Abstract: A microwave device for the ablation of biological tissues including a coaxial antenna, including an internal conductor, surrounded by a layer of dielectric material, an external conductor coaxial to the dielectric metal tip electrically connected to the internal conductor, and a quarter wave impedance transformer including a sleeve made of dielectric material having a proximal end covered with a layer of metal, the metal extending over nearly a quarter wavelength of electromagnetic field in the dielectric at the operating frequency of the device or of odd multiples of the quarter wavelength, the layer of metal material being connected electrically to the external conductor.

Abstract: A treatment system includes a pair of holding members, a high-frequency energy output section, a heat generating section and a control section. At least one of the pair of holding members moves to the other holding member. The high-frequency energy output section and the heat generating section are provided on at least one of the holding members. The high-frequency energy output section exerts high-frequency energy to a living tissue to denature the living tissue, and collects the biological information of the living tissue. The heat generating section applies heat to it held between the holding members, generates the heat owing to the supply of the energy, and conducts the heat therefrom to denature the living tissue. The control section controls the output of the energy to the high-frequency energy output section and the heat generating section based on the biological information collected by the high-frequency energy output section.

Abstract: An electrosurgical instrument for delivering radiofrequency (RF) electromagnetic (EM) energy and microwave frequency EM energy from a coaxial feed cable through an instrument tip into tissue. The instrument tip comprises a dielectric body separating first and second conductive elements, which act as active and return electrodes to convey the RF EM radiation by conduction, and as an antenna to radiate the microwave EM radiation. The instrument also has a fluid feed incorporated into its tip, e.g. in an additional dielectric element mounted on the underside of the tip, for delivering fluid. The delivered fluid may be a gas plasma to assist treatment or a liquid to plump up a tissue region before treatment. The instrument may fit in an endoscope.

Abstract: Systems and methods for non-thermal ablation of tissue are provided. A non-implantable minimally invasive system for treatment of tissue in a body via direct current ablation is provided including a catheter, a plurality of electrodes for deployment through the catheter, a power source for applying power to the electrodes, and a fixation element for maintaining the catheter in a treatment position during treatment of the tissue. A minimally invasive method for treating tissue in a body via direct current ablation is provided including inserting a catheter into the body such that a portion of the catheter remains outside of the body, deploying a fixation element to fix the catheter in a treatment position, deploying a plurality of electrodes through the catheter, applying power to the plurality of electrodes, using the electrodes to apply a current to the tissue, and removing the catheter from the body.

Abstract: A bipolar electrosurgical device includes a handle and an elongated end effector coupled to the handle. The end effector includes an elongated, insulating body having first and second electrodes disposed thereon. The first and second electrodes are separated at the distal end of the insulating body, and a cavity formed in the distal end of the effector is positioned between the first and second electrodes. A fluid-delivery tube is positioned on the body to deliver a conductive fluid to the distal end, adjacent the cavity. During use of the electrosurgical device, delivery of the conductive fluid facilitates formation of an electrical coupling between the electrodes via the tissue being treated.

Abstract: A heat treatment device with a handle portion, a tip portion, a power source, and a heating element. The tip portion is heatable to a desired temperature and can be positioned against an affected area for therapeutic treatment. The device can also have control circuitry that can adjust a current flowing to the heating element to regulate the treatment temperature.

Abstract: An elongated electrode includes a proximal conductor, a tubular member, and a treatment portion. The tubular member defines a channel therethrough and has proximal and distal end portions. The proximal end portion receives the proximal conductor within a portion of the channel and defines a hole through an inner and outer surface of the tubular member in fluid communication with the channel. The treatment portion is coupled to the distal end portion of the tubular member and includes a base and an arm extending distally from the base. The base defines a port in fluid communication with the channel of the tubular member. The arm is in electrical communication with the proximal conductor and is configured to deliver electrosurgical energy to tissue.

Abstract: A cryotreatment catheter for treating tissue. The catheter may include an outer elongate body, a balloon treatment element coupled to the distal portion of the elongate body with a plurality of balloon lobes radially arranged around the outer elongate body, an inner elongate body rotatably movable within the lumen of the outer elongate body, and a fluid delivery lumen located within the lumen of the outer elongate body and at least partially within the lumen of the inner elongate body. The fluid delivery lumen may be branched at a distal portion into a plurality of linear segments, each linear segment being in fluid communication with one of the plurality of balloon lobes. Each of the balloon lobes may be inflated independently of each other by the linear segments of the fluid delivery lumen.

Abstract: A surgical instrument includes an active electrode coupled to a source of electrosurgical energy. The active electrode includes a tissue-contacting surface on an exterior surface of the instrument such that the tissue-contacting surface of the active electrode may intimately engage tissue. A replacement electrode includes a tissue-contacting surface, and is located in an interior cavity of the instrument. A seal is formed between the active electrode and the interior cavity of the instrument such that the tissue-contacting-surface of the replacement electrode is isolated from contamination exposed to the exterior of the instrument. The active electrode is removable from the instrument to expose the tissue-contacting surface of the replacement electrode, and the replacement electrode is connectable to the source of electrosurgical energy when the active electrode is removed.

Abstract: A control device is a control device for an energy treatment tool including a first holding member and a second holding member which hold a biological tissue, and a heating element configured to generate heat corresponding to supplied power, thereby heating a holding surface. The control device includes a temperature acquiring section that acquires a temperature of the heating element; and a surface temperature estimating section that estimates, as a surface temperature, a temperature of at least a part of a surface of the first holding member which is different from a portion facing the second holding member, based on a change of the temperature of the heating element after supply of the power is stopped.

