JPS6459B2 - - Google Patents

Info

Publication number
JPS6459B2
JPS6459B2 JP57500767A JP50076782A JPS6459B2 JP S6459 B2 JPS6459 B2 JP S6459B2 JP 57500767 A JP57500767 A JP 57500767A JP 50076782 A JP50076782 A JP 50076782A JP S6459 B2 JPS6459 B2 JP S6459B2
Authority
JP
Japan
Prior art keywords
working electrode
electrode
surgeon
current
tube
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
JP57500767A
Other languages
English (en)
Other versions
JPS58500104A (ja
Inventor
Uiriamu Esu Uorukaa
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of JPS58500104A publication Critical patent/JPS58500104A/ja
Publication of JPS6459B2 publication Critical patent/JPS6459B2/ja
Granted legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00017—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids with gas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration
    • A61B2218/008—Aspiration for smoke evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/02—Gases

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Description

請求の範囲 １ 内部で長さ方向に延びる流体コンジツトを形
成している中空の長い管と、作用電極と、上記の
管内に取りつけられ、そして作用電極を保持する
電気絶縁材料の突起部片と、作用電極に接続され
ている導線と光伝達ケーブルとを備え、上記の管
はそれの長さに沿つて延びる取りつけ溝を有し、
上記の突起部片の周縁には少なくとも一つの溝を
設けこの溝は上記の液体コンジツトと流体連通し
て作用電極を通る流体の流れを案内するダクトを
形成し、上記の光伝達ケーブルは、作用電極の周
りを照明するため光放出端を作用電極に隣接して
上記の取りつけ溝に滑動するよう取りつけられて
いることを特徴とする電気手術用器具。
２ 作用電極への電流の供給を制御するため作用
電極に接続されている導線に接続して、管にスイ
ツチを配置した請求項１に記載の電気手術用器
具。
技術分野 本発明は外科用器具に係り、特に、電気手術に
用いられる器具に係る。
発明の背景 電気手術は19世紀の終りから行われており、こ
れは高周波電流を用いて作用電極で組織を切除し
たり凝固させたりするものである。外科医が作用
電極を患者の人体組織に接触させるか又は人体組
織に近づける間には戻り電流用電極が患者に接触
して配置される。高周波電流は組織に熱を発生
し、ジアテルミー、この熱によつて組織が切除さ
れたり、乾燥即ち凝固が行われて細長い細胞が脱
水によつて縮むようにされたりする。使用される
電流を調整することにより、サイフのように組織
を切除することもできるし、組織の切除を伴つた
り伴わなかつたりして組織を凝固させて止血を行
うこもできる。
使用に際し、戻り電流用の大きな電極は患者の
人体に接触して配置され、電気手術用電源に接続
される。この電源は10000Hz以上の高周波電流を
発生するが、好ましい周波数は0.5−5MHzであ
る。組織を正確に切除するには減衰しない連続的
な正弦波が最も良いが、凝固を行うには一連の減
衰する正弦波が最も良いことが分つている。止血
しながら切除を行うには、通常、これらの波形を
組合わせて用いることにより切除が行われる。
小さな作用電極を人体組織に接触させるか又は
これに近づけた時には、電極先端の電流が小さな
領域に集中されて、電流密度が大きなものとな
り、これは組織の局部的な電気抵抗と相互作用し
て、切除又は凝固に必要な作用を与える。電流に
対する抵抗により、電気エネルギが吸収されて熱
エネルギに変換され、熱が発生される。作用電極
の周りの領域が発熱して切除作用を与える正確な
機構は現在のところ充分に分つておらず、これら
の現象をうまく説明するための研究が現在行なわ
れている。
電極先端では電流密度及び抵抗値が最大であ
り、蒸発及び熱分解に充分な熱が組織に発生され
る。人体を通して電流が広がるにつれて、電流は
非常大きな表面積に対して通流され、実効抵抗値
及び電流密度が低下して、著しい発熱は生じなく
なる。電流は、患者プレート又は電流発散電極と
も称する戻り電流用電極を介して電気手術ユニツ
トへ戻る経路をたどる。この戻り電流用電極は常
に大きな表面積を有するものであり、そして電流
密度及び抵抗値を小さく保つように電極ペースト
が塗られており、これにより、電流が人体から流
れ去る時に患者に対して電極の或る領域が局部的
に発熱したり焼けたりすることが防止される。
肝臓や筋肉のような血管の集中した組織を手術
する時には電気手術が特に有用である。電気手術
の幾つかの特殊な使い方が確保されていて、前立
線の経尿道的切除法や或る頭蓋内切除法のように
標準的な技術となつている。然し乍ら、電気手術
によつて発生される熱は相当の煙を発し、これは
外科医の気を散らすと共に、彼が行なつている操
作を見にくくする。従つて、この不所望な煙を吹
き飛ばすか又は吸い取るために助手が必要とな
る。助手の助けにより、手術中の外科医はよく見
えるようにはなるが、今度は煙を除去することが
必要であるか光を当てることが必要であるかとい
うことで外科医の気が散つて、集中力が失なわれ
ることになる。
そこで、煙を除去すると共に局部的な光源の機
能も果たすことによつて手術中の外科医の見易さ
を改善するような電気手術用器具を提供すること
が要望される。又、このような器具は外科医の気
を散らすことがなくコンパクトで使い易いことも
要望される。
発明の概要 本発明は、作用電極を経て流体流を案内するよ
うにダクトが配置されると共に光伝達ケーブルを
保持するような電気手術用器具を提供する。この
器具は、好ましい実施例においては、廃棄式であ
り、この器具は吸引又は加圧式の殺菌空気系統に
接続できる流体コンジツトを形成する中空取手を
備えている。この取手は電気リードの取り付け部
も果たし、リードの１端は作用電極に接続されそ
してその他端は電気手術用電源へ接続することが
できる。又、取手は光伝達ケーブルの取付部も果
たす。
外科医が組織を切除するか又は凝固する時に
は、煙が発生して、外科医の気を散らすと共に、
彼が彼自身の操作を見る妨げとなる。この器具の
ダクトに正圧力を導入して煙を吹き飛ばすか、又
はダクトを負圧力にして取手から真空装置へと煙
を吹い込ませることにより、煙が除去される。ダ
クトは作用電極に接近して器具の取手に取り付け
られるので、この煙除去系は効果的であり、助手
を必要とすることもないし外科医がこれに注意を
向ける必要もない。
別の好ましい実施例においては、取手が細長い
管及び個別の突起部片を備えている。作用電極は
突起部片に取り付けられ、複数のダクトによつて
取り巻かれる。これらのダクトは、その特定形式
の作用電極を経て空気流を案内するような形状を
有している。従つて、ブレード電極を保持する突
起部片には或る形状のダクトが設けられるが、例
えば或る角度に曲げられた直腸用ボール型電極を
保持する別の突起部片には必要に応じてダクトを
別の構成にすることができる。これらの突起部片
は、取手には拘りなく、互換性があり且つ廃棄式
であるように形成できる。
更に別の好ましい実施例においては、オプチカ
ルフアイバ装置の光伝達ケーブルをスライド式に
受け入れられるように、取手には、その外面に沿
つて長手方向に延びる取り付け溝が設けられる。
この光伝達ケーブルは、作用電極の周囲領域に最
も良く光を当てて切開場所を見易くするように、
外科医によつて調整することができる。従つて、
本発明の器具は、外科医の視野からじやまな煙を
除去するだけではなく、局部的な光源の機能を果
たすことによつて見易さも改善する。
本発明の多数の他の効果及び特徴は、本発明の
以下の詳細な説明、添付図面及び請求の範囲から
容易に明らかとなろう。
【図面の簡単な説明】
第１図は作用電極、光伝達ケーブル、流体及び
電気接続部を有する電気手術用器具の斜視図、 第２図は電気手術用器具の近位端の部分斜視図
であり、光伝達ケーブルとしてのオプチカルフア
イバケーブル、並びに流体及び電気接続部の取り
付け状態を示す図、 第３図は電気手術用器具の実施例の拡大断面図
であり、内部流体コンジツト及び突起部片を示す
図、 第４図は突起部片及び取手本体の特徴を示すた
めの分解断面図、 第５図は第４図の５−５線に沿つた突起部片の
拡大断面図、 第６図は第５図と同様の拡大断面図であるが、
別の突起部片構造を示す図、 第７図は本発明の別の実施例の断面図であり、
取手の側面を貫通して出る電気リードのセンタリ
ング手段及び別の作用電極を示す図、 第８図は第７図の実施例の側面図であり、取手
に取り付けられたスイツチ手段、器具を電源に接
続するプラグ及びレセプタタルを示した図、そし
て 第９図は第７図の９−９線に沿つた拡大断面図
である。
好ましい実施例の説明 本発明は多数の色々な形態で実施できるが、本
発明の好ましい実施例が添付図面に示されてお
り、これについて以下に詳細に説明する。然し乍
ら、本開示は本発明の原理の一例であり、本発明
をこの実施例に限定するものではないことを理解
されたい。
ここに述べる部品の正確な形状及び寸法は特に
指示のない限りは本発明にとつて重要ではない。
説明を容易にするため、本発明の器具は通常の手
術位置において説明する。材質の選択は、特定の
使用目的及び当業者に明らかな他の変数に基づい
て行なわれる。
さて第１図及び第２図を説明すれば、電気手術
用器具１０は、取手１１と、電気リード１４に接
続されたブレード電型１２のような作用電極と、
光伝達ケーブル１６とを備えている。作用電極は
通常は金属の導体であり、所望の形状及び寸法を
もつことができる。作用電極は絶縁取手１１を貫
通する電気リード１４によつて電源（図示せず）
に接続される。一般に鈍い面をもつ作用電極は、
外科医が手術を施そうとする患者の領域へ高周波
電流を向けるのに用いられる。
取手１１は中空の細長い本体即ち管１７より成
り、これは近位端１８及び遠位端１９と、管に取
り付られた突起部片２１と、ホース取付部２２と
を有している。又、取手１１には、これを握く易
くするためのギザギザ部２０を設けることもでき
る。管１７は流体コンジツト２５を形成する内面
２４（第３図及び第４図）を有していると共に、
遠位端１９に管空胴２７を有し、その壁面２９は
安位部２８を形成する。外科医と電極との間に絶
縁がとられる限りは、突起部片２１又は管１７の
いずれか一方或いはその両方を非導電性物質で作
ることができる。
突起部片２１には、作用電極１２を受け入れる
ためのソケツト３１が設けられており、そして突
起部片２１はその周囲に１つ以上の溝３２を有し
ている。突起部片の溝３２は管の安住部２８とで
もつてダクト３３を形成し、このダクト３３は流
体空胴２５と流体連通状態にあり、そしてこの空
胴２５は次いでホース取付部２２と流体連通状態
にある。ダクト３３は、作用電極１２を通り越し
て空気のような流体流を案内し、電気手術用器具
の使用により発生される煙を除去ないしは散らす
ように配置されている。或いは又、第６図に示さ
れたように、電極受け入れ用のソケツト１３１を
中心に有する突起部片１１７の長さに沿つて貫通
流路３６又はこれと同様の孔を形成することによ
り突起部片にダクトを設けることもできる。
ホース取付部２２は殺菌加圧空気源又は真空源
のいずれかに接続できる。加圧空気源に接続した
場合は、空気がホース取付部２２を通しそして流
体コンジツト２５を下流へと向い、このコンジツ
ト２５はマニホルドとして働いて空気流を流路３
６又はダクト３３に通すように分配しそして作用
電極１２を通り越して空気流を送出させる。真空
モードの場合は、ホース取付部２２が真空装置に
接続され、作用電極の周りに発生した煙は空気流
により流路３６又はダクト３３を通り流体コンジ
ツト２５を通つて真空ポンプへと案内される。従
つて、いずれの場合にも、煙は除去もしくは散ら
され、外科医の気が散らないようにすると共に見
易くする。
突起部片２１は管１７と一体にすることがで
き、この場合、電極１２は電気リード１４に取り
付けられたコネクタ手段３４の雌ソケツト３０と
上記ソケツト３１とに取り外し可能に受け入れら
れる。流体コンジツト２５は、電気リード１４を
通す通路として働くこともできる。
管１７には、オプチカルフアイバ装置の光伝達
ケーブル１６をスライド式に受け入れるレセプタ
クル手段即ち取り付け溝３５が設けられるのが好
ましい。この溝３５（第４図）は作用電極の周囲
領域に光を当てるように作用電極付近にケーブル
１６に光放射端１５を保持する。
作用電極は色々な形状及び寸法ものがあるの
で、突起部片のダクトは作用電極の周りに流体流
を適切に案内することが所望される。これが第７
図、第８図及び第９図の別の実施例に示されてい
る。この特定の実施例においては、或る角度をも
つ直腸用ボール型電極１１２として示された作用
電極が突起部片１２１に保持され、溝１３２は電
極１１２を通り越して流体流を案内するダクト１
３３を形成するように変更されている。この作用
電極は、必要に応じて突起部片内に永久的に固定
することもできるし、取り外し可能に保持するこ
ともできる。光伝達ケーブル１１６は、光放射端
１１５が伝達光をボール型電極１１２の周囲領域
へ向けるように光放射端１１５を作用電極に向け
て或る角度に曲げることによつて変更されてい
る。
突起部片１２１を取り外した時にコネクタ手段
１３４を位置保持するためにリードのセンタリン
グ手段１４０が管１１７内に取り付けられてい
る。第９図に最も良く示されたように、リードの
センタリング手段１４０は中心孔１３９が設けら
れた十字状の部材であり、上記の中心孔１３９
は、空胴１２７内の中心に置かれて空胴の壁面１
２９から離間されたコネクタ手段１３４を受け入
れて保持する。電極１１２は、管１１７に変換可
能に取り付けられた突起部片１２１内に固定され
る。電極を交換するには、外科医が或る突起部片
−電極組合せ体を取り外し、別の組合せ体と取り
替える。代りの組合せ体を挿入すると、電極はコ
ネクタ手段１３４の雌ソケツト１３０に接続され
る。これにより、作用電極及び突起部片の交換容
易性が与えられる。
第７図及び第８図に示されたように、電気リー
ド１１４は管１１７の側面を貫通して出ていて、
作用電極１１２へ向う電流を制御するスイツチ手
段１４１がこれに組合わされている。このスイツ
チ手段は、電流を制御するスライドスイツチ又は
断続プツシユボタンである。これにより、外科医
は組織の切除を必要とするか凝固を必要とするか
に基づいて、使用する電流波形の形式を調整する
ことができる。スイツチ手段１４１にはレセプタ
クル１４２が取り付けられており、これは電源へ
通じるワイヤ１４４に接続された電気プラグ１４
３を受け入れる。
使用に際し、外科医へ手術用小刀の場合と同様
に器具１０をもつ。作用電極１２を組織に当てた
時には、発生した煙が、ダクト３３における圧力
状態又は真空状態により誘起された空気流によつ
て除去される。これにより、外科医の視野が煙に
よつてさえ切られるおそれがなくなる。又、外科
医は電極の周囲領域に光を当てるように光放射端
１５を配置するよう光伝達ケーブル１６を調整す
ることもできる。従つて、外科医の気が散らない
ように外科医の視野のさえ切りが除去されるのみ
ならず、外科医の行なう手順を彼自身がよく見え
るように光も与えられる。
以上の説明は本発明を説明するものに過ぎず、
本発明をこれに限定するものではない。本発明の
精神及び範囲内で更に別の変形態様も考えられる
が、これらは当業者にとつて容易に明らかであろ
う。
JP57500767A 1981-01-23 1982-01-25 電気手術用器具 Granted JPS58500104A (ja)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US06/227,658 US4562838A (en) 1981-01-23 1981-01-23 Electrosurgery instrument
US227658 1981-01-23

Publications (2)

Publication Number Publication Date
JPS58500104A JPS58500104A (ja) 1983-01-20
JPS6459B2 true JPS6459B2 (ja) 1989-01-05

Family

ID=22853964

Family Applications (1)

Application Number Title Priority Date Filing Date
JP57500767A Granted JPS58500104A (ja) 1981-01-23 1982-01-25 電気手術用器具

