Abstract: A system and apparatus for controlling operating room equipment during an electrosurgical procedure is disclosed. The system includes an electrosurgical generator, a controller in electrical communication with and configured to control the electrosurgical generator and at least one operating room device, and a handpiece having a housing and a cable extending proximally from the housing providing electrical connection to the controller, the handpiece further includes first controls for controlling the generator and second controls for controlling at least one operating room device.

Abstract: An electrosurgical instrument includes a housing having a treatment portion attached thereto. The treatment portion is adapted to connect to an electrosurgical generator that supplies energy to the electrosurgical instrument. An activation element is included and is disposed in electrical communication with the electrosurgical generator and the treatment portion. The activation element is selectively actuatable to supply energy from the electrosurgical generator to the treatment portion. A time-out device is coupled to the housing and is configured to prevent re-use of the electrosurgical instrument after a pre-determined time limit.

Abstract: A system and method for creating lesions and assessing their completeness or transmurality. Assessment of transmurality of a lesion is accomplished by monitoring the depolarization signal in a local electrogram taken using electrodes located adjacent the tissue to be ablated. Following onset of application of ablation energy to heart tissue, the local electrogram is measured with electrodes located adjacent tissue to be ablated so that the ablation energy to ablation elements can be selectively reduced or terminated when transmurality is detected.

Abstract: A circuit is disclosed which minimizes the amount of tissue vaporized during a first half (positive half cycle) of an electrosurgical current cycle and minimizes the amount of current applied to tissue during a second half (negative half cycle) of the electrosurgical current cycle to control thermal spread. The circuit is preferably provided within an electrosurgical generator which is capable of controlling the amount of energy delivered to a patient during electrosurgery on a per arc basis.

Abstract: A system and method for transmitting electrosurgical energy from a generator to an electrosurgical instrument are provided. The electrosurgical system includes a generator adapted to generate electrosurgical energy for treating tissue. The generator includes one or more active output terminals which supply energy to the tissue. The active output terminals are operatively connected to one or more supply lines. The generator also includes one or more return output terminal which returns energy from the tissue. The return output terminals are operatively connected to at least one return line. The system also includes an electrosurgical instrument operatively connected to the one or more supply lines and one or more return electrodes operatively connected to one or more return lines. The system further includes an electrosurgical cable including one or more supply lines and one or more return lines.

Abstract: An electrosurgical instrument comprising an indicator device for displaying at least one piece of status information regarding a control unit. The indicator device is arranged on the electrosurgical instrument and oriented in the distal direction thereof such that, in an active state, the indicator device illuminates an operation area of the electrosurgical instrument. In use, the indicator device fulfils a dual functions. First, the indicator device provides information and second, it simplifies the medical intervention by illuminating the operation area.

Abstract: The invention provides a system for treating tissue that includes a power measurement device, a flow rate controller coupled to the power measurement device, and an electrosurgical device configured and arranged to provide radio frequency power and conductive fluid to the tissue, wherein the flow rate controller is configured and arranged to modify a flow rate of the conductive fluid to the tissue, based on signals from the power measurement device. The invention also provides methods and devices for modifying flow rate of conductive fluid to tissue based on measurement of radio frequency power delivered to the tissue.

Abstract: Embodiments according to aspects of the present invention provide a single convenient and versatile tool that allows an operator to apply energy to the cornea according to different patterns to suit different treatment cases, without requiring multiple applicators or interchangeable components. An electrical energy applicator in one embodiment extends from a proximal end to a distal end. The energy conducting applicator includes, at the proximal end, a connection to one or more electrical energy sources. The energy conducting applicator directs electrical energy from the one or more electrical energy sources to the distal end. The distal end is positionable at a surface of an eye. The energy conducting applicator includes at least three selectable conductors coupled to the one or more electrical energy sources. The selectable conductors define an outer conductor and an inner conductor being separated by a gap.

Abstract: A system and method for interactively planning and controlling a treatment of a patient for a medical treatment device are provided. The system includes a memory; a processor coupled to the memory; and a treatment control module stored in the memory and executable by the processor. The treatment control module graphically displays in real time a continuously changing treatment region defined by the electrodes as a user moves at least one of the electrodes. This allows the user to more effectively plan and treat a target region.

