Methods and surgical tools for treating back pain use a spinal facet debridement tool with cautery and denuding action and minimally invasive protocol that can denude and cauterize soft tissue associated with a synovial capsule of the spinal facet joint.

In some aspects, a surgical system for taking advantage of capacitive coupling is presented. The surgical system may include: a monopolar energy generator; a surgical instrument configured to transmit electrosurgical energy through the electrode to tissue of a patient at a surgical site; and at least one detection circuit configured to: measure an amount of conductivity in a return path of the electrosurgical energy; determine that the amount conductivity in the return path falls below a predetermined threshold; and transmit a signal to cause the monopolar generator to increase current leakage in the surgical system by increasing alternating current frequency in the electrosurgical energy generation. The monopolar energy generator may further include a sensor configured to determine that a monopolar energy circuit is completed by detecting that the current leakage has reached a ground terminal in the monopolar energy generator.

A handheld electrosurgical instrument includes a handpiece (2) and an electrode assembly (3), the electrode assembly including one or more electrodes (12), (13) and a connector (8), (9) by which the electrode assembly (3) is capable of being attached and detached with respect to the handpiece (2). The handpiece includes a battery (4), an RF oscillator circuit (5) for generating a radio frequency output, and switching means (7) operable by a user of the electrosurgical instrument. A control circuit is provided (6) for controlling the RF output, the control circuit (6) being capable of receiving signals from the switching means (7) and causing one or more RF outputs to be supplied to the electrode assembly (3) in response thereto. The electrode assembly (3) includes a component (14), (21) capable of modifying the RF output reaching the one or more electrodes (12), (13) to produce a desired RF output at the one or more electrodes.

A circuit for generating a radio-frequency signal for a surgical device is disclosed. The circuit has a voltage regulator that supplies direct current (DC) voltage, a first MOSFET, a second MOSFET, and a MOSFET driver. The MOSFET driver receives the DC voltage supplied from the voltage regulator and has a local oscillator. The local oscillator switches the first MOSFET and the second MOSFET on and off at a frequency generated by the local oscillator. The circuit further includes a transformer connected to the first and second MOSFETs, having a center tap and a main voltage applied at the center tap, and providing an alternating current (AC) output.

An ultrasonic surgical device comprises a handle assembly, a shaft assembly, and a removable transducer module. The transducer module includes a waveguide, a locking mechanism, and an electronics assembly including at least one button. The handle assembly includes a trigger assembly configured to actuate the button(s) of the electronics assembly when the transducer module is coupled with the handle assembly. The shaft assembly engages the waveguide of the transducer module and is disposed at the distal end of the handle assembly. The distal end of the shaft assembly includes a harmonic blade. When assembled with the handle assembly, the transducer module is capable of providing ultrasonic energy to the harmonic blade.

A tissue clip for use in electrosurgical procedures includes an arm having a first electrode formed thereon. The tissue clip also includes a body pivotally coupled to the arm. The body includes a power source and a second electrode. The arm is moveable from a first position relative to the body for approximating tissue and a second position closer to the body for grasping tissue therebetween.

An electronic device for treating a skin lesion by destroying an affected skin cell using an electric current includes a hollow cylindrical housing with a female casing configured to mate with a male casing via a threading. Further, a printed circuit board is housed within the hollow cylindrical housing and is configured to generate electric current by using a battery. Furthermore, a needle is attached to a dispersive electrode of the printed circuit board for carrying the electric current from the electronic device to the affected skin cell in order to destroy the skin lesion. The electronic device is used by inserting the battery in the clip attached to the printed circuit board, pressing the button to actuate circuit, contacting the skin lesion with the needle and then passing the electric current via the needle for a specified period.

A surgical instrument includes a first power source and a second power source. The first power source is configured to deliver power to a surgical instrument at a first rate of discharge. The second power source is configured to deliver power to the first power source at a second rate of discharge. The first power source and the second power source are positioned within the surgical instrument. The first power source and the second power source are further configured to communicate with a control module. The control module may rely on power from the first power source to drive an end effector of the surgical instrument. The end effector may comprise a harmonic/ultrasonic blade, RF electrosurgical electrodes, powered cutting/stapling features, and/or various other types of components.

An energy treatment instrument includes a held unit capable of being held, and an electric-receiver-side resonator including an electric receiver coil wound around a coil axis, and resonating at the same resonance frequency as an electric-supplier-side resonator, thereby electric power being supplied from an electric supplier coil to the electric receiver coil. The energy treatment instrument includes an energy generator generating energy for use in a treatment by using the electric power supplied to the electric receiver coil, and a magnetic member including a magnetic material and located distant from the coil axis of the electric receiver coil.

A tissue treatment device includes a circuit driver, an electrode, and a plasma arc focusing element, all disposed within a housing. The circuit driver generates a plasma arc source signal. The electrode generates a plasma stream in response to the plasma arc source signal. The plasma arc focusing element focuses the plasma stream to pass through an outlet hole of the housing and onto a target spot on a target tissue of a treatment subject for heat treatment of the target tissue. In some embodiments, the circuit driver controls a temperature increase of the target tissue by modulating a fundamental frequency, power level, pulsing frequency, and/or pulsing duty cycle of the plasma arc source signal.