Abstract: Devices, systems, and method for treating urinary incontinence generally relying on energy delivered to a patient's pelvic support tissue to selectively contract or shrink at least a portion of that pelvic support tissue so as to reposition the bladder. The energy will preferably be applied to the endopelvic fascia and/or an arcus tendineus fascia pelvis. A variety of devices and methods are provided for applying gentle resistive heating of these and other tissues to cause them to contract without imposing significant injury on the surrounding tissue structures. By applying sufficient energy over a predetermined time, the tissue can be raised to a temperature which results in contraction without significant necrosis or other tissue damage. By selectively contracting the support tissues, the bladder neck, sphincter, and other components of the urinary tract responsible for the control of urinary flow can be reconfigured or supported in a manner which reduces urinary leakage.

Abstract: Method, system and apparatus for monitoring target tissue temperatures wherein temperature sensors are configured as passive resonant circuits each with a unique resonating signature at monitoring temperatures extending below a select temperature setpoint. The resonant circuits are configured with an inductor component formed of windings about a ferrite core having a Curie temperature characteristic corresponding with a desired temperature setpoint. By selecting inductor winding turns and capacitance values, unique resonant center frequencies are detectable. Temperature monitoring can be carried out with implants at lower threshold and upper limit temperature responses. Additionally, the lower threshold sensors may be combined with auto-regulated heater implants having Curie transitions at upper temperature limits.

Abstract: A method for treating atrial fibrillation in a heart of a patient includes placing an ultrasonic catheter in a first chamber of the heart; acquiring two-dimensional ultrasonic images of a second chamber of the heart and at least a portion of surrounding structures of the second chamber using the ultrasonic catheter placed in the first chamber; reconstructing a three-dimensional ultrasonic image based on the two-dimensional ultrasonic images; displaying the reconstructed three-dimensional ultrasonic image; identifying at least one key landmark on the reconstructed three-dimensional ultrasonic image; marking the least one key landmark on the reconstructed three-dimensional ultrasonic image; penetrating the septum for accessing the second chamber of the heart while using the marked at least one key landmark for guidance; positioning a sheath through the penetrated septum and within the second chamber of the heart; inserting an ablation catheter through the sheath and into the second chamber of the heart; and abl

Abstract: An electrosurgery medical device is enhanced with unique solution-assistance, and comprises, in combination, co-operating device jaws including jaw portions for manipulating tissue, and a plurality of solution infusion openings defined and spaced along each of the jaw portions, for receiving electrolytic solution and infusing the solution onto and into tissue to be manipulated, along said jaw portions. As preferred, the device further comprises at least one, and most preferably, many, longitudinal groove(s) along at least one and most preferably, both, of the jaw portions, with the solution infusion openings located in the groove or grooves. The solution is energized with RF energy and contributes to the functions and beneficial effects of the instrument. The solution exits the openings in the grooves at sufficient flow rates to separate substantially all the operative surfaces of the device from tissue, thereby substantially completely preventing adherence between the operative surfaces and tissue.

Abstract: The present invention is directed to a method of treating bone length discrepancies and angular deformities in a patient in need thereof, where the method involves radiofrequency ablation epiphysiodesis of a physeal plate. Specifically, the method treats long bone discrepancies with a minimally invasive procedure. The present invention is also directed to a method of inhibiting bone growth, where the method involves exposing a physeal growth plate to radiofrequency ablation epiphysiodesis.

Abstract: The present invention involves a light system for stimulating or regulating neuroendocrine, circadian, and photoneural systems in mammals based upon the discovery of peak sensitivity ranging from 425-505 nm; a light meter system for quantifying light which stimulates or regulates mammalian circadian, photoneural, and neuroendocrine systems. The present invention also relates to translucent and transparent materials, and lamps or other light sources with or without filters capable of stimulating or regulating neuroendocrine, circadian, and photoneural systems in mammals. Additionally, the present invention involves treatment of mammals with a wide variety of disorders or deficits, including light responsive disorders, eating disorders, menstrual cycle disorders, non-specific alerting and performance deficits, hormone-sensitive cancers, and cardiovascular disorders.

Abstract: A microenvironment system for use with a heat transfer fluid includes a microenvironment structure and a fluid handling apparatus. The microenvironment structure defines a flow passage to receive a flow of the heat transfer fluid therethrough. The fluid handling apparatus is adapted to provide a flow of the heat transfer fluid through the flow passage. The fluid handling apparatus includes a gas driven pump and a supply of a phase change material (PCM). The gas driven pump is operable to force the flow of the heat transfer fluid through the flow passage. The supply of the PCM is convertible from a solid and/or liquid phase to a gas phase to provide a pressurized drive gas. The fluid handling apparatus is configured to drive the gas driven pump using the pressurized drive gas from the supply of the PCM.

Abstract: An electrosurgical instrument for use by a surgeon that provides additional features and benefits compared with known designs. The operating mode as well as other operating parameters, especially power level, can be preset by the surgeon before commencing the procedure. Five operating modes are available using a three-button fingerswitch handpiece and a 3-way footswitch, including three unipolar modes and two bipolar modes over a full range of power levels including a new turbo mode for treating heavy bleeders.

