Coagulation Patents (Class 606/40)
  • Patent number: 7666182
    Abstract: The invention relates to a high-frequency surgical apparatus in which, for the purpose of cutting and/or coagulating biological tissue by means of high-frequency current, a high-frequency generator having a first electrode and a second electrode forms a high-frequency circuit through the tissue being treated, with an electric arc being formed, said apparatus having a measuring device to detect DC voltage components forming in the high frequency circuit when the arc is formed, said DC voltage components being usable for controlling the high-frequency generator via a controlling device. The invention is characterized in that the measuring device has an arc-decoupling circuit which separates the DC voltage components in the positive half-cycle of the high-frequency AC voltage from the DC voltage components in the negative half-cycle of the high-frequency AC voltage and makes available at least one of the separated DC voltage components as a signal for subsequent processing in the controlling device.
    Type: Grant
    Filed: November 23, 2005
    Date of Patent: February 23, 2010
    Assignee: BOWA-electronic GmbH
    Inventors: Johannes Klett, Martin Heinrich
  • Patent number: 7655003
    Abstract: A method and apparatus include determining a value of a parameter associated with operation of an electrosurgical probe having a particular probe design, and determining whether the value of the parameter is within a range of values that has been predetermined for the particular probe design to indicate that the probe is treating tissue in a desired manner. Power is delivered to the probe according to an algorithm based upon a determination that the value of the parameter is outside the range of values The algorithm delivers power in a pulsed profile including portions of low power and portions of high power. In one embodiment, the tissue treatment is ablation, the parameter is impedance, and the method limits tissue necrosis to less than 200 microns. In another embodiment, the tissue treatment is shrinkage, the parameter is temperature, and the method limits power delivery when the probe is not shrinking tissue.
    Type: Grant
    Filed: June 22, 2005
    Date of Patent: February 2, 2010
    Assignee: Smith & Nephew, Inc.
    Inventors: Douglas M. Lorang, Mathew E. Mitchell, Karen Drucker, Kobi Iki
  • Patent number: 7645278
    Abstract: A coagulating cutter according to the present invention comprises: a transmitting member for transmitting energy, for treating living body tissue, to the living body tissue; an outer sheath through which the transmitting member is passed; and a grasping section supported at the tip end portion of the outer sheath so as to be capable of turning with respect to the transmitting member, which allows the living body tissue to be grasped against the transmitting member.
    Type: Grant
    Filed: February 22, 2006
    Date of Patent: January 12, 2010
    Assignee: Olympus Corporation
    Inventors: Hiroshi Ichihashi, Ryoji Sakai, Masaru Imoto, Masami Oshida, Katsumi Sasaki
  • Patent number: 7611509
    Abstract: An electrosurgical electrode capable of vaporization, coagulation, desiccation or cutting of tissue is disclosed. The probe has a first portion configured for tissue vaporization, and a second portion configured for tissue desiccation or coagulation. Simultaneous vaporization and desiccation may be achieved, the balance between the effects being controlled by the orientation and motions of the electrode. The electrode may have irrigation and aspiration means.
    Type: Grant
    Filed: May 21, 2005
    Date of Patent: November 3, 2009
    Assignee: Electromedical Associates
    Inventor: Robert A. Van Wyk
  • Patent number: 7601150
    Abstract: An apparatus for argon-plasma coagulation (APC) is disclosed, in which after activation of the apparatus for APC a specified amount of noble gas flows out of the APC instrument before the high-frequency voltage for ionizing the noble gas is switched on, or can be switched on. As a result an increase in safety is achieved.
    Type: Grant
    Filed: June 20, 2002
    Date of Patent: October 13, 2009
    Assignee: ERBE Elektromedizin GmbH
    Inventor: Günter Farin
  • Patent number: 7582084
    Abstract: Systems and methods for controlling the power supplied to an electrosurgical probe. The systems and methods may be used to monitor electrode-tissue contact, adjust power in response to a loss of contact, and apply power in such a manner that charring, coagulum formation and tissue popping are less likely to occur.
    Type: Grant
    Filed: November 22, 2002
    Date of Patent: September 1, 2009
    Assignee: Boston Scientific Scimed, Inc.
    Inventors: David K Swanson, Robert Burnside, James G. Whayne, Dorin Panescu
  • Patent number: 7582062
    Abstract: A method of locating the position of a selected neural centre in the central nervous system of an animal is disclosed. The method comprises the steps of (a) stimulating neurons at a first central nervous system position; (b) measuring the field potential evoked at a second central nervous system position; and (c) comparing the evoked field potential against a known evoked field potential from the neural centre.
