An auxiliary return system for use with a bipolar electrosurgical device includes a tissue guard defining an open proximal end, an open distal end, and a lumen extending therethrough between the open proximal end and the open distal end. A ground plate is disposed along an inner peripheral surface of the lumen and is operably coupled to a first end of a ground wire extending from the tissue guard. A coupling is included having a bore defined therein for receiving a cable from an electrosurgical device therethrough, the cable including active and ground leads. The coupling has a flange extending therefrom defining a receptacle therein configured to operably receive a plug connected to a second end of the ground wire. The receptacle is configured to provide electrical continuity between the ground lead disposed within the cable and the plug coupled to the ground wire which, in turn, provides electrical continuity to the ground plate.

An ultrapolar telescopic electrosurgery pencil that can be used in both monopolar and bipolar modes for cutting and coagulation. The ultrapolar telescopic electrosurgery pencil can operate at very low power levels (such as 15-20 Watts or less) to both cut and coagulate tissue thereby reducing patient risk and damage to tissue. An ultrapolar electrosurgery blade having a top, a bottom, opposing planar sides, a cutting edge, and a non-cutting end, an active electrode positioned on one of the opposing planar sides such that at least a portion of the opposing planar side is exposed near the cutting edge, and a return electrode positioned on the other opposing planar side such that at least a portion of the other opposing side is exposed near the cutting edge.

An ultrapolar telescopic electrosurgery pencil that can be used in both monopolar and bipolar modes for cutting and coagulation. The ultrapolar telescopic electrosurgery pencil can operate at very low power levels (such as 15-20 Watts or less) to both cut and coagulate tissue thereby reducing patient risk and damage to tissue. An ultrapolar electrosurgery blade having a top, a bottom, opposing planar sides, a cutting edge, and a non-cutting end, an active electrode positioned on one of the opposing planar sides such that at least a portion of the opposing planar side is exposed near the cutting edge, and a return electrode positioned on the other opposing planar side such that at least a portion of the other opposing side is exposed near the cutting edge.

The present disclosure relates to an end effector for an electrosurgical instrument, comprising an electrode assembly for delivering a radio-frequency (RF) power signal to a surgical site, the electrode assembly comprising an active electrode, a return electrode, and an insulating element in between the active electrode and the return electrode, the active electrode comprising an aperture which provides access to a suction channel extending through the insulating element to a lumen for carrying fluid from the surgical site, wherein the lumen is at least in part defined by an inner surface of the return electrode, wherein the electrode assembly is configured to conduct electrical current between the active electrode and the return electrode via a first current path through the suction channel when the RF power signal is supplied to the electrodes.

The present disclosure relates to an end effector for an electrosurgical instrument, comprising an electrode assembly for delivering a radio-frequency (RF) power signal to a surgical site, the electrode assembly comprising an active electrode, a return electrode, and an insulating element in between the active electrode and the return electrode, the active electrode comprising an aperture which provides access to a suction channel extending through the insulating element to a lumen for carrying fluid from the surgical site, wherein the lumen is at least in part defined by an inner surface of the return electrode, wherein the electrode assembly is configured to conduct electrical current between the active electrode and the return electrode via a first current path through the suction channel when the RF power signal is supplied to the electrodes.

Systems and methods deploy a therapeutic or diagnostic element into contact with a body tissue region. The systems and methods can sense position of the therapeutic or diagnostic element relative to a targeted tissue region without direct or indirect visualization, by sensing fluid pressure in a fluid path having an outlet located at or near the therapeutic or diagnostic element. The systems and methods can also inflate the therapeutic or diagnostic element during use, while taking steps to avoid over-inflation and/or while dynamically monitoring the pressure conditions within the expanded element.

An instrument test arrangement is specified, which is preferably equipped for medical instruments for argon plasma coagulation. The instrument test arrangement comprises an electrode arrangement, comprising at least one test electrode. In a preferred embodiment, a test electrode is thereby connected to two neutral conductors of a neutral conductor cable or device, wherein the neutral conductors are insulated from one another, and wherein the first coupling impedance between the test electrode and the first neutral conductor and the second coupling impedance between the test electrode and the second neutral conductor are equal or at most slightly different, so that a split circuit, which is assigned to a neutral electrode arrangement, does not trigger due to the strike of a test spark or arc.

Electrosurgical pericardiotomy devices are disclosed. An example electrosurgical pericardiotomy device configured to create an opening through a pericardium may include an end effector comprising a tip portion and at least one electrosurgical electrode. The tip portion may include an opening configured to engage a target portion of a pericardium, and the tip portion may be configured, upon application of vacuum to the tip portion, to separate the target portion of the pericardium from an external surface of a heart. The electrosurgical electrode may be disposed proximate the tip portion so that, with vacuum applied to the tip portion, the target portion of the pericardium contacts the electrosurgical electrode. The electrosurgical electrode may be configured to create an opening through the target portion of the pericardium using electrosurgical energy.

Electrosurgical pericardiotomy devices are disclosed. An example electrosurgical pericardiotomy device configured to create an opening through a pericardium may include an end effector comprising a tip portion and at least one electrosurgical electrode. The tip portion may include an opening configured to engage a target portion of a pericardium, and the tip portion may be configured, upon application of vacuum to the tip portion, to separate the target portion of the pericardium from an external surface of a heart. The electrosurgical electrode may be disposed proximate the tip portion so that, with vacuum applied to the tip portion, the target portion of the pericardium contacts the electrosurgical electrode. The electrosurgical electrode may be configured to create an opening through the target portion of the pericardium using electrosurgical energy.

An effector includes a tubular body having a proximal end and a distal end. The effector holds a plug or closure at the distal end of the tubular body; an active electrode at the distal end of the body; an insulator on the body; and one or more return electrodes on the insulator. The body dissipates heat generated by the one or more return electrodes from the distal end of the body to the proximal end of the body.