Abstract: Cardiac ablation catheters include an outer balloon positioned at a distal end of the catheter and configured to have an inner balloon disposed therein. The outer balloon is inflated with a first fluid that has a temperature less than 100 degrees Celsius, while the inner balloon is inflated with heated vapor. An area of contact between the two balloons, comprising a surface area less than the total surface area of either balloon, creates a hot zone for ablating cardiac tissue through the transfer of thermal energy from the contact area to the cardiac tissue.

Abstract: Cardiac ablation catheters include an outer balloon positioned at a distal end of the catheter and configured to have an inner balloon disposed therein. The outer balloon is inflated with a first fluid that has a temperature less than 100 degrees Celsius, while the inner balloon is inflated with heated vapor. An area of contact between the two balloons, comprising a surface area less than the total surface area of either balloon, creates a hot zone for ablating cardiac tissue through the transfer of thermal energy from the contact area to the cardiac tissue.

Abstract: An electrosurgical device is described. The device can include a housing, a channel, and an actuator. The channel can comprise an electrode forming a tip. The actuator can be mechanically coupled to the electrode and the housing. The actuator can be configured to move between a first position and a second position and can be further configured to transition the tip from a retracted position when the actuator is at the first position to an extended position when the actuator is at the second position. A movement of the actuator from the first position to the second position can close an electrical circuit comprising the electrode and a source of electrical energy to generate a flow of current through the electrode for heating the tip to an elevated temperature suitable for cauterizing tissue.

Abstract: An electric heater 1 comprising a linear heater body 20 accommodated in a heat transfer tube 10, wherein a bent-back part 24 of the heater body 20 is formed inside the heat transfer tube 10 such that a pair of ends 26a and 26b emerge from a first-end side of the heat transfer tube 10, and the heater body 20 comprises a heating part 25 formed so as to extend along a part of the heat transfer tube 10 and a lead part 26 capable of electrically connecting the heating part 25 to the outside of the heat transfer tube 10. The electric heater 1 can be inserted into a narrow space and perform topical heating.

Abstract: A battery pack for a use with a powered surgical tool. The battery pack may include a housing with an outer wall and opposing first and second ends. The housing may include an elongated shape that extends between the first and second ends. A first member may extend across the first end of the housing and include a first aperture, and a second end member may extend across the second end of the housing and may include a second aperture. A passage may extend through the housing with a first end that aligns with the first aperture and a second end that aligns with the second aperture. The housing may be sized for a plurality of storage locations positioned between the first and second members and around the passage, and each of the storage locations may be configured to store a power cell.

Abstract: A blood vessel cauterizing tool assembly includes a housing that has a first end, a second end and a perimeter wall which is attached to and extends between the first and second ends. A cauterizing rod is attached to the housing and extends outwardly away from the first end. A power source is mounted within the housing and is electrically coupled to the cauterizing rod. A switch is mounted on the housing and is operationally coupled to the power source and the cauterizing rod. The switch is actuated to turn the cauterizing rod on or off. A pull tab extends through the perimeter wall and is positioned in a cut off position breaking a circuit between the switch and the power source. The pull tab is removable from the housing to close the circuit.

Abstract: A disposable cautery device and related methods for making and disassembling a disposable cautery device are disclosed. In one embodiment, the disposable cautery device comprises a housing having a first end and a second end. A cautery tip extends from the housing first end, and the housing second end is configured to receive a removable power source. An actuator is provided to selectively complete an electrical connection between the cautery tip and the removable power source. The actuator is disposed within a recess formed in the housing, and the recess is at least partially circumscribed by a raised rim. A top surface of the actuator is flush with or lower than the rim to inhibit inadvertent actuation of the disposable cautery device. In some embodiments, an end cap is coupled with the second end of the housing to retain the removable power source in the housing, and removal of the end cap from the housing causes the coupling between the end cap and the housing to fracture.

