Abstract: A method of manufacturing a medical device includes the initial steps of providing a handle assembly and providing a microwave-signal-amplifying module. The handle assembly includes a handle body defining a chamber therein. The handle body is configured to support an energy applicator at the distal end thereof. The microwave-signal-amplifying module includes a microwave amplifier unit adapted to amplify a high-frequency input signal to generate a high-frequency output signal. The microwave-signal-amplifying module includes one or more connector portions including one or more electrical connectors adapted to be removeably coupleable to one or more electrical conductors associated with the handle body. The method also includes the step of positioning the microwave-signal-amplifying module into the chamber to bring the one or more electrical connectors of the one or more connector portions into electrical engagement with one or more electrical connectors associated with the handle body.

Abstract: An ablation apparatus includes an ablation energy source producing an electromagnetic energy output. A 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 multiple antenna device is coupled to the ablation energy source.

Abstract: A device for treating tissue adjacent to a body lumen includes a catheter shaft and an energy emitting assembly. The catheter shaft is insertable into the body lumen and includes a plurality of cooling lumens arranged generally circumjacent a generally central lumen. At least some of the circumjacent cooling lumens are in fluid communication with the central lumen and the energy emitting assembly extends through the central lumen. The central lumen and at least one portion of the energy emitting assembly are configured to direct a flow of cooling fluid about an outer surface of the at least one portion of the energy emitting assembly within the central lumen.

Abstract: Apparatus for aligning an ablation catheter and a temperature probe relatively for an ablation procedure includes an ablation catheter with a first antenna for ablating tissue at an ablation site in a patient's body and a temperature probe for placement in a body passage having a wall portion adjacent to the ablation site so that a second antenna in the probe is positioned opposite the first antenna. A microwave source provides a pulse modulated microwave signal to one of the antennas and a radiometer is in circuit with the other antenna. A synchronizing device in circuit with the microwave source and the radiometer enables the radiometer to synchronously detect the microwave signal so that the radiometer provides an alignment signal whose strength reflects the degree of alignment of the first and second antennas which signal may be used to control an alignment display. An alignment method using the apparatus is also disclosed.

Abstract: A technique for detecting and providing alerts or indications that can be used for controlling or altering the displacement speed of an applicator coupling skin heating energy across a treated skin. A temperature sensor monitors the rate of skin temperature change and provides feedback related to altering the applicator displacement speed according to the rate of skin temperature change. Disclosed is also an applicator for implementing this method.

Abstract: A catheter handle includes a handle body. A steering control mechanism is displaceably carried on the handle body. An electrode sheath carrier is carried on the handle body, the electrode sheath carrier being displaceable at least relative to the steering control mechanism.

Abstract: Methods and apparatus are provided for renal neuromodulation using a pulsed electric field to effectuate electroporation or electrofusion. It is expected that renal neuromodulation (e.g., denervation) may, among other things, reduce expansion of an acute myocardial infarction, reduce or prevent the onset of morphological changes that are affiliated with congestive heart failure, and/or be efficacious in the treatment of end stage renal disease. Embodiments of the present invention are configured for percutaneous intravascular delivery of pulsed electric fields to achieve such neuromodulation.

Abstract: A method for treating the lung during an acute episode of reversible chronic obstructive pulmonary disease such as an asthma attack. The method comprises transferring energy to an airway wall of an airway such that a diameter of the airway is increased. The energy may be transferred to the airway wall prior to, during or after an asthma attack. The energy may be transferred in an amount sufficient to temporarily or permanently increase the diameter of the airway. The method may be performed while the airway is open, closed or partially closed.

Abstract: A microwave delivery device, including a coaxial feedline having an inner conductor, an inner dielectric insulator coaxially disposed about, the inner conductor, and an outer conductor coaxially disposed about, the inner dielectric, and a radiating portion operably coupled to a distal end.

Abstract: An array advancing device that attaches to a tissue ablation probe comprises a housing sized for receiving the handle and reciprocating plunger of the ablation probe, the housing having a proximal section configured to engage the plunger, and a distal section configured to engage the handle, the proximal housing section being controllably moveable relative to the distal housing section to thereby controllably move the plunger relative to the handle.

Abstract: A method for treating the lung during an acute episode of reversible chronic obstructive pulmonary disease such as an asthma attack. The method comprises transferring energy to an airway wall of an airway such that a diameter of the airway is increased. The energy may be transferred to the airway wall prior to, during or after an asthma attack. The energy may be transferred in an amount sufficient to temporarily or permanently increase the diameter of the airway. The method may be performed while the airway is open, closed or partially closed.

