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606 - Surgery

606001000 - INSTRUMENTS

606032000 - Electrical application

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Class / Patent application numberDescriptionNumber of patent applications / Date published
606045000 Cutting 264
606049000 coagulation 244
606042000 With switching or power control 76
606043000 Depilation 3
20090125025DC tissue treatment - Disclosed are a method and a device useful for performing cosmetic or medical procedures of an in vivo portion of tissue. The method includes contacting an in vivo portion of tissue with a portion of a pad, substantially saturating the pad with a reactant, contacting the pad with a first electrode so that the first electrode is proximate to the portion of the pad proximate to the in vivo portion of tissue. The method further includes contacting the pad with a second electrode so as to provide an electrical path between the first electrode and the second electrode through the reactant, passing a DC voltage through a circuit including the first electrode, the reactant and the second electrode, thereby forming at least one of: an electrolytic effect, and an electrolytic product of the reactant, proximate to the first electrode.05-14-2009
20100217263AUTOMATED HAIR REMOVAL DEVICE - An automated hair removal system is provided. The system includes a handheld device having an electric motor for rotating an attachment holder, the attachment holder including a head attachment mechanism for receiving an attachment head. The system further includes an attachment head having a contact surface configured for skin contact, the attachment head further having a holder attachment mechanism for detachably attaching the attachment head to the attachment holder. Rotation of the attachment holder by the electric motor causes rotation of the attachment head and the contact surface, and wherein rotation of the contact surface upon placement against the skin essentially in parallel to the skin and transverse to hair thereon, removes hair from the skin by tapering and weakening the structure of the hair.08-26-2010
20080208190HAIR REMOVAL APPARATUS - A hair removal apparatus includes a plurality of plucking rollers configured to rotate on respective roller shafts which extend generally parallel to a skin surface during epilation, each plucking roller having tweezing mechanisms for grasping hairs, and a driving device for turning each plucking roller on a rotary axis which is kept generally perpendicular to the skin surface. The driving device turns each of the plucking rollers in such a way that the rotary axis thereof assess approximately a central point of the relevant plucking roller.08-28-2008
Entries
DocumentTitleDate
20110184406CATHETER HAVING A FORCE SENSING DISTAL TIP - A mapping and ablation catheter with contact force sensing capabilities at a distal end, includes a catheter body, a deflectable section, and a tip distal section which has a tip electrode and a contact force sensor for sensing a 3D contact force vector applied to the tip electrode. In contact with the tip electrode, the contact force sensor has a body and has at least one sensor with an electrical characteristic that is responsive to deformation of the body resulting from force vector. The sensor is adapted to receive an electrical current and to output an electrical signal indicative of a change in the electrical characteristic. In one embodiment, the sensor is a strain gage responsive to tension and compression of at least a portion of the body of the force sensor and the electrical characteristic of the strain gage that is monitored is electrical resistivity. In another embodiment, the sensor is responsive to strain and stress of at least a portion of the body, and the electrical characteristic being monitored is inductance or hysteresis loss.07-28-2011
20130030430INTRACARDIAC TOOLS AND METHODS FOR DELIVERY OF ELECTROPORATION THERAPIES - A medical system, including a medical device having a plurality of deployable arms, and at least one electrode on at least one of the plurality of arms; and an electric signal generator in communication with the medical device, the electric signal generator programmed to deliver pulsed energy to the medical device sufficient to induce irreversible electroporation ablation.01-31-2013
20130030431SHOCK WAVE BALLOON CATHETER SYSTEM WITH OFF CENTER SHOCK WAVE GENERATOR - A catheter comprises an elongated carrier and a balloon about the carrier in sealed relation thereto. The balloon is arranged to receive a fluid therein that inflates the balloon and has an inner surface. The catheter further includes a shock wave generator asymmetrically located within the balloon with respect to the inner surface of the balloon that forms a mechanical shock wave within the balloon. Because the shock wave generator is asymmetrically located within the balloon with respect to the inner surface of the balloon, each shock wave will impact the inner surface of the balloon in a non-uniform manner to prevent the hoop stress of the balloon from being exceeded.01-31-2013
20090125021SURGICAL VAPORIZATION ELECTRODE WITH AN ELECTRODE HEAD - A surgical vaporization electrode (05-14-2009
20120172872Pair of endocardial and epicardial catheters, catheter and method for positioning electrodes on a cardiac wall and method for the ablation of cardiac muscle tissue - The ablation of tissue in a cardiac wall is performed by introducing an endocardial catheter into the interior of a heart and an epicardial catheter is placed on the cardiac wall. With the aid of an electromagnet and a counter-element, which can be permanently magnetized or can also be an electromagnet, the two catheters are mutually attracted in such a way that electrodes come into contact with opposite sides of the cardiac wall such that the electrodes are optimally positioned. The use of a catheter with a plurality of such electrodes in a row enables the removal of whole lines of destroyed cardiac wall tissue by ablation.07-05-2012
20100087812ELECTROSURGICAL SYSTEM AND METHOD FOR STERILIZING CHRONIC WOUND TISSUE - An electrosurgical method for sterilizing chronic wound tissue, comprising: positioning an active electrode in proximity to the chronic wound tissue; delivering an electrically conductive fluid proximate the active electrode; and applying a high frequency voltage between the active electrode and a return electrode in the presence of the electrically conductive liquid sufficient to generate an ionized vapor layer at the active electrode, wherein the ionized vapor layer sterilizes at least a portion of the chronic wound tissue.04-08-2010
20090149850Localization Element with Energized Tip - This invention is an improved tissue-localizing device with an electrically energized locator element for fixedly yet removably marking a volume of tissue containing a suspect region for excision. The electrical energizing of the locator element facilitates the penetration of the locator element in to subjects tissue and minimizes resistance due to dense or calcified tissues. At least one locator element is deployed into tissue and assumes a predetermined curvilinear shape to define a tissue border containing a suspect tissue region along a path. Multiple locator elements may be deployed to further define the tissue volume along additional paths defining the tissue volume border that do not penetrate the volume. Delivery of electric cut-rent may be achieved through monopolar or bipolar electronic configuration depending on design needs. Various energy sources, e.g., radio frequency, microwave or ultrasound, may be implemented in this energized tissue-localizing device.06-11-2009
20100016851CARDIAC ABLATION DEVICES AND METHODS - Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.01-21-2010
20130085494LAPAROSCOPIC DEVICE WITH THREE JAWS - Methods and devices are provided utilizing an end effector having three jaws movably coupled thereto for grasping and/or dissecting tissue. In one embodiment, each of the three jaws are movable between an open position in which the distal ends of the three jaws are spaced apart from one another, and a closed position in which the distal ends directly contact one another. The jaws can define an opening therebetween when the jaws are in the closed position.04-04-2013
20130085491Surgical Instrument Shafts and Methods of Manufacturing Shafts for Surgical Instruments - A surgical instrument includes a shaft formed via extrusion. The shaft has one or more lumens extending therethrough. The lumen(s) each define a cross-sectional configuration. An end effector assembly is coupled to a distal end of the shaft. One or more components are coupled to the end effector assembly. The component(s) extend proximally from the end effector into the lumen(s) of the shaft. One or more of the components is formed via stamping. The component(s) define a cross-sectional configuration substantially complementary to the cross-section configuration of the lumen into which they extend.04-04-2013
20100152730MUCOSAL TISSUE DRESSING AND METHOD OF USE - A method and apparatus for reducing or eliminating pain after surgical procedures related to mucosal tissue, including tonsillectomy, adenoidectomy, or other pharyngeal operations. Certain embodiments provide a biodegradable film or covering that serves as a mechanical barrier to reduce pain caused, for example, by friction between solid food and healing tissue in the first few days after surgery. Some embodiments include a method for increasing the adhesion between tissue and the film or covering.06-17-2010
20100152728METHOD AND APPARATUS FOR DETERMINING THE EFFICACY OF A LESION - A method and apparatus are provided for assessing the degree of electrical signal blockage, or transmurality, of a line of ablation in which at least a first electrode adapted to deliver an electrical impulse is located on the first or one side of a line of ablation; and at least a second and a third electrode adapted to detect an electrical impulse are located on the second side of the line of ablation generally opposite to the first electrode. Each electrode may also be made up of more than one electrode, such as an electrode pair, to better assure reliability and tissue contact. Once the electrodes are located in contact with the tissue in question, an electrical impulse is delivered to the target tissue by the first electrode and detected by the second and third electrodes. Depending upon whether the line of ablation allows passage of electrical pulses, the second and third electrodes will detect the electrical impulse sequentially, with the order and/or timing of detection depending upon whether the electrical signal is able to directly cross the line of ablation or has to travel around the line of ablation to reach the second and third electrodes.06-17-2010
20080306477ATRIAL ABLATION CATHETER AND METHOD OF USE - An atrial ablation catheter and methods for its use. The endocardial catheter includes an electrode array particularly adapted to locate and ablate foci of arrhythmia which are required for sustained atrial fibrillation is provided. The array is easily deployed and retracted from the catheter, and presents a distally oriented electrode array that can be pressed against the wall of the atrium.12-11-2008
20100082027Frequency specific micocurrent for treatment of dental indications - Protocols are provided for the use of frequency specific microcurrent in conjunction with dental or orthodontic procedures to treat or prevent inflammation induced complications. Specific protocols are disclosed for use in conjunction with gingival surgery and chronic periodontitis, implant/osseous periodontal surgery, general post operative trauma, pulpal trauma, pulpal inflammation, root canal post op, chronic osteonecrosis, osteonecrosis surgery post op, orthodontic pain prevention, and orthodontic mid-adjustment procedures.04-01-2010
20100049189DEVICE AND METHOD FOR TREATING ANNULAR ORGAN STRUCTURE - System and method for repairing an annular organ structure such as heart valve including valve leaflet, chordae tendinae, papillary muscles and the like. Provides a deployable structure in the form of a plurality of tissue-contactor members with integrated tissue-shrinkable energy-emitting elements. Said plurality of tissue-contactor members in a deployed state having a configuration of radially expanded middle region suitable for contacting the inner wall of an annular organ structure for effectively applying tissue-shrinkable energy site-specifically. May be deployed into the heart using a minimally invasive surgical procedure. Reshaping collagen-rich tissue through the emission or generation of heat or radiation, modifying the tissue through the process of denaturation. Configuration of deployable structures at distal section of system enables method of treatment of an annular organ structure without an interruption of flow of blood or bodily fluid through the valvular annulus.02-25-2010
20100076425UROLOGICAL BALLOON CATHETER - A urological balloon catheter has electrodes in a region of its shaft proximally adjoining the balloon, which electrodes lie uncovered on the outer surface of the shaft and can be connected to a high-frequency generator via lines which run through the shaft in the proximal direction.03-25-2010
20120245582ENERGY-BASED SCISSORS DEVICE - An energy-based surgical instrument is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The scissors grip instrument provides for tube-in-tube construction so the device is useful for both open and minimally invasive procedures. The assembly includes a clamping mechanism, including a clamp arm and/or housing which are specifically configured to create a desired level of tissue clamping forces.09-27-2012
20130085493Electrosurgical Balloons - An electrosurgical balloon includes an inflatable balloon body formed of a non-conductive substrate material. One or more electrodes are disposed on an exterior surface of the balloon body. The electrodes can include a pair of bipolar electrodes, and the balloon body can have at least one fluid outlet hole configured to provide fluid to the pair of bipolar electrodes. A second inflatable balloon body can be disposed inside the first inflatable balloon body. The electrosurgical balloon can be incorporated into a catheter assembly, in which the electrosurgical balloon is a balloon electrode tip at a distal end of a catheter.04-04-2013
20130085495METHODS AND APPARATUS FOR FOCUSED BIPOLAR TISSUE ABLATION USING AN INSULATED SHAFT - A tissue ablation probe is provided. The probe comprises a proximal electrode element, which includes a proximal electrode stem and a deployable proximal electrode array, and a distal electrode element, which includes a distal electrode stem and a deployable distal electrode array. The probe is configured, such that a majority of electrical energy conveyed between the proximal and distal electrode elements is conveyed between distal termini of the electrode arrays, whereas a relatively small amount of the electrical energy is conveyed between the electrode stems. One or more of the electrodes on the arrays may be optionally insulated to further enhance the electrical characteristics of the arrays.04-04-2013
20130079770IRE GUIDANCE COLLAR - An IRE guidance collar assembly used to support an IRE needle or other ablation-type devices, comprising a guidance collar eye component and a guidance collar tube component. The collar eye component is movable, and slides freely along the guidance collar tube. This provide rigidity to the IRE needle while allowing various depths of insertion. The IRE needle body is seated in the receiving end of the guidance collar tube, with the needle inserted into and through the tube end of the guidance collar tube. One end of the guidance collar eye component snaps onto and fits over the tube end of the guidance collar tube, while the other end has a needle holder through which the IRE needle is inserted. The collar eye end slides along the tube end of the guidance collar tube, moving the needle holder of the collar end close to or away from the end of the guidance collar tube, as desired.03-28-2013
20100036377Planar Electrode - A planar electrode includes two equally sized electrode surfaces, electrically separated along a linear insulation zone, which adjoins directly along an inner edge portion. The two equally sized electrode surfaces include, respectively, a band-shaped extension section, which encloses said other electrode surface along its outer edge portion and thereby is separated by said extended insulation zone from said respectively enclosed electrode surface.02-11-2010
20130085492ELECTROPHYSIOLOGY CATHETER HANDLE HAVING ACCESSIBLE INTERIOR - A catheter for the treatment of tissue, particularly for the treatment of cardiac tissue to alleviate cardiac arrhythmias includes a handle housing a combination of steering components, electronic circuitry and/or infusion tubing. An interior notch in the handle around a circumference of the handle perpendicular to the longitudinal axis of the handle provides a means for access to the sealed handle in case a repair to the interior components is necessary during manufacture or reprocessing. The circumferential frangible connection of the two halves of the handle provides access without the use of cutting or drilling devices that could damage the interior components.04-04-2013
20130035684Laser Treatment of Tissues at Wavelengths above 1330 nm - A medical laser system is disclosed for ablation/resection/coagulation of unwanted tissue, including parenchymal lung resection to facilitate/accelerate growth/wound healing. System comprises laser energy sources and conveying means, optical fiber. A diode laser source emits above 1330 nm, at least 50 Watts, through an optical fiber onto target tissue. Wavelength, 1340 nm is preferred. Wavelength ranges 1330-1390 nm and 1450-1550 nm, are also useful. Additionally a wavelength, between 800-1100 nm, can be used. Wavelength differences maximize beam quality. Two radiation sources emit simultaneously from fiber's distal end. One emits at ˜1320 nm and the other emits at ˜1340 nm or ˜1360 nm with maximum total output power of 60 W or larger. Preferably, the ratio of the power levels is fixed at 1:1.5 and output power is the sum of individual lasers. High beam quality and power density system combines emissions from a diode laser and a fiber laser.02-07-2013
20130035686SYSTEMS AND METHODS FOR REDUCTION OF ATRIAL FIBRILLATION - Embodiments of the present invention are directed to ablation catheter systems configured, for example, to ablate tissue adjacent an ostium of the pulmonary vein in a left atria of a heart. In one embodiment, an ablation catheter system includes a handle including an actuator and a catheter coupled to the handle defining a lumen extending through a length of the catheter, the catheter including a tip portion at a distal end thereof. The ablation catheter system may also include an electrode coupled to the handle with lines extending through the lumen of the catheter, the electrode being configured to be constrained within the tip portion of the catheter and configured to be deployed from the tip portion and self expand to an expanded configuration. With this arrangement, the electrode is configured to self expand to a conical configuration with a tip portion configured to be disposed within the pulmonary vein.02-07-2013
20130035685TISSUE FUSION INSTRUMENT, IN PARTICULAR A TISSUE FUSION FORCEPS - A tissue fusion instrument having electrodes that are only connected in a punctiform manner to their electrode carrier such that they are electrically conducting and thus, heat-conducting. As a result, heat transfer from the electrode to the respective electrode carrier is restricted. This, on one hand, benefits the desired surgical outcome and, on the other hand, prevents parasitic heating of the surgical instrument and concomitant damage to surrounding tissue.02-07-2013
20130079769ELECTROSURGICAL INSTRUMENT ASSEMBLY - A method of assembling an electrosurgical instrument (03-28-2013
20100042098SYSTEMS AND METHODS FOR CREATING A LESION USING TRANSJUGULAR APPROACH - A method of treating a tissue region includes inserting a flexible sheath within a vessel, the vessel leading to a tissue region, placing a distal end of the sheath through a wall of the vessel to thereby position the distal end is at or adjacent the tissue region, deploying a plurality of electrodes from the distal end of the sheath such that tips of the deployed electrodes approximately face towards a proximal end, and delivering energy to the tissue region using the deployed electrodes.02-18-2010
20100042096MIS electrosurgical handpiece - An electrosurgical handpiece comprising a squeezable handle connected to extend and retract bipolar electrodes from a rigid tubular member. The bipolar electrodes comprise active separable distal ends and connecting links configured such that when the handle is unsqueezed, the active distal ends protrude from the distal end of the first tubular member and are adjacent one another, and when the handle is fully squeezed, the active distal ends are fully extended outwardly from the first tubular member and separate, and when the handle is relaxed but still partially squeezed, the active distal ends come together and touch first at their extreme ends and then touch over a broader area in a position to grasp tissue for receiving electrosurgical currents.02-18-2010
20100042095SYSTEMS AND METHODS FOR SCREEN ELECTRODE SECUREMENT - Systems and methods for securing a screen-type active electrode to the distal tip of an electrosurgical device used for selectively applying electrical energy to a target location within or on a patient's body. A securing electrode is disposed through the screen electrode and mechanically joined to an insulative support body while also creating an electrical connection and mechanical enagement with the screen electrode. The electrosurgical device and related methods are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The present methods and systems are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.02-18-2010
20090157076DEVICES AND SYSTEMS FOR MINIMALLY INVASIVE SURGICAL PROCEDURES - A system for minimally invasive medical procedures includes an elongate tubular access cannula comprising an elongate tubular member having a rigid proximal portion and an articulating portion. The tubular member has a first branch and a tubular bifurcation extending from the first branch, allowing simultaneous use of multiple instruments. A dissector suitable for use with the access cannula, or other access devices, for implantation of gastric bands or for other procedures includes a pre-curved distal portion having a dissection element such as a monopolar RF conductor and/or a dissection balloon, as well as a snare. In one method, the dissector is advanced around the posterior side of the stomach to form a tunnel in the connective tissue, and the snare is then extended from the dissector to engage a portion of the band and withdraw it through the tunnel.06-18-2009
20100106157MEDICAL MANIPULATION APPARATUS - An active mechanism control apparatus includes a state detecting section which detects an output state of energy supplied to an energy treatment instrument by a status signal from an energy output apparatus. The state detecting section controls an energy output device, an active endoscope control section and an active treatment instrument control section based on the output state of the energy to the energy treatment instrument.04-29-2010
20100106156APPARATUS FOR TREATING VENOUS INSUFFICIENCY - A catheter delivers an electrode within a vein for a minimally invasive treatment of varicose veins and venous insufficiency using RF energy. The catheter is introduced into a patient and positioned within the section of the vein to be treated. The electrode radiates high frequency energy towards the vein, and the surrounding venous tissue becomes heated and begins to shrink. The catheter includes a controllable member for limiting the amount of shrinkage of the vein to the diameter of the member. The electrode remains active until there has been sufficient shrinkage of the vein. The extent of shrinkage of the vein may be detected by fluoroscopy. After treating one section of the vein, the catheter and the electrode can be repositioned intraluminally within the vein to treat different sections of the vein until all desired venous sections and valves are repaired and rendered functionally competent.04-29-2010
20100106155ABLATION CATHETER - An ablation catheter 04-29-2010
20100106154Tracking System Using Field Mapping - In some aspects, a method includes (i) securing multiple sets of current injecting electrodes to an organ in a patient's body, (ii) causing current to flow among the multiple sets of current injecting electrodes to generate a field in the organ, (iii) in response to current flow caused by the multiple sets of current injecting electrodes, measuring the field at each of one or more additional electrodes, (iv) determining expected signal measurements of the field inside the organ using a pre-determined model of the field, and (v) determining a position of each of the one or more additional electrodes in the organ based on the measurements made by the additional electrodes and the determined expected signal measurements of the field.04-29-2010
20100331834Ablation Probe Fixation - An ablation probe fixation apparatus for securing an ablation probe to tissue is disclosed. The ablation probe fixation apparatus includes a base having a top surface and a skin-contacting bottom surface, wherein the base includes an adhesive layer disposed on the skin-contacting bottom surface. The fixation apparatus also includes a fixation member coupled to the top surface of the base. The base and the fixation member include an aperture defined therein for insertion of the ablation probe therethrough.12-30-2010
20100087813ELECTROPORATION ABLATION APPARATUS, SYSTEM, AND METHOD - A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member comprising first and second channels. First and second probes are disposed within the respective first and second channels, where the first and second probes each define a central axis. First and second electrodes are coupled to distal ends of the respective first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the central axis of the at least one of the first and second probes.04-08-2010
20120184956APPARATUS AND METHOD FOR STABILIZING A NEEDLE - Apparatus and methods for use in an image-guided interventional procedure are described herein. In one embodiment, an apparatus includes a base configured to be releasably coupled to a patient's skin. A support portion extends from the base at an angle transverse to a longitudinal axis defined by the base. The support portion has a first end portion and a second end portion. The first end portion is disposed adjacent the base. A holder portion extends from the second end portion of the support portion. The holder portion defines an opening and is configured to be moved between a first configuration in which the opening defined by the holder portion has a first size and is configured to movably receive an interventional tool therethrough, and a second configuration in which the opening defined by the holder portion has a second size different than the first size.07-19-2012
20120184955Remotely Controlled Catheter Insertion System with Automatic Control System - A system for remotely controlling the positioning within the body of a patient of an elongated medical device optionally having a control handle, comprises a catheter position system and a remote controller configured to control the robotic device. The catheter position system includes a handle controller; a sled member coupled to the handle controller, the sled member being configured to position the medical device within the body of the patient; and a sled base configured to advance the sled member towards the body of a patient, the sled bed being coupled to a sterile barrier effective to maintain sterility inside the sled base. The catheter position system may include a control system configured to issue positioning commands in response to sensor signals received from the catheter. The catheter position system may also include a motor driven rotatable catheter introducer clamp configured to enable rotation of an introducer.07-19-2012
20120184954ENDOSCOPIC TREATMENT INSTRUMENT AND TISSUE INCISION METHOD - An endoscopic treatment instrument according to the present invention includes: a flexible catheter inserted through a channel in an endoscope; a conductive electrode capable of freely extending and retracting through the catheter; and an insulator extending a retracting together with the electrode relative to the catheter so that the insulator isolates not the distal end portion of the electrode but the rest of the electrode protruding from the catheter.07-19-2012
20120184953SYSTEMS, DEVICES AND METHODS FOR TREATING THE HEART WITH ABLATION07-19-2012
20120184952LOW-PROFILE OFF-WALL ELECTRODE DEVICE FOR RENAL NERVE ABLATION - A catheter includes at least one electrode provided at its distal end. A spacing structure, provided at the catheter's distal end and encompassing the electrode, is transformable between a low-profile introduction configuration and a larger-profile deployed configuration, and maintains space between the electrode and a wall of a renal artery when electrical energy sufficient to ablate perivascular renal nerve tissue adjacent the renal artery is delivered by the electrode. The spacing structure may comprise perforations allowing for passage of arterial blood therethrough and transport of high frequency alternating current from the electrode to the perivascular renal nerve tissue via the blood, with no or negligible thermal injury to the artery wall. An ablation catheter with an electrode encompassed spacing structure can be deployed in each renal artery to deliver bipolar RF energy for ablating perivascular renal nerve tissue and ganglia near the aortorenal junctions.07-19-2012
20090125020Device and Method for Providing Power to Lighting Elements for Use as a Visual Indicator in a Medical Probe - A lighting device for use as a visual indicator in a medical probe is provided. The lighting device includes one or more light emitting elements that are used as a visual status indicator for the medical probe, and a driver circuit that receiving current from a power source and drives the light emitting elements. The driver circuit includes a current sensor to sense a current flowing through the light emitting elements, and a shut off switch. The shut off switch shuts off the power source current from the light emitting elements based on the sensed current from the current sensor.05-14-2009
20090125019Articulatable Device for Delivering Therapeutic Energy to Tissue - A device for delivering therapeutic energy to tissue is provided. The device includes a proximal segment and a distal segment having one or more electrodes for delivering the therapeutic energy to the tissue. An articulating segment connects the proximal segment and the distal segment such that the distal segment is articulatable with respect to a longitudinal axis of the proximal segment. In one aspect of the invention, the articulating segment includes a living hinge. In another aspect of the invention, at least one electrically conductive articulating cable runs along the articulating segment, wherein the articulating cable is used both to articulate the distal segment and to deliver the therapeutic energy to the one or more electrodes.05-14-2009
20090125018Heat Treatment System For Pelvic Support Tissue - Noninvasive methods for therapeutically heating a collagenous target tissue of a pelvic support system to a desired temperature range are provided. Energy can be delivered to the target tissue via an applicator device having a plurality of spaced electrodes. The spaced electrodes are selectively activated in accordance with treatment groupings defined by input parameters generally associated with “standard” or “short” treatment modes. These treatment modes can correspond to the urethral length of the target tissue.05-14-2009
20090125016IRRIGATED ABLATION ELECTRODE HAVING PROXIMAL DIRECTION FLOW - The present invention relates to improved ablation electrodes and catheter assemblies, as well as methods useful in conjunction with irrigated ablation catheters. Embodiments of the present invention further relate to an irrigated catheter having irrigation fluid directed at target areas where coagulation is more likely to occur to help minimize blood coagulation and the associated problems. The present invention further relates to an ablation electrode having an outer body with a proximal portion and a distal portion an inner cavity and at least one passageway that extends to an opening on the outer surface of the electrode, wherein the passageway is directed towards the proximal portion and/or proximal end of the electrode forming an acute angle with a longitudinal axis of the electrode.05-14-2009
20120165813RADIO FREQUENCY ABLATION DEVICE FOR THE DESTRUCTION OF TISSUE MASSES - The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula.06-28-2012
20120165808Pulsed power laser actuated catheter system for interventional oncology - Apparatus for delivering fast rising, brief pulsed electric fields of pre-determined duration into a catheter. Electrical current pulses of pre-determined duration and associated with cancer treatment using fiber coupled laser, switch, pre-charged transmission line and integrated catheter delivery system. The apparatus comprises a first stage pre-charged transmission line, fiber coupled to a short-pulse laser triggering a high voltage semiconductor switch with approximately 500 Amperes of photocurrent. The output of this first stage drives a second stage transmission line delivering up to approximately 2 Megawatts pulsed power into the catheter. The output of the second stage drives the final stage or catheter tip containing an electric field shaping functioning to treat cancerous tumors.06-28-2012
20130046298STEERABLE CATHETERS AND METHODS FOR MAKING THEM - Apparatus are provided for performing a procedure within a patient's body that include a tubular member including proximal and distal ends, a central axis or region extending therebetween, and a distal portion extending distally from an intermediate portion to the distal end. One or more accessory lumens and a steering element lumen extend between the proximal and distal ends, the steering element lumen offset from the central region within the distal portion such that a steering plane intersects the steering element lumen and the central axis. The distal portion includes a core member extending between the intermediate portion and the distal end, and stabilization elements embedded in the core member adjacent the accessory lumen and defining a stabilization plane that intersects the steering plane at a location offset from the central region, e.g., closer to the accessory lumen than the steering element lumen.02-21-2013
20130046300Ablation Cap - An ablation cap and a method of delivering energy to a tissue are provided. An ablation cap includes a tubular body having a proximal portion, a distal portion, a lumen extending therethrough. The ablation cap also includes a cover portion covering a portion of the tubular body, the covering portion having a region at least partially spaced apart from the tubular body and an electrode portion movably positionable relative to the cover portion. The electrode portion has a covered position where the electrode portion is positioned within the cover portion and an exposed position where the electrode portion is exposed relative to the cover portion. The proximal portion of the body is sized and shaped to fit on a distal end of an endoscope and the distal portion of the body extends distal to the distal end of the endoscope.02-21-2013
20130046297Medical Device Handles and Related Methods of Use - A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states.02-21-2013
20130046296METHODS AND DEVICES FOR ABLATION OF TISSUE - Various apparatus and methods for ablating tissue are described therein. In certain variations, a method for ablating tissue may include advancing one or more electrodes, e.g., a first electrode and a second electrode, to or near a target tissue in a subject. The electrodes may be energized such that the electrodes create a plasma arc. The plasma arc generates heat which desiccates or ablates the target tissue. An apparatus for ablating tissue may include an elongate instrument, e.g., a tube or rod. One or more electrodes, e.g., a first electrode and a second electrode, may be provided in the elongate instrument. The electrodes may be energized such that the electrodes create a plasma arc for generating heat to desiccate or ablate a target tissue.02-21-2013
20130046295Surgical Instruments With Removable Components - A surgical instrument includes a handle coupled to a source of electrosurgical energy. A pair of opposed jaw members is operatively coupled to a distal end of the handle such that the jaw members selectively move between open and closed positions. A base supported on one of the jaw members includes a mechanical mating feature and an electrically conductive region in electrical communication with the source of electrosurgical energy. A selectively removable seal plate includes a complementarily engaging a mechanical mating feature and an electrically conductive region positioned to contact the electrically conductive region of the base when the mechanical mating features of the base and seal plate are engaged. The complimentarily-engaging mechanical mating features include a pair of spaced protrusions and a pair of spaced recesses open to opposing sides of the base or the seal plate such that the seal plate may be twisted onto the base.02-21-2013
20130046301SYSTEMS AND METHODS EMPLOYING A BITE BLOCK INSERT FOR POSITIONING AND STABILIZING EXTERNAL INSTRUMENTS DEPLOYED WITHIN THE BODY - Systems and methods are provided for positioning and stabilizing an external instrument during insertion of the instrument through the oral cavity (e.g., insertion of a catheter through the oral cavity and into the esophagus or cardia for treatment of gastroesophageal reflux disease (GERD)). The systems and methods provide a gripping tool for association with a bite block, capable of selectively moving between an open position in which the instrument may be inserted or removed, and a closed position in which the external instrument is held in a fixed position.02-21-2013
20130046299INTELLIGENT ELECTROSURGICAL ELECTRODE AND TRACKING SYSTEM - An intelligent electrode device for monitoring use of an electrosurgical electrode. An example intelligent electrode includes an electrosurgical electrode (monopolar or bipolar), and a tracking element to communicate electrode parameters to an RF generator or other controller and track the use of the electrosurgical electrode. A shroud houses the electrosurgical electrode and the tracking element. A mechanical interconnect attaches the shroud to a pen. An electrical connector provides electrical power from the pen to the electrosurgical electrode.02-21-2013
20090043301MONOPOLAR ENERGY DELIVERY DEVICES AND METHODS FOR CONTROLLING CURRENT DENSITY IN TISSUE - Devices, systems and methods for providing energy to treat large areas of tissue. Several embodiments of the devices control resistance or other parameters to provide substantially uniform current density along a length of tissue with reduced edge effects.02-12-2009
20080208188Probes For Electrical Current Therapy of Tissue, and Methods of Using Same - Disclosed herein are probes for use in delivering electrical current therapy to a target tissue. In specifically exemplified embodiments, the probes comprise a base comprised of a degradable material so as to prevent the potentially dangerous reuse of the probes. Also disclosed is a surgical tool for use in rectal examination and surgical removal of hemorrhoid tissue. The tool includes an anoscope having a somewhat conical shape wherein the proximal end is larger in diameter than the distal end. The anoscope has a first slot near the proximal end and a second slot near the distal end. An obturator is included that also has a somewhat conical shape. The obturator is smaller in diameter than the anoscope so that it will easily fit within the anoscope. A cylindrical shaped light cover is included as well, which is adapted to engage the first slot of the anoscope. The light cover further includes a receptacle and a lens in its distal end which receives a light.08-28-2008
20110009862ABLATION PROBE WITH ECHOGENIC INSULATIVE SHEATH - Tissue ablation probes are provided. Each tissue ablation probe comprises an electrically conductive probe shaft, at least one tissue ablation electrode carried by a distal end of the probe shaft, and an electrically insulative outer sheath disposed on the probe shaft. The sheath is at least partially composed of polyether ether ketone (PEEK) and another material comprising condensed-phase particles interspersed throughout the PEEK to increase the echogenicity of the outer sheath. The durability of the PEEK allows the sheath to be formed as thinly as possible, thereby minimizing the diameter of the ablation probe, while the inclusion of condensed-phase particles within the PEEK does not significantly degrade the durability of the sheath.01-13-2011
20110009860Apparatus and Method for Reducing Subcutaneous Fat Deposits, Virtual Face Lift and Body Sculpturing by Electroporation - An apparatus and method for performing non-invasive treatment of the human face and body by electroporation in lieu of cosmetic surgery is provided. The apparatus comprises a high voltage pulse generator and an applicator having two or more electrodes in close mechanical and electrical contact with the patient's skin for applying the pulses to the patient's skin. The applicator may consist of two pieces with one electrode having a sharp tip and another having a flat surface. High voltage pulses delivered to the electrodes create at the tip of the sharp electrode an electric field high enough to cause death of relatively large subcutaneous fat cells by electroporation. Moving the electrode tip along the skin creates a line of necrotic subcutaneous fat cells, which later are metabolized by the body. Multiple applications of the electrode along predetermined lines on the face or neck create shrinkage of the skin and the subcutaneous fat volume underlying the treated area.01-13-2011
20090306656Therapy apparatus for thermal sclerosing of body tissue - The application arrangement according to the invention for applying a high frequency current for thermal sclerosing of body tissue, includes: 12-10-2009
20090306655CATHETER ASSEMBLY WITH FRONT-LOADED TIP AND MULTI-CONTACT CONNECTOR - The invention is directed to a catheter suitable for medical procedures such as cardiac ablation. The catheter includes a front-loaded catheter tip with an electrically active element. The catheter can include an elongate catheter shaft assembly having an inner shaft member with a distal end and a proximal end, and an outer shaft member with a distal end, a proximal end, and a lumen between the distal end and the proximal end. The inner shaft member can be inserted into the lumen of the outer shaft member along a longitudinal direction. The inner shaft member can include, at the distal end, a catheter tip member having a lateral dimension that is larger than a lateral dimension of the lumen of the outer shaft member. The catheter tip member includes at least one electrically active element, and the proximal end of the inner shaft member has at least one electrode disposed on the external surface of the shaft member, such that when inserted into a handle, the electrode electrically contacts an electrical connector element.12-10-2009
20090306653ELECTRODE SHEATH FOR A CATHETER - An electrode sheath (12-10-2009
20090306652Ablation Needle Guide - The present disclosure relates to systems and devices for positioning and placing multiple electrodes in a target surgical site. A guide block is disclosed which introduces electrodes into target tissue and includes an elongated, generally rectilinear bar having a plurality of slots defined therethrough. Each of the slots is configured to selectively receive and retain a corresponding electrode therein. The rectilinear bar is malleable and selectively bendable from a substantially linear configuration to a substantially curved configuration to facilitate positioning the guide block relative to target tissue.12-10-2009
20090306651CATHETER ASSEMBLY WITH FRONT-LOADED TIP - The invention is directed to a catheter suitable for medical procedures such as cardiac ablation. The catheter includes a front-loaded catheter tip with an electrically active element. In an embodiment, a catheter includes an elongate catheter shaft assembly having an inner shaft member with a distal end and a proximal end, and an outer shaft member with a distal end, a proximal end, and a lumen between the distal end and the proximal end. The inner shaft member may be inserted into the lumen of the outer shaft member along a longitudinal direction. The inner shaft member may include, at the distal end, a catheter tip member having a lateral dimension that is larger than a lateral dimension of the lumen of the outer shaft member. The catheter tip member may include at least one electrically active element.12-10-2009
20090306650CATHETER WITH BENDABLE TIP - A medical probe includes a flexible insertion tube, having a distal end for insertion into a body cavity of a patient, and a distal tip, which is disposed at the distal end of the insertion tube and is configured to be brought into contact with tissue in the body cavity. A coupling member couples the distal tip to the distal end of the insertion tube and includes a tubular piece of an elastic material having a helical cut therethrough along a portion of a length of the piece.12-10-2009
20090306649IRRIGATED CATHETER WITH IMPROVED IRRIGATION FLOW - An irrigated ablation catheter provides improved distribution of irrigation fluid across its tip electrode surface resulting in improved cooling and flushing of blood and proteins from the tip region. An axially directed flow of irrigation provides improved heat transfer from the tip electrode to the irrigation fluid allowing for a cooler tip electrode and larger lesions. The irrigation fluid is introduced to the catheter with improved flow by means of a standard constant flow pump. A lumen or tube within a shaft of the catheter transfers the irrigation fluid to a proximal end of the tip electrode where it exits the catheter via a flow directing member mounted on the tip electrode. In one embodiment, the flow directing member is a thin walled tube that surrounds the proximal end of the tip electrode and directs the irrigation fluid distally along an outer surface of the tip electrode.12-10-2009
20090306654DEVICE AND METHOD FOR THE CONTROLLED THERMAL ABLATION OF TUMORS BY MEANS OF HIGH-FREQUENCY ELECTROMAGNETIC ENERGY - A device for the thermal ablation (TA) by means of high frequency electromagnetic energy comprising a hollow element (12-10-2009
20120221001Magnetically guided catheters - A magnetically-guided catheter 08-30-2012
20090093811COOLED ABLATION CATHETER DEVICES AND METHODS OF USE - Discloses herein are ablative catheters and methods of use. The catheters can include a cooling chamber for circulating cooling fluid within the catheter tip to reduce hot spots within the catheter tip and/or to reduce the formation of coagulum. A proximal cooling chamber can be positioned proximally to a thermal mass for cooling a proximal portion of the catheter. In addition, or alternatively, a distal cooling chamber can be positioned for cooling a distal portion of the catheter tip. The cooling fluid can flow the ablative catheter in an open, closed, or open and closed loop.04-09-2009
20090093808PARTIAL (NON-APICAL) PROSTATE ABLATION PROCEDURE AND DEVICE - A device and procedure for performing partial non-apical transurethral ablation of the prostate. The device includes a first conductor member reciprocably extending from a distal end of a sheath, a cap disposed at the distal end of the first conductor member, at least two nonconducting members interconnecting the cap and the distal end of the sheath, and multiple flexible conductor members distally extending from the distal end of the sheath, along the first conductor member, and interconnected with the distal end of the first conductor member. The device is operable to expand the nonconducting members and the flexible conductor members to perform ablation of a lower region of the prostatic urethra while an upper (apex) region of the prostatic urethra is held apart from the lower region by the nonconducting members so that the upper (apex) region does not undergo ablation.04-09-2009
20130072927Electrosurgical Instrument - An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly includes a pair of first and second jaw members pivotably coupled to one another via a pivot pin. One or both of the first and second jaw members may be movable from an open position for positioning tissue therebetween to a clamping position for grasping tissue. A detent is operably disposed proximal the pivot pin and extends radially outward from a proximal flange of one of the jaw members. The detent is configured to releasably engage a corresponding slot disposed on a proximal flange of the other jaw member. The detent and slot are configured to control a gap distance between the first and second jaw members when the first and second jaw members are in the clamping position.03-21-2013
20130072930Applicator and Tissue Interface Module for Dermatological Device - An tissue interface module has an applicator chamber on a proximal side of the tissue interface module and a tissue acquisition chamber on a distal side of the tissue interface module. The applicator chamber may include: an opening adapted to receive the applicator; an attachment mechanism positioned in the applicator chamber and adapted to attach the tissue interface module to the applicator; a sealing member positioned at a proximal side of the applicator chamber; and a vacuum interface positioned at a proximal side of the applicator chamber and adapted to receive a vacuum inlet positioned on a distal end of the applicator. The invention also includes corresponding methods.03-21-2013
20130072929Irrigated ablation catheter assembly having a flow member to create parallel external flow - Irrigated ablation catheter assemblies and methods of facilitating parallel irrigation fluid flow along irrigated assemblies includes a catheter, an irrigated ablation electrode assembly, a flow member, and a catheter shaft having a fluid lumen. The electrode assembly includes at least one irrigation passageway and a distal portion. The proximal portion can include a proximal member and the distal portion can include a distal member which is connected to the proximal member. The proximal end of the flow member couples to the catheter shaft and the distal end of the flow member is disposed about the proximal portion of the assembly. Fluid flow is guided at least in part by the member and traverses the outer surface of the proximal portion along the outer surface of the distal portion substantially parallel with the longitudinal axis of the electrode assembly.03-21-2013
20130072928METHOD AND APPARATUS EMPLOYING ULTRASOUND ENERGY TO TREAT BODY SPHINCTERS - Methods and apparatus for treating gastroesophageal reflex and other luminal conditions provide for delivering acoustic energy to a body lumen to remodel tissue surrounding the body lumen. In the case of treating GERD, a catheter carrying an ultrasonic or other vibrational transducer is introduced to the lower esophageal sphincter, and acoustic energy is delivered to the sphincter in order to tighten or bulk the sphincter such that reflex is reduced.03-21-2013
20130060246METHODS AND DEVICES FOR TREATING TISSUE - The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.03-07-2013
20110015630DEVICE AND METHOD FOR DESTRUCTION OF CANCER CELLS - The present invention provides devices and systems, as well as methods, of electric field delivery and non-thermal or selective ablation of target tissue regions, including selective ablation of cancerous cells and solid tumors. A method of the present invention includes delivering an electric field to a tissue, including positioning an electrode within a target tissue region comprising cancerous cells, and applying an alternating electrical current to the target tissue so as to non-thermally ablate cancerous cells of the target tissue region around the electrodes.01-20-2011
20130060245CATHETER ADAPTED FOR DIRECT TISSUE CONTACT - An irrigated ablation catheter adapted for direct tissue contact has micro-elements that provide more accurate sensing of tissue, including thermal and electrical properties for temperature and impedance measurements. The micro-elements extend through a hollow chamber of an irrigated ablation electrode, and distal ends thereof can protrude outside of electrode or be flush with the electrode. The micro-elements have a protective guide tube in which components enabling temperature sensing or electrical sensing are encased.03-07-2013
20130060248ANCHORED CARDIAC ABLATION CATHETER - An apparatus and method for performing cardiac ablations employs a catheter comprising an anchoring device and an ablating device to perform the ablations to electrically isolate the pulmonary veins and left atrium from surrounding atrial tissue. The anchor can comprise a balloon-type device, a stent-like device, a strut-like device, a spring-strut-like device, an umbrella-like device, a mushroom-like device, or other device that allows the catheter to maintain a position with respect to target tissue. The ablator can comprise a balloon ablator, an umbrella ablator, a pinwheel ablator, an umbrella ablator incorporating a cinch mechanism, a mushroom balloon ablator and a segmented balloon or pinwheel ablator. The anchor and ablator can also comprise a combination mushroom balloon anchor section and mushroom balloon ablator section. The anchor and ablator can include electrodes for measuring a conductance therebetween when in deployed position, so as to determine the effectiveness of the ablation.03-07-2013
20130060247ANCHORED CARDIAC ABLATION CATHETER - An apparatus and method for performing cardiac ablations employs a catheter comprising an anchoring device and an ablating device to perform the ablations to electrically isolate the pulmonary veins and left atrium from surrounding atrial tissue. The anchor can comprise a balloon-type device, a stent-like device, a strut-like device, a spring-strut-like device, an umbrella-like device, a mushroom-like device, or other device that allows the catheter to maintain a position with respect to target tissue. The ablator can comprise a balloon ablator, an umbrella ablator, a pinwheel ablator, an umbrella ablator incorporating a cinch mechanism, a mushroom balloon ablator and a segmented balloon or pinwheel ablator. The anchor and ablator can also comprise a combination mushroom balloon anchor section and mushroom balloon ablator section. The anchor and ablator can include electrodes for measuring a conductance therebetween when in deployed position, so as to determine the effectiveness of the ablation.03-07-2013
20090270858CARDIAC VALVE LEAFLET ATTACHMENT DEVICE AND METHODS THEREOF - A medical device system comprising a guide catheter and a leaflet fastening applicator, the guide catheter having suitable dimensions for deployment and insertion percutaneously into a human heart in a vicinity of a heart valve, the leaflet fastening applicator having a size allowing insertion through the guide catheter and being capable of holding portions of opposing heart valve leaflets, wherein the fastening applicator comprises a pair of grasping-electrodes adapted for holding and engaging the portions of opposing heart valve leaflets together and for applying energy to fasten the portions, in which heart valve leaflets can be captured and securely fastened, thereby improving coaptation of the leaflets and improving competence of the valve.10-29-2009
20090062787IRRIGATED ABLATION DEVICE ASSEMBLY - A tissue ablation device assembly ablates a region of tissue in a body of a patient. The tissue ablation device assembly comprises an elongated body having a proximal end portion and a distal end portion. A tubular porous membrane having a porous wall with an inner surface that defines an inner space is located along the distal end portion of the elongated body. An ablation element is disposed over the porous membrane, with the ablation element having a fixed position with respect to the porous membrane. A fluid passageway extending through the elongated body and communicates with the inner space. The fluid passageway is adapted to be fluidly coupled to a pressurizeable fluid source for delivering a volume of pressurized fluid from the fluid source to the inner space. The porous membrane allows at least a substantial portion of the volume of pressurized fluid to pass through the porous wall for enhancing ablative coupling between the electrode and the region of tissue.03-05-2009
20120226274Electrosurgical System Employing Multiple Electrodes and Method Thereof - A method for performing an electrosurgical procedure at a surgical site on a patient, the method including the steps of providing a current restricting circuit operatively coupled between a source of electro surgical energy and an electrode, the current restricting circuit including: a switch configured to direct the flow of electrosurgical energy; and a plurality of current restrictive devices arranged in an H-Bridge arrangement, wherein the switch is disposed between adjacent current restrictive devices of the plurality of current restrictive devices; restricting the flow of electrosurgical energy wherein the current restricting circuit is configured to restrict a flow of electrosurgical energy when the switch is in a first position; enabling the flow of electrosurgical energy when the switch is in a second position; and dynamically controlling the electrosurgical energy delivered to the electrode with the current restricting circuit.09-06-2012
20120226273ELECTROSURGICAL DEVICE WITH INTERNAL DIGESTOR ELECTRODE - An electrosurgical wand is described, for treating a target tissue using electrosurgical energy, which has an elongate shaft with a handle end and a distal end. A first active electrode surface is disposed on the distal end of the shaft and a first digester electrode surface is recessed away from the first active electrode surface and electrically connected with the first active electrode surface. An aspiration aperture is also disposed adjacent the first active electrode surface and fluidly connected with an aspiration lumen, wherein the first digester electrode surface is disposed within the aspiration lumen.09-06-2012
20130066315ABLATION DEVICE WITH IONICALLY CONDUCTIVE BALLOON - Devices, systems, and methods for performing ablation therapy on body tissue are disclosed. An example ablation device for treating body tissue includes an ionically conductive balloon and a radio-frequency electrode that delivers RF energy into a distal section of the balloon. The balloon can have a composite structure with a non-conductive section and a conductive section. A method for fabricating a semi-permeable ablation balloon using ionizing radiation and an etching process is also disclosed.03-14-2013
20130066316SELECTABLE ECCENTRIC REMODELING AND/OR ABLATION - A catheter and catheter system for eccentric remodeling and/or removal of atherosclerotic material of a blood vessel of a patient include an elongate flexible catheter body with a radially expandable structure. A plurality of electrodes or other electrosurgical energy delivery surfaces can radially engage atherosclerotic material when the structure expands. An atherosclerotic material detector near the distal end of the catheter body may measure circumferential atherosclerotic material distribution, and a power source selectively energizes the electrodes to eccentrically remodel the measured atherosclerotic material.03-14-2013
20110022046Irrigated catheter and method, in particular for ablation and like techniques - The invention relates to a variety of catheters provided with an elongate body with an electrically conductive first end. Wherein through said elongate body at least one conductive wire extends which is connected to an electrode. The electrode is coupled to said first end and an irrigation means (e.g. a channel, duct, tube, etc.) for feeding an irrigation fluid through said elongate body, where said irrigation means is provided, in, on, near, through, or adjacent said first end with at least one outlet opening, while said irrigation means is at least partially thermally insulated from said first end. Optionally a temperature sensor couples to the first end.01-27-2011
20110022043DEVICE FOR THE TREATMENT OF SURFACES WITH A PLASMA GENERATED BY AN ELECTRODE OVER A SOLID DIELECTRIC VIA A DIELECTRICALLY IMPEDED GAS DISCHARGE - The invention relates to a device for treatment of surfaces with a plasma (01-27-2011
20090254083ROBOTIC ABLATION CATHETER - Assemblies, systems, and methods related to remotely-steerable ablation procedures are described. A necked-down ablation catheter may be coupled within a working lumen of a robotically-steerable sheath configured to be driveably coupled to an electromechanical instrument driver. The ablation catheter may be an irrigated ablation catheter having an irrigation fluid reservoir at its distal tip. The outer diameter of the distal portion of the ablation catheter is generally larger than that of the more proximal aspects due, in part, to the fact that the proximal aspects are designed to fit through a relatively low-profile steerable sheath.10-08-2009
20090069803SELECTIVE DEPTH ELECTRODE DEPLOYMENT FOR ELECTRICAL STIMULATION - The invention is directed toward stimulation of a selected tissue layer. A device is attached to a target tissue by applying vacuum pressure to a vacuum cavity of the device and advancing a needle into tissue within the vacuum cavity. The depth on the vacuum cavity is selected to permit deployment at the selected tissue layer. In one embodiment, the invention is directed toward an implantable medical device comprising a device housing defining a vacuum cavity, and a vacuum port for application of vacuum pressure to draw tissue into the vacuum cavity, an electrode that is movable into the vacuum cavity of the device housing to contact at least a portion of the tissue drawn into the vacuum cavity, and a lead comprising at least one conductor coupled to the electrode.03-12-2009
