Abstract: A treatment tool for an endoscope includes a flexible sheath, with a transparent portion near a distal end thereof, which is inserted into and ejected from a treatment tool insertion channel of the endoscope, a rod-shaped treatment piece arranged into the flexible sheath, an operation wire arranged inside the flexible sheath with a distal end thereof being connected with the rod-shaped treatment piece such that the rod-shaped treatment piece is projected back and forth from the distal end of the flexible sheath by operating the operation wire, and a mobile indicator formed at the rod-shaped treatment piece or a portion of the operation wire near the distal end thereof to move along with movement of the rod-shaped treatment piece and to be visually recognized through the transparent portion of the flexible sheath from an outside of the flexible sheath.

Abstract: An energy delivery apparatus for delivering electrical energy at a target location, the energy delivery apparatus being usable in combination with a magnetic field. The energy delivery apparatus includes an electrical conductor, the electrical conductor having a substantially elongated configuration; an electrode for delivering the electrical energy at the target location, the electrode being electrically coupled to the electrical conductor and located at a predetermined location therealong; and a guiding element mounted to the electrical conductor in a substantially spaced apart relationship relative to the electrode, the guiding element including a magnetically responsive material. The energy delivery apparatus is constructed such that a movement of the guiding element causes a corresponding movement of the electrode. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.

Abstract: The invention concerns a surgical probe having electrodes for use in tissue ablation or coagulation. The probe has hollow spaces therein for delivering a cooling fluid to the probe. The probe has a handle and shaft and two axially-spaced electrodes on the surface of the shaft, separated from each other by an insulator.

Abstract: A method and device for transmural ablation using an electrosurgical device having a pair of angled clamping jaws designed to be disassembled outside the patient and reassembled within the patient in a series of method steps. This disassemble and reassemble design of the electrosurgical device fits within the narrow gap between ribs of the patient, and offers unusual opportunities to work in difficult to access areas such as the thoracic cavity. Once the surgery has been performed, the electrosurgical device can be disassembled in the patient and removed one piece at a time, or removed as a unit.

Abstract: A catheter includes a cryoablation tip with an electrically-driven ablation assembly for heating tissue. The cryoablation tip may be implemented with a cooling chamber through which a controllably injected coolant circulates to lower the tip temperature, and having an RF electrode at its distal end. The RF electrode may be operated to warm cryogenically-cooled tissue, or the coolant may be controlled to conductively cool the tissue in coordination with an RF treatment regimen.

Abstract: A combined electrical and chemical stimulation lead is especially adapted for providing treatment to the spine and nervous system. The stimulation lead includes electrodes that may be selectively positioned along various portions of the stimulation lead in order to precisely direct electrical energy to ablate or electrically stimulate the target tissue. The invention also includes a method of activating electrodes in the electrical stimulation lead whereby an ablative lesion can be formed in a desired shape and size. The invention further includes a method of managing pain in a sacrum of a patient, and a method of assembling an electrical stimulation device.

Abstract: An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smoothes out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.

Abstract: An electrosurgical device to generate a plasma stream and method to perform endoscopic or laparoscopic surgery within a patient's body comprising an electrosurgical generator coupled to a electrical power source to supply power to the electrosurgical device and a plasma generator including an electrode operatively coupled to the electrosurgical generator to receive electrical energy therefrom and concentrically disposed within an inner noble gas conduit to form a plasma channel coupled to a noble gas source to feed noble gas to the inner noble gas conduit and an outer electronegative gas conduit disposed in surrounding coaxial relation relative to the inner noble gas conduit to cooperatively form an electronegative gas channel therebetween coupled to a gas source to feed electronegative gas to the electronegative gas channel or an outer aspiration conduit disposed in surrounding coaxial relation relative to the inner noble gas conduit to cooperatively form an aspiration channel therebetween coupled to a negat

Abstract: A monopolar electrosurgical return electrode to prevent unwanted thermal effects in monopolar electrosurgery, accomplished in one aspect by volumetric incorporation of temperature-resistive material of positive nature into a flexible and adhesive return electrode pad is provided. The incorporation of positive temperature coefficient resistance with low resistance at room temperature will increase the local electrical resistance of the pad with an increase of the local return electrode temperature corresponding to a switching of the resistance from low to high value which in turn will lead to a reduction of the local current density. The switching temperature of the positive temperature coefficient return electrode is low enough to prevent significant thermal heating of the patient's tissue.

