BR122015018777A2 - electrosurgical apparatus - Google Patents

Abstract

electrosurgical apparatus means an electrosurgical apparatus (2) comprising: (a) forceps (4) including: (i) a first working arm (6) and (ii) a second working arm (6); (b) a blade electrode; (26) wherein the electrosurgical apparatus (2) is capable of being switched between a first electrical configuration (100, 102) so that the electrosurgical apparatus develops a first current therapy through the first working arm, the second working arm. or both and a second electrical configuration (100, 102) such that the electrosurgical apparatus develops a second therapy current through the blade electrode (26); and wherein the first working arm (6) and the second working arm (6) of the forceps (4) are immobilized in the second electrical configuration so that the forceps (4) and the first therapy current are disabled. 1/1

Description

ELECTROSURGICAL APPLIANCE ”

Divided from BR 11 2015 018395 6, deposited on 12/03/2014 ”Field [0001] The present instructions generally concern an electrosurgical device that can supply monopolar and bipolar energy during a surgical procedure, and specifically for electric forceps that can be reconfigured and / or electronically mechanically reconfigured to provide monopolar and bipolar energy during open surgery.

Background [0002] Electrosurgical devices typically have autonomous monopoly or bipolar capabilities. Therefore, a surgeon, before starting a procedure, begins to select a device with monopoly capabilities or a device with bipolar capabilities, and the surgeon can use the device to apply monopolar or bipolar energy. For example, if the surgeon selects a monopolar device, and monopolar power is not desired for the surgical procedure, the surgeon can use the device that provides monopolar energy to perform the procedure or switch to a device with bipolar capabilities. Both devices can be used to perform the procedure; however, switching between devices and / or using a device that may be more suitable for a different purpose can disrupt the flow of the procedure, cause unnecessary delays in the procedure, and in some cases result in less energy sources optimum to be used.

[0003] In general, electrosurgical devices are

2/88 connected to a generator that produces a therapy signal and supplies energy to the electrosurgical apparatus, so that a therapy current is produced. However, the therapy currents that can be used are limited by the generator and, therefore, if the generator is only capable of producing a single therapy current, only one therapy current can be applied through the electrosurgical apparatus. In addition, a generator may be able to produce two therapy circuits, but the electrosurgical apparatus may only be able to control and apply a single therapy current. Therefore, the electrosurgical apparatus may apply only a single therapy current. Some attempts have been made to produce a device that includes monopolar and bipolar capabilities in a single device.

[0004] Examples of some electrosurgical instruments can be found in U.S. Patent No. 6,110,171; 6,113,598; 6,190,386; 6,358,288; and 7,232,440; and Publication of U.S. Patent Application No. 2005/0113827; 2005/0187512; 2006/0084973; and 2012/0123405, which are incorporated here by reference for all purposes, it would be interesting to have an electrosurgical device that can be switched between a monopolar configuration and a bipolar configuration with one hand, so that a user can easily perform a desired task without a procedure.

electrosurgical that the need to interrupt the flow of

It would be interesting to have a device that can be used in open surgery as a forceps and can be used for electrical cutting and / or hemostasis. What is needed is an electrosurgical device with both monopolar and bipolar capabilities, where monopoly capabilities are disabled

3/88 during use as a bipolar device, and where the forceps are immobilized during use as a monopolar device. What is needed is an electrosurgical device that produces more therapy currents than a generator that provides signals (ie, generator modes) to the electrosurgical device. What is needed is an electrosurgical device that is electrically reconfigurable, so the electrosurgical device has fewer activation buttons than the signal sources that the generator supplies (ie, generator modes) although it is capable of being electrically reconfigured to apply all of the generator signals.

Summary [0005] The present instructions meet one or more of the present needs, providing: an electrosurgical apparatus comprising: (a) forceps including: i) a first working arm and (ii) a second working arm; (b) a blade electrode; wherein the electrosurgical apparatus is capable of being switched between a first electrical configuration, so that the electrosurgical apparatus develops a first current therapy through the first working arm, the second working arm, or both, and a second electrical configuration, so that the electrosurgical apparatus develops a second therapy current through the blade electrode; and in which the first working arm and the second working arm of the forceps are immobilized in the second electrical configuration, so that the forceps and the first therapy current are deactivated.

[0006] Another possible embodiment of these instructions comprises: an electrosurgical apparatus comprising: a handpiece, including: (a) a first working arm,

4/88 (b) a second working arm, and (c) a blade electrode; and an activation circuit that has a first switching state and a second switching state, in which a therapy current is conducted between the first working arm and the second working arm when the activation circuit is in the second switching state and the handpiece is in a first position; where the therapy current is conducted between the blade electrode, the first working arm, the second working arm, or a combination of these and an adjacent handpiece component when the activation circuit is in the second switching state and the handpiece is in a second position; and where the therapy current is not conducted, when the activation circuit is in the first switching state.

[0007] Another possible embodiment of these instructions provides: an electrosurgical apparatus comprising: a handpiece, including: (a) a first power connector; (b) a second power connector; and (c) one or more movable members having a first position and a second position; and the activation circuit having a first switching state and a second switching state, wherein the activation circuit in the first switch state does not allow a first electrosurgical therapy signal or a second electrosurgical therapy signal to be output from the handpiece ; where, when the activation circuit is in the second state and one or more moving members are in the first position, the activation circuit allows the first electrosurgical therapy signal to be emitted from the handpiece, so that a first therapy current extends between the first power connector and the second power connector, and where

5/88 when the activation circuit is in the second state, and one or more movable members are in the second position, where the activation circuit allows the second electrosurgical therapy signal to be emitted from the handpiece, so that a second current of therapy extends between the first power connector and the second power connector, [0008] Another possible embodiment of these instructions provides: a surgical apparatus comprising: (a) a handpiece (b) forceps including: (i) a first arm and (ii) a second arm; (c) a blade; where the surgical device is variable, between a first configuration, so that the first and second arms are configured as forceps, and a second configuration, so that the forceps are immobilized and the blade extends beyond the distal ends of the first arm and the second arm, so that the extensible blade is configured as a scalpel.

[0009] The instructions in this document provide: an electrosurgical apparatus comprising: (a) forceps including: (i) a first working arm and (ii) a second working arm; (b) a blade electrode that is movable between a first position and a second position, where the electrosurgical apparatus is capable of being switched between a first electrical configuration, so that the electrosurgical apparatus develops a first current therapy through the first working arm, the second working arm, or both, and a second electrical configuration, so that the electrosurgical apparatus develops a second therapy current through the blade electrode; and wherein the blade electrode includes a slide that moves the blade electrode between a first position and a second position.

6/88 [00010] The instructions in this document provide: an electrosurgical apparatus comprising: a handpiece, including: (i) a first working arm and (ii) a second working arm; wherein the handpiece is covered by a movable casing that secures the first working arm to the second working arm; wherein the proximal ends where the two arms are attached together form a concave cross section that creates a cavity when the arms are closed; and where the handpiece is configured as forceps that are movable between an open position and a closed position.

[00011] The instructions in this document provide: an electrosurgical device comprises; a blade electrode that is movable between a first position and a second position; wherein the electrosurgical apparatus is capable of switching between a first configuration and a second configuration, so that the electrosurgical apparatus releases a therapy current through the blade electrode; and wherein the electrosurgical apparatus includes a spring pin that extends in contact with the blade electrode, so that power is supplied to the blade electrode through the spring pin, when the electrode is in the second position.

[00012] The instructions in this document feature an electrosurgical device that can be switched between a monopolar configuration and a bipolar configuration with one hand, so that the user can easily perform a desired task without having to interrupt the flow of a procedure. The instructions in this document present an electrosurgical device that can be used in open surgery as forceps and can be used for electrical cutting and / or hemostasis. The instructions here present a

7/88 electrosurgical apparatus with both monopolar and bipolar capacities, where capacities monopoly capacities are disabled during use as a bipolar device, and where forceps are immobilized during use as a monopolar device. The instructions in this document show an electrosurgical device that produces more therapy currents than a generator that provides signals (ie, generator modes) to the electrosurgical device. These instructions feature an electrosurgical device that is electrically reconfigurable, so the electrosurgical device has fewer activation buttons than the signal sources that the generator supplies (ie, generator modes) although it is capable of being electrically reconfigured to apply all of the generator signals.

Brief description of the drawings [00013] Figure 1 illustrates an electrosurgical apparatus in a bipolar configuration;

[00014] Figure 2A illustrates the electrosurgical apparatus of FIG, 1 in a monopolar configuration;

[00015] Figure 2B illustrates a close view of the blade electrode immobilized between the working arms;

[00016] Figure 2C illustrates a cross-sectional view of the electrosurgical apparatus of figure 2A;

[00017] Figure 2D1 illustrates a close view of a spring pin in figure 2C when the blade electrode is extended; [00018] Figure 2D2 illustrates a close view of a spring pin when the blade electrode is retracted;

[00019] Figure 3A illustrates an exploded view of the electrosurgical apparatus of figure 1;

[00020] Figure 3B illustrates a close up view of the

8/88 spring of figure 3A;

[00021] Figure 4 illustrates a perspective view of an example of an electrosurgical device in a bipolar configuration;

[00022] Figure 5 illustrates a bottom view of the electrosurgical apparatus of figure 4 in a bipolar configuration;

[00023] Figure 6 shows a top view of an electrosurgical device;

[00024] Figure 7 shows a bottom view of the configuration of the electrosurgical apparatus of figure 6;

[00025] Figure 8 shows a bottom perspective view of the cursor (shuttler) and blade electrode;

[00026] Figure 9 illustrates an example of an electrosurgical device slider assembly;

[00027] Figure 10 illustrates another possible configuration of an electrosurgical device in a monopolar configuration;

[00028] Figure 11 illustrates an example of the electrosurgical apparatus of figure 10 in a monopolar configuration;

[00029] Figure 12 illustrates an electrosurgical apparatus with a blade electrode that extends from a working arm in the monopolar configuration;

[00030] Figure 13 illustrates the electrosurgical apparatus of figure 12 in a bipolar configuration;

[00031] Figure 14 shows an end view of an example of working arms with a channel for the blade electrode;

[00032] Figure 15 shows an end view of an example of solid working arms;

[00033] Figure 16 illustrates the blade electrode rotated for lateral cutting;

9/88 [00034] Figure 17 illustrates the blade electrode rotated for cutting up and down; [35] Figure 18A shows a cross-sectional view of the fixing fabric of the working arms;

[00035] Figure 18B illustrates the electrosurgical apparatus in a bipolar configuration with the passage of energy between the working arms:

[00036] Figure 19A illustrates a plan view of the passage of energy between a monopolar electrode and the tissue;

[00037] Figure 19B illustrates the electrosurgical apparatus in the monopolar configuration with the passage of energy between the monopolar electrode and the electrosurgical plate;

[00038] Figure 20A1 illustrates a schematic of a bipolar configuration with switches and energy passage between the working arms;

[00039] Figure 20A2 illustrates a schematic of a bipolar configuration with a central processing unit and energy passage between the working arms;

[00040] Figure 20A3 illustrates a schematic representation of a bipolar configuration;

[00041] Figure 20B illustrates the schematic representation of the electrosurgical apparatus with energy passing between the blade electrode and the working arms;

[00042] Figure 20C illustrates the schematic representation of the electrosurgical apparatus in a monopolar configuration with energy extending from the working arms around the blade electrode;

[00043] Figure 20D illustrates a schematic representation, including the electrosurgical apparatus;

[00044] Figure 21 illustrates a possible configuration of

10/88 connection of the electrosurgical apparatus from the instructions in this document to a generator;

[00045] Figure 22A illustrates an example of a control circuit diagram with the working arms in a bipolar configuration;

[00046] Figure 22B illustrates an example of a control circuit diagram with the working arms in a monopolar configuration;

[00047] Figure 22C illustrates an example of a monopolar configuration control circuit diagram;

[00048] Figure 23A illustrates a circuit diagram of a possible bipolar configuration;

[00049] Figure 23B illustrates a circuit diagram of a possible monopolar configuration;

[00050] Figure 23C illustrates an example of another circuit diagram with the electrosurgical apparatus in monopolar configuration;

[00051] Figure 24 illustrates a circuit diagram of the electrosurgical apparatus in the off position, and the blade electrode including a switch;

[00052] Figure 24B illustrates a circuit diagram of the electrosurgical apparatus in bipolar configuration with the blade electrode including a switch;

[00053] Figure 24C illustrates a circuit diagram of the electrosurgical apparatus in monopolar configuration with the blade electrode including a switch;

[00054] Figure 25A illustrates a circuit diagram of the electrosurgical apparatus in the off position, where the blade electrode does not contain a switch;

[00055] Figure 25B illustrates a circuit diagram of the

11/88 electrosurgical apparatus in bipolar configuration with the blade electrode without switch;

[00056] Figure 25C illustrates a circuit diagram of the electrosurgical apparatus in a monopolar configuration, where the blade electrode does not contain a switch;

[00057] Figure 26A illustrates a circuit diagram of the electrosurgical apparatus in the off position, and the electrosurgical electrode including an electrosurgical plate;

[00058] Figure 26B illustrates a circuit diagram of the electrosurgical apparatus in a bipolar configuration with the electrosurgical plate in the off state;

[00059] Figure 26C illustrates a circuit diagram of the electrosurgical apparatus in a monopolar configuration with the electrosurgical plate in the on state;

[00060] Figure 27A illustrates an example of an electrosurgical device, including an activation circuit with the activation circuit in the off position;

[00061] Figure 27B illustrates an example of the electrosurgical apparatus in a bipolar configuration;

[00062] Figure 27C shows an example of the electrosurgical apparatus in monopolar configuration and a second closed activation button;

[00063] Figure 27D illustrates an example of the electrosurgical apparatus in monopolar configuration and a first closed activation button;

[00064] Figure 28A illustrates an electrosurgical device, including an activation circuit, including an activation button and a selector with the electrosurgical device in the off position;

[00065] Figure 28B illustrates the electrosurgical apparatus of

12/88 figure 28A in bipolar configuration;

[00066] Figure 28C illustrates the electrosurgical apparatus of figure 28A in the monopolar configuration;

[00067] Figure 29A illustrates an example of the cursor, including reconfigurable conductive paths and the electrosurgical apparatus in the bipolar configuration;

[00068] Figure 29B illustrates an example of the cursor, being moved to a bipolar configuration and the conductive paths being reconfigured;

[00069] Figure 29C illustrates an example of the cursor in the bipolar configuration and the conductive paths being reconfigured in the generator;

[00070] Figure 30A illustrates an example of the cursor with reconfigurable conductive paths and a possible arrangement of the shutter; and [00071] Figure 30B illustrates another example of the cursor with reconfigurable conductive paths and another possible shutter arrangement.

