Abstract: An electrosurgical instrument that is capable of generating high-quality RF energy at a first frequency best suited for delicate, precise. and quick-healing cutting procedures with low leakage currents using a unipolar handpiece, and also provides high-quality RF energy at a second frequency best suited for coagulation for use with a bipolar handpiece. In a preferred embodiment, the first frequency is in the range of about 3.8-4.0 Mhz, and the second frequency is in the range of about 1.7-2.0 Mhz. The instrument is preferably configured so that both a unipolar handpiece and a bipolar handpiece can be used during a surgical procedure, though not at the same time, without having to activate any switches on the instrument. This has the advantage of providing the surgeon all the benefits of both electrosurgical modes while not jeopardizing the crucial sterile field.

Abstract: A high-frequency surgical apparatus has a plurality of different operating modes, such as monopolar, tripolar, bipolar, at least one function such as cutting, coagulation in each operating mode and at least one operating mode with several functions and also at least one characteristic within each function which can be selected by one switching key in each case. In accordance with the invention an operating mode selection key is provided for each operating mode. At least some of the switching keys are associated with several operating mode selection keys. On actuating at least one of the operating mode selection keys several of the switching keys are blocked.

Abstract: The invention relates to a suction/rinsing instrument comprising a suction channel for removing fluid and a rinsing channel for supplying rinsing fluid. The suction channel is provided for receiving an auxiliary instrument. Via a grip part of the instrument, the auxiliary instrument, for example a forceps, may be controlled. The auxiliary instrument is fixed on the suction/rinsing instrument by way of a receiver. The receiver can be traversed in the axial direction of the shank, the traversing is effected via operating means provided on or near the grip part, so that the operator, without having to let go of the grip part, may selectively, with only one hand, push forward the auxiliary instrument an thus operate or also retract the auxiliary instrument and clear the suction/rinsing channel.

Abstract: A system and method for performing a capsulotomy employ a handpiece including a cutting assembly that fits into the anterior chamber of the eye, and cuts an opening in the capsule of the eye with mechanical oscillation. The cutting assembly includes a rigid sleeve enclosing an oscillating shaft. The sleeve and oscillating shaft are configured to induce a laminar flow of fluid in the interior of the sleeve during operation of the system. The cutting member oscillates in a direction transverse to the longitudinal dimension of the handpiece.

Abstract: A catheter assembly which permits simultaneous dilatation and incision of tissue whereby trauma and damage to the tissue due to uncontrolled tearing is reduced or eliminated comprising an elongated tubular body having a distal end that carries a dilatation balloon and cutting element carried on the exterior of the balloon and that moves radially in concert with the exterior of the bladder as the bladder is inflated and deflated. A radiofrequency current is directed through the cutting element to incise proximate tissue. Pressure can be applied to the tissue prior to cutting to facilitate separation and subsequent to cutting to inhibit bleeding.

Abstract: A cautery instrument having a first predetermined region for contact with flesh or tissue, the instrument being coated with flesh or tissue, the instrument being coated over at least a portion of the predetermined region by a coating consisting essentially of diamond of a thickness permitting transmission of radio-frequency electrical energy from the first predetermined region through the diamond coating to flesh or tissue by capactive coupling.

Abstract: A system for controlling the operation of a high frequency biological tissue cutting device for cutting biological tissue with high-frequency current having a HF generator component designed so that the amplitude of the voltage (UG) applied to the tissue can be changed. At least one adjustment device is provided to adjust one of the characteristic values (K) of the high frequency generator component to a 1st desired value (b), related to the output of an indicator device that indicates by an electrical signal (d) the size and intensity of the electric arc occurring between the surgical probe and the tissue during cutting. A desired-value transmitter provides a second desired value (c) representing the desired size and intensity of the electric arc.