20120116392RF Renal Denervation Catheter with Multiple Independent Electrodes - A catheter includes a flexible shaft having a length sufficient to access a patient's renal artery relative to a percutaneous access location. The catheter includes a multiplicity of elongated resilient members each comprising a pre-formed curve and extendable beyond the catheter. The resilient members are constrained to a low profile when encompassed by a removable sheath, and expand outwardly to assume a pre-defined shape when removed from the sheath. An electrode assembly is provided at a distal end of each resilient member, and includes an electrode element coupled to an electrical conductor and a thermal sensor in thermal communication with the electrode element. The resilient members have a stiffness sufficient to maintain contact between the electrode elements and an inner wall of the renal artery including irregularities of the inner wall of the renal artery during ablation of perivascular renal nerve tissue.05-10-2012
20120116391SURGICAL INSTRUMENT WITH SENSOR AND POWERED CONTROL - A surgical instrument includes a temperature sensor and a control unit that is operable to deactivate an end effector of the surgical instrument. In some versions the temperature sensor detects the temperature of a transducer, while in others the temperature sensor detects the temperature of the end effector. The surgical instrument may also include a trigger and a trigger position sensor. A force sensor or a position sensor may be included to determine the force and/or position of the transmission assembly. The end effector may also include a force sensor or a micro coil. A surgical instrument having a sensor may be included in a surgical system that includes a control unit and a remote controller. In some instances the remote controller may have one or more force-feedback components. In addition, a device interface and a surgeon interface may be included to remotely adjust the settings of the control unit.05-10-2012
20120116390SURGICAL INSTRUMENT WITH RATCHETING ROTATABLE SHAFT - An ultrasonic surgical instrument comprises a reusable housing including an internal transducer and an internal end effector rotation assembly. An exemplary rotation assembly is a ratchet and pawl assembly, which allows the transducer to rotate in a first direction but not in a second, opposite direction. The end effector, including an integral torque wrench, is attached to the transducer to form a single unit that is rotatable relative to the housing. The transducer attaches to a stationary cable via slip rings. The cable communicates with a generator, which provides electrical power to the transducer. The transducer converts the electrical power into ultrasonic vibrational energy, which is transmitted to the end effector.05-10-2012
20120116388SURGICAL INSTRUMENT WITH MODULAR SHAFT AND END EFFECTOR - A surgical instrument operable to sever tissue includes a body assembly and a selectively coupleable end effector assembly. The end effector assembly may include a transmission assembly, an end effector, and a rotational knob operable to rotate the transmission assembly and the end effector. The body assembly includes a trigger and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly for use. The coupling may mechanically and/or electrically couple the end effector assembly to the body assembly via various coupling mechanisms. For instance, a threaded slip nut may couple to threads within the body assembly. In one configuration, the end effector assembly may have locking tabs that rotate into rotational recesses in the body assembly. The locking tabs may include electrical contacts and/or optically perceivable indicators.05-10-2012
20120116386SIMULTANEOUS ABLATION BY MULTIPLE ELECTRODES - Apparatus, including a current source which has a transformer having a primary winding coupled to receive input power. The transformer has a secondary winding having a first plurality of secondary taps configured to supply electrical power at an ablation frequency to an electrode in contact with body tissue. The issue has an impedance, and is ablated by the electrical power. The current source has a second plurality of capacitors. The apparatus also includes a controller which is configured to select one of the secondary taps and at least one of the capacitors in response to the impedance and the ablation frequency, and to connect the selected secondary tap to the selected at least one of the capacitors.05-10-2012
20130165928Systems and Methods Employing Radiofrequency Energy for Skin Treatment - This disclosure relates generally to electrosurgical methods and devices. In one embodiment, an electrosurgical device is provided suitable for applying phase controlled RF energy to a treatment site. The electrosurgical device comprises a multi-electrode electrosurgical probe electrically coupled to a plurality of RF generators. Also provided are methods of use of such an electrosurgical device, as well as other electrosurgical devices. The methods and devices disclosed herein find utility, for example, in the field of medicine.06-27-2013
20130165923METHODS AND APPARATUSES FOR REMODELING TISSUE OF OR ADJACENT TO A BODY PASSAGE - Medical devices and methods for making and using the same are disclosed. An example device may include a catheter extending along a longitudinal axis. A balloon may be coupled to an end of the catheter. The balloon having a plurality of cylindrical treatment zones extending along the longitudinal axis in an expanded state. A plurality of electrode assemblies may be coupled to the balloon. Each electrode assembly may include a distal electrode pad and a proximal electrode pad.06-27-2013
20130165924METHODS AND APPARATUSES FOR REMODELING TISSUE OF OR ADJACENT TO A BODY PASSAGE - Medical devices and methods for making and using the same are disclosed. An example device may include an expandable balloon including an outer surface. At least one flexible circuit may be mounted on the outer surface of the expandable balloon. The at least one flexible circuit may include a first insulating layer, at least one heat sensing device positioned at least partially within the first insulating layer, a conductive layer above the first insulating layer, at least a portion of which is electrically coupled to the heat sensing device, a second insulating layer above the conductive layer, and at least one electrode associated with the conductive layer.06-27-2013
20130165925METHODS AND APPARATUSES FOR REMODELING TISSUE OF OR ADJACENT TO A BODY PASSAGE - Medical devices and methods for making and using the same are disclosed. An example medical device may include a catheter. The catheter may include an elongate flexible catheter body. An expandable structure may be associated with the catheter body and may include a radially expandable balloon and a plurality of flexible circuits extending along an outer surface of the balloon. Each flexible circuit may include at least one electrode and at least one temperature sensor. The expandable structure may have an outer diameter of less than 4 mm when in an expanded configuration.06-27-2013
20130165926METHODS AND APPARATUSES FOR REMODELING TISSUE OF OR ADJACENT TO A BODY PASSAGE - Medical devices and methods for making and using the same are disclosed. An example medical device may include a catheter shaft. An expandable member may be coupled to the catheter shaft. A plurality of flexible electrode assemblies may be coupled to the expandable member. A control unit may be coupled to the electrode assemblies. The control unit may be configured to energize the electrode assemblies for approximately 10 seconds to less than approximately 1 minute.06-27-2013
20130165927SURGICAL CLAMP HAVING TREATMENT ELEMENTS - A medical device is provided having a means for actuating a pair of opposing jaw members. The jaw members are movable relative to one another from a first position, wherein the jaw members are disposed in a spaced apart relation relative to one another, to a second position, wherein the jaw members cooperate to grasp tissue therebetween. An ablation tool is connected to at least one of the jaws members, such that the jaw members are capable of conducting ablation energy through the tissue grasped therebetween.06-27-2013
20130165919IMPEDANCE RESPONSIVE ABLATION RF DRIVING FOR MODERATING RETURN ELECTRODE TEMPERATURE - The inventive method for ablating a tissue mass associated with a human or animal patient being treated comprises positioning an ablating electrode in a tissue mass to be ablated. A plurality of return electrodes are positioned on the patient. Electrical energy is applied between the return electrodes and the ablating electrode. The temperature of the return electrodes is measured to generate a temperature measurement signal which is used to control ablation current through the return electrodes.06-27-2013
20130165920NERVE MODULATION SYSTEM HAVING HELICAL GUIDE - Systems for nerve modulation and methods for making and using the same are disclosed. An example system for nerve modulation may include a first elongate element having a distal end and a proximal end and having a helical guide having a proximal end and a distal end. The system may also include a second elongate element having a distal end and a proximal end and having a nerve modulation element proximate the distal end. A sheath may be disposed about both the first and second elongate elements. Pulling proximally on the proximal end of the first elongate element may cause simultaneous radial and longitudinal displacement of the nerve modulation element.06-27-2013
20130165921DEVICE AND METHODS FOR NERVE MODULATION - The disclosure pertains to an intravascular system for nerve modulation through a wall of a blood vessel and methods of use therefor, wherein the system is capable of nerve modulation by one or more ablations of a blood vessel adjacent to the nerve to be modulated. The intravascular system is suited for modulation of renal nerves.06-27-2013
20130165922ELECTROPHYSIOLOGY LOOP CATHETER - A catheter including control, localization, and/or fluid delivery features, and methods of using the same. One embodiment is directed to an electrophysiology catheter including a superelastic wire and a cable, and a method of controlling the catheter using the cable. Another embodiment is directed to an electrophysiology catheter including an adhesive to bias the orientation of the catheter. A further embodiment is directed to an electrophysiology catheter including adhesive and one or more cables, and a method of controlling the catheter using the one or more cables. Another embodiment is directed to a method including acts of injecting a fluid into the heart of a patient and adjusting the diameter of an arcuate curve of the catheter. Further embodiments are directed to a catheter having multiple position sensors on an arcuate curve of the catheter, or a position sensor associated with a movable electrode of the catheter.06-27-2013
20090012517MAGNETICALLY GUIDED CATHETER - A catheter includes a flexible tubing having a proximal end and a distal end. The catheter also includes an electrode assembly attached to the distal end of the flexible tubing and having a first magnet therein. The electrode assembly further includes an electrically conductive tip electrode and an electrically nonconductive coupler which is connected between the tip electrode and the distal end of the flexible tubing. The coupler and the tip electrode are coupled by an interlocking connection. The catheter also includes a second magnet spaced from the electrode assembly along a longitudinal axis of the tubing. The first magnet and the second magnet are responsive to an external magnetic field to selectively position and guide the electrode assembly within a body of a patient.01-08-2009
20080312647METHODS AND DEVICES FOR TREATING TISSUE - The invention provides a system, and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved, treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.12-18-2008
20080294158ABLATION CATHETER WITH FLEXIBLE TIP AND METHODS OF MAKING THE SAME - A flexible tip electrode for an ablation catheter and methods for making the same are disclosed. The electrode has a surface configuration that improves flexibility of the electrode. Also, the surface configuration may allow electrode lengthwise freedom of movement, such that the electrode may be shortened when pressed against the target tissue. A coil may be located in the electrode to bias the electrode toward a predetermined configuration.11-27-2008
20110028967CHARACTERIZING ABLATION LESIONS USING OPTICAL COHERENCE TOMOGRAPHY (OCT) - Systems, methods, and other embodiments associated with characterizing Radio Frequency Ablation (RFA) lesions using Optical Coherence Tomography (OCT) are described. One example method includes acquiring an OCT signal from a Region Of Interest (ROI) in an ablated material. The example method may also include determining whether a lesion was formed by the ablation by analyzing optical properties of the ROI as recorded in the OCT signal.02-03-2011
20110028966MONO-PHASIC ACTION POTENTIAL ELECTROGRAM RECORDING CATHETER, AND METHOD - Catheters and methods for obtaining monophasic action potential (“MAP”) electrograms include a flexible catheter body defining a longitudinal axis, and a distal assembly affixed to the catheter body distal end defining a distal tip. The distal assembly has at least three MAP recording electrodes, and at least one reference electrode for determining reference potential. The recording electrodes are each positioned a radial distance from the longitudinal axis in at least three different radial directions, defining a recording geometry substantially having radial symmetry. The reference electrode is a longitudinal distance from the recording geometry. Optional features include a steerable catheter shaft, one or more radio-frequency ablation electrodes, and a dedicated pacing electrode. Different possible embodiments include a dome housing having the recording electrodes in a fixed spatial arrangement, and a distal loop assembly having an array of electrodes on at least three flexible loop elements.02-03-2011
20110034921Handheld Electrosurgical Apparatus for Controlling Operating Room Equipment - A system and apparatus for controlling operating room equipment during an electrosurgical procedure is disclosed. The system includes an electrosurgical generator, a controller in electrical communication with and configured to control the electrosurgical generator and at least one operating room device, and a handpiece having a housing and a cable extending proximally from the housing providing electrical connection to the controller, the handpiece further includes first controls for controlling the generator and second controls for controlling at least one operating room device.02-10-2011
20110034922SYSTEMS FOR TREATING A HOLLOW ANATOMICAL STRUCTURE - A working end of a catheter includes at least one therapeutic element, such as a resistive heating element, usable to deliver energy for ligating, or reducing the diameter of, a hollow anatomical structure. In certain examples, the catheter includes a lumen to accommodate a guide wire or to allow fluid delivery. In certain embodiments, a balloon is inflated to place resistive element(s) into apposition with a hollow anatomical structure and to occlude the structure. Indexing devices and methods are also disclosed for successively treating portions of the hollow anatomical structure. In certain examples, marks along the catheter shaft provide visual verification to the physician of the relative position of the therapeutic element of the catheter. Embodiments of indexing devices may include pairs of rings and/or hinged arms that move a catheter a desired indexed position between successive treatments.02-10-2011
20090171347TRANSITION APPARATUS FOR USE WITH A MEDICAL DEVICE HAVING AN ELONGATE ELEMENT - A transition apparatus for use with a medical device having an elongate element is disclosed. The apparatus may include a body defining a lumen for housing at least a portion of the elongate element. The body may have a proximal end configured for releasable connection to the medical device and a distal end. The apparatus may further include a connection piece connected to the distal end of the body. The connection piece may have a first opening configured to receive the elongate element from the lumen of the body and a second opening configured to receive the elongate element from the first opening and direct the elongate element toward the body. A method of connecting a transition apparatus to an ablation device having a leash is also disclosed.07-02-2009
20100036376Process of Manufacturing a Medical Use Electrical Lead - A process for manufacturing an electrical lead (02-11-2010
20110282343METHOD AND DEVICE FOR TREATMENT OF ARRHYTHMIAS AND OTHER MALADIES - Devices and methods are described for treating maladies such as atrial fibrillation. The devices and methods, in some implementations, include two rings separated by a helical winding. The rings and at least one helical winding provide mechanical pressure against an adjacent tissue, e.g., the tissue of a vessel, and the pressure works to inhibit the propagation of electrical signals along the vessel.11-17-2011
20100004650ANGIOPLASTY AND TISSUE ABLATION APPARATUS AND METHOD - A coaxial cable apparatus which transmits radio frequency (RF) energy for the ablation of biological tissues has inner and outer coaxial conductors extending substantially the entire length of the cable from a proximal end portion to a distal end portion. An RF antenna is disposed at the distal end portion of the cable and transmits RF energy for ablation of a tissue region to be treated. An angioplasty balloon is disposed over the RF antenna and communicates with a fluid supply and extraction passageway extending through the cable to allow the balloon to be inflated for an angioplasty procedure including tissue ablation, and to be deflated after the procedure is complete.01-07-2010
20100268223Methods for Image Analysis and Visualization of Medical Image Data Suitable for Use in Assessing Tissue Ablation and Systems and Methods for Controlling Tissue Ablation Using Same - A method of image analysis includes the initial step of receiving a data set including image data. The image data represents a sequence of 2-D slice images. The method includes the steps of segmenting an object of interest from surrounding image data of each slice image based on a p-value of a t-statistic relating each pixel successively examined to statistical properties derived from pixel values within the region of interest, and rendering a volume of the object of interest using (x,y) coordinates corresponding to boundaries of the segmented object of interest.10-21-2010
20080281320CATHETER HAVING CIRCULAR ABLATION ASSEMBLY - A catheter particularly useful for ablation lesions within a tubular region of or near the heart is provided. The catheter comprises an elongated flexible tubular catheter body having an axis and proximal and distal ends. An ablation assembly is mounted at the distal end of the tubular body. The ablation assembly has a preformed generally circular curve having an outer surface and being generally transverse to the axis of the catheter body. The ablation assembly comprises a flexible tubing having proximal and distal ends that carries a tip electrode at its distal end. An electrode lead wire extends through the catheter body and into the ablation assembly and has a distal end connected to the tip electrode. In use the distal end of the catheter is interested into the heart of a patient. At least a portion of the outer circumference of the generally circular curve is contacted with the inner circumference of the tubular region so that the tip electrode is in a first position in contact with tissue along the inner circumference. The tip electrode is used to ablate tissue at the first position. The ablation assembly can then be rotated so that the tip electrode is in a second position in contact with tissue along the inner circumference different from the first position, and the tip electrode is used to ablate tissue at the second position. This procedure can be repeated to form a lesion of the desired length along the inner circumference.11-13-2008
20100268222DEVICES AND METHODS FOR TRACKING AN ENERGY DEVICE WHICH TREATS ASTHMA - Methods for treating a network of organs including generating a map of at least a portion of the network of organs using a rendering system; selecting at least one treatment location within the luminal passageway of the network of organs; and applying an energy therapy to the treatment location to treat the smooth muscle tissue, where the energy therapy applied to the respective treatment location is defined by a plurality of parameters that are associated with a map. Such a system allows for historical or ideal treatment parameters to be identified, visually or otherwise to actual treatment locations. Also, control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.10-21-2010
20090093809DEVICES AND METHODS FOR MINIMALLY-INVASIVE SURGICAL PROCEDURES - Devices, instruments and tools for minimally invasive surgical procedures. Port devices and methods for hemostatically sealing and providing a port through a tissue wall that interfaces with a fluid containing chamber, by minimally invasive techniques. Assemblies, instruments and methods for minimally invasive access to and through a tissue wall that interfaces with a fluid containing chamber, and for visualizing same. Instruments, assemblies and methods for minimally invasive surgical procedures, including ablation.04-09-2009
20110301595OCCLUSION APPARATUS - Methods, apparatus, and systems for occluding a left atrial appendage are provided. One embodiment includes an elongate body having a tissue apposition member extendably positioned within a lumen of the elongate body to appose tissue of the LAA. An energy emitting device coupled to the elongate body can be used for emitting high intensity focused ultrasound to the tissues to fuse the tissues.12-08-2011
20110301596Irrigated catheter and method, in particular for ablation and like techniques - The invention relates to a catheter, provided with an elongated body with an electrically conductive first end, wherein through said body at least one live wire extends which is connected to said first end and a channel for feeding a cooling fluid through said body, which channel is provided, in or near said first end, with at least one outlet opening and wherein, in said first end, a temperature sensor has been arranged, while said channel is thermally insulated from said first end.12-08-2011
20110301597Catheter for Circumferential Ablation at or Near a Pulmonary Vein - A catheter has a three-dimensional, hollow ablation assembly that carries at least one ribbon electrode for circumferential ablation. In one embodiment, the assembly has a free-form framework that is constructed of multiple tensile members or wires that are interwoven such that the length of the framework increases while the circumference of the framework decreases, and vice versa. The assembly can also have a self-expanding stent-type framework which is mounted on the expander. In another alternative embodiment, the framework is a tubular or cylindrical structure whose side wall has longitudinal slots between longitudinal slats for radial expansion to a greater circumference when the length is decreased. The flexible ribbon electrode on the assembly is elastic, or is pleated so that it folds when the framework is collapsed and unfolds when the framework is deployed.12-08-2011
20110301594METHOD AND APPARATUS FOR THROMBUS DISSOLUTION/THROMBECTOMY BY AN ELECTRODE CATHETER DEVICE - The present invention generally relates to a flexible catheter device capable of being introduced into body passages, withdraw fluids therefrom or introduce fluids thereinto, and which includes electrodes configured to apply electrical signals in the body passage for carrying out thrombus dissolution and/or thrombectomy, wherein one of said electrodes is designed to contact the thrombus material and remove it or dissolve it, and wherein the electrical voltage signals are a unipolar pulsatile voltage signal.12-08-2011
20110301592Apparatus for Performing an Electrosurgical Procedure - A surgical instrument is provided and includes a housing having a shaft. An end effector assembly operatively connects to the shaft and has a pair of first and second jaw members. A jaw insert is operably associated with the first and second jaw members. The jaw insert includes one or more cam slots defined therein configured to receive a cam pin that upon movement thereof rotates the first and second jaw members from an open position to a clamping position and an opening defined therein configured to securely house a pivot pin that provides a point of pivot for the first and second jaw members. The jaw insert is manufactured from an insulative medium to dielectrically isolate the first and second jaw members.12-08-2011
20110301593SURGICAL NAVIGATIONAL AND NEUROMONITORING INSTRUMENT - The invention relates to a surgical instrument capable of applying an electrostimulation to a neural structure. The surgical instrument also has a tracking system associated therewith to provide navigational tracking during a surgical procedure.12-08-2011
20110288546SURGICAL INSTRUMENT AND METHOD - A surgical instrument includes a jaw assembly having a first jaw that includes a support structure with an opening, an electrically insulative material disposed on the support structure, and an operative element for applying energy to tissue, wherein the electrically insulative material extends through the opening of the support structure to thereby secure the electrically insulative material to the support structure.11-24-2011
20110288545Method and Device for Ablation of Cancer and Resistance to New Cancer Growth - Methods and devices designed to eliminate and/or ablate cancer or other abnormal growths of cells or tissues or eliminate and/or ablate cells or tissue with abnormal functions. In particular, using sub-microsecond electric pulses to treat cancer cells by, inter alia, inducing programmed cell death or other type of cell death. These methods and devices are expected to greatly improve the prevention, treatment and management of cancer by increasing the effectiveness of cancer treatments and development of resistance to new cancer growth.11-24-2011
20110288544MEDICAL DEVICE FOR TISSUE ABLATION - A medical device for ablating tissues within a heart chamber comprising a first guiding member intended to be introduced in the hollow structure surrounding the left atrium of the patient and a second ablating member comprising an ablation electrode mounted at the distal end or tip of catheter. Both, the head of the guiding member and the tip of the ablating member are magnetised and can enter into magnetic coupling when their distal ends are brought in close contact. Once the magnetic coupling is achieved, the tip of the first member is guided by moving the guiding member. Preferably, the guiding member includes sensors enabling to monitor physiological parameters during the intervention.11-24-2011
20110288543HIGH FREQUENCY ALTERNATING CURRENT MEDICAL DEVICE WITH SELF-LIMITING CONDUCTIVE MATERIAL AND METHOD - A high frequency alternating current medical device and method of using such is disclosed. High frequency alternating current medical device comprises a power source, an electric field generator, a self-limiting conductive material electrical component, at least one probe or needle-type projection, and at least two conductive segments located on probe or needle-type projection. At least two conductive segments are electrically connected to electric field generator so that an electric field is created between conductive segments, which induces an electrical current, which generates heat, and causes a certain desired precise cell injury. Self-limiting conductive material electrical component allows such precise cell injury because it limits electrical current through target tissue. Invention may be used in medical, dental, or veterinary applications. Exemplary embodiments include cosmetic applications, treatment of wrinkles, remodeling of subcutaneous tissue, treatment of muscle spasms, and others. Medical device can be small, hand-held, and easily manipulated to perform surgery.11-24-2011
20110295249Fluid-Assisted Electrosurgical Devices, and Methods of Manufacture Thereof - This invention provides a fluid-assisted electrosurgical device to treat tissue in a presence of radio frequency energy and a fluid provided from the device. The device comprises a handle, a rigid shaft member distal to the handle, and at least one electrode distal to the shaft member. The shaft member comprises a shaft member first body and a shaft member second body joined together along a length of the shaft member. The shaft member further comprises a plurality of longitudinally oriented shaft member passages, with each of the passages having a length defined by the shaft member first body and the shaft member second body.12-01-2011
20120016361DEPOSIT ABLATION WITHIN AND EXTERNAL TO CIRCULATORY SYSTEMS - Systems and methods of electrical stimulation for intra and extra vascular treatment of a subject are provided. The device includes a first electrode, a second electrode, and a controller. The controller is configured to apply an electrical current between the first and second electrodes. The electrical current follows a path between the first and second electrodes and through a portion of the subject that includes a blockage.01-19-2012
20090287209ABRASION CATHETER - An ablation catheter which has an electrode that can electrically cauterize a living body tissue at the tip side of a catheter, and this electrode is characterized in that the vibration and/or rotation of the electrode is controllable according to the temperature of the cauterization portion.11-19-2009
20110295250System and Method for Sensing Tissue Characteristics - A medical device for treating and analyzing tissue is disclosed. The device includes a plasma applicator having a housing. The housing includes a substantially tubular shape and defining a lumen therethrough. The lumen is in fluid communication with an ionizable media source configured to supply ionizable media thereto. The applicator also includes one or more electrodes coupled to the housing. The electrodes are adapted to couple to a power source configured to that energizes electrodes to ignite the ionizable media to form a plasma plume for treating tissue. The device also includes an effluent-collection attachment coupled to the plasma applicator, the effluent-collection attachment configured to collect at least a portion of a plasma effluent.12-01-2011
20080287942RF Ablation Catheter with Side-Eye Infrared Imager - An ablation catheter has an imager useful in connection with an ablation operation such as used in the treatment of a cardiac arrhythmia. The catheter has an ablation electrode positioned on a catheter tip, and the imager is located on a side of the catheter. Because the catheter tip is generally articulated when the lesion is formed, this position of the imager provides an image that corresponds with the position of the catheter when it is used to form a lesion. Rings for recording tissue electrograms are also positioned on the catheter tip. This arrangement allows the user to accurately place and contact the electrode and to monitor the ablation process such as by viewing bubbles and thrombi that may undesirably be formed.11-20-2008
20090131931CATHETER WITH OMNI-DIRECTIONAL OPTICAL TIP HAVING ISOLATED OPTICAL PATHS - A catheter enables real-time light measurements, for example, without limitation, diffuse reflectance, fluorescence, etc., from biological materials, such as tissue (including blood), while performing RF ablation. The catheter tip design isolates illumination and collection paths such that light exits the catheter tip and travels through the tissue of interest (e.g., cardiac tissue or blood) before returning to the catheter tip. Such a design advantageously avoids saturation of the optical detector, and ensures diffusion of the illumination light within the medium of interest. The catheter has a catheter body and a tip electrode. The tip electrode has an exterior shell, an inner layer of diffuse material and a hollow cavity, wherein the inner layer is configured to transmit light outside the tip electrode to a tissue via a set of illumination openings in the shell wall and the hollow cavity is configured to receive light from the tissue via a set of collection openings in the shell wall and the inner layer. An inner surface of the inner layer has an opaque coating to isolate light injected into the inner layer from light collected in the hollow cavity. There are a first optical waveguide extending between the catheter body and the tip electrode to inject light into the inner layer and illuminate the tissue, and a second optical waveguide extending between the catheter body and the tip electrode to collect the recaptured light in the hollow cavity.05-21-2009
20090099563SYSTEMS AND METHODS FOR IMPLEMENTING HEART GEOMETRICAL MEASUREMENTS - In some embodiments, the disclosed subject matter provides a method of identifying the source of arrhythmia, e.g. reentrant ventricular tachycardia, in a patient. In other embodiments, the disclosed subject matter provides a method for treating or preventing reentrant ventricular tachycardia in a patient. In still other embodiments, the disclosed subject matter provides systems for identifying the location of a candidate ablation site in a patient. In some embodiments, the patient has suffered from a myocardial infarction or has undergone structural remodeling of the heart caused by, e.g., cardiac fibrosis or the presence of dense trebeculation, resulting in nonviable areas with border zones (BZ).04-16-2009
20090125022TISSUE VISUALIZATION AND ABLATION SYSTEMS - Visualization and ablation system variations are described which utilize various tissue ablation arrangements. Such assemblies are configured to facilitate the application of energy delivery, such as RF ablation, to an underlying target tissue for treatment in a controlled manner while directly visualizing the tissue during the bipolar ablation process.05-14-2009
20090125017IRRIGATED ABLATION ELECTRODE HAVING RECESSED SURFACE PORTIONS - The present invention relates to ablation electrode assemblies. The present invention further relates to an irrigated ablation electrode assembly that includes a recessed portion that can improve fluid flow around the irrigated ablation electrode. The electrode includes an outer body portion having an outer surface, and an inner cavity defined within the outer body portion. The electrode further includes at least one passageway for fluid flow from the inner cavity to the outer surface of the body of the electrode. The passageway further defines an outlet on the external surface of the electrode, therein allowing the fluid to flow on and/or around the electrode surface. The outer surface of the electrode further includes a recessed portion. The outlet of the passageway is disposed at least partially within the recessed portion. The fluid that exits the passageway may flow within the recessed portion to improve irrigation of the electrode.05-14-2009
20110202054Cooled ablation catheter with reciprocating flow - The invention relates to an ablation catheter which controls the temperature and reduces the coagulation of biological fluids on an electrode of a catheter, prevents the impedance rise of tissue in contact with the electrode, and maximizes the potential energy transfer to the tissue, thereby allowing an increase in the lesion size produced by the ablation. The electrode includes passages positioned to allow blood and other biological fluids to flow into and out of an inner cavity of the electrode. This fluid flow produced the desired cooling effect and is accomplished, for example, by a reciprocating plunger or piston, or by a balloon that is alternately inflated and deflated.08-18-2011
20110264092FLEXIBLE ELECTROSURGICAL ABLATION AND ASPIRATION ELECTRODE WITH BEVELED ACTIVE SURFACE - Disclosed herein is a flexible single piece active element for use in connection with aspirating electrosurgical ablators, particularly those configured for bulk tissue vaporization. The active electrode elements of the present invention provide a simple construction suitable for use with a wide array of electrosurgical components and adjustable to wide range of angled positions to permit access to a variety of tissues, in an array of diverse environments and address a host of ablation needs. Additionally, the novel geometry and positioning of both ablation surface and aspiration ports permit aspiration flow to remove primarily waste heat rather than process heat, to thereby improve vaporization efficiency and reduce procedure time. Thus, active electrodes and ablation devices of the present invention maximize efficiency and adaptability while minimizing manufacturing cost and device profile.10-27-2011
20110264090MEDICAL INSTRUMENTS AND TECHNIQUES FOR TREATING PULMONARY DISORDERS - A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways. The treated tissue is the maintained in a collapsed state by means of aspiration for a short interval to enhance tissue remodeling. Thereafter, the patient's wound healing response causes fibrosis and further remodeling to cause permanent lung volume reduction.10-27-2011
20110264089IRRIGATED CATHETER WITH INTERNAL POSITION SENSOR - A catheter carries a position sensor in a distal, on-axis position in an irrigated ablation tip electrode. The tip electrode has a shell wall that defines a cavity through which fluid flows and exits via fluid ports formed in the shell wall. The cavity is sealed by an internal member extends into the cavity with a baffle portion and a distal portion. The distal portion safely houses the position sensor and the baffle portion diffuses and disperses fluid entering the tip electrode for a more uniform flow through the cavity. The distal portion is configured to provide an annular region that runs along the length of the tip electrode to better feed fluid to the more distal fluid ports on the tip electrode for more uniform cooling at all locations on the tip electrode.10-27-2011
20100114092BIPOLAR INSTRUMENT AND METHOD FOR ELECTROSURGICAL TREATMENT OF TISSUE - A bipolar surgical instrument comprising an electrode means connected to a high-frequency generator for generating a high-frequency current at a distal end of the instrument with at least first and second electrodes for forming electric arcs therebetween. The surgical instrument further comprises a pipe, a tubular probe or a similar gas supply means with at least one lumen for supplying argon or a similar inert gas at least into a space between the first and second electrodes so that the arcs can be formed in a protective gas atmosphere. The first and second electrodes are arranged relative to one another in such away that the tissue can be heated in a currentless manner at least partly by heat generated by the arcs. A bipolar instrument prevents the tissue damage normally seen with monopolar surgical instruments and thus allows treatment to be carried out as simply and efficiently as possible. A method for electrosurgical treatment of tissue using the bipolar surgical instrument is also disclosed.05-06-2010
20100114093Epicardial Ablation Catheter and Method of Use - An aspect of various embodiments of the present invention system and method provide, but not limited thereto, a novel means for epicardial ablation using a double-curve steerable sheath and a double-curve deflectable open irrigated-tip/suction catheter that can be guided around the apex of the heart and adjusted so as to position the distal tip optimally. The catheter can also both deliver fluid to and withdraw fluid from the pericardial space. Access to the epicardial surface of the heart is via a subxiphoid entry. The method and means presented include, but are not limited to, steering, energy delivery, bipolar mapping, placement and use of electrodes, irrigation, suction of irrigation fluid, and other details of the subject invention.05-06-2010
20100114095Ablation Apparatus and System to Limit Nerve Conduction - An electrosurgical probe including a probe body which defines a longitudinal probe axis. The electrosurgical probe also includes a first and second conductive electrode, each disposed along the probe axis. The surface area of the first conductive electrode is greater of the surface area of the second conductive electrode. The ratio of the surface area of the first conductive electrode to the surface area of the second conductive electrode may be adjustable. Another aspect of the present invention is an electrosurgical probe having a probe body which defines a single longitudinal probe axis. The electrosurgical probe of this aspect of the invention further includes more than two electrodes operatively disposed at separate and distinct positions along the axis of the probe body. The electrodes may be selectively connected to one of or a combination of a stimulation energy source, an ablation energy source or a ground for either energy source. Another aspect of the present invention is a method of placing an electrosurgical probe such as described above for specific ablation procedures.05-06-2010
20100076426Basket catheter having multiple electrodes - Embodiments of the present invention provide a catheter that comprises an elongated catheter body (03-25-2010
20100069902Self Contained, Gas-Enhanced Surgical Instrument - An electrosurgical apparatus for coagulating tissue includes an elongated housing and an electrode located adjacent the distal end of the housing. The electrode can be connected to a source of electrosurgical energy. At least one actuator is included which electrosurgically energizes the electrode. The apparatus also includes a relatively small gas cylinder which contains a pressurized gas consisting of inert gas and which is selectively seated in the housing. Upon actuation of the actuator, gas is dispersed under pressure from the gas cylinder to the electrode and is ionized prior to the distribution of the gas into the operating field.03-18-2010
20090149849Device and method to treat tissue with electtric current - A method of modifying properties of intrinsic tissue of an organ is provided. The method includes providing an organ, where a first electrode is disposed proximal to the organ first end. The first electrode has a surface area and insulator. A second electrode is disposed opposite the first electrode, where the organ is disposed between the first electrode and the second electrode. The second electrode has surface area and surface insulator. An organ-shaping device is provided that is disposed on the organ between the electrodes, where the organ-shaping device deforms the organ middle section along at least one lateral direction between the electrodes. An electric current is provided between the first second electrodes, where a current density gradient is provided by the electrode surface areas and the deformed organ middle section, and the properties of the intrinsic muscle tissue are modified according to the current density gradient.06-11-2009
20080312650Thermal Ablation of Biological Tissue - An ablation device is described comprising an introducer and an electrode array. The electrode array couples to a distal end of the introducer. The electrode array includes a center member having a distal end configured to penetrate tissue and a plurality of electrodes. Proximal and distal ends of each electrode are relatively fixed. The electrodes are dynamically configurable from a retracted state to a deployed state in which the electrodes form a relatively spherical shape in a tissue volume.12-18-2008
20130218158METHODS OF REDUCING MUCUS IN AIRWAYS - This relates to treating an asthmatic lung and more particularly, relates to advancing a treatment device into the lung and treating the lung with the device. This also includes additional steps of treating the airway wall, applying energy or heat to the airway wall in an asthmatic lung.08-22-2013
20110270249PRECISION ABLATING METHOD - Methods of ablating tissue in an alimentary tract are provided. The methods include advancing an ablation structure into an alimentary tract while supporting the ablation structure with an endoscope. The methods further include a step of moving at least part of the ablation structure with respect to the endoscope and toward a tissue surface, before activating the ablation structure to ablate a tissue surface.11-03-2011
20090198231METHODS TO TREAT UNWANTED TISSUE WITH ELECTRIC PULSES - Provided are methods for selecting parameters of an electrical pulse for electroporation to induce apoptosis in a tissue in need of therapeutic removal in a patient. Also provided are methods and apparatuses for treating a disease by inducing apoptosis in a tissue in need of therapeutic removal in a patient. Further provided are computer-readable media having instructions for selecting parameters of an electrical pulse for electroporation to induce apoptosis in a tissue in need of therapeutic removal in a patient.08-06-2009
20100324551LAPAROSCOPIC SHAFT ARTICULATION BY MEANS OF A ROTATING COLLAR - A surgical instrument includes a handle and an elongated shaft extending distally from the handle. The elongated shaft includes a proximal portion coupled to the handle and a distal portion pivotally coupled to the proximal portion. An end effector is coupled to the distal portion of the elongated shaft and is articulatable relative to a longitudinal axis defined by the instrument. A cam member is rotatably mounted about the longitudinal axis and configured to impart a force to the distal portion of the elongated shaft upon rotation of the cam member to effect pivotal motion of the distal portion of the elongated shaft, and thus articulation of the end effector. An articulation actuator is supported on the handle and is operable to impart rotational motion to the cam member.12-23-2010
20090088739Insulating Mechanically-Interfaced Adhesive for Electrosurgical Forceps - An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end thereof that are relatively movable about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue. A movable handle is included that actuates a drive assembly to move the jaw members relative to one another. One or both of the jaw members includes one or more mechanical interfaces and is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy to tissue held therebetween. A flexible insulating boot is disposed on at least a portion of an exterior surface of one or both jaw members and about the pivot. At least a portion of the flexible boot is configured to operatively engage the mechanical interface(s) on the jaw member. An adhesive is included and is operably disposed between at least one jaw member and the flexible insulating boot for securing the flexible insulating boot to the jaw member.04-02-2009
20090299365Tissue Lesion Evaluation - Device, system and method for ablating tissue of a heart of a patient. The tissue is clamped between a pair of opposing jaws. A portion of the tissue is ablated at a first generally linear position on the tissue by applying ablative energy to two of a plurality of elongate electrodes, each of the two of the plurality of elongate electrodes being coupled in opposing relationship to each other and the pair of opposing jaws, respectively. An effectiveness of the ablation is sensed at a second generally linear position on the tissue with at least one of the plurality of elongate electrodes positioned on one of the pair of opposing jaws. The second linear position on the tissue is laterally distal to the first linear position on the tissue with respect to the atrium of the heart.12-03-2009
20130079771Long Ultrasonic Cutting Blade Formed of Laminated Smaller Blades - An end effector of an ultrasonic surgical instrument is provided, the ultrasonic surgical instrument having a manipulatable structure, a body portion operatively connected to the manipulatable structure and having a distal end, a transducer, and the end effector being supported on the distal end of the body portion, the end effector including a plurality of resonant member elements, each resonant member operatively connected to a transducer of the plurality of transducers for effecting vibrations along the length of the resonant member, and including an operating surface configured to effect tissue dissection, cutting, coagulation, ligation and/or hemostasis, wherein a displacement curve associated with the vibrations of a first one of the plurality of resonant members is offset relative to the displacement curve associated with the vibrations of a second one of the plurality of resonant members.03-28-2013
20100094280EYE THERAPY SYSTEM - A system includes a conducting element that conducts energy from an energy source to apply therapy to an eye. The system includes a covering configured to be removably attached to the conducting element. The covering has an interface surface that is positionable at an eye. At least a portion of the interface surface includes one or more dielectric materials. Energy is deliverable to the eye through the interface surface. In one aspect, the covering provides an electrical insulator to minimize the concentration of electrical current in the area of contact with the eye. In another aspect, the covering allows the eye to be cooled during the application of energy without directly applying coolant to the eye. In another aspect, the covering includes a dielectric layer that may provide varying impedances that allow different patterns for energy delivery. In another aspect, the sheath promotes hygienic use of the conducting element.04-15-2010
20110172657ABLATION CATHETER ARRANGEMENT AND METHOD FOR TREATMENT OF A CARDIAC ARRHYTHMIA - An ablation catheter arrangement includes an ablation generator, a rinsing liquid source for providing a liquid for rinsing the treatment area in which ablation is performed, and an ablation catheter connectable to the ablation generator and to the rinsing liquid source. The ablation catheter has an ablation area, at least one rinsing opening, and a rinsing bath for supplying rinsing liquid to the treatment area. A blood pressure measurement device detects the intracardiac blood pressure over the liquid column of the rinsing liquid, and communicates with the rinsing channel of the ablation catheter by fluid connection.07-14-2011
20110172658MEDICAL DEVICE FOR USE IN BODILY LUMENS, FOR EXAMPLE AN ATRIUM - A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpanded configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).07-14-2011
20090248011CHRONIC VENOUS INSUFFICIENCY TREATMENT - A first tissue region can be ablated after pre-cooling a nearby second tissue region to inhibit damage to the second tissue associated with the ablation of the first tissue.10-01-2009
20100125271System for treating undesired body tissue - The invention can selectively heat a diseased area or undesired tissue in the body while minimizing heating to the healthy area and surrounding tissue. This is done by exposing the undesired tissue to a scanning focused microwave beam arriving from different directions, all directions passing through the undesired tissue. The invention is particularly useful for heating tissues in which the undesired tissue has reduced blood flow. The undesired area will heat up rapidly while the healthy tissue will be cooled by the blood flow. This is particularly effective for treating emphysema because of the low mass of the lungs and the high blood flow.05-20-2010
20120143181APPARATUSES FOR MONOPOLAR RENAL NEUROMODULATION - Methods and apparatus are provided for monopolar neuromodulation, e.g., via a pulsed electric field. Such monopolar neuromodulation may effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, monopolar neuromodulation is applied to neural fibers that contribute to renal function. In some embodiments, such monopolar neuromodulation is performed bilaterally.06-07-2012
20090088741Silicone Insulated Electrosurgical Forceps - An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end thereof that are movable about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue. A movable handle is included that actuates a drive assembly to move the jaw members relative to one another. One or both of the jaw members includes one or more mechanical interfaces and at least one jaw member is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy to tissue held therebetween. A flexible insulating boot is disposed on at least a portion of an exterior surface of one or both jaw members and about the pivot. The flexible insulating boot includes an internal cavity defined therein that retains a free-flowing material therein configured to disperse from the internal cavity when ruptured.04-02-2009
20090088740Insulating Boot with Mechanical Reinforcement for Electrosurgical Forceps - An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end thereof that is movable about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue. A movable handle is included that actuates a drive assembly to move the jaw members relative to one another and at least one of the jaw members is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy to tissue held therebetween. A flexible insulating boot is disposed on at least a portion of an exterior surface of one or both jaw members and about the pivot. The flexible boot includes one or more mechanically reinforcing elements operatively coupled thereto that is configured enhance the rigidity of the insulating boot.04-02-2009
20090088738Dual Durometer Insulating Boot for Electrosurgical Forceps - An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end thereof, the jaw members movable about a pivot from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue, a movable handle that actuates a drive assembly to move the jaw members relative to one another. At least one of the jaw members includes at least one mechanical interface and at least one jaw member is adapted to connect to a source of electrical energy such that the at least one jaw member is capable of conducting energy to tissue held therebetween. A flexible insulating boot is disposed on at least a portion of an exterior surface of at least one jaw member and about the pivot, the flexible boot including a first longitudinal portion made from a high durometer material and a second longitudinal portion made from a low durometer material. The high durometer material may be configured to operably retain the flexible insulating boot atop both a proximal end of the jaw members and a distal end of the flexible insulating boot.04-02-2009
20080208187IMPEDANCE COMPUTATION FOR ABLATION THERAPY - This disclosure describes impedance computation techniques that may reduce the effect of crosstalk, thus generating more accurate impedance measurements. In particular, an ablation system models the electrical interaction among the active electrodes and a common return electrode using a star-configuration resistor model. The ablation system computes one or more parameters of the star-configuration resistor model and adjusts the therapy based on at least the computed parameters of the star-configuration resistor model.08-28-2008
20080208186Bipolar Cardiac Ablation System and Method - An apparatus for bipolar radio frequency ablation of heart tissue includes a flexible epicardial lead having an interior surface along a portion thereof comprising an electrically conductive surface to be placed in contact with tissue to be ablated. Additionally, the epicardial lead includes an integral fastener disposed proximate a distal end thereof and a sliding lock collar having an aperture therein through which said epicardial lead passes. A complementary fastener may be secured thereto for engaging the fastener of said epicardial lead, thereby securing said lead in place around tissue to be ablated. The apparatus further includes an endocardial ablating lead placed in the left atrial chamber via transfemoral insertion for conduction of radio frequency energy between the ablating lead and the ablating surface of the epicardial lead.08-28-2008
20090112205CARTRIDGE ELECTRODE DEVICE - The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.04-30-2009
20090299364Suction Force Ablation Device - An ablation device for ablating tissue having an outer wall and an inner wall, approximately parallel and concentric with said outer wall, defining an inner fluid chamber and an outer low pressure chamber. Each of the outer wall and the inner wall have an edge defining an open face of the fluid chamber and the low pressure chamber. An ablative element is contained within the fluid chamber. A source of low pressure is coupled to the low pressure chamber. When the edge of the outer wall and the edge of the inner wall contact a surface, the ablation device is at least partially secured to the surface by low pressure created in the low pressure chamber by the source of low pressure. The fluid chamber is at least partially fluidly isolated from the low pressure chamber when the ablation device is at least partially secured to the surface.12-03-2009
20090043300APPARATUS AND METHOD FOR CLEARANCE CALIBRATION OF SHOCK WAVE ELECTRODES - The invention is for an apparatus for the generation of shock waves, especially for medical application, by means of a spark discharge between two electrodes (02-12-2009
20090281539ELECTRODE DEVICE - Neutral electrodes (used for introducing a high frequency treatment current via a skin section of a human or animal body) that include, in addition to known components, at least one measuring electrode spaced from the main electrode, and at least one measuring current generator that is connected to the main electrode and to the measuring electrode generating a high frequency measuring current, which flows between the measuring electrode and the main electrode. The neutral electrodes thus allow for monitoring of the contact of the neutral electrode with the skin and for monitoring of the high frequency current flow and its spatial distribution. This allows for increased safety during use of the neutral electrode for treatment.11-12-2009
20090281538IRRIGATION CATHETER - An irrigation catheter assembly (11-12-2009
20090287210Steerable short sheath access device - The present invention relates to steerable access sheath assembly (11-19-2009
20090299363OFF-AXIS VISUALIZATION SYSTEMS - Off-axis visualization systems are described herein which facilitate the deployment, visualization, and retraction of an imaging element from a catheter. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration as well as an imaging element, such as a CCD or CMOS imager, which may be deployed from a low profile configuration into a position which is off-axis relative to a longitudinal axis of the deployment catheter and/or imaging hood.12-03-2009
20090299366THERAPY DEVICE FOR THERMAL SCLEROSING OF BODY TISSUE - The application arrangement according to the invention for applying a high frequency current for thermal sclerosing of body tissue, includes: 12-03-2009
20110270247Method and Apparatus to Regulate a Tissue Temperature - A system and method are described for sensing the orientation of a catheter relative to a tissue and regulating the application of power to maintain the tissue at a pre-determined temperature.11-03-2011
20110270244IRRIGATED ABLATION CATHETER WITH IMPROVED FLUID FLOW - An irrigated ablation catheter includes a tip electrode with a thin shell and a plug to provide a plenum chamber. The tip electrode has an inlet of a predetermined size and noncircular shape, and outlets in the form of fluid ports formed in the thin shell wall. The plurality of the fluid ports is predetermined, as is their diameter. The tip electrode thus considers a diffusion ratio of total fluid output area to fluid input area, and a fluid port ratio. The tip electrode also considers a fluid inlet aspect ratio where the fluid inlet has a noncircular (for example, oval or elliptical) radial cross-section. The plenum chamber has a narrow proximal portion opening to a wider distal portion so that fluid pressure decreases while fluid velocity increases with the desired effect of increased turbulence which decreases momentum for a more uniform distribution of fluid in the tip electrode. Extending distally from the plug is a baffle member shaped to diffuse fluid entering the tip electrode and to house an electromagnetic position sensor.11-03-2011
20110270243Subxiphoid Connective Lesion Ablation System and Method - Instrument and systems for applying ablative energy to epicardial tissue via a subxiphoid access surgical approach. The instrument has a head assembly sized and shaped for a subxiphoid surgical approach to a patient's heart and defines a contact face. The head assembly includes a paddle body, a first ablation electrode, and a second ablation electrode. The ablation electrodes are coupled to the paddle body in a spaced apart, spatially-fixed fashion. The ablation electrodes are exteriorly exposed at the contact face. A tubular member extends from the head assembly and maintains wiring connected to the ablation electrodes. The instrument is manipulable to locate the contact face on epicardial tissue of a patient's heart via a subxiphoid surgical approach, such as between the left and right pulmonary vein junctions of the posterior left atrium.11-03-2011
20080275442Systems and Methods for Electrode Contact Assessment - Systems and methods are disclosed for assessing electrode-tissue contact for tissue ablation. An exemplary electrode contact sensing system comprises an electrode 11-06-2008