Detailed description [00072] The explanations and illustrations presented here are intended to bring knowledge to the technicians on the subject with the instructions, its principles, and its practical application. Technicians in the field can adapt and apply the instructions in their numerous forms, as may be more suitable for the requirements of a specific use. Therefore, the specific achievements of these instructions, as stated, are not intended to be exhaustive or limiting the instructions. The scope of the instructions should therefore be determined not with reference to the above description, but should preferably be determined with reference to the

13/88 attached claims, together with the full scope of equivalents to which such claims are entitled. Disclosures of all articles and references, including patent applications and publications, are hereby incorporated by reference for all purposes. Other combinations are also possible, as will be obtained from the following claims, which are also incorporated herein by reference in the present written description.

[00073] This application claims priority for US Provisional Patent Application Series N ° s, 61 / 787,731, filed on March 15, 2013 and 61/845664, filed on July 12, 2013, the contents of which are both incorporated herein by reference in its entirety for all reasons. These instructions refer to an electrosurgical device. Preferably, these instructions refer to an electrosurgical apparatus and associated components that form an electrosurgical system. The electrosurgical system can be any system that includes one or more of the devices described in this instrument. Preferably, the electrical surgical system includes at least one electrosurgical device. The electrosurgical system may include one or more handpieces as instructed here, one or more electrosurgical plates, one or more generators, one or more electrosurgical devices, one or more adjacent handpiece components, or a combination thereof, and the instructions here described for each device that is incorporated here into the electrosurgical system. The electrosurgical device can be any device that can be used by a surgeon to perform a surgical procedure. The electrosurgical device can work to be

14/88 switched between two or more configurations, two or more states, or both.

[00074] For example, the electrosurgical device can be switched between a monopolar configuration, a bipolar configuration, a non-electrosurgical configuration, or a combination of the three. The electrosurgical device can be any device that can be switched between two or more configurations with one hand, so that the user can switch between settings without the need for a second hand, without interrupting the process, or both. The electrosurgical device can be any device and / or configuration that can be used in an ambidextrous way, switched between the configurations ambidextrous, or both. The electrosurgical device can be used to cut, perform hemostasis, coagulate, dry, shine, electrocautery, or a combination of them.

The electrosurgical device can be any device that includes bipolar capabilities, monopoly capabilities, non-electrosurgical capabilities, or a combination thereof. The electrosurgical device can be used in open surgery.

[00075] In addition to its electrosurgical capabilities, the electrosurgical apparatus can be used for non-electrosurgical purposes. For example, the electrosurgical device can be used as forceps, forceps, or both, which can be used to attach an object, an organ, a vein, skin, tissue, etc., or a combination of them.

In another example, one or more parts of the apparatus may include a sharp edge and may be used for cutting, similar to a scalpel. The electrosurgical apparatus may include a handpiece and a generator. The electrosurgical device may have a

15/88 or more signs of therapy that extend between the handpiece and the generator.

[00076] One or more signs of therapy may have a signal, energy, continuity or a combination thereof. One or more signs of therapy may extend from the handpiece to the generator, or vice versa. One or more signs of therapy can be formed by the handpiece, formed by the generator, or both. The signs of electrosurgical therapy can be a therapy current. Preferably, electrosurgical therapy signals indicate that a user has completed a step, and a signal is transmitted so that the therapy current, energy, or both are generated. Electrosurgical therapy signals can provide a signal, so that one or more therapy currents are produced, and therapy currents can be used for electrosurgery. The electrosurgical therapy signal can be conducted when the activation circuit is in the first switching state, the second switching state, a third switching state, the handpiece is in a first position, a second position, a third position, or a combination of switching states and handpiece positions. Preferably, a therapy signal is not generated, it does not emit manual parts or both, when the activation circuit is in the first switching state. The sign of electrosurgical therapy can be a sign of monopolar therapy, a sign of bipolar therapy, or both. The sign of electrosurgical therapy can be a sign of monopolar therapy, a sign of bipolar therapy, or both. The monopolar therapy signal can be any signal that has a voltage differential between a return port and an active port on the generator. The monopolar therapy signal can be

16/88 any signal that, when applied by the electrosurgical device, extends from one pole of an electrosurgical apparatus to another pole located in a remote location, outside the electrosurgical apparatus, outside the handpiece, or a combination thereof. The bipolar therapy signal can be any signal that has a voltage differential between two connections that are connected to the electrosurgical apparatus, which are located on the generator, or both. The bipolar therapy signal can be any signal that, when applied by the electrosurgical apparatus, extends from a component of a handpiece to another component of the handpiece (for example, between two working arms, from a blade electrode to a or both working arms, or both). An electrosurgical therapy signal, when the activation circuit is in the second state, can emit the handpiece, so that a therapy current extends from a blade electrode between the first working arm and the second working arm, between the blade electrode and one or both working arms, or a combination thereof. The therapy signal can be generated and carried from the handpiece to the generator.

[00077] The generator can be any device that provides power, a therapy current, control signals, an electrosurgical therapy signal, electronically reconfigures in response to a user signal, physically reconfigures in response to adjustments made by the user, or a combination thereof. The generator can function to be electrically connected to a handpiece to provide and / or receive signals from electrosurgical therapy, energy, therapy current, or a combination thereof. The generator can be

17/88 capable of producing only a single therapy stream. The generator may be able to produce two therapy currents. The generator can include two or more power connections, three or more power connections, or four or more power connections. Electrical connections can be any port on the generator, so that one or more handpiece power connectors can be connected to power, control signals, therapy currents, or a combination of these are supplied to the electrosurgical apparatus. The generator can include one or more switches that can be switched between one or more power connections, so that power, signals, or both can be selectively applied to the electrosurgical apparatus based on a desired electrosurgical apparatus configuration. The generator can include a central processing unit (CPU), an internal switching series, or both. The internal switching can generate a signal from an activation circuit to the voltage source, so that the voltage source is supplied electrosurgical apparatus and preferably in the handpiece. The CPU can be switched with internal switching, and switching can perform the same functions as the CPU. The CPU can be any device that provides power, signals, electrical reconfiguration, a switch between two or more therapy currents, a switch between two or more configurations, a switch between two or more therapy signals, or a combination of them for the electrosurgical apparatus, so that the electrosurgical apparatus can be used to perform a desired function as discussed in this instrument. The CPU can be used to connect the electrosurgical device between a first configuration, a second

18/88 configuration, a third configuration, a monopolar configuration, a bipolar configuration, a non-electrosurgical configuration, or a combination thereof.

[00078] The first configuration, second configuration and third configuration can be any configuration, such that the electrosurgical apparatus is mechanically reconfigured, electrically reconfigured, reconfigured with signals and / or differently, or a combination thereof. The first configuration, second configuration and third configuration can be any of the various configurations discussed here. The first configuration can provide a first therapy stream. The first therapy stream may be monopolar energy and / or monopolar current. Preferably, the first therapy current is bipolar energy and / or bipolar current. Bipolar energy can be any source of energy during application extending from one pole of an electrosurgical device to another pole in the electrosurgical device. In other words, bipolar energy is energy that extends from one component of the handpiece to another component of the handpiece. For example, the energy that extends between two working arms in the handpiece is bipolar energy, or energy that extends from a blade electrode to a working arm is bipolar energy. The first electrical configuration can be deactivated by electrically disconnecting one or more first activation buttons, electrically disconnecting all or part of an activation circuit, which comprises one or more activation buttons, electrically disconnecting the blade electrode, electrically disconnecting, shortening the electrode the blade with a return plate, or a combination thereof. The second

19/88 configuration can provide a second therapy stream. The second therapy stream may be bipolar energy (for example, bipolar current or bipolar energy). Preferably, the second therapy stream may be monopolar energy (for example, monopolar current or monopolar energy). Monopolar energy can be any source of energy that during application extends from one pole of an electrosurgical device to another pole located in a remote location, outside the electrosurgical device, outside the handpiece, or a combination thereof. In other words, bipolar energy is energy that extends from a component of the handpiece to a component that is not part of the handpiece. For example, the energy that extends from a blade electrode to an electrosurgical plate is monopolar energy, or the energy that extends from one or both working arms to an electrosurgical plate is monopolar energy. The second electrical configuration can be deactivated by electrically disconnecting one or more of the second activation buttons, electrically disconnecting all or part of an activation circuit, which comprises one or more of the second activation buttons, by electrically disconnecting one or both working arms, electrically disconnecting the blade electrode, shortening the first working arm with the second working arm, or a combination thereof. The third configuration can be an electrosurgical configuration, a non-electrosurgical configuration, or both. Preferably, the third configuration is a non-electrosurgical configuration. The therapy current that extends through the handpiece can be activated by a signal and or generator current; a switching state of the activation circuit (for example,

20/88 first switching state, second switching state, third switching state, etc ...); a position of the handpiece (for example, first position, second position, third position, etc ...). For example, the therapy current can be monopolar energy when the handpiece is in the second position and the activation circuit is in the second switching state. However, the therapy chain can be bipolar energy when the handpiece is in the second position; in another example, the therapy current can be a bipolar energy, when the handpiece is in the first position, and the activation circuit is in the first switching state. The first configuration, second configuration and third configuration can be any configuration and / or can perform one or more of the functions, as discussed here, for monopolar configuration, bipolar configuration, non-electrosurgical configuration and each of these functions is incorporated here. Preferably, as discussed here, the first configuration is a bipolar configuration, the second configuration is a monopolar configuration, and the third configuration is a non-electrosurgical configuration.

[00079] The non-electrosurgical configuration can be any configuration in which energy is not supplied to the handpiece, blade electrode, two or more working arms, or a combination thereof. The non-electrosurgical configuration can be used when the electrosurgical apparatus is being used as forceps, forceps, a scalpel, a clamp, Kelley hemostatic forceps, or a combination thereof. In the non-electrosurgical configuration, the working arms can be mobile, in the configuration

21/88 electrosurgical, the working arms can be immobilized, they can immobilize the blade electrode, a cutting arm, an extensible arm, or a combination thereof. The cutting arm, the extendable arm, or both, can be the blade electrode, can be a discrete arm that includes a sharp edge and can be alternated with the monopolar arm, or both. The non-electrosurgical configuration can be switched to a monopolar configuration or a bipolar configuration, by pressing a button, turning on a switch, advancing a cutting arm, advancing a blade electrode, advancing an extendable arm, or a combination thereof.

[00080] The device, when arranged in a monopolar configuration, can supply power through a component of the handpiece (for example, a blade electrode) and a return electrode that can be located in another location outside the part of the handpiece electrosurgical apparatus, by means of a handpiece component and an adjacent handpiece component, or both. The monopolar configuration can be any configuration in which the electrosurgical apparatus can be used to apply monopolar energy. The monopolar configuration can be used to cut tissue, clot blood and / or fluids, electrical cut, hemostasis, apply energy to a large area, or a combination of them. The monopolar configuration can be used to heat a specific area, heat an object between two electrodes, in contact with both electrodes, or a combination of them. A monopolar configuration can be used so that the energy during use extends from the blade electrode to one or both bipolar electrodes, one or more immobilization arms, one or more working arms, one or more

22/88 electrosurgical plates, or a combination of them, so that the blade electrode can be used for delicate electrosurgery, localized electrosurgery, coagulation, cutting, or a combination of them. The blade electrode can be used for less delicate procedures, less localized electrosurgery, or both, when compared with bipolar electrosurgery.

[00081] The device, when in a bipolar configuration, can supply energy from one part of the device to a second part of the device, so that the return path to energy is relatively short when compared to the monopolar configuration. The bipolar configuration can be any configuration in which the electrosurgical device can be used to apply bipolar energy. The device, when in the bipolar configuration, can supply power between two components of the localized handpiece, such as two work arms. The bipolar configuration can be used to coagulate, for hemostasis, cut, glare, or a combination of them. When in the bipolar configuration, the electrosurgical apparatus may include two opposite working arms. The two opposite working arms can be configured as forceps.

[00082] The forceps can act to hold, hold, squeeze, or a combination of one or more objects. Forceps can include one or more finger clamps (that is, configured as scissors) that can be used to move the forceps so that they can be used to attach one or more objects. Forceps may not have finger support and be triggered by direct pressure to be applied to the sides of the forceps, so that the forceps close

23/88 and attach an object. Forceps include at least two working arms.

[00083] The working arms can act to hold, hold, tighten, or a combination of these, when the object is between two or more opposite working arms. The working arms can include one or more grip characteristics that can help to grip, hold, tighten, or a combination of them on an object. The working arms can be movable between two or more positions. Preferably, the working arms are movable between at least a first position and a second position. For example, the working arms can be movable between a bipolar configuration (for example, first position) and a monopolar configuration (for example, second position). The working arms in the first position can be off, energized, a working arm can be energized, or a combination of them. The work arms in the second position can be disconnected, one or both work arms can be electrically disconnected, one or both work arms can be electrically connected, one work arm can be shortened by another work arm, or one combination thereof. More preferably, in the second position, the working arms are immobilized, so that the forceps cannot be used on working arms. The working arms can be longitudinally static and mobile with each other. The working arms can be longitudinally mobile and can be movable with each other, so that a clamping force can be created. For example, working arms in a bipolar configuration can be extended and retracted, so that a blade electrode

24/88 can be exposed, forming a monopolar configuration. The working arms can be retractable and / or individually extendable, simultaneously, or both. The working arms can be selectively retractable and / or extendable, so that one or more tip regions are exposed.

