Abstract: An electrosurgical instrument with smoke evacuation, having an electrode, a suction lumen, and a plurality of slots connected to suction lumen, in which the slots may be longer than they are wide and wider than they are thick. The electrosurgical instrument may have the slots arranged longitudinally about its central axis, and the suction lumen may be wider than the slot widths.

Abstract: An endoscope unblocking flush system for back flushing a suction lumen of an endoscope includes a flush source providing pressurized water and a valve mechanism to cut off a suction source from the suction lumen and to open the suction lumen to flow of back flush water from the flush source. The valve mechanism includes a valve housing with ports to connect to the suction lumen, the suction source, and the flush source. A valve member within the housing has passages to connect the suction source to the suction lumen in a run state and to connect the flush source to the suction lumen in a flush state.

Abstract: A system or apparatus may include a container configured to collect fluid from a tissue site and regulate negative-pressure from a negative-pressure source. In some embodiments, the container may include a regulator that receives negative pressure directly from an unregulated negative-pressure source, such as a wall-suction outlet. The regulator may regulate down the pressure delivered to a collection chamber in the container, which may in turn be connected to a tissue site.

Abstract: Surgical systems can include evacuation systems for evacuating smoke, fluid, and/or particulates from a surgical site. A surgical evacuation system can be intelligent and may include one or more sensors for detecting one or more properties of the surgical system, evacuation system, surgical procedure, surgical site, and/or patient tissue, for example.

Abstract: A monopolar suction coagulator device is provided for use with a vacuum source and an electrosurgical generator to perform a coagulation procedure and an evacuation procedure at a surgical site. The device includes an active electrode portion at the distal end of a probe, and the probe is formed of a thermally conductive and electrically conductive, non-stick metal material along all or substantially all of its length, to aid in heat dissipation during a coagulation procedure.

Abstract: Systems, apparatuses, and methods for instilling fluid to a tissue site in a negative-pressure therapy environment are described. Illustrative embodiments may include a pneumatically-actuated instillation pump that can draw a solution from a solution source during a negative-pressure interval, and instill the solution to a dressing during a venting interval. A pneumatic actuator may be mechanically coupled to a disposable distribution system that can provide a fluid path between the solution source and a distribution component. A bacterial filter may be disposed in the fluid path between the actuator and the distribution component to prevent contamination of the actuator during operation. The distribution system may be separated from the actuator and disposed of after operation, and the actuator may be re-used.

Abstract: Electrosurgical cutter or knife lighting and/or suction devices, systems and methods are described. The lighting features and suction features may be variously employed together or alone.

Abstract: Smoke evacuation system for removal of aerosolized chemical compounds and biological fine particles produced during laser treatment of tissue. The rapid smoke evacuation is achieved by coupling a low capacity vacuum pump to a vacuum valve and a vacuum reservoir to create very high flow rate for very short durations. The opening time of the valve could at least partially overlap the laser pulse duration.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: A phacoemulsification probe for use with eye surgery comprises a connector for interconnecting the probe with a phacoemulsification machine. A probe tip has a first end with a first central axis running therethrough connected with the connector and a second end with a second axis running therethrough. The second axis is at a predetermined angle to the first central axis. The probe tip further includes a body defining a channel therein for aspirating material from a surgical region within an eye through an opening in the second end along a first vector. The body includes a straight portion around the central axis connected to the first end and a curved portion connecting the straight portion to the second end. A fluid sleeve surrounds at least a portion of the probe tip and has a first end and a second end. The fluid sleeve has a first portion at the first end having a first diameter that prevents a fluid from flowing between the fluid sleeve and the body of the probe tip.

