Abstract: A current sensor includes a current sense coil disposed about a conductive lead, the current sense coil configured to sense a current passing through the conductive lead. The current sense coil includes: a first outer coil configured to detect a first magnetic field generated by the current; a second outer coil configured to detect the first magnetic field, the second outer coil further configured to cancel an electrical field induced in the first outer coil; and an inner conductor disposed between the first outer coil and the second outer coil, the inner conductor configured to detect a second magnetic field generated by the current.

Abstract: A surgical cauterizer includes an elongate body member having a tapered distal-end portion terminating at an apex. A cauterizing tip extends from the apex. A hollow passageway is formed in the interior of the elongate body member. Formed in the tapered distal-end portion of the elongate body member is at least one smoke intake port for providing a smoke evacuation pathway between a region proximate the cauterizing tip and the hollow passageway within the elongate body member. A tube connected to an outlet of the hollow passageway may provide a vacuum for evacuating the smoke generated by cauterization. In an embodiment, the elongate body member may include a first and second arms that define a forceps operable between an open position and a closed position.

Abstract: Medical devices are disclosed having improved visualization of a portion of the medical device insertable into a patient's body while minimizing obstruction of fluid flow through a lumen of the device and while minimizing an increase in the outer diameter of the device attributable to the feature providing improved visualization. The device can include, for example, an imaging marker distal to lumen openings (exit ports), or, where the device comprises a tube, such as a metallic tube, an imaging marker embedded into a wall of the tube. Another embodiment includes attaching a marker to the surface on the inside of a lumen of a medical device without embedding the marker. Various alternative embodiments, methods and applications of using such devices are disclosed as well.

Abstract: An apparatus includes a body, a shaft assembly, an articulation section, an end effector, an articulation connector, and an articulation drive assembly. The shaft assembly extends distally from the body. The end effector is connected to the articulation section such that the end effector is configured to deflect relative to the longitudinal axis of the shaft assembly. The articulation connector is configured to translate relative to the shaft assembly to deflect the end effector relative to the longitudinal axis. The articulation drive assembly is configured to translate the articulation connector relative to the shaft assembly. The articulation drive assembly includes a rotatable housing and a first lead screw assembly. The first lead screw assembly includes a first half and a second half. The first lead screw assembly is slidably coupled with the shaft assembly and is configured to translate in response to rotation of the rotatable housing.

Abstract: Systems, devices, and method for performing pulmonary artery denervation are disclosed. An ablation device is positioned in a pulmonary artery trunk of a patient. Target tissue is ablated in the pulmonary artery trunk under conditions effective to affect a reduction in mean pulmonary artery pressure and systolic pulmonary artery pressure. The target tissue includes at least one of the distal portion of the main pulmonary artery, the proximal portion of the left pulmonary artery, or the proximal portion of the right pulmonary artery.

Abstract: A pulse generator discharge circuit is disclosed. The circuit includes one or more discharge stages, each discharge stage including a plurality of control input terminals. The circuit also includes first and second discharge terminals, and a plurality of serially connected switches electrically connected between the first and second discharge terminals, where a conductive state of each of the switches is controlled by a control signal. The circuit also includes a plurality of inductive elements configured to generate the control signals for the serially connected switches, where each inductive element is configured to generate a control signal for one of the serially connected switches in response to one or more input signals at one or more of the control input terminals, and where each of the serially connected switches is configured to receive a control signal from a respective one of the inductive elements.

Abstract: An electrosurgical generator includes: a power supply configured to output a DC waveform; an inverter coupled to the power supply, the inverter including a plurality of switching elements; and a controller coupled to the inverter and configured to generate a switching angle waveform including a plurality of switching pulses. The controller is further configured to at least one of select or calculate the plurality of switching pulses to activate the plurality of switching elements to generate a radio frequency waveform based on the DC waveform and to minimize harmonics of the radio frequency waveform.

Abstract: An ablation catheter comprises: an elongated catheter body extending longitudinally between a proximal end and a distal end along a longitudinal axis; a distal member disposed adjacent the distal end, the distal member including an ablation element to ablate a biological member; one or more acoustic transducers disposed in the distal member and each configured to direct an acoustic signal toward a respective target ablation region and receive reflection echoes therefrom; and an acoustic redirection member disposed in the distal member to at least partially redirect the acoustic signal from at least one of the acoustic transducers toward a tissue target. The distal member includes a most-distal portion, a proximal portion, and a deflectable portion between the most-distal portion and proximal portion to permit deflection between the most-distal portion and proximal portion of the distal member. The transducers and redirection member are mounted on opposite sides of the deflectable portion.

Abstract: An end effector includes a grasping portion that includes a first jaw member having a first electrode, a second jaw member having a second electrode, a first electrically conductive member located either on the first jaw member or the second jaw member, and a gap setting portion having a second electrically conductive member located at the distal end of either the first jaw member or the second jaw member. The electrically insulative member is sized and configured to engage tissue and the second electrically conductive member sized and configured to define a minimum distance between the first and second electrodes.

Abstract: Device and method for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.