[00084] The working arms can include a tip region. The tip region may include a portion that is configured to assist in making it easier to secure, hold, tighten, or a combination thereof. In addition, the tip region can be configured in one or more electrosurgical configurations (for example, a monopolar configuration, a bipolar configuration, or a combination of both). The tip region can include teeth, serrations, rat teeth, toothlessness (i.e., smooth), or a combination of them. The tip region can be fully and / or partially isolated. Preferably, the tip region includes insulation in the non-contact parts of the working arms, so that electrosurgical energy is not transferred through accidental contact. The working arms can include an active part and an inactive part (that is, an isolated part).

[00085] The active part can work to supply energy. The active part can be the same part as the contact regions of the forceps. Therefore, for example, when the tissue is gripped between the contact parts of the forceps, energy can be supplied to the tissue through this contact part. The active part of the working arms is preferably located between the two opposite working arms, and the active part of the blade electrode is the part that extends beyond the working arms, outside the channel, or both. At

25/88 active parts can be substantially surrounded by inactive parts or isolated parts. The inactive part can be any part that does not supply power, that is isolated, or both. The inactive part can be any part that can transfer energy through accidental contact and, therefore, are isolated, so that accidental energy transfer does not occur and / or leakage current is avoided. For example, the outer part of the working arms can be coated with insulating material, so that if the working arms accidentally come into contact with the fabric in the vicinity of the fabric of interest, the fabric in the vicinity is not subject to a transfer power. The inactive part and the active part can be made of different materials, coated with different materials, or both.

[00086] The working arms can be made of any material that can be used to grab, hold, tighten, or a combination of these, and provide monopolar energy, bipolar energy, therapy chain, clamping force, or a combination of these to a desired location. The work arms can be made of a material, and the tip region of each work arm can include, be coated with, or both one or more materials that can be insulating, a higher conductivity than the base material, a lower conductivity than the base material, or a combination thereof. One or more working arms can include one or more materials along the length of the working arm. For example, the work arms can be made entirely of stainless steel. Preferably, each working arm includes two or more materials. For example, the work arms may have a steel base material

26/88 stainless steel, and the working arms can be coated with an insulating material, such as silicone or polytetrafluoroethylene (PTFE). The working arms can include any material that is safe for use in a surgical procedure, and preferably an electrosurgical procedure. The working arms can include metals, plastics, polymer, elastomer, gold, silver, copper, titanium, aluminum, iron-based metals, stainless steel, silicone, polytetrafluoroethylene (PTFE), insulating polymers, rubber, or a combination thereof . Preferably, each working arm is substantially coated with insulating material, except for a contact region between the two working arms, where the working arms come into contact with each other. The working arms can be coated in regions where the user contacts the working arms. The working arms can have an active and a passive part, an inactive part, or both. For example, the active part can be the metal that extends through the working arms and is used to provide monopolar energy, bipolar energy, gripping ability, gripping ability, squeezing ability, or a combination thereof. The passive part can be a part that houses the active part. The passive part can be an accommodation.

[00087] The working arms can be located inside the housing. The housing can be any part of the device, which can include one or more working arms, and be gripped by a user during use. The housing can electrically connect, mechanically connect, or both, the two work arms. The housing can be a point of articulation, so that the two arms of

27/88 work can be moved when the housing is compressed. The housing can substantially surround the working arms, so that only the tip region extends out of the housing and is exposed. The housing can surround an outer side of the work arms and an inner side of the work arms can be exposed, so that the blade electrode extends between the two work arms, the blade electrode contacts one or both arms of job.

[00088] The housing may include a part to grab. The gripping part, when applying pressure, can close the working arms and, after releasing pressure on the working arms, can return to an open position. The grip part can help the user to hold the electrosurgical device like a pencil. The electrosurgical apparatus may include an external housing and an internal housing. The internal apparatus may include, surround, encapsulate, clad, lodge, or a combination thereof, of one or more internal features of the electrosurgical apparatus. The internal housing can house electrical components, such as cables, terminals, sockets, printed circuit boards, spring pins, or a combination of these. The internal housing can work to provide water resistance for the electrical components. The internal housing can extend through a hole in the transport; provide a transport guide for handling, or a combination thereof. The indoor housing can be an integral part of the outdoor housing. The internal housing can be one or more discrete parts. The internal housing can be two or more pieces that are connected together. The internal housing can

28/88 be connected to the external housing, which houses one or more activation buttons discussed here, or a combination of them. The housing can be electrically connected to a power source and supply power to each of the working arms. The housing can be electrically insulating. The housing may include one or more hinges and / or one or more parts of the hinge.

[00089] One or more hinges can work to connect rigid parts, grant flexibility to the work arms, handpiece, electrosurgical apparatus, or a combination of these. One or more hinges can work to promote movement in the housing, allowing the housing to substantially cover the components of the handpiece. There can be a hinge on only one work arm or a hinge on each work arm. The housing may include a stationary rigid part, a movable part, a flexible articulated part, or a combination thereof. The rigid fixed section can be at a proximal end of the electrosurgical apparatus (that is, closer to the user). The rigid part cannot move when the work arms are moved around the hinge. The hinge can create a pivot point for rotating a moving part. The moving part can function to move, so that a clamping force, a clamping movement, or both are created. The moving part can cover all or part of the working arms. Only one end of the work arm can extend beyond the movable part of the housing. The moving part can be substantially rigid, but it can rotate around the hinge, so that the part is mobile and / or flexible. For example, the moving part of the working arm itself cannot

29/88 be flexible, but the arm can be movable, such that the movable part moves with the arm. The moving part can be on the distal side of the hinge (ie the side of the hinge that is farthest from the user). The movable part, the rigid stationary part, or both, can form a movable connection, a rigid connection, or both, with the hinge. Preferably, the moving part forms a movable connection, and the rigid fixed part forms a rigid connection. The mobile link can work to allow for a pivoting action, backward and forward movement, or both. The mobile connection can create a force that is opposed to gripping the forceps so that the forceps are not left open. The mobile connection can create a pivot point that is opposed to a rigid connection. The rigid link can remain static when the mobile link moves over the rigid link. The rigid connection can form a side of the hinge that anchors the hinge, so that the hinge can move, flex, rotate, allow the arms to move, or a combination thereof. The hinge can be any way for the hinge to move. The rigid fixed part of the housing may have a general C-shaped transverse part to provide an enclosure to surround (the internal components of the forceps). Likewise, the rigid movable part may also have a C-shaped transverse part to provide a casing to surround the internal components of the forceps. The hinge part may have grooves on the outer parts of the C-shaped cross-section, so that the cross-section of the hinge part is substantially planar. The substantially planar transverse part may have less resistance to curvature, so that the joint part is relatively

30/88 flexible compared to the rigid stationary part and the rigid moving part. The hinge part can form a 'T' shape in general. The housing may include one or more activation buttons, one or more activation circuits, one or more printed circuit boards and associated controls, one or more blade electrodes, one or more transports, one or more channels, one or more arms immobilization, one or more immobilizing resources, one or more wires, one or more conductors, or a combination of these.

[00090] One or more immobilization arms, one or more immobilization resources, or both, can be any resource of the housing, the working arms, or both, which can immobilize one or both working arms when the electrosurgical apparatus is monopolar configuration. The immobilization arms can be connected to the housing and extend between one or both working arms, and when the blade electrode is advanced, the immobilization arms are separated, and the working arms are moved in contact with each other. The immobilization arms can be connected to the housing and extend between one or both working arms, and when the blade electrode is advanced, the immobilization arms are compressed, and the working arms are moved in contact with each other. The stop arms can generally be parallel to the work arms, and can extend: in the same direction as the work arms, they can extend away from the work arms, in the

sense on one arm of opposite work, at the sense of user, far of user, or a combination From themselves. In preferably the arms in work and the arms in

immobilization generally form an X shape, so that,

31/88 when one side of the X is moved out of the opposite side of the X is moved inward. For example, as the blade electrode is moved forward, the blade electrode can include a wedge, and the wedge can act to force the immobilizer arms apart so that the working arms are moved together.

The working arm and the stop arms can generally form two V shapes.

The two forms usually in

V can generally extend in the same direction, so that while one V is widened, the other V is narrowed.

The immobilization arms can overlap.

form a V shape. For example, it can extend from the housing,

The overlapping part can have a stop arm, a first working arm, or both for the second working arm, the housing next to the second working arm, or both, and a second stop arm can extend from the housing, a second working arm, or both for the first working arm and, as a stop feature, such as a wedge, is moved between the first stop arm and the second stop arm, the stop arms can be moved closer of the opposite working arm, so that the working arms are moved in contact and immobilized. The housing, the working arms, or both, may be without the immobilization arms.

[00091] Two or more working arms can be immobilized by an immobilization feature. The immobilization feature can be any feature that connects two or more working arms together, so that the arms are immobilized in the monopolar configuration, so that the

32/88 forceps are disabled, or both. The immobilization features can be part of the arms, part of the housing, all or part of the transport, or a combination thereof, The immobilization features can be a strip that extends along all or part of each arm and, when the transport occurs forward or backward in the monopolar configuration, each strip can extend in communication with the transport, so that each of the working arms are moved in contact with each other and vice versa, in the bipolar configuration . The immobilization feature can be a lock, a fastener, a part that houses all or part of one of the working arms, or a combination of them, which locks the two arms that work together. The immobilization feature can be a part that slides and compresses the working arms, a part that radially twists and compresses the working arms, or a combination of both. The motion immobilization feature and immobilization can move a blade electrode, can extend a blade electrode out of a channel, or a combination of both.

[00092] The housing, one or more working arms, or a combination of both, may include one or more channels. The channel can be located anywhere within one or more working arms, so that one or more features can be extended across the channel. One or more channels may terminate at a distal end (that is, used for electrosurgery, the furthest from the user, or both) of the housing, a working arm, or both. The channel can be an absence of material, so that an apparatus can be located inside the channel and extends from the channel. O

33/88 channel can accommodate any device that can be used selectively during electrosurgery. The channel can have any shape to house one or more electrosurgical devices. The channel can be round, square, oval, diamond, and so on, or a combination of them, so that during use, the device can be extended through the channel for use. The extended channel apparatus may be a mechanical cutting apparatus, a suction port, a smoke evacuation vessel, a blade electrode, a movable component, or a combination thereof. Preferably, a blade electrode extends out of the channel, so that the blade electrode can be used. [00093] The blade electrode can be any device that can be used to apply monopolar energy during a procedure, which can be longitudinally mobile, rotatingly mobile, extensible, retractable, or a combination thereof. The blade electrode can be static. Preferably, in one embodiment, the blade electrode can be static, and the working arms moved relative to the blade electrode, so that when the working arms are moved, the blade electrode is exposed. Most preferably, the blade electrode is mobile. The blade electrode can have a first position (for example, retracted) and a second position (for example, extended). The first position can be where the blade electrode is located in

relationship to arms in job, in mode that the arms in job are beyond of electrode gives blade (for example, O electrode of the blade is retracted, in mode that the arms in

work extends beyond the blade electrode, or the work arms are extended so that the work arms

34/88 extend beyond the blade electrode). The first position where it can be where the blade electrode is electrically disconnected, electrically shorted in relation to the other component of the handpiece, electrically isolated so that the energy cannot pass through the blade electrode, or a combination of them . The second position can be where the blade electrode is located in relation to the working arms, so that the blade electrode extends beyond the working arms (eg, the blade electrode extends so that the are located in the user's working proximity, or work arms are retracted, so that the blade electrode is beyond the work arms). The second position, where it can be where the blade electrode is electrically connected, provides a therapy current, is electrically continuous, or a combination thereof. The blade electrode can be a separate piece that, when activated, can be used to provide monopolar energy. The blade electrode can be formed by connecting the two working arms together and supplying energy through a single working arm.

[00094] The blade electrode can be used for electrical, mechanical or both. The blade electrode can be a third discrete working arm that can extend from one of the working arms, between the working arms, or both.

[00095] The blade electrode can be made of the same material as one or both working arms. Preferably, the working arms and the blade electrode are made of different materials. The blade electrode can be made of a material. Preferably, the blade electrode

35/88 includes two or more materials. The blade electrode can be made of stainless steel, copper, silver, titanium, metal, surgical steel, metal with good thermal dissipation properties, metal with poor thermal dissipation properties, material with high thermal conductivity, or a combination thereof. The blade electrode can include material with a first thermal conductivity and the working arms can include a material with a second thermal conductivity. It is contemplated that the blade electrode, the working arms or both can include a material with a first thermal conductivity and a second thermal conductivity. The materials with the first conductivity and the second conductivity can be any of the materials discussed in this document.

[00096] The material with the first thermal conductivity may have a lower thermal conductivity than the material with the second thermal conductivity. Preferably, the material with the first thermal conductivity may have a higher thermal conductivity than the material with the second thermal conductivity. The blade electrode may include a coating. The coating can be any coating that provides insulation properties, provides better thermal dissipation of a base material, prevents corrosion, or a combination thereof. The coating can be polymer, elastomer, silicone, polytetrafluoroethylene (PTFE), and so on, or a combination thereof. The coating can extend substantially from the blade electrode to an active region of the blade electrode. The blade electrode may include one or more insulating sleeve (s) that cover the entire part of the blade electrode, the blade electrode may

36/88 move in and out of the insulating enclosure.

[00097] The insulating casing can receive all or part of the blade electrode. The insulating shell can substantially surround the entire blade electrode when the blade electrode is in a retracted position, a bipolar configuration, or both. The insulating housing can isolate the electrode from the leakage current blade of the working arms, the electrosurgical plate, or both. The insulating housing can insulate a static component and the blade electrode can move in relation to the insulating housing. The insulating housing may be made of insulating material, so that the flow of the current and / or the blade electrode is substantially impeded. The insulating housing can be made of and / or includes rubber, plastic, silicone, elastomer, silicone, PTFE, or a combination thereof. The insulating housing can be used in place of or in addition to an insulating sleeve, so that the blade electrode is isolated and / or the leakage current is prevented.