Country Status (7)

Country Link
US (1) US4562838A (ja)
EP (1) EP0070309B1 (ja)
JP (1) JPS58500104A (ja)
CH (1) CH653879A5 (ja)
DE (2) DE3231624T1 (ja)
SE (1) SE446150B (ja)
WO (1) WO1982002488A1 (ja)

Families Citing this family (355)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5421819A (en) * 1992-08-12 1995-06-06 Vidamed, Inc. Medical probe device
US5385544A (en) * 1992-08-12 1995-01-31 Vidamed, Inc. BPH ablation method and apparatus
US5542915A (en) * 1992-08-12 1996-08-06 Vidamed, Inc. Thermal mapping catheter with ultrasound probe
US5435805A (en) * 1992-08-12 1995-07-25 Vidamed, Inc. Medical probe device with optical viewing capability
US5370675A (en) * 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
US4517974A (en) * 1982-10-28 1985-05-21 Hgm, Inc. Disposable hand piece for surgical lasers
US4524770A (en) * 1983-01-25 1985-06-25 Ahmad Orandi Endoscope injection needle
US5451223B1 (en) * 1983-03-14 1998-11-03 Ben Simhon Haim Electrosurgical instrument
US5085657A (en) * 1983-03-14 1992-02-04 Ben Simhon Haim Electrosurgical instrument
GB8428411D0 (en) * 1984-11-09 1984-12-19 Micra Ltd Laser knives
AU5585086A (en) * 1985-03-14 1986-10-13 Baxter Travenol Laboratories Inc. Electrosurgical device
US4640279A (en) * 1985-08-08 1987-02-03 Oximetrix, Inc. Combination surgical scalpel and electrosurgical instrument
US4781175A (en) * 1986-04-08 1988-11-01 C. R. Bard, Inc. Electrosurgical conductive gas stream technique of achieving improved eschar for coagulation
US4901719A (en) * 1986-04-08 1990-02-20 C. R. Bard, Inc. Electrosurgical conductive gas stream equipment
US4719914A (en) * 1986-12-24 1988-01-19 Johnson Gerald W Electrosurgical instrument
IL81376A0 (en) * 1987-01-23 1987-08-31 Rosenberg Lior Surgical tissue separation system and surgical knife particularly useful therein
US4936301A (en) * 1987-06-23 1990-06-26 Concept, Inc. Electrosurgical method using an electrically conductive fluid
US4943290A (en) * 1987-06-23 1990-07-24 Concept Inc. Electrolyte purging electrode tip
US4931047A (en) * 1987-09-30 1990-06-05 Cavitron, Inc. Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis
US5015227A (en) * 1987-09-30 1991-05-14 Valleylab Inc. Apparatus for providing enhanced tissue fragmentation and/or hemostasis
US4919129A (en) * 1987-11-30 1990-04-24 Celebration Medical Products, Inc. Extendable electrocautery surgery apparatus and method
US4834095A (en) * 1988-02-16 1989-05-30 Ipco Corporation Probe unit for electro-surgical device
US4821717A (en) * 1988-03-28 1989-04-18 Wehrli Janet M M Barbed electrolysis and thermolysis needle
US4949734A (en) * 1988-08-25 1990-08-21 Gerald Bernstein Shield for electrosurgical device
US4932952A (en) * 1988-12-20 1990-06-12 Alto Development Corporation Antishock, anticlog suction coagulator
US5192267A (en) * 1989-01-23 1993-03-09 Nadiv Shapira Vortex smoke remover for electrosurgical devices
US5460602A (en) * 1989-01-23 1995-10-24 Shapira; Nadiv Smoke evacuator for smoke generating devices
US4963134A (en) * 1989-03-03 1990-10-16 United States Medical Corporation Laser surgery plume evacuator with aspirator
US5027792A (en) * 1989-03-17 1991-07-02 Percutaneous Technologies, Inc. Endoscopic revision hip surgery device
US5055100A (en) * 1989-06-19 1991-10-08 Eugene Olsen Suction attachment for electrosurgical instruments or the like
US5041110A (en) * 1989-07-10 1991-08-20 Beacon Laboratories, Inc. Cart for mobilizing and interfacing use of an electrosurgical generator and inert gas supply
US4998527A (en) * 1989-07-27 1991-03-12 Percutaneous Technologies Inc. Endoscopic abdominal, urological, and gynecological tissue removing device
US5088997A (en) * 1990-03-15 1992-02-18 Valleylab, Inc. Gas coagulation device
US5306238A (en) * 1990-03-16 1994-04-26 Beacon Laboratories, Inc. Laparoscopic electrosurgical pencil
US5098430A (en) * 1990-03-16 1992-03-24 Beacon Laboratories, Inc. Dual mode electrosurgical pencil
DE4012545C2 (de) * 1990-04-19 1995-08-24 Hagen Uwe Chirurgie-Handgriff mit einer Aufnahme für eine aktive Elektrode
US5071418A (en) * 1990-05-16 1991-12-10 Joseph Rosenbaum Electrocautery surgical scalpel
US5115136A (en) * 1990-08-06 1992-05-19 Olympus Corporation Ultraviolet remote visual inspection system
US5154709A (en) * 1990-09-04 1992-10-13 Johnson Gerald W Vacuum hood attachment for electrosurgical instruments
US5246440A (en) * 1990-09-13 1993-09-21 Noord Andrew J Van Electrosurgical knife
US5256138A (en) * 1990-10-04 1993-10-26 The Birtcher Corporation Electrosurgical handpiece incorporating blade and conductive gas functionality
US5224944A (en) * 1991-01-07 1993-07-06 Elliott Martin P Aspiration tip for a cautery handpiece
US5409453A (en) * 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5160334A (en) * 1991-04-30 1992-11-03 Utah Medical Products, Inc. Electrosurgical generator and suction apparatus
US5234428A (en) * 1991-06-11 1993-08-10 Kaufman David I Disposable electrocautery/cutting instrument with integral continuous smoke evacuation
DE4119592C2 (de) * 1991-06-14 1996-06-05 Wolf Gmbh Richard Koagulationssaug- und -spülinstrument
US5207675A (en) * 1991-07-15 1993-05-04 Jerome Canady Surgical coagulation device
US5242442A (en) * 1991-09-18 1993-09-07 Hirschfeld Jack J Smoke aspirating electrosurgical device
US5449356A (en) * 1991-10-18 1995-09-12 Birtcher Medical Systems, Inc. Multifunctional probe for minimally invasive surgery
US5484435A (en) * 1992-01-15 1996-01-16 Conmed Corporation Bipolar electrosurgical instrument for use in minimally invasive internal surgical procedures
US5207684A (en) * 1992-04-13 1993-05-04 Neuro Navigational Corporation Sheath for shunt placement for hydrocephalus
JPH05293115A (ja) * 1992-04-20 1993-11-09 Olympus Optical Co Ltd 高周波処置具
US5269781A (en) * 1992-06-10 1993-12-14 Hewell Iii Todd S Suction-assisted electrocautery unit
US5556377A (en) * 1992-08-12 1996-09-17 Vidamed, Inc. Medical probe apparatus with laser and/or microwave monolithic integrated circuit probe
US5456662A (en) * 1993-02-02 1995-10-10 Edwards; Stuart D. Method for reducing snoring by RF ablation of the uvula
US5514131A (en) * 1992-08-12 1996-05-07 Stuart D. Edwards Method for the ablation treatment of the uvula
US5486161A (en) * 1993-02-02 1996-01-23 Zomed International Medical probe device and method
US5672153A (en) * 1992-08-12 1997-09-30 Vidamed, Inc. Medical probe device and method
US5630794A (en) * 1992-08-12 1997-05-20 Vidamed, Inc. Catheter tip and method of manufacturing
US5720719A (en) * 1992-08-12 1998-02-24 Vidamed, Inc. Ablative catheter with conformable body
US5720718A (en) * 1992-08-12 1998-02-24 Vidamed, Inc. Medical probe apparatus with enhanced RF, resistance heating, and microwave ablation capabilities
US5470308A (en) * 1992-08-12 1995-11-28 Vidamed, Inc. Medical probe with biopsy stylet
EP0669840A4 (en) * 1992-09-11 1995-11-15 Advanced Surgical Inc SELF-INTRODUCING INFUSION CATHETER.
US5314406A (en) * 1992-10-09 1994-05-24 Symbiosis Corporation Endoscopic electrosurgical suction-irrigation instrument
US5336220A (en) * 1992-10-09 1994-08-09 Symbiosis Corporation Tubing for endoscopic electrosurgical suction-irrigation instrument
US5318565A (en) * 1992-11-12 1994-06-07 Daniel B. Kuriloff Suction cautery dissector
AU5456494A (en) * 1992-11-13 1994-06-08 American Cardiac Ablation Co., Inc. Fluid cooled electrosurgical probe
EP0600413A3 (en) * 1992-11-30 1995-04-05 Neuro Navigational Corp Neuroendoscope with shunt characteristic.
US5360427A (en) * 1992-12-18 1994-11-01 Heshmat Majlessi Retractable electro-suction device
US5578000A (en) * 1993-01-21 1996-11-26 Stackhouse, Inc. Laparoscopic smoke evacuation system
US5419772A (en) * 1993-09-29 1995-05-30 Teitz; Bernard R. Surgical irrigation apparatus for cleaning and sterilizing wounds and surgical areas during surgery