    Type: Grant
    Filed: September 13, 2004
    Date of Patent: September 1, 2009
    Assignee: Medical Research Council
    Inventors: Peter James Magill, John Paul Bolam
  • Patent number: 7578818
    Abstract: An electrosurgical apparatus for coagulating tissue includes an elongated flexible tube having a proximal end, a distal end and a source for supplying pressurized ionizable gas to the proximal end of the tube. The apparatus also includes a hollow sleeve made from a shape memory alloy having a generally curved austenite state and displaying stress-induced martensite behavior. The hollow sleeve is restrained in a deformed stress-induced martensite configuration within the tube and partial extension of a portion of the hollow sleeve from the tube transforms the portion of the sleeve from the deformed configuration to the generally curved austenite configuration such that the gas is directed transversely at the tissue. An electrode ionizes the gas in the region between the sleeve and the tissue.
    Type: Grant
    Filed: April 5, 2005
    Date of Patent: August 25, 2009
    Assignee: Covidien AG
    Inventor: Robert C. Platt
  • Patent number: 7572257
    Abstract: A surgical device integrating a suction mechanism with a coagulation mechanism is provided for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source. A fluid source to passively transport fluid along the contacted soft tissue surface may be provided in order to push the maximum temperature deeper into tissue.
    Type: Grant
    Filed: August 18, 2005
    Date of Patent: August 11, 2009
    Assignee: nContact Surgical, Inc.
    Inventors: James G. Whayne, Sidney D. Fleischman
  • Publication number: 20090163908
    Abstract: The present invention relates to a method for the removal of fluid or other liquids from a body cavity during a tissue ablation procedure. Specifically, the present invention is related to a method for determining the presence or absence of a vacuum within a device before initiating an ablation procedure.
    Type: Application
    Filed: December 19, 2007
    Publication date: June 25, 2009
    Inventors: Stewart MacLean, Doug Macbride, Russell Layton, JR.
  • Publication number: 20090157071
    Abstract: An electrosurgical system is disclosed. The electrosurgical system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The electrosurgical generator includes impedance sensing circuitry which measures impedance of tissue, a processor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, and an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue. A tissue cooling period is provided to enhance operative outcomes.
    Type: Application
    Filed: February 23, 2009
    Publication date: June 18, 2009
    Inventors: Robert H. Wham, Rebecca Coulson, Kari L. Riegner, David A. Schechter, Nicole McKenna, Barbara R. Bastian, Jennifer S. Harper
  • Publication number: 20090157075
    Abstract: An electrosurgical system is disclosed. The electrosurgical system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The electrosurgical generator includes impedance sensing circuitry which measures impedance of tissue, a processor configured to determine whether a tissue reaction has occurred as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid, and an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue. A tissue cooling period is provided to enhance operative outcomes.
    Type: Application
    Filed: February 23, 2009
    Publication date: June 18, 2009
    Inventors: Robert H. Wham, Rebecca Coulson, Kari L. Riegner, David A. Schechter, Nicole McKenna, Barbara R. Bastian, Jennifer S. Harper
  • Patent number: 7544200
    Abstract: An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smooths out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.
    Type: Grant
    Filed: October 7, 2005
    Date of Patent: June 9, 2009
    Assignee: Ethicon Endo-Surgery, Inc.
    Inventor: Kevin L. Houser
  • Patent number: 7513896
    Abstract: An electrosurgical generator is disclosed, which includes an RF output stage connected to a DC power supply and first and second connections. The first connection includes a first switching component and a first parallel inductor-capacitor resonant circuit. The second connection includes a second switching components and a second parallel inductor-capacitor resonant circuit. The first and second switching components are configured to open and close at a predetermined frequency based on a phase-correlated dual drive signal emitted by a driver and are in a 180 degree out-of-phase relationship. The first parallel inductor-capacitor resonant circuit is further configured to produce a first half-sinusoidal waveform and the second parallel inductor-capacitor resonant circuit is configured to produce a second half-sin half-sinusoidal waveform.
    Type: Grant
    Filed: January 24, 2006
    Date of Patent: April 7, 2009
    Assignee: Covidien AG
    Inventor: James H. Orszulak
  • Patent number: 7494473
    Abstract: Electrosurgical tissue specimen recovery apparatus and system employing a multi-leaf capture component configured with pursing cables which are electrosurgically excited to define a cutting leading edge. To complete a capture, the cables are loaded in tension to purse and thus converge the tips of the capture component leafs together. The forward regions of the leafs are configured with a combination of a thin flat stainless steel region over which a polymeric cable guide is positioned. The polymeric cable guide and stainless steel leaf driving combination improves frictional aspects as well as the resulting aspect ratio of a recovered tissue specimen.