Abstract: A method and system for attaching medical devices to a patient are provided. In accordance with an embodiment, a medical device is formed with or is coupled to an attachment structure including a plurality of electrodes capable of generating differential voltages at adjacent electrodes, to thereby provide electrostatic adhesion with the tissue of a patient. In an embodiment, the attachment structure includes an insulative material between the respective electrodes of the plurality of electrodes.

Abstract: A medical system and method for estimating a treatment region for a medical treatment device is provided. The system includes a memory; a processor coupled to the memory; and a treatment control module stored in the memory and executable by the processor. The treatment control module generates an estimated treatment region which is an estimate of a treatment region which would have been derived as a result of a numerical model analysis such as a finite element analysis. Advantageously, the estimated treatment region is generated using a fraction of the time it takes to generate the region using the numerical model analysis.

Abstract: The present disclosure describes an instrument for measuring the dielectric properties of biological tissue. The instrument includes a top electrode assembly and a bottom electrode assembly, the top electrode assembly including a top electrode and at least one shaft adjustably positionable to move the top electrode relative to the bottom electrode assembly, the bottom electrode assembly including a bottom test plate and a bottom electrode. The instrument also includes a testing cylinder coupled to the shaft and having an inner cavity defined therein that houses the top electrode and which is designed to enclose the bottom electrode therein. The testing cylinder is configured to reduce at least one of electric current, magnetic current, stray radiative RF fields and external capacitive leakage currents during activation of the top and bottom electrodes.

Abstract: A control switch detecting apparatus aims at detecting a control switch operable by an operator for controlling a medical device. When a position signal for representing a position of at least one of the control switch and the operator is transmitted from at least one of the control switch and the operator, an obtaining unit obtains relative position information indicative of a relative positional relationship between the control switch and the operator based on the transmitted position signal.

Abstract: An electrosurgical generator has a control system formed by an array of logic gates programmed to execute mathematical algorithms for regulating at least one parameter of output power, output voltage or output current of an output electrosurgical signal in a closed loop response to sensed values of the output voltage and the output current.

Abstract: A method and apparatus for treating abnormal mucosa in the esophagus is disclosed, such that the depth of the treated tissue is controlled. The depth of ablation is controlled by monitoring the tissue impedance and/or the tissue temperature. A desired ablation depth is also achieved by controlling the energy density or power density, and the amount of time required for energy delivery. A method and apparatus is disclosed for measuring an inner diameter of a body lumen, where a balloon is inflated inside the body lumen at a fixed pressure.

Abstract: An electrosurgical system is disclosed. The electrosurgical system includes a multiple-secondary transformer configured for sensing voltage. The multiple-secondary transformer includes a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings is configured to transform the radio frequency voltage into a sensed voltage. Each of the secondary windings includes an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.

Abstract: An apparatus and method for cutting a material including conducting and non-conducting materials such as biological tissue, cellulose or plastic while the material is submerged in a conductive liquid medium. The apparatus has a cutting electrode with an elongate cutting portion having an aspect ratio (length to width) of 1 or more and a return electrode. The two electrodes are immersed in the conductive medium and a voltage is applied between them to heat the medium, thus producing a vapor cavity around the elongate cutting portion and ionizing a gas inside the vapor cavity to produce a plasma. The voltage applied between the electrodes is modulated in pulses having a modulation format selected to minimize the size of the vapor cavity, its rate of formation and heat diffusion into the material while the latter is cut with an edge of the elongate cutting portion. The modulation format includes pulses ranging in duration from 10 ?s to 10 ms, as well as minipulses and micropulses, as necessary.

Abstract: Systems, devices, and methods are described for providing a monitor/treatment device configured to, for example, detect hemozoin, as well as to monitor or treat a malarial infection.