US5928229A (en) * 1993-11-08 1999-07-27 Rita Medical Systems, Inc. Tumor ablation apparatus
US6071280A (en) * 1993-11-08 2000-06-06 Rita Medical Systems, Inc. Multiple electrode ablation apparatus
US6958062B1 (en) 1993-11-08 2005-10-25 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5458597A (en) * 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
US5472441A (en) * 1993-11-08 1995-12-05 Zomed International Device for treating cancer and non-malignant tumors and methods
US5599345A (en) * 1993-11-08 1997-02-04 Zomed International, Inc. RF treatment apparatus
US5484434A (en) * 1993-12-06 1996-01-16 New Dimensions In Medicine, Inc. Electrosurgical scalpel
US5451222A (en) * 1994-03-16 1995-09-19 Desentech, Inc. Smoke evacuation system
US5667472A (en) * 1994-03-18 1997-09-16 Clarus Medical Systems, Inc. Surgical instrument and method for use with a viewing system
US5413575A (en) * 1994-04-19 1995-05-09 Innovative Medical Technologies, Ltd. Multifunction electrocautery tool
US5496315A (en) 1994-08-26 1996-03-05 Megadyne Medical Products, Inc. Medical electrode insulating system
US5846237A (en) * 1994-11-18 1998-12-08 Megadyne Medical Products, Inc. Insulated implement
US5531743A (en) * 1994-11-18 1996-07-02 Megadyne Medical Products, Inc. Resposable electrode
US5683603A (en) * 1995-04-19 1997-11-04 Fortune; William S. Electric soldering iron tip improvements
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
US6015406A (en) * 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
DE69609473T3 (de) * 1995-06-23 2006-09-28 Gyrus Medical Ltd., St. Mellons Elektrochirurgisches instrument
AU703433B2 (en) * 1995-06-23 1999-03-25 Gyrus Medical Limited An electrosurgical instrument
US6780180B1 (en) 1995-06-23 2004-08-24 Gyrus Medical Limited Electrosurgical instrument
US6099523A (en) * 1995-06-27 2000-08-08 Jump Technologies Limited Cold plasma coagulator
US6132425A (en) * 1995-08-15 2000-10-17 Gough; Edward J. Cell necrosis apparatus
US6059780A (en) * 1995-08-15 2000-05-09 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method with cooling element
US5951547A (en) * 1995-08-15 1999-09-14 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5913855A (en) * 1995-08-15 1999-06-22 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US6090105A (en) * 1995-08-15 2000-07-18 Rita Medical Systems, Inc. Multiple electrode ablation apparatus and method
US6689127B1 (en) * 1995-08-15 2004-02-10 Rita Medical Systems Multiple antenna ablation apparatus and method with multiple sensor feedback
US5980517A (en) * 1995-08-15 1999-11-09 Rita Medical Systems, Inc. Cell necrosis apparatus
US5925042A (en) * 1995-08-15 1999-07-20 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5885280A (en) * 1995-11-08 1999-03-23 Megadyne Medical Products, Inc. Electrosurgical electrode connector
US5624393A (en) * 1996-01-03 1997-04-29 Diamond; Eric L. Irrigation system for surgical instruments
US6090106A (en) * 1996-01-09 2000-07-18 Gyrus Medical Limited Electrosurgical instrument
US6013076A (en) * 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
US5993072A (en) * 1996-04-17 1999-11-30 The Johns Hopkins University Adapter assembly for connecting multiple optic fiber illuminated microsurgical instruments to a single light source
US5709675A (en) * 1996-04-24 1998-01-20 Medtronic, Inc. Smoke reducing device for minimally invasive surgery
US6361532B1 (en) 1996-05-01 2002-03-26 Bovie Medical Corporation Electrosurgical pencil
NL1003024C2 (nl) * 1996-05-03 1997-11-06 Tjong Hauw Sie Prikkelgeleidingsblokkeringsinstrument.
US6565561B1 (en) 1996-06-20 2003-05-20 Cyrus Medical Limited Electrosurgical instrument
GB9612993D0 (en) 1996-06-20 1996-08-21 Gyrus Medical Ltd Electrosurgical instrument
GB2314274A (en) * 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
US6126682A (en) 1996-08-13 2000-10-03 Oratec Interventions, Inc. Method for treating annular fissures in intervertebral discs
US6461357B1 (en) 1997-02-12 2002-10-08 Oratec Interventions, Inc. Electrode for electrosurgical ablation of tissue
US6482224B1 (en) * 1996-08-22 2002-11-19 The Trustees Of Columbia University In The City Of New York Endovascular flexible stapling device
US5895386A (en) * 1996-12-20 1999-04-20 Electroscope, Inc. Bipolar coagulation apparatus and method for arthroscopy
GB9626512D0 (en) * 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
WO1998034551A1 (en) 1997-02-12 1998-08-13 Oratec Interventions, Inc. Method and apparatus for the treatment of strabismus
US7083613B2 (en) * 1997-03-05 2006-08-01 The Trustees Of Columbia University In The City Of New York Ringed forceps
GB2324730A (en) * 1997-05-01 1998-11-04 Michael Anthony Lavelle Electrosurgical instrument
US6004320A (en) * 1997-09-19 1999-12-21 Oratec Interventions, Inc. Clip on electrocauterizing sheath for orthopedic shave devices
US6436116B1 (en) * 1997-10-06 2002-08-20 Smith & Nephew, Inc. Methods and apparatus for removing veins
US6030356A (en) * 1998-03-18 2000-02-29 Midas Rex, L.P. Irrigation clip
AU3104999A (en) 1998-03-19 1999-10-11 Oratec Interventions, Inc. Catheter for delivery of energy to a surgical site
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
US6146353A (en) * 1998-09-22 2000-11-14 Sherwood Services Ag Smoke extraction device
US6402748B1 (en) 1998-09-23 2002-06-11 Sherwood Services Ag Electrosurgical device having a dielectrical seal
US6368299B1 (en) * 1998-10-09 2002-04-09 William W. Cimino Ultrasonic probe and method for improved fragmentation
US6090107A (en) * 1998-10-20 2000-07-18 Megadyne Medical Products, Inc. Resposable electrosurgical instrument
USD433752S (en) * 1999-06-29 2000-11-14 Stryker Corporation Handpiece for an electrosurgical tool
US7458940B2 (en) 2000-11-06 2008-12-02 Suros Surgical Systems, Inc. Biopsy apparatus
WO2002069808A2 (en) * 2000-11-06 2002-09-12 Suros Surgical Systems, Inc. Biopsy apparatus
US6758824B1 (en) * 2000-11-06 2004-07-06 Suros Surgical Systems, Inc. Biopsy apparatus
AU1791902A (en) * 2000-12-15 2002-06-24 Sherwood Serv Ag Electrosurgical electrode shroud
US10835307B2 (en) 2001-06-12 2020-11-17 Ethicon Llc Modular battery powered handheld surgical instrument containing elongated multi-layered shaft
US6524307B1 (en) 2001-10-05 2003-02-25 Medtek Devices, Inc. Smoke evacuation apparatus
US20030181904A1 (en) * 2002-01-23 2003-09-25 Levine Andy H. Electrosurgical cutting, coagulating and suction instrument
WO2004010883A1 (en) 2002-07-25 2004-02-05 Sherwood Services Ag Electrosurgical pencil with drag sensing capability
US6747218B2 (en) 2002-09-20 2004-06-08 Sherwood Services Ag Electrosurgical haptic switch including snap dome and printed circuit stepped contact array
US7493154B2 (en) * 2002-10-23 2009-02-17 Medtronic, Inc. Methods and apparatus for locating body vessels and occlusions in body vessels
US6960209B2 (en) * 2002-10-23 2005-11-01 Medtronic, Inc. Electrosurgical methods and apparatus for making precise incisions in body vessels
US7244257B2 (en) * 2002-11-05 2007-07-17 Sherwood Services Ag Electrosurgical pencil having a single button variable control
AU2003300931A1 (en) * 2002-12-13 2004-07-09 Gmp Surgical Solutions, Inc. Lighted cautery knife
WO2004073753A2 (en) 2003-02-20 2004-09-02 Sherwood Services Ag Motion detector for controlling electrosurgical output
US7186251B2 (en) * 2003-03-27 2007-03-06 Cierra, Inc. Energy based devices and methods for treatment of patent foramen ovale
US7972330B2 (en) 2003-03-27 2011-07-05 Terumo Kabushiki Kaisha Methods and apparatus for closing a layered tissue defect
US6939348B2 (en) * 2003-03-27 2005-09-06 Cierra, Inc. Energy based devices and methods for treatment of patent foramen ovale
