Abstract: A compensation circuit has a predetermined, known complex impedance and is located in a handle of a catheter or in a distal end of a cable that connects to the catheter. The compensation circuit is probed with a pilot signal produced by a compensation control that is external to the catheter, by way of an electrical connection through the connecting cable. The compensation control measures the complex impedance, which is the combination of the circuit's known impedance as well as that of the cable. The compensation control then determines the difference between the measured and the known complex impedances. The difference represents that which is attributable to the cable, and is used to compensate or cancel out such cable-related contributions to complex impedance in measurements made over other electrical connections in the same cable.

Abstract: An improved electrosurgical scalpel, with light emission, for generating electrical signals intended for applications to the body of a patient via an electrosurgical electrode is provided. An electrosurgical scalpel includes a handle with a receptacle portion of a conductive member for mounting and retaining an electrode blade, a light source with a power source encapsulated within the handle and a means to direct the light emitted outwardly towards the electrode tip. Operation of a switch on the handle to an on position serves to complete a circuit, activating the light source and, thereby directing light through an opening or upper portion and out from the first end of the handle towards the distal end of the electrode blade.

Abstract: A surgical ablation system features a source of ablation energy, a handle adapted to operably couple to the source of ablation energy, and an ablation probe adapted to operably couple to the handle. The handle includes a housing having a proximal end and a distal end, a hub included within the housing having a plenum defined therein, and a proximal feedline in fluid communication at a proximal end thereof with the plenum and joined at a distal end thereof to a first coupling member. The ablation probe includes a probe hypotube shaft having a proximal end and a distal end, a second coupling member disposed at a proximal end of the probe hypotube shaft adapted to operably couple with the first coupling member, a distal tip adapted to penetrate tissue. Ablation energy is deliverable by the ablation probe when the source of ablation energy is operably coupled to the handle and the handle is operably coupled to the ablation probe.

Abstract: Ablation methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias and the like. Percutaneous ablation instruments in the form of coaxial catheter bodies are disclosed having at least one central lumen therein and having one or more balloon structures at the distal end region of the instrument. The instruments include an energy emitting element which is independently positionable within the lumen of the instrument and adapted to project radiant energy through a transmissive region of a projection balloon to a target tissue site to form a series of lesions on the target tissue.

Abstract: A catheter includes a plurality of expandable primary leads to deliver energy to a fallopian tube, a vein such as a hemorrhoid or an esophageal varix, or another hollow anatomical structure requiring ligation or occlusion. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that the leads can receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with a hollow anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another.

Abstract: A system, apparatus and method for dissipating standing waves in a microwave energy delivery system including a microwave energy source configured to intermittently delivery microwave energy as a periodic microwave signal an energy delivery network configured to transmit the periodic microwave signal and a circuit connected between the microwave energy source and the energy delivery network. The circuit is configured to pass the periodic microwave signal from the microwave energy source to the energy delivery network when the periodic microwave signal is present and to dissipate standing waves when the periodic microwave signal is absent.

Abstract: An electrosurgical system includes an electrosurgical generator including at least one source of radio frequency (RF) power, and a plurality of output connections, only one of the output connections at any one time being active in that it is able to receive radio frequency power from the source. The generator includes selection means adapted to change the active output connection, and a controller adapted to control the supply of radio frequency power from the source to the active output connection. The system also includes a plurality of electrosurgical assemblies, each including an electrosurgical instrument and a cable connecting the electrosurgical instrument to one of the output connections. The electrosurgical assemblies each include a handswitch adapted to send a signal to the selection means to change the active output connection.

Abstract: A system and apparatus for irrigating a surgical site during an electrosurgical procedure are disclosed. The system includes a hand piece having an elongated housing connected to a multi-lumen tube extending proximally from the housing and having an irrigation tube for delivering irrigation fluid, a suction tube for withdrawing irrigation fluid, and electrical wiring, a first controls for adjusting flow of irrigation fluid within the irrigation tube and second controls for adjusting flow of irrigation fluid within the suction tube. A valve cassette is connected to the multi-lumen tube, which includes an irrigation valve configured to control the flow within the irrigation tube and a suction valve configured to control the flow within the suction tube. A hardware control module controls the irrigation valve and the suction valve based on control signals from the first and second controls.

