Abstract: Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide. An interior portion of the insulating boot may have at least one mechanically interfacing surface that interfaces with a mechanically interfacing surface formed between the shaft and a jaw member or with a mechanically interfacing surface disposed or formed on the shaft or a jaw member.

Abstract: A needle assembly (N) for RF ablation of target tissue in e.g. the liver (L) of a patient comprises a radial array of electrodes (1) in the form of loops which can be expanded by feeding the proximal ends of the Y electrodes along the bore of the needle assembly. An RF power supply (2) is connection between the array of electrodes and a skin pad (P) in contact with the skin (S) of a patient and, in accordance with the invention, is biased by a DC power supply 4 which generates electro-osmotic and/or electrolytic effects in the target tissue. In particular, chloride ions are discharged to generate chlorine which has a potent cytocidal effect and water can be attracted to the array of electrodes by electro-osmosis, thereby alleviating the problems of low electrical and thermal conductivity encountered with conventional apparatus.

Abstract: System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection.

Abstract: Medical devices can be positioned within a patient by use of apparatus and methods according to the invention. The apparatus and methods permit insertion of the medical devices into various locations of the patient's body without requiring removal and reinsertion of already-inserted medical devices. The apparatus and methods are typically used to place medical devices into a male patient's urinary system to treat a disease or condition. The medical devices can be cryoablation probes that are inserted into the prostate gland to treat prostate cancer, for example.

Abstract: A porous tip electrode and a catheter having the same are provided. The catheter generally comprises a catheter body, tip section and control handle. A porous tip electrode, manufactured by injection molding, is mounted at the distal end of the tip section and comprises a main electrode body and a stem. The catheter further comprises a first irrigation tube segment extending through the catheter body and into the proximal end of the tip section, and a second irrigation tube segment extending from the stem of the tip electrode into the distal end of the tip section. Means for energizing saline or other fluid that passes to the tip electrode can include an inner conductive sleeve in the second irrigation tube segment or a conductive material on the stem of the tip electrode. The energized saline ablates lesions in heart tissue.

Abstract: A surgical instrument comprises a hollow tube (18) having a cutting window (16) at the distal end portion. An inner tube (15) is disposed within the tube (18) and is mounted for rotation about its longitudinal axis. A cutting tool (17) is located at the distal end of the tube (15), and is positioned adjacent to the cutting window (16). An outer tube (14) is provided over the tube (18). A motor (5) is provided for rotating the inner tube (15), and saline is fed to the cutting window (16) via a passageway (25) between the tubes (15) and (18). The inner tube (15) has a central lumen (24) through which tissue cut by the cutting tool (17) is removed under the action of a source of suction (12). The outer surface of the tube 18 is covered with an electrically insulating layer (22) and coagulating RF signals are supplied between the tube (18) and the outer tube (14) so as to coagulate tissue at the cutting window (16).

Abstract: A method for medical treatment includes beginning coagulating patient tissue using an energy-based clamp coagulator, determining the clamping force, and measuring the acoustic impedance of the patient tissue. The method also includes compensating the measured acoustic impedance for clamp pressure and monitoring the coagulation using at least the compensated measured acoustic impedance. A first medical treatment system includes an energy-based clamp coagulator, an acoustic-impedance measurer, and a force measurer. A second system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, an electrical-impedance-measuring electrode for measuring an electrical impedance of the clamped patient tissue. A third system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, a temperature sensor for measuring a temperature of the clamped patient tissue.

Abstract: Various methods and devices are provided for penetrating tissue. In one embodiment, a tissue-penetrating device is provided and includes a flexible elongate shaft and a flexible elongate wire extending through the elongate shaft and having a needle tip at a distal end thereof for penetrating tissue. The needle tip can be conductive and the elongate wire can be adapted to couple to an energy source for delivering energy to the needle tip to facilitate penetration of the needle tip through tissue. The device can also include a protective sheath disposed over at least a portion of the elongate shaft and movable relative to the elongate shaft between a distal position and a proximal position. The protective sheath is configured to either protect the needle tip or electrically isolate the needle tip after the needle tip is penetrated through tissue, thereby preventing unintentional penetration of adjacent tissue.

Abstract: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A localization device is movable to a radially expanded state. An expandable tubular element is movable so that its outer end is generally axially aligned with the localization device so to capture a separated tissue section therebetween to aid removal of the separated tissue section from the patient.

Abstract: Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide.

Abstract: A treatment system for occluding a hollow anatomical structure comprises a treatment device sized for insertion into a hollow anatomical structure. The treatment device comprises a therapeutic element configured to treat the hollow anatomical structure. The system comprises a sensor configured to sense a first treatment parameter. A controller is in communication with the treatment device and with the sensor. The controller is configured to determine a second treatment parameter based on the first treatment parameter and output the second treatment parameter.

Abstract: A high efficiency electrosurgical electrode with an advanced electrically conductive tip and aspiration port, and a method of conducting an electrosurgical procedure with such electrode. The electrosurgical electrode comprises an electrically conductive body portion of various geometries, an electrically conductive tip and a dielectric insulator adjacent the metallic body portion. The electrically conductive tip comprises a plurality of protuberances of various forms and geometries that define a plurality of recesses. The aspirating member includes a wall surrounding the aspirating port, to separate the aspirating port from adjacent recesses and prevent the flow of fluid from the recesses directly into the aspirating port.

Abstract: Methods of treating the sacroiliac region of a patient's body by delivering energy are described. In some embodiments, the method comprises the steps of: positioning one elongated probe comprising at least one energy delivery device within a sacroiliac joint of the body; and delivering radiofrequency energy through the elongated probe. In some embodiments, the delivery of energy results in the creation of a lesion. In further embodiments, energy may be delivered substantially along a long axis of the sacroiliac joint. In yet further embodiments, at least one energy delivery device may be positioned adjacent a sacroiliac joint and energy may be delivered so as to create a lesion at least partially within the joint.

Abstract: Methods of treating the sacroiliac region of a patient's body by delivering energy are described. In some embodiments, the method comprises the steps of: inserting at least one probe into the sacroiliac region, the probe comprising at least one energy delivery device; positioning the at least one energy delivery device adjacent material to be treated; and delivering energy through the at least one energy delivery device to create a longitudinal strip lesion; wherein the at least one energy delivery device remains in a substantially static position during creation of the strip lesion. In some embodiments, energy may be delivered to treat at least two branches of the sacral nerves or to create an intra-articular lesion.

Abstract: A system and method for transmitting electrosurgical 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 RF catheter system includes a catheter with a proximal portion, a distal portion having a distal end and a lumen extending from the proximal portion to the distal portion. Inner and outer coaxially aligned conductors extend within the catheter and are coaxial with the lumen. A deflectable catheter guide is disposed within the catheter lumen and extends proximally within the catheter lumen and terminates distally of the distal end of the catheter to define a biological ablation pathway. A radio-frequency antenna is disposed at the distal portion of the catheter and is in electrical communication with the inner and outer coaxially aligned conductors. The radio-frequency antenna is adaptable to receive and transmit radio-frequency energy for ablating biological tissue along the ablation pathway.

Abstract: 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.

Abstract: 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.

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: An electrosurgical generator has a control system formed by an array of logic gates programmed to execute mathematical algorithms for regulating at least one parameter of output power, output voltage or output current of an output electrosurgical signal in a closed loop response to sensed values of the output voltage and the output current.