Abstract: A surgical instrument comprises two oppositely-positioned working numbers each having proximal and distal ends and each having a working surface. The instrument also comprises at least one ring member affixed to a least one of the working members to encompass one or more of a user's fingers. In one embodiment at least one working surface has a heating element to cut or seal and cut tissue.

Abstract: Novel suture removal instrument and technique are described herein. The invention utilizes a newly designed thermal filament to allow the tip of the suture removal instrument to be slipped under the stitch in order to heat and cut the stitch. Current suture removal techniques utilize scissors, forceps, and/or scalpels. These techniques, which are well known in the art, are problematic because they exert tension on the stitch and are associated with patient discomfort. Small stitches add to the difficulty of suture removal because they have less suture laxity for scissor insertion. The present invention therefore allows for more rapid suture removal with less patient discomfort and at a competitive or lower cost.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: An electronic circuit for identifying an electrical surgical tool and for providing a selectable constant current appropriate to the identified electrical surgical tool.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: The present invention is directed toward an improved method and apparatus for securing a prosthesis that is being implanted in a patient. A heat-curable bone cement is used to secure the implanted prosthesis in the patient. A heater is then applied to the prosthesis to decrease the time required for the cement in contact with the prosthesis to cure or set. An adjustable heater control and temperature gauge are used to monitor and control the amount of heat applied to the prosthesis. A socket is provided on the heater such that a tip designed to couple with the particular type of prosthesis being implanted in the patient can be installed on the heater. One or more safety gauges are used to monitor the heater's operation to insure that an excessive amount of heat is not being applied.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: A portable, thermal cauterizing forceps device for use in surgery. The device incorporates a pair of ceramic heater elements mounted within the tips of the tines of a forceps. The forceps is used to grasp tissue or blood vessels and apply heat to effect cauterization. In the case of the first embodiment of the invention, the forceps instrument incorporates a battery and control electronics. The thermal-forceps is of a self-contained wireless, handheld disposable design. In a second embodiment of the invention, the forceps handpiece is connected to an external power source. Both embodiments of the forceps incorporate set of rapidly heating ceramic heater elements that may be composed of silicon nitride. An LED provides the operator feedback as to the operating level of the heaters and/or battery reserve. Enhancements to the second embodiment include a rechargeable power supply, variable control of the heater temperature, as well as a, digital display of the tip temperature.

Abstract: A sterilization device (10) is provided having a flexible housing element (12) that is smaller in diameter than the diameter of the lumen of the isthmic portion of the fallopian tube, a heating element (14) carried by the housing element adjacent to its distal end, and an energy source (18) coupled to the heating element such that when the energy source is energized the temperature of the heating element will be increased. A procedure is described for inserting the sterilization device (10) through the uterus and into the isthmic portion of the fallopian tube where the heating element (14) is energized and the heat generated destroys the mucosal layer and damages the muscular layer of the fallopian tube wall inducing sufficient scarification to occlude the fallopian tube.

Abstract: An improved wireless electrosurgery instrument comprising at least one surface electrical contact for contactably coupling the wireless instrument to a remote power source through a coupling mechanism, wherein the coupling mechanism comprises an insulated electrical conductor running through a surgeon's glove and/or a surgeon's gown.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: A portable, thermal cauterizing forceps device for use in surgery. The device incorporates a pair of ceramic heater elements mounted within the tips of the tines of a forceps. The forceps is used to grasp tissue or blood vessels and apply heat to effect cauterization. In the case of the first embodiment of the invention, the forceps instrument incorporates a battery and control electronics. The thermal-forceps is of a self-contained wireless, handheld disposable design. In a second embodiment of the invention, the forceps handpiece is connected to an external power source. Both embodiments of the forceps incorporate set of rapidly heating ceramic heater elements that may be composed of silicon nitride. An LED provides the operator feedback as to the operating level of the heaters and/or battery reserve. Enhancements to the second embodiment include a rechargeable power supply, variable control of the heater temperature, as well as a, digital display of the tip temperature.

