Abstract: Electrosurgical methods and apparatus for removing tissue from a target site of a patient. An electrosurgical suction apparatus includes an aspiration channel in communication with a distal aspiration port, and an electrode support having a plurality of active electrodes disposed thereon, the plurality of active electrodes spanning the aspiration port. Each of the plurality of active electrodes is adapted for removing tissue from a target site to form low molecular weight ablation by-products. Each of the plurality of active electrodes is also adapted for digesting resected tissue fragments to yield low molecular weight ablation by-products. Ablation by-products and resected tissue fragments are readily removed from the target site via an aspiration stream flowing proximally through the aspiration channel.

Abstract: Crossflow thrombectomy catheter and system for fragmentation and removal of thrombus or other material from blood vessels or other body cavities. High velocity saline jets emitted from a toroidal loop jet emanator or other jet emanator in a catheter distal end entrain fluid through inflow orifices, and with flow resistances create a back-pressure which drives crossflow streams through outflow orifices in a radial direction and thence radially and circumferentially to apply normal and drag forces on thrombotic deposits or lesions in the blood vessel or other body cavity, thereby breaking apart and transporting thrombus particles to be entrained through the inflow orifices, whereupon the high velocity jets macerate the thrombus particles which then transit an exhaust lumen or recirculate again via the outflow orifices.

Abstract: Crossflow thrombectomy catheter and system for fragmentation and removal of thrombus or other material from blood vessels or other body cavities. High velocity saline jets emitted from a toroidal loop jet emanator or other jet emanator in a catheter distal end entrain fluid through inflow orifices, and with flow resistances create a back-pressure which drives crossflow streams through outflow orifices in a radial direction and thence radially and circumferentially to apply normal and drag forces on thrombotic deposits or lesions in the blood vessel or other body cavity, thereby breaking apart and transporting thrombus particles to be entrained through the inflow orifices, whereupon the high velocity jets macerate the thrombus particles which then transit an exhaust lumen or recirculate again via the outflow orifices.

Abstract: An electrocautery instrument is provided with a hollow electrode having a source of conductive fluid coupled to a proximal end thereof. Conductive fluid is communicated through said electrode and expelled out of the distal end thereof during electrocautery, forming a “virtual electrode.” The infused conductive liquid conducts the RF electrocautery energy away from the conductive electrode, thereby displacing the region of thermal generation and reducing the extent of burns and perforations caused by conventional electrocautery electrodes. In one embodiment, the electrode is partially disposed within and extends distally out of a retractable suction tube, such that smoke and fluid are aspirated from the electrocautery site. When the suction tube is fully advanced, the electrode is concealed therein, enabling suction without electrocautery to be performed.

Abstract: An electrocautery instrument is provided with a hollow electrode having a source of conductive fluid coupled to a proximal end thereof. Conductive fluid is communicated through said electrode and expelled out of the distal end thereof during electrocautery, forming a “virtual electrode.” The infused conductive liquid conducts the RF electrocautery energy away from the conductive electrode, thereby displacing the region of thermal generation and reducing the extent of burns and perforations caused by conventional electrocautery electrodes. In one embodiment, the electrode is partially disposed within and extends distally out of a retractable suction tube, such that smoke and fluid are aspirated from the electrocautery site. When the suction tube is fully advanced. the electrode is concealed therein, enabling suction without electrocautery to be performed.

Abstract: Methods and apparatus filter and reinfuse aspirate removed from body lumens following a medical procedure. Evacuation of harmful material such as blood clot or plaque from a blood vessel can be combined with filtering of blood from the unwanted material, allowing the blood to be reinfused back into the patient's system through various means, thereby minimizing the effects of blood loss to the patient.