US8021362B2 (en) * 2003-03-27 2011-09-20 Terumo Kabushiki Kaisha Methods and apparatus for closing a layered tissue defect
US7293562B2 (en) * 2003-03-27 2007-11-13 Cierra, Inc. Energy based devices and methods for treatment of anatomic tissue defects
US7165552B2 (en) * 2003-03-27 2007-01-23 Cierra, Inc. Methods and apparatus for treatment of patent foramen ovale
EP1605848B1 (en) * 2003-03-27 2020-03-04 Terumo Kabushiki Kaisha Apparatus for treatment of patent foramen ovale
US7311701B2 (en) * 2003-06-10 2007-12-25 Cierra, Inc. Methods and apparatus for non-invasively treating atrial fibrillation using high intensity focused ultrasound
US7988642B2 (en) * 2003-10-14 2011-08-02 Suros Surgical Systems, Inc. Vacuum assisted biopsy device
US8048003B2 (en) 2003-10-14 2011-11-01 Suros Surgical Systems, Inc. Vacuum assisted biopsy device
EP1673015B1 (en) * 2003-10-14 2014-03-19 Suros Surgical Systems, Inc. Vacuum assisted biopsy needle set
US7241294B2 (en) * 2003-11-19 2007-07-10 Sherwood Services Ag Pistol grip electrosurgical pencil with manual aspirator/irrigator and methods of using the same
US7156842B2 (en) 2003-11-20 2007-01-02 Sherwood Services Ag Electrosurgical pencil with improved controls
US7156844B2 (en) * 2003-11-20 2007-01-02 Sherwood Services Ag Electrosurgical pencil with improved controls
US7879033B2 (en) 2003-11-20 2011-02-01 Covidien Ag Electrosurgical pencil with advanced ES controls
US7503917B2 (en) * 2003-11-20 2009-03-17 Covidien Ag Electrosurgical pencil with improved controls
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US20050251117A1 (en) * 2004-05-07 2005-11-10 Anderson Robert S Apparatus and method for treating biological external tissue
US20070179482A1 (en) * 2004-05-07 2007-08-02 Anderson Robert S Apparatuses and methods to treat biological external tissue
US8571648B2 (en) * 2004-05-07 2013-10-29 Aesthera Apparatus and method to apply substances to tissue
US7842029B2 (en) * 2004-05-07 2010-11-30 Aesthera Apparatus and method having a cooling material and reduced pressure to treat biological external tissue
US7708751B2 (en) 2004-05-21 2010-05-04 Ethicon Endo-Surgery, Inc. MRI biopsy device
US8932233B2 (en) * 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
US9638770B2 (en) 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
US7367975B2 (en) 2004-06-21 2008-05-06 Cierra, Inc. Energy based devices and methods for treatment of anatomic tissue defects
US20060041252A1 (en) 2004-08-17 2006-02-23 Odell Roger C System and method for monitoring electrosurgical instruments
MX2007004151A (es) 2004-10-08 2007-09-11 Johnson & Johnson Instrumento quirurgico ultrasonico.
WO2006107976A1 (en) * 2005-04-04 2006-10-12 Palmerton, Christopher A fluid evacuation system with two-way communication filter
CA2599310C (en) * 2005-04-11 2013-12-10 Cierra, Inc. Methods and apparatus to achieve a closure of a layered tissue defect
US20060235378A1 (en) * 2005-04-18 2006-10-19 Sherwood Services Ag Slider control for ablation handset
US7556622B2 (en) * 2005-05-18 2009-07-07 Suros Surgical Systems, Inc. Selectively openable tissue filter
US20060282072A1 (en) * 2005-06-11 2006-12-14 Desrosier Paul Electrocautery instrument
US7500974B2 (en) * 2005-06-28 2009-03-10 Covidien Ag Electrode with rotatably deployable sheath
US20070000501A1 (en) * 2005-07-01 2007-01-04 Wert Lindsay T Surgical procedure supplemental accessory controller and method utilizing turn-on and turn-off time delays
US7828794B2 (en) * 2005-08-25 2010-11-09 Covidien Ag Handheld electrosurgical apparatus for controlling operating room equipment
US20070049927A1 (en) * 2005-08-31 2007-03-01 Saltzman Darin J Electrosurgical pencil with a light
US20070049914A1 (en) * 2005-09-01 2007-03-01 Sherwood Services Ag Return electrode pad with conductive element grid and method
US20070191713A1 (en) 2005-10-14 2007-08-16 Eichmann Stephen E Ultrasonic device for cutting and coagulating
US7621930B2 (en) 2006-01-20 2009-11-24 Ethicon Endo-Surgery, Inc. Ultrasound medical instrument having a medical ultrasonic blade
US7621911B2 (en) * 2006-04-27 2009-11-24 Kirwan Surgical Products, Inc. Disposable/removable tubing set for use with an electrosurgical instrument
US8007494B1 (en) 2006-04-27 2011-08-30 Encision, Inc. Device and method to prevent surgical burns
US20070260240A1 (en) 2006-05-05 2007-11-08 Sherwood Services Ag Soft tissue RF transection and resection device
US8251989B1 (en) 2006-06-13 2012-08-28 Encision, Inc. Combined bipolar and monopolar electrosurgical instrument and method
US9554843B2 (en) * 2006-09-01 2017-01-31 Conmed Corporation Adapter and method for converting gas-enhanced electrosurgical coagulation instrument for cutting
US20080140069A1 (en) * 2006-12-07 2008-06-12 Cierra, Inc. Multi-electrode apparatus for tissue welding and ablation
WO2008087649A1 (en) * 2007-01-19 2008-07-24 Arbel Medical Ltd. Thermally insulated needles for dermatological applications
US8911460B2 (en) 2007-03-22 2014-12-16 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8142461B2 (en) 2007-03-22 2012-03-27 Ethicon Endo-Surgery, Inc. Surgical instruments
US20090012434A1 (en) * 2007-07-03 2009-01-08 Anderson Robert S Apparatus, method, and system to treat a volume of skin
US8808319B2 (en) 2007-07-27 2014-08-19 Ethicon Endo-Surgery, Inc. Surgical instruments
US8523889B2 (en) 2007-07-27 2013-09-03 Ethicon Endo-Surgery, Inc. Ultrasonic end effectors with increased active length
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8430898B2 (en) 2007-07-31 2013-04-30 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8512365B2 (en) 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US8506565B2 (en) * 2007-08-23 2013-08-13 Covidien Lp Electrosurgical device with LED adapter
US8057470B2 (en) * 2007-08-30 2011-11-15 Conmed Corporation Integrated smoke evacuation electrosurgical pencil and method
US20090069795A1 (en) * 2007-09-10 2009-03-12 Anderson Robert S Apparatus and method for selective treatment of tissue
US8202229B2 (en) * 2007-10-01 2012-06-19 Suros Surgical Systems, Inc. Surgical device
US8808200B2 (en) 2007-10-01 2014-08-19 Suros Surgical Systems, Inc. Surgical device and method of using same
EP2796102B1 (en) 2007-10-05 2018-03-14 Ethicon LLC Ergonomic surgical instruments
US20090093864A1 (en) * 2007-10-08 2009-04-09 Anderson Robert S Methods and devices for applying energy to tissue
JP2009112788A (ja) * 2007-10-17 2009-05-28 Takashi Toyonaga 高周波処置具
US10010339B2 (en) 2007-11-30 2018-07-03 Ethicon Llc Ultrasonic surgical blades
US8235987B2 (en) * 2007-12-05 2012-08-07 Tyco Healthcare Group Lp Thermal penetration and arc length controllable electrosurgical pencil
US8636733B2 (en) * 2008-03-31 2014-01-28 Covidien Lp Electrosurgical pencil including improved controls
US8597292B2 (en) * 2008-03-31 2013-12-03 Covidien Lp Electrosurgical pencil including improved controls
US8663218B2 (en) 2008-03-31 2014-03-04 Covidien Lp Electrosurgical pencil including improved controls
WO2009150638A2 (en) * 2008-06-12 2009-12-17 Pulathis Siriwardana Multipurpose diathermy apparatus
US8162937B2 (en) * 2008-06-27 2012-04-24 Tyco Healthcare Group Lp High volume fluid seal for electrosurgical handpiece
US9089360B2 (en) 2008-08-06 2015-07-28 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
DE102008038908A1 (de) * 2008-08-13 2010-02-18 Universitätsklinikum Heidelberg Saugvorrichtung zum Absaugen von Flüssigkeit während eines chirurgischen Eingriffs
US9833281B2 (en) 2008-08-18 2017-12-05 Encision Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US8500728B2 (en) 2008-08-18 2013-08-06 Encision, Inc. Enhanced control systems including flexible shielding and support systems for electrosurgical applications
US9808306B2 (en) * 2008-12-09 2017-11-07 Carl Balog Fume evacuating electrosurgical scalpel
