Abstract: An invasive therapeutic probe assembly and related methods for application of RF energy to a volume of body tissue are provided. The probe assembly includes an RF source configured to provide an RF energy having selected characteristics, a probe having a probe shaft and an antenna positioned therein, and a feed line for providing conductivity from the RF source to the antenna probe. The probe assembly is adapted to generate a zone of therapeutic effectiveness having a selected geometry and volume. The related method includes positioning the probe in a selected location with reference to a target tissue, initiating an electromagnetic field from the antenna having a selected geometry, and producing a zone of therapeutic effectiveness having a selected geometry and volume. The producing step preferably includes, taking periodic temperature measurements from sensors positioned at a selected location, and manipulating the selected characteristics of the RF energy to include duration and/or power level.

Abstract: An electronic circuit for identifying an electrical surgical tool and for providing a selectable constant current appropriate to the identified electrical surgical tool.

Abstract: A software module for a software controlled device for performing cryosurgical procedures on a treatment region with a cryosurgical probe. The software controlled device is of a type that is responsive to user input settings. The software module includes a temperature feedback control system which is adaptive to the external heat load of a treatment region and utilizes user input settings for determining an optimal rate of gas flow through a cryosurgical probe thereby enabling the user to precisely monitor and deliver a cryosurgical treatment.

Abstract: Disclosed are methods and devices for occluding the lumen of a hollow organ by delivering radiofrequency energy to the inner wall of a hollow organ. The disclosure includes radiofrequency electrodes that expand, in a deployed condition, to contact the walls of the organ. In some embodiments, the electrodes substantially conform to the inner wall to enhance therapeutic contact. Methods are also disclosed for using these electrodes to totally or partially occlude a lumen, or remove or reduce a total or partial occlusion of a lumen.

Abstract: Surgical ablation instruments are disclosed for creating lesions in tissue, including cardiac tissue for treatment of arrhythmias and other diseases. The hand held instruments are especially useful in open chest or port access cardiac surgery for rapid and efficient creation of curvilinear lesions to serve as conduction blocks. Photoablative instruments are disclosed that can achieve rapid and effective photoablation through the use of distributed (e.g., diffuse or defocused) radiant energy.

Abstract: A treatment tool for performing a treatment for a curative procedure with ultrasonic waves, high frequency current and so on is provided with an identifier formed of a resistor or the like for indicating the type of the treatment tool. A medical instrument such as an ultrasonic wave output apparatus discriminates the type of a treatment tool connected thereto from the identifier to automatically set operating parameters such as an output value suitable for the treatment tool and to associatively operate an ancillary medical instrument such as a perfusion/aspiration apparatus depending on the treatment tool, thereby reducing extra work such as manual setting to allow for a smooth treatment.

Abstract: A device is described that can be used by surgeons to provide quick and accurate face-lifting maneuvers that minimize the amount of tissue that has to be removed. The device comprised of a hollow undermining shaft with specially designed tip that can safely separate tissue planes and lyse fibrous tissue. Thermal radiation can be delivered down the shaft to heat and cause tissue contraction. The device can also include a temperature sensor that can be used to control the thermal radiation. Optionally, the device can also use ultrasound or electro surgical energy to improve tissue lysing.

Abstract: A photonic scanning and delivery system capable of controllable transmission of light energy to an irregularly shaped treatment area are disclosed. The desired uniformity (controllability) of light energy application is ensured by a tracking device, which monitors the position of the radiation applicator and thereby prevents over- or under-radiation. The system employs a light energy delivery hand-piece. By these means, structures in the lower dermis are irradiated. Because of the large size of the treatment area, damage to surface tissue is avoided. The hand-piece can operate while in contact with the treatment surface. Treatment surfaces include non-medical work sites. Alternatively, the hand-piece can operate in a non-contact mode. The system can also be used in non-medical applications such as UV curing.

Abstract: Body lumens such as blood vessels are selectively occluded by applying radiofrequency voltage to a vaso-occlusive coil (100) at the target site (TS) and generating a thermal reaction to induce fibrogenic occlusion of the blood vessel (BV) around the vaso-occlusive coil. The radiofrequency current is usually sufficient to induce thermal damage to the luminal wall and to coagulate the surrounding blood, thereby initiating clotting and subsequent fibrosis to permanently occlude the lumen. The invention also includes a method for endoluminally deploying the vaso-occlusive coil and preventing migration of the coil from of the target site.

Abstract: An electrosurgical instrument and technique for creating thermal seal or welds transected margins of engaged tissue. The working end provides very elongate jaws particularly suited for resecting tissue, such as in a lung resection. The jaw assembly carries a bi-polar electrode arrangement that provides for Rf current flow to targeted tissue described as a subfascial-to-fascial (or medial-to-surface) bi-polar approach. The working end of the device carries an openable and closable jaw assembly with paired first and second jaws for engaging tissue. The paired jaws have an axial channel for receiving a sliding (blade) member for transecting the captured tissue. The paired jaws carry electrode surfaces having a common polarity so that Rf current will not flow d between the jaws which engage the surface or fascial tissue layers.