Abstract: A battery operated, hand-held cautery apparatus including a cauterizing unit with a cautery body and a heating assembly having a heating element, a switch assembly, and a housing assembly is disclosed. The switch assembly is essentially the position of a battery. That is, the battery acts as a switch. Power is not supplied to the heating element when the battery is in a first position, but power is supplied to the heating element when the battery is moved to a second position. The housing assembly may include a biasing member in contact with the battery such that the biasing force of the biasing member must be overcome to move the battery from the first position to the second position and thus energize the heating element.

Abstract: A battery operated, hand-held cautery apparatus including a cauterizing unit with a cautery body and a heating assembly having a heating element, a switch assembly, and a housing assembly is disclosed. The switch assembly is essentially the position of a battery. That is, the battery acts as a switch. Power is not supplied to the heating element when the battery is in a first position, but power is supplied to the heating element when the battery is moved to a second position. The housing assembly may include a biasing member in contact with the battery such that the biasing force of the biasing member must be overcome to move the battery from the first position to the second position and thus energize the heating element.

Abstract: A portable, thermal cauterizing forceps device for use in surgery. The device incorporates a pair of ceramic heater elements mounted within the tips of the tines of a forceps. The forceps is used to grasp tissue or blood vessels and apply heat to effect cauterization. In the case of the first embodiment of the invention, the forceps instrument incorporates a battery and control electronics. The thermal-forceps is of a self-contained wireless, handheld disposable design. In a second embodiment of the invention, the forceps handpiece is connected to an external power source. Both embodiments of the forceps incorporate set of rapidly heating ceramic heater elements that may be composed of silicon nitride. An LED provides the operator feedback as to the operating level of the heaters andlor battery reserve. Enhancements to the second embodiment include a rechargeable power supply, variable control of the heater temperature, as well as a, digital display of the tip temperature.

Abstract: A portable, thermal cauterizing forceps device for use in surgery. The device incorporates a pair of ceramic heater elements mounted within the tips of the tines of a forceps. The forceps is used to grasp tissue or blood vessels and apply heat to effect cauterization. In the case of the first embodiment of the invention, the forceps instrument incorporates a battery and control electronics. The thermal-forceps is of a self-contained wireless, handheld disposable design. In a second embodiment of the invention, the forceps handpiece is connected to an external power source. Both embodiments of the forceps incorporate set of rapidly heating ceramic heater elements that may be composed of silicon nitride. An LED provides the operator feedback as to the operating level of the heaters and/or battery reserve. Enhancements to the second embodiment include a rechargeable power supply, variable control of the heater temperature, as well as a, digital display of the tip temperature.

Abstract: Apparatus (10) for generating an ionized gas plasma flame for use in medicine, particularly for cauterization, is described. The apparatus (10) has an electrical power source (12) providing an alternating voltage at a fixed frequency and a resonant circuit (16, 26) resonant at the fixed frequency connected to the electrical power source (12). A single insulated electrical conductor (30) is connected to the output (18) of the reactive circuit (16) and terminates at a nozzle (36). Conduit means (32) surrounds the electrical conductor (30) along its length and defines a gas-flow channel for supplying substantially inert gas to the nozzle (36), where the gas-flow emerges as a plasma.

Abstract: An apparatus for locating and mapping a catheter in a heart invasive operation, includes a permanent magnet with a north pole face, a permanent magnet with a south pole face, a frame for positioning the magnets on opposite sides of a person's body; first and second motors for revolving the permanent magnets in synchronism and in alignment with each other to create a directional magnetic field that revolves 360 degrees through the person's heart; a catheter for insertion into the heart, the catheter including a first sensor group of three mutually orthogonal sensors at the tip thereof and a second sensor group of three mutually orthogonal sensors in axially spaced relation to the first sensor group, each for detecting the relative strength of the revolving magnetic field; a magnetic field position detector which detects the angular position and speed of movement of the directional magnetic field; a plurality of electrodes spaced along an outer wall thereof for detecting electric signals which run alo

