The sensor is also in communication with the energy source, such that the sensor is operable to communicate a signal to the energy source when the sensor detects the end effector in the closed configuration.

Abstract: Devices and methods for applying energy to tissue are provided. In one exemplary embodiment, a surgical device includes a monopolar end effector, a cannulated, insulated outer sheath, a translating nozzle coupled to the proximal end of the sheath, and a handle portion coupled to a proximal end of the end effector. Various translating means, such as switches, thumbwheels, rings, and buttons, are associated with the handle portion, and are effective to advance the outer sheath to cover a distal end of the end effector and retract the outer sheath to expose the distal end of the end effector. The translating means are configured in a manner that allows a user to operate the translating means without having to adjust a location of the user's hand on the device. A variety of translating means are provided for, as are methods for cutting, coagulating, irrigating, and suctioning tissue.

Abstract: A surgical instrument is provided and includes a housing having a shaft. An end effector assembly operatively connects to the shaft and has a pair of first and second jaw members. A jaw insert is operably associated with the first and second jaw members. The jaw insert includes one or more cam slots defined therein configured to receive a cam pin that upon movement thereof rotates the first and second jaw members from an open position to a clamping position and an opening defined therein configured to securely house a pivot pin that provides a point of pivot for the first and second jaw members. The jaw insert is manufactured from an insulative medium to dielectrically isolate the first and second jaw members.

Abstract: A surgical instrument is provided, namely surgical scissors. The surgical instrument has liquid-tight heat-shrunk protective covering located at the business end of the surgical instrument which prevents contamination and damage to moving parts of the instrument which otherwise typically occurs between an extended tube portion of the surgical instrument and a head portion of the surgical instrument. Further, the liquid-tight heat shrunk protective covering provides electrical insulation all the way to the distal tip of a clevis of the surgical instrument by use of a rubber (for example silicone) seal. The surgical instrument has a first blade and a second blade secured to the clevis. The first blade and second blade both have a triangular-shaped back end which allows the blades to fully extend without the back ends extending outside of the instrument.

Abstract: An RF electrode can have a straight shaft to generate an RF heat lesion that is asymmetric about the central axis of the cannula through which the RF electrode is introduced into bodily tissue. For example, a system for tissue ablation can include a cannula and an electrode, the cannula including an elongated shaft having a proximal end and a distal end, the cannula shaft including an electrically conductive active tip distal to an electrically insulated cannula shaft portion, the cannula shaft including a lumen extending from a proximal opening at the proximal end of the shaft to an exit opening within a distal portion of the cannula shaft, the electrode including an electrode shaft having a proximal end and a distal end, the electrode shaft including an electrically conductive active tip distal to an electrically insulated electrode shaft portion.

Abstract: An RF electrode can have a straight shaft to generate an RF heat lesion that is asymmetric about the central axis of the cannula through which the RF electrode is introduced into bodily tissue. An electrode can be inserted into a cannula, and an electrosurgical generator can apply current between the active tip of the electrode and the active tip of the cannula to heat tissue.

Abstract: Systems, methods and devices for controlled sympathectomy procedures for neuromodulation in the treatment of subjects having neoplastic conditions are disclosed. Systems, methods, and devices for interventionally treating a cancerous tumor and cancer related pain are disclosed.

Abstract: Devices and methods are disclosed for providing and using an ablation catheter. The catheter may include an expandable member having a plurality of electrodes, where each electrode is in association with at least one contact sensor and at least one light emitting element. Light is emitted in response to the contact of the contact sensor with the tissue to be ablated. A light sensor disposed centrally to the catheter gathers light emitted from the light emitting elements and sends a signal to a system controller for display.

