A pulsed laser skin treatment device is for laser induced optical breakdown of hair or skin tissue. The device has a light exit window to be placed against a surface to be treated such as skin during use. A feedback system is used for determining a state of contact between the light exit window and the surface. To this end the feedback system is capable of detecting a feedback signal representative for the state of contact. If the feedback signal or the state of contact is such that the risk of skin surface or device damage by the device operation is too high, the user or the device has a way to interrupt the treatment or to reduce light output to reduce or eliminate this risk.

For the purposes of working on eye tissue, an ophthalmological apparatus comprises a laser source that is configured to produce a pulsed laser beam, a focusing optical unit that is configured to focus the pulsed laser beam into the eye tissue, and a scanner system for deflecting the pulsed laser beam onto work target points in the eye tissue. The scanner system is configured to guide the pulsed laser beam onto work target points along a scan line that extends across a work line at an alignment angle and to tilt the scan line depending on the work target point on the work line in such a way that the scan line extends substantially along an outer face of a lenticule to be cut in the eye tissue.

Described herein are methods and systems for using the treatment tip apparatuses and high-voltage connectors with robotic surgical systems. For example, retractable treatment tip apparatuses (e.g., devices, systems, etc.) including one, or more preferably a plurality, of electrodes that are protected by a housing (which may be retractable) until pressed against the tissue for deployment of the electrodes and delivery of a therapeutic treatment, are disclosed. In particular, these apparatuses may include a plurality of treatment needle electrodes and may be configured for the delivery of nanosecond pulsed electric fields. Also described herein are high-voltage connectors configured to provide high-voltage energy, such as nsPEF pulses, from a generator to the retractable treatment tip apparatuses.

A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Systems, devices, and methods for treating a skin of a patient with therapeutic laser light via imaging a first skin area of the patient to obtain at least a first image, processing the at least a first image of the first skin area with at least one processor to identify within the first skin area at least one or more target skin areas and a non-target skin area, generating a treatment map of the first skin area based on the identified one or more target skin areas and the non-target skin area, and treating at least a portion of the one or more target skin areas with therapeutic laser light based on the generated treatment map.

Systems, methods, and devices allow percutaneous mapping, orientation and/or ablation in bodily cavities or lumens. Such may include a structure that is percutaneously positionable in a cavity, such as an intra-cardiac cavity of a heart. Transducers carried by the structure are responsive to blood flow. For example, the transducers may sense temperature, temperature being related to convective cooling caused by blood flow. A controller discerns positional information or location, based on signals from the transducers. For example, blood flow may be greater and/or faster proximate a port in cardiac tissue than proximate tissue spaced from the port. Position information may allow precise ablation of selected tissue, for example tissue surround a port in the intra-cardiac cavity.

An energy delivery system for performing tissue ablation at the distal end of an Electromagnetic Navigation Bronchoscopy (ENB) instrument. The system is insertable through an instrument channel of a steerable instrument cord in an ENB instrument, and comprise a coaxial cable with a radiating tip portion. The tip portion comprises a first conductive element electrically connected to the coaxial cable's inner conductor and a second conductive element electrically isolated from the inner conductor. The conductive elements are arranged to act as: an active electrode and a return electrode for delivering the RF energy into tissue surrounding the radiating tip portion, and an antenna for radiating the microwave energy as a localized microwave field. The system may be arranged to delivery energy according to a predetermined profile comprising interleaving periods of RF and microwave energy or a combination thereof, or a dynamic profile based on detected tissue impedance.

An ultrasonic device may include an electromechanical ultrasonic system that includes an ultrasonic transducer coupled to an ultrasonic blade. A method of delivering energy to the ultrasonic device may include sensing a vessel type in contact with the blade, determining that the vessel type is either a vein or an artery, and delivering power to the transducer based on the vessel type. Power may be applied to the transducer at a power level P that differs from a nominal power level Pn for a period T that differs from a nominal period Tn based on the vessel. The power level P may be lower than Pn for a period T that is longer than Tn when the vessel is a vein. Alternatively, the power level P my be greater than Pn for a period T that is shorter than Tn when the vessel is an artery.

An ultrasonic device may include an electromechanical ultrasonic system defined by a predetermined resonant frequency and include an ultrasonic transducer coupled to an ultrasonic blade. A method of delivering energy to the device may include applying energy to the blade at a first power level via the transducer coupled to the blade, measuring a complex impedance of the transducer, receiving a complex impedance feedback data point, comparing the complex impedance feedback data point to a reference complex impedance characteristic pattern, and determining that the blade is contacting a vessel based on the comparison. The method may also include disabling the power applied to the transducer and switching to a lower power level. The method may further include generating a warning that the blade is contacting a vessel, such as a light or a sound. An ultrasonic surgical instrument may effect the method.

The invention provides a system for treating an occlusion within a body lumen. The system may comprise an insulated outer sheath; an elongated conductive tube, wherein the insulated outer sheath is circumferentially mounted around the elongated conductive tube; and an insulated wire having a helically coiled portion at a distal end of the insulated wire. The coiled portion includes an exposed distal tip, and a distal portion of the elongated conductive tube is circumferentially mounted around the distal coiled portion of the insulated wire. When a voltage is applied across the insulated wire and the elongated conductive tube, a current is configured to flow from the exposed distal tip of the insulated wire to the elongated conductive tube to generate a plurality of cavitation bubbles. In an alternate embodiment, an elongated central electrode is used in place of the conductive tube.