[00098] The insulating sleeve can prevent the passage of energy to and / or the blade electrode. Preferably, the insulating sleeve prevents the passage of energy to and / or the blade electrode when the blade electrode is retracted, so that the blade electrode is not fed, a circuit cannot be completed, or both. The insulating sleeve can be a sleeve that covers part of the blade electrode. The insulating sleeve can move with the blade electrode so that the same parts of the blade electrode are always covered, and the same parts of the blade electrode are always exposed. The insulating sleeve can be an integral part of the blade electrode. The insulating sleeve can be fixedly connected to the

37/88 blade electrode. The insulating sleeve can isolate parts of the blade electrode, so that the leakage current and / or current is prevented from passing to and / or the isolated parts of the blade electrode. The insulating sleeve can be located on the blade electrode, so that when the blade electrode, the working arms, or both are in contact and / or immobilized, the working arms contact the insulating sleeve. The insulating sleeve can be located next to a contact part. The contact part may come in contact with the wiring, a spring pin, or a combination of these when the blade electrode is extended so that the energy passes through the blade electrode. The contact part may be without the insulating sleeve. For example, the blade electrode may have an insulating sleeve and a contact part that are adjacent to each other, and when the blade electrode is fully extended, a spring pin can contact the contact part, and when the blade is fully retracted, the spring pin can contact the insulating sleeve. The insulating sleeve can be made of any material that prevents energy from passing to the blade electrode. The insulating sleeve can be of any thickness, so that energy is prevented from entering the blade electrode through the insulating sleeve. The insulating sleeve can be connected to a monopolar insulator. The insulating sleeve can prevent a spring pin from supplying power to the blade electrode when the blade electrode is retracted, and the contact portion can allow the spring pin to connect the blade electrode when the blade electrode is extended, [ 00099] The spring pin can work to move (for example, vertically), so that, as a part of

38/88 variable thickness is moved, a constant contact is created between two devices. The spring pin can create contact between one or more moving parts, so that energy can be transferred from one part to one or more moving parts. The spring pin may include one or more elastic parts that accommodate for a change in the size and / or shape of a part. One or more parts of the spring can create a movable connection. One or more spring parts may allow movement of one part in relation to another part. The spring part can extend from a part of the body. The body part can help connect the spring pin within a system, it can provide a connection point for one or more other components, or both. The body part may include one or more connecting arms that connect the spring pin to the circuit. Preferably, the body part includes two connecting arms that connect to a printed circuit board. The spring pin can extend when the insulating sleeve is extended and the contact part is moved close to the spring pin. The spring pin can move out of the way when the blade electrode is retracted and the insulating sleeve is moved to a retracted position. The blade electrode may include a monopolar insulator.

[000100] The monopolar insulator can be any device that can isolate all or part of the active parts of the working arms. The monopolar insulator can prevent the working arms from coming into contact with the blade electrode when the electrosurgical device is in the bipolar configuration. The monopolar insulator can be moved in contact with one or both working arms and immobilize the working arms, so that the working arms cannot be

39/88 used as forceps. Monopolar insulation can prevent energy from being transferred from one or both working arms to the blade electrode. The monopolar insulator can prevent the current from being carried from the working arms to a surrounding area, the blade electrode, the electrosurgical plate, or a combination thereof. When changing from a bipolar configuration to a monopolar configuration, the monopolar insulator can extend between the working arms and, once on the working arms, a pressing device can act to retract the monopolar insulation, so that the ends of the arms workpieces are pressed into a portion of the monopolar insulator and immobilized.

[000101] The pressing device can be any device that can act to retract and / or advance one or more components of the electrosurgical device. The pressing device can act to separate the working arms from the electrosurgical device in the bipolar configuration. The pressing apparatus can push the blade electrode and / or transport it to a monopolar configuration, pull the blade electrode and / or transport it from a monopolar configuration, or a combination thereof. The pressing device can ensure that the transport, blade electrode, work arms, monopolar electrode, blade, or a combination of these are in a fully extended and / or fully retracted state. For example, if a user moves towards a position forwards and stops briefly, the pressing device can complete the movement to an end position. The pressing device can assist in the movement of any of the devices and / or functions here

40/88 discussed, so that the devices and / or resources are bistable. For example, the pressing device can ensure that the blade electrode is always fully extended or fully retracted, and not located between them. The pressing apparatus may be a spring, a piece of rubber, a piece of elastomer, a bend in metal that forms a polarizing surface, or a combination thereof, if the pressing apparatus is inclined metal, and the metal may be inclined to form more than one plan. The first plane can come into contact with a first surface and the second arm can come into contact with a second surface, so that two opposing electrosurgical components are moved. The pressing apparatus can be connected to the blade electrode, a transport between the working arms, an apparatus that extends through the channel, or a combination thereof.

[000102] The cursor can function to cover one or more activation buttons, move one or more activation arms, move the blade electrode, move one or both working arms, immobilize and / or electrically disconnect one or more resources from the electrosurgical apparatus and / or the activation circuit, immobilize one or more activation buttons. Prevents the movement and / or depression of one or more activation buttons, moves one or more immobilization arms, or a combination of them. The cursor can be a shield covering activation buttons that are not in use, so that one or more of the activation buttons are protected from contact. For example, when the electrosurgical device is configured for bipolar use, the cursor can cover the monopolar activation buttons and expose the bipolar activation buttons or vice versa. The cursor

41/88 can be a solid piece. Preferably, the cursor includes a through hole, so that one or more components can extend through the through hole, be covered by parts of the cursor adjacent to the through hole, guided by the through hole, or a combination thereof, The cursor may include a device that extends downward, around, by means of, or a combination of, one or more activation buttons, so that the movement of one or more activation buttons is prevented, avoided, or both. For example, when the cursor is moved, a portion of the cursor may extend over one or more activation buttons, so that the user is able to press the button to provide energy, electricity, a therapy current, or a combination of themselves. The cursor can include one or more positions. Preferably, the cursor includes at least a first position and a second position (i.e., a first electrical configuration and a second electrical configuration). The cursor at the first position, the second position, or both, can perform any of the functions discussed here for the cursor. The cursor can be moved by sliding on a track. The slider can be a slide assembly that moves the blade electrode.

[000103] The slide assembly can work to move the cursor in one direction and the blade electrode in the opposite direction. The slide assembly can have a gear ratio so that, for each unit of measurement that the slide assembly is moved, the blade electrode moves two units of measure. The slide assembly may include a rack and pinion system, which is connected to the cursor. The slide set may include one or more

42/88 more racks. The cursor can be connected to a rack and there can be an opposite rack shifted. The slide assembly may include one or more pinions and, preferably, two pinions extending between and in contact with one or more racks. Preferably, one pinion contacts a rack and another pinion contacts the second rack, and the pinions are interconnected. The cursor, when moved in a first direction, can rotate the first pinion, and the first pinion can rotate the second pinion, and the second pinion can drive the second rack in an opposite direction from the first rack, and the cursor is in motion. Pinions can have a gear ratio. The transmission ratio can be 1: 1, 1; 1 1 or more, 1: 1.5 or more, 1: 2 or more, or even 1: 5 or more (that is, the pinion moves 5 revolutions for every 1 revolution of another pinion). The cursor may not include a slide set and can be triggered directly.

[000104] The cursor can be connected to one or more devices that can be refracted. For example, the cursor can be connected to the blade electrode, and the cursor can be used to move the blade electrode in and / or between a monopolar and a bipolar configuration. In another example, the cursor can be attached to the working arms so that when the cursor is moved, the working arms are extended and / or retracted. The cursor can be fully connected to the blade electrode. The cursor can include one or more electrical connectors. One or more electrical connectors can work to transmit energy from a wire to an electrosurgical component. For example, a wire can connect to an electrical connector and the connecting element

43/88 can power the blade electrode. One or more electrical connectors can move with the cursor, so that when the cursor is extended or retracted, the electrosurgical device is electrically reconfigured through mechanical movement. In another example, moving the cursor in the forward position can electrically connect the electrosurgical plate to a power source, and retracting the cursor can electrically disconnect the electrosurgical plate from the power supply. The cursor can have 2, 3 or even 4 electrical connectors. The cursor may include an electrical connector for the first working arm, the second working arm, the electrosurgical plate, and the blade electrode. The cursor can lock a device in one position, immobilize one or more working arms, or both. For example, the cursor can lock the blade electrode in a retracted position when the electrosurgical device is in a bipolar configuration. In another example, the cursor can lock the blade electrode in a forward position and immobilize the working arms when the electrosurgical apparatus is configured for monopolar use. The cursor can be blocked by a stop, a projection that locks into a corresponding recess, a mechanical lock, a friction fit, a mechanical lock, or a combination thereof. This cursor can be connected to one or both working arms of the electrosurgical device. The cursor can be connected to the housing and slide over a strip, so that when the cursor is extended to a monopolar position, all or part of each working arm is contacted by the cursor, so that the arms are moved, immobilized , or both. The cursor can include a wedge, a ring, or both.

44/88 [000105] The wedge, the ring, or both, can be an apparatus for moving one or both of the immobilizing arms, one or both working arms, or a combination thereof, so that the working arms are immobilized in the monopolar configuration. The wedge can be any device that helps to immobilize the working arms, moving the immobilization arms, or both. The wedge can have any shape, so that the wedge, when moved, assists in the movement of one or more immobilization arms without the step of separating the immobilization arms. The wedge can have a conical shape with a point at one end, so that the wedge fits between the two opposing and immobilizing arms, and as the wedge progresses gradually between the immobilization arms, the wedge becomes wider, moving the immobilizer arms separately. The wedge can generally be triangular in shape. The wedge can have a shape that is a mirror image for the shape projected between the immobilization arms, so that when the tip of the wedge reaches the pointed end between the immobilization arms, the wedge is prevented from moving further . The wedge can be located anywhere on the electrosurgical apparatus, the cursor, or both, so that when the wedge is moved between the immobilization arms, the wedge immobilizes the working arms. The cursor may be missing the wedge and may include a ring.

[000106] The ring can be any device that helps to immobilize the working arms. The ring may extend around all or part of the periphery, a perimeter, or both, of the electrosurgical apparatus, the working arms, the immobilization arms, or a combination thereof. The ring

45/88 can move along the outside of the electrosurgical apparatus, so that a part of the electrosurgical apparatus is located within an inner part of the ring. The ring may be a full circle, a U-shaped partial circle that completely surrounds an extension of the apparatus, partially surrounding an extension of the apparatus, or a combination thereof. The ring can be part of the cursor, it can be the cursor, it can be distinct from the cursor, it can help move the blade electrode, it can cover one or more activation buttons, it can extend under one or more activation buttons, it can extend extending through one or more activation buttons, deactivating all or part of an activation circuit, can completely and / or partially surround one or more of the immobilization arms, or a combination thereof.

[000107] The activation circuit can be any part of the electrical surgical system, handpiece, or both, that can be activated, so that one or more therapy currents are generated, applied, supplied, prevented from being supplied, or one combination thereof. The activation circuit can electrically connect two or more components, electrically activate two or more components, provide a user interface, or a combination of them. The activation circuit can have one or more switching states, two or more switching states, or three or more switching states. Preferably, the activation circuit has two switching states (for example, on or off). The activation circuit, the switches, or both can have a neutral position, where the activation switches are neither on nor off. The first

46/88 switch states can be turned off, do not provide a therapy signal, do not provide a first therapy signal, do not provide a second therapy signal, do not provide a third therapy signal, or a combination thereof. The first switching state can prevent a therapy signal from being produced, prevent a therapy signal (for example, a first therapy signal, a second therapy signal, etc.,) from being emitted from the handpiece, prevent the communication between the handpiece and the generator, or a combination thereof. The second switching state can be on, provides a therapy signal, provides a first therapy signal, provides a second therapy signal, provides a third therapy signal, or a combination thereof. The second switching state can provide a therapy current between the blade electrode, the first working arm, the second working arm, the electrosurgical plate, or a combination of these; produce a therapy signal; allows a therapy signal to be emitted from the handpiece; allow communication between the handpiece and a generator; or a combination of them. For example, when the electrosurgical plate is electrically disconnected and the activation circuit is in the second switching state, a therapy current can be conducted between the blade electrode and the first working arm, the second working arm, or both. working arms, in another example, when the activation circuit is in the second state and the blade electrode is in the second position, the electrode blade can be electrically connected to a first power connector, and an electrosurgical plate can be electrically connected to a second power connector, the

47/88 activation may include one or more switches, each including the interrupt states discussed here. Preferably, the activation circuit includes one or more activation buttons and / or is one or more activation buttons that can be moved and / or activated in one or more switching states discussed herein.

[000108] One or more buttons may work to control one or more functions of the electrosurgical device. One or more buttons can control bipolar energy, monopolar energy, bipolar cutting configuration, bipolar coagulation configuration, a therapy current, blade electrode rotation, monopolar electrode rotation, or a combination thereof. Preferably, a first button having a first color and / or configuration can be for applying bipolar energy, and a second button having a second color and / or configuration can be for applying monopolar energy. One or more buttons can be exposed and / or unlocked by the cursor as it moves, the blade electrode moves, or both to and / or from the monopolar configuration to a bipolar or vice versa configuration. For example, the monopolar activation button can only be exposed when the cursor, blade electrode, or both are in the monopolar configuration. The monopolar activation button, bipolar activation button, or both, can connect the power to the respective electrode, so that the current is supplied to the region of interest. The device can include only an activation button and can also include a selector.

[000109] The selector can work to select between one or more modes and / or one or more functions. Preferably, the selector allows a user to select from a plurality

48/88 in different modes and / or functions, The selector can switch between one or more ports in the activation circuit and one or more ports can communicate to the central processor the desired electrosurgical function to be performed. The selector can be transferred automatically when the blade electrode is extended and retracted. Preferably, the user can set the selector to a desired mode and / or function. The selector can connect one or more functions and / or modes simultaneously. The electrosurgical apparatus may include a button that locks the configuration of the blade electrode, allows the blade electrode to rotate, or both.

