Abstract: Devices, systems, and methods of the present disclosure are directed to selectively controlling delivery of electrical energy to an ablation electrode, with the selective control based on a history of the electrical energy delivered to a return electrode (e.g., electrical energy delivered in a current time-step and in one or more time-steps preceding the current time-step). Controlling electrical energy delivered to an ablation electrode based on the history of electrical energy delivered to a return electrode can reduce the likelihood of unintended tissue damage away from a treatment site as electrical energy is delivered to the treatment site via the ablation electrode. Further, or instead, the devices, systems, and methods of the present disclosure can reduce the likelihood of unintended tissue damage away from the treatment site while reducing or eliminating the need to interrupt lesion formation by the ablation electrode.

Abstract: Devices, systems, and methods of the present disclosure are directed to selectively controlling delivery of electrical energy to an ablation electrode, with the selective control based on a history of the electrical energy delivered to a return electrode (e.g., electrical energy delivered in a current time-step and in one or more time-steps preceding the current time-step). Controlling electrical energy delivered to an ablation electrode based on the history of electrical energy delivered to a return electrode can reduce the likelihood of unintended tissue damage away from a treatment site as electrical energy is delivered to the treatment site via the ablation electrode. Further, or instead, the devices, systems, and methods of the present disclosure can reduce the likelihood of unintended tissue damage away from the treatment site while reducing or eliminating the need to interrupt lesion formation by the ablation electrode.

Abstract: Devices, systems, and methods for pacing tissue are disclosed herein. In some embodiments, the devices, systems, and methods position a tip section of a catheter adjacent tissue within an anatomical structure. The tip section is attached to a distal end portion of a catheter shaft, has a maximum radial dimension that is larger than a maximum radial dimension of the catheter shaft, and includes a plurality of electrodes spatially distributed about the tip section. The devices, systems, and methods further select one or more groupings of individual ones of the plurality of electrodes and deliver stimulating energy to or through the adjacent tissue via the selected groupings of electrodes. The stimulating energy is sufficient to activate nerve tissue proximate the tip section but is insufficient to ablate the adjacent tissue. In this manner, devices, systems, and methods disclosed herein can be used to locate nerve tissue proximate the tip section.

Abstract: Devices, systems, and methods of the present disclosure are directed to selectively controlling delivery of electrical energy to an ablation electrode, with the selective control based on a history of the electrical energy delivered to a return electrode (e.g., electrical energy delivered in a current time-step and in one or more time-steps preceding the current time-step). Controlling electrical energy delivered to an ablation electrode based on the history of electrical energy delivered to a return electrode can reduce the likelihood of unintended tissue damage away from a treatment site as electrical energy is delivered to the treatment site via the ablation electrode. Further, or instead, the devices, systems, and methods of the present disclosure can reduce the likelihood of unintended tissue damage away from the treatment site while reducing or eliminating the need to interrupt lesion formation by the ablation electrode.

Abstract: A method for the in vivo re-calibration of a force sensing probe such as an electrophysiology catheter provides for the generation of an auto zero zone. The distal tip of the catheter or other probe is placed in a body cavity within the patient. Verification that there is no tissue contact is made using electrocardiogram (ECG) or impedance data, fluoroscopy or other real-time imaging data and/or an electro-anatomical mapping system. Once verification that there is no tissue contact is made, the system recalibrates the signal emanating from the force sensor setting it to correspond to a force reading of zero grams and this recalibrated baseline reading is used to generate and display force readings based on force sensor data.

Abstract: A medical vapor system and method is provided. The medical vapor system can include a fluid conduit having an inlet, an outlet and a heating section, the inlet being adapted and configured to be connected to a source of liquid water, a resistance heater disposed and configured to generate heat and conduct the heat to the heating section of the fluid conduit to vaporize liquid water flowing through the heating section, a power supply operatively connected to the heater, and a controller adapted to control production of water vapor by the system. Methods of use are also provided.

Abstract: Systems and methods for treating a lesion in a lung of a patient are described. Embodiments can include navigating a vapor exit port of a vapor delivery catheter to an airway point near a lung region in which the lesion resides, delivering condensable vapor from the vapor delivery catheter along anatomic boundaries of the lung region, and creating a uniform field of necrosis in tissue around the lesion by allowing the condensable vapor to condense.

Abstract: A medical vapor system and method is provided. The medical vapor system can include a fluid conduit having an inlet, an outlet and a heating section, the inlet being adapted and configured to be connected to a source of liquid water, a resistance heater disposed and configured to generate heat and conduct the heat to the heating section of the fluid conduit to vaporize liquid water flowing through the heating section, a power supply operatively connected to the heater, and a controller adapted to control production of water vapor by the system. Methods of use are also provided.

Abstract: Systems and methods for treating a lesion in a lung of a patient are described. Embodiments can include navigating a vapor exit port of a vapor delivery catheter to an airway point near a lung region in which the lesion resides, delivering condensable vapor from the vapor delivery catheter along anatomic boundaries of the lung region, and creating a uniform field of necrosis in tissue around the lesion by allowing the condensable vapor to condense.

Abstract: Apparatus and method for detecting metal disturbance during a medical procedure has a probe having an insertion tube, a joint, and a joint sensor for sensing a position of the insertion tube. The joint sensor has first and second subassemblies as magnetic transducers. A processor is used for measuring force using the joint sensor, and a threshold field value stored therein. The processor receives and processes one or more signals output by either the first and second subassemblies responsive to a magnetic field so as to detect changes in a position of insertion tube. The processor compares the sensed field value to the threshold field value and identifies a presence of a metal object when the sensed field value is below the threshold field value.

Abstract: A method for the in vivo re-calibration of a force sensing probe such as an electrophysiology catheter provides for the generation of an auto zero zone. The distal tip of the catheter or other probe is placed in a body cavity within the patient. Verification that there is no tissue contact is made using electrocardiogram (ECG) or impedance data, fluoroscopy or other real-time imaging data and/or an electro-anatomical mapping system. Once verification that there is no tissue contact is made, the system recalibrates the signal emanating from the force sensor setting it to correspond to a force reading of zero grams and this recalibrated baseline reading is used to generate and display force readings based on force sensor data.

Abstract: Apparatus and method for detecting metal disturbance during a medical procedure has a probe having an insertion tube, a joint, and a joint sensor for sensing a position of the insertion tube. The joint sensor has first and second subassemblies as magnetic transducers. A processor is used for measuring force using the joint sensor, and a threshold field value stored therein. The processor receives and processes one or more signals output by either the first and second subassemblies responsive to a magnetic field so as to detect changes in a position of insertion tube. The processor compares the sensed field value to the threshold field value and identifies a presence of a metal object when the sensed field value is below the threshold field value.