Abstract: A medical probe for the treatment by radio frequency ablation of a target volume in tissue of a human having a urethral channel extending into a base of a bladder along a longitudinal axis. The probe comprises an elongate probe member having proximal and distal extremities and sized so that it can be introduced into the urethra. The elongate probe member has a passage extending from the proximal extremity to the distal extremity. Guide cannulae are mounted in the passage of the elongate probe member and have proximal and distal extremities with the distal extremities of the guide cannulae being in the vicinity of the distal extremity of the elongate probe member. Each of the guide cannulae has a lumen extending therethrough from the proximal extremity to the distal extremity. A radio frequency conductive electrode is disposed in each lumen. A control handle is secured to the proximal extremity of the elongate probe member.

Abstract: An electrosurgical apparatus has a radio-frequency generator (11) with a variable basic power setting and to which a cutting electrode (12) and a neutral electrode (13) are connected. A power measuring device (15) is connected to the electrodes (12, 13) and acts on a regulating stage (16) which is connected to the power regulating input of the radio-frequency generator (11). The number of sparkovers within a predetermined plural number of periods is determined and is set by regulation of the output power of the radio-frequency generator (11) to a constant value which lies beneath twice the predetermined plural number.

Abstract: An ultrasonic treatment apparatus comprises at least one hand piece, a plurality of probes, and an ultrasonic drive device. The hand piece has an ultrasonic oscillation device for generating ultrasonic vibration. Each probe is adapted to be attached to the hand piece and designed to transmit the ultrasonic vibration generated by the hand piece. The ultrasonic drive device is connected to the hand piece, for driving the ultrasonic oscillation device.

Abstract: To ensure continuous incising or coagulating technique without adhesion of carbonized body tissue proteins and fats which may be produced by thermal action of an arc discharge or Joule heat attendant on the electrotomy or electrocoagulation, at least a part of a surgical instrument, such as an electric knife or a forceps, is formed of a C/C composite material.

Abstract: The present invention is a device and method for making electro-surgical devices, such as electro-surgical blades, that have a thin coating of non-stick material with a narrow continuous gap, or stretch of opening, in the coating, exposing the metal surface along an edge. This opening has a shape that tends to prevent it being clogged by charred tissue in use. The present invention includes a method of manufacturing the devices that has fewer steps than the prior art, and a better way of forming an opening in the electrically insulating non-stick coating to electrically expose the metal beneath.

Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.

Abstract: An angioplasty catheter for increasing the patency of a body vessel by altering an obstruction in the body vessel includes an elongate shaft having a proximal end and a distal end. At least one electrical conductor is disposed at the distal end and movable from a low profile position to a high profile position in proximity to the obstruction. A non-distensible balloon disposed between the conductor and the shaft is inflatable from the proximal end of the shaft to move the conductor between the low profile position and the high profile position. In the high profile position the conductor can be electrosurgically energized to ablate the obstruction and thereby increase the patency of the body vessel. The conductor may include a circuit which is printed on the exterior surface of the balloon. An overlying insulation layer can be provided with a slot to limit the exposure of the conductor to the obstruction thereby increasing the current density in the electrosurgical procedure.

Abstract: The present invention relates to high-frequency generator for cutting tissue having adjustment devices, with which at least one of the momentary electric output values, such as e.g., current, voltage, power or electric arc can be set.The present invention is distinguished by, for improvement of the initial incision behavior, an electronic desired-value transmitter and a measurement device having an evaluation unit for direct and/or indirect determination of cutting being provided and said electronic desired-value transmitter providing upon commencement of an incision a particularly suited generator setting for the initial incision as long as said measurement device signals tissue-separating cutting of the probe and thereupon providing a lower desired value for the generator in such a manner that normal cutting corresponding to the desired surgical goal ensues.

Abstract: A catheter which can be utilized for mapping and/or for ablation in the chamber or chambers of a heart or another body organ has a flexible sheath the distal end of which can be advanced through a blood vessel or another body passage into a selected chamber. A wire-like guide has a distal end portion affixed to the distal end of the sheath and is slidable in a lumen of the sheath so as to form a loop adjacent to and located externally of the distal end of the sheath. The guide and its loop are used as a device for steering the distal end portion of a tubular conductor assembly to any one of a number of different positions relative to the surface surrounding the chamber. The size of the loop is reduced prior to introduction of the distal end of the sheath into and prior to extraction of such distal end from a selected chamber.

