Abstract: High-frequency (HF) tools are used in medicine for manipulating body tissue, using an HF resectoscope. For electrical insulation of an electrode from an electrode support, the ends of the electrode are initially guided through ceramic tubes. These ceramic tubes are sensitive in particular to forces transverse to the longitudinal axis of the resectoscope. Disclosed herein is a high-frequency tool that has increased stability with respect to transverse forces. An electrode has two ends, which for establishing a connection to an electrode support are each insertable into a receiving opening of the ends of the electrode support, or positionable in front of the ends. The electrode is contacted in an electrically conductive manner, at least in the area of a receiving opening, with a conductor wire that is guided in the electrode support.

Abstract: Apparatus, consisting of a probe having a distal end that is configured to be inserted into contact with tissue. An electrode is attached to the distal end, and there is a temperature sensor incorporated in the distal end and configured to output a temperature signal. A radiofrequency (RF) signal generator is configured to apply a pulse of RF electrical energy via the electrode to the tissue, so as to heat the tissue. The apparatus includes processing circuitry that is configured to compute, based on the temperature signal, a rate of temperature change of the distal end following termination of the pulse, and to estimate a thickness of the tissue in response to the rate of temperature change.

Abstract: A monopolar electrosurgical instrument and electrosurgical system for treating biological tissue by a plasma. The instrument includes a tubular line for conducting a gas to the treatment location, wherein the line consists of electrically insulating material and has a distal opening for the exit of the gas in the direction of the tissue to be treated, and an electrode arranged in the region of the distal opening in the line, wherein the electrode is connectable to an electrosurgical generator to ignite a plasma discharge in the gas. Improving the ignition behavior, the inner surface of the line has an enhanced electrical conductivity in the distal opening. Furthermore, a method for producing an electrosurgical instrument for providing a line made of nonconductive material, an electrode, and enhancing the conductivity of an inner surface of the line in the region of the opening, for enhancing the conductivity in the line.

Abstract: Thermal packs including: a pouch containing a thermal source; and a bendable and deformable support attached to or disposed within the pouch, the support configured such that the pouch is deformed into a shape matching a contour of a body part and the pouch is maintained in the shape while applied to the body part by the support, where the support includes members, each of which having a cup at a first end and a ball at a second end, the ball of one of members being rotatably fitted within the cup of an adjacent one of the members; one or more wires encased in a casing or an loop or hook fastener such that a flap, having an other of the hook or loop fastener, extended from the pouch is folded over the support to retain the support adjacent to the pouch.

Abstract: Disclosed is a wearable step counter system comprising a garment for a wearer's legs, a capacitive electrode and a microcontroller, said garment comprising a textile fabric portion, said capacitive electrode comprising an electrically conductive yarn woven into said textile fabric portion, said textile fabric portion being arranged on said garment for providing a parasitic capacitive coupling between said capacitive electrode and a wearer's leg, said microcontroller being electrically connected to said capacitive electrode for evaluating said parasitic capacitive coupling so that the relative movement between the wearer's legs is detected by the microcontroller.

Abstract: In an end effector of a high-frequency treatment instrument, a coating covers an outer surface of an electrode, and formed from a conductive mixture obtained by mixing a non-conductive material and a conductive material. The conductive material contained in the mixture includes first elements and second elements, and each of the first elements has a shape with a higher flatness quotient than each of the second elements.

Abstract: Various systems and methods for controlling an ultrasonic surgical instrument according to the location of tissue grasped within an end effector are disclosed. A control circuit can be configured to apply varying power levels, via a generator, to an ultrasonic transducer driving an ultrasonic electromechanical system to oscillate an ultrasonic blade. Further, the control circuit can measure impedances of the ultrasonic transducer corresponding to the varying power levels and determine a location of tissue positioned within the end effector according to a difference between the impedances of the ultrasonic transducer relative to a threshold.

Abstract: A noninvasive, brain cooling method and device for cerebral cooling via a patient's nasopharyngeal cavity, is described. Thermal conductive nasal prongs are inserted into a nasal cavity and are cooled by thermoelectric cooling elements. An outward air driving fan inside the device drives a cold air current through the nasal and oral cavities. Heat transfer between the cold air and the surface of the nasal cavity cools the nasal cavity, which in turn, cools a patient's brain. Real-time temperature sensing data provides feedback for closed-loop cooling control.

Abstract: A method that includes selectively positioning an ablation catheter system at a treatment site; and ablating tissue at the treatment site with the ablation catheter system using a power setting of approximately 90 W applied to tissue for approximately four (4) second increments with a break period of approximately 4 seconds between applications.

Abstract: One variation of a system for collecting biosignal data includes: a left junction; a right junction; a first band spanning the left and right junctions; a first band adjuster configured to adjust a length of the first band between the left and right junctions; a second band spanning the left and right junctions and radially offset from the first band about a lateral axis spanning the left and right junctions; a second band adjuster configured to adjust a length of the second band between the left and right junctions; a first electrode fixedly mounted to the first band and centered between the left and right junctions; a second electrode mounted to the first band offset from the first electrode and laterally-adjustable along the length of the first band; and a third electrode mounted to the second band and laterally-adjustable along the length of the second band.

Abstract: A surgical forceps including an end effector assembly has first and second jaw members. At least one of the first or second jaw members has a jaw frame defining a channel therein, an insulative member disposed within the channel of the jaw frame, and an electrically-conductive plate having a tissue contacting surface and at least one folded side portion. The insulative member includes a top portion having a tissue facing surface. The tissue contacting surface of the electrically-conductive plate is disposed on the tissue facing surface of the insulative member. The at least one folded side portion of the electrically-conductive plate is folded over the top portion of the insulative member such that the electrically-conductive plate conforms to a shape of the top portion of the insulative member.