Abstract: A neuropathy diagnostic device includes a body having a neutral temperature surface disposed on an exterior of the body, a variable temperature surface disposed on the exterior of the body, and a vibrating surface having a variable vibration amplitude. The vibrating surface extends outwardly from the body. A touch sensor extends outwardly from the body. A processor is disposed within the body. The processor is adapted to set a temperature of the neutral temperature surface, vary a temperature of the variable temperature surface, and vary the vibration amplitude of the vibrating surface.

Abstract: Methods for treatment of hyperhidrosis, Raynaud's phenomenon, cerebral ischemia and asthma and hypertension by nerve stimulation are disclosed. In particular, the invention relates to the improvement of these conditions by stimulating at least one ganglion selected from the group consisting of T-1 through T-4 ganglia, cervical ganglia, renal nerve or combinations thereof with an implantable, wireless, battery-less and lead-less stimulator. Stimulations of the ganglion may be carried out with pulsed radiofrequency, thermal energy or optical irradiation.

Abstract: An apparatus for safe personal aesthetic skin treatment including a carrier with a plurality of voltage applying electrodes arranged so that at least one electrode operative to contact the skin at any one time, an electrode-to-skin contact detecting mechanism, and a controller communicating with and operative to receive information from the mechanism regarding the status of the electrode-to-skin contact and limit the number of simultaneously activated electrodes such as to enable safe skin treatment and avoid skin ablation.

Abstract: A skin treatment device for home use is provided herein. The device has enhanced safety features and improved operation efficiency. RF energy is delivered under strict control to a relatively small and well localized volume of the skin, avoiding excessive heating of the skin surface. Surface heating is monitored both by direct temperature measurement and by movement monitoring of the device to ensure proper use and prevent skin overheating and the pain associated therewith.

Abstract: Methods for focused remodeling and downsizing the volume of subcutaneous lipid-rich cells, body contouring, and tightening skin tissue, using controlled heating of the targeted areas on the body. The electromagnetic energy heats the subcutaneous tissues which provides the desired effect. The electromagnetic energy is applied via an applicator without touching the skin. A spacer of insulating or dielectric material may be provided between the applicator and the skin.

Abstract: This relates to treating reversible chronic obstructive pulmonary disease, and more particularly, to exchanging energy with airway tissue such as that found in human lungs. This exchange of energy reduces the ability of the airways to constrict, reduces the resistance within the airway to the flow of air through the airway, reduces mucus plugging of the airways, and/or increases the airway diameter. This energy exchange also may reduce the ability of the lung to produce at least one of the symptoms of reversible obstructive pulmonary disease.

Abstract: Disclosed herein are systems and methods for preferentially heating subcutaneous tissue. Systems for heating subcutaneous tissue may comprise one or more radio-frequency (RF) electrodes having contoured tissue contacting surfaces, such as electrodes with concave or convex surface contours. Methods may comprise applying RF voltage or current from one or both of the handpieces to attain a target tissue and/or electrode temperature and to maintain the tissue and/or electrode at that temperature.

Abstract: This invention provides devices and methods for remodeling the female genital tissue, the device comprising a treatment tip, wherein the distal end of the treatment tip is conical, spherical, hemispherical, oval or circular in shape. The device further comprises one or more energy delivery elements for simultaneous cooling of the vaginal epithelium and transmission of energy for heating the tissues underneath the epithelium. In one embodiment, said device may further comprise one or more of the following: one or more temperature sensors for measuring the temperature at or below the epithelium; one or more directional sensors mounted on the hand piece or treatment tip; and one or more depth markers to show the depth of penetration of the treatment tip into the vagina. In another embodiment, this invention provides a device having a finger holder with electrodes for remodeling the female genital tissue.

Abstract: Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like.

Abstract: The invention relates to a device for conveying heated air to a person and comprises an air-permeable inner sheet and an air-impermeable outer sheet which are connected to one another by welds in order to form a panel-like shape in the inflated state. The welds produce a main duct having, viewed at the inlet end and in the non-inflated state, a main duct width. The main duct is delimited by at least one first series of elongate first welded strips, the first intermediate spaces which are in line with one another. The length of each of these first intermediate spaces, viewed in the non-inflated state, is in each case smaller than the main duct width. The length of each first welded strip is at least 15% of the main duct width and at most 80% of the main duct width.