Abstract: A cautery instrument having a first predetermined region for contact with flesh or tissue, the instrument being coated with flesh or tissue, the instrument being coated over at least a portion of the predetermined region by a coating consisting essentially of diamond of a thickness permitting transmission of radio-frequency electrical energy from the first predetermined region through the diamond coating to flesh or tissue by capacitive coupling.

Abstract: A surgical system has a multiple electrode electrosurgical capability in combination with a gas plasma capability for delivery of electrosurgical energy to the tissue or bodily fluids of a patient. The system includes a holder, a source of electrical energy, electrodes connected to the source of electrical energy, one or more passages carried on the holder for transporting ionizable gas, and a source of ionizable gas of a selectable flow rate. The gas passages may include at least one electrode extending toward the operative site. The gas passages may include a part that creates a vortex in the gas flow. The electrodes may be coaxially placed in the gas passages. The system may also be configured such that two electrodes are each shrouded by the ionized gas so that the electrosurgical energy is conducted to the tissue or bodily fluids of the operative site by passing along conductive pathways in the ionized gas from each electrode. There may also be a dielectric barrier between the conductive pathways.

Abstract: An apparatus and method for igniting plasma in a surgical system is disclosed. A corona discharge is generated on a surgical handpiece which is used to ignite a plasma arc for surgical operations. The advantages include greater reliability and repeatability of plasma arc ignition. The apparatus comprises a handpiece incorporating an active electrode, a passage for ionizable gas, and a corona return electrode. The corona return electrode has a terminus on the holder and near the distal end of the holder. The corona return electrode is electrically connected to the return path of the electrosurgical generator. A non-uniform electric field is generated between the active electrode and the corona return electrode of sufficient strength so that a corona is formed near the active electrode. A separate return electrode may be on the patient, or the apparatus may be configured for bipolar electrosurgical operation by carrying the return electrode on the handpiece.

Abstract: In electrosurgical apparatus for tissue desiccation and cutting, an electrosurgical generator has a series-connected output inductor which forms a series resonant circuit with the capacitance of the generator load, the load including an electrode unit and a cable coupled to the generator output. The series resonant frequency is typically 1.5 f where f is the operating frequency of the generator. A capacitor may be included, coupled between the conductors which connect bipolar electrodes to the generator, to increase the load capacitance. The effect of these measures is to boost the output voltage available for electrosurgical treatment, especially for tissue cutting.

Abstract: A surgical device is provided that is to be used with standardly available resectoscopes, combining the better qualities of familiar tissue scraping tools and real time imaging with the better qualities of laser radiation surgery. The laser radiation is delivered using side-firing optical fibers and is capable of delivering the amount of power needed to ablate or coagulate tissue. The state of the useful art is advanced by incorporating the ability to ablate as well as coagulate tissue using laser radiation, together with the ability to scrape and/or cauterize tissue and simultaneously use familiar real time imaging capabilities, all fitted into a single device that is used with a standard resectoscope. This allows surgeons to use as many familiar and tested techniques as possible and allows hospitals to purchase the device with minimal additional procurement activity.

Abstract: An electrosurgical instrument and method for making and using the same is provided. The electrosurgical instrument includes a stainless steel blade whose surface is plated with an intermediate layer comprising a substantially non-toxic metal having a hardness of at least about 130 on a Knoop scale and an electrical resistivity not exceeding about 15 microhm-cm at 20.degree. C., with the intermediate layer having a non-stick coating. The non-stick coating prevents tissue from sticking to the instrument during surgery while the intermediate metal layer enhances the electrical conductivity of the instrument for more efficient cauterization of tissue with less power consumption. The combination of an intermediate metal layer with an outer non-stick coating eliminates the need to choose between quick and efficient cauterization during surgery and the prevention of tissue sticking to the instrument.

