Abstract: An endoscope system comprises an electronic endoscope, a plurality of types of optical adapters, a control device, and a display device. The electronic endoscope includes an imaging unit. The plurality of types of optical adapters includes a predetermined observational optical system and is freely detachably attached to the distal section of the electronic endoscope. The observational optical system incorporated in each optical adapter includes an identification section with which the type of optical adapter is identified. The control device is electrically connected to the electronic endoscope.

Abstract: A medical instrument coupled to first and second energy means and a computer controller for the controlled volumetric removal of thin tissue layers. The system provides a source for introducing a gas to controllably form and capture transient gas volumes in a microchannel structure at the working surface of the instrument that interfaces with a targeted tissue site. Each of the microchannel features of the working surface carries an electrode element coupled to the electrical source. The energy may be applied to the targeted site in either of two modes of operation, depending in part on voltage and repetition rate of energy delivery. In one mode of energy application, electrical potential is selected to cause an intense electrical arc across the transient ionized gas volumes to cause an energy-tissue interaction characterized by tissue vaporization.

Abstract: A method for ablating tissue in or around the heart to create an enhanced lesion is provided. The distal end of a catheter including a needle electrode at its distal end is introduced into the heart. The distal end of the needle electrode is introduced into the tissue. An electrically-conductive fluid is infused through the needle electrode and into the tissue. The tissue is ablated after and/or during introduction of the fluid into the tissue. The fluid conducts ablation energy within the tissue to create a larger lesion than would be created without the introduction of the fluid.

Abstract: A cryogenic medical system includes a medical device and a console connectable to the medical device at a connection point. The console controls the temperature of the medical device. The console includes a first cooling system directing coolant to the medical device at a first temperature along a coolant supply line and a second cooling system chilling the coolant within the coolant supply line to a temperature below the first temperature before the coolant reaches the connection point.

Abstract: The present invention was developed by a neurosurgeon and seeks to mimic the results of primate neurological research which is indicative of a human's actual neurological control structures and logic. Specifically, the motor proprioceptive and tactile neurophysiology functioning of the surgeon's hands and internal hand control system from the muscular level through the intrafusal fiber system of the neural network is considered in creating the robot and method of operation of the present invention. Therefore, the surgery is not slowed down as in the art, because the surgeon is in conscious and subsconscious natural agreement and harmonization with the robotically actuated surgical instruments based on neurological mimicing of the surgeon's behavior with the functioning of the robot. Therefore, the robot can enhance the surgeon's humanly limited senses while not introducing disruptive variables to the surgeon's naturally occurring operation of his neurophysiology.

Abstract: Large tissue regions are treated using pairs of electrode arrays. The electrode arrays may be concave and disposed in tissue so that their concave portions are opposed to each other. Axial conductors may be provided extending from the arrays and toward each other in order to increase the heating of tissues lying along the axis between the deployed electrode arrays. By properly spacing the electrode arrays apart and selecting the diameters of the arrays, desired volumes of tissue may be treated, typically with a bipolar, radiofrequency current.

Abstract: A cryosurgical system and method for supplying cryogen to a probe. The system including a container filled with cryogen and having bellows of a pump submerged within said cryogen. Conduits fluidly interconnect the bellows and a probe that is outside the container to permit the cryogen to be forced from the bellows to the probe upon activation of pump. A pressure relief valve is fluidly coupled to the conduits and positioned between the bellows and the probe. After initially forcing cryogen to the probe at a pressure that establishes a colligative-based sub-cooling of the liquid cryogen, the pressure relief valve is activated to lower the pressure of the cryogen to a running pressure.

Abstract: A probe that includes a elongate body and a steerable loop structure that supports electrodes or other operative elements against the body tissue.

Abstract: A high frequency electrosurgical power generator configured to produce electrical power at a frequency of about 1 to about 14 MHz and preferably having an essentially sinusoidal waveform with a voltage level up to 1,000 Vrms, and a current level up to 5 Amps. The output of the high frequency electrosurgical power generator is connected to an electrosurgical tool configured to receive the voltage and current produced by the electrosurgical power generator and deliver the voltage and current to an electrosurgical site. The output of the electrosurgical generator preferably is an essentially sinusoid waveform with a frequency between about 3 MHz and about 8 MHz, up to about 700 volts rms, up to about 2 amps, with a total power of up to 1,000 watts.

Abstract: The present invention pertains to devices for causing cold-induced necrosis or apoptosis. The present invention includes a cryo therapy apparatus including a core member; a cryoplasty tube coupled to the core member, the cryoplasty tube having a proximal end and a distal end; wherein the distal end includes a coil disposed about at least a portion of the tubular sheath, the coil including at least one opening; an outer tube disposed over at least a portion of the cryoplasty tube; and a cooling member disposed over the coil and coupled to the outer tube. A method of causing cold-induced necrosis is also disclosed.

