Abstract: An apparatus for closing and sealing a vascular puncture is connected to an energy supply such that heat is generated in, or thermally conducted to, the tissue, thereby thermally fusing the vascular tissue together. The method for closing and sealing a vascular puncture comprises applying radio frequency or other energy to the tissue, the energy being sufficient to thermally fuse the tissue together, thus sealing the puncture. Embodiments of depth finding and guiding devices, as well as blood vessel occluders, are also disclosed.

Abstract: The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. In one aspect, a method is provided for reducing the volume of enlarge swollen tissue in the patient's nose, such as swollen nasal tissue, mucus membranes, turbinates, polyps, neoplasms, cartilage (e.g., the nasal septum) or the like. In particular, the turbinates are treated by positioning one or more electrode terminal(s) adjacent to the turbinates, and delivering electrically conductive fluid, such as isotonic saline, to the nasal cavity to substantially surround the electrode terminal(s) with the fluid.

Abstract: An apparatus for delivering energy to a biological site includes an electrode device having a plurality of electrodes, the electrode device positioned proximal the biological site. A power control system supplies power having a controllable phase angle to each of the electrodes. A backplate is also positioned proximal the biological site so that the biological site is interposed between the electrode device and the backplate. The backplate is maintained at the reference voltage level in relation to the power. The power control system controls the phase angle of the power so that the current flow between the electrodes and between the electrodes and the backplate results in the continuity and depth of lesions desired. In a preferred embodiment, the electrodes are arranged in a substantially linear array.

Abstract: An apparatus, system, and method for treating body tissue includes an electrode assembly having a first electrode and a second electrode, with at least the first electrode formed of a foam-like material. Conductive fluid is delivered to the operating site, which may involve injecting the conductive fluid through the porous foam-like material of the first electrode via a fluid supply conduit. The apparatus may also include a fluid withdrawal conduit. The second electrode may also be formed of a foam-like material. The electrode assembly may be positioned on a catheter shaft having a distal end, with the first electrode positioned on the catheter shaft distal end. In treating desired tissue at a selected operational site, the electrode assembly is introduced to the site with one or more of the first electrodes positioned adjacent to the desired tissue. Conductive fluid, such as a saline solution, is delivered to the operational site via the supply conduit.

Abstract: An Rf energy applicator with a working end that carries a bi-polar Rf electrode system for creating a Rf-tissue interaction or ionothermal effect in subsurface tissue (a first ionothermal system) which effect is focused by concurrent actuation of a photonic tissue-sensitizing system or photoconductance system (a second ionothermal system). The photonic energy system is adapted to create a "lens electrode" in subsurface tissue that enhances the targeted tissue's conductance of Rf current which serves as a means of focusing Rf ionothermal effects at a subsurface level. A dosimetry control system is provided that controls the dose and timing of Rf energy delivery as well as the dosimetry of photonic energy delivery. The ionothermal applicator has a handle portion coupled a tubular extending member. The distal termination of the probe has at least one pair of opposing conductive electrodes in a spaced relationship around a perimeter of the distal termination of the extending member.

Abstract: A bipolar electrosurgical instrument for vessel sealing comprises first and second members connected by a pivot. A pair of jaws have opposable seal surfaces that are designed to grasp vascular tissue and conduct bipolar electrosurgical current therethrough. Electrodes on the jaws, including the seal surfaces, are removable and disposable. The jaws of the instrument have mechanical interfaces designed to accept replacement electrodes. The instrument further comprises interlocking ratchets designed to hold a constant closure force between the seal surfaces. Wires extend from the electrodes along one of the members and are connectable to electrosurgical generator.

Abstract: A device for cutting tissue from a body comprises a cutting member including a cable formed of first and second conductors insulated from one another. The first and second conductors are arranged in an alternating distribution along the cutting member with the first conductor having a plurality of exposed portions forming a plurality of first electrodes and the second conductor having a plurality of exposed portions forming a plurality of second electrodes. The first and second electrodes are distributed along a cutting edge of the cutting member.

Abstract: A probe system for volumetric tissue heating and ablation comprises a cannula having a multiple electrode component reciprocatably mounted therein. Individual electrodes within the array have spring memory so that they assume a radially outward, arcuate configuration as they are advanced distally from the cannula. Preferably, the electrodes fully evert as they are advanced from the cannula. Prior to deployment, the electrodes are constrained within a lumen of the cannula. The electrodes are maintained with a uniform circumferential spacing by confining them within an annular envelope defined by a core member within the cannula lumen, by providing electrodes having asymmetric cross-sectional geometries, and/or by nesting the electrodes closely together. Optionally, a cutting current may be applied to the electrodes as they are advanced.