US8231620B2 (en) * 2009-02-10 2012-07-31 Tyco Healthcare Group Lp Extension cutting blade
US8882768B2 (en) * 2009-04-24 2014-11-11 Megadyne Medical Products, Inc. Hand piece with adjustable utility conduit
US8211103B2 (en) * 2009-04-24 2012-07-03 Megadyne Medical Products, Inc. Electrosurgical instrument with adjustable power cable
US8882767B2 (en) * 2009-04-24 2014-11-11 Megadyne Medical Products, Inc. Electrosurgical instrument with adjustable utility conduit
US9700339B2 (en) 2009-05-20 2017-07-11 Ethicon Endo-Surgery, Inc. Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments
US20100312241A1 (en) * 2009-06-09 2010-12-09 Erickson Jr Jerry Martin Implementation of light sources with electocautery units
US8529468B2 (en) 2009-07-01 2013-09-10 Suros Surgical Systems, Inc. Surgical system
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US8465471B2 (en) * 2009-08-05 2013-06-18 Rocin Laboratories, Inc. Endoscopically-guided electro-cauterizing power-assisted fat aspiration system for aspirating visceral fat tissue within the abdomen of a patient
US8348929B2 (en) 2009-08-05 2013-01-08 Rocin Laboratories, Inc. Endoscopically-guided tissue aspiration system for safely removing fat tissue from a patient
TW201108985A (en) * 2009-09-09 2011-03-16 Ming-Huei Cheng Coagulation device with combination of suction and light emission
US9060776B2 (en) 2009-10-09 2015-06-23 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US11090104B2 (en) 2009-10-09 2021-08-17 Cilag Gmbh International Surgical generator for ultrasonic and electrosurgical devices
US10441345B2 (en) 2009-10-09 2019-10-15 Ethicon Llc Surgical generator for ultrasonic and electrosurgical devices
US8486096B2 (en) 2010-02-11 2013-07-16 Ethicon Endo-Surgery, Inc. Dual purpose surgical instrument for cutting and coagulating tissue
US8469981B2 (en) 2010-02-11 2013-06-25 Ethicon Endo-Surgery, Inc. Rotatable cutting implement arrangements for ultrasonic surgical instruments
US8951272B2 (en) 2010-02-11 2015-02-10 Ethicon Endo-Surgery, Inc. Seal arrangements for ultrasonically powered surgical instruments
US8795327B2 (en) 2010-07-22 2014-08-05 Ethicon Endo-Surgery, Inc. Electrosurgical instrument with separate closure and cutting members
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US8518018B2 (en) 2011-02-04 2013-08-27 Noah Mark Minskoff Apparatus and method for electrosurgical suction
US8845616B2 (en) 2011-02-04 2014-09-30 Integrated Surgical LLC Apparatus and method for electrosurgical suction
US8932286B2 (en) 2011-02-04 2015-01-13 Nathan Andrew Terry Apparatus and method for electrosurgical suction
US8932292B2 (en) 2011-02-04 2015-01-13 Integrated Surgical LLC Apparatus and method for electrosurgical suction
CN202665688U (zh) 2011-02-28 2013-01-16 罗伯特·L·布罗姆利 一种改进的手持高频电刀笔
US10136960B2 (en) 2011-02-28 2018-11-27 Richard P. Fleenor Hand-held electrosurgical instrument
US9259265B2 (en) 2011-07-22 2016-02-16 Ethicon Endo-Surgery, Llc Surgical instruments for tensioning tissue
WO2013119545A1 (en) 2012-02-10 2013-08-15 Ethicon-Endo Surgery, Inc. Robotically controlled surgical instrument
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US20140005705A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Surgical instruments with articulating shafts
US9226767B2 (en) 2012-06-29 2016-01-05 Ethicon Endo-Surgery, Inc. Closed feedback control for electrosurgical device
US9820768B2 (en) 2012-06-29 2017-11-21 Ethicon Llc Ultrasonic surgical instruments with control mechanisms
US9408622B2 (en) 2012-06-29 2016-08-09 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US20140005702A1 (en) 2012-06-29 2014-01-02 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments with distally positioned transducers
US9393037B2 (en) 2012-06-29 2016-07-19 Ethicon Endo-Surgery, Llc Surgical instruments with articulating shafts
US9351754B2 (en) 2012-06-29 2016-05-31 Ethicon Endo-Surgery, Llc Ultrasonic surgical instruments with distally positioned jaw assemblies
US9198714B2 (en) 2012-06-29 2015-12-01 Ethicon Endo-Surgery, Inc. Haptic feedback devices for surgical robot
US9326788B2 (en) 2012-06-29 2016-05-03 Ethicon Endo-Surgery, Llc Lockout mechanism for use with robotic electrosurgical device
WO2014007933A1 (en) * 2012-07-03 2014-01-09 Megadyne Medical Products, Inc. Electrosurgical instrument with adjustable utility conduit
US9101363B2 (en) 2012-08-10 2015-08-11 William J. Zinnanti Cautery electrode with multi-channel insulated shaft
WO2014032157A1 (en) 2012-08-28 2014-03-06 Leonard Ineson Adjustable electrosurgical pencil
JP6275727B2 (ja) 2012-09-28 2018-02-07 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 多機能バイポーラ鉗子
US9320648B2 (en) 2012-10-04 2016-04-26 Autocam Medical Devices, Llc Ophthalmic surgical instrument with pre-set tip-to-shell orientation
US9095367B2 (en) 2012-10-22 2015-08-04 Ethicon Endo-Surgery, Inc. Flexible harmonic waveguides/blades for surgical instruments
US20140135804A1 (en) 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9259260B2 (en) * 2013-03-14 2016-02-16 Megadyne Medical Products, Inc. Fluid evacuation device
US10226273B2 (en) 2013-03-14 2019-03-12 Ethicon Llc Mechanical fasteners for use with surgical energy devices
USD709196S1 (en) * 2013-03-15 2014-07-15 Megadyne Medical Products, Inc. Hand piece
US9814514B2 (en) 2013-09-13 2017-11-14 Ethicon Llc Electrosurgical (RF) medical instruments for cutting and coagulating tissue
US9861428B2 (en) * 2013-09-16 2018-01-09 Ethicon Llc Integrated systems for electrosurgical steam or smoke control
CA2827695C (en) 2013-09-20 2021-02-16 Leonard Ineson Adjustable electrosurgical pencil
EP2862533B1 (de) * 2013-10-18 2019-09-18 Erbe Elektromedizin GmbH Adapterelement, HF-Chirurgieinstrument, Adapteraufsatz und System
US9265926B2 (en) 2013-11-08 2016-02-23 Ethicon Endo-Surgery, Llc Electrosurgical devices
GB2521229A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
GB2521228A (en) 2013-12-16 2015-06-17 Ethicon Endo Surgery Inc Medical device
US9795436B2 (en) 2014-01-07 2017-10-24 Ethicon Llc Harvesting energy from a surgical generator
US9554854B2 (en) 2014-03-18 2017-01-31 Ethicon Endo-Surgery, Llc Detecting short circuits in electrosurgical medical devices
US10463421B2 (en) 2014-03-27 2019-11-05 Ethicon Llc Two stage trigger, clamp and cut bipolar vessel sealer
US10092310B2 (en) 2014-03-27 2018-10-09 Ethicon Llc Electrosurgical devices
US9737355B2 (en) 2014-03-31 2017-08-22 Ethicon Llc Controlling impedance rise in electrosurgical medical devices
US9913680B2 (en) 2014-04-15 2018-03-13 Ethicon Llc Software algorithms for electrosurgical instruments
WO2015171754A1 (en) * 2014-05-07 2015-11-12 Massachusetts Institute Of Technology Debridement apparatus using linear lorentz-force motors
US10716587B2 (en) 2014-06-13 2020-07-21 Surgis Medical Llc Surgical device with light
US10285724B2 (en) 2014-07-31 2019-05-14 Ethicon Llc Actuation mechanisms and load adjustment assemblies for surgical instruments
CA2956796A1 (en) 2014-08-12 2016-02-18 Invuity, Inc. Illuminated electrosurgical system and method of use
EP3193762B1 (en) 2014-09-17 2024-04-03 William J. Zinnanti Electrosurgery probes with smoke and liquid evacuation
US9486562B2 (en) 2014-10-24 2016-11-08 Integrated Surgical, Llc Suction device for surgical instruments
US10278759B2 (en) 2014-11-06 2019-05-07 Covidien Lp Cautery apparatus
US10792086B2 (en) 2014-11-06 2020-10-06 Covidien Lp Cautery apparatus
AU2020257128B2 (en) * 2014-12-08 2022-05-12 Invuity, Inc. Methods and apparatus for electrosurgical illumination
US10639092B2 (en) 2014-12-08 2020-05-05 Ethicon Llc Electrode configurations for surgical instruments
JP6674952B2 (ja) * 2014-12-08 2020-04-01 インブイティ・インコーポレイテッド 電気手術の照明および感知のための方法および装置