Abstract: A surgical spatula has a planar transmission line for carrying microwave energy formed from a sheet of a first dielectric material which has first and second conductive layers on opposite sides thereof. The surgical spatula also has a coaxial cable for delivering microwave energy to the planar transmission line. The coaxial cable has an inner conductor, an outer conductor coaxial with the inner conductor and a second dielectric material separating the inner and outer conductors. The inner and outer conductors extend beyond the second dielectric to overlap opposite surfaces of the transmission line and electrically contact the first conductive layer and second conductive layer respectively. The width of the first and second conductive layers is selected to create an impedance match between the transmission line and the coaxial cable.

Abstract: A patient side cart for a teleoperated surgical system can include at least one manipulator arm portion for holding a surgical instrument, a steering interface, and a drive system. The steering interface may be configured to detect a force applied by a user to the steering interface indicating a desired movement for the teleoperated surgical system. The drive system can include at least one driven wheel, a control module, and a model section. The control module may receive as input a signal from the steering interface corresponding to the force applied by the user to the steering interface. The control module may be configured to output a desired movement signal corresponding to the signal received from the steering interface. The model section can include a model of movement behavior of the patient side cart, the model section outputting a movement command output to drive the driven wheel.

Abstract: A robotic surgery method includes coupling a first element of a fluoroscopic imaging system to a first robotic arm fixed relative to an operating room. The first robotic arm includes a mounting fixture configured to be interchangeably coupled to a surgical tool and the first element of the fluoroscopic imaging system. The method further includes mounting a second element of the fluoroscopic imaging system in a position and orientation relative to the first element such that a targeted patient tissue structure may be positioned there between. The method further includes utilizing a sensing system and one or more sensing elements coupled to each of the first and second elements of the imaging system to determine a relative spatial positioning between each of the first and second elements of the fluoroscopic imaging system. The first and second elements of the fluoroscopic imaging system are a source element and a detector element.

Abstract: Various exemplary methods, systems, and devices for gathering and analyzing data for robotic surgical systems are provided. In general, the methods, systems, and devices can allow data to be gathered regarding use in a surgical procedure of a robotic surgical system that includes a plurality of movable arms each configured to couple to a surgical instrument. The gathered data can be used to determine a recommended initial position of the arms for future surgical procedures using the robotic surgical system. The recommended initial position can be provided to users of the robotic surgical system in the future surgical procedures.

Abstract: A method of automatically registering a surgical navigation system to a patient's anatomy is provided. The method comprises programming a surgical navigation system with a first spatial relationship between a surgical component and a reference array connected to the surgical component, programming the surgical navigation system with a second spatial relationship between an anatomical feature of a patient and the surgical component, installing the surgical component on the patient such that the surgical component engages the anatomical feature in the second spatial relationship, and locating the reference array with the surgical navigation system. The navigation system automatically recognizes the position of the reference array relative to the patient's anatomy.

Abstract: Presented herein are methods, systems, devices, and computer-readable media for image guided surgery. The systems herein allow a physician to use multiple instruments for a surgery and simultaneously provide image-guidance data for those instruments. Various embodiments disclosed herein provide information to physicians about procedures they are performing, the devices (such as ablation needles, ultrasound wands or probes, scalpels, cauterizers, etc.) they are using during the procedure, the relative emplacements or poses of these devices, prediction information for those devices, and other information. Some embodiments provide useful information about 3D data sets. Additionally, some embodiments provide for quickly calibratable surgical instruments or attachments for surgical instruments.

Abstract: Systems and methods may be used to perform robot-aided surgery. A system may include a robotic controller to monitor a position and orientation of an end effector coupled to an end of a robotic arm. The robotic controller may apply a force to a bone using the end effector, such as via a soft tissue balancing component. The robotic controller may determine soft tissue balance using information from a tracking system, such as a position of a first tracker affixed to the bone. The soft tissue balance may be output, such as to a display device.

Abstract: A computer assisted surgery apparatus includes a surgical instrument having an intervention member to cut tissue of a body part of a patient; a control unit arranged to control position and orientation of the intervention member in relation to the body part with regard to a predefined osteotomic line on the body part; and a tracking device arranged to track a position and orientation of the body part. The surgical instrument includes an optical monitoring system mounted in relation to the intervention member, wherein the optical monitoring system is arranged to continuously detect positions of marks applied to the body part, and the control unit is arranged to adjust position and/or orientation of the intervention member when a predefined deviation of the positions of the marks is detected. The surgery apparatus allows for application of cuts in the body part at comparably complex cutting geometries and at comparably high precision.