20080275441JAWED SURGICAL INSTRUMENT FITTED WITH AN ELECTRODE AND A CABLE - A jawed surgical instrument fitted at the distal end of a jaw head which is affixed at the distal end of a longitudinally elongated stem and which supports two mutually oppositely displaceable jaw parts, said jaw head being connectable by means of an actuation bar to one of two drive elements of a manipulating unit that are mutually oppositely displaceable in the stem direction, the other of said drive elements being connected to the stem, said jaw head comprising at least one electrode designed for tissue surgery and being electrically connected by means of the actuation bar to a cable issuing from said bar, the actuation bar and the jaw head being detachably connected to the manipulating unit characterized in that the actuation bar and the jaw head are detachably connected transversely to the stem direction or in the proximal direction parallel to the stem to the manipulating unit, and in that the electric cable is firmly affixed to the actuation bar.11-06-2008
20100217262FREQUENCY SELECTIVE PASSIVE COMPONENT NETWORKS FOR ACTIVE IMPLANTABLE MEDICAL DEVICES UTILIZING AN ENERGY DISSIPATING SURFACE - Decoupling circuits are provided which transfer energy induced from an MRI pulsed RF field to the housing for an active implantable medical device (AIMD) which serves as an energy dissipating surface. This is accomplished through broadband filtering or by resonant filtering. In a passive component network for an AIMD, a frequency selective energy diversion circuit is provided for diverting high-frequency energy away from an AIMD lead to the AIMD housing for dissipation of said high-frequency energy.08-26-2010
20100137861SPECTRAL ANALYSIS OF INTRACARDIAC ELECTROGRAMS TO PREDICT IDENTIFICATION OF RADIOFREQUENCY ABLATION SITES - A method and system for choosing suitable sites for catheter delivery ablative energy is provided that includes a catheter/ablation structure that is positioned on a potential ablation site on a heart. The catheter/ablation structure produces one or more electrograms recorded at the potential ablation site. A signal processing unit receives from the catheter/ablation structure the recorded one or more intercardiac electrograms from the potential ablation site and performing Fast Fourier Transform (FFT) on the recorded one or more intercardiac electrograms as so to produce one or more spectral power distributions of the potential ablation site. A display unit displays the one or more spectral power distributions so as to determine whether the potential RF ablation site exhibit necessary spectral properties for the delivery of the ablative energy. A ablative energy generator unit provides the ablative energy to the potential ablation site using the catheter/ablation structure.06-03-2010
20100137860APPARATUS FOR PERFORMING A NON-CONTINUOUS CIRCUMFERENTIAL TREATMENT OF A BODY LUMEN - Methods and apparatus are provided for non-continuous circumferential treatment of a body lumen. Apparatus may be positioned within a body lumen of a patient and may deliver energy at a first lengthwise and angular position to create a less-than-full circumferential treatment zone at the first position. The apparatus also may deliver energy at one or more additional lengthwise and angular positions within the body lumen to create less-than-full circumferential treatment zone(s) at the one or more additional positions that are offset lengthwise and angularly from the first treatment zone. Superimposition of the first treatment zone and the one or more additional treatment zones defines a non-continuous circumferential treatment zone without formation of a continuous circumferential lesion. Various embodiments of methods and apparatus for achieving such non-continuous circumferential treatment are provided.06-03-2010
20080249525Radio Frequency Ablation Electrode for Selected Tissue Removal - The present invention relates to a radiofrequency electrode for selective ablation of a body tissue, comprising a first electrode 10-09-2008
20080249523Controller for flexible tissue ablation procedures - An electrosurgical system including a generator configured to supply radiofrequency (RF) energy is disclosed. The system includes at least two electrodes configured to apply RF energy to tissue and at least one return electrode for returning the RF energy to the generator. The generator may operate in a first operational mode and at least one other operational mode. The system includes a controller configured to control the application of RF energy to each of the two or more electrodes and the return of RF energy to the generator. The controller includes a plurality of switching components configured to selectively switch the flow of the RF energy between the two or more electrodes and between the return electrode and at least one of the two or more electrodes based on the operational mode of the generator.10-09-2008
20080249524System and method for providing even heat distribution and cooling return pads - The present disclosure relates to a return pad for use with an electrosurgical system and includes a contact layer configured to engage patient skin, a conductive layer disposed on the contact layer, and a heating layer operatively associated with at least one of the contact layer and the conductive layer. The heating layer is configured to heat the return pad.10-09-2008
20120296331BIPOLAR ELECTROSURGICAL PROBE HAVING INSULATED OVERLAPPING CONDUCTIVE ELEMENTS - A bipolar electrosurgical probe configured for applying electrical energy to tissue includes a first tubular electrode carried by a probe shaft and having a distal end, a second tubular electrode carried by the probe shaft and having a proximal end, and an insulation member, wherein at least a portion of the insulation member is disposed between overlapping ends of the first and second tubular electrodes, wherein the distal end of the first electrode defines at least one aperture extending through a wall of the first electrode.11-22-2012
20120296329APPARATUS AND METHOD OF ASSESSING TRANSVASCULAR DENERVATION - A catheter apparatus for assessing denervation comprises: an elongated catheter body; a deployable structure coupled to the catheter body, the deployable structure being deployable outwardly from and contractible inwardly toward the longitudinal axis of the catheter body; one or more ablation elements disposed on the deployable structure to move outwardly and inwardly with the deployable structure; one or more stimulation elements spaced from each other and disposed on the deployable structure to move with the deployable structure, the stimulation elements being powered to supply nerve stimulating signals to the vessel; and one or more recording elements spaced from each other and from the stimulation elements, the recording elements being disposed on the deployable structure to move with the deployable structure, the recording elements configured to record response of the vessel to the nerve stimulating signals.11-22-2012
20120296330DEVICE FOR NON-THERMAL, ELECTRICALLY-INDUCED CLOSURE OF BLOOD VESSELS BY OCCLUSION - Devices for the non-thermal, electrically-induced temporary or permanent closure of blood vessels. The subject devices employ pulsed electrical energy according to a defined regime to effect controlled occlusion of targeted blood vessels without hating the vessel and with minimal damage to adjacent tissue. The extent of vessel closure, i.e., temporary (vasoconstriction) or permanent (thrombosis), is controlled based on the manipulation of various parameters of the electrical stimulation regime as well as the configuration of the electrodes used to apply the regime.11-22-2012
20110270246IRRIGATED ABLATION CATHETER WITH IMPROVED FLUID FLOW - An irrigated ablation catheter includes a tip electrode with a thin shell and a plug to provide a plenum chamber. The tip electrode has an inlet of a predetermined size and noncircular shape, and outlets in the form of fluid ports formed in the thin shell wall. The plurality of the fluid ports is predetermined, as is their diameter. The tip electrode thus considers a diffusion ratio of total fluid output area to fluid input area, and a fluid port ratio. The tip electrode also considers a fluid inlet aspect ratio where the fluid inlet has a noncircular (for example, oval or elliptical) radial cross-section. The plenum chamber has a narrow proximal portion opening to a wider distal portion so that fluid pressure decreases while fluid velocity increases with the desired effect of increased turbulence which decreases momentum for a more uniform distribution of fluid in the tip electrode. Extending distally from the plug is a baffle member shaped to diffuse fluid entering the tip electrode and to house an electromagnetic position sensor.11-03-2011
20080300591Ultrasonic spinal surgery method - In a discectomy method one removes at least a substantial portion of a spinal disc. Thereafter one operates an ultrasonic instrument to level opposing faces of vertebrae on opposite sides of the removed spinal disc. Graft or synthetic disc material is inserted between the vertebrae so that the graft or synthetic disc material is in contact with the leveled opposing faces. In an associated nucleotomy, a cannulated probe is inserted into a spinal disc and used to remove the nucleus pulposus. A synthetic or substitute nucleus material may then be inserted into the evacuated annulus.12-04-2008
20080281318Systems and methods for inductive heat treatment of body tissue - Apparatus and methods for treating body tissue by heat energy. The apparatus includes: a coil for transmitting an alternating electrical current therethrough to generate an alternating electromagnetic field that is capable of exciting material positioned in the body, the material being operative to inductively generate the heat energy in response to the electromagnetic field; means for measuring an amplitude of the current; and means for mapping the amplitude into a temperature of the magnetic material.11-13-2008
20080281321Treatment and diagnostic catheters with hydrogel electrodes - Straight and curved catheters for treatment or diagnoses of tissue, including cardiac tissue, using hydrogel virtual electrodes and hydrogel sensing electrodes are disclosed. Each catheter comprises at least one conductive hydrogel electrode, whether a virtual electrode or a sensing electrode. Hydrogel virtual electrodes may be used to deliver ablative energy or chemotherapeutic agents to tissue. Hydrogel sensing electrodes may be used to map various electrical activity of tissue. The ablation catheters include a variety of hydrogel delivery features to deliver the conductive hydrogel electrodes against or adjacent to tissue to be treated. Each hydrogel delivery feature comprises at least one opening in the distal portion of the catheter and may also include a permeable or semi-permeable membrane. The mapping catheters include conductive hydrogel disks (i.e., conductive hydrogel sensing electrodes) and nonconductive hydrogel disks. Methods of treating and diagnosing tissue using hydrogel virtual electrodes and hydrogel sensing electrodes are also disclosed.11-13-2008
20080281319Assessment of Electrode Coupling For Tissue Ablation - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.11-13-2008
20080287946Cool-Tip Thermocouple Including Two-Piece Hub - A surgical device for performing a surgical procedure on a patient is provided and includes a handle assembly including a housing having a distal end and a proximal end; a tissue engaging member supported in and extending from the distal end of the housing of the handle assembly; at least one conduit having a first end operatively associated with the tissue engaging member and a second end extending from the housing of the handle assembly; and a strain relief member supported on the at least one conduit and connected to the housing, wherein the strain relief member and the housing are configured to enable poly-axial movement of the strain relief member with respect to the housing.11-20-2008
20080287943TREATMENT APPARATUS AND METHODS FOR INDUCING MICROBURN PATTERNS IN TISSUE - Treatment apparatus and methods for inducing microburn patterns in tissue. The treatment apparatus comprises a delivery device positionable adjacent to the tissue and a plurality of energy-transfer elements. The energy-transfer elements are adapted to contact the skin surface over discrete surface contact areas and transfer energy to the tissue for forming damaged regions in the form of microburns at a corresponding plurality of locations in the tissue. Energy may be transferred between the energy-transfer elements and the tissue by either electrical conduction or thermal conduction. Adjacent microburns are separated by non-damaged regions, which promotes wound healing and efficacy.11-20-2008
20080228183CATHETER DESIGN THAT FACILITATES POSITIONING AT TISSUE TO BE DIAGNOSED OR TREATED - A catheter used for diagnosing and treating, for example, atrial fibrillation. The catheter includes a catheter shaft that has a proximal portion and a distal portion. The distal portion is adapted to be inserted into a body cavity having tissue to be diagnosed or treated and is disposed remotely from the proximal portion. The distal portion, which may be curved or straight, comprises an outer peripheral wall having an active region, and the distal portion has a cross-sectional configuration along the active region. The cross-sectional configuration is adapted to bias the active region against the tissue to be diagnosed or treated.09-18-2008
20100280513SYSTEM AND METHOD FOR APPLYING PLASMA SPARKS TO TISSUE - A pulse delivery system for producing a spark in tissue is disclosed. The system can include at least two electrodes having sharp surface features, where the at least two electrodes are electrically isolated from one another. The sharp features of the electrodes can be separated by a distance of about 2 to 20 mm. The system can also include a pulse generator for delivering pulsed voltage differences between the at least two electrodes. The pulsed voltage differences can producing a voltage difference ranging from about 2.5 kV to about 35 kV for a duration of about 50 ns to 3 μs. The system can include a controller for determining whether the plurality of pulsed voltage differences produced a spark between the at least two electrodes. A method of producing a spark in tissue for both therapeutic and cosmetic, i.e., non-therapeutic, applications is also disclosed.11-04-2010
20100280514METHOD OF MANUFACTURING RF ABLATION PROBE WITH UNIBODY ELECTRODE ELEMENT - An ablation probe and method of manufacturing the ablation probe are provided. The probe comprises a probe shaft and a unibody electrode element. The unibody electrode element comprises a common electrode base located at the distal end of the shaft, and a plurality of electrode tines distally extending from the electrode base. The electrode element may be created by forming divisions (such as slits or slots) from a first end of an electrically conductive elongate member towards an opposing second end of the elongate member. Alternatively, the divisions can be formed from a first end of an electrically conductive sheet towards an opposing second end of the sheet, and then bent or rolled to form the elongate member. In either case, the common electrode base can either be separately mounted to a probe shaft, or the probe shaft can be formed from the elongate member, in which case, the electrode base will be integrated with the probe shaft as a unibody structure. The electrode tines can be optionally shaped, e.g., to proximally evert.11-04-2010
20100137859IRRIGATED ABLATION CATHETER HAVING A FLEXIBLE MANIFOLD - An irrigated ablation catheter includes a shaft having a proximal end, a distal end, and an irrigation lumen therein. The catheter further includes an electrode assembly coupled to the distal end of the shaft. The electrode assembly includes an ablation electrode and a manifold. The manifold is coupled to each of the distal end of the shaft and the proximal end of the electrode. At least a portion of the manifold is constructed of a flexible material to allow the electrode assembly to deflect. The manifold includes a body, an inner cavity within the body configured for fluid communication with the irrigation lumen, and an irrigation port also within the body and configured for fluid communication with the inner cavity. The irrigation port extends from the inner cavity to the outer surface of the body, and is configured to allow for an irrigating fluid to be distributed from the manifold.06-03-2010
20080243116Catheter assembly - A catheter sheath 10-02-2008
20080215046MEDICAL DEVICE CONTROL SYSTEM - A medical device for use by an operator to perform a medical procedure in a body includes a handle to be held by the operator, a shaft attached to the handle and an actuating assembly to control functions associated with the medical procedure. The shaft includes an operative distal portion to perform a medical procedure in the body. The medical device may be part of an ablation catheter system that is programmed to correlate one or more functions with the actuation of the actuating assembly. Multiple actuating assemblies may be provided. Each actuating assembly may be a button. Other types of actuating assemblies may also be used, such as switches or a trackball. The actuating assembly may also be provided on a sleeve that may be selectively attached to the handle of the catheter or the physician operating the catheter, for example.09-04-2008
20080243115Catheter actuator - A catheter actuator 10-02-2008
20090264880Device, A Kit And A Method For Treatment Of Disorders In The Heart Rhythm Regulation System - A tissue lesion creating device is structured and arranged to be inserted through the vascular system into a body vessel adjacent the heart and to be subsequently subjected to a change of shape in order to penetrate into the heart tissue. The tissue lesion creating device may thus be used for treating disorders to the heart rhythm regulation system. A kit of devices provides a plurality of devices for creating a lesion pattern for treating such disorders.10-22-2009
20080287944TISSUE ABLATION APPARATUS AND METHOD - A method and apparatus for carrying our thermal ablation of target tissue is disclosed. The apparatus includes an RF ablation device having a multi-electrode electrode assembly designed to be deployed in target tissue, defining a selected-volume tissue region to be ablated, and having infusion channels for infusing a liquid into the target tissue during the ablation process. A control unit in the apparatus is operably connected to an RF energy source, for controlling the RF power level supplied to the electrodes, and to an infusion device, for controlling the rate of infusion of a liquid through the device into the tissue. During both electrode deployment and tissue ablation, impedance and or temperature measurements made within the tissue are used to control the RF source and infusion device, for optimizing the time and extent of tissue ablation.11-20-2008
20080294159High frequency surgical instrument - A high frequency surgical instrument having a forceps assembly at a fore distal end of an elongated insertion member, the forceps assembly being constituted by a pair of opening and closing grasper members which are shaped with a series of saw teeth on an inner meeting side in such a way that saw tooth portions on the two grasper members are at least partly brought into abutting engagement with each other when the grasper member are closed. For manipulating opening and closing actions of the grasper members, a manipulative transmission means is threaded through the insertion member, connecting the paired grasper members of the forceps to a manipulation handle which is attached to a proximal end of the insertion member. Each one of the grasper members is formed of a conducting material and arranged to have a width narrower than outside diameter of the insertion member on the saw-toothed inner side. The grasper members are electrically connectible to a high frequency power source, and are entirely covered with an insulating coat except saw tooth portions.11-27-2008
20090138009MAGNETICALLY GUIDED ENERGY DELIVERY APPARATUS - This invention describes an energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field and comprising an electrical conductor having a substantially elongated configuration; an electrode for delivering electrical energy at the target location, with the electrode being electrically coupled to the electrical conductor and having an exposed surface with at least a portion of the exposed surface having one of its principal radii of curvature smaller than 0.35 mm; an insulating dielectric coating along a substantial portion of the length of the electrical conductor, with the dielectric coating having a dielectric constant smaller than about 3; at least one guiding element mounted to the electrical conductor, with at least one of the guiding elements including a magnetically responsive material. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.05-28-2009
20080269737Fluid sensor for ablation therapy - The disclosure describes a method and a system that may be used to provide feedback regarding the flow of fluid during ablation therapy. The system includes a generator that generates energy to ablate at least a portion of a target tissue, a needle that delivers the energy to the target tissue, a return electrode that receives energy dispersed from the needle, a catheter that houses at least a portion of the needle, a pump that delivers a fluid to the target tissue via the catheter, a sensor that detects a fluid parameter indicative of at least one of flow or pressure of the fluid, and a processor that analyzes the fluid parameter detected by the sensor. The sensor may be located between the pump and the target tissue. The fluid parameter detected by the system may be pressure or flow. In particular, the system may be used to treat benign prostatic hypertrophy.10-30-2008
20100145332SURGICAL SYSTEM AND SURGICAL METHOD - A surgical system includes: a treatment portion for treating living body tissue targeted for treatment; an ultrasound supplying section for supplying ultrasound via ultrasound transducers which produce ultrasound vibration; a radio-frequency electrical power supplying section for supplying, to the treatment portion, radio-frequency electrical power having an output wave-form defined by a base frequency and a repetition frequency; and a controlling section for controlling at least one of a voltage root-mean-square value and a crest factor, so that the voltage peak value of the output wave-form of the radio-frequency electrical power does not exceed a fixed value.06-10-2010
20110144640SURGICAL INSTRUMENTS INCLUDING MEMS DEVICES - Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.06-16-2011
20120197252APPARATUSES FOR RENAL NEUROMODULATION - Methods and apparatus are provided for renal neuromodulation using a pulsed electric field to effectuate electroporation or electrofusion. It is expected that renal neuromodulation (e.g., denervation) may, among other things, reduce expansion of an acute myocardial infarction, reduce or prevent the onset of morphological changes that are affiliated with congestive heart failure, and/or be efficacious in the treatment of end stage renal disease. Embodiments of the present invention are configured for extravascular delivery of pulsed electric fields to achieve such neuromodulation.08-02-2012
20090030412VISUAL ELECTRODE ABLATION SYSTEMS - Visual electrode ablation systems are described herein which include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. An electric current may be passed through the fluid such that it passes directly to the tissue region being imaged and the electrical energy is conducted through the fluid without the need for a separate ablation probe or instrument to ablate the tissue being viewed.01-29-2009
20110208184Bipolar Electrode Probe For Ablation Monitoring - An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablation energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and at least one tissue sensor probe operatively coupled to the controller. The at least one tissue sensor provides a tissue impedance measurement to the controller. A sensor probe may be designated a threshold probe adapted to sense when tissue is sufficiently ablated, or, a critical structure probe adapted to protect an adjacent anatomical structure from undesired ablation. During an electromagnetic tissue ablation procedure, the controller monitors tissue impedance to determine tissue status, to activate an indicator associated therewith, and, additionally or alternatively, to activate and deactivate the generator accordingly.08-25-2011
20100152727Irrigated Catheter - Apparatus for irrigating an electrode of a catheter are disclosed. Among other things, a catheter is disclosed that comprises a shaft portion including a fluid passage to conduct fluid, an electrode coupled to a distal end of the shaft portion, and a handle portion coupled to a proximal end of the shaft portion. A portion of the fluid passage defines an opening in the shaft portion. The opening is constructed and arranged such that when fluid is conducted through the fluid passage, at least some of the fluid will contact the electrode after passing through the opening in the shaft portion.06-17-2010
20080234671ABLATION APPARATUS HAVING REDUCED NERVE STIMULATION AND RELATED METHODS - Apparatus and methods for reducing nerve stimulation in electrosurgical instruments utilizing electrically isolated pairs of electrodes are disclosed. At least two pairs of electrodes may be configured to create at least two opposing currents which effectively cancel one another such that a net current flow is inhibited from developing within surrounding tissue structures to mitigate or eliminate undesired electrical stimulation of the tissue.09-25-2008
20090187184SYSTEM AND METHOD FOR RESHAPING AN EYE FEATURE - A system for applying therapy to an eye includes an applicator having a conducting element configured to direct energy from an energy source to an application end of the conducting element, where the application end has an eye contact portion. A positioning system receives the applicator and positions the eye contact portion in stable engagement with the surface of an eye. In some embodiments, the conducting element is disposed within a housing for the applicator and an adjustment system is employed to move the conducting element relative to the housing. The adjustment system enables controlled movement of the conducting element and the eye contact portion against the corneal surface. In particular embodiments, sufficient contact between the applicator and the cornea is determined by causing applanation of the cornea. In other embodiments, a physical measurement device, such as a strain gauge, is employed to determine when sufficient contact has been established.07-23-2009
20090069804Apparatus for efficient power delivery - A delivery apparatus for supporting an electrosurgical instrument and for connecting the electrosurgical instrument to an electrosurgical energy source is provided. The delivery apparatus includes a selectively positionable housing including a plurality of rigid segments and a joint member interposed between each adjacent rigid member; and a transmission medium extending through at least one of the segments of the housing. The transmission medium is configured to transmit electrosurgical energy between the electrosurgical energy source and the electrosurgical instrument. In use, the housing is movable between a first position wherein an electrosurgical instrument supported on an end of the housing is remote from an operative site and a second position wherein the electrosurgical instrument supported on the end of the housing is proximate to the operative site.03-12-2009
20120071874TISSUE ABLATION WITH IRREVERSIBLE ELECTROPORATION - A new method for the ablation of undesirable tissue such as cells of a cancerous or non-cancerous tumor is disclosed. It involves the placement of electrodes into or near the vicinity of the undesirable tissue through the application of electrical pulses causing irreversible electroporation of the cells throughout the entire area of the undesirable tissue. The electric pulses irreversibly permeate the cell membranes, thereby invoking cell death. The irreversibly permeabilized cells are left in situ and are removed by the body immune system. The amount of tissue ablation achievable through the use of irreversible electroporation without inducing thermal damage is considerable.03-22-2012
20090187183TEMPERATURE RESPONSIVE ABLATION RF DRIVING FOR MODERATING RETURN ELECTRODE TEMPERATURE - The inventive method for ablating a tissue mass associated with a human or animal patient being treated comprises positioning an ablating electrode in a tissue mass to be ablated. A plurality of return electrodes are positioned on the patient. Electrical energy is applied between the return electrodes and the ablating electrode. The temperature of the return electrodes is measured to generate a temperature measurement signal which is used to control ablation current through the return electrodes.07-23-2009
20090187185Surgical instrument - An articulated surgical instrument includes a handle, an actuating assembly associated with the handle, and a shaft including a proximal end coupled to the handle, a deflectable portion and an end effector. Distal portions of deflection wires are connected to the shaft. Proximal portions of the wires are connected to the actuating assembly. Movement of the actuating assembly moves the deflection wires to cause a deflection of the deflectable portion. The actuating assembly includes one or more actuators and one or more slider members associated with the actuators and connected to the deflection wires. The slider members are movable linearly between first and second positions, the proximal portions of the deflection wires being connected to the slider members. One of the actuators and slider members has a cam track and the other has a cam follower, such that movement of an actuator by the user of the instrument causes a linear movement of a slider member from its first position to its second position, so as to move the deflection wires causing a corresponding deflection of the deflectable portion.07-23-2009
20090138010Wedge Coupling - A wedge coupling for coupling a tubing to a housing is disclosed. The wedge coupling includes a base having an opening defined therein and configured to receive a portion of the tubing therethrough and a plurality of prongs disposed on the base and around an inner periphery of the opening. The plurality of prongs are configured to slidably engage the housing and to deflect inwardly to secure the tubing to a nozzle adapter disposed within the housing.05-28-2009
20090005773Ablation catheter with optically transparent, electrically conductive tip - A catheter enables real-time light measurements, for example, without limitation, diffuse reflectance, fluorescence, etc., from biological materials, such as tissue (including blood), while performing RF ablation. The catheter tip design isolates illumination and collection paths such that light exits the catheter tip and travels through the tissue of interest (e.g., cardiac tissue or blood) before returning to the catheter tip. Such a design advantageously avoids saturation of the optical detector, and ensures diffusion of the illumination light within the medium of interest. The catheter has a catheter body and a tip electrode. The tip electrode has an exterior shell, an inner layer of diffuse material and a hollow cavity, wherein the inner layer is configured to transmit light outside the tip electrode to a tissue via a set of illumination openings in the shell wall and the hollow cavity is configured to receive light from the tissue via a set of collection openings in the shell wall and the inner layer. An inner surface of the inner layer has a reflective coating to isolate light injected into the inner layer from light collected in the hollow cavity. There are a first optical waveguide extending between the catheter body and the tip electrode to inject light into the inner layer and illuminate the tissue, and a second optical waveguide extending between the catheter body and the tip electrode to collect the recaptured light in the hollow cavity.01-01-2009
20090005775EXPANDABLE CATHETER HAVING TWO SETS OF ELECTRODES - A catheter includes a first plurality of expandable leads and a second plurality of expandable leads separate and longitudinally spaced-apart from the first plurality to deliver energy to a hollow anatomical structure, such as vein, fallopian tube, hemorrhoid, esophageal varix, to effectively ligate that structure. Each of the leads includes an electrode located at the distal end of the respective electrode lead. Polarizations of the leads may be selected to achieve the power distribution desired. Each electrode lead includes an outward bend such that when a movable sheath is moved out of contact with the leads, they expand outwardly into apposition with an inner wall of the structure to be ligated. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes are freely moved inward by the shrinking structure while still maintaining apposition with the inner wall of the shrinking structure.01-01-2009
20090177194AUTO-ALIGNING ABLATING DEVICE AND METHOD OF USE - An ablation device and methods for use thereof including a support structure adapted to support an ablation structure within an alimentary tract of a patient are provided. The support structure includes a longitudinal support with a longitudinal axis and a rotational support. The rotational support is adapted to permit at least part of the ablation structure to rotate with respect to the longitudinal support's longitudinal axis.07-09-2009
20090187186ABLATION CATHETER ARRANGEMENT AND COOLING CONTROL - An apparatus for cooling ablation catheters via a coolant pump and liquid cooling medium controlled by a controller based on a characteristic state for an activity of a catheter and in addition a system that uses the apparatus for ablation of tissue in a human or animal body. The system includes an elongated ablation catheter, an ablation generator electrically connected to the catheter to generate a high-frequency energy pulse or a high-frequency energy field, the coolant pump connected to the catheter and the controller and a control line connected to the pump. The control line comprises an electric circuit designed to detect a high-frequency pulse or a high-frequency field.07-23-2009
20090005776MEDICAL DEVICE - A medical device for fusing or necrosing a biological tissue, including a first electrode member and a second electrode member protruded from a non-electrically-conductive attachment portion configured to sandwich the biological tissue; and an energy supply unit configured to supply electric energy to between the first electrode member and the second electrode member, wherein the region of a predetermined length in a direction of axial line from the attachment portion in at least one of the electrode members within the first electrode member and the second electrode member is coated with an electrical insulator.01-01-2009
20090005774MEDICAL PROBE WITH ECHOGENIC AND INSULATIVE PROPERTIES - Tissue ablation probes and methods of using tissue ablation probes are provided. Each tissue ablation probe comprises an electrically conductive probe shaft, at least one tissue ablation electrode carried by a distal end of the probe shaft, and one or both of an insulative element and an echogenic element. The insulative element and/or the echogenic element may, e.g., be affixed to, or selectively removable from, the probe shaft to increase the insulative capability and echogenicity of the probe. An echogenic sheath having the insulative element and/or the echogenic element may be slidably disposed over the probe shaft to impart insulative and echogenic properties to the probe shaft.01-01-2009
20090005777ARTERIOTOMY CLOSURE DEVICES AND TECHNIQUES - A vascular closure system includes a vessel closure device with an electrically conductive component. The vessel closure device is configured to be advanced percutaneously to an opening in a blood vessel and to mechanically draw together sides of the opening or occlude the opening. A power source in electrical contact with the vessel closure device provides power to the vessel closure device to thereby heat tissue in an area near the opening to facilitate the closure or healing of the opening. The vessel closure device may be configured to be advanced to the opening over a tubular medical device. The vessel closure device may include a superelastic or shape memory element. The vessel closure device may be in contact with two conductors from the power source and may be configured to heat tissue via direct resistive element heating. Alternatively, one conductor may be connected to the vessel closure device and a second conductor may be connected to a ground pad on the patient.01-01-2009
20080319438Electrosurgical systems and cartridges for use therewith - A cartridge for use with an electrosurgical system includes a housing, a conduit, and a conductor. The housing includes a path defined therein. The conduit is disposed at least partially within the housing such that the path is configured to position at least a portion of the conduit within the housing. A chamber of the path is configured to dampen shock forces on the conduit. The conductor is adapted to transmit energy is disposed within the housing. At least a portion of the conductor is disposed at least partially within the housing.12-25-2008
20090326529METHOD AND APPARATUS FOR REDUCING IMAGE ARTIFACTS IN ELECTRONIC ABLATION IMAGES - At least one electrode lead outside the body and leading between an RF ablation power source and the unshielded probes in the patient is shielded to substantially eliminate artifacts during concurrent electronic imaging and RF ablation.12-31-2009
20130218157SYSTEM AND METHOD FOR INCREASING A TARGET ZONE FOR ELECTRICAL ABLATION - System for increasing a target zone for electrical ablation includes a treatment control module executable by a processor. The control module directs a pulse generator to apply pre-conditioning pulses to subject tissue cells in a pre-conditioning zone to electroporation, the pre-conditioning zone being smaller than a target ablation zone. After the pre-conditioning pulses have been applied, the control module directs the pulse generator to apply treatment pulses to electrically ablate the tissue cells in the target ablation zone. The pre-conditioning pulses cause the pre-conditioning zone to have a much higher conductivity so that the zone acts as a larger electrode area when the treatment pulses are applied, which results in a much larger target ablation zone than otherwise possible.08-22-2013
20110224667ABLATION CATHETER WITH ISOLATED TEMPERATURE SENSING TIP - Disclosed herein, among other things, are methods and apparatus related to radio frequency (RF) ablation catheters. The present subject matter provides an ablation catheter system including a catheter body with a distal tip, and a thermocouple component at the distal tip. The thermocouple component is adapted to sense temperature of bodily fluid and/or tissue. The system includes a non-conductive insert configured to physically separate and thermally insulate the thermocouple component from the catheter body. Various embodiments include an open-irrigated ablation catheter system, the system further including at least one fluid chamber and a plurality of irrigation ports within the catheter body, where the plurality of irrigation ports enable fluid to exit from the at least one fluid chamber. The non-conductive insert is further configured to physically separate and thermally insulate the thermocouple component from the plurality of fluid flow channels and irrigation ports.09-15-2011
20090024123Articulable Forceps - Forceps include a first and a second blade, both of which have an inner surface, an outer surface, a tip end, and a proximal end. The forceps also include a blade adjustment joint disposed adjacent to the proximal ends of the first and the second blades and both blades are rotateably connected to the blade adjustment joint. The blade adjustment joint selectively allows the first and second blades to rotate independently of each other or prevents both blades from rotating independently of each other. The blade adjustment joint permits the first blade to rotate or pivot in relation to the second blade and visa versa, so the tips of the forceps can be realigned simply and easily. Additionally, the blade adjustment joint in one condition prevents the first blade and second blade from rotating, locking the blades in position for use.01-22-2009
20100152731FLEXIBLE TIP CATHETER WITH EXTENDED FLUID LUMEN - A lumen extension member is provided for a catheter having a catheter body and an elongate electrode coupled to the catheter body. The elongate electrode defines an electrode lumen extending therethrough. The lumen extension member is positioned within the electrode lumen and is coupled to the catheter body. The lumen extension member includes a tubular member including a sidewall and at least one opening that extends through the sidewall.06-17-2010
20090198232ABLATION PROBE WITH FLARED ELECTRODES - An ablation device includes a cannula having a proximal end, a distal end, and a lumen extending between the proximal and the distal ends, and a first array of electrodes at least partially disposed within the lumen, the first array of electrodes slidable relative to the cannula, each of the electrodes having a first configuration when inside the lumen, and a second configuration when unconfined outside the lumen, wherein one of the electrodes has a flared deployed profile.08-06-2009
20100217260SELF-LIMITING ELECTROSURGICAL RETURN ELECTRODE WITH PRESSURE SORE REDUCTION AND HEATING CAPABILITIES - A self-limiting electrosurgical electrode for use with electrosurgery and various other surgical procedures is disclosed. The electrode includes a heating element for generating heat to warm a patient resting upon the electrode. The electrode can also include one or more pads to prevent the creation of pressure sores or decubitus ulcers on a patient resting upon the electrode. The electrode has an effective bulk impedance equal to or greater than about 4,000 Ω·cm, which arises from resistive components, capacitive components, inductive components, or combinations thereof. Through the selection of the impedance characteristics for the electrode materials, and through tailoring of electrode geometries, the electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma.08-26-2010
20090192508MODIFICATION OF AIRWAYS BY APPLICATION OF MECHANICAL ENERGY - Methods of increasing gas exchange performed by the lung by damaging lung cells, damaging tissue, causing trauma, and/or destroying airway smooth muscle tone with an apparatus inserted into an airway of the lung. The damaging of lung cells, damaging tissue, causing trauma, and destroying airway smooth muscle tone with the apparatus may be any one of or combinations of the following: heating the airway; cooling the airway; delivering a liquid to the airway; delivering a gas to the airway; puncturing the airway; tearing the airway; cutting the airway; applying ultrasound to the airway; and applying ionizing radiation to the airway.07-30-2009
20090192506Methods and devices for ablation - An ablating device has a cover which holds an interface material such as a gel. The cover contains the interface material during initial placement of the device. The ablating device may also have a removable tip or a membrane filled with fluid. In still another aspect, the ablating device may be submerged in liquid during operation. 07-30-2009
20090192507METHOD AND DEVICE FOR LESS INVASIVE SURGICAL PROCEDURES ON ANIMALS - The present invention is directed to a method and system for less invasive surgical procedures on animals. In accordance with various embodiments, electromagnetic energy is applied in a controlled application and projected into the tissue of an animal. The controlled application of the electromagnetic energy heats the targeted tissue causing cell necrosis, collagen shrinkage or scar tissue production, often without requiring a surgical incision.07-30-2009
20110230878Ablation Handle Attachment - A device for use in conjunction with a medical device comprises a handle extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough for accommodating a longitudinal probe. A distal end of the handle including a coupling for attachment to a proximal end of a needle device. The handle includes a length adjusting mechanism enabling a user to set a length of the handle at a desired length and a flexible probe sized and shaped for insertion through a lumen of the medical device. A length of the probe is selected relative to a length of the lumen within which it is to be employed so that, when the length of the handle is set at a desired length, insertion of the flexible probe through the lumen to a distal-most position extends a distal portion of the probe distally beyond the distal end of the lumen by a desired distance.09-22-2011
20110230877Pulsed Electric Field Probe for Glaucoma Surgery - A small gauge pulsed electric field/aspirator probe. The probe has a generally cylindrical cannula with a generally smooth distal end. A port is located near a distal end of the cannula on a side of the cannula. A pair of electrodes is located at the port. An electric pulse generator is coupled to the pair of electrodes. A distance between the distal end of the cannula and the port is approximately equal to the distance between a back wall of Schlemm's canal and a trabecular meshwork in a human eye. The electric pulse generator applies a pulsed electric field to the pair of electrodes sufficient to dissociate protein bonds that hold the trabecular meshwork together.09-22-2011
20110230879CARTILAGE TREATMENT PROBE - An electrosurgical instrument for ablating cartilage while limiting collateral damage includes a non-conducting head with a small electrically conductive surface. The head of the instrument is coupled to a shaft by a flexible portion. The flexible portion biases the electrically conductive surface towards a tissue surface. The head is pivotably coupled to the shaft such that the electrically conductive surface is oriented substantially parallel to the tissue surface as the head slides across the tissue surface. A method of performing electrosurgery includes positioning the electrically conductive surface adjacent to the tissue surface, and sliding the shaft across the tissue surface with the head pivoting such that the electrically conductive surface is oriented substantially parallel to the tissue surface.09-22-2011
20090054893GAS-ENHANCED SURGICAL INSTRUMENT WITH PRESSURE SAFETY FEATURE - A pressure safety system is provided for use with electrosurgical instruments providing pressurized ionized gas to a surgical site. The pressure safety system includes a series of three cascaded pressure change members to control the pressure of gas delivered to a patient. Pressure safety apparatus for use with electrosurgical instruments providing pressurized ionized gas to a surgical site are also provided. Electrosurgical instruments utilizing the pressure safety system and apparatus are also provided. The instruments include a hand-held applicator, a portable actuator assembly and the pressure safety system to control the pressure of gas delivered to a patient.02-26-2009
20120078246METHODS AND APPARATUS FOR COAGULATING AND/OR CONSTRICTING HOLLOW ANATOMICAL STRUCTURES - An energy delivering probe is used for thermally coagulating and/or constricting hollow anatomical structures (HAS) including, but not limited to, blood vessels such as perforator veins. The probe includes a shaft and at least two electrodes where at least one of the electrodes has a generally spherical or toroidal geometry.03-29-2012
20080262492Surgical Instrument - An endoscopic or laparoscopic instrument includes a distal tool, a rigid or flexible elongated shaft that supports the distal tool, and a proximal handle or control member, where the tool and the handle are coupled to the respective distal and proximal ends of the elongated shaft via bendable motion members. The tool and the tool motion member are coupled to the handle and the handle motion member via cables and a push rod in such a way that the movement of the handle with respect to the elongated shaft in any direction is replicated by the tool at the distal end of the shaft. The magnitude of the tool motion with respect to the handle motion may be scaled depending on the size of the handle motion member with respect to that of the tool motion member.10-23-2008
20080262491Tuna Device with Integrated Saline Reservoir - Methods and apparatus for ablating a target tissue are discussed. Such methods and apparatus include those that simplify tissue ablation. For example, a tissue ablation device having an actuator, such as a trigger mechanism, coupled to a power source and an electrode is discussed. A single step of engaging the actuator causes the electrode to be introduced into the target tissue and causes energy to be delivered from the power supply to the tissue via the electrode. Devices that include an electrode actuator for causing the electrode to be introduced into the target tissue and a fluid actuator for causing the fluid to flow to the target tissue are also discussed. Methods of causing the electrode to be introduced into the target tissue and fluid to flow to the target tissue with a single step and more than one step are also discussed.10-23-2008
20110144639CATHETER WITH HELICAL ELECTRODE - An invasive probe includes an insertion tube containing a lumen for providing an irrigation fluid and comprising a distal portion having a plurality of perforations therethrough providing fluid communication between the lumen and an outer surface of the insertion tube. At least one helical electrode is fitted over the distal portion of the insertion tube.06-16-2011
20110144637Vein Occlusion Devices and Methods for Catheter-Based Ablation - Medical devices and methods for deriving an indication of occlusion of a blood vessel from one or more physiologic sensor are disclosed. The physiological parameters contemplated for implementation in accordance with embodiments of the disclosure may include pressure, flow, force, temperature, or tension.06-16-2011
20090209958ELECTROSURGICAL SYSTEM AND METHOD FOR TREATING CHRONIC WOUND TISSUE - An electrosurgical method for treating chronic wound tissue, comprising: positioning an active electrode in close proximity to the chronic wound, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode sufficient to develop a high electric field intensity associated with a vapor layer proximate the active electrode and in close proximity to the wound tissue; and stimulating an expression of at least one healing mediator.08-20-2009
20090240249System and Method for Performing Ablation and Other Medical Procedures Using An Electrode Array with Flexible Circuit - A probe for use in medical procedures includes a longitudinal member, a flexible sheath, and a flexible circuit. The longitudinal member includes at least one electrode and at least one thermocouple disposed thereon. The flexible sheath is coupled to and at least partially surrounding the longitudinal member. The flexible circuit is coupled to the sheath and also to the at least one electrode and the at least one thermocouple. The flexible circuit is configured to provide power to the at least one electrode and a return path to the at least one thermocouple.09-24-2009
20090222003VEIN CLOSURE AND INJECTION KITS AND METHODS - Kits, apparatus, devices and methods for treating varicose veins caused by an incompetent venous junction (e.g., the saphenofemoral and/or saphenopopliteal junctions) are disclosed. The kits may include a sheath, a vein closure device, and an injection device. Alternatively, a vein closure device may include an integral injection channel and injection device. Methods may include injecting a vein with a sclerosing agent through a needle that extends in a direction that is not aligned with a longitudinal axis of a sheath or shaft.09-03-2009
20090248010Electrosurgical Pencil Including Improved Controls - The present disclosure relates to electrosurgical devices having a plurality of hand-accessible variable controls. An electrosurgical device configured for connection to a source of electrosurgical energy is provided and includes a housing; an electrical circuit supported within the housing, the electrical circuit being connectable to the source of electrosurgical energy; and a controller slidably supported on the housing, wherein the controller is configured to exert a force on the electrical circuit to affect a change in the electrical circuit and to provide a tactile feedback to a user of the electrosurgical device as the controller is moved relative to the housing.10-01-2009
20090248014APPARATUS FOR MAGNETICALLY DEPLOYABLE CATHETER WITH MOSFET SENSOR AND METHOD FOR MAPPING AND ABLATION - A mapping and ablation catheter is described. In one embodiment, the catheter includes a MOSFET sensor array that provides better fidelity of the signal measurements as well as data collection and reduces the error generated by spatial distribution of the isotropic and anisotropic wavefronts. In one embodiment, the system maps the change in potential in the vicinity of an activation wavefront. In one embodiment, the mapping system tracks the spread of excitation in the heart, with properties such as propagation velocity changes. In one embodiment, during measurement, the manifold carrying the sensor array expands from a closed position state to a deployable open state. Spatial variation of the electrical potential is captured by the system's ability to occupy the same three-dimensional coordinate set for repeated measurements of the desired site. In one embodiment, an interpolation algorithm tracks the electrogram data points to produce a map relative to the electrocardiogram data.10-01-2009
20090248012IRREVERSIBLE ELECTROPORATION DEVICE AND METHOD FOR ATTENUATING NEOINTIMAL - Restenosis or neointimal formation may occur following angioplasty or other trauma to an artery such as by-pass surgery. This presents a major clinical problem which narrows the artery. The invention provides a device and a method whereby vascular cells in the area of the artery subjected to the trauma are subjected to irreversible electroporation which is a non-thermal, non-pharmaceutical method of applying electrical pulses to the cells so that substantially all of the cells in the area are ablated while leaving the structure of the vessel in place and substantially unharmed due to the non-thermal nature of the procedure.10-01-2009
20090240248Methods and Apparatus for Ablation of Cardiac Tissue - Embodiments of the invention relate to electrophysiology catheters and methods of using the same. According to one embodiment, a method of treating a cardiac arrhythmia comprises forming a first lesion about a source of an electrical signal in the heart, the first lesion having an open first perimeter, and forming a second lesion about the source of the electrical signal in the heart. The second lesion has an open second perimeter and is located closer to the source of the electrical signal than the first lesion. The first lesion is discontinuous from the second lesion, and at least the first and second lesions together form a closed, at least substantially complete conduction block. According to other embodiments, catheters are provided for performing this and other methods.09-24-2009
20080319439MEDICAL DEVICE - A medical device for fusing or necrosing biological tissue includes a pair of electrode members configured to sandwich the biological tissue, and an energy supply unit configured to supply electric energy to between the pair of electrode members, wherein the surface area of each of the pair of electrode members is mutually different.12-25-2008
20090254084HIGH-FREQUENCY TREATMENT APPARATUS - A high-frequency treatment apparatus includes an insertion portion, a covering portion provided in a distal end portion of the insertion portion, an electrode portion provided in the covering portion, through which high-frequency current is to flow, including a side treatment portion arranged along an outer surface of the covering portion and a distal end treatment portion formed of a distal end portion of the electrode portion, and configured to be moved between a forward position where the distal end treatment portion is protruded from the covering portion with respect to a forward and backward movement direction and a backward position where the distal end treatment portion is arranged within the covering portion with respect to the forward and backward movement direction, and an operation member inserted through the insertion portion and connected to the electrode portion wherein the electrode portion is configured to be moved by operating the operation member.10-08-2009
20100274243Apparatus and Method for Treatment of an Intervertebral Disc - An elongated probe member is disclosed. The elongated probe member comprises proximal and distal ends, an outer wall, and a guidable region. The elongated probe member includes an internal lumen and a longitudinal axis defined therethrough. The guidable region is adjacent the distal end of the elongated probe member. The guidable region includes a plurality of undulating grooves.10-28-2010
20090248013ELECTROSURGICAL SYSTEM - Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.10-01-2009
20090259222Ablation electrode assembly with insulated distal outlet - The present invention relates to improved ablation electrodes (10-15-2009
20090254082ELECTROSURGICAL INSTRUMENT - The present invention relates to an electrosurgical instrument, more particularly to an electrosurgical instrument for laparoscopic hysterectomy. The instrument includes an expandable and contractible loop positioned to controllably emerge from the distal end of the shaft, with loop defining a first electrode. The instrument further includes at least one second electrode which in a first position are positioned within the shaft, and in a second position are expanded from the shaft. The instrument according to the invention is extremely simple to operate and the instrument therefore provides an improvement over prior art monopolar and bipolar treatment methods, both in decreasing treatment time, and simplifying control of the treatment.10-08-2009
20090018539Swivel Device for Electrosurgery Pencil and Surgical Smoke Evacuation - A swivel device for connection to an ESU pencil, an exhaust port of an ESU pencil with an integrated smoke evacuation system, or an exhaust port of an ESU pencil smoke evacuation shroud attachment includes a fixed member attached to a rotating member. The rotating member allows an electrical cord and/or vacuum tube to twist and coil freely during operation of an ESU pencil with or without the smoke evacuation system.01-15-2009
20090018538SYSTEMS AND METHODS FOR DELIVERING ENERGY TO PASSAGEWAYS IN A PATIENT - Systems and methods for delivering energy to passageways in a patient, such as airways in the lung of a patient for treating asthma. One embodiment of a method for delivering energy to a passageway comprises positioning an access device in a lung airway of a patient and advancing an elongated body of a treatment device along the access device until an energy delivery unit at a distal portion of the elongated body projects from the access device. The method can further include expanding the energy delivery unit such that energy delivery elements contact a sidewall of the airway and activating an energy supply coupled to the treatment device such that energy is delivered to the sidewall of the airway. A single person physically operates both the access device and the treatment device while expanding the energy delivery unit and activating the energy supply.01-15-2009
20100168737CATHETER WITH MULTIPLE ELECTRODE ASSEMBLIES FOR USE AT OR NEAR TUBULAR REGIONS OF THE HEART - A catheter with ablation and potential sensing capabilities is adapted for outer circumferential contact with an opening of a tubular region and inner circumferential contact within the tubular region. The catheter has a proximal electrode assembly and a distal electrode assembly for ablation of an ostium and potential sensing inside the pulmonary vein so that it is possible to obtain ECG signals inside a pulmonary vein when ablating around the ostium. The distal electrode assembly has an elongated member defining a longitudinal axis and a plurality of spines surrounding the member and converging at their proximal and distal ends, where each spine has at least one electrode and a curvature so that the spine bows radially outwardly from the member. The proximal electrode assembly has a proximal electrode assembly has an elongated member configured with a generally radial portion and a generally circular portion generally transverse to the catheter axis, where the generally circular portion comprising a plurality of electrodes. The control handle advantageously allows a user to manipulate a tensile member for changing the curvature of the spine.07-01-2010
20100179539Apparatus, System, and Method for Performing an Electrosurgical Procedure - A forceps is provided. The forceps includes a housing having a shaft that extends therefrom. The bipolar forceps also includes a hydraulic mechanism that includes a fluid line and a plunger operatively coupled to the fluid line. The plunger is translatable within at least a portion of the shaft from a proximal position to a distal position. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of first and second jaw members biased in an open configuration. Each of the first and second jaw members configured to receive at least a portion of the plunger when a fluid is caused to flow within the fluid line such that the first and second jaw members move from an open position for positioning to a closed position for grasping tissue.07-15-2010
20110238063Method of Tracking Reposable Instrument Usage - An electrosurgical system is provided herein. The system includes a generator configured to output energy, an end effector operatively configured to output the energy to tissue, and a reposable instrument operatively coupled in between the generator and the end effector. The reposable instrument includes a reposable instrument timing device configured to track usage of the reposable instrument, a controller configured to control operation of the electrosurgical system based on the usage of the reposable instrument, and a memory configured to store information pertaining to the usage of the reposable instrument.09-29-2011