    Type: Grant
    Filed: December 8, 2003
    Date of Patent: February 24, 2009
    Assignee: Intact Medical Corp.
    Inventors: Philip E. Eggers, Andrew R. Eggers, Eric A. Eggers
  • Publication number: 20090024122
    Abstract: The invention relates to an endoscopic-surgery apparatus for argon-plasma coagulation (APC) to treat biological tissue. The surgery apparatus comprises a tube, a tubular probe or similar working device that can be inserted into an endoscope, with a first channel such that by way of the first channel, as a first working means, there can be guided to the tissue an electrode connected to an HF generator in order to generate a high-frequency current, as well as argon or a similar inert gas. This endoscopic-surgery apparatus is further developed in order to simplify endoscopic interventions employing argon-plasma coagulation, while simultaneously increasing the efficiency of a treatment. To this end, the working device comprises at least one second channel through which at least one second working means is guided to the tissue.
    Type: Application
    Filed: May 2, 2006
    Publication date: January 22, 2009
    Inventor: Klaus Fischer
  • Patent number: 7479140
    Abstract: An intelligent selection system for operating an electrosurgical instrument for use by a surgeon that depends primarily on the surgical procedure to be employed. The operating mode as well as other operating parameters can be controlled by the handpiece chosen by the surgeon to perform the procedure. Each handpiece is customized to activate when operated one of several preset operating modes of the electrosurgical instrument.
    Type: Grant
    Filed: September 16, 2005
    Date of Patent: January 20, 2009
    Assignee: Ellman International, Inc.
    Inventors: Alan G. Ellman, Jon C. Garito
  • Publication number: 20090012513
    Abstract: Devices and methods are provided for the ablation of regions of the digestive tract to achieve hemostasis and to eradicate chronically bleeding lesions as occur with gastric antral vascular ectasia (GAVE), portal hypertensive gastropathy (PHG), radiation proctopathy and colopathy, arteriovenous malformations, and angiodysplasia. Ablation is typically provided in a wide-field manner, and in conjunction with sufficient pressure to achieve coaptive coagulation. Ablation, as provided the invention, starts at the mucosa and penetrates deeper into the gastrointestinal wall in a controlled manner. Ablation control may be exerted by way of electrode design and size, energy density, power density, number of applications, pattern of applications, and pressure. Control may also be provided by a fractional ablation that ablates some tissue within a target region and leaves a portion substantially unaffected.
    Type: Application
    Filed: July 3, 2008
    Publication date: January 8, 2009
    Inventors: David S. Utley, Michael P. Wallace, Brent C. Gerberding
  • Publication number: 20090005772
    Abstract: In tissue treatment apparatus for skin resurfacing having a handheld treatment instrument with electrodes connected to a radio frequency generator, a plasma jet is produced by ionising gas passing through a gas conduit in the instrument, the plasma emerging from a nozzle at an end of the conduit. Incorporated in the instrument is an optical detector that receives radiation emitted by the plasma directly from within the conduit and produces output signals which are processed to indicate a fault condition in the absence of radiation within a predetermined interval after the commencement of delivery of RF energy to the instrument or if the radiation is not of an approximately constant level during the delivery of RF energy.
    Type: Application
    Filed: June 23, 2008
    Publication date: January 1, 2009
    Applicant: RHYTEC LIMITED
    Inventor: Keith Penny
  • Publication number: 20080281316
    Abstract: An electrosurgical system is disclosed. The electrosurgical system includes at least one electrosurgical electrode having a resistive element and a capacitive element configured in series. The electrosurgical system also including an electrosurgical generator configured to generate electrosurgical energy having a first frequency which generates a first impedance in the at least one electrode due to capacitive reactance of the capacitive element in series. The generator is further configured to adjust the first frequency to at least one other frequency to generate a different impedance in the at least one electrode due to capacitive reactance of the capacitive element in series, thereby adjusting the temperature of at least one electrosurgical electrode.
    Type: Application
    Filed: May 10, 2007
    Publication date: November 13, 2008
    Inventors: John Carlton, Darren Odom
  • Publication number: 20080262488
    Abstract: A tissue treatment system includes a radio frequency (r.f.) generator, a treatment instrument connectible to the generator and to a source of ionisable gas and operable to produce a plasma jet at a nozzle of the instrument when supplied with the ionisable gas and energised by the generator. The generator is adapted to supply treatment energy to the instrument in the form of at least one discrete burst of pulses of r.f. energy, the burst having a preset number n of pulses, where 2?n?5.