Abstract: A high-frequency electrosurgical treatment instrument for operations, includes a pair of forceps pieces, an insulating member, a transmission member, a manipulation rod member, a distal end cover member, a shaft member and a manipulation portion. The instrument, includes a flow channel portion formed between the manipulation rod member and the shaft member, the flow channel portion being disposed along a longitudinal direction of the manipulation rod member to allow liquid to flow; a groove portion that communicates with the flow channel portion to allow the liquid to flow from the flow channel portion; and an opening portion that communicates with the groove portion to supply the liquid near the proximal end portions of the pair of forceps pieces.

Abstract: A surgical cauterizer includes an elongate body member having a tapered distal-end portion terminating at an apex. A cauterizing tip extends from the apex. A hollow passageway is formed in the interior of the elongate body member. Formed in the tapered distal-end portion of the elongate body member is at least one smoke intake port for providing a smoke evacuation pathway between a region proximate the cauterizing tip and the hollow passageway within the elongate body member. A tube connected to an outlet of the hollow passageway may provide a vacuum for evacuating the smoke generated by cauterization. In an embodiment, the elongate body member may include a first and second arms that define a forceps operable between an open position and a closed position.

Abstract: A novel and useful highly maneuverable and disposable resectoscope having a working element such that surgeons are able to more comfortably perform transurethral resections. The resectoscope permits the surgeon to resect anywhere on the bladder or prostate wall while keep their hand in an ergonomic position. This results in more comfortable surgery that causes less fatigue for the surgeons as well a quicker, safer, and more effective operation. The disposable resectoscope includes a completely disposable design, an analog or digital optics system, a handle that is independently rotatable from the remainder of the resectoscope, a rotation mechanism that can independently rotate an electrocautery electrode and optical lens independent of the handle rotation, and a repositioning of surgical cords and cables for a more comfortable hand placement.

Abstract: A surgical apparatus for removing deposits from an interior of a vessel including an outer member and a rotatable shaft having a lumen to receive a guidewire. The lumen has a cross-sectional dimension to enable fluid injection between an inner diameter of the shaft and an outer diameter of the guidewire. A tip is mounted to the shaft for rotation about its longitudinal axis and mounted such that the distal opening of the shaft is axially spaced from a distal internal surface of the tip such that fluid injected through the lumen of the shaft contacts the distal internal surface of the tip and is redirected proximally to direct in a proximal direction deposits removed by the rotational movement of the shaft. The tip includes including a guidewire lumen for receiving a guidewire to enable over the wire insertion of the apparatus.

Abstract: Surgical systems can include evacuation systems for evacuating smoke, fluid, and/or particulates from a surgical site. A surgical evacuation system can be intelligent and may include one or more sensors for detecting one or more properties of the surgical system, evacuation system, surgical procedure, surgical site, and/or patient tissue, for example. Communication among devices in the surgical system may include a surgical evacuation system acquiring a value of a parameter and transmitting the value of the parameter to a cloud computing network or a surgical hub. The cloud computing network or surgical hub may process the value of the parameter, determine an impact of the value of the parameter on the surgical evacuation system or a modular device, and send an instruction to adjust operation to the surgical evacuation system or the modular device. The surgical evacuation system or the modular device will adjust operation based on the instruction.

Abstract: A surgical device comprising: (a) a first jaw having a face; (b) a second jaw having a face that is substantially adjacent the face of the first jaw when the first jaw and the second jaw are in a closed position; (c) a pivot connecting the first jaw and the second jaw together so that the first jaw and second jaw are movable between an open position and the closed position; (d) one or more fluid passageways extending between the first jaw, the second jaw, or both and a region outside of the surgical device so that fluid passes through the first jaw, the second jaw, or both; and (e) a valve connected to the first jaw, the second jaw, or both, the one or more fluid passageways extending through the valve so that when the first jaw and the second jaw are in the open position the valve is open and fluid can extend through the one or more fluid passageways and when the first jaw and the second jaw are in the closed position the valve is closed and fluid is prevented from flowing through the one or more fluid passa

Abstract: Catheter devices can include an elongate housing extending along a major axis, the elongate housing comprising a first end an opening. The catheter devices can also include an electrode assembly disposed in the elongate housing and including deformable electrodes with respective electrode distal ends, where the electrode distal ends each consist of respective member portions and respective tip portions. The electrode assembly is slidably movable within the housing along the major axis to allow the electrode distal end portions to transition between a first retracted position and a second extended position. The catheter device is configured such that an average distance between the tip portions in the second position is configured to be greater than an average distance between the tip portions in the first position the tip portions are positioned substantially in a same plane when the electrode assembly is in the second position.

