10589results about "Surgical instruments for heating" patented technology

A modular surgical system for use in a surgical procedure is disclosed. The modular surgical system includes a control module including a power supply and surgical modules including a first surgical module and a second surgical module. The first surgical module is arranged in a stack configuration with the control module and the second surgical module. The power supply is configured to output power to the first surgical module and the second surgical module. A power backplane is configured to deliver the power to the first surgical module and the second surgical module through the first surgical module. A control circuit is configured to adaptively adjust power allocations to the first surgical module and the second surgical module.

Systems, methods, and instrumentalities are disclosed for displaying a magnitude and location of a resulting tissue tension from an applied force to an instrument and a resulting tissue reaction. A surgical stapling device for monitoring and adapting to tissue tension during a surgical stapling procedure may measure strain on at least one component of the surgical stapling device resultant from one or more of an opposed force applied by a user and a force resisted by tissue associated with the tissue tension. The device may determine a location of the tissue tension based on historical surgical data, the opposed force, and the resisted force. The device may highlight the location of the tissue tension to aid in real-time surgical decision-making.

An electrosurgical instrument comprising an end effector is disclosed. The end effector comprises a first jaw and a second jaw. The first jaw comprises a first electrode. The end effector is movable from an open configuration to a closed configuration to grasp tissue. The second jaw comprises a second electrode configured to deliver a first monopolar energy to the tissue, a third electrode, and a conductive circuit selectively transitionable between a connected configuration with the third electrode and a disconnected configuration with the third electrode. In the connected configuration, the third electrode is configured to cooperate with the first electrode to deliver bipolar energy to the tissue. The conductive circuit defines a return path for the bipolar energy. In the disconnected configuration, the first electrode is configured to deliver a second monopolar energy to the tissue.

Catheter apparatuses, systems, and methods for achieving renal neuromodulation by intravascular access are disclosed herein. One aspect of the present technology, for example, is directed to a treatment device having a multi-electrode array configured to be delivered to a renal blood vessel. The array is selectively transformable between a delivery or low-profile state (e.g., a generally straight shape) and a deployed state (e.g., a radially expanded, generally helical shape). The multi-electrode array is sized and shaped so that the electrodes or energy delivery elements contact an interior wall of the renal blood vessel when the array is in the deployed (e.g., helical) state. The electrodes or energy delivery elements are configured for direct and / or indirect application of thermal and / or electrical energy to heat or otherwise electrically modulate neural fibers that contribute to renal function or of vascular structures that feed or perfuse the neural fibers.

A catheter configured to deliver therapeutic energy to a tissue is disclosed. The catheter comprises an elongate shaft extending along a shaft longitudinal axis. The catheter further comprises a flexible tip assembly coupled to a distal end of the elongate shaft, the flexible tip assembly comprising at least three mapping electrodes equally spaced about a circumference of the flexible tip, a flexible ablation electrode, and a plurality of irrigation ports. The catheter further comprises an irrigation lumen extending through the elongate shaft and into an interior of the flexible tip assembly, wherein the irrigation lumen is configured to direct irrigation fluid to the plurality of irrigation ports.

Flexible high-density mapping catheter tips and flexible ablation catheter tips with onboard high-density mapping electrodes are disclosed. These tips can be used for diagnosing and treating cardiac arrhythmias. The flexible, distal tips are adapted to conform to tissue and comprise a plurality of microelectrodes mounted to permit relative movement among at least some of the microelectrodes. The flexible tip portions may comprise a flexible framework forming a flexible array of microelectrodes (for example, a planar or cylindrical array) adapted to conform to tissue and constructed at least in part from nonconductive material in some embodiments. The flexible array of microelectrodes may be formed from a plurality of rows of longitudinally-aligned microelectrodes. The flexible array may further comprise, for example, a plurality of electrode-carrying arms or electrode-carrier bands. Multiple flexible frameworks may be present on a single device. A delivery adapter having an internal compression cone is also disclosed.

The invention provides a device for generating shock waves. The device may comprise an elongated tube and a conductive sheath circumferentially mounted around the elongated tube. The device may further comprise first and second insulated wires extending along the outer surface of the elongated tube. A portion of the first insulated wire is removed to form a first inner electrode, which is adjacent to a first side edge of the conductive sheath. A portion of the second insulated wire is removed to form a second inner electrode, which is adjacent to a second side edge of the conductive sheath. Responsive to a high voltage being applied across the first inner electrode and the second inner electrode, a first shock wave is created across the first side edge and the first inner electrode, and a second shock wave is created across the second side edge and the second inner electrode.