Abstract: A device for improving the cosmetic appearance of the skin is disclosed, wherein said device comprises RF generating means for generating N independent RF signals of predetermined waveforms, frequencies, amplitudes, and relative phases; control means for controlling the output of said RF generating means, said control means in communication with said RF generating means; N pairs of RF electrodes, each of said pairs in independent communication with said RF generating means, said RF electrodes configured to transmit RF energy to said skin; and an electrically insulating casing adapted to hold said RF electrodes such that said RF electrodes may be placed in simultaneous physical contact with said skin.

Abstract: Apparatus and methods for predictively controlling the temperature of a coolant delivered to a treatment apparatus configured to non-invasively treat a patient's tissue with doses of electromagnetic energy. The treatment apparatus includes a closed-loop cooling system connected with an energy delivery device used to deliver the electromagnetic energy to the patient's tissue. Coolant is pumped from a reservoir to the energy delivery device in the closed-loop cooling system. The control temperature of the coolant in the reservoir is adjusted based upon the specific room air temperature. This predictive adjustment promotes better control over the coolant temperature at the energy delivery device by lessening the effects of heat gain in transit from the reservoir to the energy delivery device.

Abstract: A catheter with temperature sensing has a catheter body and a tip section with integrated thermoresistive temperature sensors on its outer surface. The temperature sensor includes a microfabricated thin film assembly of which one layer is a sensor layer of thermoresistive material. In one embodiment, the tip section has a flexible tubing on whose outer surface circumferential temperature sensors are integrated. In another embodiment, the tip section has a tip electrode on whose outer surface a tip temperature sensor is integrated. In yet another embodiment, the tip section has a tip temperature sensor integrated on its tip electrode and multiple circumferential temperature sensors distal of the tip temperature sensor.

Abstract: A therapeutic microwave system comprises a support unit having two or more separable segments; a microwave power assembly positioned between two separated segments of the support unit and including two or more microwave power supply devices; position adjustment componentry; and a central processing unit. The system may further include a temperature sensor for monitoring a treated subject's exhaled air temperature in real time and adjusting microwave irradiation accordingly, and a cooling device for controlling the patient's brain temperature during treatment.

Abstract: The present invention provides a self-operated device for treating a skin of a patient, comprising: a. a substrate having a first side and a second side; b. a plurality of RF electrodes arranged in said substrate, said RF electrodes are configured to emit RF radiation from said first side to the surface of said skin; c. at least one RF generator configured to generate pulses of current to said RF electrodes; and, d. a control unit connected to said at least one RF generator, said control unit is adapted to control the operation of said RF electrodes; wherein said control unit is adapted to control the operation of said RF electrodes according to a predetermined treatment protocol, such that the same activates or deactivates at least one of said RF electrodes at any predetermined time interval according to a predetermined pattern so as to achieve a particular therapeutic result.

Abstract: This relates to treating an asthmatic lung and more particularly, relates to advancing a treatment device into the lung and treating the lung with the device. This also includes additional steps of treating the airway wall, applying energy or heat to the airway wall in an asthmatic lung.

Abstract: A hyperthermia device comprising a generator of radio-frequency electromagnetic fields, an amplifier of this signal, a transmitter of the electromagnetic field generated, and a direct temperature measurement system is disclosed for use with one or more nanoparticles capable of dissipating the energy of the applied electromagnetic field in the form of heat and it being possible to directly control the temperature of said nanoparticles.

Abstract: The present invention is directed to systems, apparatus, methods and procedures for the noninvasive treatment of tissue using microwave energy. In one embodiment of the invention a medical device and associated apparatus and procedures are used to treat dermatological conditions using microwave energy.

Abstract: A system and method for treating subcutaneous histological features without affecting adjacent tissues adversely employs microwave energy of selected power, frequency and duration to penetrate subcutaneous tissue and heat target areas with optimum doses to permanently affect the undesirable features. The frequency chosen preferentially interacts with the target as opposed to adjacent tissue, and the microwave energy is delivered as a short pulse causing minimal discomfort and side effects. By distributing microwave energy at the skin over an area and adjusting power and frequency, different conditions, such as hirsuitism and telangiectasia, can be effectively treated.

