Abstract: A surgical instrument featuring a combination cauterizing and surgical capture component. The instrument is deployable from a distal end of a lumen to a first position partially exposing a cauterizing loop and having restrained radially deployable members wherein a plurality of cauterizations may be performed with said cauterizing loop in an unobstructed view of a camera or lens. The instrument is deployable to a second position fully translated from the lumen whereafter the plurality of radially positionable members may be released by activation of a release member allowing the biased members to deploy radially around an axis running through the loop.

Abstract: A medical device for performing a therapeutic procedure on a patient. The medical device includes an elongate probe extending to an applicator end sized and shaped to be slidably received in an endoscope working channel. The device also includes an injection needle positioned adjacent the applicator end of the probe. The injection needle is communicatible with a fluid source for delivering fluid and an electrical energy source for delivering electrical energy to the needle when performing the therapeutic procedure on the patient. The needle also has a central axis. The device further includes an ablating loop positioned adjacent the applicator end of the probe. The ablating loop is communicatible with the electrical energy source for delivering electrical energy to the ablating loop when performing the therapeutic procedure. The ablating loop also has a central axis that is spaced from the central axis of the injection needle.

Abstract: Medical probe kits and methods for treating tissue regions (e.g. tumors) are provided. The kit comprises a delivery cannula and an ablation probe. The delivery cannula comprises a shaft, a lumen extending through the shaft, and a plurality of windows formed through a wall of the shaft in communication with the cannula lumen. The ablation probe is configured to be removably disposed within the cannula lumen. The ablation probe has a shaft and proximal and distal arrays of electrodes that are deployable from the probe shaft. The electrodes of the proximal array are configured to be deployed out from the respective windows when the ablation probe is disposed within the cannula lumen. The electrodes of the distal array may be configured to be deployed out from an axial opening at the distal end of the cannula shaft when the ablation probe is disposed within the cannula lumen.

Abstract: An incision tool includes a sheath; a plurality of wires that are inserted through an internal space of the sheath, and that, as a result of a portion thereof being inserted through both first wire insertion through holes that are provided in a distal end portion of the sheath and second wire insertion through holes that are provided on the sheath distal end side of the first wire insertion through holes, are exposed on the outside of the sheath between the first wire insertion through holes and the second wire insertion through holes, and that receive high-frequency current; and an operating unit that is connected to a base end side of the wires and that adjusts the length of the exposed portions of the wires which are exposed on the outside of the sheath by moving forwards or backwards relatively to the sheath in the longitudinal direction of the wires.

Abstract: A process is provided for manufacturing a multielectrode that may be used to record a bioelectrical potential difference at a detection site. The manufacturing process may comprise manufacturing a carrier from multiple thin layers of an insulating material. The manufacturing process may further comprise providing at least one recording electrode of a set of electrode pairs on at least one of the layers of the carrier. Each recording pair may include one active electrode surface and a different reference electrode surface. Also, the manufacturing process may further comprise folding, fastening, and gluing the layers of the insulating material to one another.

Abstract: Monopolar electrosurgery devices adapted for resecting tonsil and adenoid tissue. The devices minimize thermal injury by employing a plasma generated by pulsed electrical signals to precisely and effectively cut or coagulate the tissues. Suction may also be applied to the tissues to enhance the cutting, coagulation, and tissue manipulation functions. The devices include an interchangeable tip that may be switched for another tip, depending on which tip may be more suitable for tonsillectomy or adenoidectomy.

Abstract: The present disclosure relates to a device for use with an operating end of a uterine manipulator for sealing tissue that includes a shaft having a handle at an operating end thereof and a ring-like snare at a distal end thereof. The handle has an actuator operable to selectively cinch the snare from a first configuration to a second configuration. An electrode is operably coupled to an the snare and is connected to an energy source to energize tissue to create a tissue seal. The shaft is positionable within a surgical cavity such that the snare encircles tissue and operably engages and cinches the operating end of the uterine manipulator under a sealing pressure. Energy is applied to the electrode to seal the tissue disposed between the uterine manipulator and the snare under a working pressure. The tissue may then be resected and removed from the body.

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 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: Methods, systems and devices for endometrial ablation. In accordance with a method, a working end of an RF ablation device is positioned in a patient uterus to contact endometrial tissue, the working end comprising a dielectric wall capable of non-expanded and expanded shapes and for conforming to an asymmetric or symmetric shape of the patient's uterine.