Abstract: An apparatus and method for human female sterilization. The apparatus includes an occlusive device configured from an elongate tubular member having a central lumen and a flange formed at the proximal end. The occlusive device is formed with a plurality of flexible ribs configured to provide a plurality of seals within the interstitial portion of a Fallopian tube. A valve member is preferably disposed within the lumen of the tubular member. The occlusive device may further include a plurality of copper rings disposed between the ribs of the tubular member, or ribs may be coated with a material containing copper. The method includes placing the occlusive device within a delivery catheter having a lumen and placing the distal end of the delivery catheter within the uterus. After the occlusive device and distal end of the delivery catheter are placed in the Fallopian tube, the occlusive device is removed from the delivery catheter and ejected into the Fallopian tube.

Abstract: A method and an apparatus is disclosed for delivering controlled heat to perform ablation to treat the benign prosthetic hypertrophy or hyperplasia (BPH). According to the method and the apparatus, the energy is transferred directly into the tissue mass which is to be treated in such a manner as to provide tissue ablation without damage to surrounding tissues. Automatic shut-off occurs when any one of a number of surrounding areas to include the urethra or surrounding mass or the adjacent organs exceed predetermined safe temperature limits. The constant application of the radio frequency energy over a maintained determined time provides a safe procedure which avoids electrosurgical and other invasive operations while providing fast relief to BPH with a short recovery time. The procedure may be accomplished in a doctor's office without the need for hospitalization or surgery.

Abstract: A method and an apparatus is disclosed for delivering controlled heat to perform ablation to treat the benign prosthetic hypertrophy or hyperplasia (BPH). According to the method and the apparatus, the energy is transferred directly into the tissue mass which is to be treated in such a manner as to provide tissue ablation without damage to surrounding tissues. Automatic shut-off occurs when any one of a number of surrounding areas to include the urethra or surrounding mass or the adjacent organs exceed predetermined safe temperature limits. The constant application of the radio frequency energy over a maintained determined time provides a safe procedure which avoids electrosurgical and other invasive operations while providing fast relief to BPH with a short recovery time. The procedure may be accomplished in a doctor's office without the need for hospitalization or surgery.

Abstract: A battery powered cautery assembly comprising a cautery and a removable safety cover wherein the cautery comprises a substantially cylindrical outer housing having at least one battery disposed in the proximal end thereof, a cautery element attached to the distal end thereof with a conductor disposed to selectively couple the battery to the cautery element and a switch movable between a first and second position hingedly attached thereto and disposed to selectively engage the conductor when in the second position to selectively connect the cautery element to the battery.

Abstract: A template for guiding at least one suture through the periurethral fascia and vaginal mucosa adjacent a patient's urethra during a urethropexy procedure, wherein the at least one suture is attached to an anchor secured within the body of the patient above the patient's urethra, is provided. The template comprises first and second wing members extending laterally from opposite sides of the template; and at least one suture guide aperture positioned in each of the wing members at a predetermined location; the template configured to be alignable within the vagina of a patient such that one of the wing members will be positioned adjacent either side of the urethra with the at least one guide aperture in each wing member positioned such that a suture may be retrieved from within the patient's body through the at least one aperture. A method for performing a urethropexy procedure employing this template is also provided.

Abstract: A thermal ablation catheter includes an elongate body member having a heating element disposed over a predetermined length of its distal end or within an axial lumen. The heating element is suspended away from an exterior surface of the elongate member to form a circulation region thereunder. Alternatively, the heating element is distributed over some or all of the axial lumen. Thermally conductive fluid can be introduced through the lumen in the elongate member and into the circulation region to effect heat transfer. The catheter is used to introduce the thermally conductive medium to a hollow body organ where the heating element raises the temperature of the medium sufficiently to induce injury to the lining of the organ. Optionally, an expandable cage in the catheter or on an associated introducer sheath may be used in combination with a thermal ablation catheter.

Abstract: An improved instrument for removing thermoplastic bone cement by applying a heater tip of heating wire to the cement to melt the bone cement inserting the hot heater tip into the bone cement, allowing it to cool embedded in the bone cement and to pull the instrument and, through the embedded heater tip, pull the bone cement from the bone.