    Type: Application
    Filed: April 4, 2008
    Publication date: October 23, 2008
    Applicant: RHYTEC LIMITED
    Inventors: Keith PENNY, Nigel M. GOBLE
  • Publication number: 20080243114
    Abstract: For the coagulation of tissue by plasma, instruments are known that comprise a tubular probe body through which inert gas is conducted and an ignition electrode within the lumen in the region of an outlet of the probe body. A current conductor is provided to supply a coagulation current to the ignition electrode. The ignition electrode is fixed to the probe body substantially in the middle, by means of fixing devices. The present invention provides an instrument for plasma coagulation wherein a fixing device for the ignition electrode comprises a piece of sheet metal, a wafer or similar flat body, which is fixed by its longitudinal edges to the tube wall so that it extends substantially diametrically across the lumen, and to which the ignition electrode is attached.
    Type: Application
    Filed: October 29, 2004
    Publication date: October 2, 2008
    Applicant: ERBE Elektromedizin GmbH
    Inventor: Uwe Schnitzler
  • Publication number: 20080221565
    Abstract: An electrode structure and a mechanism for automated or user-selected operation or compensation of the electrodes, for example to determine tissue coverage and/or prevent arcing between bottom electrodes during electrocautery is disclosed.
    Type: Application
    Filed: May 15, 2008
    Publication date: September 11, 2008
    Inventors: Joseph Charles Eder, Benjamin Theodore Nordell, Peter Seth Edelstein, Camran Nezhat, Mark Kane, Erik Walberg
  • Publication number: 20080221564
    Abstract: A method and device for monitoring and identifying a medical instrument, capable of being incorporated in the instrument itself, and provided with the sufficient storage capacity to store all the data relative to the use of the instrument. The device for monitoring and identifying the medical instrument (10) includes an electronic component (14) integrated in the grip (11) of the instrument. The electronic component is an electronic label comprising an integrated circuit including a storage unit containing variable data based on the use of the instrument (10) and a way for writing and/or modifying and reading the data. The electronic label communicates, via radio frequency, with the software of a motor driving the instrument and via a read/write interface module to allow the software to monitor the motor based on a cyclic fatigue value of the odontological instrument.
    Type: Application
    Filed: September 26, 2006
    Publication date: September 11, 2008
    Applicant: FKG DENTAIRE S.A.
    Inventors: Jean-Claude Rouiller, Olivier Breguet, Jacques Suter
  • Publication number: 20080215045
    Abstract: An electrosurgical apparatus for coagulating tissue used in combination with an endoscope which includes an elongated flexible tube having a plurality of side-ports located therethrough. The tube extends through a working channel of the endoscope and an ionizable gas is supplied to the tube at or near the proximal end of the tube. A diffusing member directs the ionizable gas from the proximal end of the tube through each of the side-ports towards the tissue. An electrode is used for ionizing the gas prior to the gas exiting the side-ports.
    Type: Application
    Filed: March 13, 2008
    Publication date: September 4, 2008
    Inventor: Robert C. Platt
  • Publication number: 20080188848
    Abstract: A surgical tool arrangement including a powered handpiece which cooperates with a combined electrosurgical and mechanical cutting instrument. The electrosurgical and mechanical cutting instrument includes an outer static housing element which defines an electrode for delivering electrical energy to the surgical site, and a cutting element disposed within the outer housing and movable relative thereto for manipulating patient tissue. The electrosurgical and mechanical cutting instrument is an integral component attachable to the surgical tool to provide multiple functions in a single instrument, such as cauterization, ablation and mechanical cutting, without the need for attachment of additional housing structures or other adapters. The tool arrangement also includes a universal handpiece which is capable of accepting and operating a number of different surgical instruments, each having one or multiple functions.
    Type: Application
    Filed: March 17, 2006
    Publication date: August 7, 2008
    Inventors: Kurt M. Deutmeyer, Braden M. Robison, Andrew J. Hamel, Michael G. Hilldoerfer
  • Publication number: 20080167645
    Abstract: System and method for selectively applying electrical energy to structures within or on the surface of a patient's body and controlling the flow of an electrically conductive fluid from the application site to provide or maintain a desired operating condition of the electrosurgical device. An electrosurgical probe is in communication with a fluid transport apparatus through a fluid transport lumen having an opening at an end proximate the application site and disposed proximate the electrosurgical probe. A controller in communication with the fluid transport apparatus provides control signals to the fluid transport apparatus in response to at least one operating parameter associated with the system. Based on the received control signals, the fluid transport apparatus adjusts a flow rate of the electrically conductive fluid at the application site through the fluid transport lumen in response to at least one operating parameter associated with the system.