Abstract: A medical instrument is provided for a ablating tissue. The medical instrument has an inner bipolar electrode and an outer bipolar electrode. The inner and outer electrodes are separated by an insulation layer. The inner and outer electrodes form a loop that may be rotated around a tumor to ablate the tumor tissue.

Abstract: This invention relates broadly to surgical instruments. More particularly, this invention relates to a surgical snare instrument for excising polyps. Preferably, the instrument includes a coupling member that may increase ability to actuate the snare. According to a preferred embodiment, the present invention comprises a surgical instrument for insertion through an endoscope having a handle and a working channel, said surgical instrument including an elongate flexible tubular sheath having proximal and distal ends; a flexible shaft extending through and axially movable relative to the sheath, said shaft having proximal and distal ends; an end effector coupled to or formed at said distal end of said shaft; and a coupling member disposed at said distal end of said shaft.

Abstract: A capsularhexis device includes a loop-shaped cutting portion formed from flexible, superelastic metal strips separated by an insulating layer, and configured so that the cutting portion may be retracted into a tubular insertion cartridge for insertion into and removal from the eye, and extended from the insertion cartridge for the capsularhexis procedure. In its extended configuration, the cutting portion forms a cutting loop such that a free end of the cutting loop is proximate a connecting end of the cutting loop, with the connecting end joined to a shaft portion. The shaft portion extends into the insertion capsule, and is used to move the cutting portion in and out of the insertion cartridge.

Abstract: A treatment tool for an endoscope includes: a treatment portion that is positioned on a distal end side and of which at least a portion is formed from an electroconductive material; an operating wire that is formed from an electroconductive material and is connected to the treatment portion; a sheath that is formed from an electrically non-conductive material through which the operating wire is inserted; a base that is fixed to a base end side of the sheath; an operating section that is rotatably mounted on the base and is connected to a base end side of the operating wire, and that causes the treatment portion to move forwards and backwards and to rotate via the operating wire; and a plug that is provided on the base and is electrically connected to the operating wire.

Abstract: A RF catheter system includes a catheter with a proximal portion, a distal portion having a distal end and a lumen extending from the proximal portion to the distal portion. Inner and outer coaxially aligned conductors extend within the catheter and are coaxial with the lumen. A deflectable catheter guide is disposed within the catheter lumen and extends proximally within the catheter lumen and terminates distally of the distal end of the catheter to define a biological ablation pathway. A radio-frequency antenna is disposed at the distal portion of the catheter and is in electrical communication with the inner and outer coaxially aligned conductors. The radio-frequency antenna is adaptable to receive and transmit radio-frequency energy for ablating biological tissue along the ablation pathway.

Abstract: A sphincterotome having a portion of its drive wire coated with a material selected from poly-p-xylylene, 2-chloro-p-xylylene, 2,4-dichloro-p-xylylene, poly(tetraflouro-p-xylylene), poly(carboxyl-p-xylylene-co-p-xylylene), fluorinated parylene, parylene HT, and any combination thereof. The coating preferably provides an electroinsulated coating on a portion of the drive wire exposed outside the sphincterotome shaft such that a non-electroinsulated portion of the exposed drive wire may be targeted more specifically to tissue desired to be cut.

Abstract: A medical device includes an elongate member having a plurality of flexibility features and a basket having a plurality of legs. The elongate member and the basket are formed from a single piece of a material. The flexibility features are formed by removing first portions of the material to increase flexibility of the elongate member. The legs are formed by removing longitudinal portions of the material.

Abstract: Monopolar electrosurgery devices adapted for resecting tonsil and adenoid tissue. The devices minimize thermal injury by employing a plasma generated by pulsed electrical signals to precisely and effectively cut or coagulate the tissues. Suction may also be applied to the tissues to enhance the cutting, coagulation, and tissue manipulation functions. The devices include an interchangeable tip that may be switched for another tip, depending on which tip may be more suitable for tonsillectomy or adenoidectomy.

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.

