| Entries |
| Document | Title | Date |
|---|
| 20080200913 | Single 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 |
| 20080208186 | Bipolar 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 |
| 20080208187 | IMPEDANCE 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 |
| 20080208188 | Probes 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 |
| 20080215046 | MEDICAL 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 |
| 20080215047 | Esophageal Electrocatheter - An esophageal catheter comprises an insertion element ( | 09-04-2008 |
| 20080221566 | Method 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 |
| 20080221567 | ELECTROSURGICAL 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 |
| 20080228182 | LOW 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 |
| 20080228183 | CATHETER 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 |
| 20080234671 | ABLATION 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 |
| 20080234672 | Non-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 |
| 20080243115 | Catheter actuator - A catheter actuator | 10-02-2008 |
| 20080243116 | Catheter assembly - A catheter sheath | 10-02-2008 |
| 20080243117 | SYSTEMS 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 |
| 20080243118 | Electrosurgical 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 |
| 20080249522 | Irrigated 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 |
| 20080249523 | Controller 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 |
| 20080249524 | System 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 |
| 20080249525 | Radio 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 |
| 20080262491 | Tuna 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 |
| 20080262492 | Surgical 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 |
| 20080269737 | Fluid 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 |
| 20080275440 | Post-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 |
| 20080275441 | JAWED 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 |
| 20080275442 | Systems 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 |
| 20080275443 | ATRIAL 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 |
| 20080281317 | Endometrial 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 |
| 20080281318 | Systems 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 |
| 20080281319 | Assessment 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 |
| 20080281320 | CATHETER 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 |
| 20080281321 | Treatment 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 |
| 20080287942 | RF 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 |
| 20080287943 | TREATMENT 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 |
| 20080287944 | TISSUE 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 |
| 20080287945 | Linear 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 |
| 20080287946 | Cool-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 |
| 20080294158 | ABLATION 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 |
| 20080294159 | High 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 |
| 20080300591 | Ultrasonic 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 |
| 20080300592 | CATHETER 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 |
| 20080300593 | Method 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 |
| 20080306477 | ATRIAL 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 |
| 20080312647 | METHODS 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 |
| 20080312648 | Fat 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 |
| 20080312649 | Illuminated 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 |
| 20080312650 | Thermal 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 |
| 20080319438 | Electrosurgical 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 |
| 20080319439 | MEDICAL 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 |
| 20090005773 | Ablation 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 |
| 20090005774 | MEDICAL 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 |
| 20090005775 | EXPANDABLE 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 |
| 20090005776 | MEDICAL 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 |
| 20090005777 | ARTERIOTOMY 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 |
| 20090012517 | MAGNETICALLY 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 |
| 20090012518 | Method 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 |
| 20090018538 | SYSTEMS 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 |
| 20090018539 | Swivel 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 |
| 20090024123 | Articulable 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 |
| 20090024124 | METHODS 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 |
| 20090030412 | VISUAL 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 |
| 20090036886 | CLEANING 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 |
| 20090043299 | Reinforced Catheter With Articulated Distal Tip - A reinforced medical catheter ( | 02-12-2009 |
| 20090043300 | APPARATUS 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 |
| 20090043301 | MONOPOLAR 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 |
| 20090043302 | Systems 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 |
| 20090048594 | GAS-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 |
| 20090054892 | SYSTEM 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 |
| 20090054893 | GAS-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 |
| 20090062787 | IRRIGATED 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 |
| 20090062788 | Electrical 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 |
| 20090062789 | MAGNETICALLY 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 |
| 20090062790 | DIRECT 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 |
| 20090069803 | SELECTIVE 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 |
| 20090069804 | Apparatus 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 |
| 20090076497 | Tissue 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 |
| 20090076498 | VISUALIZATION 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 |
| 20090076499 | MULTI-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 |
| 20090076500 | MULTI-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 |
| 20090076501 | CARDIAC 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 |
| 20090076502 | Prostate 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 |
| 20090076503 | CONDUCTION 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 |
| 20090088738 | Dual 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 |
| 20090088739 | Insulating 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 |
| 20090088740 | Insulating 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 |
| 20090088741 | Silicone 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 |
| 20090093808 | PARTIAL (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 |
| 20090093809 | DEVICES 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 |
| 20090093810 | Electrophysiology 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 |
| 20090093811 | COOLED 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 |
| 20090099563 | SYSTEMS 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 |
| 20090112205 | CARTRIDGE 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 |
| 20090118727 | ABLATION 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 |
| 20090118728 | SYSTEM 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 |
| 20090125016 | IRRIGATED 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 |
| 20090125017 | IRRIGATED 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 |
| 20090125018 | Heat 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 |
| 20090125019 | Articulatable 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 |
| 20090125020 | Device 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 |
| 20090125021 | SURGICAL VAPORIZATION ELECTRODE WITH AN ELECTRODE HEAD - A surgical vaporization electrode ( | 05-14-2009 |
| 20090125022 | TISSUE 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 |
| 20090131930 | MEDICAL 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 |
| 20090131931 | CATHETER 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 |
| 20090138009 | MAGNETICALLY 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 |
| 20090138010 | Wedge 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 |
| 20090143779 | Irrigated 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 |
| 20090149849 | Device 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 |
| 20090149850 | Localization 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 |
| 20090157076 | DEVICES 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 |
| 20090171347 | TRANSITION 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 |
| 20090171348 | DEFLECTABLE 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 |
| 20090171349 | ADJUSTABLE 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 |
| 20090177194 | AUTO-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 |
| 20090187183 | TEMPERATURE 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 |
| 20090187184 | SYSTEM 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 |
| 20090187185 | Surgical 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 |
| 20090187186 | ABLATION 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 |
| 20090192506 | Methods 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 |
| 20090192507 | METHOD 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 |
| 20090192508 | MODIFICATION 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 |
| 20090198231 | METHODS 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 |
| 20090198232 | ABLATION 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 |
| 20090204113 | High 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 |
| 20090209957 | Method 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 |
| 20090209958 | ELECTROSURGICAL 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 |
| 20090216222 | ELECTROSURGICAL 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 |
| 20090216223 | ELECTROSURGICAL 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 |
| 20090216224 | ELECTROSURGICAL 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 |
| 20090222003 | VEIN 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 |
| 20090240248 | Methods 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 |
| 20090240249 | System 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 |
| 20090248010 | Electrosurgical 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 |
| 20090248011 | CHRONIC 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 |
| 20090248012 | IRREVERSIBLE 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 |
| 20090248013 | ELECTROSURGICAL 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 |
| 20090248014 | APPARATUS 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 |
| 20090254082 | ELECTROSURGICAL 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 |
| 20090254083 | ROBOTIC 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 |
| 20090254084 | HIGH-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 |
| 20090259222 | Ablation electrode assembly with insulated distal outlet - The present invention relates to improved ablation electrodes ( | 10-15-2009 |
| 20090264880 | Device, 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 |
| 20090264881 | ULTRASONIC 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 |
| 20090270858 | CARDIAC 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 |
| 20090275939 | Ablation 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 |
| 20090281538 | IRRIGATION CATHETER - An irrigation catheter assembly ( | 11-12-2009 |
| 20090281539 | ELECTRODE 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 |
| 20090287209 | ABRASION 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 |
| 20090287210 | Steerable short sheath access device - The present invention relates to steerable access sheath assembly ( | 11-19-2009 |
| 20090299363 | OFF-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 |
| 20090299364 | Suction 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 |
| 20090299365 | Tissue 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 |
| 20090299366 | THERAPY 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 |
| 20090306649 | IRRIGATED 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 |
| 20090306650 | CATHETER 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 |
| 20090306651 | CATHETER 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 |
| 20090306652 | Ablation 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 |
| 20090306653 | ELECTRODE SHEATH FOR A CATHETER - An electrode sheath ( | 12-10-2009 |
| 20090306654 | DEVICE 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 |
| 20090306655 | CATHETER 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 |
| 20090306656 | Therapy 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 |
| 20090312755 | SYSTEM 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 |
| 20090312756 | IRRIGATED 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 |
| 20090326529 | METHOD 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 |
| 20100004650 | ANGIOPLASTY 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 |
| 20100004651 | TRANSPEDICULAR 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 |
| 20100010486 | DEVICES 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 |
| 20100010487 | CATHETER 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 |
| 20100010488 | SYSTEMS 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 |
| 20100016850 | ESTHETIC 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 |
| 20100016851 | CARDIAC 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 |
| 20100023004 | SYSTEMS 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 |
| 20100023005 | HIGH-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 |
| 20100030211 | IRREVERSIBLE 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 |
| 20100036376 | Process of Manufacturing a Medical Use Electrical Lead - A process for manufacturing an electrical lead ( | 02-11-2010 |
| 20100036377 | Planar 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 |
| 20100042095 | SYSTEMS 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 |
| 20100042096 | MIS 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 |
| 20100042097 | ENHANCED 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 |
| 20100042098 | SYSTEMS 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 |
| 20100049189 | DEVICE 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 |
| 20100049190 | ELECTRICAL 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 |
| 20100049191 | TISSUE ABLATOR - A flexible RF device ( | 02-25-2010 |
| 20100049192 | Catheter 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 |
| 20100057078 | Catheter 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 |
| 20100057079 | POLYMER 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 |
| 20100057080 | Devices, 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 |
| 20100063499 | Device 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 |
| 20100069902 | Self 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 |
| 20100076425 | UROLOGICAL 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 |
| 20100076426 | Basket catheter having multiple electrodes - Embodiments of the present invention provide a catheter that comprises an elongated catheter body ( | 03-25-2010 |
| 20100082027 | Frequency 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 |
| 20100087812 | ELECTROSURGICAL 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 |
| 20100087813 | ELECTROPORATION 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 |
| 20100094277 | HIGH-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 |
| 20100094278 | Capsularhexis 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 |
| 20100094279 | Circuit for a catheter or sheath and method of forming same - A circuit ( | 04-15-2010 |
| 20100094280 | EYE 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 |
| 20100094281 | RADIO 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 |
| 20100106154 | Tracking 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 |
| 20100106155 | ABLATION CATHETER - An ablation catheter | 04-29-2010 |
| 20100106156 | APPARATUS 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 |
| 20100106157 | MEDICAL 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 |
| 20100114092 | BIPOLAR 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 |
| 20100114093 | Epicardial 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 |
| 20100114094 | SYSTEM 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 |
| 20100114095 | Ablation 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 |
| 20100125271 | System 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 |
| 20100130974 | ABLATION 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 |
| 20100130975 | ELECTROPORATION 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 |
| 20100137859 | IRRIGATED 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 |
| 20100137860 | APPARATUS 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 |
| 20100137861 | SPECTRAL 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 |
| 20100145332 | SURGICAL 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 |
| 20100152727 | Irrigated 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 |
| 20100152728 | METHOD 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 |
| 20100152729 | ABLATOR 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 |
| 20100152730 | MUCOSAL 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 |
| 20100152731 | FLEXIBLE 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 |
| 20100160909 | SUCTION 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 |
| 20100160910 | Electrosurgical 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 |
| 20100168736 | CONTROLLED 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 |
| 20100168737 | CATHETER 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 |
| 20100168738 | ABLATION 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 |
| 20100168739 | APPARATUS, 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 |
| 20100168740 | Heart 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 |
| 20100179539 | Apparatus, 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 |
| 20100179540 | Endoscopic 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 |
| 20100191235 | THERAPEUTIC 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 |
| 20100191236 | SWITCHED 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 |
| 20100191237 | SURGICAL 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 |
| 20100198216 | Electro-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 |
| 20100204690 | SINGLE 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 |
| 20100204691 | INSULATED 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 |
| 20100204692 | Ablation 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 |
| 20100204693 | ELECTROSURGICAL 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 |
| 20100211064 | Electrode 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 |
| 20100217260 | SELF-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 |
| 20100217261 | ASYMMETRIC 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 |
| 20100217262 | FREQUENCY 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 |
| 20100222777 | WINDOWED 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 |
| 20100228247 | Assessment 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 |
| 20100228248 | Method 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 |
| 20100228249 | USER 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 |
| 20100234841 | System 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 |
| 20100234842 | Percutaneous 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 |
| 20100241117 | Assessment 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 |
| 20100241118 | HIGH 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 |
| 20100249772 | TREATMENT 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 |
| 20100249773 | HANDLE 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 |
| 20100249774 | POLYMER 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 |
| 20100249775 | Systems 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 |
| 20100262139 | DEVICE 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 |
| 20100262140 | INTEGRAL 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 |
| 20100268222 | DEVICES 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 |
| 20100268223 | Methods 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 |
| 20100274242 | ELECTROSURGICAL 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 |
| 20100274243 | Apparatus 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 |
| 20100280512 | NEUTRAL 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 |
| 20100280513 | SYSTEM 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 |
| 20100280514 | METHOD 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 |
| 20100286690 | Assessment 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 |
| 20100292687 | Methods 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 |
| 20100292688 | METHODS 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 |
| 20100292689 | ELECTROSURGICAL 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 |
| 20100298824 | Bipolar 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 |
| 20100298825 | Treatment 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 |
| 20100298826 | METHOD 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 |
| 20100305563 | ELECTROSURGICAL SYSTEM - An electrosurgical system includes a first component ( | 12-02-2010 |
| 20100305564 | SURGICAL 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 |
| 20100318081 | HIGH-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 |
| 20100318082 | NANOSECOND 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 |
| 20100318083 | ELECTROSURGICAL 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 |
| 20100324551 | LAPAROSCOPIC 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 |
| 20100324552 | Methods 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 |
| 20100324553 | SYSTEMS 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 |
| 20100324554 | Aortic 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 |
| 20100331834 | Ablation 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 |
| 20100331835 | RETURN 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 |
| 20110009860 | Apparatus 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 |
| 20110009861 | PREDICTING 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 |
| 20110009862 | ABLATION 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 |
| 20110015630 | DEVICE 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 |
| 20110022043 | DEVICE 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 |
| 20110022044 | RADIO 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 |
| 20110022045 | Ablation 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 |
| 20110022046 | Irrigated 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 |
| 20110028966 | MONO-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 |
| 20110028967 | CHARACTERIZING 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 |
| 20110028968 | Surgical 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 |
| 20110034917 | Electrosurgical 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 |
| 20110034918 | Blunt 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 |
| 20110034919 | Vented 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 |
| 20110034920 | Variable 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 |
| 20110034921 | Handheld 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 |
| 20110034922 | SYSTEMS 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 |
| 20110040300 | Surface 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 |
| 20110046618 | METHODS 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 |
| 20110046619 | Echogenic 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 |
| 20110046620 | CORDLESS 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 |
| 20110046621 | Apparatus 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 |
| 20110046622 | OCCLUSION 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 |
| 20110054464 | BI-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 |
| 20110054465 | BI-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 |
| 20110054466 | Paravalvular 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 |
| 20110060331 | MAGNETIC 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 |
| 20110066148 | MEDICAL 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 |
| 20110071518 | System 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 |
| 20110071519 | Clamping 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 |
| 20110077643 | SYSTEM, 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 |
| 20110077644 | MEDICAL 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 |
| 20110087218 | SURGICAL 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 |
| 20110087219 | SURGICAL 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 |
| 20110092969 | Ablation 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 |
| 20110092970 | ELECTROSURGICAL 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 |
| 20110098700 | Biological-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 |
| 20110098701 | BIPOLAR 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 |
| 20110098702 | Apparatus 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 |
| 20110098703 | HIGH-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 |
| 20110106072 | Low-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 |
| 20110106073 | Jaw 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 |
| 20110106074 | ABLATION 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 |
| 20110106075 | SYSTEM 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 |
| 20110112527 | FLEXIBLE 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 |
| 20110112528 | PLASMA 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 |
| 20110112529 | Systems 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 |
| 20110118729 | HIGH-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 |
| 20110118730 | Twin 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 |
| 20110118731 | Multi-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 |
| 20110118732 | CONTROLLED 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 |
| 20110125152 | METHODS, 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 |
| 20110130756 | VASCULATURE 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 |
| 20110137306 | Removable 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 |
| 20110137307 | IONTOPHORETIC 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 |
| 20110137308 | ELECTROSURGERY 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 |
| 20110137309 | STEERABLE STYLET - A steerable stylet assembly ( | 06-09-2011 |
| 20110137310 | RF 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 |
| 20110144637 | Vein 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 |
| 20110144638 | Localized 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 |
| 20110144639 | CATHETER 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 |
| 20110144640 | SURGICAL 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 |
| 20110152858 | SURGICAL 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 |
| 20110152859 | SURGICAL 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 |
| 20110152860 | ADJUSTABLE 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 |
| 20110160719 | CATHETER 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 |
| 20110160720 | Guide 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 |
| 20110160721 | Irrigated 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 |
| 20110160722 | ELECTROSURGICAL 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 |
| 20110160723 | BIPOLAR 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 |
| 20110160724 | SYSTEM 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 |
| 20110166569 | Structures 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 |
| 20110166570 | SHOCKWAVE 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 |
| 20110172657 | ABLATION 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 |
| 20110172658 | MEDICAL 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 |
| 20110178518 | HANDHELD TRANSDERMAL DRUG DELIVERY AND ANALYTE EXTRACTION - Apparatus ( | 07-21-2011 |
| 20110184405 | Compact 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 |
| 20110184406 | CATHETER 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 |
| 20110184407 | Hernia 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 |
| 20110184408 | ELECTROSURGICAL 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 |
| 20110190763 | Needle 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 |
| 20110190764 | SURGICAL 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 |
| 20110190765 | Dielectric 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 |
| 20110190766 | ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument is manufactured by presenting an electrode ( | 08-04-2011 |
| 20110190767 | Cavity 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 |
| 20110202052 | System 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 |
| 20110202053 | Ablation 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 |
| 20110202054 | Cooled 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 |
| 20110202055 | ELECTROSURGICAL 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 |
| 20110208184 | Bipolar 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 |
| 20110213360 | Tensioning 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 |
| 20110213361 | De-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 |
| 20110213362 | Drive 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 |
| 20110213363 | Drive 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 |
| 20110213364 | METHODS, 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 |
| 20110213365 | METHOD 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 |
| 20110218529 | Indwelling 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 |
| 20110224667 | ABLATION 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 |
| 20110230877 | Pulsed 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 |
| 20110230878 | Ablation 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 |
| 20110230879 | CARTILAGE 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 |
| 20110238063 | Method 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 |
| 20110238064 | Apparatus 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 |
| 20110245826 | METHOD 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 |
| 20110245827 | MEDICAL 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 |
| 20110245828 | DEFLECTABLE 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 |
| 20110251608 | CABLE 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 |
| 20110257649 | Electrode 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 |
| 20110264089 | IRRIGATED 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 |
| 20110264090 | MEDICAL 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 |
| 20110264091 | APPARATUS 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 |
| 20110264092 | FLEXIBLE 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 |
| 20110270243 | Subxiphoid 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 |
| 20110270244 | IRRIGATED 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 |
| 20110270245 | Sealing 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 |
| 20110270246 | IRRIGATED 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 |
| 20110270247 | Method 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 |
| 20110270248 | System 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 |
| 20110270249 | PRECISION 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 |
| 20110276047 | ANCHORED 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 |
| 20110282343 | METHOD 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 |
| 20110288543 | HIGH 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 |
| 20110288544 | MEDICAL 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 |
| 20110288545 | Method 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 |
| 20110288546 | SURGICAL 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 |
| 20110295249 | Fluid-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 |
| 20110295250 | System 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 |
| 20110301592 | Apparatus 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 |
| 20110301593 | SURGICAL 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 |
| 20110301594 | METHOD 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 |
| 20110301595 | OCCLUSION 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 |
| 20110301596 | Irrigated 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 |
| 20110301597 | Catheter 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 |
| 20110306963 | ELECTROSURGICAL 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 |
| 20110306964 | ELECTROSURGICAL 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 |
| 20110306965 | ELECTROSURGICAL 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 |
| 20110306966 | ELECTROSURGICAL 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 |
| 20110306967 | COOLING 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 |
| 20110306968 | HEAT 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 |
| 20110306969 | SYSTEM 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 |
| 20110306970 | Sheath 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 |
| 20110306971 | ELECTROPORATION 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 |
| 20110313414 | METHOD FOR SIMULATING BEND SHAPE OF CATHETER AND MAGNETIC INDUCTION CATHETER - A method for simulating the bend shape of a catheter ( | 12-22-2011 |
| 20110313415 | Medical 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 |
| 20110313416 | ELECTROHYDAULIC PROSTATE TISSUE TREATMENT PROBE - An electrohydraulic prostate tissue treatment probe comprises a probe pipe body ( | 12-22-2011 |
| 20110313417 | ABLATION 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 |
| 20110319887 | Electrosurgical 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 |
| 20110319888 | Surgical 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 |
| 20110319889 | Electrode 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 |
| 20110319890 | ABNORMALITY 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 |
| 20110319891 | PROBE 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 |
| 20120004655 | Bipolar 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 |
| 20120004656 | METHODS 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 |
| 20120010611 | ELECTROSURGICAL 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 |
| 20120010612 | CIRCUMFERENTIAL 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 |
| 20120010613 | ELECTROSURGICAL 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 |
| 20120016360 | Dual 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 |
| 20120016361 | DEPOSIT 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 |
| 20120016362 | Surgical 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 |
| 20120016363 | DELIVERY 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 |
| 20120016364 | DELIVERY 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 |
| 20120022523 | Electrical 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 |
| 20120029506 | System 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 |
| 20120029507 | ENDOSCOPIC 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 |
| 20120029508 | APPARATUS 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 |
| 20120029509 | Spiral 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 |
| 20120029510 | RF 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 |
| 20120029511 | Cooled 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 |
| 20120029512 | BALLOON 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 |
| 20120029513 | PRECISION 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 |
| 20120035605 | MAGNETICALLY 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 |
| 20120041437 | TISSUE 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 |
| 20120046658 | METHOD 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 |
| 20120046659 | Surgical 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 |
| 20120059370 | SURGICAL 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 |
| 20120065634 | METHOD 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 |
| 20120065635 | ELECTROSURGICAL 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 |
| 20120065636 | SYSTEMS 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 |
| 20120071873 | SYSTEMS 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 |
| 20120071874 | TISSUE 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 |
| 20120078246 | METHODS 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 |
| 20120083782 | ELECTROSURGICAL 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 |
| 20120089141 | DIRECTION-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 |
| 20120095458 | Tissue 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 |
| 20120095459 | System 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 |
| 20120101494 | ELECTROSURGICAL 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 |
| 20120101495 | ERGONOMIC 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 |
| 20120101496 | FLUID-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 |
| 20120109122 | HIGH-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 |
| 20120116386 | SIMULTANEOUS 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 |
| 20120116387 | MULTICHANNEL 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 |
| 20120116388 | SURGICAL 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 |
| 20120116389 | SURGICAL 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 |
| 20120116390 | SURGICAL 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 |
| 20120116391 | SURGICAL 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 |
| 20120116392 | RF 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 |
| 20120123410 | Fingertip 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 |
| 20120123411 | STABILIZED 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 |
| 20120130366 | Epicardial 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 |
| 20120130367 | Apparatus 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 |
| 20120130368 | RENAL 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 |
| 20120130369 | REVERSIBLE 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 |
| 20120136350 | CATHETER 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 |
| 20120136351 | CATHETER FOR OPEN-LOOP IRRIGATED ABLATION OF TISSUE - The present invention relates to a catheter ( | 05-31-2012 |
| 20120143181 | APPARATUSES 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 |
| 20120150171 | Controlling 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 |
| 20120150172 | Multi-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 |
| 20120150173 | METHOD 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 |
| 20120150174 | APPARATUS 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 |
| 20120150175 | Irrigated 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 |
| 20120157990 | IRRIGATED 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 |
| 20120157991 | IRRIGANT 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 |
| 20120157992 | OFF-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 |
| 20120157993 | Bipolar 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 |
| 20120165808 | Pulsed 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 |
| 20120165809 | ABLATION 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 |
| 20120165810 | IMPLANTED 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 |
| 20120165811 | IMPLANTED 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 |
| 20120165812 | MULTI-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 |
| 20120165813 | RADIO 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 |
| 20120165814 | METHOD 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 |
| 20120165815 | METHODS 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 |
| 20120172867 | SYSTEM 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 |
| 20120172868 | Apparatus 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 |
| 20120172869 | METHODS 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 |
| 20120172870 | RENAL 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 |
| 20120172871 | ULTRASOUND 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 |
| 20120172872 | Pair 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 |
| 20120179157 | SYSTEMS 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 |
| 20120179158 | Sinus 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 |
| 20120179159 | Battery 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 |
| 20120179160 | ABLATION 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 |
| 20120184952 | LOW-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 |
| 20120184953 | SYSTEMS, DEVICES AND METHODS FOR TREATING THE HEART WITH ABLATION | 07-19-2012 |
| 20120184954 | ENDOSCOPIC 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 |
| 20120184955 | Remotely 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 |
| 20120184956 | APPARATUS 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 |
| 20120197252 | APPARATUSES 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 |
| 20120203220 | Tissue 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 |
| 20120203221 | Electrosurgical 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 |
| 20120203222 | SYSTEMS, 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 |
| 20120209260 | PREDICTION 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 |
| 20120209261 | SYSTEMS, 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 |
| 20120209262 | METHOD 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 |
| 20120215217 | SURGICAL 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 |
| 20120215218 | System 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 |
| 20120220998 | ELECTRICAL 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 |
| 20120220999 | ELECTRICAL 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 |
| 20120221000 | HAND-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 |
| 20120221001 | Magnetically guided catheters - A magnetically-guided catheter | 08-30-2012 |
| 20120226273 | ELECTROSURGICAL 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 |
| 20120226274 | Electrosurgical 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 |
| 20120232549 | SYSTEMS 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 |
| 20120232550 | ABLATION 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 |
| 20120232551 | ABLATIVE 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 |
| 20120239028 | SELECTIVELY 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 |
| 20120239029 | Apparatus 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 |
| 20120239030 | Temperature 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 |
| 20120239031 | ABLATION 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 |
| 20120239032 | MICRO-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 |
| 20120239033 | Electrosurgical 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 |
| 20120245580 | MEDICAL 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 |
| 20120245581 | SYSTEM 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., CO | 09-27-2012 |
| 20120245582 | ENERGY-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 |
| 20120245583 | SYSTEM 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 |
| 20120245584 | TUBE 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 |
| 20120253343 | Surgical 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 |
| 20120265197 | SYSTEMS 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 |
| 20120265198 | RENAL 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 |
| 20120265199 | METHODS 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 |
| 20120265200 | METHODS 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 |
| 20120271301 | EXPANDABLE 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 |
| 20120271302 | METHODS 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 |
| 20120271303 | THERMAL 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 |
| 20120277740 | ABLATION DEVICES WITH SENSORS STRUCTURES - A cardiac ablation device, including a steerable catheter ( | 11-01-2012 |
| 20120277741 | TISSUE 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 |
| 20120283722 | ADIABATIC 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 |
| 20120283723 | ELECTROSURGICAL 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 |
| 20120283724 | METHODS 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., CO | 11-08-2012 |
| 20120283725 | METHODS 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 |
| 20120283726 | TREATING 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 |
| 20120289955 | Apparatus 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 |
| 20120289956 | Apparatus 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 |
| 20120289957 | ELECTROSURGICAL 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 |
| 20120296329 | APPARATUS 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 |
| 20120296330 | DEVICE 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 |
| 20120296331 | BIPOLAR 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 |
| 20120303018 | Tissue 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 |
| 20120303019 | Kind 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 |
| 20120303020 | Method 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 |
| 20120303021 | Dual 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 |
| 20120310237 | HIGH-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 |
| 20120310238 | CATHETER 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 |
| 20120310239 | Ablation 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 |
| 20120316557 | Septoplasty 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 |
| 20120316558 | INTERVENTIONAL ABLATION DEVICE WITH TISSUE DISCRIMINATING CAPABILITY - An interventional ablation device ( | 12-13-2012 |
| 20120316559 | SYSTEMS, 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 |
| 20120323236 | METHOD 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 |
| 20120323237 | ASSESSMENT 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 |
| 20120330304 | DISPERSIVE 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 |
| 20120330305 | Laparoscopic 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 |
| 20120330306 | ELECTRICAL 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 |
| 20130006238 | CATHETER WITH VARIABLE ARCUATE DISTAL SECTION - A catheter includes an elongated body, a distal assembly with a shape-memory member defining a generally circular form, and a control handle adapted to actuate a deflection puller wire for deflecting a portion of the elongated body, and a contraction wire for contracting the generally circular form. The generally circular form which carries at least one ring electrode has an off-edge configuration relative to the elongated body such that a longitudinal axis of the elongated body does not intersect the circumference of the circular form and the generally circular form spirals about the longitudinal axis of the elongated body. Moreover, the circular form can have an on-axis configuration such that the longitudinal axis of the elongated body is axially aligned with a central longitudinal axis of the circular form, or an off-axis configuration such that these axes are axially offset from each other. In a more detailed embodiment, the catheter has a distal assembly with a helical form or a crescent form carrying a plurality of irrigated ablation ring electrodes and a plurality of smaller ring electrodes adapted for impedance recording or PV potential recording. A support member with shape memory extends through the distal assembly to provide the helical or crescent form. The support member has a varying stiffness along its length, for example, a decreasing stiffness toward a distal end of the support member. The support member can also be hollow so that it can receive a mandrel whose stiffness is greater than that of the support member. | 01-03-2013 |
