A61B2018/00648

HIGH-FREQUENCY SURGERY APPARATUS AND MEDICAL INSTRUMENT OPERATING METHOD
20170333111 · 2017-11-23 · ·

A surgical system for sealing a hollow organ, the surgical system including: a pair of electrodes; a memory storing data which include patterns corresponding to predetermined burst pressure value; an electrosurgical generator configured to generate a high frequency current for sealing the hollow organ; and one or more processors configured to: perform the sealing by application of the high frequency current through the hollow organ; measure impedance of the hollow organ between the pair of electrodes with time during the performing the sealing; subsequent to performing the sealing, classify parameters related to the impedance as one of patterns corresponding to predetermined burst pressure value according to the data; and estimate the burst pressure value of the hollow organ based on the one of patterns.

MODULAR MICROWAVE GENERATORS AND METHODS FOR OPERATING MODULAR MICROWAVE GENERATORS
20170333128 · 2017-11-23 ·

The modular microwave ablation system of the present disclosure includes a microwave instrument, a microwave generator, and one or more auxiliary modules that include circuitry for performing functions related to the operation of the microwave generator. The one or more auxiliary modules are removably connected to the microwave generator. The microwave generator includes a microwave signal generator that generates a microwave signal; a microwave generator controller in communication with the microwave signal generator; one or more terminals that connect to the one or more auxiliary modules, respectively; and a power supply and/or a power distribution module coupled to the microwave signal generator, the microwave generator controller, and the one or more terminals. The one or more terminals provide (1) power from the power supply and/or power distribution module to the one or more respective auxiliary modules and (2) communication signals to and from the one or more respective auxiliary modules.

Apparatus, systems, and methods for achieving intravascular, thermally-induced renal neuromodulation related application

Apparatus, systems, and methods for achieving thermally-induced renal neuromodulation by intravascular access are disclosed herein. One aspect of the present application, for example, is directed to apparatuses, systems, and methods that incorporate a treatment device comprising an elongated shaft. The elongated shaft is sized and configured to deliver a thermal element to a renal artery via an intravascular path. Thermally-induced renal neuromodulation may be achieved via direct and/or via indirect application of thermal energy to heat or cool neural fibers that contribute to renal function, or of vascular structures that feed or perfuse the neural fibers.

Method for treating glaucoma
09820883 · 2017-11-21 ·

A method and delivery system are disclosed for creating an aqueous flow pathway in the trabecular meshwork, juxtacanalicular trabecular meshwork and Schlemm's canal of an eye for reducing elevated intraocular pressure. Pulsed laser radiation is delivered from the distal end of a fiber-optic probe sufficient to cause photoablation of selected portions of the trabecular meshwork, the juxtacanalicular trabecular meshwork and an inner wall of Schlemm's canal in the target site. The fiber-optic probe may be advanced so as to create an aperture in the inner wall of Schlemm's canal in which fluid from the anterior chamber of the eye flows. The method and delivery system may further be used on any tissue types in the body.

Alternate power correction outputs in electrosurgical systems

Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.

METHOD OF ROBOTIC HUB COMMUNICATION, DETECTION, AND CONTROL

Various surgical systems are disclosed. A surgical system can include a surgical robot and a surgical hub. The surgical robot can include a control unit in signal communication with a control console and a robotic tool. The surgical hub can include a display. The surgical hub can be in signal communication with the control unit. A facility can include a plurality of surgical hubs that communicate data from the surgical robots to a primary server. To alleviate bandwidth competition among the surgical hubs, the surgical hubs can include prioritization protocols for collecting, storing, and/or communicating data to the primary server.

Systems and methods for providing sensory feedback with an ablation system
11259860 · 2022-03-01 · ·

A surgical system includes a power supply, a power stage coupled to the power supply for converting electric energy to a power signal, an audio output device, a sensor, and a controller coupled to the power supply, the power stage, and the audio output device. The controller is operably coupled to the sensor. The power stage is configured to transmit the power signal to a surgical instrument such as an electrosurgical instrument or a microwave instrument. The sensor may be disposed on the surgical instrument. The controller causes the audio output device to output sensory feedback during operation of the surgical generator based on sensor signals received from the sensor during a surgical procedure.

Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases

An ultrasonic surgical instrument and method of sealing a tissue includes generating a desired burst pressure in the tissue, sealing the tissue, verifying that the tissue is sealed with further application of at least one of the ultrasonic energy and the RF energy. The ultrasonic surgical instrument further includes an end effector having an ultrasonic blade, an RF electrode, and a controller. The controller operatively connects to the ultrasonic blade and the RF electrode and is configured to direct application of ultrasonic and RF energies according to an initial phase, a power phase, and a termination phase for respectively generating a desired burst pressure in the tissue, sealing the tissue, and verifying the sealing of the tissue while inhibiting transection of the tissue.

Methods for controlling temperature in ultrasonic device

A generator, ultrasonic device, and method for controlling a temperature of an ultrasonic blade are disclosed. A control circuit coupled to a memory determines an actual resonant frequency of an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade by an ultrasonic waveguide. The actual resonant frequency is correlated to an actual temperature of the ultrasonic blade. The control circuit retrieves from the memory a reference resonant frequency of the ultrasonic electromechanical system. The reference resonant frequency is correlated to a reference temperature of the ultrasonic blade. The control circuit then infers the temperature of the ultrasonic blade based on the difference between the actual resonant frequency and the reference resonant frequency. The control circuit controls the temperature of the ultrasonic blade based on the inferred temperature

DEVICES AND METHODS FOR THE TREATMENT OF TISSUE

Systems, methods and devices for the treatment of tissue are disclosed. A system includes an elongate tube with a distal portion. A treatment element is positioned on the elongate tube distal portion, the treatment element constructed and arranged to treat target tissue. In one embodiment, gastrointestinal tissue is modified for the treatment of diabetes.