In one embodiment, a medical system includes a catheter configured to be inserted into a chamber of a heart of a living subject, and including multiple electrodes configured to capture electrical activity from electrical activation signals propagating in tissue of the chamber, a display, and processing circuitry configured to automatically select bipolar signals to be captured into an electro-anatomical map from respective electrode pairs of the multiple electrodes responsively to an alignment of the respective electrode pairs with a direction of propagation of the electrical activation signals, and render the electro-anatomical map to the display.

A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.

The invention discloses an intelligent management system and method applied to a radio frequency energy output device, and belongs to the technical field of intelligent management of the radio frequency energy output device.An integrated sensor array is deployed on a radio frequency host and a hand tool electrode, and load voltage, output current, electrode temperature and tissue impedance are synchronously collected; a dynamic thermal impedance collaborative analysis model is constructed after time synchronization alignment, a three-dimensional thermal field simulation map is generated, and a thermal accumulation trend is predicted; a double-layer control framework is constructed, a first control layer generates a dynamic power adjustment rule base based on a preset treatment target and a safety threshold value and outputs an instruction, a second control layer receives the instruction and adjusts output parameters in real time, and a strategy is adjusted by combining a model prediction result in the execution process; meanwhile, the operation state is continuously monitored, a fault classification model is constructed for anomaly detection, a fault source is positioned, and a visual report is generated; and finally, constructing a mapping relation based on historical data, and generating an energy control scheme adapted to individualized requirements through iterative optimization.

Electroporation-based therapies (EBTs) employ high voltage pulsed electric fields (PEFs) to permeabilize tumor tissue, resulting in changes in passive electrical properties detectable using electrical impedance spectroscopy (EIS). Currently, commercial potentiostats for EIS are limited by impedance spectrum acquisition time (˜10 s); this timeframe is much larger than pulse periods used with EBTs (˜1 s). Fourier Analysis SpecTroscopy (FAST) is introduced as a methodology for monitoring tissue inter-burst impedance (diagnostic FAST) and intra-burst impedance (therapeutic FAST) during EBTs. FAST is a rapid-capture (<<1 s) technique which enables monitoring of inter-burst and intra-burst impedance during EBTs in real-time. FAST identified a frequency which delineates thermal effects from electroporation effects in measured impedance. Significance: FAST demonstrates the potential to perform EIS, in addition to intra-burst impedance spectroscopy, using existing pulse generator topologies.

In one aspect, methods of treating skin are described herein. Such a method can comprise attaching a tip to a handpiece, wherein the tip comprises a perforated bottom surface and a needle array positioned above the perforated bottom surface when the array is in a retracted configuration and operable to pass through the perforated bottom surface when the array is in an extended configuration. The handpiece comprises an actuator operable to move the needle array between the retracted and extended configurations. The method can further comprises placing the perforated bottom surface of the tip in contact with or adjacent to a region of interest (ROI) on the skin and initiating the actuator to move the needle array from the retracted configuration to the extended configuration, thereby penetrating the skin with the needle array. Triggering can be carried out automatically and / or manually. Cooling may also be used in some embodiments.

Methods for treating tissue with irreversible electroporation and immunotherapy are described. The methods include placing a probe in tissue within a human body, wherein the probe has at least a first electrode, applying a plurality of electrical pulses through the first electrode and a second electrode, causing irreversible electroporation (IRE) of the tissue within a target ablation zone, and administering one or more exogenous agents into the tissue within the target ablation zone or to the human, thereby stimulating or otherwise modulating an immune system response within the body.

The present application provides a discharge controllable shock wave balloon catheter system, which includes a shock wave therapy main unit (1), a balloon (2), a catheter, and a plurality of electrode pairs (6); an end of the catheter is arranged passing through the balloon (2), and an other end of the catheter is connected to the shock wave therapy main unit (1); the plurality of electrode pairs (6) are accommodated in the balloon (2) and mounted on the catheter; the plurality of electrode pairs (6) are arranged to be spaced apart along a length direction of the catheter; each of the plurality of electrode pairs (6) is independently connected to the shock wave therapy main unit (1), and the plurality of electrode pairs (6) are not connected to each other.

The invention discloses an endoscopic nerve monitoring surgical instrument and electronic equipment, and relates to the field of nerve evasion feedback, the method comprises the steps that the nerve monitoring surgical instrument comprises an integrated electrode, a jaw, a chip control device and a nerve monitoring wire, the integrated electrode is connected with the nerve monitoring wire, the nerve monitoring wire is connected with a nerve monitor, and the chip control device is connected with the chip control device; the nerve monitoring surgical instrument is connected with the electronic equipment; the nerve electrophysiological signals are transmitted into a nerve monitor; whether nerve distribution exists in the target tissue area or not is judged based on the numerical value of the nerve electrophysiological signal, under the condition that no nerve distribution exists in the target tissue area, high-frequency stimulation current is output, electrocoagulation operation processing is conducted on the target tissue area, and under the condition that nerve distribution exists in the target tissue area, high-frequency stimulation current is output; and determining the nerve distribution of the target area tissue according to the impedance feedback and the intensity gradient value of the electromyographic signal. The accuracy of nerve detection can be effectively improved.

