Importance

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Abstract

An electrosurgical system is disclosed that applies electrical energy to obtain a predetermined surgical effect, while also reducing eschar deposits on a working surface of an electrosurgical instrument, producing an eschar deposit which is easily removed from the working surface and/or facilitating removal of eschar deposits during a cleaning procedure. Such benefits may be realized by providing a negative bias on the working surface relative to a return path to source during electrosurgical procedures and/or during a cleaning procedure which may include contacting the working surface with an electrically conductive liquid. To reduce smoke generation at a surgical site, the electrosurgical instrument may comprise a metal body having an outer insulating layer to reduce thermal/electrical discharge from non-functional portions of the instrument. An insulating layer having a thermal conductance of about 1.2 W/cm.sup.2.degree. K and a dielectric withstand strength of at least about 50 volts may be employed. Such insulating layer may advantageously comprise silicon and/or carbon. The metal body may be provided to have a thermal conductivity of at least about 0.35 W/cm.degree. K, and may advantageously comprise a metal selected from the group: gold, silver, aluminum, and copper. Heat sink means may be included in various embodiments to establish a thermal gradient away from functional portions of the instrument (i.e., by removing heat from the metal body).

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First Claim