Abstract: Ablation devices useful for removing nerve and soft tissue via a minimally invasive procedure to alleviate pain are provided. The device comprises a cannula having an opening at a distal tip of the cannula, the opening configured for suction of a surgical site, and a movable tissue capture member having a portion disposed within the opening or adjacent to the cannula, the movable tissue capture member configured to capture tissue when moved in a first position. Methods for ablating nerve and/or soft tissue utilizing the ablation devices are also provided.

Abstract: Disclosed herein is an apparatus for insertion in an eye of a patient for aspirating material from the eye in the treatment of an ocular condition, the apparatus comprising a needle disposed at a distal end of the apparatus, an aspiration channel extending from a distal aperture of the needle to a proximal end of the apparatus, and an irrigation sleeve coaxially disposed about the needle. The aspiration channel comprises a proximal portion having a first diameter, a bypass portion having a second diameter and at least one bypass port, and a distal portion having a third diameter. The second diameter is larger than the first diameter. The irrigation sleeve and the needle form an annular irrigation passageway therebetween. The bypass port is shaped and configured to establish fluid communication between the irrigation passageway and the aspiration channel.

Abstract: A heart tissue gripping device may include a body portion, an elongate shaft, and a tissue gripping member that is attached to the distal end of the elongate shaft. The tissue gripping member being may be positioned adjacent a heart surface by insertion through an incision in the body. The tissue gripping member may releasably attach to tissue of the heart surface to facilitate a surgical instrument in performing one or more procedures. A coupling of the tissue gripping member may releasably attach the surgical device to the tissue gripping member to allow the device to access the tissue of the heart surface.

Abstract: A guide catheter system for use in treating the sinus cavity or Eustachian tube is described. The system includes a guide catheter that has a proximal end and a distal end and an elongate shaft between the proximal end and the distal end and a guidewire. The guide catheter includes a deflection feature on a distal tip of the distal end for deflecting the guidewire at a predetermined angle.

Abstract: An ultrapolar telescopic electrosurgery pencil with argon beam capability that is capable of using monopolar energy in a bipolar mode for cutting and coagulation and also using ionized gas for cutting and coagulation.

Abstract: Surgical devices and methods for utilizing optical coherence tomography (OCT) to monitor and control tissue sealing are disclosed. The surgical device includes an end effector assembly that includes first and second jaw members that are movable between a first, spaced-apart position and a second proximate position. An OCT system, at least a portion of which is incorporated into the end effector assembly, is configured to sense properties of the tissue, e.g., the structural density of the tissue, disposed between the first and second jaw members. A tissue-sealing energy source may be disposed within at least one of the jaw members and may provide tissue-sealing energy to tissue disposed between the jaw members. A controller, which is coupled to the OCT system and the tissue-sealing energy source, controls the tissue-sealing energy generated by the tissue-sealing energy source based on the properties of the tissue sensed by the OCT system.

Abstract: An electrosurgical device having an electrode with a first portion whose exterior is electrically uninsulated, a second portion whose exterior is electrically insulated, and a third portion. An elongated hollow body has an internal cavity, a front end, a rear end, an external surface. An electrical circuit is arranged within the body. The second portion of the electrode is not surrounded by the hollow body. A first button is arranged on the external surface of the body for controlling a current flow at a first level. A vacuum tube is slidably engaged by the body. The vacuum tube is configured with a blade holder to reversibly receive the third portion of the electrode such that electrical contact is made between the electrode and a conductor which is connected to the electrical circuit by electrical connector. A vacuum outlet port is arranged near the rear end, and the outlet port, internal cavity, and vacuum inlet are in fluid communication with each other.