Abstract: A catheter assembly comprises a first branch body having a first axis, a second branch body extending in a non-parallel relationship with respect to the first axis, and at least one electrode carried by the second branch body. In use, the first branch body can be located within a pulmonary vein within the left atrium, while the electrode carried by the second branch body is located in contact with endocardial tissue outside the pulmonary vein. Ablation energy can be transmitted from the electrode to contacted endocardial tissue while the first branch body is located within the pulmonary vein.

Abstract: A sphincterotome comprising a tensioning mechanism to adjust relative tension between a filament and shaft thereof. In one embodiment, the tensioning mechanism adjusts relative tension and or length at a connection of the sphincterotome handle assembly to one or both of the shaft and filament. In another embodiment, the tensioning mechanism adjusts relative tension and or length where it is disposed along the filament.

Abstract: A treatment tool for an endoscope includes a flexible sheath, with a transparent portion near a distal end thereof, which is inserted into and ejected from a treatment tool insertion channel of the endoscope, a rod-shaped treatment piece arranged into the flexible sheath, an operation wire arranged inside the flexible sheath with a distal end thereof being connected with the rod-shaped treatment piece such that the rod-shaped treatment piece is projected back and forth from the distal end of the flexible sheath by operating the operation wire, and a mobile indicator formed at the rod-shaped treatment piece or a portion of the operation wire near the distal end thereof to move along with movement of the rod-shaped treatment piece and to be visually recognized through the transparent portion of the flexible sheath from an outside of the flexible sheath.

Abstract: Embodiments of the invention are directed to a method of excising tissue including injecting fluid into the submucosa to raise targeted tissue. A first electrode is positioned below the targeted tissue within the injected fluid and a second electrode is positioned adjacent a surface of the raised targeted tissue opposite the first electrode. Electrical current is applied between the first and second electrodes and the targeted tissue is excised with the second electrode.

Abstract: A sphincterotome including a cutting wire may be configured such that, when activated, the cutting wire assumes a desired cutting position at or near the “12 o'clock” position or any other desired angular configuration. A sphincterotome may have controlled bending characteristics. A distally located micromachined hypotube may, in some instances, provide desired bending characteristics to a sphincterotome.

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: An ablation device includes a cannula having a distal end and a lumen, an array of electrodes deployable from within the lumen, each of the electrodes having a first configuration when inside the lumen, and a second configuration when unconfined outside the lumen, the electrodes having respective distal ends that point at least partially towards a distal direction when deployed, and an operative electrode secured to the distal end of the cannula. In one embodiment, the operative electrode has a shape that is different from the array of electrodes. In another embodiment, the operative electrode is not retractable within the lumen.

Abstract: A treatment method is disclosed for treating a bodily tissue utilizing one or more steps of removal of material as well as one or more steps of energy delivery in order to effectively treat the bodily tissue. These mechanisms of treatment may beneficially be used to induce separate treatment effects, for example to treat both the symptoms and the underlying cause of a specific pathological condition. In addition, a specific application of the inventive method is described for using the inventive method to treat an intervertebral disc.

Abstract: Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first and second wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.

Abstract: A welding element is provided for applying heat, chemicals, pressure, or any combination thereof to tissues inside a patient's body, e.g., a patent foramen ovale. In one aspect, the welding element is connected to a radio frequency energy source and includes an electrode and a locator. The locator facilitates positioning of the welding element and is capable of moving from an open position to a clamping position. In another aspect, a needle is provided for transseptal puncturing before the application of heat. In yet another aspect, the welding element is configured as a coil. The welding element can be made of Nitinol.

Abstract: A system and method for controlling electrosurgical snares are disclosed. The system includes an electrosurgical instrument having an elongate tubular sheath having proximal and distal ends, the sheath having a longitudinal axis defined therethrough and a shaft having proximal and distal ends. The shaft extends through and is axially movable relative to the sheath. A snare loop is provided at the distal end of the shaft and is configured for encircling tissue. Movement of the shaft relative to the tubular sheath changes the diameter of the exposed snare loop. A feedback sensor operatively connected to the elongated tubular sheath which determines at least one condition of the snare loop, and an electrosurgical generator provides electrosurgical energy to the electrosurgical snare instrument. The generator is configured to receive feedback measurements from the electrosurgical snare instrument and to adjust electrosurgical energy as a function of the measurements.