Abstract: A power supply for use with resistively-heated surgical instruments is provided, wherein the desired operating conditions of the surgical instrument are determined by a set-point determination circuit in combination with a set-point indicator element. The power supply includes an impedance matching circuit and current step-up transformer for reducing power loss in the cable connecting the surgical instrument to the power supply. A method of regulating the output of a power supply used with resistively-heated surgical instruments is also provided.

Abstract: A thermal ablation catheter includes an elongate body member having a heating element disposed over a predetermined length of its distal end. The heating element is suspended away from an exterior surface of the elongate member to form a circulation region thereunder. Thermally conductive fluid can be introduced through a lumen in the elongate member and distributed within the circulation region to improve heat transfer. The catheter is used to introduce the thermally conductive medium to a hollow body organ where the heating element raises the temperature of the medium sufficiently to induce injury to the lining of the organ. Optionally, an introducer sheath having an expandable cage at its distal end may be used in combination with a thermal ablation catheter. The expandable cage helps center the heating element on the catheter within the body organ and prevents direct contact between the heating element and the wall of the organ.

Abstract: An instrument for cauterizing tissue is provided. The instrument includes a housing having an angled member with a free end. A looped cauterizing element is connected to the free end. Power is applied to the cauterizing element using a switching subassembly and a battery power source. The switching subassembly is activatable at a number of portions using a resilient boot to which the surgeon applies pressure to energize the cauterizing element. A copper conductive casing surrounds the battery power source. When the cauterizing instrument is utilized, the angled member enables the instrument to be positioned in a desirable location relative to other instruments used while cauterizing tissue.

Abstract: A switching apparatus is provided includes an output device, a power supply for providing power to the output device and a finger-mounted switch connected between the output device and the power supply. When the finger to which the switch is mounted is in a first position, current flows from the power supply to the output device. When the finger is moved into a second position, current flow is prevented. In one embodiment, the output device is an electrosurgical cautery mounted on the finger in the same housing as the switch. The cautery tip extends from the housing and is energized when the finger is in the first position and is positioned within the housing and is deenergized when the finger is in the second position.

Abstract: A waterproof body for an electric cautery containing cautery parts, comprising a cautery tip assembly, a first hollow half body with a button hole in its side and a receptacle in one end so as to receive the cautery tip assembly, a second hollow half body with a receptacle in on end to receive the cautery tip assembly, a waterproof flexible membrane fastened to the inside of the first half body so as to seal the button hole in a waterproof manner, and an electrical switch button fastened in the button hole of the first half body. The first and second half bodies are joined together in a waterproof manner by ultrasonic welding. The electrical switch button slides in an axial manner relative to the body.

Abstract: Bone cement is removed from a bone cavity, such as the intramedullary canal, during a prosthetic revision. The bond cement is pre-molded by a thermal chisel which includes a shaft for extending into the bone cavity, a plasticizer chisel on a working end of the shaft, and a heat element carried by the shaft for heating the chisel to a temperature within a range of temperatures sufficient to plasticize the bone cement. This deforms and weakens the bone cement upon direct non-impact type contact between the heated tip of the chisel and the cement. The cement is removed by pre-molding it with the heated working end of the thermal chisel, preferably by molding a distally located circumferential furrow in the bone cement and then molding circumferentially spaced apart longitudinal furrows from the circumferential groove to the proximal end of the bone cement.

Abstract: The catheter includes a user-controlled incontinence portion that is combinable with a fluid drainage member to permit continuous bladder drainage into a fluid collection member. The fluid drainage member can be detached from the incontinence portion fo the catheter while the catheter is installed in the urethra and bladder to convert from a continuous drainage system to a user-controlled system. In some embodiments of the invention the fluid drainage member includes inflation lumen for inflating a bladder balloon and urethral cuff of the incontinence portion. In other embodiments of the invention the bladder engaging portion and the urethral cuff are noninflatable and can be either compressed or distended to facilitate insertion in the urethra and bladder. A palpatable valve means is palpatable through the penis to an open condition to permit user-controlled bladder drainage.