Abstract: A clamping force mechanism and its method of use with electrosurgery allow a user to seal and/or join patient's particular vascular tissue; the mechanism is elongate with user and patient ends. An actuator is at the user end and the effectors are at the patient end. Each effector has a face of an area to contact the particular vascular tissue. A lost motion connection transfers user actuation to the effectors to hold a predetermined clamping force during electrosurgical tissue sealing. A yielding member in the loss motion connection clamps the particular tissue between the faces with a predetermined force. The yielding member is a spring, slip clutch or hydraulic coupling possibly near the actuator. An active electrode is carried on one end effector and a return electrode contacts the tissue so an electrosurgical energy supply connected thereacross delivers energy therebetween. A feedback circuit responds to parameters of energy delivered to tissue.

Abstract: Apparatus for being held by the human hand for performing refractive keratectomy on the eye of a patient by the use of radio frequency energy from a radio frequency generator. An elongate probe has proximal and distal extremities. The proximal extremity is sized to be grasped by a human hand. The elongate probe has a length so that the distal extremity can be held in close proximity to the cornea while the proximal extremity is held by the human hand. An energy delivery member is carried by the distal extremity. Conductors are carried by the elongate probe for conducting radio frequency from the generator to the energy delivery member. A dispersive member is carried by the energy delivery member for dispersing the radio frequency energy from the energy delivery member and applies the energy to the cornea to remove a portion of said cornea in order to reshape the cornea and improve vision.

Abstract: A catheter delivers an electrode within a vein for a minimally invasive treatment of esophageal varices using RF energy. The catheter is introduced into and positioned within the section of the vein to be treated. The electrode radiates high frequency energy towards the vein, and the surrounding venous tissue becomes heated and begins to shrink. The extent of shrinkage of the vein is detected by fluoroscopy. The electrode remains active until there has been sufficient shrinkage of the vein. The electrode may remain active for an extended period of time so as to promote a thickening of the immediately surrounding esophageal tissue. The catheter includes a controllable member for limiting the amount of shrinkage of the vein to the diameter of the member. After treating one section of the vein, the catheter and the electrode are repositioned within the venous system to treat different sections until all desired venous sections are rendered functionally competent.

Abstract: An electrosurgical generator has an output power control system that causes the impedance of tissue to rise and fall in a cyclic pattern until the tissue is desiccated. The advantage of the power control system is that thermal spread and charring are reduced. In addition, the power control system offers improved performance for electrosurgical vessel sealing and tissue welding. The output power is applied cyclically by a control system with tissue impedance feedback. The impedance of the tissue follows the cyclic pattern of the output power several times, depending on the state of the tissue, until the tissue becomes filly desiccated. High power is applied to cause the tissue to reach a high impedance, and then the power is reduced to allow the impedance to fall. Thermal energy is allowed to dissipate during the low power cycle. The control system is adaptive to tissue in the sense that output power is modulated in response to the impedance of the tissue.

Abstract: An electrosurgical instrument, which is used to treat tissue in the presence of an electrically-conductive fluid, comprises an instrument shaft and an electrode assembly at one end of the shaft. The electrode assembly comprises a tissue treatment electrode and a return electrode which is electrically insulated from the tissue treatment electrode by means of an insulation member. The tissue treatment electrode is exposed at the extreme distal end of the instrument, and the return electrode has a fluid contact surface spaced from the exposed end of the tissue treatment electrode by the insulation member. The instrument further comprises feed means for feeding electrically-conductive fluid to the region of the exposed end of the tissue treatment electrode in such a manner as to define, in use, a conductive fluid path that completes an electrical circuit between the tissue treatment and the return electrode.

Abstract: A locking mechanism for ensuring proper sequential usage of a surgical instrument is provided for an instrument utilizing a tissue treating energy, particularly a tissue heating energy, such as, for example, electrosurgical, ultrasonic, thermal, laser, infrared light, or other heating energies. One embodiment includes a cutting element to be used after heat treatment of tissue is completed to a desired degree. The instrument of the preferred embodiment includes a feedback monitor arranged to provide a signal indicating completion of tissue treatment. One embodiment includes an electro-mechanical locking mechanism responsive to the tissue treatment complete feedback signal and arranged to unlock when tissue treatment is complete.

