930 results about "Surgical knife" patented technology

An electrosurgical instrument for use in cutting and / or coagulating tissue includes a dielectric material, the dielectric material being positioned in the current pathway between the tissue-treatment regions of first and second electrodes. This can be achieved by providing one or more electrode surfaces coated with a dielectric material having a reactive impedance of less than 3,000 ohms / sq. mm. at 450 kHz. The dielectric coating acts to couple the RF signal into the tissue primarily by capacitive coupling, providing a more even heating of the tissue and the elimination of “hot spot”. Examples of electrosurgical instruments employing such coated electrodes include forceps, scissors or scalpel blade instruments.

An orthopedic surgical device with compound ultrasound vibration that comprises a handpiece, a surgical cutter fixed on the anterior top of the handpiece, and an ultrasound signal generator. Inside the outer casing of said handpiece, there are provided: an ultrasound transducer for transforming the ultrasound signals from said ultrasound signal generator into ultrasound mechanical waves; a horn (or amplitude transformer) for amplifying vibration amplitude of ultrasound mechanical waves generated from said transducer and then transmitting the amplified ultrasound mechanical waves to said surgical cutter to lead to longitudinal vibration of the surgical cutter; a driving motor fixed in the back end of said handpiece for driving said ultrasound transducer and horn to accomplish the movement of swing and rotation; an adapter provided between said driving motor and said transducer for supplying ultrasonic electrical signals generated by said ultrasound signal generator to said ultrasound transducer.

A surgical cutting and tissue vaporizing instrument, also referred to as an electrosurgical instrument, is in the form of a scalpel or scissors. The scalpel has a handle portion and a blade portion mounted on the handle portion. The blade portion has a smaller front section which acts as an active electrode, a larger rear section which acts as a return electrode, and an insulating middle section separating the two electrodes. A plurality of ports and conduits are formed in the blade portion, with the conduits extending through the handle portion, so that saline may be supplied to the handle and blade portions and out of the ports to the targeted area for tissue transection, and so that excess saline may be drawn by suction through other ports formed on the blade portion. The scissors include two cross-pivotally joined blades, each having a tip portion functioning as either an active electrode or as a return electrode. Ports and conduits are formed in each blade to elute saline onto the targeted area for tissue transection and to remove by suction excess saline from the targeted area.

A scalpel is provided having a handle with a longitudinally extending cavity therein, a blade carrier within the cavity and movable longitudinally relative to the handle between an operative position in which a blade carried thereby is exposed for use at an open end of the cavity and an inoperative position in which a blade carried thereby is retracted within the cavity in the handle, and a manually operable slider associated with the blade carrier and passing through a slot in a wall of the handle at an edge thereof, herein termed the top edge. The handle is moulded as a single piece moulding with an integral bridge defining an endless open end to the cavity through which the blade carrier is introduced into the cavity. The slider is formed as a separate part that snap fits to the blade carrier after its introduction through the open end of the cavity to form a blade carrier and slider assembly. “Click stops” are provided in the operative and inoperative positions by tooth and notch formations on the slider and slot. A final innermost permanently locked position is also preferably provided.

A surgical device 20 for attaching staples 40 to a portion of a body comprising an anvil 23; a smart memory material (SMM) 50, 75 capable of going from one physical state to another physical state; a supply of staples in communication with the smart memory material and placed near the anvil; and an activating apparatus 21 which is in communication with the smart memory material and which can cause the change in the physical state of the smart memory material, which change in state causes the movement of the staples against the anvil thereby securing the staples 40 to the desired body portion. The device utilizes a source of electricity which when activated causes the SMM to expand in volume thereby moving an individual staple from the supply of staples. The device may also contain a surgical knife 62 to cut a body portion wherein a SMM is in communication with the knife whereby when the SMM expands it engages the knife causing the knife to cut the desired body portion.

