Abstract: A pulse generator discharge circuit is disclosed. The circuit includes one or more discharge stages, each discharge stage including a plurality of control input terminals. The circuit also includes first and second discharge terminals, and a plurality of serially connected switches electrically connected between the first and second discharge terminals, where a conductive state of each of the switches is controlled by a control signal. The circuit also includes a plurality of inductive elements configured to generate the control signals for the serially connected switches, where each inductive element is configured to generate a control signal for one of the serially connected switches in response to one or more input signals at one or more of the control input terminals, and where each of the serially connected switches is configured to receive a control signal from a respective one of the inductive elements.

Abstract: Systems, methods and computer-accessible mediums can be provided that can establish particular parameters for electric pulses based on a characteristic(s) of the tissue(s), and control an application of the electric pulses to tissue(s) for a plurality of automatically controlled and separated time periods to ablate the tissue(s) through mediation of membrane potential and through inducing the cells through a plurality of charge-discharge cycles such that an electroporation of a majority of the tissue(s) is prevented or reduced.

Abstract: A catheter-mounted balloon includes an inflatable chamber defining a volume expandable from a deflated state to an inflated state, the inflatable chamber having a distal transition portion, a proximal transition portion, and a cylindrical body portion disposed between the distal transition portion and the proximal transition portion. The cylindrical body portion of the inflatable chamber includes a pleat zone having a pleat when the inflatable chamber is in the deflated state. The catheter-mounted balloon further includes an electrode disposed along a wall of the inflatable chamber. The pleat traverses the electrode such that is electrode is pleated as well.

Abstract: A surgical device (10) includes a handle (122) and a rotatable assembly (130) coupled and rotatable with respect to the handle (122). The surgical device (10) further includes a switch (126) coupled to the handle (122) and having a plurality of positions. A first inductor (1122) is coupled to the switch (126) and a second inductor (1102) is coupled to the rotatable assembly (130). A current signal propagating through the first inductor (1122) and/or a current signal propagating through the second inductor (1102) changes based on a position of the switch (126).

Abstract: A current sensor includes a current sense coil disposed about a conductive lead, the current sense coil configured to sense a current passing through the conductive lead. The current sense coil includes: a first outer coil configured to detect a first magnetic field generated by the current; a second outer coil configured to detect the first magnetic field, the second outer coil further configured to cancel an electrical field induced in the first outer coil; and an inner conductor disposed between the first outer coil and the second outer coil, the inner conductor configured to detect a second magnetic field generated by the current.

Abstract: A device for controlling the energy supply to a medical instrument contains the medical instrument and an energy supply device. The energy supply device has at least a first and a second energy supply mode that can be preselected on the energy supply device and which supplies energy to the medical instrument according to a preselected energy supply mode. The energy supply device additionally has a third mode which differs from the at least two energy supply modes, can be preselected on the energy supply device, can detect an actuation of an energy supply operating element arranged on the medical instrument, and can carry out the supply of energy to the medical instrument in the first or second mode based on the detected actuation.

Abstract: A sub-microsecond pulsed electric field generator is disclosed. The field generator includes a controller, which generates a power supply control signal and generates a pulse generator control signal, and a power supply, which receives the power supply control signal and generates one or more power voltages based on the received power supply control signal. The field generator also includes a pulse generator which receives the power voltages and the pulse generator control signal, and generates one or more pulses based on the power voltages and based on the pulse generator control signal. In some embodiments, the controller receives feedback signals representing a value of a characteristic of or a result of the pulses and generates at least one of the power supply control signal and the pulse generator control signal based on the received feedback signals.

Abstract: Methods and systems for detecting undesirable electrocautery arcing events during an electrocautery surgical procedure may include introducing an electrosurgical treatment instrument to a surgical site to perform an electrocautery surgical procedure. A healthcare provider may view the surgical site with a surgical camera assembly having a surgical field-of-view. The healthcare provider also may view a portion of the electrosurgical treatment instrument with an electrocautery arc detection system including an arc detection camera having an arc detection field-of-view different than the surgical field-of-view obtained by the surgical camera. The electrocautery arc detection system may identify thermal infrared emission or tissue color changes as indicators of undesirable electrocautery arcing. Some implementations alert a healthcare provider of undesirable electrocautery arcing.

Abstract: Systems, devices, and methods for electroporation ablation therapy are disclosed, with a protection device for isolating electronic circuitry, devices, and/or other components from a set of electrodes during a cardiac ablation procedure. A system can include a first set of electrodes disposable near cardiac tissue of a heart and a second set of electrodes disposable in contact with patient anatomy. The system can further include a signal generator configured to generate a pulse waveform, where the signal generator coupled to the first set of electrodes and configured to repeatedly deliver the pulse waveform to the first set of electrodes. The system can further include a protection device configured to selectively couple and decouple an electronic device to the second set of electrodes.

Abstract: Medical devices are disclosed having improved visualization of a portion of the medical device insertable into a patient's body while minimizing obstruction of fluid flow through a lumen of the device and while minimizing an increase in the outer diameter of the device attributable to the feature providing improved visualization. The device can include, for example, an imaging marker distal to lumen openings (exit ports), or, where the device comprises a tube, such as a metallic tube, an imaging marker embedded into a wall of the tube. Another embodiment includes attaching a marker to the surface on the inside of a lumen of a medical device without embedding the marker. Various alternative embodiments, methods and applications of using such devices are disclosed as well.