Abstract: An illumination device for use with a standard electrocautery pencil is described, having a distal end capable of telescoping for use with cautery extenders. The illumination device also has a light source on the distal end to reduce shadow problems, and a tube is provided for evacuation of smoke from the surgical field. The device is sized to fit on any standard electrocautery pencil. The light-emitting component on the device reduces shadows and evacuates smoke from the treatment sight without necessitating purchase of a new electrocautery device.

Abstract: An ophthalmic surgical instrument comprises a multi-diameter shaft, a horn fixedly threaded into the shaft, a surgical tip for ophthalmic surgery including a tip end and threadably engaging the horn opposite the shaft, and a plug on the shaft. Weld material holds the plug on the shaft in a selected angular and longitudinal position with an angle-locating recess on the plug's circumference having a predetermined angular clocked relation to a face direction of the tip end. The plug's recess engages an irrigation tube on a subassembled handle with shell and irrigation tube, such that the subassembled handle has a known clocked position relative to the tip end of the tip, thus facilitating use by a surgeon. A related method is also disclosed and claimed.

Abstract: A surgical apparatus for removing deposits from an interior of a vessel including an outer member and a rotatable shaft having a lumen to receive a guidewire. The lumen has a cross-sectional dimension to enable fluid injection between an inner diameter of the shaft and an outer diameter of the guidewire. A tip is mounted to the shaft for rotation about its longitudinal axis and mounted such that the distal opening of the shaft is axially spaced from a distal internal surface of the tip such that fluid injected through the lumen of the shaft contacts the distal internal surface of the tip and is redirected proximally to direct in a proximal direction deposits removed by the rotational movement of the shaft. The tip includes including a guidewire lumen for receiving a guidewire to enable over the wire insertion of the apparatus.

Abstract: A therapy device for instillation of fluid to a tissue site is described. The therapy device includes a base having a cartridge receptacle and a support coupled to the base to secure the base to a pole. The therapy device also includes a cartridge configured to engage the base when positioned in the cartridge receptacle. The therapy device also includes a pump head disposed within the cartridge receptacle and configured to engage the cartridge for movement of fluid. The cartridge includes a body forming at least a portion of a fluid reservoir and a tube segment coupled to the body and in fluid communication with the fluid reservoir. The tube segment is configured to engage the pump head.

Abstract: A system and method for ophthalmic surgery in which a portion of the light reflected by the eye passes through a lens that inverts the image and a portion of the light reflected by the eye does not pass through the lens. A digital image of both light that passed through the lens (lens image) and light that has not (peripheral image) is created using an image sensor. A processing resource identifies the boundary between the lens image and peripheral image and inverts at least a portion of either the lens image or the peripheral image to produce a corrected image in which no or only a small portion of the image is inverted as compared to the eye.

Abstract: The devices and methods shown provide for the minimization of extravasation during arthroscopic surgery. The extravasation minimization device allows a surgeon to drain excess fluids from the soft tissue surrounding the surgical field while also providing a stable surgical portal for arthroscopic surgical instruments.

Abstract: A multi-mode electrosurgical apparatus for use in cold plasma applications, electrosurgical cutting, electrosurgical coagulation and mechanical cutting is provided. The electrosurgical apparatus includes a housing having a passage extending therethrough, an electrically conducting tube being disposed in the passage of the housing; an insulating outer tube disposed around the electrically conducting tube coupled to the housing, the electrically conducting tube being movable along a longitudinal axis of the housing and outer tube; an electrically conducting blade coupled to the distal end of the electrically conducting tube, and a transformer assembly disposed on a proximal end of the housing, the transformer assembly including a first transformer and a first switch for selectively coupling the first transformer and an external second transformer to the electrically conducting tube for providing electrosurgical energy thereto.