A multi-modal detection system is appointed to reliably detect metallic surgical instruments such as scalpels, hemostats and the like, and non-metallic surgical implements such as sponges or laparotomy pads and gauze pad associated with an embedded marker. A first system detects metallic surgical instruments and a second independent system detects non-metallic surgical implements. The systems operate sequentially. The metallic surgical implements are removed immediately after detection and prior to scanning by the second system. Shielding of markers embedded in non-metallic surgical implements is thereby prevented. The marker may be a mechanically resonant target or RFID target. The first and second systems may be attached to be a rollaway cart and can comprise hand held antenna.

The invention relates to a method of regulating the power available at the manipulator of an electronic scalpel so as to make said manipulator adapted to be used to obtain blood clotting, said electronic scalpel being of the kind comprising: at least a mains voltage rectifying circuit supplying rectified and direct voltage to at least a radio frequency circuit adapted to emit as output a current carrier signal at a main frequency set by an oscillator, said current signal feeding said manipulator through a radio frequency transformer, wherein said method consists in applying to the manipulator a wave form resulting from the sum of the carrier wave and a modulating wave of such frequency that the energy transmitted to the tissue to be coagulated is such to raise the temperature of the tissue to be coagulated until denaturation of the fibrinogen contained therein is caused and transforming it into fibrin. The invention relates also to the electronic scalpel carrying out such a method

An ultrasonic surgical system utilizes a digital control system to generate ultrasonic drive current for transducers that are located in a hand piece and are attached to a surgical scalpel or blade in the hand piece so as to vibrate the blade in response to the current. The digital control includes a digital signal processor (DSP) or microprocessor; a direct digital synthesis (DDS) device; a phase detection logic scheme, a control algorithm for seeking and maintaining resonance frequency; and design scheme that allows to regulate current, voltage, and power delivered to an ultrasonic thereby a device. Such system allows the power versus load output curve to be tailored to a specific hand piece, which improves efficiency and reduces heat. Further, the components of the digital system are much less sensitive to temperature variations, thereby allowing it to operate with narrow as needed frequency range around the desired resonance in order to avoid excitation of other resonances. Also, the digital system provides increased flexibility in locating the resonance frequency of the blade and running diagnostic tests. The start of a user initiated diagnostic test that requires movement of the blade is caused by operating two of the system switches, which guards against accidental operation of the blade which could be harmful if in contact with tissue and also generate false diagnostic results. In addition, the system has interlock with an Electrosurgical unit so that it is not effected by the electromagnetic interference generated by that unit.

The present invention is a dual function transfer tray that can be used for either a scalpel or a suturing needle holder with suturing needle. A scalpel slot is formed in the bottom of a relatively deep set of sloped walls. A suture needle cavity is formed above the first slot. However, at a mid-section of the scalpel slot and the half-cylindrical suture needle cavity are opposing and deep V-shaped cutaway sections in the sidewalls with a flat floor section between them. A user need never have to focus their attention for more than a split second to discern the location of the mid-section of the transfer tray. The user's thumb and forefinger are aimed at the V-shaped sidewall openings to grasp a midsection of a supported surgical sharps. The scalpel slot and half-cylindrical suture needle cavity are set relatively deep with respect to top edges of the transfer tray and the to form an open tray to prevent a user from being inadvertently injured by a scalpel blade or a suture needle. In addition, the scalpel cannot be placed in the scalpel slot unless it rests on one of its longitudinal edges, preferably the same one as that of its blade edge. Thus, a user grasping the mid-section of the scalpel handle in the cutaway and flat floor section picks up the scalpel in a ready-to-use position.

A system for making a precise incision and circular hole in a vessel wall, such as the aorta, that eliminates lateral side notches from the aortotomy. In one aspect, the system includes a surgical knife or lancet having a blade surrounded by a retractable shield. In one aspect, the system includes a tissue punch having a rotating circumferential edge for receiving a parabolic-shaped anvil having an anvil cutting edge. The anvil is placed through an incision made by a knife and actuated to produce a hole in the vessel wall.