Abstract: Devices, Systems, and Methods for controlled movement of the robot system. The surgical robot system may include a robot having a robot base, a robot arm coupled to the robot base, and an end-effector coupled to the robot arm. The robot may include a plurality of omni-directional wheels affixed to the robot base allowing multiple-axis movement of the robot. The robot may further include sensors for detecting a desired movement of the robot base and a control system responsive to the plurality of sensors for controlling the multiple-axis movement of the robot by actuating two or more of the plurality of omni-directional wheels.

Abstract: Provided herein are actuation transmission lines used for robotic systems, for example, MRI guided robots, for image-guided robot-assisted surgical and medical intervention procedures. This actuation transmission lines may include any of the following: one or more sections of a flexible channel; one or more sections of a rigid channel in a connecting relationship with the one or more sections of a flexible channel; solid media disposed inside the channel; one or more mechanical links in contact with the solid media inside the channel electronically or mechanically linked to a power source; a fine-tuning module disposed in the flexible channel; and one or more media motion sensors.

Abstract: The invention relates to an apparatus for robot-assisted surgery, a positioning device (600, 700) as well as a method for assisting in the positioning of a manipulator arm (16) of an apparatus for robot-assisted surgery. The apparatus comprises a positioning device (600, 700) which is connected to a coupling unit (100) of the manipulator arm (16) instead of an instrument unit (300). The instrument unit (300) has a surgical instrument (500) with an instrument shaft (512), the proximal end (514) of which is passable through a body orifice of a patient (18) to a target area (30).

Abstract: Provided, among other things is a leak-resistant elastomeric barrier comprising: an elastomeric barrier comprising elastomeric polymer, having two sides, and coated on at least a portion of a first side with a highly hydrophobic coating such that the initial contact angle with water is about 130° or more, and that contact angle does not decay by more than about 10% over 40 minutes. In embodiments the highly hydrophobic coating comprises hydrophobic silica particles are disposed on a hydrophobic coating disposed on the first side, for example with a hydrophobic coating comprises that a fluorocarbon compound, a polypropylene wax, a polyethylene wax, or a mixture thereof.

Abstract: A tissue protector has a body structure having a longitudinal extending thin web. The body structure has an unconstrained first shape configured to form a nerve shield and is configured to shrink about a longitudinal axis to a smaller constrained second shape sized to fit into a lumen of a cannula. Preferably, the second constrained shape is oval or round having a maximum diameter equal or less than an inside diameter of the lumen. The body structure is configured to return to the first shape when the cannula is withdrawn or returned to this shape as the implant advances.

Abstract: An object sizing system sizes an object positioned within a patient. The object sizing system identifies a presence of the object. The object sizing system navigates an elongate body of an instrument to a position proximal to the object within the patient. An imaging sensor coupled to the elongate body captures one or more sequential images of the object. The instrument may be further moved around within the patient to capture additional images at different positions/orientations relative to the object. The object sizing system also acquires robot data and/or EM data associated with the positions and orientations of the elongate body. The object sizing system analyzes the captured images based on the acquired robot data to estimate a size of the object.

Abstract: Electrosurgical instruments and associated methods are provided. An electrosurgical instrument may include one or more light emitters that comprise a light source in operative communication with a power supply supportably interconnected to a handle portion. The instrument may have a toggle member with one or more selectable positions that may selectively activate any of one or more operational states of an electrosurgical electrode comprising the instrument. The toggle member may selectively activate the light emitter(s) provided on the instrument alone and/or in conjunction with the activation of one or more operational state. The handle portion may include an elastomeric handle portion that extends continuously along the handle portion and over the toggle member to seal the handle portion.