20100160909SUCTION FLOW REGULATOR - A suction flow regulator including an adapter and a grommet fixed inside the adapter for permitting air to access a vacuum flow path according to a vacuum level. The grommet is fixed inside an adapter by a securing mechanism (for example, a compression plate). The grommet may be used with an additional elastomeric element (for example, a smaller grommet) that provides flexibility during vacuum exposure and deflects to expose holes in the grommet under vacuum. Alternatively, the grommet may be a single unit grommet with a cantilever configuration.06-24-2010
20100324553SYSTEMS AND METHODS FOR ELECTROSURGICAL INTERVERTEBRAL DISC REPLACEMENT - The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid or saline-rich tissue to contract collagen fibers within the tissue structures. In one aspect of the invention, a system and method is provided for contracting a portion of the nucleus pulposus of a vertebral disc by applying a high frequency voltage between an active electrode and a return electrode within the portion of the nucleus pulposus, where contraction of the portion of nucleus pulposus inhibits migration of the portion nucleus pulposus through the fissure.12-23-2010
20100152729ABLATOR WITH SCALLOPED ELECTRODE AND SWAGED TUBE - A high efficiency electrosurgical electrode with an advanced electrically conductive tip and advanced design tube, and a method of conducting an electrosurgical procedure with such electrode. The tube design is provided with a swaged one-piece metal tube that fits in small cannulas (as small as a 5.5 mm cannula). The electrode has a scalloped configuration that provides decreased surface area with more edges. The handle is provided with an ergonomic design that utilizes a bend with a cut at the end of the tube (for example, a 30 degree bend with a 15 degree cut).06-17-2010
20100217261ASYMMETRIC DUAL DIRECTIONAL STEERABLE CATHETER SHEATH - A steerable catheter sheath for use in directing a catheter into a desired position is provided. The sheath includes an elongated member configured to receive the catheter therein. The distal end of the elongated member is steerable in two directions, each direction having a different bent configuration, e.g., a sharp curve in one direction and an open arching curve in the other direction. A resilient structure having different bending properties in each of its lateral sides is carried in the distal portion of the elongated member and causes the asymmetric bending. In one embodiment, the resilient structure includes a hypotube with a plurality of notches and slits in the sides. In another embodiment, the resilient structure is covered in an outer coating having different durometer portions. The sheath is particularly useful for accessing left and right pulmonary veins when a transeptal entry approach is used into the left atrium.08-26-2010
20100228247Assessment of electrode coupling of tissue ablation - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.09-09-2010
20100228249USER INTERFACES FOR ELECTROSURGICAL TOOLS IN ROBOTIC SURGICAL SYSTEMS - A method for a minimally invasive surgical system is disclosed including capturing camera images of a surgical site; generating a graphical user interface (GUI) including a first colored border portion in a first side and a second colored border in a second side opposite the first side; and overlaying the GUI onto the captured camera images of the surgical site for display on a display device of a surgeon console. The GUI provides information to a user regarding the first electrosurgical tool and the second tool in the surgical site that is concurrently displayed by the captured camera images. The first colored border portion in the GUI indicates that the first electrosurgical tool is controlled by a first master grip of the surgeon console and the second colored border portion indicates the tool type of the second tool controlled by a second master grip of the surgeon console.09-09-2010
20130123777BATTERY DRAIN KILL FEATURE IN A BATTERY POWERED DEVICE - A medical instrument is disclosed. The medical instrument includes at least one electrical contact, a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, a battery discharge circuit coupled to the RF generation circuit, a processor coupled to the battery discharge circuit, and a memory coupled to the processor. The memory stores computer instructions that when executed cause the processor to monitor battery capacity and send a signal to the battery discharge circuit to discharge a battery coupled to the battery discharge circuit when the battery capacity falls below a predetermined threshold.05-16-2013
20130123778DEVICE AND METHODS FOR RENAL NERVE MODULATION MONITORING - Systems and methods for monitoring and performing tissue modulation are disclosed. An example system may include an elongate shaft having a distal end region and a proximal end and having at least one modulation element and one sensing electrode disposed adjacent to the distal end region. The sensing electrode may be used to determine and monitor changes in tissue adjacent to the modulation element.05-16-2013
20120130369REVERSIBLE ELECTROPORATION DEVICE FOR INDUCING CELL APOPTOSIS - A reversible electroporation device in which an electric pulse generator generates a sequence of electric pulses delivered to electrodes coupled to a tissue in which a process of reversible electroporation that generates cell apoptosis is to be performed. The device is configured to control the amplitude of the pulses and the number of the pulses delivered to the electrodes so that the amount of energy per weight unit (absorbed dose) applied to the tissue is in a range between a first lower limit value of about 3000 J/kg and a second upper limit value of about 4500 J/kg.05-24-2012
20100241117Assessment of Electrode Coupling for Tissue Ablation - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.09-23-2010
20100241118HIGH FREQUENCY TREATMENT INSTRUMENT - A high frequency treatment instrument is disclosed which comprises a flexible sheath having an axial passage hole, an operating means connected to a proximal end portion of said flexible sheath, a treatment instrument main body consisting of a flexible cord and an electrode provided at a distal end of the flexible cord to be inserted into the axial passage hole of the flexible sheath, the electrode being displaced between a retracted position in the flexible sheath and a protruded position out of a distal end by push or pull operation of the flexible cord by the operating means, the flexible cord consisting of a conductive body covered by an electrical insulating body and the electrode being electrically connected to the conductive body, and a lateral opening formed at a lateral surface of the flexible sheath, whereby a part of the electrode being exposed in the lateral opening at the retracted position, while the electrical insulating member of the flexible cord being faced with the lateral opening at the protruded position.09-23-2010
20100160910Electrosurgical tool - An electrosurgical tool for cauterizing or ablating patient tissue, which tool includes a tubular shaft which defines therein a conduit in communication with a suction source and which mounts an electrode at the distal end thereof. An electrode support element is provided at the distal end of the shaft for mounting and insulating the electrode. The support element and the electrode together define a suction opening at the treating surface of the electrode which minimizes clogging of the tool.06-24-2010
20090076503CONDUCTION BLOCK VERIFICATION PROBE AND METHOD OF USE - Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.03-19-2009
20090076502Prostate cancer ablation - Methods and systems for delivering electrical energy and controlled, mild hyperthermia to a prostate tissue of a patient for destruction of cancerous and/or hyperplastic tissue. A method includes positioning a plurality of electrodes in a target tissue region comprising the prostate tissue, and establishing an alternating electrical current flow through a volume of the prostate tissue to induce mild heating and destruction of cancerous cells in the volume.03-19-2009
20090076501CARDIAC TREATMENT DEVICES AND METHODS - Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.03-19-2009
20090076500MULTI-TINE PROBE AND TREATMENT BY ACTIVATION OF OPPOSING TINES - The present invention provides devices and systems, as well as methods, of electric field delivery and non-thermal or mild hyperthermia, and preferential or selective ablation of cancerous cells of target tissue regions. A method can include, for example, advancing a probe comprising a plurality of electrodes to a target tissue region comprising cancerous cells, and deploying the plurality of electrodes from a distal portion of a probe, and applying an alternating current so as to provide one or more electric fields extending through the volume and selectively or preferentially destroy cancerous cells within the volume.03-19-2009
20090076498VISUALIZATION AND ABLATION SYSTEM VARIATIONS - Visualization and ablation system variations are described which utilize various tissue ablation arrangements. Such assemblies are configured to facilitate the application of bipolar energy delivery, such as RF ablation, to an underlying target tissue for treatment in a controlled manner while directly visualizing the tissue during the bipolar ablation process.03-19-2009
20090076499MULTI-LAYER ELECTRODE ABLATION PROBE AND RELATED METHODS - Electric field delivery and ablation of target tissue regions, including cancerous cells and solid tumors. Methods and systems include delivering an electric field to a target tissue, and may include positioning a first electrode or plurality to at least partially define a first treatment volume in the target tissue; positioning a second electrode or plurality to at least partially define a second treatment volume, the first volume is disposed in the second volume; and establishing a first current flow extending through the first volume and a second current flow extending through the second volume.03-19-2009
20090043302Systems and methods for treating tissue regions of the body - Systems and methods deploy an electrode from a catheter assembly. The systems and methods provide a catheter handle having a trigger lever adapted to carry an actuator rod. The actuator rod is adapted to cause movement of the electrode between a retracted position and an extended position. A pinion is carried by the trigger lever for engagement with a rack carried by the actuator rod. Compression of the trigger lever moves the rack along the actuator rod between a first position corresponding to the electrodes being in the retracted position and a second position corresponding to either the primed electrode firing position or the electrodes being in an extended position.02-12-2009
20110112527FLEXIBLE MEDICAL ABLATION DEVICE AND METHOD OF USE - Disclosed herein are methods and devices involving a medical probe placeable into tissue where the probe has a high pushability yet is capable of being conformed to a patient's shape due to use of a removable stiffener and a flexible needle section allowing for placement, imaging, and treatment to be performed without removal of the probe regardless of environmental and physical restrictions related to devices used during the patient's procedure.05-12-2011
20100222777WINDOWED THERMAL ABLATION PROBE - A method and apparatus for treating an intraosseous nerve. The method includes positioning a hollow shaft through the cortical shell of a vertebral body and into a cancellous bone region of the vertebral body. The hollow shaft includes an annular wall having a longitudinal bore therein, a proximal portion and a distal portion, and a first window extending transversely through the annular wall. An electrosurgical probe is advanced within the longitudinal bore from the proximal portion toward the distal portion. The electrosurgical probe includes a first treatment element at a distal end of the probe, wherein the first treatment element being in electrical connection with a power supply. The first treatment element is slidably disposed within the longitudinal bore so that the first treatment element is advanced radially outward from the window and shaft to affect treatment of the intraosseous nerve within the cancellous bone region.09-02-2010
20100211064Electrode Catheter for Ablation Purposes and Related Method Thereof - An electrode catheter for use with an endocardial ablation catheter, wherein the electrode catheter receives the transmitted energy for ablating a portion of the heart. The electrode catheter comprises a proximal portion, a distal portion, and a longitudinal structure there between; and an electrode in communication with said electrode catheter, wherein said electrode receives the transmitted energy from the endocardial ablation catheter, or alternatively an epicardial ablation catheter.08-19-2010
20130218156DEVICES, SYSTEMS, AND METHODS FOR EPICARDIAL NAVIGATION - Devices, systems, and methods for epicardial navigation. In at least one exemplary embodiment of a system for navigating an elongated body on a surface of a tissue of the present disclosure, the system comprises (a) an internal elongated body comprising a distal end and a first element positioned at or near the distal end of the internal elongated body, the internal elongated body devoid of an ablation contact, and (b) an external elongated body comprising a distal end and a second element and an ablation contact positioned at or near the distal end of the external elongated body, the ablation contact being configured to remove or destroy tissue, wherein when a portion of the external elongated body is positioned on or adjacent to a first surface of a tissue and when a portion of the internal elongated body is positioned on or adjacent to an opposing surface of the tissue, manipulation of the internal elongated body directs movement of the external elongated body to a first location to facilitate removal or destruction of tissue at the first surface at a first location.08-22-2013
20110028968Surgical Ablation and Pacing Device - A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.02-03-2011
20100198216Electro-thermotherapy of tissue using penetrating microelectrode array - Electrosurgical therapy is provided with an electrode array configured to ablate tissue during insertion of the electrode array into tissue being treated. Once the electrode array is fully inserted, deep heating of the treated tissue can be performed by applying an additional waveform to the tissue with the electrode array. Optionally, the electrical waveform can be varied continuously during insertion of the electrode array to control the extent of coagulation at the side walls and at the bottom of the channels produced by tissue ablation.08-05-2010
20090275939Ablation probe with stabilizing member - A surgical ablation probe assembly particularly suitable for ablating tissue on a surface of a patient's heart having an ablation member and a stabilizing member for guiding the probe assembly to an intracorporeal location such as a surface of the patient's heart. The elongated ablation member generally has at least one ablation electrode on a distal shaft section. The stabilizing member has a vacuum lumen which applies a vacuum to the inner chamber of the stabilizing member to aspirate fluid from within the chamber or about the stabilizing member and can aid in holding the stabilizing member to an intracorporeal surface such as the epicardial or endocardial surface of the patient's heart. The probe assembly may also have a removable stylet to help retain the shape of the distal portion. The assembly is suitable for treating a patient for atrial arrhythmia, by forming linear or curvilinear lesions and preferably a continuous lesion on the surface of the patient's heart.11-05-2009
20120245584TUBE CONNECTOR FOR A RADIO-FREQUENCY SURGICAL DEVICE, HANDLE FOR AN RF SURGICAL DEVICE, AND METHOD FOR CONNECTING TUBES FOR AN RF SURGICAL DEVICE TO SUCH A TUBE CONNECTOR - A tube connector for a radio-frequency surgical device, having two end sleeves, which are each provided with an axial through channel and connected to each other by a web extending from a wall plane of the first end sleeve axially in the direction of the second end sleeve. The web being at least partially made of an electrically conductive material, and the respective end sleeves can be compressed or crimped in some regions for fixing a tube, which can be arranged in the respective through channel. Also disclosed is a handle for an RF surgical device, and to a method for connecting tubes for an RF surgical device to such a tube connector.09-27-2012
20120245583SYSTEM AND METHOD FOR ENDOMETRIAL ABLATION - A wall of a uterus is ablated by expanding a structure in the uterus and applying energy across the wall of the structure into the uterine wall. An exterior surface of the structure conforms to an inner wall of the uterus, and the energy may cause vapor to collect between the wall and the structure. The vapor is released by providing a barrier to release which is inflated at a pressure above which the barrier at least partially collapses to allow the vapor to leave the uterus.09-27-2012
20080312649Illuminated instrument buttons - An illuminated control surface is disclosed for use on a surgical instrument. The control surface may be disposed on a pushbutton switch located on a working head adapted for controlling the surgical tool. The light source may be an LED mounted remotely with respect to the illuminated control surface with light directed toward the control surface by a fiber optic strand. A translucent material may be selected for forming the control surface such that light may be directed through the material to illuminate the surface. Various colors and illumination patterns may be used to provide visual queues as to the status and operation of the instrument.12-18-2008
20080281317Endometrial Ablation catheter - An apparatus for ablating tissue with the uterine cavity is provided. The apparatus includes an ablation catheter and an expansible member. The expansible member is attached to the ablation catheter and it has a residual volume greater than the volume of the uterine cavity and exhibits residual dimensions greater than the anatomical dimensions of the uterine cavity.11-13-2008
20110238064Apparatus with Two-Piece End-Effectors for Robotic Surgical Tools - In one embodiment of the invention, a robotic surgical tool having opposing jaws, the working element of the robotic surgical tool is made of a different material from the drive element of the robotic surgical tool. The two elements may be manufactured independently and assembled together at a later stage. The material comprising each element may thus have properties more appropriate to the function each element plays in the robotic surgical tool. For example, the metal selected to comprise the blade of a surgical scissor may be corrosion resistant and capable of being sharpened to a high degree.09-29-2011
20130131663CATHETER WITH BENDABLE TIP - A medical probe includes a flexible insertion tube, having a distal end for insertion into a body cavity of a patient, and a distal tip, which is disposed at the distal end of the insertion tube and is configured to be brought into contact with tissue in the body cavity. A coupling member couples the distal tip to the distal end of the insertion tube and includes a tubular piece of an elastic material having a helical cut therethrough along a portion of a length of the piece.05-23-2013
20090054892SYSTEM AND METHOD FOR PERFORMING ABLATION USING AN EXPANDABLE MEMBER - An apparatus comprises a catheter, a conductive element and a balloon. The catheter has a lumen. The conductive element is disposed along the catheter. The balloon has an interior in fluid communication with the lumen of the catheter. The balloon is formed of a conductive material conductively coupled to the conductive element. The balloon has a collapsed configuration and an expanded configuration.02-26-2009
20130138100ELECTROSURGICAL DEVICE WITH CONTROLLABLE ELECTRIC FIELD PROFILE - An electrosurgical device includes a plurality of electrodes arranged to form a tissue treatment surface and a power supply. The power supply is configured to deliver a first drive signal with a first phase to at least a first one of the plurality of electrodes and a second drive signal with a second phase to at least a second one of the plurality of electrodes such that an electric field extends from the tissue treatment surface, where the first phase and the second phase are different. The power supply is further configured to receive an input from an operator of the electrosurgical device, and adjust the first phase or the second phase such that an aspect of the electric field extending from the tissue treatment surface changes in response to the input from the operator.05-30-2013
20110112528PLASMA DEVICE FOR SELECTIVE TREATMENT OF ELECTROPORED CELLS - A method and device for treatment of living cells with cold atmospheric pressure plasma while simultaneously applying selective electroporation of the cells are provided. The method is useful for the local selective killing of cancer cells, improvement of wound treatment and sterilization or decontamination of objects.05-12-2011
20130144288IRRIGATION CATHETER - An irrigation catheter includes a handle, a catheter sheath with at least one ablation electrode proximal the distal end of the catheter sheath and a stylet for deflecting the distal end of the catheter sheath. The ablation electrode includes at least one irrigation opening in it. The irrigation catheter further includes a fluid-carrying formation formed on the catheter sheath under the ablation electrode. The fluid-carrying formation is in fluid communication with the irrigation lumen of the catheter sheath so that fluid is conveyed from the irrigation lumen to the irrigation opening.06-06-2013
20110009861PREDICTING ATRIAL FIBRILLATION RECURRENCE BY PROTEASE AND PROTEASE INHIBITOR PROFILING - Disclosed herein are methods of and systems for predicting recurrence of atrial fibrillation comprising protease and protease inhibitor profiling. The levels of matrix metalloproteinases (MMPs) and/or tissue inhibitor metalloproteinases (TIMPs) are analyzed to predict the recurrence of atrial fibrillation, and further to predict whether cardioversion will provide a successful therapy.01-13-2011
20100168738ABLATION DEVICES, SYSTEMS AND METHOD FOR MEASURING COOLING EFFECT OF FLUID FLOW - Disclosed herein are various catheter and catheter systems that are useful in ablating tissue that is also subject to surface perfusion, for example blood flow across and/or through tissue. A representative embodiment of a catheter useful with the present invention includes an anemometer located on an exterior surface of the distal portion of the catheter. The anemometer is thermally isolated from the distal tip to permit the anemometer to measure the cooling effect of surface perfusion. The ablation catheter may include thermal insulation to insulate the anemometer from the distal tip. Alternatively, and/or in addition, the anemometer may be positioned proximally of the distal tip. The catheter may include one or more temperature sensors thermally coupled to the distal tip to measure the temperature of the distal tip. The distal tip may include one or more spiral grooves, or one or more holes. It is contemplated that the anemometer may be positioned within any such spiral groove or hole using a thermal insulation material, such as a non-conductive adhesive. The catheter may optionally include a contact sensor on the distal portion to assess a degree of contact between the ablation catheter and tissue being treated. Various ablation systems and methods are described herein that utilize catheters as described above.07-01-2010
20100262140INTEGRAL ELECTRODE PLACEMENT AND CONNECTION SYSTEMS - Electrode placement and connection systems are described which allow for the electrical connection and maintenance of one or more electrodes positioned on a substrate which is subjected to a variety of mechanical stresses. Electrodes may also be formed on flexible circuit assemblies integrated within or along the hood. The circuit assemblies may also provide structural support to the hood during delivery and/or deployment. Such a system may include an imaging hood having an aperture through which transparent fluid is flowed and one or more electrodes positioned along or about the hood. As the hood is configured between a low-profile and opened configuration, these electrodes may remain electrically coupled despite the mechanical stresses subjected to the electrodes and the connections thereto.10-14-2010
20100262139DEVICE FOR CONTACTLESS COMMUNICATION AND USE OF A MEMORY DEVICE - The invention relates to a device for contactless communication between a surgical apparatus and at least one surgical instrument. The surgical apparatus comprises a control and evaluation device to which is assigned a writing or reading device, which is connected to an antenna for the apparatus. The instrument is assigned at least one writable and readable memory device, embodied as an RFID transponder, which is connected to an antenna for the instrument, so that data can be exchanged between the writing or reading device of the surgical apparatus and the memory device of the instrument by means of wireless communication.10-14-2010
20110034920Variable dual mode tissue heating system controller - Present invention involves current mode and voltage mode which utilizes specific heat flux and heat transfer coefficient which when applied to the tissue, result in extra ordinarily effective.02-10-2011
20110213360Tensioning Mechanism for Articulation Drive Cables - A surgical instrument includes a housing, an elongated shaft extending distally from the housing, and an end effector extending distally from the elongated shaft. A tensile member extends through the elongated shaft to operatively couple to the end effector to a drive mechanism. The drive mechanism includes an actuator operable to induce longitudinal motion in the tensile member, and longitudinal motion in the tensile member induces movement of the end effector. A tensioning mechanism is provided to impart a proximally directed force on the drive mechanism such that the proximally directed force is transmitted to the tensile member. Thus, the tensile member may be maintained in a tensile state over time.09-01-2011
20110040300Surface Ablation Antenna with Dielectric Loading - An electrosurgical device for directing energy to a target volume of tissue includes a coaxial feedline having an inner conductor, an outer conductor coaxially disposed around the inner conductor, and a dielectric material disposed therebetween. An elongated electrically-conductive member is longitudinally disposed at a distal end of the inner conductor; a balun structure is disposed on the outer conductor. An electrically-conductive cylinder is coaxially disposed around a distal portion of the balun structure and a dielectric structure is disposed substantially adjacent to a distal end of the electrically-conductive cylinder and configured to extend to a distal end of the electrically-conductive member. An elongated handle assembly is coaxially disposed around a portion of the outer conductor proximal to the dielectric structure and a shell assembly is disposed at a distal end of the elongated handle assembly. A portion of the shell assembly is configured to extend distally beyond the distal end of the electrically-conductive member.02-17-2011
20110046622OCCLUSION APPARATUS - Methods, apparatus, and systems for occluding a left atrial appendage are provided. One embodiment includes an elongate body having a tissue apposition member extendably positioned within a lumen of the elongate body to appose tissue of the LAA. An energy emitting device coupled to the elongate body can be used for emitting high intensity focused ultrasound to the tissues to fuse the tissues.02-24-2011
20110112529Systems and methods for controlling use and operation of a family of different treatment devices - A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.05-12-2011
20090062790DIRECT VISUALIZATION BIPOLAR ABLATION SYSTEMS - Direct visualization bipolar ablation systems are described which utilize bipolar electrode arrangements. Such assemblies are configured to facilitate the application of bipolar energy delivery, such as RF ablation, to an underlying target tissue for treatment in a controlled manner while directly visualizing the tissue during the bipolar ablation process.03-05-2009
20090062788Electrical ablation surgical instruments - A surgical instrument includes an ablation device. The ablation device includes an elongated flexible member having a proximal end and a distal end. The flexible member includes first and second lumens. A first needle electrode is configured to slideably move within the first lumen. A second needle electrode is located within the second lumen. The first and second needle electrodes are adapted to couple to an electrical waveform generator and to receive an electrical waveform sufficient to electrically ablate tissue located between the first and second needle electrodes.03-05-2009
20110087219SURGICAL INSTRUMENT FOR TRANSMITTING ENERGY TO TISSUE COMPRISING NON-CONDUCTIVE GRASPING PORTIONS - A surgical instrument for supplying energy to tissue can comprise an end effector comprising a first jaw member and a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member to clamp tissue intermediate the first jaw member and the second jaw member. The instrument can further comprise an electrode configured to generate heat when electrical energy is supplied to the electrode, and, in addition, a tissue-grasping portion comprising a plurality of teeth, wherein the tissue-grasping portion is comprised of an electrically non-conductive material.04-14-2011
20110087218SURGICAL INSTRUMENT COMPRISING FIRST AND SECOND DRIVE SYSTEMS ACTUATABLE BY A COMMON TRIGGER MECHANISM - A surgical instrument can comprise a first drive system for advancing a knife bar between a first position and a second position in order to close a jaw, or clamping, member of an end effector. The first drive system can comprise a toggle clamp which can generate and transmit an asymptotical clamping load to the jaw member. The surgical instrument can further comprise a second drive system for advancing the knife bar between the second position and a third position. The second drive system can comprise a rack and pinion system and the surgical instrument can comprise a single trigger for actuating both the first drive system and the second drive system on the same stroke.04-14-2011
20110092969Ablation electrode assembly and methods for improved control of temperature - The present invention pertains to multiple piece irrigated ablation electrode assemblies wherein the irrigation channels are insulated or separated from at least one temperature sensing mechanism within the distal portion of the electrode assembly. The present invention further pertains to methods for improved assembly and accurate measurement and control of the electrode temperatures while effectively irrigating the device and target areas.04-21-2011
20110213361De-Tensioning Mechanism for Articulation Drive Cables - A surgical instrument includes a housing having an elongated shaft extending distally therefrom. An end effector for treating tissue is supported by the elongated shaft. One or more tensile members extend at least partially through the elongated shaft. A proximal end of a tensile member is operatively coupled to at least one actuator and a distal end is operatively coupled to the end effector such that manipulation of the actuator induces movement of the tensile member to move the end effector. A de-tensioning mechanism is operatively associated with the tensile member to move the tensile member between a first relaxed configuration and a second stressed configuration. The de-tensioning mechanism includes a spacer insertable into a cavity defined in the housing to move the tensile member to the first relaxed configuration and removable from the cavity to move the at least one tensile member to the second stressed configuration.09-01-2011
20110213363Drive Mechanism for Articulation of a Surgical Instrument - A surgical instrument includes a housing, an end effector and an elongated shaft extending therebetween. The shaft includes a distal portion movable between aligned and articulated configurations. First and second drive cables are coupled to the distal portion such that reciprocal longitudinal motion of the drive cables induces movement of the distal portion between the aligned and articulated configurations. An articulation drive mechanism is operable to induce reciprocal longitudinal motion of the drive cables. The drive mechanism includes an actuator and a pair pulleys operatively coupled to the actuator to rotate about an axle. The first and second drive cables are coupled to the pulleys such that the drive cables extend on opposite lateral sides of the axle. A biasing mechanism is configured to bias the first and second pulleys to at least one discrete orientation to maintain the distal portion of the elongated shaft in a discrete articulated position.09-01-2011
20100228248Method and device for treating cancer with electrical therapy in conjunction with a catheter and high power pulser - Apparatus for delivering high power, short duration, low energy electric pulses associated with generating high electric fields across cancerous tumors. The apparatus has a small diameter catheter with conducting core and insulating sheath introduced through the femoral artery, orifice or incision with its tip routed to the treatment site. A counter electrode of generally round or flat shape introduced through another orifice, incision or artery sandwiches the tumor between the two electrodes. A high power electric pulser delivers a multiplicity of high voltage pulses to the treatment site producing a therapeutic effect or annihilation of cancer.09-09-2010
20090312755SYSTEM AND METHOD FOR POSITIONING AN ELONGATE MEMBER WITH RESPECT TO AN ANATOMICAL STRUCTURE - Methods and apparatus for an ablation device used in the treatment of atrial fibrillation comprise an elongate shaft and a positioning mechanism adjacent the distal end of the shaft. The positioning mechanism is adapted to facilitate location of an anatomic structure and also to anchor the elongate shaft adjacent the anatomic structure. The positioning mechanism comprises an electrode for stimulating the anatomic structure as well as sensing electrical signals. Also, an energy delivery element is adjacent the distal end of the shaft and is adapted to stimulate the anatomic structure and create a zone of ablation that blocks abnormal electrical activity thereby reducing or eliminating atrial fibrillation in the patient.12-17-2009
20100114094SYSTEM AND METHOD FOR ANATOMICAL MAPPING OF TISSUE AND PLANNING ABLATION PATHS THEREIN - Methods for ablating tissue in a patient having atrial fibrillation comprise advancing an elongate flexible shaft through a patient's vasculature into a chamber of a heart. The elongate flexible shaft has an energy source and a sensor. Tissue in the heart is scanned with the sensor and data about the tissue is captured. The captured data is grouped into one of a plurality of tissue classifications and an anatomical map of the tissue showing the grouped data is displayed. At least a portion of the tissue is ablated so as to form a conduction block that blocks aberrant electrical pathways in the heart. The ablated tissue is grouped into one or more predefined tissue classifications during or prior to the ablation.05-06-2010
20110245826METHOD AND SYSTEM OF REDUCTION OF LOW FREQUENCY MUSCLE STIMULATION DURING ELECTROSURGICAL PROCEDURES - Reduction of low frequency muscle stimulation during electrosurgical procedures. At least some of the illustrative embodiments are methods including: treating a target tissue with an electrosurgical wand comprising a plurality of active electrodes intermittently exposed to a rectifying electrical phenomenon; charging a first capacitance in series with a first electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon proximate the first electrode; charging a second capacitance in series with a second electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon is proximate the second electrode; charging a third capacitance in series with a third electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon is proximate the third electrode; and discharging, through the first electrode, the first capacitance, while simultaneously charging the second capacitance.10-06-2011
20120245580MEDICAL ABLATION SYSTEM AND METHOD OF USE - Cartilage and other tissues are treated by generating a plasma in an interior space of a probe and exposing the tissue to the plasma. The plasma is released through a gap in a working end of the probe.09-27-2012
20110245827MEDICAL DEVICE - A medical device includes a treatment portion, a long cylindrical insertion portion, an operation portion and transmission portion. The insertion portion includes a regulation member provided while being projected from an inner wall surface of the insertion portion for regulating a length by which the treatment portion protrudes from the distal end of the insertion portion. The transmission portion includes an operation wire inserted in the insertion portion and has a distal end fixed to the treatment portion and an contacting member fixed to the operation wire and disposed at a position opposite to the treatment portion with respect to the regulation member. A rotating bearing member contacting the regulation member and the contacting member respectively and can rotate relative to at least any one of the regulation member and the contacting member around an axis of the operation wire is provided between the regulation member and the contacting member.10-06-2011
20110245828DEFLECTABLE SHEATH CATHETERS - The present invention provides devices and methods for the treatment of atrial fibrillation. In one embodiment a deflectable sheath catheter includes an elongate catheter body having proximal and distal ends, the distal end having a distal tip region that includes a plurality of flexible segments with varying degrees of stiffness. A handle portion can be located at the proximal end of the catheter body to provide a steering mechanism that causes the distal tip region to deflect according to a compound curve.10-06-2011
20090048594GAS-ENHANCED SURGICAL INSTRUMENT WITH PRESSURE SAFETY FEATURE - An electrosurgical instrument for providing pressurized ionized gas to a surgical site includes a hand-held applicator having proximal and distal ends, a gas delivery member adapted to deliver pressurized ionizable gas to the proximity of an electrode located adjacent the distal end of the hand-held applicator. A portable actuator assembly is included that is capable of receiving a source of pressurized ionizable gas therein. The actuator controls the delivery of the gas and energy to the hand-held applicator. A pressure safety connects to the portable actuator and to the hand-held applicator. A pressure safety system having two or more cascaded pressure change members connects between the input port and the output port, the pressure change members are configured to regulate pressurized gas into the environment until the portable actuator assembly exceeds a predetermined threshold.02-19-2009
20090312756IRRIGATED ABLATION CATHETERS - An apparatus for ablating tissue includes an elongate flexible member having a proximal end and a distal end. The elongate flexible member includes an irrigation lumen disposed between the proximal end and the distal end of the elongate flexible member. The irrigation lumen is configured to deliver irrigation fluid from the proximal portion of the elongate flexible member to the distal portion of the elongate flexible member. An ablation member is coupled to the distal end of the elongate flexible member. The ablation member is in fluid communication with the irrigation lumen. The ablation member comprises of a shell having a side wall and a distal wall. The side wall and distal walls of the shell define a cavity or reservoir for containing the irrigation fluid. The side wall includes a plurality of ports for dispensing fluid from the reservoir. A thermocouple is disposed from the proximal end of the elongate flexible member to a distal portion of the elongate member, wherein a distal tip of the thermocouple is positioned proximal to the irrigation reservoir and the thermocouple is electrically isolated from the ablation member.12-17-2009
20090076497Tissue surface treatment apparatus and method - A method of controlling ablation volume depth includes providing a treatment apparatus. The apparatus comprises a housing having a proximal and distal end including a tissue contacting surface. The housing defines an interior with an energy delivery device positionable in the interior. The energy delivery device includes at least one electrode with a tissue penetrating distal end and is configured to be advanced from the interior into a target tissue site to define an ablation volume. An advancement device is coupled to the energy delivery device and is configured to advance the at least one electrode. The at least one electrode is advanced to a selected deployment depth beneath a tissue surface while avoiding a critical structure. Energy is delivered from the energy delivery device. An ablation volume is created at a controlled depth below the tissue surface responsive to the deployment depth while minimizing injury to the critical structure.03-19-2009
20090036886CLEANING DEVICE AND METHODS - A method for providing therapy to tissue at a treatment site is performed by ablating tissue at the treatment site with an ablation device. Next, a cleaning device is attached to an instrument. The cleaning device attached to the instrument is used to remove ablated tissue at the treatment site. The cleaning device may also be used to remove debris from the treatment site prior to ablation or other therapeutic or diagnostic procedure.02-05-2009
20120245581SYSTEM AND METHOD FOR ENDOMETRIAL ABLATION - Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO09-27-2012
20110152859SURGICAL INSTRUMENT COMPRISING AN ELECTRODE - A surgical instrument can comprise a first electrode, a second electrode, and a retractable sheath. At least one of the electrodes can comprise an insulative jacket extending along the length thereof which can comprise a tissue stop for limiting the progression of the electrode into tissue. In various embodiments, a surgical instrument can comprise a first electrode, a second electrode, and a displaceable arc guard positioned between the electrodes. In certain embodiments, a surgical instrument can comprise an electrode including a flexible mesh configured to conform to the tissue against which it is positioned.06-23-2011
20100130975ELECTROPORATION ABLATION APPARATUS, SYSTEM, AND METHOD - A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate relatively flexible member having a proximal end and a distal end, the flexible member includes at least a first working channel. A first and second electrode extends from a working channel at the distal end of the flexible member. The first and second electrodes are adapted to be endoscopically located in a tissue treatment region. The first and second electrodes are adapted to couple to an electrical waveform generator to receive an irreversible electroporation electrical waveform sufficient to ablate tissue located between the first and second electrodes. The waveform parameters of the irreversible electroporation electrical waveform are determined based on image information received from the tissue treatment region.05-27-2010
20090216222ELECTROSURGICAL METHOD AND SYSTEM FOR TREATING FOOT ULCER - An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body's natural healing response.08-27-2009
20100130974ABLATION PROBE WITH HEAT SINK - An ablation device includes an electrode having an enclosed lumen, and a heat sink located within the lumen. An ablation device includes an elongated body, an electrode secured to the elongated body, and a heat sink connected to the electrode, wherein the heat sink is confined by the electrode and at least a portion of the elongated body. An ablation device includes an electrode, and a heat sink connected to the electrode, wherein the heat sink is not connected to a pump.05-27-2010
20090216224ELECTROSURGICAL METHOD AND SYSTEM FOR TREATING FOOT ULCER - An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body's natural healing response.08-27-2009
20090216223ELECTROSURGICAL METHOD AND SYSTEM FOR TREATING FOOT ULCER - An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body's natural healing response.08-27-2009
20100057080Devices, systems and methods for treating tissue regions of the body - Improved devices, systems and methods for treating a tissue region provide straightforward, yet reliable ways for installing diverse functional components within the confined space of a catheter-based instrument.03-04-2010
20110098701BIPOLAR RADIO FREQUENCY ABLATION DEVICE WITH RETRACTABLE INSULATOR AND METHOD OF USING SAME - An ablation device, comprises a first tubular element and a first electrode which, when in an insertion configuration, is received within the first tubular element, the first electrode being deployable from the first tubular element to anchor in a target portion of tissue at a first electrode operative position in combination with a second electrode which, when in the insertion configuration, is received within the first tubular element, the second electrode being deployable from the first tubular element to anchor in the target portion of tissue at a second electrode operative position separated from the first electrode operative position, the second electrode being deployable independently of the first electrode and an insulating element movable relative to the first electrode to insulate selected portions of the first electrode. A method of ablating tissue, comprises anchoring a first electrode at a first location in a target portion of tissue, deploying a second electrode at a second location in the target portion of tissue and applying current between the first and second electrodes to ablate a first ablation portion of tissue between the first and second electrodes in combination with moving an insulative cover relative to the first electrode to move a conductive portion of the first electrode to a third location within the target tissue, the third location being further from the second location than the first location, moving the second electrode to a fourth location within the target tissue, the fourth location being further from the first location than the second location and applying current between the conductive portion of the first electrode and the second electrode to ablate a second ablation portion of tissue surrounding the first ablation portion of tissue.04-28-2011
20110098700Biological-tissue joining apparatus - Regardless of the type of biological tissue, a sufficient joining force can be quickly obtained; the problem of an adhesive bonding biological tissue other than the target biological tissue can be prevented; and the adhesive can be prevented from becoming impossible to apply due to curing.04-28-2011
20110098702Apparatus to treat esophageal sphincters - A sphincter treatment apparatus has an introducer means including a distal portion means. An expandable device means includes a plurality of arm means. Each arm means of the plurality has a distal section means and a proximal section means. Each of distal sections means of the arm means are coupled and each of the proximal sections means of the arm means are coupled to the introducer means distal portion means. The expandable device means is configured to at least partially dilate a sphincter in a deployed state. An energy delivery device means is introduceable from the introducer means into a selected site of the sphincter. The energy delivery device means is configured to deliver sufficient energy to reduce a frequency of relaxation of the sphincter.04-28-2011
20110251608CABLE ACTUATED END-EFFECTOR FOR A SURGICAL INSTRUMENT - Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.10-13-2011
20110077643SYSTEM, METHOD AND APPARATUS FOR ELECTROSURGICAL INSTRUMENT WITH MOVABLE SUCTION SHEATH - An electrosurgical instrument having active and return electrodes with a movable suction sheath for variable fluid and debris removal during surgical procedures is disclosed. The suction apparatus has an outer sheath that is external to a shaft to provide a lumen. The sheath assembly is axially movable relative to the fluid aspiration element between first and second positions for treating the target site and fluid and debris removal, respectively. The first position positions the distal end of the shaft axially distal to a leading edge of the sheath assembly. The second position positions the distal leading edge of the sheath assembly axially adjacent to the end of the shaft. The fluid aspiration element comprises an inner lumen extending through the shaft, and at least one port extending radially through the shaft. The port is in communication with the inner lumen. A vacuum provides suction through the port and inner lumen.03-31-2011
20110152858SURGICAL INSTRUMENT COMPRISING AN ELECTRODE - A surgical instrument can comprise two positive electrodes positioned along a first line, and two negative electrodes positioned along a second line, wherein the first line can be perpendicular to the second line. The positive electrodes can be positioned further away from a central axis than the negative electrodes in order to expand the voltage field created by the electrodes. In various embodiments, a surgical instrument can comprise a first array of electrodes positioned along a first line and a second array of electrodes positioned along a second line. In at least one embodiment, the first array of electrodes can comprise both positive and negative electrodes, and, in addition, the second array of electrodes can comprise both positive and negative electrodes.06-23-2011
20120035605MAGNETICALLY GUIDED CATHETERS - A magnetically-guided catheter includes a tip positioning magnet in the distal electrode assembly configured to interact with externally applied magnetic fields for magnetically-guided movement. A magnetically-guided mapping catheter includes an electrically-conductive capsule in the form of a casing that includes a distal ablation surface and isolates the positioning magnet from bio-fluids to prevent corrosion. An open irrigation ablation catheter includes an isolated manifold that isolates the positioning magnet from contact with irrigation fluid to prevent corrosion.02-09-2012
20110071518System and Method for Multi-Pole Phase-Shifted Radio Frequency Application - An electrosurgical generator is disclosed. The generator includes a power supply operable to generate a DC voltage and a multi-pole, phase-shifted, pulse-width and/or frequency modulated RF output stage coupled to the power supply. The RF output stage includes a plurality of dual-pole circuits, each of the plurality of dual-pole circuits including first and second pairs of switching components. The generator also includes a controller configured to drive the first and second pairs of switching components of each of the plurality of dual-pole circuits at a predetermined phase-shifted frequency.03-24-2011
20110071519Clamping Ablation Tool and Method - Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm having an upper neck, a link assembly, and an upper actuator. The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool can include a lower arm that mates with the upper arm. The lower arm can include a lower neck, a distal jaw, and a lower actuator. The distal jaw can include a jaw electrode, and the lower actuator can control movement of the distal jaw.03-24-2011
20120203222SYSTEMS, ASSEMBLIES, AND METHODS FOR TREATING A BRONCHIAL TREE - Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue.08-09-2012
20120203220Tissue Dissectors - A tissue dissector is provided. The tissue dissector includes a cannula and an introducer coaxially coupled to the cannula and movable therein from a retracted position to an extended position. An introducer is coaxially coupleable to the cannula and movable therein from a retracted position to an extended position. The introducer including a generally annular lumen disposed in fluid communication with an inflation port operably disposed on the introducer and in fluid communication with an inflatable balloon that couples to the introducer. The inflatable balloon is movable from a deflated condition for positioning the introducer adjacent target tissue, to an inflated condition for separating the target tissue from nearby tissue and for providing a barrier therebetween such that the nearby tissue is not affected during the electrosurgical procedure.08-09-2012
20120123410Fingertip Electrosurgical Instruments for Use in Hand-Assisted Surgery and Systems Including Same - A fingertip-mountable electrosurgical instrument includes a monopolar electrode capable of directing energy into tissue, and a holder configured to be operably coupled to the monopolar electrode. The holder is also configured to be operably coupled to an energy source. The holder includes a housing body and one or more attachment members coupled to the housing body. The one or more attachment members are configured to be removeably attachable to a user's finger. The housing body includes a distal end and a proximal end. The monopolar electrode is mechanically coupled to the distal end of the housing body.05-17-2012
20120303021Dual Durometer Insulating Boot for Electrosurgical Forceps - An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end and movable about a pivot from a first position and disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue, a movable handle that actuates a drive assembly to move the jaw members relative to one another. At least one jaw member conducts electrical energy to tissue held therebetween. A flexible insulating boot is disposed on an exterior surface of at least one jaw member and about the pivot and includes a first longitudinal portion made from a high durometer material and a second longitudinal portion made from a low durometer material. The high durometer material may operably retain the flexible insulating boot atop the proximal ends of the jaw members.11-29-2012
20120303020Method of Destroying Tissue Cells by Electroporation - A method of treating a human body by destroying tissue cells is provided. The method involves positioning an electric field generating element near a target area containing tissue cells to be killed in the human body, and treating the human body by applying electrical pulses through the positioned electric field generating element in an amount above an upper limit of electroporation to irreversibly open pores in membranes of the tissue cells in the target area, thereby killing the tissue cells in the target area.11-29-2012
20120303019Kind of cardiac ablation catheter with guide-wire - Existing ordinary cardiac ablation catheter, especially, the catheter for atrial fibrillation ablation is easily skipped off the target site of ablation when it is being moved from one site to another. The present invention provides a cardiac ablation catheter with a guide-wire. During a procedure of pulmonary vein electrical isolation, the guide-wire needs to be advanced into the distal end of pulmonary vein. With the assistant of the powerful sustainability from the guide-wire, the ablation catheter will be more controllable.11-29-2012
20120303018Tissue Dissectors - A tissue dissector is provided. The tissue dissector includes an introducer including a lumen extending along a length thereof and defining a longitudinal axis therethrough. The introducer configured for placement adjacent target tissue. A shaft operably coupled to the introducer is deployable from a distal end thereof and includes a proximal end for approximating the distal end of the shaft adjacent target tissue. The distal end of the shaft is movable from a non-expanded configuration to an expanded configuration for separating target tissue from neighboring tissue.11-29-2012
20120150173METHOD FOR IN SITU TREATMENT OF A TISSUE - A method for dehydrating, electro-oxidizing, or electro-reducing a target tissue is described. The method utilizes an electrochemical probe or other device to deliver one or more beneficial agents into the target tissue. Water from the target tissue provides a precursor that may be split by electrolysis to generate the beneficial agent. Alternatively, water is provided from an external source to generate the beneficial agent. The beneficial agent facilitates in situ oxidation and/or reduction of a material within the tissue. One type of beneficial agent is ozone.06-14-2012
20110034919Vented Positioner and Spacer and Method of Use - Disclosed is a device positioner for guiding and positioning energy delivery devices during a surgical procedure. The energy delivery device positioner includes a body, a plurality of legs coupled to the body and a plurality of ribs connected to the body. The body includes a body facing surface and a plurality of device positioner apertures defined therein. The device positioner apertures are configured to receive an energy delivery device therethrough. The plurality of legs includes at least one foot extending beyond the patient facing surface of the body with the distal end of the foot configured to contact patient tissue and elevate the patient facing surface of the body such that the patient facing surface is spaced away from patient tissue. The plurality of ribs form one or more air flow aperture.02-10-2011
20110034918Blunt Tissue Dissection Surgical Instrument Jaw Designs - A forceps for use in surgery for dissecting tissue includes a pair of jaw members movable from an open position in spaced relation relative to one another to a closed position. The jaw members each have an outer housing extending along the length thereof to a distal end of the jaw members. The outer housing of one of the jaw members includes a textured surface at a distal end configured to interface with and dissect tissue during the movement of the jaw members from the closed to open positions. A dissecting tip may be selectively extendable from a channel defined in one of the jaw members to engage and separate tissue when in the extended position.02-10-2011
20110178518HANDHELD TRANSDERMAL DRUG DELIVERY AND ANALYTE EXTRACTION - Apparatus (07-21-2011
20100057078Catheter With Remotely Extendible Instruments - An electrosurgical apparatus for performing a surgical procedure includes a housing having an elongated flexible shaft with proximal and distal ends. The shaft having a plurality of tubes disposed therein that define a corresponding plurality of working channels configured to house a corresponding plurality of surgical instruments. An actuator is dimensioned for selective reciprocation within the shaft and configured to operably engage one or more of the corresponding plurality of surgical instruments and deploy the corresponding surgical instrument to an operating cavity as needed during a surgical procedure.03-04-2010
20120203221Electrosurgical Device Having Floating-Potential Electrode And Bubble Trap - Disclosed herein are embodiments of an electrosurgical device that include one or more floating electrodes and are specifically adapted to remove, cut, resect, ablate, vaporize, denaturize, drill, coagulate and form lesions in soft tissues, with or without externally supplied liquids, preferably in combination with a resectoscope, particularly in the context of urological, gynecological, laparoscopic, arthroscopic, and ENT procedures. Specific adaptations for urological and gynecological applications, for example kidney stone removal and BPH treatment, are also described.08-09-2012
20080249522Irrigated Catheter with Improved fluid flow - An irrigated catheter with uniform cooling and/or uniform fluid distribution in longitudinally spaced apart elution holes by varying the diameter of a fluid delivery lumen. A number of elution holes are provided in a tip region of a catheter body, and these elution holes are in fluid communication with the lumen through ducts. The fluid deliver lumen has may provided with a flow constrictor to restrict flow of fluid towards the distal region.10-09-2008
20080243118Electrosurgical Pencil With Drag Sensing Capability - An electrosurgical pencil configured and adapted to support an electrocautery blade. A strain gauge is affixed to the proximal end of the electrocautery blade and measures the displacement of the blade as a result of resistance and drag acting on the blade. The electrosurgical pencil also includes a meter electrically connected to the strain gauge for monitoring either a change in voltage, a change in electrical current or a change in optical wavelength. The amount of blade displacement as measured by the strain gauge is available for display to the surgeon and/or as sensory input for a control circuit in the electrosurgical generator that modulates the generator output waveform. The electrosurgical pencil further includes a control circuit electrically coupled between the electrocautery blade and the electrosurgical generator. The control circuit is configured and adapted to control power supplied to electrocautery blade based on the displacement measured by the strain gauge.10-02-2008
20090143779Irrigated ablation catheter having parallel external flow and proximally tapered electrode - Embodiments of the present invention provide an irrigated catheter having irrigation fluid directed at a taper angle generally in parallel with a proximally tapered portion of the tip electrode to provide improved electrode surface cooling. In one embodiment, an irrigated ablation electrode assembly for use with an irrigated catheter device comprises a proximal member having at least one passageway for a fluid with an outlet disposed at an external surface of the proximal member; and a distal member connected with the proximal member and having an external surface, the distal member including an electrode. The external surface of the distal member has a tapered proximal portion narrowing toward the proximal member at a taper angle with respect to a longitudinal axis of the distal member. The at least one passageway of the proximal member is configured to direct a fluid flow through the outlet in a distal direction at an angle substantially equal to the taper angle to produce an external flow that is generally parallel to the tapered proximal portion of the external surface of the distal member.06-04-2009
