A61B18/149

Forceps with intentionally misaligned pin
11129632 · 2021-09-28 · ·

A forceps having at least a first jaw with a longitudinal axis is disclosed. The first jaw can include a body portion, a first flange, a second flange and a cam pin. The first flange can define a first cam slot with a longitudinal extent along the longitudinal axis. The second flange can be spaced from the first flange a distance transverse to the longitudinal axis of the first jaw and can have a second cam slot. The cam pin, with a longitudinal axis, can be moveably secured within the first cam slot and the second cam slot. A diameter of the cam pin can be less than a width between a first longitudinal edge that defines a first side of each of the first cam slot and the second cam slot and a second longitudinal edge that defines a second opposing side of each of the first cam slot and the second cam slot so that the cam pin is moveably received by both the first cam slot and the second cam slot. With the first jaw pivoted to at least a first position, the cam pin and first flange can be configured such that the first longitudinal edge is contacted by the cam pin but the second longitudinal edge is spaced from the cam pin. The cam pin and second flange can be configured such that the first longitudinal edge is spaced from the cam pin but the second longitudinal edge is contacted by the cam pin.

ELECTROSURGICAL GENERATOR, ELECTROSURGICAL SYSTEM, AND METHOD OF OPERATING AN ELECTROSURGICAL GENERATOR

An electrosurgical generator supplies, during operation, a high-frequency alternating current to an electrosurgical instrument for plasma cutting of body tissue. The electrosurgical generator has outputs for connecting an electrosurgical instrument to supply an electrosurgical instrument connected to the outputs with a high-frequency alternating current, and for determining the impedance of a load connected to the outputs. The electrosurgical generator features impedance and voltage measuring units as well as an output voltage control unit. The output voltage control unit is designed to control the AC output voltage depending on a maximum output voltage value that is set during operation depending on an output value of the impedance measuring unit and/or depending on an output value of the voltage measuring unit, such that the maximum output voltage value predefines a lower AC output voltage during a vaporization phase than during an ignition phase occurring subsequently to the vaporization phase.

DEFLECTABLE SUPPORT OF RF ENERGY ELECTRODE WITH RESPECT TO OPPOSING ULTRASONIC BLADE

An end-effector is disclosed. The end-effector includes a clamp arm and an ultrasonic blade configured to acoustically couple to an ultrasonic transducer and electrically couple to a pole of an electrical generator. The clamp arm includes a clamp jaw, a clamp arm pad, and a cantilever electrode that is free to deflect. The cantilever electrode is configured to electrically couple to an opposite pole of the electrical generator. Also disclosed are configurations where the clamp arm includes a peripheral cantilever electrode and a clamp arm pad extending beyond the electrode, a floating cantilever electrode and a resilient clamp arm pad, an interlocked cantilever electrode plate and a clamp arm pad configured to receive the plate, a laterally deflectable cantilever electrode and a clamp arm pad extending beyond the electrode, and a flexible cantilever electrode and a clamp arm pad extending beyond the electrode.

RESECTOSCOPE WITH DISTAL ELECTRODE GUIDE

The invention relates to a resectoscope for endoscopic surgery with a tubular shaft and a handle, the shaft comprising a longitudinally displaceable electrode instrument and, at its distal end, an electrically insulating insert, the electrode instrument having an elongated shaft section with one or two support arms and, in its distal end region, an electrode that can be acted upon by high-frequency current, characterized in that the insulating insert has one or more guide elements for holding a support arm, the support arm being longitudinally displaceable in the guide element.

MOUNTING MEMBER AND ENDOSCOPIC DEVICE
20210282625 · 2021-09-16 · ·

A mounting member includes: a body portion provided in a camera head including an image sensor, the body portion being rotatable about a first axis that passes through the body portion and connectable with an endoscope; a locking protrusion provided in the body portion and configured to lock with the endoscope; a detachable button configured to be movable with respect to the body portion and control attachment and detachment of the endoscope to and from the body portion; and a spring whose load applied to the locking protrusion changes according to an advancing/retreating operation of the detachable button with respect to the body portion, wherein at least one of the body portion and the detachable button includes a through-hole forming a part of a flow path of a liquid to a space in which the locking protrusion in the body portion and the spring member are arranged.

THERMAL CUTTING-ASSISTED TISSUE RESECTION DEVICES AND SYSTEMS

A tissue resection device includes a handpiece and an end effector assembly extending distally from the handpiece. The end effector assembly includes an outer shaft defining a longitudinal axis and including a window defined therethrough towards a distal end thereof. The end effector assembly further includes an inner member rotationally disposed within the outer shaft. The inner member includes a proximal body portion and a distal cutting portion. The proximal body portion is coaxially disposed on the longitudinal axis and rotatable thereabout. The distal cutting portion includes an offset portion that is radially offset from the longitudinal axis and is configured to orbit about the longitudinal axis. At least a portion of the distal cutting portion is a thermal cutting element configured to heat in response to application of electrical energy thereto.

Ablation devices with dual operating frequencies, systems including same, and methods of adjusting ablation volume using same
10987152 · 2021-04-27 · ·

An ablation device includes a feedline including an inner conductor having a distal end, an outer conductor coaxially disposed around the inner conductor, and a dielectric material disposed therebetween, an elongated electrically-conductive member longitudinally disposed at the distal end of the inner conductor and having a proximal end, a first balun structure disposed over a first portion of the outer conductor and positioned so that a distal end of the first balun structure is located at a first distance from the proximal end of the electrically-conductive member and a second balun structure disposed over a second portion of the outer conductor and positioned so that a distal end of the second balun structure is located at a second distance from the proximal end of the electrically-conductive member.

Automated, selectable, soft tissue excision biopsy devices and methods

An excisional biopsy and delivery device may comprise one or more rotating, penetrating and cutting rod elements. The rod elements may be configured to advance from a stored and confined first position and rotate about an axis, while being simultaneously revolved about a central axis. The rod elements may then assume a second released and expanded configuration that is operative to cut around and surround target tissue. In this manner, the rod elements are operative to move through the surrounding tissue to create a volume of revolution and to sever and capture the target tissue contained within the volume of revolution from the surrounding tissue. The severed and captured volume of revolution containing the target issue may then be removed.

Tumor ablation devices and related methods
11026744 · 2021-06-08 · ·

Spinal tumor ablation devices and related systems and methods are disclosed. Some spinal tumor ablation devices include electrodes that are fixedly offset from one another. Some spinal tumor ablation devices include a thermal energy delivery probe that has at least one temperature sensor coupled thereto. The position of the at least one temperature sensor relative to other components of the spinal tumor ablation device may be controlled by adjusting the position of the thermal energy delivery probe in some spinal tumor ablation devices. Some spinal tumor ablation devices are configured to facilitate the delivery of a cement through a utility channel of the device.

TRANSPORTER WITH LOCKING DEVICE

A transporter for a resectoscope for endoscopic surgery, wherein the transporter has a connection body and, for connection to a system component in the connection body, a latch system including an elongate latch element, which is arranged transversely with respect to the longitudinal axis of the transporter and has an engagement opening or an engagement groove, and a spring element, wherein one or more irrigation channels, arranged parallel to the longitudinal axis of the latch element, are formed between latch element and connection body. The invention further relates to a resectoscope for use in endoscopic surgery, wherein it includes a transporter according to one of the preceding claims and preferably a system component latched in the transporter.