A61B2018/00208

Arthroscopic devices and methods

A resecting probe includes a shaft assembly having an outer sleeve and an inner sleeve. The outer sleeve has an axial bore and an outer window in a distal side thereof, and the inner sleeve has an axial extraction channel and inner window in a distal side thereof. The inner sleeve is rotationally disposed in the axial bore of the outer sleeve to allow the inner sleeve window to be rotated in and out of alignment with the outer sleeve window, and the shaft assembly forms a flow aperture in a distal portion when the inner cutting window and the outer cutting window are out of alignment. An electrode is carried on the inner sleeve, and a motor drive is coupled to rotate the inner sleeve relative to the outer sleeve. A controller is coupled to the motor drive and controls rotation of the inner sleeve.

Arthroscopic devices and methods
11246650 · 2022-02-15 · ·

An arthroscopic tissue resecting probe includes an elongated shaft having outer and inner sleeves which are formed from an electrically conductive material extending about an axis to a working end. Outer and inner resecting windows are formed in the sleeves in the working end. The working end includes a ceramic body having a collar portion extending fully around a region of the outer sleeve proximal to outer resecting window. A radiofrequency (RF) electrode is disposed on an outer surface of the ceramic body and is spaced-apart from the outer resecting window.

ARTHROSCOPIC DEVICES AND METHODS

An electrosurgical probe can be detachably secured to a handpiece having a motor drive unit and an RF current contact. The electrosurgical probe includes an elongate shaft having a longitudinal axis, a distal dielectric tip, and a proximal hub which is detachably securable to the handpiece. A hook electrode is reciprocatably mounted in the distal dielectric tip, and an RF connector on the hub is couplable to the RF current contact in the handpiece when the hub is secured to the handpiece. A drive mechanism in the hub mechanically couples to the hook electrode, and drive mechanism engages a rotational component in the motor drive unit when the hub is secured to the handpiece. The drive mechanism converts rotational motion from the rotational component into axial reciprocation and transmits the axial reciprocation to the hook electrode to axially displace the hook electrode between a non-extended position and an extended position relative to the dielectric tip.

ARTHROSCOPIC DEVICES AND METHODS

An arthroscopic system includes a re-useable, sterilizable handle integrated with a single umbilical cable or conduit. The single umbilical cable or conduit carries electrical power from a power and/or control console to the handle for operating both a motor drive unit within the handle and delivering the RF power to a disposable RF probe or cutter which may be detachably connected to the handle. The RF power delivered to the handle and on to the probe or cutter is typically bi-polar, where the handle includes first and second electrical bi-polar contacts that couple to corresponding bi-polar electrical contacts on a hub of the disposable RF probe or cutter is connected to the handle.

RF energy enabled tissue debridement device

A bipolar electrosurgical device including an outer shaft, an inner shaft, first and second electrode surfaces, and an irrigation channel. The outer shaft defines a lumen, a proximal end and a distal end forming a cutting window. The inner shaft is rotatably disposed within the outer shaft, and defines a distal portion forming a cutting tip. The cutting tip and the cutting window combine to define a cutting implement. The first and second electrode surfaces are electrically isolated, and are formed at the cutting implement. The irrigation channel extends parallel to the outer shaft, and terminates in at least one outlet port. The outlet port is proximally spaced from the cutting window and is located radially outside of the outer shaft. Fluid (e.g., saline) is emitted at the exterior surface of the device near the cutting window and is readily present for interacting with the electrode surfaces.

Arthroscopic devices and methods

An arthroscopic system includes a re-useable, sterilizable handle integrated with a single umbilical cable or conduit. The single umbilical cable or conduit carries electrical power from a power and/or control console to the handle for operating both a motor drive unit within the handle and delivering the RF power to a disposable RF probe or cutter which may be detachably connected to the handle. The RF power delivered to the handle and on to the probe or cutter is typically bi-polar, where the handle includes first and second electrical bi-polar contacts that couple to corresponding bi-polar electrical contacts on a hub of the disposable RF probe or cutter is connected to the handle.

Arthroscopic devices and methods

An electrosurgical probe includes an elongated shaft assembly having a proximal end, a distal end, and a longitudinal axis. A distal housing is mounted on the distal end of the shaft and optionally includes a laterally open window where a plane of the window is generally perpendicular to the longitudinal axis of the shaft. An interior channel extends axially through the shaft and further through an interior of the housing to the window in the housing. An electrode member with a serrated or other elongated edge may extend longitudinally across the window and may be configured to reciprocate the elongated edge longitudinally relative to the window.

Surgical instruments comprising a biased shifting mechanism

A surgical instrument comprising a shiftable transmission is disclosed. The transmission comprises a mechanism for assuring that the transmission is in one of a plurality of predefined configurations.

ELECTRODE SUCTION DRILL SYSTEM
20210393323 · 2021-12-23 · ·

The present disclosure relates to an electrode suction drill system including a manipulator and a hollow catheter tube, and including: a first electrode and a second electrode provided apart from each other on a front end of the catheter tube; a steering ring provided at an inner front end of the catheter tube; first and second wires positioned inside the catheter tube and having one ends connected to the steering ring; a drill wire provided in an inner hollow portion of the catheter tube; a thread formed on an outer circumferential surface of the drill wire; and a motor provided inside the manipulator and fastened to one end of the drill wire to rotate the drill wire, in which a tip of the catheter tube performs a steering operation by a manipulation of the first and second wires, and as the drill wire is rotated by the rotation of the motor, lesion site tissue in a body is suctioned into the catheter tube by the thread.

Tool assembly with drive system comprising counterweighted clutch
11202642 · 2021-12-21 · ·

Disclosed herein is a tool assembly for use with an energy applicator having a shaft extending along an axis between a proximal end and a distal end. The tool assembly comprises a support structure to support the energy applicator, and a connector assembly arranged to engage and releasably lock the energy applicator to the support structure in a locked state. A drive system is coupled to the support structure and is configured to rotatably drive the shaft of the energy applicator about the axis. The drive system comprises a counterweighted clutch assembly.