The invention discloses an ablation impedance dynamic prediction method based on multi-modal time sequence fusion and a related device. The method comprises the following steps: acquiring multi-modal time sequence data of an ablation electrode in real time, and constructing a multi-dimensional input vector containing a temperature change rate, an ultrasonic echo gradient and a standardized timestamp; performing parameter fine tuning by using a pre-trained two-channel long-short-term memory neural network, respectively extracting feature vectors of the physical parameters and the image parameters, fusing the feature vectors, and outputting an impedance predicted value in a future preset time window; and dynamically adjusting the ablation output power by adopting a proportional control strategy based on the deviation between the predicted impedance and the target impedance. Through time sequence fusion of the multi-modal data and the prediction capability of the deep learning model, the real-time monitoring and power adjustment precision of the ablation process is improved, and the safety and effect stability of ablation treatment are effectively improved.

Disclosed are a treatment tip, a hand tool and a high-frequency skin treatment device. A treatment tip includes a needle plate portion having a plurality of needles; an adapter board portion, fixed inside the treatment tip; and a first flexible printed circuit, mechanically and electrically coupled between the needle plate portion and the adapter board portion; in relation to the adapter board portion, the needle plate portion is driven to move forth at a first position and move back at a second position; and the plurality of needles are partitioned and controlled such that the radio frequency signal from the handpiece is transmitted sequentially through the adapter board portion, the first flexible printed circuit and the needle plate portion to the partitioned plurality of the needles that radiate the RF signal to different zones of the skin.

Aspects of the present disclosure relate to flexible catheters for electrophysiological mapping and ablation using high-density electrode arrays. These catheters can be used to detect the electrophysiological properties of tissue in contact with the electrodes and perform monopolar and bipolar ablation of the tissue.

The invention discloses a radio frequency ablation electrode control method which comprises the following steps: S1, initializing an ablation temperature target value, a safety limit value and a power adjusting range, and loading a pre-stored anal fistula ablation three-stage feature library and impedance-temperature correlation degree thresholds of all stages; s2, collecting the electrode temperature, the electrode-tissue impedance and the ablation duration in real time, and judging the current ablation stage according to the matching relationship between the ablation duration and the three-stage feature library; s3, formulating a state judgment rule according to the current stage; s4, a fuzzy PID algorithm is adopted to calculate a power basic adjusting amount, a power dynamic compensation amount is calculated, and final output power is determined; and S5, repeating the steps S2-S4 to realize closed-loop control, triggering first-level early warning when the parameters are close to the boundary, triggering second-level alarm when the parameters exceed the safety limit value, and recording abnormal data. The stage adaptability is high, the problem of temperature adjustment lag can be solved, the adjustment precision is accurate enough, and the ablation effect can be improved.

According to some embodiments, a method of treating a skin surface of a subject comprises heating a skin surface, abrading native skin tissue of a subject using a microdermabrasion device, wherein using the microdermabrasion device comprises moving the microdermabrasion device relative to the skin surface while simultaneously delivering at least one treatment fluid to the skin surface being treated and cooling the abraded skin surface.

A catheter for electrophysiology applications is disclosed herein that includes a tubular member and an end effector. The end effector is coupled to a distal portion of the tubular member which as a cross-section intersecting first and second orthogonal planes extending along a longitudinal axis. The end effector includes first, second, and third loop members and has an unconstrained configuration in which the first and second loop members respectively define planar surfaces which each intersect the first and second orthogonal planes and the third loop member defines a planar surface that intersects only one of the first and second orthogonal planes.

Methods and system for atrial fibrillation ablations and other cardiac procedures utilizes a cardiac mapping system for navigation and guidance, and includes an additional virtual reality (VR) system and an augmented reality (AR) or mixed reality (MR) system. The Cardiac mapping system utilizes medical images and patient's electrical signals. The virtual reality (VR) system is utilized pre-procedure for visualization and pre-procedure planning. The augmented reality (AR) or mixed reality (MR) system is utilized pre-procedure or intra-procedure. Methods and system are disclosed utilizing pre-built virtual device models which interact with 3D volume rendered structures from patient's CT or MRI of the region of interest (ROI) for the different type of cardiac procedure. With virtual reality (VR) the operator utilizes hand-held sensors. With augmented reality (AR) or mixed reality (MR) a combination of hand gestures and an X-box controller is used to manipulate virtual devices, anatomical structures in the Hologram.