Abstract: A method for creating a channel through a foreign material located in a body of a patient, the foreign material defining a material first surface and a substantially opposed material second surface, the channel extending through the foreign material between the material first and second surfaces, the method using an apparatus including a substantially elongated member defining a proximal end region and a substantially longitudinally opposed distal end region, the apparatus including an electrode located about the distal end region, the method comprising: introducing the distal end region into the body of the patient; positioning the electrode substantially adjacent to the material first surface; energizing the electrode with a radiofrequency current; and using the electrode energized with the radiofrequency current to deliver energy into the foreign material to create the channel.

Abstract: Systems and methods are disclosed for assessing electrode-tissue contact for tissue ablation. An exemplary electrode contact sensing system comprises an electrode housed within a distal portion of a catheter shaft. At least one electro-mechanical sensor is operatively associated with the electrode within the catheter shaft. The at least one electro-mechanical sensor is responsive to movement of the electrode by generating electrical signals corresponding to the amount of movement. The system may also include an output device electrically connected to the at least one electro-mechanical sensor. The output device receives the electrical signals for assessing a level of contact between the electrode and a tissue.

Abstract: A return pad for use with an electrosurgical system is disclosed. The return pad includes a conductive layer, a contact layer configured to engage a patient's skin and an intermediate layer disposed between the conductive layer and the contact layer. The intermediate layer is adapted to distribute energy.

Abstract: In a bipolar cutter for a living body tissue, a groove part is formed in a member that is arranged close to an active electrode, thereby providing a constitution to cut while the blood stanching is ensured since when a heat amount generated by the active electrode is conducted in the member, an excessive heat conduction to the member is efficiently interrupted by a layer of air that is produced due to the groove part and the living tissue is thus provided with more heat.

Abstract: High-strength microwave antenna assemblies and methods of use are described herein. The microwave antenna has a radiating portion connected by a feedline to a power generating source, e.g., a generator. Proximal and distal radiating portions of the antenna assembly are separated by a junction member. A reinforcing member is disposed within the junction member to increase structural rigidity.

Abstract: The invention provides surgical systems and methods for ablating heart tissue within the interior and/or exterior of the heart. A plurality of probes is provided with each probe configured for introduction into the chest for engaging the heart. Each probe includes an elongated shaft having an elongated ablating surface of a predetermined shape. The elongated shaft and the elongated ablating surface of each probe are configured to ablate a portion of the heart. A sealing device affixed to the heart tissue forms a hemostatic seal between the probe and the penetration in the heart to inhibit blood loss therethrough.

Abstract: 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.

Abstract: Embodiments of the invention controlling power distribution in an ablation control apparatus or the like. In one embodiment, a power switching apparatus comprises a first switch assembly having an input end to receive a power input signal, the first switch assembly having a plurality of output channels; a second switch assembly coupled to the output channels of the first switch assembly; a plurality of power receiving members coupled to the second switch assembly; and a controller controlling the first switch assembly to selectively transmit the power input signal to the output channels one at a time in a cyclical manner according to a first switching rate.

Abstract: A system and method for transmitting electro surgical energy from a generator to an electrosurgical instrument are provided. The electrosurgical system includes a generator adapted to generate electrosurgical energy for treating tissue. The generator includes one or more active output terminals which supply energy to the tissue. The active output terminals are operatively connected to one or more supply lines. The generator also includes one or more return output terminal which returns energy from the tissue. The return output terminals are operatively connected to at least one return line. The system also includes an electrosurgical instrument operatively connected to the one or more supply lines and one or more return electrodes operatively connected to one or more return lines. The system further includes an electrosurgical cable including one or more supply lines and one or more return lines.

Abstract: A method and apparatus for application of an electrical signal to neural and other target tissue in the living body.

Abstract: Biological tissue is sealed or fused to occlude an opening by compressing apposite sidewall portions of the tissue and applying sufficient energy to cause the fibers of the compressed apposed sidewall portions to intertwine and fuse with one another to form a permanent seal. The energy application is controlled by detecting a precursor fusion condition while applying the energy and before sufficient energy has been applied to achieve a permanent seal. The application of energy is terminated in a time-delayed relationship to the detection of the precursor fusion condition. The precursor fusion condition is detected from derivative values of an envelope established by peak values of cycles of high-frequency current conducted through the tissue.