Abstract: An electrosurgical generator is disclosed that includes an exit spark control system. Exit sparking occurs when energy arcs to the patient as the active electrode is withdrawn from the patient. A basis for controlling the exit spark is to automatically change the frequency at which the final amplifier is driven whenever the conditions for an exit spark are detected. The change in frequency acts to lower the gain and efficiency in the final amplifier and dissipate energy as heat. The exit spark control system includes a frequency adjustable waveform generator and a logic capability for determining the conditions when exit sparking is likely to occur. Sensors and an algorithm in a microcontroller are preferably required to detect the conditions preceding exit sparking occurrence.

Abstract: An electrosurgical generator system includes an electrosurgical handpiece including an active electrode for receiving electrosurgical power from a generator, and cut and coagulation mode switches and a foot activated switch device also including cut and coagulation mode switches. A signal processor associated with the generator and connected to the handpiece and foot activated switch device monitors the states of the cut and coagulation mode switches so as to detect activation of any of these switches and, responsive to two successive activations of a single switch of the switches being monitored, provides control of the power produced by the electrosurgical generator by further activation of the single switch.

Abstract: An RF treatment system includes first and second catheters with first and second needle electrodes positioned at least partially in lumens of the first and second catheters. Each electrode is surround by a insulator sleeve which is slideable along the electrode and defines an ablation surface. An RF power source is coupled to the first and second needle electrodes. The electrodes provide bipolar RF ablation between the two, defining an ablation volume. A deflectable introducer has a laterally deflectable distal end and an ablation volume temperature sensor positioned at the distal end. The deflectable introducer is advanced in and out of the electrodes distal ends to measure a temperature of tissue in the ablation volume. The treatment system can include more than two electrodes, such as two pairs of electrodes. Further, the system can include a needle electrode extension with a laterally deflectable distal end.

Abstract: An instrument for use in endoscopic surgery is provided. The instrument has a heating element with a working surface for providing hemostasis at an auto-regulated temperature. The working surface may include a tapered edge for providing thermally-enhanced cutting and a non-stick coating for operating the instrument at low auto-regulation temperatures. A process for making the instrument is also provided. Additionally, a method of performing endoscopic surgery on a patient's internal tissue is also provided.

Abstract: Systems and associated methods form larger and deeper lesion patterns by shaping a support body with multiple electrodes in ways that increase the density of the electrodes per given tissue area. The support body can carry either elongated, continuous electrodes or arrays of non-contiguous, segmented electrodes.

Abstract: A surgical device for stapling and fastening body tissues, comprises an insertion section extending from an operation section for insertion into a body cavity, stapling member connected to a distal end of the insertion section, for treating body tissues with a high-frequency current within a body cavity. The stapling member includes an anvil and a cartridge between which the tissues are sandwiched, and a cutter. Staples are applied to the anvil from the cartridge for stapling the tissues and the cutter cuts the tissue while it applies a high-frequency current thereto.

Abstract: A biopsy needle cauterizes the wound caused by the taking of a tissue specimen and the tissues in contact with the biopsy needle prior to withdrawal of the biopsy needle from a person, thereby minimizing bleeding and preventing the proliferation of any existing cancer cells along the path of insertion and withdrawal of the biopsy needle from the body. In contrast with existing biopsy needles, the tissue is excised by retraction of the stylet into the cannula, with the cutting edge being at the junction of the upper surface of the stylet and the front wall of the recess which holds the tissue specimen, rather than excising the tissue by sliding the cannula forward over the recess in the stylet with the cutting means at the leading edge of the cannula.

Abstract: A method and device for first irradiating a region of tissue with a radiation source, and then incising the region with a mechanical cutting instrument (e.g., a scalpel). Irradiation allows for effective heating of the tissue, which results in blood vessel contraction or coagulation of the blood before the actual incision is made; once the tissue is incised, the resulting flow of blood is low.

