With Switching Or Power Control Patents (Class 606/42)
  • Patent number: 6984231
    Abstract: An electrosurgical system includes a generator (10) for generating radio frequency power, and an electrosurgical instrument (12) including at least three electrodes. The generator comprises a radio frequency output stage having at least a pair of output lines (60C), and a power supply (66) coupled to the output stage for supplying power to the output stage. The generator also includes a controller (72) capable of varying a radio frequency signal supplied to the output lines, and a switching circuit (62) having three or more output connections (62A, 62B, 62C) each electrically connected with a respective one of the at least three electrodes. This switching circuit is operable to vary the connections between the output lines (60C) and the output connections (62A, 62B, 62C).
    Type: Grant
    Filed: August 27, 2002
    Date of Patent: January 10, 2006
    Assignee: Gyrus Medical Limited
    Inventors: Coliin C. O. Goble, Scott T. Latterell, Douglas S. Wahnschaffe
  • Patent number: 6977495
    Abstract: Various circuit configurations for use in switch assembly used in a surgical hand piece system are provided. The circuit configuration provide a number of functions such as permitting the presence and direction of conductivity to be detected. The circuit configurations also provide a means for detecting and measuring the degree of influence of debris which is located between the conductive members of the handpiece. In addition, the circuit configurations also provide a means for identifying the type of switch end cap which is attached to the handpiece. The handpiece body and the switch mechanism are electrically connected to one another in such a manner that permits the switch end cap to be freely rotated about the handpiece body and reduces the number of conductive members needed to communicate the status of each switch.
    Type: Grant
    Filed: January 16, 2004
    Date of Patent: December 20, 2005
    Assignee: Ethicon Endo-Surgery, Inc.
    Inventor: William T. Donofrio
  • Patent number: 6966907
    Abstract: An electrosurgical system includes a generator for generating radio frequency power, and an electrosurgical instrument including at least three electrodes and. The generator includes a radio frequency output stage having at least a pair of RF output lines, and a power supply coupled to the output stage for supplying power to the output stage. A controller is operable to limit the radio frequency output voltage developed across the output lines to at least a first predetermined threshold value to produce a cutting RF waveform, and a second threshold value to produce a coagulating RF waveform. In a combined mode, the controller delivers both cutting and coagulating waveforms, either simultaneously or by alternating constantly between the first and second threshold values to form a blended signal.
    Type: Grant
    Filed: March 5, 2003
    Date of Patent: November 22, 2005
    Assignee: Gyrus Medical Limited
    Inventor: Coliin C. O. Goble
  • Patent number: 6964661
    Abstract: A vessel occlusion system includes one or more ablation elements that, when activated, is configured for at least partially closing a vessel segment of a patient. The vessel occlusion system further includes a sensor assembly that is configured for generating feedback indicative of a state of closure of the vessel segment, and an automated longitudinal translator configured for longitudinally translating the one or more ablation elements based on the feedback from the sensor assembly. The one or more ablation elements may be associated with a catheter member that slides within the catheter sheath.
    Type: Grant
    Filed: April 2, 2003
    Date of Patent: November 15, 2005
    Assignee: Boston Scientific SciMed, Inc.
    Inventors: Robert F. Rioux, Paul DiCarlo
  • Patent number: 6958062
    Abstract: A multiple antenna ablation apparatus includes an electromagnetic energy source, a trocar including a distal end, and a hollow lumen extending along a longitudinal axis of the trocar, and a multiple antenna ablation device with three or more antennas. The antennas are initially positioned in the trocar lumen as the trocar is introduced through tissue. At a selected tissue site the antennas are deployable from the trocar lumen in a lateral direction relative to the longitudinal axis. Each of the deployed antennas has an electromagnetic energy delivery surface of sufficient size to, (i) create a volumetric ablation between the deployed antennas, and (ii) the volumetric ablation is achieved without impeding out any of the deployed antennas when 5 to 200 watts of electromagnetic energy is delivered from the electromagnetic energy source to the multiple antenna ablation device. At least one cable couples the multiple antenna ablation device to the electromagnetic energy source.
    Type: Grant
    Filed: November 3, 1997
    Date of Patent: October 25, 2005
    Assignee: Rita Medical Systems, Inc.
    Inventors: Edward J. Gough, Alan A. Stein, Stuart D. Edwards
  • Patent number: 6958064
    Abstract: A system for treating tissue includes first and second ablation devices each including a plurality of wire electrodes and coupled to a generator in parallel. In one embodiment, the generator includes first and second terminals coupled in parallel to one another, and the first and second ablation devices are connected to the first and second terminals, respectively. Alternatively, the first and second ablation devices are coupled to a single terminal of the generator using a “Y” cable. A ground electrode is coupled to the generator opposite the first and second ablation devices for monopolar operation. The first and second arrays of electrodes are inserted into first and second sites adjacent one another within a tissue region. Energy is simultaneously delivered to the first and second arrays to generate lesions at the first and second sites preferably such that the first and second lesions overlap.