Abstract: A surgical device includes a housing, at least one electrical wire, a shaft, and an end effector assembly. The housing defines an interior cavity and first and second housing portions. The first and second housing portions are configured to engage one another to enclose the interior cavity. A channel is defined within an outer perimeter of the first and/or second housing portion such that engagement of the first and second housing portions encloses the channel separate from the interior cavity. The electrical wire(s) is housed within the channel and adapted to connect to a source of energy. The shaft is coupled to the housing and extends distally therefrom. The end effector assembly is disposed at a distal end of the shaft, wherein the end effector assembly is electrically coupled to the at least one electrical wire for supplying energy to the end effector assembly.

Abstract: A portable electrosurgical device (ESD) has a housing, a probe connected to the housing and a heating element connected to the probe for destroying human tissue. The heating element is detachable from the probe and/or the probe with heating element can be detachable from the housing. The user can set a drive signal's electrical characteristics, such as operating frequency, duty cycle, peak voltage and the like for a customized drive signal formed in the ESD based on the heating element used. Memory storage allows for storage of inputted data from a keyboard, downloaded reference documents and information off the Internet from an Ethernet connector that can be displayed for reference on a screen of the ESD. Another even more compact ESD is an integral one-piece portable device having a type of pistol hand-held grip, dis-connectable probe, and a rechargeable, removable battery in the handle provides approximately 30, one-minute treatments on a single battery charge.

Abstract: Embodiments of the invention are directed to a method of excising tissue including injecting fluid into the submucosa to raise targeted tissue. A first electrode is positioned below the targeted tissue within the injected fluid and a second electrode is positioned adjacent a surface of the raised targeted tissue opposite the first electrode. Electrical current is applied between the first and second electrodes and the targeted tissue is excised with the second electrode.

Abstract: An instrument for large-area ablation of the mucosa including at least one first gas supply line and at least one second gas supply line whose distal ends are arranged to form an acute angle (?), so that the ends diverge distally. A free space between the distal ends of the gas supply lines allows the user to view the tissue region behind the distal end of the instrument. Due to the acute angle (?), electrodes arranged at least partially in the ends of the gas supply lines generate a wide plasma beam with which the mucosa ablation can be performed. The instrument can be guided precisely due to the view through the free space. A connecting element according to the invention is provided for attaching the ends of the gas supply lines.

Abstract: An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member from a first position wherein the movable jaw members are disposed in spaced relation relative to each other to a second position wherein the jaw members are closer one another for manipulating tissue. A movable handle is included which is rotatable about a pivot to force a drive flange of the movable handle into mechanical cooperation with the drive assembly to move the jaw members from the open and closed positions. The pivot is located a fixed distance from the longitudinal axis and the drive flange is located generally along the longitudinal axis.

Abstract: The subject of this disclosure includes an apparatus for visually supporting a tissue ablation procedure, including a display comprising a user interface; and at least one processor in communication with the display, the at least one processor configured to control one or more of a plurality of electrodes of a radiofrequency balloon catheter to ablate organ tissues of one or more targeted pulmonary veins; determine a characteristic, based on ablation parameters of the radiofrequency balloon catheter, of pulmonary vein isolation (PVI) success rate; and present, on the display, visual information corresponding to each electrode for an indication, based on the characteristic, for PVI success rate.

Abstract: Ablation catheters and systems include multiple inline chambers for containing and heating an ablative agent. The heating chamber includes one or more channels to increase the contact surface area of the ablative agent with the walls of the heating chamber to provide more efficient heating. Induction heating is used to heat a chamber and vaporize a fluid within by wrapping a coil about a ferromagnetic chamber and providing an alternating current to the coil. A magnetic field is created in the area surrounding the chamber which induces electric current flow in the chamber, heating the chamber and vaporizing the fluid inside. Positioning elements help maintain the device in the proper position with respect to the target tissue and also prevent the passage of ablative agent to normal tissues.

Abstract: The present application discloses devices that ablate human tissue. The device comprises a catheter with a shaft through which an ablative agent can travel, a liquid reservoir and a heating component, which may comprise a length of coiled tubing contained within a heating element, wherein activation of said heating element causes said coiled tubing to increase from a first temperature to a second temperature and wherein the increase causes a conversion of liquid within the coiled tubing to vapor, a reusable cord connecting the outlet of the reservoir to the inlet of the heating component, and a single use cord connecting a pressure-resistant inlet port of a vapor based ablation device to the outlet of the heating component.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed. An apparatus may be configured to activate a field generator to generate an electric or magnetic field such that signals are received by a receiver coupled to an ablation device disposed adjacent to a tissue surface. Processed data associated with the signals may be obtained. A position and an orientation of the ablation device may be determined based on the processed data. An expected ablation zone of the ablation device in the tissue surface may be determined based on the position and the orientation of the ablation device. A map of the tissue surface and a visual representation of the expected ablation zone disposed in the map of the tissue surface may be displayed.

Abstract: The present application discloses devices that ablate human tissue. The device comprises a catheter with a shaft through which an ablative agent can travel, a liquid reservoir and a heating component, which may comprise a length of coiled tubing contained within a heating element, wherein activation of said heating element causes said coiled tubing to increase from a first temperature to a second temperature and wherein the increase causes a conversion of liquid within the coiled tubing to vapor, a reusable cord connecting the outlet of the reservoir to the inlet of the heating component, and a single use cord connecting a pressure-resistant inlet port of a vapor based ablation device to the outlet of the heating component.