Abstract: The apparatus connects to a pressurized sterile liquid source SOSPE and to an aspiration source SOSPI and is composed of two basic channels, one for a pressurized sterile liquid jet Jet HP for dissection and the other for a flow jet Jet DEBIT for lavage/rinsing or irrigation, with each channel linked to a specific handpiece. Each of the dissection and the lavage/rinsing channels passes through a flow control unit ESCA1 and ESCA2, respectively, which provides for the opening/closing of the fluid links in continuous or pulsed operation making it possible to operate as a pulsed jet or to obtain a continuous jet. This invention applies primarily to manufacturers of apparatuses for medical or surgical use.

Abstract: A technique is described for liquefying, or gelifying, a hardened, cataractous lens nucleus and aspirating the same. Heat or heated solution is delivered to the lens nucleus in vivo so that the heat or heated solution is placed in contact with the hardened nucleus in order to heat and liquefy the same. The lens nucleus is irrigated simultaneously with a cooled solution to thereby limit to a very small area where the heat or heated solution is present in the eye. This allows the surgeon precise control over which intraocular anterior segment structures are exposed to the heat or heated solution. The liquefied lens nuclear material is then aspirated from the eye. The above allows the removal of a lens nucleus through a 1 to 2 mm corneal or limbal incision which is smaller than the smallest incision allowable with previously known small incision cataract techniques. The above benefits the patient as it allows small incision cataract removal to be done in a way that is non-traumatic to intraocular structures.

Abstract: Compositions of perfluorocarbons and methods of using these compositions for subcutaneous fat removal. A version of the composition also contains local anesthetic and/or vasoconstrictors. The composition is in association with a pharmacuetical carrier. The composition is for use in liposuction techniques. Also provided is a method for subcutaneous removal of lipid or fat cells from a patient using the composition.

Abstract: A blood suction apparatus for aspirating blood from a patient is developed as a one-hand held instrument having a handgrip. A centrifuge chamber, shaped to narrow from its tangentially directed top blood inlet to its bottom blood outlet end, like a funnel. A gas outlet opening from a gas collection space above the chamber and to which a suction device can be connected. A blood outlet at the lower end of the centrifuge chamber with both outlets connectable to a source of suction. The orientations of the handgrip and of elements passing through the handgrip are disclosed.

Abstract: Sleeve apparatus for a phacoemulsification/irrigation and aspiration handpiece includes an elongate sleeve having a proximal and a distal end with a sleeve establishing an annular passage around a needle enabling irrigation fluid to pass into the eye through the passage and into the eye while cooling the needle. The elongate sleeve includes a hub disposed a proximal end for enabling attachment of the sleeve to the handpiece and a port disposed approximate the distal end and in fluid communication with the annular passage is provided for introducing irrigation fluid into the eye. An Internal circumferential berm, disposed between the port and the distal end is provided to reduce flow of the irrigation fluid therepast, to provide rigidity to the distal end of the sleeve and concomitantly provide limited contact with the needle in order to produce thermal transfer therebetween.

Abstract: During the treatment of biological tissues by high-frequency surgery, contaminants, in particular smoke, are produced. In the present invention a suction device for removal of the contaminants is controlled in such a way that it becomes active only when a voltage sufficient to ignite an arc exists at an applicator of the HF-surgery device, and/or an arc is burning between the applicator and the treatment region, and/or the treatment region reaches a temperature at which smoke can be produced.

Abstract: Compositions of perfluorocarbons and methods of using these compositions for subcutaneous fat removal. A version of the composition also contains local anesthetic and/or vasoconstrictors. The composition is in association with a pharmacuetical carrier. The composition is for use in liposuction techniques. Also provided is a method for subcutaneous removal of lipid or fat cells from a patient using the composition.

Abstract: The invention provides a nested tubing cannula which comprises outer and inner elongate tubular members, each having a proximal end, a distal end, and a lumen therebetween. The inner tubular member is sealed at its distal end and is nested substantially coaxially within the lumen of the outer tubular member, so that the gap between the inner and the outer tubular member defines a second lumen whereas the first lumen is the lumen of the inner tubular member. A tubular sleeve is disposed coaxially between the inner and outer tubular members. A balloon is mounted on a distal region of the outer tubular member and is in communication with the first lumen. The cannula further comprises a port proximal or distal the balloon occluder and is in communication with the second lumen. Methods for making the devices herein are disclosed.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within or on a patient's body. In particular, methods and apparatus are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The methods and systems of the present invention are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.