| 20130006239 | ELECTROSURGICAL SYSTEMS AND METHODS - An electrosurgical device can have a housing and an electrode defining an energizable surface at least partially positioned externally of the housing. Such a device can have a first circuit and a second circuit. The housing can define a handpiece. The first circuit can be configured to selectively direct energy to a power element. The power element can be configured to selectively electrically couple to the electrode. The second circuit can have a selectively operable handpiece accessory. The handpiece can also have a device configured to direct suitable energy from the first circuit to the second circuit to power the second circuit. In some embodiments, the second circuit can be configured to selectively interrupt the first circuit. For example, the second circuit can interrupt the first circuit when a cumulative duration of operation of the second circuit exceeds an upper threshold duration. Methods of operating such handpieces are also disclosed. | 01-03-2013 |
| 20130012938 | Device 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 |
| 20130012939 | CARTILAGE 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 |
| 20130018371 | Clip-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 |
| 20130030430 | INTRACARDIAC 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 |
| 20130030431 | SHOCK 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 |
| 20130035684 | Laser 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 |
| 20130035685 | TISSUE 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 |
| 20130035686 | SYSTEMS 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 |
| 20130046295 | Surgical 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 |
| 20130046296 | METHODS 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 |
| 20130046297 | Medical 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 |
| 20130046298 | STEERABLE 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 |
| 20130046299 | INTELLIGENT 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 |
| 20130046300 | Ablation 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 |
| 20130046301 | SYSTEMS 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 |
| 20130053841 | ABLATION CATHETER FOR VEIN ANATOMIES - A catheter adapted for simultaneous tissue contact with two opposing ring electrodes carried on a generally linear portion of an electrode assembly is adapted to straddle an ostium for ablating two lesions along a chord of the ostium, wherein the generally linear portion is stabilized on the ostium to ensure proper tissue contact when a force is applied down the length of the catheter body. | 02-28-2013 |
| 20130053842 | FLEXIBLE 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. | 02-28-2013 |
| 20130053843 | Surgical 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. | 02-28-2013 |
| 20130060245 | CATHETER 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 |
| 20130060246 | METHODS 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 |
| 20130060247 | ANCHORED 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 |
| 20130060248 | ANCHORED 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 |
| 20130066315 | ABLATION 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 |
| 20130066316 | SELECTABLE 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 |
| 20130072927 | Electrosurgical 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 |
| 20130072928 | METHOD 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 |
| 20130072929 | Irrigated 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 |
| 20130072930 | Applicator 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 |
| 20130079769 | ELECTROSURGICAL INSTRUMENT ASSEMBLY - A method of assembling an electrosurgical instrument ( | 03-28-2013 |
| 20130079770 | IRE 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 |
| 20130079771 | Long 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 |
| 20130085491 | Surgical 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 |
| 20130085492 | ELECTROPHYSIOLOGY 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 |
| 20130085493 | Electrosurgical 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 |
| 20130085494 | LAPAROSCOPIC 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 |
| 20130085495 | METHODS 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 |
| 20130090646 | Multiple 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 |
| 20130090647 | ABLATION 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 |
| 20130090649 | DEVICE 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 |
| 20130090650 | RENAL 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 |
| 20130090651 | OFF-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 |
| 20130090652 | MEDICAL 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 |
| 20130090653 | Method 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 |
| 20130096552 | Hydrodissection 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 |
| 20130096553 | DEFLECTABLE 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 |
| 20130096554 | SLOTTED 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 |
| 20130096555 | ELECTRICAL 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 |
| 20130103026 | TISSUE 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 |
| 20130103027 | ANCHORED 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 |
| 20130103028 | REFLECTANCE-FACILITATED ULTRASOUND TREATMENT AND MONITORING - Apparatus comprising an ultrasound ablation system ( | 04-25-2013 |
| 20130103029 | SURFACE 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 |
| 20130110104 | SEMI-CIRCULAR PULMONARY VEIN ABLATION CATHETER | 05-02-2013 |
| 20130110105 | CARBON COATED ELECTRODE FOR ELECTROSURGERY AND ITS METHOD OF MANUFACTURE | 05-02-2013 |
| 20130110106 | EXPANDABLE STRUCTURE FOR OFF-WALL ABLATION ELECTRODE | 05-02-2013 |
| 20130110107 | ENDOSCOPIC INSTRUMENT HAVING A DEFLECTABLE DISTAL TOOL | 05-02-2013 |
| 20130116682 | Non-Stick Conductive Coating for Biomedical Applications - The present disclosure provides a plasma system including a plasma device having at least one electrode; an ionizable media source coupled to the plasma device and configured to supply ionizable media thereto; a precursor source configured to supply at least one monomer precursor to the plasma device; and a power source coupled to the at least one electrode and configured to ignite the ionizable media at the plasma device to form a plasma effluent at atmospheric conditions, wherein the plasma effluent polymerizes the at least one monomer precursor to form a hydrophobic, electrically-conductive polymer. | 05-09-2013 |
| 20130116683 | MEDICAL SYSTEM AND METHOD OF USE - Medical instruments and systems for applying energy to tissue, and more particularly relates to systems for ablating or damaging structures in a body or vessel wall to alter electrical conduction therein to cause an intended therapeutic effect. Variations include devices and methods for generating a high pressure flow of a liquid media and/or a vapor media to treat the targeted tissue by the application of mechanical energy, thermal energy or chemical energy to such targeted tissue. | 05-09-2013 |
| 20130116684 | PFO CLOSING DEVICE - A PFO closing device for bringing the septum primum and the septum secundum into contact with each other and joining them together includes a clamping mechanism and energy supplying device. The clamping mechanism includes a needle part for puncturing the septum primum, and a clamping member for cooperating with the needle part in clamping therebetween tissue of the septum primum and the septum secundum. The energy supplying device supplies energy for joining the tissues clamped by the needle part and the clamping member. The clamping mechanism is mounted in a catheter so as to be protrudable from and retractable into the catheter. | 05-09-2013 |
| 20130116685 | APPARATUSES FOR RENAL NEUROMODULATION AND ASSOCIATED SYSTEMS AND METHODS - 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 percutaneous intravascular delivery of pulsed electric fields to achieve such neuromodulation. | 05-09-2013 |
| 20130116686 | ENERGY TREATMENT DEVICE - An energy treatment device includes a probe in which a suction path is defined inside along a longitudinal axis to a distal surface portion. The probe includes a first protrusion protruding an outer peripheral distal end of an outer peripheral portion toward a first perpendicular direction perpendicular to the longitudinal axis and perpendicular to open/close directions of the jaw. The distal surface portion includes an inclined plane in which it goes toward a distal direction side as it goes from the first perpendicular direction toward a second perpendicular direction that is opposite to the first perpendicular direction, the inclined plane extending from a first end position, located to the first perpendicular direction side of a first root position of a first protrusion, to a second end position, located to the second perpendicular direction side of the suction path. | 05-09-2013 |
| 20130116687 | OSTIAL RENAL NERVE ABLATION - A catheter 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. In some instances, the thermal element may be positioned in a first vessel and may operate to heat tissue adjacent a second vessel or adjacent an ostium between the first vessel and the second vessel. Further, the catheter may include an expandable portion on which the thermal element may be connected or positioned. The expandable portion(s) may comprise a basket or cage, a balloon, a memory shape and formable portion, and/or other mechanical expanders. | 05-09-2013 |
| 20130116688 | ABLATION 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. | 05-09-2013 |
| 20130123775 | CATHETER 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 |
| 20130123776 | BATTERY 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 |
| 20130123777 | BATTERY 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 |
| 20130123778 | DEVICE 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 |
| 20130123779 | Methods 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 |
| 20130123780 | JAW 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 |
| 20130131663 | CATHETER 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 |
| 20130131664 | Eye 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 |
| 20130131665 | Transmural 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 |
| 20130131666 | ELECTROSURGICAL 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 |
| 20130131667 | DEFLECTABLE 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 |
| 20130131668 | INTRALUMINAL 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 |
| 20130131669 | Accelerometer-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 |
| 20130131670 | ARTICULATING 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 |
| 20130131671 | SPECTROSCOPIC 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 |
| 20130138099 | METHOD 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 |
| 20130138100 | ELECTROSURGICAL 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 |
| 20130144287 | LARGE 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 |
| 20130144288 | IRRIGATION 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 |
| 20130150846 | ELECTROSURGICAL 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 |
| 20130150847 | CATHETER 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 |
| 20130150848 | SURGICAL 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 |
| 20130150849 | ELECTROSURGICAL 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 |
| 20130150850 | PFO 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 |
| 20130158545 | MONITORING 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 |
| 20130158546 | ENDOSCOPIC 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 |
| 20130158547 | Fluid 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 |
| 20130158548 | SENSING 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 |
| 20130158549 | MONOCOQUE 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 |
| 20130165919 | IMPEDANCE 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 |
| 20130165920 | NERVE 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 |
| 20130165921 | DEVICE 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 |
| 20130165922 | ELECTROPHYSIOLOGY 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 |
| 20130165923 | METHODS 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 |
| 20130165924 | METHODS 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 |
| 20130165925 | METHODS 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 |
| 20130165926 | METHODS 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 |
| 20130165927 | SURGICAL 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 |
| 20130165928 | Systems 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 |
| 20130172873 | ELECTRODE 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 |
| 20130172874 | FLEXIBLE 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 |
| 20130172875 | CONTACT 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 |
| 20130172876 | Apparatus, 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 |
| 20130172877 | BALLOON 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 |
| 20130172878 | DEVICE 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 |
| 20130172879 | RENAL 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 |
| 20130172880 | RENAL 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 |
| 20130172881 | OFF-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 |
| 20130172882 | CONTROL 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 |
| 20130172883 | ENHANCED 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 |
| 20130172884 | MULTI-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 |
| 20130178849 | DEVICES 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 |
| 20130178850 | ENHANCED 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 |
| 20130178851 | ENHANCED 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 |
| 20130184702 | Device 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 |
| 20130184703 | RENAL 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 |
| 20130184704 | SYSTEM 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 |
| 20130184705 | APPARATUS 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 |
| 20130184706 | APPARATUS 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 |
| 20130190752 | Vessel 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 |
| 20130190753 | Surgical 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 |
| 20130190754 | Pressure-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 |
| 20130190755 | PARTITIONED 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 |
| 20130190756 | CO-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 |
| 20130197510 | Systems 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 |
| 20130197511 | Ultrasonic 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 |
| 20130197512 | SYSTEMS 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 |
| 20130197513 | HIGH-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 |
| 20130204245 | Surface 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 |
| 20130204246 | HAND 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 |
| 20130211399 | ELECTROPHYSIOLOGY 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 |
| 20130211400 | UNIFIED 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 |
| 20130211401 | MINIMALLY 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 |
| 20130211402 | METHODS 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 |
| 20130218156 | DEVICES, 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 |
| 20130218157 | SYSTEM 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 |
| 20130218158 | METHODS 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 |
| 20130226170 | ELECTROSURGICAL DEVICE AND SYSTEM - Embodiments of the disclosure include devices and systems for using an end effector. In an embodiment, a medical device may include an articulation section. The articulation section may be operatively associated with an elongate articulation member configured to move the articulation section, wherein the articulation section can be configured to receive part of a conductive member. The medical device may also include an end effector. The end effector may include an electrode and a non-conductive section encasing a junction between the electrode and the conductive member, wherein the non-conductive section can be moveably coupled to the articulation section and can be fixedly coupled to the elongate articulation member. | 08-29-2013 |
| 20130226171 | SYSTEMS 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. | 08-29-2013 |
| 20130226172 | ECOGENIC COOLED MICROWAVE ABLATION ANTENNA - An electrosurgical surface treatment formed on the surface of a surgical device the surface treatment including a indentation extending into a surface of the surgical device, the indentation including a first surface forming a first plane a second surface forming a second plane, and a third surface forming a third plane. The first, second and third planes are substantially perpendicular to each other. The surface treatment is visible to an ultrasonic imaging system and the surface treatment improves visibility of the surgical device by the ultrasonic imaging system. | 08-29-2013 |
| 20130226173 | ABLATION IN THE GASTROINTESTINAL TRACT TO ACHIEVE HEMOSTASIS AND ERADICATE LESIONS WITH A PROPENSITY FOR BLEEDING - Devices and methods are provided for the ablation of regions of the digestive tract to achieve hemostasis and to eradicate chronically bleeding lesions as occur with gastric antral vascular ectasia (GAVE), portal hypertensive gastropathy (PHG), radiation proctopathy and colopathy, arteriovenous malformations, and angiodysplasia. Ablation is typically provided in a wide-field manner, and in conjunction with sufficient pressure to achieve coaptive coagulation. Ablation, as provided the invention, starts at the mucosa and penetrates deeper into the gastrointestinal wall in a controlled manner. Ablation control may be exerted by way of electrode design and size, energy density, power density, number of applications, pattern of applications, and pressure. Control may also be provided by a fractional ablation that ablates some tissue within a target region and leaves a portion substantially unaffected. 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. | 08-29-2013 |
| 20130226174 | MAGNETIC 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. | 08-29-2013 |
| 20130231657 | CATHETER FOR TREATMENT OF ATRIAL FLUTTER HAVING SINGLE ACTION DUAL DEFLECTION MECHANISM - A catheter and method for the treatment of a patient having atrial flutter or other arrhythmia comprises an elongated catheter body having an outer wall, proximal and distal ends, and at least one lumen extending therethrough. Further it has a distal tip section comprising a flexible tubing having a proximal end and a distal end and a plurality of lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The tip section further comprises a nitinol tube having slots formed therein which causes the distal tip section to deflect using the same puller-wire action used to cause the deflectable catheter to deflect at a point proximal to the distal tip section. | 09-05-2013 |
| 20130231658 | EXPANDABLE ABLATION DEVICE AND METHODS FOR NERVE MODULATION - Medical devices for nerve modulation through the wall of a blood vessel are disclosed. The medical device may include an elongate member having a proximal end and a distal end. A hollow ablation member may be disposed at the distal end of the elongate member and includes a number of electrodes positioned on its outer surface. The ablation member may be configured to shift between a collapsed position and an expanded position such that that a portion of the ablation member can be brought into contact with the wall of the blood vessel or placed adjacent to the wall of the blood vessel. The ablation member may also be retractable from the blood vessel treatment site. | 09-05-2013 |
| 20130231659 | OFF-WALL AND CONTACT ELECTRODE DEVICES AND METHODS FOR NERVE MODULATION - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a system for nerve modulation. The system may include an elongate shaft and a nerve modulation assembly disposed at the distal end of the shaft. The nerve modulation assembly may have a collapsed configuration and an expanded configuration. The nerve modulation assembly may include an inner basket and an outer basket. The inner basket may include a plurality of electrode struts. Each electrode strut may include an electrode. The outer basket may include a plurality of spacer struts. | 09-05-2013 |
| 20130231660 | METHODS FOR TREATING THE CARDIA OF THE STOMACH - A device for treating a tissue region at or near a sphincter including a proximal support, a distal support and an expandable basket having a plurality of spines. The spines have a proximal portion, a distal portion and an intermediate portion therebetween, wherein the spines are movable from a first non-expanded position to a second expanded position wherein in the expanded position the intermediate portion of the spines extends outwardly radially beyond the proximal and distal portions of the spines. A plurality of electrodes are carried by the spines and movable outwardly to an outward position to penetrate tissue for application of energy to the tissue region. | 09-05-2013 |
| 20130237983 | Patient-Warming Apparatus Including an Electrosurgical Return Electrode - A patient-warming apparatus integrally comprises a patient-support substrate, a patient-heating element disposed proximal to the patient-support substrate, and an electrosurgical return electrode that is also disposed proximal to the patient-support substrate. By one approach the electrosurgical return electrode is integral to the patient-heating element. By another approach the electrosurgical return electrode is disposed between the patient-support substrate and the patient-heating element. In all of these cases, if desired, the electrosurgical return electrode comprises a part of a capacitively-coupled electrosurgical return electrode. | 09-12-2013 |
| 20130237984 | ANCHORED 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. | 09-12-2013 |
| 20130237985 | MAPPING PROBE ASSEMBLY WITH SKIVED TUBE BODY FRAME - An embodiment of a mapping probe assembly includes a body frame with a lumen therein. The body frame includes a catheter shaft region, a loop section and a transition region between the catheter shaft region and a loop section. A plurality of mapping electrodes are attached around the loop section. Electrical conductors extend through the lumen of the body frame to the mapping electrodes. In some embodiments, the loop section is skived, where a portion of the body frame is removed toward the interior of the loop section. The loop section has a generally planar loop, and further has a loop center. In some embodiments, the catheter shaft has an alignment generally perpendicular to the loop section where the alignment of the catheter shaft is along a line that intersects the planar loop proximate to the loop center. | 09-12-2013 |
| 20130245621 | ABLATION STENT AND METHOD OF USING AN ABLATION STENT - Hypertension is treated in a patient by implanting an ablation stent in a renal artery of the patient. Energy is transmitted to the ablation stent to induce heating of the ablation stent, which causes ablation of a renal sympathetic nerve present on the outside of the portion of the renal artery comprising the ablation stent. A preferred ablation stent is in the form of an N-turn coil of an electrically conductive wire forming a meander structure. The respective ends of the wire are electrically connected to each other. | 09-19-2013 |
| 20130245622 | EXPANDABLE ELECTRODE DEVICE AND METHODS FOR NERVE MODULATION - Embodiments of the disclosure provide an ablative system for nerve modulation through wall of a blood vessel. The ablative catheter system includes an elongate member having a proximal end and a distal end, a number of electrode elements, an expansion mechanism. The electrode elements are finger-like structures mounted at their proximal ends for pivotal rotation radially outward from the longitudinal axis of the elongate member from a collapsed state. Each electrode element having inner and an outer surface with an electrode portion connected to a source of electrical energy and an insulated portion and a slope surface forming the proximal portion of the inner surface, sloping outward from the longitudinal axis of the elongate member, and a tip portion at the distal portion of the inner surface, angled toward the longitudinal axis of the elongate member. The electrode element inner surfaces in the collapsed state define a central cavity. | 09-19-2013 |
| 20130253503 | CATHETER WITH MULITPLE IRRIGATED ELECTRODES AND A FORCE SENSOR - A probe, including an insertion tube and an electrode mounted on a distal end of the insertion tube. A force sensor is mounted in the distal end of the insertion tube. The force sensor has a central opening and is configured to measure a force on the distal end. The probe also includes tubing, passing through the central opening, which is configured to supply irrigation fluid through apertures in the electrode. | 09-26-2013 |
| 20130253504 | FLOWER CATHETER FOR MAPPING AND ABLATING VEINOUS AND OTHER TUBULAR LOCATIONS - An improved catheter particularly useful for tubular regions at or near the heart has a distal assembly having at least two spines, each having a proximal end fixed to the catheter and a free distal end. Each spine has a support arm supporting the spine in a generally L-shaped configuration when the spine is in a relaxed, neutral state and in a generally U-shaped configuration when the spine is inserted into a tubular region. The spine has a proximal portion and a distal portion that may be straight or curved or zig-zagged. Each spine carries a tip electrode and at least one ring electrode that come into contact simultaneously with heart tissue for ablation and/or sensing electrical activity along two different circumferences of the tubular region simultaneously. | 09-26-2013 |
| 20130253505 | CATHETER WITH COMPOSITE CONSTRUCTION - A catheter has a composite and segmented construction in a distal section that includes deflectable members and support member arranged in alternating sequence, with each support member carrying a ring electrode and the deflectable members being flexible to allow deflection of the distal section as a whole. Carried on an outer surface of the support member is a coil location sensor. The distal section is configured with a distal irrigation fluid path extending axially through the deflectable members and the support members to deliver irrigation fluid to the ring electrode and the tip electrode. A method of constructing a catheter includes building a section of the catheter from the inside out by mounting the support members on a tubing at predetermined locations and filling gaps in between with a more flexible material to form the deflectable members by extrusion segments or injection molding over assembled components internal to the catheter. | 09-26-2013 |
| 20130253506 | SYSTEM 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. | 09-26-2013 |
| 20130253507 | DE-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. | 09-26-2013 |
| 20130253508 | MEDICAL TREATMENT APPARATUS - A medical treatment apparatus is an apparatus for treating a living body tissue by heating the living body tissue. The apparatus includes a heat transfer portion, a heating chip and a flexible substrate. The heat transfer portion is configured to come into contact with the living body tissue and transfer heat to the living body tissue. The heating chip is disposed on the heat transfer portion and is configured to heat the heat transfer portion. The flexible substrate is partly joined to a first surface of the heat transfer portion on which the heating chip is disposed, with a remaining portion extending outside the heat transfer portion. A heating trace for supplying power to the heating chip is formed on the flexible substrate. | 09-26-2013 |
| 20130253509 | SPHINCTER TREATMENT APPARATUS - A sphincter treatment apparatus includes an energy delivery device introduction member including a proximal end with a first radius of curvature and a distal end with a second radius of curvature. The introduction member is configured to be introduced into the sphincter in a non-deployed state and to be expanded to a deployed state to at least partially expand the sphincter or an adjoining structure. An energy delivery device is coupled to the introduction member. A retainer member is coupled to the energy delivery device introduction member and configured to controllably position the introduction member in an orifice of the sphincter. | 09-26-2013 |
| 20130261620 | Microwave-Shielded Tissue Sensor Probe - A tissue sensor probe and corresponding electromagnetic surgical ablation system are disclosed. The system includes an ablation probe operatively coupled to a generator, a controller operatively coupled to the generator, and a tissue sensor probe operatively coupled to the controller. The tissue sensor probe includes an electrically-conductive enclosure configured to shield a temperature sensor from electromagnetic radiation produced by the ablation probe. At least a portion of the electrically-conductive enclosure is made of a high thermal-conductivity material. A material of high thermal-conductivity is disposed in the electrically-conductive enclosure in thermal association with the thermally-conductive material of the electrically-conductive enclosure. The temperature sensor is disposed in the material of high thermal conductivity so as to electrically isolate the temperature sensor from the enclosure. The temperature sensor provides tissue temperature to the controller, which monitors tissue temperature to determine tissue status and to activate and deactivate the generator based on the tissue status. | 10-03-2013 |
| 20130267946 | Electrosurgical Tissue Ablation Systems Capable of Detecting Excessive Bending of a Probe and Alerting a User - An electrosurgical system includes an electrosurgical device, 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 electrosurgical device includes a probe for directing energy to tissue. The electrosurgical system includes circuitry for detecting bending of the probe. The circuitry alerts the user of excessive bending by activating an alarm, such as an audible alarm, lighting one or more LEDs or other light sources, tactile feedback, or any other means. The electrosurgical system further 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. | 10-10-2013 |
| 20130267947 | Electrosurgical Monopolar Apparatus With Arc Energy Vascular Coagulation Control - A system for delivering electrosurgical energy is provided. The system includes an electrosurgical instrument comprising at least one electrode and an electrosurgical generator coupled to the electrosurgical instrument. The electrosurgical generator includes an output stage configured to generate electrosurgical energy; and a controller coupled to the output stage, the controller configured to control the output stage to output electrosurgical energy at a predetermined power level to generate an arc between the at least one electrode and tissue and to output electrosurgical energy at a predetermined current level once the arc is generated to sustain the arc. | 10-10-2013 |
| 20130267948 | APPARATUS, SYSTEM, AND METHOD FOR PERFORMING AN ELECTROSURGICAL PROCEDURE - The present disclosure provides a bipolar forceps. The bipolar forceps includes a housing having a handle assembly including a movable handle and one or more shafts. An end effector assembly operatively connects to a distal end of the shaft and includes a pair of first and second jaw members. A solenoid is in operative communication with the movable handle and operatively couples to a drive rod operatively coupled to at least one of the first and second jaw members for causing movement thereof. One or both of the first and second jaw members includes one or more teeth configured to engage one or more teeth located on the drive rod such that rotation of the solenoid imparts one of longitudinal and rotational movement of the drive rod such that at least one of the first and second jaw members moves between the open and closed positions. | 10-10-2013 |
| 20130267949 | APPARATUS 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. One of the jaw members is movable relative to the other jaw member. A drive mechanism includes a driving structure in operative communication with a cam slot operably disposed on one of the first and second jaw members. The driving structure includes a detent. | 10-10-2013 |
| 20130274736 | Electrosurgical Instrument Having a Coated Electrode - An instrument and related method includes at least one substrate, and conductive layer, and a coating disposed on the conductive layer. The conductive layer is at partially disposed on the at least one substrate. The coating is disposed on the conductive layer and includes first and second materials. The first material and second materials are different from each other. | 10-17-2013 |
| 20130274737 | RENAL NERVE MODULATION CATHETER DESIGN - System for nerve modulation and method for making and using the same are disclosed. An example system may include an elongate shaft having a proximal end region, a deflectable distal end region and a lumen extending to the deflectable distal end region. The deflectable distal end region may include an electrode surrounded by a permeable membrane. The permeable membrane may be fluidly connected to the lumen. | 10-17-2013 |
| 20130274738 | Systems and Methods for Steering Catheters - Systems and methods for steering catheters to facilitate advancing the catheters through the body, wherein the catheters employ multiple steering stages, each of which can move in multiple planes. The steering stages are independently controlled to enable them to form complex shapes. In one embodiment, the steerable catheter includes an elongated catheter body with the steering stages incorporated into the distal end of the catheter. The steering stages may incorporate multiple memory wires and corresponding heating elements that control the temperatures of the memory wires and consequently control the shapes of the wires and the steering stages in which they are embedded. The catheter may be any type of catheter (e.g., a lumen catheter) and may include features that enable the catheter to perform functions such as delivering therapies (e.g., ablation) to target tissues within the body. | 10-17-2013 |
| 20130274739 | Methods for Operating a Selective Stiffening Catheter - A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device having non-metallic properties and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the soft state. Power is removed from the temperature-changing device to alter the non-metallic properties of the stiffness device and directly result in a change of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device. | 10-17-2013 |
| 20130282004 | CIRCUMFERENTIAL ABLATION DEVICE ASSEMBLY - 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. | 10-24-2013 |
| 20130282005 | CATHETER NAVIGATION SYSTEM - An integrated catheter navigation system ( | 10-24-2013 |
| 20130282007 | MODULAR CATHETER - A modular catheter comprises a tubular sheath module having one or more electrodes attached to the distal end of the tubular sheath and an elongate shape-imparting mechanism module. The shape-imparting mechanism module is removably received within a lumen defined by the tubular member. The tubular sheath module and the shape-imparting mechanism module are releasably connectable to a handle module. The handle comprises a plurality of wall members defining a cavity housing one or more modules releasably connected to the handle and accessible by at least partially separating the wall members. The tubular sheath, the shape-imparting mechanism module and the handle are replaceable independently and can be sterilized for subsequent use. | 10-24-2013 |
| 20130289558 | Limited Reuse Ablation Needles and Ablation Devices for Use Therewith - A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The reusable component includes a detecting member and is configured to connect to a source of energy. The limited-use component is transitionable from a first state to a second state. The detecting member is configured to detect a response of the limited-use component for determining the state of the limited-use component. Energy is permitted to be supplied to the limited-use component when it is determined that the limited-use component is disposed in the first state. Energy is inhibited from being supplied to the limited-use component when it is determined that the limited-use component is disposed in the second state. | 10-31-2013 |
| 20130289559 | Limited Reuse Ablation Needles and Ablation Devices for Use Therewith - A surgical instrument includes a reusable component and a limited-use component. The reusable component includes a first electrical contact. The limited-use component is releasably engagable with the reusable component. The limited-use component includes a second electrical contact configured to electrically couple to the first electrical contact to establish electrical communication between the reusable component and the limited-use component. The second electrical contact is movable from a first position, wherein the second electrical contact is positioned to electrically couple to the first electrical contact upon engagement of the limited-use component and the reusable component to one another, to a second position, wherein the second electrical contact is positioned to inhibit electrical coupling to the first electrical contact upon engagement of the limited-use component and the reusable component to one another. | 10-31-2013 |
| 20130289560 | Limited Reuse Ablation Needles and Ablation Devices for Use Therewith - A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The limited-use component is configured for one or more uses and includes a clocking mechanism configured to count each engagement of the reusable component and the limited-use component to one another. The clocking mechanism is incrementally transitionable upon each successive count from one or more uses state, wherein the clocking mechanism permits both mechanical engagement and electrical coupling of the reusable component and the limited-use component to one another, to a spent state, wherein the clocking mechanism inhibits both mechanical engagement and electrical coupling of the limited-use component and the reusable component to one another. | 10-31-2013 |
| 20130296848 | Surgical Instrument With Stamped Double-Flag Jaws and Actuation Mechanism - A surgical instrument includes a housing that supports an elongated shaft. A selectively movable drive rod extends through the elongated shaft and carries a cam pin in a longitudinal direction. An end effector for surgically treating tissue is supported by the elongated shaft and includes upper and lower jaw members pivotally coupled to one another about a pivot axis. The upper jaw member includes a first pair of laterally spaced flanges, and the lower jaw member includes a second pair of laterally spaced flanges defining a camming slot for engaging the cam pin. The flanges are arranged in an offset configuration where one flange of the upper jaw member is positioned on a laterally exterior side of a corresponding flange of the lower jaw member, and the other flange of the upper jaw member is positioned on a laterally interior side of the other flange of the lower jaw member. | 11-07-2013 |
| 20130296849 | MEDICAL 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. | 11-07-2013 |
| 20130296850 | SYSTEM AND METHOD FOR CONTROLLING DELIVERY OF ABLATION ENERGY TO TISSUE - A system for controlling delivery of ablation energy by an ablation catheter to tissue in a body is provided. The system includes an electronic control unit configured to determine, responsive to a measurement signal from the ablation catheter, a value for a characteristic associated with the delivery of ablation energy to the tissue. In one embodiment, the characteristic is the degree of contact between the ablation catheter and the tissue. The unit is further configured to generate a control signal, responsive to the determined value of the characteristic, to control an amount of energy delivered from an ablation delivery element on the ablation catheter to the tissue. The amount of energy varies in response to the determined value of the characteristic when the determined value of the characteristic meets a predetermined condition relative to a threshold value for the characteristic. | 11-07-2013 |
| 20130296851 | ABLATION CATHETER HAVING TEMPERATURE-CONTROLLED ANCHOR AND RELATED METHODS - One aspect of the present disclosure includes a catheter. The catheter includes a catheter body having a temperature-controlled anchor element thereon that is configured to attach the catheter body to tissue by forming a congealed adherence layer between the anchor element and the tissue. The catheter also includes an ablation element connected to the catheter body. The ablation element is axially spaced apart from the anchor element. The ablation element is configured to ablate tissue when the anchor element is attached to the tissue. | 11-07-2013 |
| 20130296852 | DEVICES, SYSTEMS, AND METHODS FOR TREATING CARDIAC ARRHYTHMIAS - Medical devices are described for performing mapping, ablating, and/or pacing procedures on one or more layers of the cardiac wall via an epicardial approach in a minimally invasive (e.g., orthoscopic) surgical procedure. One of the medical devices described includes a main support member and one or more secondary support members extending outwardly from the main support member having electrodes configured to receive electrical impulses. The secondary support member may include a support pad configured to be removably attached to a corresponding area of the epicardium for holding the medical device in place during a procedure, such as through application of vacuum pressure via a containment dome provided on each secondary support member. Further, an ablating electrode may be slidably disposed along the main support member for transmitting energy to a target site proximate the electrode. Associated methods are also described. | 11-07-2013 |
| 20130304058 | Surgical Forceps - A forceps includes a housing defining a window and having an outer shaft extending therefrom. An end effector assembly disposed at a distal end of the outer shaft includes first and second jaw members including distal portions and proximal portions and movable between spaced-apart and approximated positions. An inner shaft is slidably disposed within the outer shaft such that, when the jaw members are disposed in the spaced-apart position, the inner shaft is disposed in a distal position. When the jaw members are moved to the approximated position, the proximal portions urge the inner shaft to a proximal position. An indicator member coupled to the inner shaft includes first and second indicators. The first indicator is visible through the window when the inner shaft is disposed in the distal position. The second indicator is visible through the window when the inner shaft is disposed in the proximal position. | 11-14-2013 |
| 20130304059 | Modular Surgical Instrument with Contained Electrical or Mechanical Systems - A surgical instrument includes an elongated shaft module and a handle module selectively separable from one another. The elongated shaft module includes an elongated shaft member and a pair of jaw members supported at a distal end of the elongated shaft member, at least one of the jaw members moveable relative to the other jaw member between open and closed positions. The handle module includes a housing including an opening extending longitudinally therethrough. The opening is dimensioned to permit passage of the pair of jaw members in the closed position. The handle module also includes a movable handle movable relative to the housing to move the pair of jaw members between open and closed positions, and a lock to secure the elongated shaft module in place within the housing. | 11-14-2013 |
| 20130304060 | SYSTEMS AND METHODS FOR ENDOMETRIAL ABLATION - A device for endometrial ablation having an elongated shaft with a working end comprising an expandable-contractable 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. | 11-14-2013 |
| 20130304061 | Multi-Electrode Catheter Assemblies for Renal Neuromodulation and Associated Systems and Methods - Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a multi-electrode array configured to be delivered to a renal blood vessel. The array is selectively transformable between a delivery or low-profile state (e.g., a generally straight shape) and a deployed state (e.g., a radially expanded, generally spiral/helical shape). The multi-electrode array is sized and shaped so that the electrodes or energy delivery elements contact an interior wall of the renal blood vessel when the array is in the deployed (e.g., spiral/helical) state. The electrodes or energy delivery elements are configured for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function. | 11-14-2013 |
| 20130304062 | CATHETER WITH HELICAL END SECTION FOR VESSEL ABLATION - A catheter includes an elongated body, a distal assembly with a shape-memory member defining a generally helical form, and a control handle. The control handle may be adapted to actuate a deflection puller wire for deflecting a portion of the elongated body and a contraction wire for contracting the generally helical form. The generally helical form carries irrigated ablation ring electrodes. A nitinol support member with shape memory extends through the distal assembly and into the elongated body to provide the helical form. The support member may have a varying stiffness along its length, for example, a decreasing stiffness toward a distal end of the support member. The support member can also be hollow so that it can receive a mandrel whose stiffness is greater than that of the support member. | 11-14-2013 |
| 20130304063 | Micro-Invasive Medical Instrument - A medical instrument includes an outer shaft, a manipulation device at the proximal end of the outer shaft, a tool at the distal end of the outer shaft, with a first effecting device for a first function and a second effecting device for a second function, a first transmission device in the outer shaft for transmitting at least either a force or a torque for controlling the first effecting device, and a second transmission device in the outer shaft for transmitting at least either a force or a torque for controlling the second effecting device. The outer shaft is at least either curved or able to be curved or has a pivot joint. The first transmission device and the second transmission device are each designed to be flexible at least in sections. | 11-14-2013 |
| 20130304064 | METHODS AND APPARATUS FOR PERFORMING RENAL NEUROMODULATION VIA CATHETER APPARATUSES HAVING INFLATABLE BALLOONS - 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. | 11-14-2013 |
| 20130304065 | ENHANCED 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. | 11-14-2013 |
| 20130310831 | JAWED ENDOSCOPIC INSTRUMENT FOR ELECTROSURGERY - A jawed endoscopic instrument for electrosurgery is designed as a two-section tool, where one section includes a supporting rod with a fixed jaw portion, the other section a movable jaw portion attached to the supporting rod with the fixed jaw portion with a pin joint. A magnet is inserted in the movable jaw portion and covered with a clamped electrode, and another magnet mounted on a pull is inserted into the cavity of the supporting rod with the fixed jaw portion and covered with another electrode. When the pull moves, the movable jaw portion will be opened or closed relative to the supporting rod with the fixed jaw portion due to a change in the magnetic field between the magnets. | 11-21-2013 |
| 20130310832 | APPARATUS 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. | 11-21-2013 |
| 20130317496 | ENHANCED 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. | 11-28-2013 |
| 20130317497 | GERD TREATMENT APPARATUS AND METHOD - An apparatus includes an expandable member. The expandable member is sized to be positionable in a sphincter. An energy delivery device is positioned on a surface of the expandable member. The energy delivery device has a configuration that provides sufficient energy delivery to create lesions in the interior of the sphincter. When the expandable member is removed from the sphincter, the sphincter returns to its closed or contracted configuration. | 11-28-2013 |