    Type: Application
    Filed: January 4, 2008
    Publication date: July 10, 2008
    Inventor: Jean Woloszko
  • Publication number: 20080140067
    Abstract: A device for cutting and collecting a specimen from a mass of tissue may include a shaft, an integrated cut and collect assembly coupled to the shaft and an actuator. The shaft may define an opening and may include an outer surface that defines a trough adjacent the opening, the trough defining a ledge portion that is cut out of the shaft. The integrated cut and collect assembly may include an RF cutting portion and a collection portion that includes a flexible membrane, the collection portion being attached to the cutting portion, the integrated cut and collect assembly being configured to assume a retracted position at least partially within the opening such that part of the collection portion is disposed within the trough and in contact with the ledge portion and a selectable expanded position that extends through the opening and away from the shaft.
    Type: Application
    Filed: August 8, 2007
    Publication date: June 12, 2008
    Applicant: RUBICOR MEDICAL, INC.
    Inventors: James W. Vetter, Ary S. Chernomorsky, Mark J. Clifford, Dan Brounstein, Scott C. Anderson
  • Publication number: 20080125769
    Abstract: A high frequency forceps (high frequency treatment instrument) 1 according to the present invention includes an electrical circuit which is connected via a connection cord to a high frequency power source which generates a high frequency voltage in which a pair of forceps pieces (treatment electrodes) 6A and 6B which performs conduction treatment to a target tissue by using high frequency current between a return electrode with the high frequency voltage applied from the high frequency power source, and is known as a monopolar high frequency forceps. The high frequency forceps includes an elongated flexible tube 8 in which the pair of forceps pieces 6A and 6B are arranged at distal end thereof and an impedance adjust part 11 that is connected to the electrical circuit and, based on the frequency of the high frequency power source, changes at least one of an actual number part and an imaginary number part of the impedance of the electrical circuit.
    Type: Application
    Filed: June 11, 2007
    Publication date: May 29, 2008
    Applicant: OLYMPUS MEDICAL SYSTEMS CORP.
    Inventors: Keita Suzuki, Megumi Kimura
  • Publication number: 20080114342
    Abstract: Methods and devices described herein facilitate improved treatment of body organs.
    Type: Application
    Filed: November 9, 2006
    Publication date: May 15, 2008
    Applicant: nContact Surgical, Inc.
    Inventors: James G. Whayne, Sidney D. Fleischman, Rebecca Neubert, Earl Wayne Rogers
  • Patent number: 7361172
    Abstract: An ultrasonic surgical device for the coagulation of animal tissue having an ultrasonic applicator and a movable jaw with a jaw surface adjacent the distal portion of the ultrasonic applicator for movement toward the applicator to a closed position at a predefined clearance of between about 0.075 to about 1.9 millimeters from the applicator. The device may also include a mechanical cutting element that can be extended into the clearance to cut the tissue and means to vary the predefined clearance without removing the applicator from the patient. Tissue coagulating and cutting can be maximized and performed separately and can be easily monitored by the surgeon.
    Type: Grant
    Filed: June 4, 2003
    Date of Patent: April 22, 2008
    Assignee: Sound Surgical Technologies LLC
    Inventor: William C. Cimino
  • Patent number: 7344532
    Abstract: In an electrosurgical generator for generating radio frequency power, the generator comprises a radio frequency output stage having three or more output connections, one or more sources of output power coupled to the output stage, and a controller operable to cause the generator to supply a first cutting RF waveform to the output connections or a second coagulating RF waveform to the output connections. In a combined mode, the controller causes the generator to deliver both first and second RF waveforms, the controller including means for feeding the waveforms to the output connections such that the first RF waveform is delivered between a first pair of the output connections, and the second RF waveform is delivered between a second pair of the output connections. The combined mode is adjustable between various settings, each setting having a different proportion of the first and second RF waveforms.
    Type: Grant
    Filed: December 8, 2004
    Date of Patent: March 18, 2008
    Assignee: Gyrus Medical Limited
    Inventors: Nigel Mark Goble, Francis Amoah, Colin C. O. Goble
  • Patent number: 7335199
    Abstract: A method for skin treatment comprises the steps of delivering at least one pulse of radio frequency power to at least one electrode in order to create an electric field; passing gas through the electric field in order to form plasma from the gas; and applying the plasma to the surface of skin. The amount of radio frequency power may be relatively low such that the application of plasma causes denaturation of collagen within the collagen-containing tissue beneath the skin surface, which may promote the generation of new collagen within the collagen-containing tissue.
