Abstract: A cryo-fixation lead extraction device includes a lead extraction catheter having longitudinally spaced proximal and distal catheter ends and an elongate catheter lumen. A liner has longitudinally spaced proximal and distal liner ends and an elongate liner lumen. The liner lumen is configured to selectively accept at least part of a lead being extracted longitudinally therethrough. At least a portion of the liner is located circumferentially within and/or circumferentially surrounding the catheter lumen. At least one cryogen supply line extends longitudinally through at least a portion of the liner lumen. The cryogen supply line is configured to place a cryogen fluid source into fluid communication with the distal liner end. The cryogen supply line is configured to selectively generate a patient tissue cooled zone adjacent the distal catheter end. A method of cryo-fixation lead extraction is also provided.

Abstract: A cryosurgical probe assembly including a cryosurgical probe having a shaft, an insulation element housed within the cryosurgical probe and being slideably repositionable relative to the shaft, and a fluid supply line having an inlet portion for connection to a cryogenic fluid source.

Abstract: A spring assembly usable with an intravascular catheter can include a tubular body, two mounting surfaces, and a compressible framework. The tubular body extends along a longitudinal axis and is sized to traverse vasculature. Each mounting surface can be configured to engage a substantially planar electrical circuit and is positioned in the tubular body each in a respective plane perpendicular to the longitudinal axis. The mounting surfaces face toward each other in opposite directions. The compressible framework extends between the first and second mounting surfaces. The spring assembly can further include a pair of electrical circuits mounted to the pair mounting surfaces. Each electrical circuit can include an inductive coil such that the pair of electrical circuits is a distance transducer. A change in distance between the pair of electrical circuits can be detected when the compressible framework is compressed and/or bent.

Abstract: A cryosurgical instrument having a cryosurgical probe, at least one electrode configured to generate products of electrolysis, and a protective member coupled to at least a portion of an exterior surface of the cryosurgical probe effective to substantially isolate the cryosurgical probe from the products of electrolysis is disclosed. Methods of providing combined cryosurgical treatment and electrolysis with the cryosurgical instrument are disclosed. A system having the cryosurgical instrument, a cryogenic power supply, an electrolysis power supply, and a controller configured to generate a cryogenic signal and an electric signal is disclosed. Methods of producing the cryosurgical instrument by selecting a cryosurgical probe, coupling at least one electrode to the cryosurgical probe, and fastening the protective member to at least a portion of an exterior surface of the cryosurgical probe are disclosed. Cryosurgical probe protective devices are also disclosed.

Abstract: Embodiments of the present invention relate to cryogenic systems and methods useful to cool objects, including living tissue, to freezing or cryogenic temperatures by placing the object in thermal communication with sub-cooled supercritical nitrogen.

Abstract: Disclosed embodiments include an apparatus, a system and a method for shunting current between first and second electrodes to temporarily reduce current applied through first and second electrodes. In a nonlimiting embodiment, an illustrative apparatus includes first and second electrode couplings configured to electrically engage proximal ends of the first and second electrodes, respectively, the first and second electrodes each having a distal end configured to conduct electrical current generated by a switchable current source therebetween and through an electrically conductive target. A current inrush regulator is configured to temporarily shunt at least a portion of the electrical current generated by the switchable current source to temporarily reduce the electrical current passing between the distal ends of the first and second electrodes through the electrically conductive target.

Abstract: An ultrasonic device may include an ultrasonic system including a transducer coupled to an ultrasonic blade, A method of delivering energy to the device may include sensing a vessel contacting the blade, identifying that the vessel is calcified, and generating a warning. In some aspects, the method further includes disabling one or more activation functions of the blade. In another aspect, the method further includes generating a message to apply compression to the vessel for a predetermined period, disabling activation functions of the blade during compression, and enabling activation functions after the expiration of the compression period. In yet another aspect, the method includes applying a compressive clamp force to the calcified vessel by driving a clamp arm toward the blade, disabling activation functions of the blade during compression, and enabling the activation functions after adjusting the compressive force. An ultrasonic surgical instrument may effect the method.

