An electrosurgical smoke evacuation pencil includes a handle housing, a suction conduit, an electrode, and a nozzle. The handle housing has a proximal end portion and a distal end portion and defines a lumen therethrough. The suction conduit is coupled to the handle housing and is configured to couple the electrosurgical pencil to a smoke evacuator. The electrode extends from the distal end portion of the handle housing and is configured to couple to a source of electrosurgical energy. The nozzle extends from the distal end portion of the handle housing and defines a lumen in fluid communication with the lumen of the handle housing. The nozzle is configured to transmit light from a light source through the nozzle and out of a distal end of the nozzle to form a light path illuminating therefrom.

A medical instrument with a distal and a proximal end. A first tool element and a second tool element are arranged or formed on the distal end so as to be movable relative to one another. The tool elements define a tool element direction of extent from proximal to distal. The first tool element defines a first tool element face and the second tool element defines a second tool element face. The first tool element face and the second tool element face face toward one another. The tool elements define in the region of their tool element faces a width. The widths extend in a direction transverse to the tool element direction of extent and transverse to a surface normal of the first tool element face and/or the second tool element face.

An electrosurgical instrument has dual zone smoke evacuation for providing efficient capture and evacuation of smoke generated during an electrosurgical procedure. A hand piece with a proximal and a distal end is coupled to a front piece having a distal opening leading into an interior conduit. An extendable section is at least partially disposed within the interior conduit and extends distally out of the distal opening of the front piece. The extendable section is selectively translatable within the interior conduit. A negative pressure source enables the capture and evacuation of smoke through both the extendable section and the interior conduit.

An instrument for coagulation and dissection of biological tissue including a tool with coagulation electrodes and at least one cutting electrode. The electrodes are actuated via an operating circuit including an evaluation circuit, to which an external apparatus delivers an evaluation signal with first and second half-waves having opposite polarities. During at least one first half-wave, the evaluation circuit checks whether a first switch or a second switch are actuated on the instrument. Depending on the evaluation result, a triggering signal is transmitted to a switching unit. Depending on the triggering signal, the switching unit is switched into a first or second switching state. In the second switching state, no voltage suitable for dissection and no current suitable for dissection, respectively, is applied to the cutting electrode. In the first switching state, a voltage suitable for dissection or a current suitable for dissection is applied to the cutting electrode.

A surgical system is disclosed including impedance sensors and a control circuit. The impedance sensors are configured to apply a therapeutic level of RF energy to tissue, sense a real time impedance of the tissue, sense a first tissue impedance based on an initial contact with the tissue, sense a second tissue impedance of the tissue without applying a therapeutic amount of RF energy to the tissue. The control circuit is configured to determine a control parameter of a motor based on the first tissue impedance and the second tissue impedance, determine a percentage of use of an end effector, detect a change of the real time impedance of the tissue, adjust the control parameter of the motor based on the change of the real time impedance and the percentage of use of the end effector, and control delivery of a therapeutic energy application to the tissue.

An electrosurgical pencil includes a housing having proximal and distal ends, the proximal end adapted to connect to an energy source and the distal end adapted to receive an end effector assembly therein, the end effector assembly defining a surface area along a length thereof. An activation switch is operably associated with the housing and is configured to deliver electrosurgical energy to the end effector assembly upon actuation thereof. An air control valve is operatively coupled to the activation switch and is configured to simultaneously deliver a gas from a gas source to the surface area around the end effector upon actuation of the activation switch. One or more vents are defined in the distal end of the housing and are configured to direct the gas towards the surface area of the end effector.

An electrosurgical instrument has dual zone smoke evacuation for providing efficient capture and evacuation of smoke generated during an electrosurgical procedure. A hand piece with a proximal and a distal end is coupled to a front piece having a distal opening leading into an interior conduit. An extendable section is at least partially disposed within the interior conduit and extends distally out of the distal opening of the front piece. The extendable section is selectively translatable within the interior conduit. A negative pressure source enables the capture and evacuation of smoke through both the extendable section and the interior conduit.

When surgical devices operate on tissue (e.g. cutting or ablating tissue), tissue and other debris is typically sucked away from the operating site along a suction pathway through the device. In some cases, this debris may accumulate at certain points within the device. This can lead to blockages forming in the suction pathway, which reduces the flow of debris through the device and hinders effective removal of debris from the operating site. The present invention addresses these issues by providing an apparatus which is configured to drive the end effector of a surgical instrument in an operational mode that causes tissue debris to be dislodged from the surgical instrument.

Aspects of the present disclosure are presented for managing simultaneous outputs of surgical instruments. In some aspects, methods are presented for synchronizing the current frequencies. In some aspects, methods are presented for conducting duty cycling of energy outputs of two or more instruments. In some aspects, systems are presented for managing simultaneous monopolar outputs of two or more instruments, including providing a return pad that properly handles both monopolar outputs in some cases.

A surgical device which combines cautery and tissue debris conveyance via a combination of suction and an Archimedes screw, the cautery electrode encased within the Archimedes screw, the device comprising a device body housing a motor for rotating the screw, a cannula having an aperture for exposing an instrument, extending from the body portion, and a connector system operatively associated with the body portion, the connector system organized to provide pre-determined relative locations of connection for operably connecting the cannula, a cautery electrode and an Archimedes screw to the device body such the cautery electrode tip is positionable outside the aperture of the cannula and the Archimedes screw is disposed within the cannula in a position for conveying tissue entering the cannula via suction.