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.

Fluid-assisted medical devices, systems and methods

The present invention relates, in general, to electrosurgical instruments and, more particularly, to a feedback light used in cooperation with an electrosurgical instrument. The present invention further comprises first and second moveable jaws. A first electrode is housed within the first moveable jaw and a second electrode is housed within the second moveable jaw, where the electrodes are connectable to a power source for providing an electric current between the electrodes. The present invention further comprises a feedback light connectable to a first lead and a second lead in order to form a second circuit, where the second circuit is adjacent to the first circuit in order to facilitate capacitive coupling between the first and second circuits in order to light a feedback light.

Feedback light apparatus and method for use with an electrosurgical instrument

An ablation apparatus including a maneuvering mechanism, a conductive element attached to the apparatus, a sensor attached to the apparatus and an output device in communication with the sensor is provided. The sensor senses vibration during the ablation procedure and sends a signal to the output device to reduce power to the conductive element.

Vibration sensitive ablation device and method

The present invention provides an apparatus and a method for producing a virtual electrode within or upon a tissue to be treated with radio frequency alternating electric current, such tissues including but not limited to liver, lung, cardiac, prostate, breast, and vascular tissues and neoplasms. An apparatus in accord with the present invention includes a supply of a conductive or electrolytic fluid to be provided to the patient, an alternating current generator, and a processor for creating, maintaining, and controlling the ablation process by the interstitial or surficial delivery of the fluid to a tissue and the delivery of electric power to the tissue via the virtual electrode. A method in accord with the present invention includes delivering a conductive fluid to a predetermined tissue ablation site for a predetermined time period, applying a predetermined power level of radio frequency current to the tissue, monitoring at least one of several parameters, and adjusting either the applied power and/or the fluid flow in response to the measured parameters.

Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue

The present invention provides systems and methods for reducing the incidence of post-surgical tissue adhesions due to surgical incisions or perforations by applying heat, coolant, and/or sealant to or around the edges of the injured tissues, particularly to those in the peritoneum. One aspect of the invention is RF energy delivery systems (200), and control methods thereof. The RF delivery system is typically arranged to be coupled to a conventional surgical tool such as a trocar (70), and may include a surgical sheet (400), with one or more electrodes (401) for delivering the RF energy to the injured tissue resulting from conventional incisions into the abdominal wall. The treatment dosage of RF heat to the injured tissue may be controlled by monitoring parameters such as treatment time, change in tissue temperature, change in tissue dimension, and change in tissue impedance.

Systems and methods for reducing post-surgical complications

A suction assisted ablation device having a support surface, suction elements disposed adjacent the support surface, at least one electrode and at least one suction conduit is provided. The device may further include fluid openings, which allow fluid to irrigate target tissue and aid in ablation. A method for ablating tissue using suction is also provided.

Suction stabilized epicardial ablation devices

Implantable medical devices (IMDs) for detection and measurement of cardiac mechanical and electrical function employ a system and method for determining mechanical heart function and measuring mechanical heart performance of upper and lower and left and right heart chambers without intruding into a left heart chamber through use of a dimension sensor. The dimension sensor or sensors comprise at least a first sonomicrometer piezoelectric crystal mounted to a first lead body implanted into or in relation to one heart chamber that operates as an ultrasound transmitter when a drive signal is applied to it and at least one second sonomicrometer crystal mounted to a second lead body implanted into or in relation to a second heart chamber that operates as an ultrasound receiver.

Implantable medical device employing sonomicrometer output signals for detection and measurement of cardiac mechanical function

An RF ablation catheter of the type comprising a flexible elongate catheter body having at least one lumen therethrough and having a proximal handle end and a distal end section adapted to be introduced into a heart chamber, at least one electrical conductor extending from the handle to the distal tip section within the at least one lumen for conduction RF energy, and a distal tip electrode coupled to the distal end section of the catheter body and electrically coupled with the at least one electrical conductor. The distal tip electrode is formed with a slip resistant, field focusing exterior contour for maintaining a position of the distal tip electrode bearing against the endocardium of the patient's heart, without penetrating the myocardium thereof, achieved through manipulation of the catheter distal tip section, and focusing ablation energy into the endocardium. The distal tip electrode is formed of a generally cylindrical, electrically conductive, electrode body having a hemispheric end and a tubular side wall at the distal end of the catheter body, and the exterior contour providing means further comprises a plurality of depressions formed by bores or annular or spiral or longitudinally elongated grooves formed in the hemispheric end and/or side wall. The exterior contour additionally assists in cooling the distal tip electrode.

Slip resistant, field focusing ablation catheter electrode

A deflectable stylet or guidewire formed of an elongated tube having a coil mounted to its distal end and a movable tension or push wire mounted within the coil and the tube, mechanically coupled to the distal end of the coil. A backbone is located within the coil, mechanically coupled to the proximal and distal ends of the coil and extending along one side of the coil. The backbone may be provided with projections extending laterally between adjacent turns of the coil and may have a generally arcuate cross section having a width greater than its arc height. In some embodiments the backbone may be formed from a tube having a slot extending longitudinally along one side thereof. In some embodiments the backbone may be attached to the coil at points between the proximal and distal ends of the coil.

Apparatus for deflecting a catheter or lead

A pacing lead of the type having a hollow lead body with a conductor linking the electrode at one end with the connector at the other end has a guide wire or stylet either connected to a mechanical vibrator or carrying an ultrasonic transducer in order to cause the guidewire to move within the body to facilitate the display of the catheter position on external ultrasonic monitoring equipment.

Pacing lead with integral guidance using ultrasound

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