Abstract: An ablator system includes a tool for insertion into a patient to ablate tissue. A system also includes a control unit and a pump system. A tool is adapted to receive RF energy from a control unit and ablate tissue between an electrode embedded in the tool and a return element. A control unit measures impedance between the electrode and return element and can disable the RF energy supply if the impedance is outside of an acceptable threshold value range. A tool has at least one port through which irrigation and suction are supplied by the pump system to remove debris. A tool houses a scope in an internal channel to provide visual feedback of the surgical site. A system therefore provides a tool that is visually guided to a surgical site, ablates tissue while utilizing active safety measures, and provides irrigation and suction to clear debris from the surgical site.

Abstract: An ablator system includes a tool for insertion into a patient to ablate tissue. A system also includes a control unit and a pump system. A tool is adapted to receive RF energy from a control unit and ablate tissue between an electrode embedded in the tool and a return element. A control unit measures impedance between the electrode and return element and can disable the RF energy supply if the impedance is outside of an acceptable threshold value range. A tool has at least one port through which irrigation and suction are supplied by the pump system to remove debris. A tool houses a scope in an internal channel to provide visual feedback of the surgical site. A system therefore provides a tool that is visually guided to a surgical site, ablates tissue while utilizing active safety measures, and provides irrigation and suction to clear debris from the surgical site.

Abstract: The present invention pertains generally to a liquid control assembly wherein the assembly is useful in the placement of liquid dispersed at an angle, and more particularly, a nozzle assembly for directing thermal melt adhesive at an angle onto a desired target. The nozzle assembly includes a nozzle projection that exhibits a minimized effective radius and as such minimizes the temperature drop of the nozzle assembly with respect to the thermal melt extrusion head to which it is attached, thus retaining an operating temperature suitable for extrusion of thermal melt adhesives. The nozzle assembly further includes a two part inter-locking construction that allows for free axial rotation of the nozzle projection while retaining simplified assembly, maintenance, repair, and installation when used in conjunction with a thermal melt extrusion assembly.

Abstract: A bi-directional communication system for use with a restrictive opening device implanted within a patient. The system includes a sensor for measuring an operational parameter within the restrictive opening device. The system further includes a means for communicating a measured parameter data from the sensor means to a local unit external to the patient. The system further includes a base unit at a remote location from the patient, the base unit including user interface means for evaluating the measured parameter data. And, a communication link between the local and base units for transmitting data between the units, the transmitted data including the measured parameter data.

Abstract: A system is operable to detect the orientation of an implant component. The system comprises an implantable component, an external component, and a logic component. The implantable component comprises a first coil operable to transmit a first signal having a phase. The external component comprises a second coil operable to transmit a second signal having a phase. The logic component is operable to compare the phase of the first signal with the phase of the second signal. The logic component is further configured to determine an orientation of the first coil relative to the second coil based on a comparison of the phase of the first signal with the phase of the second signal. The system may be used to determine the orientation of an injection port in an implanted gastric band system. The system may alternatively be used in a variety of other types of systems.

Abstract: A method for aiding a surgical procedure, the method uses the steps of providing a surgical instrument with an elongated shaft having a distal end, a proximal end and a longitudinal axis therebetween, the distal end having an end effector attached thereto, the shaft having a first strip running along the longitudinal axis and attached to the end effector, and a second strip, parallel to the first strip, running along the longitudinal axis from the distal end of the shaft to the distal end of the end effector where it is attached thereto, the end effector comprising a plurality of spaced apart links disposed along the longitudinal axis between the distal end of the end effector the distal end of the shaft such that the strips run through the links, and each link is attached to at least one strip. The method also includes the steps of inserting the instrument to a desired location in a body and curving the instrument by moving the first strip proximally.

Abstract: An implantable artificial sphincter system provides long-term adjustment via transcutaneous energy transfer (TET), minimizing invasive adjustment through adding or removing fluid via a syringe. An infuser device provides bi-directional fluid transfer via a flexible conduit to a sphincter band, such as a gastric band. Materials are nonferrous and nonmagnetic so as to be magnetic resonance imaging (MRI) safe, being substantially immune to strong magnetic fields and not introducing an electromagnetic interference/compatibility (EMIC) hazard.

Abstract: An external pressure sensing system may include an attachment for a syringe. The attachment may comprise a connector positioned between the barrel and the needle of the syringe. A pressure sensor may be in fluid communication with the connector, such that the pressure sensor may sense the pressure of fluid within the connector as the syringe is used to add fluid to or withdraw fluid from an injection port. Where an injection port is a component of an adjustable fluid-based gastric band system, pressure data obtained with the pressure sensor may be indicative of the pressure of fluid within the gastric band. The pressure sensor may communicate pressure data to a display device. A user may adjust the pressure of fluid within the gastric band using the syringe while viewing the display device for pressure-related readings.

Abstract: An implantable restriction device is configured to provide a restriction in a patient as a function of the pressure of fluid. The implantable restriction device includes one or more pressure sensors configured to sense pressure of the fluid within the implantable restriction device. Pressure data obtained by the one or more pressure sensors may be communicated to a device located external to the patient, which may process the pressure data, and may further provide a display to a user including information relating to the processed pressure data. Where the implantable restriction device comprises an adjustable gastric band, the one or more pressure sensors may be located in any number of the following locations: an injection port, an interface between the injection port and a catheter, in a catheter, in-line with a catheter, adjacent to a catheter, in a gastric band, in a gastric band buckle, or elsewhere.