    Type: Grant
    Filed: November 14, 2003
    Date of Patent: October 25, 2005
    Assignee: Boston Scientific SciMed, Inc.
    Inventors: Robert F. Rioux, Robert Garabedian, Jerry Jarrard
  • Patent number: 6955674
    Abstract: The control for an ablation catheter provides increased ablation catheter operation feedback and increased options for programmable control of the ablation catheter for clinicians. The control for an ablation catheter has a microcontroller containing memory, an input and output coupled to the microcontroller, a movement program, a comparison program, and an annunciating program. The movement program processes position information from the input to calculate ablation catheter movement. The comparison program compares ablation catheter movement to a predetermined control data.
    Type: Grant
    Filed: April 7, 2003
    Date of Patent: October 18, 2005
    Assignee: Medtronic, Inc.
    Inventors: Olaf J. Eick, John C. M. J. Feron
  • Patent number: 6950025
    Abstract: A medical surgery safety device used in connection with surgical insulting instruments and other operation room medical equipment. The safety device includes one or more remote unit attached to the surgical insulting instruments and the medical equipment and having an accelerometer for detecting a sudden motion of the medical equipment, and a radio frequency signal transmitter for transmitting a radio frequency signal upon detection of such sudden motion. The safety device also includes a base unit attached to a main surgical insulting instrument and having an accelerometer for detecting a sudden motion of the main surgical insulting instrument, and a radio frequency signal receiver for receiving the radio frequency signal from the remote units. The base unit also include a power inlet connected to an external electrical power source and a power outlet for providing electrical power to the surgical insulting instruments.
    Type: Grant
    Filed: May 17, 2002
    Date of Patent: September 27, 2005
    Inventor: Li Nguyen
  • Patent number: 6929641
    Abstract: An electrosurgical system includes a generator for generating radio frequency (RF) power, and an electrosurgical instrument including at least three electrodes. The generator comprises an RF output stage having at least a pair of RF output lines, a power supply coupled to the output stage for supplying power to the output stage, and a controller capable of varying the RF power signal supplied to the output lines. The system also includes a selection circuit having at least three output connections each in electrical connection with a respective one of the at least three electrodes. This selection circuit operates to vary the coupling between the RF output stage and the three or more output connections.
    Type: Grant
    Filed: March 5, 2003
    Date of Patent: August 16, 2005
    Assignee: Gyrus Medical Limited
    Inventors: Coliin C. O. Goble, Scott T. Latterell, Douglas S. Wahnschaffe
  • Patent number: 6929643
    Abstract: A treatment electrode of a resectoscope apparatus is substantially semicircular-shaped. A length a of a first segment and a length b of a second segment satisfy a relationship of (a>2·b). The first segment is in parallel with the plane on which a parallel lead member exists and has the maximum width of the treatment electrode. The second segment is vertical to the first segment and has the maximum distance between an intersection to the first segment and an intersection to the treatment electrode.
    Type: Grant
    Filed: April 15, 2003
    Date of Patent: August 16, 2005
    Assignee: Olympus Corporation
    Inventors: Masahide Ohyama, Kazuya Hijii, Shinji Hatta, Kenji Harano, Takeaki Nakamura, Shuichi Kimura
  • Patent number: 6913605
    Abstract: Microfluidic devices and methods for their use in producing pulsed microfluidic jets in a fluid environment are provided. The subject microfluidic devices are characterized by the presence of a microfluid chamber at their distal ends. The microfluid chamber is bounded by an opening at one end, a vapor producing means opposite the opening, and side walls between the opening and the vapor producing means. The microfluid chambers are further characterized in that the only way fluid can exit the microfluid chambers is through the opening. In using the subject devices to produce a fluid jet in a fluid environment, the chamber is first contacted with the fluid environment. The vapor producing means is then actuated in a manner sufficient to produce a vapor bubble in the chamber which, in turn, produces a microfluidic jet in the fluid environment. The subject devices and methods find use in a variety of different applications, e.g., cutting tissue, introducing fluid into a cell, and the like.