Abstract: An ablation apparatus has a balloon that is inserted into an organ of a body and ablates all or a selected portion of the inner layer of the organ. Electrolytic solution fills the balloon, and the balloon includes a plurality of apertures from which electrolytic solution flows from the balloon. The flow rate of electrolytic solution is dependent on the pressure applied to the balloon by the electrolytic solution. A conforming member, with a conductive surface and a back side, is made of a material that substantially conforms to a shape of the inner layer of the organ and delivers the electrolytic solution and RF energy through the conductive surface to the inner layer. Advantageously, difficult to access areas are reached with the inclusion of the conforming member. Optionally positioned between the conforming member and the balloon is a porous membrane.

Abstract: An ablation apparatus has an expandable member that is inserted into an organ of a body and ablates all or a selected portion of the inner layer of the organ. Electrolytic solution fills the expandable member, and the expandable member includes a plurality of apertures from which electrolytic solution flows from the expandable member. First and second fluid conduits, which can be first and second conforming members, are in a surrounding relationship to the expandable member. The second conforming member, including a conductive surface, is made of a material that provides substantial conformity between the conductive surface and a shape of the inner layer of the organ. A plurality of electrodes is positioned between the two conforming members. The expandable member serves as an insulator to RF energy. Each electrode includes an insulator formed on a surface of the electrode positioned adjacent to the second conforming member.

Abstract: The cutting surfaces of electrosurgical instruments are provided with an electroconductive coating of an inorganic silicon-containing non-stick material such as amorphous silica deposited thereon by plasma enhanced chemical vapor deposition.

Abstract: Electrosurgery apparatus has a processor that generates a data stream output representing the characteristics of the electrosurgery pulses to be generated. The data stream output comprises digitally-represented values indicative respectively of the width of each pulse, the duration of a first period during which pulses are to be generated, the duration of a second period during which pulses are not to be generated, the duration of a third period during which pulses are to be generated and the duration of a fourth period during which pulses are not to be generated. The data stream also includes digital instructions as to whether or not the electrosurgery output is to be cut only and whether it is to include spray coagulation. Three switch control units receive the data stream and provide outputs to three switching circuits, which provide two monopolar and one bipolar output. Each switching circuit includes a transformer connected to receive the outputs from the switch control units.

Abstract: A tissue ablation apparatus includes a delivery catheter with distal and proximal ends. A handle is attached to the proximal end of the delivery catheter. At least partially positioned in the delivery catheter is an electrode deployment device. The electrode deployment device includes a plurality of retractable electrodes. Each electrode has a non-deployed state when it is positioned in the delivery catheter. Additionally, each electrode has a distended deployed state when it is advanced out of the delivery catheter distal end. The deployed electrodes define an ablation volume. Each deployed electrode has a first section with a first radius of curvature. The first section is located near the distal end of the delivery catheter. A second section of the deployed electrode extends beyond the first section, and has a second radius of curvature, or a substantially linear geometry.

Abstract: A bipolar electrosurgical tool comprises a retractable cutting element movable along a cutting path and an electrical energy supply source which communicates electrical energy (e.g., radio frequency energy) through one or more energy delivering electrodes associated with a tissue affecting portion of the tool to tissue adjacent the electrodes. One or more additional electrodes, such as return electrodes, form a second pole of the bipolar electrical connection are also associated with the tissue affecting portion and are electrically isolated from the energy delivering electrode. Various combinations of electrically conductive and electrically isolated elements associated with the tissue affecting portion of the device can be used as the two poles of the bipolar system.

Abstract: An electrode for use in an electrosurgical procedure to improve snoring and OSAS. The procedure is based on the progressive enlargement of the airspace in the oropharynx to eliminate or reduce obstructions that can occur during sleep, by electrosurgical stripping of layers of the vibrating soft palate, the wide posterior tonsil pillars, and redundant posterior pharyngeal mucosa. In a preferred embodiment, the electrode is characterized by a bare active wire portion suspended between wire supports on an electrode shaft. The tissue stripping is effected with the bare wire, and the adjacent portions of the wire supports and electrode shaft are made insulating to prevent accidental burns to the patient and to allow the physician to use these insulated parts to help position and guide the active wire portion during the surgical procedure.

