Abstract: Devices, methods, and systems for the treatment of tissue using energy delivery. Specifically, certain embodiments may be used for the treatment of lung tissue, such as lung nodules, using RF ablation, via a catheter provided with a first electrode attached to a distal end of the catheter, wherein the first electrode is hollow, wherein the first electrode comprises a piercing tip configured to pierce through an airway wall and a second electrode received in a movable manner within the first electrode, wherein the second electrode is extendable from the first electrode to form a first extended configuration.

Abstract: A medical device system for the delivery of energy to a region of a patient's anatomy is provided. An introducer tube defines a lumen therein and bears a first electrode. A second electrode is movable within the lumen between a retracted position and an extended position. In the retracted position, the second electrode is substantially disposed within the lumen. In the extended position, the second electrode extends at least partially beyond the distal end of the introducer tube. In one form, the introducer tube is configured to substantially hold the second electrode within the lumen in a predetermined orientation in the extended position, and the introducer tube prevents the second electrode from substantially rotating within the lumen of the introducer tube during movement into the extended position. In one form, the introducer tube is more flexible in a first plane than in a second plane.

Abstract: Devices and methods for setting position of a medical tool within an endoscope. In an illustrative embodiment, a device includes a housing that is configured to be connectable to a distal end of a scope and a sheath stop component that is configured to limit distal movement of a sheath received within the scope.

Abstract: A device having a sheath, a medical device, a stylet, a handle and a plunger device. The handle includes portions connected proximal ends of the sheath, the medical device and the stylet and a chamber portion connected to the actuator. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet and a plunger device configured to be slidably received within the chamber portion. The plunger device is able to pneumatically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., reduced pressure) at the distal end of the sheath, the medical device and/or the stylet.

Abstract: A device having a sheath, a medical device, a stylet, a handle having a chamber portion and a plunger device. The handle connects to proximal ends of the sheath, the medical device, and the stylet. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet. The plunger device slides and moves within the chamber portion. The plunger device is able to pneumatically or hydraulically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., negative or reduced pressure) at the distal end of the sheath and/or the medical device.

Abstract: An example medical instrument for creating larger voids within target tissue. Medicants could be injected into these larger voids for diffusion into the surrounding tissue. An exemplary medical device includes a tissue penetrating device, a pocket creation device and a handle. The handle includes a first component connected to the tissue penetrating device and a second component connected to the pocket creation device. When the second component is at a first position relative to the first component, the pocket creation device is in a non-pocket creation configuration. When the second component is at a second position relative to the first component, the pocket creation device is in a pocket creation configuration, wherein the pocket creation device is slidably received within the tissue penetrating device and the handle.

Abstract: A medical instrument having an aspiration and/or injection needle and handle device. The handle device provides audible and/or tactile feedback during the application of activation forces, thus enabling the user to determine where the distal end of the aspiration and/or injection needle is relative to a sheath. More than two grooves are present on a shaft of an activation handle of the handle device. An O-ring resides within a handle portion of the handle device. The O-ring seats and unseats within the grooves based on the amount of applied force.

Abstract: An electrosurgical device includes a needle with an interior surface defining a lumen and a first electrode positioned within the lumen of the needle in a first position. The first electrode is movable within the needle between the first position and a plurality of other positions. The first electrode extends beyond a distal end of the needle in the plurality of other positions and includes one or more anchors that pierce into a predetermined portion of tissue in an anatomy of a patient. The first electrode is energized to ablate the predetermined portion of tissue with the first electrode.

Abstract: An example medical instrument for creating tracks within target tissue. Medicants could be injected into these tracks for diffusion into the surrounding tissue. An exemplary medical device includes a first tissue penetrating device, a second tissue penetrating device and a handle. The handle includes a first component connected to the first tissue penetrating device and a second component connected to the second tissue penetrating device. When the second component is at a first position relative to the first component, the second tissue penetrating device is in a non-track creation configuration. When the second component is at a second position relative to the first component, the second tissue penetrating device is in a track creation configuration. The second tissue penetrating device is slidably received within the first tissue penetrating device.

Abstract: A system for determining orientation of a guide sheath introduced by a bronchoscope or similar device. An example system includes a display device, a scope device and a guide sheath. The guide sheath includes a window occupying a predefined circumferential sector of a distal end of the guide sheath and a plurality of markings configured to visually indicate location/orientation and/or distance of the window. The plurality of markings includes a plurality of first markings located along a longitudinal center axis of the window and a plurality of second markings located along one or more other longitudinal axes that are radially separated from the longitudinal center axis of the window by more than 45°.