Abstract: An apparatus for gas-assisted electrosurgery having a gas-assisted electrosurgical probe comprising a tube and an electrode within said tube, wherein a distal end portion of said electrode extends from an opening at a distal end of said tube and an electrically insulating tip connected to a distal end of said electrode. The electrically insulating tip has a substantially hemispherical distal end portion having a radius r1 and a proximal portion having a circular cross-section and a central axis of a length l1, wherein l1>r1.

Abstract: An electrosurgical system includes a generator, a delivery device, a return device, and a return electrode monitor (REM). The delivery device is in electrical communication with the generator and has a delivery electrode configured to deliver electrosurgical energy to tissue. The return device has a first jaw member including a first return electrode and a second jaw member including a second return electrode. The first and second jaw members are configured to capture tissue between the first and second return electrodes. The REM is disposed within the generator and is in electrical communication with the first and second return electrodes. The REM is configured to determine a size of a return contact area of the first and second return electrodes with tissue to prevent delivery of electrosurgical energy from the generator to tissue when the size of the return contact are is below a threshold size.

Abstract: One variation of a system for collecting biosignal data includes: a left junction; a right junction; a first band spanning the left and right junctions; a first band adjuster configured to adjust a length of the first band between the left and right junctions; a second band spanning the left and right junctions and radially offset from the first band about a lateral axis spanning the left and right junctions; a second band adjuster configured to adjust a length of the second band between the left and right junctions; a first electrode fixedly mounted to the first band and centered between the left and right junctions; a second electrode mounted to the first band offset from the first electrode and laterally-adjustable along the length of the first band; and a third electrode mounted to the second band and laterally-adjustable along the length of the second band.

Abstract: Devices and systems for the selective positioning of an intravascular neuromodulation device are disclosed herein. Such systems can include, for example, an elongated shaft and a therapeutic assembly carried by a distal portion of the elongated shaft. The therapeutic assembly is configured for delivery within a blood vessel. The therapeutic assembly can include a pre-formed shape and can be transformable between a substantially straight delivery configuration; and a treatment configuration having the pre-formed helical shape to position the therapeutic assembly in stable contact with a wall of the body vessel. The therapeutic assembly can also include a mechanical decoupler operably connected to the therapeutic assembly that is configured to absorb at least a portion of a force exerted on the therapeutic assembly by the shaft so that the therapeutic assembly maintains a generally stationary position relative to the target site.

Abstract: An adjustable, structure providing an ablation apparatus, having a preformed structure made from compliant material such as rubber like material, foam or gel, with particles made of electromagnetic energy absorbing material. An antenna for radiating emitted microwave energy to generate heat and thus cause cavity ablation is located inside of the conformable adjustable structure. When end effector portion is inserted into the body cavity, the compliant adjustable structure is compliant to conform to a profile of the cavity to be ablated, and microwave energy is received to heat the adjustable structure resulting in heat energy that will ablate the cavity tissue in contact with the compliant end effector. Additionally, the shape of the end-effector compliant structure can be differently formed, depending of shape of tissue cavity to be ablated.

Abstract: Apparatus, consisting of a probe with a temperature sensor and a transducer in contact with a living subject's tissue. A power supply delivers electrical power to the transducer for tissue ablation. A controller receives a signal from the temperature sensor and in response outputs a tissue temperature. During a first time period the power supply delivers no more than a first target power to the transducer, and reduces the power when a first maximum allowable temperature of the tissue is exceeded. During a transition time period the power supply delivers no more than a second target power, while reducing the delivered power when the first maximum allowable temperature of the tissue is exceeded. During a second time period the power supply delivers no more than the second target power, while reducing the delivered power when a second maximum allowable temperature, less than the first maximum allowable temperature, is exceeded.

Abstract: Apparatuses and methods for treating a heart failure patient by ablating a nerve of the thoracic splanchnic sympathetic nervous system to increase venous capacitance and reduce pulmonary blood pressure. A method comprising: inserting a catheter into a vein adjacent the nerve, applying stimulation energy and observing hemodynamic effects, applying ablation energy and observing hemodynamic effects, applying stimulation energy after the ablation and observing hemodynamic effects and monitoring for presence of the lung in the ablation zone. An alternative method comprising: inserting a catheter into a vein adjacent the nerve, detecting that lung tissue is a safe distance from an ablation zone, and delivering ablation energy to the target nerve when lung tissue is a safe distance from the ablation zone.

Abstract: An ablation catheter assembly comprises an outer ablation catheter comprising an elongated shaft having a proximal shaft section and a distal shaft section, an inner lumen extending through the proximal shaft section and the distal shaft section, a distal tip port in communication with the inner lumen, and at least one ablative element disposed on the distal shaft section. The ablation catheter assembly further comprises an inner ablation catheter slidably disposed within the inner lumen of the outer ablation catheter. The inner ablation catheter comprises an elongated inner member having a proximal member section and a distal member section, and ablative elements disposed along the distal member section. The distal member section is configured for being deployed from the distal tip port when the inner ablation catheter is distally slid within the inner lumen of the outer ablation catheter, thereby placing the distal member section into an expanded loop geometry.

Abstract: Devices, systems, and methods herein relate to cooling a head of a patient. These systems and methods may comprise a cooling cap assembly comprising a heat exchanger configured to be wrapped around a head of a patient and a compression assembly releasably coupled to the heat exchanger. The compression assembly may comprise an enclosure and an inflatable member coupled to an internal surface of the enclosure. When coupled, the inflatable member may be positioned between the enclosure and the heat exchanger. The heat exchanger may be separate from and moveable relative to the inflatable member.