Abstract: An electrosurgical instrument, which is used for the treatment of tissue in the presence of an electrically-conductive fluid medium, comprises an instrument shaft, and an electrode assembly at one end of the shaft. The electrode assembly comprises a tissue treatment electrode and a return electrode which is electrically insulated from the tissue treatment electrode by means of an insulation member. The tissue treatment electrode is exposed at the distal end portion of the instrument, and the return electrode has a fluid contact surface spaced proximally from the exposed end of the tissue treatment electrode by the insulation member. The exposed end of the tissue treatment electrode is constituted by a plurality of tissue treatment filamentary members made of an electrically-conductive material, the filamentary members being electrically connected to a common electrical supply conductor.

Abstract: A method and system for the delivery of radiofrequency energy to the tissue, particularly, the prostate, to alleviate the symptoms of BPH is disclosed. The system incorporates a bipolar or multipolar electrode array to create an electric field where the heat created is confined solely to a specific volume of the prostate gland and therefore the heated tissue is defined only by the electrode geometry. The bipolar electrode array provides a variety of three dimensional, symmetric heating patterns within the prostatic tissue depending on the relative electrode lengths and angular separation. The system provides precision tissue temperature and impedance measurements thereby enabling the surgeon to accurately predict heating pattern performance and tissue response to RF heating.

Abstract: Disclosed is an integrated surgical and cauterizing apparatus, comprising a surgical instrument including a drive member, a cannula, and a tool, and the cannula attached at a proximal end to the drive member and defining at a distal end thereof an opening, and the tool including a shaft and a tip, and the shaft contained within he cannula and connecting the tip in the opening of the cannula to the drive member to produce a surgical motion of the tip; and a cauterizing instrument comprising at least one electrode, and a conductor, and at least one electrode affixed to the cannula adjacent to the distal end of the cannula and the conductor providing an electrical path from the at least one electrode for the application of electrical power to the at least one electrode to produce a cauterizing effect.

Abstract: An electrosurgical instrument comprising a work implement having a medically acceptable working edge with a plurality of layers of different compositions including an inner primer layer with an electrically conductive polymer with a coating thickness of about 0.3 mil, an intermediate layer having a coating thickness of about 0.1 mil and an outer protective layer having a low coefficient of friction with a thickness of about 0.3 mil to reduce the adhesion of charred tissue during surgical procedures involving cauterization or cutting of tissue utilizing high frequency electrical energy as the source of power.

Abstract: A method of resecting a portion of lung using an electrosurgical instrument is disclosed. The electrosurgical device clamps upon lung tissue and applies RF energy to create a cauterized zone within the clamped portion of the lung. At least one staple is placed within the cauterized tissue zone. The cauterized zone is cut adjacent to the at least one staple and the cut portion of the lung is removed.

Abstract: The invention is related to an instrument for endoscopic surgery. The instrument comprises a casing 10, further comprises a sliding tube 16 which extends into the casing with its proximal end 20 and which is disposed longitudinally slidable with respect to the casing by means of an actuating mechanism 38, further comprises an electrode tube 18 which extends through the sliding tube 16, which extends into the casing with its proximal end and is axially lockable therein, and further comprises two isolated wire pieces 32 which extend through the inside of the electrode tube 18.

Abstract: An electrosurgical instrument includes a housing and a first connector in the housing for receiving electrical energy. A shaft assembly is movably connected to the housing. The shaft assembly also includes at least one electrode at a distal end of the shaft assembly as well as at least one conductive portion for passing the electrical energy to the electrode. A spring is positioned between the shaft assembly and the housing for biasing the shaft assembly a distance away from the first connector. The distance defines a pre-determined gap between the first connector and the shaft assembly. The shaft assembly is proximally movable in the housing upon an application of force at the shaft assembly distal end for compressing the spring such that the conductive portion traverses the predetermined gap such that electrical energy is passed from the first connector to the electrode through the conductive portion.