Abstract: A tissue treatment system has a radio frequency generator and a handheld treatment instrument that generates a gas plasma jet for delivering thermal energy to a tissue surface to be treated. Incorporated in the housing for the generator is a calibration device for adjusting the energy output of the generator, if necessary, at the beginning of a treatment session. The calibration device has a target element with a target surface, a transducer for sensing changes in temperature of the target element with respect to the temperature of a reference element, and an energy output adjuster for adjusting the radio frequency energy output of the generator in response to a calibration signal generated by the transducer. The generator housing has a receptacle for locating the nozzle of the handheld instrument in juxtaposition with the target element so that when a plasma burst is generated as part of a calibration sequence it is incident on the target surface.

Abstract: A catheter includes a braid assembly having a dual-laminate coating. The braid assembly includes a plurality of braid members interwoven to provide for interstices between the braid members, each braid member having an electrically conductive element, a flexible non-electrically-conductive polymer coating that insulates the electrically conductive element and a thermoplastic bonding adhesive coating. The braid assembly is formed between an inner polymer layer and an outer polymer layer. One or more of the braid members may be coupled to an energy delivery element.

Abstract: A system for monitoring and/or controlling tissue modification during an electrosurgical procedure includes an electrosurgical apparatus connected to an electrosurgical generator and configured to grasp tissue therebetween via a pair of jaw members. The system also includes an optical system having an optical source that directs light through tissue. One or more optical detectors analyze the light transmitted through and reflected back from the tissue and a processor utilizes this information to control the delivery of electrosurgical energy from the electrosurgical generator to the tissue.

Abstract: An apparatus for the thermosurgical treatment of biological tissue comprises a generator (22) for providing treatment energy, measuring means (24) for registering the temporal progression of a measured quantity that is influenced by the tissue impedance of the treated body or representative of the tissue impedance, and also a control unit (26) which has been set up to ascertain a frequency spectrum within a predetermined examination frequency range for the temporal progression of the measured quantity and to control the energy output of the generator (22) in a manner depending on the spectral content of the measured quantity within the examination frequency range. The invention is based on the finding that the genesis of vapour bubbles in the heated tissue can be detected on the basis of the frequency spectrum of the tissue impedance, in particular within a frequency range between approximately 0.5 kHz and 200 Hz.

Abstract: An electro-surgical system actively maintains an optimal heating profile at the electrode-patient contact surface under varying load resistivity, thereby reducing the risk of burns and maximizing patient comfort at a given power level. A set of temperature sensors is integrated within the electrode assembly of the electrosurgical system. The sensors are located both at the center and the edges of the electrode. The sensors are thermally coupled to the electrode-patient contact surface and have a time response that is short compared to the thermal time constraints of the tissue. Some degree of signal processing may take place at the sensor, inside the transducer assembly. As RF power is applied, a control loop monitors the temperature at the center and edges of the electrode. If the edge temperature of the electrode is high compared to its center temperature, then the control loop increases the operating frequency, effectively driving heat towards the center of the electrode.

Abstract: A method and system are disclosed enabling configuration of a control system for an electrosurgical generator system for creating new surgical applications without changing the underlying software system. The electrosurgical generator system includes an RF stage to output at least one waveform of electrosurgical energy; a sensor module having at least one sensor to sense electrical or physical properties related to the output electrosurgical energy and generate sensor data; and at least one control module executable on at least one processor that controls at least one parameter of the output electrosurgical energy. The at least one control module includes an outer loop controller to generate a control signal in accordance with at least a first subset of the sensor data and an inner loop controller to generate a setpoint control signal and provide the setpoint control signal to the RF stage for controlling at least an amplitude of the energy output by the RF stage.

Abstract: An electrosurgical generator is provided which includes a continuity test circuit assembly for testing electrical continuity through an electrode of an electrosurgical instrument. The continuity test circuit assembly includes a test power source providing electrical test energy to a first conductor which is in electrical communication with the electrode and the electrosurgical generator and to at least one second conductor which is coupled to the first conductor for providing a path for current to flow between the first conductor and the at least one second conductor for establishing a test path through which the test energy flows between the first conductor and at least one conductor of the at least one second conductor. The continuity test circuit assembly further includes energy detection circuitry positioned along the test path for detecting the flow of the test energy through the test path for determining electrical continuity through the electrode.