20090118728SYSTEM AND METHOD FOR TISSUE ABLATION - A tissue ablation device comprises first and second electrodes of opposite polarities, the first electrode being mounted to a first elongated member for movement relative to the second electrode for separation therefrom by a desired distance. A method of ablating a tissue comprises inserting first and second electrodes to desired initial positions relative to a tissue mass to be ablated and applying electrical energy to the first and second electrodes to ablate a first portion of tissue between the first and second electrodes in combination with the step of applying electrical energy to desired second positions separated from the desired initial positions by a distance selected to transfer electrical energy around the first portion of tissue through a second portion of tissue to be ablated, the second portion of tissue surrounding the first portion of tissue.05-07-2009
20090118727ABLATION DEVICES AND METHODS OF USING THE SAME - Devices and methods for ablating a selected tissue volume, such as for ablating tumor, are disclosed. In certain embodiments, the ablation devices include a low-conductivity, tissue-piercing tip, an adjustment mechanism for selectively adjusting the length of an exposed portion of the electrode, for producing ablation volumes of desired geometry. In other embodiment, the methods allow the adjustment of the length of the exposed electrode portion be carried out by moving an insulative sleeve along the electrode.05-07-2009
20080275440Post-ablation verification of lesion size - This disclosure is directed to a method of providing feedback regarding the outcome of ablation therapy. Measuring one or more tissue properties after the ablation procedure may allow the clinician to verify the size of the lesion formed or other therapy results. In one embodiment, the invention is directed toward a method for providing feedback regarding the results of tissue ablation, the method comprising deploying one or more needles from a catheter into a target tissue, delivering energy via at least one of the one or more needles to ablate at least a portion of the target tissue to form a lesion, stopping energy delivery via the at least one of the one or more needles, and measuring a tissue property via at least one of the one or more needles after the energy delivery has been stopped. The measured tissue property may be temperature or impedance. Also, the measured tissue property may be used to determine a volume of the lesion formed by ablation therapy.11-06-2008
20090062789MAGNETICALLY STEERABLE CATHETER ASSEMBLY - A magnetically steerable catheter system and method of using the system is provided. The system comprises an outer elongated, flexible member having a proximal and distal end, an inner elongated, flexible, member having a proximal end and a distal end, the inner member slidably disposed within the outer member. The system further comprises an electromagnet disposed on the distal end of one of the outer member and inner member, and a magnetically attractive element disposed on the distal end of another of the outer member and inner member. The magnetically attractive element is configured for magnetically interacting with the electromagnet to deflect the distal end of the inner member.03-05-2009
20110257649Electrode For An Electrophysiological Ablation Catheter - An electrode for an electrophysiological ablation catheter including an electrode body extending along a longitudinal axis, the electrode body including an electrode outer surface for emitting high-frequency signals and/or for measuring physiological signals, a first attachment point on a first end, at which the electrode is attached to a first catheter shaft, an irrigation lumen extending parallel to the longitudinal axis and through which cooling agent may be directed out of the first catheter shaft and into the electrode, and which forms an opening at the first end of the electrode body, the opening connected to a lumen of the first catheter shaft, and at least one cooling-agent passage connected to the irrigation lumen, the cooling-agent passage situated at an angle to the longitudinal axis and forming first and second openings in the electrode outer surface, through which the cooling agent may be released into the surroundings, as cooling-agent flow.10-20-2011
20080287945Linear ablation assembly - An intravascular device for the formation of linear lesions which has particular utility in the treatment of atrial fibrillation and flutter. The intravascular device has an outer delivery member with a distal section which has an elongated opening and a support element coextending with the opening. An EP device having a plurality of electrodes on its distal section is slidably disposed within the inner lumen of the delivery member but it is secured by its distal end within the distal extremity of the delivery member at least while in operation. In this manner an axial force in the proximal direction on the proximal extremity of the EP device, which extends out of the patient during the procedure, will cause the distal shaft section of the EP device to arch outwardly out of and away from the distal section of the delivery shaft along an inner side of the curved distal section and engage the surface of the patient's heart chamber. RF electrical energy delivered to the electrodes on the distal shaft section of the EP device will form a linear lesion which terminates the fibrillation or flutter.11-20-2008
20080275443ATRIAL ABLATION CATHETER ADAPTED FOR TREATMENT OF SEPTAL WALL ARRHYTHMOGENIC FOCI AND METHOD OF USE - An atrial ablation catheter with an electrode array particularly adapted to locate and ablate foci of arrhythmia which are required for sustained atrial fibrillation is provided. The array is easily deployed and retracted from the catheter, and presents a proximally oriented electrode array that can be pulled against the septal wall of the left atrium to engage the septal wall.11-06-2008
20110054466Paravalvular Leak Closure Devices and Methods - An ablation catheter including an inner tube having a length, a distal end and a longitudinal axis, a plurality of needles extending from the distal end of the inner tube and biased away from the longitudinal axis, an outer sheath slideably moveable relative to the inner tube to surround at least a portion of the length of the inner tube and its extending needles, and a radio frequency energy source electrically connected to the plurality of needles.03-03-2011
20110054465BI-MODAL CATHETER STEERING MECHANISM - Medical devices, systems, and methods for treating patients with tissue ablation include catheter systems having bi-modal steering mechanisms, which are capable of both linear and loop ablation. In other words, the catheter system may have two different steering modes: two-dimensional and three-dimensional. In the first and second steering modes, the steering actuator may cause one or more portions of the catheter shaft to bend in different planes. A steerable ablation catheter may include treatment elements such as electrodes at its distal end and along the catheter shaft, each of which may map, pace, and ablate.03-03-2011
20110054464BI-MODAL LINEAR AND LOOP ABLATION CATHETER, AND METHOD - Medical devices, systems, and methods for treating patients with tissue ablation include catheter systems having bi-modal steering mechanisms, which are capable of both linear and loop ablation. In other words, the catheter system may have two different steering modes: two-dimensional and three-dimensional. In the first and second steering modes, the steering actuator may cause one or more portions of the catheter shaft to bend in different planes. A steerable ablation catheter may include treatment elements such as electrodes at its distal end and along the catheter shaft, each of which may map, pace, and ablate. Optional features include a series of thermocouples for monitoring local temperatures.03-03-2011
20110022045Ablation electrodes with capacitive sensors for resolving magnitude and direction of forces imparted to a distal portion of a cardiac catheter - A catheter assembly for assessing contact between the catheter assembly and tissue is disclosed. In an exemplary embodiment the assembly includes a catheter shaft and a trio of pressure sensitive capacitive members each of whose electrical resistance varies with a pressure vector applied to the catheter assembly. The assembly also includes at least one measurement terminal to permit the measurement of changes in the electrical characteristics of the pressure sensitive capacitive members. The assembly may optionally include a measurement device to measure resistance, impedance and/or other electrical characteristics. The assembly may utilize a reference electrode secured to the patient's tissue, which permits the measurement device to measure changes between the reference electrode and the at least one measurement terminal. Optionally, the assembly may include a conductive outer layer. Also disclosed are sensor assemblies, contact sensor, methods of contact sensing, and methods of manufacturing relating to the use of pressure sensitive capacitors.01-27-2011
20110022044RADIO FREQUENCY ABLATION COOLING SHIELD - A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablated using a suitable source, such as RF or laser energy. A cooling shield is placed in contact with non-target tissue adjacent the target tissue, and actively cooled to conduct thermal energy away from the non-target tissue. In one method, the cooling shield can be placed between two organs, in which case, one of the two organs can comprise the target tissue, and the other of the two organs can comprise the non-target tissue. In this case, the cooling shield may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflatable balloon can be actively cooled by pumping a cooling medium through it. In another method, the cooling shield can be embedded within the non-target tissue. In this case, the cooling shield can comprise one or more needles. If a plurality of needles is used, they can be embedded into the non-target tissue in a series, e.g., a rectilinear or curvilinear arrangement. The needle(s) can be actively cooled by pumping a cooling medium through them.01-27-2011
20110034917Electrosurgical Devices having Dielectric Loaded Coaxial Aperture with Distally Positioned Resonant Structure and Method of Manufacturing Same - An electrosurgical device for directing energy to a target volume of tissue includes a coaxial feedline having an inner conductor, an outer conductor and a dielectric material disposed therebetween. A proximal cylindrical dielectric sleeve is coupled to the inner conductor at a distal end of the coaxial feedline. A distal cylindrical dielectric sleeve is coupled to the inner conductor. First and second dielectric segments are coupled to the inner conductor and disposed between the proximal cylindrical dielectric sleeve and the distal cylindrical dielectric sleeve. The device also includes an elongated shaft overlying the proximal cylindrical dielectric sleeve, the first dielectric segment, the second dielectric segment and the distal cylindrical dielectric sleeve. The elongated shaft includes an opening defined therethrough, wherein the opening is at least partially aligned with the first dielectric segment. A balun structure is disposed on the elongated shaft, at least partially overlying the opening in the elongated shaft.02-10-2011
20100292688METHODS AND APPARATUS FOR FORMING CARDIAC LESIONS AND ASSESSING LESION QUALITY - Method and apparatus for treating conductive irregularities in the heart, particularly atrial fibrillation and accessory path arrythmias. An ablative catheter is positioned relative to an inter-atrial electrical pathway, or a vicinity of accessory paths such as the coronary sinus or fossa ovalis, and actuated to form a lesion that partially or completely blocks electrical conduction in at least one direction along the pathway. Method and apparatus for assessing lesion quality are also described.11-18-2010
20100292687Methods and Systems for Occluding Vessels During Cardiac Ablation - A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the coronary sinus when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body.11-18-2010
20110118731Multi-Phase Electrode - An electrosurgical instrument is disclosed. The instrument includes a core including an elongated body portion, a plurality of electrodes having a tubular shape and disposed about the core and one or more dielectric spacers disposed between each of the plurality of the electrodes. The plurality of the electrodes is coupled to an electrosurgical generator configured to supply phased electrosurgical voltage to one or more of the plurality of electrodes to generate a potential difference between two or more of the plurality of the electrodes.05-19-2011
20110118729HIGH-INTENSITY PULSED ELECTRIC FIELD VITRECTOMY APPARATUS WITH LOAD DETECTION - A high-intensity pulsed electric field (HIPEF) vitrectomy apparatus is disclosed. An exemplary apparatus includes a HIPEF probe comprising at least one electrode disposed at a distal end of the HIPEF probe, such that the distal end is configured for insertion into an eye. A load detection circuit is coupled to the HIPEF probe and is configured to compare a measured physical parameter to a corresponding threshold value. A control circuit is electrically coupled to the load detection circuit and configured to selectively disable application of pulsed energy to the at least one electrode of the HIPEF probe, based on the comparison. The measured physical parameter may include, for example, resistivity, permittivity, reflected light, pressure, or heat dissipation capability.05-19-2011
20110046621Apparatus and Method for Electrode Thermosurgery - An instrument for tissue ablation includes an elongated tissue-penetrating electrode including a rigid tubular member having a closed distal end defining an interior cavity extending from the closed distal end to a proximal end of the rigid tubular member. The rigid tubular member defines an electrically conductive surface capable of receiving electrical energy from the source of electrical energy. The instrument includes one or more electrically conductive segments on the electrode and configured to receive electrosurgical energy from the rigid tubular member. An insulation layer is disposed upon the electrode and defines an exposed portion of the electrode at the distal end. The instrument also includes at least one sensor that detects a temperature during ablation and a semiconductive material coated on the rigid tubular member that forms one or more resistive layers that connects the rigid tubular member with a corresponding electrically conductive segment.02-24-2011
20110046620CORDLESS HEATED FORCEPS - A cordless heated forceps device useful for manipulating tissue samples in a paraffin or other embedding medium, e.g., in histology and pathology labs. The forceps in one implementation has tip elements that are bound to a resistive heat-dissipating component with copper wire and soldered to form a unitary tip assembly. Circuitry can be provided in the body, e.g., the legs, of the forceps device, and may include two circuits, one for resistive heating of the forceps tip elements, and the other for recharging one or more rechargeable batteries in the forceps device. The forceps legs have air gaps or non-conductive material at their distal portions in proximity to the forceps tip elements. The forceps device can be constructed to mate with a recharging base station adapted to connect to a computer or processor with network connectivity, for remote actuation.02-24-2011
20110046619Echogenic Electrosurgical Device - An echogenic electrosurgical device and a method for electrosurgically treating a target site are provided. The device includes an elongate body having a proximal portion and a distal portion. The distal portion of the elongate body includes an echogenic region, a coated portion providing an electroinsulative layer and an uncoated electroconductive electrosurgical region. The coating allows reflection of ultrasonic waves from the coated echogenic region sufficient for ultrasonic imaging of the echogenic region at a resolution providing for effective navigation in a body. The coated region has a first surface area and the electrosurgical region has a second surface area. The first surface area is greater than the second surface area.02-24-2011
20110046618METHODS AND SYSTEMS FOR TREATING OCCLUDED BLOOD VESSELS AND OTHER BODY CANNULA - A method of treating an occluded blood vessel includes sensing the impedance at a plurality of locations around the circumference of the blood vessel at least two different frequencies to identify vascular occlusive material, and distinguish vascular occlusive material from the vessel wall.02-24-2011
20110125152METHODS, SYSTEMS AND DEVICES FOR PERFORMING ELECTROSURGICAL PROCEDURES - Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.05-26-2011
20100305564SURGICAL JAWS FOR SEALING TISSUE - A surgical tool assembly for use in electrosurgery includes an elongated sheath movable in a longitudinal direction. The assembly includes a pair of jaws, with each jaw having a plurality of teeth for grasping tissue and a support element supporting the plurality of teeth. The support element is disposed partially within the sheath and extends to a distal end disposed outside of the sheath. The support element includes a first portion extending from the distal end and delineating a first region. The support element further includes a second portion extending from the first portion and delineating a second region. The second portion is curved to engage with the sheath such that the jaws move towards one another as the elongated sheath moves towards the distal end. The teeth extend from the first region into the second region.12-02-2010
20100305563ELECTROSURGICAL SYSTEM - An electrosurgical system includes a first component (12-02-2010
20100324554Aortic Valve Repair - The present invention provides devices and methods for decalcifying an aortic valve. The methods and devices of the present invention break up or obliterate calcific deposits in and around the aortic valve through application or removal of heat energy from the calcific deposits.12-23-2010
20100331835RETURN ELECTRODE DETECTION AND MONITORING SYSTEM AND METHOD THEREOF - A return electrode detection and monitoring system and method thereof are provided. The system and method of the present disclosure provide for a combined universal recognition feature, that is to identify whether a return or neutral electrode coupled to an electrosurgical generator is a capacitive electrode or a split or non-split (solid) resistive electrode. Furthermore, the system and method will monitor both capacitive and resistive return electrodes when the electrosurgical generator is operating in the 4 Mhz range to notify an operator when the return electrode is not coupled enough which would effect power delivery to the patient and hence effect on the targeted tissue.12-30-2010
20100179540Endoscopic Vessel Sealer and Divider Having a Flexible Articulating Shaft - An electrosurgical instrument for treating tissue includes a housing having a shaft extending therefrom having an axis A-A defined therethrough. The shaft is at least partially flexible and includes first and second jaw members attached at a distal end thereof. Each jaw member includes an electrically conductive tissue contacting surface adapted to connect to a source of electrosurgical energy such that the electrically conductive tissue contacting surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A drive assembly is disposed in the housing and has a first actuator operably coupled to a drive rod for reciprocation thereof to move the jaw members from a first position in spaced relation to one another to a second position closer to one another for engaging tissue. A second actuator is disposed on the housing and is actuatable to articulate the shaft.07-15-2010
20090171348DEFLECTABLE CATHETER WITH DISTAL DEFLECTABLE SEGMENT - A guidable, or steerable, or deflectable catheter is provided that includes a proximal portion and a distal portion for insertion into a body cavity. A selectively deflectable segment having an anisotropic bending stiffness for deflection in individual planes is incorporated into the distal portion of the catheter shaft. Upon actuation of pull wires, the distal deflectable segment may be deflected to move/sweep the distal catheter tip through a sweeping plane. The anisotropic bending stiffness of the distal deflectable segment permits in-plane movement of the distal catheter tip in the sweeping plane while resisting any out-of-plane movements. In one arrangement, stiffening elements are selectively disposed within the distal deflectable segment such that the out-of-plane bending stiffness is largely increased and greater than the in-plane bending stiffness for deflection in the sweeping plane. In another arrangement, the cross section of a distal deflectable segment is altered to produce anisotropic area inertias of moment about its centroidal axes, and thus anisotropic bending stiffnesses.07-02-2009
20090171349ADJUSTABLE LENGTH FLEXIBLE POLYMER ELECTRODE CATHETER AND METHOD FOR ABLATION - An ablation catheter includes a flexible elongated shaft having a flexible electrode at its distal end. The flexible electrode includes an inner, flexible, electrically-conductive element and an outer, flexible, electrically-conductive polymer layer in electrical contact with the inner, flexible, electrically-conductive element. The catheter further includes an electrically insulative sheath surrounding at least a portion of the flexible electrode and a linear displacement mechanism capable of adjusting at least one of the electrically insulative sheath and the flexible electrode to vary a length of the flexible electrode exposed at the distal end of the shaft. Also disclosed is an adjustable length ablation electrode and methods of ablating tissue.07-02-2009
20110144638Localized Shockwave-Induced Tissue Disruption - A high-intensity pulsed-electrical-field (HIPEF) apparatus removes ocular tissue from a localized portion of an eye by delivering one or more focused shockwaves to that tissue. In one embodiment, for example, the apparatus generates one or more electrical pulses, delivers the one or more focused shockwaves to ocular tissue by applying the generated electrical pulses to a HIPEF probe, and then removes the ocular tissue disrupted by the one or more focused shockwaves via aspiration. To mitigate risk of damage to adjacent ocular tissue, the apparatus delivers the one or more focused shockwaves with energy substantially limited to the tissue being removed. The HIPEF apparatus is, therefore, especially advantageous in the context of cataract surgery where cataract tissue need be broken apart and removed without damaging adjacent tissue associated with the lens capsule required to implant an intraocular lens.06-16-2011
20110137309STEERABLE STYLET - A steerable stylet assembly (06-09-2011
20110137308ELECTROSURGERY IRRIGATION PRIMER SYSTEMS AND METHODS - Systems and methods are provided for priming or purging an electrosurgical fluid irrigation system. The electrosurgical system can include a high frequency power supply, a fluid delivery system, a handheld device having one or more electrodes, and one or more connectors for connecting the handheld device to the fluid delivery system and the RF generator. The electrosurgical system may be configured to deliver RF current and irrigation fluid until a threshold current level is detected, which is indicative of a continuous flow of fluid at the electrode and purging completion. The systems and methods of purging an electrosurgical system may further include dynamically controlling an RF output and fluid delivery system in accordance with varied parameters of detected threshold current levels.06-09-2011
20110137307IONTOPHORETIC APPARATUS AND METHOD FOR MARKING OF THE SKIN - Embodiments provide apparatus and methods for producing markings in the skin. One embodiment provides an apparatus for marking the skin comprising a housing and reservoir for storing a skin colorant. An electrode is positioned within the housing so as to be electrically coupled to the colorant in the reservoir and is configured to be coupled to a current source and return electrode. A colorant applicator having at least one fluid pathway is coupled to a housing distal end. The applicator proximal end is positioned such that the fluid pathway is coupled with the reservoir. The applicator distal end applies colorant to the skin surface through the fluid pathway as the applicator is moved across the skin. The electrode delivers current from the current source to the skin to transport charged pigment elements of the colorant into the skin using an electromotive driving force to produce a marking in the skin.06-09-2011
20100168736CONTROLLED IRRIGATED CATHETER ABLATION SYSTEMS AND METHODS THEREOF - The present invention relates to open irrigated catheter ablation systems and methods used in connection with open irrigated catheter systems. The systems and related methods can control irrigation fluid flow to obtain temperature responses indicative of temperatures associated with an ablation procedure. Embodiments of the present invention provide irrigated catheter ablation systems having controlled irrigation fluid flow that can be directed at target areas where coagulation is more likely to occur to help minimize blood coagulation and associated problems. The irrigated fluid flow may be regulated in connection with an established or predetermined temperature threshold to improve or better optimize cooling and ablation properties of the system. In embodiments, irrigation flow may be either delayed or intermitted.07-01-2010
20100191235THERAPEUTIC ENERGY DELIVERY DEVICE WITH ROTATIONAL MECHANISM - A device for delivering therapeutic energy to tissue is provided. The device includes a housing and a rotating device coupled to the housing. The device includes a plurality of electrodes, each electrode including: (i) a proximal section longitudinally extending from within the housing to an exterior of the housing and having a longitudinal axis; (ii) an intermediate section extending from the proximal section; and (iii) a distal section extending longitudinally from the intermediate section. The rotating device is coupled to the proximal sections of the plurality of electrodes and adapted to rotate the distal section of the electrodes so that distance between at least two electrodes changes, so that the electrodes can be placed in a compact configuration or an expanded configuration to provide for a treatment region larger than the size of the opening for insertion.07-29-2010
20100191237SURGICAL INSTRUMENTS AND TECHNIQUES FOR TREATING GASTRO-ESOPHAGEAL REFLUX DISEASE - An apparatus to treat tissue in a selected wall region of an esophagus is provided. In one embodiment the apparatus includes an elongate member having a circumference and is sized to be deployed in an esophagus. The apparatus further includes an energy delivery element sized to apply electrical energy to tissue in the esophagus, and to produce a pattern of treated tissue within a less than 180° circumferential portion of the esophagus. The elongate member further includes an expandable structure to stabilize the energy delivery element in physical and electrical contact with tissue.07-29-2010
20090209957Method and System for Sterilizing an Electrosurgical Instrument - An apparatus and method for use in sterilizing a surgical instrument is provided. The apparatus includes a surgical instrument that includes a housing having a shaft extending therefrom. The shaft includes one or more grooves defined therein that extends at least partially along the length thereof. The one or more grooves is configured to allow a sterilant passage therethrough. The apparatus also includes a jacket that encloses the shaft and allows the sterilant to travel along the one or more grooves.08-20-2009
20110190767Cavity Ablation Apparatus and Method - Ablation devices and associated methods are provided for use in ablating the margin of a cavity such as a surgical or body cavity. The ablation apparatus includes an integral or connected elongate probe and an elongate sleeve. Suction can be applied with a vacuum source operably connected to the proximal end region of the sleeve, whereby tissue of the surgical cavity is drawn against the surface of the sleeve. The probe includes one or more electrodes disposed at the probe's distal end region, for ablating tissue when the electrode(s) are activated to create an ablated margin of tissue at least partially surrounding the surgical cavity.08-04-2011
20110190765Dielectric Jaw Insert For Electrosurgical End Effector - The present disclosure relates to an end effector assembly for use with an electrosurgical instrument and methods of manufacturing the same. The end effector assembly includes a pair of opposing first and second jaw members and a jaw insert. Each of the opposing jaw members has a tissue contacting surface and one or more of the jaw members are monolithic. Additionally, at least one of the jaw members is moveable relative to the other from a first, open position to a second, closed position for grasping tissue. The monolithic jaw member also has a cavity defined therein. The jaw insert is selectively positionable within the cavity of the monolithic jaw member. The jaw insert includes a tissue contacting surface and a portion of the jaw insert includes a dielectric material configured to reduce the thermal mass of the monolithic jaw member.08-04-2011
20110190764SURGICAL INSTRUMENT COMPRISING AN ELECTRODE - A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising a first electrode comprising a distal portion configured to contact the tissue and a second electrode comprising a distal portion configured to be inserted into the tissue, wherein the distal portion of the second electrode at least partially encompasses the distal portion of the first electrode.08-04-2011
20110190763Needle Design for Recording Monophasic Action Potential and Delivery of Therapy - A system and associated method measure monophasic action potential signals for identifying a targeted tissue location and delivering a therapy to the targeted tissue location. The system includes a hollow needle having a sharpened distal tip, a first electrode at the distal tip and a fluid delivery lumen extending through the needle from a proximal needle end to an opening in the sharpened distal tip.08-04-2011
20110264091APPARATUS AND METHOD FOR SEALING SPECIMEN FOR RETRIEVAL - A method for modifying a tissue specimen includes providing a specimen modifying apparatus configured to modify the specimen to thereby prevent seeding from the specimen. The specimen modifying apparatus is inserted through an opening in tissue and positioned adjacent the tissue specimen to be modified. The tissue modifying apparatus is activated to modify the tissue specimen to thereby inhibit seeding from the tissue specimen.10-27-2011
20110137306Removable Ink for Surgical Instrument - The present disclosure relates to an apparatus and method for preventing reuse of a surgical instrument. The single-use surgical instrument includes a housing, an electrical connector and a treatment component. Indicia may be printed on the housing, the electrical connector and/or the treatment component. A removable ink is applied to any portion of the surgical instrument in the form of indicia that is readable by a scanning device. The removable ink includes a protein-based composition that is reactivateable with a sterilization solution having an enzyme-based composition such that upon sterilization, the removable ink reacts with the sterilizing solution and becomes unreadable by the scanning device.06-09-2011
20110190766ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument is manufactured by presenting an electrode (08-04-2011
20110202055ELECTROSURGICAL DEVICE HAVING A TEMPERATURE MEASUREMENT DEVICE, METHOD FOR DETERMINING A TEMPERATURE AND/OR A TEMPERATURE CHANGE AT A NEUTRAL ELECTRODE - A method for determining a temperature and/or a temperature change at a neutral electrode having a contacting agent layer. The method comprises determining at least one impedance value of the contacting agent layer and calculating a temperature change and/or a temperature at the neutral electrode, at least on the basis of the impedance value. The contacting agent lavers may be made from hydrogel and the method uses a correlation that exists between the temperature change and the impedance change.08-18-2011
20110202053Ablation Device with Guide Sleeves - An energy delivery device for treating a patient includes a probe body; a plurality of guide sleeves positioned inside the probe body and adapted to be deployed radially away from the probe body and into tissue of the patient; and a plurality of elongate electrode elements each adapted to receive electrical treatment energy from an energy source and adapted to be deployed into the tissue through a corresponding deployed guide sleeve. The guide sleeves provide a structural pathway for guiding the electrodes along their intended trajectory and for determining the angle of deployment of the electrodes relative to the longitudinal axis of the probe body.08-18-2011
20110202052System for treating benign prostatic hyperplasia - The disclosed system improves urine flow by increasing the inside diameter of the urethra going through the prostate by eroding the urethral wall, rather than by reducing the prostate volume. This is done by a specially designed IRE electrode, which limits the penetration depth of the electric field to the urethral wall.08-18-2011
20100030211IRREVERSIBLE ELECTROPORATION TO TREAT ABERRANT CELL MASSES - The present invention provides methods, devices, and systems for in vivo treatment of cell proliferative disorders. The invention can be used to treat solid tumors, such as brain tumors. The methods rely on non-thermal irreversible electroporation (IRE) to cause cell death in treated tumors.02-04-2010
20100023004SYSTEMS AND METHODS FOR CARDIAC TISSUE ELECTROPORATION ABLATION - Cardiac electroporation ablation systems and methods in which pulsed, high voltage energy is delivered to induce electroporation of cells of cardiac tissue followed by cell rupturing. In some embodiments, the delivered energy is biphasic, having a cycle time of not more than 500 microseconds.01-28-2010
20100023005HIGH-FREQUENCY TREATMENT INSTRUMENT - A high-frequency treatment instrument that is used with high-frequency electric current supplied from a power source, which includes: a pair of forceps members connected with each other by a rotational axis; and an operation wire having a distal end portion which is rotationally connected to proximal end portions of the forceps members and a proximal end portion which is electrically connected with the power source, in which at least one of the pair of forceps members has a conductive electrode portion, and an insulating portion disposed so as to cover at least part of the electrode portion, the operation wire is electrically connected with the electrode portions, and a conductive outer surface of the forceps members, which includes a portion where the operation wire and the electrode portion are electrically connected, located closer to the proximal end portions of the forceps members than the rotational axis of the forceps members is covered by the insulating portion so as not to be exposed.01-28-2010
20100016850ESTHETIC DEVICE USEFUL FOR INCREASING SKIN BEAUTIFICATION AND METHODS THEREOF - The present invention provides an esthetic device, useful for increasing skin beautification at a region of a patient's skin, comprising: a. electrical output device for repeatedly generating at least two electrical waveform simultaneously, each of said electrical waveform is comprised of a combination of multiple types of waveforms; and b. two electrodes electrically coupled to said electrical output device, placed on said skin region and apply said at least two electrical waveform on said skin portion. The two electrical signal applied to said region are essentially dissimilar, ultra-strong, at a frequency range of 0 Hz to 20 Hz, having an amplitude of about 4 to about 20 Volts, electrical current higher that 500 and lower than 2.5 milliampere and power output of about 24 milli-Watts.01-21-2010
20100063499Device for Removing an Endoprosthesis or an Implant that is Implanted in the Body and is Made of a Synthetic Material - The invention relates to devices for removing an endoprosthesis or an implant which is implanted in the body and is made of a synthetic material. The inventive devices and methods are characterized especially by the fact that a minimal amount of tissue decomposes such that the endoprosthesis or the implant can be removed gently, the endoprosthesis, the implant, or a section thereof embodying a conductor. The endoprosthesis or the implant and at least one electrode that is connected in an electrically conducting manner to a surface area of the endoprosthesis of the implant, or at least one electrode which is in contact with a region of the material surrounding the endoprosthesis or the implant, are connected to an HF generator as an AC current source in order to separate the endoprosthesis or the implant from material surrounding the same in such a way that power is applied to the tissue and/or the biomaterial that surrounds the endoprosthesis or the implant. The endoprosthesis or the implant is coupled to an apparatus in order to be removed.03-11-2010
20130012938Device and Method for Treating Cardiac Disorders by Modulating Autonomic Response - A method and device for modulating the autonomic nervous system adjacent a pericardial space to treat cardiac arrhythmia includes a treatment source arranged to supply a treatment medium, a catheter having an end sized for insertion into the pericardial space, a medium delivery assembly having a distal end arranged to be positioned by the catheter into the pericardium, with the distal end of the delivery assembly comprising a delivery tip arranged to extend away from the distal end of the catheter into the pericardial space. A connector operatively couples the delivery tip of the medium delivery assembly to the treatment source, and the delivery tip of the medium delivery assembly including a plurality of delivery points for delivering the treatment medium at a plurality of treatment areas within the pericardial space. The device performs modulation or ablation of the autonomic nervous system at selected treatment areas within the pericardium.01-10-2013
20090093810Electrophysiology Electrodes and Apparatus Including the Same - Electrophysiological electrodes including an at least substantially planar distal end and/or surface discontinuities at or adjacent to the distal end are disclosed.04-09-2009
20110118730Twin Sealing Chamber Hub - Devices and methods for cooling microwave antennae and microwave hub construction are disclosed herein. The cooling system and hub can be utilized with a variety of microwave antenna types. A microwave hub is utilized to provide cooling fluids to a microwave antenna. The hub is constructed using no glue or adhesive for holding the different parts of the chambers in place. O-rings provide an increased reliability and consistency for fluid-tight seals in the hub. The various parts of the hub are form fitted and work together with the o-rings.05-19-2011
20110118732CONTROLLED IRREVERSIBLE ELECTROPORATION - Electrical pulses are applied to tissue in a manner which destroys targeted cells such as cancerous cells while sparing non-targeted cells such as nerve cells. The electrical pulses are controlled within ranges for voltage, wattage and duration of application. Multiple pulses or groups of pulses may be applied to obtain a desired result while maintaining any temperature increase below a level which destroys cells.05-19-2011
20120150172Multi-Electrode Energy Delivery Device and Method of Using the Same - An energy delivery device for treating a patient includes a probe body and a plurality of elongate electrode elements that extend radially away from the probe body when deployed into tissue of the patient. The electrode elements are adapted to receive electrical treatment energy such as irreversible electroporation (IRE) pulses from an energy source. In one embodiment, each electrode element has a longitudinally varying electrical resistance at the electrode-tissue interface along the electrode so as to provide a uniform electric field along the length of the electrode. The uniform electric field allows a more uniform ablation of tissue within a treatment zone.06-14-2012
20120150171Controlling Coagulum Formation - Some embodiments of a medical instrument can be configured to reduce the formation of coagulum by delivering a negative charge bias to conductive surfaces that interface with blood or bodily tissue during a medical procedure. The application of the negative charge at the instrument-blood interface can reduce the fibrinogen deposition and the formation of coagulum because fibrinogen molecules in general are negatively charged at neutral pH levels. In addition, some embodiments of the instrument may be configured to irrigate the instrument-blood interface with RGD/C1fA peptides, a bicarbonate solution (or other high pH solution), or both to further repel the fibrinogen and thereby inhibit the formation of coagulum. Accordingly, some embodiments of the medical instrument can substantially reduce the risks of thromboembolism during particular medical procedures.06-14-2012
20080215047Esophageal Electrocatheter - An esophageal catheter comprises an insertion element (09-04-2008
20090204113High Density Atrial Fibrillatrion Cycle Length (AFCL) Detection and Mapping System - Systems and methods to assist in locating the focus of an atrial fibrillation include the association of atrial fibrillation cycle length values and statistics relating thereto with temporal locations on an electrogram of a given electrode, and/or the coordination of electrode locations with respective the spectral analyses of electrogram signals and further parameters and statistics relating thereto. Ablation therapy can proceed under guidance of such information.08-13-2009
20110152860ADJUSTABLE CLAMP SYSTEMS AND METHODS - Tissue treatment systems include an actuator handle assembly coupled with a clamp assembly having a first jaw mechanism and a second jaw mechanism. A first jaw mechanism includes a first flexible boot, a first flexible ablation member coupled with the first flexible boot, and a first rotatable jawbone disposed within the first flexible boot. A second jaw mechanism comprises a second flexible boot, a second flexible ablation member coupled with the second flexible boot, and a second rotatable jawbone disposed within the second flexible boot.06-23-2011
20110306967COOLING CONFIGURATIONS FOR ELECTROSURGICAL INSTRUMENTS - In various embodiments, a surgical instrument is provided that may comprise an end effector comprising at least one energy delivery surface and cooling means for cooling at least a portion of the end effector. For example, in at least one embodiment, a surgical instrument may comprise a handle, an elongate shaft operably coupling the handle to the end effector, and a pump operably coupled to the handle. In such embodiments, the pump may be configured to cause a fluid to move through the elongate shaft and over at least a portion of the end effector. Additionally, in at least one embodiment, a surgical kit is provided that may comprise a surgical instrument and a cap configured to receive at least a portion of the surgical instrument's end effector. In such embodiments, the cap may be sized and configured to receive at least a portion of the end effector. Moreover, the cap may be sized and configured to fit through a trocar.12-15-2011
20110306966ELECTROSURGICAL INSTRUMENT EMPLOYING A PLURALITY OF ELECTRODES - An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.12-15-2011
20110306965ELECTROSURGICAL INSTRUMENT EMPLOYING MULTIPLE POSITIVE TEMPERATURE COEFFICIENT ELECTRODES - An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue, wherein one or both of the first and second jaws can include a plurality of electrodes each comprised of a positive temperature coefficient material having a different switching temperature. The electrical resistances of the electrodes can increase significantly once the temperature of the electrodes exceed their switching temperatures and, owing to the increased electrical resistance, the flow of current through the electrodes can be reduced and/or prevented. In various circumstances, the different switching temperatures of the electrodes can allow some of the electrodes to switch off before the other electrodes.12-15-2011
20110306964ELECTROSURGICAL INSTRUMENT EMPLOYING PRESSURE-VARIATION ELECTRODES - A surgical instrument can comprise a handle, a first conductor, a second conductor, and an end effector. The end effector can comprise a first jaw, a second jaw, wherein the first jaw is movable relative to the second jaw in order to capture tissue intermediate the first jaw and the second jaw, a first electrode electrically coupled with the first conductor, and a second electrode electrically coupled with the second conductor, wherein the second electrode is comprised of a material configured to have a first electrical resistance when a first pressure is applied to the material, and wherein the material is configured to have a second electrical resistance when a second pressure is applied to the material. In various circumstances, the material can be configured such that, once the applied pressure has exceeded a switching pressure, the resistance of the material can switch from the first resistance to the second resistance.12-15-2011
20110306963ELECTROSURGICAL INSTRUMENT EMPLOYING AN ELECTRODE - An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue, wherein at least one of the electrodes can comprise a conductive material positioned within a non-conductive, or high-resistance, material. In use, current flowing through the conductive material can heat the conductive material and cause it to evaporate and leave behind the non-conductive material. In such circumstances, the current flowing through the electrode may cease or may be substantially reduced.12-15-2011
20110306971ELECTROPORATION ABLATION APPARATUS, SYSTEM, AND METHOD - A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member having first and second channels. First and second probes are disposed within the respective first and second channels. The first and second probes each define a central axis. The first and second probes each have substantially straight distal ends protruding from the distal ends of the respective first and second channels. The substantially straight distal ends define an outer surface. First and second electrodes are attached to a portion of the outer surface of the substantially straight distal ends of the respective first and second probes. The first and second electrodes are positioned in juxtaposed relationship with the central axis of the first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the respective central axis of the at least one of the first and second probes.12-15-2011
20110306970Sheath And Method Of Use - In an embodiment a sheath allows one to simultaneously ablate tissue, using a catheter located in the sheath, and remove fluid from a patient's pericardial space, via the same sheath, all without withdrawing the ablation catheter from the sheath. Applying pressure (positive or negative) to fenestrations in the sheath may allow one to withdraw fluid from the space, navigate the sheath within the space, and/or adhere the sheath to tissue in the space. Other embodiments are described herein.12-15-2011
20110306968HEAT MANAGEMENT CONFIGURATIONS FOR CONTROLLING HEAT DISSIPATION FROM ELECTROSURGICAL INSTRUMENTS - In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.12-15-2011
20110306969SYSTEM AND METHOD FOR DIRECTING ENERGY TO TISSUE AND METHOD OF ASSESSING ABLATION SIZE AS A FUNCTION OF TEMPERATURE INFORMATION ASSOCIATED WITH AN ENERGY APPLICATOR - A method of assessing ablation size as a function of temperature information associated with an energy applicator includes the initial step of positioning an energy applicator in tissue. The energy applicator includes a radiating section and a temperature sensor. The radiating section is operably coupled to an energy source. The method includes the step of delivering energy from the energy source through the radiating section to tissue. The method also includes the steps of causing cessation of energy delivery through the radiating section to tissue for a predetermined time interval, monitoring the temperature sensor for at least a portion of the predetermined time interval to obtain temperature information associated with the energy applicator during the at least a portion of the predetermined time interval, and evaluating the temperature information to assess ablation size.12-15-2011
20110137310RF ABLATION PROBES WITH TINE VALVES - A tissue ablation probe is provided. The tissue ablation probe comprises an elongated shaft, at least one electrode tine carried by the elongated shaft, at least one tine exit from which the electrode tine(s) can be deployed from the elongated shaft and retracted within the elongated shaft, and a sheath covering the electrode tine exit(s). The sheath may, e.g., line an exterior surface of the elongated shaft or an interior surface of the elongated shaft. The sheath has at least one tine valve (e.g., a slit) positioned over the electrode tine exit(s) and configured to open when the electrode tine is deployed and to close when the electrode tine(s) is retracted. In one embodiment, the tine valve(s) is configured to open in response to pressure exerted during deployment of the electrode tine(s). In another embodiment, the tine valve(s) is configured to hinder the entry of biological material within the elongated shaft. In one embodiment, the sheath is pliable, such that the tine valve(s) can more easily hinder the entry of the biological material.06-09-2011
20100292689ELECTROSURGICAL SYSTEM AND METHOD FOR TREATING CHRONIC WOUND TISSUE - An electrosurgical method for treating chronic wound tissue, comprising: positioning an active electrode in close proximity to the chronic wound, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode sufficient to debride and sterilize at least a portion of the chronic wound tissue; and applying a skin graft in the vicinity of the chronic wound tissue.11-18-2010
20100042097ENHANCED CONTROL SYSTEMS INCLUDING FLEXIBLE SHIELDING AND SUPPORT SYSTEMS FOR ELECTROSURGICAL APPLICATIONS - A surgical system comprises a device adapted to deliver a plurality of surgical instruments to a site within a patient's body, a first surgical instrument comprising an active electrode probe, a second surgical instrument for performing a non-electrosurgical procedure, a conductive shield surrounding the active electrode probe of the first surgical instrument and connected to a reference potential, and a cold instrument monitor connected to the second surgical instrument and to the reference potential.02-18-2010
20090043299Reinforced Catheter With Articulated Distal Tip - A reinforced medical catheter (02-12-2009
20120041437TISSUE ABLATION SYSTEMS - Tissue is treated using a radiofrequency power supply connected to an applicator having a chamber filled with an electrically non-conductive gas surrounded by a thin dielectric wall. A radiofrequency voltage is applied at a level sufficient to ionize the gas into a plasma and to capacitively couple the ionized plasma with the tissue to deliver radiofrequency current to ablate or otherwise treat the tissue.02-16-2012
20100004651TRANSPEDICULAR ACCESS TO THE INTERVERTEBRAL DISC SPACE FOR DISCECTOMY, END PLATE PREPARATION, AND INTERBODY FUSION - An insertion device is configured to access a disc positioned between adjacent vertebrae. The insertion device includes a cannula having a passage formed therein. The cannula has an exit aperture. An obturator is substantially positioned within the passage formed in the cannula. One end of the obturator has a probe and the other end of the obturator has a head. An impaction cap is in contact with the cannula and is positioned to cover the head of the obturator. The impaction cap is configured to allow at least a portion of the cannula to be inserted through a portion of one vertebra without deployment of the probe of the obturator through the exit aperture of the cannula.01-07-2010
20080300593Method of Ablating Tissue - An electrocautery device is disclosed. In accordance with one aspect of the invention, the electrocautery electrode/tip is provided with a hollow, conductive tube terminating at its distal end in a ball point type tip. Fluid, preferably conductive fluid, is applied to the proximal end of the hollow electrode/tip, and expelled from the distal end thereof during electrocautery. The ball point distal tip allows the distal tip to be directly applied to the tissue and “rolled” or slid along the tissue. This allows the distal tip to be moved across the tissue without dragging or snagging on the tissue. In addition, the conductive fluid expelled from the distal tip further lubricates the distal tip as it moves across the tissue. If conductive fluid is used, the conductive fluid emanating from the electrode/tip conducts the RF electrocautery energy away from the distal tip so that it is primarily the fluid, rather than the distal tip that actually accomplishes the cauterizing of tissue. That is, the fluid serves as a “virtual” electrocautery electrode. Since it is the fluid, rather than the distal tip that cauterizes, coagulates and ablates, no burns or perforations are made to the tissue, reducing the amount of debris at the site. Also, the flow of fluid through the electrode/tip tends to keep the distal tip clean and cool.12-04-2008
20120046658METHOD AND DEVICE FOR SOFT TISSUE ABLATION - A method and device for fractional skin treatment. The method includes the application of a HV pulse to the skin surface through an array of pin electrodes.02-23-2012
20120046659Surgical Instrument Configured for Use with Interchangeable Hand Grips - A surgical instrument is provided and includes a housing having a shaft that extends therefrom that defines a longitudinal axis therethrough, and supports an end effector having opposing jaw members at a distal end thereof. The surgical instrument includes a handle assembly that includes a movable handle and a fixed handle. The fixed handle is adapted to couple to one or more selectively removable grips and the movable handle is configured to impart movement of one or more movable jaw members operably associated with the end effector.02-23-2012
20100249772TREATMENT OF SKIN DEFORMATION - The invention provides a system and method for percutaneous energy delivery in an effective, manner using one or more probes to effect a cosmetic improvement in tissue.09-30-2010
20120310239Ablation Catheters and Associated Systems and Methods - An ablation catheter assembly includes an elongate catheter body having a proximal portion, a distal portion and a lumen therethrough. A helical structure associated with the catheter distal portion carries a plurality of independently operable electrodes and is transformable between a low-profile configuration wherein a straightening element is positioned in the lumen and an expanded configuration wherein the straightening element is at least partially retracted from the spiral structure. When the helical structure is in the expanded configuration, a laterally offset tip portion extends distally therefrom.12-06-2012
20120310238CATHETER HANDLE - A catheter assembly includes a catheter handle having a handle body defining a bore and having a proximal part and a distal end. A catheter sheath has a proximal part received in the bore of the handle body, the catheter sheath projecting from the distal end of the catheter handle and the proximal part of the catheter sheath carrying a series of spaced electrically conductive members. Each conductive member is electrically connected to a conductor extending in the catheter sheath from the proximal part towards a distal end of the catheter sheath. A carrier is arranged in the bore of the catheter handle, the carrier carrying a series of spaced electrical contacts with each contact being configured to make electrical contact with one of the electrically conductive members of the catheter sheath.12-06-2012
20120310237HIGH-VOLTAGE PULSE ABLATION SYSTEMS AND METHODS - High-voltage pulses ablation systems and methods are used to ablate tissue and form lesions. A variety of different electrophysiology devices, such as catheters, surgical probes, and clamps, may be used to position one or more electrodes at a target location. Electrodes can be connected to power supply lines and, in some instances, the power to the electrodes can be controlled on an electrode-by-electrode basis. High-voltage pulse sequences provide a total amount of heating that is typically less than that which is observed with thermally-based radiofrequency energy ablation protocols.12-06-2012
20120004656METHODS AND SYSTEMS FOR TREATMENT OF TISSUE IN A BODY LUMEN - A system for measuring physiologic characteristics or treating tissue in a body lumen. The system may be used for treating abnormal mucosa in the esophagus. The system comprises an energy delivery device, such as an ablation device including an electrode support and an electrode pattern on the support. The ablation device may expand in size from a pre-deployed state to a deployed state. The system may include a sizing device having an inflatable balloon on a distal end of a catheter that is inflated with an expansion medium to expand the balloon to engage the wall of the esophagus so that the internal cross-section can be calculated or measured. The sizing device may also a controller for delivering an expansion medium and measuring the amount and pressure of the expansion medium inside the catheter. Methods of treating or diagnosing tissue are also disclosed.01-05-2012
20120004655Bipolar Connector System - An electrical connector assembly comprises a first elongated connector in parallel alignment with a second elongated connector and an adjustment mechanism operable to control movement of the first elongated connector relative to the second elongated connector while maintaining parallel alignment between the elongated connectors.01-05-2012
20120209261SYSTEMS, ASSEMBLIES, AND METHODS FOR TREATING A BRONCHIAL TREE - Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue.08-16-2012
20120209262METHOD AND APPARATUS FOR MAPPING AND/OR ABLATION OF CARDIAC TISSUE - An apparatus for mapping and/or ablating tissue includes a braided conductive member that that may be inverted to provide a ring-shaped surface. When a distal tip of the braided conductive member is retracted within the braided conductive member, the lack of a protrusion allows the ring-shaped surface to contact a tissue wall such as a cardiac wall. In an undeployed configuration, the braided conductive member is longitudinally extended, and in a deployed configuration, the distal end of the braided conductive member is retracted to invert the braided conductive member.08-16-2012
20120209260PREDICTION OF ATRIAL WALL ELECTRICAL RECONNECTION BASED ON CONTACT FORCE MEASURED DURING RF ABLATION - A method and device for determining the transmuriality and/or continuity of an isolation line formed by a plurality of point contact ablations. In one embodiment, a method for determining the size of a lesion (width, depth and/or volume) is disclosed, based on contact force of the ablation head with the target tissue, and an energization parameter that quantifies the energy delivered to the target tissue during the duration time of the lesion formation. In another embodiment, the sequential nature (sequence in time and space) of the ablation line formation is tracked and quantified in a quantity herein referred to as the “jump index,” and used in conjunction with the lesion size information to determine the probability of a gap later forming in the isolation line.08-16-2012
20120116387MULTICHANNEL ABLATION WITH FREQUENCY DIFFERENTIATION - Apparatus, including an energy generator, configured to supply first ablation power modulated at a first frequency and second ablation power modulated at a second frequency different from the first frequency. The apparatus also includes a probe, having at least one electrode coupled to receive the first and second ablation powers simultaneously and to dissipate the first and second ablation powers in body tissue in contact with the at least one electrode.05-10-2012
20110098703HIGH-FREQUENCY TREATMENT INSTRUMENT - A high-frequency treatment instrument that is used by being supplied with high frequency current from a power supply includes: a treatment portion main body that is used to treat biological tissue; a conductive portion that is provided on a surface of the treatment portion main body that is in contact with the biological tissue such that it is not electrically connected to the treatment portion main body; and a power supply device that electrically connects together the conductive portion and the power supply such that a conductive external surface thereof is not exposed, and that is positioned such that it is not electrically connected to the treatment portion main body. According to this high-frequency treatment instrument, it is possible to prevent supplied high frequency current leaking from portions other than the treatment portion, and to perform treatment efficiently.04-28-2011