Abstract: An electrosurgical device including a reinforcing underlayment having a non-stick, anti-microbial coating. In one embodiment, the coating includes a non-stick material having anti-microbial particles interspersed in the non-stick material. This coating is applied to the surfaces of the electrode to minimize the build-up of charred tissue on the surfaces of the electrode. Also, the coating tends to kill harmful organisms residing on the surfaces of the electrode. In another embodiment, a primer coating is initially applied to the surfaces of the electrode. A plurality of anti-microbial particles are then applied to the primer coating layer and engage and are embedded in the primer coating layer. A top coat including a non-stick material is applied to the anti-microbial particle layer. In either embodiment, the coating layers applied to the surfaces of the electrode are cured to harden and adhere the layers to the electrode.

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: 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.

Abstract: A process for electrostatically coating a stent on a catheter. A conductor which is permanently affixed to the catheter contacts a stent mounted on the catheter. Conductive ink applied to the catheter may be used as the conductor. An electrical charge is applied to the conductor. The stent is then coated using an electrostatic coating process.

Abstract: The present invention relates to an anchor device comprising an elongated tubular body having an expandable member disposed on its distal end portion. The invention also relates to a system adapted to position and anchor the distal end of an ablation device at a location where a pulmonary vein extends from the atrium.

Abstract: A catheter assembly comprises a first branch body having a first axis, a second branch body extending in a non-parallel relationship with respect to the first axis, and at least one electrode carried by the second branch body. In use, the first branch body can be located within a pulmonary vein within the left atrium, while the electrode carried by the second branch body is located in contact with endocardial tissue outside the pulmonary vein. Ablation energy can be transmitted from the electrode to contacted endocardial tissue while the first branch body is located within the pulmonary vein.

Abstract: A method of ablating tissue in the heart to treat atrial fibrillation introduces into a selected atrium an energy emitting element. The method exposes the element to a region of the atrial wall and applies ablating energy to the element to thermally destroy tissue. The method forms a convoluted lesion pattern comprising elongated straight lesions and elongated curvilinear lesions. The lesion pattern directs electrical impulses within the atrial myocardium along a path that activates the atrial myocardium while interrupting reentry circuits that, if not interrupted, would cause fibrillation. The method emulates the surgical maze procedure, but lends itself to catheter-based procedures that do not require open heart surgical techniques. A composite structure for performing the method is formed using a template that displays in planar view a desired lesion pattern for the tissue. An array of spaced apart element is laid on the template.

Abstract: Disclosed herein are devices and methods for forming multidirectional cuts in tissue. The tissue cutting devices disclosed herein generally include a flexible elongate member with at least first, second, and third wires that are at least partially constrained within or along a portion of the member. A distal portion of the wires is anchored on or within a portion of the elongate member. When tension is applied to at least one of the wires, such as by an actuator at a proximal end of the device, the elongate member bows while an unconstrained portion of the wire becomes exposed relative to the adjacent portion of the elongate member, assuming a tissue-cutting configuration.

Abstract: A RF catheter system includes a catheter with a proximal portion, a distal portion having a distal end and a lumen extending from the proximal portion to the distal portion. Inner and outer coaxially aligned conductors extend within the catheter and are coaxial with the lumen. A deflectable catheter guide is disposed within the catheter lumen and extends proximally within the catheter lumen and terminates distally of the distal end of the catheter to define a biological ablation pathway. A radio-frequency antenna is disposed at the distal portion of the catheter and is in electrical communication with the inner and outer coaxially aligned conductors. The radio-frequency antenna is adaptable to receive and transmit radio-frequency energy for ablating biological tissue along the ablation pathway.

Abstract: Various methods and devices are provided for surgically treating tissue. In one embodiment, the device can include a shaft having proximal and distal ends and a conductive tip disposed within the distal end of the shaft and movable between a first and second position. In the first position, the conductive tip is disconnected from a conductive contact which is adapted to communicate with an energy source. In the second position, the conductive tip is in contact with the conductive contact such that energy can be delivered from an energy source through the conductive contact to the conductive tip. The conductive tip can have a variety of shapes and sizes, but in one exemplary embodiment, the conductive tip is a blunt tip. The conductive contact can include at least one lead extending therefrom and adapted to communicate with an energy source.