Abstract: A surgical scalpel for cutting the tissue of a patient and for selectively applying an electrosurgical cutting current or an electrosurgical coagulation current from an electrosurgical generator to the patient, includes a scalpel body defining a contoured external surface configured to be held comfortably in the hand of a surgeon, and an electrically conductive blade, mounted on and extending from the scalpel body, for cutting the tissue of a patient and for selectively applying electrosurgical cutting current or electrosurgical coagulation current to the tissue of a patient. The scalpel further includes a cable having an electrical connector for electrical connection to the electrosurgical generator, and manual switch means, mounted on the scalpel body, for controlling the application of electrosurgical cutting current and electrosurgical coagulation current to the tissue of a patient.

Abstract: An instrument for use in endoscopic surgery is provided. The instrument has a reusable shaft to which a disposable working tip can be removably attached. The disposable working tip has a working surface for providing hemostasis at an auto-regulated temperature. The working surface may include a tapered edge for providing thermally-enhanced cutting and a non-stick coating for operating the instrument at low auto-regulation temperatures. The instrument is capable of being used for a wide variety of endoscopic surgical procedures.

Abstract: An instrument for use in surgery is provided. The instrument has a heating element with a working surface for providing hemostasis at an auto-regulated temperature. The working surface may include a tapered edge for providing thermally-enhanced cutting and a non-stick coating for operating the instrument at low auto-regulation temperatures. A process for making the instrument is also provided. Additionally, a method of performing surgery on a patient's tissue is also provided.

Abstract: A smoke removing device adaptable to many fields but preferably used with electrosurgical devices consisting of a hollow tube for evacuating the smoke, a tubular housing including vortex means for creating a vortex at an entrance end of the tubular housing, and an exit end of the tubular housing adapted to be connected to one end of the hollow tube, another end of the hollow tube being adapted to be connected to a suction means for creating suction to remove the smoke form the air near the smoke generator. A vacuum booster is provided for optionally enhancing the suction and vortex created at the entrance of the tubular housing.

Abstract: An electrosurgical probe is disclosed which provides the ability to both cut and cauterize tissue. The probe includes at least one cauterization electrode mounted upon a distal portion of the electrode and adapted to deliver electrosurgical energy to tissue. Further, a central lumen is disposed within the probe. The lumen is adapted to accommodate the flow of fluid from a remote source to tissue through an outlet port in the distal end of the probe. Also, the lumen houses a cutting electrode which is selectively deployable. Both cauterization and coagulation can be conducted in a bipolar mode. The flow of fluid through the lumen serves to limit the heat transfer from the cauterization electrode to adjacent tissue to an extent sufficient to prevent the sticking of tissue to the probe. A feedback system is also provided to optimize the electrode temperature.

Abstract: In an electrosurgical generator having a self-tuning oscillator which includes a switching device and a resonant output network connected between the switching device and a supply rail, an oscillator feedback circuit feeds to the switching device a switching control pulse signal for separately switching the switching device to its "on" state whilst the voltage across the device is decreasing, the phase of the "on" point being dynamically variable such that the "on" time of the device is adjusted so as to regulate the amplitude of the voltage thereacross. This allows reverse conduction of the switching device to be avoided, giving improved efficiency.

Abstract: A method of ocular surgery wherein low power radio waves are transmitted from the tip of an active incising electrode and used to make incisions in the tissues of the eye. A high impedance contact is provided between the surgical subject and a grounding plate connected to the radio wave generator. The use of the low power radio wave energy and the high impedance contact prevents the active incising electrode from becoming hot and causing damage to sensitive tissues of the eye.