Abstract: Devices, systems and methods for cutting and sealing of tissue such as bone and soft tissue. Devices, systems and methods include delivery of energy including bipolar radiofrequency energy for sealing tissue which may be concurrent with delivery of fluid to a targeted tissue site. Devices include debridement devices which may include a fluid source. Devices include inner and outer shafts coaxially maintained and having cutters for debridement of tissue. An inner shaft may include electrodes apart from the cutter to minimize trauma to tissue during sealing or hemostasis. Devices may include a single, thin liner or sheath for electrically isolating the inner and outer shafts.

Abstract: A system and method for inhibiting bleeding during surgical wound closure is provided. As the surgical wound created as part of surgery is closed by a suture and needle, energy is applied to the needle causing bleeding tissue to cauterize thus inhibiting at least some of the bleeding that invariably accompanies surgery. The surgical needle is held by a needle holder or other device and that device holding the needle is connected to an energy source that can be controlled by the surgeon. As energy from the energy source is applied to the needle holder through a conductive line, it is conveyed to the surgical needle through the needle holder and the energy emanating from the needle cauterizes tissue and controls bleeding as the wound is sutured closed. Bleeding from the needle tract created by the puncture of the tissue by the sharp point of the needle and passage of the needle body into the tissue that would otherwise occur as a necessary part of suture is in particular inhibited.

Abstract: Ablation catheters and systems include multiple inline chambers for containing and heating an ablative agent. The heating chamber includes one or more channels to increase the contact surface area of the ablative agent with the walls of the heating chamber to provide more efficient heating. Induction heating is used to heat a chamber and vaporize a fluid within by wrapping a coil about a ferromagnetic chamber and providing an alternating current to the coil. A magnetic field is created in the area surrounding the chamber which induces electric current flow in the chamber, heating the chamber and vaporizing the fluid inside. Positioning elements help maintain the device in the proper position with respect to the target tissue and also prevent the passage of ablative agent to normal tissues.

Abstract: Methods and apparatus are provided for thermally-induced renal neuromodulation. Thermally-induced renal neuromodulation may be achieved via direct and/or via indirect application of thermal energy to heat or cool neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers. In some embodiments, parameters of the neural fibers, of non-target tissue, or of the thermal energy delivery element, may be monitored via one or more sensors for controlling the thermally-induced neuromodulation. In some embodiments, protective elements may be provided to reduce a degree of thermal damage induced in the non-target tissues.

Abstract: A portable surgical instrument (PSI) includes a shaft extending therefrom. An end effector operably supported at the distal end of the shaft includes a pair of jaw members. One or both of the jaw members is activatable to treat tissue. A selectively removable generator pivotally couples to the housing to energize the activatable jaw member. The generator defining one or more apertures at a distal end thereof and a pivot member disposed at a proximal end thereof. A locking mechanism configured to operably couple to the elongated shaft of the housing includes one or more locking fingers configured to releasably couple to the one or more apertures disposed at the distal end of the generator such that generator is selectively and removably engageable with the housing of the portable surgical instrument.

Abstract: An implant device comprising at least one spine and at least one c-ring is provided, and may optionally include a stabilizing element and/or tissue penetrating features. A method of treating a malady with such implant device may also be provided, as well as a method of delivering and/or removing the implant device. A delivery system may be included, as well as a kit that includes the delivery system and implant device.

Abstract: A blood vessel insertion-type treatment device and method of cauterizing biological tissues are disclosed. The blood vessel insertion-type treatment device having a first torque transmission body and a first ultrasonic generator. The first torque transmission body has a longitudinal shape and having a proximal end and a distal end. The first torque transmission body transmits a torque which is supplied to the proximal end and which pivotally rotates the first torque transmission body in a longitudinal direction of the longitudinal shape. The first ultrasonic generator is disposed in the first torque transmission body. The first ultrasonic generator radiates ultrasonic waves for cauterizing biological tissues, which are apart from the first ultrasonic generator by a predetermined distance.