    Type: Grant
    Filed: November 20, 2001
    Date of Patent: July 5, 2005
    Assignee: The Board of Trustees of the Leland Stanford Junior University
    Inventors: Daniel A. Fletcher, Daniel Palanker
  • Patent number: 6890331
    Abstract: An electrosurgical apparatus comprises a high frequency generator (1) with an associated power control system, a handpiece (2) with means for removably mounting an electrode (5) therein, and a connection cable (3) between an output (4) of the generator and the handpiece. The transfer characteristic of the system provides a substantially true ohmic transfer of loads on the electrode side of the connection cable (3) to the generator side thereof at or around a predetermined load on the electrode. In order to achieve a fully automatic and optimalized control af power supplied from a cutting electrode, whereby the control is instantly responding, to changes in the electrode load, the electrosurgical apparatus is characterized in that the power control system comprises a driver stage (7) followed by a reflectormeter (9) adapted and arranged to sense the generator output (4).
    Type: Grant
    Filed: September 28, 2001
    Date of Patent: May 10, 2005
    Assignee: XO Care A/S
    Inventor: Tom Kristensen
  • Patent number: 6830569
    Abstract: Output power delivery from an electrosurgical generator is evaluated to avoid malfunctions and risk conditions. Output power is delivered in a selected delivery path and the flow of output power is sensed in the selected delivery path and other delivery paths which have not been selected. The output power delivery is terminated upon determining that output power is not flowing in the selected delivery path or that output power is flowing in a delivery path that was not selected.
    Type: Grant
    Filed: November 19, 2002
    Date of Patent: December 14, 2004
    Assignee: ConMed Corporation
    Inventors: Richard Thompson, Tim Refior
  • Publication number: 20040236323
    Abstract: An electrosurgical device is provided having at least one elastomeric seal capable of providing bio-contamination and dielectric protection by inhibiting the ingress of fluids and contaminants through the nose and actuator areas. The elastomeric seal is manufactured from a thermoplastic elastomer or resin which while in liquid form is placed within a mold. A housing section having the main circuit components and mechanisms of the electrosurgical device is then placed within the mold. Once the elastomer cures, the elastomeric seal seals the components and mechanisms within the housing partial-section. The elastomeric seal defines a flexible first opening at a distal end of the electrosurgical device to accommodate varying diameters of electrodes or blades connected to the nose area of the electrosurgical device. An actuator seal is also provided on the actuator area of the electrosurgical device to prevent fluids and contaminants from entering the electrosurgical device through the actuator area.
    Type: Application
    Filed: June 28, 2004
    Publication date: November 25, 2004
    Inventors: Arthur Schoenman, Joe D. Sartor, Vernita Kelm
  • Patent number: 6808525
    Abstract: A bipolar electrosurgical hook probe includes an end effector that includes first and second electrodes placed in parallel, closely-spaced relationship, each being of a relatively large surface area and a conductive reciprocally movable hook member that is movable into and out of a space between the first and second electrodes. A switch mechanism is provided by which an RF current can alternatively be made to flow between the first and second electrodes during electrocoagulation and from the hook electrode to each of the first and second electrodes when the instrument is operating in its cut mode.
    Type: Grant
    Filed: August 21, 2002
    Date of Patent: October 26, 2004
    Assignee: Gyrus Medical, Inc.
    Inventors: Scott T. Latterell, Douglas S. Wahnschaffe
  • Patent number: 6796981
    Abstract: A method for electrosurgically sealing a tissue includes steps of: (A) applying a first pulse of RF energy to the tissue; and (B) applying at least one subsequent RF energy pulse to the tissue and varying RF energy parameters of individual pulses of subsequent RF energy pulses in accordance with at least one characteristic of an electrical transient that occurs during the individual pulses of the subsequent RF energy pulses. The method terminates the generation of subsequent RF pulses upon a determination that the electrical transient has passed a predetermined limit.
    Type: Grant
    Filed: February 11, 2002
    Date of Patent: September 28, 2004
    Assignee: Sherwood SErvices AG
    Inventors: Robert Wham, Steven P. Buysse, James H. Orszulak
  • Publication number: 20040186468
    Abstract: The invention provides a method and system for treating disorders in parts of the body. A particular treatment can include on or more of, or some combination of: ablation, nerve modulation, three-dimensional tissue shaping, drug delivery, mapping stimulating, shrinking and reducing strain on structures by altering the geometry thereof and providing bulk to particularly defined regions. The particular body structures or tissues can include one or more of or some combination of region, including: the bladder, esophagus, vagina, penis, larynx, pharynx, aortic arch, abdominal aorta, thoracic, aorta, large intestine, sinus, auditory canal, uterus, vas deferens, trachea, and all associated sphincters. Types of energy that can be applied include radiofrequency, laser, microwave, infrared waves, ultrasound, or some combination thereof.