Abstract: A multifunction electrocautery tool includes an elongated housing within which a generally cylindrical suction tube is slidably supported. A slide control is mechanically coupled to the suction tube and movable to control the retraction and extension thereof. The slide control includes an aperture coupled to the suction passage of the suction tube to facilitate a single finger or thumb control of the suction tube position and suctioning action. A cauterizing and cutting blade is supported proximate the suction tube and is coupled to a source of RF electrical energy by a connecting wire. In one embodiment, electrical controls for the cauterizing blade are supported upon the upper surface of the elongated housing while a pair of oppositely positioned slide controls are provided on right hand and left hand side surfaces to facilitate either right or left hand operation.

Abstract: A handheld surgical instrument consists of a housing capable of being hand held and including a front end to which a surgical tool is mounted. The tool can be used for electrosurgery and includes a conduit for irrigating or evacuating an interior portion of the body of a patient. The instrument also includes a chamber for temporarily retaining irrigation fluid and from which the fluid can be supplied along the conduit to the body of the patient. Drive means mounted to the housing acts on the chamber to move fluid from the chamber along the conduit to the body of the patient. The instrument also includes a fluid supply for supplying irrigation fluid to the chamber. In operation, the drive means acts to alternately decrease and increase the volume of the chamber to alternately expel fluid from and draw fluid into it.

Abstract: Endoscopic surgical instruments are provided that have detachable working ends for use with a reusable handle portion. The detachable working end includes bipolar electrodes on opposing movable members for passing a high frequency current through tissue for simultaneously severing or manipulating the tissue and causing hemostasis of the tissue. An electrically insulating material is interposed between the movable members so that the electrodes are spaced apart from 0.002 to 0.050 inches and the current passes between the opposing electrodes through the tissue.

Abstract: An electrosurgical probe is disclosed which provides the ability to both cut and cauterize tissue. The probe includes at least one cauterization electrode mounted upon a distal portion of the electrode and adapted to deliver electrosurgical energy to tissue. Further, a central lumen is disposed within the probe. The lumen is adapted to accommodate the flow of fluid from a remote source to tissue through an outlet port in the distal end of the probe. Also, the lumen houses a cutting electrode which is selectively deployable. Both cauterization and coagulation can be conducted in a bipolar mode. The flow of fluid through the lumen serves to limit the heat transfer from the cauterization electrode to adjacent tissue to an extent sufficient to prevent the sticking of tissue to the probe. In another embodiment the probe is adapted only for cauterization and does not include a cutting electrode.

Abstract: An electrosurgical tip for the application of electromagnetic energy in either a monopolar or a bipolar circuit through the tissue and the bodily fluids of an animal or human has a metallic electrically and thermally conductive electrode for connection to an electrosurgical generator proximally and for transmission of the electromagnetic electrosurgical energy to the tissue and the bodily fluids of the animal or human distally. A sheath of heat shrinkable fluorinated polymeric substance is an electrical and thermal insulator held about the electrode for preventing the flow of electromagnetic and thermal energy from the metallic electrically and thermally conductive electrode to the tissue and the bodily fluids. A smooth surface of the sheath contacts the tissue and the bodily fluids and has a low surface free energy. Openings through the sheath extend from the electrode to the surface for permitting the passage of energy.

Abstract: An electrosurgical instrument has a conductive elongated member, a connector for connecting an external electrical power supply to the proximal end of the elongated member, an electrosurgical implement at the distal end of the elongated member, and an insulative parylene coating covering the elongated member. The thickness of the parylene coating is in the range of approximately 1 to 6 mil inches, and preferably 2 to 3.5 mil inches. In the preferred embodiment, the surfaces of the instrument that are to remain uncoated are first masked. The unmasked surfaces are roughened and then dipped in a liquid silicone. The parylene coating is then applied by vacuum vapor phase deposition and annealed. A parylene coating can also be applied to portions of the electrosurgical implement for insulation. A thin parylene coating can be applied to the blade of the instrument as a non-stick coating for easier cleaning.