Abstract: A method of injecting a first viscous fluid into a target tissue simultaneous with aspirating a second viscous fluid from the target tissue is disclosed. A surgical system is provided that is capable of supplying pneumatic pressure and vacuum. A first viscous fluid is injected into the target tissue using pneumatic pressure from the system. A mode of operation of the system is changed to provide vacuum and pneumatic pressure. The second viscous fluid is aspirated from the target tissue using vacuum from the system, and the pneumatic pressure remains substantially constant during aspiration. An improved foot pedal for controlling the simultaneous injection and aspiration of viscous fluids is also disclosed.

Abstract: A sleeve apparatus for a phacoemulsification/irrigation and aspiration handpiece having an ultrasonic drive assembly attached to a hollow needle includes a compressible sleeve for establishing an annual passage around the needle and enabling the irrigation fluid to pass into an eye through a cornea/sclera wound while cooling the needle. The compressible sleeve includes a wall configuration for controlling compression of the sleeve in order to cause the compressible sleeve to shape and conform to the corneal/sclera wound and limit fluid egress from the wound. A hub is provided for attaching the compressible sleeve to the handpiece and enabling the needle to be angularly displaced within the compressible sleeve means during phacoemulsification.

Abstract: A disposable high density optically readable polydeoxynucleotide array with integral fluorescence excitation and fluorescence emission channels is described. The compact array size allows integration into several types of interventional devices such as catheters, guidewires, needles, trocars and may be used intraoperatively. Highly sensitive monitoring of the metabolic and disease pathways of cells in vivo under varying chemical, genetic and environmental conditions is afforded.

Abstract: A surgical handpiece having at least two lumens mounted to a body. At least one lumen is used for aspiration and at least one other lumen is used to inject heated surgical fluid for liquefying a cataractous lens. A portion of the second lumen is enlarged to form a pumping chamber. The pumping chamber works by boiling a small volume of the surgical fluid. As the fluid boils, it expands rapidly, thereby propelling the liquid downstream of the pumping chamber out of the second lumen. The pumping chamber may use any type of heater, such as a resistive heater or an induction heater. The handpiece may also contain other lumens for injecting relatively cool surgical fluid.

Abstract: An apparatus employing liquid and gas as working fluids for cleansing living tissue includes a container for a sterile liquid and a fluid delivery head having a liquid entry port, a gas entry port, a fluid outlet apparatus and a valve located between the entry ports and the fluid outlet apparatus. The valve selectively permits respective liquid and gas flows from the entry ports to the fluid outlet apparatus. A liquid conduit extends between a liquid inlet located within the container and a liquid outlet connected to the liquid entry port of the delivery head. A gas conduit extends between a gas inlet and a gas outlet. The gas inlet is connected to a source of pressurized gas and the gas outlet is connected to the gas entry port of the delivery head. The gas conduit is connected to the container via an intermediate outlet port.

Abstract: A trephination and irrigation set includes a drill guiding soft tissue protector sleeve, a trephination instrument (e.g., a drill) having a length longer than the protector sleeve, a guide rod dimensioned to fit into a trephine hole for preserving the hole through a soft tissue incision, and a tapered cannula sized to lodge in the frontal bone of the skull for introducing irrigation fluid through the cannula and into the frontal sinus cavity. The frontal sinus is treated through a hole drilled through the frontal bone. A small incision is made large enough to accept the soft tissue sleeve protector which is then inserted into the incision and depressed against the bony surface. The sleeve protector has teeth at its periosteal (or distal) edge for gripping the bone securely. The surgeon inserts the drill into the sleeve protector and drills straight through the front table.