[000110] The blade electrode can be any block of the electrosurgical apparatus that supplies energy from one location, and the energy extends to a remote location. The blade electrode can be a combination of two or more devices that, when combined, can form a blade electrode. The electrode can be a discrete part that, when electrically powered, provides energy. The blade electrode can be static, rotating around its axis, longitudinally movable around its axis, or a combination thereof. The blade electrode can be blunt, have one or more sharp edges, have dull edges, or a combination thereof. The blade electrode can rotate at any angle, so that the blade electrode can be used to cut, be economically oriented, so that the user does not have to reposition his grip, used for vertical cutting, used for cutting on one side for another, or a combination of them. The blade electrode can be rotated at an angle of approximately 15 degrees or more, about 30 degrees or

49/88 more, about 45 degrees or more, about 60 degrees or more, or even about 90 degrees or more. The blade electrode can be rotated at an angle of approximately 275 degrees or less, about 225 degrees or more, about 205 degrees or more, or about 180 degrees or less. The blade electrode can maintain a complete circuit during rotation, so that energy can be applied through the blade electrode as the blade electrode is rotated.

[000111] The blade electrode, the bipolar electrode, or both, can complete a circuit when in contact with the tissue. The bipolar electrode can have two opposing working arms, and the fabric can electrically connect the working arms, form an electrical bridge between the two arms, or both. The blade electrode can have a single blade electrode (ie, a monopolar working arm) and the tissue can electrically connect the blade electrode to a return electrode, acting as an electrical bridge between the blade electrode and the electrode return, act as an electrical bridge between the blade electrode and one or both bipolar electrodes, or a combination thereof. The blade electrode, when extended, can activate a circuit, a switch, or both.

[000112] The circuit can have a switch that switches between the monopolar configuration, the bipolar configuration, or both. The switch can activate one or more bipolar electrodes and deactivate the electrosurgical plate (ie, return plate) or vice versa; activate one or more bipolar electrodes and disable the blade electrode or vice versa; deactivate a bipolar electrode and leave the bipolar electrode open (that is, not powered); deactivate the blade electrode and leave the blade electrode open; disable both electrodes

50/88 bipolar and activate the blade electrode and the return electrode or vice versa, disable the electrosurgical plate; all bipolar electrodes, and blade electrodes; or a combination of them. The blade electrode, one or more bipolar electrodes, or a combination thereof, may be connected to an alternating current supply source, a direct current energy source, or both. Preferably, the blade electrodes, the bipolar electrodes, or both are connected to an alternating current power source. The blade electrode may be free of a position between the bipolar electrodes, when the electrosurgical device is in the bipolar configuration. The blade electrode can be positioned between the bipolar electrodes, extended beyond the bipolar electrodes, be fixed, and the working arms retracted so that the blade electrode extends beyond the working arms, or a combination of them in the monopolar configuration . Bipolar electrodes in a monopolar configuration can act to electrically isolate the blade electrode from the surrounding regions, the handpiece, or both.

[000113] The handpiece can be any part of the device that the user grasps, containing one or more of the control buttons, one or more switches, one or more electrical connectors, one or more diodes, one or more capacitors, or one combination thereof. The handpiece may contain all or part of the control circuits, a central processing unit, or both. The handpiece can electrically connect the electrosurgical apparatus, the electrical system, or both, to the generator. The handpiece can physically connect the functional elements of the device

51/88 electrosurgical and electrically connect the elements of the electrosurgical apparatus. The handpiece may be a part of the electrosurgical apparatus body, a part between the two or more working arms, a connector between the two or more working arms, which contains all or part of the circuit, which includes an activation circuit , which includes one or more control buttons, or a combination of them. Preferably, the handpiece is the part that a surgeon presses and presses one or more buttons to apply energy to a desired location. More preferably, the handpiece is a central part, which includes both buttons and one or more electrical connectors for supplying energy to the electrosurgical apparatus, the working arms, the blade electrode, or a combination thereof. The handpiece can include one or more moving elements, one or more handpiece components, or both.

[000114] One or more moving elements can be any part of the handpiece that can be moved between two or more positions. One or more moving elements can be moved between a first position and a second position. One or more moving elements can be moved between a monopolar configuration and a bipolar configuration. One or more moving elements can be any part of the electrosurgical apparatus and / or electrosurgical system that can be electrically reconfigured, mechanically reconfigured, or both. One or more moving elements can be a monopolar electrode, a first working arm, a second working arm, an electrosurgical plate, or a combination thereof. One or more moving elements can be electrically connected to a first power connector, a second power connector,

52/88 or both. The moving component can be moved between one or more positions discussed here for the monopolar electrode, the bipolar electrode, or both, and the activation circuit between one or more switching states, as discussed here, so that the moving component is electrically configured, mechanically configured, or both in the same configuration as the respective components. One or more moving elements can be a handpiece component.

[000115] One or more components of the handpiece can be any device that is directly electrically connected, physically connected, actuated, or a combination thereof for the handpiece. One or more components of the handpiece can be any component that can mechanically reconfigure the handpiece, be mechanically reconfigured by a handpiece, moved along the handpiece, apply a therapy chain to the handpiece, or a combination thereof. One or more components of the handpiece can be electrically connected to the handpiece, so that energy, signals, therapy currents, or a combination of them flow directly to and from the handpiece or handpiece component without acting through a intervention apparatus. The handpiece component can be located separate from the handpiece, but electrically connected. One or more components of the handpiece and the handpiece can be electrically reconfigurable, so that the handpiece and the handpiece component are electrically connected in some configurations and electrically disconnected in some configurations.

One or more components of the handpiece can be a blade electrode, the first working arm, the second working arm, the

53/88 electrosurgical plate, the cursor, a monopolar electrode, one or more bipolar electrodes, or a combination of these. Preferably, in one configuration, the electrosurgical plate is placed discreetly from the handpiece, but the electrosurgical plate is directly electrically connected to the handpiece, such that when the handpiece is in a monopolar configuration, the electrosurgical plate is electrically activated. The handpiece can supply power to one or more handpiece components, so the handpiece components are not electrically connected directly to a power supply, therapy current, generator, or a combination thereof.

[000116] The power connectors can be any device that supplies power, a therapy current, or both from a power source for the electrosurgical system, the electrosurgical device, or both, so that the electrosurgical system, electrosurgical device, or both can be used for electrosurgery. The electrosurgical system, electrosurgical apparatus, handpiece, or a combination thereof, may include one or more, preferably two or more, or more preferably two power connectors that supply power to the electrosurgical system, electrosurgical apparatus, handpiece, or one combination thereof. The treatment current can be any current that is applied by the electrosurgical apparatus and performs a predetermined function. The treatment stream can be monopolar energy, bipolar energy, coagulation, cutting, hemostasis, or a combination thereof. The treatment stream can be any application of energy that is produced by the electrosurgical apparatus. The treatment stream can be any

54/88 application of energy that extends into and through the electrosurgical apparatus of one or more energy connectors. The therapy current can be supplied from a voltage source. The voltage source can be any power supply that performs one or more of the functions discussed here. The voltage source may be a DC voltage source and, preferably, the voltage source is an alternating current voltage source. The power connectors can be wires, parts of a conductor, or both. The electrosurgical apparatus may include one or more power connectors, preferably two or more power connectors, more preferably three power connectors, or even four or more power connectors. For example, in a three-connector connection system, the power connectors can be and / or connected to a positive pin, a negative pin, a return pin, or a combination thereof. In another example, in a four-connector connection system, the power connectors can be and / or connected to a bipolar positive pin, a bipolar negative pin, a monopolar active pin, a return pin, or a combination thereof. Each of the power connectors can be connected directly to a power source, a generator, or both. For example, if the electrosurgical device has three power connectors and the generator has three power connections (for example, a power port) each power connector can be connected separately to its own power connection. Each power connector can be electrically connected to an individual component of the electrosurgical device. Preferably, there are two power connectors that supply power to the electrosurgical device,

55/88 and the electrosurgical apparatus is electrically reconfigured between a first position and a second position, a first switching state and a second switching state, or a combination of both, so that a therapy current and / or energy from one of the power connectors can be provided for two or more components of the electrosurgical apparatus. For example, when the handpiece is in the first position, the power from the first power connector can be supplied to the first work arm, and the power from the second power connector can be supplied to the second work arm, and when the part manual is moved to the second position, the first power connector can be electrically connected to the blade electrode, and the second power connector can be electrically connected to the electrosurgical plate. One or more power connectors can be indirectly connected to the power source. For example, if the generator includes two power connections and the electrosurgical device includes three power connectors, two of the power connectors can be electrically connected together and connected to a power connector. Two or more power connectors can be electrically connected by bridging.

[000117] The jumper can work to electrically connect two or more power connectors, so that the power connectors can be electrically connected, connected by signal, or both, to the generator. The jumper can be any device that connects two electrical connectors outside the generator so that two or more electrical connectors can be connected to the generator. The bridge connection can be any device that assists in connecting two or more

56/88 plus electrical connectors to a generator power source or both. The jumper can be electrically connected to components, wires, connectors, or a combination of them, so that a single port can be used to power the components, connectors, cables, or a combination of them. Two or more power connectors can be connected electrically inside the handpiece, the generator, or both by one or more connectors.

[000118] One or more connectors can be any device that internally connects two power connectors together. One or more connectors can electrically connect two or more working arms during use, so that power can be applied through two working arms, so that a complete circuit is formed, or both. One or more connectors can electrically connect both arms that work together, so that an electrical connector can be used to electrically connect the two working arms, and an electrical connector can extend to another component, such as the electrosurgical plate, blade electrode, or both.

[000119] The electrosurgical apparatus, the activation buttons, the handpiece, the activation circuit, or a combination of them, may include one or more diodes. The diodes can be in any configuration, so that when pressing an activation button, the movement of a switch, or the generator, the device, or both measurements a frequency, a variation in frequency, or both, so that the generator can determine the activation mode being fed. Preferably, one or more diodes can be different, so that two or more different frequencies, changes in

57/88 frequency, or both are created, so that a generator can determine which switches in the handpiece, the electrosurgical device, activation buttons, or a combination of these are open, closed, or both.

[000120] The electrosurgical apparatus, generator, handpiece, or a combination thereof, may include one or more transformers. One or more transformers can be of any size and shape, so that, depending on the current path through one or more transformers, around one or more transformers, or both, the voltage supplied through the handpiece, the electrodes, the working arms, or a combination thereof, can be varied. For example, in a monopolar configuration, the voltage can be supplied directly to the electrode, and in a bipolar configuration, the transformer can reduce the voltage supplied to the working arms. On the other hand, the transformer can be used to increase the voltage supplied to one or more electrodes.

[000121] As discussed here, several circuits can be created through the electrical reconfiguration of one or more components of the electrosurgical apparatus, physically configuring one or more components of the electrosurgical apparatus, or both. During use, one or more switches can be opened and / or closed, so that one or more open circuits, one or more closed circuits, or both can be formed. For example, slide cursor and electrode can be extended forward, so that a connection is formed between the blade electrode, a power source and the electrosurgical plate, and a power source for the circuit to be completed, and a open circuit

58/88 can be created between the power source and the working arms, so that the working arms are not fed. Circuits can be configured so that a circuit is created between two or more components, and the electrosurgical apparatus can be used for a desired type of electrosurgery. The electrosurgical instrument can be configured so that energy flows from the blade electrode to one or more working arms, both working arms, to the electrosurgical plate, or a combination thereof. The electrosurgical apparatus can be configured so that energy flows from one working arm to another working arm, from one or more working arms to the blade electrode, from one or more working arms to the electrosurgical plate, or a combination of the same. The electrosurgical device can be configured with one or more power connectors, preferably two or more power connectors, and more preferably three or more power connectors. Each of the power connectors can be connected to one or more components, two or more components, or even three or more components. Each power connector can be switched between one or more components, two or more components, or even three or more components. The method may include a step of immobilizing the blade electrode, a cutting arm, or both. The method may include a step of immobilizing one or more bipolar electrodes, one or more blade electrodes, or both simultaneously.

[000122] Method of switching the electrosurgical apparatus between a bipolar configuration, a monopolar configuration, a non-electrosurgical configuration, or a combination thereof. The method can include one or more steps here

59/88 discussed in almost any order. The method may include the step of advancing a cursor, advancing a blade electrode, retracting a cursor, retracting a blade electrode, applying an electrosurgical plate, removing an electrosurgical plate, reconfiguring a circuit, or a combination of them. The method may include the step of applying monopolar energy and subsequently applying bipolar energy. The method can include a cutting step in a non-electrosurgical configuration and then applying monopolar energy or bipolar energy to coagulate, cauterize, or both, without the instrument change step. The method can include a cutting step in a monopolar configuration and then coagulation, cauterization, or both using bipolar energy without an instrument change step.

[000123] Figure 1 illustrates an electrosurgical apparatus 2. Electrosurgical apparatus 2 includes a bipolar configuration 100, in which the electrosurgical apparatus is forceps 4. Forceps 4 includes a housing 80 with a pair of working arms 8 that remain as forceps 4 in the bipolar configuration 100 configuration when the cursor 20 is in the bipolar position 24. The housing covers the active parts of the working arms 8 along at least part of its length, so that the energy is not transferred through accidental contact . While the cursor 20 remains in the bipolar position 24 (for example, first position), the bipolar activation button 40 is exposed, so that when pressing the bipolar activation button 40, energy flows towards the forceps 4 through the connectors 52, and the energy extends between the pair of working arms 6. The

60/88 housing 80 includes a hinge 220 that allows the working arms 6 to move relative to one another, while the housing covers the electrodes of the working arms. The housing 80 is divided by the hinge 220 which has a rigid fixed part 222 at the proximal end of the electrosurgical apparatus 2 and a movable part 224 at the distal end of the electrosurgical apparatus 2, so that the working arms 6 are movable with respect to each other . The hinge 220, as illustrated, is generally T-shaped and has a rigid connection 226 at the proximal end of the electrosurgical apparatus 2 and a movable connection 228 at the distal end of the electrosurgical apparatus 2. Hinge 220 allows the arms to move relative to each other. with each other, maintaining the protection of the housing 80 on both working arms and a central part of the electrosurgical apparatus 2. As illustrated in the movable part 224 of the housing 80 includes a gripping part 88, so that a user, by means of applying pressure to the gripping part, closes the working arms.