Abstract: A switch unit (40) is mountable to a distal end of a handpiece of an electrically-activatable surgical tool, such as an ultrasonically-vibratable surgical tool. The switch unit (40) has a generally bullet-shaped outer form with an axial bore (42) through which a waveguide of the tool extends. A resiliently deformable band (1) extends around the switch unit (40) above a polygonal-section contact zone (2), such that fingertip pressure on the band (1) may locally depress the band (1) towards a flat area (12) of the contact zone (2). Switch contacts (11) are mounted to an inner surface of the band (1) opposite a plated circuit (10) located on each flat area (12) so as to form a plurality of switches. A switch to activate the tool is thus easily accessible to a user's fingertip in any orientation of the handpiece in the user's hand. The switch contacts (11) may each comprise a body having an electrical resistance dependent on a pressure exerted thereon.

Abstract: An electronic apparatus includes a circuit portion that is configured to control an operation of the electronic apparatus and a heat-activated mechanical switch including, for example, a shape-memory material. The shape-memory material has a property such that the shape-memory material assumes a predetermined shape when the electronic apparatus is heated to a transition temperature. The shape-memory material disables the apparatus by acting on the circuit portion when the shape-memory material assumes the predetermined shape.

Abstract: The invention pertains to techniques or processes for managing surgical smoke. In one embodiment a suction apparatus evacuates the surgical smoke. For example, the suction apparatus may be arranged adjacent to an electrocautery electrode, which may generate smoke during operation, for evacuating smoke from a surgical site.

Abstract: An electrosurgical pencil is provided, which includes an elongated housing, an electrocautery electrode supported within the housing and extending distally from the housing. The electrocautery electrode is connected to a source of electrosurgical energy. The pencil also includes at least one voltage divider network supported on the housing and electrically connected to the source of electrosurgical energy for controlling intensity, frequency, and/or mode of electrosurgical energy being delivered to the electrocautery electrode.

Abstract: Sterilization devices and methods for deploying porous implants within the fallopian tubes are disclosed. The devices include a catheter component including an external electrode sheath containing at least two deployable implants and a positioning member. Sliding the external sheath proximally disposes the implants within the fallopian tubes, while sliding both the positioning member and external electrode sheath distally reloads a second implant into the external electrode sheath. The devices further includes a handle component, which houses a chassis, external electrode sheath carrier, reciprocating shaft, positioning member carrier and first and second engaging members. The reciprocating shaft may be operated by a motor to slide distally and proximally along a long axis. The reciprocating shaft, external electrode sheath and its carrier, upon selective actuation, move together proportionally to deploy and reload the implants to facilitate occlusion of the fallopian tubes and complete sterilization.

Abstract: A radio-frequency thermal balloon catheter includes a catheter tube including an outer tube and an inner tube, a balloon connected to an end part of the outer tube and an end part of the inner tube, and capable of coming into contact with a target diseased part when inflated, a radio-frequency electrode placed in the wall of the balloon or inside the balloon to transmit radio-frequency current, a lead wire electrically connected to the radio-frequency electrode, a temperature sensor capable of measuring temperature inside the balloon, and a swirling current producing means for making a fluid contained in the balloon swirl in a vertical plane in the balloon so as to reduce an upper-lower temperature difference between an upper part and a lower part of the interior of the balloon due to convection of the fluid to naught.

Abstract: Disclosed herein is a device adapted for occluding the ovarian pathway of a female body for sterilization purposes. The device delivers RF energy to wound tissue at a desired location within at least one fallopian tube and implants a porous foam plug adjacent to the wounded tissue at said location. Depending on the plug's pore sizes, vascularized tissue may grow into the plug to prevent or discourage the formation of scar tissue around the plug and/or a vascularized capsule may form around the plug, which limits the patient's foreign body response so that the capsule does not constrict around the plug.

Abstract: An apparatus for treatment of tissue within a body requiring thermotherapy includes a catheter to be inserted into a bodily conduit, an energy-emitting source disposed within the catheter, a compression balloon surrounding the energy-emitting source where the compression balloon has an inflated diameter that is greater than that of the bodily conduit in a relaxed state and an outside surface of the balloon is coated with one of gene modifiers and drug or medication, and means for activating the energy-emitting source to radiate energy to heat the drug-coated compression balloon and tissue to be treated whereby the heated drug-coated compression balloon effectively delivers the one of the gene modifiers and drug or medication to a target area of the diseased tissue. In addition, methods for using the above apparatus to treat diseased tissue are disclosed.