Abstract: A trephination and irrigation set includes a drill guiding soft tissue protector sleeve, a trephination instrument (e.g., a drill) having a length longer than the protector sleeve, a guide rod dimensioned to fit into a trephine hole for preserving the hole through a soft tissue incision, and a tapered cannula sized to lodge in the frontal bone of the skull for introducing irrigation fluid through the cannula and into the frontal sinus cavity. The frontal sinus is treated through a hole drilled through the frontal bone. A small incision is made large enough to accept the soft tissue sleeve protector which is then inserted into the incision and depressed against the bony surface. The sleeve protector has teeth at its periosteal (or distal) edge for gripping the bone securely. The surgeon inserts the drill into the sleeve protector and drills straight through the front table.

Abstract: A disposable hand piece providing irrigation and aspiration capability to a surgical field can adaptably hold within itself endoscopes of different manufacturers. Running through the hand piece is a bore; attached at the distal end of the hand piece is a reusable sheath. The tubular shaft of an endoscope is inserted into the bore of the hand piece and the reusable sheath. A first collet at the proximal side of the hand piece securely holds the endoscope by adjusting to the outer diameter of the tubular shaft of the endoscope. A second collet at the distal side of the hand piece holds the reusable sheath in a selected linear extension. The collets, however, permit the tubular shaft and the reusable sheath to be rotated in place and thus adjust the view of the surgical field. An annular space is maintained between the tubular shaft and the reusable sheath so as to provide a channel for irrigation and aspiration. Further aspiration capability is provided by a separate suction device.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within of a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove, contract or otherwise modify the structure of tissue structures. In one aspect of the invention, a method is provided for treating herniated discs within a patient's spine by applying sufficient electrical energy to the disc tissue to reduce a volume of the disc, thereby relieving pressure on a spinal nerve. In one embodiment, the high frequency voltage is sufficient to ablate a portion of the nucleus pulposis, either the extruded portion outside of the annulus or a portion or all of the pulposis within the annulus.

Abstract: An electronic surgical probe including an axially elongated member adapted to receive ultrasonic vibrations from an ultrasonic motor or transducer and having a circular cross-section, has a coaxially positioned cannula or sheath surrounding the elongated member, the cannula or sheath defining an aperture adjacent the distal end portion of the elongated member, wherein fluid adjacent the distal end portion of the elongated member is activated or cavitated by ultrasonic vibrations from the distal end of the elongated member and passing through the aperture of the cannula acts upon tissue and/or other matter.

Abstract: Multipurpose fluid applicators, particularly suitable for surgical purposes, are disclosed. The applicators are specifically designed for dispensing various combinations of sterile pressurized gas, suction, irrigation and sealant agents, including a mixed liquid sealant agent. Preferred embodiments employ a dual-acting valve selectively to control the flow of gas or suction which valve is capable of simultaneously varying flow from a source and the venting of that flow to atmosphere.

Abstract: A container is provided that is disposable, for first collecting blood delivered from a patient, preferably by a vacuum draw of blood into a container, and then the blood in the container is treated. The treatment is provided by an at least partial a back-and-forth or reciprocating motion of blood along membranes, such that filtrate components of the blood pass through the membrane walls and are collected, whereby retentate components of the blood are retained, with the back-and-forth motion being provided by a substantially constant vacuum draw, that provides a pumping action by a diaphragm pump. A replenishment liquid is automatically added, substantially proportional to the amount of filtrate components of the blood that are withdrawn. The membranes are protected by a device which removes body fat or other potentially harmful materials.

Abstract: A surgical system having a cassette with an aspirant collection chamber and an aspiration vent line that draws fluid from the aspirant collection chamber. The pressure within the collection chamber is maintained near ambient so that when the aspiration vent line is open, fluid flows from the collection chamber and into the aspiration line. Such a system does not require a second source of irrigation fluid, minimizes pressure surges into the irrigation fluid line and does not affect the fluidic performance of the aspiration system. In addition, various vent pressures can be achieved by varying the vertical position of the reservoir relative to the aspiration line.

