Smith + Nephew

Arthrocare Corporation

Smith & Nephew Orthopaedics Ag

Jonathan L Gaspredes

Jean Woloszko

Thomas P Ryan

David Yuan

David J Miller

Robert P Lathrop

Rajitha Aluru

Michael D Bridgers

Tabitha A Solomon

Douglas G Evans

David Turner

Troy S Hemme

Christopher J Aholt

Brendan Smith

Philip Mark Tetzlaff

Scott A Armstrong

David Miller

Nicholas G Bender

Michael M Eriksen

Craig A Di Stefano

Robert Lathrop

David Y Yuan

An electrosurgical wand is disclosed for treating a plurality of tissues at a variety of tissue locations. The electrosurgical wand includes a handle on a proximal end and an elongate shaft with a combination active electrode at the distal end. The combination active electrode includes with a blade and screen portion; the blade portion extending along and laterally from the wand longitudinal axis, forming a dissecting tip. The screen portion extends from the blade portion at an obtuse angle and has at least one aspiration aperture through it. The wand also includes a second and third electrode, proximally spaced from the combination active electrode. The second electrode spans a portion of an outside surface of the wand adjacent the blade portion, while the third electrode spans a portion of the outside surface of the wand opposite the second electrode.

Electrosurgical systems and methods

Electrosurgical procedures. At least some of the example methods for detecting that an electrosurgical wand is effected by a blockage, including supplying a high frequency energy to an active electrode of an electrosurgical wand; drawing an electrically conductive fluid from the vicinity of the active electrode; sensing a temperature signal indicative of a temperature of the electrically conductive fluid drawn from the vicinity of the active electrode; and cycling the high frequency energy supplied upon the temperature of the electrically conductive fluid drawn from the vicinity of the active electrode exceeding a first threshold temperature.

System and methods of controlling temperature related to electrosurgical procedures

Display screen with surgical controller graphical user interface

Electrosurgical methods and systems. At least some of the illustrative embodiments are methods including maintaining plasma proximate to an active electrode in a first energy range, and a second energy range. During periods when plasma is proximate to the active electrode, the illustrative method may include controlling flow of fluid drawn into an aperture of an electrosurgical wand, and in some situations increasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue, and in other cases decreasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue. Further, during periods when plasma is proximate to the active electrode, the illustrative method may include providing output energy at a default energy setpoint, and then providing output energy at a second energy setpoint.

Electrosurgical methods and systems

Fluid management in surgical procedures. At least some of the example embodiments are methods including: pumping surgical fluid through a tube to a surgical site by a fluid controller operating in a first mode, the first mode comprising a first relationship of fluid flow and pressure drop across the tube and cannula, and the first mode comprising a first set of proportional, integral, and differential (PID) parameters; and then pumping surgical fluid through the tube to the surgical site with the fluid controller operating in a second mode, the second mode comprising a second relationship of fluid flow and pressure drop across the tube and cannula, the second relationship different than the first relationship, and the second mode comprising a second set of PID parameters used, the second set of PID parameters different than the first set of PID parameters.

Methods and systems of fluid management in surgical procedures

Foot pedal assembly

Mechanical resection instruments with outflow control. At least some of the example embodiments are methods including: receiving an indication of a first rotational mode of a mechanical resection instrument coupled to a motor of a motor drive unit (MDU); controlling rotation of the rotating portion of the mechanical resection instrument by controlling the motor, the controlling in conformance with the indication of the first rotational mode; setting a first outflow rate through the mechanical resection instrument based on the indication of the first rotational mode; drawing fluid through the mechanical resection instrument at the first outflow rate during a surgical procedure, the drawing by way of the pump controlled by the controller; sensing a parameter indicative of resection by the mechanical resection instrument; and changing a rate at which fluid is drawn through the mechanical resection instrument, the changing relative to the first outflow rate.

Mechanical resection instruments with outflow control and related methods

A method comprising sealing a vessel residing within tissue between jaws of forceps by sensing an amount of tissue held within the forceps, the sensing by passing electrical current through the tissue by way of the forceps. The method comprises heating the tissue using electrical current, the heating such that impedance of the tissue changes at a first predetermined rate, the first predetermined rate selected based on the sensing. The method comprises desiccating the tissue using electrical current, such that the impedance of the tissue changes at a second predetermined rate different than the first predetermined rate. The method comprises ceasing application of the electrical current to the tissue when impedance of the tissue reaches a predetermined value. Sensing the amount of tissue held within the forceps comprises varying electrical current flowing through the tissue through the forceps such that impedance of the tissue changes at a third predetermined rate.

Vessel sealing algorithm and modes

Electrosurgical procedures. At least some of the example methods that include: supplying energy to an active electrode of an electrosurgical wand, the supplying energy to the active electrode by an electrosurgical controller; monitoring an electrical parameter associated with the energy; and determining, based on the electrical parameter, the presence of a wand condition of the electrosurgical wand, the wand condition being at least one selected from the group consisting of: a surface area of the active electrode is less than a predetermined threshold surface area; the surface area of the active electrode is approaching the predetermined threshold surface area; and that the electrosurgical wand is affected by a blockage.

Method and system related to electrosurgical procedures

Electrosurgical systems and methods are described herein, the system including an electrosurgical probe with an active electrode disposed near the probe distal end, a system with a power supply for delivery of voltage to the active electrode and a controller that receives and processes a signal from a current sensor and a temperature sensor. The current sensor measures the current output of the power supply and the temperature sensor is adjacent an electrically conductive fluid located at a target site. The controller may be programmed to operate in a low voltage mode that limits the power supply to a low voltage output so as to determine whether the current output from the current sensor is within a current output range. This range is defined by predetermined upper and lower limits that are modified by at least one measured value.

Electrosurgical system and method having enhanced arc prevention

Growing community of inventors

Wilmington, MA, United States of America

Jonathan L Gaspredes