Abstract: Method and apparatus for treating peripheral olfactory dysfunction are described herein. One method may include introducing a treatment device into a nasal cavity of the patient, the treatment device having a proximal end, a distal end, an elongated shaft therebetween, and a treatment end effector disposed on or near the distal end. The distal end of the treatment device may be advanced into proximity of a cribriform plate within the nasal cavity and at least one olfactory neuron may be ablated through the cribriform plate via the treatment end effector to reduce at least one symptom of olfactory dysfunction.

Abstract: A surgical instrument includes a movable handle movable relative a housing to manipulate an end effector assembly, and a latch assembly. The latch assembly includes a latch arm including a latch post, and a latch track defining an entry path, a latching path, a saddle, an un-latching path, and a return path. The latch post moves through the entry path, the latching path, and into the saddle upon movement of the movable handle from an un-actuated position to an over-actuated position and back to an actuated position to lock the movable handle. The latch post moves from the saddle through the un-latching path and the return path upon movement of the movable handle from actuated position to the over-actuated position and back to the un-actuated position. The return path includes a ramped surface configured to inhibit reverse travel of the latch post into the return path.

Abstract: Bipolar belt ablation systems and methods for treating patient tissue involve the use of an ablation an ablation apparatus with a plurality of ablation elements carried by a flexible tube structure, a radiofrequency generator capable of delivering a plurality of differing radio frequency power signals to the ablation elements of the ablation device, wires transmitting the radiofrequency power signals from the radiofrequency generator to the ablation elements, and a control mechanism to enable temperature-based power control to each of the powered ablation elements.

Abstract: Examples of a probe for microwave ablation are disclosed. The probe comprises a feed coaxial cable and an antenna that has a cylindrical outer housing with a predetermined diameter and a predetermined length defining a cavity therein and a radiating conductor positioned within the cavity with a matching stepped portion. The antenna further comprises a dielectric material placed in the cavity between the radiating conductor and the outer housing of the antenna to increase the mechanical strength of the probe as well as to improve the power coupling to the tissue to be ablated. The design of the coaxial cavity of the antenna with radiating conductor with a stepped portion fitted into dielectric materials increases antenna's mechanical strength to withstand higher temperatures and reduces an energy reflected back to the feed coaxial cable due to a good impedance match between the antenna and the feed cable such that antennas with smaller length can be used to fit curved paths.

Abstract: An electrode assembly for an electrosurgical pencil includes an insulative core configured to support an active wire around a peripheral surface thereof, the active wire electrically couples to an active pin that inserts into a distal end of the pencil. A ground electrode is operably coupled about the insulative core and inserts within the distal end of the electrosurgical pencil. An insulative material is disposed between the active pin and the ground electrode and is configured to at least partially encapsulate and electrically isolate the active pin from the ground electrode. A first hypotube is disposed atop the insulative core and extends along between the ground electrode and the insulative core, the first hypotube encapsulates the active wire to insulate the active wire from the ground electrode. A second hypotube is operably engaged to a proximal end of the insulative material and is configured to encapsulate the active pin.

Abstract: A method of applying RF energy includes using an RF energy applicator assembly to apply RF energy to a tissue. The RF energy applicator assembly includes a housing, and RF electrodes coupled to an RF energy source and movably mounted in the housing. The RF electrodes have a retracted position, in which the RF electrodes are retracted inside the housing, and deployed positions in which the RF electrodes protrude out of the housing at different protrusion lengths. An actuator is coupled to the RF electrodes and configured to move the RF electrodes from the retracted position to any one of the deployed positions.