Abstract: A switch for use with an electrosurgical tool having a heatable tip connectable to a power source and a suction passage connectable to a suction source. The switch comprises a main body having a suction passage extending therethrough connectable to the suction passage of the tool. A cavity in the main body intersects the suction passage and is adapted to slidably receive a mounting post to permit slidable movement of the main body over the mounting post. The mounting post has an end protruding from the main body that is pivotally connectable to the tool. An opening extends through the mounting post that is alignable with the suction passage. In operation, the main body of the switch is manually movable between a default position in which the suction passage and the opening are misaligned to block suction and an operating position in which the suction passage and opening are aligned to permit suction.

Abstract: A middle ear fluid aspirator comprised of a syringe assembly that provides suction through the creation of negative pressure therein and a needle having an angled region that permits the operation of the aspirator while maintaining visual contact with the tympanic membrane and a needle safety assembly whereby the penetrating portion of the needle is not capable of damaging the ossicular structures of the ear.

Abstract: An electromagnetically induced cutting mechanism provides accurate cutting operations on soft tissues. The electromagnetically induced cutter is adapted to interact with atomized fluid particles. A non-thermal tissue remover comprises an aspiration cannula housing a fluid and energy guide for conducting electromagnetically induced mechanical cutting forces to the site within a patient's body for aspiration of soft tissue. The cannula is provided with an aspiration inlet port adjacent the cannula distal end. The proximal end of the cannula is provided with fluid flow connection to an aspiration source. Separated soft tissue and fluid are aspirated through the aspiration inlet port and the cannula by an aspiration source at the proximal end of the cannula.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within or on a patient's body. In particular, methods and apparatus are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The methods and systems of the present invention are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.

Abstract: Apparatus and methods for intraoperatively performing surgery to create transmural channels in tissue, for example, as in transmyocardial revascularization, are provided using a device including a mechanical end effector and means for stabilizing the end effector in contact with the tissue. The end effector is adapted to cooperate with a source of suction to evacuate tissue severed during the channel forming process, and may optionally include an electrode for cauterizing the tissue surrounding the channel.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within or on a patient's body. In particular, methods and apparatus are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The systems and methods of the present invention are particularly useful for ablation and hemostasis of tissue in sinus surgery (e.g., chronic sinusitis and/or removal of polypectomies) and for resecting and ablating soft tissue structures, such as the meniscus and synovial tissue within a joint.

Abstract: A passage for irrigation liquid extends lengthwise along the exterior surface of the body of a phacoemulsifier handpiece and is formed between an outer arcuate section and the exterior surface of the body itself. The passage is of noncircular cross section so that it protrudes from the body, but to a lesser degree than a circular conduit having the same cross-sectional area.

Abstract: A system for applying high frequency electrical energy to a body structure within a patient where the system detects the presence of conductive fluid. In one embodiment, the system includes a high frequency power supply, a surgical instrument having an electrode terminal, and a conductive fluid sensor coupled to the probe for detecting the presence of conductive fluid near the electrode terminal. The surgical instruments preferably has a shaft with a distal end and a proximal end, an electrode terminal on or near the distal end, and a connector coupling the electrode terminal to the power supply. The conductive fluid sensor may comprise of an electric switch adapted to create an open circuit when in contact with conductive fluid. Alternatively, the conductive fluid sensor may be a resistor that changes resistance when in contact with conductive fluid. The sensor detects for conductive fluid such as body fluid or saline solution. For devices having an active and return electrode (i.e.

Abstract: An ophthalmic irrigation/aspiration venting system that vents a portion of an aspiration circuit by drawing sterile air from a bag. The bag is provided with an air reservoir member to ensure that an adequate air volume is available.

Abstract: Methods, kits, and apparatus for obtaining cellular, chemical, and other materials from breast ducts are described. A single milk duct is accessed and washed with a washing fluid to obtain marker materials from the lining the duct. The washing fluid is then collected, and the marker materials in the washing fluid identified and analyzed. Usually, the washing fluid is introduced using a syringe through a lumen of a dual-lumen catheter. The ductal volume is filled with the washing fluid and excess fluid flows outwardly through a second lumen of the dual-lumen catheter, from which it is collected.