Abstract: A method for ablation in which a portion of atrial tissue around the pulmonary veins of the heart is ablated by a first elongated ablation component and a second elongated ablation component movable relative to the first ablation component and having means for magnetically attracting the first and second components toward one another. The magnetic means draw the first and second components toward one another to compress the atrial tissue therebetween, along the length of the first and second components and thereby position the device for ablation of the tissue.

Abstract: A method and apparatus of treating tissue adjacent to a bodily conduit using thermotherapy, while preventing obstructions of the bodily conduit due to edema employs the circulation of warmed fluid to maintain the temperature of the bodily conduit walls and compresses the tissue to be treated to increase the effectiveness of the irradiated heat. An energy-emitting source containing catheter is inserted in a bodily conduit and is positioned in a region of the tissue to be treated so that the energy-emitting source radiates energy to the tissue to be treated. Fluid warmed to over 30° C. is circulated into and through the catheter to warm walls of the bodily conduit adjacent the catheter. The circulated fluid inflates a balloon to a pressure to compress the tissue to be treated. The combination of warmed fluid over 30° C.

Abstract: A medical device system comprising a guide catheter and a leaflet fastening applicator, the guide catheter having suitable dimensions for deployment and insertion percutaneously into a human heart in a vicinity of a heart valve, the leaflet fastening applicator having a size allowing insertion through the guide catheter and being capable of holding portions of opposing heart valve leaflets, wherein the fastening applicator comprises a pair of grasping-electrodes adapted for holding and engaging the portions of opposing heart valve leaflets together and for applying energy to fasten the portions, in which heart valve leaflets can be captured and securely fastened, thereby improving coaptation of the leaflets and improving competence of the valve.

Abstract: Apparatus and methods for treating skin conditions that deliver high frequency energy across large tissue areas. The treatment apparatus comprises a treatment tip carrying a plurality of electrodes that are switched such that fewer than all of the electrodes are concurrently energized. The treatment tip includes a cooling mechanism that cools near-surface tissue regions disposed between the skin surface and the treated tissue by cooling the respective electrode that treats each of the regions. The cooling mechanism may include a heat transfer body intervening between the electrodes and a fluid delivery member configured to discharge coolant that impinges the heat transfer body. Alternatively, the cooling mechanism may include a fluid delivery member having individually valve-controlled passages configured to discharge a dedicated stream of coolant at each of the electrodes, a thermoelectric cooler, or a closed-loop fluid delivery member.

Abstract: A system for providing feedback during an electrosurgical procedure on a target tissue is provided. The system includes an electrosurgical energy source; an electrode probe assembly connected to the electrosurgical energy source, wherein the electrode probe assembly includes at least one electrode assembly having a needle configured to deliver electrosurgical energy to the target tissue; at least one thermal feedback assembly connected to the electrosurgical energy source, wherein each thermal feedback assembly includes at least one temperature sensor assembly; and a hub configured to selectively support the electrode probe assembly and each thermal feedback assembly such that the needle of the electrode probe assembly and each temperature sensor assembly of each thermal feedback assembly are proximate one another when disposed proximate the target tissue.

Abstract: An electrosurgical instrument that reduces the amount of fatigue experienced by a physician performing electrosurgery includes a hand piece that is connected to an electrosurgical generator by way of an electrical cable. The electrical cable is connected to the hand piece at a central portion of the hand piece, which reduces the resistance to the movement of the electrosurgical instrument created by the weight of the electrical cable. The reduced resistance leads to less fatigue in a physician's hand during electrosurgery. The hand piece can include a channel system that receives a portion of the electrical cable therein and allows a physician to adjust the location on the hand piece at which the electrical cable exits the hand piece. The channel system can include one or more side channels and/or longitudinal channels. The channels can include detents that define multiple exit locations from the channel system for the electrical cable.

Abstract: A controlled relative motion system comprising a base support, a manipulable support, and a plurality of hinged doubled pivoting links rotatably coupled to the base support and rotatably coupled to the manipulable support. A plurality of force imparting members has at least one coupled to one of the plurality of doubled pivoting links so as to be able to cause it to rotate. Also, at least one is coupled to the base support so as to be able to cause that base support to move toward or away. This joint can be used with a similar control joint, coupled thereto by coupling shafts held apart by a slidable separator, to form an extended length inserter for inserting an object positionable by the insertion joint in an obstructed location reached along a constricted passageway. These structures, positioned within a barrel, can rotate together but an activator slider, positioned at least partially about that barrel though not rotatable therewith, is coupled to the separator to cause sliding thereof.