US10245095B2 (en) 2015-02-06 2019-04-02 Ethicon Llc Electrosurgical instrument with rotation and articulation mechanisms
US10342602B2 (en) 2015-03-17 2019-07-09 Ethicon Llc Managing tissue treatment
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10595929B2 (en) 2015-03-24 2020-03-24 Ethicon Llc Surgical instruments with firing system overload protection mechanisms
WO2016196562A1 (en) * 2015-06-03 2016-12-08 Fleenor Richard P Multi-feature electrosurgical instrument
USD761962S1 (en) 2015-06-03 2016-07-19 Richard P. Fleenor Light tunnel for electrosurgical pencil
US11020140B2 (en) 2015-06-17 2021-06-01 Cilag Gmbh International Ultrasonic surgical blade for use with ultrasonic surgical instruments
US11051873B2 (en) 2015-06-30 2021-07-06 Cilag Gmbh International Surgical system with user adaptable techniques employing multiple energy modalities based on tissue parameters
US10357303B2 (en) 2015-06-30 2019-07-23 Ethicon Llc Translatable outer tube for sealing using shielded lap chole dissector
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10034704B2 (en) 2015-06-30 2018-07-31 Ethicon Llc Surgical instrument with user adaptable algorithms
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US10154852B2 (en) 2015-07-01 2018-12-18 Ethicon Llc Ultrasonic surgical blade with improved cutting and coagulation features
US10687884B2 (en) 2015-09-30 2020-06-23 Ethicon Llc Circuits for supplying isolated direct current (DC) voltage to surgical instruments
US10595930B2 (en) 2015-10-16 2020-03-24 Ethicon Llc Electrode wiping surgical device
US10179022B2 (en) 2015-12-30 2019-01-15 Ethicon Llc Jaw position impedance limiter for electrosurgical instrument
US10575892B2 (en) 2015-12-31 2020-03-03 Ethicon Llc Adapter for electrical surgical instruments
US11229471B2 (en) 2016-01-15 2022-01-25 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on tissue characterization
US11129670B2 (en) 2016-01-15 2021-09-28 Cilag Gmbh International Modular battery powered handheld surgical instrument with selective application of energy based on button displacement, intensity, or local tissue characterization
US10716615B2 (en) 2016-01-15 2020-07-21 Ethicon Llc Modular battery powered handheld surgical instrument with curved end effectors having asymmetric engagement between jaw and blade
US10537351B2 (en) 2016-01-15 2020-01-21 Ethicon Llc Modular battery powered handheld surgical instrument with variable motor control limits
US10555769B2 (en) 2016-02-22 2020-02-11 Ethicon Llc Flexible circuits for electrosurgical instrument
US10646269B2 (en) 2016-04-29 2020-05-12 Ethicon Llc Non-linear jaw gap for electrosurgical instruments
US10485607B2 (en) 2016-04-29 2019-11-26 Ethicon Llc Jaw structure with distal closure for electrosurgical instruments
US10702329B2 (en) 2016-04-29 2020-07-07 Ethicon Llc Jaw structure with distal post for electrosurgical instruments
US10456193B2 (en) 2016-05-03 2019-10-29 Ethicon Llc Medical device with a bilateral jaw configuration for nerve stimulation
US10245096B2 (en) 2016-05-25 2019-04-02 Covidien Lp Pressure relief system for use with gas-assisted minimally invasive surgical devices
US10245064B2 (en) 2016-07-12 2019-04-02 Ethicon Llc Ultrasonic surgical instrument with piezoelectric central lumen transducer
US10893883B2 (en) 2016-07-13 2021-01-19 Ethicon Llc Ultrasonic assembly for use with ultrasonic surgical instruments
US10842522B2 (en) 2016-07-15 2020-11-24 Ethicon Llc Ultrasonic surgical instruments having offset blades
US10376305B2 (en) 2016-08-05 2019-08-13 Ethicon Llc Methods and systems for advanced harmonic energy
US10285723B2 (en) 2016-08-09 2019-05-14 Ethicon Llc Ultrasonic surgical blade with improved heel portion
USD847990S1 (en) 2016-08-16 2019-05-07 Ethicon Llc Surgical instrument
US10828056B2 (en) 2016-08-25 2020-11-10 Ethicon Llc Ultrasonic transducer to waveguide acoustic coupling, connections, and configurations
US10952759B2 (en) 2016-08-25 2021-03-23 Ethicon Llc Tissue loading of a surgical instrument
CN114732540A (zh) * 2016-10-24 2022-07-12 因维蒂有限公司 照明元件
US10603064B2 (en) 2016-11-28 2020-03-31 Ethicon Llc Ultrasonic transducer
US11266430B2 (en) 2016-11-29 2022-03-08 Cilag Gmbh International End effector control and calibration
GB2563196B (en) 2017-05-05 2021-10-13 Michael Brooke Gerard Electrosurgical instrument with illumination element
US10820920B2 (en) 2017-07-05 2020-11-03 Ethicon Llc Reusable ultrasonic medical devices and methods of their use
US10194975B1 (en) 2017-07-11 2019-02-05 Medtronic Advanced Energy, Llc Illuminated and isolated electrosurgical apparatus
RU183801U1 (ru) * 2018-04-23 2018-10-02 Общество с ограниченной ответственностью Совместное русско-французское предприятие "СпектрАп" Скальпель
US11547463B2 (en) 2018-09-21 2023-01-10 Covidien Lp Smoke evacuation electrosurgical pencil with adjustable electrode and vent tube
WO2020068756A1 (en) * 2018-09-24 2020-04-02 Stryker Corporation Ultrasonic surgical handpiece assembly
US11399888B2 (en) 2019-08-14 2022-08-02 Covidien Lp Bipolar pencil
US11596466B2 (en) 2019-09-09 2023-03-07 Covidien Lp Surgical instrument with evacuation port and method
US11564732B2 (en) 2019-12-05 2023-01-31 Covidien Lp Tensioning mechanism for bipolar pencil
US11696776B2 (en) 2019-12-30 2023-07-11 Cilag Gmbh International Articulatable surgical instrument
US20210196359A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instruments with electrodes having energy focusing features
US11986201B2 (en) 2019-12-30 2024-05-21 Cilag Gmbh International Method for operating a surgical instrument
US11944366B2 (en) 2019-12-30 2024-04-02 Cilag Gmbh International Asymmetric segmented ultrasonic support pad for cooperative engagement with a movable RF electrode
US20210196363A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes operable in bipolar and monopolar modes
US11950797B2 (en) 2019-12-30 2024-04-09 Cilag Gmbh International Deflectable electrode with higher distal bias relative to proximal bias
US11786294B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Control program for modular combination energy device
US11786291B2 (en) 2019-12-30 2023-10-17 Cilag Gmbh International Deflectable support of RF energy electrode with respect to opposing ultrasonic blade
US11660089B2 (en) 2019-12-30 2023-05-30 Cilag Gmbh International Surgical instrument comprising a sensing system
US11937863B2 (en) 2019-12-30 2024-03-26 Cilag Gmbh International Deflectable electrode with variable compression bias along the length of the deflectable electrode
US11779387B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Clamp arm jaw to minimize tissue sticking and improve tissue control
US11812957B2 (en) 2019-12-30 2023-11-14 Cilag Gmbh International Surgical instrument comprising a signal interference resolution system
US12023086B2 (en) 2019-12-30 2024-07-02 Cilag Gmbh International Electrosurgical instrument for delivering blended energy modalities to tissue
US11707318B2 (en) 2019-12-30 2023-07-25 Cilag Gmbh International Surgical instrument with jaw alignment features
US20210196358A1 (en) 2019-12-30 2021-07-01 Ethicon Llc Electrosurgical instrument with electrodes biasing support
US11911063B2 (en) 2019-12-30 2024-02-27 Cilag Gmbh International Techniques for detecting ultrasonic blade to electrode contact and reducing power to ultrasonic blade
US11452525B2 (en) 2019-12-30 2022-09-27 Cilag Gmbh International Surgical instrument comprising an adjustment system
US11779329B2 (en) 2019-12-30 2023-10-10 Cilag Gmbh International Surgical instrument comprising a flex circuit including a sensor system
US11937869B1 (en) 2023-01-20 2024-03-26 Panacea Spine, LLC Electrocautery rhizotomy using wanding of energized electrocautery probe