Abstract: A method and apparatus is described for performing a liposuction procedure by means of a power-assisted liposuction device. The apparatus comprises a hand-holdable handle assembly (enclosing a gas driven reciprocating piston rod), a detachable cannula, an aspirator pump attached to the hand-holdable handle assembly and a foot pedal assembly that includes a vibrator element for regulating the supply of gas to the hand-holdable handle assembly. The hand-holdable handle assembly generally consists of a barrel, a hollow piston rod which reciprocates relative to the barrel, a seal body, an end cap (having a internal aspirated chamber), an atmospheric access return gallery, and a return spring chamber. Detachably coupled to the hand-holdable handle assembly by means of a quick disconnect is a hollow cannula, the distal end of which contains an aspiration aperture.

Abstract: A surgical irrigation system is suitable for endoscopic and other surgical procedures. A hand held handpiece has a forward protruding hollow tip for supplying irrigation liquid to a surgical site, a hand actuable control for controlling irrigation liquid flow to the tip, and an irrigation liquid inlet. A self contained pumping unit is locatable adjacent a source of irrigation liquid and remote from the handpiece. The pumping unit comprises a housing containing an outlet for irrigation liquid, a pumping member for pumping irrigation liquid through the outlet, a motor for driving the pumping member, and an electric battery assembly for energizing the motor. An elongate tube connects the pumping outlet to the handpiece irrigation liquid inlet for supplying pumped irrigation liquid to the handpiece.

Abstract: An electrosurgical instrument comprises an instrument shaft and an electrode assembly at one end of the shaft. The electrode assembly comprises a tissue treatment electrode and a return electrode which is insulated from the treatment electrode by means of an insulation member. The tissue treatment electrode has an exposed end for treating tissue, and the return electrode has a fluid contact surface which is spaced from the tissue treatment electrode in such a manner as to define a conductive fluid path that completes an electrical circuit between the tissue treatment electrode and the return electrode. The electrode assembly is provided with a plurality of apertures in the region of the tissue treatment electrode through which apertures vapor bubbles and/or particulate material can be aspirated from the region surrounding the tissue treatment electrode.

Abstract: An acoustic ablation catheter includes a mass cap mounted by a spring at the distal end of the catheter, to thereby form a structure capable of axial motion with a resonant frequency. The mass cap defines an aperture which may be used for a guide wire, for aspiration/infusion, or both. Acoustic motion of the resonant structure is generated by sources of laser light spaced about the distal end of the flexible portion of the catheter body, which produce laser light beams which produce microexplosions adjacent the proximal end of the mass cap. The sources of laser light beams may be laser chips located at the distal end of the body, or they may be the distal ends of optical fibers extending through the body from laser light generators outside the catheter itself. In one advantageous embodiment, relative motion is introduced between the mass cap and the light beams, so that erosion is distributed over a track. At least that portion of the mass cap upon which the laser light pulses impinge is made from titanium.

Abstract: A medical suction and irrigation apparatus includes a suction/irrigation tip removably connected to a conventional suction/irrigation handpiece. Suction is provided through a suction tube which has a bypass conduit in the tip. The bypass conduit is directly connectable to a suction source so that aspirated debris passes through the tip to the suction source. The suction tube thus prevents aspirated debris from entering the conventional suction tube in the handpiece and contaminating the handpiece. The suction tube is also designed to have a maximum size to prevent the tip from clogging. The tip also has an irrigation tube for directing irrigation liquid to the irrigation site, and a connector which connects the irrigation tube to the handpiece so that the handpiece pumps fluid through the tip in a conventional manner. A flexible splash shield, slidably mounted to the irrigation tube, confines irrigation fluid to the local site.

