Abstract: A catheter has a cooling distal section for freezing tissue to sub-zero temperatures with one or more miniature reverse thermoelectric or Peltier elements, also referred to herein as micro-Peltier cooling (MPC) units or electrodes. The MPC units may be on outer surface of an inflatable or balloon member or a tip electrode shell wall that has a fluid-containing interior cavity acting as a heat sink. Each MPC unit has a hot junction and a cold junction whose temperatures are regulated by the heat sink, and a voltage/current applied to the MPC units. A temperature differential of about 70 degrees Celsius may be achieved between the hot and cold junctions for extreme cooling, especially where the MPC units include semiconductor materials with high Peltier co-efficients. An outer coating of thermally-conductive but electrically-insulative material seals the MPC units to prevent unintended current paths through the MPC units.

Abstract: The present disclosure relates to the field of tissue mapping and ablation. Specifically, the present disclosure relates to expandable medical devices for identifying and treating local anatomical abnormalities within a body lumen. More specifically, the present disclosure relates to systems and methods of focal treatment for overactive bladders.

Abstract: Provided is an apparatus, system, and method for managing radio frequency (RF) and ultrasonic signals output by a generator that includes a surgical instrument comprising an RF energy output and an ultrasonic energy output and a circuit configured to receive a combined RF and ultrasonic signal from the generator, where the circuit may be configured to filter frequency content of the combined signal and is configured to provide a first filtered signal to the RF energy output and a second filtered signal to the ultrasonic energy output or the circuit may be configured to switch between outputs of the surgical instrument.

Abstract: An end effector of an electrosurgical device may include one or more electrodes and a movable electrode scraper having a plurality of features in mechanical communication with a surface of the one or more electrodes and configured to move across the surface of the electrodes thereby removing biological debris adhering to the surface of the electrodes. The electrosurgical device may include a diverter in mechanical communication with the one or more electrodes. The scraper may also be configured to move across the surface of the diverter. The scraper may be operated by the action of an extendable mechanism in mechanical communication with a shaft of the electrosurgical device. An end effector of an electrosurgical device may include one or more electrodes and a movable electrode sleeve configured to movably cover the one or more electrodes.

Abstract: The present disclosure relates to an apparatus and method for discriminating biological tissue, and a surgical apparatus using the same, the biological tissue discriminating method being capable of exactly discriminating the biological tissue by measuring an impedance value per frequency, teaching the measured impedance value per frequency in a single classifier according to learning algorithms that are different from one another having the measured impedance value per frequency as an input variable to discriminate the biological tissue, and re-teaching the biological tissue discriminated from each single classifier in a meta classifier to finally discriminate the biological tissue.

Abstract: An ablation system for directing energy to a target volume of tissue is provided. The ablation system comprises an ablation antenna probe including at least one radiating portion configured to output electromagnetic radiation and at least one electromagnetic shielding reflector configured for removable positioning on the antenna probe. The at least one electromagnetic shielding reflector is configured to block electromagnetic radiation from the at least one radiating portion through the at least one electromagnetic shielding reflector such that a particular directionality of the electromagnetic radiation from the at least one radiation portion to a target volume of tissue is achieved.

Abstract: Systems and methods are disclosed for providing and using an ablation catheter. The catheter may include a ring electrode having a contact force sensor that provides signals to a system controller to indicate whether the ablation electrode is in contact with the tissue to be ablated as well as how much of the ablation electrode is in contact with the tissue.

Abstract: A radiofrequency denervation device with a needle and an electrode for actuating an active portion of the needle to produce radiofrequency denervation of the sacroiliac joint. The needle has a tip with an inactive portion and the radiofrequency active portion for producing lesions in surrounding tissue. The active portion and a portion of the inactive portion are disposed in a helical formation concentric with a longitudinal axis of the needle. The helical formation communicates over an arcuate path with an angle of attack. A method of radiofrequency denervation can be performed by rotating the tip of the needle in a screw-like motion in a first rotational direction to achieve a position with the active portion of the tip substantially parallel to a surface of the sacrum and actuating the active portion to produce a lesion. Repositioning and further lesioning can be achieved by selective rotation and actuation of the tip.

Abstract: The systems and methods in accordance with the principles of the invention can treat urinary stress incontinence by treating target tissue in proximity to the urethra and/or bladder neck. A method for treating urinary stress incontinence in a subject can included non-invasively heating a subsurface region of a target tissue to induce remodeling of the subsurface region at the anterior and/or posterior regions of the vagina. The system can include: a controller and a probe having a distal end configured for non-invasive contact with a surface of a target tissue to transfer energy to the target tissue based on treatment parameters. The probe distal end can have two treatment surfaces spaced apart a distance equal to at least a width of a urethra.

Abstract: An end effector assembly for a forceps includes first and second jaw members each having an opposed electrically-conductive tissue-contacting surface. The first jaw member is pivotable relative to the second jaw member between a spaced-apart position and an approximated position for grasping tissue between the opposed electrically-conductive tissue-contacting surfaces. The second jaw member includes an electrical cutting element and is translatable relative to the first jaw member between a first position, wherein the opposed electrically-conductive tissue-contacting surfaces are aligned with one another, and a second position, wherein the opposed electrically-conductive tissue-contacting surfaces are longitudinally offset relative to one another. Upon translation of the second jaw member between the first and second positions, the electrical cutting element is translated at least partially along the opposed electrically-conductive tissue-contacting surface of the first jaw member.