    Type: Grant
    Filed: March 5, 2004
    Date of Patent: February 26, 2008
    Assignee: Rhytec Limited
    Inventors: Colin C. O. Goble, Keith Penny
  • Publication number: 20080033493
    Abstract: Uterine fibroids and other tissue masses are treated using an electrode or other treatment element introduced into a potential or peri-capsular space surrounding the fibroid under ultrasonic imaging. A therapy is delivered into the potential space by the treatment element in order to reduce or eliminate blood supply to the fibroid or other tissue mass.
    Type: Application
    Filed: July 10, 2007
    Publication date: February 7, 2008
    Applicant: Gynesonics, Inc.
    Inventors: Robert K. Deckman, Craig Gerbi, Michael Munrow, Jordan Bajor, Jessica Grossman
  • Publication number: 20080027423
    Abstract: Systems for the treatment of nasal tissue, particularly the nasal turbinates, are described. One method for reducing the size of the inferior nasal turbinate is to apply ultrasound energy to the tissue regions beneath the surface of the turbinate tissue. One instrument may be used to deliver ultrasound energy and provide an infusion or injection of a fluid directly into the turbinate being treated, e.g., to bulk up the size of the turbinate to ensure that the ultrasound energy is properly delivered directly into the intended turbinate tissue. Fluids containing anesthetics, fluids infused with analgesics, etc. may be used for pain management while other medications, such as non-steroidal drugs, steroidal drugs, anti-inflammatory drugs, anti-histamines, anti-bacterial drugs, etc., can also be used. Such assemblies can also be utilized with other instruments as a system. For example, such a probe can be used with nasal speculums or imaging instrument in treating tissue.
    Type: Application
    Filed: May 18, 2007
    Publication date: January 31, 2008
    Applicant: Zoom Therapeutics, Inc.
    Inventors: George Yoseung CHOI, Kasey Kai-Chi Li
  • Publication number: 20080009851
    Abstract: The present invention provides a medical device that may include a catheter body having proximal and distal portions, a fluid injection lumen disposed within elongate body, and a guidewire lumen disposed within the elongate body. A tip portion defining a cavity in fluid communication with the fluid injection lumen may be coupled to the distal end of the guidewire lumen, and an expandable element may be coupled to the distal portion of the catheter body and to the tip portion, such that the expandable element is in fluid communication with the fluid injection lumen. A shaping element may at least partially surround the expandable element, where the shaping element is configurable in a first geometric configuration and a second geometric configuration.
    Type: Application
    Filed: June 28, 2006
    Publication date: January 10, 2008
    Inventors: Dan Wittenberger, Marwan Abboud, Ioana Deac
  • Patent number: 7316682
    Abstract: An electrosurgical device to generate a plasma stream for performing electrosurgery on a surgical site on a patient comprising an electrosurgical generator coupled to a electrical power source to supply power to the electrosurgical device and a plasma generator including an electrode operatively coupled to the electrosurgical generator to receive electrical energy therefrom and concentrically disposed within an inner noble gas conduit to form a plasma channel coupled to a noble gas source to feed noble gas to the inner noble gas conduct, an intermediate electronegative gas conduit disposed in surrounding coaxial relation relative to the noble gas conduit to cooperatively form an electronegative gas channel therebetween coupled to a gas source to feed electronegative gas to the electronegative gas channel and an outer aspiration conduit disposed in surrounding coaxial relation relative to the intermediate electronegative gas conduit to cooperatively form an aspiration channel therebetween coupled to a negative
    Type: Grant
    Filed: December 17, 2002
    Date of Patent: January 8, 2008
    Assignee: Aaron Medical Industries, Inc.
    Inventor: Gregory A. Konesky
  • Patent number: 7311707
    Abstract: The invention relates to a connecting device for an electrosurgical instrument, which comprises at least one gas supply line and one power supply line. Said connecting device comprises a housing into which passes the gas supply line including the power supply line disposed therein. The connecting device is also provided with a branching device that is located in the housing, and by way of which the power supply line is diverted out of the gas supply line in order to form a gas-connection end piece and a power-connection end piece, and with a plug fixed to the housing in order to make connection to a socket in an appliance or to connecting leads running to the appliance. The gas-connection end piece and the power-connection end piece are coupled to the plug and a filter is disposed within the housing in the gas-connection end piece.
    Type: Grant
    Filed: June 26, 2003
    Date of Patent: December 25, 2007
    Assignee: Erbe Elektromedizin GmbH
    Inventors: Martin Hagg, Ralf Kühner, Uwe Schnitzler
  • Patent number: 7282048
    Abstract: In an electrosurgical generator for generating radio frequency power, the generator includes a radio frequency output stage having two or more output connections, and a power supply coupled to the output stage for supplying power to the output stage. A controller is operable to cause the generator to supply a blended output signal alternating constantly between a first output signal across the output connections in which the radio frequency output voltage developed across the output connections is limited to at least a first predetermined threshold value for cutting or vaporisation of tissue, and a second output signal across the output connections in which the radio frequency output voltage developed across the output connections is limited to a second threshold value for coagulation.
