Abstract: A system for treating a target region in tissue beneath a tissue surface comprises a probe for deploying an electrode array within the tissue and a surface electrode for engaging the tissue surface above the treatment site. Preferably, surface electrode includes a plurality of tissue-penetrating elements which advance into the tissue, and the surface electrode is removably attachable to the probe. The tissue may be treated in a monopolar fashion where the electrode array and surface electrode are attached to a common pole on an electrode surgical power supply and powered simultaneously or successively, or in a bipolar fashion where the electrode array and surface electrode are attached to opposite poles of the power supply. The systems are particularly useful for treating tumors and other tissue treatment regions which lie near the surface.

Abstract: The medical appliance has an elongated tubular shaft with a lumen extending therethrough and slots in the distal area for pressure medium entry into the lumen. A stiffening means in the form of an independent wire extends through the lumen with its proximal area extending proximally of the shaft. The proximal area of shaft is affixed to a luer-lock comprising a housing with an inner cavity and a distal end forming a muff fixedly and tightly sealed on the proximal end of the shaft.

Abstract: A surgical barrier device includes an inflatable thermal blanket formed integrally with, or attached to, a surgical drape. The inflatable thermal blanket is inflatable through an inlet by a thermally-controlled inflating medium. An aperture array on the undersurface of the inflatable thermal blanket exhausts the thermally controlled inflating medium from the inflatable thermal blanket. The surgical drape extends from the inflatable thermal blanket and is sized to substantially cover the entirety of the patient's body. Where patient access is required, the drape has an opening to provide access to a surgical site.

Abstract: An adjustable electrocautery surgical apparatus for selectively delivering electosurgical coagulation and cut current from an electrosurgical generator to a surgical site is provided comprising an elongated body, an extension member passing at least partially through the elongated body, a track in the elongated body for guiding the extension member, an electrode blade attached to the extension member for cutting or coagulating tissue, and an adjustable lock coupled to the extension member for selectively adjusting the position of the extension member and electrode blade relative to the elongated body and for locking the extension member and electrode blade in a selected position. A longitudinal channel passes through a sidewall of the elongated body member. A plurality of stops are positioned in the channel for providing a sequence of stop positions between maximally retracted and maximally extended positions of the apparatus.

Abstract: A sheath for use on a closed loop Joule-Thomson cryosurgical probe, and the combination of the and the closed loop probe. The sheath is slipped over the probe, thereby separating the probe from the environment. The sheath has a grip which fits over the handle of the cryosurgical probe, and an extendible shroud which can be longitudinally extended to cover tubing and which are attached to the handle. The sheath has a hollow multi-lumen catheter shaped and sized to fit snugly over the cannula of the cryosurgical probe. The catheter is not thermally conductive, preventing transfer of heat from the ambient to the gas mixture, and preventing the freezing of tissues at undesired locations along the catheter. A thermally conductive cap or tip is attached to the distal end of the hollow catheter. The thermally conductive cap or tip fits snugly over the cold tip on the probe, and it efficiently transfers heat from the target tissue to the cold tip, which in turn transfers heat to the expanded gas mixture.

Abstract: The apparatus and method of the current invention relate to electrosurgical work involving the forming of cuts in and coagulation of body tissue of a patient. The apparatus and method of the invention overcome disadvantages common with conventional dipolar and monopolar apparatus. In one aspect the invention provides a cutting tool or instrument with at least one cutting or coagulation tip and the tool is adapted to operate as both a power supply electrode to supply power to the tip and as a return electrode to allow impedance feedback signals to be received by a control means thereby eliminating the need for a separate second electrode and taking the patient out of the circuit received by a control means According to a second aspect the feedback information is stored, processed and analyzed in relation to pregrogrammed and previous actual feedback to allow alteration to the power supply to the tip to create optimum cutting and/or coagulating conditions.

Abstract: An improved magnetic hot or cold pack is provided having a water absorbent filler such as polyacrylamide and having at least one magnet and an accessory strap that allows the application of heat therapy, cold therapy, magnetic therapy or heat with magnet therapy or cold with magnet therapy. Also provided is a method of preparing a magnetic hot and cold therapy pack having a water absorbent filler such as polyacrylamide and at least one magnet and an accessory strap.

Abstract: A catheter includes a first plurality of expandable leads and a second plurality of expandable leads separate and longitudinally spaced-apart from the first plurality to deliver energy to a hollow anatomical structure, such as vein, fallopian tube, hemorrhoid, esophageal varix, to effectively ligate that structure. Each of the leads includes an electrode located at the distal end of the respective electrode lead. Polarizations of the leads may be selected to achieve the power distribution desired. Each electrode lead includes an outward bend such that when a movable sheath is moved out of contact with the leads, they expand outwardly into apposition with an inner wall of the structure to be ligated. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure.

Abstract: An applanation tonometer with a replaceable prism for contacting a cornea has emitter and detector ports arranged opposite each other on opposite sides of a longitudinal axis, with the ports aimed at about 45 ° to the longitudinal axis. Light from an emitter then passes through the emitter port and crosses the prism axis to be incident and reflected from an emitter-reflecting surface of the prism and become incident on the applanation surface. Light reflected from the applanation surface is incident on and reflected from a detector-reflecting surface opposite and parallel with the emitter-reflecting surface to proceed across the prism axis to the detector port. Such an arrangement produces reliable applanation signals and varies the spacial intensity of light reflected from the applanation surface so that the tonometer can automatically distinguish between concentric and eccentric contact of the applanation surface with a cornea.