Abstract: A tissue cutting and sealing device, having a pair of opposing elements dimensioned to grasp tissue therebetween; and a heating assembly on at least one of the opposing elements, wherein the heating assembly includes: a ceramic body; and a metalized portion extending along a top surface of the ceramic body. The top surface of the ceramic body preferably has a width greater than the metalized portion.

Abstract: An electrosurgical instrument and method for treating varicose veins. In one embodiment, an elongate catheter has a distal working end that carries an electrosurgical energy delivery surface comprising at least one electrode with a positive temperature coefficient of resistance (PTCR) surface and/or an electrode with a pressure sensitive variable resistance to provide a smart surface for controlling Rf current flow at the interface of electrosurgical surface and the tissue. The electrode surface then can limit or modulate Rf energy delivery through the surface in response to the temperature of the surface or the engagement pressure of the surface against the engaged tissue. In operation, the smart electrosurgical surface prevents arcing at the electrode-tissue interface, and thus controls ohmic heating to prevent tissue desiccation, charring and emboli formation.

Abstract: An engaging mechanism, which restricts rotation of a cutter section about an axis of a sheath, is provided. In accordance with an advancing/retreating operation of an operation wire by an operation slider, switching is made between a rotation restriction position where rotational restriction of the cutter section is effected by the engaging mechanism and a restriction release position where the cutter section is released from the rotation restriction position and is made rotatable about the axis of the sheath relative to the sheath.

Abstract: A catheter for insertion into and treatment of tissue in a patient comprises a radio frequency (RF) electrode having an elongated body that conducts electrical RF energy to a conductive tip. An insulating sleeve surrounding the elongated body prevents leakage of RF energy from the elongated body when the catheter is being inserted into the tissue of the patient. In a first mode of operation, the conductive tip is exposed outside the insulating sleeve and the RF electrode delivers first RF energy capable of producing sparks that erode the tissue of the patient and create a tunnel through which the catheter can advance into the tissue of the patient. In a second mode of operation, the insulating sleeve is retracted to expose a portion of the RF electrode. Second RF energy is delivered to the volume of tissue around the catheter to necrotize the tissue by heating without producing sparks.

Abstract: An electrophysiologic catheter with an improved control handle is provided. The catheter includes a heat transfer assembly to better dissipate heat in the control handle. The heat transfer assembly includes a pump, a reservoir containing a coolant, a heat transfer member, and a coolant transport network transporting coolant between at least the reservoir and the heat transfer member. In one embodiment, the heat transfer member is located within the control handle as a heat exchanger on the circuit board to receive the coolant for transferring heat from the integrated circuits to the coolant. In another embodiment, the heat transfer member is located on the circuit board directly surrounding the integrated circuits to internally cool the integrated circuit within the control handle. A second heat transfer member is located outside of the control handle as a heat exchanger.

Abstract: Described herein generally are surgical pencils which define a channel to enable suctioning of materials and methods of operating the surgical pencils. In one example embodiment, the surgical pencils perform cutting and coagulation. In one example embodiment, the surgical pencils include a lighting device.

Abstract: A fluid resistant seal connector for an electrosurgical handpiece includes a housing adapted to be supported within an electrosurgical handpiece. The housing includes opposing half sections each having an inner peripheral surface. The fluid resistant seal further includes a first seal adapted to engage an activation circuit of the handpiece and at least one second seal adapted to engage an electrosurgical supply wire in a fluid-tight relationship therewith. At least one of the first and second seals is configured to complement the inner peripheral surface of the housing.

Abstract: A high-frequency treatment apparatus includes a treatment high-frequency wave output unit configured to output a treatment high-frequency wave to be applied to a treatment target living tissue, a detection unit for detecting an impedance of the treatment target living tissue, and a control unit configured to control the treatment high-frequency wave output unit on the basis of the result of the detection in the detection unit, the control unit configured to set a treatment frequency of the treatment high-frequency wave to a first treatment frequency in order to treat the living tissue primarily by Joule heat when the impedance of the treatment target living tissue is lower than a threshold value and to set the treatment frequency to a second treatment frequency higher than the first treatment frequency in order to treat the living tissue primarily by high-frequency dielectric heating when the impedance of the treatment target living tissue is higher than the threshold value.

Abstract: A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a linear actuator, for example.