Abstract: Methods and devices are disclosed herein that generally involve applying thermal therapy to tissue (e.g., localized cooling or heating of tissue). In some embodiments, tissue can be cooled or heated by implanting a malleable or deformable thermal device in proximity to the targeted tissue. The thermal device can be left in place following surgery to facilitate application of post-surgical thermal therapy. In some embodiments, the thermal device can be removed post-surgery in a minimally- or non-invasive manner. The thermal device can be connectionless or can include penetrable regions, pre-attached tubing, or detachable connectors to facilitate application of cooling or heating means to the device. Methods are disclosed for utilizing thermal devices and for carrying out various treatment regimens that involve cooling or heating tissue using such devices.

Abstract: A radio frequency (RF) heating device includes a flexible pad, a plurality of electrodes and an RF generator unit. The electrodes are disposed on one side of the flexible pad for emitting an RF energy. The RF generator unit is electrically connected to the electrodes for providing the electrodes with the RF energy.

Abstract: An apparatus for determining a thermal property of tissue includes a base unit with one or more energy source and at least two, preferably detachable, leads. The distal end of each lead, which is introduced into the tissue to be treated, has at least two longitudinally spaced temperature measuring elements to measure surrounding tissue temperature and at least two longitudinally spaced electrode surfaces for applying current to the tissue. Each distal end is also provided with an element which uses energy emitted by the sources of energy to heat up the surrounding tissue. The base unit has computing elements, current generating elements for generating an alternating current, and conductance determining elements for determining the tissue conductance between pairs of electrode surfaces based on the alternating current applied by the current generating elements to the tissue. Methods for using the device and leads for use in the device are also described.

Abstract: A treatment device for a medical treatment heats a biotissue. The device includes first and second heat transfer portions which come in contact with the biotissue. The device includes first and second resistance elements which are supplied a power having a first power value and a second power value to heat the first heat transfer portion and second heat transfer portion, respectively. The device includes temperature acquiring section which acquires a first temperature of the first heat transfer portion. The device includes a control section which calculates the first power value based on the first temperature, and determines the second power value corresponding to the first power value. The device includes first and second power supplying sections which supply the power having the first and second power value to the first and second resistance elements, respectively.

Abstract: A medical device for treating tissue includes a tissue-contacting surface and a solid state heating element that is thermally coupled to the tissue-contacting surface. The solid state heating element is configured to generate heat to thermally treat tissue.

Abstract: A device for extending, elongating, or repairing a previously created arteriovenous fistula between a first blood vessel and an adjacent second blood vessel includes a main body having a primary lumen and an articulating jaw member disposed at the distal end of the main body. The jaw member is configured with two elements to allow rotation of one element about a pivot point to grasp tissue while being rotated. The jaw member is also configured to allow thermal energy delivery to one or both elements of the jaw member that allow tissue welding and cutting with DC, RF, Laser or Ultrasonic energy. A second lumen located within one element of the jaw member is configured to allow advancement over a guidewire into the second vessel while the other element of the jaw member remains within the first blood vessel at the position where the arteriovenous fistula, or aperture, exists between the first and second blood vessel.

Abstract: A treatment system includes a power source for heat generation which outputs power for heat generation, a grasping member having a heating element which applies the power for heat generation as thermal energy to a grasped living tissue and is disposed at a grasping surface, and a control section which repeats a first control mode of performing control such that the heating element reaches a first temperature and a second control mode of performing control such that the heating element becomes lower than the first temperature, and controls the power source for heat generation according to a temperature change parameter based on change in temperature of the heating element in the first control mode or the second control mode so as to end application of the thermal energy.

Abstract: Template systems and methods for various procedures (e.g., tissue ablation procedures) are disclosed. An exemplary template system comprises a track having at least one suction port. The at least one suction port anchors the track to a tissue after the track is positioned adjacent a target area. The template system may further comprise a transducer operatively associated with the track. Exemplary transducers include imaging transducers and ablating transducers. The transducer is guided by the track adjacent the target area while the transducer is moved along the track for a procedure. One or more umbilical may provide a conduit to the track and/or transducer so that the template system may be positioned in a patient's body (e.g., for a procedure on the patient's heart) and operated remotely by a physician or other user from outside of the patient's body.