| 20130317498 | ASYMMETRIC 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. | 11-28-2013 |
| 20130324998 | LOADING CARTRIDGE FOR SURGICAL INSTRUMENT END EFFECTOR - A surgical instrument 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 assembly portions cooperatively couple the end effector assembly to the body assembly for use. An attachment assembly may be used to rotatably couple the first and second coupling assembly portions. | 12-05-2013 |
| 20130324999 | SURGICAL INSTRUMENT WITH ORIENTATION SENSING - A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer. | 12-05-2013 |
| 20130325000 | SYSTEMS FOR TRANSCATHETER ABLATION OF ADVENTITIAL OR PERIVASCULAR TISSUE WHILE PRESERVING MEDIAL AND INTIMAL VASCULAR INTEGRITY THROUGH CONVERGENCE OF ENERGY FROM ONE OR MORE SOURCES, AND METHODS OF MAKING AND USING SAME - Under one aspect of the present invention, a system for performing renal denervation in a patient having an aorta and a renal artery and a branchpoint therebetween includes a flexible catheter comprising a main section, first and second arms, and a bifurcation between the first and second arms, the main section having a proximal end and a distal end, the distal end configured to be disposed in the aorta, the first arm being coupled to the distal end of the main section and configured to be disposed in the renal artery, the second arm being coupled to the distal end of the main section and configured to be disposed in the aorta, the bifurcation between the first and second arms being configured to engage the branchpoint between the aorta and the renal artery. | 12-05-2013 |
| 20130325001 | VERTEBRAL DENERVATION - System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a radial opening at or near the distal end of the trocar. The system includes a curveable cannula sized to be received in the central channel, the curveable cannula comprising a curveable distal end configured to be extended laterally outward from the radial opening in a curved path extending away from the trocar. The curveable cannula has a central passageway having a diameter configured to allow a probe to be delivered through the central passageway to a location beyond the curved path. | 12-05-2013 |
| 20130331836 | ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument is provided for the treatment of tissue, the instrument ( | 12-12-2013 |
| 20130338663 | Ablation catheter with thermally mediated catheter body for mitigating blood coagulation and creating larger lesion - An ablation catheter is provided for ablating internal tissue of a patient. The catheter includes a distal end that is adapted to be inserted into a body cavity relative to a desired location therein (e.g., within the heart). An ablation electrode is connected relative to the distal end of the catheter for providing ablation energy to patient tissue. A heat sink is provided that is in thermal contact with the ablation electrode. The heat sink, in addition to being in thermal contact with the ablation electrode, is electrically isolated from the ablation electrode. This allows the heat sink to conduct heat away from the ablation electrode without dissipating electrical energy from the electrode. In this regard, the heat sink may prevent build-up of excess heat within the electrode that may result in blood coagulation and/or tissue charring. | 12-19-2013 |
| 20130338664 | Ablation catheter electrode having multiple thermal sensors and method of use - The invention relates to electrodes used in ablation catheter devices, where the electrodes contain two or more thermal sensors at different positions within the electrode that are capable of detecting temperature differences along the external surface of the electrode. In preferred embodiments, the thermal sensors are separated by one or more thermal insulating members and the thermal sensors are positioned near the external surface of the electrode at about the same distance from the end of the electrode, so that temperature measurements can indicate the position of the electrode with respect to the tissue desired to be ablated. | 12-19-2013 |
| 20130338665 | TREATMENT SYSTEM AND ACTUATION METHOD FOR TREATMENT SYSTEM - A treatment system includes a power source for heat generation which outputs power for heat generation, a grasping member having a heating element which applies the power for heat generation as thermal energy to a living tissue, and a control section which performs constant temperature control on the power source for heat generation on the basis of temperature of the heating element, and controls the power source for heat generation so as to finish application of the thermal energy and complete treatment if the power for heat generation becomes not more than predetermined threshold power which is independent of a type of the living tissue or if a rate of decrease in the power for heat generation becomes not more than a predetermined threshold rate. | 12-19-2013 |
| 20130345698 | IRRIGATED ELECTRODES WITH ENHANCED HEAT CONDUCTION - A catheter adapted for insertion into a body of a subject has at least one electrode disposed on its distal section. the electrode is coupled to an energy source to ablate tissue that is placed in contact with the electrode. The electrode has a wall with a plurality of perforations formed therethrough, and has edges defining a peripheral section that is adjacent the edges and a central section remote from the edges, wherein the wall of the peripheral section is thicker than the wall of the central section. A lumen passing through the insertion tube is coupled to deliver a fluid to the tissue via the perforations. In operation, the electrode functions as an effective heat sink. | 12-26-2013 |
| 20130345699 | ABLATION DEVICE HAVING AN EXPANDABLE CHAMBER FOR ANCHORING THE ABLATION DEVICE TO TISSUE - A surgical instrument is provided including a handle assembly, a shaft electrically coupled to the handle assembly and extending therefrom, an electrode assembly electrically coupled to the shaft for transmitting energy to tissue to treat tissue, and a chamber defined in the shaft and positioned proximal a distal end thereof and configured to selectively expand. The expansion of the chamber anchors the surgical instrument to the tissue. | 12-26-2013 |
| 20130345700 | SYSTEM AND METHOD FOR BRONCHIAL DILATION - A method of reducing bronchial constriction in a subject includes delivering energy to create one or more lesions on a main bronchus so as to transect pulmonary nerves sufficiently to reduce bronchial constriction in a lung of the patient distal to the main bronchus. | 12-26-2013 |
| 20130345701 | SURGICAL INSTRUMENTS WITH STRUCTURES TO PROVIDE ACCESS FOR CLEANING - A surgical instrument configured to facilitate access to interior components thereof for cleaning and refurbishment purposes. The instrument includes a housing assembly, an elongated shaft assembly and an end effector. The housing assembly includes an actuator, and the elongated shaft assembly includes an interior control member operatively coupled to the actuator. The elongated shaft assembly also includes outer cover including first and second cover members and a hinge coupling the first and second cover members to one another such that the outer cover may be selectively moved between a closed configuration wherein the interior control member is enclosed within the outer cover and an open configuration wherein the interior control member is exposed. The end effector is supported at a distal end of the elongated shaft assembly, and is operatively associated with the interior control member. | 12-26-2013 |
| 20140005661 | INTERCHANGEABLE END EFFECTOR COUPLING ARRANGEMENT | 01-02-2014 |
| 20140005662 | MULTI-AXIS ARTICULATING AND ROTATING SURGICAL TOOLS | 01-02-2014 |
| 20140005663 | SURGICAL FORCEPS | 01-02-2014 |
| 20140005664 | REAL TIME ASSESSMENT OF ABLATION FROM ELECTROCARDIOGRAM SIGNALS | 01-02-2014 |
| 20140005665 | SYSTEMS AND METHODS OF DISCRIMINATING BETWEEN ARGON AND HELIUM GASES FOR ENHANCED SAFETY OF MEDICAL DEVICES | 01-02-2014 |
| 20140012255 | TISSUE RESECTION DEVICE AND RELATED METHODS OF USE - A device configured to facilitate resection of tissue. The device may include a proximal end configured to be secured to a distal portion of an introduction sheath and a distal end defining an opening that may communicate with a channel extending between the proximal and distal ends. The opening may be defined by at least one straight edge. | 01-09-2014 |
| 20140012256 | Systems and Methods for Neuromodulation for Treatment of Pain and Other Disorders Associated with Nerve Conduction - Methods and apparatus are provided for selective destruction or temporary disruption of nerves and/or conduction pathways in a mammalian body for the treatment of pain and other disorders. Apparatus comprises catheters having electrodes for targeting and affecting nerve tissue at a cellular level to reversible and irreversible nerve poration and incapacitation. | 01-09-2014 |
| 20140018792 | METHOD AND APPARATUS FOR MAGNETICALLY GUIDED CATHETER FOR RENAL DENERVATION EMPLOYING MOSFET SENSOR ARRAY - A system for a mapping and ablation catheter. 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 wave fronts and error associated with near and far field's signal averages. The system maps the change in bioelectric potential in the vicinity of an activation wave front. During measurement, the manifold carrying the sensor array translates and rotates so as to achieve a measure of high potential employing an impedance value. The system of guiding and controlling the movement of the catheter distal end is able to deliver energy for ablating the renal artery nerve and thereby providing a safe and efficient method and apparatus for neuromodulation. | 01-16-2014 |
| 20140018793 | HEAT-DISTRIBUTION INDICATORS, THERMAL ZONE INDICATORS, ELECTROSURGICAL SYSTEMS INCLUDING SAME AND METHODS OF DIRECTING ENERGY TO TISSUE USING SAME - An electrosurgical system includes an electrosurgical power generating source, an energy applicator operably associated with the electrosurgical power generating source, a heat-distribution indicator adapted to change echogenic properties in response to heat generated by energy delivered by the energy applicator, and a processor unit configured to generate at least one electrical signal for controlling at least one operating parameter associated with the electrosurgical power generating source. The system also includes an imaging system capable of acquiring image data. The imaging system is communicatively-coupled to the processor unit. The processor unit is adapted to determine an ablation rate at least in part based on analysis of one or more images acquired by the imaging system. | 01-16-2014 |
| 20140018794 | OFF-WALL ELECTRODE DEVICES AND METHODS FOR NERVE MODULATION - Systems for nerve modulation are disclosed. An example system for nerve modulation may include a catheter shaft having a proximal end, a distal end and lumen extending therebetween. An inflatable member may be fluidly connected to the lumen of the catheter shaft proximate the distal end of the catheter shaft. The inflatable member may have an outer wall defining a groove in an outer surface of the inflatable member. An electrode may be disposed in or under the groove. | 01-16-2014 |
| 20140018795 | MULTI-BUTTON ELECTROSURGICAL APPARATUS - A multi-button electrosurgical apparatus includes a housing having a passage extending therethough, a distal end configured to support an electrode; at least four switches disposed on a surface of the housing configured to be selectively activated by a user; and three wires connected between the housing and a connector, the connector configured to be operatively coupled to an electrosurgical generator, a first wire being coupled to the electrode and configured to receive electrosurgical energy from the electrosurgical generator, a second wire being coupled to a first switch and configured to generate a first activation signal and a third wire being coupled to a second switch and configured to generate a second activation signal, wherein a third and fourth switch are coupled to the first wire and the second or third wire via a respective reactive switching element configured to generate third and forth activation signals. | 01-16-2014 |
| 20140018796 | REMOVABLE 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. | 01-16-2014 |
| 20140018797 | PRESHAPED LOCALIZATION CATHETER, SYSTEM, AND METHOD FOR GRAPHICALLY RECONSTRUCTING PULMONARY VEIN OSTIA - Catheters, systems, and methods are provided for performing medical procedures, such as tissue ablation, adjacent the ostia of anatomical vessels, such as pulmonary veins. The catheter comprises an elongated flexible catheter body, which includes a proximal shaft portion and a distal shaft portion, and a tracking element carried by the distal shaft portion. The proximal section is pre-shaped to form a curve having an apex sized to be inserted into the vessel ostium, and a distal section configured to contact the adjacent tissue when the curve apex is inserted within the vessel ostium. The method may comprise inserting the curve apex into the vessel ostium to place the distal section in contact with a first tissue site adjacent the vessel ostium, and determining a location of the tracking element(s) within a coordinate system while the distal section is in contact with the first tissue site. | 01-16-2014 |
| 20140018798 | ELECTROSURGICAL WAND AND RELATED METHOD AND SYSTEM - Electrosurgical wand. At least some of the illustrative embodiment are electrosurgical wands including: an elongate housing that defines a handle end and a distal end; an aspiration aperture on the distal end of the elongate housing the aspiration aperture fluidly coupled to a first fluid conduit, the first fluid conduit within the elongate housing; a discharge aperture on the distal end of the elongate housing, the discharge aperture fluidly coupled to a second fluid conduit, and the second fluid conduit within the elongate housing; a first active electrode of conductive material on the distal end of the elongate housing, the first active electrode between the discharge aperture and the aspiration aperture; and a conductive plate that abuts the discharge aperture, at least a portion of the conductive plate disposed over the discharge aperture. | 01-16-2014 |
| 20140025067 | SURGICAL INSTRUMENT WITH FIBER BRAGG GRATING - A surgical instrument includes an end effector including first and second jaw members movable relative to one another between a first, spaced-apart position and a second position proximate tissue. In the second position, the jaw members cooperate to grasp tissue therebetween. A first optical fiber is disposed within the first jaw member and is configured to provide a first signal, and a second optical fiber is disposed within the first jaw member and is configured to provide a second signal. A controller is coupled to the first and second fibers and is configured to determine the temperature and the strain of the first jaw member as a function of the first and second signals, respectively. | 01-23-2014 |
| 20140025068 | ABLATION 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. | 01-23-2014 |
| 20140025069 | RENAL NERVE MODULATION CATHETER DESIGN - Systems for nerve and tissue modulation are disclosed. An example system may an elongate shaft including an expandable frame coupled to the shaft adjacent to a distal end of the shaft. The frame may include a plurality of electrically conductive regions for emitting an electrical current comprising at least a first electrically conductive region and a second electrically conductive region. The system may further include a ground pad and a control unit electrically coupled to the plurality of electrically conductive regions and the ground pad. The control and power unit is configured to operate in unipolar mode and bipolar mode during the same procedure. | 01-23-2014 |
| 20140031816 | ELECTRODES FOR TISSUE TREATMENT - An energy delivery device is disclosed. The energy delivery device may include an elongate member having a proximal end and a distal end, and an energy emitting portion coupled to the distal end of the elongate member. The energy emitting portion may be configured to transition between a first, collapsed configuration and a second, expanded configuration. In addition, the energy emitting portion may include a plurality of legs forming a basket, such that when the energy emitting portion is in the second, expanded configuration a central portion of at least one of the legs includes a substantially straight configuration. | 01-30-2014 |
| 20140031817 | DEPOSIT 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. | 01-30-2014 |
| 20140031818 | METHODS AND DEVICES FOR REDUCING BUBBLE FORMATIONS IN FLUID DELIVERY DEVICES - Methods and devices for filtering a fluid flowing through a medical device are disclosed. In one example, a medical device may include a catheter shaft including a proximal region having a coupling for coupling to a fluid source and a distal region including one or more irrigation apertures for expelling a fluid from the catheter. A fluid path can be defined by the catheter shaft between the coupling and the one or more irrigation apertures. A porous member can be positioned at a location in the fluid path such that the fluid being expelled from the catheter via the one or more irrigation apertures may flow through the porous member to filter, reduce, and/or break-up bubble formations in the fluid. | 01-30-2014 |
| 20140039491 | FLEXIBLE EXPANDABLE ELECTRODE AND METHOD OF INTRALUMINAL DELIVERY OF PULSED POWER - A surgical instrument, such as an electrical ablation device, includes an elongate member having therealong disposed a first electrode extending along an axis. A first expandable portion extends along the axis and defines a first perimeter of the first electrode and has an associated first diameter with respect to the axis. The first expandable portion includes a first framework selectively expandable to transition the first expandable portion from a contracted state to an expanded state. The first framework is selectively contractible to transition the first expandable portion from the expanded state to the contracted state. When the first framework is expanded, the first diameter is expanded and the first expandable portion is transitioned from the contracted state to the expanded state. When the first framework is contracted, the first diameter is contracted and the first expandable portion is transitioned from the expanded state to the contracted state. | 02-06-2014 |
| 20140039492 | REUSABLE ELECTRODE AND DISPOSABLE SHEATH - A surgical instrument, such as an electrical ablation device, including a first elongate body having an insert and a second elongate body having an electrically insulative sheath that defines a bore. A mating element mates the elongate bodies when at least a portion of the insert is received within the bore. The second elongate body is configured to receive electrical energy from the first elongate body and transmit the electrical energy to an electrode. In certain embodiments, the electrical ablation device may include first and second elongate bodies. The first includes an electrically conductive insert configured to electrically couple to an energy source and apply the electrical energy to tissue, and the second includes an electrically insulative sheath defining a bore configured to receive the insert therethrough and move proximally or distally relative to the insert. | 02-06-2014 |
| 20140046321 | CAUTERY ELECTRODE WITH MULTI-CHANNEL INSULATED SHAFT - The invention provides a cautery electrode comprising an insulated shaft and a conductive element. The insulated shaft includes first and second channels disposed within the shaft and extending the length of the shaft. The conductive element comprises a tip segment, a mid-segment, and an electrical contact segment. The conductive element is disposed within the first channel such that the tip segment extends from a distal end of the shaft, the mid-segment is within the shaft, and the electrical contact segment extends from a proximal end of the shaft. A cautery system includes the cautery electrode, a cautery handpiece, a length of tubing, and a connector having first, second, and third connection points. The cautery electrode and the cautery handpiece are removably attached to the connector at the first and second connection points, and the length of tubing is attached to the connector at the third connection point. | 02-13-2014 |
| 20140046322 | System 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. | 02-13-2014 |
| 20140052130 | MATRIX ROUTER FOR SURGICAL ABLATION - A matrix router with frequency switching is provided having an energy source electrically connected to a plurality of interface ports. A switching device is provided between the energy source and the plurality of switches. One of the plurality of interface ports includes a paired electrode interface port for the connection of a paired electrode device thereto. The paired electrode device has a first pair of opposed electrodes and a second pair of opposed electrodes for clamping on tissue. When the paired electrode device is operably connected to the paired electrode interface port and actuated, the switching device alternates energy such as bipolar RF from the first pair of opposed electrodes to the second pair of opposed electrodes. | 02-20-2014 |
| 20140052131 | ELECTROSURGICAL PENCIL - An electrosurgical pencil adapted to receive an electrode controllable by an electrical signal for performing surgical operations. This pencil includes a housing, a circuit, and a switch that is activatable from outside the housing for closing the circuit. The housing receives the electrode. The circuit is a flexible circuit and is positioned such that it is in direct contact with the electrode when the electrode is received in the housing. | 02-20-2014 |
| 20140058386 | IRRIGATED ABLATION CATHETER HAVING IRRIGATION PORTS WITH REDUCED HYDRAULIC RESISTANCE - 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. Each fluid port has a tapered configuration, for example, a frustoconical configuration, with a smaller inlet diameter and a larger outlet diameter. | 02-27-2014 |
| 20140058387 | SYSTEM AND METHOD FOR PROBABILISTIC ABLATION PLANNING - A system and method for ablation planning includes defining ( | 02-27-2014 |
| 20140066926 | FABRIC ELECTRODE HEAD - An electrode head is disclosed that utilizes electrically conductive or dissipative fabric to exchange electrical energy with tissue. This electrode head may be used for any appropriate application, such as a catheter electrode, a return electrode, or the like. Any appropriate function may be provided by this electrode head, such as tissue ablation, tissue mapping, or providing an electrical ground. | 03-06-2014 |
| 20140066927 | ELECTROSURGICAL SYSTEM - 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. | 03-06-2014 |
| 20140081260 | Cool RF Electrode - A system and method for applying energy, particularly radiofrequency (RF) electrical energy, to a living body can be used in tissue ablation. | 03-20-2014 |
| 20140081261 | SELF-POSITIONING ELECTRODE SYSTEM AND METHOD FOR RENAL NERVE MODULATION - Systems for nerve and tissue modulation are disclosed. An example system may include an intravascular nerve modulation system including an elongated shaft having a proximal end region and a distal end region. The system may include an expandable frame having one or more electrodes positioned on or about the frame. An actuation assembly including a biasing element, a central shaft, and a piston may be configured to provide for controlled expansion of the expandable frame. The system may further include a control element for controlling the actuation assembly. | 03-20-2014 |
| 20140081262 | NEARFIELD ULTRASOUND ECHOGRAPHY MAPPING - Various embodiments concern delivering an ablation therapy to different areas of the cardiac tissue and, for each of the areas, sensing an ultrasound signal with at least one ultrasound sensor, the ultrasound signal responsive to the ultrasound energy reflected from the area of cardiac tissue. Such embodiments can further include for each of the plurality of different areas of the cardiac tissue, associating with each area an indication of the degree to which the area of cardiac tissue was lesioned by the delivery of the ablation therapy based on the ultrasound signal and representing a map of the different areas on a display. A user input can select one of the different areas and the indication associated with the selected one area can be represented on the map. | 03-20-2014 |
| 20140081263 | METHOD AND APPARATUS FOR PERFORMING TRANSESOPHAGEAL CARDIOVASCULAR PROCEDURES - An apparatus for performing a transesophageal cardiovascular procedure includes an elongated tubular main access device having a first lumen with an open proximal end and a distal side opening, and a second lumen with a rigid outer wall and a collapsible inner wall. The second lumen is adapted to receive an elongated probe or surgical device. The apparatus further includes an inflatable sealing means on the outside of the main access device above and below the side opening, and a first fluid conduit extending along the main access device for inflating the sealing means so that when the main access device is inserted into a patient's esophagus and the sealing means are inflated. The portion of the esophagus opposite the side opening is isolated from the remainder of the esophagus above and below the side opening. | 03-20-2014 |
| 20140088590 | PERINEAL PROBE AND PROCESS FOR MAKING A PERINEAL PROBE - A perineal probe ( | 03-27-2014 |
| 20140088591 | Catheter electrode assemblies and methods for construction therefor - A family of catheter electrode assemblies includes a flexible circuit having a plurality of electrical traces and a substrate; a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the electrode. A non-contact electrode mapping catheter includes an outer tubing having a longitudinal axis, a deployment member, and a plurality of splines, at least one of the plurality of splines comprising a flexible circuit including a plurality of electrical traces and a substrate, a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the ring electrode. A method of constructing the family of catheter electrode assemblies is also provided. | 03-27-2014 |
| 20140100563 | ABLATION POWER CONTROL BASED ON CONTACT FORCE - Methods and systems are adapted for ablation of target tissue in a living subject by predicting a lesion size that would result from placing an ablation electrode into contact with the target tissue at a particular contact force while applying energy at a given power level for a particular time interval. The prediction involves modeling the lesion size as a non-linear function of the contact force, the power level and the time interval. The prediction may be iterated by varying the contact force, the power level or the time interval until a saturation point is found, beyond which the lesion size does not increase. After it is established that one of the iterations predicts a desired lesion size, ablation of the target tissue may be conducted using the contact force, the power level and the time interval of the one iteration. | 04-10-2014 |
| 20140100564 | JAW ASSEMBLIES FOR ELECTROSURGICAL INSTRUMENTS AND METHODS OF MANUFACTURING JAW ASSEMBLIES - A jaw assembly includes a jaw member and a structural insert. The jaw member includes an arm member and a support base extending distally from the arm member. The arm member defines a first portion of the jaw member. The support base defines a second portion and a third portion of the jaw member. The second portion defines a cavity disposed between the first portion and the third portion. At least a portion of the structural insert is disposed within the cavity. | 04-10-2014 |
| 20140100565 | MULTI-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. | 04-10-2014 |
| 20140100566 | Medical catheter assembly with deflection pull ring and distal tip interlock - A catheter assembly comprises a deflectable catheter shaft comprising a distal end and a lumen extending therethrough. The catheter assembly further comprises least one pull wire comprising a distal portion comprising a side and a distal end, wherein the side comprises a first side portion and a second side portion. The catheter assembly further comprises a distal pull assembly operatively coupled to the at least one pull wire. The distal pull assembly comprises a longitudinal axis, a first surface, and a second surface. The first side portion of the at least one pull wire is adjacent to the first surface of the distal pull assembly, and the second side portion of the at least one pull wire is adjacent to the second surface of the distal pull assembly. | 04-10-2014 |
| 20140107642 | DEVICES AND METHODS FOR FISTULA FORMATION - Described here are devices and methods for forming a fistula between two vessels. In some instances, the fistula may be formed between a proximal ulnar artery and a deep ulnar vein. The fistula may be formed using an electrode, and may be formed with a first catheter placed in a first blood vessel and a second catheter placed in a second blood vessel. In some instances, access to the proximal ulnar artery may be achieved through a brachial artery, and access to the deep ulnar vein may be achieved through a brachial vein. | 04-17-2014 |
| 20140107643 | Method for Relaxing Muscle Tension on a Tubular Anatomical Structure - An apparatus and method for treatment of muscle tension on a tubular anatomical structure is disclosed. The method includes using an electrical signal to destroy elongated cells causing tension on the tubular anatomical structure. The apparatus may include one or more electrodes for creating an electric field, and a cooling system for carrying heat away from the electrode. | 04-17-2014 |
| 20140107644 | ELECTROPHYSIOLOGY CATHETER FOR MAPPING AND/OR ABLATION - The present invention encompasses apparatus and methods for mapping electrical activity within the heart. The present invention also encompasses methods and apparatus for creating lesions in the heart tissue (ablating) to create a region of necrotic tissue which serves to disable the propagation of errant electrical impulses caused by an arrhythmia. | 04-17-2014 |
| 20140114304 | ABLATION CATHETER SYSTEM AND METHOD FOR DEPLOYING SAME - An ablation therapy system is disclosed comprising an ablation catheter system for treating atrial fibrillation (AF). The ablation catheter system comprises a catheter body including a lumen for receiving a visualization catheter, an ablation element for ablating tissue in a patient's heart having abnormal electrical activity, a support assembly for supporting the ablation element, the support assembly being supported by the catheter assembly. The support assembly includes a lumen to receive the visualization catheter, wherein the support assembly is configured to rotate and/or pivot with respect to the catheter body. | 04-24-2014 |
| 20140114305 | METHODS AND APPARATUS FOR THERMALLY-INDUCED RENAL NEUROMODULATION - Methods and apparatus are provided for thermally-induced renal neuromodulation. 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. In some embodiments, parameters of the neural fibers, of non-target tissue, or of the thermal energy delivery element, may be monitored via one or more sensors for controlling the thermally-induced neuromodulation. In some embodiments, protective elements may be provided to reduce a degree of thermal damage induced in the non-target tissues. In some embodiments, thermally-induced renal neuromodulation is achieved via delivery of a pulsed thermal therapy. | 04-24-2014 |
| 20140114306 | ABLATION CATHETER WITH BALLOON - A balloon ablation catheter achieves reduction in diameter of the balloon upon balloon contraction and increased reliability of the thermocouple temperature sensor, which balloon ablation catheter is less likely to be influenced by the heating liquid discharged into the balloon and able to control the balloon surface temperature with high accuracy. The balloon ablation catheter includes a shaft wherein a lumen is formed; a balloon wherein the lumen communicates with the inside thereof; and a high-frequency-current-applying electrode formed by coiling a high-frequency-power-supplying lead wire around the shaft while sandwiching a temperature sensor lead wire between the high-frequency-power-supplying lead wire and the shaft such that the temperature sensor lead wire is fixed along the longitudinal direction of the shaft; wherein a thermocouple thermosensor is formed at the point where the high-frequency-power-supplying lead wire and the temperature sensor lead wire constituting the high-frequency-current-applying electrode contact with each other for the first time as seen from the posterior end side in the longitudinal direction. | 04-24-2014 |
| 20140114307 | CATHETER SYSTEM - A manipulable portion of a catheter system advances out of a lumen of a catheter sheath at a distal end of a shaft, which is also within the lumen of the catheter sheath. The catheter system causes different advancement and retraction trajectories of a manipulable portion out of and into the lumen based at least upon different relative movements between the catheter sheath and the shaft. A projection and a corresponding receiver may be used to control relative positioning of the catheter sheath and the shaft, as well as to control positioning of the manipulable portion. The catheter system may control metering rates of a control element coupled to the manipulable portion during advancement and retraction of the manipulable portion. A control element of the catheter system has varying amounts of length outside a distal end of the catheter sheath during advancement and retraction of the manipulable portion. | 04-24-2014 |
| 20140114308 | STABILIZED ENERGY-DELIVERY PROCEDURES - Apparatus and methods are described for use with a portion of a subject's body that moves as a result of cyclic activity, including sensing a phase of the cyclic activity. In a first cycle of the activity, in response to sensing that the activity is at a given phase, a therapeutic tool is actuated to apply a treatment to the portion by applying energy to the portion. Following the given phase in the first cycle and prior to an occurrence of the given phase in a subsequent cycle, the tool is inhibited from applying energy to the portion. In a second cycle of the activity, subsequent to the inhibiting of the application of energy to the portion, and in response to sensing that the second cycle is at the given phase, the tool is actuated to apply energy to the portion. Other applications are also described. | 04-24-2014 |
| 20140121661 | METHOD 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. | 05-01-2014 |
| 20140128865 | CONTROLLED RENAL ARTERY ABLATION - Apparatus for facilitating ablation of nerve tissue of a subject is provided, comprising (1) an ablation unit, configured to be percutaneously advanced to a site adjacent to a first portion of the nerve tissue; (2) at least one electrode unit, coupled to the ablation unit, and configured to be percutaneously advanced to a site adjacent to a second portion of the nerve tissue, and to initiate unidirectional action potentials in the nerve tissue, such that the unidirectional action potentials propagate toward the first portion of the nerve tissue; and (3) a control unit, configured: (a) to drive the ablation unit to ablate, at least in part, the first portion of the nerve tissue of the subject, and (b) to drive the at least one electrode unit to initiate the unidirectional action potentials by applying an excitatory current to the second portion of the nerve tissue. | 05-08-2014 |
| 20140135758 | DEPLOYMENT MECHANISMS FOR SURGICAL INSTRUMENTS - A surgical instrument includes a first drive assembly, a second drive assembly, and a deployment mechanism. The first drive assembly is coupled to a first component and is configured to translate a first longitudinal distance X1 to deploy the first component. The second drive assembly is coupled to a second component and is configured to translate a second longitudinal distance X2 to deploy the second component. The deployment mechanism is operably coupled to both the first and second drive assemblies and is configured to move from a first position to a second position to translate the first and second drive assemblies the respective first and second longitudinal distances X1 and X2 to deploy the first and second components. | 05-15-2014 |
| 20140135759 | SURGICAL APPARATUS WITH EXPANDABLE STRUCTURE AND ELECTRODE FOR TREATING BODY TISSUE - 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. | 05-15-2014 |
| 20140135760 | ELECTROSURGICAL SYSTEM WITH SELECTIVE CONTROL OF ACTIVE AND RETURN ELECTRODES - Electrosurgical system with selective control of active and return electrodes. At least some of the illustrative embodiments are systems comprising an electrosurgical wand and an electrosurgical controller. The wand comprises a non-conductive outer surface, at least three electrodes disposed on a distal end of the wand, and at least three electrical leads extending from a proximal end of the wand (one electrical lead electrically coupled to each electrode). The controller comprises a voltage generator and a control circuit coupled between the voltage generator and the electrodes of the wand. The control circuit is configured to: selectively electrically couple the active terminal singly and in combination to the electrodes of the wand; and selectively electrically couple the return terminal singly and in combination to electrodes of the wand. | 05-15-2014 |
| 20140142569 | IRRIGATED CATHETER WITH FLUID EVACUATION - A catheter for use with a suction source for removing excess fluid from a tissue treatment site has a catheter body, a distal section and a fluid evacuation path, where the distal section includes a multi-lumened member and at least one evacuation port, and the fluid evacuation path extends through a lumen in the multi-lumened member to provide suction communication between the suction source and the at least one evacuation port. The fluid evacuation path may also be configured for two-way flow, including distally and proximally along the catheter. | 05-22-2014 |
| 20140142570 | HIGH-FREQUENCY APPLICATION DEVICE FOR VASCULAR USE, IN PARTICULAR FOR APPLICATION OF HIGH-FREQUENCY ENERGY TO THE RENAL ARTERIAL WALL - A high-frequency application device for vascular use, in particular for application of high-frequency (HF) energy to the renal arterial wall, including: a catheter ( | 05-22-2014 |
| 20140142571 | Liquid Crystalline Polymer Composition for Melt-Extruded Substrates - A polymer composition that can be readily melt-extruded into a shaped three-dimensional substrate (e.g., tube) and also applied with a conductive element using a laser direct structuring (“LDS”) process. In this regard, the composition contains a thermotropic liquid crystalline polymer and a laser activatable additive. The specific nature of the polymer and relative concentration of the polymer and additive are selectively controlled so that the resulting composition can possess both a relatively high melt viscosity and melt strength. | 05-22-2014 |
| 20140148805 | ABLATION CATHETERS AND ASSOCIATED SYSTEMS AND METHODS - An ablation catheter assembly including 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. | 05-29-2014 |
| 20140155885 | Cardiac Ablation Devices and Methods - Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. The devices and methods are used to ablate epicardial tissue in the vicinity of the pulmonary veins, and 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 utilizing minimally invasive introducer devices and the like. A preferred embodiment of the introducer device includes an integrated light source that can be activated at the time of use. | 06-05-2014 |
| 20140155886 | COAXIAL COIL LOCK - A surgical instrument includes a housing and an elongated shaft extending distally therefrom. The elongated shaft includes a proximal portion, a distal portion and a flexible portion supported therebetween. The flexible portion permits pivotal movement of the distal portion of the elongated shaft and an end effector supported thereon. A locking mechanism is operatively associated with the flexible portion of the elongated shaft to selectively impede pivotal motion of the distal portion. The locking mechanism includes a locking coil disposed about an axis defined by the flexible portion of the elongated shaft. A distal end of the locking coil is coupled to the distal portion of the elongated shaft, and a proximal end of the locking coil is rotatable about the longitudinal axis to laterally approximate the locking coil to flexible portion, and thus frictionally engage the flexible portion of the elongated shaft to selectively impede articulating motion thereof. | 06-05-2014 |
| 20140155887 | ABLATION COMPASS - An embodiment in accordance with the present invention provides an ablation catheter includes a catheter body and an ablation electrode attached to the distal end of the catheter body. A pivot needle is arranged to extend from said catheter body while in use. The pivot needle provides support to assist with directing said ablation electrode along a selected path in contact with tissue during ablation. The pivot needle includes a gripping structure at a distal tip to facilitate attachment to tissue, and can take the form of a barb structure. The barb structure is formed from a soft material to facilitate removal from tissue after being attached. The pivot needle further includes a depth guard to help prevent the insertion of said pivot needle into tissue beyond a predetermined depth, and said pivot needle is extendable from and retractable to said catheter body. | 06-05-2014 |
| 20140163548 | IRRIGANT DISTRIBUTION SYSTEM FOR ELECTRODES - An ablation electrode assembly is provided with improved irrigation cooling of the assembly and ablation site. The assembly includes a proximal end configured to be coupled to a catheter shaft and a distal end configured to deliver ablation energy to tissue. The assembly further includes a fluid manifold extending from the proximal end to the distal end and configured to fluidly communicate with a fluid lumen in the catheter shaft. The fluid manifold defines an axial passageway centered about a longitudinal axis extending in the longitudinal direction of the assembly. The axial passageway has a distal end terminating prior to the distal end of the electrode assembly. The assembly further includes means for creating turbulence in fluid exiting the first axial passageway. | 06-12-2014 |
| 20140163549 | SURGICAL INSTRUMENT WITH FEEDBACK AT END EFFECTOR - An apparatus for operating on tissue includes a body, a lip in communication with the body, and at least one electrode also in communication with the body. The body is able to mechanically couple with a portion of an end effector, which may be controlled by a user through a handpiece. The lip is configured to grip a portion of the end effector. The at least one electrode is configured to provide sufficient electrical energy to weld at least a portion of tissue. In some versions, a temperature sensitive material may be positioned on a portion of the end effector. Additionally, in some versions, the handpiece of the end effector may comprise feedback features able to convey information to the user. | 06-12-2014 |
| 20140163550 | CATHETER HAVING REDUCED FORCE CONCENTRATION AT TISSUE CONTACT SITE - A mapping and ablation catheter that reduces the risk of cardiac perforation during diagnostic and therapeutic procedures. The catheter comprises an elongate shaft including a proximal and distal portions, where the distal portion comprises a plurality of segments including a proximal-most segment, a distal-most segment and one or more intermediate segments between the proximal-most and distal-most segments. The catheter can include a diagnostic electrode in the distal most segment, an atraumatic tip located at the distal end of the distal-most segment, and an ablation electrode located in a segment proximal to the distal-most segment. | 06-12-2014 |
| 20140163551 | IRREVERSIBLE ELECTROPORATION DEVICE AND METHOD FOR ATTENUATING NEOINTIMAL FORMATION - 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. | 06-12-2014 |
| 20140171941 | SYSTEMS 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. | 06-19-2014 |
| 20140171942 | USER INTERFACE FOR TISSUE ABLATION SYSTEM - Devices, systems and methods are disclosed for 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 constrained within the lumen of a catheter, and deployed to take on an expanded condition. The carrier assembly includes multiple electrodes that are configured to ablate tissue at low power. Systems include an interface unit with a visual display that provides a visual representation of the geometry of the ablation elements and/or provides selection means for selecting an icon provided on the display. | 06-19-2014 |
| 20140171943 | CATHETER 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. | 06-19-2014 |
| 20140180277 | MULTI-POLE SYNCHRONOUS PULMONARY ARTERY RADIOFREQUENCY ABLATION CATHETER - A multi-pole synchronous pulmonary artery radiofrequency ablation catheter, wherein an adjustment apparatus is arranged on a control handle; a catheter body is hollow, and a cavity is arranged therein; a lead wire, a temperature sensing wire and a pull wire are arranged in the cavity; one end of the catheter body is flexible, and the flexible end is connected to an annular ring; the annular ring is provided with an electrode group with each electrode connected to the lead wire and temperature sensing wire; the lead wire and temperature sensing wire go through the catheter body and are electrically connected to the control handle. The device uses cold saline perfusion method to protect the vascular intima and possesses advantages of simple operation, short operation time and controllable precise ablation. The device can be used to treat pulmonary hypertension with pulmonary denervation. | 06-26-2014 |
| 20140180278 | SYSTEM AND METHOD FOR MONITORING BIOIMPEDANCE AND RESPIRATION - A method of treating tissue is provided, including positioning a portion of a catheter in proximity to cardiac tissue; measuring an impedance value with the catheter; determining a respiratory rate based at least in part on the measured impedance value; and thermally treating the cardiac tissue with the catheter. | 06-26-2014 |
| 20140180279 | COOL-TIP THERMOCOUPLE INCLUDING TWO-PIECE HUB - An ablation electrode system includes a handle assembly; a needle electrode assembly supported in and extending from the handle assembly. The needle electrode assembly includes an outer tube having at least a conductive distal tip and defining a cavity therein; and an inner tube disposed at least partially within the cavity of the outer tube and defining a lumen therein. The ablation electrode assembly includes a hub assembly fluidly connected to the needle electrode assembly. The hub assembly defines a first chamber and a second chamber; wherein the proximal end portion of the inner tube is in fluid communication with the first chamber and the proximal end portion of the outer tube is in fluid communication with the second chamber. The ablation electrode assembly includes a first fluid conduit fluidly connected to the first chamber; and a second fluid conduit fluidly connected to the second chamber. | 06-26-2014 |
| 20140188104 | CATHETER WITH DIRECT COOLING ON NONABLATING ELEMENT - A catheter tip electrode has a tissue contacting surface which electrically conducts RF energy to the tissue and is more thermally conductive than adjacent non-electrically conductive coating or cover which prevents RF conduction to the tissue contacting that surface. The tip electrode has a shell with a nonablating hollow proximal neck portion and a distal ablating portion defining a fluid chamber, and a plug-like support member which is configured with a fluid channel on its outer surface so a fluid passage is provided between the member and the neck portion for convective or direct cooling of the nonablating neck portion and nonconductive tubing covering it. | 07-03-2014 |
| 20140188105 | BIPOLAR ELECTROSURGICAL DEVICE - A bipolar electrosurgical device is disclosed. The bipolar electrosurgical device includes a handle having a shaft and a distal end. The handle can be coupled to a source of electrical energy and a fluid source. A U-shaped first electrode extends distally in a plane from a pair of openings on the distal end of the shaft. The first electrode is in electrical communication with one of an active pole or a return pole of the source of electrical energy. A longitudinal second electrode extends distally from a middle opening on the distal end of the shaft. The second electrode is coplanar to the first electrode and electrically isolated from the first electrode. The second electrode is in electrical communication with the other of the active pole or the return pole of the source of electrical energy. The second electrode forms a lumen configured to be in fluid communication with the fluid source and a fluid opening for dispersing fluid. | 07-03-2014 |