Abstract: A surgical apparatus includes an output mode switching section configured to selectively switch an output mode of a power supply main body, that can output the energy to a probe and a jaw, in accordance with a moving state of a movable member. The output mode switching section is configured to switch the output mode such that a bipolar mode in which the probe and the jaw are driven as high-frequency electrodes is set when the jaw is in a closed state with respect to the probe and a single output mode in which the energy is output from only the probe is set when the jaw is in an open state with respect to the probe.

Abstract: Formation of an assemblage of electrically conductive components for a new electrosurgical pencil is disclosed, and assembly of those components in a method for automating the manufacture and combination of current carrying metal circuitry and operable switching components in “electrosurgical pencils” which supply current to an active terminal, for application of high frequency or high power electrical current to a surgical site, and control of such current through coaction of the elements of the switch. In manufacture, the design of the switch components allows start-to-finish automated assembly of the switch, whereby an array of identical multiple metal “frames” may be formed from a reel, then each frame separated and enclosed within molded plastic, and the resulting cabinet joined with a housing to create an inexpensive hand piece, for use with a high quality, reusable cable and plug assembly.

Abstract: A combined electrical and chemical stimulation lead is especially adapted for providing treatment to the spine and nervous system. The stimulation lead includes electrodes that may be selectively positioned along various portions of the stimulation lead in order to precisely direct electrical energy to ablate or electrically stimulate the target tissue. The invention also includes a method of activating electrodes in the electrical stimulation lead whereby an ablative lesion can be formed in a desired shape and size. The invention further includes a method of managing pain in a sacrum of a patient, and a method of assembling an electrical stimulation device.

Abstract: Surgical systems, devices and methods including one or more tissue stimulation elements that, in some instances, may also be used for sensing purposes. Some of the surgical devices also include a tissue coagulation element.

Abstract: Surgical devices for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device has a handle, a fluid passage connectable to a fluid source, a tip portion and a distal end. The tip portion can simultaneously provide RF power and conductive fluid to tissue. The tip portion includes an electrode having a domed portion having a domed surface and a cylindrical portion having a cylindrical surface. The domed portion is located distal to the cylindrical portion and occupies at least a portion of the distal end of the surgical device. The device includes a fluid outlet opening in fluid communication with the fluid passage, the fluid outlet opening configured to provide the conductive fluid to a surface of the electrode proximal to the distal end surface of the surgical device.

Abstract: The invention relates to an electrosurgical instrument that comprises two branches joined to one another in an articulated manner, which can be actuated to open or close in a manner corresponding to a clamping, spreading or cutting tool. The instrument further comprises electrode parts at distal ends of the branches, which are used for grasping tissue and passing a coagulation current through the tissue for the purpose of coagulating it and which are electrically insulated from one another, as well as current-supply devices to supply the coagulation current to the electrode parts. In addition, on at least at one electrode part, a cutting section designed as a cutting electrode is provided whereby the electrode part comprises the cutting section and a coagulation section.

Abstract: An electrosurgical system and method are disclosed. The system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The generator is further adapted to supply an electrical signal having at least one substantially constant value to tissue to determine initial tissue impedance response. The generator includes sensor circuitry adapted to continuously monitor initial tissue impedance response, wherein the initial tissue impedance response includes one of an initial impedance, an impedance drop, an impedance minimum and a first impedance rise. The generator also includes a microprocessor adapted to generate at least one tissue parameter based as a function of the initial impedance, the impedance drop, the impedance minimum and the first impedance rise. The system also includes an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue for treatment.

Abstract: A cardiac ablation instrument includes a catheter body and a tear-shaped balloon that is connected to the catheter body. The instrument further includes a radiant energy emitter that is axially movable within a central lumen of the catheter body. A radiant energy transparent body surrounds the energy emitter and includes a plurality of illumination fibers disposed circumferentially about the energy emitter. A detector communicates with a contact sensing element and is configured to determine an amount of at least one color component of the reflected light The amount of the at least one color component being indicative of contact between the balloon and a target tissue site.

Abstract: Systems and methods are disclosed for assessing electrode-tissue contact for tissue ablation. An exemplary electrode contact sensing system comprises an electrode housed within a distal portion of a catheter shaft. At least one electro-mechanical sensor is operatively associated with the electrode within the catheter shaft. The at least one electro-mechanical sensor is responsive to movement of the electrode by generating electrical signals corresponding to the amount of movement. The system may also include an output device electrically connected to the at least one electro-mechanical sensor. The output device receives the electrical signals for assessing a level of contact between the electrode and a tissue.