    Type: Grant
    Filed: June 2, 2004
    Date of Patent: October 16, 2007
    Assignee: Gyrus Medical Limited
    Inventors: Colin C. O. Goble, Andrew J. Ford, Michael D. Newton
  • Patent number: 7278992
    Abstract: A first medical instrument includes a medical catheter, a rotatable member, an injection needle, and at least one medical-treatment electrode supported by the rotatable member. The medical catheter has a distal end. The rotatable member is connected to the medical catheter and is rotatable with respect to the medical catheter. The injection needle is movable to extend from, and to retract within, the distal end of the medical catheter. A second endoscope adjunct includes a medical catheter, a rotatable member, and at least one medical-treatment electrode supported by the rotatable member. The medical catheter has a distal end and has a lumen adapted to receive the injection needle. The rotatable member is connected to the medical catheter is rotatable with respect to the medical catheter.
    Type: Grant
    Filed: February 1, 2005
    Date of Patent: October 9, 2007
    Assignee: Ethicon Endo-Surgery, Inc.
    Inventors: Michael S. Cropper, Patrick Weizman
  • Patent number: 7271363
    Abstract: Portable microwave plasma systems including supply lines for providing microwaves and gas flow are disclosed. The supply line includes at least one gas line or conduit and a microwave coaxial cable. A portable microwave plasma system includes a microwave source, a waveguide-to-coax adapter and a waveguide that interconnects the microwave source with the waveguide-to-coax adapter, a portable discharge unit and the supply line. The portable discharge unit includes a gas flow tube coupled to the supply line to receive gas flow and a rod-shaped conductor that is axially disposed in the gas flow tube and has an end configured to receive microwaves from the microwave coaxial cable and a tapered tip positioned adjacent the outlet portion of the gas flow tube. The tapered tip is configured to focus microwave traveling through the rod-shaped conductor and generate plasma from the gas flow.
    Type: Grant
    Filed: September 1, 2004
    Date of Patent: September 18, 2007
    Assignees: Noritsu Koki Co., Ltd., Amarante Technologies, Inc.
    Inventors: Sang Hun Lee, Jay Joongsoo Kim, Togo Kinoshita
  • Patent number: 7244255
    Abstract: A high-frequency generator for high-frequency surgery is driven by a d.c. voltage supply. This d.c. voltage supply has a first working mode for transferring energy in a direction of the high-frequency generator, and also a second working mode for transferring energy in an opposite direction. With this arrangement, a particularly fast and efficient regulation of output voltage of the generator is possible. Therefore a reliable first cut may be performed on different kinds of tissue without any coagulation. Furthermore, owing to a high efficiency, a particularly small constructional size can be achieved.
    Type: Grant
    Filed: October 22, 2004
    Date of Patent: July 17, 2007
    Assignee: Storz Endoskop Produktions GmbH
    Inventors: Felix Daners, Pavel Novak
  • Patent number: 7238181
    Abstract: A high-frequency generator for high-frequency surgery comprises a power generator for supplying high frequency energy at a base frequency. A standardizing factor is determined, with which an output variable from the power generator must be scaled in order to attain a given desired value. Furthermore, harmonics of the base frequency are determined from the output variable and scaled using this factor. By means of an input, the thus obtained signal now controls the output power of the generator. With this arrangement, a reliable first cut may be performed on various kinds of tissue without occurrence of any coagulation.
    Type: Grant
    Filed: October 22, 2004
    Date of Patent: July 3, 2007
    Assignee: Storz Endoskop Produktions GmbH
    Inventors: Felix Daners, Pavel Novak
  • Patent number: 7211081
    Abstract: An electrosurgical generator for supplying RF power to an electrosurgical instrument for cutting or vaporising 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 vaporising 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 1kW peak by supplying the power bridge from a large reservoir capacitor (60).
    Type: Grant
    Filed: December 23, 2003
    Date of Patent: May 1, 2007
    Assignee: Gyrus Medical Limited
    Inventor: Colin C. O. Goble
  • Patent number: 7203556
    Abstract: A medical instrument, in particular a generator for high-frequency surgery, comprises setting elements for presetting functions, and also functional elements for performing functions according to the settings. A controller interrogates the setting elements and controls the functional elements accordingly. Furthermore, a safety controller is provided for performing plausibility checks with the aid of information from the setting elements and also the functional elements, and for deactivating, or putting into a safe operating condition, the functional elements in the case of inadmissible working conditions.