    Type: Application
    Filed: January 29, 2004
    Publication date: September 23, 2004
    Inventor: Stuart D. Edwards
  • Patent number: 6790206
    Abstract: A method and system for delivering power over a patient cable to a therapeutic device, in which a variable that depends on the delivered power is sensed or measured near a distal end of the patient cable, and a feedback signal is generated based on the sensed or measured value. The delivered power is adjusted based at least in part on the feedback signal to compensate for power variance along the patient cable.
    Type: Grant
    Filed: January 31, 2002
    Date of Patent: September 14, 2004
    Assignee: SciMed Life Systems, Inc.
    Inventor: Dorin Panescu
  • Patent number: 6780182
    Abstract: A system for facilitating the placement of a catheter within the human body, in a lumen or vessel such as the fallopian tubes, and controlling the catheter after placement. The system coordinates the operation of treatment electrodes on the catheter with informative displays and prompts to an operator, based on information derived from electrical parameters of position detection electrodes on the catheter.
    Type: Grant
    Filed: May 23, 2002
    Date of Patent: August 24, 2004
    Assignee: Adiana, Inc.
    Inventors: Brett S. Bowman, Vijay Dhaka, Kenneth Kitlas, Douglas C. Harrington
  • Publication number: 20040162553
    Abstract: The present invention provides A surgical dissector, comprising: a housing having a first end and a second end, and on the first end is formed a suction inlet; a circuit board disposed within the housing; a first switch connected to the circuit board for performing function of electrical coagulating, and disposed on the housing; a second switch connected to the circuit board for performing function of electrical cutting, and disposed on the housing; a tube disposed in the housing and extended out of the second end of the housing, the extended end of the tube having a means for performing suction and/or blunt dissectingion and/or scraping and/or push peeling at the situs of operation; an electrosurgical knife disposed in the housing and extended out of the second end of the housing, the electrosurgical knife being connected electrically to the circuit board, and having the functions of electrical coagulating and cutting; and a retractable means for relative retractable movement between the tube and the electro
    Type: Application
    Filed: April 8, 2003
    Publication date: August 19, 2004
    Inventors: Shuyou Peng, Ying Su
  • Patent number: 6740082
    Abstract: Instruments for thermally-mediated treatment of a patient's lower esophageal sphincter (LES) to induce an injury healing response to thereby populate the extracellular compartment of walls of the LES with collagen matrices to altere the biomechanics of the LES to provide an increased intra-esophageal pressure for preventing acid reflux. A preferred embodiment is a bougie-type device for trans-esophageal introduction that carries conductive electrodes for delivering Rf energy to walls of the LES (i) to induce the injury healing response or (ii) to “model” collagenous tissues of the LES by shrinking collagen fibers therein. Typically, an Rf source is connected to at least one conductive electrode that may be operated in a mono-polar or bi-polar fashion. A sensor array of individual sensors is provided in the working end.
    Type: Grant
    Filed: December 29, 1998
    Date of Patent: May 25, 2004
    Inventor: John H. Shadduck
  • Publication number: 20040097919
    Abstract: A surgical device for severing tissue, the surgical device comprising; a first shaft having a first internal lumen and a first slot disposed at a distal end; a clamp slidingly disposed in the first slot between open and closed positions to capture tissue in the first slot, the clamp having a clamping surface disposed at a distal end; at least one electrode for applying RF energy to the tissue captured in the first slot; a cutting blade slidingly disposed in the first slot between open and closed positions, the cutting blade having a cutting edge to sever the tissue; first actuation means for actuating the clamp between the open and closed positions; and second actuation means for actuating the cutting blade between the open and closed positions.
    Type: Application
    Filed: July 8, 2003
    Publication date: May 20, 2004
    Applicant: ETHICON, INC.
    Inventors: Parris S. Wellman, Kevin S. Weadock, Robert Nering
  • Publication number: 20040097916
    Abstract: Output power delivery from an electrosurgical generator is evaluated to avoid malfunctions and risk conditions. Output power is delivered in a selected delivery path and the flow of output power is sensed in the selected delivery path and other delivery paths which have not been selected. The output power delivery is terminated upon determining that output power is not flowing in the selected delivery path or that output power is flowing in a delivery path that was not selected.
    Type: Application
    Filed: November 19, 2002
    Publication date: May 20, 2004
    Inventors: Richard Thompson, Tim Refior
  • Publication number: 20040092927
    Abstract: The present disclosure is directed to electrosurgical pencils having variable controls. In one aspect, the electrosurgical pencil, includes an elongated housing, an electrocautery blade supported within the housing and extending distally from the housing, the electrocautery blade being connected to a source of electrosurgical energy, an activation button supported on the housing, the activation button being movable from a first position to at least a subsequent position, and a transducer electrically connected between the activation button and the source of electrosurgical energy. The transducer is configured to transmit an electrical output signal to the electrosurgical energy source correlating to the movement of the activation button. The source of electrosurgical energy correspondingly supplies an amount of electrosurgical energy to the electrocautery blade dependant upon the electrical output signal.