Abstract: A medical TFT instrument of the bipolar design includes at least two electrodes held by electrode carriers movable relative to each other which can be charged with HF current via a respective feed line. A safety switch mechanism arranged in the area of the electrode carriers and interconnected in at least one of the feed lines is additionally provided which, upon transfer of at least one of the electrode carriers into the out-of-function/situation, is brought into an OFF or disconnect position, whereby a HF current supply to the electrode associated with this feed line is disconnected.

Abstract: Disclosed herein, among other things, are methods and apparatus related to radio frequency (RF) ablation catheters. The present subject matter provides an ablation catheter system including an ablation catheter, multiple RF electrodes positioned along a distal end of a catheter, an electrical stimulation generator, and a control circuit electrically connected to the stimulation generator. According to various embodiments, the RF electrodes are each connected to the stimulation generator using a switch, and the control circuit is configured to distribute RF power from the stimulation generator to the RF electrodes using the switches to provide ablation therapy.

Abstract: A coating system comprising at least one layer made at least essentially of ZrO2 which is used for providing insulating properties to parts of medical devices, particularly of electrosurgical devices.

Abstract: Methods for treating erectile dysfunction with therapeutic neuromodulation and associated systems and methods are disclosed herein. Erectile dysfunction can be characterized by the inability to develop and/or maintain an erection during sexual arousal or activity. One aspect of the present technology is directed to methods that at least partially inhibit sympathetic neural activity in nerves innervating the penis of a patient. Sympathetic drive in the patient can thereby be reduced in a manner that treats the patient for erectile dysfunction. Sympathetic nerve activity can be modulated along afferent and/or efferent pathways. The modulation can be achieved, for example, using an intravascularly positioned catheter carrying a therapeutic assembly, e.g., a therapeutic assembly configured to use electrically-induced, thermally-induced, and/or chemically-induced approaches to modulate the nerves.

Abstract: A device (10) for tissue coagulation, in particular for fusion, encompasses an electric source (18), which is connected or which can be connected to electrodes (12, 13) for influencing biological tissue (11) with current. A control unit (22) controls the source (18) during phases I and II of the tissue fusion. These phases I and II correspond to operating phases I, II and III of the device (10). During operating phase I, a monitoring unit (23) determines the energy E1, which is applied into the tissue (11). In the subsequent operating phases II and III, the control unit (22) controls the source (18) by means of the determined energy E1. Such a device turns out to be particularly reliable and to be robust in use.

Abstract: A system and method for providing greater control over the temperature of a thermal treatment element of a medical device, enabling an operator to extend a thawing period of a cryoablation procedure. The system may include a fluid flow path that bypasses a subcooler, giving the operator selective control over the temperature of refrigerant delivered to the treatment element and, therefore, treatment element temperature. Additionally or alternatively, the system may include a fluid delivery conduit that is in communication with a liquid refrigerant and a gaseous refrigerant. Adjustment of the ratio of liquid to gaseous refrigerant also offers control over the treatment element temperature. Additionally or alternatively, the system may include one or more valves and/or heating elements in the fluid delivery and recovery conduits to control the treatment element temperature.

Abstract: A catheter carries a position sensor in a distal, on-axis position in an irrigated ablation tip electrode. The tip electrode has a shell wall that defines a cavity through which fluid flows and exits via fluid ports formed in the shell wall. The cavity is sealed by an internal member extends into the cavity with a baffle portion and a distal portion. The distal portion safely houses the position sensor and the baffle portion diffuses and disperses fluid entering the tip electrode for a more uniform flow through the cavity. The distal portion is configured to provide an annular region that runs along the length of the tip electrode to better feed fluid to the more distal fluid ports on the tip electrode for more uniform cooling at all locations on the tip electrode.

Abstract: A renal nerve ablation device may include an elongate tubular member having a distal region. An expandable member may be coupled to the distal region. An electrode support may be coupled to the distal region of the elongate tubular member and extend over a body of the expandable member. The electrode support may be free of connection to the body of the expandable member. One or more electrodes may be coupled to the electrode support.

Abstract: A surgical instrument includes an outer shaft defining a passageway. An inner shaft is disposed within the passageway and defines a lumen. An expandable structure has a first end coupled to a second end of the outer shaft and a second end coupled to a second end of the inner shaft. The expandable member defines a chamber. A delivery shaft includes a first end positioned within the passageway and a second end positioned within the chamber. The delivery shaft defines a channel configured to deliver a coolant out of an opening in the second end of the delivery shaft and into the chamber to move the expandable structure from an unexpanded configuration to an expanded configuration. A variable exhaust valve is in communication with the passageway and is configured to regulate pressure within the chamber. Systems and methods are disclosed.

Abstract: A device and system for thermally affecting tissue that includes a balloon catheter with a reduced distal length for ease of navigation and that also includes a balloon that is more resistant to bursting and delamination. The balloon may include a proximal neck generally attached to an elongate body and a distal neck generally attached to a shaft disposed within the elongate body. The distal neck is turned inward to extend within the balloon chamber and the proximal neck may either extend within the chamber or extend proximally away from the balloon chamber. Alternatively, the device may include an inner balloon and an outer balloon, the distal necks of both being turned inward and extending within the inner balloon chamber. The proximal necks may both also be turned inward to extend within the chamber or the proximal neck of the outer balloon may extend away from the balloon chamber.