Abstract: A method for controlling an output of an energy module of a modular energy system. The energy module can comprise a plurality of amplifiers configured to generate a drive signal at a frequency range and a plurality of ports coupled to the plurality of amplifiers. The method includes determining to which port of the plurality of ports the surgical instrument is connected, selectively coupling an amplifier of the plurality of amplifiers to the port of the plurality of ports to which the surgical instrument is connected, and controlling the amplifier to deliver the drive signal for driving the energy modality to the surgical instrument through the port.

Abstract: Surgical devices, systems, and methods are provided for applying monopolar energy and bipolar energy to tissue. In one embodiment, a surgical device is provided with an end effector that has first and second jaws movable between an open position and a closed position, and a conductive member that extends through the end effector. The conductive member has a retracted position in which the conductive member is substantially disposed within the end effector and an extended position in which the conductive member extends at least partially distally beyond the end effector. The conductive member is configured to conduct energy through tissue adjacent thereto when the conductive member is in the extended position. A trigger coupled to the handle is pivotally movable to move the conductive member between the retracted and extended positions.

Abstract: A surgical instrument includes a jaw tool with two branches that can be closed for grasping tissue. In order to transmit the closing force to at least one branch, the branch is coupled with a preferably manually actuatable pull/push element, and, for coupling, an actuating pin that supports a sleeve interacts via the sleeve with a coupling track, in which case the sleeve rolls off the coupling track. In this manner, any deformation, abrasion or burr formation on the coupling track is prevented to such an extent that, even after numerous closing movements of the branches, the branches can still be actuated unimpaired by any wear of the coupling track and the actuating pin, respectively.

Abstract: A catheter adapted for deflection in a narrow tubular region and/or sharp turn, has an elongated body, a deflection section having a support member adapted for heat activation to assume a trained configuration, and a lead wire configured to deliver a current to the support member for heat activation. The support member is constructed of a shaped memory alloy, for example, nitinol, and the lead wire is adapted to directly heat the support member. Moreover, the catheter may include a thermally insulating layer covering at least a portion of the support member. The trained configuration of the support member extends in a single dimension, in two dimensions or in three dimensions.

Abstract: A forceps includes shaft members each having a jaw member disposed at a distal end thereof and configured move the jaw members between open and closed position. A knife deployment mechanism includes a trigger moveable along a longitudinal axis to deploy a knife between retracted and extended positions between the jaw members, the knife deployment mechanism including links that cooperate to actuate the knife. A knife kickout mechanism is pivotably coupled to one link and is configured to engage a ramp disposed in a shaft member upon approximation of the shaft members, the knife kickout is configured to cooperate with the links to urge the knife back to an at rest position upon the opening of the shaft members.

Abstract: A method of controlling the temperature of an ultrasonic blade includes applying a power level to an ultrasonic transducer to achieve a desired temperature at an ultrasonic blade coupled to the transducer via an ultrasonic waveguide, inferring a temperature of the blade based on a voltage Vg(t) signal and a current Ig(t) signal applied to the transducer, comparing the inferred temperature of the blade to a predetermined temperature; and adjusting the power level to the transducer based on the comparison. In some aspects, the method includes measuring a phase angle ? between the voltage Vg(t) and the current Ig(t) and inferring the temperature of the blade from the phase angle ?. In some aspects, the method includes measuring an impedance Zg(t) equal to a ratio of the voltage Vg(t) to the current Ig(t) and inferring the temperature of the blade from the impedance Zg(t).

Abstract: A bipolar forceps includes a mechanical forceps including first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof for effecting movement of the jaw members relative to one another about a pivot. A disposable is housing is configured to be releasably coupled to at least one of the shafts and an electrode assembly is configured to be releasably coupled to the disposable housing. The electrode assembly includes electrodes releasably coupled to the jaw members. At least one of the electrodes includes a knife channel configured to receive a knife blade therethrough to cut tissue grasped between the jaw members. A tissue stop has a knife slot that aligns with the knife channel to receive the knife blade. An actuation mechanism advances the knife blade through the knife channel to cut tissue.

Abstract: A system and apparatus for automatic smoke evacuation using an RF sensor. The system and apparatus utilizes an RF sensor for automatic activation of an evacuator that evacuates smoke and/or debris during the use of any electrosurgical instrument or surgical instrument that is capable of generating smoke and/or debris and capable of producing a radiofrequency during its operation. Exemplary embodiments of the system and apparatus for automatic smoke evacuation include both wired and wireless embodiments.

Abstract: A system is configured to delivering radiofrequency power to the endometrial lining tissue of a uterine cavity, including modulating the delivered power so that a measured impedance of the endometrial lining tissue tracks a target impedance as a function of time, wherein the target tissue impedance is derived from a function that approximates a preferred endometrial lining tissue ablation impedance curve that is determined based upon a measured impedance of the endometrial lining tissue after RF power has been delivered for a predetermined initial time period.

Abstract: Aspects of the present disclosure are presented for a surgical instrument for cutting and sealing tissue. In some embodiments, the surgical instrument includes a handle assembly, a shaft, and an end effector. The end effector may include: a blade that vibrates at an ultrasonic frequency, a shielded portion enclosing a back edge of the blade, a high-friction surface coupled to the shielded portion and positioned between the shielded portion and the back edge of the blade. A space is defined between the high-friction surface and the back edge of the blade when the end effector is in a cutting configuration. In a sealing configuration, the high-friction surface contacts the back edge of the blade, which generates heat based on ultrasonic vibrations of the blade rubbing against the high-friction surface. The shielded portion can coagulate bleeding tissue based on heat transfer from the high-friction surface to the shielded portion.