Abstract: A coagulation instrument has a handle section and detachably connected thereto an electrode shank (4). Electrode conductors (5, 6) are led in the electrode shank from contact pick-off points (7, 8) situated in the direction of the handle to the operating end (9) of the electrode shank. In the region of the contact pick-off points staggered in the longitudinal direction of the electrode shank (4), directly adjacent to the respective internal conductors (5, 6), there is in each case an opening (15) in the insulating outer cover (11). In this region contact sleeves (13, 14) are arranged on the electrode shank and have a depression (16) penetrating the respective opening (15) for contacting the corresponding conductor (5) or (6).

Abstract: An auxiliary electromagnetic thermal treatment apparatus for use with an endoscope to provide the endoscope with electromagnetic thermal treatment capabilities is provided. The auxiliary apparatus includes a handle portion and an elongate portion connected to the handle portion and dimensioned to be at least partially inserted within a working channel of an endoscope. The elongate portion includes at least one delivery tube having a memory portion comprised of a shape memory material and defining a normally unstressed curved configuration. The one delivery tube is longitudinally moveable relative to the handle portion to extend the memory portion beyond the working channel of the endoscope such that the memory portion assumes the normal unstressed curved configuration thereof. An electromagnetic probe is disposed within the delivery tube and is longitudinally moveable relative to the delivery tube to extend a probe end portion thereof beyond the delivery tube and within tissue.

Abstract: Disclosed is an electro surgical device for use by a surgeon to perform coagulation procedures to damaged tissue and evacuation procedures to related fluids. In one embodiment, the device comprises a first electrode having a first open end, a second open end, an outside surface, and a channel extending from the first open end to the second open end. The device further comprises a second electrode having a first end, a second end, an inside surface, and an outside surface. The inside surface of the second electrode is encased about the outside surface of the first electrode and electrically isolated by an insulator. The device further comprises first and second terminal pins each having a first end connected to the first and second electrodes, respectively, and a second end adapted to engage with the electrical generator. The device further comprises a housing having a suction port and a terminal pin portion.

Abstract: A cell necrosis apparatus has a flexible introducer including a lumen and a distal end sufficiently sharp to penetrate tissue. An energy delivery device is positionable in the introducer as the introducer is advanced through tissue. The energy delivery device includes a first RF electrode with a tissue piercing distal portion and a second RF electrode with a tissue piercing distal portion. The first and second RF electrodes are deployable with curvature from the introducer at a selected tissue site in a lateral direction away from the periphery of the introducer.

Abstract: In a bipolar surgical shears, pivoted cutting members serve as a first electrode, and separate conductors, mounted on the cutting members and insulated therefrom, serve as second and third electrodes. One of the second and third electrodes is connected to a terminal on the opposite cutting member through a pivot pin comprising an insulating tube, so that all power supply connections are mounted on one of the pivoted cutting members. A power supply can be switched selectably to a selected one, or both, of the second and third electrodes.

Abstract: A method for surgically treating tissue in a patient. The steps comprise touching a surgical tool to tissue that is to be surgically treated; heating the surgical tool by converging current to the tip of the surgical tool to create a high current density at the tip of the surgical tool so as to instantaneously vaporize the tissue being touched; and restricting the heat to the contact point on the tissue. The method eliminates the need for a solenoid coil and a grounding component.

Abstract: A novel, bipolar, electrosurgical instrument is provided with one metal and one ceramic end effector. Current is passed through the metal end effector and through an insulated conduit to the distal tip of the ceramic end effector. A connection at the distal tip of the ceramic end effector allows the current to return along exposed conductive strip which is spaced apart from the metal end effector in cutting action by a gap of approximately 0.020 inches when the ceramic and metal blade supports are brought into contact with tissue, a current flows from the exposed metal strip on the ceramic blade through to the metal blade thereby effecting cauterization, preferably slightly in advance or at the point of cutting between the ceramic and metal blades.

Abstract: In the present invention, a cordless capacitively coupled electrosurgical instrument is adapted to receive electrosurgical energy from a specially designed trocar or trocar adapter. In one embodiment of the present invention, a capacitively coupled electrosurgical instrument includes a handle, an elongated tube and an electrosurgical end effector. The handle may include an actuator such as a trigger which is operatively connected to the end effector through the elongated tube. The elongated tube may be a closure tube which is adapted to close the end effector when the handle actuator is moved. Alternatively, the closure tube may include a mechanism connecting the handle actuator to the end effector, which mechanism acts to close the end effector when the handle actuator is moved. The electrosurgical end effector is adapted to apply electrosurgical energy to biological tissue in order to effect treatment of the tissue.