Abstract: A catheter is designed with a virtual electrode structure for creating a linear lesion. The catheter includes a sensor array that measures temperatures of adjacent tissue along the length of the virtual electrode section. The sensors in the sensor array include a conductive material that is substantially coated with an electrically and thermally insulating material. An aperture is formed in the insulating coating to expose an area of the conductive material. Leads are coupled with each sensor and are connected at their opposite, proximal ends with a discrimination circuit. The circuit processes the signals induced in the sensors to output a single temperature measurement, for example, the highest temperature, the lowest temperature, or the average temperature. The sensors also measure cardiac electrical activity and the leads are further connected to an electrocardiograph monitor to determine the efficacy of treatment.

Abstract: A high frequency cauterizing power supply unit includes a control circuit for controlling a power supply circuit and waveform generating circuit. The control circuit includes a timer for measuring an output period and pause period, and a counter for measuring the number of times of output. The control circuit detects a setting power and the number of times of output according to the diameter of a blood vessel with a simple method in a short period of time, and controls the output period so as to be shortened, and also controls a setting power and the number of times of output depending on the diameter of the blood vessel.

Abstract: A method for controlling an electrosurgical waveform includes the initial steps of activating an electrosurgical generator and increasing power during a first sample window and determining a direction of change in a first average impedance during the first sample window. The method also includes the steps of performing a first adjustment of power in response to the direction of change in the first average impedance during a subsequent sample window and determining a direction of change in a subsequent average impedance during the subsequent sample window in response to the first adjustment of power. The method also includes performing a subsequent adjustment of power in response to the direction of change in the subsequent average impedance, wherein the subsequent adjustment of power is reverse to that of the first adjustment of power when the direction of change in the first and subsequent average impedances is the same.

Abstract: A method for controlling energy applied to tissue as a function of at least one detected tissue property includes the initial step of applying energy to tissue. The method also includes detecting a phase transition of the tissue based on a detected rate of change in the at least one detected tissue property. The method also includes adjusting the energy applied to tissue based on the detected rate of change to control the detected phase transition.

Abstract: A probe operates in conjunction with an ablation system to prevent accidental injury of the esophagus during atrial ablation procedures. A distal portion of the probe is placed into the esophagus via the nasal cavity and positioned in the region of the esophagus that is in contact with the left atrium. Regulated cooling fluid with desired temperature and pressure continuously circulates from the external source of the related device into a sac of the probe. Temperature and pressure sensors are disposed within the sac of the probe to transmit data to the external related devices of this invention. The information from the sensors within the sac of the probe can provide a safety feature to control or stop the energy delivery from the ablation energy generator (i.e., radio frequency generator) and to prevent the advancement of the lesion formation that is created by the tip of the ablation catheter in the left atrium.

Abstract: An electrosurgical generator for supplying electrosurgical energy to tissue is disclosed. The generator includes sensor circuitry configured to measure an imaginary impedance and/or a rate of change of the imaginary impedance of tissue. The generator also includes a controller configured to regulate output of the electrosurgical generator based on the measured imaginary impedance and/or the rate of change of the imaginary impedance.

Abstract: A method for controlling an electrosurgical generator configured to apply energy to tissue as a function of a detected tissue property is contemplated by the present disclosure. The method includes the step of applying energy to the tissue in a first state, wherein the first state is configured to adjust the power output of the generator to continuously achieve peak tissue conductance as a function of the detected tissue property. The method also includes the step of monitoring a trend of the at least one detected tissue property indicative of a bubble field formation during a second state, which is running concurrently with the first state. The second state is configured to interrupt the bubble field to collapse the bubble field based on the trend of the at least one detected tissue property.

Abstract: A method for controlling energy applied to tissue in two or more states as a function of a detected tissue property is provided. The method includes the steps of: determining an initial value of the detected tissue property, recursively processing the detected tissue property to obtain an averaged value thereof, updating the recursively processing step with the initial value of the detected tissue property and transitioning between two or more states based on a comparison of averaged values obtained by two or more recursive filters.