Abstract: A sense head comprises a plurality of coils and a needle window. The sense head is operable to receive RF signals communicated from a needle target such as an injection port located within a patient. A user interface is configured to visually display an indication to a user relating to the positioning and orientation of the sense head relative to the needle target. The positioning and orientation may be determined based on RF signals received by the coils in the sense head. With the sense head positioned based on information provided through the visual display, the user may insert a needle through the needle window to reach the needle target. The sense head may also receive communications relating to the pressure of fluid in an implanted device. The user interface may further display information relating to the fluid pressure in the implanted device.

Abstract: An implantable restriction device is configured to provide a restriction in a patient as a function of the pressure of fluid. The implantable restriction device includes one or more pressure sensors configured to sense pressure of the fluid within the implantable restriction device. Pressure data obtained by the one or more pressure sensors may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the pressure data, and may communicate the pressure data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger.

Abstract: A restriction system, such as an adjustable gastric band, for forming a restriction in a patient and non-invasively communicating pressure data regarding the restriction to an external monitor. The system includes a restriction device for implantation in a patient to form a restriction. The system further includes an implanted port connected to the restriction device. The port contains a working fluid for affecting the size of the restriction. The system further includes a pressure sensing system in communication with the working fluid for measuring the pressure of the working fluid and transmitting pressure measurement data to an external monitor.

Abstract: A food intake restriction device for forming a restriction in a patient's gastro-intestinal tract and non-invasively communicating pressure data regarding the restriction to an external monitor. The device includes a food intake restriction device implanted substantially about a patient's gastro-intestinal tract to form a restricted opening in the tract. A port is connected to the restriction device. The port contains a working fluid for affecting the size of the restricted opening. A pressure sensing system communicates with the working fluid to measure the pressure of the working fluid. A transmitter communicates the measured fluid pressure to the external monitor.

Abstract: An actuator having a variable internal volume is mechanically coupled to an adjustable implantable band so as to effect changes in the effective internal perimeter of the band. The actuator may be directly connected to the band, or be connected through a cable. Configurations of the actuator include a series of folds and ridges and bellows. A plurality of actuators may be used in combination with a single band. A clutch mechanism may be included to hold the band in place when not acted upon by the actuators. One end of the actuator may be connected directly to a bidirectional flow device.

Abstract: An implantable device, such as an infuser device for bidirectional hydraulically controlling a medical artificial sphincter, enhances power transfer characteristics to a secondary coil thereby allowing implantation to greater physical depths and/or enclosing the secondary coil within a housing of the infuser device. The enhanced power transfer is achieved with multiple coils that are longitudinally aligned and physical and electrical parallel to form the secondary loop of a transcutaneous energy transfer system (TET) instead of a single coil. It better optimizes the power transfer from a parallel tuned tank circuit primary coil to an implanted secondary series tuned tank circuit coil.

Abstract: An implantable medical device system advantageously utilizes low frequency (e.g., about 1-100 kHz) transcutaneous energy transfer (TET) for supplying power from an external control module to an implantable medical device, avoiding power dissipation through eddy currents in a metallic case of an implant and/or in human tissue, thereby enabling smaller implants using a metallic case such as titanium and/or allowing TET signals of greater strength thereby allowing placement more deeply within a patient without excessive power transfer inefficiencies.

Abstract: An implantable medical device, such as a bi-directional infuser device for hydraulically controlling an artificial sphincter (e.g., adjustable gastric band) benefits from being remotely powered by transcutaneous energy transfer (TET), obviating the need for batteries. In order for active components in the medical device to operate, a sinusoidal power signal received by a secondary coil is rectified and filtered. An amount of power transferred is modulated. In one version, a voltage comparison is made of a resulting power supply voltage as referenced to a threshold to control pulse width modulation (PWM) of the received sinusoidal power signal, achieving voltage regulation. Versions incorporate detuning or uncoupling of the secondary coil to achieve PWM control without causing excessive heating of the medical device.

Abstract: Adjustable gastric band implants contain a hollow elastomeric balloon with fixed end points encircling a patient's stomach just inferior to the esophago-gastric junction. These balloons can expand and contract through the introduction of saline solution into the balloon. In current bands, this saline solution must be injected into a subcutaneous port with a needle to reach the port located below the skin surface. The port communicates hydraulically with the band via a catheter. As an alternative to using a percutaneously accessed injection port, a system for regulating the flow of saline that is totally implanted may rely upon bi-directionally pumping fluid from an implant device. This system instead transfers AC magnetic flux energy from an external primary coil to a secondary coil that powers the pump in the implanted reservoir. A magnetically permeable rod centered within the primary coil increases power coupled to the secondary coil.

Abstract: An implantable medical device advantageously utilizes low frequency (e.g., 100 kHz or below) for telemetry communication with an external control module avoiding power dissipation through eddy currents in a metallic case of an implant and/or in human tissue, thereby enabling smaller implants using a metallic case such as titanium and/or allow telemetry signals of greater strength for implantation to a greater depth.

Abstract: An implantable artificial sphincter system provides long-term adjustment via transcutaneous energy transfer (TET), minimizing invasive adjustment through adding or removing fluid via a syringe. An infuser device provides bi-directional fluid transfer via a flexible conduit to a sphincter band, such as a gastric band, by a combination of thermodynamic actuation and a piezo-electrically disengaged drum brake assembly that thereby achieves a desirable small volume device. A propellant within a propellant cavity surrounds a metal bellows accumulator biased at body temperature to either expand or collapse the bellows accumulator with the opposite direction of movement effected by a thermal element that heats in combination with a negatively-biased propellant or cools in combination with a positively-biased propellant.