Abstract: A high efficiency electrosurgical ablator which is subjected to a combined oscillatory and mechanical debridement motion during resection of tissue is disclosed. The electrosurgical ablator is positioned in the proximity of the tissue to be treated in the presence of an electrically conductive fluid. A high frequency voltage is applied to the electrode of the ablator, and the electrode is subjected to an oscillatory or other repetitive motion created by an element located within the ablator assembly. The ablator electrode is further connected to a suction assembly that supplies suction from an external source.

Abstract: According to one embodiment of the invention, a system for removing a cover from a medical instrument includes a flexible cover configured to cover at least a portion of a medical instrument, an insertion element coupled proximate a first end of the flexible cover, a pair of substantially parallel perforations formed in the insertion element, a pair of substantially parallel score lines formed in the cover and aligned with the pair of substantially parallel perforations. A portion of the insertion element between the pair of substantially parallel perforations is removable from the insertion element and a portion of the flexible cover between the pair of substantially parallel score lines is removable from the flexible cover when a force is applied to the portion of the insertion element between the pair of substantially parallel perforations.

Abstract: According to one embodiment of the invention, a sports racket includes a racket frame comprising a head portion, handle portion and a throat portion joining the head portion to the handle portion. The racket frame also comprises a self-powered piezoelectric damping system for damping vibrations of the racket during play. The self-powered piezoelectric damping system comprises at least one transducer laminated to the racket and at least one circuit located within the racket handle portion and electrically connected to the at least one transducer.

Abstract: A modular biopsy, ablation and track coagulation needle apparatus is disclosed that allows the biopsy needle to be inserted into the delivery needle and removed when not needed, and that allows an inner ablation needle to be introduced and coaxially engaged with the delivery needle to more effectively biopsy a tumor, ablate it and coagulate the track through ablation while reducing blood loss and track seeding. The ablation needle and biopsy needle are adapted to in situ assembly with the delivery needle. In a preferred embodiment, the ablation needle, when engaged with the delivery needle forms a coaxial connector adapted to electrically couple to an ablating source. Methods for biopsying and ablating tumors using the device and coagulating the track upon device removal are also provided.

Abstract: Methods and apparatus of embodiments of the invention are adapted to treat tissue inside a patient's body. Aspects of the invention can be used in a wide variety of applications, but certain embodiments provide minimally invasive alternatives for treating atrial fibrillation by delivering a tissue-damaging agent to selected areas of the heart. One exemplary embodiment of the invention provides a method of treating cardiac arrhythmia. This method includes positioning a distal tissue-contacting portion of a body in surface contact with a tissue surface of cardiac tissue; detecting the surface contact between the tissue-contacting portion and the tissue surface; and thereafter, injecting a tissue-ablating agent into the cardiac tissue through the tissue-contacting portion of the body.

Abstract: An electrosurgical method and apparatus comprises a probe, at least one temperature sensor, and a controller for generating and controlling electromagnetic energy supplied to the probe. The controller receives signals from the temperature sensor and controls the supply of electromagnetic energy such that the temperature of the probe is ramped up and then maintained at a steady state temperature of between 100° C. and 115° C. In an equilibration phase, between the ramping up and the steady state temperature, the controller holds the temperature of the probe substantially constant for a period of time to allow the temperature of different parts of the probe to equilibrate.

Abstract: Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.

Abstract: An electrocautery instrument in accordance with the present invention facilitates a relatively non-invasive procedure for treating small varicose and spider veins. In the furtherance of this and other objectives, an electrocautery device is provided that does not have to be inserted or into the veins in order to satisfactorily treat them. In particular, an exemplary electrocautery instrument can destroy the target tissue when brought into with the target vein. Moreover, the electrocautery instrument can destroy target veins without causing collateral damage to neighboring tissue. In the furtherance of this and other objectives a thin sheath of biocompatible material coats substantially the entire needle portion of the electrocautery instrument so as to prevent the exposure of neighboring tissue to its therapeutics. The sheath effectively shields surrounding tissue from exposure, while being sufficiently thin to allow for unobstructed insertion of the needle through the skin of a patient to the target site.

Abstract: A method of localized cell heating introduces a plurality of ferroelectric comprising particles into a target region of a patient, and applies a time varying electrical field to the target region. The ferroelectric particles absorb energy from the electrical field and heat the target region in response, such as to a temperature sufficient to induce apoptosis of cancer cells in the target region. A ferroelectric hyperthermia-based cancer treatment system includes a time varying electrical field source for applying a time varying electrical field to a plurality of ferroelectric particles disposed in a target cancer containing region of a patient. A composition of matter includes a particle having a ferroelectric portion, the particle being non-toxic, slowly biodegradable in body fluids, and less than 15 ?m in its maximum dimension.

Abstract: A removable electrode assembly for use in combination with a forcep having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing which is removably engageable with the forceps and a pair of electrodes which are attachable to a distal end of the housing. The electrodes are removably engageable with the end effectors of the forceps such that the electrodes reside in opposing relation relative to one another. The electrode assembly also includes a cover plate which is removably attachable to the housing and at least one stop member (439) for controlling the distance between the opposing electrodes. The stop member is selectively engageable with the electrodes.