Abstract: A laparoscopic cautery instrument may include an elongate shaft, a handle coupled to the shaft and moveable with respect to the shaft, an insulation ring, and a monopolar cautery wire. A laparoscopic cautery instrument may include an elongate shaft, a handle coupled to the shaft and moveable with respect to the shaft, a monopolar cautery wire, and an electrical conductor.

Abstract: Embodiments of the invention are directed to a method of excising tissue including injecting fluid into the submucosa to raise targeted tissue. A first electrode is positioned below the targeted tissue within the injected fluid and a second electrode is positioned adjacent a surface of the raised targeted tissue opposite the first electrode. Electrical current is applied between the first and second electrodes and the targeted tissue is excised with the second electrode.

Abstract: A sphincterotome is disclosed including an elongate shaft having a lumen extending through at least a portion of the elongate shaft. The lumen includes a proximal segment and a distal segment. A cutting element extends within the lumen through the proximal segment of the lumen and extends exterior of the elongate shaft along the distal segment of the lumen. A stiffening member is positioned within the distal segment of the lumen.

Abstract: A bipolar electrosurgical instrument when connected to an electrosurgical generator is particularly suited for performing laparoscopic procedures such as LASH.

Abstract: A medical instrument handle includes a medical-instrument-handle body, manually-slidable first and second slides, and medical-instrument-member first and second articulation cables. The handle body has a longitudinal axis, a proximal body portion, and a distal body portion. The first slide is slidably attached to the handle body. The first articulation cable includes a first proximal cable portion which has a first centerline and which is connected to the first slide. The second slide is slidably attached to the handle body. The second articulation cable includes a second proximal cable portion which is connected to the second slide. A medical instrument also includes a flexible shaft and a medical end effector.

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

Abstract: A hemostatic forceps for an endoscope has a support section for supporting the pair of clamp pieces and so that they can rotate and change their distal parts direction. The pair of clamp pieces and are formed in tapered shape so that widths of the pair of clamp pieces gradually decrease in a direction from a side of the support section to a side of the distal parts. Length of the pair of clamp pieces at arbitrary location along the direction from a side of the support section to the distal sides, times the width of the pair of clamp pieces at the same location, is set to be substantially constant.

Abstract: A novel approach to diagnostic and therapeutic interventions in the peritoneal cavity is described. More specifically, a technique for accessing the peritoneal cavity via the wall of the digestive tract is provided so that examination of and/or a surgical procedure in the peritoneal cavity can be conducted via the wall of the digestive tract with the use of a flexible endoscope. As presently proposed, the technique is particularly adapted to transgastric peritoneoscopy. However, access in addition or in the alternative through the intestinal wall is contemplated and described as well. Transgastric and/or transintestinal peritoneoscopy will have an excellent cosmetic result as there are no incisions in the abdominal wall and no potential for visible post-surgical scars or hernias.

Abstract: An electrosurgical device including a reinforcing underlayment having a non-stick, anti-microbial coating. In one embodiment, the coating includes a non-stick material having anti-microbial particles interspersed in the non-stick material. This coating is applied to the surfaces of the electrode to minimize the build-up of charred tissue on the surfaces of the electrode. Also, the coating tends to kill harmful organisms residing on the surfaces of the electrode. In another embodiment, a primer coating is initially applied to the surfaces of the electrode. A plurality of anti-microbial particles are then applied to the primer coating layer and engage and are embedded in the primer coating layer. A top coat including a non-stick material is applied to the anti-microbial particle layer. In either embodiment, the coating layers applied to the surfaces of the electrode are cured to harden and adhere the layers to the electrode.

Abstract: A system and method for controlling electrosurgical snares are disclosed. The system includes an electrosurgical instrument having an elongate tubular sheath having proximal and distal ends, the sheath having a longitudinal axis defined therethrough and a shaft having proximal and distal ends. The shaft extends through and is axially movable relative to the sheath. A snare loop is provided at the distal end of the shaft and is configured for encircling tissue. Movement of the shaft relative to the tubular sheath changes the diameter of the exposed snare loop. A feedback sensor operatively connected to the elongated tubular sheath which determines at least one condition of the snare loop, and an electrosurgical generator provides electrosurgical energy to the electrosurgical snare instrument. The generator is configured to receive feedback measurements from the electrosurgical snare instrument and to adjust electrosurgical energy as a function of the measurements.