Abstract: Electrosurgical procedures. At least some of the example methods that include: supplying energy to an active electrode of an electrosurgical wand, the supplying energy to the active electrode by an electrosurgical controller; monitoring an electrical parameter associated with the energy; and determining, based on the electrical parameter, the presence of a wand condition of the electrosurgical wand, the wand condition being at least one selected from the group consisting of: a surface area of the active electrode is less than a predetermined threshold surface area; the surface area of the active electrode is approaching the predetermined threshold surface area; and that the electrosurgical wand is affected by a blockage.

Abstract: A method and apparatus for treating an intraosseous nerve. The method includes positioning a hollow shaft through the cortical shell of a vertebral body and into a cancellous bone region of the vertebral body. The hollow shaft includes an annular wall having a longitudinal bore therein, a proximal portion and a distal portion, and a first window extending transversely through the annular wall. An electrosurgical probe is advanced within the longitudinal bore from the proximal portion toward the distal portion. The electrosurgical probe includes a first treatment element at a distal end of the probe, wherein the first treatment element being in electrical connection with a power supply. The first treatment element is slidably disposed within the longitudinal bore so that the first treatment element is advanced radially outward from the window and shaft to affect treatment of the intraosseous nerve within the cancellous bone region.

Abstract: A method exposes a wound bed to electrosurgical treatment to generate fragmented wound tissue, gathers a molecular gaseous by-product sample of the fragmented wound tissue, and analyzes the molecular gaseous by-product sample of the fragmented wound tissue to generate a fragmented wound tissue compound analysis profile. The method further compares the fragmented wound tissue compound analysis profile with a database of known compound analysis profiles and provides a diagnosis of the wound tissue based on the comparison of compound analysis profiles.

Abstract: Electrosurgical methods and systems. At least some of the illustrative embodiments are methods including maintaining plasma proximate to an active electrode in a first energy range, and a second energy range. During periods when plasma is proximate to the active electrode, the illustrative method may include controlling flow of fluid drawn into an aperture of an electrosurgical wand, and in some situations increasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue, and in other cases decreasing fluid flow drawing into the aperture responsive to the active electrode being in operational relationship with tissue. Further, during periods when plasma is proximate to the active electrode, the illustrative method may include providing output energy at a default energy setpoint, and then providing output energy at a second energy setpoint.

Abstract: This invention relates to the use of hyperconductive fluids to coagulate tissue within the intervertebral disc.

Abstract: Impression devices are provided for making an impression of a desired feature. The impression devices include: a flexible bladder having a cavity formed therein, the flexible bladder being capable of conforming to the details of the desired feature; a rheological material, such as a magnetorheological fluid, disposed in the cavity of the flexible bladder; and an activator for applying an external stimulus to the rheological material to change the state of the rheological material and thereby capture an impression of the desired feature.

Abstract: A tubal sterilization device having sesquipolar electrodes includes a hollow catheter defining an interior passageway, the catheter including a first end for insertion transcervically into a patient, and a second end opposite the first end for grasping and manipulation by a physician. The device further includes an electrode tip situated at the first end of the catheter. The electrode tip includes a first portion having a first electrode, the first portion being preferably formed generally conically in shape so that it may be snugly fit into the tubal osteum of the fallopian tube. The electrode tip further includes a second portion having a second electrode which is a coil formed from a wire which is helically wrapped about an insulating spacer or support.

Abstract: A surgical cutting and tissue vaporizing instrument, also referred to as an electrosurgical instrument, is in the form of a scalpel or scissors. The scalpel has a handle portion and a blade portion mounted on the handle portion. The blade portion has a smaller front section which acts as an active electrode, a larger rear section which acts as a return electrode, and an insulating middle section separating the two electrodes. A plurality of ports and conduits are formed in the blade portion, with the conduits extending through the handle portion, so that saline may be supplied to the handle and blade portions and out of the ports to the targeted area for tissue transection, and so that excess saline may be drawn by suction through other ports formed on the blade portion. The scissors include two cross-pivotally joined blades, each having a tip portion functioning as either an active electrode or as a return electrode.

Abstract: A device for thermal ablation therapy having a handle sized and shaped to be held by a user, one or more transducer assembly which, when activated, emits ultrasound energy capable of heating tissue and which is movably mounted relative to said handle element, and moving means, such as one or more rods, for moving the transducer assembly or assemblies, while activated, to any one of a plurality of positions relative to the handle element and relative to tissue to be ablated, whereby ultrasound energy is efficiently delivered to the tissue. The device also includes carrying means, such as a shaft attached at one end to the handle element, which carries the rod or rods and the transducer assembly or assemblies. The rod or rods are engaged with a knob positioned in the handle and when the knob is rotated, the rod or rods are rotated, thereby causing the transducer assembly or assemblies to move relative to the handle, the shaft and the tissue to be ablated.

Abstract: An apparatus for sterilizing a female patient in a transcervical procedure comprises an elongated catheter with a piezoelectric ultrasound transducer at its distal end. The catheter is inserted transcervically into the uterus and guided to the intramural region of a fallopian tube. The transducer is inserted into the intramural region in direct contact with the surrounding tissue. The transducer produces a radially dispersing acoustical wave front, heating the adjacent tissue and forming a thermal lesion therein. A fibrous tissue forms during the healing process, sealing the fallopian tube. An embodiment of the apparatus includes a movable thermal sensor for monitoring the tissue temperature at multiple locations along the lesion. Another embodiment of the apparatus includes a spring that centers the distal end of the catheter at the opening of the fallopian tube and provides a tactile means to determine that the catheter and transducer have been correctly positioned.