[000124] Figure 2A illustrates the electrosurgical apparatus 2 of Figure 1 transformed into a monopolar configuration 102, The electrosurgical apparatus 2 is changed to a monopolar configuration 102 when the blade electrode 26 is moved forward by the cursor 20 sliding along the housing 80 and the blade electrode 26 is immobilized between the working arms 6. The cursor 20 is slid to a monopolar position 22 (for example, second position), so that one or more monopolar activation buttons 42 are exposed, and the bipolar activation button is covered. When the activation button 42 is pressed, the energy moves from the electrode

61/88 of blade 26 to a return electrode (not shown).

[000125] Figure 2B shows a view close to the blade electrode 26 and the working arms 6 immobilized in a monopolar position 22.

[000126] Figure 2C illustrates a cross-sectional view of the electrosurgical apparatus 2 of Figure 2A with the blade electrode 26 in the extended position. The blade electrode 26 includes an insulating sleeve 54 that extends forward with the

electrode of the blade, in mode what an part contact 56 is aligned with the pin in spring 250 . O pin spring 250 it is connected to a plate in circuit printed 260, which it's at

communication with the bipolar activation button 40 and the monopolar activation button 42. The spring pin 250 includes a part of the spring 252 that maintains contact with the blade electrode 26 of the blade, so that when the spring pin 250 contacts the part contact 56, power is supplied through the blade electrode 26.

[000127] Figure 2D1 illustrates a close view of a spring pin 250 in contact with a contact part 56 of the blade electrode 26 when the blade electrode 26 is fully extended. The spring pin 250 transfers energy from the printed circuit board 260 to the electrode of the blade 26, so that the electrode of the blade 26 is energized when the bipolar activation button 40, the monopolar activation button 42, or both, are activated by a user.

[000128] Figure 2D2 illustrates a close view of a spring pin 250 in contact with the insulating sleeve 54 of the blade electrode 26 when the blade electrode 26 is fully retracted (as shown in Figure 1). The spring pin 250 is prevented from transferring energy from the circuit board

62/88 printed 260 by the insulating sleeve 54, so that the leakage currents are not produced by the blade electrode 26, if the bipolar activation button 40, the monopolar activation button 42, or both, remain active and / or are activated by a user.

[000129] Figure 3A illustrates an exploded view of the electrosurgical apparatus 2 of Figures 2 and 3. The electrosurgical apparatus 2 includes a housing 80 which, when connected together, retains all components, so that the components are mobile and work to produce therapy currents. The housing 80 involves substantially surrounding the working arms 6, so that only a part is exposed for the creation of a therapy stream. An inner housing 86 houses the power connectors 52 that supply power to the working arms 6 and the blade electrode 26. The inner housing 86, when assembled, extends through a through hole 32 in the cursor 20, which is connected to the blade electrode 26. The inner housing 86 also contains a printed circuit board 260 with a plurality of sensors 44 that are electrically connected to the bipolar activation button 40 and the monopolar activation button 42, so that when the buttons are When pressed, energy is supplied to a desired location by means of a spring pin 250 when the electrosurgical apparatus 2 is in the monopolar configuration. Power connections 52 terminate at a pair of power connectors 10 that connect to a wall and / or generator (not shown).

[000130] Figure 3B illustrates a close-up view of the spring pin 250. The spring pin 250 includes a spring part 252 that connects a body part 256 to a contact arm 258. The

63/88 contact arm 258 is moved in contact and supplies energy to the blade electrode (not shown), when the blade electrode is fully extended. Body part 256 includes a pair of connecting arms 254 that connect the spring pin 250 to a printed circuit board (not shown).

[000131] Figure 4 illustrates another electrosurgical device 2. Electrosurgical device 2 is in the bipolar configuration 100. Electrosurgical device 2, as illustrated, is configured as forceps 4, having a pair of working arms 6. A cursor 20, as shown shown, it is in the front in a bipolar position 24 and connected to a working arm 6, so that both working arms 6 are free, and working arms 6 can be deflected and used in bipolar configuration 100. When the cursor is moved to a recessed position, the working arms 6 are forced together and immobilized, forming a monopolar electrode and / or blade electrode.

[000132] Figure 5 is a bottom view of the electrosurgical apparatus 2, as shown in Figure 4. As illustrated, the electrosurgical apparatus 2 is in the bipolar configuration 100 with the pair of working arms 8 positioned separately from the forceps 4. The arms working arms 8 include a stop arm 82 extending from housing 80 and a wedge 84, which separates the stop arms 82, so that working arms 6 are moved in contact and immobilized when transformed from bipolar configuration 100 for 102 monopolar configuration (not shown). [000133] Figure 6 illustrates another example of an electrosurgical device 2 from the instructions described here. Electrosurgical apparatus 2 includes a bipolar configuration 100, in which

64/88 the electrosurgical apparatus is forceps 4. Forceps 4 includes a housing 80 with a pair of working arms 6 which remain as forceps 4 in the bipolar configuration 100 when the cursor 20 is in the bipolar position 24. The housing covers the parts active working arms 6 over at least part of its length, so that energy is not transferred through accidental contact. While the cursor 20 remains in the bipolar position 24 (for example, first position), the bipolar activation button 40 is exposed, so that when pressing the bipolar activation button 40, the energy extends between the pair of working arms 6.

[000134] Figure 7 illustrates a bottom view of the electrosurgical apparatus 2 of Figure 8 configured as a forceps 4. The electrosurgical apparatus 2 includes a housing 80 that covers most of the working arms 6. Housing 80 includes a pair of arms restraint 82 extending from housing 80, so that when the wedge 84 advances, the blade electrode 28 advances, and the working arms 6 are immobilized. Next to the locking arms 82 is a hinge 220 in the housing 80. The hinge 220 includes a rigid connection 226 on a proximal side of the hinge 220 and a movable connection 228 on the distal side of the hinge 220.

[000135] Figure 8 illustrates a bottom perspective view of a slide 20, which includes a wedge 84. The slide 20 is connected to a blade electrode 26.

[000136] Figure 9 illustrates an example of an electrosurgical apparatus 2 with a slide assembly 130. As illustrated, the electrosurgical apparatus 2 has a housing 80 connected to a working arm 6. Working arm 6 is

65/88 connected to a slide 30 that includes a slider 20. The slider 20 is connected to a working arm 6 and two pinions 134 that are interspersed between a pair of racks 132. Each pinion 134 contacts a rack 132, and the movement of cursor 20 in direction 138 moves working arm 6 along its axis in direction 138, which is a direction opposite to cursor 20. Pinions 134 have different sizes, so that there is a reduction in gear, and the distance that the working arms 6 travel is greater than the distance that the cursor 20 travels during movement. Electrosurgical device 2 includes a bipolar activation button 40, and a monopolar activation button 42.

[000137] Figure 10 illustrates the electrosurgical apparatus 2 in monopolar configuration 102, as illustrated. The blade electrode 26 is moved forward to a monopolar position 22, and the working arms 6 are in contact with a monopolar insulator 30 on the blade electrode 26, so that the monopolar insulator 30 immobilizes the working arms 6. Such as illustrated, the working arms 6 extend to a portion of the monopolar insulator 30 and are immobilized by the monopolar insulator 30, which also substantially prevents the chain from moving away from the working arms 6 when the ends of the working arms 6 are covered by the monopolar insulator 30. The working arms 6 are also covered by an insulator 90 that insulates a length of the working arm 6, and the ends of the working arms 6 are covered by the insulator 30, so that substantially all of the leakage current is isolated and prevented. A pressing device 50 is compressed when the blade electrode is moved to the monopolar position 22, so that after release, the

66/88 pressing device 50 helps to retract the blade electrode 26.

[000138] Figure 11 illustrates the electrosurgical apparatus 2 of Figure 10, in the bipolar configuration 100. As shown, the electrode of the blade 26 is retracted to the bipolar position 24, so that the monopolar insulator 30 is located between the two arms working 6, When the blade electrode 26 is fully refracted, the pressing apparatus 50 is fully extended. The working arms 6 are separate and can be used as forceps 4 and with bipolar energy. The working arms 6 further include an insulator 90 that extends the length of the working arms 6 and one end of each working arm 6 is exposed.

[000139] Figure 12 illustrates another possible configuration of electrosurgical apparatus 2 in monopolar configuration 102. As shown, the cursor 20 is moved forward to monopolar position 22, so that the electrode of blade 26 is moved forward through a electrode channel of blade 46 on a working arm 6. Electrosurgical apparatus 2 includes power connectors 52 at one end, so that electrosurgical apparatus 2 is powered during use.

[000140] Figure 13 illustrates the electrosurgical apparatus 2 of Figure 12 in a bipolar configuration 100. The electrosurgical apparatus 2 has a slider 20 moved backwards to a bipolar position 24, so that the working arms 6 are separated and can be used as forceps 4. The blade electrode 26 is retracted by the cursor 20 in the blade electrode channel 46, so that the blade 26 electrode is not exposed. A power connector 52 is at the end of the electrosurgical apparatus 2 for supplying the apparatus.

67/88 [000141] Figure 14 illustrates an end view of the working arms 6 of Figures 12 and 13. As illustrated, one of the working arms 6 includes a monopolar electrode channel 46 that extends through the working arm 6, [000142] Figure 15 illustrates an end view of the working arms of Figures 1-7 and 10-11, where the working arms are solid and are free of a channel.

[000143] Figures 16 and 17 illustrate an end view of a possible monopolar configuration 102, in which the orientation of the blade electrode 26 is variable between a horizontal monopolar cutting configuration 104 (Figure 16) and a vertical monopolar cutting configuration 106 (Figure 17). As illustrated, the working arms 6 are made of two materials. The outer part of the working arms 6 is made of a material with insulating thermal conductivity 90, and the inner part is made of a material with high thermal conductivity 92. The outer part of the blade electrode 26 has insulating conductivity 90 and the center has low thermal conductivity 94.

[000144] Figures 18A and 18B illustrate the electrosurgical apparatus 2 during use in the bipolar configuration 100. Figure 18A illustrates the pair of working arms 6 that have a portion of material with insulating thermal conductivity 90 and a material with high conductivity thermal 92. The working arms 6 come into contact with the fabric 200, so that energy flows through the fabric 200 from one working arm 6 to another working arm 6.

[000145] Figure 18B is a circuit diagram illustrating a possible configuration of the bipolar circuit 100 of the electrosurgical apparatus 2, The electrosurgical apparatus 2 is connected

68/88 to a voltage source 64, and power flows through a switch 60A from a voltage source 64 to a working arm and from voltage source 64 through a switch 60B to the other working arm 6. When switches 60A and 60B are moved to bipolar configuration 100, an open circuit 62A and 62B is formed, so that the monopolar part of the circuit, including electrosurgical plate 66, is energy-free. As shown, the electrode of the blade 26 is refracted between the working arms 6, so that energy 68 flows between the working arms 6 and any fabric 200 (not shown) located between them.

[000146] Figures 19A and 19B illustrate the electrosurgical apparatus 2 in a monopolar configuration 102. Figure 19A illustrates the electrode of the blade 26 which has the energy flow 68 to an electrosurgical plate 66. The energy 68 flows through the fabric 200 ( not shown) from the blade electrode 26 to the electrosurgical plate 66.

[000147] Figure 19B illustrates a circuit diagram showing a possible configuration of the monopolar circuit 102 of the electrosurgical apparatus 2. The electrosurgical apparatus 2 is connected to a voltage source 64, and power flows through a switch 60A from a source of voltage 64 to an electrosurgical plate 66 from the voltage source 64 via a switch 60B to the blade electrode 26. When switches 60A and 60B are moved to bipolar configuration 102, an open circuit 62A and 62B is formed, so that the monopolar part of the circuit, including the electrosurgical plate 6, is energy-free. When energy is applied to the blade electrode 26, energy 68 flows from the blade electrode 26 to the electrosurgical plate 66.

69/88 [000148] Figures 20A1 through 20A3 illustrate a circuit diagram of the electrosurgical apparatus 2 as clamps 5 in a bipolar configuration 100. The electrosurgical apparatus 2 is connected to a voltage source 64. Figure 20A1 includes a switch 60 that moves between a working arm 6 and a blade electrode 26 and a switch 60 that moves between a working arm 6 and an electrosurgical plate 66. As illustrated, switch 60 is supplying power to both working arms 6 to the energy to flow 68 between the two working arms 6 and for the electrode of the blade 26 and the electrosurgical plate 66 to be opened.

[000149] The two working arms 6 are electrically connected to a connector 70 with a switch 60 between them. [000150] Figure 20A2 includes a central processing unit 74 that replaces the switching between the voltage source and the blade electrode 26 and the working arms 6. The central processing unit 74 controls the power supplied to the blade electrode 26 and / or the working arms 6 of the clamps 5 so that, as illustrated, energy 68 flows between the working arms. Central processing unit 74 disconnected electrosurgical plate 66 and blade electrode 26, and connected working arms 6. An electrosurgical plate 66 extends from central processing unit 74.

[000151] Figure 20A3 illustrates an electrosurgical apparatus 2 in a hybrid bipolar configuration 100 being configured as clamps 5 which are adherent fabrics 200. Fabric 200 electrically connects the two adjacent working arms 6, so that energy flows from the electrode of blade 26 through fabric 200 and working arms 6. Switch 60 of the

70/88 connector 70 is closed, so that the two working arms 6 and are electrically powered connected together and the blade electrode 62 is electrically connected. There is an open 62 between one of the working arms 6 and the power supply 64, so that energy does not flow directly into a working arm 6, and for switch 60 to supply power to blade electrode 26. The switch 60 between the electrode of the blade 26 and the power source 64 is closed, so that energy flows between the working arms 6 and the electrode of the blade 26 through the fabric 200.