Abstract: An electrosurgical instrument, such as a scissors, in which the handle and blade members are of a conventional construction. Each blade member supports a detachable cartridge member made of an insulating material and supporting at least one electrode. The cartridge members do not interfere with the cutting engagement of the blade members. Each cartridge member can also permit relative movement between its electrode and associated cutting edge from a first position in which the electrodes are between the cutting edges (when the blades are open) to a second position in which each electrode is behind its respective cutting edge (as the blades are closed).

Abstract: Methods and apparatus are provided for cauterizing predetermined volumes of abnormal biological tissue using a user selectable or adjustable energy applicator including two or more electrodes having electrode parameters configured to cause cauterization of predetermined volumes when operated in a bipolar mode. The energy applicators are employed with a control device that couples the energy applicators to a power source and includes circuitry for interrupting activation of the energy applicator when the current between the two or more electrodes decreases more than a predetermined amount from the current sensed upon initial activation of the energy applicator.

Abstract: A micromachined electrical cauterizer. Microstructures are combined with microelectrodes for highly localized electro cauterization. Using boron etch stops and surface micromachining, microneedles with very smooth surfaces are made. Micromachining also allows for precision placement of electrodes by photolithography with micron sized gaps to allow for concentrated electric fields. A microcauterizer is fabricated by bulk etching silicon to form knife edges, then parallelly placed microelectrodes with gaps as small as 5 .mu.m are patterned and aligned adjacent the knife edges to provide homeostasis while cutting tissue. While most of the microelectrode lines are electrically insulated from the atmosphere by depositing and patterning silicon dioxide on the electric feedthrough portions, a window is opened in the silicon dioxide to expose the parallel microelectrode portion. This helps reduce power loss and assist in focusing the power locally for more efficient and safer procedures.

Abstract: A bipolar electrosurgical instrument comprising a handle, an end effector and an elongated hollow tube. The handle includes first and second grip members. The end effector includes first, second and third electrodes. The first electrode is substantially triangular in shape. The first electrode is adapted to pivot between an open position and a closed position. The first electrode also pivots around its proximal to distal axis and includes a coagulating surface and a cutting edge. The second and third electrodes are arranged substantially parallel to the first electrode when the first electrode is in the closed position. The elongated hollow tube includes a mechanism connecting the handle to the end effector such that movement of the first and second grip members relative to one another causes the first electrode to move relative to the second and third electrodes.

Abstract: An electrosurgical instrument having a first electrode that includes an elongated, electrically conductive member and a second electrode that includes a layer of electrically conductive material adhered over at least a portion of a distal region of the elongated member and separated therefrom by an insulator. The electrodes receive electrical power in a proximal region of the instrument and apply the power to an object in the body by inducing current flow between the electrodes at the distal region. In a related aspect, the second electrode is configured so that the outer diameter of the distal region is substantially the same as the outer diameter of the distal end of the first electrode. In another aspect, one of the electrodes has a reduced circumferential extent relative to the other electrode to limit an area of current flow between the electrodes and thus restrict the size of the region in which cauterization occurs.

Abstract: An electrosurgical blade is provided having a ceramic coating which is conductive, flexible and provides a surface which inhibits the build up of charred tissue. These properties enable the electrosurgical blade to deliver controlled amounts of radio-frequency energy to tissue. The manufacturing process produces a coating of titanium nitride on a stainless steel blade which is amorphous, enabling the electrosurgical blade to bend with the blade in order to perform a wide variety of surgical procedures without damaging the coating. The electrosurgical blade can therefore be used to efficiently cut, coagulate, fulgurate and desiccate tissue. While the blade is primarily used in the monopolar mode, the present invention also encompasses at least two electrosurgical electrodes having the same ceramic coating as the electrosurgical blade, and used in the bipolar mode for coagulation. The coating can be applied on a variety of shapes of electrocautery instruments.

Abstract: An electrosurgical instrument includes a roller electrode segmented into conductive and non-conductive portions. When the electrode is rolled over a treatment site, the region of the electrode that contacts the site receives current from an energy source and the non-contacting region of the electrode is isolated from the energy source. The electrode is well suited for use in an isotonic fluid environment, without resulting in significant current dissipation since the non-contacting portion is isolated from the energy source. The roller electrode has a substantially cylindrical shape and is rotatable about a longitudinal axis along which a bore extends. A conductor carrying current from the energy source is disposed through the bore such that, when the electrode is urged against a treatment site, the conductor delivers current to the contacting region of the roller electrode and is isolated from the non-contacting region.