| 20140188106 | DEVICES AND METHODS FOR SHAPING THERAPY IN FLUID ENHANCED ABLATION - Devices and methods for shaping an ablation treatment volume formed in fluid enhanced ablation therapy are provided. The devices and methods disclosed herein utilize the interaction of fluids to create ablation treatment volumes having a variety of shapes. In one embodiment, a method for forming an ablation treatment volume having a desired shape includes delivering therapeutic energy to tissue to form an ablation treatment volume and simultaneously delivering a first fluid and a second fluid to the tissue. The first and second fluids can convect the therapeutic energy in a desired direction such that the ablation treatment volume has a desired shape. | 07-03-2014 |
| 20140194870 | DUAL IRRIGATING BIPOLAR FORCEPS - Bipolar electrosurgical forceps are provided with dual irrigating tubes that deliver irrigating liquid to the opposed surfaces of the tips of the forceps to prevent the sticking of body tissue to the tips. To reduce the manufacturing costs of the forceps and enable the forceps to be single use, disposable forceps, each tube of the dual irrigating tools is a plastic tube adhered along one of the opposing surfaces of the pair of forceps arms. Each tube also has a flat nozzle at the distal end of the tube that disburses irrigating liquid across the opposed surfaces of the forceps arm distal and tips. | 07-10-2014 |
| 20140194871 | SURGICAL DEVICE - A surgical apparatus includes: a treatment section treating a living tissue; an energy generation section providing high-frequency current to the treatment section; a liquid feeding conduit feeding a liquid to the living tissue; a suction conduit suctioning the liquid; an energy control section that outputs a high-frequency output control signal for controlling the energy generation section; a first pump drive section that feeds the liquid from the liquid feeding conduit while the high-frequency current is output, according to a command of the high-frequency output control signal, and stops feeding of the liquid, according to a command of the high-frequency output control signal; and a second pump drive section that suctions the liquid from the suction conduit for a predetermined period of time or in a predetermined amount, according to a command for stopping the high-frequency output control signal, and stops suction of the liquid after the suction. | 07-10-2014 |
| 20140194872 | APPARATUS AND METHOD FOR TREATING CARDIOVASCULAR DISEASES - A removable apparatus is provided for temporary implantation in a pulmonary vein for ablating atrial tissue surrounding the antrum of the pulmonary vein to treat atrial fibrillation in a subject. The apparatus comprises an electrically-insulated expandable support member and a retrieval mechanism. The support member has oppositely disposed proximal and distal end portions and a main body portion extending between the end portions. The proximal end portion includes at least one annularly disposed wing member, and has a free end defined by oppositely disposed first and second major surfaces. The at least one wing member includes at least one ablation element located at the free end thereof. The retrieval mechanism is for removing the support member and for energizing the at least one ablation element. The retrieval mechanism includes at least one electrically-conductive wire, which is separately connected to the at least one wing member. | 07-10-2014 |
| 20140194873 | IN-LINE VESSEL SEALER AND DIVIDER - An endoscopic forceps includes a housing having a shaft attached thereto, the shaft including a pair of jaw members disposed at a distal end thereof. The forceps also includes a drive assembly disposed in the housing which moves the jaw members relative to one another 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 manipulating tissue. A pair of handles is operatively connected to the drive assembly and the handles are movable relative to the housing to actuate the drive assembly to move the jaw members. Each of the jaw members is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy for treating tissue. The forceps also includes a first switch disposed on the housing which is activatable to selectively deliver energy of a first electrical potential to at least one jaw member for treating tissue in a monopolar fashion. A second switch is disposed on the housing and is activatable to selectively deliver energy of a first electrical potential to one jaw member and selectively deliver energy of a second electrical potential to the other jaw member for treating tissue in a bipolar fashion. | 07-10-2014 |
| 20140200576 | BIPOLAR FORCEPS - A bipolar forceps may include a first forceps arm having a first forceps arm aperture, a first forceps jaw, and a first forceps arm conductor tip; a second forceps arm having a first forceps arm aperture, a second forceps jaw, and a second forceps arm conductor tip; and an input conductor isolation mechanism having a first forceps arm housing and a second forceps arm housing. The first forceps arm may be disposed in the first forceps arm housing and the second forceps arm may be disposed in the second forceps arm housing. An application of a force to a lateral portion of the forceps arms may be configured to close the forceps jaws. A reduction of a force applied to a lateral portion of the forceps arms may be configured to open the forceps jaws. | 07-17-2014 |
| 20140200577 | ABLATION GRASPER - The present invention provides improved catheters for ablative procedures for biological tissue, e.g., in the heart. The catheters allow active fixation to the tissue using a pair of jaws, and a sheath actuates the jaws, simplifying actuation. In particular embodiments, the pair of jaws provides additional stability in attachment to difficult ablation sites, e.g., along the ridges of cardiac structures. | 07-17-2014 |
| 20140200578 | RENAL NERVE ABLATION CATHETER - Medical devices for ablating nerves perivascularly and methods for making and using the same are disclosed. An example medical device may include an expandable frame slidably disposed within a catheter shaft. The expandable frame may be configured to shift between a collapsed configuration and an expanded configuration. One or more electrodes may be disposed on a surface of the expandable frame. The one or more electrodes may be disposed radially inward relative to the greatest radial extent of the expandable frame when the expandable frame is in the expanded configuration. | 07-17-2014 |
| 20140200579 | Directional Mesh and Associated Systems - Woven structures and associated systems for weaving such structures are disclosed. Some disclosed innovations pertain to braided structures, such as braided wire structures, with axially asymmetric woven structures (or “directional meshes”) being examples. Other innovations disclosed herein pertain to methods of manufacturing woven structures, with automated methods of braiding directional meshes being examples. Some directional mesh embodiments can be configured and used as energizable electrodes for electrosurgical therapies, for example, bipolar vaporization therapies. | 07-17-2014 |
| 20140207136 | MULTIPLE STAGGERED ELECTRODES CONNECTED VIA FLEXIBLE JOINTS - An ablation catheter includes an electrode assembly having a plurality of longitudinally spaced sets of spines, which include a distal set of spines each having a distal end connected to a spine distal junction and a proximal end connected to a first joint, and a proximal set of spines each having a proximal end connected to the distal end of the catheter body and a distal end connected to the first joint or a second joint. The spines include electrodes. Zero or more additional sets of spines are connected between the distal set and proximal set, such that neighboring sets of spines are connected by a joint. Each joint is flexible to permit bending along the longitudinal axis. The electrode assembly is movable between a collapsed arrangement and an expanded arrangement with the intermediate segments of the spines in the expanded arrangement moving outwardly with respect to the collapsed arrangement. | 07-24-2014 |
| 20140214025 | END EFFECTOR WITH COMPLIANT CLAMPING JAW - An apparatus for operating on tissue includes an end effector assembly, a body, and a shaft. The shaft extends from the body to the end effector assembly. The body is operable to communicate with the end effector assembly via the shaft. The end effector assembly includes a pair of pivoting jaws and a firing beam. The firing beam is operable to advance distally through slots in the jaws to close the jaws. One of the jaws comprises a plurality of segments that are movable relative to each other. The segments may be joined by living hinges, pivoting hinges, or sliding features. One of the jaws may be formed by a combination of a distally projecting tongue of the shaft and two members that are secured above and below the tongue, respectively. An end effector jaw may also include a resiliently biased electrode cartridge. | 07-31-2014 |
| 20140214026 | CATHETER - A catheter comprising a shaft ( | 07-31-2014 |
| 20140214027 | COUPLING MECHANISM FOR A MEDICAL DEVICE - Embodiments of the present disclosure include a medical device. The medical device may include a proximal handle, a distal tool, an elongate member connecting the distal tool to the proximal handle and including a first portion and a second portion, wherein the elongate member may be configured to deliver electrical energy to the distal tool, and a coupling mechanism configured to connect and disconnect the first and second portions of the elongate member. | 07-31-2014 |
| 20140214028 | MEDICAL 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). | 07-31-2014 |
| 20140221992 | SYSTEMS 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. | 08-07-2014 |
| 20140221993 | CARDIAC 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 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. | 08-07-2014 |
| 20140221994 | ELECTROSURGICAL INSTRUMENT - An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly is operably coupled 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 from an open configuration for positioning tissue therebetween, to a clamping configuration for grasping tissue therebetween. Each of the first and second jaw members includes a first electrode thereon for electrosurgically treating tissue. And, second and third electrodes are disposed on one of the first and second jaw members and arranged in an interlaced configuration relative to one another and separated by an insulator, the second and third electrodes configured to function in a bipolar configuration. | 08-07-2014 |
| 20140221995 | DUAL 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. | 08-07-2014 |
| 20140221996 | DEVICES, 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. | 08-07-2014 |
| 20140236144 | INTRAVERTEBRAL TISSUE ABLATION DEVICE AND METHOD - A tissue ablation device is provided for use in soft tissue and/or in bone. It is configured to include an inner probe with a first electrode and a second electrode and an outer needle through which the inner probe extends. After the inner probe is directed therewithin to a target, the outer needle can be withdrawn to expose space between the first and second electrodes to form an RF or other energy field for tissue ablation therebetween upon actuation of an energy source. Such embodiments may include methods for tissue ablation and placement of stabilizing materials. | 08-21-2014 |
| 20140236145 | DEVICES AND METHODS FOR MINIMALLY INVASIVE REDUCTION OF PARATHYROID ADENOMAS - Apparatus and methods for performing glandular reduction are described. In an example embodiment, an apparatus includes a needle-like probe containing a scintillation detector for converting gamma and x-rays emitted from a radio-labeled gland into photons that are then carried from the probe through a fiberoptic cable to a photodetector, and a therapy element for causing selective tissue destruction by directing energy toward the radio-labeled gland. | 08-21-2014 |
| 20140236146 | Expandable Mesh Platform for Large Area Ablation - An ablation device and a method of ablating a tissue are provided. The ablation device includes a first elongate shaft having a proximal portion, a distal portion and a lumen extending at least partially therethrough and a second elongate shaft having a proximal portion, a distal portion and a lumen extending at least partially therethrough. The first elongate shaft is coaxially positioned and longitudinally movable relative to the second elongate shaft. The ablation device further includes a mesh member including a proximal portion and a distal portion. The proximal portion of the mesh member is operably connected to the distal portion of the second elongate shaft and the distal potion the mesh member is operably connected to an inner surface of the distal portion of the first elongate shaft. The mesh member includes a conductive portion configured to contact a surface for ablation. | 08-21-2014 |
| 20140236147 | Endoscopic instrument, and shaft for an endoscopic instrument - A shaft for a rigid endoscopic instrument includes an elongate outer shaft and an elongate transmission element that can be arranged movably inside the outer shaft, wherein the outer shaft includes a proximal portion and a distal portion, which can be connected releasably to each other. The invention also relates to a rigid endoscopic instrument having such a shaft. | 08-21-2014 |
| 20140236148 | SYSTEM AND METHOD FOR BRONCHIAL DILATION - A method of reducing bronchial constriction in a subject includes delivering energy to create one or more lesions on a main bronchus so as to transect pulmonary nerves sufficiently to reduce bronchial constriction in a lung of the patient distal to the main bronchus. | 08-21-2014 |
| 20140243816 | SYSTEM 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. | 08-28-2014 |
| 20140243817 | AUTO-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. | 08-28-2014 |
| 20140243818 | AUTO-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. | 08-28-2014 |
| 20140243819 | SURGICAL APPARATUS - A surgical apparatus includes a treatment portion, a high-frequency output portion or the like that supplies energy such as a high-frequency current, a liquid feeding tube, a suction tube, a liquid feeding unit, a suction unit, two driving portions, and a CPU as a control portion. Based on stopping of the supply of energy from the high-frequency output portion or the like, the CPU controls at least one of the two driving portions after the supply of energy stops so that an output level of the liquid feeding unit/suction unit becomes higher than an output level of the liquid feeding unit/suction unit during supply of the energy. | 08-28-2014 |
| 20140243820 | SHOCK WAVE BALLOON CATHETER WITH MULTIPLE SHOCK WAVE SOURCES - An apparatus includes a balloon adapted to be placed adjacent a calcified region of a body. The balloon is inflatable with a liquid. The apparatus further includes a shock wave generator within the balloon that produces shock waves that propagate through the liquid for impinging upon the calcified region adjacent the balloon. The shock wave generator includes a plurality of shock wave sources distributed within the balloon. | 08-28-2014 |
| 20140243821 | ENERGY DELIVERY DEVICE AND METHODS OF USE - The present disclosure is directed to an expandable energy delivery assembly adapted to deliver electrical energy to tissue. The assembly includes an elongate device and an expandable portion. The expandable portion includes an inflatable element, a single helical electrode disposed on the inflatable element, and at least one irrigation aperture within the inflatable element. The inflatable element is secured to the elongate device and the single helical electrode makes between about 0.5 and about 1.5 revolutions around the inflatable element. The at least one irrigation aperture is adapted to allow fluid to flow from within the inflatable element to outside the inflatable element. | 08-28-2014 |
| 20140249525 | CATHETER 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. | 09-04-2014 |
| 20140249526 | STRETCHABLE COMPOSITE CONDUCTORS FOR FLEXIBLE ELECTRONICS, STRETCHABLE PLASMONIC DEVICES, OPTICAL FILTERS, AND IMPLANTABLE DEVICES AND METHODS FOR MANUFACTURE THEREOF - New stretchable electrically conductive composite materials comprising at least one polymer and a plurality of nanoparticles are provided, which exhibit high conductivity even at high strain levels. The composite may comprise polyurethane as the polymer and spherical gold nanoparticles. Such materials have conductivity levels as high as 11,000 Scm | 09-04-2014 |
| 20140249527 | Moisture Transport System for Contact Electrocoagulation - An apparatus and method for use in performing ablation or coagulation of organs and other tissue includes a metallized fabric electrode array which is substantially absorbent and/or permeable to moisture and gases such as steam and conformable to the body cavity. Following placement of the ablation device into contact with the tissue to be ablated, an RF generator is used to deliver RF energy to the conductive regions and to thereby induce current flow from the electrodes to tissue to be ablated. As the current heats the tissue, moisture (such as steam or liquid) leaves the tissue causing the tissue to dehydrate. Suction may be applied to facilitate moisture removal. The moisture permeability and/or absorbency of the electrode carrying member allows the moisture to leave the ablation site so as to prevent the moisture from providing a path of conductivity for the current. | 09-04-2014 |
| 20140257275 | THERMOCHROMIC POLYVINYL ALCOHOL BASED HYDROGEL ARTERY - A method of creating a thermochromic artificial blood vessel includes physically cross-linking a polyvinyl alcohol solution in a mold shaped to mimic a blood vessel to create an artificial blood vessel. The artificial tissue is then chemically cross-linked with a solution including a chemical cross-linking reagent. A coagulation solution is then applied to the artificial blood vessel to both inhibit the chemical cross-linking and promote physical cross-linking of the artificial blood vessel. The artificial blood vessel can be used to test an ablation catheter. The vessel, when heated by the ablation catheter, changes color and/or transparency at locations where the temperature of artificial blood vessel increases. | 09-11-2014 |
| 20140257276 | SYSTEM AND METHOD FOR SINUS SURGERY - A method for treating a sinus cavity is provided. The method includes the steps of inserting a plasma applicator into a sinus cavity defined in a bone mass, positioning the plasma applicator adjacent a tissue formation, generating a selectively reactive plasma effluent at the plasma applicator and directing the selectively reactive plasma effluent at the tissue formation. The selective nature of the reactive plasma enables treatment of specific targets inside the sinus while minimizing the effect on other tissues. Such treatment includes, but not limited to, sterilization of bacterial colonies, vaporization of unwanted tissues or foreign masses, stimulation of tissues by enriching the content of reactive oxygen and nitrous oxide pathways, and combinations thereof. | 09-11-2014 |
| 20140257277 | METHODS AND SYSTEMS RELATED TO ELECTROSURGICAL WANDS - Electrosurgical wands. At least some of the illustrative embodiments are electrosurgical wands having features that reduce contact of tissue with an active electrode of a wand, decrease the likelihood of clogging, and/or increase the visibility within surgical field. For example, wands in accordance with at least some embodiments may comprise standoffs, either along the outer perimeter of the active electrode, or through the main aperture in the active electrode, to reduce tissue contact. Wands in accordance with at least some embodiments may implement slots on the active electrodes to increase bubble aspiration to help keep the visual field at the surgical site clear. Wands in accordance with at least some embodiments may implement aspiration flow pathways within the wand that increase in cross-sectional area to reduce the likelihood of clogging. | 09-11-2014 |
| 20140257278 | METHODS AND SYSTEMS RELATED TO ELECTROSURGICAL WANDS - Electrosurgical wands. At least some of the illustrative embodiments are electrosurgical wands having features that reduce contact of tissue with an active electrode of a wand, decrease the likelihood of clogging, and/or increase the visibility within surgical field. For example, wands in accordance with at least some embodiments may comprise standoffs, either along the outer perimeter of the active electrode, or through the main aperture in the active electrode, to reduce tissue contact. Wands in accordance with at least some embodiments may implement slots on the active electrodes to increase bubble aspiration to help keep the visual field at the surgical site clear. Wands in accordance with at least some embodiments may implement aspiration flow pathways within the wand that increase in cross-sectional area to reduce the likelihood of clogging. | 09-11-2014 |
| 20140257279 | METHODS AND SYSTEMS RELATED TO ELECTROSURGICAL WANDS - Electrosurgical wands. At least some of the illustrative embodiments are electrosurgical wands having features that reduce contact of tissue with an active electrode of a wand, decrease the likelihood of clogging, and/or increase the visibility within surgical field. For example, wands in accordance with at least some embodiments may comprise standoffs, either along the outer perimeter of the active electrode, or through the main aperture in the active electrode, to reduce tissue contact. Wands in accordance with at least some embodiments may implement slots on the active electrodes to increase bubble aspiration to help keep the visual field at the surgical site clear. Wands in accordance with at least some embodiments may implement aspiration flow pathways within the wand that increase in cross-sectional area to reduce the likelihood of clogging. | 09-11-2014 |
| 20140257280 | MEDICAL DEVICES FOR MODULATING NERVES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a medical device for modulating nerves. The medical device may include an elongate shaft having a distal region. A balloon may be coupled to the distal region. An electrode may be disposed within the balloon. A virtual electrode may be defined on the balloon. The virtual electrode may include a region having a first conductive layer and a second conductive layer. | 09-11-2014 |
| 20140257281 | MEDICAL DEVICES FOR MODULATING NERVES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a medical device for modulating nerves. The medical device may include an elongate shaft having a distal region. A balloon may be coupled to the distal region. An electrode may be disposed within the balloon. A virtual electrode may be defined on the balloon. The virtual electrode may include a conductive region having an edge and a peripheral region disposed at least partially along the edge of the conductive region. The peripheral region may be configured to dissipate forces, electrical current, or both accumulating along the edge of the conductive region. | 09-11-2014 |
| 20140257282 | Irrigated ablation catheter system with pulsatile flow to prevent thrombus - 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 saline flow out of an inner cavity of the electrode. This fluid flow is pulsatile to increase turbulence, reducing areas of stagnant flow, and produces a desired cooling effect. | 09-11-2014 |
| 20140276776 | ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING CLAMSHELL COUPLING - A surgical device for operating on tissue comprises an end effector, a disposable shaft assembly, and an interface assembly. The shaft assembly comprises an articulation section operable to provide deflection of the end effector relative to the longitudinal axis of the shaft. The interface assembly comprises a plurality of pivotable base sections. The interface assembly comprises a plurality of drive components associated with drive shafts driven by an external system and each drive component is associated with a section of the base. The drive components are operable to cause rotation of one or both of the shaft or end effector and movement of components of the end effector. The drive components are further operable to cause articulation of the articulation section. The base sections are pivotable toward each other to couple with the shaft assembly or away from each other to disengage the shaft assembly. | 09-18-2014 |
| 20140276777 | ELECTROSURGICAL INSTRUMENT WITH MULTI-STAGE ACTUATOR - An apparatus comprises an end effector, a shaft, and a handpiece. The end effector is operable to manipulate tissue. The shaft is in communication with the end effector. The shaft includes a firing beam operable to actuate a portion of the end effector. The handpiece comprises a pivoting trigger that is operable to distally advance a firing beam driver to advance the firing beam. The handpiece also comprises an activation button and lockout assembly. The lockout assembly is movable between a locked and unlocked state. In the locked state, the lockout assembly blocks a portion of the firing beam driver from advancing. In the unlocked state, the lockout assembly allows the firing beam driver to advance. The activation button switches is operable to unlock the lockout assembly. | 09-18-2014 |
| 20140276778 | FLEXIBLE MESH ABLATION DEVICE - A flexible mesh ablation device for ablating tissue in a body lumen. The flexible mesh ablation device includes a flexible mesh with at least one conductor on an exterior surface of the flexible mesh. When the flexible mesh is compressed axially it expands radially to contact the inner surface of the body lumen and conform to the shape of the body lumen. Power is applied to the conductor ablating tissue proximate the conductor. | 09-18-2014 |
| 20140276779 | CATHETER WITH NEEDLES FOR ABLATING TISSUE LAYERS IN VESSEL - A catheter has a catheter body and a distal tip section with needles that are positioned radially to extend outside of the distal tip section to pierce and penetrate tissue layers of a vessel or tubular region. The needles are supported in a retracted position inside the distal tip section on an elongated support member. For deployment, the needles are lifted and a portion thereof pushed through openings in the distal tip section by an actuator that is longitudinally slidable on the elongated support member. The actuator has a tapered end to help lift the needle onto the actuator. In another embodiment, an inflatable balloon member with needles is movable between retracted and deployed positions. | 09-18-2014 |
| 20140276780 | CATHETER ADAPTED FOR USE WITH GUIDE WIRE FOR ACCESSING VESSELS - An ablation catheter adapted for use with a guide wire has a 3-D shaped portion that carries ring electrodes for ablating a vessel or tubular region, including the renal artery. The 3-D shaped portion, for example, a helical portion, enables the ring electrodes to contact an inner surface of the vessel at a plurality of locations at different depths along the vessel to form a conduction block without forming a closed conduction loop which would otherwise increase the risk of stenosis of the vessel. In one embodiment, the catheter has a lumen with entry and exit ports to allow the guide wire to pass through the lumen but bypass the 3-D shaped portion. In another embodiment, the catheter has outer bands providing side tunnels through which the guide wire can pass through. | 09-18-2014 |
| 20140276781 | METHOD AND SYSTEM FOR DELIVERING A TISSUE TREATMENT USING A BALLOON-CATHETER SYSTEM - A balloon catheter system configured to deliver one or more stimulation signal to a tissue comprises an expandable balloon disposed around a distal portion of a catheter, a plurality of electrodes, and an external sheath having a lumen sized to slidably accommodate the expandable balloon, catheter and the plurality of electrodes. The plurality of electrodes are flexibly distributed along a balloon length and are configured to deliver the stimulation signals to the tissue. The plurality of electrodes may preferably be disposed on a flexible frame coupled externally of the expandable balloon and in sliding engagement to the balloon during inflation and deflation. The flexible frame may further comprise one or more sensors. The external sheath is made of a non-conductive material and is configured to prevent delivery of the stimulation signals by the electrodes disposed along an inoperable length of the expandable balloon when the balloon is inflated. | 09-18-2014 |
| 20140276782 | CATHETER SYSTEM - A catheter system that includes a catheter element sized to pass through blood vessels to an organ of an animal. The distal end portion of the catheter element is capable of assuming and maintaining a curved configuration. A medical element is disposed with respect to the catheter element so as to interact therewith, the medical element being capable of assuming and maintaining a curved configuration. At least one ablating or mapping tool is disposed on the distal end portion of either the medical element or the catheter element, or both, for either mapping or ablating tissue in the organ when the distal end portion of the catheter system is disposed in the organ. The catheter system can include a hand grip for controlling the catheter system. | 09-18-2014 |
| 20140276783 | Multi-Electrode Apposition Judgment Using Pressure Elements - Apparatus and methods for determining positioning of a energy delivery element include deploying a energy delivery element at a treatment site proximal to a vessel wall; using a multi-region pressure sensing apparatus to sense pressures applied in a plurality of directions about the energy delivery element; and determining an orientation of the energy delivery element based on the pressures measured in the plurality of directions about the energy delivery element. | 09-18-2014 |
| 20140276784 | SYSTEM AND METHOD FOR BIOFILM REMEDIATION - A method for removing biofilm from a lumen of a medical implant is disclosed. The method includes the steps of inserting a plasma applicator into a lumen defined in a medical implant, the lumen having a proximal end portion and a distal end portion having an opening therein, positioning the plasma applicator adjacent a biofilm formation, generating a selectively reactive plasma effluent at the plasma applicator and directing the selectively reactive plasma effluent at the biofilm formation. | 09-18-2014 |
| 20140276785 | ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument comprising a first arm carrying at least a first and optionally a second and third electrode, and a second arm opposing the first arm, the second arm carrying one of a nonconductor element or one or more conductive elements. | 09-18-2014 |
| 20140276786 | OFFSET FORCEPS - An electrosurgical device comprising: forceps including: (i) a first working arm having a contact surface and (ii) a second working arm having a contact surface; wherein the forceps has a first electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surfaces of the forceps can be used to grip an item between the working arms and so that the forceps is configured to deliver a first therapy current through the first working arm, the second working arm, or both; and wherein the forceps has second electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other and an electrode edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge. | 09-18-2014 |
| 20140276787 | DEFLECTABLE MEDICAL DEVICES - A deflective medical device including a catheter shaft having a distal end, and an ablation electrode disposed at the distal end of the catheter shaft. A deflection body is provided within the catheter shaft, and the deflection body includes a longitudinally extending spine. Multiple slots are formed in the deflection body, and the slots define a group of ribs. A flex member is disposed distal to the deflection body, and an intermediate region is defined between the deflection body and the flex member. A deflection mechanism is coupled to the intermediate region, which includes a retaining member, a collar, and a pull wire coupled to the collar. | 09-18-2014 |
| 20140276788 | ABLATION CATHETER HAVING ELECTRONIC DEVICE DISPOSED WITHIN A LUMEN - The present disclosure relates generally to catheter devices, including irrigated and non-irrigated ablation catheters. More specifically, this disclosure relates to irrigated ablation catheters including an irrigation lumen having at least one electronic device at least partially disposed therein. In many embodiments, the irrigation lumen further includes at least one sideport. In some embodiments, the electronic device has a distal end extending out of the irrigation lumen and into an electrode tip assembly. In some embodiments, a proximal end of the electronic device extends through the sideport in the irrigation lumen. | 09-18-2014 |
| 20140276789 | METHODS 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 medical device may include a medical device for renal nerve ablation. The medical device may include a catheter shaft having a distal region. An expandable balloon may be coupled to the distal region. An electrode assembly may be coupled to the balloon. The electrode assembly may include a first electrode pad including one or more electrodes. The first electrode pad may have a first lead-in edge, a first protruding edge, and a first transition region with a continuously changing curvature disposed between the first lead-in edge and the first protruding edge. | 09-18-2014 |
| 20140276790 | DEVICES FOR TISSUE SEPARATION AND RELATED METHODS OF USE - The present disclosure is directed to a medical instrument. The medical instrument may include a shaft having a distal end configured to cauterize tissue. An expandable member may be positioned adjacent the distal end of the shaft. The expandable member may be configured for deployment between a collapsed configuration and an expanded configuration. | 09-18-2014 |
| 20140276791 | Treatment Device With Electrode Contact Surface Configured for Enhancing Uniformity of Electrical Energy Distribution and Associated Devices and Methods - Treatment devices with electrode contact surfaces configured for enhancing uniformity of electrical energy distribution are provided. In one embodiment, a treatment device includes a tubular electrode having a wall, a contact surface defined by the wall, and cut shapes at least partially extending through the wall. The tubular electrode is configured to transmit electrical energy to a treatment site within a body lumen via the contact surface, and the individual cut shapes are configured to draw a portion of the electrical energy toward an interior region of the contact surface. A shaft having a distal end portion operably coupled to the tubular electrode can locate the tubular electrode at the treatment site. | 09-18-2014 |
| 20140276792 | FLUID DELIVERY SYSTEM AND METHOD FOR TREATMENT - A treatment system includes a fluid cooling supply system for chilling and delivering liquid coolant to a patient. The fluid cooling supply system includes a cooling device and a heat exchanger device. The heat exchanger device is biased to the cooling device and is in fluid communication with a treatment device in a patient. The fluid cooling supply system includes at least one biasing mechanism to provide a given biasing force between the heat exchanger device and the cooling device to effectuate and improve heat transfer. The liquid coolant may be circulated through an energy delivery device positioned in an airway of a patient to preserve tissue. The system is controlled to circulate liquid coolant at a given temperature and pressure for a selected amount of time during pulmonary treatment of a patient. | 09-18-2014 |
| 20140288551 | ERYTHROPOEITIN PRODUCTION BY ELECTRICAL STIMULATION - Described herein are methods, devices, and systems for treating human anemia. The methods, devices, and systems generally include monitoring a patients hemoglobin level and at least one of autonomic balance and inflammatory state to determine the etiology of the anemic state, modulating at least one of a sympathetic or parasympathetic nerve based on the cause of the anemia, monitoring for changes in the patients cardiac activity and state of inflammation, and hemoglobin level. An external neurostimulation system is describes, and well as a chronic implantable system. A method for treating a patient for anemia in conjunction with a renal denervation ablation catheter is also disclosed. | 09-25-2014 |
| 20140288552 | ABLATION 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. | 09-25-2014 |
| 20140296845 | COIL ELECTRODE FOR THERMAL THERAPY - A coil electrode for use with an RFA (radio frequency ablation) apparatus, has a lead portion, and a helical portion coupled to the lead portion, the helical portion being formed of Nitinol SE510. Further, an RFA (radio frequency ablation) apparatus, comprises an applicator, the applicator including a handle and a cannulating delivery needle mounted to the handle, the cannulating delivery needle including a tip spaced apart from the handle. A coil electrode includes a lead portion housed in the cannulating delivery needle, and a helical portion coupled to the lead portion, the helical portion formed of Nitinol. The helical portion has a retracted state when housed within the cannulating delivery needle and a deployed state when moved out of the tip of the cannulating delivery needle. | 10-02-2014 |
| 20140296846 | EXPANDABLE SUPPORT STRUCTURE FOR DELIVERY THROUGH A WORKING CHANNEL - Methods, systems, and devices for providing treatment to a target site are described. The system may include a guide assembly, an expandable support device coupled with the distal end of the guide assembly, and an operative member disposed on the expandable support device. The expandable support device may be configured to transition between a collapsed and expanded configuration. The expandable support device may be supported by one or more flexible supports aligned in parallel with an axis about which the expandable support device collapses and/or multiple splines arranged in a pattern configured to promote transitioning of the expandable support device between an expanded and collapsed configuration. The guide assembly may be configured to provide torque to the expandable support device. The operative member can include multiple electrodes arranged in parallel to the axis about which the expandable support device collapses. | 10-02-2014 |
| 20140296847 | Unitary Endoscopic Vessel Harvesting Devices - Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel. | 10-02-2014 |
| 20140296848 | OPERATIVE ELEMENT SUPPORT STRUCTURE WITH SLOTTED TUBULAR BASE - Systems, methods, and devices are provided that include a releasable mount device that may be utilized to couple an operative element, such as an ablation device, with a therapeutic or diagnostic device, such as an endoscope. The releasable mount device may include a tubular base. The tubular base may include a slot extending in a longitudinal direction between a distal end and a proximal end of the tubular base. The tubular base may be configured to radially expand whereby a slot width of the slot may increase from a first width to a second width in order to clamp the tubular base onto the therapeutic or diagnostic device. The tubular base may be configured without a slot, in some cases, with a diameter larger than the therapeutic or diagnostic device. The tubular base may include one or more gripping members. The releasable mount device may include a support member configured to couple with the operative element. | 10-02-2014 |
| 20140296849 | ENERGY DELIVERY DEVICES FOR HEPATIC NEUROMODULATION - According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery. | 10-02-2014 |
| 20140296850 | MULTIPOLARITY EPICARDIAL RADIOFREQUENCY ABLATION - A method of ablating an epicardial tissue region, including positioning a medical device adjacent the epicardial tissue region, the medical device having a first electrode, a second electrode, and a third electrode located in between the first and second electrodes; delivering an irrigation fluid to the tissue region; and ablating at least a portion of the tissue region by sequentially activating the third electrode in a monopolar radiofrequency delivery mode and activating the first and second electrodes in a bipolar radiofrequency delivery mode. | 10-02-2014 |
| 20140303617 | INTRAVASCULAR NERVE ABLATION DEVICES & METHODS - Methods, systems, and devices for ablating nerves within an artery. The method includes selecting an ablation device having an outer guiding catheter and an inner treatment catheter including an expandable element and an ablative element on the expandable element. The ablation device is selected such that the expandable element is sized to apply an outward force against a portion of the inner wall of the artery substantially sufficient to hold the artery open during an arterial spasm event. The method can include advancing the ablation device to the treatment location, positioning the treatment catheter out of the guiding catheter, expanding the expandable element such that after expansion the expandable element applies the outward force against the portion of the inner wall of the artery, and ablating the inner wall of the artery using the ablation element after expanding the expandable element and without moving the treatment catheter. | 10-09-2014 |
| 20140303618 | MULTI-DIRECTIONAL DEFLECTABLE CATHETER APPARATUSES, SYSTEMS, AND METHODS FOR RENAL NEUROMODULATION - Multi-directional deflectable 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 a thermal element to a renal artery via an intravascular path. Thermally 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. | 10-09-2014 |
| 20140303619 | IRRIGATED CATHETER - A fluid delivery catheter configured to allow optimal fluid distribution through each electrode by varying the diameter of a catheter lumen is disclosed. Uniform or different fluid flow rates through longitudinally spaced apart elution holes may be achieved. Exemplary fluids for use with the catheter include a cooling fluid, a therapeutic fluid, and a medication. | 10-09-2014 |
| 20140316405 | DENERVATION METHODS - System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a radial opening at or near the distal end of the trocar. The system includes a curveable cannula sized to be received in the central channel, the curveable cannula comprising a curveable distal end configured to be extended laterally outward from the radial opening in a curved path extending away from the trocar. The curveable cannula has a central passageway having a diameter configured allow a probe to be delivered through the central passageway to a location beyond the curved path. | 10-23-2014 |
| 20140316406 | Visual Electrode Ablation Systems - A method of ablating a tissue region within a blood-filled environment comprises restraining a fluid within a visualization field in a portion of the blood-filled environment and visualizing the tissue region through the fluid within the visualization field. The method also includes transmitting ablating electrical energy from the fluid into the visualized tissue region. | 10-23-2014 |
| 20140316407 | Universal shaft for magnetic manipulation of catheters - A magnetically-guided catheter includes a tip positioning magnet in the distal end portion thereof configured to interact with externally applied magnetic fields for magnetically-guided movement. The magnet may be geometrically asymmetric, for example, a C-shape in radial cross-section, so as to allow side-loading of an irrigation fluid lumen and other wire(s) or lines during fabrication. The outer shaft includes a plurality of segments, including a generally soft segment at the distal end thereof for magnetically-guided navigation. The fluid lumen, which extends through the outer shaft, and further extends completely through the magnet for coupling to the ablation electrode irrigation fluid inlet, is constructed so that its mechanical properties (i.e., flexibility) substantially matches that of the outer shaft. The combination of the outer shaft, inner fluid lumen and positioning magnet has interoperability with a broad range of ablation tip assemblies. | 10-23-2014 |
| 20140316408 | SURGICAL INSTRUMENT WITH JAW MEMBER - A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands. | 10-23-2014 |
| 20140324042 | RADIO 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. | 10-30-2014 |
| 20140324043 | Electrode Assembly For Catheter System - An electrode assembly for a catheter system has a longitudinal axis, a proximal end and a distal end. Multiple struts extend coextensively with each other from the proximal end to the distal end of the electrode assembly. Each strut carries an electrode spaced longitudinally from the proximal end of the electrode assembly. The longitudinal spacing of one electrode from the proximal end of the electrode assembly is different from the longitudinal spacing of another electrode from the proximal end of the electrode assembly. The electrode assembly is configurable between a collapsed configuration and an expanded configuration, with the electrodes being transversely spaced from the longitudinal axis of the electrode assembly a greater distance in the expanded configuration than in the collapsed configuration. In the expanded configuration, the electrodes are transversely spaced from the longitudinal axis of the electrode assembly approximately the same distance. | 10-30-2014 |
| 20140330270 | METHOD OF ABLATING SCAR TISSUE TO ORIENT ELECTRICAL CURRENT FLOW - Methods of tissue ablation avoid undesirable electrical current patterns in the heart, for example. A method of ablating scar tissue to improve the circulation of electrical current comprises receiving information relating to the flow of electrical current across a surface of biological tissue, the flow defining an upstream direction and a downstream direction. In accordance with the invention, the biological tissue is ablated to form or modify a bluff body to create a tail portion, the tail portion being aligned so as to lie on the downstream side of the bluff body and pointing away from the direction of the incoming current. The method may include the step of forming or modifying the bluff body to create a symmetrical teardrop shape. The surface of biological tissue may be a three-dimensional surface, in which case the method may include the step of mapping the surface in two dimensions to orient the bluff body. | 11-06-2014 |
| 20140336635 | SURGICAL FORCEPS - A surgical forceps includes a first shaft member including a proximal portion having a handle at a proximal end thereof and a distal portion having a jaw member at a distal end thereof. The proximal and distal portions are pivotable between an aligned position and an angled position. A second shaft member includes a jaw member at a distal end thereof and a handle at a proximal end thereof. The shaft members are pivotable relative to one another between a spaced-apart position and an approximated position for moving the jaw members relative to one another between an open position and a closed position to grasp tissue therebetween. The proximal portion of the first shaft member is pivoted relative to the distal portion of the first shaft member from the aligned position to the angled position upon movement of the first and second shaft members towards the spaced-apart position. | 11-13-2014 |
| 20140336636 | FLEXIBLE CIRCUIT FOR DELIVERY THROUGH A WORKING CHANNEL - Methods, systems, and devices for providing treatment to a target site are described. The system may include a guide assembly, an expandable support device coupled with the distal end of the guide assembly, and an operative member disposed on the expandable support device. The expandable support device may be configured to transition between a collapsed and expanded configuration. The expandable support device may be supported by one or more flexible supports aligned in parallel with an axis about which the expandable support device collapses and/or multiple splines arranged in a pattern configured to promote transitioning of the expandable support device between an expanded and collapsed configuration. The guide assembly may be configured to provide torque to the expandable support device. The operative member can include multiple electrodes arranged in parallel to the axis about which the expandable support device collapses. | 11-13-2014 |