Abstract: Surgical methods and apparatus for positioning diagnostic an therapeutic elements on the epicardium or other organ surface.

Abstract: 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.

Abstract: The present invention relates to an apparatus for destroying a predetermined defined volume (10) in a tissue, such as generating controlled coagulation, so-called lesion, in the brain. More particularly, the apparatus comprises a main unit (1) for transmitting a tissue-destroying medium comprising a control unit (3) for controlling the medium transmission, and a transferring means (4), such as an electrode, which is connected to said main unit and adapted to be inserted into the predetermined volume for transferring the transmitted medium to the volume. The apparatus according to the invention is characterised in that it further comprises a measuring means (5-8) for measuring at least one optical characteristic of the predetermined volume, the optical characteristic varying with the size of the destroyed volume, the measuring means being connected to said control unit for controlling the supply of the tissue-destroying medium on the basis of the measured optical characteristic.

Abstract: A method for skin treatment comprises the steps of delivering at least one pulse of radio frequency power to at least one electrode in order to create an electric field; passing gas through the electric field in order to form plasma from the gas; and applying the plasma to the surface of skin. The amount of radio frequency power may be relatively low such that the application of plasma causes denaturation of collagen within the collagen-containing tissue beneath the skin surface, which may promote the generation of new collagen within the collagen-containing tissue.

Abstract: A balloon body of an electrode assembly includes an elastomeric non-conductive body expandable to a wide variety of working diameters to accommodate a wide variety of anatomical structures. The elastomeric non-conductive body has a circumferential region and an interior adapted to receive an electrically conductive fluid medium for expanding the elastomeric non-conductive body and transmitting electrical current therethough. A plurality of holes are located in the circumferential region of the elastomeric non-conductive body and a conductive elastomeric material covers the holes and forms one or more conductive regions adapted to transmit electrical current received from the electrically conductive fluid medium through the plurality of holes to adjacent body tissue.

Abstract: A polypectomy device and method which includes a snare cable, a fixed jaw and a moveable jaw. The snare cable is routed through both the fixed jaw and the moveable jaw. The snare cable forms a hoop for encircling the polyp. Shortening the snare cable positions the jaws about the base of the polyp and further shortening the cable closes the jaws. The fixed jaw includes a heating element which cauterizes the base of the polyp. The closing of the jaws and the heating of the heating element cuts and seals the polyp.

Abstract: An electrosurgical pencil comprises a main body portion forming a handle. A wire retaining passage is defined by the main body portion and has a wire-receiving opening and an electrode-receiving opening. A metal electrode tip is mounted at the electrode-receiving opening for engaging tissue in a surgical site to thereby coagulate the tissue. A wire enters the wire retaining passage is selectively connectable in electrically conductive relation through an electrical switch to the metal electrode tip. A substantially unobstructed airflow vent is defined substantially solely by the main body portion so as to extend from the electrode end to the exhaust end of the main body portion, and has an inlet disposed adjacent the electrode end of the main body portion and that is connected in fluid communication via the airflow vent to an outlet disposed adjacent the exhaust end of the main body portion.

Abstract: Surgical apparatus and methods provide enhanced aspiration of gaseous bubbles and reduced drag during placement of the surgical apparatus. The surgical apparatus includes a rotatable cutting or shaving tool disposed within a hollow probe, an electrosurgical device on a side of the probe, and one or more aspiration holes or passages through a side of the probe in addition to a main opening at a distal end through which the cutting or abrading tool emerges. The aspiration holes are advantageously located adjacent to the lead electrode(s) of the electrosurgical device. Gaseous bubbles are preferentially aspirated through the aspiration holes. The aspiration holes also serve to reduce drag between the distal end of the surgical probe and soft tissue at, or adjacent to, the surgical site.

Abstract: A cardiac ablation catheter includes a coil-like ablating element that is deployable from an elongate, flexible sheath. The ablating element, while in the deployed position, has a shape with at least one revolution oriented in a plane that is orthogonal to a longitudinal axis of the sheath. The catheter system is well-suited to ablate a circumferential region of tissue about a pulmonary vein or the posterior wall of the left atrium proximate the pulmonary vein os. The treated tissue region electrically isolates the atria from the pulmonary vein.

Abstract: A system for detecting and marking the positions of peripheral nerves is disclosed. A disposable or reusable electrode array comprising a plurality of electrodes is combined with a disposable sensor attachment system comprising conductor islands. In use, the electrode array is connected to a peripheral nerve detection instrument. The disposable sensor attachment system is attached to an electrode sensor region. The sensor attachment system is then adhered to an area of skin, detection is carried out, and then the electrode array is peeled back from the skin, leaving a skin marking guide in place. The skin marking guide is then used to mark areas of interest to a therapist.