20120010613ELECTROSURGICAL POWER CONTROL - A method and apparatus include determining a value of a parameter associated with operation of an electrosurgical probe having a particular probe design, and determining whether the value of the parameter is within a range of values that has been predetermined for the particular probe design to indicate that the probe is treating tissue in a desired manner. Power is delivered to the probe according to an algorithm based upon a determination that the value of the parameter is outside the range of values The algorithm delivers power in a pulsed profile including portions of low power and portions of high power. In one embodiment, the tissue treatment is ablation, the parameter is impedance, and the method limits tissue necrosis to less than 200 microns. In another embodiment, the tissue treatment is shrinkage, the parameter is temperature, and the method limits power delivery when the probe is not shrinking tissue.01-12-2012
20120010612CIRCUMFERENTIAL ABLATION DEVICE ASSEMBLY - This invention is a circumferential ablation device assembly which is adapted to forming a circumferential conduction block in a pulmonary vein. The assembly includes a circumferential ablation element which is adapted to ablate a circumferential region of tissue along a pulmonary vein wall which circumscribes the pulmonary vein lumen, thereby transecting the electrical conductivity of the pulmonary vein against conduction along its longitudinal axis and into the left atrium. The circumferential ablation element includes an expandable member with a working length that is adjustable from a radially collapsed position to a radially expanded position. An equatorial band circumscribes the outer surface of the working length and is adapted to ablate tissue adjacent thereto when actuated by an ablation actuator. The equatorial band has a length relative to the longitudinal axis of the expandable member that is narrow relative to the working length, and is also substantially shorter than its circumference when the working length is in the radially expanded position. A pattern of insulators may be included over an ablation element which otherwise spans the working length in order to form the equatorial band described. The expandable member is also adapted to conform to the pulmonary vein in the region of its ostium, such as by providing a great deal of radial compliance or by providing a taper along the working length which has a distally reducing outer diameter. A linear ablation element is provided adjacent to the circumferential ablation element in a combination assembly which is adapted for use in a less-invasive “maze”-type procedure in the region of the pulmonary vein ostia in the left ventricle.01-12-2012
20120010611ELECTROSURGICAL TOOL COVER - A cover for an electrosurgical instrument having a wrist structure and an end effector is provided. The cover includes a hollow elongated structure, which includes a tip cover portion and a base cover portion integrally connected to the tip cover portion. The tip cover portion has a distal end with an opening therethrough sized to receive the end effector of the electrosurgical instrument and is composed of a first, electrically insulative material having a flexibility sufficient to allow the end effector to be manipulated while the end effector is received in the opening. The base cover portion is composed of a second material having a higher tear strength than the first material. The tip cover portion and the base cover portion overlap at an overlap region configured to receive the wrist structure of the electrosurgical instrument when the end effector is received in the opening.01-12-2012
20110166570SHOCKWAVE BALLOON CATHETER SYSTEM - A system for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon about the carrier in sealed relation thereto, the balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.07-07-2011
20110166569Structures For Supporting Multiple Electrode Elements - A catheter assembly comprises a first branch body having a first axis, a second branch body extending in a non-parallel relationship with respect to the first axis, and at least one electrode carried by the second branch body. In use, the first branch body can be located within a pulmonary vein within the left atrium, while the electrode carried by the second branch body is located in contact with endocardial tissue outside the pulmonary vein. Ablation energy can be transmitted from the electrode to contacted endocardial tissue while the first branch body is located within the pulmonary vein.07-07-2011
20120116389SURGICAL INSTRUMENT SHAFT WITH RESILIENTLY BIASED COUPLING TO HANDPIECE - An ultrasonic surgical instrument includes a reusable handle assembly and a removable and disposable shaft assembly. The handle assembly includes a trigger, a housing having a distal aperture formed in a distal end of the housing, and a drive member in communication with the trigger to actuate the drive member. The shaft assembly includes a proximal shaft portion, a rotator knob having a coupling feature, a transmission assembly extending distally from the proximal shaft portion, and an end effector coupled to the distal end of the transmission assembly. The drive member of the handle assembly is removably coupled to the proximal shaft portion of the shaft assembly. Another version includes a drive member of the handle assembly configured to removably engage a proximal shaft portion of the shaft assembly via a biasing member. Another version includes a waveguide of the transmission assembly non-threadably coupled to a transducer.05-10-2012
20120016364DELIVERY DEVICES WITH COOLABLE ENERGY EMITTING ASSEMBLIES - Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input.01-19-2012
20120016363DELIVERY DEVICES WITH COOLABLE ENERGY EMITTING ASSEMBLIES - Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input.01-19-2012
20120016362Surgical Instrument Including MEMS Devices - Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.01-19-2012
20120016360Dual Antenna Assembly with User-Controlled Phase Shifting - An electrosurgical ablation system includes an energy source adapted to supply energy to an energy delivery device. The energy delivery device includes a handle assembly configured to couple a pair of antennas extending from a distal end thereof to the energy source for application of energy to tissue. A power splitting device is operatively associated with the handle assembly and has an input adapted to connect to the energy source and a pair of output channels operably coupled to the respective pair of antennas. A phase shifter is operatively associated with the handle assembly and is operably coupled to the pair of output channels. The phase shifter is configured to selectively shift a phase relationship between the pair of output channels.01-19-2012
20120022523Electrical Surgical Instrument with Optimized Power Supply and Drive - A surgical instrument includes a surgical end effector operable to effect a surgical procedure when powered, an electric motor operationally connected to the end effector, and a power supply electrically connected to and selectively powering the motor to operate the end effector, the power supply having at least one battery cell with a critical current rate and having a switch that when activated to power the motor, operates the at least one battery cell at a super-critical current rate.01-26-2012
20120059370SURGICAL ABLATION AND PACING DEVICE - A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.03-08-2012
20110060331MAGNETIC NAVIGATION SYSTEMS AND METHODS - Systems and methods for forming a lesion on an endocardial tissue of a patient's heart involve placing an ablation assembly inside of the heart and adjacent to the endocardial tissue, and placing a guiding assembly outside of the heart. An ablation assembly includes an ablation element and a first attraction element, and a guiding assembly includes a second attraction element. First and second attraction elements can be attracted via magnetism. Techniques involve forming an ablation on the cardiac tissue of a patient's heart with an ablation element of the ablation assembly. Optionally, techniques may include moving the second attraction element of the guiding assembly relative to the patient's heart, so as to effect a corresponding movement of the ablation element of the ablation assembly.03-10-2011
20120157993Bipolar Off-Wall Electrode Device for Renal Nerve Ablation - A first spacing structure is provided at a distal end of a first catheter. The first spacing structure is configured to position at least one arterial electrode at a predefined distance away from a wall of the renal artery. A second spacing structure is provided at the distal end of the first catheter or at a distal end of a second catheter. The second spacing structure is configured to position at least one aortal electrode at a predefined distance away from a wall of the aorta. The arterial and aortal electrodes are operable as a bipolar electrode arrangement. The first and second spacing structures respectively maintain the arterial and aortal electrodes at a predefined distance away from the renal artery and aortal walls while electrical energy sufficient to ablate perivascular nerve tissue adjacent the renal artery and aortal walls is delivered by the bipolar electrode arrangement.06-21-2012
20120157992OFF-WALL ELECTRODE DEVICE FOR RENAL NERVE ABLATION - An ablation apparatus includes a catheter, a conductor arrangement provided along the catheter, and one or more electrodes provided at a distal end of the catheter. A flexible structure maintains the one or more electrode elements in a spaced relationship relative to an inner wall of the renal artery when in a deployed configuration. Each electrode is coupled to the conductor arrangement and configured to deliver energy sufficient to ablate perivascular renal nerve tissue. The flexible structure may comprise a basket structure and at least one electrode is situated within the basket structure. The flexible structure may comprise a tube structure having spaced-apart electrically non-conductive segments, and at least one electrode is situated between adjacent electrically non-conductive segments.06-21-2012
20110092970ELECTROSURGICAL DEVICE COMPRISING A SAFETY UNIT - An electrosurgical device for coagulating and/or cutting biological tissue that includes an instrument for application of high-frequency current, an activation switch, a high-frequency generator, and a safety unit. The instrument for application of the high-frequency current includes first and second branches having respective first and second jaw parts that are connected such that they are movable relative to one another. The safety unit interrupts the current supply to electrodes of the instrument when the jaw parts assume a position relative to one another that is not suitable for coagulation by means of the high-frequency current, e.g. when the jaw parts are open. Thus, erroneous operation of the device may be prevented.04-21-2011
20120065636SYSTEMS AND METHODS FOR TREATING A HOLLOW ANATOMICAL STRUCTURE - A catheter includes multiple primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes a resistive element located at the working end of the catheter. Separation is maintained between the leads such that each lead can individually receive power. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery. Energy is applied until the diameter of the hollow anatomical structure is reduced to the point where occlusion is achieved. In one embodiment, a balloon is inflated to place the resistive elements into apposition with a hollow anatomical structure and to occlude the structure before the application of energy. The inflated balloon impairs blood flow and facilitates the infusion of saline, or medication, to the hollow anatomical structure in order to reduce the occurrence of coagulation and to improve the heating of the structure by the catheter.03-15-2012
20120065634METHOD OF TREATING AN INTER-VERTEBRAL DISC - The present invention relates to treating an inter-vertebral disc, in particular, to a method of treating an inter-vertebral disc by effectively ablating a tissue within a disc, in which herniation of nucleus pulposus occurs.03-15-2012
20120065635ELECTROSURGICAL DEVICE TO GENERATE A PLASMA STREAM - An electrosurgical device to generate a plasma stream and method to perform endoscopic or laparoscopic surgery within a patient's body. The electrosurgical device includes an electrode operatively coupled to an electrosurgical generator to receive electrical energy therefrom, the electrode being concentrically disposed within an inner noble gas conduit to form a plasma channel. An outer electronegative gas conduit is disposed in surrounding coaxial relation relative to the inner noble gas conduit to cooperatively form an electronegative gas channel therebetween such that the electrode heats the noble gas to at least partially ionize the noble gas to generate the plasma stream to be directed to the surgical site to perform the surgical procedure while the electronegative gas sustains the plasma stream at the surgical site and dilutes the noble gas adjacent the surgical site. An outer aspiration conduit may be provided to remove fluid and solid debris from the surgical site.03-15-2012
20120109122HIGH-FREQUENCY ELECTROPORATION FOR CANCER THERAPY - The present invention relates to the field of biomedical engineering and medical treatment of diseases and disorders. Methods, devices, and systems for in vivo treatment of cell proliferative disorders are provided. In embodiments, the methods comprise the delivery of high-frequency bursts of bipolar pulses to achieve the desired modality of cell death. More specifically, embodiments of the invention relate to a device and method for destroying aberrant cells, including tumor tissues, using high-frequency, bipolar electrical pulses having a burst width on the order of microseconds and duration of single polarity on the microsecond to nanosecond scale. In embodiments, the methods rely on conventional electroporation with adjuvant drugs or irreversible electroporation to cause cell death in treated tumors. The invention can be used to treat solid tumors, such as brain tumors.05-03-2012
20120157990IRRIGATED ABLATION ELECTRODE ASSEMBLIES - An irrigated ablation electrode assembly comprises a distal member, a first manifold, and a second manifold. The distal member includes an outer surface; an inner surface; and at least one radially extending passageway that extends from the inner surface of the distal member to the outer surface of the distal member. The first manifold includes an outer surface, an inner cavity, and at least one radially extending passageway that extends from the inner cavity to the outer surface of the first manifold. The second manifold includes an outer surface, an inner surface, and at least one radially extending passageway that extends from the inner surface of the second manifold to the outer surface of the second manifold. Other irrigated ablation electrode assemblies are also presented.06-21-2012
20120071873SYSTEMS FOR TREATING A HOLLOW ANATOMICAL STRUCTURE - A working end of a catheter includes at least one therapeutic element, such as a resistive heating element, usable to deliver energy for ligating, or reducing the diameter of, a hollow anatomical structure. In certain examples, the catheter includes a lumen to accommodate a guide wire or to allow fluid delivery. In certain embodiments, a balloon is inflated to place resistive element(s) into apposition with a hollow anatomical structure and to occlude the structure. Indexing devices and methods are also disclosed for successively treating portions of the hollow anatomical structure. In certain examples, marks along the catheter shaft provide visual verification to the physician of the relative position of the therapeutic element of the catheter. Embodiments of indexing devices may include pairs of rings and/or hinged arms that move a catheter a desired indexed position between successive treatments.03-22-2012
20100191236SWITCHED DIVERTER CIRCUITS FOR MINIMIZING HEATING OF AN IMPLANTED LEAD AND/OR PROVIDING EMI PROTECTION IN A HIGH POWER ELECTROMAGNETIC FIELD ENVIRONMENT - An energy management system that facilitates the transfer of high frequency energy induced on an implanted lead or a leadwire includes an energy dissipating surface associated with the implanted lead or the leadwire, a diversion or diverter circuit associated with the energy dissipating surface, and at least one non-linear circuit element switch for diverting energy in the implanted lead or the leadwire through the diversion circuit to the energy dissipating surface. In alternate configurations, the switch may be disposed between the implanted lead or the leadwire and the diversion circuit, or disposed so that it electrically opens the implanted lead or the leadwire when diverting energy through the diversion circuit to the energy dissipating surface. The non-linear circuit element switch is typically a PIN diode. The diversion circuit may be either a high pass filter or a low pass filter.07-29-2010
20100324552Methods and systems for occluding vessels during cardiac ablation incuding optional electroanatomical guidance - A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the CS when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body. One or more electrodes or coils can be used as a reference for an electroanatomical system and can be disposed on the occlusion catheter.12-23-2010
20110077644MEDICAL PROBE WITH TRANSLATABLE CO-ACCESS CANNULA - The tissue ablation device includes a tissue ablation probe having an elongated probe shaft and electrodes carried by the distal end of the probe shaft. The device further comprises a cannula with a central lumen extending along a longitudinal axis for removably receiving the probe shaft. The cannula further comprises concentric inner and outer tubes extending along the longitudinal axis, wherein the outer is tube is translatable relative to the inner tube. The inner and outer tubes further comprise inner and outer apertures, respectively, that are aligned by translating the outer tube. When the inner and outer apertures are aligned, electrodes are deployed through the inner and outer apertures. One method includes introducing a cannula and a tissue ablation probe to a tissue site and operating the tissue ablation probe and the cannula to deploy the electrodes and ablate tissue.03-31-2011
20120157991IRRIGANT DISTRIBUTION SYSTEM FOR FLEXIBLE ELECTRODES - Ablation electrode assemblies having a longitudinal axis include an electrode core member; an electrode shell; and an irrigant distribution element. The electrode core member comprises a thermal insulator and has a first end; a second end; and at least one irrigation passageway. The electrode shell comprises an electrically conductive material, defines an inner volume, and has a first end; and a second end. The second end of the electrode shell is configured for connection to the first end of the electrode core member. The electrode shell is sufficiently flexible for deflection of the distal end of the electrode shell relative to the longitudinal axis of the ablation electrode assembly. The irrigant distribution assembly comprises a first end; and a second end, wherein the second end of the irrigant distribution element defines a circumferential irrigation port between the irrigant distribution element and the electrode core member.06-21-2012
20110066148MEDICAL RESECTOR HAVING A ROTATABLE HIGH-FREQUENCY ELECTRODE AND DRIVE UNIT THEREFOR - A drive unit for a rotatable high-frequency electrode of a medical resector for cutting, oblating, or coagulating human or animal tissue includes an engine device for generating a rotation movement and a coupling device for transmitting the rotation movement generated by the engine device to an axis coupled with the rotatable high-frequency electrode when the drive unit is coupled with the medical resector. The drive unit is configured to provide on the coupling device a rotation frequency in a range from 10 rpm to 200 rpm.03-17-2011
20120179159Battery Interlock System and Related Method - An interlock system and related method includes a battery assembly, and first and second modules. The battery assembly has first and second power contacts, and a sense contact. The battery assembly includes one or more cells, a standby circuit, and an interface circuit. The standby circuit electrically couples to the first power contact and the sense contact for generating a standby signal in the absence of a detected external electrical coupling between the first power contact and the sense contact. The interface circuit electrically couples to the second power contact and to the at least one cell. The interface circuit is adapted to electrically decouple the second power contact from the at least one cell as a function of the standby signal. The first module is attachable to the battery assembly and has a first pair of contacts adapted to couple with the first power contact and the sense contact of the battery assembly. The first module also has a second pair of contacts electrically coupled to the first pair of contacts. The second module is attachable to the first module. The second module has a third pair of contacts adapted to couple with the second pair of contacts. All of the contacts of the third pair of contacts are electrically coupled together.07-12-2012
20120179158Sinus Ablation Devices, Methods, And Systems - An embodiment of the invention concerns systems, devices, and methods for minimally invasive sinus mucosal restorative techniques. Such an embodiment may remove persistent mucosal disease while protecting bony structures of sinus cavities from damage. For example, guard members may keep ablation electrodes a set distance away from sinus bone. This may preserve healthy tissue over the bone to thereby facilitate healing while ablating the disease tissue.07-12-2012
20120179157SYSTEMS AND METHODS FOR SCREEN ELECTRODE SECUREMENT - Systems and methods for securing a screen-type active electrode to the distal tip of an electrosurgical device used for selectively applying electrical energy to a target location within or on a patient's body. A securing electrode is disposed through the screen electrode and mechanically joined to an insulative support body while also creating an electrical connection and mechanical engagement with the screen electrode. The electrosurgical device and related methods are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The present methods and systems are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.07-12-2012
20110106074ABLATION CATHETER - Devices, systems and methods are disclosed for the mapping of electrical signals and the ablation of tissue. Embodiments include an ablation catheter that has an array of ablation elements attached to a deployable carrier assembly. The carrier assembly can be transformed from a compact, linear configuration to a helical configuration, such as to map and ablate pulmonary vein ostia.05-05-2011
20110106075SYSTEM AND METHOD FOR SELECTIVELY ENERGIZING CATHETER ELECTRODES - The present invention is directed to a system, a method and a catheter that provide improved ablation capabilities and improved energy efficiency by selectively energizing catheter electrodes on the basis of impedance measurements. In particular, the invention is directed to the selective energization of catheter radial electrodes that together with a tip electrode form a generally continuous tissue contact surface, wherein the selection is made on the basis of impedance measurement as an indication of the amount of tissue contact of each radial electrode.05-05-2011
20110106073Jaw Roll Joint - A surgical instrument includes a handle, and an elongated shaft extending from the handle. An end effector extending from the elongated shaft is in communication with a source of electrosurgical energy and defines an end effector axis. A roll joint couples the end effector to the elongated shaft and includes a first tubular structure extending distally from the elongated shaft and a second tubular structure rotatably coupled to the first tubular structure. The second tubular structure supports the end effector such that the end effector is rotatable about the end effector axis. A cable wrap volume may be disposed within one of the first and second tubular structures, and a conductor for supplying the end effector with electrosurgical energy is coiled about the end effector axis within the cable wrap volume such that rotation of the end effector about the end effector axis in a first direction unwinds the conductor.05-05-2011
20110106072Low-Corrosion Electrode for Treating Tissue - A non-implantable minimally invasive system for treatment of tissue in a body via direct current ablation is provided. A low-corrosion electrode for use with such system is further provided. In one embodiment the electrode includes a catheter end configured for coupling to a catheter, a tip configured for puncturing the tissue, and a length extending between the catheter and the tip. The length includes an active portion and an insulated portion. The active potion is electrically conductive and is between approximately 3 mm and approximately 12 mm long at an inserted portion of the electrode. The length further comprises an inner core formed of a material having a high resistance to deformation and an outer shell formed of a material having a high resistance to material decomposition.05-05-2011
20100094281RADIO FREQUENCY ABLATION SERVO CATHETER AND METHOD - A system that interfaces with a workstation endocardial mapping system allows for the rapid and successful ablation of cardiac tissue. The system allows a physician to see a representation of the physical location of a catheter in a representation of an anatomic model of the patient's heart. The workstation is the primary interface with the physician. A servo catheter having pull wires and pull rings for guidance and a servo catheter control system are interfaced with the workstation. Servo catheter control software may run on the workstation. The servo catheter is coupled to an RF generator. The physician locates a site for ablation therapy and confirms the location of the catheter. Once the catheter is located at the desired ablation site, the physician activates the RF generator to deliver the therapy.04-15-2010
20100094277HIGH-FREQUENCY SURGICAL DEVICE AND METHOD - A high-frequency surgical device includes: a treatment section provided with electrodes for supplying high-frequency power to living tissue of a patent foramen ovale; a high-frequency power supplying section for supplying high-frequency power to living tissue around the electrodes through the electrodes; a blood flow detecting section for detecting intracardiac blood flow information based on biological information inputted from outside; and a control section for controlling high-frequency power to be supplied to the side of electrodes based on the blood flow information.04-15-2010
20100094279Circuit for a catheter or sheath and method of forming same - A circuit (04-15-2010
20100094278Capsularhexis Device With Flexible Heating Element - A capsularhexis device comprises a resistive-heating element formed from an electrically resistive, superelastic wire formed into a loop. A bare surface of this loop is applied to the anterior capsule and electrically heated to define a rhexis boundary, such that a smooth circular or oval capsule portion may be removed. In some embodiments, the superelastic wire is formed to include a loop, so that first and second ends of the wire are adjacent to one another and extend away from the loop to form a lead section. An electrically insulating material may completely or partly surround the first and second ends of the wire so that the first and second ends of the superelastic wire are electrically separated. A handle engages at least a portion of the lead section so that the loop-shaped heating element may be moved in and out of the anterior chamber.04-15-2010
20120123411STABILIZED ABLATION SYSTEMS AND METHODS - Surgical systems and methods for administering an ablation treatment and other therapeutic or diagnostic protocols to a patient tissue involve a flexible stabilizer mechanism having an inner recess and an ablation mechanism coupled with the stabilizer mechanism.05-17-2012
20120316559SYSTEMS, ASSEMBLIES, AND METHODS FOR TREATING A BRONCHIAL TREE - Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue.12-13-2012
20120165815METHODS OF USING A CATHETER HAVING A BRAIDED CONDUCTIVE MEMBER - Embodiments described herein relate to methods of using a catheter having a braided conductive member. One embodiment relates to a method for treating a condition of a patient that involves contacting an exterior wall of a blood vessel with the braided conductive member. Another embodiment relates to a method that involves contacting a wall of a blood vessel with the braided conductive member and controlling energy delivery to the braided conductive member based on at least one sensed temperature.06-28-2012
20120165814METHOD AND DEVICE FOR NON-THERMAL ELECTRICALLY-INDUCED CLOSURE OF BLOOD VESSELS BY OCCLUSION - Methods and devices for the non-thermal, electrically-induced temporary or permanent closure of blood vessels. Methods and devices employ pulsed electrical energy according to a defined regime to effect controlled occlusion of targeted blood vessels without heating the vessel and with minimal damage to adjacent tissue. The extent of vessel closure, i.e., temporary (vasoconstriction) or permanent (thrombosis), is controlled based on the manipulation of various parameters of the electrical stimulation regime as well as the configuration of the electrodes used to apply the regime.06-28-2012
20120165812MULTI-RATE FLUID FLOW AND VARIABLE POWER DELIVERTY FOR ABLATION ELECTRODE ASSEMBLIES USED IN CATHETER ABLATION PROCEDURES - A system for providing irrigation fluid during ablation of tissue includes a catheter, an electrode assembly, at least one thermal sensor adapted to be connected to the catheter, and a control system. The electrode assembly is adapted to be connected to an ablation generator. The thermal sensor is adapted to be operatively connected to an electronic control unit (ECU). The ECU receives as an input temperature measurement data from the thermal sensor; determines a power delivery rate value for the ablation generator responsive to the temperature measurement data; and outputs the power delivery rate value. The control system also delivers irrigation fluid to the irrigated catheter at a first flow rate in a first time period and at a second flow rate in a second time period that is temporally after the first time period. The second flow rate is at least half of the first flow rate.06-28-2012
20120165811IMPLANTED DEVICE DATA TO GUIDE ABLATION THERAPY - A medical device system and associated method for guiding ablation therapy sense cardiac signals using implantable electrodes and detect spontaneous cardiac events from the sensed cardiac signals. Pacing pulses are delivered and a return cycle length is measured in response to the plurality of pacing pulses. The spontaneous cardiac event is clustered with a previously detected cardiac event in response to the measured return cycle length, and a targeted ablation site is estimated in response to the measured return cycle length. A transit time interval, corresponding to a distance traversed by a depolarization associated with a last one of the plurality of pacing pulses when a reset condition occurs, is computed using the return cycle length, and the ablation site is estimated in response to the computed transit time interval.06-28-2012
20120165810IMPLANTED DEVICE DATA TO GUIDE ABLATION THERAPY - A medical device system and associated method for guiding ablation therapy sense cardiac signals using implantable electrodes and detect spontaneous cardiac events from the sensed cardiac signals. Pacing pulses are delivered in response to detecting a spontaneous cardiac event and a return cycle length is measured. The spontaneous cardiac event is clustered with a previously detected cardiac event in response to the measured return cycle length. Data corresponding to the clustered cardiac events is displayed to guide an ablation therapy.06-28-2012
20120165809ABLATION ELECTRODE ASSEMBLIES AND METHODS FOR USING SAME - Ablation electrode assemblies include an inner core member and an outer shell surrounding the inner core member. The inner core member and the outer shell define a space or separation region therebetween. The inner core member is constructed from a thermally insulative material having a reduced thermal conductivity. In an embodiment, the space is a sealed or evacuated region. In other embodiments, irrigation fluid flows within the space. The ablation electrode assembly further includes at least one thermal sensor in some embodiments. Methods for providing irrigation fluid during cardiac ablation of targeted tissue are disclosed that include calculating the energy delivered to irrigation fluid as it flows within the ablation electrode assembly through temperature measurement of the irrigation fluid. Pulsatile flow of irrigation fluid can be utilized in some embodiments of the disclosure.06-28-2012
20090131930MEDICAL DEVICE FOR USE IN BODILY LUMENS, FOR EXAMPLE AN ATRIUM - A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpanded configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).05-21-2009
20120283722ADIABATIC COOLING SYSTEM FOR MEDICAL DEVICES - A medical treatment system, including a catheter body defining a proximal end and a distal end; an ablation element coupled to the catheter body and defining a fluid flow path therethrough, the ablation element including a first segment disposed within the catheter body, a second segment extending out of the distal end of the catheter body, and a third segment coiled around the first segment; and a coolant supply in fluid communication with the fluid flow path.11-08-2012
20100249773HANDLE ASSEMBLIES FOR INTRAVASCULAR TREATMENT DEVICES AND ASSOCIATED SYSTEMS AND METHODS - The present disclosure comprises handle assemblies for intravascular treatment devices. In one embodiment, a handle assembly comprises an actuator for deflecting a distal region of an intravascular treatment device. In one embodiment, a handle assembly comprises a rotator for rotating an intravascular treatment device independently of the handle assembly. In one embodiment, a handle assembly comprises a rotation limiting element for limiting independent rotation of an intravascular treatment device relative to the handle assembly. Methods and systems for intravascular delivery, deflection and placement of an intravascular treatment device via a handle assembly of the present invention are also provided.09-30-2010
20100249774POLYMER COMPOSITES FOR BIOMEDICAL APPLICATIONS AND METHODS OF MAKING - A biomedical polymer composite that exhibits ultra-low thermal conductivity properties. In a preferred embodiment, the biomedical polymer composite comprises a base polymer component with a dispersed thermally non-conductive filler component consisting of glass or ceramic nanospheres or microspheres that have a thermal conductivity of less than 5 W/m-K, and preferably less than 2 W/m-K. In one embodiment, the polymer composite has an electrically conductive filler and can be used in a filament for treating arteriovascular malformations. In another embodiment, the polymeric composite can be used as an energy-coupling means to apply energy to tissue.09-30-2010
20100249775Systems and methods employing a guidewire for positioning and stabilizing external instruments deployed within the body - Systems and methods for treating a tissue region employ an expandable structure projecting beyond the distal end of a catheter tube. A distal tail projects beyond the far end of the basket assembly. The distal tail includes a guidewire lumen that accommodates passage of a guidewire without threading the guidewire through the catheter tube.09-30-2010
20120215217SURGICAL INSTRUMENT WITH PROTECTIVE SHEATH - An electrode tip for use in performing electrosurgical operative procedures is disclosed. The electrode tip includes a main body that can receive electrical energy from an electrosurgical generator. The main body includes a working surface that communicates the electrical energy to patient tissue during the operative procedure. An insulative sheath is disposed around a portion of the electrode tip to prevent electrical energy from being communicated from the covered portions of the electrode tip to patient tissue. The insulative sheath has a leading edge that is shaped to minimize resistance to the movement of the electrode tip through patient tissue. The leading edge can be arcuately shaped or angled relative to a longitudinal axis of the electrode tip to provide the resistance reducing characteristics.08-23-2012
20120220999ELECTRICAL ABLATION DEVICES AND METHODS - A method for delivering energy to tissue having a necrotic threshold may generally comprise inserting an electrode array comprising a plurality of electrodes into the tissue, inserting a central electrode into the tissue, positioning a ground pad proximal to the tissue, applying a first sequence of electrical pulses to the electrode array less than the necrotic threshold to induce thermal heating in the tissue, applying a second sequence of electrical pulses to the central electrode equal to or greater than the necrotic threshold to induce cell necrosis in the tissue by irreversible electroporation, and applying a ground potential to the ground pad. Electrical ablation devices and systems and methods of using the same are also described herein.08-30-2012
20120130368RENAL DENERVATION CATHETER WITH COOLED RF ELECTRODE - A catheter has a flexible shaft with a proximal end, a distal end, a lumen arrangement, and a length sufficient to access a patient's renal artery. A conductor arrangement extends between the proximal and distal ends of the shaft. An actuatable helical tip region is provided at the distal end of the shaft, and a bend region is located proximal of the actuatable helical tip region. An electrode arrangement is provided at the actuatable helical tip region and dimensioned for deployment within the target vessel, such as the renal artery. The electrode arrangement is coupled to the conductor arrangement and includes a multiplicity of electrodes positioned on the distal end of the shaft in a spaced relationship. The electrodes have a protruding portion that extends out a distance beyond an outer surface of the distal end of the shaft.05-24-2012
20120130366Epicardial mapping and ablation catheter - A catheter adapted for mapping and ablating epicardial tissue from the pericardial cavity includes a catheter body and an electrode assembly that has a tip section and a loop member lying generally within a plane, wherein the tip section includes an ablation electrode exposed on one side of the loop member and an insulation member exposed on an opposite side of the loop member. The catheter also includes a intermediate section between the catheter body and the electrode assembly, wherein the intermediate deflects the loop member and the tip section bi-directionally within the same plane. So arranged, the catheter can be safely maneuvered in the pericardial sac and swept in a side to side motion over the epicardium with the ablation electrode reliably facing and making contact with the epicardium. The tip section can include a balloon that is inflatable to push away surrounding pericardial tissue. The catheter may further include an injection needle whose distal end can extend outside of the tip section to puncture epicardial tissue. A lumen in the injection needle allows for delivery to agents directly to the punctured tissue and thermocouple wires can be carried in the lumen for temperature sensing at the treatment site.05-24-2012
20120130367Apparatus for Performing an Electrosurgical Procedure - An endoscopic forceps is provided and includes a housing having a shaft that extends therefrom. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of pivotably coupled first and second jaw members. The jaw members are movable relative to one another. A drive mechanism includes a driving structure that is operably associated with the shaft and is operably disposed adjacent the end effector assembly. One of a driving structure guide and movable cam operably couples to the driving structure and is configured to facilitate movement of the jaw members.05-24-2012
20120316557Septoplasty Instrument - A septoplasty instrument includes at least one shaft having an end effector at a distal end thereof. The end effector includes first and second electrode members, each having an electrode disposed within an insulative housing. At least one of the housings includes a lumen configured to circulate a cooling fluid therethrough. The lumen extends the length of the electrode member along an outer periphery thereof. At least one of the electrodes is adapted to conduct energy through tissue disposed therebetween. The electrode members are positionable on either side of the nasal septum. Upon application of energy to the electrode(s), energy is conduced between the electrodes and through the nasal septum such that the nasal septum is heated above about 50° C. and up to about 57° C. to allow reformation thereof, while the cooling fluid is circulated within the lumen to maintain tissue surrounding the electrode in a cooled state.12-13-2012
20100204693ELECTROSURGICAL METHOD AND APPARATUS FOR REMOVING TISSUE WITHIN A BONE BODY - A method for treating a bone body comprises inserting a probe having at least one active electrode into the target tissue and applying a voltage difference between an active electrode and return electrode to ablate the tissue. The method is particularly directed to removing tumors in a bone body and or removing cancellous bone in a bone body. The bone body may be a vertebral body. An apparatus includes a plurality of active electrodes and a distal section including two bends. The bends serve to prevent the active electrodes from impinging upon the shaft of an introducer needle. Also, a kit includes an electrosurgical probe, an electrosurgical generator, an introducer needle, and a fluid connector to connect the introducer needle to a fluid source such that liquid may be supplied to the target site during an application.08-12-2010
20100204691INSULATED ABLATION CATHETER DEVICES AND METHODS OF USE - Disclosed herein is a catheter device sized and shaped for vascular access that has an elongate body extending between a proximal end and a distal end. Further, the elongate body has at least one inner lumen configured to receive a fluid. The catheter also has an ablation electrode configured to provide ablative energy, wherein the electrode is located distally along the elongate body and includes a passageway fluidly connected to the lumen of the elongate body. Also, the catheter has a sensor configured to provide a signal representative of temperature, and an insulating chamber extending at least partially about the ablation electrode and configured to at least partially insulate the sensor.08-12-2010
20100204690SINGLE APERTURE ELECTRODE ASSEMBLY - Systems and methods for securing a screen-type active electrode to the distal tip of an electrosurgical device used for selectively applying electrical energy to a target location within or on a patient's body. A securing electrode is disposed through the screen electrode and mechanically joined to an insulative support body while also creating an electrical connection and mechanical enagement with the screen electrode. The electrosurgical device and related methods are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The present methods and systems are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.08-12-2010
20100204692Ablation Catheter Assembly with Radially Decreasing Helix and Method of Use - A catheter assembly for treatment of cardiac arrhythmia. The catheter assembly includes a catheter body and an ablative energy source. The catheter body includes a proximal portion, an intermediate portion, and a distal portion. The intermediate portion extends from the proximal portion and defines a longitudinal axis. The distal portion extends from the intermediate portion and includes an ablation section and a tip. The ablation section forms a loop defining a diameter greater than an outer dimension of a pulmonary vein ostium. The tip extends distally from the ablation section and is configured to locate a pulmonary vein. Finally, the ablative energy source is associated with the ablation section. With this configuration, upon activation of the energy source, the ablation section ablates a desired lesion pattern. In one preferred embodiment, the ablation section forms a distally decreasing radius helix, whereas the tip includes a relatively linear leader section. With this one preferred configuration, the tip readily locates a pulmonary vein and guides the ablation section to a seated relationship about a pulmonary vein ostium (or extra-ostial).08-12-2010
20120215218System and Method for Electrical Stimulation of the Lumbar Vertebral Column - Disclosed methods and devices treat chronic lower back pain from degenerated or injured intervertebral discs. Electrodes connected to a pulse generator deliver electrical impulses to nerves located within the posterior longitudinal ligament and annulus fibrosus of lumbar intervertebral discs. The stimulation reduces back pain reversibly, adjustably, and with almost complete coverage of the pain-generating region. A temporary percutaneous lead and a permanent paddle lead are used. The percutaneous lead, designed to prevent inappropriate stimulation of the thecal sac, is inserted using a specially-designed introducer cannula and lead blank. The paddle lead is configured individually for implantation in the anterior epidural space of each patient. Electrical stimulation parameters may also be selected so as to ablate the nerves, using non-thermal irreversible electroporation, or using joule heating wherein a thermal insulator covers substantially all of the thecal sac, thereby shielding the thecal sac from potential heat damage.08-23-2012
20120136351CATHETER FOR OPEN-LOOP IRRIGATED ABLATION OF TISSUE - The present invention relates to a catheter (05-31-2012
20120136350CATHETER APPARATUSES, SYSTEMS, AND METHODS FOR RENAL NEUROMODULATION - Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a catheter treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver an energy delivery element to a renal artery via an intravascular path. Thermal or electrical renal neuromodulation may be achieved via direct and/or via indirect application of thermal and/or electrical energy to heat or cool, or otherwise electrically modulate, neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.05-31-2012
20110184408ELECTROSURGICAL APPARATUS TO GENERATE A DUAL PLASMA STREAM AND METHOD THEREOF - The present disclosure relates to an electrosurgical apparatus to generate a dual plasma stream to perform electrosurgery on a surgical site on a patient. The apparatus and method of the present disclosure generates a hot gas jet to a surgical site by generating two plasma beams that are electrically up to 180 degrees out of phase from each other. Since each beam uses the other beam to establish plasma currents at a load, the combined dual plasma stream can be used on non-conductive surfaces, e.g., a tissue at the surgical site. Furthermore, by applying different flow rates to the plasma beams, various scanning effects by the hot gas jet can be achieved.07-28-2011
20110184407Hernia Repair System - A hernia repair system includes a surgical mesh, one or more electrosurgical instruments, and one or more return electrodes. The one or more electrosurgical instruments are configured to position the surgical mesh adjacent tissue in an underlying tissue site. The one or more return electrodes are positionable adjacent the tissue and externally relative to the underlying tissue site. The one or more electrosurgical instruments and the one or more return electrodes are configured to selectively apply an effective amount of pressure and electrosurgical energy to the surgical mesh such that upon the application of electrosurgical energy and pressure, the surgical mesh seals to one side of the tissue at the underlying tissue site.07-28-2011
20110184405Compact Jaw Including Split Pivot Pin - An end effector assembly for use with a forceps includes a pair of jaw members, a knife assembly, and one or more cam assemblies. One or more of the jaw members are moveable relative to the other about a pivot between open and closed positions. One or more of the jaw members include a knife channel. The pivot includes first and second sections defining a passage therebetween. The knife assembly includes a knife blade and an actuation shaft. The knife blade is disposed distally relative to the pivot. The actuation shaft is configured for slidable translation through the passage to allow selective advancement of the knife blade through the knife channel. The one or more cam assemblies are operably coupled to the one or more moveable jaw members and are actuatable to move the one or more jaw members between the open and closed positions for grasping tissue therebetween.07-28-2011
20120083782ELECTROSURGICAL APPARATUS WITH LOW WORK FUNCTION ELECTRODE - An electrosurgical apparatus includes an active electrode with a low-work function coating to improve ablation performance. Low-work function coatings include compounds of alkali metals and alkali earth metals. Additionally, the active electrode may include various micro-structures or asperities or nano-structures or asperities. An array of carbon nanotubes may be aligned and secured on the active electrode. A return electrode comprises a high-work function coating to suppress electrical discharge activity on the return electrode.04-05-2012
20120239033Electrosurgical Device Having Floating-Potential Electrode And Curvilinear Profile - Disclosed herein are embodiments of an electrosurgical device that include one or more floating electrodes and are specifically adapted to remove, cut, resect, ablate, vaporize, denaturize, drill, coagulate and form lesions in soft tissues, with or without externally supplied liquids, preferably in combination with a resectoscope, particularly in the context of urological, gynecological, laparoscopic, arthroscopic, and ENT procedures. Specific adaptations for urological and gynecological applications, for example kidney stone removal and BPH treatment, are also described.09-20-2012
20120221000HAND-HELD ELECTROSURGICAL INSTRUMENT - Electrosurgical instruments and associated methods are provided. An electrosurgical instrument may include one or more light emitters that comprise a light source in operative communication with a power supply supportably interconnected to a handle portion. The instrument may have a toggle member with one or more selectable positions that may selectively activate any of one or more operational states of an electrosurgical electrode comprising the instrument. The toggle member may selectively activate the light emitter(s) provided on the instrument alone and/or in conjunction with the activation of one or more operational state. The handle portion may include an elastomeric handle portion that extends continuously along the handle portion and over the toggle member to seal the handle portion.08-30-2012
20120220998ELECTRICAL ABLATION DEVICES AND METHODS - An electrical ablation device may generally comprise first and second electrodes coupled to an energy source operative to generate and deliver a first sequence of electrical pulses and a second sequence of electrical pulses to tissue having a necrotic threshold, wherein the first sequence of electrical pulses delivers a first energy dose that is less than the necrotic threshold to induce thermal heating in the tissue and the second sequence of electrical pulses delivers a second energy dose equal to or greater than the necrotic threshold to induce cell necrosis in the tissue by irreversible electroporation. The first sequence of electrical pulses may each be independently characterized by a first amplitude, a first pulse width, and a first frequency. The second sequence of electrical pulses may be characterized by a second amplitude, a second pulse width, and a second frequency.08-30-2012
20120172871ULTRASOUND GUIDED TISSUE ABLATION - An imaging assembly comprises a catheter having a distal end and a proximal end, an ablation tip at the distal end of the catheter, and an imaging device disposed within the ablation tip. The catheter defines a catheter lumen that extends from the proximal end to the distal end. The catheter is configured and arranged for insertion into a body lumen such as a blood vessel or heart chamber. The ablation tip has a wall that defines a lumen in communication with the lumen of the catheter. The imaging device is disposed within the lumen of the ablation tip, and is configured to transmit pulsed acoustic waves for generating images of body tissue at a target ablation site within the body.07-05-2012
20120172870RENAL ABLATION ELECTRODE WITH FORCE-ACTIVATABLE CONDUCTION APPARATUS - An electrode is provided at a distal end of a catheter and dimensioned for deployment within a renal artery. A deformable cover of the electrode incorporates a force-activatable conduction apparatus. The cover is configured to conduct electrical energy only through a region or regions of the cover subject to deformation due to contact with a wall of the target vessel. The electrical energy is sufficient to ablate perivascular renal nerves proximate the deformed region or regions of the electrode cover. The cover is configured to prevent conduction of electrical energy through the cover in the absence of a deformation force applied to the cover.07-05-2012
20120172869METHODS AND DEVICES FOR TREATING TISSUE - The invention provides a system and method for achieving the cosmetically beneficial effects of shrinking collagen tissue in the dermis or other areas of tissue in an effective, non-invasive manner using an array of electrodes. Systems described herein allow for improved treatment of tissue. Additional variations of the system include array of electrodes configured to minimize the energy required to produce the desired effect.07-05-2012
20120172868Apparatus for Performing an Electrosurgical Procedure - An endoscopic forceps is provided and includes a housing having a shaft that extends therefrom. The shaft including a stationary cam pin at a distal end thereof and an elongated cam slot operably disposed adjacent the stationary cam pin. An end effector assembly operatively connected to a distal end of the shaft and including a pair of first and second jaw members pivotably coupled to one another. One or both of the first and second jaw members is movable relative to the other jaw member from an open position, to a clamping position. The movable jaw member having a drive pin defined therein and movable within the cam slot on the shaft. The movable jaw member has a second cam slot operably disposed thereon and operably coupled to the stationary cam pin on the shaft.07-05-2012
20120172867SYSTEM AND METHOD FOR TREATING ARRHYTHMIAS IN THE HEART USING INFORMATION OBTAINED FROM HEART WALL MOTION - A system and method for treating an arrhythmia in a heart are provided. The system includes an electronic control unit configured to monitor movement of one or more position sensor over a period of time. The position sensors may, for example, comprise electrodes or coils configured to generate induced voltages and currents in the presence of electromagnetic fields. The positions sensors are in contact with portions of heart tissue and changes in position are representative of motion of that tissue. The electronic control unit is further configured to generate an indicator, responsive to the movements of the sensors over the period of time, of a characteristic of the heart affected by delivery of ablation energy to heart tissue. In this manner, the effectiveness and safety of cardiac tissue ablation for treatment of the arrhythmia can be assessed and a post-ablation therapy regimen determined.07-05-2012
20100057079POLYMER COMPOSITES FOR BIOMEDICAL APPLICATIONS AND METHODS OF MAKING - A biomedical polymer composite that exhibits ultra-low thermal conductivity properties. In a preferred embodiment, the biomedical polymer composite comprises a base polymer component with a dispersed thermally non-conductive filler component consisting of glass or ceramic nanospheres or microspheres that have a thermal conductivity of less than 5 W/m-K, and preferably less than 2 W/m-K. In one embodiment, the polymer composite has an electrically conductive filler and can be used in a filament for treating arteriovascular malformations. In another embodiment, the polymeric composite can be used as an energy-coupling means to apply energy to tissue.03-04-2010
20130172882CONTROL OF ARTERIAL SMOOTH MUSCLE TONE - An apparatus for locally controlling smooth muscle tone includes a first electrode for insertion into an artery; a barrier for preventing the first electrode from contacting an arterial wall; a second electrode; a power supply; and a controller for coupling the power supply to the electrodes. The controller is configured to cause the electrode to maintain a waveform for controlling polarization of smooth muscle tone.07-04-2013
20100049192Catheter for Treating Tissue with Non-Thermal Ablation - Systems and methods for non-thermal ablation of tissue are provided. A non-implantable minimally invasive system for treatment of tissue in a body via direct current ablation is provided. A catheter for use in such system is further provided. The catheter includes a tubular body having a proximal end, a distal end, and a tip positioned at the distal end. The tubular body is semi-flexible, bi-directionally torqueable, and chemically resistant. The tubular body includes a plurality of routing holes provided between the proximal end and the distal end for facilitating deployment of electrodes from the tubular body. The tubular body further comprises an inner sheath generally at an interior portion and an outer sheath generally at an exterior portion and being chemically resistant.02-25-2010
20100049190ELECTRICAL ABLATION DEVICES - A connector configured to receive electrical energy from an energy source. A fastener is coupled to the connector. The fastener is configured for attachment through a tissue wall. A first electrode includes at least one electrically conductive portion and is coupled to the connector by a first electrically conductive wire.02-25-2010
20100049191TISSUE ABLATOR - A flexible RF device (02-25-2010
20100298826METHOD AND APPARATUS FOR CONTROLLING LESION SIZE IN CATHETER-BASED ABLATION TREATMENT - A method and apparatus that utilizes a force-time integral for real time estimation of lesion size in catheter-based ablation systems. The apparatus measures the force exerted by a contact ablation probe on a target tissue and integrates the force over an energization time of the ablation probe. The force-time integral can be calculated and utilized to provide an estimated lesion size (depth, volume and/or area) in real time. The force-time integral may also account for variations in the power delivered to the target tissue in real time to provide an improved estimation of the lesion size. In one embodiment, the force metric can be used as feedback to establish a desired power level delivered to the probe to prevent steam popping.11-25-2010
20100274242ELECTROSURGICAL INSTRUMENT WITH ADJUSTABLE POWER CABLE - An electrosurgical instrument that reduces the amount of fatigue experienced by a physician performing electrosurgery includes a hand piece that is connected to an electrosurgical generator by way of an electrical cable. The electrical cable is connected to the hand piece at a central portion of the hand piece, which reduces the resistance to the movement of the electrosurgical instrument created by the weight of the electrical cable. The reduced resistance leads to less fatigue in a physician's hand during electrosurgery. The hand piece can include a channel system that receives a portion of the electrical cable therein and allows a physician to adjust the location on the hand piece at which the electrical cable exits the hand piece. The channel system can include one or more side channels and/or longitudinal channels. The channels can include detents that define multiple exit locations from the channel system for the electrical cable.10-28-2010
20120179160ABLATION PROBE HAVING A PLURALITY OF ARRAYS OF ELECTRODES - An ablation device includes a cannula having a lumen, a first array of electrodes deployable from within the lumen, and a second array of electrodes deployable from within the lumen, wherein the first array of electrodes has a configuration that is different from a configuration of the second array of electrodes.07-12-2012
20100010488SYSTEMS AND METHODS FOR EPICARDIAL NAVIGATION - Systems and methods for navigating a catheter along the epieardial surface of the heart are disclosed. At least some of the embodiments disclosed herein are useful for epieardial ablation, Various embodiments permit ablation of the epieardial surface of the heart using an external ablation catheter in the pericardial space and an internal guide catheter within the heart. Such a configuration allows the clinician to precisely target for ablation specific locations on the cardiac tissue.01-14-2010
20100010486DEVICES AND METHODS FOR PERCUTANEOUS ENERGY DELIVERY - The invention provides a system and method for percutaneous energy delivery in an effective, manner using one or more probes. Additional variations of the system include array of probes configured to minimize the energy required to produce the desired effect.01-14-2010
20100010487CATHETER WITH TISSUE PROTECTING ASSEMBLY - A medical probe includes an elongate member having a proximal end and a distal end, an ablative element mounted to the distal end of the elongate member, and a cage assembly mounted to the distal end of the elongate member, the cage assembly at least partially covers the ablative element. A method of treating tissue in a body includes inserting an ablative element in the body, placing the ablative element adjacent the tissue, and maintaining a distance between the ablative element and the tissue using a protective catheter element that circumscribes at least a portion of the ablative element.01-14-2010