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy. In certain embodiments, systems and devices of the present invention find use in combination with other medical devices (e.g., surgical devices, surgical tools; e.g., hemostats, blades, scalpels). In certain embodiments, more than one energy delivery system or device of the present invention may be employed simultaneously or sequentially (e.g., for cutting and coagulation procedures).

An ultrasonic surgical blade that includes a blade body that has a treatment region. At least one indentation can be formed in the treatment region of the blade body wherein each indentation forms a tissue cutting edge with an outer surface of the blade body. The indentation may comprise one or more holes, lumens, grooves or dimples or a combination of such structures. In various embodiments, one or more aspiration lumens are provided in the surgical blade which may ultimately communicate with an aspiration lumen or passage in an ultrasonic surgical instrument.

A surgical cutting and tissue vaporizing instrument, also referred to as an electrosurgical instrument, is in the form of a scalpel or scissors. The scalpel has a handle portion and a blade portion mounted on the handle portion. The blade portion has a smaller front section which acts as an active electrode, a larger rear section which acts as a return electrode, and an insulating middle section separating the two electrodes. A plurality of ports and conduits are formed in the blade portion, with the conduits extending through the handle portion, so that saline may be supplied to the handle and blade portions and out of the ports to the targeted area for tissue transection, and so that excess saline may be drawn by suction through other ports formed on the blade portion. The scissors include two cross-pivotally joined blades, each having a tip portion functioning as either an active electrode or as a return electrode. Ports and conduits are formed in each blade to elute saline onto the targeted area for tissue transection and to remove by suction excess saline from the targeted area.

The present device and method includes a handle, a blade connected to the handle, and a guard slidably mounted partially within the handle for sliding movement between a retracted position in which the blade is exposed for use, and an extended position for covering the sharp cutting edge of the blade. In the retracted position, an exposed guard radius is provided at the distal end of the handle to allow improved handle control and blade orientation. The exposed guard radius is positioned to allow the user to firmly grip a large distal handle portion which is molded as a single piece with the blade holder, preventing unwanted blade or handle movement due to guard mechanism tolerances. A leaf spring and detent is provided to fix the guard in the extended and retracted position, and provide slight resistance during movement between each position. Additionally, an antitravel mechanism is incorporated in the guard to prevent accidental retraction from the fully extended position.

A lens injector includes a thin sheet-like lens glide member, mounted upon a tapered knife, that maintains a wedge-shaped opening in the cornea upon withdrawal of the knife. The lens is thereafter advanced under the cornea by a plunger in the injector that maintains the lens in place as the injector device is removed. A multiple point blade knife may simultaneously make a set of several small, connected incisions. The fact that each blade has only a limited depth means that the resulting wide incision can be created without the need to penetrate deeply into the cornea, as would be necessary with a single-point blade of the desired width. This is especially beneficial for creating Z-shaped incisions, which become self-sealing when internal pressure pushes the inner layer against the outer layer. This shortens the process significantly, which then results in less trauma to the eye and streamlines the entire procedure.

In a treating apparatus, a forceps body as a treating device is connected to a generator as a control device. The forceps body mainly includes a pair of handle portions, which are used for manipulation by being held by an operator, a pair of jaws provided between the handle portion and the pair of jaws, which are used to coagulate / resect by grasping living-body tissue to be treated and a pair of scissors component members. A heating member, which is a heat generating source as a heat generating portion for applying heat energy to living-body tissue, is embedded at least one of the jaws. A pair of electrode portions, which is a treating energy generator, is provided to the pair of jaws. By supplying bipolar electric surgical knife current between the pair of electrode portions, high frequency current as treating energy is applied to the grasped living-body tissue.

