A combination medical device for removing and treating tissue in a patient is disclosed. The device includes a reusable handle and a blade selectively connectable to the handle. The blade includes an outer sleeve having a lumen with an inner shaft disposed therein. The inner shaft may be coupled to a motor drive unit disposed within the handle and may rotate so as to mechanically cut tissue as the inner shaft rotates. The outer sleeve includes at least one electrode for electrosurgically treating tissue. The reusable handle includes at least one control switch for controlling a parameter associated with the rotation of the inner shaft. The blade also may include a switch assembly in electrical communication with the at least one electrode, the switch assembly including attachment means for selective attachment of the switch assembly to the reusable handle.

Surgical lighting must balance various needs of a user: the light must be bright, but not too thermally hot; directed at a target, but not shining elsewhere; be robust, yet compact. Often much of these myriad needs must be accomplished by ever small illumination elements placed into devices requiring ever lower profiles. However, current surgical illumination options require the use of bulky lighting elements if the desire target is to be illuminated or, conversely, use weaker lighting elements for sleeker designs.

Electrosurgical devices and systems having one or more porous electrodes are provided. An electrosurgical apparatus is provided having a shaft, a handle, and at least one porous electrode. The shaft is coupled to the handle and the at least one porous electrode is disposed on a distal tip of the shaft. The at least one porous electrode conducts energy provided to the distal tip and enables fluid provided to the distal tip to pass through the porous structure of the at least one electrode, such that the electrosurgical energy and the fluid are simultaneously applied to patient tissue adjacent to the at least one porous electrode. In one aspect, the electrosurgical apparatus includes a switching means configured to enable a user to select which of at least a first fluid, e.g. saline, or a second fluid, e.g., helium, to be provided to the distal tip.

An electrosurgical apparatus is provided having a shaft, a handle, and at least one porous electrode. The shaft is coupled to the handle and the at least one porous electrode is coupled to a distal tip of the shaft. The at least one porous electrode conducts energy provided to the distal tip and enables fluid provided to the distal tip to pass or flow through the porous structure of the at least one electrode, such that the electrosurgical energy and the fluid are simultaneously applied to patient tissue adjacent to the at least one porous electrode. The shaft is rotatable relative to the handle of the electrosurgical apparatus to change the orientation of the at least one porous electrode relative to the handle. The shaft is extendable or retractable relative to the handle to increase or decrease the distance between the at least one porous electrode and the handle

The present invention, herein is a method and apparatus that significantly limits the effect of high frequency (“HF”) interferences on acquired electro-physiological signals, such as the EEG and EMG. Preferably, this method comprises of two separate electronic circuitries and steps or electronics for processing the signals. One circuit is used to block the transmission of HF interferences to the instrumentation amplifiers. It is comprised of a front-end active filter, a low frequency electromagnetic interference (“EMI”) shield, and an isolation barrier interface which isolates the patient from earth ground. The second circuit is used to measure the difference in potential between the two isolated sides of the isolation barrier. This so-called “cross-barrier” voltage is directly representative of the interference level that the instrumentation amplifier is subjected to. This circuit is used to confirm that the acquired signals are not corrupted by the interference.

An electrosurgical instrument used in electrosurgery, and includes a handpiece to be gripped by a user and provided with an accommodation space therein; a cable coupled to a rear end of the handpiece so as to transmit electrical energy; a conductive electrode, at least a portion of which protrudes toward a front side of the handpiece and which is configured to move in a front-rear direction relative to the handpiece; and a connecting body provided in the accommodation space and including a conductor electrically connecting the cable and the conductive electrode to each other, and a film formed of a non-conductive material and bonded to opposite sides of the conductor so as to shield the conductor, wherein at least a portion of the connecting body is formed of a Flexible Printed Circuit Board (FPCB) and is formed in a spiral or helical shape such that the total length of the connecting body is variable in the front-rear direction. According to the present disclosure, it is possible to provide an electrosurgical instrument in which, since the connecting body is provided, an electrically stable coupling state can be ensured and the conductive electrode can be moved smoothly when the conductive electrode is moved in the front-rear direction relative to the handpiece or is rotated.

Provided is an endoscopic treatment instrument that can maintain a state where the treatment instrument protrudes, by a simple manipulation and that can keep an amount of protrusion of the treatment instrument constant. The endoscopic treatment instrument (1) has an operation unit having: an operation unit body (50) fixed to a cylindrical member; and a slider (60) that is fixed to a linear object and is slidable with respect to the operation unit body (50) in the longitudinal direction. The operation unit is provided with a first stop position and a first stop release position distal to the first stop position, the first stop position being a position where the operation unit body (50) and the slider (60) contact each other as a result of relative movement of the operation unit body (50) and the slider (60).

Unintended current flow or plasma discharge has been observed in known illuminated electrosurgical devices having a metallic tubular heat sink surrounding a conductive electrode and an illumination element, and having a distal outer edge that abuts against the light emitting element. An insulating, shielding or other isolating element that prevents or discourages unintended plasma formation between the distal outer edge and nearby patient tissue can reduce the potential for tissue damage to a patient or injury to a surgeon.

A medical device includes an elongate shaft extending between a proximal portion and a distal portion defining a distal end. The shaft includes a puncture device having a puncturing tip at the distal end, a distally facing camera in the distal portion, and a lighting system comprising distally facing light emitter in the distal portion.

A surgical tool can include a handle, an outer tube, an end effector, an inner tube, and a guide tube. The outer tube can be connected to the handle and can extend along a longitudinal axis. The end effector can be connected to the outer tube. The inner shaft can be located within the outer tube and can extend along the longitudinal axis. The inner shaft can be connected to the end effector and the outer shaft. The handle can be operable to translate the inner shaft with respect to the outer tube to operate the end effector. The guide tube can be located within the outer tube between the handle and the end effector. The guide tube can include a conduit extending therethrough.