Abstract: A method for controlling energy applied to tissue as a function of at least one detected tissue property includes the initial step of applying energy to tissue. The method also includes the steps of initially adjusting the energy applied to tissue and determining a direction of change of the at least one detected tissue property.

Abstract: A method and electrosurgical system for optically detecting blood and controlling an electrosurgical generator are provided. An optical blood detection system is used for optically detecting blood and may be included as an integral part of the overall electrosurgical system's circuitry, or may be designed as a separate unit that connects to, and controls, an electrosurgical generator. The optical blood detection system may be embodied through a variety of analog, digital and/or optical circuit components or arrangements, including software running on computational and memory circuitry. The optical blood detection system controls the output mode and energy of the electrosurgical generator in accordance with the amount of blood detected.

Abstract: This invention relates to a method of straddling an intraosseous nerve with an energy transmitting device to improve the therapeutic treatment of the nerve.

Abstract: A system and method for assessing a degree of coupling between an electrode and tissue in a body is provided. Values for first and second components of a complex impedance (e.g., resistance and reactance or impedance magnitude and phase angle) between the electrode and the tissue are obtained. These values are used together with a standardization value indicative of a deviation from a reference standard by a parameter associated with at least one of the body, the electrode and another component of the system to calculate a coupling index that is indicative of a degree of coupling between the electrode and the tissue. The coupling index may be displayed to a clinician in a variety of ways to indicate the degree of coupling to the clinician. The system and method find particular application in ablation of tissue by permitting a clinician to create lesions in the tissue more effectively and safely.

Abstract: A high-frequency power supply device and an electrosurgical device are provided which can automatically control the output of an appropriate high-frequency current in accordance with the condition of a biological tissue to be treated. A phase detection unit detects respective phases of a high-frequency voltage and a high-frequency current outputted in a high-frequency power generation unit, and thereafter a phase difference calculation unit calculates the phase difference based on the respective phases. Meanwhile, an impedance calculation unit calculates the impedance on the basis of respective magnitudes of the high-frequency voltage and the high-frequency current. In this case, on the basis of at least one of the impedance and the phase difference and the output state of an instruction signal, a control unit performs a control to output a high-frequency voltage and a high-frequency current having a predetermined waveform.

Abstract: A surgical digitizing apparatus and procedure will typically involve a pad having discrete segments which may be arranged in a specific order to accommodate a particular procedure. The individual segments can then be used to accomplish both diagnostic and therapeutic functions. For example, the segments can be interrogated to produce a map of body tissue and then electrosurgically energized to perform a therapeutic function in accordance with the map. Communication with the discrete segments will typically be accomplished through a microprocessor and associated switching circuits.

Abstract: A radiofrequency ablation system provides multiple ground pads and active control of current flow through the ground pads to provide improved power sharing at the tissue near the ground pads reducing risk of patient skin burns for higher power ablation generators.

Abstract: Voltage and current of an electrosurgical output signal which is conducted by a transformer are accurately simulated by executing a simulation algorithm to compensate for inherent distortion in the values of the current and voltage induced between primary and secondary windings of the transformer. The simulation algorithm is executed in response to voltage and current signals from a primary winding of the transformer, which may be a power output transformer or part of an electrosurgical output signal sensor.

Abstract: An electrical device for treating problem skin areas, including warts, has an electrode and a power source coupled to the electrode for generating an arc over a gap between a distal end of the electrode and a patient's skin when the electrode is placed in spaced proximity to the patient's skin. The power source provides electricity to the electrode with a frequency of at least 100 kHz, an open-circuit voltage of less than 2 kVRMS, and a total power of less than 2 W.

Abstract: An electrosurgical device is provided which can prevent the decrease of the effect of a treatment performed by an operator or the like on a biological tissue. A high-frequency voltage generated in an alternating power supply is transformed in a transformer. A high-frequency current in accordance with the transformed high-frequency voltage is supplied to the biological tissue via two high-frequency current supply lines. In this case, the impedance between the two high-frequency current supply lines is set in an impedance matching circuit so as to become maximum with respect to the frequency of the high-frequency current. Accordingly, the decrease of the effect of the treatment performed on the biological tissue can be prevented.