| 20140336637 | SYSTEMS AND METHODS FOR TEMPERATURE MONITORING AND CONTROL DURING AN ABLATION PROCEDURE - A medical system configured for nerve modulation can include an elongate shaft, having a distal end region and a proximal end region is disclosed. Adjacent the distal end region an ablation electrode can be disposed. The system can further include a first optical fiber, having a proximal end and a distal end, extending along an outer surface of the elongate shaft, and in turn a number of (fiber Bragg Grating) FBG sensors therein. The FBG sensors can be positioned adjacent to the ablation electrode. An optical read out mechanism can be optically coupled to the optical fiber to transmit light into the optical fiber and detect light reflected from the FBG sensor. Here, the detected light, reflected from FBG temperature sensors, encodes local temperatures at each of the FBG temperature sensors. | 11-13-2014 |
| 20140336638 | Methods 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. | 11-13-2014 |
| 20140336639 | ABLATION 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. | 11-13-2014 |
| 20140336640 | CATHETER WITH MULTIPLE IRRIGATED ELECTRODES AND A FORCE SENSOR - A probe, including an insertion tube and an electrode mounted on a distal end of the insertion tube. A force sensor is mounted in the distal end of the insertion tube. The force sensor has a central opening and is configured to measure a force on the distal end. The probe also includes tubing, passing through the central opening, which is configured to supply irrigation fluid through apertures in the electrode. | 11-13-2014 |
| 20140336641 | SURGICAL 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. | 11-13-2014 |
| 20140336642 | ELECTROSURGICAL ELECTRODE AND METHOD OF MANUFACTURING SAME - An electrosurgical device coated an epoxy modified rigid silicone powder coating which includes a solvent-free hydroxyl functional solid phenyl silicone resin in the range of about 40% to about 60% parts per weight of the coating; a calcium metasilicate in the range of about 20% to about 40% parts per weight of the coating; an epoxy cresol novalac resin in the range of about 5% to about 15% parts per weight of the coating; an ultra-fine air micronized muscovite mica in the range of about 0% to about 10% parts per weight of the coating; a 60% active powder version of a methyl alkyl polysilaxane in the range of about 3% to about 7% parts per weight of the coating; a high temperature calcination of coprecipitated compound with manganese-copper-iron in the range of about 0% to about 10% parts per weight of the coating; an o-cresol novolac resin in the range of about 0.5% to about 3% parts per weight of the coating; and an acrylate copolymer in the range of about 0.5% to about 3% parts per weight of the coating. This coating is applied to the surfaces of an electrosurgical device minimize the build-up of charred tissue (i.e., eschar) on the surfaces of the electrosurgical device. | 11-13-2014 |
| 20140343546 | Magnetically 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. | 11-20-2014 |
| 20140343547 | ELECTROSURGICAL INSTRUMENT & SYSTEM - An electrosurgical instrument includes an instrument shaft, a suction tube extending along the shaft, and a tissue treatment electrode at the distal end of the shaft. The tissue treatment electrode includes at least a first part and a second part, the first and second parts each having an outer section including mating surfaces adapted to form a close-fitting barrier when the first and second parts are mated one with another, such as to inhibit the passage of gas across the barrier. At least one of the parts also includes an inner section with a longitudinal recess so as to form a suction lumen when the first and second parts are mated one with another. The suction lumen is in fluid communication with the suction tube, the tissue treatment electrode also including one or more apertures in communication with the suction lumen. | 11-20-2014 |
| 20140343548 | ELECTROSURGICAL INSTRUMENT & SYSTEM - An electrosurgical instrument includes an instrument shaft, and a suction tube extending along the shaft, the suction tube being formed of an electrically-conductive material and including a way or portion by which it can be connected to a source of electrosurgical energy. A blade-like tissue treatment electrode extends from the shaft, the blade-like tissue treatment electrode being integrally formed by the distal end of the suction tube. The distal end of the suction tube is flattened to form the blade-like tissue treatment electrode, and the distal end of the suction tube is disposed at an angle to the longitudinal axis of the shaft. | 11-20-2014 |
| 20140343549 | SYSTEM AND METHOD FOR POSITIONING IMPLANTABLE MEDICAL DEVICES WITHIN CORONARY VEINS - An improved system and method for placing implantable medical devices (IMDs) such as leads within the coronary sinus and branch veins is disclosed. In one embodiment, a slittable delivery sheath and a method of using the sheath are provided. The sheath includes a slittable hub, and a substantially straight body defining an inner lumen. The body comprises a shaft section and a distal section that is distal to, and softer than, the shaft section. A slittable braid extends adjacent to at least a portion of one of the shaft section and the distal section. In one embodiment of the invention, the sheath further includes a transition section that is distal to the shaft section, and proximal to the distal section. The transition section is softer than the shaft section, but stiffer than the distal section. | 11-20-2014 |
| 20140350550 | CONFIGURABLE CONTROL HANDLE FOR CATHETERS AND OTHER SURGICAL TOOL - A control handle for a surgical tool, e.g., an irrigated ablation catheter for use with a fluid side arm, has a housing defining an interior cavity and having a port through which the component can extend into the interior cavity. The housing has a detachable plug covering at least a portion of the port and being at least partially surrounded by a recessed groove to facilitate detachment of the plug from the housing. The recessed groove may be formed on an outer surface of the housing and there may be a second recessed groove on an inner surface of the housing generally tracing the first groove. The plug may also include a hinge to allow the plug to be arranged at an angled position relative to the housing without being fully detached from the housing. | 11-27-2014 |
| 20140350551 | ELECTRODE ASSEMBLY FOR CATHETER SYSTEM - In an electrode assembly for a catheter system, a plurality of struts each extend from a proximal end to a distal end of the electrode assembly. Each strut spirals about the longitudinal axis of the electrode assembly and has a corresponding electrode disposed thereon. The electrode assembly is configurable between a collapsed configuration and an expanded configuration, with the electrodes being transversely spaced from the longitudinal axis of the electrode assembly a greater distance in the expanded configuration than in the collapsed configuration. In the expanded configuration the electrodes are transversely equally spaced from the longitudinal axis of the electrode assembly. In other aspects, at least one asymmetric element is provided on the electrode assembly to facilitate symmetric expansion about the longitudinal axis of the assembly. In another aspect, the electrode assembly is a single coil that winds about the longitudinal axis of the assembly. | 11-27-2014 |
| 20140350552 | CATHETER 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. | 11-27-2014 |
| 20140350553 | RENAL ARTERY ABLATION CATHETER AND SYSTEM - Provided is a catheter ( | 11-27-2014 |
| 20140364845 | Electrophysiology/ablation catheter having lariat configuration of variable radius - A remotely deflectable electrophysiology/ablation catheter of the type intended for placing into an interior passage of the heart. The distal end of the catheter has a pair of tension/compression members each with a flattened end portion connected to the distal electrode and extending through the catheter casing and attached to an actuator for effecting the tension/compression thereon for remotely curling the distal end of the catheter. Spaced ring electrodes are provided adjacent the distal electrode. A permanent bend is pre-formed in the casing and tension/compression members adjacent the ring electrodes about an axis perpendicular to the elongated tension/compression members. Movement of the remote actuator causes the distal portion of the catheter to curl into a lariat in a plane perpendicular to the axis along the elongated catheter casing, thus permitting electrical mapping or ablation with the distal and/or ring electrodes. | 12-11-2014 |
| 20140364846 | NEUTRAL ELECTRODE DETECTION - Neutral electrodes are known having at least two electrodes electrically insulated from each other, the active surfaces of which can be applied to a skin segment of a patient and having a cover film attached to the active surfaces and removed prior to application to the skin segment. It is proposed that at least segments of the cover film are embodied with a defined electrical resistance so that a defined resistance is created between the electrodes. | 12-11-2014 |
| 20140364847 | RESECTOSCOPE COMPRISING A SHAFT - The disclosure relates to a resectoscope comprising a shaft and an electrode arrangement that is mounted to be displaceable in a direction of the shaft, shaft, and a carriage that can be displaced in the same direction and that is provided with a carriage contact and with a receiving bore which extends parallel the shaft direction and into which the proximal end region of said electrode arrangement can be inserted by means of an electrode contact for contacting the carriage contact, contact, wherein one of the contacts is formed as a plug-in socket and the other one is formed as a matching plug-in pin, wherein the carriage contact is formed as a plug-in pin. | 12-11-2014 |
| 20140364848 | SYSTEM FOR OPTIMIZED COUPLING OF ABLATION CATHETERS TO BODY TISSUES AND EVAULATION OF LESIONS FORMED BY THE CATHETERS - A system for diagnosis or treatment of tissue in a body is provided. The system includes an ablation catheter having a deformable, elongate shaft having proximal and distal ends. The catheter further includes an ablation delivery member disposed proximate the distal end of the shaft and configured to deliver ablation energy to ablate the tissue. In one embodiment, the ablation delivery member comprises an ablation electrode and may also be configured to generate a signal indicative of electrical activity in the tissue. The catheter further includes one or more sensing electrodes disposed proximate the ablation delivery member. The sensing electrodes are configured to generate signals indicative of electrical activity in the tissue. The system further includes an electronic control unit configured to control delivery of ablation energy from the ablation delivery member responsive to one or more of the generated signals indicative of electrical activity in the tissue. | 12-11-2014 |
| 20140364849 | SYSTEM AND METHOD FOR SENSING TISSUE CHARACTERISTICS - A medical device for treating and analyzing tissue includes a plasma applicator having a housing. The housing includes a substantially tubular shape and defines 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 energize the 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 is configured to collect a portion of a plasma effluent. | 12-11-2014 |
| 20140364850 | METHOD FOR ABLATING TISSUE WITH MULTIPLE ABLATION PROBES - A tissue ablation system comprises an ablation source, such as an RF ablation source, configured for generating a common power signal, and a power multiplexor configured for splitting the power signal into first and second power signals, substantially attenuating the second power signal relative to the first power signal to create nominal and attenuated power signals, and sequentially delivering the nominal power signal to each tissue ablation probe, while delivering the attenuated power signal to the remaining ablation probes to which the nominal power signal is currently not delivered. | 12-11-2014 |
| 20140371741 | METHODS OF PERFORMING CARDIAC SURGICAL PROCEDURES AND KITS FOR PRACTICING THE SAME - Aspects of the present disclosure include methods of performing a cardiac surgical procedure on a subject. The methods include performing the cardiac surgical procedure in combination with pulmonary vein isolation and left atrial appendage modification. Kits for use in performing a cardiac surgical procedure are also provided, the kits including a device configured to perform a pulmonary vein isolation procedure, and a device configured to perform a left atrial appendage modification. | 12-18-2014 |
| 20140371742 | Anatomical Ablation System for the Purpose of Pulmonary Vein Isolation - An ablation catheter arrangement for high-frequency ablation of tissue portions on the wall of a hollow organ or vessel in a patient, in particular for pulmonary vein isolation, Including an elongate flexible catheter body including an ablation catheter and an electrode feed line and a rinse duct in the catheter body, and also an ablation electrode and a rinse opening at a distal end of the catheter body, an advance control means for advancing or withdrawing the distal end of the ablation catheter relative to the wall of the hollow organ or vessel, and a guide path device for forcibly guiding the distal end of the ablation catheter along a curved three-dimensional movement path during advance and withdrawal. | 12-18-2014 |
| 20140371743 | ELECTROSURGICAL INSTRUMENT AND JAW PART THEREFOR - An electrosurgical instrument including a jaw part made up of mutually movable instrument legs which have facing sides on which one or more electrode areas are arranged/formed in each case, the movement of the instrument legs relative to each other being able to be limited by at least one first spacer acting on proximal end portions of the instrument legs and at least one second spacer acting on distal end portions of the instrument legs. At least one of the spacers on at least one electrode is manufactured from an electrically conductive material and is connected to the electrode in electroconductive fashion. Furthermore, the spacer cooperates with a local spacer abutment surface which is made of a non-conductive material and arranged in electrically insulating manner on at least one opposing electrode. | 12-18-2014 |
| 20140371744 | ELECTRONIC CIRCUIT ARRANGEMENT AND METHOD OF MANUFACTURING THE SAME - The present invention relates to an electronic circuit arrangement ( | 12-18-2014 |
| 20140371745 | RF ENERGY DELIVERY SYSTEM AND METHOD - Devices, systems and methods are disclosed for the ablation of tissue. A steerable ablation catheter can include one or more ablation elements at its distal end and one or more ablation elements fixedly attached to its shaft. The distal end of the ablation catheter can be deflected to assume a number of different deflection geometries in at least one direction along the shaft. One feature of the ablation catheter is that its shaft can comprise materials of differing durometers or stiffnesses attached together at a joint. Methods associated with use of the ablation catheter are also covered. | 12-18-2014 |
| 20140378963 | TREATMENT OF UTERINE FIBROIDS BY ARTERIAL ABLATION - Methods and apparatus for ablating blood vessels in treatment of uterine fibroids. A monopolar electrode provided on a needle probe is positioned in an artery supplying blood to a uterine fibroid. Energy is supplied to the electrode to ablate the artery. In this way, the uterine fibroid and the surrounding tissues remain relatively undamaged, and the uterine fibroid, deprived of its blood source, is allowed to necrose and eventually shrink. | 12-25-2014 |
| 20140378964 | Methods of Sterilization and Treating Infection Using Irreversible Electroporation - A method for treating an infection using irreversible electroporation is presented. The method includes providing an ablation device that has at least one electrode and inserting the ablation device into a target tissue of a patient. The tissue at least partially surrounds the implanted medical device. The outer surface of the medical device is at least partially covered by infectious cells. The method also involves positioning at least one electrode in or near the implanted medical device and delivering electrical pulses to or near the implanted medical device sufficient to irreversibly electroporate the infectious cells. | 12-25-2014 |
| 20140378965 | ELECTROSURGICAL ELECTRODE - An electrode for vaporising tissue comprises a head ( | 12-25-2014 |
| 20140378966 | RENAL DENERVATION BALLOON CATHETER WITH RIDE ALONG ELECTRODE SUPPORT - A renal nerve ablation device may include an elongate tubular member having a distal region. An expandable member may be coupled to the distal region. An electrode support may be coupled to the distal region of the elongate tubular member and extend over a body of the expandable member. The electrode support may be free of connection to the body of the expandable member. One or more electrodes may be coupled to the electrode support. | 12-25-2014 |
| 20140378967 | MEDICAL DEVICES FOR RENAL NERVE ABLATION HAVING ROTATABLE SHAFTS - A medical device for renal denervation may include a catheter shaft including an outer shaft having a lumen formed therein and an inner shaft extending within the lumen of the outer shaft. The catheter may further include an expandable member having a proximal region coupled to a distal region of the outer shaft, and a distal region of the expandable member may be coupled to a distal region of the inner shaft. In some embodiments, one or more active electrodes may be disposed on an exterior surface of the expandable member and capable of providing the renal denervation treatment. In some embodiments, the inner shaft may be rotatable in relation to the outer shaft and/or the outer shaft may be rotatable in relation to the inner shaft. | 12-25-2014 |
| 20140378968 | MEDICAL DEVICES FOR RENAL NERVE ABLATION - Medical devices and methods for making and using the same are disclosed. An example medical device may include a medical device for ablation procedures. The medical device may include an elongate shaft having a distal region. An expandable member may be coupled to the distal region. One or more active electrode assemblies may be coupled to the expandable member. The one or more of the active electrode assemblies may include a resistive element adjacent the expandable member. The electrode assembly may include or may be used with microheaters. | 12-25-2014 |
| 20140378969 | ELECTROSURGICAL INSTRUMENT - An electrosurgical instrument is provided for the treatment of tissue, the instrument ( | 12-25-2014 |
| 20140378970 | SYSTEMS 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. | 12-25-2014 |
| 20150011991 | Electrode Assembly For Catheter System - In an electrode assembly for a catheter system, a plurality of struts extends from a proximal end to a distal end of the electrode assembly. Each strut has a longitudinally extending proximal leg, a longitudinally extending distal leg, and a center segment extending between and interconnecting the proximal leg and the distal leg. A hinge interconnects the proximal leg and the center segment, and another hinge interconnects the distal leg and the center segment. The center segment of each of the struts has a corresponding electrode thereon. The electrode assembly is configurable between a collapsed configuration and an expanded configuration, with the electrodes being transversely spaced from the longitudinal axis of the electrode assembly a greater distance in the expanded configuration than in the collapsed configuration. | 01-08-2015 |
| 20150011992 | IRRIGATED 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. | 01-08-2015 |
| 20150011993 | ELECTROSURGICAL PROBE AND ELECTROSURGERY DEVICE - The invention relates to an electrosurgical probe, including a rod-shaped probe body, at least two electrodes, and a fluid outlet, wherein a separating element is provided between the electrodes. | 01-08-2015 |
| 20150018816 | ELECTRODE ASSEMBLY FOR USE WITH SURGICAL INSTRUMENTS - A system for treating tissue is provided. The system includes a source of electrosurgical energy and one or more microcontrollers. A surgical instrument is electrically coupled to the source of electrosurgical energy and includes an end effector including a pair of first and second jaw members. An electrode assembly includes first and second electrodes that are configured to selectively couple to the first and second jaw members, respectively, for treating. One or both of the first and second electrodes includes one or more pressure sensors configured to communicate a pressure between the first and second jaw members to the microcontroller as the first and second jaw members grasp tissue. One or both of the first and second electrodes includes one or more position sensors configured to provide position information to the microcontroller as the first and second electrodes grasp tissue. | 01-15-2015 |
| 20150018817 | MULTIPLE ELECTRODE CONDUCTIVE BALLOON - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a medical device for modulating nerves. The medical device may include an elongate shaft having a distal region. A balloon may be coupled to the distal region. An electrode may be disposed within the balloon. A virtual electrode may be defined along the balloon. The virtual electrode may include a region having a first non-conductive layer and a second conductive layer. | 01-15-2015 |
| 20150018818 | DEVICES AND METHODS FOR NERVE MODULATION - Systems for nerve and tissue modulation are disclosed. An illustrative system may include an intravascular nerve modulation system including a catheter shaft, an expandable basket and one or more electrode assemblies affixed to the expandable basket. The one or more electrode assemblies may be affixed to the expandable basket using one or more covers or coatings. | 01-15-2015 |
| 20150018819 | MEDICAL DEVICE WITH STRETCHABLE ELECTRODE ASSEMBLIES - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter shaft. An expandable balloon may be coupled to the catheter shaft. The balloon may be capable of shifting between an unexpanded configuration and an expanded configuration. Electrode assemblies with electrical pathways may be coupled to the balloon. The electrical pathways may be capable of shifting between a serpentine configuration when the balloon is unexpanded to a straighter configuration when the balloon is expanded. | 01-15-2015 |
| 20150018820 | APPARATUS AND METHODS FOR RENAL DENERVATION - Some embodiments are directed to medical devices and methods for making and using the medical devices. An exemplary medical device includes a catheter having an elongated shaft and an inflatable balloon mounted at or on a distal portion of the elongated shaft. The catheter further includes a first electrically conductive blade, and a second electrically conductive blade. Each blade may be configured to contact tissue upon inflation of the balloon. The blades may contact the tissue with reduced or minimal incising of the tissue, or even without incising the tissue, within a body lumen. Thermal energy may be applied to the tissue upon electrical energy being applied to the respective blades. | 01-15-2015 |
| 20150018821 | METHODS AND APPARATUS FOR INTRAVASCULARLY-INDUCED NEUROMODULATION - Methods and apparatus are provided for intravascularly-induced neuromodulation using a pulsed electric field, e.g., to effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, changes in cytokine upregulation, etc., in target neural fibers. In some embodiments, the intravascular PEF system comprises a catheter having a pair of bipolar electrodes for delivering the PEF, with a first electrode positioned on a first side of an impedance-altering element and a second electrode positioned on an opposing side of the impedance-altering element. A length of the electrodes, as well as a separation distance between the first and second electrodes, may be specified such that, with the impedance-altering element deployed in a manner that locally increases impedance within a patient's vessel, e.g., with the impedance-altering element deployed into contact with the vessel wall at a treatment site within the patient's vasculature, a magnitude of applied voltage delivered across the bipolar electrodes necessary to achieve desired neuromodulation is reduced relative to an intravascular PEF system having similarly spaced electrodes but no (or an undeployed) impedance-altering element. In a preferred embodiment, the impedance-altering element comprises an inflatable balloon configured to locally increase impedance within a patient's vasculature. The methods and apparatus of the present invention may be used to modulate a neural fiber that contributes to renal function. | 01-15-2015 |
| 20150018822 | NEEDLE ASSEMBLIES AND SYSTEMS FOR USE IN ABLATION PROCEDURES AND RELATED METHODS - Needle assemblies for use in ablation procedures include a needle having an electrically conductive portion and at least one conductive member extending at least partially through a bore of the needle. A portion of the at least one conductive member is physically and electrically connected to the electrically conductive portion of the needle. Ablation systems and methods of ablation may include such needle assemblies. Methods of forming needle assemblies for use in ablation procedures include disposing at least one conductive member within a needle and physically and electrically connecting the at least one conductive member to an electrically conductive portion of the needle. | 01-15-2015 |
| 20150018823 | MEASUREMENT OF A COMPRESSION PARAMETER FOR CPR ON A SURFACE - A device for the determination of at least one compression parameter during the administration of cardiopulmonary resuscitation (CPR) on a patient. The device includes a compression unit adapted to move in accordance with the chest of the patient and a surface unit adapted to move in accordance with a surface supporting the patient. The compression unit has one of a signal component and a reference component, the surface unit has the other of the signal component and the reference component. The device also includes a processor configured to determine a relative measurement between the compression unit and the surface unit using data derived from the signal component and the reference component. The processor is further configured to determine the at least one compression parameter based on the relative measurement. The determined at least one compression parameter takes into account any motion and/or displacement of the surface. | 01-15-2015 |
| 20150025531 | Ablation Mesh - An ablation device and a method of ablating a tissue are provided. The ablation device includes a tubular member having a proximal portion, a distal portion, a lumen extending at least partially therethrough and a conductive portion. The tubular member has a first configuration and a second configuration. The ablation device includes a distal cap operably connected to the distal portion having a diameter that is smaller than a diameter of a distal end portion of an endoscope and a proximal ring connected to the proximal portion having a diameter greater than a diameter of the distal end portion. The ablation device also includes a first catheter operably connected to the distal cap and a second catheter operably connected to the proximal ring, where the proximal ring is movable relative to the distal cap to move the tubular member between the first configuration and the second confirmation. | 01-22-2015 |
| 20150025532 | MEDICAL DEVICES FOR RENAL NERVE ABLATION - Medical devices and methods for making and using the same are disclosed. An example medical device may include a medical device for tissue ablation. The medical device may include an elongated shaft having a distal region. An inflatable balloon may be mounted to the distal region. The inflatable balloon may include a body region, a proximal waist, a distal waist, a proximal cone region, and a distal cone region. A skirt may be attached to the inflatable balloon and may extend proximally from the body region. An electrode assembly may be applied directly to an outer surface of the body region of the inflatable balloon. The electrode assembly may include a first conductive member applied directly to the outer surface of the body region of the inflatable balloon and extending proximally therefrom along an outer surface of the skirt. | 01-22-2015 |
| 20150025533 | RENAL NERVE ABLATION CATHETER HAVING TWIST BALLOON - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter shaft. An expandable balloon may be coupled to the catheter shaft. The balloon may be capable of shifting between a folded configuration and an expanded configuration. A support structure may be coupled to the balloon. The support structure may be capable of shifting the balloon toward the folded configuration. A plurality of elongate flexible electrode assemblies may be disposed on the balloon. The elongate flexible electrode assemblies may be oriented at an angle relative to a longitudinal axis of the balloon. | 01-22-2015 |
| 20150032102 | CATHETER WITH INTEGRATED FLOW SENSOR - Methods and systems facilitate catheterization of a living subject by passing a fluid through an irrigation conduit. Heat energy is delivered to the conduit to create a heated pod of irrigation fluid that propagates downstream from the heat source. A departure time of the pod from a first location in the conduit is recorded, and an arrival time of the pod is detected at a second location that is downstream from the first location. A transit time of the pod from the first location to the second location is determined, and the flow of the fluid is adjusted responsively to the transit time. | 01-29-2015 |
| 20150032103 | Bipolar Ablation Device - A bipolar ablation device and methods for using the same. The bipolar ablation device has a first catheter with a first expandable electrode and a second catheter with a second expandable electrode. The first expandable electrode is expanded on a first side of a septum between two chambers and the second expandable electrode is expanded on a second side of the septum. The size of the electrodes relative to one another is adjusted to concentrate the ablation on one side of the septum and electrical energy is delivered to the electrodes to ablate the tissue. | 01-29-2015 |
| 20150032104 | Medical Device Having Laminate-Coated Braid Assembly - A catheter includes a braid assembly having a dual-laminate coating. The braid assembly includes a plurality of braid members interwoven to provide for interstices between the braid members, each braid member having an electrically conductive element, a flexible non-electrically-conductive polymer coating that insulates the electrically conductive element and a thermoplastic bonding adhesive coating. The braid assembly is formed between an inner polymer layer and an outer polymer layer. One or more of the braid members may be coupled to an energy delivery element. | 01-29-2015 |
| 20150032105 | TRANSURETHRAL SYSTEMS AND METHODS FOR ABLATION TREATMENT OF PROSTATE TISSUE - Transurethral systems and methods for delivering electrical energy and controlled, mild heating to a prostate tissue of a patient for destruction of cancerous and/or hyperplastic tissue. A method includes positioning an elongate urethral probe having an expandable member with electrode elements at a target location in the patient's urethra, and inflating or expanding at the target location. Secondary electrodes are positioned within or adjacent to the prostate tissue and spaced from the electrode elements of the expandable member, and an alternating electrical current flow is established between the electrode elements of the expandable member and the one or more secondary electrodes. Current delivery can be selected so as to destroy or ablate cancerous cells of the prostate tissue. | 01-29-2015 |
| 20150038961 | CATHETER WITH IMPROVED IRRIGATED TIP ELECTRODE HAVING TWO-PIECE CONSTRUCTION, AND METHOD OF MANUFACTURING THEREFOR - A catheter has a two-piece tip electrode with a shell and a support structure that are secured to each other by multiple redundant mechanisms in order to reduce the risk of tip detachment during a procedure. The tip electrode includes at least two different welds attaching the shell to the support structure to provide a dual failure mode. One weld includes a seam weld and another weld includes a penetration weld. | 02-05-2015 |
| 20150038962 | APPARATUS FOR SAFE PERFORMANCE OF TRANSSEPTAL TECHNIQUE AND PLACEMENT AND POSITIONING OF AN ABLATION CATHETER - A steerable catheter system to perform a transseptal puncture procedure comprises a steerable catheter shaft with at least one inner lumen, and an inner element slidably positioned within a shaft lumen, wherein the distal tip of the shaft can be deflected, counter-deflected, rotated, and counter-rotated and wherein the inner element can be deployed or retracted. In one embodiment, a single steerable catheter is capable of performing an intended procedure and a transseptal procedure all in one, wherein the catheter comprises an outer steerable catheter and an inner element which can be deployed to perform a transseptal puncture, and wherein, once the inner element crosses the inter-atrial septum, the catheter itself can slide forward without advancement of the inner element. | 02-05-2015 |
| 20150038963 | ABLATION CATHETER - An ablation catheter including a handle, a tubular irrigation member defining a fluid lumen and having a plurality of perforations proximal the distal end of the tubular irrigation member. At least one ablation electrode is arranged at the distal end of an elongate tubular sheath inserted into the lumen of the tubular irrigation member, the elongate tubular sheath being axially displaceable within the lumen of the tubular irrigation member. The ablation catheter may also include two ablation electrodes each attached to an elongate tubuar sheath which are telescopically arranged within the tubular irrigation member. The ablation electrodes may be displaceable simultaneously together or individually. | 02-05-2015 |
| 20150045787 | ELECTROSURGICAL DEVICE AND METHOD - An electrosurgical device including an inner catheter, an outer catheter, a balloon, and a plurality of tubular electrodes. The inner catheter extends along a longitudinal axis. The outer catheter includes a first section and a second section each disposed around the inner catheter. The balloon is disposed around the inner catheter and extends between the first and second sections of the outer catheter. The balloon is a tubular member having an outside surface. The plurality of tubular electrodes extends along the longitudinal axis adjacent to the outside surface of the balloon. | 02-12-2015 |
| 20150045788 | EXPANDABLE CATHETER AND RELATED METHODS OF MANUFACTURE AND USE - A medical device may include an expandable energy delivery array reciprocally movable between a first configuration and a second configuration. The expandable energy delivery array may include a first assembly having a first proximal end piece, a first distal end piece, and one or more first energy transfer elements extending between the first proximal and first distal end pieces, and a second assembly having a second proximal end piece, a second distal end piece, and one or more second energy transfer elements extending between the second proximal and second distal end pieces. The second proximal end piece may be proximal to the first proximal end piece and the second distal end piece may be distal to the first distal end piece. | 02-12-2015 |
| 20150045789 | SPHINCTER TREATMENT APPARATUS - An apparatus treats tissue at or near a sphincter. The apparatus has an elongated member having at least one lumen including an inflation lumen, and a basket assembly including a first and a second arm. An inflatable member is coupled to the inflation lumen and has a deployed and a non-deployed state. In the deployed state, the inflatable member expands the basket assembly into contact with tissue. At least one of the first and second arms of the basket assembly has a fluid lumen having an aperture for conveying a fluid from the basket assembly. A source of fluid is coupled to the fluid lumen for conveyance of fluid through the aperture. The fluid can be, e.g., an electrolytic solution, and/or an anti-infection agent, and/or an echogenic media, and/or a steroid, and/or an anesthetic, and/or a medicament, and/or a tissue cooling agent. The source can be a drug delivery device. | 02-12-2015 |
| 20150051599 | LIMITED-USE MEDICAL DEVICE - A forceps comprises a reusable portion and a disposable portion configured to operably engage the reusable portion, the disposable portion including at least one limited-use feature, wherein upon disengagement of the disposable portion from the reusable portion, the at least one limited-use feature is transitioned from a first state, permitting engagement of the disposable portion with the reusable portion, to a second state, wherein the limited-use feature inhibits reengagement of the disposable portion with the reusable portion. | 02-19-2015 |
| 20150051600 | Catheter Arrangement And Method For Determining A Force Applied To A Catheter End - A catheter arrangement including a catheter having a proximal end and a distal end and at least one continuous fluid channel, at the proximal end of which a fluid connection and at the distal end of which a nozzle is arranged, which has a cross section that can be varied by a force applied to the distal catheter end; a liquid feed unit, connected to the proximal fluid connection of the catheter feeds liquid into the at least one fluid channel at a predetermined operating pressure. A flow sensor measures, during operation of the catheter arrangement, a pressure drop at the fluid channel. A pressure evaluation unit, connected on the input side in a signal-based manner to the flow sensor, determines a force applied to the distal end of the catheter from the measured pressure drop at the fluid channel and from predetermined deformation characteristics of the associated nozzle. | 02-19-2015 |
| 20150057654 | Catheter 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. | 02-26-2015 |
| 20150057655 | STEERABLE ABLATION CATHETER FOR RENAL DENERVATION - A catheter for ablation of the interior walls of the renal artery includes an elongated catheter body having opposing proximal and distal end portions, a plurality of axially spaced apart electrodes aligned along the distal end portion of the catheter body, and a catheter handle at the proximal end portion of the catheter body including means for operatively connecting the handle to a generator, wherein energy from the generator is provided to the plurality of electrodes for ablation of the renal artery, wherein the handle is configured to steer the distal end portion of the catheter body in at least one direction. | 02-26-2015 |
| 20150057656 | FLEXIBLE CIRCUIT HAVING IMPROVED ADHESION TO A RENAL NERVE MODULATION BALLOON - A balloon for renal nerve modulation is disclosed. The balloon may include a polymer material forming a balloon wall having an outer surface and flexible circuits comprising a base selectively adhered to the exterior surface of the balloon wall. Adhesive is selectively applied to the outer surface of the balloon, to the flexible circuit or to both such that the adhesive is selectively deposited on the at least a portion of the at least two pads or on the at least a portion of the at least two pads and to a portion of the distal spline. The portion of the at least two pads or the portion of the at least two pads and a portion of the distal spline are adhered to the outer surface of the balloon and a remainder of the flexible circuit moves freely with respect to the outer surface of the balloon. | 02-26-2015 |
| 20150057657 | MEDICAL BALLOON HAVING PATTERNED RECESSED WALL PROFILE - A medical balloon comprising a balloon wall formed from a polymeric material, the balloon wall having an inner surface and an outer surface, the balloon wall comprising patterned recesses in the outer surface thereof and flexible circuits disposed within the patterned recesses, the flexible circuits are defined by an outer perimeter, and devices and methods for making the same. | 02-26-2015 |
| 20150057658 | THERMAL DENERVATION DEVICES AND METHODS - 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. | 02-26-2015 |
| 20150066020 | ABLATION METHOD - A method of ablating a uterine fibroid using a particular trocar is disclosed. The trocar comprises a plurality of ablation stylets. The trocar is adjustable to assume a plurality of configurations, each of the configurations having the stylets extended to a different extent from the trocar. A region to he ablated is imaged. The size of the region to be ablated is noted. The size of the region to be ablated is compared to a matrix of known ablation regions, each of the known ablation regions being associated with one of the configurations of the particular trocar. The region to be ablated is associated with a most nearly matching known ablation region by comparison of the region to be ablated to the known ablation regions. A trocar is inserted into the uterine fibroid at a position, which more closely matches the position of the particular trocar with respect to the known ablation region. The stylets are deployed from the trocar to an extent corresponding to the configuration. | 03-05-2015 |
| 20150066021 | DETERMINING ABSENCE OF CONTACT FOR A CATHETER - A method, including injecting a current between an electrode of a catheter and tissue in proximity to the catheter, the catheter having a force sensor configured to measure a force between the catheter and the tissue. The method further includes measuring a succession of phase shifts of the current relative to a fixed reference and verifying that a cardinality of the measured phase shifts falling below a predetermined threshold increases over a predetermined time period. A zero-force point for the force sensor is calibrated according to the force measured by the force sensor during the predetermined time period. | 03-05-2015 |
| 20150066022 | SURGICAL DEVICES WITH CLOSE QUARTER ARTICULATION FEATURES - The disclosure provides various apparatuses comprising a shaft section extending longitudinally along a first plane. An end effector comprises a first jaw and a second jaw configured to pivotally open and close in a second plane relative to the first plane about a pivot point. The first plane is orthogonal to the second plane. An articulation section is disposed between the shaft section and the end effector. The articulation section is configured to articulate in the second plane relative to the first plane in response to a rotatable articulation control mechanism. Also disclosed are configuration where at least one of the first and second jaws comprises an electrode. Also disclosed are configurations in which the end effector pivots and articulates about the same pivot point. | 03-05-2015 |
| 20150066023 | RADIO FREQUENCY (RF) BALLOON CATHETER HAVING FLUSHING AND COOLING CAPABILITY - An intravascular catheter and related methods of use or manufacture are disclosed. The catheter includes an outer tubular member having a proximal end and a distal end, and an inner tubular member having a proximal end and a distal end. An inflatable balloon have a proximal end waist coupled to the outer tubular member adjacent to the distal end thereof, and a distal end waist coupled to the inner tubular member adjacent to the distal end thereof. The balloon includes an interior surface, an exterior surface, and a lumen defined by the interior surface. The balloon further includes at least one section extending from the interior surface of the balloon to the exterior surface of the balloon. A transmitter is disposed about the inner tubular member. In addition to the above, the proximal end waist is coupled to the outer tubular member such that an inflation fluid exits the balloon. | 03-05-2015 |
| 20150066024 | DEVICE 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. | 03-05-2015 |
| 20150066025 | METHODS 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. | 03-05-2015 |
| 20150073406 | DC OUTPUT APPARATUS WHICH CAN BE USED FOR THERAPEUTIC PURPOSES - A direct current application device includes a direct current source or an appliance configured to be linked to a direct current source. A first electrode is configured to be connected to the direct current source. The first electrode comprises a plurality of needles comprising 3-12 needles which are configured to comprise an electrically conductive connection with each other. A second electrode is configured to be connected to the direct current source. The second electrode comprises a flat electrode, a needle, or a plurality of needles which are configured to comprise an electrically conductive connection with each other. A current device is configured to maintain a current at a constant level during an application of the direct current, or a battery as the direct current source. | 03-12-2015 |
| 20150073407 | MICROWAVE ABLATION CATHETER, HANDLE, AND SYSTEM - A handle for longitudinal movement of a first tubular member over a second tubular member includes a handle body, a nose cone, a locking mechanism, and a retraction control. The nose cone has a sleeve and an outer wall that define a control channel therebetween. The nose cone is moveable over the handle body between extended and retracted positions. The locking mechanism has locked and unlocked positions for selectively fixing the nose cone in the extended and retracted positions. A finger of the retraction control is positioned within the control channel of the nose cone. The retraction control has first and second positions relative to the nose cone for transitioning the locking mechanism between the locked and unlocked position and for moving the nose cone between the extended and retracted positions. | 03-12-2015 |
| 20150073408 | INSTRUMENT FOR SEALING VESSELS - A surgical instrument 10 suitable for sealing tissue includes a tool 15 with at least one branch 16 comprising an electrode unit 35, which consists of a sheet metal part 35. The part 35 is anchored in a positive manner in a plastic body 34. Strip sections 40, 41 of the metal part 35 extend into the plastic body 34, encompassing openings 42, 42 or slits 43, 43 | 03-12-2015 |
| 20150073409 | Integral 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. | 03-12-2015 |
| 20150073410 | CLIP-OVER DISPOSABLE ASSEMBLY FOR USE WITH HEMOSTAT-STYLE SURGICAL INSTRUMENT AND METHODS OF MANUFACTURING SAME - 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. | 03-12-2015 |
| 20150080881 | METHOD FOR REMOVING TATTOOS OR SCARS - The invention relates to medicine and can be used for removing tattoos, scars, keloid and wound cicatrices. The inventive method consists in acting on the epidermal layer with an alternating electric field in such a way that high-frequency discharges are formed between the epidermal layer and a needle electrode. The method makes it possible to effectively remove tattoos of different colors and scars of different nature. The removal is carried out during a minimum time and does not bring about any complications, since the skin areas with defects to be removed are not exposed to excessive thermal action. | 03-19-2015 |
| 20150080882 | PLEATED OR FOLDED CATHETER-MOUNTED BALLOON - A catheter-mounted balloon includes an inflatable chamber defining a volume expandable from a deflated state to an inflated state, the inflatable chamber having a distal transition portion, a proximal transition portion, and a cylindrical body portion disposed between the distal transition portion and the proximal transition portion. The cylindrical body portion of the inflatable chamber includes a pleat zone having a pleat when the inflatable chamber is in the deflated state. The catheter-mounted balloon further includes an electrode disposed along a wall of the inflatable chamber. The pleat traverses the electrode such that is electrode is pleated as well. | 03-19-2015 |
| 20150080883 | ABLATION BALLOON WITH VAPOR DEPOSITED COVER LAYER - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter shaft. An expandable balloon may be coupled to the catheter shaft. The balloon may be capable of shifting between a folded configuration and an expanded configuration. A plurality of elongate electrode assemblies may be disposed on the balloon. A cover layer may be deposited on the electrode assemblies. Portions of the electrode assemblies may be free of the cover layer. | 03-19-2015 |
| 20150080884 | METHODS 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. | 03-19-2015 |