Abstract: Apparatus and methods for the treatment of keratinized tissue infected with a pathogen are provided. In certain examples, electromagnetic energy, such as microwave energy, may be used in the treatment process to reduce the amount of or eliminate the pathogen from the keratinized tissue.

Abstract: A method of treating meibomian gland dysfunction is disclosed. The method includes directing RF energy to an internal portion of a meibomian gland, selectively targeting an obstruction within a duct of the meibomian gland with the applied RF energy to melt, loosen, or soften the obstruction, and expressing the obstruction from the duct of the meibomian gland. An apparatus for treating meibomian gland dysfunction is also disclosed. The apparatus comprises at least one RF electrode configured to direct RF energy to an internal portion of a meibomian gland located in an eyelid of an eye, the at least one RF electrode further configured to selectively target an obstruction within a duct of the meibomian gland with the applied RF energy to melt, loosen, or soften the obstruction. The apparatus also comprises at least one expressor configured to express the obstruction from the duct of the meibomian gland.

Abstract: A system for monitoring ablation size is provided and includes a power source including a microprocessor for executing at least one control algorithm. A microwave antenna is configured to deliver microwave energy from the power source to tissue to form an ablation zone. An ablation zone control module is in operative communication with a memory associated with the power source. The memory includes one or more data look-up tables including data pertaining to a control curve varying over time and being representative of one or more electrical parameters associated with the microwave antenna. Points along the control curve correspond to a value of the electrical parameters and the ablation zone control module triggers a signal when a predetermined threshold value of the electrical parameter(s) is measured corresponding to the radius of the ablation zone.

Abstract: Joint temperature monitoring and control systems and methods are described herein in which the temperature of a fluid within a body or joint space is determined and/or monitored despite the energy generated during treatment by an ablation probe. One or more temperature sensors are positioned along the probe proximally of the electrode assembly and measure the temperature of an electrically conductive fluid without being overly influenced by the surgical effect occurring proximate the electrode assembly. The controller coupled to the probe can also be configured to set temperature limits and treatment times as well as moderating joint temperature by altering the electrically conductive fluid flow.

Abstract: The current method and apparatus provide a body contouring apparatus employed in cosmetic body contouring treatments such as, but not limited to, fat reduction, body circumference reduction, cellulite reduction, skin tightening and skin rejuvenation at a clinical or dedicated professional setting, in the privacy of the subject's own home or at a comfortable and relaxing fitness room, sports activity center or spa-like environment.

Abstract: A radio-frequency electrode and handpiece that is specially configured to provide a reasonably uniform electric field distribution at the skin surface of a patient being treated to improve the skin appearance. Harmful burning is avoided by sensing and displaying skin and electrode temperature. Continuous electrode contact and electrode motion relative to the skin is achieved by providing a rolling cap over a dome-shaped electrode, and by spring biasing the electrode for up and down motion, and by providing side-to side motion of the electrode manually or by motor.

Abstract: An ablation device includes an antenna assembly having a radiating portion configured to deliver energy from a power source to tissue. The radiating portion has an outer conductor and an inner conductor. The inner conductor is disposed within the outer conductor. The device also includes an imaging device operably coupled to the radiating portion. The imaging device is configured to generate imaging data corresponding to tissue proximate the radiating portion of the antenna assembly.

Abstract: Systems and methods are disclosed to control the temperature of an RF hyperthermia system with minimum overshoot and to improve safety by, among other things, detecting a defective temperature sensor. Temperature overshoot may be minimized by compensating for the short-term temperature difference between the area being treated and the applicator delivering the RF energy. The RF energy may heat the tissue and then the tissue may transfer heat to the applicator sensor. The system may also adapt to various applicator sizes and shapes by modifying control loop coefficients based on initial probe response.

Abstract: A hyperthermia treatment system for heating a selected region within a target body that includes a power source and a plurality of electromagnetic applicators that are in electrical communication with the power source and arranged in a surrounding array around a focal region to concentrate their combined radiation output onto the focal region. The treatment system also includes a support mechanism that is adapted to support a target body within the surrounding array of applicators, and a positioning mechanism adapted to move the support mechanism and align the selected region within the target body with the focal region. Furthermore, the positioning mechanism is adapted to compensate for movement of the focal region in response to an interaction between the combined radiation output and the target body.

Abstract: An electrode assembly for use in combination with an electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing having one portion which is removably engageable with the electrosurgical instrument and a pair of electrodes each having an electrically conductive sealing surface and an insulating substrate. The electrodes are removably engageable with the end effectors of the electrosurgical instrument such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive sealing surface to reduce thermal spread to adjacent tissue structures.