Abstract: The shield for an electrosurgical suction coagulator includes a cylindrical cuff and a shielding portion. The cylindrical cuff is sized for releasably engaging a distal end of a shaft of an electrosurgical suction coagulator. The shielding portion has an arcuate cross-sectional contour and is mounted on the cylindrical cuff such that the shielding portion extends distally therefrom. The shielding portion has a radius of curvature equal to a radius of curvature of the cylindrical cuff and is positioned coaxially therewith. A plurality of shields for the electrosurgical suction coagulator may be provided in a kit, along with the electrosurgical suction coagulator. In the kit, a circumferential length of each shielding portion of each shield is unique, such that a user of the electrosurgical suction coagulator may select a desired one of the shields for a desired amount of shielding coverage.

Abstract: A suction device is shown and described. The suction device includes a body, an input port configured to receive a flow of matter, a suction port, and a suction lumen that couples the suction port to the input port. In some embodiments the suction device is configured to couple with a surgical instrument for use in a surgical procedure.

Abstract: A suction device is shown and described. The suction device includes a body, an input port configured to receive a flow of matter, a suction port, and a suction lumen that couples the suction port to the input port. In some embodiments the suction device is configured to couple with a surgical instrument for use in a surgical procedure.

Abstract: Devices and methods of identifying and treating bodily passages, such as sinus cavities, are provided. More particularly, irrigation devices and methods useful in the identification and treatment of bodily passages, such as sinus cavities, are provided. The irrigation devices comprise an elongate tubular member and an optical fiber which assist with the transcutaneous identification and/or treatment of a bodily passage.

Abstract: An electrosurgical device includes a first shaft defining a proximal end, a distal end, and a lumen therethrough. A fluid delivery tube is disposed within the lumen, the fluid delivery tube defining a proximal end a distal end. An electrically conductive treatment element is in electrical communication with and coupled to the distal end of the first shaft, the electrically conductive treatment element includes a conductive fluid conduit in fluid communication with and affixed within a portion of the fluid delivery tube. A second shaft is in electrical communication with the first shaft, the first shaft being slideably disposed within the second shaft and movable from a first position in which the electrically conductive treatment element is proximate to the distal end of the second shaft to a second position in which the electrically conductive treatment element is advanced a distance away from the distal end of the second shaft.

Abstract: A smoke evacuation attachment device for attachment to a laser resurfacing handpiece that includes a channel for evacuating smoke, dead skin cells, and other debris from the application site of the laser and which has a low profile to preclude encumbering the use of the laser handpiece.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: Devices and methods of identifying and treating bodily passages, such as sinus cavities, are provided. More particularly, irrigation devices and methods useful in the identification and treatment of bodily passages, such as sinus cavities, are provided. The irrigation devices comprise an elongate tubular member and an optical fiber which assist with the transcutaneous identification and/or treatment of a bodily passage.

Abstract: An irrigation system for providing a continuous and controlled flow of a fluid, wherein said irrigation system may include a reservoir system comprising a plurality of containers of fluid that are disposed in a predetermined radial configuration; said reservoir system has a main longitudinal axis; and a fluid transfer system in fluid connection with said reservoir system, said fluid transfer system comprising at least one fluid transfer head, adapted to transfer fluid from one of said plurality of containers to an external tubing system; wherein each of said fluid transfer heads has a mechanism adapted to radially move each of said fluid transfer heads around the main longitudinal axis and reach a position below each of the plurality of containers.

Abstract: A flexible device insertion tool including an elongated stiffener with one or more suction ports, and a vacuum connector for interfacing the stiffener to a vacuum source, for attaching the flexible device such as a flexible neural probe to the stiffener during insertion by a suction force exerted through the suction ports to, and to release the flexible device by removing the suction force.