    Type: Application
    Filed: November 5, 2003
    Publication date: May 13, 2004
    Inventors: Ronald J. Podhajsky, Dale Francis Schmaltz, Arlan James Reschke
  • Patent number: 6733516
    Abstract: A method and apparatus for limiting the application of ablation energy to viable myocardial tissue. An ablation energy generator produces a test signal that is applied to the heart muscle. The response of the heart muscle to the test signal is determined and used to analyze the viability of the heart tissue. If the heart muscle is viable, a higher powered ablation pulse may be delivered. If the tissue is not viable, no ablation energy is delivered. In one embodiment of the invention, the test signal is a low voltage, high frequency signal and the impedance of the tissue in response to the test signal is detected to determine tissue viability.
    Type: Grant
    Filed: January 17, 2001
    Date of Patent: May 11, 2004
    Assignee: SciMed Life Systems, Inc.
    Inventors: Pamela P. Simons, Brandon Shuman, Lee A. Holzapfel
  • Patent number: 6696844
    Abstract: Apparatus for ablating organic material, such as tissue, during an EP procedure generates a monitor signal to provide unambiguous indicia of real time characteristics of the ablation site prior to, during and subsequent to the EP procedure by providing indicia representative of the impedance of the tissue along with indicia of the resistive and reactive components of the impedance. Inorganic materials, such as plastic, can be analyzed, welded or otherwise acted upon and the monitor signal will provide indicia representative of the real time characteristics of the material and change of character thereof. Application of the monitor signal alone can be used to determine the real time characteristics of either organic or inorganic materials to distinguish between healthy and abnormal or diseased tissue and to distinguish between similar inorganic materials having been subjected to different environments or conditions.
    Type: Grant
    Filed: August 31, 2001
    Date of Patent: February 24, 2004
    Assignee: Engineering & Research Associates, Inc.
    Inventors: Yee Chin Wong, Andrea J. Yool, Kristi A. Hansen, Junius E. Taylor
  • Patent number: 6692492
    Abstract: A catheter for applying ablation energy to biological tissue having biological fluid flowing thereby includes a shaft having a distal-end region defining a tissue-contacting surface and a fluid-contacting surface. A plurality of band electrodes are positioned at the distal-end region of the shaft. A thermally conductive and non-electrically conductive surface covering, covers a portion of each of the band electrodes substantially coincident with the fluid-contacting surface. Each band electrode thereby has at least one masked portion substantially coincident with the fluid-contacting surface and at least one non-masked portion substantially coincident with the tissue-contacting surface. Ablation energy is transferred through the non-masked portion of the electrode. One or more thermal sensors are located in the non-masked portion of each of the band electrodes.
    Type: Grant
    Filed: November 28, 2001
    Date of Patent: February 17, 2004
    Assignee: Cardiac Pacemaker, Inc.
    Inventors: John A. Simpson, Jeffrey A. Hall, Jeffrey A. Calhoun, Wade A. Bowe
  • Patent number: 6692490
    Abstract: The invention provides a method and system for treating disorders of the genito-urinary tract and other disorders in other parts of the body. A particular treatment can include one or more of, or some combination of ablation, nerve modulation, three-dimensional tissue shaping, drug delivery, mapping, stimulating, shrinking (by creation of a pattern of thermal lesions) and reducing strain on structures by altering the geometry thereof and providing bulk to particularly defined regions. The particular body structures or tissues can include one or more of, or some combination of regions, including the bladder, esophagus, vagina, penis, larynx, pharynx, aortic arch, abdominal aorta, thoracic aorta, large intestine, small intestine, sinus, auditory canal, uterus, vas deferens, trachea and all associated sphincters. In one aspect of the invention, a catheter is deployed in the body.
    Type: Grant
    Filed: September 28, 1999
    Date of Patent: February 17, 2004
    Assignee: Novasys Medical, Inc.
    Inventor: Stuart D. Edwards
  • Publication number: 20040030334
    Abstract: The invention is directed to an electrosurgical device having a shapeable elongate cutting electrode having a free distal end with an exposed length of at least 0.5 inch and secured by its proximal end to the distal end of a handle. The electrosurgical device is designed for use with a high frequency electrosurgical generator which has an output at a frequency of between about 1 MHz and about 10 MHz, preferably about 3 to about 8 MHz. Preferably, the output has an essentially sinusoidal waveform with little harmonic distortion. The methods provide for the enhanced cutting of a variety of tissue including muscular, connective, glandular and fatty tissue. The device is particularly suitable in performing a breast biopsy.