20130172880RENAL NERVE MODULATION DEVICES AND METHODS FOR RENAL NERVE MODULATION - Medical devices and methods for making and using medical devices are disclosed. An example method may include a method for renal nerve modulation. The method may include providing a steerable medical device, advancing the steerable medical device through a vein to a position adjacent to the kidney, advancing the steerable medical device through a vessel wall of the vein and into body tissue positioned adjacent to a renal artery, and steering the steerable medical device around at least a portion of the renal artery.07-04-2013
20130172875CONTACT ASSESSMENT BASED ON PHASE MEASUREMENT - Methods and systems achieve tissue ablation, which is carried out by inserting a probe having an ablation electrode into a body of a living subject, and while the ablation electrode is in a non-contacting relationship to a target tissue, making a pre-contact determination of a phase of an electrical current passing between the ablation electrode and another electrode. The ablation electrode is placed in contact with the target tissue, and while the ablation electrode is in the contacting relationship, a dosage of energy is applied via the ablation electrode to the target tissue for ablation thereof. Iterative intra-operative determinations of the phase of the electrical current are made. When one of the intra-operative determinations satisfies a termination criterion, the energy application is terminated.07-04-2013
20120316558INTERVENTIONAL ABLATION DEVICE WITH TISSUE DISCRIMINATING CAPABILITY - An interventional ablation device (12-13-2012
20090024124METHODS FOR TREATING THE THORACIC REGION OF A PATIENT'S BODY - A method is disclosed for the treatment of a thoracic region of a patient's body. Embodiments of the method comprise positioning an energy delivery portion of an electrosurgical device to face a segment of a thoracic vertebra at a distance from the segment; and cooling the energy delivery portion and delivering energy through the energy delivery portion.01-22-2009
20120277740ABLATION DEVICES WITH SENSORS STRUCTURES - A cardiac ablation device, including a steerable catheter (11-01-2012
20120232551ABLATIVE TREATMENT OF THE HEART TO IMPROVE PATIENT OUTCOMES FOLLOWING SURGERY - Devices and methods are described for ablation of cardiac tissue for treating cardiac arrhythmias, such as atrial fibrillation. Devices may include a tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue and an ablation member for ablating the tissue. Suction apertures attach the contacting member to the epicardial surface with sufficient strength to stabilize the tissue with the device. The devices and methods can be used to ablate epicardial tissue in the vicinity of a pulmonary vein or to ablate cardiac tissues in other locations on a heart. A combined pacing and ablation probe is described for treating cardiac arrhythmia by: advancing the probe through an incision into the vicinity of the patient's heart, verifying at least one location of a cardiac parasympathetic ganglion, and applying ablation energy to the cardiac parasympathetic ganglion.09-13-2012
20120232550ABLATION PROBE WITH DEPLOYABLE ELECTRODES - The present invention provides systems, devices and related methods for applying electric fields for cancerous cell destruction and tissue ablation. A method can include advancing an ablation probe into a patient; deploying a guide from the delivery member along a guide tissue penetration path, deploying an electrode from the guide along an electrode tissue penetration path, and establishing current flow within the target tissue.09-13-2012
20120232549SYSTEMS FOR THERMAL-FEEDBACK-CONTROLLED RATE OF FLUID FLOW TO FLUID-COOLED ANTENNA ASSEMBLY AND METHODS OF DIRECTING ENERGY TO TISSUE USING SAME - An electrosurgical system includes an electrosurgical device adapted to direct energy to tissue, one or more temperature sensors associated with the electrosurgical device, a fluid-flow path leading to the electrosurgical device, and a flow-control device disposed in fluid communication with the fluid-flow path. The system also includes a processor unit communicatively-coupled to the one or more temperature sensors and communicatively-coupled to the flow-control device. The processor unit is configured to control the flow-control device based on determination of a desired fluid-flow rate using one or more electrical signals outputted from the one or more temperature sensors.09-13-2012
20080300592CATHETER DRIVER SYSTEM - An apparatus for performing medical procedures on an anatomical body includes an extension with an element near its distal end to be extended into the body, and a driver that moves the extension axially into the body, and that causes flexure of the distal end of the extension. The movement and flexure of the extension is driven by the driver from the proximal end of the extension, and an electronic controller directs the operation of the driver.12-04-2008
20120239031ABLATION CATHETER WITH FLEXIBLE TIP - A flexible tip electrode for an ablation catheter is disclosed. The catheter includes a catheter body and a hollow elongate tip electrode disposed at a distal end of the catheter body. The electrode includes a sidewall provided with one or more elongate gaps extending therethrough. The one or more elongate gaps providing flexibility in the sidewall for bending movement of the tip electrode relative to a longitudinal axis of the catheter body.09-20-2012
20120239030Temperature Based Ablation Completeness Algorithm - A system and method for determining completion of an ablation procedure is provided. An electrosurgical generator provides an electrosurgical energy source to an electrode probe assembly. The generator is connected to a thermal feedback assembly that includes at least one temperature sensor assembly. The generator includes a computer configured to (1) measure a time of energy delivered to the target tissue, (2) receive a temperature reading from the thermal feedback assembly, (3) estimate a size of an ablation volume based on the temperature reading, a distance between the electrode probe assembly and each temperature sensor assembly, and the measured time, (4) calculate a growth rate of the ablation volume based on the estimated size. The computer may also determine the ablation procedure is complete when the growth rate is less than or equal to a threshold.09-20-2012
20120239029Apparatus for endobronchial ablation of a tumor - An apparatus for endobronchial ablation of a tumor is provided. The apparatus has an ablation catheter and a guide facility to be inserted into the bronchial system, a sheath defining a guide channel for the ablation catheter, a closing apparatus for a bronchial arm, and an aperture allowing airtight insertion of the ablation catheter into a bronchial arm blocked by the closing apparatus. The ablation catheter and/or the guide facility have a suction apparatus for sucking air out of a bronchial arm blocked off by the closing apparatus.09-20-2012
20120239028SELECTIVELY EXPANDABLE OPERATIVE ELEMENT SUPPORT STRUCTURE AND METHODS OF USE - In one embodiment, a device is provided including an expandable support member having a first portion and a second portion is provided. The first portion is adapted to have a smaller expansion index than the second portion. A therapeutic or diagnostic instrument is supported, at least in part, by the expandable support member first portion. In another embodiment, the support member is adapted for non-uniform expansion of the first and second portions. There are also described methods of forming therapeutic devices. There are also described methods of providing therapy to tissue in a body by positioning a device in proximity to tissue in a body selected to receive therapy. Next, the expandable support member second portion is expanded until the instrument is at a therapeutic position relative to the tissue in a body selected to receive therapy. Thereafter, therapy or diagnosis is provided to the selected tissue using the device.09-20-2012
20120239032MICRO-STEERABLE CATHETER - Micro-streerable catheters for use in delivering therapeutic treatment in the body, such as ablation and cauterization, and which exhibit precise movement are disclosed. Embodiments include electrical micro-catheters that comprise of electroactive polymers. A preferred embodiment includes a programmable catheter.09-20-2012
20110130756VASCULATURE DEVICE - A vasculature device with a wire with a shaped set portion, an electrically conductive path, an electrical connector connecting the wire to the electrically conductive path at a point distal to the shaped set portion, and a hypotube encasing the wire, electrically conductive path and electrical connector is provided. The vasculature device can be actuated from a low-profile configuration to a deployed configuration by heating of the wire, and in particular the shaped set portion of the wire, via application of an electrical current to the wire. The vasculature device is useful in removal of clots, thromboemboli and foreign bodies from the vasculature, and in particular the cerebral vasculature, and as steering wires or guidewires.06-02-2011
20120265197SYSTEMS AND METHODS FOR ENDOMETRIAL ABLATION - A device for endometrial ablation having an elongated shaft with a working end comprising an expandable-contractible frame, a complaint energy-delivery surface carried by the frame, the surface and the frame being configured to engage against the interior of a patient's uterine cavity when the working end is inserted into the cavity and the frame is expanded, and a plurality of electrodes carried on an exterior surface of the energy-delivery surface. The compliant energy-delivery surface can be expanded in a lateral direction by the frame and in an anterior-posterior direction by inflation of an interior chamber within the energy-delivery surface.10-18-2012
20120265200METHODS AND DEVICES FOR CONTROLLING ABLATION THERAPY - Devices and methods for controlling ablation therapy are provided herein. In one embodiment, an ablation device is provided that includes an elongate body having proximal and distal ends, and an inner lumen extending therethrough. The inner lumen can be configured to receive fluid therein and to deliver fluid to the distal end of the elongate body. The device can also include an ablation element positioned at a distal end of the elongate body that is configured to heat surrounding tissue, and a heater element disposed within the inner lumen adjacent to a distal end of thereof, the heater element being configured to heat fluid flowing through the inner lumen.10-18-2012
20120265199METHODS AND DEVICES FOR USE OF DEGASSED FLUIDS WITH FLUID ENHANCED ABLATION DEVICES - Devices, systems, and methods for degassing fluid prior to applying fluid to a treatment site during ablation therapy are provided. In one embodiment, an ablation system can include an elongate body, an ablation element, a heating assembly, and a fluid source. Fluid in the fluid source can be at least partially degassed prior to being provided as part of the system, or, in some embodiments, a degassing apparatus can be provided that can be configured to degas fluid within the system prior to applying the fluid to the treatment site. The degassing apparatus can include one or more gas-permeable and fluid-impermeable tubes disposed therein, which can allow gas to be removed from fluid passing through the apparatus. Other exemplary devices, systems, and methods are also provided.10-18-2012
20120265198RENAL NERVE DETECTION AND ABLATION APPARATUS AND METHOD - Stimulation energy is delivered to one or more renal artery sites in accordance with a predetermined energy delivery protocol. The stimulation energy is sufficient to elicit a physiologic response from the patient but insufficient to ablate renal nerves. Target renal artery sites that elicit a physiologic response are identified, and renal nerve tissue at or proximate the target sites is ablated.10-18-2012
20120271303THERMAL FEEDBACK SYSTEMS AND METHODS OF USING THE SAME - A system for providing feedback during an electrosurgical procedure on a target tissue is provided. The system includes an electrosurgical energy source; an electrode probe assembly connected to the electrosurgical energy source, wherein the electrode probe assembly includes at least one electrode assembly having a needle configured to deliver electrosurgical energy to the target tissue; at least one thermal feedback assembly connected to the electrosurgical energy source, wherein each thermal feedback assembly includes at least one temperature sensor assembly; and a hub configured to selectively support the electrode probe assembly and each thermal feedback assembly such that the needle of the electrode probe assembly and each temperature sensor assembly of each thermal feedback assembly are proximate one another when disposed proximate the target tissue.10-25-2012
20120271302METHODS AND SYSTEMS FOR FOCUSED BIPOLAR TISSUE ABLATION - Large tissue regions are treated using pairs of electrode arrays. The electrode arrays may be concave and disposed in tissue so that their concave portions are opposed to each other. Axial conductors may be provided extending from the arrays and toward each other in order to increase the heating of tissues lying along the axis between the deployed electrode arrays. By properly spacing the electrode arrays apart and selecting the diameters of the arrays, desired volumes of tissue may be treated, typically with a bipolar, radiofrequency current.10-25-2012
20120271301EXPANDABLE CATHETER SYSTEM FOR PERI-OSTIAL INJECTION AND MUSCLE AND NERVE FIBER ABLATION - At the present time, physicians often treat patients with atrial fibrillation (AF) using radiofrequency (RF) catheter systems to ablate conducting tissue in the wall of the Left Atrium of the heart around the ostium of the pulmonary veins. These systems are expensive and take time consuming to use. The present invention circular ablation system CAS includes a multiplicity of expandable needles that can be expanded around a central axis and positioned to inject a fluid like ethanol to ablate conductive tissue in a ring around the ostium of a pulmonary vein quickly and without the need for expensive capital equipment. The expansion of the needles is accomplished by self-expanding or balloon expandable structures. The invention includes centering means so that the needles will be situated in a pattern surrounding the outside of the ostium of a vein. Also included are members that limit the distance of penetration of the needles into the wall of the left atrium. The present invention also has application to ablating tissue around the ostium of a renal artery for the treatment of hypertension.10-25-2012
20120323236METHOD FOR THE CONTROL OF A MEDICAL DEVICE AS A FUNCTION OF NEUTRAL ELECTRODE IMPEDANCE - The method disclosed herein permits the operator of an electrosurgical device to move a safety switch-off threshold for a contact resistance at a neutral electrode from a first value to a second and slightly higher value. This way, for patients with a relatively high resistance yielding a somewhat elevated contact resistance despite correct attachment of the neutral electrode, uninterrupted operation of the device is achievable.12-20-2012
20120323237ASSESSMENT OF ELECTRODE COUPLING FOR TISSUE ABLATION - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.12-20-2012
20110213365METHOD AND DEVICE FOR DEVITALIZING BIOLOGICAL TISSUE - A device for devitalizing biological tissue and a method for controlling a device for devitalizing biological tissue. According to one embodiment, at the start of the devitalization, a low, first temperature is used and, at the end of the devitalization, an increased, second temperature is used. A device and method for operating a cooled HF (high frequency) ablation probe, wherein the temperature of the probe is primarily regulated via the cooling power supplied to the probe, is also described. According to another embodiment, the HF energy supply to the probe during treatment of a tissue region is operated first at a constant current and then at a constant voltage. According to another embodiment, the regulation of the cooling power is carried out depending on the impedance of the tissue region.09-01-2011
20110213364METHODS, SYSTEMS, AND DEVICES FOR CLOSING A PATENT FORAMEN OVALE USING MECHANICAL STRUCTURES - A medical device is disclosed that can include a first atrial anchor, a first delivery shaft linked to the first atrial anchor, wherein the first delivery shaft is adapted to move the first atrial anchor, a second atrial anchor, a second delivery shaft linked to the second atrial anchor, wherein the second delivery shaft is adapted to move the second atrial anchor, and a biasing member linking either (i) the first atrial anchor to the first delivery shaft or (ii) the second atrial anchor to the second delivery shaft. The medical device can include an insulation material coupled to one or more of the first or second atrial anchors, or the first or second delivery shaft. A method for treating an internal tissue opening is also disclosed wherein a first and second electrode can be operated between unipolar and bipolar modes to initiate tissue damage, thereby inducing tissue regrowth.09-01-2011
20100234842Percutaneous or Surgical Radiofrequency Intravascular Thrombectomy Catheter System and Method - The present disclosure relates to intravascular thrombectomy systems and methods for ablating a partial or complete blockage in a blood vessel. The system includes a catheter sleeve defining a lumen extending therethrough; a pair of electrodes disposed at a distal end portion of the catheter sleeve, wherein the pair of electrodes are disposed on opposed sides of the lumen of the catheter sleeve; and a guidewire slidably disposed within the lumen of the catheter sleeve, the guidewire including a capture element supported proximate a distal end thereof, wherein the guidewire is slidable with respect to the catheter sleeve to expose the capture element from the distal end portion of the catheter sleeve; wherein the capture element includes a first condition retracted onto the guidewire and a second condition at least substantially spans the entire lumen of the vessel.09-16-2010
20100234841System and Method for Magnetic Tissue Ablation - Herein it is described a magnetic medical device, and a system and method in which the magnetic medical device is implemented, that enables bipolar, minimally invasive, tissue ablation. The magnetic medical device may include magnetic means for magnetically coupling the medical device to a second medical device, wherein the magnetic medical devices may be separated by the tissue to be ablated. The magnetic medical device may also include electrical means for transferring electrical energy between the magnetic medical device and the second medical device. The magnetic medical device may further include control means whereby the physical location of the magnetic medical device may be controlled and thereby, as a result of the magnetic coupling, the physical location of the second magnetic medical device may also be controlled.09-16-2010
20120277741TISSUE ABLATION WITH IRREVERSIBLE ELECTROPORATION - A new method for the ablation of undesirable tissue such as cells of a cancerous or non-cancerous tumor is disclosed. It involves the placement of electrodes into or near the vicinity of the undesirable tissue through the application of electrical pulses causing irreversible electroporation of the cells throughout the entire area of the undesirable tissue. The electric pulses irreversibly permeate the cell membranes, thereby invoking cell death. The irreversibly permeabilized cells are left in situ and are removed by the body immune system. The amount of tissue ablation achievable through the use of irreversible electroporation without inducing thermal damage is considerable.11-01-2012
20080312648Fat removal and sculpting device - A device for removing and/or sculpting tissue includes a substantially planar pad and an array of needles extending distally from the pad. Each of the needles is configured for insertion into body tissue, and each of the needles may be configured to couple to a source of electrosurgical energy.12-18-2008
20120089141DIRECTION-CONTROLLABLE ELECTRODE BODY FOR SELECTIVELY REMOVING BODILY TISSUE, AND GUIDE PIPE - Disclosed is a direction controllable electrode body, comprising a flexible body which comprises: a first electrode, comprising a body, a first cap joined to one end of the body, and a first electrode line connected to an other end of the body; an insulator in partial contact with the body and the first cap of the first electrode, said insulator functioning to insulate the first electrode from the second electrode; a second electrode, comprising a first ring in contact with the insulator, and a second electrode line connected to one end of the first ring; and a direction controller, comprising a first direction controlling wire communicating with the first electrode or the second electrode to control direction of the electrode body. Also, a guide pipe is provided for leading the electrode body to a target tissue.04-12-2012
20110276047ANCHORED CARDIAC ABLATION CATHETER - An apparatus and method for performing cardiac ablations employs a catheter comprising an anchoring device and an ablating device to perform the ablations to electrically isolate the pulmonary veins and left atrium from surrounding atrial tissue. The anchor can comprise a balloon-type device, a stent-like device, a strut-like device, a spring-strut-like device, an umbrella-like device, a mushroom-like device, or other device that allows the catheter to maintain a position with respect to target tissue. The ablator can comprise a balloon ablator, an umbrella ablator, a pinwheel ablator, an umbrella ablator incorporating a cinch mechanism, a mushroom balloon ablator and a segmented balloon or pinwheel ablator. The anchor and ablator can also comprise a combination mushroom balloon anchor section and mushroom balloon ablator section. The anchor and ablator can include electrodes for measuring a conductance therebetween when in deployed position, so as to determine the effectiveness of the ablation.11-10-2011
20120330306ELECTRICAL ABLATION DEVICES - An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.12-27-2012
20120330304DISPERSIVE BELT FOR AN ABLATION SYSTEM - An electrosurgery system includes a catheter including one or more active electrodes adapted to be positioned adjacent biological tissue at an in vivo treatment site in a patient and to deliver electrical energy to the biological tissue. The electrosurgery system further includes a dispersive electrode assembly including a conductive element having a first end and a second end. The dispersive electrode assembly is configured to surround a waist of the patient such that a first surface of the conductive element is in contact with the waist and the first end of the conductive element is adjacent the second end of the conductive element.12-27-2012
20120095459System and Method for Electrically Ablating Tissue of a Patient - System for electrically ablating tissue of a patient through a plurality of electrodes includes a memory, a processor and a treatment control module stored in the memory and executable by the processor. The treatment control module generates an estimated treatment region based on the number of electrical pulses to be applied.04-19-2012
20120330305Laparoscopic Electrosurgical Electrical Leakage Detection - An apparatus for use with an endoscopic applicator. The apparatus including a support member configured to be removably coupled to a shaft of the applicator; a first sensor disposed on the distal end of the support member and for outputting a first signal indicative of current measured at the distal end of an active electrode supported in the shaft; and a second sensor disposed on the proximal end of the support member and for outputting a second signal indicative of current measured at the proximal end of the active electrode, wherein a difference value of the first and second signal is indicative of leakage of current within the shaft. In one embodiment, the first and second sensors are magnetic sensors for contactlessly sensing parameters of the active electrode.12-27-2012
20110319891PROBE FOR TREATING A TUMOR OR THE LIKE - An article of clothing is provided for selectively destroying dividing cells in living tissue formed of dividing cells and non-dividing cells. The dividing cells contain polarizable intracellular members and during late anaphase or telophase, the dividing cells are connected to one another by a cleavage furrow. The article of clothing includes insulated electrodes to be coupled to a generator for subjecting the living tissue to electric field conditions sufficient to cause movement of the polarizable intracellular members toward the cleavage furrow in response to a non-homogeneous electric field being induced in the dividing cells. The non-homogeneous electric field produces an increased density electric field in the region of the cleavage furrow. The movement of the polarizable intracellular intracellular members towards the cleavage furrow causes the breakdown thereof which adversely impacts the multiplication of the dividing cells.12-29-2011
20110319890ABNORMALITY ERADICATION THROUGH RESONANCE - A medical device to eradicate abnormality is provided. In one embodiment, the medical device includes a needle and an electrode. The medical device further includes a processor to automatically determine a portion of a biological tissue is associated with an abnormality when a sample density of an immediate area surrounding the needle in the biological tissue matches a target density as determined based on one or more of a chemical composition and a pigmentation of the abnormality. The processor calculates a resonant frequency to eradicate a presence of the abnormality based on the chemical composition and/or the pigmentation of the abnormality as determined through one or more of a conductivity, a capacitance, and an inductance of the abnormality. The medical device also includes a signal source to electrically couple the needle with the electrode to form a closed circuit when the needle and electrode contact the biological tissue.12-29-2011
20110319889Electrode Sheath For Electrosurgical Device - This invention provides an electrosurgical device comprising a handle, a shaft member distal to the handle, a first electrode tip and a second electrode tip at a distal end of the shaft member with the first electrode tip laterally spaced from the second electrode tip, and an electrode sheath movable to cover and uncover a side of the electrode tips while a distal end of the electrode tips is uncovered to treat tissue.12-29-2011
20110319888Surgical Instrument with a Separable Coaxial Joint - A surgical instrument includes an elongated shaft having a proximal structural member and a proximal drive member that is selectively movable with respect to the proximal structural member. A modular end effector is removably coupled to the elongated shaft, and has a distal structural member and a distal drive member that is operatively coupled to a pair of jaw members. A separable joint is defined between the elongated shaft and the end effector. The separable joint includes laterally prominent and laterally indented portions of each of the proximal and distal structural members and of each of the proximal and distal drive members. The structural members are interlocked to resist longitudinal separation and permit lateral separation. The drive members are movable relative to structural members to move the separable joint to a locked configuration wherein the drive members prohibit lateral separation of the structural members.12-29-2011
20110319887Electrosurgical Electrodes and Materials - An electrosurgical instrument is provided where the instrument includes a hand-held applicator having a proximal end and distal end and an end effector having a proximal end and a distal end. The proximal end is inserted into the distal end of the hand-held applicator. The end effector includes a high temperature insulation and a tungsten alloy tip.12-29-2011
20120101496FLUID-ASSISTED MEDICAL DEVICES, SYSTEMS AND METHODS - An electrosurgical device includes a first electrode tip connected to a first shaft and spaced from a second electrode tip connected to a second shaft. The first electrode tip serves as a first pole, and the second electrode tip serves as a second pole, of a bipolar electrode configuration. A first fluid outlet opening is defined by a distal end of the first shaft and a portion of the first electrode tip. A second fluid outlet opening is defined by a distal end of the second shaft and a portion of the second electrode tip. At least one recess can be formed in an exterior surface of each of the first and the second electrode tips, providing a fluid flow channel for fluid to flow distally along the respective electrode tip.04-26-2012
20120101495ERGONOMIC HANDPIECE FOR LAPAROSCOPIC AND OPEN SURGERY - A surgical tool having an elongate shaft, with a directional operative element at its distal end, is provided with a mechanism to rotate the shaft and the operative element about a longitudinal axis shaft. This allows the operative element to be aligned with an element of tissue without excessive hand movement by the user. In a preferred version, the mechanism is electrically powered and is regulated to produce smooth, controlled, accurate motion between selected rotational positions. The mechanism may include a linear magnetic motor drive to move a drive element longitudinally along the tool. This drive element is engaged with a helical formation on a drive shaft, such that longitudinal motion of the drive element is converted to rotational motion of the drive shaft, and of the shaft and operative element, to which the shaft is mounted.04-26-2012
20120101494ELECTROSURGICAL SYSTEM WITH DEVICE SPECIFIC OPERATIONAL PARAMETERS - Electrosurgical systems and methods include a generator which is operable to connect to an electrosurgical device and to identify the electrosurgical device. The generator automatically determines at least one device specific operational parameter for carrying out the electrosurgical procedure. In an exemplary embodiment, a generator includes a fluid pump and the generator automatically determines a candidate flowrate at which to operate the pump based on the type of device. The device specific operational parameter may be selected or modified by the operator prior to commencing the procedure.04-26-2012
20120289955Apparatus and Method for Heating Biological Targets - An apparatus and method for selectively heating a biological target within a treatment region of a subject is disclosed. The method includes administering to the subject a dielectric heating modulator that becomes associated with the biological target. The method also includes positioning the treatment region between first and second electrodes connected to a generator, and activating the generator to apply an alternating electric field between the first and second electrodes and across the treatment region to thereby heat the treatment region. The dielectric heating modulator causes the biological target to heat at a faster rate than non-targets within the treatment region, which preferably results in the killing of the biological target.11-15-2012
20120289957ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument includes a first jaw member with a first electrode area and a second electrode area and a second jaw member, such that at least either the first jaw member or the second jaw member can be pivoted around a pivot axis in such a way that the jaw members can be approached to one another or distanced from one another, so that the first jaw member can be rotated in relation to the second jaw member around a rotation axis between a first predetermined working position and a second predetermined working position, so that in the first working position the first electrode area of the first jaw member is facing the second jaw member and so that in the second working position the second electrode area of the first jaw member is facing the second jaw member.11-15-2012
20100168739APPARATUS, SYSTEMS, AND METHODS FOR ACHIEVING INTRAVASCULAR, THERMALLY-INDUCED RENAL NEUROMODULATION - Apparatus, systems, and methods for achieving thermally-induced renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver a thermal element to a renal artery via an intravascular path. Thermally-induced renal neuromodulation may be achieved via direct and/or via indirect application of thermal energy to heat or cool neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.07-01-2010
20100168740Heart Wall Ablation/Mapping Catheter and Method - Steerable electrophysiology catheters for use in mapping and/or ablation of accessory pathways in myocardial tissue of the heart wall and methods of use thereof are disclosed. The catheter comprises a catheter body and handle, the catheter body having a proximal section and a distal section and manipulators that enable the deflection of a distal segment of the distal tip section with respect to the independently formed curvature of a proximal segment of the distal tip section through a bending or knuckle motion of an intermediate segment between the proximal and distal segments. A wide angular range of deflection within a very small curve or bend radius in the intermediate segment is obtained. At least one distal tip electrode is preferably confined to the distal segment which can have a straight axis extending distally from the intermediate segment. The curvature of the proximal segment and the bending angle of the intermediate segment are independently selectable. The axial alignment of the distal segment with respect to the nominal axis of the proximal shaft section of the catheter body can be varied between substantially axially aligned (0° curvature) in an abrupt knuckle bend through a range of about −90° to about +180° within a bending radius of between about 2.0 mm and 7.0 mm and preferably less than 5.0 mm. The proximal segment curve can be independently formed in a range of about −180° through about +270° with respect to the axis of the proximal shaft section to provide an optimum angular orientation of the distal electrode(s). The distal segment can comprise a highly flexible elongated distal segment body and electrode(s) that conform with the shape and curvature of the heart wall.07-01-2010
20130012939CARTILAGE TREATMENT PROBE - An electrosurgical instrument for ablating cartilage while limiting collateral damage includes a non-conducting head with a small electrically conductive surface. The head of the instrument is coupled to a shaft by a flexible portion. The flexible portion biases the electrically conductive surface towards a tissue surface. The head is pivotably coupled to the shaft such that the electrically conductive surface is oriented substantially parallel to the tissue surface as the head slides across the tissue surface. A method of performing electrosurgery includes positioning the electrically conductive surface adjacent to the tissue surface, and sliding the shaft across the tissue surface with the head pivoting such that the electrically conductive surface is oriented substantially parallel to the tissue surface.01-10-2013
20120150175Irrigated ablation electrode assembly and method for control of temperature - Embodiments of the present invention provide an irrigated catheter having irrigation fluid directed at target areas where coagulation is more likely to occur so as to minimize blood coagulation and the associated problems. In one embodiment, an irrigated ablation electrode assembly for use with an irrigated catheter device comprises a proximal member having at least one passageway for a fluid with an outlet disposed at an external surface of the proximal member; and a distal member connected with the proximal member and having an external surface. The distal member includes an electrode. The external surface of the proximal member and the external surface of the distal member meet at an intersection. The at least one passageway of the proximal member is configured to direct a fluid flow through the outlet toward a region adjacent the intersection.06-14-2012
20120150174APPARATUS FOR FRACTIONAL SKIN TREATMENT - An apparatus for cosmetic RF skin treatment where the RF energy supply is isolated from the patient treated, such that in course of treatment no undesired current flows through the subject body. The apparatus includes an applicator for fractional skin treatment that has a tip with voltage to skin delivering elements, an isolating transformer located in close proximity to the tip and one or more capacitors serially connected with the tip and output coil of the isolating transformer.06-14-2012
20130018371Clip-Over Disposable Assembly for Use with Hemostat-Style Surgical Instrument and Methods of Manufacturing SameAANM Twomey; John R.AACI LongmontAAST COAACO USAAGP Twomey; John R. Longmont CO US - A clip-over disposable assembly includes a switch assembly and a disposable body. The disposable body includes a first disposable member, a second disposable member including first and second wall portions, and a third disposable member. The first wall portion defines a first aperture therethrough and a first cavity configured to receive therein a first portion of the switch assembly. The third disposable member includes a third wall portion, wherein a body of the second disposable member and the third wall portion define an opening configured to allow a shaft of a hemostat-style surgical instrument to pass therethrough. The second wall portion and the third wall portion cooperatively define a chamber in communication with the opening and configured to receive therein at least a portion of the shaft of the hemostat-style surgical instrument, wherein the at least a portion of the shaft is received in the chamber from an off-axis position.01-17-2013
20110160724SYSTEM AND METHOD FOR DENATURING AND FIXING COLLAGENOUS TISSUE - A method for modifying a geometry of a collagenous tissue mass includes heating the collagenous tissue mass to a temperature sufficient to cause denaturation, and introducing a biocompatible fixative, such as genepin, into the collagenous tissue mass.06-30-2011
20110160723BIPOLAR CANNULA FOR USE WITH AN ELECTRODE ASSEMBLY HAVING A SEPARATE SUPPLY ELECTRODE - An electrosurgical system preferably used for denervation procedures of nerve tissue has a control unit and a pluggable electrode assembly. The electrode assembly has a preferably disposable cannula and a preservable supply electrode assembly. The cannula has a tubular body that projects axially from a preferably pointed distal end for piercing tissue to a proximal end engaged to a first coupling assembly of the cannula. The body carries a first contact exposed directly to the nerve tissue and connected electrically to a terminal of the first coupling assembly. The supply electrode assembly has a second coupling assembly and a supply electrode that projects axially and removably into a through-bore of the body when the tool is in an operating state. The second coupling assembly carries a terminal that abuts the first coupling assembly when the coupling assemblies are mated. Preferably the supply electrode carries a temperature sensor for temperature measurement of the targeted tissue and processing by the control unit. Preferably, the electrode assembly also includes a stylet having a rod that fits into the through-bore of the body when the supply electrode assembly is removed and the tool is in a tissue penetrating state.06-30-2011
20110160722ELECTROSURGICAL DEVICE, METHOD FOR GENERATING A PRESCRIBED HEAT DISTRIBUTION OVER A PROBE BODY, METHOD FOR GENERATING A HEAT DISTRIBUTION FIELD - An electrosurgical device for devitalizing tissue including a probe body, equipped with at least one electrode, and a cooling device. The probe body is suitable for generating a heat distribution field by means of a high-frequency current for devitalizing the tissue. The cooling device prevents carbonization of the tissue close to the probe body that would normally occur since the maximum current density occurs here. The electrosurgical device is modified such that the heat distribution over the probe body can be adjusted, allowing adjustment or positioning of a maximum cooling zone within the probe body. This regulation may be accomplished by regulating the inlet pressure of the refrigerant supply to the electrosurgical device.06-30-2011
20110160721Irrigated Catheter Employing Multi-Lumenal Irrigation Tubing - An irrigated catheter includes a catheter body having both proximal and distal irrigation passageways. A first fluid delivery tube feeds the proximal irrigation passageway and is fluidly isolated from the distal irrigation passageway, while a second fluid delivery tube feeds the distal irrigation passageway and is fluidly isolated from the proximal irrigation passageway. Typically, the first and second fluid delivery tubes will be unitary, at least through the catheter body. The overall shape of the first and second fluid delivery tubes, as well as their respective lumens, may vary as necessary for a particular application of the irrigated catheter. The system also includes an irrigation fluid source and at least one pump to deliver the irrigation fluid through the irrigation passageways. Typically, the pump will be a volume-driven pump, such as a rolling pump.06-30-2011
20110160720Guide and flexible sleeve for use with catheters - Embodiments of a guide and flexible sleeve for use with catheters for ablation or other medical procedures are disclosed. An exemplary catheter comprises a guide element having a proximal end and a distal end, the distal end configurable in a desired shape. A flexible sleeve is conformable to the guide element so that the flexible sleeve slides over the guide element, the flexible sleeve has a proximal end and a distal end. A controller couples to the flexible sleeve. The controller operates to move the flexible sleeve at least part way between the distal end of the guide element and the proximal end of the guide element. At least one ablation element disposed at the distal end of the flexible sleeve operates to form a substantially continuous ablative lesion when the flexible sleeve is in contact with a contiguous volume of target tissue.06-30-2011
20110160719CATHETER WITH ARCUATE END SECTION - A medical device includes an insertion shaft, having a longitudinal axis and having a distal end adapted for insertion into a body of a patient. A resilient end section is fixed to the distal end of the insertion shaft and is formed so as to define, when unconstrained, an arc oriented obliquely relative to the axis and having a center of curvature on the axis. One or more electrodes are disposed at respective locations along the end section.06-30-2011
20130172874FLEXIBLE CONDUCTIVE POLYMER BASED CONFORMABLE DEVICE AND METHOD TO CREATE LINEAR ENDOCARDIAL LESIONS - An ablation device for creating linear lesions comprises a flexible support structure defining at least a partial curve; and an electrode disposed on the flexible support structure. The electrode comprises a pressure sensitive conductive composite that is configured for electrical communication with an electrical conductor and a flexible conductive outer covering that covers at least a portion of the pressure sensitive conductive composite. Electrical resistance of the pressure sensitive conductive composite varies inversely in proportion to pressure that is applied to the pressure sensitive conductive composite. Methods of creating linear lesions are also provided.07-04-2013
20130172876Apparatus, System, and Method for Performing Surface Tissue Desiccation Having an Internal Cooling system - Three types of internal cooling mechanisms for cooling one or more electrodes of a surface tissue desiccation device are described. Each cooling mechanism is closed-ended thereby preventing the cooling fluid from being dispensed from an electrosurgical handset of the device and onto the surgical site. The cooling fluid re-circulates in a conduit or lumen assembly between a fluid source, such as a fluid reservoir, and the electrode(s) at a distal end of the electrosurgical handset. A method is also provided for performing an electrosurgical procedure using the surface tissue desiccation device. The method includes activating an energy source; causing one or more electrodes to heat tissue; and internally cooling at least a portion of the at least one electrode(s) via an internal cooling mechanism. The internal cooling mechanism keeps the electrode(s) in a cooled state during the electrosurgical procedure, such as surface tissue desiccation.07-04-2013
20130172877BALLOON EXPANDABLE MULTI-ELECTRODE RF ABLATION CATHETER - An intravascular catheter for nerve modulation through the wall of a blood vessel, comprising an shaft having a proximal end and a distal end and a central axis, a balloon disposed on the shaft and having a proximal end, a distal end, an interior surface, and exterior surface, a lumen defined by the interior surface, a plurality of electrodes disposed on the balloon, and a plurality of elastomeric members disposed between the plurality of electrodes and the balloon and extending between the proximal end of the balloon and the distal end of the balloon.07-04-2013
20130172878DEVICE AND METHODS FOR RENAL NERVE MODULATION MONITORING - Systems and methods for monitoring and performing tissue modulation are disclosed. An example system may include an elongate shaft having a distal end region and a proximal end and having at least two nerve modulation elements disposed adjacent to the distal end region. The nerve modulation elements may be used to determine and monitor changes in tissue adjacent to the modulation element and to effect tissue changes.07-04-2013
20130172881OFF-WALL ELECTRODE DEVICE AND METHODS FOR NERVE MODULATION - Medical devices and methods for making and using the same are disclosed. An example medical device may include an ablative catheter for nerve modulation through a wall of a blood vessel. The catheter may include a catheter sheath having a proximal end, a distal end, and a lumen extending from the proximal to the distal end. An elongate member may extend along a central elongate axis within the lumen of the catheter sheath. The elongate member having a proximal end and a distal end. An expandable ablative member may be coupled to the distal end of the elongate member having an insulative section connected to a bare electrode section. The ablative member may be configured to switch between a collapsed position and an expanded position.07-04-2013
20130172883ENHANCED MEDICAL DEVICE FOR USE IN BODILY CAVITIES, FOR EXAMPLE AN ATRIUM - Systems, methods, and devices allow intravascular or percutaneous mapping, orientation or ablation, or combinations thereof in bodily cavities or lumens. A device includes a plurality of elongate members which are moveable between an unexpanded configuration, a bent or coiled stack configuration and an expanded or fanned configuration. The elongate members form a stack arrangement in the unexpanded configuration to fit through a catheter sheath, The elongate members follow respective arcuate or curvilinear paths as advanced from the sheath into the bent or coiled stack configuration, adopting volute, scroll or rho shapes, and may be nested. The elongated members are fanned or radially spaced circumferentially with respect to one another into the expanded or fanned configuration. Transducers carried by elongate members may sense various physiological characteristics of or proximate tissue, for instance temperature, and/or may apply energy to or proximate tissue, for example to perform ablation. The device is retractable.07-04-2013
20080243117SYSTEMS AND METHODS FOR ELECTROSURGICAL PREVENTION OF DISC HERNIATIONS - The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid or saline-rich tissue to contract collagen fibers within the tissue structures. In one aspect of the invention, a system and method is provided for contracting a portion of the nucleus pulposus of a vertebral disc by applying a high frequency voltage between an active electrode and a return electrode within the portion of the nucleus pulposus, where contraction of the portion of nucleus pulposus inhibits migration of the portion nucleus pulposus through the fissure.10-02-2008
20080234672Non-stick surface coated electrodes and method for manufacturing same - A method of manufacturing an electrosurgical instrument includes the steps of: providing an electrosurgical instrument having at least one conductor, applying a lipid coating onto at least a portion of at least one conductor on an electrosurgical instrument, and curing the lipid coating. An electrosurgical instrument manufactured by the method disclosed herein is also provided.09-25-2008
20080228182LOW PROFILE RADIOFREQUENCY ELECTRODE ARRAY - An electrosurgical device for tissue ablation includes a delivery cannula having a lumen and an open distal end in communication with the lumen, wherein an electrode array comprising a plurality of tines is deployable from, and retractable into, the cannula lumen through the open distal end. The electrode array tines have proximal ends secured to a mandrel carried in the cannula lumen, the mandrel being movable axially relative to the cannula, wherein the tines, when the electrode array is retracted into the cannula lumen, are nested in offset, circumferential layers about the mandrel.09-18-2008
20080221567ELECTROSURGICAL TISSUE REMOVAL WITH A SELECTIVELY INSULATED ELECTRODE - An electrosurgical device includes an elongated body including a proximal end and a distal end and defining a longitudinal axis, at least one arm coupled to the distal end of the elongated body and an electrode coupled to at least one arm. The electrode includes an upper surface and a lower surface. The lower surface is substantially convex and defines a radius of curvature relative to an axis substantially perpendicular to the longitudinal axis.09-11-2008
20080221566Method and apparatus for detecting and achieving closure of patent foramen ovale - A method for detecting and closing the patent foramen ovale including the steps of locating a His bundle, plane of the interatrial septum, and coronary sinus ostium in a patient; identifying a fossa ovalis on the basis of one or more predetermined distances between the fossa ovalis and the His bundle, the plane of the interatrial septum, and the coronary sinus ostium; locating a patent foramen ovale by probing the junction between the fossa ovalis and a limbus of the fossa ovalis; and causing injury to the surfaces of at least one of a septum primum and a septum secundum within the patent foramen ovale. Another method includes the steps of locating a tunnel of a patent foramen ovale by probing the junction between a fossa ovalis and a limbus of the fossa ovalis and causing injury to the surfaces of at least one of a septum primum and a septum secundum within the tunnel of the patent foramen ovale by applying energy to at least one of the septum primum and the septum secundum. Apparatuses to perform these methods are also provided.09-11-2008
20090012518Method and Apparatus for Ablation of Benign, Pre-Cancerous and Early Cancerous Lesions That Originate Within the Epithelium and are Limited to the Mucosal Layer of the Gastrointestinal Tract - Devices and methods are provided for ablating areas of the gastrointestinal tract affected with certain benign, pre-cancerous, or early cancerous lesions that originate within the epithelium and are limited to the mucosal layer of the gastrointestinal tract wall. Examples of such lesions include benign conditions such as cervical inlet patch (ectopic gastric mucosa in the upper esophagus), as well as pre-cancerous and cancerous conditions such as intestinal metaplasia/intra-epithelial neoplasia/early cancer of the stomach, squamous intra-epithelial neoplasia and early cancer of the esophagus, oral and pharyngeal leukoplakia, flat colonic polyps, anal intra-epithelial neoplasia (AIN), and early cancers of the anal canal. Ablation, as provided the invention, commences at the epithelial layer of the gastrointestinal wall and penetrates deeper into the gastrointestinal wall in a controlled manner to achieve a successful patient outcome, the latter of which is defined generally as eradication of the targeted lesion, and/or a change in the targeted lesion to prevent or forestall patient morbidity. Embodiments of the device include an ablational electrode array that spans 360 degrees and an array that spans an arc of less than 360 degrees.01-08-2009
20120253343Surgical Devices And Methods of Use Thereof - The invention provides surgical devices and methods to treat tissue. In one device embodiment, the invention comprises a bipolar electrosurgical device to treat tissue in a presence of radio frequency power and a fluid provided simultaneously from a distal portion of the device, with the device comprising a disc shaped distal end. In one method embodiment, the invention comprises a method of treating tissue having a blood vessel during spine surgery, with the method comprising pressing a portion of the blood vessel against a supporting spine structure with a surgical device to provide a compressed portion of the blood vessel, and heating the compressed portion of the blood vessel with the surgical device sufficiently to inhibit a blood flow through the vessel after the surgical device is removed from the blood vessel.10-04-2012
20130090649DEVICE AND METHODS FOR RENAL NERVE MODULATION - Systems for nerve modulation are disclosed. An example system may include a first elongate element having a distal end and a proximal end and having at least one inflatable balloon and one nerve modulation element disposed adjacent the distal end. Expansion of the inflatable balloon may partially occlude a vessel and positions the nerve modulation element within the vessel.04-11-2013
20130090648METHODS AND SYSTEMS FOR DETECTION AND THERMAL TREATMENT OF LOWER URINARY TRACT CONDITIONS - The invention relates generally to systems and methods for detecting and/or treating lower urinary tract conditions. One embodiment of the invention is directed to a medical device. The medical device includes an elongate member having a proximal end and a distal end and an end effector assembly that extends distally from the distal end of the elongate member. The end effector assembly includes a plurality of end effector units. Each end effector unit has a sensing element for detecting a location of abnormal organ function and a treatment element for treating the location of abnormal organ function.04-11-2013
20130172884MULTI-ELECTRODE ELECTRICAL PULSE DELIVERY SYSTEM FOR TREATMENT OF BIOLOGICAL TISSUES - Systems and methods for treating or manipulating biological tissues are provided. In the systems and methods, a biological tissue is placed in contact with an array of electrodes. Electrical pulses are then applied between a bias voltage bus and a reference voltage bus of a distributor having switching elements associated with each of the electrodes. The switching elements provide a first contact position for coupling electrodes to bias voltage bus, a second contact position for coupling electrodes to the reference voltage bus, and a third contact position for isolating electrodes from the high and reference voltage buses. The switching elements are operated over various time intervals to provide the first contact position for first electrodes, a second contact position for second electrodes adjacent to the first electrodes, and a third contact position for a remainder of the electrodes adjacent to the first and second electrodes.07-04-2013
20130172879RENAL NERVE MODULATION MEDICAL DEVICES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a renal nerve modulation device. The renal nerve modulation device may include an elongate shaft having proximal region and a distal region. An ablation member may be coupled to the distal region. The distal region may have a distal inner diameter. The proximal region may have a proximal inner diameter that is smaller than the distal inner diameter. A ribbon may be disposed within the distal region of the shaft. The ribbon may have a proximal end and a distal end. The proximal end of the ribbon may extend into the proximal region of the shaft. The distal end of the ribbon may be disposed adjacent to or otherwise coupled to the ablation member.07-04-2013
20110270248System and Method to Elicit Apoptosis in Malignant Tumor Cells for Medical Treatment - A method and apparatus for recording, storing and reprogramming the natural electrical signals of cancer cells as found in tumors of humans and animals. A confounding signal is created for retransmission into the cells of a malignant tumor to damage the cell and cause apoptosis. The invention uses ultra low voltage and current to cause apoptosis.11-03-2011
20110270245Sealing Plate Having Depressions with Ceramic Insulation - An end effector assembly includes a pair of opposing jaw members. One or more of the jaw members includes a support base, an electrical jaw lead, a sealing plate, and a ceramic layer. The sealing plate is coupled to the electrical jaw lead and mounted to the support base. The sealing plate includes a tissue engaging surface, an opposing surface, and a series of depressions formed within the opposing surface and projecting from the tissue engaging surface. The ceramic layer is deposited atop each of the series of depressions. The combination of the depressions that project from the tissue engaging surface and their ceramic layers form a corresponding series of nonconductive stop members for controlling the separation distance between opposing jaw members when closed about tissue.11-03-2011
20130172873ELECTRODE IRRIGATION USING MICRO-JETS - A medical device includes an insertion tube, which has a distal end for insertion into a body of a subject, and a distal tip, which is fixed to the distal end of the insertion tube and is coupled to apply energy to tissue inside the body. The distal tip has an outer surface with a plurality of circumferentially distributed perforations formed therethrough. The perforations have diameters between 10 μm and 25 μm. A lumen passes through the insertion tube and delivers a cooling fluid to the tissue via the perforations.07-04-2013
20130090647ABLATION CATHETER WITH INSULATED TIP - An ablation catheter configured to be navigated through a vessel to ablate tissue, the ablation catheter comprising an elongate catheter shaft having a proximal end and a distal end. An electrode is positioned near the distal end of the elongate shaft, and is configured to transmit radio-frequency energy into a vessel wall. An electrically insulative tip at the distal end of the catheter keeps the electrode away from the blood vessel wall.04-11-2013
20130090646Multiple Treatment Zone Ablation Probe - An energy delivery probe and method of using the energy delivery probe to treat a patient is provided herein. The energy delivery probe has at least one probe body having a longitudinal axis and at least a first trocar and a second trocar. Each trocar comprises at least two electrodes that are electrically insulated from each other, and each electrode is independently selectively activatable. An insulative sleeve is positioned in a coaxially surrounding relationship to each of the first trocar and the second trocar. The probe also has a switching means for independently activating at least one electrode. The method involves independently and selectively activating the first and second electrodes to form an ablation zone, then repeating the ablation by delivering energy to a second set of electrodes, producing one or more overlapping ablation zone, and eliminating the need to reposition the ablation probes.04-11-2013
20130090650RENAL NERVE ABLATION COOLING DEVICE AND TECHNIQUE - A catheter is disclosed including an elongated shaft having a distal end and a proximal end, where the catheter includes a thermal element at the distal end thereof. The thermal element may be used in an ablation procedure or other procedure to heat a tissue adjacent a vessel. The configuration of the distal end of the elongated shaft at or near the distal tip may encourage the cooling of or transferring of heat from the vessel wall. The configurations may include protrusions extending from and indentations extending into the shaft, which may manipulate the flow of fluid through a vessel in which the catheter has been inserted. Alternatively or additionally, a cap or thin insulative layer may be placed at or near the distal tip of the catheter shaft to cool the wall of the vessel.04-11-2013
20130090651OFF-WALL ELECTRODE DEVICE AND METHODS FOR NERVE MODULATION - Systems for nerve modulation through the wall of a blood vessel are disclosed. An example system for nerve modulation may include an elongate member extending along a central elongate axis and having a proximal end and a distal end. The elongate member may have a radially expandable member disposed proximate the distal end. A tubular sheath may be cooperatively engaged with the expandable member such that the expandable member is collapsed when in the sheath and can expand when moved distally relative to and past a distal end of the sheath. The expandable member may include a plurality of electrodes and a plurality of spacer struts. Each spacer strut may be configured such that when the self-expanding member is in an expanded state the spacer strut extends out radially further than the electrodes from the central elongate axis.04-11-2013
20130090653Method for Ablating Tissue to Facilitate Implantation and Apparatus and Kit for Use Therewith - A method for treating a mammalian body having tissue comprising creating a cavity in the tissue formed by an internal surface of the tissue. The internal surface is ablated. An implant-forming material is introduced into the cavity to create an implant in the tissue. The ablation of the internal surface inhibits migration of the implant. An apparatus and kit for use with the method are provided.04-11-2013
20130178849DEVICES AND METHODS FOR MINIMALLY-INVASIVE SURGICAL PROCEDURES - Devices, instruments and tools for minimally invasive surgical procedures. Port devices and methods for hemostatically sealing and providing a port through a tissue wall that interfaces with a fluid containing chamber, by minimally invasive techniques. Assemblies, instruments and methods for minimally invasive access to and through a tissue wall that interfaces with a fluid containing chamber, and for visualizing same. Instruments, assemblies and methods for minimally invasive surgical procedures, including ablation.07-11-2013
