The invention relates to a device for producing a cold atmospheric pressure plasma for the treatment of human and/or animal surfaces, comprising a flexible, planar multilayer system with a side facing the surface to be treated and a side facing away from the surface to be treated, wherein the multilayer system comprises the following layers, namely a first electrode layer on the facing away side of the multilayer system, second electrode layer on the facing side of the multilayer system, wherein the electrode layer has a plurality of recesses or is formed in a grid-like or meander-shaped fashion, a dielectric layer arranged between the first electrode layer and the second electrode layer, and a spacer layer arranged adjacent the second electrode layer on the facing side of the multilayer system. In addition, the invention relates to a cable, a generator unit for providing a high voltage, and a system.

The present disclosure is directed to devices, systems, and methods for sensing and discerning whether a distal portion of a fat grafting cannula or probe is disposed in fat tissue or muscle tissue during fat grafting procedures. In one aspect of the present disclosure, a fat grafting cannula or probe is provided including first and second electrodes. Each electrode is coupled to a circuit, e.g., disposed in an electrosurgical generator. During a fat grafting procedure, the electrodes contact patient tissue. Based on signals received from each electrode, the circuit is configured to determine whether a distal portion of the fat grafting cannula is disposed in a fat tissue or muscle tissue. If the circuit determines that the fat grafting cannula is disposed in muscle tissue, the surgeon operating the fat grafting cannula is alerted to ensure that processed fat is not injected into the muscle tissue of the patient.

Methods, systems and devices for evaluating the integrity of a uterine cavity. A method comprises introducing transcervically a probe into a patient's uterine cavity, providing a flow of a fluid (e.g., CO.sub.2) through the probe into the uterine cavity and monitoring the rate of the flow to characterize the uterine cavity as perforated or non-perforated based on a change in the flow rate.

A method and system for artificial intelligence-based radiofrequency ablation parameter optimization and information synthesis are provided. The method is applied to a radiofrequency ablation controller including a processor and an artificial intelligence module. The processor of the radiofrequency ablation controller preprocesses sample data and sends the preprocessed sample data to the artificial intelligence module. The artificial intelligence module establishes an artificial neural network model according to the preprocessed sample data and a radiofrequency ablation control parameter for the sample data. The processor preprocesses signals collected by sensors on a plasma wand. The artificial intelligence module imports preprocessed sensor data into the artificial neural network model for analysis and fusion, to obtain the radiofrequency ablation control parameter.

Adjustable distal tips of cold plasma generating devices configured for introduction to and operation within narrow intra-body confines. In some embodiments, a plasma delivery tip of a cold plasma generating device is expandable from a compact delivery configuration, allowing device operation with plasma plume parameters difficult to achieve within size constraints of a narrow delivery catheter and/or endoscope working channel. Additionally or alternatively, in some embodiments, operating parameters of a plasma delivery tip are adjustable to tune characteristics of the plasma plume. Adjustable parameters optionally include, for example: lumen diameter, lumen aperture shape/direction, discharge electrode geometry, dielectric barrier characteristics, and/or relative placement of these components, including placement relative to a stream of ionizing gas. In some embodiments, plasma delivery tip elements are adapted to assist device navigation and/or tissue penetration.

Plasma delivery tips of medical-grade plasma generating devices are configured to exclude potential contaminants while operating within body cavities. In some embodiments, delivery tips are provided with an antechamber, which is optionally filled by pressure of ionizing gas to prevent contamination. Some embodiments are provided with one or more interior and/or exterior valves configured to prevent proximal ingress of contamination to the longitudinal position of the discharge electrode, or at all into the gas delivery lumen. In some embodiments, an expandable distal section of the plasma delivery tip acts as a valve which seals when closed, and when open expands to generate an inflated antechamber into which plasma is delivered.

The invention relates to a device (10) for generating a plasma jet (P) comprising a first conduit (11) inside a second conduit (12), a first electrode (17) and a second electrode (18) for generating an electric field in a feed gas flow (F) provided in a first flow channel (15) to generate a plasma jet (P), and adapted to provide a curtain gas flow (C) in the space between the first and second conduit (11,12), wherein the first electrode (17) is positioned radially outside of the first flow channel (15), and wherein the radial distance of the second electrode (18) from a longitudinal axis (I) is larger than the radial distance of the first electrode (17) from said longitudinal axis (1). The invention further relates to an endoscope comprising a device (10), a method for generating a plasma jet (P), a method and a use of the device (10) for manipulating a cavity.

A cold plasma system and method for treating a region of a biological surface is presented. In one embodiment, the system includes: a housing; an air conduit within the housing; a first electrode configured proximately along the air conduit; a second electrode configured proximately along the air conduit and opposite from the first electrode; and a source of alternating current (AC) electrically connected with the first electrode. The source of alternating current is configured to generate cold plasma in the air conduit.

An electrosurgical instrument, comprising: an elongate probe comprising a coaxial cable for conveying radiofrequency (RF) and/or microwave frequency electromagnetic (EM) energy, and a probe tip connected at the distal end of the coaxial cable for receiving the RF and/or microwave energy; a gas passage for conveying gas to the probe tip; and an apparatus for debriding biological tissue. The coaxial cable comprises an inner conductor, outer conductor and dielectric material separating the conductors. The probe tip comprises a first electrode connected to the inner conductor of the coaxial cable and a second electrode connected to the outer conductor. The first electrode and the second electrode are arranged to produce an electric field from the received RF and/or microwave frequency EM energy across a flow path of gas received from the gas passage to produce a thermal or non-thermal plasma in an area outward from the probe tip.

An electrosurgical apparatus is provided including a housing, a flexible shaft, and a distal tip. The housing may further be coupled to an electrosurgical generator and gas supply. The distal tip of the electrosurgical apparatus may be grasped by a grasping tool, such that the orientation and position of the distal tip relative to the housing may be manipulated to achieve a plurality of positions. The electrosurgical apparatus provides electrosurgical energy and inert gas to an electrode within the distal tip of the electrosurgical apparatus to generate a plasma beam. In one aspect, the electrode is a retractable blade such that the electrosurgical apparatus can be used for mechanical and electrosurgical cutting during surgery when the electrode is in an extended position and for cold plasma applications during surgery when the electrode is in a retracted position.