Abstract: Cryoprobes and a cryotherapy method. A cryoprobe includes: a shaft having a central axis, a tip at a first end, a male socket section at a second end opposite the first end, a cryogen feeding pipe extending from the tip through the male socket section along the axis, and a cryogen return passage extending from the tip through the male socket section; and a handle having a female socket adapted and configured to receive and connect with the male socket section in a quick connect manner, a vibration section that selectively causes vibration along the axis, a cryogen exhaust passage extending from the female socket to an exterior of the handle, and a cryogen supply tube connected to the female socket at an end of the tube.

Abstract: Various devices and methods for dissecting and/or coagulating tissue are provided. In one embodiment, a surgical device is provided that includes an elongate member having proximal and distal ends, an energy emitter coupled to the distal end of the elongate member, and an insulating element that is disposed around the energy emitter. The insulating element can have an opening for receiving energy from the energy emitter, and the opening can be shaped to control a direction of energy emitted from the energy emitter.

Abstract: A urological resectoscope (1) includes a tubular, metallic external stem (2) fitted with holes (3) in its distal end zone, a tubular insulating element (7, 27, 37, 47) being affixed distally to the external stem, further comprising a tubular internal stem (8) configured within the external stem and resting against it in sealing manner and an electrode support (13) longitudinally displaceable inside the internal stem and supporting a cutting loop (15) in the region of the insulating element (7, 27, 37, 47), the inside space of the internal stem (8) and the gap (12) between the stems (2, 8) being proximally connected to liquid hookups (10, 11), the insulating element (7, 27, 37, 47) being configured in longitudinally mutually overlapping manner within an affixation zone (6) and the insulating element (7, 27, 37, 47) exhibiting a wall thickness distally from the affixation zone (6) larger than the wall thickness of the external stem (2), wherein the inside diameter of the insulating element (27, 47) is the same

Abstract: A treatment system includes an energy source, a pair of holding portions, an output portion and a first channel. At least one of the holding portions is configured to relatively move with respect to the other holding portion. The output portion is disposed on at least one of the pair of holding portions and connected with the energy source. The output portion is configured to generate a fluid including a gas and/or a liquid from the living tissue by the energy supplied from the energy source. The first channel is disposed at a position close to the output portion. The first channel is configured to pass the fluid generated from the living tissue.

Abstract: An energy delivery device for treating tissue regions in a body conduit, such as a lung airway, may utilize one or more markers, rings, bands, or other visual indicators along an outer surface of the device body. The one or more visual indicators facilitate guidance of the device to effectively and efficiently treat the tissue according to a predetermined axial treatment as well as measure extension of a distal portion of the device, tissue length, and/or treatment length. The predetermined axial treatment may be contiguous, overlapping, or intermittently spaced apart as determined by the marker spacing distance.

Abstract: A high-frequency treatment tool for an endoscope, having an electrically insulating flexible tube, an operating wire, a high-frequency electrode, which is provided at a distal end of the operating wire and configured to be protrusible and retractable from a distal end of the flexible tube in the axial direction of the flexible tube, and a tubular member, is provided. The tubular member is fitted on the operation wire and immovably attached thereon by plastic deformation, which is caused as at least a part of the tubular member is deformed to interfere with an inner circumferential surface of the flexible tube so that the operating wire is halted with respect to the flexible tube at an arbitrary position in the flexible tube by frictional resistance caused between an interfering part of the tubular member and the inner circumferential surface of the flexible tube.

Abstract: A surgical instrument has a first grasping member, a second grasping member which is provided to the first grasping member to open and close to the first grasping member, and grasps a living tissue between them, an ultrasonic coagulation-cutting unit which includes an ultrasonic vibrating portion provided in one of the first and second grasping members and connected to an ultrasonic transducer to generate ultrasonic vibration, and a pressing portion provided in the other of the first and second grasping members, and facing the ultrasonic vibrating portion, the pressing portion and the ultrasonic vibrating portion pressing the living tissue between them, and a high-frequency coagulation unit which includes a first electrode provided in the first grasping member, and a second electrode provided in the second grasping member, the first electrode and the second electrodes facing each other to coagulate the living tissue.

Abstract: An electrosurgical handpiece comprises a handle, a nose piece for threaded engagement with the handle at a first end for cooperating with a collet to grip an electrode, and a detachable cable connector at the opposite second end, the latter being characterized by a rotatable connection such that when the handle is rotated by the user, the cable will maintain its rotary position and thus not encumber rotation of the handle to a desired position. The electrosurgical handpiece may also comprise a nose piece with at least one set of circumferentially-spaced grooves, preferably two axially-spaced sets, which the surgeon can use with his fingers for one-handed orientation of the electrode position.

Abstract: A thermal ablation system is operable to perform thermal ablation using an x-ray system to measure temperature changes throughout a volume of interest in a patient. Image data sets captured by the x-ray system during a thermal ablation procedure provide temperature change information for the volume being subjected to the thermal ablation. Intermediate image data sets captured during the thermal ablation procedure may be fed into a system controller, which may modify or update a thermal ablation plan to achieve volume coagulation necrosis targets. The thermal ablation may be delivered by a variety of ablation modes including radiofrequency ablation, microwave therapy, high intensity focused ultrasound, laser ablation, and other interstitial heat delivery methods. Methods of performing thermal ablation using x-ray system temperature measurements as a feedback source are also provided.

