An instrument includes an ultrasonic blade, a first fluid port, an irrigation member, a second fluid port, and a fluid communication assembly. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The first fluid port is in communication with the distal opening of the ultrasonic blade. The irrigation member is positioned adjacent to the distal end of the ultrasonic blade. The second fluid port is in communication with the irrigation member. The fluid communication assembly is configured to couple the first fluid port with a fluid source, couple the first fluid port with a suction source, and couple the second fluid port with the fluid source.

Fluid management in surgical procedures. At least some of the example embodiments are methods including: pumping surgical fluid through a tube to a surgical site by a fluid controller operating in a first mode, the first mode comprising a first relationship of fluid flow and pressure drop across the tube and cannula, and the first mode comprising a first set of proportional, integral, and differential (PID) parameters; and then pumping surgical fluid through the tube to the surgical site with the fluid controller operating in a second mode, the second mode comprising a second relationship of fluid flow and pressure drop across the tube and cannula, the second relationship different than the first relationship, and the second mode comprising a second set of PID parameters used, the second set of PID parameters different than the first set of PID parameters.

A negative pressure drainage and cleaning system for sutureless closed skin incision. The system comprises: irrigation device, which comprises a delivery pump and a first catheter partially probing into inner cavity of a subcutaneous incision at a preset depth and is used for delivering irrigation solution; a negative pressure device, which comprises a negative pressure source and a second catheter partially probing into the inner cavity of a subcutaneous incision at a preset depth; a control device, electrically connected to the irrigation device and the negative pressure device. The system can assist to implement the sutureless closure of a full-thickness tissue above the deep fascia of the skin, avoids horizontal scars on the skin surface caused by suture compression/cutting, and leaves no suture knots in the superficial fascia, thereby eliminating an important factor which causes colonization of bacteria and a main cause of recurrence of wound infection.

Disclosed herein is an irrigated catheter system. The system includes a catheter shaft including a fluid delivery tube, an electrode coupled to the catheter shaft at a distal end thereof and in fluid communication with the fluid delivery tube, a fluid source coupled in fluid communication with the fluid delivery tube for supplying fluid thereto, and a fluid degassing apparatus fluidly coupled between the fluid source and the fluid delivery tube such that the fluid flows through the fluid degassing apparatus. The fluid degassing apparatus includes one of a gas filter including a permeable membrane disposed in a fluid-tight housing, a centrifugal separator, and a multi-chamber system including a vacuum chamber and a fluid reservoir fluidly coupled downstream of the vacuum chamber.

A method of determining a pressure of a body cavity with a controller of a fluid management system includes determining a pressure and a volume of a cuff disposed about a collapsible bag, determining a volume of the collapsible bag based on the pressure and the volume of the cuff, and determining a pressure of the collapsible bag based on the volume of the collapsible bag. The method also includes calculating a fluid flow from the collapsible bag into a body cavity from the collapsible bag and determining a pressure of the body cavity based on the fluid flow.

Methods of administering an enema to a patient utilizing a fecal management system are disclosed. Such methods may include providing the patient utilizing the fecal management system and providing an enema solution providing apparatus. The enema solution providing apparatus may include a bag containing enema solution, tubing, a tubing connector, and an adjustable clamp. The method may include clamping a catheter of the fecal management system between an irrigation port and an collection bag, engaging the tubing connector with the irrigation port, actuating the adjustable clamp to commence a flow from the bag containing enema solution into the patient through the catheter, completing the flow from the bag containing enema solution into the patient, disengaging the tubing connector from the irrigation port; and unclamping the catheter. Kits for providing an enema through a fecal management system and enema solution providing apparatuses are also disclosed.

System for percutaneous drainage of a drainage site includes a catheter, a drain tube, a first pump, a flush tube, a second pump, and a controller. The catheter includes a drain lumen defined by a first portion of a catheter wall and a septum, and a flush lumen defined by a second portion of the catheter wall and the septum. The flush lumen is separated from the drain lumen by the septum. The septum has at least one septal hole disposed therein such that the drain lumen and the flush lumen are in communication via the at least one septal hole. The catheter wall has at least one wall hole disposed therein such that the drain lumen is in communication with the drainage site when the distal end portion of the catheter is placed within the drainage site.

A fluid management system for an endoscopic procedure including: a pump configured to deliver liquid from a reservoir to a medical device; a processor comprising hardware, the processor being configured to control operation of the pump; a footswitch in communication with the processor, the footswitch being configured to actuate the pump; and a user input device configured to program the processor to operate the pump at a plurality of predetermined levels of an operational parameter of the pump and to allow a user to select one of the plurality of predetermined levels for pump operation, wherein the processor is further configured to disable at least parts of the user input device when the footswitch is engaged.

The present invention is generally directed to improved methods, devices, and systems for controlling the use of surgical cassette in a surgical system, comprising a console, a handpiece in communication with the console, a cassette receptacle configured to couple a cassette to the console having a pre-load detection system, and a cassette having a body portion configured to contact the pre-load detection system, wherein an indication from the pre-load detection system identifies the cassette, and wherein the system adjusts one or more settings based on the identified cassette.

Fluid management systems are disclosed that include software-controlled, electro-mechanical devices used in combination with single-use or multi-use tubing sets. Functions of the fluid management systems can include fluid pressurization, fluid warming, fluid deficit monitoring (including flow-based and weight-based), suction, fluid collection, and fluid evacuation (including indirect-to-drain and direct-to-drain options). The systems can be configured based on the surgical environment (e.g., operating room or physician office) as well as other user needs and/or preferences.