Abstract: Thermal, electrosurgical and mechanical modalities may be combined in a surgical tool. Potentially damaging effects in a first modality may be minimized by using a secondary modality. In one example, thermal hemostasis may thus help electrosurgical applications avoid the adverse tissue effects associated with hemostatic monopolar electrosurgical waveforms while retaining the benefits of using monopolar incising waveforms.

Abstract: An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: A sealing and/or cutting instrument having a thermally active surface or element which may be used to seal and then cut tissue, ducts, vessels, etc., apart. The instrument may include a thermally active surface or element comprised of a conductor covered with a ferromagnetic material. The instrument may contact tissue with one or more surfaces comprised of a non-stick material. A sensor in communication with the instrument may be used to monitor a therapeutic procedure and signal when sealing and/or cutting of a tissue is complete.

Abstract: A system for suturing and cauterization is provided. A needle assembly and/or suture line emanates heat to cauterize tissue during wound closure. Energy sources for the heat include thermal elements of a variety of configurations energized from electrical, RF or chemical sources disposed internally or external to the needle assembly. Conductive suture lines are provided and some embodiments include a surgical robot. Wound closure is improved and closing time decreased while the potential for bleeding induced by needle tract incisions and suture tension is minimized.

Abstract: A device 1a for bonding adherends T1 and T2, as a device for bonding biological tissue to biological tissue or a biological tissue bonding material, comprises: a clamping part 2a for clamping the adherends T1 and T2 between members 21a and 22a; a pressing part 3a for pressing the member 22a towards the member 21a; a pressure control part 4a for controlling the pressure by the pressing part 3a; a heating element 5a built into the member 21a; a heating control part 6a for controlling the heating by the heating element 5a; a vibration generating part 7a for generating microvibration; and a vibration control part 8a for controlling the microvibration generated by the vibration generating part 7a.

Abstract: An anthropomorphic medical robot arm includes a base end, a first arm element, a base joint coupling the base end to the first arm element, a second arm element, a middle joint coupling the second arm element to the first arm element, a distal functional end, a distal joint coupling the distal functional end to the second arm element, and at least one selectively operable movement inhibitor operable on the base joint, middle joint and/or distal joint so as to restrict the functionally possible range of movement of the robot arm to the range of movement of a human arm.

Abstract: An instrument for preparing a cavity for a stem of a prosthetic implant for use in performing joint arthroplasty on a head of a long bone is provided. The instrument includes a body and a punch extending from the body. The punch includes a portion of the punch having a shape similar to the stem of the implant.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: A catheter system for positioning an instrument within a body that includes a hub defining a lumen therethrough for passage of the instrument toward the body. The catheter system also includes an elongate tubular member defining a lumen therethrough. The lumen of the elongate tubular member is in communication with the lumen of the hub for further passage of the instrument toward the body. The system also includes a slitter member that is coupled to the hub. The slitter member is disposed to slit the elongate tubular member as the elongate tubular member moves relative to the hub.

Abstract: A medical heating device is based on an electrical heater formed out of a self-limiting conductive material, such as a conductive polymer or ceramic. An electrical resistance that gradually changes with temperature characterizes the material such that heat production from electrical current through the material varies with temperature. A thermally insulating jacket contains the self-limiting heater element, which can be coupled to an electrical power supply. A probe thermally coupled to the heater extends outward from the jacket. The self-limiting medical heating device can be used by touching the end of the probe to target tissue, such as skin, adipose tissue, nerves, glands, vascular tissue, or abnormal growths or tumors to effect the desired treatment, typically by thermally ablating, cutting, or shrinking the target tissue where touched by the probe or in the vicinity therein.

Abstract: Thermal neuroablator (FIG. 1) for modulating the facial kinetics. A thermal needle tip (100) is provided for applying thermal energy to a facial nerve via the percutaneous route. A switch (108) for alternating between two or more circuit configurations connected to thermal needle tip (100). A power supply for providing power connected to switch (108).