A system for providing for tactile feedback to a physician or other user employs a robotic control system, which robotic control system enables the user to control an operating instrument such as a scalpel or other instrument. Pressure transducers are placed upon the instrument and the outputs from the transducers are directed to a microprocessor and glove control circuit. The microprocessor receives the signals from the pressure transducer and the signals from the robotic control system to produce output signals for controlling a glove. The glove is worn by the physician during a robotic operation. The glove contains means on the inside of the glove, which means receive the signals generated by the microprocessor and glove control circuit and provides tactile feedback to the hand of the physician or Other user while wearing the glove. This tactile feedback provides indications to the user of the robotic control signal system as to the pressure or force applied by the surgical instrument during the robotic operation. There is also described a technique for training a physician to use this system. The system employs inflatable air sacks positioned on the inner surface of the glove but other tactile indications such as heat can be employed.

The invention discloses a reusable handle of a laparoscope scalpel in the technical field of surgical instruments. The handle comprises a closed housing, a transmission mechanism, a trigger and an output rotating shaft, wherein the transmission mechanism is arranged in an inner space of the closed housing; the trigger is movably connected with an outer wall of the closed housing; and magnetic pieces are arranged at an input part of the transmission mechanism, on the trigger, at an output part of the transmission mechanism and on the output rotating shaft respectively, so that an acting force on the trigger is transferred to the output rotating shaft in a non-contact manner. The handle adopts the totally-closed housing, so that blood and other dirt are prevented from entering the interior of the handle during a surgery, and the handle can be used continuously and safely after disinfected integrally.

A scalpel guide system for any bladed surgical instrument. A pair of wire guides attach to a scalpel, for controlled travel of the scalpel along the wire. The wire guides of the scalpel guiding system are especially useful as an enhancement to the "Seldinger technique," a common surgical procedure employed for the percutaneous placement of elongated, tubular devices, with the aid of a guidewire or a wire. The scalpel can be any knife-like surgical device, conventionally including a blade attached to a handle. The scalpel guiding system preferably includes a pair of wire guides, each extending from the blade of the scalpel, or alternatively the handle of the scalpel. The scalpel can be disposable, as can the blade, independent of the scalpel. The wire can be any guidewire or filament, as conventionally employed in surgical techniques that involve the insertion of such a wire or strand. The wire is engageable by the scalpel mounted pair of wire guides. This engagement allows the user or surgeon to move the scalpel along the wire in a controlled and guided manner, for precise cutting or incising, as required for the needed procedure or operation.

The invention relates to a scalpel cleaning and disinfecting device, in particular to an efficient cleaning and disinfecting device for a medical scalpel handle. The efficient cleaning and disinfecting device for the medical scalpel handle is low in manufacturing cost, easy to operate and high in working efficiency. In order to achieve the technical purposes, the efficient cleaning and disinfecting device for the medical scalpel handle comprises a support shaped like an Arabic number '7', an installing base, a rack, an electric cam, a first pulley, a gear, a connecting rod, guide sleeves, a hose, a sprayer, a concentric-square-shaped frame, movable rods, an air cylinder and the like. The guide sleeves are vertically arranged on the top of the inner side of the support shaped like the Arabic number '7' in a bilateral symmetry mode, the movable rods are connected into the guide sleeves in a sliding mode, and the rack is arranged on the left side of the movable rod on the left side. According to the efficient cleaning and disinfecting device for the medical scalpel handle, when the scalpel handle is cleaned, the sprayer continuously sprays disinfectant to the scalpel handle.

Disclosed is a surgical tool holder 11 adapted to connect to a disposable cutting tool 12, and the surgical instrument 10 combination. The tool holder 11 has a shank 14 with a quick tool coupling 24 at one end 16 and a drive adaptor 20 at a second end 22. The coupling assembly 24 has a coupling interface 40 for holding the tool 12, and has a debris reservoir 44. A locking mechanism 26 is engageable with the shank 14 by a lock interface 95 that holds the coupling assembly in functional assembly, and when unlocked allows component parts of the coupling assembly to be separated for cleaning and sterilization. The surgical tool 12 has a flat base 104 and complementary fittings 114 adapted to be received by the holder's coupling interface. The combination of the flat base 104 with the reservoir 44 defines a relatively enclosed collection space 46 to receive cutting debris from the tool 12 while the holder 11 and tool 12 are coupled together.