Abstract: A bipolar electrosurgical instrument for cutting and coagulating tissue is disclosed. Also disclosed is a method for using the bipolar electrosurgical instrument. The instrument includes particular patterns of electrically conductive portions and electrically non-conductive portions on the interior surfaces of the shearing members such that the electrical current is localized in the tissue to be treated without causing a short circuit in the instrument. Other advantages of the device include an improved cutting ability aided by the localized electrical current and reduced manufacturing costs as compared to similar, prior art devices.

Abstract: An electrosurgical device for performing uvulopalatoplasty is provided. The device of the present invention comprises two configurations. The first configuration comprises a handle having an actuator which actuates a barrel fixedly mounted to a handle. This embodiment is contemplated to be disposable for single patient use. The second configuration comprises a handle having an actuator having a detachable barrel. Both devices of the present invention are designed to fit easily into a patient's mouth and maximize the surgeon's manual control.

Abstract: The invention features a bipolar electro-surgical apparatus having a first electrode that has a relatively large surface area for creating a diffuse current sufficient to heat a region of tissue to coagulation temperatures and a second electrode that has a relatively small surface area for creating a concentrated current region sufficient to heat tissue adjacent to the second electrode to resection temperatures. The first and second electrodes are relatively positioned along a treatment path, such that tissue is coagulated and resected as the electro-surgical apparatus is disposed along the path. The invention also features a method for bipolar electro-surgical tissue removal including positioning a pair of bipolar electrodes along a treatment path, flushing the treatment path with an ionic fluid, and imposing a voltage differential to cause current to flow through tissue between the electrodes, where the current flowing through the tissue is sufficient to heat and cause coagulation of the tissue.

Abstract: An electrode catheter for cardiac electrophysiology. An elongated body suitable for intravascular insertion surrounds a plurality of electrode lead wires. A composite electrode comprises a plurality of tip electrodes and defines a margin along a proximal edge. Each tip electrode is electrically connected to an associated electrode lead wire and is adjacent to another tip electrode on at least one side along an axis of the elongated body. Each tip electrode is separated from the another tip electrode by insulation. A cup electrode is electrically connected to an associated electrode lead wire and defines a cavity shaped to overlap the margin of the composite electrode. The cup electrode is fixedly secured to the composite electrode and to a distal end of the elongated body and is separated from the composite electrode by insulation.

Abstract: In the present invention, a surgical trocar is adapted to inductively couple electrosurgical energy to specially adapted cordless electrosurgical instruments. In one embodiment of the present invention, an electrosurgical trocar includes a cannula, an inductive electrosurgical adapter and a locking connector adapted to connect the cannula to the inductive electrosurgical adapter. The cannula is an elongated tube which may be inserted into a body cavity, duct or vessel. The inductive electrosurgical adapter includes a housing with an elongated central aperture, a primary inductor coil positioned around and extending axially along the elongated aperture, first and second inductor leads, first and second conductors, an outer housing and an electrical cord.

Abstract: An ablation treatment apparatus has a multiple antenna device. The multiple antenna device includes a primary antenna with a lumen and a longitudinal axis, and a secondary antenna positionable in the lumen. At a selected tissue site the secondary antenna is deployed in a lateral direction relative to the longitudinal axis of the primary antenna. At least a portion of a distal end of the secondary antenna is structurally less rigid than the primary antenna. The primary antenna is constructed to be rigid enough to be introduced through tissue. A cable couples one or both of the antennas to an energy source.

Abstract: Surgical instruments which have multiple functions used in performing endoscopic surgeries, including arthroscopic surgery. The surgical instrument includes a mechanical cutting portion, such as a rotary blade or burr, and an electronic cutting and/or cauterizing portion comprising an electronic surgical device which operates in bipolar mode. This solves the problem of having to constantly remove and insert various surgical instruments into the surgery site in order to remove different kinds of tissues and at different rates and in different manners. A rotary burr works best to remove hard tissues, such as bone, while the bipolar device can be used to cut or ablate soft tissues and/or cauterize tissue, including blood vessels. Alternatively, the mechanical cutting portion may include a rotary blade, which works best for removing soft tissues.