Abstract: The present invention relates to an injection device for endoscopy, and provides: a feature of inserting a needle for endoscopy into a tissue, in a state of holding a body tissue, which is a region to receive an injection, and then injecting an injection solution thereinto; and a feature enabling stanching of the bleeding region if bleeding occurs. That is, tissue is held by holding forceps and a needle is inserted thereinto, corresponding to a series of operations from a state in which the needle is accommodated between the holding forceps for holding the tissue, and then an injection solution is injected into the tissue through the needle. In addition, a bleeding region is stanched by the heat transferred to the holding forceps without using a separate hemostat if bleeding occurs during the operation.

Abstract: A surgical instrument is disclosed which comprises a surgical device actuatable for performing a surgical procedure, the device having an electrically conductive portion, and an ion-generating electrode integrally arranged with respect to the surgical device, the ion-generating electrode having an ion emission zone. The ion emission zone of the ion-generating electrode and the electrically conductive portion of the surgical device are moveable relative to each-other between a first position and a second position.

Abstract: Provided is an apparatus, system, and method for managing radio frequency (RF) and ultrasonic signals output by a generator that includes a surgical instrument comprising an RF energy output and an ultrasonic energy output and a circuit configured to receive a combined RF and ultrasonic signal from the generator. The circuit may be configured to isolate a direct current (DC) voltage from the combined RF and ultrasonic signal. The DC voltage may then be used to power various electrical components of the surgical instrument while still providing RF energy and ultrasonic energy for surgical application.

Abstract: An electrosurgical generator includes: a power supply configured to output a DC waveform; a power converter coupled to the power supply and configured to generate a radio frequency waveform based on the DC waveform; an active terminal coupled to the power converter and configured to couple to a first electrosurgical instrument and a second electrosurgical instrument; at least one sensor coupled to the power converter and configured to sense at least one property of the radio frequency waveform; and a controller coupled to the power converter. The controller is configured to: determine a first impedance associated with a first electrosurgical instrument and a second impedance associated with a second electrosurgical instrument based on the at least one property of the radio frequency waveform; and adjust at least one parameter of the radio frequency waveform based on the first impedance and the second impedance.

Abstract: A gap between a plurality of ablation sites in a heart that hinders electrical propagation therethrough is found by projecting the locations of the sites in a 3-dimensional coordinate system onto a simulation plane, identifying a set of shortest 3-dimensional paths that correspond to 2-dimensional connections between pairs of the projected locations of the sites, and reporting a gap as a longest one of the set.

Abstract: An electrode device is disclosed comprising: an elongate, implantable body comprising elastomeric material, a plurality of electrodes positioned along a length of the implantable body; an electrical connection comprising one or more conductive elements extending through the elastomeric material and electrically connecting to the electrodes; and a reinforcement device extending through the elastomeric material. The length of the implantable body is extendible by placing the implantable body under tension. The reinforcement device limits the degree by which the length of the implantable body can extend under tension. At least one of the electrodes can extend circumferentially around a portion of the implantable body. A delivery device and method of delivery for an electrode device is also disclosed.

Abstract: Systems and methods to confirm safe delivery of treatment energy to a patient by identifying a presence of a fault in an energy delivery pathway and identifying a location of the fault within the device. The system includes a processing unit configured to calculate blood impedances external to the device based on known impedance characteristics of the device, and then to calculate impedances within the device during energy delivery based on the calculated blood impedances. The processing unit prevents the delivery of energy in an energy delivery pathway that is determined to be compromised. The processing unit is also configured to compare times for two different frequencies to travel a predetermined distance, the difference in the times corresponding to a location of a fault within the energy delivery pathway.

Abstract: An electrosurgical generator includes: a power supply configured to output a DC waveform; a current or voltage source coupled to the power supply and configured to output current; and a power converter coupled to the current source. The power converter includes at least one power switching element operated at a switching waveform and configured to generate a radio frequency waveform based on the energy from the current or voltage source. The radio frequency waveform includes at least one pulse having an overshoot peak. The electrosurgical generator further includes a clipper circuit coupled to the current source and the power converter, the clipper circuit configured to generate a clipping voltage to clip the overshoot peak; and a controller coupled to the power converter and configured to modulate the switching waveform to generate the radio frequency waveform.

Abstract: Systems, devices and methods manage surgical instruments throughout their lifecycle by reprogramming a device to account for operational displacement of ultrasonic components based upon a diagnostic test. A diagnostic test tip is used with a surgical instrument to simulate device usage and capture capacitance and phase margin of the device. This information is used to calculate an optimal current to supply to the device during future procedures.

Abstract: A surgical cutting tool includes a catheter, a first diametrically expandable member such as an inflatable balloon at a first location on the catheter, a second diametrically expandable member such as an inflatable balloon at a second location on the catheter that is distally spaced from the first expandable member, a cutting tool such as a cauterization tip extending between the first and second expandable members, and expanding structure such as a lumen for enabling the first and second expandable members to be actuated between a reduced diameter state and an expanded diameter state, and thereby move and position the cutting tool radially with respect to the catheter.