Abstract: A sterilization device which causes occlusion to the fallopian tubes of a patient is designed to be trancervically positioned in the intramural portion of the tube without perforating the tube. The device includes a flexible hollow catheter having an interior passageway, a distal end for insertion trancervically into a patient, and a proximal end opposite the distal end for grasping and manipulation by a physician. The device further includes a pair of diametrically opposed electrodes, each being movably mounted on the distal end of the catheter and radially movable with respect to the distal end.

Abstract: A device and method for treating intraluminal tissue employ an inflatable member having a plurality of heating zones adapted for selective activation, whereby one or more of the heating zones can be activated, by one or more energy sources, to deliver heat to selected intraluminal tissue. The inflatable member can be a balloon that is attached to a catheter having a plurality of passageways for delivering fluids (i.e., liquid or air) to internal chambers of the balloon, thereby inflating the balloon. Each energy source is positioned within a corresponding chamber and may be any one of various types, including a piezoelectric cylinder, a microwave antenna, a cylindrical RF (radio-frequency) source, or a resistive heating coil.

Abstract: An electrode instrument is provided and includes an electrode head and a pair of electrodes for emitting RF energy for use in thermal ablation therapy. The electrodes are movable between a collapsed configuration and deployed configuration. When collapsed, the electrodes are proximate to each other, and when deployed, the electrodes are spaced apart from each other. The electrode instrument includes linkage mechanisms that are used to maintain the electrodes in their deployed configuration.

Abstract: A helical needle is attached to a surgical probe to aid in the insertion of the probe into a tissue mass. The tip of the helical needle penetrates the tissue mass in advance of the tip of the probe. The probe is rotated to push the helical shaft of the needle into the tissue mass in the direction of rotation. As the helical shaft advances into the tissue mass, the probe advances with it. Rotating the probe in the opposite direction causes the helical needle and probe to withdraw from the tissue mass. Rotation of the probe and needle is more effective in penetrating rubbery and calcified growths than the conventional method of pushing the probe, and it enables the precise placement of the probe. The helical needle also enables insertion of the probe in situations where an inconvenient angle of entry makes it difficult to push the probe along.

Abstract: The invention relates to a scan mode of operating for a communication system that supports both voice and data communication services. Prior to entering the scan mode, a mobile station (28) provides a message to the fixed network equipment, and particularly a data controller (22) within the fixed network equipment, that it is entering scan mode. When exiting scan mode, the mobile station (28) sends a message to the data controller (22) indicating that it is no longer in scan mode. With knowledge of whether the mobile station (28) is in scan mode, the data controller (22) sends data messages to the mobile station using a preamble. The preamble may include a plurality of short confirmed message packets (606) and each may contain a preamble list of mobile stations to which data messages are scheduled to be sent.

Abstract: A medical device is provided and includes an elongated tube that has a longitudinal axis and an expandable member attached to the tube. The expandable member is expandable from a collapsed configuration to an expanded configuration. A plurality of electrodes is attached to the expandable member. The electrodes are used to emit energy. Each of the electrodes is arranged generally coaxially relative to the tube when the expandable member is in its collapsed and expanded configurations.

Abstract: This invention relates to a method of treating an intervertebral disc comprising locally identifying a pathologic tissue site and therapeutically treating the identified site.

Abstract: A device for thermal ablation therapy having emitting means for emitting ultrasound energy capable of heating tissue and moving means for moving the emitting means between an undeployed position, in which the emitting means is in a first orientation which facilitates insertion of the device, and a deployed position, in which the emitting means is in a different second orientation that is selected to efficiently deliver ultrasound energy to the tissue to be ablated. The moving means includes one or more movable carriers and the emitting means is one or more piezoelectric transducers that are securely mounted on the carriers for conjoint movement therewith. A method for thermal ablation therapy using ultrasound energy involves positioning an ultrasound device in an undeployed position proximate to tissue to be heated; moving the ultrasound device from its undeployed position to a deployed position; and activating the ultrasound device to emit ultrasound energy for a predetermined period of time.

Abstract: The present invention relates to an alignment device and method for facilitating alignment of a medical instrument with the tubal ostium of the Fallopian tubes. More particularly, the alignment device includes an expandable member, either in the form of a balloon member or sponge member, which is expandable from a contracted state to an expanded state by a fluid. In addition, the alignment device includes a catheter member attached to the expandable member and also includes, guiding means, in the form of passageways or the like, for guiding a medical instrument through the expandable member.

Abstract: A bipolar electrode instrument is provided for use in the performance of RF ablation electrosurgery. The bipolar electrode instrument includes an elongated catheter for insertion into an affected tissue to be treated within a patient and at least one pair of spaced-apart bipolar electrode members, each of the electrode members being connected to the catheter. An RF energy source and a plurality of electrical lines are included for applying voltage to each of the electrode members. Mechanisms are included for regulating the amount of heat generated by each of the electrode members when voltage is applied thereto.