| 20150080885 | METHODS FOR BILATERAL RENAL NEUROMODULATION - Methods and apparatus are provided for bilateral renal neuromodulation, e.g., via a pulsed electric field, via a stimulation electric field, via localized drug delivery, via high frequency ultrasound, via thermal techniques, etc. Such 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, neuromodulation is applied to neural fibers that contribute to renal function. In some embodiments, such neuromodulation is performed in a bilateral fashion. Bilateral renal neuromodulation may provide enhanced therapeutic effect in some patients as compared to renal neuromodulation performed unilaterally, i.e., as compared to renal neuromodulation performed on neural tissue innervating a single kidney. | 03-19-2015 |
| 20150080886 | DEVICES AND METHODS FOR FORMING A FISTULA - Described here are devices, systems and methods for forming a fistula between two blood vessels. Generally, the systems may comprise a first catheter which may comprise a fistula-forming element. The fistula-forming element may comprise one or more electrodes, mechanical cutting elements, laser sources, or combinations thereof, and may be used to assist in fistula formation. In some instances, a system may comprise a second catheter, which may comprise a fistula-forming element. One or more of the catheters may comprise one or more markers, magnetic alignment elements, and/or one shape-changing elements. | 03-19-2015 |
| 20150080887 | SURGICAL DEVICE USING ENERGY - A surgical device configured to apply energy to a biological tissue as a treatment target, and treat the biological tissue, includes: first and second jaws relatively openable/closable to each other to enable holding the biological tissue including the treatment target and its surrounding tissue; a pair of first holding sections provided respectively on inner sides of outer edges of the first and second jaws, and configured to hold the biological tissue; an energy discharge section provided on at least one of the pair of first holding sections, and configured to give energy for a treatment to the biological tissue; and a pair of second holding sections which are provided respectively between the first holding sections and the outer edges of the first and second jaws, and configured to hold the surrounding tissue of the biological tissue while bending the surrounding tissue with respect to the biological tissue. | 03-19-2015 |
| 20150080888 | FERROFLUIDIC LOCK - A surgical instrument includes a housing and an elongated shaft extending distally therefrom. The elongated shaft includes a proximal portion, a distal portion and a flexible portion supported therebetween. The flexible portion permits pivotal movement of the distal portion of the elongated shaft and an end effector supported thereon. A locking mechanism is operatively associated with the flexible portion of the elongated shaft to selectively impede pivotal motion of the distal portion. The locking mechanism includes a fluid chamber defined within the flexible portion in which a variable viscosity fluid disposed. The variable viscosity fluid is responsive to the application of an electromagnetic field to exhibit increased rigidity in the presence of the electromagnetic field and reduced rigidity in the absence of the electromagnetic field. An electrical coil is arranged such that the electromagnetic field may be selectively induced by the delivery of electrical energy from a power source. | 03-19-2015 |
| 20150088127 | ASEPTIC BAG TO ENCAPSULATE AN ENERGY SOURCE OF A SURGICAL INSTRUMENT - A surgical system includes a surgical instrument, a battery assembly, and an aseptic bag. The battery assembly is configured to removably couple to the surgical instrument. The aseptic bag is sized and configured to encapsulate and seal the battery assembly within an inner chamber. The aseptic bag can cooperate with a fixed handle of the surgical instrument to encapsulate and seal the battery assembly within the aseptic bag. The aseptic bag may additionally or alternatively encapsulate a generator of the surgical system. | 03-26-2015 |
| 20150094713 | SYSTEMS AND METHODS FOR ELECTRICAL COUPLING IN A MEDICAL DEVICE - Systems and methods for preventing contamination of a sterile field during a treatment procedure. In some embodiments, a treatment apparatus is configured to occupy the sterile field, and a power cable is configured to remain outside the sterile field. The treatment apparatus is connectable to the power cable via an attraction, such as a magnetic attraction, between the treatment apparatus and the power cable, so that an operator within the sterile field need not touch the power cable in order to couple the treatment apparatus to the power cable. Instead, the operator need only grasp the sterile treatment apparatus and bring it in close proximity to the power cable. The attraction then causes the treatment apparatus to couple with the power cable. In this manner, the treatment apparatus can be coupled to the power cable by a single operator without contaminating the sterile field. | 04-02-2015 |
| 20150094714 | LIMITED-USE MEDICAL DEVICE - A medical device including one or more components positioned to contact contaminants during use of the medical device. The one or more components including one or more limited-use portions transitionable upon use from an initial state, wherein the limited-use portion(s) exhibits a clean appearance, to a used state, wherein the limited-use portion(s) exhibits a contaminated appearance that visually indicates to a user that the at least one component is not further usable. | 04-02-2015 |
| 20150100055 | Ablation Catheter Electrode having Multiple Thermal Sensors and Method of Use - The invention relates to electrodes used in ablation catheter devices, where the electrodes contain two or more thermal sensors at different positions within the electrode that are capable of detecting temperature differences along the external surface of the electrode. In preferred embodiments, the thermal sensors are separated by one or more thermal insulating members and the thermal sensors are positioned near the external surface of the electrode at about the same distance from the end of the electrode, so that temperature measurements can indicate the position of the electrode with respect to the tissue desired to be ablated. | 04-09-2015 |
| 20150105770 | PATIENT-SPECIFIC PRE-SHAPED CARDIAC CATHETER - A method includes receiving one or more images of an organ of a patient. A physical model of at least a target region of the organ is manufactured based on the images. A distal tip of a medical probe is pre-shaped to fit a surface of the physical model corresponding to the target region. | 04-16-2015 |
| 20150105771 | STEERABLE ELECTRODE CATHETER ASSEMBLY - Provided is a steerable electrode catheter assembly capable of easily contacting an affected part of a patient when performing an operation on a human body while adjusting a direction of the electrode catheter assembly. | 04-16-2015 |
| 20150105772 | DEVICES AND METHODS FOR NERVE MODULATION - Systems for nerve and tissue modulation are disclosed. An illustrative system may include an intravascular nerve modulation system including a catheter shaft, an expandable basket and one or more energy delivery regions. The one or more energy delivery regions may be defined by regions of the basket free from an insulating material. | 04-16-2015 |
| 20150105773 | FLEXIBLE RENAL NERVE ABLATION DEVICES AND RELATED METHODS OF USE AND MANUFACTURE - Medical devices for renal nerve ablation are disclosed. An example medical device for renal nerve ablation may include a catheter shaft having a distal region. The device may include an expandable member coupled to the distal region, a flexible circuit assembly coupled to the expandable member, and a pressure sensor disposed along the expandable member and positioned adjacent to the flexible circuit assembly. The flexible circuit assembly may include one or more pairs of bipolar electrodes and a temperature sensor. | 04-16-2015 |
| 20150105774 | MEDICAL DEVICE BALLOON - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter shaft. An expandable member may be coupled to the catheter shaft. The expandable member may be capable of shifting between a folded configuration and an expanded configuration. A plurality of flexible elements may be attached to the expandable member, with a plurality of electrode assemblies disposed on the flexible elements. The flexible elements may have a grooved substrate. | 04-16-2015 |
| 20150105775 | ELECTRODE MARKERS AND METHODS OF USE - An energy delivery device for treating tissue regions in a body conduit, such as a lung airway, may utilize one or more markers, rings, bands, or other visual indicators along an outer surface of the device body. The one or more visual indicators facilitate guidance of the device to effectively and efficiently treat the tissue according to a predetermined axial treatment as well as measure extension of a distal portion of the device, tissue length, and/or treatment length. The predetermined axial treatment may be contiguous, overlapping, or intermittently spaced apart as determined by the marker spacing distance. | 04-16-2015 |
| 20150112326 | METHOD TO REDUCE SENSE OF TASTE AND FOOD INTAKE - A method for reducing sense of taste and food intake is by ablating the mouth tissue that affecting sense of taste, selected from the group comprising: salivary glands, nerves and blood vessels that affect salivary glands' function, salivary channels, salivary exit ports, tongue papillae, tongue mucosa, tongue nerves, tongue arteries and veins. The ablation system comprises: an energy source and a catheter. | 04-23-2015 |
| 20150112327 | ELECTRODE ASSEMBLY FOR CATHETER SYSTEM INCLUDING THERMOPLASTIC-BASED STRUTS - The present disclosure provides ablation catheter systems and electrode assemblies or baskets for use in the ablation catheter systems that include struts that are manufactured from a thermoplastic material. In many embodiments, the struts manufactured from a single piece of thermoplastic material. The struts are generally configured to operate in a double diamond formation, although an electrode basket including the struts described herein may include two, three, four or more diamonds, which may be of the same or different sizes. By manufacturing the struts from a thermoplastic material the diamond-shaped struts as described in the present disclosure may be manufactured with sufficient strength without the need for a nitinol frame or adhesives, thus reducing the overall cost of the strut, as well as overall manufacturing time. | 04-23-2015 |
| 20150112328 | BALLOON CATHETERS WITH FLEXIBLE CONDUCTING WIRES AND RELATED METHODS OF USE AND MANUFACTURE - A medical device and related methods of use or manufacture are disclosed. The medical device may include an intravascular catheter for nerve modulation. The medical device includes an elongate shaft having a proximal end region, a distal end region, and a lumen extending therebetween. An expandable member is coupled to the distal end region of the elongate shaft. One or more electrical conductors extend from the proximal end region of the elongate shaft to the expandable member. The one or more electrical conductors may have a distal end region secured directly to an outer surface the expandable member. One or more energy delivery regions are positioned on the expandable member and coupled to the one or more electrical conductors. | 04-23-2015 |
| 20150112329 | APPARATUS 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. | 04-23-2015 |
| 20150112330 | METHOD AND APPARATUS FOR VASCULAR TISSUE SEALING WITH REDUCED ENERGY CONSUMPTION - An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. Each of the opposing jaw members includes a non conducting tissue contact surface and an energy delivering element configured to perforate the tissue to create an opening, extract elastin and collagen from the tissue and denaturize the elastin and the collagen in the vicinity of the opening. | 04-23-2015 |
| 20150112331 | CATHETER WITH ATRAUMATIC TIP - A medical device is provided comprising a shaft comprising a first segment and a second segment. The first segment is configured to buckle upon application of a first critical force. The second segment includes an outer surface and an inner surface and is configured to buckle upon application of a second critical force. The second critical force is lower than the first critical force. The medical device further comprises a coil disposed radially inwardly of the inner surface of the second segment. | 04-23-2015 |
| 20150112332 | MODULATION OF NERVES INNERVATING THE LIVER - According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery. | 04-23-2015 |
| 20150112333 | Method for Treating a Tubular Anatomical Structure - An apparatus and method for treatment of a tubular anatomical structure is disclosed. The method includes using an electrical energy to destroy elongated cells on the tubular anatomical structure. The apparatus may include one or more electrodes for creating an electric field, and a cooling system for carrying heat away from the electrode. The elongated cells can include nerve cells on the tubular anatomical structure. | 04-23-2015 |
| 20150119875 | METHOD AND APPARATUS FOR SPARING PAIN CONDUCTING NERVES DURING RENAL DENERVATION - An intravascular catheter for peri-vascular nerve activity ablation and/or sensing includes multiple needles advanced through supported guide tubes (needle guiding elements) which expand with open ends around a central axis to contact the interior surface of the wall of the renal artery or other vessel of a human body allowing the needles to be advanced though the vessel wall into the perivascular space. The catheter also includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened needles are advanced to penetrate into the vessel wall. Ablative energy or fluid is delivered from the needles in or near the adventitia to ablate nerves outside of the media while sparing nerves within the media. | 04-30-2015 |
| 20150119876 | ELECTRODE ASSEMBLY FOR CATHETER SYSTEM INCLUDING INTERLINKED STRUTS - The present disclosure provides ablation catheter systems and electrode assemblies and electrode baskets for use in the ablation catheter systems that include an interlinked diamond configuration formed from a plurality of strut assemblies. Each strut assembly includes one or more struts that are manufactured from a thermoplastic or metallic material. The interlinked diamond configuration facilitates reducing an overall length of the electrode assembly. Further, the interlinked diamond configuration facilitates expanding and contracting the struts simultaneously and by the same amount. | 04-30-2015 |
| 20150119877 | ELECTRODE ABLATION BALLOON CATHETER - Methods, systems, and devices for providing treatment to a tissue in body lumens are described. The system may include a support shaft, an expansion member coupled with a distal portion of the support shaft, and an ablation structure wrapped around the expansion member less than a circumference of the expansion member configured to engage the body lumens with varying sizes. The ablation structure may include multiple separately wired or separately controlled longitudinal electrodes, longitudinal electrode zones, or both, such that each longitudinal electrode or longitudinal electrode zone may be selectively enabled or selectively disabled. The expansion member may include a single highly-compliant balloon, a single non-compliant balloon, multiple non-compliant balloons, or a multi-chambered non-compliant balloon. | 04-30-2015 |
| 20150119878 | ELECTRODE ASSEMBLY HAVING ASYMMETRIC ELECTRODE PLACEMENT - The present disclosure provides ablation catheter systems and electrode assemblies, including electrode baskets, for use in the ablation catheter systems for ablating tissue. The electrode baskets include a plurality of struts having a plurality of electrodes asymmetrically arranged on the plurality of struts such that upon simultaneous energizing of the plurality of electrodes during any single application of the ablation procedure, lesions are created on only one half of less of the circumference of the vessel. | 04-30-2015 |
| 20150119879 | UNFURLING ELECTRODE DEVICES WITH THE MULTIPLE LONGITUDINAL ELECTRODE SEGMENTS - Methods, systems, and devices for providing treatment to a tissue in body lumens are described. The system may include a catheter, an expansion member coupled with a distal portion of the catheter, an ablation structure including one or more longitudinal electrode segments, and an ablation structure support coupled to the ablation structure configured to at least partially unfurl as the expansion member expands and furl as the expansion member contracts. The ablation structure may include multiple separately wired and/or separately controlled longitudinal electrodes, longitudinal electrode zones, or both, such that each longitudinal electrode or longitudinal electrode zone may be selectively enabled or selectively disabled. In some instances, one or more springs are coupled to the ablation structure configured to promote unfurl or furl around the expansion member. In some instances, one or more protection elements are be positioned along the catheter. | 04-30-2015 |
| 20150119880 | UNFURLING ELECTRODE DEVICES WITH SPRING - Methods, systems, and devices for providing treatment to a tissue in body lumens are described. The system may include a catheter, an expansion member coupled with a distal portion of the catheter, an ablation structure including one or more longitudinal electrode segments, and an ablation structure support coupled to the ablation structure configured to at least partially unfurl as the expansion member expands and furl as the expansion member contracts. The ablation structure may include multiple separately wired and/or separately controlled longitudinal electrodes, longitudinal electrode zones, or both, such that each longitudinal electrode or longitudinal electrode zone may be selectively enabled or selectively disabled. In some instances, one or more springs are coupled to the ablation structure configured to promote unfurl or furl around the expansion member. In some instances, one or more protection elements are be positioned along the catheter. | 04-30-2015 |
| 20150119881 | UNFURLING ELECTRODE DEVICES WITH THE PROTECTION ELEMENT - Methods, systems, and devices for providing treatment to a tissue in body lumens are described. The system may include a catheter, an expansion member coupled with a distal portion of the catheter, an ablation structure including one or more longitudinal electrode segments, and an ablation structure support coupled to the ablation structure configured to at least partially unfurl as the expansion member expands and furl as the expansion member contracts. The ablation structure may include multiple separately wired and/or separately controlled longitudinal electrodes, longitudinal electrode zones, or both, such that each longitudinal electrode or longitudinal electrode zone may be selectively enabled or selectively disabled. In some instances, one or more springs are coupled to the ablation structure configured to promote unfurl or furl around the expansion member. In some instances, one or more protection elements are be positioned along the catheter. | 04-30-2015 |
| 20150119882 | EMBEDDED THERMOCOUPLE IN DENERVATION FLEX CIRCUIT - A medical device for sympathetic nerve ablation may include a catheter shaft, an expandable member disposed on or coupled to the catheter shaft, and a plurality of elongate electrode assemblies each constructed as a flexible circuit having a plurality of layers. The expandable member may be configured to shift between an unexpanded configuration and an expanded configuration. The plurality of electrode assemblies may be disposed on an outer surface of the expandable member. Each of the plurality of electrode assemblies may include a temperature sensor within the plurality of layers. | 04-30-2015 |
| 20150119883 | HIGH STRENGTH ELECTRODE ASSEMBLY FOR CATHETER SYSTEM INCLUDING NOVEL ELECTRODE - The present disclosure is directed to electrode assemblies, and specifically to struts comprising electrode assemblies and electrodes contained on the struts. The electrode assembly struts are constructed to have a low profile and to have superior strength over the length of the strut such that an electrode assembly including the strut is highly resistant to radial compression. The electrodes included on the low profile, high strength strut also is designed to have a reduced profile such that electrode assemblies including the strut and electrode can easily be used with 6 French and smaller guide catheter assemblies. | 04-30-2015 |
| 20150119884 | DEVICES AND METHODS FOR LEFT ATRIAL APPENDAGE CLOSURE - Described here are devices, systems, and methods for closing the left atrial appendage. The methods described here utilize a closure device for closing the left atrial appendage and guides or expandable elements with ablation or abrading elements to ablate or abrade the left atrial appendage. In general, these methods include positioning a balloon at least partially within the atrial appendage, positioning a closure assembly of a closure device around an exterior of the atrial appendage, inflating the balloon, partially closing the closure assembly, ablating the interior tissue of the atrial appendage with the inflated balloon, removing the balloon from the atrial appendage, and closing the atrial appendage with the closure assembly. | 04-30-2015 |
| 20150126996 | HELICAL-SHAPED ABLATION CATHETER AND METHODS OF USE - The present disclosure provides ablation catheters that are constructed such that they may be inserted into the body and into a target blood vessel in a linear conformation and subsequently changed into a helical conformation using a pull wire secured to the ablation catheter prior to an ablation procedure to allow electrodes present on the ablation catheter to contact the wall of the blood vessel. After the ablation is complete, the helical-shaped ablation catheter may be returned to its linear conformation by reversing the tensioned pull wire for extraction from the body. | 05-07-2015 |
| 20150126997 | Catheter Apparatuses Having Expandable Mesh Structures for Renal Neuromodulation and Associated Systems and Methods - Catheter apparatuses having expandable mesh structures and associated systems and methods for intravascular renal neuromodulation are disclosed herein. A catheter treatment device includes an expandable mesh structure configured to position an energy delivery element in contact with a renal artery via an intravascular path. The mesh structure can assume an expanded configuration for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function. A collapsed configuration may facilitate insertion and/or removal of the catheter or repositioning of the energy delivery element within the renal artery. | 05-07-2015 |
| 20150133915 | ELECTROSURGICAL DEVICES - In various embodiments, a surgical instrument is disclosed. In one embodiment, the surgical instrument comprises a handle, a shaft assembly extending distally from the handle; and an end effector coupled to a distal end of the shaft assembly. The end effector comprises a jaw assembly having a proximal end and a distal end. The jaw assembly comprises a moveable jaw member and a fixed jaw member. The moveable jaw member is pivotably moveable between an open position and a closed position with respect to the fixed jaw member. In the closed position, the jaw assembly defines a radius of curvature and a smooth taper from the proximal end to the distal end. | 05-14-2015 |
| 20150133916 | Overlapping Bipolar Electrode for High-Frequency Heat Treatment - The present invention relates to a bipolar electrode, and more particularly, to an electrode for high-frequency heat treatment capable of cauterizing and necrotizing lesions by heating the lesions, such as a cancer tissue of a body organ, with a high frequency, in particular, an overlapping bipolar electrode for high-frequency heat treatment capable of cauterizing lesions of tubular organs, such as a blood vessel, with a minimum invasion. | 05-14-2015 |
| 20150133917 | Device for treating gastroesophageal reflux disease - A device for treating a tissue region at or near a lower esophageal sphincter to treat gastroesophageal reflux disease including a flexible tube having a plurality of arrays of first and second lumens, a proximal base, a distal hub, a plurality of radially spaced slits formed between the proximal base and distal hub, and a plurality of electrode ports and fluid ports, the electrode and fluid ports and the lumens are positioned between the slits. The tube is flexible outwardly between the slits to form an array of spines forming a three dimensional basket. A first electrode is movable within the first lumen of one array and a second electrode is movable within the first lumen of another array to exit through the electrode ports to penetrate tissue for application of energy to the tissue region to tighten the lower esophageal sphincter to treat gastroesophageal reflux disease. | 05-14-2015 |
| 20150133918 | PERCUTANEOUS CATHETER-BASED ARTERIAL DENERVATION WITH INTEGRAL EMOBOLIC FILTER - A neuromodulation device having means for selective denervation of nerves in a selected portions of a blood vessel; and an embolic filter mounted to the catheter shaft at a location distal to the catheter balloon. Thus the filter can be down-stream from the blockage and can be properly positioned to capture embolic particles that can be set loose into the blood stream as the neuromodulation procedure can be performed. The embolic filter can be normally un-deployed against the catheter shaft to facilitate introduction and withdrawal of the device to and from the operative site. Once the neuromodulation device is properly positioned, however, means operatively associated with the embolic filter can be actuated to deploy the filter to position a filter mesh across the lumen of the vessel. | 05-14-2015 |
| 20150133919 | CATHETER 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. | 05-14-2015 |
| 20150133920 | ABLATION PROBE WITH FLUID-BASED ACOUSTIC COUPLING FOR ULTRASONIC TISSUE IMAGING - Devices and systems for ultrasonically imaging tissue and performing ablation therapy are disclosed. An ablation probe for treating and imaging body tissue includes an ablation electrode tip with a number of acoustic openings and a plurality of ultrasonic imaging sensors disposed within an interior lumen of the tip. The ultrasonic imaging sensors are supported within the interior lumen via an insert equipped with a number of recesses that receive the ultrasonic imaging sensors. An acoustically transparent shell disposed between the ultrasonic imaging sensors and the acoustic openings forms a fluid channel in the acoustic pathway of the sensors. During an ablation procedure, cooling fluid from an external fluid source is delivered through the fluid channel, providing an acoustic coupling effect between the ultrasonic imaging sensors and the surrounding body tissue. | 05-14-2015 |
| 20150141982 | MULTI-ELECTRODE BALLOON CATHETER WITH CIRCUMFERENTIAL AND POINT ELECTRODES - A catheter has a balloon electrode assembly with at least one compliant balloon member and at least one electrode carried on an outer surface of the balloon member for accomplishing circumferential sensing or ablation in a tubular region of the heart, including a pulmonary vein or ostium. The catheter may also include an electrode assembly with a tip and/or ring electrode distal of the balloon electrode assembly adapted for focal contact. | 05-21-2015 |
| 20150141983 | ELECTROSURGICAL COAGULATION INSTRUMENT INCLUDING A SUCTION PIPE AND A COLLAPSIBLE TIP - A method of treating tissue includes extending a distal tip of an electrode of a surgical instrument from a body of the surgical instrument to expose the distal tip by sliding the electrode along a longitudinal axis defined by the body, delivering energy from the distal tip to tissue, and applying suction adjacent the distal end of the body with a suction pipe of the surgical instrument. The distal tip of the electrode may include a collapsible portion. Extending the distal tip of the electrode may include moving the collapsible portion to extend beyond an outer radial dimension of a nose of the surgical instrument. | 05-21-2015 |
| 20150141984 | METHODS FOR TREATING A LUNG - A method for treating a lung may include moving a balloon through an airway of the lung while the balloon is in a deflated configuration, and inflating the balloon to cause one or more radio frequency electrodes disposed adjacent an outer surface of the balloon to contact tissue defining the airway. The method also may include delivering radio frequency energy from the one or more radio frequency electrodes to damage nerve tissue. | 05-21-2015 |
| 20150141985 | DELIVERY 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. | 05-21-2015 |
| 20150141986 | NANO DISCHARGES IN LIQUIDS - The present invention is direct to a nano-probe corona tool and uses thereof A nano-probe corona tool is disclosed having a tip with a diameter in the nano-scale, typically around 100 nm. The nano-probe corona tool is constructed of electrically conductive material. On the other end of the tool, a pulsed voltage source outputs a pulsed voltage to generate a pulsed electrical potential at the tip. The pulsed electrical potential at the tip causes a plasma discharge corona to occur. Uses of the corona discharge include, but are not limited to, optical emission spectroscopy, in the enhancement of deposition of coatings and nanoscale welding, e.g., nanotube or nanowires to a contact pad and welding two nanowires together, and in nanoscale surgery. For example, a nano-probe comprising CNTs may be inserted into cell membranes. The resulting corona discharge may be used to destroy tumors within the cell. | 05-21-2015 |
| 20150141987 | ELECTRICAL ENERGY ABLATION SYSTEMS, DEVICES AND METHODS FOR THE TREATMENT OF TISSUE - A device for ablating target tissue of a patient with electrical energy is provided. An elongate shaft includes a proximal portion and a distal portion, and a radially expandable element is attached to the distal portion. An ablation element for delivering electrical energy to target tissue is mounted to the radially expandable element. The device can be constructed and arranged to ablate the duodenal mucosa of a patient while avoiding damage to the duodenal adventitial tissue. Systems and methods of treating target tissue are also provided. | 05-21-2015 |
| 20150148794 | LOW PROFILE MEDICAL DEVICES FOR SYMPATHETIC NERVE ABLATION - Medical devices and methods for making and using medical devices are disclosed. An example medical device for sympathetic nerve ablation may include a catheter shaft. An expandable balloon may be coupled to the catheter shaft. The balloon may be capable of shifting between an unexpanded configuration and an expanded configuration. The balloon may include a first layer and a second layer. The first layer may include a convertible circuit. An electrode may be coupled to the balloon and may be in electrical contact with the convertible circuit. | 05-28-2015 |
| 20150148795 | RADIO FREQUENCY ABLATION COIL - A tumor ablation device may be combined with a diagnostic tool and/or a surgical instrument for offering cancer treatment therapy. | 05-28-2015 |
| 20150148796 | INSULATED 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. | 05-28-2015 |
| 20150148797 | OSTIAL RENAL NERVE ABLATION - A catheter 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. In some instances, the thermal element may be positioned in a first vessel and may operate to heat tissue adjacent a second vessel or adjacent an ostium between the first vessel and the second vessel. Further, the catheter may include an expandable portion on which the thermal element may be connected or positioned. The expandable portion(s) may comprise a basket or cage, a balloon, a memory shape and formable portion, and/or other mechanical expanders. | 05-28-2015 |
| 20150289931 | MONITORING AND ABLATION OF AUTONOMIC NERVES - Systems and methods provide interface to a patient's autonomic nerves via an interior lumen wall of a blood vessel. Systems can include a probe having at least one electrode for receiving electrical signals from the interior of the lumen wall. The system can include processing components for extracting the signals from noise within the patient's body. Systems can include stimulation electrodes for providing stimulation and eliciting action potentials within the patient and destructive processes for destroying nervous function. The effect of nerve destruction on the propagation of action potentials can be effectively used as a feedback mechanism for determining the amount of nervous function destruction in the patient. | 10-15-2015 |
| 20150289932 | Magnetically 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. | 10-15-2015 |
| 20150297255 | SURGICAL OPERATING APPARATUS WITH TEMPERATURE CONTROL - A probe includes a probe distal end body, a vibration transmission body and a heat dissipation unit. The probe distal end body includes a first electrode. The vibration transmission body is arranged to a proximal end of the probe distal end body. The vibration transmission body transmits ultrasonic vibration generated by an ultrasonic transducer to the probe distal end body, and transmits current to the first electrode. An interior surface of the probe distal end body and an interior surface of the vibration transmission body define an interior space. The heat dissipation unit dissipates heat generated at the probe distal end body, wherein at least a portion of the heat dissipation unit is arranged in the interior space defined by the probe distal end body and the vibration transmission body. A treatment instrument includes the probe and an end effector including a second electrode. | 10-22-2015 |
| 20150297278 | MICROSURGICAL INSTRUMENT TIP - An assembled blank may include a blank tip attached to a blank base, e.g., the blank tip may be welded to the blank base. The blank tip may be manufactured by modifying flat stock, e.g., tiers of blank tips may be manufactured by modifying tiers of flat stock. The blank tip may comprise a first forceps jaw, a second forceps jaw, and a blank tip aperture. The assembled blank may be disposed within a hypodermic tube and an actuation structure of a microsurgical instrument. | 10-22-2015 |
| 20150297284 | FLUID-ASSISTED MEDICAL DEVICES, SYSTEMS AND METHODS - Surgical devices, systems and methods for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device comprises a handle ( | 10-22-2015 |
| 20150297287 | RECIPROCATING COOLING MEMBER FOR AN ENERGIZED SURGICAL INSTRUMENT - A surgical instrument comprises: an elongated sheath, an energy probe, an elongated energy conductor, and an elongated cooling member. The energy probe is connected to the distal end portion of the sheath. The elongated energy conductor is contained within the sheath and arranged to transmit distally to the energy probe energy from an energy source. The elongated cooling member is reciprocally movable within the sheath and thermally coupled at its proximal portion to a cooler. The cooling member is movable between a proximal, non-cooling position and a distal, cooling position. In the non-cooling position, a distal end of the cooling member is displaced proximally from the energy probe so as to impede thermal conduction therebetween; in the cooling position, the distal end of the cooling member thermally contacts the energy probe so as to facilitate thermal conduction therebetween. | 10-22-2015 |
| 20150297289 | Grasping Treatment Device - A jaw of a grasping treatment device includes a non-contact portion having a space between it and a distal treatment section in a state where an abutment portion abuts on the distal treatment section, and the non-contact portion includes a wall surface portion inclined so that it is extended toward a distal treatment section side as it is extended away from the abutment portion. A movement regulating portion is provided in a region of the non contact portion located closer to the abutment portion than a continuous surface which forms an edge of the non-contact portion. The movement regulating portion located in the first wall surface portion regulates a movement of a grasp object along the jaw axis direction. | 10-22-2015 |
| 20150297292 | DEVICES AND METHODS FOR THERAPEUTIC HEAT TREATMENT - Methods and devices (e.g., for nerve modulation) may include at least one thermistor and a balloon having a balloon wall. In one or more embodiments, the medical device is configured and arranged to transfer heat to the medical device surroundings. In one or more embodiments, the at least one thermistor is a portion of a thermistor array disposed on the balloon wall, the thermistor array including a plurality of thermistors and operatively engaged with a source of electric current. In one or more embodiments, the device includes at least one flexible circuit mounted on the outer surface of the expandable balloon, the at least one flexible circuit including at least one temperature-sensing device that includes at least one thermistor, wherein at least a portion of a conductive layer is electronically coupled to the thermistor, with the proviso that no electrode is associated with the conductive layer. | 10-22-2015 |
| 20150297293 | METHODS 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. | 10-22-2015 |
| 20150305799 | DEVICES AND METHODS FOR RADIOFREQUENCY ABLATION - Various embodiments are described herein for an extendable electrode configured to receive and conduct radiofrequency discharges for heating a target tissue site, a device for deploying the extendable electrode, and an apparatus for deploying the extendable electrode. Methods for use of the device and apparatus in radiofrequency ablation are described. In various embodiments, the extendable electrode is a coil electrode. Embodiments are described wherein the electrode, device, apparatus, and methods provide radiofrequency ablation treatment of intervertebral discs. | 10-29-2015 |
| 20150305800 | DEVICES AND METHODS FOR RADIOFREQUENCY ABLATION HAVING AN INFLATABLE ANCHOR MEMBER - Various embodiments are described herein for an extendable electrode configured to receive and conduct radiofrequency discharges for heating a target tissue site, a device for deploying the extendable electrode, and an apparatus for deploying the extendable electrode. Methods for use of the device and apparatus in radiofrequency ablation are described. In various embodiments, the extendable electrode is a coil electrode. Embodiments are described wherein the electrode, device, apparatus, and methods provide radiofrequency ablation treatment of intervertebral discs. | 10-29-2015 |
| 20150305801 | DEVICES AND METHODS FOR RADIOFREQUENCY ABLATION HAVING AT LEAST TWO ELECTRODES - Various embodiments are described herein for an extendable electrode configured to receive and conduct radiofrequency discharges for heating a target tissue site, a device for deploying the extendable electrode, and an apparatus for deploying the extendable electrode. Methods for use of the device and apparatus in radiofrequency ablation are described. In various embodiments, the extendable electrode is a coil electrode. Embodiments are described wherein the electrode, device, apparatus, and methods provide radiofrequency ablation treatment of intervertebral discs. | 10-29-2015 |
| 20150305807 | Neuromodulation Catheters Having Braided Shafts and Associated Systems and Methods - Methods for treating a patient using therapeutic renal neuromodulation and associated devices, systems, and methods are disclosed herein. One aspect of the present technology, for example, is directed to a catheter apparatus including an elongated shaft defined by a braid embedded within a polymer. The braid can include one or more thermocouple assemblies intertwined with a braiding element. The thermocouple assemblies can be coupled to one or more electrodes at a distal portion of the shaft. | 10-29-2015 |
| 20150305808 | DEVICES, SYSTEMS, AND METHODS FOR MONITORING AND/OR CONTROLLING DEPLOYMENT OF A NEUROMODULATION ELEMENT WITHIN A BODY LUMEN AND RELATED TECHNOLOGY - The present disclosure relates to devices, systems and methods providing evaluation and feedback to an operator of a device providing neuromodulation treatment, such as modulation of renal nerves of a human patient. In one embodiment, for example, a system monitors parameters or values generated before treatment. Feedback provided to an operator is based on the monitored values and relates to an assessment of various electrical properties associated with an electrode carried by a catheter. The electrode measures an electrical property of biological material making contact with the electrode while deploying the electrode, the electrical property being dependent on a ratio of a wall-interface area to a fluid-interface area. | 10-29-2015 |
| 20150313666 | TISSUE RESECTION AND TREATMENT WITH SHEDDING PULSES - A fluid stream is directed toward tissue to generate a plurality of shedding clouds. The fluid stream can be scanned such that the plurality of shedding clouds arrive a different overlapping locations. Each of the plurality of shedding clouds can remove a portion of the tissue. In many embodiments, an apparatus to ablate tissue comprises a source of pressurized fluid, and a nozzle coupled to the source of pressurized fluid to release a fluid stream, in which the fluid stream generates a plurality of shedding clouds. | 11-05-2015 |
| 20150313668 | DEVICES AND METHODS FOR FORMING A FISTULA - Described here are devices, systems and methods for forming a fistula between two blood vessels. Generally, the systems may comprise a first catheter which may comprise a fistula-forming element. The fistula-forming element may comprise one or more electrodes, mechanical cutting elements, laser sources, or combinations thereof, and may be used to assist in fistula formation. In some instances, a system may comprise a second catheter, which may comprise a fistula-forming element. One or more of the catheters may comprise one or more markers, magnetic alignment elements, and/or one shape-changing elements. | 11-05-2015 |
| 20150313669 | Radiofrequency Probes with Retractable Multi-Tined Electrodes - A retractable, multi-tined radiofrequency (RF) probe operable for applying RF energy to tissue for therapeutic purposes, the probe having a tubular elongate member defining an interior and having a proximal end and an opposite distal end; a handle element at the proximal end of the elongate member; and an electrode element at the distal end of the elongate member, the electrode element comprising a tip portion and a plurality of tines, each of the plurality of tines being positionable in a retracted configuration within the interior of the top portion and/or the elongate member and in a deployed configuration that extends outward of the top portion. | 11-05-2015 |
| 20150320485 | RESISTIVELY HEATED ELECTROSURGICAL DEVICE - A medical device is provided that includes a hand piece, a heating power supply, and a therapy power supply. The hand piece includes a first electrode including a heater. The heating power supply selectively provides heating power to the heater. The therapy power supply selectively provides therapeutic power to the first electrode. The medical device is changeable between operating a first electrosurgical configuration and a second electrosurgical configuration. In the first electrosurgical configuration, the heating power supply provides the heating power to the heater to heat the first electrode and the therapy power supply provides the therapeutic power to the first electrode. | 11-12-2015 |
| 20150320486 | ELECTRICALLY CONDUCTIVE/INSULATIVE OVER-SHOE FOR TISSUE FUSION - An over shoe for use with electrosurgical instruments having a pair of juxtaposed jaw members pivotably associated with one another, at least one of which includes an electrically conductive surface disposed thereon which is in electrical engagement with an electrosurgical energy source. According to one aspect of the present disclosure, the over shoe includes a tissue contacting wall configured and dimensioned to selectively and substantially overlie the electrically conductive surface of the electrosurgical instrument. The tissue contacting wall is fabricated from a non-conductive material and includes a plurality of apertures formed therethrough. In another embodiment, the tissue contacting wall is electrically conductive and is configured for selective engagement atop on of the jaw members. | 11-12-2015 |
| 20150320488 | THERAPEUTIC 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. | 11-12-2015 |
| 20150320489 | ABLATION PROBE FIXATION - An ablation probe fixation apparatus for securing an ablation probe to tissue 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. | 11-12-2015 |
| 20150320490 | ELECTRODE 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. | 11-12-2015 |
| 20150320493 | SYSTEMS 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 and a catheter coupled to the handle defining a lumen extending through a length of the catheter, the catheter including 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 adjacent the distal end of the catheter and configured to be deployed from the distal end of the catheter to an expanded configuration. | 11-12-2015 |
| 20150327909 | TREATMENT APPARATUS - A treatment apparatus having an electrothermal conversion element, a heat transfer plate and a restricting structure arranged to be spaced apart from the heat transfer plate, wherein the restricting structure is configured to restrict a movement of a first part of a substrate of the electrothermal conversion element in a direction away from the heat transfer plate. | 11-19-2015 |
| 20150327913 | SURGICAL INSTRUMENT WITH EXTENDIBLE MONOPOLAR ELEMENT - The present disclosure relates to an electrosurgical instrument that includes a housing having a shaft that extends therefrom and an end effector assembly attached at the distal end of the shaft. The end effector assembly includes a monopolar element slidably disposed therein that is configured to move between a retracted position and an extended configuration. A monopolar activation switch is disposed within the housing and is configured to supply energy to the monopolar element upon actuation thereof. An actuating sleeve is moveable relative to the housing and is operably coupled to the monopolar element. The actuating sleeve is movable between a first position wherein the monopolar element is disposed in the retracted configuration and actuation of the monopolar activation switch is impeded and a second position wherein the monopolar element is disposed in the extended configuration and actuation of the monopolar activation switch is unimpeded. | 11-19-2015 |
| 20150327917 | COMPACT 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. | 11-19-2015 |
| 20150327919 | Apparatus and Method for Treating Disorders of the Ear, Nose and Throat - Apparatus for use in surgeries to treat disorders of the ear, nose, and throat including a hand-held device and rotating blade assembly. The apparatus may be connected to a vacuum source. A method of use is also disclosed. | 11-19-2015 |
| 20150327920 | DISPOSABLE ELECTROSURGICAL PROBE AND KIT AND METHOD OF USING - Disposable electrosurgical probes for treating tissue, and surgical procedures that make use of such probes. Such a probe includes a working element, an elongate sheath secured to the working element, and a core member within the sheath. At least one active electrode and conductor are disposed in a first of a plurality of internal longitudinal channels within the core member. The electrode is adapted to extend from a distal end of the sheath and configured to perform cutting, coagulation, or ablation of tissue with radio frequency current. The probe further includes a fluid passage defined by at least a second of the internal longitudinal channels within the core member. At least the working element, the sheath, and the core member are formed of a disposable material. | 11-19-2015 |
| 20150327922 | MECHANICAL VIBRATIONS ON RF ABLATION DEVICES - An ablation catheter system includes a tip assembly configured to provide ablation energy to tissue. The tip assembly includes an outer surface and a piezoelectric element is acoustically coupled to the outer surface of the tip assembly. The piezoelectric element is configured to cause the outer surface of the tip assembly to vibrate. | 11-19-2015 |