Abstract: An apparatus for bipolar radio frequency ablation of heart tissue includes a flexible epicardial lead having an interior surface along a portion thereof comprising an electrically conductive surface to be placed in contact with tissue to be ablated. Additionally, the epicardial lead includes an integral fastener disposed proximate a distal end thereof and a sliding lock collar having an aperture therein through which said epicardial lead passes. A complementary fastener may be secured thereto for engaging the fastener of said epicardial lead, thereby securing said lead in place around tissue to be ablated. The apparatus further includes an endocardial ablating lead placed in the left atrial chamber via transfemoral insertion for conduction of radio frequency energy between the ablating lead and the ablating surface of the epicardial lead.

Abstract: A surgical device including an elongated shaft having a distal end and a proximal end, an arm pivotally connected to the distal end and moveable through a dissection plane, and a cutting element disposed on the arm and adapted to move from an un-deployed configuration to a deployed configuration, wherein the cutting element is generally aligned with the dissection plane when in the un-deployed configuration and at least partially transverse with respect to the dissection plane when in the deployed configuration.

Abstract: The invention relates to an electrosurgical instrument comprising two limbs that have an articulated connection and that can be actuated in the manner of a cutting or clamping tool. The instrument includes opposing electrode parts with coagulation surfaces on distal ends of its limbs for holding a vessel or tissue and for passing a current through said vessel or tissue to coagulate the latter and also current supply devices that supply the coagulation current from a high-frequency generator to the electrode parts. One of the coagulation surfaces is convex, at least in a first central section, and the opposing coagulation surface is concave, at least in a second central section. The radius of curvature of the concave coagulation surface is greater, at least in the second central section, than the radius of curvature of the convex coagulation surface in the first central section.

Abstract: A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.

Abstract: Side-port sheaths for catheter placement and translation are disclosed. The sheaths include a side-port opening through which a gliding catheter may be deployed during diagnosis or treatment of tissue. The side-port sheath may include a suspension ribbon used to deploy, or that aids in the deployment of, the embedded gliding catheter. The suspension ribbon may be slideably or fixably engaged with an outer surface of the sheath of the gliding catheter.

Abstract: System and methods are disclosed for tissue contact and thermal assessment, e.g. for tissue ablation procedures. An exemplary brush electrode comprises a plurality of flexible filaments adapted to transfer electrical energy to a tissue. At least one piezoelectric sensor is embedded among the plurality of flexible filaments. The at least one piezoelectric sensor is responsive to contact stress of the flexible filaments by generating electrical signals corresponding to the amount of contact stress. An output device is electrically connected to the at least one piezoelectric sensor. The output device receives the electrical signal for assessing tissue contact by the flexible filaments. The brush electrode may further comprise a sensing device mounted adjacent the at least one piezoelectric sensor, wherein the sensing device is a pressure sensor, a thermistor, a thermocouple, or an ultrasound sensor.

Abstract: A urological resectoscope (1) including a tubular, metallic external stem (2) fitted with holes (3) in its distal end zone, a tubular insulating element (7, 27, 37, 47) being affixed distally to the external stem, further including a tubular internal stem (8) configured within the external stem and resting against it in a sealing manner and an electrode support (13) longitudinally displaceable inside the internal stem and supporting a cutting loop (15) in the region of the insulating element (7, 27, 37, 47). The insulating element (7, 27, 37, 47) is configured in a longitudinally mutually overlapping manner within an affixation zone (6) and the insulating element (7, 27, 37, 47) exhibiting a wall thickness distally from the affixation zone (6) larger than the wall thickness of the external stem (2), wherein the inside diameter of the insulating element (27, 47) is the same as the inside diameter of the external stem (2).

Abstract: A medical device for use in delivering RF energy to a tissue opening is disclosed. In one embodiment, the medical device comprises a compliant electrode. The compliant electrode can include a shape memory material, such as NITINOL, to facilitate the electrode having at least one relaxed orientation. The electrode can be deployed from a delivery shaft inside the left atrium, for example, of a heart through the delivery shaft. The electrode can be configured to substantially conform to the tissue proximate the tissue opening. After energy is applied to the tissue between the left and right electrodes, the left electrode can be removed from the left atrium by being received back into the delivery shaft and the delivery shaft thereafter removed from the opening.

Abstract: The invention relates to an electrosurgical instrument comprising two limbs that have an articulated connection and that can be actuated in the manner of a cutting or a clamping tool. The instrument also comprises opposing electrode parts with coagulation surfaces on distal ends of its limbs for holding a vessel or tissue and for passing a current through said vessel or tissue to cause it to coagulate. At least one electrode part has an open region that acts as a guide gap for a cutting instrument, so that the electrode part(s) is/are divided into at least two areas and the cutting instrument can be applied to the clamped vessel or tissue to execute a cutting operation. In addition, current supply devices supply the coagulation current from a high-frequency generator to the electrode parts.

Abstract: Ablation systems and methods for treating atrial fibrillation utilizing RF energy are provided. The system generally includes a first conductive member having a shape which defines a desired lesion pattern or a portion of a desired lesion pattern, and a second conductive member effective to transmit ablative radiation to the first conductive member. The first conductive member is adapted to be positioned on a first tissue surface, and the second conductive member is adapted to be positioned on a second, opposed tissue surface. In use, ablative radiation is transmitted from the second conductive member through the tissue to the first conductive member to form a lesion having the desired lesion pattern.

Abstract: The invention provides a surgical electrocautery method and apparatus that achieves sealing along the entire tissue length, and that also is able to deliver adequate force to produce an effective electrocautery seal. This problem is solved by using an incompressible fluid contained in a sac or sacs positioned to support the one or more electrodes used for electrocauterization. The profile of the electrodes thus conforms to the tissue surface and thickness variations, while exerting an optimized pressure along the entire length of the surface.