Abstract: A method for manufacturing an end effector assembly for sealing tissue includes the initial step of providing first and second electrically conductive sealing plates. The method also includes the steps of: encasing at least one of the electrically conductive sealing plates in a substantially moldable insulative material; applying a load to the electrically conductive sealing plates; allowing the insulative material to deform to create a gap between the sealing plates between about 0.001 inches to about 0.010 inches; and allowing the insulative material to cure.

Abstract: An operative instrument includes forceps having a treating section for treating an anatomy at an extremity and being provided with a heat-generating body for generating heat to be provided to the anatomy and a power supply unit for supplying electric power to the heat-generating body of the forceps. The operative instrument raises the temperature of the heat-generating body by supplying substantially constant electric power to the heat-generating body. Therefore, coagulation and incision of the anatomy can be performed satisfactorily.

Abstract: A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: Thermal, electrosurgical and mechanical modalities may be combined in a surgical tool. Potentially damaging effects in a first modality may be minimized by using a secondary modality. In one example, thermal hemostasis may thus help electrosurgical applications avoid the adverse tissue effects associated with hemostatic monopolar electrosurgical waveforms while retaining the benefits of using monopolar incising waveforms.

Abstract: An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Abstract: An electrode catheter is introduced into a vein or other hollow anatomical structure, and is positioned at a treatment site within the structure. The end of the catheter is positioned near a junction formed in the structure. This junction can be the sapheno-femoral junction. The position of the catheter near the junction is determined based on a signal from a device associated with the catheter within the structure. A fiber optic filament which emits light is used with the catheter or a guide wire over which the catheter is advanced. The light is visible externally from the patient. The light dims and may no longer externally visible at the sapheno-femoral junction where the catheter moves past the deep fascia and toward the deep venous system. The position of the catheter can be determined based on this external observation.

Abstract: A portable, thermal cauterizing forceps device for use in surgery. The device incorporates a pair of ceramic heater elements mounted within the tips of the tines of a forceps. The forceps is used to grasp tissue or blood vessels and apply heat to effect cauterization. In the case of the first embodiment of the invention, the forceps instrument incorporates a battery and control electronics. The thermal-forceps is of a self-contained wireless, handheld disposable design. In a second embodiment of the invention, the forceps handpiece is connected to an external power source. Both embodiments of the forceps incorporate set of rapidly heating ceramic heater elements that may be composed of silicon nitride. An LED provides the operator feedback as to the operating level of the heaters and/or battery reserve. Enhancements to the second embodiment include a rechargeable power supply, variable control of the heater temperature, as well as a, digital display of the tip temperature.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: A surgical instrument comprises two oppositely-positioned working numbers each having proximal and distal ends and each having a working surface. The instrument also comprises at least one ring member affixed to a least one of the working members to encompass one or more of a user's fingers. In one embodiment at least one working surface has a heating element to cut or seal and cut tissue.

Abstract: An instrument and method are provided for sealing and joining or hemostatically dividing tissue, which is particularly suitable for laparoscopic and endoscopic surgery. The instrument makes use of the controlled application of a combination of heat and pressure to seal adjacent tissues, to join adjacent tissues, or to anastomose tissues, whereby tissue is heated for an optimal time and at an optimal temperature under optimal pressure to maximize tissue seal strength while minimizing collateral tissue damage. The instrument of the present invention is lightweight and therefore portable, and is particularly useful in field conditions where a source of external power may not be readily available.

Abstract: A surgical instrument comprises two oppositely-positioned working numbers each having proximal and distal ends and each having a working surface. The instrument also comprises at least one ring member affixed to a least one of the working members to encompass one or more of a user's fingers. In one embodiment at least one working surface has a heating element to cut or seal and cut tissue.

Abstract: Elastographic images provide visualization in two or three dimensions of RF ablation lesions to guide in the ablation process. Compression may be applied using the RF probe. A similar technique may be applied to in vivo imaging of soft tissue without ablation.