A multiple bladed surgical knife for removing donor strips of hair-laden scalp tissue from a donor for hair graft transplantation to a donor. The knife includes a plurality of blades which are spaced apart by a plurality of spacers. The blades may advantageously shift longitudinally with respect to each other at a surgeon's discretion such that donor strips of consistent depth are obtained. In addition, the number of hair follicles which are destroyed during the removal process is minimized. In one embodiment of the present invention, the blade penetration depth is controlled via selectively sizing and shifting the plurality of spacers. In one particular embodiment, the blades and spacers may be shifted with the assistance of a pin, and in another embodiment, the knife includes a plurality of markings indicating a particular blade angle.

A method for positioning a guide element in a patient and a kit for use in the method. In one embodiment, the method involves transorally inserting an endoscope into a patient's stomach. An incision site is externally indicated by transilluminating the stomach and abdominal walls of the patient from within the stomach. Next, a scalpel incision is made at the indicated incision site, and an access needle is inserted into the incision, the proximal end of the access needle remaining external to the patient and the distal end of the access needle extending into the patient's stomach. The stylet of the access needle is then removed from the patient while keeping the cannula in place. Next, the distal end of a grasping tool is inserted through the cannula and into the patient's stomach. The looped leading end of a pullwire is then inserted through the endoscope and into the stomach. The tool is then manipulated until a distal hook on the tool catches the looped leading end. Next, the tool and the looped leading end are withdrawn from the patient through the cannula. The endoscope is then withdrawn from the patient over the trailing end of the pullwire. In this manner, the pullwire is positioned so that the trailing end of the pullwire extends from the patient's mouth and the leading end of the pullwire extends from the incision.

A surgical instrument assembly (10, 11) configurable for performing a dermatotomy in a percutaneous procedure and further configurable for performing cuts in open surgery includes a pointed scalpel blade (68) and a hollow sheath body (18, 200) disposed to encapsulate the pointed scalpel blade (68) inside a longitudinal instrument cavity (32) to protect a user. The hollow sheath body (18, 200) is supported for longitudinal translation with respect to the scalpel blade (68). The hollow sheath (18) may be positioned and locked at a first position to completely encapsulate the scalpel blade (68) inside the instrument cavity (32) for safe handling. Otherwise the hollow sheath body (18, 200) is movable to second and third positions with different lengths of the surgical instrument extending out through a front face (23) of the hollow sheath body (18, 200). A compression spring biases the hollow sheath body (18) toward the first safety position. The instrument is usable to make a precise pierce cut with a consistent cut depth and cut length.

Providing a ceramic-coated medical appliance quite excellent in insulating performance which has no negative effects on tissues or cells of an organism subjected to surgery; a ceramic-coated genetic control needle which has no risk of breaking during use nor no unfavorable effects, such as destruction or tear-off, on sliced tissues or tissue areas around the needle at site of penetration into a lesion and which cuts off a cell nucleus or injects an immunological solution into the nucleus without causing any negative effects on tissues around the penetrated needle; and a fabrication method for the same. Specifically, in the ceramic-coated medial needle, genetic control needle, biopsy forceps and medical appliances such as forceps, surgical scissors and surgical knife, an insulating ceramic film having a resistance ρ of 105 Ω·m or more is formed, by dry plating, at least on a portion, a part or the whole of an outer and / or an inner surface of a metal needle that directly contact an organism, or cells or cell nuclei thereof.

An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

A system and method are disclosed for securing a blade to a blade post or handle base. A handle base is provided with a receiving port that includes a taper or dovetail configuration along a portion of each wall. The receiving port accepts a blade, and a cap is positioned within the exposed receiving port above the blade surface. The sides of the cap are secured within the dovetail sections along each wall of the receiving port and opposite securing ramps engage to secure the blade into position. The blade may be a keratome blade that is intended for opthalmic use, but the system and method can be used in connection with various types of opthalmic and non-opthalmic surgical knives.