Abstract: A device having a sheath, a medical device, a stylet, a handle having a chamber portion and a plunger device. The handle connects to proximal ends of the sheath, the medical device, and the stylet. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet. The plunger device slides and moves within the chamber portion. The plunger device is able to pneumatically or hydraulically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., negative or reduced pressure) at the distal end of the sheath and/or the medical device.

Abstract: Systems, methods, and devices for providing real-time imaging of tissue sampling. An ultrasound probe is received with a first lumen of a catheter and a tissue sampling device is received with a second lumen of the catheter. The catheter is received within a working channel of a bronchoscope. The ultrasound probe is a radial ultrasound probe that generates real-time ultrasound images of the tissue sampling device and surrounding tissue.

Abstract: A medical instrument having an aspiration and/or injection needle and handle device. The handle device provides audible and/or tactile feedback during the application of activation forces, thus enabling the user to determine where the distal end of the aspiration and/or injection needle is relative to a sheath. More than two grooves are present on a shaft of an activation handle of the handle device. An O-ring resides within a handle portion of the handle device. The O-ring seats and unseats within the grooves based on the amount of applied force.

Abstract: Devices, systems, and methods for implanting and locating traceable markers in a region of a patient's body such as a lung, and in particular lung nodules which may be difficult to locate using traditional means. Further embodiments describe devices, systems, and methods that may be used to treat regions in the lung such as lung nodules with various treatment modalities including heating, microwave irradiation, chemical treatment, and which may be used in conjunction with embodiments of the traceable markers described herein.

Abstract: An electrosurgical device includes a needle with an interior surface defining a lumen and a first electrode positioned within the lumen of the needle in a first position. The first electrode is movable within the needle between the first position and a plurality of other positions. The first electrode extends beyond a distal end of the needle in the plurality of other positions and includes one or more anchors that pierce into a predetermined portion of tissue in an anatomy of a patient. The first electrode is energized to ablate the predetermined portion of tissue with the first electrode.

Abstract: A deployment catheter is described herein that preferably is configured to deliver a medical device such as a valve to a location in a patient such as a patient's airway. Preferably, such a deployment catheter is configured to be used in conjunction with a bronchoscope. In some embodiments, a locking lever is provided to reduce the likelihood of accidental deployment of the device, and which resets conveniently after use to as to permit multiple device deployments.

Abstract: Devices, systems, and methods for implanting and locating traceable markers in a region of a patient's body such as a lung, and in particular lung nodules which may be difficult to locate using traditional means. Further embodiments describe devices, systems, and methods that may be used to treat regions in the lung such as lung nodules with various treatment modalities including heating, microwave irradiation, chemical treatment, and which may be used in conjunction with embodiments of the traceable markers described herein.

Abstract: A system for determining orientation of a guide sheath introduced by a bronchoscope or similar device. An example system includes a display device, a scope device and a guide sheath. The guide sheath includes a window occupying a predefined circumferential sector of a distal end of the guide sheath and a plurality of markings configured to visually indicate location/orientation and/or distance of the window.

Abstract: An intra-bronchial device placed and anchored in an air passageway of a patient to collapse a lung portion associated with the air passageway. The device includes a support structure, an obstructing member carried by the support structure that reduces ventilation to the lung portion by preventing air from being inhaled into the lung portion, and at least one anchor carried by the support structure that anchors the obstruction device within the air passageway. The anchor may engage the air passageway wall by piercing or friction, include a stop dimensioned for limiting the piercing of the air passageway wall, and may be releasable from the air passageway for removal of the intra-bronchial device. The anchors may be carried by a peripheral portion of the support structure, or by a central portion of the support structure. The obstructing member may be a one-way valve.

Abstract: A resection device and method permits safe and efficient encapsulation, isolation and resection of body tissue. The device includes a sheath of flexible and severable material configured to receive the body tissue to be resectioned as it is drawn therein. The sheath may be expandable and held in an expanded condition as the body tissue to be resectioned is drawn into the sheath. Thereafter, the sheath is permitted to collapse about the body tissue to contain and constrict the body tissue. Once the body tissue to be resectioned is disposed in the sheath, the sheath is severed to resection the body tissue.