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2196171A (en) * 1935-02-12 1940-04-09 Walter A Arnesen Cautery electrode illuminating device
US2275167A (en) * 1939-04-26 1942-03-03 Bierman William Electrosurgical instrument
US2484059A (en) * 1945-07-10 1949-10-11 American Cystoscope Makers Inc Electrosurgical resecting instrument
FR57862E (fr) * 1947-12-12 1953-09-18 Rectoscope permettant les opérations intra-rectales sous atmosphère de gaz incombustible
DE1007960B (de) * 1953-09-19 1957-05-09 Richard Wolf Koagulationselektrode fuer Endoskope
US2888928A (en) * 1957-04-15 1959-06-02 Seiger Harry Wright Coagulating surgical instrument
US3035580A (en) * 1960-12-27 1962-05-22 Guiorguiev Methodi Surgical needle
US3595239A (en) * 1969-04-04 1971-07-27 Roy A Petersen Catheter with electrical cutting means
US3648001A (en) * 1969-12-11 1972-03-07 Robert K Anderson Compact hand held switching device with insertable switching means
US3614414A (en) * 1970-04-03 1971-10-19 Kirkman Lab Inc Work area illuminator
US3858586A (en) * 1971-03-11 1975-01-07 Martin Lessen Surgical method and electrode therefor
US3801766A (en) * 1973-01-22 1974-04-02 Valleylab Inc Switching means for an electro-surgical device including particular contact means and particular printed-circuit mounting means
JPS5323637B2 (ja) * 1973-09-05 1978-07-15
US3847153A (en) * 1973-09-14 1974-11-12 B Weissman Disposable probe tip for electro-surgical device
US3920022A (en) * 1974-04-19 1975-11-18 Macey A Pastor Surgical instrument
US3906955A (en) * 1974-05-06 1975-09-23 Richard R Roberts Surgical cauterizing tool having suction means
US3939839A (en) * 1974-06-26 1976-02-24 American Cystoscope Makers, Inc. Resectoscope and electrode therefor
DE2617556A1 (de) * 1975-04-22 1976-11-11 Iglesias Jose J Resektoskop mit elektrisch aufheizbarer schneidelektrodenbaugruppe
DE2521719C2 (de) * 1975-05-15 1985-06-20 Delma, Elektro- Und Medizinische Apparatebaugesellschaft Mbh, 7200 Tuttlingen Elektrochirurgische Vorrichtung
US4074718A (en) * 1976-03-17 1978-02-21 Valleylab, Inc. Electrosurgical instrument
US4449528A (en) * 1980-03-20 1984-05-22 University Of Washington Fast pulse thermal cautery probe and method

