This invention relates to a surgical smoke evacuation system for use in removing gases and smoke created in surgical procedures form within an insufflated surgical cavity. Such a system comprises a discharge assembly adapted to form a gases path, and having an end which in use is located within said surgical cavity so that gases and/or surgical smoke inside said cavity can pass out of said cavity and through said discharge assembly along said gases path, a flexible discharge limb having an operational site end and an outlet end, and a self-supporting wall defining a gases flow passage between said operational site end and said outlet end, in use said open operational site end sealingly connected to said discharge assembly so that said gases and/or surgical smoke can pass out of said discharge assembly and into said discharge limb, a filter connected in use to the outlet end of the discharge limb, at least part of said wall of the discharge limb formed from a breathable material, said breathable material allowing the passage of water vapour through the wall of the discharge limb without allowing the passage of liquid water or surgical smoke or other gases.

A surgical system is disclosed including an end effector, a control circuit, a closure member, and a firing member. The end effector includes a first jaw, a second jaw, and an electrode. The first jaw is rotatable relative to the second jaw between an open position and a close position to capture tissue therebetween. The electrode is configured to conduct a sub-therapeutic RF current to the tissue. The control circuit is operably coupled to the electrode. The control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current. The closure member is configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue. The firing member is configured to move within the end effectors towards a fired position at a firing rate based on the impedance of the tissue.

A surgical instrument includes a handle assembly, an elongated shaft, an end effector, and an evacuation port. The elongated shaft extends distally from the handle assembly and includes an outer wall. The end effector is coupled to a distal portion of the elongated shaft. The evacuation port is configured for fluid communication with a suction device. A portion of the evacuation port is disposed within the outer wall of the elongated shaft.

A surgical apparatus for treating a vessel blockage in a vessel of a patient having an elongated member having an outer wall, a first hole at a distal portion and a second hole spaced proximally from the first hole positioned in a side wall. A first lumen is provided within the elongated member for blood flow through the second hole, through the lumen and exiting the first hole to maintain blood flow during treatment of the vessel blockage. A motor driven impeller is rotatable during blood flow through the first lumen to enhance blood flow as blood flows into the second hole positioned proximal of the vessel blockage and exits the first hole distal of the vessel blockage during injection of fluid through one or more openings to treat the vessel blockage.

A system for controlling operation of a radiofrequency treatment device to apply radiofrequency energy to tissue to treat tissue to create lesions without ablating the tissue. The system includes a first treatment device having a plurality of electrodes. The electrodes are maintained in axial alignment and fixed radial spacing in retracted and extended positions. The device includes a basket having a plurality of arms. The arms are maintained in a fixed radial spacing in the collapsed position of the basket.

A vapor delivery system and method is provided that is adapted for treating prostate tissue. The vapor delivery system includes a vapor delivery needle configured to deliver condensable vapor energy to tissue. In one method, the vapor delivery system is advanced transurethrally into the patient to access the prostate tissue. The vapor delivery system includes a generator unit and an inductive heating system to produce a high quality vapor for delivery to tissue. Methods of use are also provided.

A computing system may use redundant communication pathways for communicating surgical imaging feed(s). The computing system may obtain multiple surgical video streams via multiple pathways. The multiple surgical video streams may include copies of the same video. The surgical video streams may be obtained, for example, from the same intra-body imaging feed, such as intra-body visual light feed. For example, a first video stream may be obtained via a communication pathway, and a second video stream may be obtained via another communication pathway. The computing system may display or send a surgical video stream for display. The computing system may whether the video stream being displayed has encountered any issues. Upon detecting an issue with the video stream being displayed, the computing system may display or send another obtained surgical video stream for display.

An electrosurgical instrument, comprising: an elongate probe comprising a coaxial cable for conveying radiofrequency (RF) and/or microwave frequency electromagnetic (EM) energy, and a probe tip connected at the distal end of the coaxial cable for receiving the RF and/or microwave energy; a gas passage for conveying gas to the probe tip; and an apparatus for debriding biological tissue. The coaxial cable comprises an inner conductor, outer conductor and dielectric material separating the conductors. The probe tip comprises a first electrode connected to the inner conductor of the coaxial cable and a second electrode connected to the outer conductor. The first electrode and the second electrode are arranged to produce an electric field from the received RF and/or microwave frequency EM energy across a flow path of gas received from the gas passage to produce a thermal or non-thermal plasma in an area outward from the probe tip.

A method for controlling a user interface of a modular energy system. The modular energy system comprises a header module and a display screen on which the user interface is displayed. The modular energy system can detect attachment of a first module thereto, control the user interface to display one or more first user interface elements corresponding to the first module, detect attachment of a second module to the modular energy system, control the user interface to resize the one or more first user interface elements to accommodate display of one or more second user interface elements corresponding to the second module, and control the user interface to display the one or more second user interface elements. The various UI elements can correspond to the particular module type that is being connected to the modular energy system.

An electrosurgical apparatus is provided including a housing, a flexible shaft, and a distal tip. The housing may further be coupled to an electrosurgical generator and gas supply. The distal tip of the electrosurgical apparatus may be grasped by a grasping tool, such that the orientation and position of the distal tip relative to the housing may be manipulated to achieve a plurality of positions. The electrosurgical apparatus provides electrosurgical energy and inert gas to an electrode within the distal tip of the electrosurgical apparatus to generate a plasma beam. In one aspect, the electrode is a retractable blade such that the electrosurgical apparatus can be used for mechanical and electrosurgical cutting during surgery when the electrode is in an extended position and for cold plasma applications during surgery when the electrode is in a retracted position.