    Type: Application
    Filed: May 27, 2003
    Publication date: February 12, 2004
    Applicant: SenoRx, Inc.
    Inventors: Richard L. Quick, Martin Shabaz, Dan Kussman, Paul Lubock
  • Patent number: 6689127
    Abstract: An ablation apparatus includes an ablation energy source producing an electromagnetic energy output. A monopolar multiple antenna device is included and has a primary antenna with a longitudinal axis, a central lumen and a distal end, and a secondary antenna with a distal end. The secondary antenna is deployed from the primary antenna central lumen in a lateral direction relative to the longitudinal axis. The primary antenna and secondary antennas are each electromagnetically coupled to the electromagnetic energy source.
    Type: Grant
    Filed: December 22, 1995
    Date of Patent: February 10, 2004
    Assignee: Rita Medical Systems
    Inventors: Edward J. Gough, Alan A. Stein
  • Publication number: 20040024395
    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: Application
    Filed: August 4, 2003
    Publication date: February 5, 2004
    Inventors: Alan G. Ellman, Jon C. Garito
  • Patent number: 6685703
    Abstract: An adapter to couple a dissimilar, normally incompatible radiotherapeutic probe and radio frequency generator includes an adapter body having a proximal connector to be coupled to the generator, a distal connector to be coupled to the dissimilar, normally incompatible radiotherapeutic probe, and one or more electrical elements to emulate one or more operating parameters of a compatible, native radiotherapeutic probe to interface the generator with the dissimilar, normally incompatible radiotherapeutic probe.
    Type: Grant
    Filed: October 19, 2001
    Date of Patent: February 3, 2004
    Assignee: SciMed Life Systems, Inc.
    Inventors: Christopher Pearson, Robert Garabedian
  • Patent number: 6682526
    Abstract: A catheter includes a first plurality of expandable leads and a second plurality of expandable leads separate and longitudinally spaced-apart from the first plurality to deliver energy to a hollow anatomical structure, such as vein, fallopian tube, hemorrhoid, esophageal varix, to effectively ligate that structure. Each of the leads includes an electrode located at the distal end of the respective electrode lead. Polarizations of the leads may be selected to achieve the power distribution desired. Each electrode lead includes an outward bend such that when a movable sheath is moved out of contact with the leads, they expand outwardly into apposition with an inner wall of the structure to be ligated. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure.
    Type: Grant
    Filed: November 17, 2000
    Date of Patent: January 27, 2004
    Assignee: Vnus Medical Technologies, Inc.
    Inventors: Christopher S. Jones, Arthur W. Zikorus, Mark P. Parker, Brian E. Farley, Joseph M. Tartaglia
  • Publication number: 20040010250
    Abstract: A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.
    Type: Application
    Filed: July 11, 2002
    Publication date: January 15, 2004
    Inventors: Ronald R. Manna, Scott Isola, Theodore A. D. Novak
  • Patent number: 6666863
    Abstract: Devices and methods for performing percutaneous myocardial revascularization (PMR) are disclosed. A PMR system in accordance with the present invention includes a first electrode disposed proximate the end of a catheter, a second electrode adapted for connection to the body of a patient, and an ablation current source for providing an ablation current. The ablation current source includes a first output coupled to the first electrode and a second output coupled to the second electrode. In a preferred embodiment, the ablation current source has an enabled state in which an ablation current may be passed between the first electrode and the second electrode, and a disabled state in which the passage of an ablation current between the first electrode and the second electrode is prevented.
    Type: Grant
    Filed: March 1, 2001
    Date of Patent: December 23, 2003
    Assignee: SciMed Life Systems, Inc.
    Inventors: David E. Wentzel, Eric D. Nielson
  • Patent number: 6663623
    Abstract: The electric surgical operation apparatus of the present invention easily and securely shortens the rising time until incision and coagulation effects appear even if electrodes having different volumes or surface areas are used for the treatment tool. Cutting sharpness and safety are improved and the operation time is shortened. In the electric surgical operation apparatus, contact of a monopolar electrode of a monopolar treatment tool with organic tissue is detected by a voltage or current sensor. Based on a detection signal therefrom, a high-frequency output is supplied at a predetermined value from a high-frequency cautery power source device, and a high-frequency output is supplied at a higher initial setting value than the predetermined value during an initial period at a rising time. Setting of at least one of the initial period and the initial setting value can be changed.
    Type: Grant
    Filed: March 13, 2000
    Date of Patent: December 16, 2003
    Assignee: Olympus Optical Co., Ltd.