Abstract: Presented are methods and apparatus for delivering a surgical instrument to a treatment site within the body of a subject, enabling accurate placement of surgical tools in areas not directly visible to a surgeon during a surgical procedure, while reducing or eliminating need for real-time imaging modalities to guide placement of those surgical tools. A treatment tool is guided to a treatment site by placing a guiding element at a reference site within a body of a subject, the reference site having a known spatial relationship to the treatment site, and utilizing a positioning tool to guide a treatment tool to a locus so positioned with respect to that guiding element that the spatial relationship between that guiding element and that locus is substantially similar to the spatial relationship known to exist between the reference site and the treatment site, thereby positioning the treatment tool substantially at the treatment site.

Abstract: The invention relates to a high-frequency surgical apparatus in which, for the purpose of cutting and/or coagulating biological tissue by means of high-frequency current, a high-frequency generator having a first electrode and a second electrode forms a high-frequency circuit through the tissue being treated, with an electric arc being formed, said apparatus having a measuring device to detect DC voltage components forming in the high frequency circuit when the arc is formed, said DC voltage components being usable for controlling the high-frequency generator via a controlling device. The invention is characterized in that the measuring device has an arc-decoupling circuit which separates the DC voltage components in the positive half-cycle of the high-frequency AC voltage from the DC voltage components in the negative half-cycle of the high-frequency AC voltage and makes available at least one of the separated DC voltage components as a signal for subsequent processing in the controlling device.

Abstract: An apparatus for adjusting the body temperature of a patient comprises an enclosure defining an interior space for receiving at least a portion of a patient's body therein. The enclosure is adapted for substantially sealingly enclosing the portion of the patient's body within the interior space with the enclosure. Heat transfer liquid may then be circulated through the interior space of the enclosure via an inlet and an outlet for flow over the patient's body in direct liquid contact therewith to promote heat transfer between the patient's body and said heat transfer liquid. The heat transfer liquid may be either warmer or cooler than the patient's body temperature, to either warm or cool the portion. Controlled cooling may be employed to induce therapeutic hypothermia, while controlled warming may be employed to counteract unintended hypothermia.

Abstract: The invention concerns an electrode arrangement for a surgical instrument for the electrothermal coagulation of human or animal tissue, comprising an elongate carrier, at least two electrodes which extend in the longitudinal direction of the carrier and which are connectable to an external ac voltage, and a plurality of self-supporting metal bar profile members which extend in the longitudinal direction of the carrier and which are connected together by means of one or more insulating spacer elements and form the electrodes. It is achieved in that at least one bar profile member is in the form of a hollow profile member or a solid profile member.

Abstract: Systems and methods for accurate temperature modification of a patient, or selected regions thereof, including inducing hypothermia. The temperature modification is accomplished using an in-dwelling heat exchange catheter within which a fluid heat exchange medium circulates. A heat exchange cassette attached to the circulatory flow lines of the catheter, the heat exchange cassette being sized to engage a cavity within a control unit. A temperature measurement scheme for obtaining body core temperature is provided, including methods of obtaining and analyzing temperature data to provide feedback to the control unit for use in controlling the heating and cooling of the heat exchange medium so as to heat or cool a patient to a desired target temperature.

Abstract: The method and device of the present invention for pain relief using ultrasound waves in combination with cryogenic energy includes a generator and a transducer to produce ultrasonic waves and a cryogenic source to produce cryogenic energy. Ultrasound waves are delivered to the target in combination with cryogenic energy. Ultrasound waves and cryogenic energy can be delivered to the target from the radial side of the ultrasound horn and/or tip or can be delivered from the distal end of the ultrasound tip. Cryogenic energy can also be delivered directly to the target through a central orifice. Ultrasound energy can also be delivered through a cryogenic spray at the distal end. The use of ultrasound waves in combination with cryogenic energy can provide an analgesic effect.

Abstract: Probes that are sensitive to electrode/tissue contact and that are configured to connect an electrode to a power supply and/or provide an indication when the desired level of electrode/tissue contact has been achieved.

Abstract: An inflatable convective thermal blanket is designed to have at least one section on its top surface that has securely mounted thereon at least one fluid absorbent mechanism for absorbing fluids from a subject that is placed onto the blanket, or from fluids fallen onto the blanket from other sources. The one section is configured onto the blanket in such a way that it forms a well for collecting the fluids. The fluid absorbent mechanism, which may be in the form of a pad, would absorb the collected fluid to thereby minimize evaporative and cooling effects on the subject. Instead of mounting it on top of the blanket, the fluid absorbent pad may be mounted to the underside of the blanket, with appropriate holes and/or openings provided at the fluid collecting section, so that the collected fluids are drained onto the fluid absorbent pad.

Abstract: A medical device is provided for use with an endoscope. The medical device can include a tissue resection device comprising an RF cutting wire. The tissue resection device can be supported for proximal and distal movement relative to the endoscope.

Abstract: The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.

Abstract: The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.

Abstract: A system and method for heating a tissue volume under a skin surface of an individual from an initial temperature to a predetermined treatment temperature in the range of 42°-60° C. The method comprises applying electrodes to the skin surface and providing from the electrodes a continuous wave RF energy or a quasi-continuous wave RF energy, where the RF energy has a power selected to heat the tissue volume to the final temperature in an amount of time exceeding 0.5 sec. The system of the invention comprises electrodes and an RF generator configured to provide a continuous wave RF voltage energy or a quasi-continuous wave RF voltage across the electrodes where the RF energy has a power selected to heat the tissue volume to the final temperature in an amount of time exceeding 0.5 sec.