Abstract: An endoscopic forceps is disclosed including an end effector assembly having two jaw members movable from a first position in spaced relation relative to one another to at least a second position closer to one another for grasping tissue therebetween. Each of the jaw members is connectable to an electrosurgical energy source for conducting energy through tissue held therebetween. The jaw members are biased to the first position. The end effector assembly of the endoscopic forceps further includes a wire snare having a proximal end connectable to an electrosurgical energy source and a distal end translatably extending out of one of the jaw members and operatively associated with the other of the jaw members. In use, withdrawal of the proximal end of the wire snare results in movement of the jaw members from the first position to a second position and clamping of the tissue between the jaws.

Abstract: A light attachment device for removable attachment to an electrosurgical pencil and/or an electrosurgical pencil attachment such as a shroud for an electrosurgical pencil. The light attachment device may be automatically turned on and off in conjunction with the activation and deactivation of the electrosurgical pencil and/or electrosurgical pencil attachment.

Abstract: What is disclosed is an endoscopic surgical instrument with a hose-shaped outside jacket, in which a likewise hose-shaped inside jacket is supported relatively displaceable, on whose distal end section a sleeve or shaft-shaped instrument head is formed or mounted. In the instrument head is fixed a needle-shaped RF electrode electrically-insulated, whose electrical supply line is routed through the inside jacket, and which projects freely beyond the distal end of the instrument head in the axial direction. In the instrument head is formed a flush channel, extending at least axially, opening at both instrument head ends.

Abstract: A suction device is shown and described. The suction device includes a body, an input port configured to receive a flow of matter, a suction port, and a suction lumen that couples the suction port to the input port. In some embodiments the suction device is configured to couple with a surgical instrument for use in a surgical procedure.

Abstract: In one embodiment of the invention, a robotic surgical instrument is provided for the control of flows of one or more fluids into and out of a surgical site. The robotic surgical instrument may include a housing, a flow control system, a hollow tube, and one or more hose fittings. The housing to couple the instrument to a robotic arm. The flow control system mounted in the housing includes one or more controlled valves to control the flow of one or more fluids. The hollow tube has a first end mounted in the housing coupled to the flow control system. A second end of the hollow tube has one or more openings to allow the flow of fluids into and out of the surgical site. The hose fittings have a first end coupled to the flow control system and a second end to couple to hoses.

Abstract: A system for selectively actuating a heating current conductible from a bipolar generator to a surgical tool may comprise an actuator assembly having an output receptacle, an input plug, and an actuating component. The output receptacle may be configured to receive a complementary tool plug of the surgical tool. The input plug may be configured for mating with a generator receptacle receivable of the heating current from the bipolar generator. The generator receptacle may be complementary to the tool plug. The actuating component may have at least one of a switch and a lever arm and may be configured to communicate with the bipolar generator for selectively actuating the heating current to flow from the input plug to the output receptacle upon engagement of the switch or the lever arm.

Abstract: A finger-controlled combination irrigation and suction device is provided. The device includes a handpiece. The handpiece includes: a shaft having a first end and a second end, and having a channel disposed from the first end of the shaft to the second end of the shaft for allowing suction through the shaft; a nozzle coupled to the first end of the shaft; an inlet disposed through an exterior surface of the shaft and in operable communication with the channel, the inlet being disposed to be manually covered and uncovered by one or more fingers of a single hand of a primary caregiver for control of suction through the shaft; and a conduit having a first end disposed to receive a volume of irrigation solution after one or more fingers of the single hand of the primary caregiver act upon an irrigation source proximate to the conduit.

Abstract: An electrosurgical instrument that reduces the amount of fatigue experienced by a physician performing electrosurgery includes a hand piece with a utility conduit connected to the hand piece. The utility conduit can include an electrical cable and a smoke/fluid evacuation hose. The location at which the utility conduit exits the hand piece is selectively adjustable to reduce the resistance to the movement of the electrosurgical instrument created by the weight of the utility conduit. An electrosurgical instrument may also include an extendable shaft that allows for selective adjustment of the reach of the operational capabilities of the instrument.