Also Published As

Publication number Publication date
DE3231624T1 (de) 1984-09-20
WO1982002488A1 (en) 1982-08-05
SE8205426L (sv) 1982-09-22
EP0070309A1 (en) 1983-01-26
SE8205426D0 (sv) 1982-09-22
EP0070309A4 (en) 1985-02-28
SE446150B (sv) 1986-08-18
CH653879A5 (fr) 1986-01-31
EP0070309B1 (en) 1989-11-15
JPS58500104A (ja) 1983-01-20
US4562838A (en) 1986-01-07
DE3280018D1 (en) 1989-12-21

Similar Documents

Publication Publication Date Title
JPS6459B2 (ja)
EP0479482B1 (en) Electrosurgical laparoscopic cauterisation electrode
US5919191A (en) Electro-surgical tissue removal
US6802842B2 (en) Electrosurgical tonsilar and adenoid electrode
US5011483A (en) Combined electrosurgery and laser beam delivery device
US5860976A (en) Electrosurgical cutting device
US6348051B1 (en) Preparation instruments
US5954720A (en) Bipolar electrosurgical end effectors
US5833689A (en) Versatile electrosurgical instrument capable of multiple surgical functions
US6371956B1 (en) Monopolar electrosurgical end effectors
US6855145B2 (en) Self-wetting, dry-field bipolar electrodes for endoscopic surgery
US8668688B2 (en) Soft tissue RF transection and resection device
US5571101A (en) Electrosurgical electrode for DCR surgical procedure
US10206732B2 (en) Electrosurgical dissector with thermal management
US20160051313A1 (en) Attachment for Electrosurgical System
US5741250A (en) Electrosurgical instrument for ear surgery
CN110121305A (zh) 用于电外科***的附件
CN109009412B (zh) 一种电凝切割器
US11607266B2 (en) Electrosurgical device
RU2083170C1 (ru) Электрод-пинцет
JP2006006692A (ja) アデノイド切除刀電気外科用プローブ
JP2015016034A (ja) 医療用処置具及び医療用処置装置
JPH1043197A (ja) 電気手術用電極
CA2559942A1 (en) Electro-surgical tissue removal