Abstract: A device and method for treating an infarct scar on a heart comprising an electric cable with proximal and distal ends; a handle with proximal and distal ends with the proximal end connected to the distal end of the cable; a stem with proximal and distal ends with the proximal end of the stem connected to the distal end of the handle; a heating element with a first surface for contacting infarct scar tissue connected to the distal end of the stem wherein the heating element comprises at least two electrodes and at least one temperature sensor positioned on the first surface for sensing a temperature of infarct scar tissue adjacent to the sensor; an energy source connected to the electrodes via the electric cable; and a regulator connected to the energy source and the temperature sensor of the infarct scar tissue, for controlling the temperature of the infarct scar tissue from about 60 degrees C. to about 99 degrees C.

Abstract: High-strength microwave antenna assemblies and methods of use are described herein. The microwave antenna has a radiating portion connected by a feedline to a power generating source, e.g., a generator. Proximal and distal radiating portions of the antenna assembly are separated by a junction member. A reinforcing member is disposed within the junction member to increase structural rigidity.

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: Apparatus and methods are described for killing cancer cells (44) of a subject, the subject having cancer cells and healthy cells. The apparatus includes a plurality of first molecules (40) configured to be coupled to the cancer cells to a greater extent than to the healthy cells, in response to being administered to the subject. A plurality of clusters (42) of phase-change molecules are provided, each of the clusters coupled to a respective one of the first molecules. An energy transmission unit (50) kills cancer cells coupled to the first molecules by heating the cancer cells, by transmitting energy toward the clusters that selectively heats the clusters. Other embodiments are also described.

Abstract: A method and system for heating a skin area surface of an individual from an initial temperature to a treatment temperature in a treatment time period exceeding 0.5 sec, where the treatment temperature is in the range of 40°-60° C. An RF generator provides a continuous wave RF voltage energy or a quasi-continuous wave RF voltage across first and second electrode, where at least the first electrode is associated with an applicator that is displaced over the skin surface. The system further includes a skin temperature measuring device or an applicator displacement speed measuring device; and a CPU that monitors a skin temperature or an applicator displacement speed. The CPU turns off the RF energy when the skin temperature is above a predetermined temperature or the displacement speed of the applicator is below a predetermined speed, in order to prevent overheating of the skin.

Abstract: A method and apparatus of treating tissue adjacent a bodily conduit using thermotherapy, while preventing obstructions of the bodily conduit due to edema, includes injection of a drug-encapsulated within a heat-sensitive carrier, such as a liposome, within a region of tissue to be treated. The heat produced by the energy-emitting source heats a portion of the tissue surrounding the bodily conduit to a temperature of approximately 43° C. for a time sufficient to destroy the heated portion of the tissue. In addition, the heat produced by the energy-emitting source activates the heat-sensitive carrier to activate the release of the encapsulated drug and the drug targets the tissue to be heated. The focused energy of the energy-emitting source together with the compression acting on the target area can assist in delivering drugs to the target area so that a natural stent has a long term efficacy.

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: An esophageal mapping catheter enables a physician to map the location of the esophagus so as to avoid damaging the esophagus during radio frequency (RF) ablation procedures. Information from the esophageal mapping catheter is communicated to a patient information unit, communications unit and/or electroanatomic mapping system. The electroanatomic mapping system uses the information from the esophageal mapping catheter to develop a three-dimensional map of the esophagus and to monitor the temperature within the esophagus in order to prevent the creation of esophageal fistula.

Abstract: A method of creating a tissue effect at a tissue site delivers electromagnetic energy through a skin surface from an electromagnetic energy delivery device coupled to an electromagnetic energy source. At least one of the electromagnetic energy delivery device or electromagnetic energy source includes a memory. A reverse thermal gradient is created through the skin surface to sufficiently heat an underlying tissue site to provide that a temperature of the skin surface is lower than a temperature of the underlying tissue. Information is stored from the memory to facilitate operation of at least one of the electromagnetic energy delivery device or the electromagnetic energy source. Electromagnetic energy is applied through the skin surface to the underlying tissue. A tissue effect is created on at least a portion of the tissue site.

Abstract: An implantable medical device includes an electrode having a thermal switch. The thermal switch is configured to electrically decouple components of the implantable medical device when in contact with tissue at temperatures above normal body temperature.