[000152] Figures 20B to 20D illustrate the electrosurgical apparatus 2 in various monopoly configurations 102. As illustrated, the blade electrode 26 is immobilized between the working arms 6. Figure 20B is a hybrid monopolar configuration 102 for cutting. A switch 60 is closed between the power source 64 and the blade electrode 26 so that energy flows 68 from the blade electrode to the two working arms 6. One working arm 6 is connected directly to the power supply 64, and the switch 60 next to the other working arm 62 is open due to the switch 60 being moved to feed the electrode of the blade 26. The two working arms 6 are electrically connected via a connector 70 which includes a switch 60, so that an electrical connection between the two working arms 6 can be opened and closed as the device is switched between a monopolar and a bipolar configuration. The electrosurgical plate 66 is opened 62 so that energy does not flow through the electrosurgical plate 66.

[000153] Figure 20C illustrates the electrosurgical apparatus 2

71/88 in a monopolar hybrid configuration 102 / bipolar configuration 100. As illustrated, switches 60 are closed, so that power is supplied from power supply 64 to both working arms 6 and an open 62 is present between the electrode of blade 26 and electrosurgical plate 66, so that energy does not flow to the electrode of blade 26 or electrosurgical plate 66. The flow of energy 68 is from one working arm 6 to the other working arm 6 around the electrode blade 26. A connector 70 includes a switch 60 extends between the work arms 6.

[000154] Figure 20D illustrates the electrosurgical apparatus 2 in a monopolar configuration 102. As illustrated, a switch 60 is located between the power supply 64 and the electrode of the blade 26, so that energy flows through the electrode of the blade 26, and the energy flow 68 flows to the electrosurgical plate 66 through another switch 60, so that a complete circuit is formed. When the switch 6 energizes the electrosurgical plate 66 and the blade electrode 26, the working arms 6 are opened 62 so that no energy flows through the working arms 6, but the working arms mechanically immobilize the blade electrode 26. The working arms 6 are electrically connected by a connector 70 which includes a switch 60.

[000155] Figure 21 illustrates the electrosurgical device 2 connected to a generator 8. Generator 8, as illustrated, includes only two power connectors 10. The electrosurgical device 2 is connected to generator 8 through a power connector 10, and the electrosurgical plate 66 is

72/88 connected to generator 8 via a different power connector 10, and the two power connectors 10 are electrically connected by a jumper 12.

[000156] Figures 22A-22C illustrate various circuit configurations between the generator 8 and the electrosurgical apparatus 2. The generator 8 includes the central processing unit that is connected to a handpiece 120. A user can change the electrosurgical apparatus 2 between a bipolar configuration 100 (Figure 22A) and a monopolar configuration 102 (Figures 22B and 22C) and a change in configuration for bipolar configuration 100 will change switches 60 so that a switch is open 62 and a switch 60 is closed. Each circuit includes a diode 122 so that when a switch 60 is off and / or the signal control passes through diode 122 to the electrosurgical device 2. Generator 8 also includes a transformer 124 electrically connected to electrosurgical plate 66, to the working arms 6 and to the blade electrode 26. A jumper 12 electrically connects the electrosurgical plate 66 to one of the working arms 6. The generator 8 includes power connections 10 that extend from the surgical electrical apparatus 2 and are connected to generator 8. Generator 8 includes a switch 60 that closes for electrically connected to the electrosurgical plate 66 and opens 62 when disconnecting the electrosurgical plate. Figure 22A illustrates the electrosurgical apparatus 2 in the bipolar configuration 100, so that the energy flows between the transformer 124 and each of the working arms 6 in the direction 140, and the energy flow 68 is between the working arms 6. A Figure 22B illustrates the electrosurgical apparatus in the monopolar coagulation configuration.

73/88

As illustrated, energy flows from the blade electrode 26 to the electrosurgical plate 66, and energy flows in the direction 140 between transformer 124, the blade electrode 26 and the electrosurgical plate 66. Figure 22C illustrates electrosurgical apparatus 2 in the configuration from the monopolar cut, so that the energy flows 68 from the monopolar electrode 26 to the electrosurgical plate 66. The energy then flows in the direction 140 through the closed switch 60 between the transformer 124 and the electrode of the blade 26 and the electrosurgical plate 66.

[000157] Figures 23A and 23B illustrate the electrosurgical apparatus 2 having three power connectors 52 that seam from there for connection to a generator 8 (not shown). Figure 23A illustrates the electrode of the blade 26 and the cursor 20 in the refracted position, so that the electrosurgical apparatus 2 is in the bipolar configuration 100. The handpiece 120 includes a pair of working arms 6 with an electrode of the blade 26 between them . Handpiece 26 also includes a slider 20 with electrical connectors 72 that connect with work arms 6 and power connectors 52. As shown, positive pin 52A connects to the first work arm and an electrical connector 72 , and the second end connects with the first working arm, and a negative pin 52B connects with a first end of the second electrical connector 72, and the second end connects with the second working arm 6, so that the arms The working pins are energized, and the energy 68 extends between the working arms 6. The negative pin 52B includes two wires extending from them, so that the negative pin 52B is not electrically isolated. A wire from the negative 52B pin is connected to a work arm 6 through the

74/88 electrical connector 72 in the bipolar configuration, as shown, and the other wire from the negative pin 52B is connected to the electrosurgical plate 66 in the monopolar configuration, as shown in Figure 23B. The electrosurgical plate 66 is connected to the 52R return pin and the 52R return pin is disconnected, so that energy does not flow through the electrosurgical plate 66.

[000158] Figure 23B illustrates the cursor 20 of the handpiece 120 moved forward, so that the blade electrode 26 is in monopolar configuration 102. Handpiece 120 includes work arms 6 and a blade electrode 26 in a configuration monopolar 102. The working arms are disconnected, so that the working arms 6 are not energized. The energy 68 extends from the electrode of the blade 26 to the electrosurgical plate 66. The electrosurgical plate 66 is electrically connected to the return pin 52R and a negative pin 52B. A wire extends from the return pin 52R through an electrical connector 72 at cursor 20 of handpiece 120 and connects to a negative pin 52B. The positive pin 52A is connected to a second electrical connector 72 on handpiece 120, but the second electrical connector 72 has no connection on the second side.

[000159] Figure 23C illustrates an electrosurgical apparatus 2 in a monopolar configuration 102. Electrosurgical apparatus 2 includes a handpiece 120 with a pair of working arms 6 and a blade electrode 26 that extends between them. The energy 68 extends from the electrode of the blade 26 to the electrosurgical plate 66. The electrosurgical plate 66 is electrically connected to the return pin 52R via a slider. The cursor 20 includes electrical connectors 72 that are

75/88 extend through the cursor 20 and electrically connect the electrosurgical plate 66 to a 52R return pin. A positive pin 52A connects to an electrode of the blade 26 through a second electrical connector 72 that extends through the cursor 20 in the handpiece 120. The negative pin 52B and the return pin 52R are electrically isolated when compared to Figures 23A and 23B.

[000160] Figures 24A-24C illustrate the electrosurgical apparatus 2 containing two power connectors 52 extending from handpiece 120 to connect the electrosurgical apparatus to a generator 8. Electrosurgical apparatus 2 also includes an activation circuit 300 to energize the handpiece 120. Electrosurgical apparatus 2, as shown, does not contain an electrosurgical plate. Figure 24A illustrates electrosurgical apparatus 2 in bipolar configuration 100, where both power connectors 52 are connected to a handpiece 120. Activation circuit 300 includes an activation button 302 in a first switching state 310, so that the switch is opened 62, and a signal does not flow from the activation circuit 300 through ports 160 and to generator 8, so that the voltage source does not send energy to the electrosurgical apparatus through the power connectors 52. The blade electrode 26 includes a switch 60 that is opened, so that the electrode of the blade 26 is electrically disconnected. The switch 60 connected to the working arm 6 is closed, so that the working arm is electrically connected.

[000161] Figure 24B illustrates the electrosurgical apparatus 2 in the bipolar configuration 100, and the energy 68 extends between the working arms 6. The activation button 302 in the circuit

76/88 of activation 300 is in the second switching state 312, so that the signal is sent to the internal switch and / or central processing unit (CPU) 74 on generator 8 through ports 160. The internal switch and / or CPU 74 activates voltage source 64 to energize handpiece 120. Energy flows through the power connectors 52 in the direction 320 through the switch 60, and energizes the working arms 6, so that the energy 68 flows between them. The switch 60 of the blade electrode 26 is disconnected, so that the blade electrode 26 is not energized.

[000162] Figure 24C illustrates electrosurgical apparatus 2 in bipolar configuration 102, where both power connectors 52 connect handpiece 120 to generator 8, and activation circuit 300 is connected to generator 6 through ports 160. The button activation switch 302 is in the second switching state 312, so the signal is sent to the internal switch and / or GPU 74, which activates the power to extend in the direction 320 of the voltage source 64. The electrode of the blade 26 is at extended position, and the blade electrode switch 60 is connected to a work arm, so that the blade electrode 26 is energized. The other switch 60 extends from one working arm to the other working arm, so that both working arms are electrically connected, and energy can pass between the blade electrode 26 and the working arms 6. The arrows direction indicators show the movement of switches 60 between the

configuration bipolar Figure 24B to the configuration monopolar gives Figure 24C. [000163] At Figures 25A- 25C illustrate various settings electrical inside the handpiece 120 of the device

77/88 electrosurgical 2. Handpiece 120 includes a pair of work arms 6 and a blade electrode 26 that extends between work arms 6, and handpiece 120 is connected to a generator 8. Handpiece 120 it is controlled by an activation circuit 300 which is connected to a generator 8. Electrosurgical apparatus 2, as illustrated, does not contain an electrosurgical plate and a switch connected to a blade electrode. Figure 25A illustrates the electrosurgical apparatus 2 disconnected. The activation button 302 of the activation circuit 300 is in the first switching state 310 and is open 62, so that the signal does not flow to the generator 8 through the ports and in communication with the internal switch and / or CPU 74. The internal switch and / or CPU 74 controls the flow of energy from voltage source 64 through power connectors 52 and into working arms 6 and / or blade electrode 26. As illustrated, switch 60 is closed, so that when energy is applied, both working arms 6 will be energized.

[000164] Figure 25B illustrates the electrosurgical apparatus 2 of Figure 25A energized when the activation button 302 is moved to the second switching state 312. When the activation button 302 is closed, a signal is sent from the activation circuit 300 to the internal switch and / or CPU 74, which activates the energy to be sent from the voltage source 64 through the power connectors 52 and to the working arms 6 in the direction 320. The energy flows in the direction 68 between the pair of arms work 6.

[000165] Figure 25C illustrates switch 60 being moved from the second working arm 6 to the blade electrode 26, as indicated by the arrow, so that the second working arm

78/88 work 6 is turned off, and remains open 62, and the electrode of blade 26 is energized. The energy flows from the generator 8 in the direction 320, so that the blade electrode is energized, and the energy 68 flows from the blade electrode 26 to the working arm 6.

[000166] Figure 26A to 26C illustrates the reconfiguration of the electrosurgical apparatus 2. The electrosurgical apparatus includes an electrosurgical plate 66, and handpiece 120, and an activation circuit 300. Figure 26A illustrates the electrosurgical apparatus 2 disconnected. As illustrated, the activation button 302 on the activation circuit 300 is in the first switching state 310 and is open 62, so the signal is not sent to generator 8 to energize handpiece 120. In addition, the blade electrode 26 and the electrosurgical plate 66 are open, since the switches 60 are closed in the direction indicated by the arrow, so that the work arms are connected by the closed switches 6.

[000167] Figure 26B illustrates the electrosurgical apparatus 2 of Figure 26A in bipolar configuration 100 with the activation button 302 of the activation circuit 300 moved to a second switching state 312. The second switching state 312 completes the circuit, so that the signal passes from the activation circuit 300 through ports 160 in generator 8 and in communication with the internal switch and / or CPU 74. The internal switch and / or CPU 74 activates energy to transition from the voltage source 64 to the handpiece 120 through the power connectors 52 in the direction 320 through the closed switches 60, so that the working arms 6 are energized, and the energy 68 flows between the working arms 6.

79/88 [000168] Figure 26C illustrates the electrode of the blade 26 in an extended position between the pair of working arms 6, so that a monopolar configuration 102 is formed. When the blade electrode 26 is extended, the switches 60 are moved from the first working arm 6 and the second working arm 6 to the blade electrode 26, and the electrosurgical plate 66 respectively, so that the blade electrode 26 is energized when the activation button 302 is in the second switching state 312, as shown. The energy passes in the direction 320 of the power connectors, through the switch 60, and then to the electrode of the blade 26 and the electrosurgical plate 66, respectively. The energy 68 passes between the electrode of the blade 26 and the electrosurgical plate 66.

[000169] Figures 27A to 27D illustrate an electrosurgical apparatus 2, with an activation circuit 300 connected to a generator through a plurality of ports 160 and a handpiece 120 connected to generator 8 by a plurality of pins 152. The circuit of activation 300 includes activation buttons 40, 42 which, when pressed, energize handpiece 120. Figure 27A illustrates the activation circuit 300 with the bipolar activation button 40 and the monopolar activation button 42 in the first switching state 310 and open 62 so that the electrosurgical apparatus 2 is switched off. The activation circuit 300 has three electrical paths (i.e. wires) that connect to generator 8 through the upper port 160A, an intermediate port 160B and a lower port 160C. Ports 160 connect the activation circuit 300 with the internal switch and / or a CPU 74 which, when it receives a signal, communicates with the power supply 64 which

80/88 energizes handpiece 120. Power source 64 directs power through a series of switches 60, which are, as illustrated, in a neutral position 58. Switches 60 direct power through the plurality of pins 160. The plurality of pins are a positive bipolar pin 152A, a negative bipolar pin 152B, a monopolar active pin 152C, and a monopolar return pin 152D that energizes one or more parts of handpiece 120, when handpiece 120 is switched between one monopolar configuration and a bipolar configuration.

[000170] As illustrated, the blade electrode 26 is retracted and nestled in the insulating housing 96.