20130178851ENHANCED MEDICAL DEVICE FOR USE IN BODILY CAVITIES, FOR EXAMPLE AN ATRIUM - Systems, methods, and devices allow intravascular or percutaneous mapping, orientation and/or ablation, in bodily cavities or lumens. A device includes elongate members, moveable between an unexpanded configuration and an expanded or fanned configuration. The elongate members form a stack in the unexpanded configuration to fit through a catheter sheath. The elongate members follow respective arcuate or curvilinear paths as advanced from the sheath into the bent or coiled stack configuration, adopting volute, scroll or rho shapes, and may be nested. The elongated members are fanned or radially spaced circumferentially with respect to one another into the expanded or fanned configuration. Transducer elements carried by elongate members sense various physiological characteristics of or proximate tissue, and/or may apply energy to or proximate tissue. The elongate members are rotatable in groups or as a group in the expanded configuration. The device is retractable.07-11-2013
20130096553DEFLECTABLE MEDICAL DEVICES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may be a deflectable medical device that includes a catheter shaft having a distal end. An ablation electrode may be disposed at the distal end. A deflection mechanism may be coupled to the catheter shaft. The deflection mechanism may include a deflection body and a pull wire coupled to the deflection body. The deflection body may have a longitudinally-extending furrow formed therein. A flex member may be disposed adjacent to the deflection mechanism.04-18-2013
20130096555ELECTRICAL CHARGE-DISSIPATING CANNULA - An apparatus, a system and a method of dissipating an electrical charge are provided. The apparatus is a cannula for receiving a surgical instrument to perform a surgical operation on a body. The cannula includes a hollow elongated structure having a proximal end opening and a distal end opening leading to a hollow interior passage dimensioned to receive a surgical instrument. The hollow elongated structure includes a polymer material and an electrically conductive material. The electrically conductive material is disposed to achieve electrical capacitive coupling with the surgical instrument and to dissipate an electrical charge received via the electrical capacitive coupling. The system and method utilize the cannula to dissipate the electrical charge through the surgical instrument.04-18-2013
20130096554SLOTTED TUBE MULTIPLE ELECTRODE FRAME AND OFF-WALL SPACER CAGE - A method of making a spacer cage is disclosed. The method may include providing a tube having an outer diameter, a first second, a second section and a middle section having a first end connected to the first section and a second end connected to the second section, cutting the middle section to form strut elements of the spacer cage and cutting a plurality of longitudinal slits in the first and second sections to allow radial expansion of the first and second sections, expanding the tube using a mandrel, heat setting the tube while on the mandrel, and subsequent the heat setting, removing the first and second sections from the tube.04-18-2013
20130096552Hydrodissection Material with Reduced Migration - A hydrodissection material provides a flowable biocompatible material that increases in viscosity in situ to reduce material migration during an ablation procedure. One embodiment provides a material that increases in viscosity at normal body temperatures to permit injection using a standard hypodermic needle.04-18-2013
20130103028REFLECTANCE-FACILITATED ULTRASOUND TREATMENT AND MONITORING - Apparatus comprising an ultrasound ablation system (04-25-2013
20130103026TISSUE TREATMENT DEVICE AND RELATED METHODS - A hypotube based deliver system is used to position one or more elements in position for treatment within the body. The elements may include electrodes, sensors or injection ports or even anchors. The hypotubes may have pre-set shapes or are plastically deformed prior to positioning as they exit a positioning device. There are methods of providing therapy using the hypotubes including mixed mode therapies are also described.04-25-2013
20130123779Methods and Devices for Electrosurgery - Devices and methods for electrolytic electrosurgery wherein a detector is located proximal to an active electrode on an electrosurgical probe, optionally disposed between the active electrode and a return electrode, the detector detecting at least on parameter relating to electrolysis. The detected parameter can include pH concentration, conductivity, impedance, ion, concentration, electrolytic gas consumption, electrolytic gas production, pressure or sound. The detected parameter can be employed in control systems to control systems to control activation or operation of the electrosurgical probe.05-16-2013
20130123780JAW CLOSURE DETECTION SYSTEM - A jaw angle detection system for an end effector assembly includes a first electrical contact that connects to a first jaw member and connects to a generator. A sensor connects to a second jaw member (or an actuator) and connects to the generator, and configured to move relative to the first electrical contact upon movement of the second jaw member (or the actuator) when the first and second jaw members are moved to close about tissue disposed therebetween. Information relating to the position of the sensor relative to the first electrical contact is relayed back to the generator to determine an angle between the first and second jaw members.05-16-2013
20130123776BATTERY SHUT-OFF ALGORITHM IN A BATTERY POWERED DEVICE - A medical instrument is disclosed. The medical instrument includes at least one electrical contact, a battery, a radio frequency (RF) generation circuit coupled to and operated by the battery and operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, and a battery discharge circuit coupled to the battery. A processor is coupled to the battery discharge circuit and a memory is coupled to the processor. The memory stores machine executable instructions that when executed cause the processor to monitor activation of the RF generation circuit and disable the RF generation circuit when the RF drive signal is fired a predetermined number of times. The medical instrument may include an activation switch and/or a disposal switch supported by the housing.05-16-2013
20130178850ENHANCED MEDICAL DEVICE FOR USE IN BODILY CAVITIES, FOR EXAMPLE AN ATRIUM - Systems, methods, and devices allow intravascular or percutaneous mapping, orientation or ablation, or combinations thereof in bodily cavities or lumens. A device includes a plurality of elongate members which are moveable between an unexpanded configuration, a bent or coiled stack configuration and an expanded or fanned configuration. The elongate members form a stack arrangement in the unexpanded configuration to fit through a catheter sheath, The elongate members follow respective arcuate or curvilinear paths as advanced from the sheath into the bent or coiled stack configuration, adopting volute, scroll or rho shapes, and may be nested. The elongated members are fanned or radially spaced circumferentially with respect to one another into the expanded or fanned configuration. Transducers carried by elongate members may sense various physiological characteristics of or proximate tissue, for instance temperature, and/or may apply energy to or proximate tissue, for example to perform ablation. The device is retractable.07-11-2013
20130131670ARTICULATING ABLATION DEVICE AND METHOD - An ablation device including a handle portion, a shaft and at least one cable. The shaft extends distally from the handle portion and includes an inner conductor and an outer conductor that substantially surrounds at least a portion of the inner conductor. The cable extends from the handle portion along at least a portion of the shaft. The distal tip of the inner conductor is positionable distally beyond a distal-most end of the outer conductor. In response to movement of the at least one cable relative to the handle portion, the distal tip of the outer conductor is movable form a first position where the distal tip is substantially aligned with a longitudinal axis defined by the outer conductor to at least a second position where the distal tip is disposed at an angle relative to the longitudinal axis.05-23-2013
20130131665Transmural Ablation Device - A transmural ablation device is provided to achieve endocardial and epicardial ablation at the same site but directed from the inner and outer surfaces of the heart to create a transmural lesion. By ablating from both sides of the heart tissue, it is possible to increase the depth of the lesion created and to increase the likelihood of a transmural lesion. Embodiments pertain to techniques to align the endocardial and epicardial ablation elements and techniques to position and move the endocardial and epicardial ablation elements along a predefined linear, curvilinear, or circular path. The ability to bring the epicardial and endocardial elements more closely or firmly with the underlying tissue is important in creating optimal lesions. Magnetic force attracts the epicardial and endocardial elements.05-23-2013
20130131671SPECTROSCOPIC METHOD AND SYSTEM FOR ASSESSING TISSUE TEMPERATURE - According to various embodiments, a medical system and method for determining tissue temperature may include a spectroscopic sensor. The spectroscopic sensors may be configured to provide information about changes in water absorption profiles at one or more absorption peaks. Such sensors may be incorporated into ablation systems for tissue ablation. Temperature information may be used to determine the scope, volume, and/or depth of the ablation.05-23-2013
20130131669Accelerometer-based contact sensing assembly and system - A catheter system including an accelerometer-based sensing assembly is provided. In particular the present teachings relate to an accelerometer based assembly used to determine contact between a catheter and surrounding proximate tissue, such as cardiac tissue. An embodiment of such a system may, for example, be used for visualization, mapping, ablation, or other methods of diagnosis and treatment of tissue and/or surrounding areas.05-23-2013
20130131664Eye Therapy System - A system for applying therapy to an eye selectively applies coolant to the corneal surface to minimize heat-related damage to the corneal surface during thermokeratoplasty. Embodiments may include an energy source, a conducting element, a coolant supply, and a coolant delivery system. The conducting element is operably connected to the energy source and extends from a proximal end to a distal end. The conducting element directs energy from the energy source to the distal end, which is positionable at the eye. The coolant delivery system is in communication with the coolant supply and is operable to deliver a micro-controlled pulse of coolant to the distal end.05-23-2013
20130131666ELECTROSURGICAL INSTRUMENT - An endoscopic surgical instrument includes a stationary component, an elongate shaft extending from the stationary component, and an end effector located at the distal end of the shaft. The stationary component includes at least one contact portion adapted to be engaged by the fingers of a user, the instrument also including a movable component including a contact portion adapted to be engaged by the thumb of a user. Longitudinal movement between the contact portions of the movable component and the stationary component cause the movable component to move longitudinally with respect to the stationary component between a first proximal position, a second distal position, and a third position, the third position being distal of the second position by a relatively small distance. The movement of the movable component between the first and second positions causes a corresponding movement of the end effector between corresponding first and second positions.05-23-2013
20130131668INTRALUMINAL METHODS OF ABLATING NERVE TISSUE - Methods and apparatus for treating gastroesophageal reflex and other luminal conditions provide for delivering acoustic energy to a body lumen to remodel tissue surrounding the body lumen. In the case of treating GERD, a catheter carrying an ultrasonic or other vibrational transducer is introduced to the lower esophageal sphincter, and acoustic energy is delivered to the sphincter in order to tighten or bulk the sphincter such that reflex is reduced.05-23-2013
20130131667DEFLECTABLE RENAL NERVE ABLATION CATHETER - Medical devices including catheters for renal nerve ablation and/or modulation as well as methods for making and using such devices are disclosed. An example catheter may, have a proximal region and a distal region. The catheter may be configured to shift between a first straightened configuration and a second deflected configuration. The catheter may also include an ablation member coupled to the distal region and a handle coupled to the proximal region. The handle may include an actuation member for shifting the catheter between the first configuration and the second configuration. A lock may be coupled to the handle that maintains the catheter in either the first configuration or the second configuration.05-23-2013
20130144287LARGE AREA THERMAL ABLATION - A large area thermal ablation apparatus for use with an endoscope includes a housing and at least one electrode. The housing is removably attachable to a distal terminating end of the endoscope. The housing includes an outer surface and a cross-sectional area that is at least as large as a cross-sectional area of the distal terminating end of the endoscope. The electrode is supported by the outer surface of the housing. The electrode is capable of delivering energy to a tissue region inside a body to ablate the tissue region.06-06-2013
20100280512NEUTRAL ELECTRODE DETECTION - A coded neutral electrode including at least two electrodes electrically insulated from each other and having active surfaces for application to a skin segment of a patient, and a cover film, having a known electrical resistance, removably attached to the active surfaces in such a way that the active surfaces are electrically connected to each other by means of the cover film, and an electrosurgical apparatus for use with the coded neutral electrode and methods of production and use of the coded neutral electrode.11-04-2010
20110218529Indwelling Nerve Block Catheters - A nerve block catheter system employs an indwelling, flexible catheter comprising a tissue lock to retain the catheter tip in pharmacologically proximity to a target nerve and optionally, a decoupler that insulates the tip of the catheter from proximal tissue movement.09-08-2011
20130158546ENDOSCOPIC SYSTEMS AND METHODS FOR RESECTION OF TISSUE - The present embodiments provide apparatus and methods for facilitating endoscopic resection of tissue. In one embodiment, the apparatus comprises a first tube having proximal and distal regions, and a working lumen disposed within at least a portion of the distal region. A second tube is disposed circumferentially around at least a portion of the distal region of the first tube. A wire has a distal end that is securely attached to a distal region of the second tube. In use, rotation of the second tube relative to the first tube causes the wire to pass circumferentially over a distal face of the first tube to incise tissue disposed within the working lumen of the first tube.06-20-2013
20130158548SENSING CONTACT OF ABLATION CATHETER USING DIFFERENTIAL TEMPERATURE MEASUREMENTS - Tissue ablation is carried out using insertion tube having at least one ablation electrode, a first temperature sensor disposed on the distal portion sufficiently proximate the ablation electrode to detect heat generated during the ablation procedure, a second temperature sensor disposed on the distal portion sufficiently distant from the ablation electrode to be unable to detect the heat, and electronic logic circuitry linked to the first temperature sensor and the second temperature sensor and programmed to compute a temperature differential between respective temperatures sensed by the first temperature sensor and the second temperature sensor when conveying the electromagnetic energy. Satisfactory contact status between the ablation electrode and the target tissue is indicated when the temperature differential exceeds a predetermined threshold.06-20-2013
20130158545MONITORING AND TRACKING BIPOLAR ABLATION - Methods and systems treat abnormal cardiac electrical activity employing a probe having first and second ablation electrodes disposed on a distal portion of the probe and a sensing electrode disposed between the first and second ablation electrodes, bringing the probe into contact with cardiac tissue, and applying energy through the first and second ablation electrodes to ablate target tissue along an ablation path, monitoring cardiac electrical activity using the sensing electrode to detect the cardiac electrical activity. After making an observation that the cardiac electrical activity is no longer detectable by the sensing electrode, energy application is terminated.06-20-2013
20080200913Single Catheter Navigation for Diagnosis and Treatment of Arrhythmias - A method of conducting a therapeutic ablation of cardiac tissue based upon local electrical signals in the tissue. The method includes navigating at least one electrophysiology catheter to a plurality of locations on the surface of the heart using a remote navigation system; sensing the electrical activity in the heart tissue at a plurality of the locations in the heart; and storing a value representative of the control variables of the remote navigation system at the location and a value representative of the electrical signal at the location; displaying a representation of at least some of the locations where the electrical activity was sensed on a display using graphic indicators of the timing of the sensed activity relative to the reference; determining the location at which the sensed electrical activity is earliest relative to a reference electrocardiogram signal; and automatically navigating an electrophysiology catheter to a position relative to selected location, and ablating tissue at the location with the electrophysiology catheter.08-21-2008
20110213362Drive Mechanism for Articulation of a Surgical Instrument - A surgical instrument includes a housing, an end effector and an elongated shaft extending therebetween. The elongated shaft includes a distal portion that is movable between aligned and articulated configurations. A pair of drive cables extends through the elongated shaft and is coupled to the distal portion such that reciprocal longitudinal motion of the drive cables induces movement of the distal portion between the aligned and articulated configurations. An articulation drive mechanism is operable to induce reciprocal longitudinal motion of the drive cables. The drive mechanism includes an actuator and a pair of torsion members that are rotatable about two distinct axes in response to movement of the actuator. A respective follower is operatively coupled to each torsion member to translate in a respective longitudinal direction in response to rotation of the torsion members, and each follower is coupled to a respective drive cable to impart translational motion thereto.09-01-2011
20100286690Assessment of electrode coupling for tissue ablation - An electrode catheter and a method for assessing electrode-tissue contact and coupling are disclosed. An exemplary electrode catheter comprises an electrode adapted to apply electrical energy. A measurement circuit is adapted to measure impedance between the electrode and ground as the electrode approaches a target tissue. A processor determines a contact and coupling condition for the target tissue based at least in part on reactance of the impedance measured by the measurement circuit. In another exemplary embodiment, the electrode catheter determines the contact and coupling condition based at least in part on a phase angle of the impedance.11-11-2010
20130150849ELECTROSURGICAL INSTRUMENT AND SYSTEM - An electrosurgical system includes an electrosurgical instrument and an electrosurgical generator, the instrument having a longitudinal axis and including at least first, second and third electrodes. The electrodes are spaced from each other by one or more insulating members therebetween, the spacing between the first and third electrodes being greater than that between the first and second electrodes. The electrosurgical generator includes a source of radio frequency energy capable of producing either a coagulating RF waveform or a cutting RF waveform and has first second and third output connections connected to the first, second and third electrodes respectively of the electrosurgical instrument. The generator further includes a switching means, and a controller, the controller being such that when a cutting RF waveform is selected, the switching means directs the cutting RF waveform between the first and second output connections and hence the first and second electrodes. When a coagulating RF waveform is selected, the switching means directs the coagulating RF waveform between the first and third output connections and hence the first and third electrodes.06-13-2013
20130150846ELECTROSURGICAL LAPAROSCOPIC INSTRUMENT HAVING AN ELECTRICAL LEAD - The invention relates to an electrosurgical laparoscopic instrument having an elongated shaft, wherein an end effector is disposed on the distal end of said shaft and a handle is disposed on the proximal end of said shaft. The shaft is designed as a tube through which a rod extends which is coupled to a movable part of the handle and to a movable part of the end effector for actuation by longitudinal movement, and the end effector is connected to the handle via at least one electrical lead. At least one of the leads is disposed in the wall of a hose which is disposed surrounding the rod in the tube.06-13-2013
20130150847CATHETER WITH HELICAL ELECTRODE - An invasive probe includes an insertion tube containing a lumen for providing an irrigation fluid and comprising a distal portion having a plurality of perforations therethrough providing fluid communication between the lumen and an outer surface of the insertion tube. At least one helical electrode is fitted over the distal portion of the insertion tube.06-13-2013
20130150848SURGICAL TREATMENT SYSTEM - A surgical treatment system include a pair of holding members holding a living tissue and a plurality of heater members disposed on at least one of the holding members. The surgical treatment system further includes a resistance pattern which transfer heat to the living tissue, a pair of electrodes disposed at opposite ends of the resistance pattern to generate the heat based on a energy to supply the heat to the resistance pattern, wires each connecting one of the heater members to another heater member and heater member energization line connected to the wire and to a energy source to supply the energy from the energy source to the electrodes via the wire.06-13-2013
20130150850PFO CLOSING DEVICE - A PFO closing device includes: a clamper including a stick portion provided at a distal portion of a catheter for sticking to a foramen ovale valve and a sandwich member for sandwiching a biological tissue composed of the foramen ovale valve and an atrial septum secundum in cooperation with the stick portion; a cautery device including at least one electrode portion to be inserted into the foramen ovale between the foramen ovale valve and the atrial septum secundum; and an electric energy supply unit for supplying electric energy to the electrode portion, wherein the electrode portion is inserted into the foramen ovale and at the same time, the foramen ovale valve and the atrial septum secundum are sandwiched by the clamper, electric energy is supplied from the electric energy supply unit to the electrode portion and the foramen ovale valve and the atrial septum secundum are mutually fused.06-13-2013
20130138099METHOD FOR DISPLAYING CATHETER ELECTRODE-TISSUE CONTACT IN ELECTRO-ANATOMIC MAPPING AND NAVIGATION SYSTEM - An electrode coupling output system associated with an electrode catheter that provides indication to the physician via the navigation system, concerning the electrical coupling of an electrode, such as an ablative or mapping electrode, with a patient. The indication may be provided by changing the color or other display characteristics of the electrode on the navigation system display or by way of providing a waveform indicating the electrode coupling. In this manner, electrode coupling information is provided to a physician in a manner that minimizes physician distraction.05-30-2013
20130090652MEDICAL DEVICES INCLUDING ABLATION ELECTRODES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may be a renal nerve modulation catheter. The catheter may include an elongate catheter shaft. The catheter shaft may have a plurality of cuts formed therein define a plurality of electrode assemblies. The electrode assemblies may each include a main strut, one or more branched spacer struts extending from the main strut, and an electrode extending from the main strut and positioned radially inward from the spacer struts.04-11-2013
20100298825Treatment System With A Pulse Forming Network For Achieving Plasma In Tissue - A system for providing electrical energy to tissue to treat the tissue, including a pair of output electrodes for delivering the electrical energy to the tissue, a pulse forming network for generating short high voltage pulses of electrical energy; an isolation transformer disposed between the pulse forming network and the pair of output electrodes to deliver the short high voltage pulses of electrical energy from the pulse forming network to the pair of output electrodes and to provide voltage isolation between the pulse forming network and the electrodes, and a common mode choke disposed between the isolation transformer and the pair of output electrodes to keep the pulse current flowing out from the first electrode approximately equal to the pulse current flowing back into the second electrode to substantially reduce stray or leakage currents in the tissue. The high voltage pulses of electrical energy may be about 100 to 400 nanoseconds in duration and about 10 kilovolts to about 20 kilovolts in initial peak magnitude. Related methods are also disclosed.11-25-2010
20100298824Bipolar Ablation Device, System and Method for Minimally Invasive Isolation of Pulmonary Veins in a Sub-Xiphoid Approach - Structure and method for using a sub-xiphoid ablation clamp for ablating tissue of a patient. The clamp has an elongate shaft having a major axis, first and second opposing jaws configured to open and close along a first plane, a first and second ablation element positioned along the first and second jaws configured to ablate the tissue positioned therebetween, an actuable joint operatively coupled between the shaft and the opposing jaws and configured to move the opposing jaws to a selectable angle relative to the major axis of the elongate shaft along a second plane orthogonal to the first plane. The ablation clamp has a handle operatively coupled to the shaft having an actuator configured to actuate the actuable joint and a trigger mechanism to open and close the opposing jaws.11-25-2010
20100318083ELECTROSURGICAL SYSTEM AND METHOD FOR STERILIZING CHRONIC WOUND TISSUE - An electrosurgical method for sterilizing chronic wound tissue, comprising: positioning an active electrode in proximity to the chronic wound tissue; delivering an electrically conductive fluid proximate the active electrode; and applying a high frequency voltage between the active electrode and a return electrode in the presence of the electrically conductive liquid sufficient to generate an ionized vapor layer at the active electrode, wherein the ionized vapor layer sterilizes at least a portion of the chronic wound tissue.12-16-2010
20100318082NANOSECOND PULSED ELECTRIC FIELD PARAMETERS FOR DESTROYING TUMORS WITH A SINGLE TREATMENT - Nanosecond pulsed electric field (nsPEF) parameters for destroying tumors with a single treatment are described. A nsPEF generator may be used with an electrode assembly to apply the pulses to one or more tumors where the parameters for the nsPEF are optimized for treating such tumors.12-16-2010
20100318081HIGH-FREQUENCY SURGICAL APPARATUS AND HIGH-FREQUENCY SURGICAL METHOD FOR CLOSURE OF PATENT FORAMEN OVALE - A high-frequency surgical apparatus for treating patent foramen ovale in a heart includes a flexible probe which has such a length as to allow the probe to be placed in the patent foramen ovale by passing through the blood vessel; an electrode section which, being placed at a distal end of the probe, has three or more electrodes along a longitudinal direction of the probe; a high-frequency power supply section which supplies predetermined high-frequency power to the patent foramen ovale via the electrode section; a switching section which switches among a plurality of signal lines connected to the three or more electrodes; and a high-frequency power control section which controls switching of the switching section so as to supply the high-frequency power to two electrodes.12-16-2010
20120283726TREATING A TUMOR OR THE LIKE WITH ELECTRIC FIELDS AT DIFFERENT FREQUENCIES - Cells that are in the late anaphase or telophase stages of cell division are vulnerable to damage by AC electric fields that have specific frequency and field strength characteristics. The selective destruction of rapidly dividing cells can therefore be accomplished by imposing an AC electric field in a target region for extended periods of time. Some of the cells that divide while the field is applied will be damaged, but the cells that do not divide will not be harmed. This selectively damages rapidly dividing cells like tumor cells, but does not harm normal cells that are not dividing. Improved results may be achieved by using a field with two or more frequencies.11-08-2012
20120283725METHODS FOR CREATING TISSUE EFFECT UTILIZING ELECTROMAGNETIC ENERGY AND A REVERSE THERMAL GRADIENT - A method of creating a tissue effect at a tissue site delivers electromagnetic energy through a skin surface from an electromagnetic energy delivery device coupled to an electromagnetic energy source. At least one of the electromagnetic energy delivery device or electromagnetic energy source includes a memory. A reverse thermal gradient is created through the skin surface to sufficiently heat an underlying tissue site to provide that a temperature of the skin surface is lower than a temperature of the underlying tissue. Information is stored from the memory to facilitate operation of at least one of the electromagnetic energy delivery device or the electromagnetic energy source. Electromagnetic energy is applied through the skin surface to the underlying tissue. A tissue effect is created on at least a portion of the tissue site.11-08-2012
20120283724METHODS FOR EVALUATING THE INTEGRITY OF A UTERINE CAVITY - Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO11-08-2012
20120283723ELECTROSURGICAL INSTRUMENT - A bipolar snare including an elongated tubular electrically insulating sheath, a pair of elongated flexible electrically conductive wires disposed within the sheath, and an electrically insulating connector disposed at the distal ends of the wires mechanically connecting the distal ends of the wires to form a loop projecting from the distal end of the sheath. The wires are provided with electrical insulation covering all but a selected portion of each of the wires. The device also includes a guide member located within the sheath and forming compartments for each of the electrically conductive wires, the guide member being rotatable within the sheath. The guide member is also set back from the distal end of the sheath to an extent such that the whole of the loop including at least part of the connector is capable of being received within the sheath.11-08-2012
20130158547Fluid Skin Treatment Device - A device for performing skin treatments which includes a cartridge having a compartment for holding a treatment fluid and a reservoir for receiving a waste fluid, both of which are in communication with a source of vacuum pressure. The vacuum source withdraws the treatment fluid through an outlet in an applicator head and then draws used fluid into the waste reservoir. The applicator head can include an abrasive material for performing microdermabrasion and/or an anode and cathode for applying microcurrents.06-20-2013
20130158549MONOCOQUE JAW DESIGN - A jaw member for use with an electrosurgical forceps includes a support member having a first surface and a pair of depending sides which extend therefrom forming a generally U-shaped configuration. The free end of the sides each including a flange which extends outwardly therefrom which is designed to attach to an electrically conductive plate such that the plate bridge the two flanges to enclose the U-shaped support member to form a box-like skeleton having a cavity defined therein. An insulative material is disposed within the cavity and an insulative cover is disposed about a periphery of the box-like support skeleton to insulate surrounding tissue during activation of the conductive plate.06-20-2013
20130184702Device and Method for Electroporation Based Treatment of Stenosis of a Tubular Body Part - The present invention relates to medical devices and methods for treating a lesion such as a vascular stenosis using non-thermal irreversible electroporation (NTIRE). Embodiments of the present invention provide a balloon catheter type NTIRE device for treating a target lesion comprising a plurality of electrodes positioned along the balloon that are electrically independent from each other so as to be individually selectable in order to more precisely treat an asymmetrical lesion in which the lesion extends only partially around the vessel.07-18-2013
20130184703RENAL NERVE MODULATION DEVICES AND METHODS FOR MAKING AND USING THE SAME - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a renal nerve modulation device. The renal nerve modulation device may include an elongate catheter shaft having a distal portion. An ablation member may be coupled to the distal portion. The catheter shaft may have a slotted portion having a plurality of slots formed therein. At least some of the slots formed in the slotted portion may define a plurality of beams in the slotted portion that extend along the slotted portion and that are aligned in a wave pattern.07-18-2013
20130184704SYSTEM AND METHOD FOR PERFORMING SURGICAL PROCEDURES WITH A REUSABLE INSTRUMENT MODULE - A surgical instrument is provided including an outer housing shell defining a cavity, the outer housing shell defining an upper outer housing half and a lower outer housing half, wherein the upper outer housing half defines a longitudinal axis and an instrument module selectively insertable into the cavity of the outer housing shell. The instrument module includes an inner housing shell, at least one motor disposed within the inner housing shell, a control board being in electrical communication with the at least one motor and an energy source being in electrical communication with the at least one motor and the control board. The instrument module is inserted into the cavity of the outer housing shell in such a manner that the operative axis of the at least one motor is substantially parallel to the longitudinal axis of the upper outer housing half.07-18-2013
20130184705APPARATUS AND METHOD FOR INTRA-CARDIAC MAPPING AND ABLATION - An intra-cardiac mapping system is based on locating the ports through which blood flows in or out the heart chambers. For many procedures, such as ablation to cure atrial fibrillation, locating the pulmonary veins and the mitral valve accurately allows to perform a Maze procedure. The location of the ports and valves is based on using the convective cooling effect of the blood flow. The mapping can be performed by a catheter-deployed expandable net or a scanning catheter. The same net or catheter can also perform the ablation procedure.07-18-2013
20130184706APPARATUS AND METHOD FOR INTRA-CARDIAC MAPPING AND ABLATION - An intra-cardiac mapping system is based on locating the ports through which blood flows in or out the heart chambers. For many procedures, such as ablation to cure atrial fibrillation, locating the pulmonary veins and the mitral valve accurately allows to perform a Maze procedure. The location of the ports and valves is based on using the convective cooling effect of the blood flow. The mapping can be performed by a catheter-deployed expandable net or a scanning catheter. The same net or catheter can also perform the ablation procedure.07-18-2013
20130123775CATHETER ADAPTED FOR DIRECT TISSUE CONTACT AND PRESSURE SENSING - An irrigated ablation catheter adapted for direct tissue contact has micro-elements that provide more accurate sensing of tissue, including thermal and electrical properties for temperature and impedance and intracardiac ECG measurements. A pressure sensing assembly adds the ability to measure the force at the tip of the catheter as well as to have the micro-elements for accurately sensing tissue parameters. A system uses signals from the micro-elements (impedance, temperature, and ECG signals) as well as the measure of force or pressure at the tip electrode order to provide the operator with a means to control lesion depth, size, transmurality and to ablate tissue until successful treatment of an arrhythmia is achieved.05-16-2013
20090264881ULTRASONIC SURGICAL SYSTEM - An ultrasonic surgical system enables connection of a hand switch as well as a foot switch, which is used to operate a driving signal generator, without the necessity of retrofitting a main unit including the driving signal generator used to drive an ultrasonic transducer incorporated in a connected handpiece. An extension unit is included for connecting_the foot switch and hand switch to the main unit. The foot switch and hand switch are connected to the main unit via the extension unit.10-22-2009
20110313417ABLATION CATHETER HAVING FLEXIBLE TIP WITH MULTIPLE FLEXIBLE ELECTRODE SEGMENTS - A catheter apparatus comprises an elongated catheter body having a distal end, a proximal end, and at least one fluid lumen extending longitudinally therein; and a plurality of flexible electrode segments on a distal portion of the catheter body adjacent the distal end, each pair of neighboring flexible electrode segments being spaced from each other longitudinally by a corresponding electrically nonconductive segment. Each flexible electrode segment comprises a sidewall provided with one or more elongated stiffness reductions extending through the sidewall, the one or more elongated stiffness reductions providing flexibility in the sidewall for bending movement relative to a longitudinal axis of the catheter body. The electrically nonconductive segment is substantially smaller in length than each of the corresponding pair of neighboring flexible electrode segments.12-22-2011
20110313416ELECTROHYDAULIC PROSTATE TISSUE TREATMENT PROBE - An electrohydraulic prostate tissue treatment probe comprises a probe pipe body (12-22-2011
20110313415Medical Devices, Apparatuses, Systems, and Methods - Apparatuses and systems for enabling electrical communication with a device positionable within a body cavity of a patient. Apparatuses and systems for magnetically positioning a device within a body cavity of a patient. Medical devices. Methods of use.12-22-2011
20110313414METHOD FOR SIMULATING BEND SHAPE OF CATHETER AND MAGNETIC INDUCTION CATHETER - A method for simulating the bend shape of a catheter (12-22-2011
20130190754Pressure-sensitive flexible polymer bipolar electrode - The present invention is directed to bipolar ablation systems. A bipolar electrode system for ablation therapy is disclosed, including a pressure-sensitive conducting composite layer and a pair of electrodes in electrical conductive contact or communication with the pressure-sensitive conducting composite layer. Energy (e.g., ablation energy) is delivered via the pressure-sensitive conductive composition when sufficient pressure is applied to transform the pressure-sensitive conductive composite to an electrical conductor. An electrically insulative flexible layer, which may include a passageway for a fill material is also disclosed. In some embodiments, the systems can also be used for targeted delivery of compounds, such as drugs, using a bipolar electrode.07-25-2013
20130190755PARTITIONED SURGICAL INSTRUMENT - A surgical instrument a reusable component and a disposable component selectively separable from and engagable with the reusable component. The disposable component includes an end effector and a mechanical actuator operable to induce mechanical movement of the end effector. The reusable component is configured for providing electrosurgical energy to the disposable component when engaged with the disposable component. A physical mating feature is configured to maintain engagement between the reusable and disposable components when the reusable and disposable components are engaged, and an electrical mating feature is configured to transmit electrical energy between the disposable and reusable components when the disposable and reusable components are engaged. All mechanical motion resulting from operation of the mechanical actuator may be contained within the disposable component.07-25-2013
20130190756CO-ACCESS BIPOLAR ABLATION PROBE - A method of treating abnormal tissue within a patient includes positioning a delivery cannula within the patient, the delivery cannula having a first electrode disposed on its distal end; introducing an ablation probe through the cannula and out an open distal end thereof, so that a second ablation electrode carried on the ablation probe contacts abnormal tissue within the patient; conveying ablation energy between the first and second ablation electrodes to ablate the abnormal tissue; and introducing a separate medical element, whether a device or a therapeutic agent, through the cannula before or after the ablation process.07-25-2013
20130190752Vessel Clearing Apparatus, Devices and Methods - A clearing module is provided that includes a main body configured and dimensioned to be received within a vessel or duct of a patient, adjacent a surgical target area in the patient. The main body includes: an instruction receiving unit configured to receive wireless instructions from an instruction transmitter located outside the patient's body while the module is located inside of the patient's body; a positioning element configured to be monitored by a system external of the patient's body while the positioning element is inside the patient's body; and a destructive energy emitter configured to emit destructive energy from the module toward the surgical target area according to instructions received from the instructions receiving unit.07-25-2013
20130190753Surgical Instrument With Resilient Driving Member and Related Methods of Use - A forceps is provided and includes a housing having a shaft. An end effector assembly operatively connects to a distal end of the shaft and includes a pair of first and second jaw members. One or both of the first and second jaw members is movable relative to the other jaw member from a clamping position to an open position. A resilient member operably couples to at least one of the first and second jaw members. The resilient member is configured to bias the first and second jaw members in the clamping position and provide a closure force on tissue disposed therebetween.07-25-2013
20120289956Apparatus and Method for Heating Adipose Cells - An apparatus and method for selectively heating adipose cells within a treatment region of a subject is disclosed. The method includes positioning the treatment region between first and second electrodes connected to a generator, and activating the generator to apply an alternating electric field between the first and second electrodes and across the treatment region to thereby heat the treatment region. The adipose cells heat at a faster rate than non-targets within the treatment region, which preferably results in the killing of the adipose cells.11-15-2012
20120029513PRECISION ELECTRODE MOVEMENT CONTROL FOR RENAL NERVE ABLATION - A catheter is configured to access a renal artery. A lumen of the catheter's shaft is dimensioned to receive a flexible actuation member which extends between the shaft's proximal and distal ends. The actuation member is moveable within the lumen and subject to elastic deformation, friction, and/or whip along its length. A flexible support member is coupled to a distal end of the actuation member and extendible beyond a distal tip of the shaft. An RF ablation electrode at a distal end of the support member is configured to ablated perivascular renal nerve tissue. A position converter at the distal end of the shaft is configured to convert movement of the actuation member into one or both of controlled rotational and axial movement of the support member and electrode to one of a multiplicity of stable circumferential positions substantially free of elastic deformation, friction, and/or whip impacting actuation member movement.02-02-2012
20120029512BALLOON WITH SURFACE ELECTRODES AND INTEGRAL COOLING FOR RENAL NERVE ABLATION - A catheter arrangement includes a flexible shaft and a balloon disposed at a distal end of the shaft and configurable for deployment within a target vessel of the body, such as a renal artery. Ablation electrodes, supported by a balloon wall, are arranged in a predefined pattern. The electrodes deliver electrical energy sufficient to ablate target tissue, such as perivascular renal nerves, proximate the target vessel wall when the balloon is in a deployed configuration. A cooling arrangement is encompassed at least in part by the balloon and provides cooling to at least the electrodes during ablation such that a location at which steady-state ablative heating begins is translated from an electrode-tissue interface at the target vessel wall to a location a predetermined distance away from the electrode-tissue interface.02-02-2012
20120029511Cooled Conductive Balloon RF Catheter for Renal Nerve Ablation - A catheter includes a flexible shaft having a lumen arrangement and a length sufficient to access a target vessel of a patient. A balloon at the distal end of the shaft is fluidly coupled to the lumen arrangement. The balloon body comprises a first material and a second material different from the first material. The second material comprises a hydrophilic polymer that becomes electrically conductive in response to absorption of the conductive fluid. The fluid conductive regions facilitate perfusion of the conductive fluid through the balloon body to an inner wall of the target vessel during ablation of perivascular tissues. A cooling arrangement is configured for one of receiving a thermal transfer fluid from the lumen arrangement or facilitating perfusion of blood passing through the target vessel to cool the balloon body during ablation of the perivascular tissues.02-02-2012
20120029510RF Electrodes on Multiple Flexible Wires for Renal Nerve Ablation - A catheter includes a flexible shaft having a distal end dimensioned for deployment within a patient's renal artery. A number of elongated resilient members are mounted along a longitudinal length of the distal end of the shaft, and are extensible radially from the shaft at regions defined between longitudinally spaced-apart engagement locations. One or more electrodes are mounted on each of the resilient members at the radially extensible regions. A number of conductors are electrically coupled to the electrodes and extend along the shaft of the catheter. The elongated resilient members are collapsible when encompassed within a lumen of an outer sheath and extensible radially outward from the shaft at the regions defined between the longitudinally spaced-apart engagement locations when the catheter and the resilient members are axially extended beyond the distal tip of the sheath. RF energy is delivered to the electrodes for ablating perivascular renal nerves.02-02-2012
20120029509Spiral Balloon Catheter for Renal Nerve Ablation - A catheter comprises a flexible shaft having a length for accessing the renal artery. A balloon arrangement, dimensioned for deployment within the renal artery, is provided at the shaft's distal end and fluidly coupled to a lumen arrangement. A balloon body is configured to complete at least one revolution of the shaft's distal end to form a spiral configuration thereabout, and is secured to the shaft by one or more movable mounting arrangements. The balloon body supports an electrode arrangement for ablating perivascular renal nerves in a substantially spiral pattern. A cooling arrangement cools at least the electrode contact regions during ablation. The distal end of the shaft has a stiffness sufficient to oppose a force produced by the balloon body when inflated that tends to contort the shaft's distal end and to maintain a substantially constant apposition force between the electrodes and an inner wall of the renal artery.02-02-2012
20120029508APPARATUS FOR CONTROLLING THE GENERATION OF ELECTRIC FIELDS - An apparatus for treating tumors utilizing an electric field in which a voltage generator generates brief voltage pulses applied to electrodes connected to a measurement unit. The electrodes are secured at a restricted region of a human or an animal and form electric fields in the tissue between the electrodes. The measurement unit determines the impedance between the electrodes which is substantially determined by the electric properties of the tissue between the electrodes. A registration and calculator device forms a control unit which, based on the impedance determined by the measurement unit, controls the output voltage of the voltage generator such that the electric field which is formed in the tissue has a constant predetermined value and realizes a peroration of cell membranes in the tissue which permits passage of treatment substances fed to the patient.02-02-2012
20120029507ENDOSCOPIC TREATMENT TOOL - Provided is an endoscope treatment tool including: a pair of clamp members that is supported by a clamp rotary shaft to be relatively rotatable; an operation section that is used to open and close the pair of clamp members; an operation wire that connects the pair of clamp members to the operation section; a connection member that is provided at the front end of the operation wire and includes at least one link rotary shaft; a pair of link members of which a first end is rotatably connected to each end of the pair of clamp members and a second end is rotatably connected to the link rotary shaft; and a regulation portion that regulates the connection member and the operation wire in a relative movement direction with respect to the clamp rotary shaft, wherein the connection member includes a groove formed to be parallel to the axis of the operation wire, and wherein the regulation portion engages with the groove to regulate the connection member and the operation wire in the relative movement direction.02-02-2012
20120029506System and Method for Removing Medical Implants - A method for removing a medical implant is contemplated by the present disclosure. The method includes the steps of guiding a plasma device to an implantation site. The plasma device includes a catheter having a catheter shaft. The catheter shaft includes a proximal portion and a flexible distal portion and a lumen defined therein terminating in an opening proximate a distal end thereof. The lumen is in fluid communication with an ionizable media source. The plasma device also include one or more electrodes proximate the opening and adapted to couple to a power source. The method also includes the steps of positioning the opening proximate a medical implant, supplying ionizable media to the opening, energizing the electrode to ignite the ionizable media to form a plasma plume emanating from the opening and manipulating the plasma plume relative to the medical implant to remove tissue surrounding the medical implant.02-02-2012
20130197510Systems and Methods for Phase Predictive Impedance Loss Model Calibration and Compensation - The systems and methods of the present disclosure calibrate impedance loss model parameters associated with an electrosurgical system and compensate for impedance losses in an electrosurgical system using the calibrated impedance loss model parameters. A computer system stores voltage and current sensor data for different test loads and calculates impedance values for each test load. The computer system predicts a phase value for each test load using a respective load impedance value. The computer system back calculates impedance loss model parameters based upon the voltage and current sensor data, the predicted phase values, and the impedance values of the test loads. During operation, the electrosurgical device senses a voltage and a current, predicts a phase value based upon the sensed voltage and current, and calculates metrics at the tissue site based upon the sensed voltage and current, the predicted phase value, and the impedance loss model parameters.08-01-2013
20130197511Ultrasonic Medical Instrument with a Curved Waveguide - A forceps includes a housing, a curved waveguide, one or more movable members, and an end effector assembly. The housing includes one or more transducers configured to generate a mechanical vibration in response to energy transmitted thereto from an energy source. The curved waveguide extends from the housing and is configured to receive the mechanical vibration generated by the one or more transducers. The one or more movable members are positioned along the curved waveguide. The one or more movable members are configured to translate mechanical movement from the housing to the end effector assembly. The end effector assembly is disposed at a distal end of the curved waveguide and includes a movable jaw member pivotable between approximated and unapproximated positions relative to a distal end of the curved waveguide in response to movement of the one or more movable members.08-01-2013
20130197512SYSTEMS AND METHODS FOR CONTROLLING USE AND OPERATION OF A FAMILY OF DIFFERENT TREATMENT DEVICES - A system for controlling a treatment device generates a graphical interface that visually prompts a user in a step-wise fashion to use the treatment device to perform a process of forming a pattern of lesions that extends both circumferentially and axially in different levels in a body region. The graphical interface displays for the user a visual record of the progress of the process from start to finish and guides the user so that so that individual lesions desired within a given level are all formed, and that a given level of lesions is not skipped.08-01-2013
20130197513HIGH-DENSITY ELECTRODE-BASED MEDICAL DEVICE SYSTEM - A medical device system is disclosed including a high-density arrangement of transducers, which may be configured to ablate, stimulate, or sense characteristics of tissue inside a bodily cavity, such as an intra-cardiac cavity. High-density arrangements of transducers may be achieved, at least in part, by overlapping elongate members on which the transducers are located, and varying sizes, shapes, or both of the transducers, especially in view of the overlapping of the elongate members. Also, the high-density arrangements of transducers may be achieved, at least in part, by including one or more recessed portions in an elongate member in order to expose one or more transducers on an underlying elongate member in a region adjacent an elongate-member-overlap region.08-01-2013
20130103029SURFACE ABLATION ANTENNA WITH DIELECTRIC LOADING - An electrosurgical device for directing energy to a target volume of tissue includes a coaxial feedline having an inner conductor, an outer conductor coaxially disposed around the inner conductor, and a dielectric material disposed therebetween. An elongated electrically-conductive member is longitudinally disposed at a distal end of the inner conductor; a balun structure is disposed on the outer conductor. An electrically-conductive cylinder is coaxially disposed around a distal portion of the balun structure and a dielectric structure is disposed substantially adjacent to a distal end of the electrically-conductive cylinder and configured to extend to a distal end of the electrically-conductive member. An elongated handle assembly is coaxially disposed around a portion of the outer conductor proximal to the dielectric structure and a shell assembly is disposed at a distal end of the elongated handle assembly. A portion of the shell assembly is configured to extend distally beyond the distal end of the electrically-conductive member.04-25-2013
20130103027ANCHORED CARDIAC ABLATION CATHETER - An apparatus and method for performing cardiac ablations employs a catheter comprising an anchoring device and an ablating device to perform the ablations to electrically isolate the pulmonary veins and left atrium from surrounding atrial tissue. The anchor can comprise a balloon-type device, a stent-like device, a strut-like device, a spring-strut-like device, an umbrella-like device, a mushroom-like device, or other device that allows the catheter to maintain a position with respect to target tissue. The ablator can comprise a balloon ablator, an umbrella ablator, a pinwheel ablator, an umbrella ablator incorporating a cinch mechanism, a mushroom balloon ablator and a segmented balloon or pinwheel ablator. The anchor and ablator can also comprise a combination mushroom balloon anchor section and mushroom balloon ablator section. The anchor and ablator can include electrodes for measuring a conductance therebetween when in deployed position, so as to determine the effectiveness of the ablation.04-25-2013
20130204245Surface Modification of Surgical Instruments for Selective Manipulation of Biological Tissues - Surgical instruments having at least one surface modified through formation of polyelectrolyte films and/or nanoparticle deposition thereon to increase adhesion between the surgical instrument and a patient's inner limiting membrane while reducing trauma during surgery are provided. The instrument includes a proximate end operable to be grasped by a surgeon and a distal tip operable to interface with a selected tissue, the distal tip comprising: i. first surface operable to receive at least one electrolyte film; ii. at least one layer of a polyelectrolyte film substantially coating the first surface, the polyelectrolyte film having at least one functional group displaying a charge.08-08-2013
20130204246HAND PIECE WITH ADJUSTABLE UTILITY CONDUIT - An electrosurgical instrument that reduces the amount of fatigue experienced by a physician performing electrosurgery includes a hand piece with a utility conduit connected to the hand piece at a central portion of the hand piece. The utility conduit can include an electrical cable and a smoke/fluid evacuation hose. The hand piece can include a channel system that receives a portion of the utility conduit therein and allows a physician to adjust the location on the hand piece at which the utility conduit exits the hand piece. Adjusting the location on the hand piece at which the utility conduit exits the hand piece can reduce the resistance to the movement of the electrosurgical instrument created by the weight of the utility conduit, which leads to less fatigue in a physician's hand during electrosurgery.08-08-2013
20120095458Tissue Modification Devices and Methods of Using The Same - Tissue modification devices are provided. Aspects of the devices include an elongated member having a proximal end and a distal end. The distal end of the elongated member is dimensioned to pass through a minimally invasive body opening and includes a distal end integrated visualization sensor and tissue modifier. In some instances, the devices further include an integrated articulation mechanism that imparts steerability to at least one of the visualization sensor, the tissue modifier and the distal end of the elongated member. Also provided are methods of modifying internal target tissue of a subject using the tissue modification devices.04-19-2012
20130211400UNIFIED SYSTEMS AND METHODS FOR CONTROLLING USE AND OPERATION OF A FAMILY OF DIFFERENT TREATMENT DEVICES - Unified systems and methods enable control of the use and operation of a family of different treatment devices, to treat dysfunction in different regions of the body.08-15-2013
20130211399ELECTROPHYSIOLOGY CATHETER WITH MECHANICAL USE LIMITER - A catheter for the treatment of tissue, particularly for the treatment of cardiac tissue to alleviate cardiac arrhythmias includes a connector having mechanical use limiter that may be placed in the handle of the catheter or at any point along the electrical connection pathway to an electro-anatomic mapping system and/or ablation system. The mechanical use limiter has a counter wheel and locking pin which when engaged disables the reconnection of the connector to any mated connector after a predetermined number of uses.08-15-2013
20130211401MINIMALLY INVASIVE SURGICAL INSTRUMENT TO PROVIDE NEEDLE-BASED THERAPY - A surgical instrument is provided that includes a first input mechanism having axial slots formed in a periphery and a second input mechanism having helical slots formed in a surface. The instrument also includes an insert having pins extending from a surface thereof, the insert coupled to the second input mechanism such that the one or more pins extend into the helical slots, and a surgical device coupled to an end. The surgical device is moved in a first degree of freedom in response to a mechanical driving force applied to both the first input mechanism and the second input mechanism, respectively, and the surgical device is moved in a second degree of freedom in response to a mechanical driving force applied to the second input mechanism while the first input mechanism is held stationary.08-15-2013
20130211402METHODS OF TREATING INFLAMMATION IN AIRWAYS - This relates to treating an asthmatic lung and more particularly, relates to advancing a treatment device into the lung and treating the lung with the device. This also includes additional steps of treating the airway wall, applying energy or heat to the airway wall in an asthmatic lung.08-15-2013