Abstract: A clamping force mechanism and its method of use with electrosurgery allow a user to seal and/or join patient's particular vascular tissue; the mechanism is elongate with user and patient ends. An actuator is at the user end and the effectors are at the patient end. Each effector has a face of an area to contact the particular vascular tissue. A lost motion connection transfers user actuation to the effectors to hold a predetermined clamping force during electrosurgical tissue sealing. A yielding member in the loss motion connection clamps the particular tissue between the faces with a predetermined force. The yielding member is a spring, slip clutch or hydraulic coupling possibly near the actuator. An active electrode is carried on one end effector and a return electrode contacts the tissue so an electrosurgical energy supply connected thereacross delivers energy therebetween. A feedback circuit responds to parameters of energy delivered to tissue.

Abstract: Method and apparatus are provided for propagating microwave energy into heart tissues to produce a desired temperature profile therein at tissue depths sufficient for thermally ablating arrhythmogenic cardiac tissue to treat ventricular tachycardia and other arrhythmias while preventing excessive heating of surrounding tissues, organs, and blood. A wide bandwidth double-disk antenna (700) is effective for this purpose over a bandwidth of about six gigahertz. A computer simulation provides initial screening capabilities for an antenna such as antenna, frequency, power level, and power application duration. The simulation also allows optimization of techniques for specific patients or conditions. In operation, microwave energy between about 1 Gigahertz and 12 Gigahertz is applied to monopole microwave radiator (600) having a surface wave limiter (606).

Abstract: This invention relates to a thermal compress and holder which has opposed pockets for receiving the thermal compress and a user's hand. The compress is preferably in a novelty character shape, in which case the holder resembles a sleeping bag with the novelty character's head peering out.

Abstract: A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with a hollow anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a balloon is inflated to occlude the structure before the application of energy.

Abstract: A medical instrument including a cannula or probe used to penetrate tissue to a target area to perform a medical procedure including biopsy and RF ablation of undesirable tissues or cells for treatment, or to prevent the spread of cancer cells during a biopsy procedure. The probe is preferably shape changeable. The probe may be hollow or solid having an exterior surface coated with a dielectric material, a preferably sharpened beveled tip at a distal end coated with a resistor material, and means for coupling the probe to an RF generator and control device. The RF generator provides current to the probe. The dielectric material provides a predominant impedance characteristic of the probe in contact with tissue, thus changes in impedance will vary primarily based on the area of the probe in contact with tissue.

Abstract: An infrared rays cauterizing structure is composed of a base, locating devices, fixed cauterizers and a hand-held cauterizer. In light of locating devices, the cauterizers can be located in proximity of a specific point of the human body without attendance of a medical personnel. The base is provided in the interior thereof with a plurality of temperature controllers and timers for regulating the treatment temperature and the treatment duration of a heater of the cauterizers. The heater is capable of bringing about a predetermined energy for treating disease or relieving pain of the specific point of the body of a patient under treatment.

Abstract: A method and apparatus for protected ablation of anatomical tissue. A protective cap is disposed around tissue within an anatomical cavity by an endoscopic device or through open surgery techniques. The tissue can then be subject to ablation at high energy for a relatively long period of time, if necessary to ablate the tissue, without damaging surrounding organs or other tissue. The protective cap can be inserted endoscopically in a closed position in which it is compact radially and can be opened after being inserted into the body cavity to be placed around the tissue. The protective cap can be a thermal insulator, an electrical insulator, merely a physical pad to protect surrounding tissue, or of any desired characteristic for protection.

Abstract: A surgical handpiece tip with at least two coaxially spaced electrically conductive tubes. The tubes are separated by an electrical insulator. The interior of the inner tube is used for aspiration of liquefied tissue. The distal portion of the interior tube terminates just inside of the outer tube so as to form a boiling region. Electrical current is passed between the inner and outer tube to rapidly boil any surgical fluid in the boiling region. The boiling fluid rapidly expands out of the ring between the tubes and contacts the targeted tissue, thereby liquefying the tissue and allowing the tissue to be aspirated.

Abstract: The present invention relates to an apparatus for regulating the temperature of the scalp of a person undergoing chemotherapy or like treatment, for instance. The apparatus comprising a head covering (1) that includes a plurality of chambers (4) that extend from the edge (5) of the head covering up towards the crown (7) of said covering, such that the coolant inlets (9) are located at the bottom of the head covering in the vicinity of its edge (5) and the outlets (10) are located at the top of the head covering in the vicinity of its crown (7).

Abstract: A high-frequency snare for an endoscope has an electrically conductive control wire axially movably inserted in an electrically insulating sheath. A wire loop formed from an electrically conductive elastic wire is connected at the rear end thereof to the control wire. A distal end tip is attached to a bent portion at the distal end of the wire loop. The distal end tip has a pair of parallel through-holes. Two approximately parallel portions of the elastic wire bent in a U-shape at the bent portion of the wire loop are loosely passed through the through-holes, respectively, without being secured to the distal end tip.

Abstract: A method for performing hypothermia of a selected organ without significant effect on surrounding organs or other tissues. A flexible coaxial catheter is inserted through the vascular system of a patient to place the distal tip of the catheter in an artery feeding the selected organ. A chilled perfluorocarbon fluid is pumped through an insulated inner supply conduit of the catheter to cool a flexible bellows shaped heat transfer element in the distal tip of the catheter. The heat transfer bellows cools the blood flowing through the artery, to cool the selected organ, distal to the tip of the catheter.