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261results about How to "Avoid excessive accumulation" patented technology

Multielectrode electrosurgical instrument

An improved electrosurgical instrument and method is disclosed for simplifying making incisions and other treatments using electrosurgery. The electrosurgical instrument comprises a body having more than two electrodes with at least two electrodes having alternating current power supplied to them such that they comprise a bipolar alternating current configuration and employ a means other than electrode spacing, composition, or geometry for reducing or preventing accumulation of eschar that would otherwise form a short circuit current path and interfere with obtaining a predetermined surgical effect. In one aspect, such means for reducing or preventing eschar accumulation consists of at least one other electrode having a direct current voltage between it and at least one of the two electrodes forming the alternating current bipolar configuration. In another aspect of the invention two or more pairs of alternating current electrodes comprising bipolar electrodes are powered with alternating current having a nonzero RMS voltage sufficient to at least reduce eschar accumulations on one electrode or induce electrolysis of at least one component of a medium surrounding at least one pair of bipolar electrodes. The electrodes are separated from each other using electrically insulating materials such that electric current does not flow between at least two of the bipolar alternating current electrodes unless they contact at least one other electrically conductive medium, such as patient tissue or a medium comprising at least in part a solid, liquid, gas, or ionized component that allows electric current to flow between electrodes. In the aspect where at least one electrode is powered by direct current the electrodes are configured such that electrical current does not flow between at least one of the bipolar alternating current electrodes and at least one of the direct current electrodes unless one or more media, such as patient tissue or a medium comprising at least in part a solid, liquid, gas, or ionized component that allows electric current to flow between electrodes, are contacting or adjacent to the electrodes having a direct current voltage difference between them. The assembly comprised of the electrodes and the separating insulating materials may also employ one or more means to reduce the current flowing between them that does not produce a desired predetermined surgical effect with one aspect of such means being using an outer insulating coating configured such that one or more portions of at least one of the bipolar alternating current electrodes are insulated while leaving exposed other portions of such insulated electrodes so that they are capable of being in electrical communication with tissue or at least one material in electrical communication with tissue.
Owner:COLORADO FUND I L P ON ITS OWN BEHALF & AS OF BOTH AGENT FOR AND COLLATERAL AGENT FOR SERIES A 1 STOCKHOLDERS & AWEIDA VENTURE PARTNERS

Electrosurgical instrument

An improved means for insulating electrosurgical instruments and its use for electrosurgical instruments for reducing smoke generation at a surgical site is disclosed. An insulating layer is employed that may include a ceramic material that is substantially sealed with a coating comprising substantially of a material based on polydiorganosiloxanes or derivatives thereof that have been cured, preferably with the aid of temperatures in excess of about 150° F. In one aspect of the invention, an insulating layer having a thermal conductance of about 1.2 W/cm2° K. and a dielectric withstand strength of at least about 50 volts is employed. Such insulating layer may advantageously comprise one or more insulating materials with pores that have been sealed so as to prevent biological materials from entering the pores with such sealing material preferably containing one or more of silicate materials or materials that form silicates. In another aspect of the invention, the metal body is provided to have a thermal conductivity of at least about 0.35 W/cm° K., and may advantageously comprise a metal selected from the group: gold, silver, aluminum, copper tantalum, tungsten, columbium and molybdenum. In yet a further aspect, the metal body may include an intermediate layer that defines a peripheral edge portion of reduced cross-section (e.g., about 0.001 inches thick or less) for electrosurgical signal transmission. Such intermediate layer may comprise a metal having a melting point of at least about 2600° F. Heat sink means may be included in various embodiments to establish a thermal gradient away from functional portions of the instrument (i.e., by removing heat from the metal body). In one embodiment, the heat sink means may comprise a phase change material that changes from a first phase to a second phase upon absorption of thermal energy from the metal body.
Owner:MICROLINE SURGICAL INC

Dental composite delivery system

A packaged unit of composite for performing an aesthetic restoration. The unit is mounted on a polymeric film carrier material and is covered and sealed with the same or otherwise suitable covering film. The carrier film may be an elongated strip containing serially placed units of composite, each readily separable from the strip for individual usage. This packaging is in light restrictive outer packaging since the preferred unit of composite is of a light-cured material such as bis-GMA. In preferred packaging, the unit dose is singular and applicable to the tooth surface with the film carrier which is adapted with tabs to facilitate handling and the draping or damming of the subject tooth from adjacent teeth to facilitate application of the composite. The composite is then worked, i.e., formed on the tooth with the film intermediate the composite and the customary forming tools. In preferred embodiments, the single unit packaging of composite is mounted on a clear carrier film which includes embrasure tabs for selective insertion in the embrasure between the teeth, and in a further preferred embodiment, the carrier film includes an incisal tab to cover the incisal edge of the tooth. The clear carrier is contained in further outer packaging which limits actinic radiation from reaching the composite.
Owner:HARRISON III LOUIE V
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