System and methods of an electrosurgical controller having multiple modes of operation that are configured for treatment of a specific targeted tissue type and the electrosurgical effect desired where the treatment and effect are provided by a single controller and an electrosurgical probe. The electrosurgical controller includes an integrated fluid control apparatus or pump where activation of the controller allows for selective energy delivery and corresponding fluid volume flow rates. The electrosurgical probe includes a fluid transport lumen and is in communication with the controller and the pump for operation of the probe in the various user selected modes with accompanying energy delivery and fluid control directed to the desired treatment and surgical effect.

A remote control apparatus according to one or more embodiments may include a display, an operation handle, an armrest, and a supporting mechanism. The supporting mechanism includes a supporting section that supports the display, the operation handle, and the armrest and a driver configured to move the supporting section in an up-and-down direction. The supporting mechanism is configured, upon transitioning between a first mode and a second mode, to move the supporting section by the driver in the up-and-down direction to move the display, the operation handle, and the armrest in an integrated manner in the up-and-down direction.

Embodiments provide a telescopic structure for an electrotome capable of evacuating smoke, including an electrotome pencil body. The electrotome pencil body is hollow inside and provided with an opening end at one end; the opening end of the electrotome pencil body is provided with a limit connection part. The limit connection part is sleeved with a collar; an elastic limiter is provided between the limit connection part and the collar. The telescopic structure for an electrotome capable of evacuating smoke further includes a channel that penetrates the collar and the elastic limiter in sequence and communicates with the inside of the electrotome pencil body. The telescopic structure for the electrotome capable of evacuating smoke enables the electrotome to adjust the length of the electrotome with one hand during use, which is more convenient in use and more convenient in operation.

Damaged, diseased, abnormal, obstructive, cancerous or undesired neural tissue treated by delivering specialized pulsed electric field (PEF) energy to target tissue areas. In some instances, the target tissue includes a tumor, a benign tumor, a malignant tumor, a cyst, or an area of diseased tissue. Most brain and spinal cord tumors develop from glial cells. These tumors are sometimes referred to as a group called gliomas. They arise from the supporting cells of the brain, called the glia. These cells are subdivided into astrocytes, ependymal cells and oligodendroglial cells (or oligos). One difficulty in the treatment of gliomas is that they are behind the blood-brain barrier (BBB) and blood-tumor barrier (BTB) which leads to poor delivery of anti-cancer drugs or immune agents to the tumor-infiltrated brain. Devices, systems and methods are provided that treat the tumor directly, such as by ablation, and optionally transiently disrupt the BBB coupled with adjuvant antibody, biologic, or other pharmaceutical interventions.

An adaptive flow rate control system for a surgical device, whereby the control system includes one or more nonintrusive sensors configured to be positioned on an aspiration conduit extending downstream from a handheld surgical device to measure flow and reduce clogging within the aspiration conduit is disclosed. The nonintrusive sensor may provide data to a controller of a handheld surgical device system to enable it to control operation of the handheld surgical device based at least in part on the data from the adaptive flow rate control system to prevent clogging of the aspiration system. The adaptive flow rate control system may also include a clog tracking module and a clog prediction module. The adaptive flow rate control system may include a wireless communication system configured to communicate with other components of a surgical device system and may communicate with a external network and resources on the internet.

Tumor ablation devices and related systems and methods are disclosed. Some tumor ablation devices include an RF energy delivery probe with two conductors and one or more thermocouples. The thermocouple measures a temperature at a location on one of the conductors. A generator can produce a current to be conducted between the first conductor and the second conductor via tissue within a desired ablation region. The ablation regions created by the RF energy delivery probe are symmetric about poles of the first conductor and the second conductor. A distal portion of the RF energy delivery probe may articulate, enabling a user to position the RF energy delivery probe in a proper position to ablate the tumor. The thermocouples may be disposed on a flexible or wired thermocouple circuit that is disposed between insulators.

An electrosurgical wand is provided and includes a handle and an elongate shaft coupled to the handle and extending distally from the handle along an axis. An active electrode is disposed at a distal end of the electrosurgical wand. A return electrode abuts the elongate shaft and extends along and annularly about the axis. The return electrode has a top side adjacent the active electrode and an opposite bottom side and defines a notch. A support member is disposed in the notch between the electrodes and transitions curvilinearly from the notch to define a front surface extending laterally across and axially from the return electrode. The front surface tapers downwardly from the active electrode to define a first portion defining a first convex outer surface and also extends toward the bottom side of the return electrode to define a second portion defining a second convex outer surface.

An arthroscopic system includes a hand piece with a motor drive. an elongate shaft assembly is detachably secured to a distal end of the hand piece, and the elongate shaft assembly includes an outer sleeve and an inner sleeve rotatably mounted in the outer sleeve. The inner sleeve couples to the motor drive when the elongate shaft assembly is attached to the hand piece, and an inner distal cutting window on the inner sleeve moves in and out of alignment with an outer distal cutting window on the outer sleeve as the motor drive rotates the inner sleeve. A distal electrode is disposed on an outer surface of the outer sleeve at a location opposite to that of the outer distal cutting window, and the outer sleeve member is rotatable relative to the hand piece when the hub is secured to the hand piece such that a user can hold the hand piece in one hand and rotate the outer sleeve to selectively place the outer distal cutting window or the distal electrode in an upward orientation relative to the user while continuing to hold the hand piece in the one hand.

Disclosed is an apparatus for operation that can be inserted into an incision hole in spinal endoscopic surgery. An apparatus for operation includes a rod, a rotating part rotatably connected to the rod, and a bending part connected to the rotating part and bendable, in which the bending part includes a plurality of links being in rolling contact with each other, and a plurality of wires connecting the plurality of links.

An endoscope adaptor to be connected to a robot arm of a robotic surgical system through a drape adaptor according to an embodiment may include a base section, a holding section, a driven member, and a transmission mechanism. The base is to be detachably connected to the drape adaptor. The driven member is rotatably provided on the base section and configured to be rotated by a rotation drive section of the robot arm through the drape adaptor. The holding section holds an endoscope rotatably about a rotation axis, the endoscope including an insertion section including an image capturing section provided at a distal end of the insertion section and a body section connected to the insertion section, wherein the rotation axis extends in a direction in which the insertion section extends. The transmission mechanism is configured to transmit rotation of the driven member to the holding section holding the endoscope.