Abstract: The present invention provides a treatment apparatus for an endoscope, an endoscope, and an expandable frame. The treatment apparatus for an endoscope includes: a first electrode, including an electrical treatment part and an operating wire; a second electrode, provided inside the endoscope, and including a first electrically conductive part and a sliding contact part electrically connected to the first electrically conductive part, the first electrically conductive part being configured to contact a human body; and a sheath, provided on a surface thereof with a second electrically conductive part, where the operating wire is configured to be passed through the sheath, the sheath is configured to be passed through the endoscope, and when the sheath is located in a preset position, the sliding contact part contacts and is electrically connected to the second electrically conductive part and the sheath is in sliding fit with the sliding contact part.

Abstract: In one embodiment, a catheter apparatus is configured to be inserted into a body part of a living subject, and including an elongated deflectable element including a distal end, an expandable basket assembly disposed at the distal end and comprising a plurality of splines and a plurality of electrodes disposed on the splines, an irrigation channel disposed in the elongated deflectable element, and an inflatable balloon disposed in the expandable basket assembly and including a plurality of irrigation holes in fluid connection with the irrigation channel.

Abstract: A novel monitoring method evaluates tissue ablation progress. An antenna in a distal portion of an ablation applicator sends and receives electrical information from the target tissue during ablation. The information is used to determine ablation progress. A related ablation monitoring system includes a power monitor and processor operable to evaluate ablation progress based on reflected electrical properties during the ablation. The invention has particular benefits when used in endoscopic-based microwave ablation.

Abstract: A surgical instrument is disclosed that comprises a motor, a radio frequency (RF) energy generator, a first jaw, a second jaw movable relative to said first jaw in response to an actuation from said motor to capture tissue, and a segmented circuit comprising a first electrode configured to measure tissue impedance at a first position and a second electrode configured to measure tissue impedance at a second position. The RF energy generator is configured to transmit RF energy to the tissue by way of said first electrode or said second electrode. A controller is configured to control said motor based on the measured tissue impedances, energize said first electrode with a first amount of RF energy based on the tissue impedance measured at said first position, and energize said second electrode with a second amount of RF energy based on the tissue impedance measured at said second position.

Abstract: An ablation catheter having a deformable tip is disclosed herein. In some implementations, the ablation catheter includes a catheter body and a deformable tip secured to the catheter body. In these and other implementations, the catheter body can include a fluid delivery lumen. In these and other implementations, the deformable tip includes one or more valves that are configured to open in response to deformation of the deformable tip. In these and still other implementations, the ablation catheter is configured to permit liquid communication between an interior of the deformable tip and an exterior of the deformable tip. In some implementations, RF energy is transmitted from the interior of the deformable tip to the exterior of the deformable tip via liquid exiting the deformable tip.

Abstract: A surgical system comprising a generator and a surgical instrument configured to receive power from the generator is disclosed. The surgical instrument comprises a housing, a shaft defining a longitudinal axis, an end effector, and an internal charge accumulator. The housing comprises a motor. The end effector is operably responsive to actuations from the electric motor, transitionable between an open and closed configuration, and rotatable about an articulation axis transverse to the longitudinal axis. The generator is incapable of supplying a sufficient power directly to the motor to perform the actuations. The internal charge accumulator is in electric communication with the generator and supplies power to the motor. The internal charge accumulator is chargeable by the generator to a threshold value at a charge rate dependent on a charge level of the internal charge accumulator. The charge rate is independent of a charge expenditure by the surgical instrument.

Abstract: A system includes a medical device and a charging device. A sterile barrier may be interposed between the medical device and the charging device. The medical device includes an integral power source and an active element. The charging device is configured to charge the integral power source. The charging device may charge the integral power source through direct contact between features of the charging device and features the medical device. The charging device may alternatively charge the integral power source wirelessly, such as through inductive coupling. The medical device may include conductive prongs that are retained by the charging device. The charging device may physically couple with the medical device via magnets. The medical device and the charging device may be provided together in a sterile package as a kit. The kit may also include a reclamation bag to facilitate reclamation of electrical components.