[000171] Figure 27B illustrates the electrosurgical apparatus 2 of Figure 27A in bipolar configuration 100 with the blade electrode 26 retracted and located inside the insulating housing 96 so that eddy currents are prevented from transferring from, and / or the electrode blade 26, and the bipolar activation button 40 in the second switching state 312, so that a signal is generated and a circuit is completed with the upper port 160A and lower port 160C, so that a signal passes through it to the generator 8 and finally for internal switching and / or CPU 74. Monopolar activation button 42 is in the first switching state 310 and is open 62. Internal switching and / or CPU 74 activates voltage source 64 so that the energy extends through the upper switch 60 and through the positive bipolar pin 152A, so that the first working arm 6 is energized by the current when transiting in the direction 320. The energy extends through the inter lower breaker 60 and out of the negative bipolar pin 152B, so that the second

81/88 work receives energy along direction 320. Energy 68 extends between the pair of working arms 6. Electrosurgical plate 66 and blade electrode 26 are electrically disconnected, as illustrated.

[000172] Figure 27C illustrates the electrode of the blade 26 extended out of the insulating housing 96 and between the working arms 6 and energy 68 extending from the electrode of the blade 26 to the electrosurgical plate 66. The activation circuit 300 includes the bipolar activation button 40 in the second switching state 312, so that a complete circuit is formed with the upper port 160A and the lower port 160C, so that a signal is transmitted to the internal switch and / or CPU 74 of the generator 8.

[000173] The monopolar activation button 42 is in the first switching state 310 and is open, so that a signal is not transmitted from the monopolar activation button 42. The internal switch and / or CPU 74 communicates with the voltage source 64, so that the energy is directed along the paths 320 to the blade electrode 26 and electrosurgical plate 66, respectively. The switches 60 are configured so that the energy extends from the voltage source 64 through the positive bipolar pin 152A and negative bipolar pin 152B, so that the energy 68 between the electrode of the blade 26 and the electrosurgical plate 66 is a first current of therapy.

[000174] Figure 27D illustrates the blade electrode26 extended out of the insulating housing 96 and between the working arms 6 and energy 66 extending from the blade electrode 26 to the electrosurgical plate 66. The activation circuit 300 includes the 40no bipolar activation

82/88 first switching state 310 and open 62, and the monopolar activation button 42 in the second switching state 312, so that a complete circuit is formed with intermediate port 160B and lower port 160C. A signal is transmitted through intermediate port 160B and the lower port 160C to the internal switch and / or CPU 74 that communicates with voltage source 64, so that voltage is supplied via switches 60 in direction 320 and through the monopolar active pin 152C to the electrode of the blade 62 and through the monopolar return pin 152D to the electrosurgical plate 66. The energy 68 that extends between the electrode of the blade 26 and the electrosurgical plate 66 is a second therapy current that differs from the first therapy current. Figures 28A to 28C illustrate an electrosurgical apparatus 2, with an activation circuit 300 connected to a generator through a plurality of ports 160 and a handpiece 120 connected to the generator 8 by a plurality of pins 152. The activation circuit 300 includes activation buttons 302 that, when pressed, energize the handpiece 120 and a selector 308 that changes the signal sent from the activation circuit 300 to the generator 8. Figure 28A illustrates the activation circuit 300 with the activation button 302 in the first state switching system 310 and open 62, so that the electrosurgical apparatus 2 is switched off. The activation circuit 300 has three electrical paths (i.e. wires) that connect to generator 8 through the upper port 160A, an intermediate port 160B and a lower port 160C. Ports 160 connect the activation circuit 300 with the internal switch and / or a CPU 74 which, when it receives a signal, communicates with the power supply 64 that energizes the part

83/88 manual 120. Power source 64 directs power through a series of switches 60, which are, as illustrated, in a neutral position 58. Switches 60 direct power through the plurality of pins 160. The plurality of pins are a positive bipolar pin 152A, a negative bipolar pin 152B, a monopolar active pin 152C, and a monopolar return pin 152D that energizes one or more parts of handpiece 120, when handpiece 120 is switched between a monopolar configuration and a bipolar configuration.

[000175] Figure 28B illustrates the activation button 302 in the second state of switch 312 and the selector 308 in a first position, so that a signal extends through the upper port 160A and intermediate port 160B to the generator 8, and the internal switch and / or CPU 74. The internal switch and / or CPU 74 communicates with voltage source 64, so that the voltage extends in the 320 direction. Switches 60 direct the voltage through the bipolar positive pin 152A in one first working arm 6 and through the negative bipolar pin 152B on the second working arm 6. The energy 68 extends between the first working arm 6 and the second working arm 6.

[000176] Figure 28B illustrates the activation button 302 in the second state of switching 312 and the selector in a second position, so that a signal extends through the upper port 160A and a lower port 160C to the generator 8, and the internal switch and / or CPU 74. The internal switch and / or CPU 74 communicates with voltage source 64, so that the voltage extends in the direction 320. Switches 60 direct the voltage through the positive monopolar pin 152C

84/88 for the blade electrode 26 and the monopolar return pin 152D for the electrosurgical plate 66. The energy 68 extends between the electrode of the blade 68 and the electrosurgical plate 66.

[000177] Figures 29A to 29C illustrate a close view of the cursor 20 of the handpiece 120 and associated reconfiguration that occurs by the movement of the cursor 20. The handpiece 120 is connected to a generator 8 that supplies voltage from a voltage source 64 which extends in direction 320 through the switches. The power comes out of the generator 8 from the positive bipolar pin 152A and the negative bipolar pin 152B in the handpiece 120. The cursor 20 is retracted, so that the energy extends from the positive bipolar pin 152A in the electrical connectors 72 of the handpiece 120 at B and F and outputs at points E and A, so that the first working arm is energized. Likewise, the energy that extends through the negative bipolar pin 152B in electrical connectors 72 at points D and H and outputs at points G and C, so that the second working arm is energized. The energy 68 extends between the working arms 6, so that a therapy stream is produced. As shown, electrical connectors 72 between points E and I and points J and K are open.

[000178] Figure 29B illustrates the electrode of the blade 26 extended between the working arms 6, so that the ends A and C of the working arms do not align with the electrical connectors 72 and the electrodes of the blade electrode 26 and the electrosurgical plate 66 are aligned, as discussed here. Energy flows in direction 320 from voltage source 64 to electrosurgical plate 66. Electrosurgical plate 66 is connected at points L and K, and the connector exits the cursor at points J and D and the generator at the pin

85/88 bipolar negative 152B. The energy flows from the voltage source 64 to the blade electrode 26 in the direction 320 along the path through the positive bipolar pin 152A, and then to the electrical connector 72 at points B and I until the energy moves between the electrode of the blade 26 and the electrosurgical plate 66.

[000179] Figure 29C illustrates another way to energize the blade electrode 26 and the electrosurgical plate 66. The electrosurgical plate 66 and the voltage source 64 are connected via the monopolar return pin 152D where the energy does not pass through the cursor 20 and passes in direction 320. The electrode of the blade 26 is energized through the monopolar active pin 152C where the energy extends through the cursor 20 at points B and I and then to the tip of the electrode of the blade 26, where the energy 68 flows between the blade electrode 26 and the electrosurgical plate 66.

[000180] Figures 30A and 30B illustrate two possible schematic representations of wiring that can be used to feed handpiece 120, as instructed here. Figure 30A illustrates an example of a four-pin connector. The electrosurgical plate 66, as shown, is directly connected to the connector at point W and is indirectly connected to the connector at point R through the cursor T and electrical connector at points J and K. The first working arm 6 is connected to the connector at point N via the electrical connector at points E and F. The first working arm 6 is indirectly connected to the connector at point U through a connection between points M and N, so that energy can also pass through points E and F the electrical connector 74 of the cursor 20. The second

86/88 work is directly connected to the connector at point R when connecting through points G and H.

[000181] Figure 30B illustrates an example of a four-pin connector. The electrosurgical plate 66 is directly connected to the connector at point W. The connector at point U is directly connected to the first working arm through points E and F. The connector at point U also connects directly to the electrode of blade 26 when extended in the point I. The connector at point N is connected to the first working arm at points E and F. The connector at point R is connected to the second working arm through points G and H.

[000182] All numerical values cited here include all values, from the lowest value to the highest value in increments of one unit, as long as there is a separation of at least 2 units between any lower value and any higher value. As an example, if it is stated that the amount of a component or a value of a process variable, such as, for example, temperature, pressure, time and the like, for example, from 1 to 90, preferably from 20 to 80, more preferably 30 to 70, if values such as 15 to 85, 22 to 68, 43 to 51, 30 to 32, etc. are desired. are expressly listed in this specification. For values that are less than one, a unit is considered to be 0.0001, 0.001, 0.01 or 0.1, as appropriate. These are just examples of what is specifically intended, and all possible combinations of numerical values between the lowest value and the highest value listed should be considered as expressly indicated in this patent application in a similar way.

[000183] Unless otherwise stated, all ranges

87/88 includes endpoints and all numbers between endpoints. The use of the term about or approximately in connection with a range applies to both ends of the range. Therefore, about 20 to 30 is intended to cover about 20 to about 30, including at least the specified endpoints.

[000184] Disclosures of all articles and references, including patent applications and publications, are hereby incorporated by reference for all purposes. The term essentially consisting of to describe a combination must include the elements, ingredients, components or steps identified, and such other elements, ingredients, components or steps that do not materially affect the basic and unprecedented characteristics of the combination. The use of the terms comprising or including to describe combinations of elements, ingredients, components or steps here also contemplates achievements that essentially consist of elements, ingredients, components or steps. By the use of the term can in this document, it is intended that any attributes described that can be included are optional.

[000185] Plural of elements, ingredients, components or stages can be provided by a single element, ingredient, component or integrated stage. On the other hand, a single integrated element, ingredient, component or step can be divided into separate plural elements, ingredients, components or steps. The disclosure of one or one to describe an element, ingredient, component or step is not intended to enclose additional elements, ingredients, components or steps.

88/88 [000186] It is understood that the description above is intended to be illustrative and not restrictive. Many achievements as well as many applications in addition to the examples provided will be evident to those skilled in the art after reading the above description. The scope of the instructions should therefore be determined not with reference to the above description, but should preferably be determined with reference to the attached claims, together with the full scope of equivalents to which such claims are entitled. Disclosures of all articles and references, including patent applications and publications, are incorporated by reference for all purposes. The omission in the following claims of any aspect of the subject described in this document is not a waiver of such an issue, nor should it be considered that the inventors did not consider such an issue as part of the inventive subject described.

Claims (15)

1. Electrosurgical apparatus, characterized by the fact that it comprises: The. forceps including: 1. a first working arm; and ii. a second working arm; iii. a housing connecting the first working arm and the second working arm, the housing including: 1. a stationary rigid part, 2. a moving part, and 3. a flexible articulated part that includes one or more articulations located between the stationary rigid part and the movable part to connect, movably, the movable part to the rigid part; B. a blade electrode; the electrosurgical apparatus being able to be switched between a first electrical configuration so that the electrosurgical apparatus develops a first current therapy through the first working arm, the second working arm, or both, and a second electrical configuration so that the electrosurgical apparatus develops a second therapy current through the blade electrode; and one or more joints being a pivot point for rotation on the first working arm and the second working arm. 2. Electrosurgical apparatus, according to claim 1, characterized by the fact that the blade electrode is extensible beyond the first working arm and the second working arm. 3. Electrosurgical apparatus, according to any of the 2/4 claims 1 or 2, characterized in that the housing is two pieces that are connected together. 4. Electrosurgical apparatus according to any one of claims 1 to 3, characterized in that the rigid stationary part is free of movement in relation to the working arms when the working arms are moved over one or more flexible articulated parts. Electrosurgical apparatus according to any one of claims 1 to 4, characterized in that the movable part is movable over one or more joints so that a clamping force, a clamping movement, or both are created. 6. Electrosurgical apparatus according to claim 5, characterized by the fact that only one end of the first working arm and the second working arm extend beyond the movable part of the housing. 7. Electrosurgical apparatus according to any one of claims 1 to 6, characterized in that one or more articulated parts is generally a T-shape. 8. Electrosurgical apparatus according to any one of claims 1 to 7, characterized by the fact that the flexible articulated part of the housing has a cross-section generally C-shaped which provides a housing to surround a body of the forceps, and the movable part has a cross section usually in the form of C. 9. Electrosurgical apparatus according to any of claims 1 to 8, characterized in that the housing allows the first working arm and the second working arm to move relative to each other while providing protection for the first arm of work, 3/4 the second working arm, and a central part of the electrosurgical apparatus. 10. Electrosurgical apparatus, characterized by the fact that it comprises: The. forceps including: i. a first working arm; and 11. a second working arm; iii. a housing having connected the first working arm and the second working arm, the housing including: 1. a stationary rigid part, 2. a moving part, and 3. a flexible articulated part that includes one or more articulations; the electrosurgical apparatus having an electrical configuration so that the electrosurgical apparatus develops a first current therapy through the first working arm, the second working arm, or both; one or more joints being a pivot point for rotation on the first working arm and the second working arm; the moving part covering all or part of the working arms; and the rigid stationary part of the housing, the movable part, or both having a generally C-shaped cross section that provides a casing to surround a forceps body. 11. Electrosurgical apparatus according to claim 10, characterized in that one or more articulated parts is generally a T-shape. 4/4 12. Electrosurgical apparatus, according to claim 10 or claim 11, characterized in that the housing is two pieces that are connected together. 13. Electrosurgical apparatus according to any of claims 10 to 12, characterized in that the movable part is movable over one or more joints so that a clamping force, a clamping movement, or both are created. 14. Electrosurgical apparatus according to any of claims 10 to 13, characterized by the fact that only one end of the first working arm and the second working arm extending beyond the movable part of the housing. 15. Electrosurgical apparatus according to any of claims 10 to 14, characterized in that the housing allows the first working arm and the second working arm to move relative to each other while providing protection for the first arm working area, the second working arm, and a central part of the electrosurgical apparatus.