    Inventors: Masahide Oyama, Kenji Harano, Hiroyuki Takahashi, Kazuya Hijii
  • Patent number: 6652513
    Abstract: Systems and methods heat or ablate body tissue by positioning an electrode to transmit heat or ablation energy to a tissue region. The systems and methods measure a first temperature using a temperature sensing element associated with the electrode. The systems and methods also measure a second temperature using a temperature sensing element associated with the electrode. The systems and methods process at least one of the first and second temperatures to derive a prediction of maximum temperature of the tissue region. The systems and methods generate an output that controls the transmission of the heating or ablation energy based, at least in part, upon the maximum tissue temperature prediction.
    Type: Grant
    Filed: September 24, 2001
    Date of Patent: November 25, 2003
    Assignee: EP Technologies, Inc.
    Inventors: Dorin Panescu, Sidney D. Fleischman, David K. Swanson
  • Patent number: 6652514
    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 13, 2001
    Date of Patent: November 25, 2003
    Inventors: Alan G. Ellman, Jon C. Garito
  • Patent number: 6645198
    Abstract: The present invention provides systems and methods for applying RF energy to injured tissue, particularly the peritoneum, in order to prevent harmful post-surgical adhesions. One aspect of the invention is RF energy delivery systems employing trocars, which are designed for use in laparotomies and laparoscopies. Another aspect of the invention is an RF delivery system comprising a surgical sheet with one or more electrodes for delivering the RF energy to the injured tissue resulting from conventional surgical incisions into the abdominal wall. Additionally, another aspect of the invention provides methods for controlling the treatment dosage of RF heat to the injured tissue using parameters such as treatment time, change in tissue temperature, and change in tissue impedance.
    Type: Grant
    Filed: September 20, 2000
    Date of Patent: November 11, 2003
    Assignee: Ntero Surgical, Inc.
    Inventors: D. Bommi Bommannan, Michael D. Laufer
  • Publication number: 20030181903
    Abstract: A thermokeratoplasty system and method for locally heating and reshaping a cornea in a manner that produces a minimal regression of the corneal correction. The system includes a probe that is coupled to a power source which can provide current at a predetermined power, frequency and time duration. The probe has a sharp tip that is inserted into the stroma of the cornea. The tip has an insulated stop that controls the depth of tip penetration. Current flows into the cornea through the probe tip to locally heat and denature the corneal tissue. The denatured tissue causes a subsequent shrinkage of the cornea. A pattern of denatured areas can be created around the cornea to correct the vision of the eye.
    Type: Application
    Filed: March 20, 2003
    Publication date: September 25, 2003
    Inventors: Larry L. Hood, Antonio G. Mendez
  • Patent number: 6623480
    Abstract: An electrode catheter is provided having a predetermined flexibility throughout the entire length or at least at the contact portion, such as the electrode region, to allow for the molding of the contact portion such that it conforms to the shape of the heart at a preselected desired target area, such as the isthmus between the inlet of inferior vena cava and posterior tricuspid annulus. The catheter also includes a guiding sheath that is preferably semirigid and may be pre-shaped with at least one bend or angulation to assist in molding to ensure that the electrode region overlies the desired target treatment area. A remotely controlled anchoring device is provided at the distal end of the catheter for anchoring it in position to facilitate the molding operation and placement over the target treatment area. A method of cardiac ablation using the catheter of the present invention is also disclosed.
    Type: Grant
    Filed: July 23, 1999
    Date of Patent: September 23, 2003
    Assignee: University of Kentucky Research Foundation
    Inventors: Chien-Suu Kuo, John C. Gurley
  • Patent number: 6616658
    Abstract: An electrosurgical pencil comprises a main body portion forming a handle. A wire retaining passage is defined by the main body portion and has a wire-receiving opening and an electrode-receiving opening. A metal electrode tip is mounted at the electrode-receiving opening for engaging tissue in a surgical site to thereby coagulate the tissue. A wire enters the wire retaining passage is selectively connectable in electrically conductive relation through an electrical switch to the metal electrode tip. A substantially unobstructed airflow vent is defined substantially solely by the main body portion so as to extend from the electrode end to the exhaust end of the main body portion, and has an inlet disposed adjacent the electrode end of the main body portion and that is connected in fluid communication via the airflow vent to an outlet disposed adjacent the exhaust end of the main body portion.
    Type: Grant
    Filed: November 8, 2001
    Date of Patent: September 9, 2003
    Inventor: Leonard Ineson
  • Patent number: 6610054
    Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.
    Type: Grant
    Filed: November 27, 1996
    Date of Patent: August 26, 2003
    Assignee: Vidamed, Inc.