Abstract: Formation of an assemblage of electrically conductive components for a new electrosurgical pencil is disclosed, and assembly of those components in a method for automating the manufacture and combination of current carrying metal circuitry and operable switching components in “electrosurgical pencils” which supply current to an active terminal, for application of high frequency or high power electrical current to a surgical site, and control of such current through coaction of the elements of the switch. In manufacture, the design of the switch components allows start-to-finish automated assembly of the switch, in an industry which knows only partially automated assembly, and partial assembly by hand, to create an improved tool for surgical cutting, coagulation, and cauterizing.

Abstract: A system for determining proximity of a surgical device relative to an anatomical structure includes at least one surgical device having a sensor assembly operably coupled to a processing unit. The sensor assembly is configured to transmit at least one electrical signal through the target anatomical structure to elicit a measurable response from the target anatomical structure. The processing unit is configured to calculate a signature property value of the target anatomical structure based on the measurable response and to determine proximity of the at least one surgical device relative to the target anatomical structure based on a comparison between the signature property value and at least one other signature property. An indicator is operably coupled to the processing unit and is configured to alert a user of the identified target anatomical structure based on the determined proximity.

Abstract: An electrosurgical pencil configured and adapted to support an electrocautery blade. A strain gauge is affixed to the proximal end of the electrocautery blade and measures the displacement of the blade as a result of resistance and drag acting on the blade. The electrosurgical pencil also includes a meter electrically connected to the strain gauge for monitoring either a change in voltage, a change in electrical current or a change in optical wavelength. The amount of blade displacement as measured by the strain gauge is available for display to the surgeon and/or as sensory input for a control circuit in the electrosurgical generator that modulates the generator output waveform. The electrosurgical pencil further includes a control circuit electrically coupled between the electrocautery blade and the electrosurgical generator. The control circuit is configured and adapted to control power supplied to electrocautery blade based on the displacement measured by the strain gauge.

Abstract: Apparatus and methods for maintaining contact between tissue and a fluid injection device. An apparatus in the form of a suction device for use with a probe that includes at least one energy transmission device and a wettable structure around at least a portion of the energy transmission device includes a suction pod and a connector. The suction pod defines a suction region and includes a suction aperture within the suction region. The connector is configured to secure the probe to the suction device such that at least a portion of the wettable structure is within the suction region in spaced relation to the suction aperture. A support device positioned within the suction region is configured to engage the wettable structure and maintain a predetermined space between the wettable structure and the suction aperture.

Abstract: A method and a system for assisting a wire guide to cross obstructed ducts in mammalian body are described. The method and system is based on applying pulsed energy to occlusion obstructing the duct. The pulsed energy is applied by means of an auxiliary probe. The auxiliary probe is relatively displaceable with respect to the wire guide along a lumen provided within the probe. The distal region of the probe is provided with enhanced flexibility comparing with the reminder portion of the probe.

Abstract: An electrosurgical system includes a generator for generating radio frequency power, and an electrosurgical instrument including at least three electrodes. 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 by alternating discontinuously between the first and second threshold values to form a blended signal.

Abstract: A system and apparatus for irrigating a surgical site during an electrosurgical procedure are disclosed. The system includes a hand piece having an elongated housing connected to a multi-lumen tube extending proximally from the housing and having an irrigation tube for delivering irrigation fluid, a suction tube for withdrawing irrigation fluid, and electrical wiring, a first controls for adjusting flow of irrigation fluid within the irrigation tube and second controls for adjusting flow of irrigation fluid within the suction tube. A valve cassette is connected to the multi-lumen tube, which includes an irrigation valve configured to control the flow within the irrigation tube and a suction valve configured to control the flow within the suction tube. A hardware control module controls the irrigation valve and the suction valve based on control signals from the first and second controls.

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.

Abstract: Embodiments of the invention controlling power distribution in an ablation control apparatus or the like. In one embodiment, a power switching apparatus comprises a first switch assembly having an input end to receive a power input signal, the first switch assembly having a plurality of output channels; a second switch assembly coupled to the output channels of the first switch assembly; a plurality of power receiving members coupled to the second switch assembly; and a controller controlling the first switch assembly to selectively transmit the power input signal to the output channels one at a time in a cyclical manner according to a first switching rate.