Abstract: A method and system are disclosed enabling configuration of a control system for an electrosurgical generator system for creating new surgical applications without changing the underlying software system. The system includes an outer loop controller for generating a control signal in accordance with at least a first subset of sensor data from at least one sensor; an inner loop controller for generating a setpoint control signal which is provided to an RF stage in accordance with at least the control signal generated by the outer loop controller and a second subset of sensor data from the at least one sensor; and a configuration controller for generating configuration data and providing first and second configuration data sets of the configuration data to the inner loop and outer loop controllers, respectively, for configuration thereof to provide a type of control selectable from a variety of types of control.

Abstract: An electrosurgical generator for supplying RF power to an electrosurgical instrument for cutting or vaporizing tissue has an RF output stage (42) with an RF power bridge (Q1, Q2, Q3, Q4), a pair of output lines (74) and a series-resonant output network (48). The output impedance of the output stage (42) at the output lines (74) is less than 200/?P ohms, where P is the maximum continuous RF output power of the generator. The generator offers improved cutting and vaporizing performance, especially in relation to the reliability with which an arc can be struck when presented with an initial low impedance load. Overloading of the output stage is prevented by rapidly operating protection circuitry responsive to a predetermined electrical condition such as a substantial short-circuit across the output lines. In the preferred embodiment, the output stage is capable of maintaining output pulses at least 1 kW peak by supplying the power bridge from a large reservoir capacitor (60).

Abstract: An apparatus and method for use in performing ablation of organs and other tissues includes a radio frequency generator which provides a radio frequency signal to ablation electrodes. The power level of the radio frequency signal is determined based on the subject area of ablation. The radio frequency signal is coupled with the ablation electrodes through a transformation circuit. The transformation circuit includes a high impedance transformation circuit and a low impedance transformation circuit. The high or low impedance transformation circuit is selected based on the impedance of the ablation electrodes in contact with the subject tissue. Vacuum level, impedance level, resistance level, and time are measured during ablation. If these parameters exceed determinable limits the ablation procedure is terminated.

Abstract: Method and system for adjusting the amount of energy delivered to a handpiece of a surgical system based on feedback. A table is generated that correlates differences between voltages and rates of change of a voltage of the output of a charging element of the surgical system. Charge values of the table, such as minimum and maximum charge rates, can be generated using profile pulses and the time that is required for a pulse to reach a predetermined voltage. Intermediate charge rates can be determined using interpolation or other suitable methods. The output of the charging element is monitored at a voltage source, such as a capacitor, to determine first and second voltages at different times. These voltages are reduced if necessary for compatibility with electronic components and converted into digital values. A difference between two digital values is determined, and the determined difference is used to determine a corresponding rate at which the charging element charges the voltage source.

Abstract: Methods and systems for delivering electrical energy for controlled heating or hyperthermia to a target tissue of a patient for destruction of cancerous cells or tissue.

Abstract: A system and method for heat ablation of tissue in which energy is sequentially applied to at least two electrodes inserted into tissue. The system is comprised of a radiofrequency (RF) source for supplying RF energy, at least two electrodes configured to apply RF energy to tissue, at least one return electrode for returning the RF energy to the RF source, and a controller configured to sequentially apply the RF energy to each of the at least two electrodes. The sequential delivery of energy is determined by the measured current and voltage, the calculated impedance at each of the electrodes and the timing for each electrode. An internal load may be activated with the previously activated channel and remain on until the next channel is activated to avoid the generator from having an open circuit.

Abstract: A system and method for performing electrosurgical procedures are disclosed. The system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue in form of one or more electrosurgical waveforms having a crest factor and a duty cycle. The system also includes sensor circuitry adapted to measure impedance and to obtain one or more measured impedance signals. The sensor circuitry is further adapted to generate one or more arc detection signals upon detecting an arcing condition§. The system further includes a controller adapted to generate one or more target control signals as a function of the measured impedance signals and to adjust output of the electrosurgical generator based on the arc detection signal. An electrosurgical instrument is also included having one or more active electrodes adapted to apply electrosurgical energy to tissue.