    Inventors: Stuart D. Edwards, Ronald G. Lax, Ingemar H. Lundquist, Hugh R. Sharkey
  • Publication number: 20030109871
    Abstract: An apparatus for treating tumors comprises an elongated delivery device that includes a lumen and is maneuverable in tissue. An impedance sensor array is deployable from the elongated device and configured to be coupled to at least one of an energy source or a switching device. The impedance array includes a plurality of resilient members, at least one of the plurality being positionable in the elongated device in a compacted state and deployable with curvature into tissue from the elongated device in a deployed state. In the deployed state, the plurality of resilient members defines a sample volume. At least one of the resilient members includes an impedance sensor and at least a portion of the array is configured to sample tissue impedance through a plurality of conductive pathways. An energy delivery device is coupled to one of the array, the at least one resilient member or the elongated device.
    Type: Application
    Filed: July 25, 2001
    Publication date: June 12, 2003
    Inventors: Theodore C. Johnson, Daniel J. Balbierz, Robert M. Pearson
  • Publication number: 20030088247
    Abstract: An electrosurgical pencil comprises a main body portion forming a handle. A wire retaining passage is defined by the main body portion and has a wire-receiving opening and an electrode-receiving opening. A metal electrode tip is mounted at the electrode-receiving opening for engaging tissue in a surgical site to thereby coagulate the tissue. A wire enters the wire retaining passage is selectively connectable in electrically conductive relation through an electrical switch to the metal electrode tip. A substantially unobstructed airflow vent is defined substantially solely by the main body portion so as to extend from the electrode end to the exhaust end of the main body portion, and has an inlet disposed adjacent the electrode end of the main body portion and that is connected in fluid communication via the airflow vent to an outlet disposed adjacent the exhaust end of the main body portion.
    Type: Application
    Filed: November 8, 2001
    Publication date: May 8, 2003
    Inventor: Leonard Ineson
  • Patent number: 6558378
    Abstract: A plurality of electrodes are positioned at the distal end of a catheter such that the electrodes may be positioned proximal biological tissue. A select number of the electrodes have a temperature sensing device associated with them for providing a temperature signal indicative of the temperature at the interface between the electrode and the tissue. A generator operates under the control of a processor to apply power to each of the electrodes. The power has an associated phase angle and, within a time duration, a plurality of alternating on periods and off periods, one set of adjacent on and off periods defining a duty cycle. The processor is programmed to determine the temperature at the electrode/tissue interface based on the temperature signals, compare the temperature to a target temperature and to adjust the power to the electrode accordingly.
    Type: Grant
    Filed: December 13, 2000
    Date of Patent: May 6, 2003
    Assignee: Cardiac Pacemakers, Inc.
    Inventors: Marshall L. Sherman, Kathryn E. Lockwood, Thomas M. Castellano
  • Patent number: 6551312
    Abstract: An improved wireless electrosurgery instrument comprising at least one surface electrical contact for contactably coupling the wireless instrument to a remote power source through a coupling mechanism, wherein the coupling mechanism comprises an insulated electrical conductor running through a surgeon's glove and/or a surgeon's gown.
    Type: Grant
    Filed: March 9, 2001
    Date of Patent: April 22, 2003
    Assignee: Quantum Cor, Inc.
    Inventors: Ji Zhang, Terence J. Gilhuly, Samuel V Lichtenstein
  • Publication number: 20030073989
    Abstract: The present invention provides an apparatus and a method for producing a virtual electrode within or upon a tissue to be treated with radio frequency alternating electric current, such tissues including but not limited to liver, lung, cardiac, prostate, breast, and vascular tissues and neoplasms. An apparatus in accord with the present invention includes a supply of a conductive or electrolytic fluid to be provided to the patient, an alternating current generator, and a processor for creating, maintaining, and controlling the ablation process by the interstitial or surficial delivery of the fluid to a tissue and the delivery of electric power to the tissue via the virtual electrode.
    Type: Application
    Filed: April 24, 2002
    Publication date: April 17, 2003
    Applicant: Medtronic, Inc.
    Inventors: Michael F. Hoey, Mark A. Christopherson, Steven M. Goetz
  • Publication number: 20030065322
    Abstract: Systems and associated methods place a temperature sensing element in an “edge region” between an energy transmitting electrode and a non-electrically conducting support body, where higher temperatures are likely to exist. Reliable temperature sensing, which is sensitive to variations in temperatures along the electrode, results.
    Type: Application
    Filed: October 21, 2002
    Publication date: April 3, 2003
    Inventors: Dorin Panescu, Sidney D. Fleischman, James G. Whayne, David K. Swanson
  • Patent number: 6533778
    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.
    Type: Grant
    Filed: April 26, 2001
    Date of Patent: March 18, 2003
    Inventor: Garrett D. Herzon