A deflectable catheter is disclosed that includes a proximal handle, an elongated catheter shaft extending distally from the proximal handle and including a deflectable distal end portion, a drive mechanism associated with the proximal handle for deflecting the distal end portion of the catheter shaft between a first position where the distal end portion of the catheter shaft is aligned with an axis of the catheter shaft and a second position where the distal end portion of the catheter shaft is deflected angularly away from the axis of the catheter shaft, and indicator means associated with the drive mechanism for providing a visual indication of the position of the drive mechanism, which corresponds to a degree of curved deflection of the deflectable distal end portion of the catheter shaft.

The invention discloses a radiofrequency ablation navigation device based on multi-modal image fusion. The device comprises a respiration sensor, an image reconstruction server, an interaction terminal and a processor. The respiration sensor is worn on a target object and used for collecting respiration data of the target object. The image reconstruction server is used for receiving the multi-modal image of the target object and reconstructing the multi-modal image into a three-dimensional model; the three-dimensional model comprises an organ geometric model, nerve distribution and a blood vessel network. And the interaction terminal is connected with the image reconstruction server and is used for marking a starting point and an ending point for the three-dimensional model. The processor is connected with the respiration sensor, the image reconstruction server and the interaction terminal; and the processor generates a predicted path output according to the respiration data and the three-dimensional model marking the starting point and the ending point. The method has the advantages that respiratory movement errors are accurately compensated, the nerve mistaken injury risk is reduced, and the operation safety is improved.

Apparatus comprising a housing, at least one needle arranged for reciprocal motion between a retracted position and an extended position to penetrate an animal tissue surface when in the extended position, and a sealing device defining a channel through which a movable shaft extends to move the at least one needle in the reciprocating motion, wherein the sealing device serves to form a seal between the housing and the movable shaft. A corresponding method of preventing cross-contamination within apparatus for minimally invasive treatment of skin is also disclosed.

Various embodiments of the present disclosure can include a high-density electrode catheter. In some embodiments, the high-density electrode catheter can include a catheter shaft including a proximal end and a distal end, the catheter shaft defining a catheter shaft longitudinal axis. In some embodiments, the high-density electrode catheter can include a shaft magnetic position sensor disposed along a distal portion of the catheter shaft. In some embodiments, the high-density electrode catheter can include a flexible tip portion located adjacent to the distal end of the catheter shaft, wherein the flexible tip portion includes a flexible framework. In some embodiments, the high-density electrode catheter can include a plurality of electrodes disposed on the flexible framework. In some embodiments, the high-density electrode catheter can include a tip magnetic position sensor disposed on a portion of the flexible framework.

The present invention describes and shows a medical probe including a generally tubular member having a distal portion coupled to the tubular member. A pull wire is disposed within the tubular member and is configured to move along the longitudinal axis to bend the distal portion relative to the longitudinal axis. An anchor is disposed within the tubular member and is connected to the pull wire such that the anchor has a T-shaped rod. The T-shaped rod includes a generally laterally extending portion and a sleeve connected to the pull wire. The T-shaped rod has a polymer member disposed on the generally laterally extending portion to increase the strength of the anchor relative to a force that causes the distal end of the medical probe to flex upon application to the pull wire.

To provide a device and a method for treating at least one of hypertension, pulmonary arteries, diabetes, obesity, heart failure, end-stage renal disease, digestive disease, urological disease, cancers, tumors, pain, asthma or chronic obstructive pulmonary disease by delivering an effective amount of a formulation to a tissue.SOLUTION: In embodiments of the present invention, the formulation may include at least one of a gas, a vapor, a liquid, a solution, an emulsion or a suspension of one or more ingredients. In embodiments of the present invention, amounts of the formulation and / or energy are effective in injuring or damaging tissue, nerves and nerve endings in order to relieve disease symptoms.SELECTED DRAWING: Figure 3B

A method of forming a spline for an electrode assembly includes providing a structural member including a first surface and a second surface. The method further includes providing a flexible circuit assembly including a plurality of electrodes and at least one flexible circuit substrate having a contact surface and an outer surface opposite the contact surface. The plurality of electrodes are disposed on the outer surface of the at least one flexible circuit substrate. The method includes positioning the flexible circuit assembly relative to the structural member such that a first set of electrodes is aligned with the first surface and a second set of electrodes is aligned with the second surface. The method further includes coupling the at least one flexible circuit substrate to at least one of the structural member and the at least one flexible circuit substrate.

Devices, systems, and techniques for synchronization of the operational envelopes of independent surgical devices. An example device may receive a user surgical control input. The device may send an indication of a preferred operational envelope to a negotiating surgical device. The device may constrain operation responsive to the user surgical control input based on a reduced operational envelope that is determined by a response, from the negotiating surgical device, to the indication of the preferred operational envelope. The reduced operational envelope may result in a greater constraint on the operation responsive to the user surgical control input than the preferred operational envelope.