Abstract: A bipolar blood coagulator probe has a coaxial or other bipolar arrangement for use submerged in a sterile fluid during arthroscopy of joints, with an elongated outer electrode positioned in juxtaposition to an elongated inner electrode and with an elongated electrical inner insulation layer positioned between the outer electrode and the inner electrode. The outer electrode, inner electric, and inner insulation can be concentric to each other or in other configurations, including sandwiched or laminated together. The bipolar probe also has an elongated outer electrical insulation sleeve over the outer electrode and a proximal end outer housing terminating in a plug with two prongs that are electrically connected in the housing to outer electrode and inner electrode. The prongs of the plug are adapted to plug into a suitable receptacle for connection to an RF generator.

Abstract: An electrosurgical instrument is useful for therapeutic treatment of varices, especially small varicose dilatations of the cutaneous veins. A surgical instrument is provided for rapid, reliable and minimally discomforting therapy of small varicose dilatations of the cutaneous veins and similar disorders, ensuring the lowest possible rate of recidivism while minimizing side effects. The instrument has two fork-shaped protruding needle electrodes which connect to different poles of an electrical power source and which are each partially enclosed in an electrical insulating layer. The forward tip region of the needle electrodes is left open.

Abstract: A volumetric tissue ablation apparatus includes a probe having a plurality of wires journaled through a catheter with a proximal end connected to the active terminal of a generator and a distal end projecting from a distal end of the catheter. The probe wire distal ends are arranged in an array with the distal ends located generally radially and uniformly spaced apart from the catheter distal end. A conductor connected to the return terminal of the generator is located relative to the probe wire array to form a closed electrical circuit through tissue to be ablated. Preferably, the probe wire array includes 10 wires, each formed in an arch from the catheter distal end. The conductor can be either a conventional ground plate upon which the tissue is supported, or a conductor wire extending through the probe and electrically insulated from the probe wires.

Abstract: A volumetric tissue ablation apparatus includes a probe having a plurality of wires journaled through a catheter with a proximal end connected to the active terminal of a generator and a distal end projecting from a distal end of the catheter. The probe wire distal ends are arranged in an array with the distal ends located generally radially and uniformly spaced apart from the catheter distal end. A conductor connected to the return terminal of the generator is located relative to the probe wire array to form a closed electrical circuit through tissue to be ablated. Preferably, the probe wire array includes 10 wires, each formed in an arch from the catheter distal end. The conductor can be either a conventional ground plate upon which the tissue is supported, or a conductor wire extending through the probe and electrically insulated from the probe wires.

Abstract: A method is provided for making an electrode tip for use in a bipolar electrosurgical instrument from a single flat blank of metal. The method uses a photo chemical machining process. The resultant electrode tip has a generally loop shaped working portion. Use of the flat blank of metal results in electrodes having working portions with sharp edges in cross-section. The working portions emit concentrated energy in the radial direction.

Abstract: A bipolar push rod assembly is disclosed in conjunction with an endoscopic bipolar cautery scissors instrument. The push rod assembly has two conductive push rods which are substantially covered and insulated from each other by a double lumen flexible sheath. The proximal ends of the push rods are stabilized by an overmolded plastic collar and the distal ends of the push rods are stabilized by a ceramic insulator. The plastic collar is provided with a snap retainer for coupling it to a plastic plug retainer having a pair of spaced apart passages. A pair of female plug adapters are press fit onto the proximal ends of the push rods and are maintained in place by the plug retainer with each adaptor residing in a respective one of the passages. The distal ends of the push rods are swaged approximately 90.degree. in opposite directions. A ceramic insulator is disclosed as a one-piece unit into which the distal ends of the push rods are inserted.

Abstract: A bipolar electrocautery valvulotome in the form of an elongated catheter having a longitudinal axis, a proximal end for being held and manipulated by a user, and a distal end. A first electrode is provided adjacent the distal end of a main body of the catheter and has an exposed surface facing distally of the catheter. The first electrode is electrically coupled to device for generating a current. A second electrode is disposed distally of the first electrode and is also electrically coupled to the current generating device. The second electrode has an exposed surface in a plane substantially perpendicular to the longitudinal axis of the catheter. At least one of the first and second electrodes is movable relative to the other so as to selectively capture a venous valve structure to be cauterized therebetween.