| 20150327923 | CATHETER ELECTRODE ASSEMBLIES AND METHODS OF CONSTRUCTION THEREOF - A family of catheter electrode assemblies includes a flexible circuit having a plurality of electrical traces and a substrate; a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the electrode. A non-contact electrode mapping catheter includes an outer tubing having a longitudinal axis, a deployment member, and a plurality of splines, at least one of the plurality of splines comprising a flexible circuit including a plurality of electrical traces and a substrate, a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the ring electrode. A method of constructing the family of catheter electrode assemblies is also provided. | 11-19-2015 |
| 20150327924 | SYSTEMS, DEVICES, AND METHODS FOR MODULATING RENAL NERVE TISSUE - Methods for treating a patient using therapeutic renal neuromodulation and associated devices, system, and methods are disclosed herein. One aspect of the present technology is directed to neuromodulating nerve tissue in selected anatomical regions. In one embodiment, the method can include intravascularly advancing an elongate shaft of a catheter to renal vasculature of a human patient and locating a first neuromodulation element of the catheter within a distalmost portion of a main renal artery. The method includes locating a second neuromodulation element of the catheter within a branch vessel of the renal artery distal to a bifurcation at a distal end of the main renal artery. Neuromodulation of the nerve tissue surrounding the selected anatomical treatment locations can inhibit sympathetic neural activity in nerves proximate a portion of a renal artery and/or a renal branch artery proximate a renal parenchyma. | 11-19-2015 |
| 20150327925 | IRRIGANT DISTRIBUTION SYSTEM FOR ELECTRODES - An ablation electrode assembly is provided with improved irrigation cooling of the assembly and ablation site. The assembly includes a proximal end configured to be coupled to a catheter shaft and a distal end configured to deliver ablation energy to tissue. The assembly further includes a fluid manifold extending from the proximal end to the distal end and configured to fluidly communicate with a fluid lumen in the catheter shaft. The fluid manifold defines an axial passageway centered about a longitudinal axis extending in the longitudinal direction of the assembly. The axial passageway has a distal end terminating prior to the distal end of the electrode assembly. The assembly further includes means for creating turbulence in fluid exiting the first axial passageway. | 11-19-2015 |
| 20150327926 | VAGINAL REMODELING DEVICE AND METHODS - This invention relates generally to apparatus and methods for tightening tissue of the female genitalia by heating targeted connective tissue with radiant energy, while cooling the mucosal epithelial surface over the target tissue to protect it from the heat. Embodiments include a treatment tip that comprises both an energy delivery element and a cooling mechanism. As the treatment tip contacts the epithelial mucosa, the tip cools the mucosa by contact, and delivers energy through the epithelium to the underlying tissue, thereby creating a reverse thermal gradient. The effect of the applied heat is to remodel genital tissue by tightening it. Such remodeling may include a tighter vagina and a tighter introitus. The tightening may be a consequence of thermal denaturation of collagen as well as a longer term healing response in the tissue that includes an increased deposition of collagen. | 11-19-2015 |
| 20150335349 | NERVE MODULATION SYSTEMS - System and methods for channeling a path into bone include a trocar having a proximal end, distal end and a central channel disposed along a central axis of the trocar. The trocar includes a distal opening at the distal end of the trocar. The system includes a curved cannula sized to be received in the central channel, the curved cannula comprising a curved distal end configured to be extended outward from the distal opening to generate a curved path extending away from the trocar. The curved cannula has a central passageway having a diameter configured to allow a treatment device to be delivered through the central passageway to a location beyond the curved path. | 11-26-2015 |
| 20150335377 | Electrosurgical Implement - An electrosurgical implement comprises an elongate tubular body having an opening at a forward end; an electrode, assembly comprising a treatment electrode through which a treatment current may be passed in use, the treatment electrode having a patient contact region at a forward end; the electrode assembly carried in said tubular body and being movable between a retracted position in which the patient contact region of the electrode is shielded within said elongate tubular body and at least one extended position in which said patient contact, region projects through said opening; a bias arrangement for biasing said electrode assembly towards its retracted position, and a latch arrangement for latching said electrode assembly in said at least one extended position. | 11-26-2015 |
| 20150335378 | PROBE APPLICATOR - A probe applicator ( | 11-26-2015 |
| 20150335381 | Methods And Devices For Treating Pelvic Conditions - A device and method that provides a minimally-invasive approach to performing treatments on soft tissue, such as that found in the bladder. The device is useful for manipulating tissue such that treatment tools can be inserted into the tissue at a controlled depth. | 11-26-2015 |
| 20150335383 | APPARATUS FOR SAFE PERFORMANCE OF TRANSSEPTAL TECHNIQUE AND PLACEMENT AND POSITIONING OF AN ABLATION CATHETER - A steerable catheter system to perform a transseptal puncture procedure comprises a steerable catheter shaft with at least one inner lumen, and an inner element slidably positioned within a shaft lumen, wherein the distal tip of the shaft can be deflected, counter-deflected, rotated, and counter-rotated and wherein the inner element can be deployed or retracted. In one embodiment, a single steerable catheter is capable of performing an intended procedure and a transseptal procedure all in one, wherein the catheter comprises an outer steerable catheter and an inner element which can be deployed to perform a transseptal puncture, and wherein, once the inner element crosses the inter-atrial septum, the catheter itself can slide forward without advancement of the inner element. | 11-26-2015 |
| 20150342592 | MEDICAL DEVICE AND TREATMENT METHOD - A medical device and treatment method are configured to form a hole as a passage, which is used for treatment, in biological tissues without puncturing the biological tissue and while reducing the influence on a living body The medical device includes: a shaft portion which is elongated, a pressing portion on a distal side of the shaft portion to press the tissue, and a thrusting portion provided further on the distal side of the shaft portion than the pressing portion and configured to be thrust into a joint portion of the tissue. When pressing the biological tissue using the pressing portion, a direction from the shaft portion to the pressing portion and a direction from the shaft portion to the thrusting portion are different from each other, and the pressing portion can be expanded and contracted in an expansion direction intersecting a shaft center direction of the shaft portion. | 12-03-2015 |
| 20150342668 | TISSUE ABLATION CANNULA AND ELECGTRODE ASSEMBLY THAT CAN BE SELECTIVELY OPERATED WITH ONE OR MORE ACTIVE TIPS - An assembly ( | 12-03-2015 |
| 20150342669 | DEVICES AND METHODS FOR CONTROLLED ENERGY DELIVERY TO AIRWAYS - In one embodiment, a device for delivering energy to tissue within a patient may include an elongate member having a proximal end and a distal end, an expandable energy delivery assembly extending from the distal end of the elongate member, wherein the expandable energy delivery assembly includes a plurality of legs, wherein at least one of the legs includes an electrode and defines a passageway adjacent to the electrode, and wherein the passageway is configured to receive a fluid. | 12-03-2015 |
| 20150342673 | NERVE MODULATION DEVICES WITH COOLING CAPABILITIES - Medical devices and methods and making and using medical devices are disclosed. An example medical device may include an elongate shaft having a distal region. An expandable member may be coupled to the distal region. The expandable member may be capable of shifting between a first configuration and an expanded configuration. The expandable member may have a distal portion, a proximal portion, and a body portion disposed between the distal portion and the proximal portion. The body portion may have a projection formed therein that projects radially outward from the body portion. A flexible electrode assembly may be coupled to the projection. | 12-03-2015 |
| 20150342674 | METHODS AND APPARATUS FOR INTRODUCING TUMESCENT FLUID TO BODY TISSUE - A catheter is usable to treat a hollow anatomical structure (HAS). The catheter comprises one or more shafts which extend away from a proximal end of the catheter toward a distal end thereof. The catheter further comprises an HAS constriction energy source located at or near the distal end of the catheter. The catheter further comprises at least one radially expandable transmural fluid delivery channel located in the catheter near the HAS constriction energy source. | 12-03-2015 |
| 20150342675 | CATHETER 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. | 12-03-2015 |
| 20150343221 | Systems and Methods for Hypertension Control - Systems and methods for hypertension control via energy delivery to one or more nerves affecting blood pressure are provided. Systems may include implantable devices configured for non-contacting neuromodulation. Implantable devices may be configured for intravascular implantation. Systems may also include external devices configured to communicated with implantable neuromodulation devices, Additional systems may include non-implantable devices for delivering modulation energy and ablation energy to one or more nerves affecting blood pressure. | 12-03-2015 |
| 20150351825 | METHOD AND APPARATUS 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. | 12-10-2015 |
| 20150351833 | 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. | 12-10-2015 |
| 20150351835 | CATHETER FOR DENERVATION - A catheter for denervation includes a catheter body extending in one direction to have a proximal end and a distal end and having an inner space formed along the longitudinal direction thereof, a movable member provided at the distal end of the catheter body to be movable along the longitudinal direction of the catheter body, an operating member having a distal end connected to the movable member to move the movable member, a plurality of support members having one end connected to a terminal of the catheter body and the other end connected to the movable member, wherein when the movable member moves to decrease a distance between the terminal of the catheter body and the movable member, at least a partial portion of the plurality of support members is bent so that the bending portion moves away from the catheter body, a plurality of electrodes respectively provided at the bending portion of the plurality of support members to generate heat, and a lead wire respectively electrically connected to the plurality of electrodes to give a power supply path for the plurality of electrodes. | 12-10-2015 |
| 20150351836 | UNIPOLAR AND/OR BIPOLAR ABLATION CATHETER - An ablation device and/or method of ablation may include placing one or more ablation electrodes in contact with a target tissue in a lumen. An electrical insulator may be positioned between the electrode and a lumen fluid and an electrical signal (for example a radio frequency signal) may be conveyed between the electrodes to heat and/or ablate the target tissue. Ablation may be bipolar and/or an in lumen dispersive electrode may be supplied for unipolar ablation. Ablation progress may be sensed and ablation may be adjusted to produce a desired level and/or geometry and/or distribution of ablation. | 12-10-2015 |
| 20150351837 | APPARATUS 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. | 12-10-2015 |
| 20150359583 | HIGH-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. | 12-17-2015 |
| 20150359586 | DEVICE AND METHOD FOR ALLEVIATION OF PAIN - A target-treating system treats a target disposed within a bone of a patient. The system comprises a probe configured to be inserted into the bone and navigated therethrough toward the target. The probe comprises a shaft that includes a proximal end, a distal end, and a main body extending between and interconnecting the proximal end and the distal end. The distal end is configured to engage the target such that, upon activation of the probe, the target is treated. | 12-17-2015 |
| 20150359587 | ELECTROSURGICAL 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. | 12-17-2015 |
| 20150359589 | INTRAVASCULAR NEUROMODULATION DEVICE HAVING A HELICAL THERAPEUTIC ASSEMBLY WITH PROUD PORTIONS AND ASSOCIATED METHODS - Catheter apparatuses, systems, and methods for achieving neuromodulation by intravascular access. A treatment device has a pre-formed helical therapeutic assembly with spaced-apart proud portions that are offset with respect to the pre-formed helical shape when in a deployed configuration. The therapeutic assembly includes a plurality of energy delivery elements carried by and associated with the proud portions such that, in the deployed configuration, the proud portions are configured to position the energy delivery elements in apposition with an inner wall of a target blood vessel. The energy delivery elements can deliver energy across the inner wall of a renal artery, for example, to heat or otherwise electrically modulate neural fibers that contribute to renal function. | 12-17-2015 |
| 20150359590 | Implantable Catheter-Delivered Neuromodulation Devices and Related Devices, Systems, and Methods - An example of an implantable neuromodulation device includes a bioabsorbable electrode and an elongate bioabsorbable support structure carrying the electrode. The support structure is configured to expand in a direction perpendicular to its length so as to move the electrode into contact with a wall of a naturally occurring lumen of a human patient. The electrode is electrically activatable to modulate a nerve within tissue at or otherwise proximate to the wall of the lumen. An example of a neuromodulation method using the neuromodulation device includes locating the neuromodulation device at a treatment site within the lumen and deploying the neuromodulation device into an expanded treatment state at the treatment site. The method further includes reducing obstruction of blood flow through the lumen after deploying the neuromodulation device and then wirelessly energizing the electrode from an extracorporeal energy source. | 12-17-2015 |
| 20150366603 | SYSTEM AND METHOD FOR BRONCHIAL DILATION - A method of reducing bronchial constriction in a subject includes delivering energy to create one or more lesions on a main bronchus so as to transect pulmonary nerves sufficiently to reduce bronchial constriction in a lung of the patient distal to the main bronchus. | 12-24-2015 |
| 20150366606 | INSTRUMENT FOR CUTTING BODY TISSUE - An instrument for cutting body tissue has an instrument shaft, A blade, is adjacent to a distal end of the instrument shaft and can be folded out with respect to a longitudinal axis of the shaft and can be rotated about the longitudinal axis. An operating part is at a proximal end of the instrument shaft. A proximal end of the blade directed toward the operating part can be pivoted laterally out away from the longitudinal axis about an end of the blade that faces away from the proximal end and that is distally articulated at an articulation point. A tissue stop is arranged at the distal end of the instrument shaft. The tissue stop can be brought into an active position in which a stop surface facing the blade in the proximal direction has a specified fixed distance from the articulation point. | 12-24-2015 |
| 20150366607 | SYSTEMS AND METHODS FOR PERFORMING ENDOMETRIAL ABLATION - An endometrial ablation apparatus for selectively destroying an endometrial lining of an organ in a body including an expandable electrode means for extending the organ and effecting electrical contact with the endometrial lining to be destroyed and an external electrode adapted to contact the outer surface of the body; the expandable electrode containing an electrically non-conductive expansion medium and a variable conductive matrix; and a power source or sources connected to the expandable electrode means and to the external electrode, the power source being adapted to provide radio-frequency electric power to the expandable electrode. | 12-24-2015 |
| 20150366608 | MEDICAL DEVICE FOR SYMPATHETIC NERVE ABLATION WITH PRINTED COMPONENTS - A medical device for sympathetic nerve ablation may include an elongate shaft and an expandable member. A printed ablation electrode assembly may be disposed on an outer surface of the expandable member, the printed ablation electrode assembly including a positive electrical pathway and a ground electrical pathway printed directly on the outer surface of the expandable member. A temperature sensor may be printed directly on the outer surface of the expandable member. A method of manufacturing a medical device for sympathetic nerve ablation may include printing a conductive ink network directly on a surface of a polymeric balloon material in a flat configuration, printing at least one temperature sensor directly on the surface of the polymeric balloon material, forming the polymeric balloon material into an inflatable balloon, and attaching the inflatable balloon to an elongate catheter shaft. | 12-24-2015 |
| 20150366609 | DEVICE 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. | 12-24-2015 |
| 20150367026 | TISSUE FUSION AGENT - A tissue fusion agent includes a particulate and/or fibrous flock material, wherein the fibrous flock material includes monofilament flock fibers and has a fiber length of 100 μm to 3 mm. A discharge device can contain the tissue fusion agent and a surgical system can includes the tissue fusion agent or the discharge device and a tissue fusion instrument. | 12-24-2015 |
| 20150367042 | TISSUE FUSION AGENT - A tissue fusion agent includes a supporting element and a flock material. A surgical system includes the tissue fusion agent and a tissue fusion instrument. A method of producing the tissue fusion agent includes a) coating a supporting element with an adhesive, and b) flocking the adhesive-coated supporting element with a flock material while the adhesive is moist, adhesive or tacky, or after activation of the adhesive. | 12-24-2015 |
| 20150374428 | TREATMENT DEVICE - A treatment device configured to hold a living tissue includes a swing member supported by a first grasping member and rotatable in a first direction and in an opposite direction opposite to the first direction. A support shaft of the swing member is supported on a side close to the distal end including a middle position between the distal end and the proximal end. A first holding surface is provided on the swing member close to a side of the second grasping member and grasps the living tissue. A second holding surface is provided on the second grasping member close to a side of the swing member and which faces the first holding surface and which is configured to hold the living tissue together with the first holding surface of the swing member. | 12-31-2015 |
| 20150374432 | Electrosurgical mapping tools and methods - A method and apparatus for treating tissue are disclosed, including intra-operative mapping of a probe ablation zone. The method uses a system that maps the proximal and distal margins of the probe ablation zone using tools that access the ablation target. In some embodiments, the tools comprise a bone drill, and an introducer assembly, including a cannula and a stylet. The tools have features or markings that cooperate to indicate which probe to use to achieve the desired ablation. The method further facilitates planning probe placement for delivering energy to treat (ablate) a desired ablation volume of a target tissue by using a system that maps both the target tissue and possible probe ablation zones. | 12-31-2015 |
| 20150374436 | ABLATION DEVICE WITH MULTIPLE ABLATION MODES - 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 is configured to transmit the RF energy in a direction distally towards a leading end of the ablation device. Multiple ablation electrodes on the device can be used for providing lesions of different size or shape. | 12-31-2015 |
| 20150374437 | RENAL NEUROMODULATION METHODS AND DEVICES FOR TREATMENT OF POLYCYSTIC KIDNEY DISEASE - Methods for treating polycystic kidney disease with therapeutic renal neuromodulation and associated systems and methods are disclosed herein. One aspect of the present technology is directed to methods that at least partially inhibit sympathetic neural activity in nerves proximate a renal artery of a kidney of a patient. One or more measurable physiological parameter corresponding to the polycystic kidney disease can thereby be reduced. Moreover, central sympathetic drive in the patient can be reduced in a manner that treats the patient for the polycystic kidney disease. Renal sympathetic nerve activity can be modulated along the afferent and/or efferent pathway. The modulation can be achieved, for example, using an intravascularly positioned catheter carrying a neuromodulation assembly, e.g., a neuromodulation assembly configured to cryotherapeutically cool the renal nerve or to deliver an energy field to the renal nerve. | 12-31-2015 |
| 20160000455 | METHODS AND DEVICES FOR URETHRAL TREATMENT - A system and method for treating a constricted bodily lumen, for example, a urethra constricted due to BPH. The method includes a planning stage, during which an area requiring treatment is visually identified, and an execution stage during which the lumen is expanded, a cut is formed in the inner surface of the tissue defining the lumen, and an implant is deployed in the cut. The implant can be an open C-shaped ring, and can be formed of a biodegradable material, or can be removed at a selected time after implantation. The system is formed of a planning device anchorable in the lumen and constructed to facilitate location of an area to be treated, and execution device constructed to deliver an implant, to expand the lumen, to form a cut in the inner surface of tissue defining the lumen, and to release the implant for deployment into the cut. | 01-07-2016 |
| 20160000501 | Medical Device Having a Support Structure - Embodiments of medical devices and methods are disclosed. The medical devices typically comprise a flexible elongate member defining a lumen, and a support spine affixed to the distal end and extending proximally therefrom within the elongate member lumen. In some embodiments, the support spine is configured to support at least a portion of the elongate member when the elongate member is bent or curved. Some embodiments include apertures at or near the distal end for enabling fluid communication between the lumen and the outside environment. In some embodiments, the support wire extends proximally from the distal end within a distal portion of the lumen such that a proximal portion of the lumen is substantially unobstructed, thereby reducing turbulence of fluid flowing through the lumen. | 01-07-2016 |
| 20160000502 | SYSTEM 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. | 01-07-2016 |
| 20160008052 | BIPOLAR FORCEPS | 01-14-2016 |
| 20160008053 | ABLATION MEDICAL DEVICES | 01-14-2016 |
| 20160008059 | ABLATION CATHETER WITH INSULATION | 01-14-2016 |
| 20160008060 | MAPPING ABLATION CATHETER | 01-14-2016 |
| 20160008064 | CATHETER WITH COOLING ON NONABLATING ELEMENT | 01-14-2016 |
| 20160008066 | ENERGY DELIVERY DEVICES AND METHODS | 01-14-2016 |
| 20160008068 | HIGH-FREQUENCY TREATMENT TOOL | 01-14-2016 |
| 20160015448 | RF Tissue Ablation Devices and Methods of Using the Same - RF tissue ablation devices are provided. Aspects of the RF tissue ablation devices include an elongated member having a proximal and distal end, first and second jaws at the distal end, wherein the first and second jaws are configured to apply intra and inter RF energy to tissue disposed between the jaws during use, and a connector at the proximal end for operatively connecting to a RF energy source. Also provided are systems that include an RF tissue ablation device operatively coupled to a RF energy source, as well as kits that include the devices and methods of using the devices in RF tissue ablation applications, including cardiac applications. | 01-21-2016 |
| 20160015449 | SYSTEMS AND METHODS FOR MONITORING AND CONTROLLING USE OF MEDICAL DEVICES - A device carries a use monitoring element that possesses a state or condition that changes in response to use of the device and that is sensed when the device is presented for use. Reuse of the device is not permitted, if the use monitoring element indicates a prior use. | 01-21-2016 |
| 20160015450 | DEVICES TO TREAT NASAL AIRWAYS - A device is described for treating a nasal airway by modifying a property of a nasal tissue of or near a nasal valve of the airway, without using a surgical incision or an implant, to decrease airflow resistance or perceived airflow resistance in the nasal airway. Various embodiments include an elongate shaft, a bipolar radiofrequency delivery member extending from one end of the shaft, and a handle attached to the elongate shaft at an opposite end from the radiofrequency delivery member. The radiofrequency delivery member is sized to be inserted into a nose and configured to at least temporarily deform the nasal tissue and deliver radiofrequency energy. The radiofrequency delivery member includes two rows of protruding electrodes disposed on a tissue contact surface, and the device is configured to deliver radiofrequency energy from one row of electrodes to the other row of electrodes. | 01-21-2016 |
| 20160015451 | SYSTEMS AND METHODS FOR TREATING TISSUE WITH RADIOFREQUENCY ENERGY - A flexible sleeve mountable to an endoscope having a proximal portion, a distal portion, a first channel dimensioned to receive an endoscope, and a second channel dimensioned to receive an electrode. The electrode is slidable within the second channel from a retracted position wherein a tip of the electrode is unexposed from the sleeve and an extended position wherein the tip of the electrode is exposed from the sleeve and curves toward target tissue. | 01-21-2016 |
| 20160015452 | FEEDBACK SYSTEMS AND METHODS FOR RENAL DENERVATION UTILIZING BALLOON CATHETER - A renal denervation system includes an ablation catheter and an inflation balloon. The renal denervation catheter is insertable into a renal artery to perform a renal denervation procedure. The inflation balloon is inflatable within the renal artery, wherein one of a blood pressure condition in the renal artery resulting from operation of the inflation balloon and a performance characteristic of the inflation balloon indicates efficacy of the renal denervation procedure. | 01-21-2016 |
| 20160022352 | LARGE VOLUME TISSUE REDUCTION AND REMOVAL SYSTEM AND METHOD - A tissue removal system for extracting a tissue specimen from a patient is disclosed. The system has a retrieval bag, a first electrode, and a return electrode. The retrieval bag has a flexible container with an opening. The first electrode is coupled to an interior of the flexible container, and has a conductive wire with an exposure area, a first load-bearing area, a coating having a first active electrode surface area, and an impedance that is greater than an impedance of the conductive wire. The first active electrode surface area is less than the exposure area. The coating is configured to degrade during application of electrosurgical power and wherein the degradation expands the first active electrode surface area during the application of the electrosurgical power. | 01-28-2016 |
| 20160022354 | RF ENABLED INFLATABLE BONE TAMP - A device for performing a surgical procedure includes an elongated shaft extending between a proximal end and a distal end. The shaft includes an outer surface and an inner surface. An expandable member is disposed at the distal end of the shaft. The expandable member is configured to receive inflation material. At least one electrode is disposed with the inflatable member. Methods of use are disclosed. | 01-28-2016 |
| 20160022357 | METHOD FOR TREATING FECAL INCONTINENCE - A sphincter tissue region is treated using a support structure sized for advancement into the anal canal. At least one electrode is carried by the structure. A mechanism is coupled to the electrode to move the electrode between a first position retracted in the support structure and a second position extended from the support structure through surface tissue to penetrate a subsurface tissue region at or near a sphincter in the anal canal. A cable is coupled to the electrode to conduct energy for application by the electrode to form a lesion in the subsurface tissue region. | 01-28-2016 |
| 20160022358 | CATHETER WITH OMNI-DIRECTIONAL OPTICAL LESION EVALUATION - A catheter is adapted to ablate tissue and provide lesion qualitative information on a real time basis, having an ablation tip section with a generally omni-directional light diffusion chamber with one openings to allow light energy in the chamber to radiate the tissue and return to the chamber. The chamber is irrigated at a positive pressure differential to continuously flush the opening with fluid. The light energy returning to the chamber from the tissue conveys a tissue parameter, including without limitation, lesion formation, depth of penetration of lesion, cross-sectional area of lesion, formation of char during ablation, recognition of char during ablation, recognition of char from non-charred tissue, formation of coagulum around the ablation site, differentiation of coagulated from non-coagulated blood, differentiation of ablated from healthy tissue, tissue proximity, and recognition of steam formation in the tissue for prevention of steam pop. | 01-28-2016 |
| 20160022359 | METHOD OF TREATING A LIVING BODY TISSUE - A method is disclosed for treating a living body tissue by cauterizing a sympathetic nerve around a renal artery to block a neurotransmission function of the sympathetic nerve. The method includes inserting a balloon catheter including a balloon on a distal end side of a shaft into a body cavity, and delivering the balloon to the renal artery; inflating the balloon that has been delivered to the renal artery; puncturing a blood vessel wall with at least one protrusive member disposed on an outer surface of the balloon when the balloon is inflated; and after puncturing the blood vessel wall with the protrusive member, cauterizing the sympathetic nerve within a region at a periphery of an electrode disposed on a projecting tip end portion of the protrusive member by supplying a current to the electrode. | 01-28-2016 |
| 20160030071 | TREATMENT DEVICE AND TREATMENT SYSTEM - A treatment device which applies energy to a biological tissue to treat the biological tissue, includes: an interlocking mechanism that regulates at least one of a closing time until first and second jaws reach a closed state from an opened state when one operation is input into an operating body for a handle, and a unit closing amount from the opened state toward the closed state, interlocks at least one of the first and second jaws with the operating body, and is interposed between the operating body and the handle; and an elastic member that is disposed in the interlocking mechanism, couples the operating body with the handle, pulls the operating body toward the handle at a constant load or a constant pressure, and regulates the closing time until the closed state is reached from the opened state. | 02-04-2016 |
| 20160030110 | IRRIGATED 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. | 02-04-2016 |
| 20160045250 | MULTIPURPOSE ELECTROSURGICAL DEVICE - A multipurpose electrosurgical device and methods of use are disclosed. In one example, device includes a handpiece and an end effector having a monopolar electrode and a pair of bipolar electrodes. The end effector is coupled to the handpiece and selectively transitionable relative to the handpiece from a first position to a second position. The first position includes the bipolar electrodes extending distally from the device and the monopolar electrode is spaced from a distal end portion of the device. The second position includes the monopolar electrode extending distally and the bipolar electrodes are spaced from a distal end portion of the device. | 02-18-2016 |
| 20160045255 | ABLATION DEVICE HAVING AN EXPANDABLE CHAMBER FOR ANCHORING THE ABLATION DEVICE TO TISSUE - A surgical instrument is provided including a handle assembly, a shaft electrically coupled to the handle assembly and extending therefrom, an electrode assembly electrically coupled to the shaft for transmitting energy to tissue to treat tissue, and a chamber defined in the shaft and positioned proximal a distal end thereof and configured to selectively expand. The expansion of the chamber anchors the surgical instrument to the tissue. | 02-18-2016 |
| 20160045256 | Electrosurgical Devices and Methods - An electrosurgical probe with internal cooling for use in systems and methods for lesioning in bone and other tissue is disclosed. The probe includes a distal electrical insulator, a proximal electrical insulator, a distal electrical conductor defining a distal electrode with a closed distal end and a proximal electrical conductor defining a proximal electrode, the distal electrode longitudinally spaced apart and electrically isolated from the proximal electrode by the distal electrical insulator. The distal electrode has a closed proximal end formed by a distal face of the distal electrical insulator to thereby define a closed distal inner lumen for circulating the cooling fluid. The proximal electrode has a closed distal end formed by a proximal face of the distal electrical insulator and a closed proximal end formed by a distal face of the proximal electrical insulator to thereby define a closed proximal inner lumen for circulating the cooling fluid. | 02-18-2016 |
| 20160051307 | ELECTROSURGICAL INSTRUMENT WITH SELECTIVE CONTROL OF ELECTRODE ACTIVITY - Electrosurgical instruments are configured to provide increased ablative capability without requiring increased current density at the electrode. The electrosurgical instrument includes an elongate probe having a handle portion and a distal end. An electrode is disposed at the distal end and is configured to ablate tissue. The instrument includes an aspiration lumen, e.g., that may open through the electrode, at the distal end to aspirate fluid, tissue debris, and gaseous bubbles through the aspiration lumen. The electrosurgical instrument includes a user operable control (e.g., button) on the handle portion for selectively placing the instrument in boosted ablation mode, which can be achieved by restricting aspiration of fluid through the aspiration lumen, reducing active cooling of the electrode, and causing increased ablative sparking density at the electrode (e.g., by at least 10%, 20%, 35%, or 50%). | 02-25-2016 |
| 20160051322 | METHOD AND APPARATUS FOR PERCUTANEOUS EPICARDIAL ABLATION OF CARDIAC GANGLIONATED PLEXI WITHOUT MYOCARDIAL INJURY - 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. | 02-25-2016 |
| 20160051324 | INTRACARDIAC 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. | 02-25-2016 |
| 20160051325 | METHOD AND APPARATUS FOR REMODELING/PROFILING A TISSUE LUMEN, PARTICULARLY IN THE URETHRAL LUMEN IN THE PROSTATE GLAND - Apparatus for tissue lumen (such as urethra) remodeling includes an elongated shaft and at least one expandable structure on a distal end of the shaft. At least one desiccator or energy emitter is carried by the structure and operable to define a support structure in lumen tissue that resists lumen closure. Apparatus is also disclosed for identifying tissue or developing a profile of tissue along the lumen based at least in part on an electrical characteristic of the tissue. Methods of remodeling and profiling are also disclosed. | 02-25-2016 |
| 20160058502 | DEVICES FOR DAMAGING NERVES AND RELATED METHODS OF USE - A method of treating an airway of a lung may include inserting a medical device into the airway, and delivering an agent from the medical device to a nerve disposed within or adjacent the airway to damage the nerve sufficient to reduce an ability of the nerve to send nerve signals. | 03-03-2016 |
| 20160058503 | METHODS FOR MODULATING RENAL NERVE TISSUE AND ASSOCIATED SYSTEMS AND DEVICES - Methods for treating a patient using therapeutic renal neuromodulation and associated devices, system, and methods are disclosed herein. One aspect of the present technology is directed to neuromodulating nerve tissue in selected anatomical regions. In one embodiment, the method can include intravascularly positioning a neuromodulation element of a catheter within renal vasculature of a human patient and modulating nerve tissue within an anatomical region extending circumferentially around a branch vessel along a proximal-most longitudinal length of the branch vessel (e.g., between about 1 mm to about 12 mm distal to a bifurcation). The method can also include positioning the neuromodulation element within a second branch vessel and modulating nerve tissue within an anatomical region extending circumferentially around the second branch vessel along a proximal-most longitudinal length of the second branch vessel (e.g., between about 1 mm to about 12 mm distal to a bifurcation). | 03-03-2016 |
| 20160058505 | SYSTEMS AND METHODS FOR DETECTING TISSUE CONTACT DURING ABLATION - Systems and methods for assessing tissue contact, including positioning an electrode adjacent a tissue region; delivering radiofrequency energy to the electrode, wherein the delivered radiofrequency energy is sufficient to ablate at least a portion of the tissue region; obtaining a plurality of impedance measurements from the electrode during the delivery of the radiofrequency energy; calculating a change in the impedance measurements over a pre-determined time period; and generating an alert if the calculated change is less than a pre-defined value. | 03-03-2016 |
| 20160058506 | SYSTEMS, DEVICES AND METHODS FOR TREATING THE HEART WITH ABLATION - A system for ablating internal heart tissue in an ablation pattern on a surface of the tissue within the heart. The system includes an ablation catheter with a distal end having an ablating tip portion operative to allow selective ablation of tissue. A guiding device is engageable with the ablation catheter and includes a tissue anchoring portion operable to engage with tissue proximate to the tissue to be ablated so as to temporarily anchor the guiding device relative to the tissue. Engagement of the guiding device with the ablation catheter operates to assist with guiding the ablating tip portion in moving along the pattern. Various devices and methods of use are further disclosed. | 03-03-2016 |
| 20160066987 | INDUCTIVE DISTURBANCE REDUCTION DEVICE - The invention relates to an inductive disturbance reduction device ( | 03-10-2016 |
| 20160066988 | Multi-Electrode Catheter Assemblies for Renal Neuromodulation and Associated Systems and Methods - Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a multi-electrode array configured to be delivered to a renal blood vessel. The array is selectively transformable between a delivery or low-profile state (e.g., a generally straight shape) and a deployed state (e.g., a radially expanded, generally spiral/helical shape). The multi-electrode array is sized and shaped so that the electrodes or energy delivery elements contact an interior wall of the renal blood vessel when the array is in the deployed (e.g., spiral/helical) state. The electrodes or energy delivery elements are configured for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function. | 03-10-2016 |
| 20160066989 | Electrosurgical Device Having a Lumen - In some embodiments, an electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member located at or about the distal end of the elongate member. The energy delivery device includes an electrode for delivering energy, and a thermal shield positioned between the electrode and the elongate member. | 03-10-2016 |
| 20160066990 | ENERGY DELIVERY DEVICES AND METHODS - This relates to methods and devices for achieving contact between the wall of a cavity or passageway and a medical device when used in tortuous anatomy. | 03-10-2016 |
| 20160066992 | METHODS 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. | 03-10-2016 |
| 20160074098 | MULTI-FUNCTION SURGICAL INSTRUMENTS - A surgical instrument includes a housing, an inner shaft coupled to and extending distally from the housing, an end effector assembly disposed at a distal end of the inner shaft, an outer sheath that is fixed to the housing, extends distally from the housing, and is disposed about the inner shaft, and an insulative sleeve. The insulative sleeve is positioned between the inner shaft and the outer sheath. The insulative sleeve is movable relative to the inner shaft and the outer sheath between a storage position, wherein the insulative sleeve is positioned proximally of the end effector assembly, and a deployed position, wherein the insulative sleeve substantially surrounds the end effector assembly. | 03-17-2016 |
| 20160074105 | DEPLOYMENT MECHANISMS FOR SURGICAL INSTRUMENTS - A surgical instrument includes a housing, an energizable member, and a deployment mechanism. The deployment mechanism includes a one-way rotatable member, a linkage, and an actuator. The first end of the linkage is coupled to the one-way rotatable member at an offset position. The second end of the linkage is coupled to the energizable member such that a revolution of the one-way rotatable member moves the energizable member from the storage position to the deployed condition and back to the storage position. The actuator is selectively actuatable from an un-actuated state to an actuated state. Each actuation of the actuator effects a partial revolution of the one-way rotatable member such that each actuation of the actuator moves the energizable member from one of the storage position or the retracted position to the other of the storage position or the retracted positions. | 03-17-2016 |
| 20160074106 | DEPLOYMENT MECHANISMS FOR SURGICAL INSTRUMENTS - A surgical instrument includes a housing, an energizable member, and a deployment mechanism. The energizable member is movable relative to the housing between a storage position and a deployed position. The deployment mechanism includes a first actuator member movable relative to the housing from a first un-actuated position to a first actuated position to move the energizable member from the storage position to the deployed position and a second actuator member movable relative to the housing from a second un-actuated position to a second actuated position to move the energizable member from the deployed position to the storage position. Movement of the first actuator member from the first un-actuated position to the first actuated position effects movement of the second actuator member from the second actuated position to the second un-actuated position and vice versa. | 03-17-2016 |
| 20160074110 | METHODS AND DEVICES FOR LOCALIZED DISEASE TREATMENT BY ABLATION - Provided herein are methods, systems, and devices for increasing heat shock protein expression and treating conditions for which increased heat shock protein expression is expected to be beneficial using thermal ablation. | 03-17-2016 |
| 20160074112 | ABLATION CATHETERS AND METHODS OF USE THEREOF - An ablation device for denervation including a catheter delivery mechanism including an elongated tube with a distal end and a proximal end, the distal end being emplaceable within a body lumen at a target nerve region. A guide wire, at least one radiofrequency electrode, a plurality of positioning elements, and a plurality of pressing elements initially located within the tube. The electrode being deployable from the tube at the target nerve region and forming a ring-shaped structure adjacent the distal tube end. The positioning elements being deployable from the tube at the target nerve region from a position of the tube further distal than the electrode. The pressing elements being deployable from the tube more proximal than the electrode for use in pressing the deployed electrode against tissue to be ablated. | 03-17-2016 |
| 20160081734 | BIPOLAR FORCEPS - A bipolar forceps may include a first forceps arm having a first forceps arm aperture, a first forceps jaw, and a first forceps arm conductor tip; a second forceps arm having a second forceps arm aperture, a second forceps jaw, and a second forceps arm conductor tip; and an input conductor isolation mechanism having a first forceps arm housing and a second forceps arm housing. The first forceps arm conductor tip may be configured to conduct current only at a medial portion of the first forceps arm. Illustratively, the second forceps arm conductor tip may be configured to conduct current only at a medial portion of the second forceps arm. | 03-24-2016 |
| 20160081741 | ABLATION APPARATUS - An ablation needle is disclosed as including a needle body ( | 03-24-2016 |
| 20160081744 | SYSTEM AND METHOD FOR MAPPING THE FUNCTIONAL NERVES INNERVATING THE WALL OF ARTERIES, 3-D MAPPING AND CATHETERS FOR SAME - Disclosed herein are systems and methods for locating and identifying nerves innervating the wall of arteries such as the renal artery. The present invention identifies areas on vessel walls that are innervated with nerves; provides indication on whether energy is delivered accurately to a targeted nerve; and provides immediate post-procedural assessment of the effect of energy delivered to the nerve. The methods includes evaluating a change in physiological parameters after energy is delivered to an arterial wall; and determining the type of nerve that the energy was directed to (sympathetic or parasympathetic or none) based on the evaluated results. The system includes at least a device for delivering energy to the wall of blood vessel; sensors for detecting physiological signals from a subject; and indicators to display results obtained using said method. Also provided are catheters for performing the mapping and ablating functions. | 03-24-2016 |
| 20160081745 | METHODS, SYSTEMS AND DEVICES FOR REDUCING THE LUMINAL SURFACE AREA OF THE GASTROINTESTINAL TRACT - Methods, systems and devices for treating a patient include providing a tissue treatment element constructed and arranged to deliver energy to tissue and treating tissue of the gastrointestinal tract by causing the tissue treatment element to deliver energy to an energy delivery zone. Treatment results in a reduction in the luminal surface area of at least a portion of the gastrointestinal tract. In particular embodiments, the methods, systems and devices are used to treat diabetes. | 03-24-2016 |
| 20160089200 | METHODS AND DEVICES TO TREAT NASAL AIRWAYS - Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways. | 03-31-2016 |
| 20160089201 | Electrical Means to Normalize Ablational Energy Transmission to a Luminal Tissue Surface of varying Size - Methods and devices for measuring the size of a body lumen and a method for ablating tissue that uses the measurement to normalize delivery of ablational energy from an expandable operative element to a luminal target of varying circumference are provided. The method includes inserting into the lumen an expandable operative element having circuitry with resistivity or inductance that varies according to the circumference of the operative element, varying the expansion of the operative element with an expansion medium, measuring the resistivity of the circuitry, and relating the resistivity or inductance to a value for the circumference of the operative element. In some embodiments the sizing circuit includes a conductive elastomer wrapped around the operative element. Other embodiments of the method apply to operative elements that include an overlapping energy delivery element support in which the overlap varies inversely with respect to the state of expansion, and which is configured with sizing electrodes that sense the amount of the overlap. | 03-31-2016 |
| 20160095647 | MARGIN EXTENSION DEVICE AND METHOD - A margin extension device and method are disclosed herein. The margin extension device can be used for ablating one or several cancer cells and can include a contact member and a plurality of electrodes. The contact member can be electrically conductive, and can electrically connect the electrodes. The margin extension device can further include one or several leads that connect the electrodes of the margin extension device to a treatment controller. The treatment controller can include a pulse generator that can generate one or several electrical pulses that generate one or several electrical fields in tissue proximate to the margin extension device. | 04-07-2016 |