Abstract: A medical treatment apparatus generates moving cold and hot gas streams by supplying air having a low dew point (after being compressed, liquefied or dried subsequent to a compression step) to a vortex tube while the air cleanliness level thereof is improved by removal of oily substances and solid particles to negligible levels. The medical treatment apparatus most preferably includes a hand piece for medical treatment, a vortex tube and a retaining assembly which adjustably retains the vortex tube on said hand piece and allows for positional adjustment of the vortex tube relative to a medical treatment area. The retaining assembly includes a first retaining member attached to the vortex tube, and a second retaining member attached to the hand piece, with the first and second retaining members being pivotally connected to each other.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within or on a patient's body. In particular, methods and apparatus are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The systems and methods of the present invention are particularly useful for ablation and hemostasis of tissue in sinus surgery (e.g., chronic sinusitis and/or removal of polypectomies) and for resecting and ablating soft tissue structures, such as the meniscus and synovial tissue within a joint.

Abstract: The present invention provides a liquid conveying catheter comprising a collecting tube inserted into an object for sucking a liquid from its tip, a mixing bar extending through the collecting tube, and a drive unit for rotating the mixing bar. The collecting tube has on its inner wall a helical convex to define a helical groove serving as a flow path.

Abstract: The present invention is directed to systems, methods and apparatus for removing implanted objects from a patient's body, particularly implanted endocardial or epicardial pacemaker leads and transvenous defibrillation leads from a patient's heart. In one aspect of the invention, an electrosurgical catheter is advanced to a position within the thoracic cavity adjacent a portion of a pacemaker lead that is affixed to heart tissue. Preferably, the catheter is advanced over the pacemaker lead, i.e., using the pacemaker lead as a guidewire, to facilitate this positioning step. Once the distal end of the catheter reaches a blockage, or a portion of the lead that is attached to fibrous scar tissue, a high frequency voltage difference is applied between one or more electrode terminal(s) at the distal end of the catheter and one or more return electrode(s) to remove the scar tissue around the lead.

Abstract: An irrigator (20) useful for surgical and medical procedures. The irrigator includes a handpiece (22) to which a tip assembly (30) is attached. The handpiece (22) includes a drain tube (50) that extends through the body of the handpiece and outside of the handpiece to the complementary suction system. The tip assembly includes a discharge tube (32) that is snap secured into the front of the handpiece and a suction tube (48) that seats in the open front end of the drain tube. A removable splash shield (181) is attached to the front end of the tip assembly. A trigger (44) allows one-handed control of, the position of the handpiece, the on/off state of the irrigator and the rate at which fluid is discharged from the irrigator. A rechargeable power pack (222) can be used to supply the energization current needed to activate a number of different handpieces at different speeds.

Abstract: A surgical handpiece having two coaxial tubes or channels mounted within a body. The first tube is used for aspiration and is smaller in diameter than the second tube so as to create an annular passage between the first and second tube. The annular passage communicates with a pumping chamber formed between two electrodes. The pumping chamber works by boiling a small volume of the surgical fluid. As the fluid boils, it expands rapidly, thereby propelling the liquid downstream of the pumping chamber out of the annular passage. The distal end of the annular gap is sealed by sealing together the distal ends of the first and second tube and a plurality or orifices or ports may be formed near the seal. As the expanding gas is propelled down the annular gap, the gas/liquid stream is forced out of the distal orifices in a controlled and directed manner.

Abstract: A tubing cassette and method for use in cooling a surgical handpiece. The handpiece is provided with a drive motor which is received within a cooling chamber adapted to circulate cooling fluid around the motor. The cooling chamber is accessible from the exterior of the handpiece via inflow and outflow apertures, and a disposable cassette is selectively attachable to the exterior of the handpiece so as to communicate inflow and outflow apertures of the cassette with the inflow and outflow apertures on the handpiece body. The cassette is provided with inflow and outflow ports in communication with its inflow and outflow apertures in order to direct cooling fluid into and out of the cooling chamber via tubes through which coolant fluid may be circulated with the aid of an external pump, if desired.