    Type: Grant
    Filed: October 22, 2004
    Date of Patent: April 10, 2007
    Assignee: Storz Endoskop Produktions GmbH
    Inventor: Felix Daners
  • Patent number: 7175618
    Abstract: A high frequency electrosurgical power generator configured to produce electrical power at a frequency of about 1 to about 14 MHz and preferably having an essentially sinusoidal waveform with a voltage level up to 1,000 Vrms, and a current level up to 5 Amps. The output of the high frequency electrosurgical power generator is connected to an electrosurgical tool configured to receive the voltage and current produced by the electrosurgical power generator and deliver the voltage and current to an electrosurgical site. The output of the electrosurgical generator preferably is an essentially sinusoid waveform with a frequency between about 3 MHz and about 8 MHz, up to about 700 volts rms, up to about 2 amps, with a total power of up to 1,000 watts.
    Type: Grant
    Filed: September 9, 2003
    Date of Patent: February 13, 2007
    Assignee: SenoRx, Inc.
    Inventors: James Huntington Dabney, Richard L. Quick, Conrad Sawicz, Paul Lubock, Dan Kussman
  • Patent number: 7172592
    Abstract: A device for selectively providing electrical energy from an electrosurgical generator for alternatively searing and coagulating tissue of a patient during surgery is provided. The electrocautery device has a blade electrically connected to an electrical cable. The electrocautery device comprises a hollow main body with a vacuum mechanism formed in the hollow main body. At least one intake port is formed in the hollow main body with a vacuum tubing extending into the hollow main body fluidly connecting the intake port. A first button having a first airway opening and a second airway opening selectively activates energy to sear tissue and activates the vacuum mechanism.
    Type: Grant
    Filed: September 28, 2004
    Date of Patent: February 6, 2007
    Inventor: Stephen R. DeSisto
  • Patent number: 7172591
    Abstract: When a user steps on a footswitch, high-frequency output power is delivered. A control circuit included in a diathermic power supply calculates the impedance ZSn that is offered by a living tissue immediately after delivery of high-frequency output power is started during the n-th delivery period. The control circuit also calculates the impedance ZEn that is offered thereby immediately before delivery of high-frequency output power is discontinued with elapse of predetermined time. The control circuit then discontinues delivery of high-frequency output power for the predetermined time, and calculates a difference ?Zn between the impedances. When the difference meets a predetermined condition that implies coagulation or when the number of times of delivery reaches a predetermined value, the control circuit discontinues delivery of high-frequency output power.
    Type: Grant
    Filed: September 11, 2003
    Date of Patent: February 6, 2007
    Assignee: Olympus Corporation
    Inventors: Kenji Harano, Masahide Ohyama, Kazuya Hijii, Koji Yamauchi, Shinji Hatta
  • Patent number: 7115121
    Abstract: An electrosurgical apparatus comprises an HF generator and an HF instrument, the HF instrument having a first switch and a second switch, the first switch being assigned a first operating state, and the second switch being assigned a second operating state of the HF generator, the first switch and the second switch further being connected to at least one control signal line, there being assigned, furthermore, to the first switch and the second switch signal coding means that, as a function of the switching state of the first and the second switch, generate from a control input signal different control output signals for the optional activation of the first operating state or of the second operating state of the HF generator, which are fed to the HF generator via the common control line, and the HF instrument furthermore having at least a third switch, which is assigned at least a third operating state of the HF generator.
    Type: Grant
    Filed: December 8, 2003
    Date of Patent: October 3, 2006
    Assignee: Storz Endoskop GmbH
    Inventor: Pavel Novak
  • Patent number: 7115127
    Abstract: A method for accelerating hemostasis of an artery having a puncture after arterial catheterization, the catheterization using a catheter introducer, the method including the steps of inserting into an artery a catheter introducer prior to arterial catheterization, following arterial catheterization, introducing a hemostasis device into the catheter introducer, such that a forward end of the hemostasis device lies exterior of the artery adjacent a puncture in a wall of the artery, accelerating hemostasis by heating blood in the vicinity of the puncture, thereby shortening the time required for hemostasis and following hemostasis, removing the catheter introducer and hemostasis device from the patient. A method for monitoring the progress of hemostasis of an artery is also disclosed.
    Type: Grant
    Filed: February 4, 2003
    Date of Patent: October 3, 2006
    Assignee: CardioDex, Ltd.
    Inventors: Hayim Lindenbaum, Shimon Eckhouse