| 20160095648 | ENDOMETRIAL LINING TISSUE TREATMENT DEVICE - An endometrial tissue treatment device includes an elongate positioning member and an energy applicator coupled to a distal end of the positioning member, the energy applicator including a tissue contacting member and an expandable-collapsible support structure underlying the tissue contacting member, the expandable-collapsible support structure comprising a substantially non-compliant elongate balloon disposed within the tissue contacting member that, when inflated, has a length oriented substantially transverse to the positioning member, including a first closed end that positions a corresponding first corner portion of the tissue contacting member in a first cornu of a uterine cavity, and a second closed end that positions a corresponding second corner portion of the tissue contacting member in a second cornu of a uterine cavity, with a lengthwise portion of the balloon positioning a distal facing portion of the tissue contacting member for contacting a fundal wall of a uterus. | 04-07-2016 |
| 20160095650 | AN ABLATION CATHETER - An ablation catheter includes a control handle and a catheter sheath removably connectable to the control handle, the catheter sheath defining a fluid lumen and having a plurality of perforations proximal the distal end of the catheter sheath. The ablation catheter further includes a shape-imparting element inserted into the fluid lumen of the catheter sheath and removably connectable to the control handle. The shape-imparting element is connectable to an RF energy source so that, in use, the shape-imparting elements act as an electrode charging fluid into the fluid lumen to be expelled through the plurality of perforations on the catheter sheath. | 04-07-2016 |
| 20160095652 | CATHETER DEVICE INCLUDING FLOW SENSING - Devices and methods are provided for performing an ablation procedure on tissue with flow monitoring using flow sensors. The devices include a catheter, and at least one flow sensor disposed on the catheter, and a component for applying the ablation procedure. An assessment module provides an indication of the efficacy of the ablation procedure based on the flow measurement from the flow sensor. | 04-07-2016 |
| 20160095653 | Prediction of atrial wall electrical reconnection based on contact force measured during RF ablation - A method and device for determining the transmurality 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. | 04-07-2016 |
| 20160095654 | Catheter 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. | 04-07-2016 |
| 20160095655 | Catheter 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. | 04-07-2016 |
| 20160095659 | Catheter 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. | 04-07-2016 |
| 20160100883 | Methods and Apparatus 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. | 04-14-2016 |
| 20160100885 | CATHETER FOR TREATMENT OF ATRIAL FLUTTER HAVING SINGLE ACTION DUAL DEFLECTION MECHANISM - A catheter and method for the treatment of a patient having atrial flutter or other arrhythmia comprises an elongated catheter body having an outer wall, proximal and distal ends, and at least one lumen extending therethrough. Further it has a distal tip section comprising a flexible tubing having a proximal end and a distal end and a plurality of lumens extending therethrough. The proximal end of the tip section is fixedly attached to the distal end of the catheter body. The tip section further comprises a nitinol tube having slots formed therein which causes the distal tip section to deflect using the same puller-wire action used to cause the deflectable catheter to deflect at a point proximal to the distal tip section. | 04-14-2016 |
| 20160106498 | METHODS FOR CONTEMPORANEOUS ASSESSMENT OF RENAL DENERVATION - Techniques are disclosed for contemporaneously assessing the success of a renal denervation procedure. One or more characteristics of a patient's heart, such as atrioventricular (AV) interval, PR interval and/or heart rate are monitored during an ablation procedure. A change in the heart characteristic detected during the ablation may indicate successful denervation. Accordingly, successive new locations may be targeted for ablation until a change is detected. | 04-21-2016 |
| 20160106500 | SYSTEM AND METHOD FOR CONTROLLING DELIVERY OF ABLATION ENERGY TO TISSUE - A system for controlling delivery of ablation energy by an ablation catheter to tissue in a body is provided. The system includes an electronic control unit configured to determine, responsive to a measurement signal from the ablation catheter, a value for a characteristic associated with the delivery of ablation energy to the tissue. In one embodiment, the characteristic is the degree of contact between the ablation catheter and the tissue. The unit is further configured to generate a control signal, responsive to the determined value of the characteristic, to control an amount of energy delivered from an ablation delivery element on the ablation catheter to the tissue. The amount of energy varies in response to the determined value of the characteristic when the determined value of the characteristic meets a predetermined condition relative to a threshold value for the characteristic. | 04-21-2016 |
| 20160113703 | METHODS FOR TREATING AIRWAYS - This relates to treating airways in a lung to decrease asthmatic symptoms. The also includes steps of measuring a parameter of an airway at a plurality of locations in a lung, identifying at least one treatment site from at least one of the plurality of locations based on the parameter, and applying energy to the treatment site to reduce the ability of the site to narrow. | 04-28-2016 |
| 20160113704 | Electrosurgical Device & Methods - An electrosurgical bipolar probe with internal cooling for use in systems and methods for lesioning in bone and other tissue is disclosed. The bipolar probe includes tubular electrodes configured such that the inner surface of the electrodes are cooled, directly or indirectly, while keeping the electrodes electrically isolated. An exemplary disclosed method of using a bipolar probe having an active tip having at least two electrodes for delivering energy includes the steps of: advancing the active tip into a bone tissue; delivering energy substantially between the electrodes in a bipolar manner; and supplying cooling fluid to the active tip for internal cooling of the electrodes. Some versions of the method further include the steps of monitoring the temperature of tissue to which the energy is being delivered; and controlling the delivery of energy in suspense to the temperature of the tissue. | 04-28-2016 |
| 20160113705 | HIGH-FREQUENCY TREATMENT TOOL - The high-frequency treatment tool includes a flexible tube inserted into a body cavity; an operating wire inserted through the flexible tube to be movable back and forth; a treatment part arranged on a distal end of the operating wire and treats biological tissue by applying a high-frequency current; a main body that fixes a base end of the flexible tube; a slider-fixing part that fixes a base end of the operating wire guided from the base end of the flexible tube and slides the operating wire in an axis direction with respect to the main body; and a slider-gripping part provided to encircle at least a portion of an outer peripheral surface of the slider-fixing part and slides the slider-fixing part by the operation of a user. The slider-fixing part is unrotatably coupled to the main body and the slider-gripping part is rotatably coupled to the slider-fixing part. | 04-28-2016 |
| 20160113707 | ELECTROPORATION APPARATUS AND METHOD OF USING SAME FOR ABLATION OF AN ARBITRARY VOLUME - An electroporation apparatus and the method of using same are provided. The apparatus allows for the ablation of an area of tissue of arbitrary volume. The apparatus includes a plurality of conductive electrodes attached to a base pate and electrically connected to a pulse generator to allow individual electrical actuation of the electrodes. In use, the electrodes are inserted into an area of tissue to be ablated, such that the electrodes are in a first position. Predetermined ones of the electrodes are then activated to ablate tissue surrounding the activated electrodes, while leaving other ones of the electrodes un-activated. The electrodes are then moved to a second position which is different than the first position, and predetermined ones of the electrodes are then activated to ablate tissue surrounding the activated electrodes, while leaving other ones of the electrodes un-activated. | 04-28-2016 |
| 20160113709 | MYOCARDIAL ABLATION BY IRREVERSIBLE ELECTROPORATION - Selective cellular ablation by electroporation, applicable, for example, to bulk tissue in the beating heart. Protocol parameters potentially induce tissue loss without thermal damage. Device and method are potentially applicable for myocardial tissue ablation to treat arrhythmias, obstructive hypertrophy, and/or to generate natural scaffolds for myocardial tissue engineering. | 04-28-2016 |
| 20160113710 | AN ELECTRICAL LEAD FOR A CATHETER AND METHOD OF MANUFACTURING - An electrical lead for a catheter includes an elongate member of non-conductive material having a proximal end and a distal end and defining a lumen extending from the proximal end to the distal end. The elongate member further includes a tubular member of non-conductive material, a braid of conductive material applied over the tubular member, an intermediate layer of non-conductive material applied over the braid, a plurality of electrical conductors extending from the proximal end to the distal end laid on the intermediate layer, and an outer layer of non-conductive material applied over the electrical conductors to cover the conductors. At least one electrode is arranged on the outer surface of the elongate member in electrical communication with at least one of the plurality of electrical conductors through the outer layer. The braid underlies the at least one electrode but is insulated from the at least one electrode by the intermediate non-conductive layer. | 04-28-2016 |
| 20160113711 | ABLATION CATHETER AND METHOD OF FORMING A CIRCULAR LESION - An ablation device is disclosed for forming a generally circular lesion on the interior wall of a blood vessel, which includes an elongated catheter deployable from a steerable guiding sheath and having a distal end portion adapted and configured for movement into a generally circular open looped condition when deployed from the guiding sheath, wherein the distal end portion of the catheter includes at least one flexible electrode that extends along the distal end portion of the catheter without interruption, so that when the distal end portion of the catheter is deployed from the guiding sheath into a generally circular open looped condition, the flexible electrode conforms to a circular configuration. | 04-28-2016 |
| 20160113712 | MEDICAL DEVICES WITH A FLEXIBLE ELECTRODE ASSEMBLY COUPLED TO AN ABLATION TIP - Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a catheter for use in cardiac mapping and/or ablation. The catheter may include an elongate catheter shaft having a distal ablation electrode region capable of ablating tissue. An electrode assembly may be coupled to the distal ablation electrode region. The electrode assembly may include a flexible circuit having one or more electrodes disposed thereon. | 04-28-2016 |
| 20160113713 | Catheter Apparatuses Having Multi-Electrode Arrays for Renal Neuromodulation and Associated Systems and Methods - Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a multi-electrode array configured to be delivered to a renal blood vessel. The array is selectively transformable between a delivery or low-profile state (e.g., a generally straight shape) and a deployed state (e.g., a radially expanded, generally helical shape). The multi-electrode array is sized and shaped so that the electrodes or energy delivery elements contact an interior wall of the renal blood vessel when the array is in the deployed (e.g., helical) state. The electrodes or energy delivery elements are configured for direct and/or indirect application of thermal and/or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function or of vascular structures that feed or perfuse the neural fibers. | 04-28-2016 |
| 20160120586 | Dismantlable Medical Instrument - A dismantlable medical instrument including first, second and third components, a first bayonet connection for releasable mechanical connection of the third and second components, and a second bayonet connection for releasable mechanical connection of the third and first components. In a first predetermined position of the third component relative to the second component, the third component is not connected to the second component. In a second predetermined position of the third component relative to the second component, the third component is mechanically connected to the second component by the first bayonet connection, and the second and third components are not connected to the first component. In a third predetermined position of the third component relative to the second and first components, the third component is mechanically rigidly connected to the second component by the first bayonet connection and to the first component by the second bayonet connection. | 05-05-2016 |
| 20160120594 | SURGICAL CLAMP - A surgical clamp including a pair of jaws, which may be used to ablate or create lesions in tissue. In an exemplary embodiment, the jaws are movable between an articulated position in which the jaws are separated and not parallel to one another, an opened position in which the jaws are separated and substantially parallel to one another, and a closed position in which the jaws are adjacent and substantially parallel to one another. | 05-05-2016 |
| 20160120596 | ELECTROSURGICAL DEVICE WITH DISPOSABLE SHAFT HAVING MODULAR SUBASSEMBLY - An apparatus comprises an end effector, a shaft assembly, and an interface assembly. The end effector is operable to manipulate tissue, the shaft assembly is in communication with the end effector and a portion of the shaft assembly extends proximally from the end effector. The interface assembly is in communication with the shaft assembly. The interface assembly comprises a housing portion, a shaft cartridge, and a base portion. The housing portion can engage the shaft cartridge. The shaft cartridge is able to rotate and articulate the end effector, and the shaft assembly extends from the shaft cartridge. The base portion and the housing portion are able to enclose the shaft cartridge. | 05-05-2016 |
| 20160120597 | THERAPEUTIC DENERVATION FOR TREATMENT OF DIABETES - According to some embodiments, a method of treating a subject having diabetes or symptoms associated with diabetes is provided. The method includes delivering a neuromodulation catheter within a vessel (e.g., hepatic artery) having surrounding nerves that innervate the liver (e.g., sympathetic nerves of the hepatic plexus). The method may also include modulating (e.g., disrupting, ablating, stimulating) the nerves by mechanical compression, energy delivery, or fluid delivery. | 05-05-2016 |
| 20160120602 | Systems and Methods for Assessment of Contact Quality - Ablation and visualization systems and methods to access quality of contact between a catheter and tissue are provided. In some embodiments, a method for monitoring tissue ablation of the present disclosure comprises advancing a distal tip of an ablation catheter to a tissue in need of ablation; illuminating the tissue with UV light to excite NADH in the tissue, wherein the tissue is illuminated in a radial direction, an axial direction, or both; determining from a level of NADH fluorescence in the illuminated tissue when the distal tip of the catheter is in contact with the tissue; and delivering ablation energy to the tissue to form a lesion in the tissue. | 05-05-2016 |
| 20160128755 | PLASMA-SURGICAL APPARATUS COMPRISING A SPACER - The disclosure relates to a spacer in the form of an attachment ( | 05-12-2016 |
| 20160128759 | ELECTRICAL ABLATION DEVICES AND METHODS - An ablation device may generally comprise a first electrode, a plurality of second electrodes, and a grounding pad. Each of the plurality of second electrodes may comprise a first conductive section, a second conductive section, and a non-conductive section between the first conductive section and the second conductive section. The first electrode and each of the plurality of second electrodes may be coupled to an energy source delivering a series of electrical pulses to tissue to induce cell necrosis by irreversible electroporation. | 05-12-2016 |
| 20160128761 | DEVICES AND METHODS FOR THERMAL ABLATION OF BIOLOGICAL TISSUE USING GEOMETRIC ABLATION PATTERNS - A tissue ablation system including numerous components and methods is described herein for encircling target tissue and generating tissue ablation volumes in various biological tissues. The biological tissue includes tissue of a variety of organs of the human body including the liver, spleen, kidney, lung, breast and other organs, but is not so limited. The tissue ablation device comprises an energy source and at least one trocar coupled to the energy source, the trocar having a body, a proximal end, and a distal end. The trocar carries an electrode array that comprises a plurality of electrodes, each electrode of the plurality of electrodes is configured to extend from the trocar when moved from a retracted state to a deployed state, and to have at least one radius of curvature in the deployed state so that the electrode array forms a series of shaped electrodes in the deployed state. | 05-12-2016 |
| 20160128763 | TISSUE ABLATION PROBES AND METHODS FOR TREATING OSTEOID OSTEOMAS - A method of treating bone tissue (e.g., a tumor, such as an osteoid osteoma) is provided. The method comprises introducing an ablation probe into bone tissue, deploying at least one ablative element transversely from the probe into the bone tissue, and convoying ablation energy from the ablative element(s) to ablate the bone tissue. In one method, the ablative element(s) comprises a pair of ablative elements, in which case, the ablative elements are transversely deployed from the ablation probe in opposite directions. In another method, the ablative element(s) comprises a plurality of ablative elements, in which case, the ablative elements are transversely deployed outward from the ablation probe in a plane. The ablation energy conveyed from the ablative element(s) may have a non-spherical profile, e.g., an elongated profile, to match a non-spherical profile of the bone tissue to be treated. | 05-12-2016 |
| 20160128764 | HIGH-FREQUENCY PROSTATE TREATMENT MACHINE - The present invention relates to a high-frequency prostate treatment device, wherein an insertion unit, a high-frequency output unit, and an electrode unit, which are used for treating prostate, may be combined as one product, and the patient's prostate tissue may be treated more efficiently through a small number of components. | 05-12-2016 |
| 20160128765 | IRRIGATED ABLATION CATHETER WITH SENSOR ARRAY - Systems and methods are disclosed for providing and using an irrigated ablation catheter. The catheter may include a distal shell electrode having irrigation apertures. A sensor array formed on a flexible substrate conforms to an inner surface of the electrode and an insert disposed within the interior space engages the sensor array to position sensors of the sensor array in desired locations relative to the electrode. A support seals the proximal end of the electrode and engages the insert. The plurality of sensors may be used to measure electrical and thermal characteristics surrounding the electrode and may help assess contact between the electrode and tissue and/or determine movement of the electrode during ablation. | 05-12-2016 |
| 20160128766 | MEDICAL INSTRUMENT AND MEDICAL SYSTEM - A medical instrument includes an insertion part and a driving mechanism coupled to the insertion part. The insertion part has a treatment part, a joint part configured to support the treatment part and to be capable of changing a direction of the treatment part, and a driving force transmission part connected to the joint part and configured to transmit a driving force to the joint part. The driving mechanism has a driving force generator that is connected to the driving force transmission part and is configured to generate the driving force. A storage part configured to store the treatment part in the joint part by the driving force transmitted from the driving force generator to the joint part via the driving force transmission part is formed at the joint part. | 05-12-2016 |
| 20160128767 | MODULATION OF TARGETED NERVE FIBERS - According to various embodiments, systems, devices and methods for modulating targeted nerve fibers (e.g., hepatic neuromodulation) are provided. The systems may be configured to access tortuous anatomy of or adjacent hepatic vasculature. The systems may be configured to target nerves within a wall of (e.g., within adventitia surrounding a lumen of) an artery or other blood vessel, such as the common hepatic artery. | 05-12-2016 |
| 20160128768 | IRRIGATED FINNED ABLATION HEAD - An irrigated finned ablation head that provides enhanced cooling. The irrigated finned ablation head comprises a plurality of radial fins that are distributed about a central axis and that extend axially from a common base. The plurality of fins are arranged to define a central passageway along the central axis, as well as a plurality of slots therebetween, the slots extending in an axial direction along the irrigated finned ablation head. In one embodiment, the central passageway extends through the irrigated finned ablation head, defining an opening at the distal extremity, with the slots extending from the base to the opening. In another embodiment, the irrigated finned ablation head includes a cap portion at a distal portion that is common to all the radial fins, so that the slots are terminated at the distal portion of the irrigated finned ablation head. The radial flow distribution along the central axis can be tailored by the configuration of the central passageway. | 05-12-2016 |
| 20160128771 | CATHETER WITH ADJUSTABLE ARCUATE DISTAL SECTION - A catheter includes an elongated body, a distal assembly with a shape-memory member defining a generally circular form, and a control handle adapted to actuate a deflection puller wire for deflecting a portion of the elongated body, and a contraction wire for contracting the generally circular form. The generally circular form which carries at least one ring electrode has an off-edge configuration relative to the elongated body such that a longitudinal axis of the elongated body does not intersect the circumference of the circular form and the generally circular form spirals about the longitudinal axis of the elongated body. Moreover, the circular form can have an on-axis configuration such that the longitudinal axis of the elongated body is axially aligned with a central longitudinal axis of the circular form, or an off-axis configuration such that these axes are axially offset from each other. In a more detailed embodiment, the catheter has a distal assembly with a helical form or a crescent form carrying a plurality of irrigated ablation ring electrodes and a plurality of smaller ring electrodes adapted for impedance recording or PV potential recording. A support member with shape memory extends through the distal assembly to provide the helical or crescent form. The support member has a varying stiffness along its length, for example, a decreasing stiffness toward a distal end of the support member. The support member can also be hollow so that it can receive a mandrel whose stiffness is greater than that of the support member. | 05-12-2016 |
| 20160135863 | DEPLOYMENT MECHANISM FOR SURGICAL INSTRUMENTS - A surgical instrument includes a housing, an energizable member, a proximal hub, and a deployment mechanism. The energizable member is movable between a storage position and a deployed position. The proximal hub is disposed within the housing, coupled to the energizable member, and translatable relative to the housing along a translation axis to deploy the energizable member. The deployment mechanism is configured to selectively translate the proximal hub and includes an actuator movable along a surface of the housing that extends in non-parallel orientation relative to the translation axis. The actuator is operably coupled to the proximal hub and is movable along the surface of the housing in non-parallel orientation relative to the translation axis between a proximal position and a distal position to translate the proximal hub along the translation axis and move the energizable member between the storage position and the deployed position. | 05-19-2016 |
| 20160135866 | DEPLOYMENT MECHANISMS FOR MULTI-FUNCTION SURGICAL INSTRUMENTS - A surgical instrument includes a housing, a shaft, an end effector assembly disposed at the distal end of the shaft, a deployable assembly movable relative to the end effector assembly between a storage position and a deployed position, and a selector assembly. The selector assembly includes a selector member extending from the housing. The selector member is translatable relative to the housing between a first position and a second position. In the second position of the selector member, the selector member is rotatable relative to the housing for transitioning the selector assembly between a first state, wherein the selector member is decoupled relative to the deployable assembly, and a second state, wherein the selector member is coupled to the deployable assembly such that movement of the selector member from the second position to the first position effects movement of the deployable assembly from the storage position to the deployed position. | 05-19-2016 |
| 20160135867 | MEDICAL DEVICE FOR TREATING AIRWAYS AND RELATED METHODS OF USE - A medical device for treating an airway of a patient. The medical device may include an elongate tubular member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a plurality of conductive elements disposed on a surface of the elongate tubular member. In some embodiments, at least one of the plurality of conductive elements may be disposed distally of another of the plurality of conductive elements. In addition, each of the plurality of conductive elements may be electrically coupled to a surface of the lumen. The medical device may also include a piston movably disposed within the lumen. The piston may include a distal portion configured to make electrical contact with one or more of the plurality of conductive elements. | 05-19-2016 |
| 20160135876 | VAGINAL REMODELING DEVICE AND METHODS - This invention relates generally to apparatus and methods for tightening tissue of the female genitalia by heating targeted connective tissue with radiant energy, while cooling the mucosal epithelial surface over the target tissue to protect it from the heat. Embodiments include a handle and treatment tip that has both an energy delivery element and a cooling mechanism. The handle may be a two-handed handle allowing control even while rotating and maneuvering the treatment around the genital opening. The apparatus or system may also include an integrated controller, which may confirm tissue contact without applying RF energy, based only on the temperature of the applicator and the time since the last application of energy from the applicator. | 05-19-2016 |
| 20160135879 | NEUROMODULATION CATHETERS WITH SHAFTS FOR ENHANCED FLEXIBILITY AND CONTROL AND ASSOCIATED DEVICES, SYSTEMS, AND METHODS - Neuromodulation catheters with shafts for enhanced flexibility and control and associated devices, systems, and methods are disclosed herein. A neuromodulation catheter configured in accordance with some embodiments of the present technology can include, for example, an elongated shaft having a distal end portion and a mandrel extending at least along the distal end portion. The mandrel can have an at least substantially solid core. The neuromodulation catheter can further include a transition member and a neuromodulation assembly coupled to the transition member. The transition member can have a proximal portion, a distal portion, and a guide wire lumen extending through the proximal and distal portions. The neuromodulation assembly can extend distally from the distal portion of the transition member, and the mandrel can extend proximally from the proximal portion of the transition member. | 05-19-2016 |
| 20160135880 | ELECTROSURGICAL ELECTRODE - One embodiment of the present invention relates to an electrosurgical device for conducting surgery. The device includes a tubular housing and a plurality of electrodes disposed within said tubular housing. The device further includes an actuator connected to the plurality of electrodes to extend and retract at least one of the plurality electrodes to and from the tubular housing. | 05-19-2016 |
| 20160135883 | POWER GENERATING AND CONTROL APPARATUS FOR THE TREATMENT OF TISSUE - Apparatus, systems, and methods are provided for the generation and control of energy delivery in a dosage to elicit a therapeutic response in diseased tissue. A balloon catheter can have electrodes attached to a power generator and controller such that the balloon and electrodes contact tissue during energy treatment. Energy selectively may be applied to tissue based on measured impedance to achieve gentle heating. Calibration of the apparatus and identification of attached accessories by computing the circuit impedance prior to energy dosage facilitate regulation of power delivery about a set point. Energy delivery can be controlled to achieve substantially uniform bulk tissue temperature distribution. Energy delivery may beneficially affect nerve activity. | 05-19-2016 |
| 20160143683 | SYSTEMS AND METHODS FOR TURBINATE REDUCTION - The present disclosure includes an electrosurgical apparatus for treating tissue at a target site. The apparatus has a shaft with a proximal end and a distal portion, the distal portion comprising a return electrode and electrode support. There is also at least one active electrode on the shaft distal portion, which has a proximal portion and a distal portion and a plurality of aspiration apertures disposed therebetween. These apertures are fluidly connected to a fluid aspiration cavity that is located within the electrode support, and the cavity is connected with a fluid aspiration element that is located along the shaft. The plurality of apertures vary in size and are generally arranged so that the larger sized apertures are disposed towards the electrode proximal portion and the smaller sized apertures are generally located towards the electrode distal portion. | 05-26-2016 |
| 20160143690 | IRRIGATED ABLATION CATHETER WITH MULTIPLE SENSORS - Systems and methods are disclosed for providing and using an irrigated ablation catheter. The catheter may include a distal shell electrode having irrigation apertures. An insert disposed within the electrode has protrusions that mate with orifices in the shell of the electrode. Each protrusion has a port communicating with at least one interior lumen in the insert and a sensor is disposed in each port. A support seals the proximal end of the electrode and engages the insert. The plurality of sensors may be used to measure electrical and thermal characteristics surrounding the electrode and may help assess contact between the electrode and tissue and/or determine movement of the electrode during ablation. | 05-26-2016 |
| 20160143696 | ESTIMATION AND MAPPING OF ABLATION VOLUME - Tissue ablation systems and methods are provided, wherein a cardiac catheter incorporates a pressure detector for sensing a mechanical force against the distal tip when engaging an ablation site. Responsively to the pressure detector, a controller computes an ablation volume according to relationships between the contact pressure against the site, the power output of an ablator, and the energy application time. A monitor displays a map of the heart which includes a visual indication of the computed ablation volume. The monitor may dynamically display the progress of the ablation by varying the visual indication. | 05-26-2016 |
| 20160151111 | ABLATION NEEDLE INCLUDING FIBER BRAGG GRATING | 06-02-2016 |
| 20160151112 | Helical Push Wire Electrode | 06-02-2016 |
| 20160151606 | CATHETER DRIVER SYSTEM | 06-02-2016 |
| 20160157917 | FINGER-MOUNTABLE ABLATION DEVICE - A surgical device is disclosed, and includes a pair of finger-mountable annular members, each having an electrode disposed thereon. An optical member is disposed on at least one of the pair of finger-mountable annular members and has a first set of light transmitting properties corresponding to a first set of physical parameters of at least one of the finger-mountable annular members. At least one finger-mountable annular member is configured to transition to a second set of physical parameters being different from the first set of physical parameters. The optical member is configured to transition from a first set of light transmitting properties to a second set of light transmitting properties, the second set of light transmitting properties corresponding to the second set of physical parameters, the second set of light transmitting properties being different from the first set of light transmitting properties. | 06-09-2016 |
| 20160157933 | DEVICES AND METHODS FOR DELIVERING ENERGY TO BODY LUMENS - A medical device is disclosed for delivering energy to a body lumen. The device includes an elongate member including a proximal portion and a distal portion adapted for insertion into a body lumen; and an energy delivery device disposed adjacent the distal portion of the elongate member, the energy delivery device including at least one elongate electrode arm, wherein the elongate electrode arm is configured to transition between a first configuration and a second configuration different than the first configuration. The at least one elongate electrode arm includes an active region configured to contact and deliver energy to the body lumen. When the elongate electrode arm is in the first configuration, at least a portion of the active region of the elongate electrode arm extends radially inward toward a longitudinal axis of the energy delivery device. | 06-09-2016 |
| 20160166271 | COAXIAL COIL LOCK | 06-16-2016 |
| 20160166307 | TREATMENT DEVICE AND TREATMENT SYSTEM | 06-16-2016 |
| 20160166313 | ELECTRODE ASSEMBLY | 06-16-2016 |
| 20160166318 | METHODS AND SYSTEMS FOR ENDOMETRIAL ABLATION UTILIZING RADIO FREQUENCY | 06-16-2016 |
| 20160175039 | EP CATHETER WITH TRAINED SUPPORT MEMBER, AND RELATED METHODS | 06-23-2016 |
| 20160175040 | SYSTEM AND METHOD FOR A CATHETER | 06-23-2016 |
| 20160175041 | BALLOON FOR ABLATION AROUND PULMONARY VEINS | 06-23-2016 |
| 20160175044 | SYSTEM AND METHOD FOR DENERVATION | 06-23-2016 |
| 20160175050 | ELECTROSURGICAL INSTRUMENT WITH REMOVABLE JAW COMPONENTS | 06-23-2016 |
| 20160184006 | ABLATION 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. | 06-30-2016 |
| 20160184007 | FUNDUS BUMPER MECHANICAL REFERENCE FOR EASIER MECHANISM DEPLOYMENT - Intrauterine devices and methods for facilitating deployment thereof using a bumper are disclosed. In one embodiment, an intrauterine device comprises a structure including a first central support member and a deployment mechanism coupled to the first central support member. The intrauterine device further comprises a bumper positioned at a distal end of a second central support member and at a more distal position relative to a distal end of the structure so as to prevent the distal end of the structure from contacting the fundus of the uterus of a patient during deployment of the deployment mechanism. In another embodiment, the intrauterine device comprises a bumper coupled to the deployment mechanism and configured to move from a more distal to a more proximal position relative to a distal end of the structure. | 06-30-2016 |
| 20160184008 | CATHETER WITH IRRIGATED TIP ELECTRODE WITH POROUS SUBSTRATE AND HIGH DENSITY SURFACE MICRO-ELECTRODES - A catheter has a multifunctional “virtual” tip electrode with a porous substrate and a multitude of surface microelectrodes. The surface microelectrodes are in close proximity to each other and in a variety of configurations so as to sense tissue for highly localized intracardiac signal detection, and high density local electrograms and mapping. The porous substrate allows for flow of conductive fluid for ablating tissue. The surface microelectrodes can be formed via a metallization process that allows for any shape or size and close proximity, and the fluid “weeping” from the porous substrate provides more uniform irrigation in the form of a thin layer of saline. The delivery of RF power to the catheter tip is based on the principle of “virtual electrode,” where the conductive saline flowing through the porous tip acts as the electrical connection between the tip electrode and the heart surface. The substrate and the surface electrodes are constructed of MRI compatible materials so that the physician can conduct lesion assessment in real time during an ablation procedure. The surface electrodes include noble metals, including, for example, platinum, gold and combinations thereof. | 06-30-2016 |
| 20160184010 | FEEDBACK SYSTEMS AND METHODS FOR RENAL DENERVATION UTILIZING BALLOON CATHETER - A renal denervation system includes an ablation catheter and an inflation balloon. The renal denervation catheter is insertable into a renal artery to perform a renal denervation procedure. The inflation balloon is inflatable within the renal artery, wherein one of a blood pressure condition in the renal artery resulting from operation of the inflation balloon and a performance characteristic of the inflation balloon indicates efficacy of the renal denervation procedure. | 06-30-2016 |
| 20160184039 | SURGICAL END EFFECTORS HAVING ANGLED TISSUE-CONTACTING SURFACES - Surgical end effectors are disclosed having angled tissue-contacting surfaces. The end effectors may have a first jaw member that is movable relative to a second jaw member between an open position and a closed position. The first jaw member may have a first positively-angled tissue-contacting surface. The second jaw member may have a second positively-angled tissue-contacting surface. At least one of the jaw members may have at least one active electrode configured to deliver RF energy to tissue located between the first jaw member and the second jaw member when in the closed position. | 06-30-2016 |
| 20160192981 | SYSTEMS, APPARATUSES, AND METHODS FOR TREATING TISSUE AND CONTROLLING STENOSIS | 07-07-2016 |
| 20160199116 | ARRANGEMENT OF MULTI-CHANNEL BIPOLAR ELECRODE ZONES TO MINIMIZE LEAKAGE AND EDGE EFFECTS | 07-14-2016 |
| 20160199121 | ENERGY TREATMENT DEVICE | 07-14-2016 |
| 20160199124 | END EFFECTOR FOR ELECTROSURGICAL INSTRUMENT | 07-14-2016 |
| 20160199127 | METHODS AND APPARATUSES FOR TREATING AUTO-IMMUNE DISEASES BY ABLATIVE NEUROMODULATION | 07-14-2016 |
| 20160199129 | CATHETER WITH LIQUID-COOLED CONTROL HANDLE | 07-14-2016 |
| 20160249976 | BLADDER DENERVATION FOR TREATING OVERACTIVE BLADDER | 09-01-2016 |
| 20160249977 | RADIOFREQUENCY ABLATION ELECTRODE DEVICE HAVING DOUBLE-LAYERED UMBRELLA-SHAPED PROBES | 09-01-2016 |
| 20160249979 | SEALED TWO-WAY MAGNETIC MANIFOLD | 09-01-2016 |
| 20160374750 | APPARATUS FOR PERFORMING AN ELECTROSURGICAL PROCEDURE - An endoscopic forceps is provided and includes a housing having a shaft. An end effector assembly operatively connects to a distal end of the shaft and has a pair of first and second jaw members. One of the first and second jaw members is movable relative to the other jaw member from an open position, to a clamping position. One of the first and second jaw members includes one or more cam slots defined therein and configured to receive a cam member that upon movement thereof rotates the movable jaw member from the open position to the clamping position. A resilient member is operably coupled to the jaw member that includes the one or more cam slots. The resilient member is configured to provide a camming force to the cam slot and to bias the first and second jaw members in the clamping position. | 12-29-2016 |
| 20160374753 | CATHETER HAVING CLOSED LOOP ARRAY WITH IN-PLANE LINEAR ELECTRODE PORTION - A catheter adapted or high density mapping and/or ablation of tissue surface has a distal electrode array with offset spine loops, each spine loop having at least a pair of linear portions and a distal portion connecting the pair of linear portions, and one or more electrodes on each linear portion. The linear portions of the plurality of offset spine loops are arranged in-plane a single common plane, and the distal portions of the plurality of offset spine loops are arranged off-plane from the single common plane. | 12-29-2016 |
| 20160374754 | DEVICES AND METHODS FOR ABLATION OF TISSUE - This document provides devices and methods for the treatment of heart conditions, hypertension, and other medical disorders. For example, this document provides devices and methods for treating atrial fibrillation by performing thoracic vein ablation procedures, including pulmonary vein myocardium ablation. In some embodiments, the ablation is performed in coordination with the delivery a pharmacological agent that can abate the formation of tissue stenosis or neointimal hyperplasia caused by the ablation. | 12-29-2016 |
| 20160374755 | OPEN-IRRIGATED ABLATION CATHETER - An open-irrigated catheter system includes a catheter body and a tip assembly, coupled to a distal end of the catheter body. The tip assembly includes an exterior wall that is conductive for delivering radio frequency (RF) energy for an RF ablation procedure, and that defines an interior region. The exterior wall includes a number of proximal irrigation ports and a number of distal irrigation ports. At least one fluid chamber is defined within the interior region and is in fluid communication with at least one of the proximal irrigation ports and the distal irrigation ports. At least one fluid lumen extends from a fluid source, through the catheter body, to the tip assembly, and is in fluid communication with the at least one fluid chamber. | 12-29-2016 |
| 20160374757 | TREATMENT DEVICE AND TREATMENT SYSTEM - A treatment device includes: a linear member which is deformable between a substantially straight state and a tissue catching state and which is configured to catch a treatment target in a state of being deformed in the tissue catching state; and first and second energy emitting portions provided in the linear member to catch the treatment target in cooperation with each other. The second energy emitting portion is apart from the first energy emitting portion, and is configured to emit energy to the treatment target from between the first energy emitting portion and to treat the treatment target. | 12-29-2016 |
| 20170231681 | ENDOMETRIAL ABLATION DEVICES AND SYSTEM | 08-17-2017 |
| 20170231688 | END EFFECTOR ASSEMBLIES AND METHODS OF MANUFACTURING END EFFECTOR ASSEMBLIES FOR TREATING AND/OR CUTTING TISSUE | 08-17-2017 |
| 20170231691 | METHODS AND SYSTEMS FOR ENDOMETRIAL ABLATION UTILIZING RADIO FREQUENCY | 08-17-2017 |
| 20170231692 | Method and Apparatus for the Ablation of Gastrointestinal Tissue | 08-17-2017 |
| 20170231693 | Non-Thermal Ablation System for Treating Tissue | 08-17-2017 |
| 20170231694 | APPARATUS AND METHOD FOR TREATMENT OF IN-STENT RESTENOSIS | 08-17-2017 |
| 20180021080 | APPARATUS FOR TREATING SKIN BLEMISHES WITH COLD PLASMA | 01-25-2018 |
| 20180021084 | RADIO-FREQUENCY ELECTRICAL MEMBRANE BREAKDOWN FOR REDUCING RESTENOSIS | 01-25-2018 |
| 20180021098 | SURGICAL CANNULAS, AND RELATED SYSTEMS AND METHODS | 01-25-2018 |
| 20180021574 | Methods and Apparatus for Multi-Vessel Renal Neuromodulation | 01-25-2018 |
| 20190142497 | ELECTROSURGICAL SYSTEM | 05-16-2019 |
| 20190142502 | COMBINATION ELECTROSURGICAL INSTRUMENT | 05-16-2019 |
| 20190142511 | SYSTEMS AND METHODS FOR IMPROVED DELIVERY OF EXPANDABLE CATHETER ASSEMBLIES INTO BODY LUMENS | 05-16-2019 |
| 20220133387 | ELECTROSURGICAL INSTRUMENT AND ELECTROSURGICAL SYSTEM WITH AN ELECTROSURGICAL GENERATOR - An electrosurgical instrument with at least one active electrode for effecting an electrosurgical treatment with an instrument data memory. Furthermore, the electrosurgical instrument has a connector for a connecting cable or a connected connecting cable including supply lines for supplying the active electrode with a high-frequency alternating current required for an electrosurgical treatment. The instrument data memory has at least one read-write area to which usage and status data can be written by an electrosurgical generator. | 05-05-2022 |
| 20220133390 | BREACH DETECTION IN BIPOLAR ELECTROSURGICAL INSTRUMENT SHEATH - A system is provided to detect a breach of an insulative sheath in a bipolar electrosurgical instrument the system including: a first pulse detection circuit to detect a first high frequency (HF) signal component of a HF signal conducted on a lead of the bipolar instrument; a second pulse detection circuit to detect a second HF signal component of the HF signal conducted on a conductive shield surrounding the lead; magnitude difference sampling logic to produce sample values indicative of magnitude difference between the first HF signal component and the second HF signal component; and current detection logic to detect current flow between the shield and anatomical tissue based upon the sample values. | 05-05-2022 |
| 20220133393 | ARTHROSCOPIC DEVICES AND METHODS - An arthroscopic system includes a re-useable, sterilizable handle integrated with a single umbilical cable or conduit. The single umbilical cable or conduit carries electrical power from a power and/or control console to the handle for operating both a motor drive unit within the handle and delivering the RF power to a disposable RF probe or cutter which may be detachably connected to the handle. The RF power delivered to the handle and on to the probe or cutter is typically bi-polar, where the handle includes first and second electrical bi-polar contacts that couple to corresponding bi-polar electrical contacts on a hub of the disposable RF probe or cutter is connected to the handle. | 05-05-2022 |
| 20220133398 | TREATMENT APPARATUS AND METHOD OF CONTROLLING SAME - The present invention relates to a treatment apparatus and a method of controlling the same, and provides a treatment apparatus including an insertion unit formed in such a way as to be inserted into a tissue through a tissue surface, a bending sensing unit sensing bending of the insertion unit occurring during insertion, and a controller controlling the insertion operation of the insertion unit based on information sensed by the bending sensing unit, and a method of controlling the same. In accordance with the present invention, there is an advantage in that a treatment effect can be improved because treatment can be performed in the state in which the insertion unit has been inserted into an accurate target location. | 05-05-2022 |
| 20220133399 | NEEDLE TIP TO APPLY CURRENT, HANDPIECE, AND APPARATUS FOR TREATING SKIN - A needle tip for applying current is provided. The needle tip for applying current includes a needle fixing unit, and a plurality of needles disposed on one surface of the needle fixing unit, wherein each needle includes at least one active region which is formed, as an insulator is not coated on a partial area of the needle except for a distal end portion of the needle and electromagnetically conducted. The plurality of needles are connected to electrodes having alternately different polarities. When the plurality of needles include the plurality of active regions spaced apart from each other, the intensity of current applied to each of electrodes connected to the plurality of needles is adjusted, such that electric energy is transmitted between the plurality of active regions spaced apart from each other. | 05-05-2022 |
| 20220133403 | SYSTEMS AND METHODS FOR ABLATION USING NON-ADJACENT BIPOLES - Systems and methods for ablating tissue are provided. An ablation system includes a catheter having a plurality of electrodes, and a controller coupled to the catheter. The controller is configured to select at least one pair of non-adjacent electrodes of the plurality of electrodes, and sequentially apply bipolar stimulation using the at least one selected pair of non-adjacent electrodes. | 05-05-2022 |
| 20220133404 | APPARATUS 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. | 05-05-2022 |
