Covidien LP

Coviden LP

Boris Chernov

Georgy Martsinovskiy

Mikhail Verbitsky

Igoris Misuchenko

Nataliya Chernova

Igoris Misucenko

Optical energy-based methods and apparatus for sealing vascular tissue involves deforming vascular tissue to bring different layers of the vascular tissue into contact each other and illuminating the vascular tissue with a light beam having at least one portion of its spectrum overlapping with the absorption spectrum of the vascular tissue. The apparatus may include two deforming members configured to deform the vascular tissue placed between the deforming members. The apparatus may also include an optical system that has a light source configured to generate light, a light distribution element configured to distribute the light across the vascular tissue, and a light guide configured to guide the light from the light source to the light distribution element. The apparatus may further include a cutting member configured to cut the vascular tissue and to illuminate the vascular tissue with light to seal at least one cut surface of the vascular tissue.

Optical energy-based methods and apparatus for tissue sealing

A surgical system and corresponding methods for identifying tissue or vessels and assessing their conditions includes a probing signal source for applying a probing signal to the tissue and a response signal monitor for monitoring a response signal that varies according to the level of blood circulation in the tissue or vessels. The response signal monitor monitors the response signal over an interval equal to or longer than an interval between two successive cardiac contractions. The surgical system includes a microprocessor that analyzes the amplitude and/or phase of the response signal to determine the level of blood circulation in the tissue or in different portions of the tissue, and determines a tissue parameter based upon the level of blood circulation. The surgical system may monitor a cardiac signal related to cardiac contractions and correlate the response signal and the cardiac signal to determine a level of blood circulation in the tissue.

System and methods for identifying tissue and vessels

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.

Stand alone energy-based tissue clips

Methods and apparatus for optically recognizing tissue parameters during an energy-based tissue-sealing procedure involve grasping tissue with a tissue-sealing instrument, illuminating the grasped tissue or tissue adjacent to the grasped tissue with light, analyzing the light that is transmitted, scattered, or reflected by the tissue, and recognizing the tissue based on the result of analyzing the light. The wavelength of the light may be selected so that a vessel is sufficiently recognizable in tissue containing the vessel. A marker may also be introduced into fluid flowing in the vessel to increase the contrast between the vessel and tissue containing the vessel. Analyzing the light includes analyzing the spatial and spectral distribution of light. Analyzing the light may also include forming the light into an image of the illuminated tissue. The image of the illuminated tissue may be projected onto the eyes of a surgeon or sensed by a matrix of light detectors disposed on a jaw member of the tissue-sealing instrument and transmitted to a display.

Optical recognition of tissue and vessels

An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. The assembly also includes a thread-like member having a first end coupled to at least one jaw member and a drive member coupled to a second end of the thread-like member. The drive member is configured to position the thread-like member between a first position and a second position, wherein the thread-like member cuts tissue when positioned in the second position.

Thread-like knife for tissue cutting

An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. Each of the opposing jaw members includes a non conducting tissue contact surface and an energy delivering element configured to perforate the tissue to create an opening, extract elastin and collagen from the tissue and denaturize the elastin and the collagen in the vicinity of the opening.

Method and apparatus for vascular tissue sealing with reduced energy consumption

The present disclosure is directed to a tissue clip for use in electrosurgical procedures. The tissue clip 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 end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween, at least one jaw member adapted to connect to a source of electrosurgical energy to seal tissue disposed between jaw members during a sealing process. At least one of the jaw members includes an activator configured to selectively impart mechanical perturbations to the at least one jaw member during the sealing process.

Destruction of vessel walls for energy-based vessel sealing enhancement

An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly has a first jaw member and a second jaw member. The second jaw member includes a channel defined therein and coupled to a cooling agent source and at least one venting port defined therein and fluidly coupled to the channel. During active cooling of the second jaw member, the cooling agent source is configured to supply a cooling agent to the channel.

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Saint-Petersburg, Russia

Boris Chernov