Disclosed are systems and techniques for providing laser treatment. For example, a vasculature structure associated with a tissue region can be determined. Based on the vasculature structure, one or more laser parameters for configuring a laser to deliver laser energy to at least one blood vessel within the tissue region can be determined. Laser energy can be delivered to the at least one blood vessel to halt blood flow to a targeted area within the tissue region.

Devices, systems, and methods relating to a low-voltage, pre-treatment pulse routine for evaluating a potential for non-target tissue damage from the delivery of energy, such as electroporation energy to an area of target tissue. In one embodiment, a medical system includes a medical device having a treatment element; and a control unit in communication with the medical device, the control unit being configured to: deliver a low-voltage, pre-treatment pulse routine through the treatment element to an area of target tissue; determine whether the low-voltage, pre-treatment pulse routine has a stimulation effect on an area of non-target tissue; and deliver an ablation energy routine through the treatment element to the area of target tissue when the control unit determines that the low-voltage, pre-treatment pulse routine does not have a stimulation effect on the area of non-target tissue.

An ablation probe tip 100 having a shaft 102 with an insertion end 104 and an annular aperture 120 near the insertion end 104. A center of ablation 124 is located within the shaft 102 and surrounded by the annular aperture shaft 102. The ablation probe tip 100 may be part of an ablation probe system 50 that includes an ablation source 60 that provides ablation means 62 to the ablation probe tip 100. The center of ablation 124 is a focal region from which the ablation means 62 radiates through the annular aperture 120 to form an ablation zone 150, 160, 170. The system 50 has at least one intra-operative control selected from the group of: ablation zone positioning control, ablation zone shaping control, ablation center control, ablation zone temperature control, guided ablation volume/diameter control, and power loading control.

Described herein are various implementations of systems and methods for accessing and modulating tissue (for example, systems and methods for accessing and ablating nerves or other tissue within or surrounding a vertebral body to treat chronic lower back pain). Assessment of vertebral endplate degeneration or defects (e.g., pre-Modic changes) to facilitate identification of treatment sites and protocols are also provided in several embodiments. Several embodiments comprise the use of biomarkers to confirm or otherwise assess ablation, pain relief, efficacy of treatment, etc. Some embodiments include robotic elements for, as an example, facilitating robotically controlled access, navigation, imaging, and/or treatment.

A device for radio frequency (RF) skin treatment of skin of a user comprising an active electrode, a return electrode, an RF generator arranged to supply RF energy to the user's skin via the active and return electrodes. The return electrode having a planar skin contact surface extending in a main plane. The active electrode having a skin contact surface with a maximum dimension in a range from 100 μm to 500 μm. The surface area of the planar skin contact surface of the return electrode is at least 5 times larger than a surface area of the skin contact surface of the active electrode. The skin contact surface of the active electrode is arranged in a position at a distance from the main plane. The device may be used to control the dimensions and shape of a thermal lesion in the user's skin generated by the RF energy.

Disclosed herein are a surgical navigation instrument having a needle electrode depth adjusting structure for detecting impedance and a high frequency energy control method using the same. The present invention can detect impedance of tissues while applying a pilot signal to an electrode of a high frequency needle according to impedance conditions of the tissues to detect impedance of the tissues, and determine an applied amount of high frequency energy output to high frequency needles according to the detected impedance, thereby reducing patients' pains, maximizing treatment effect, and reducing treatment time according to high frequency energy applied to various depths at the same treatment point when performing a surgical procedure with the same or different treatment parameters according to disease symptoms while selecting the insertion number of high frequency needles, which can be adjusted in penetration depth, into the skin.

The invention provides for a system for estimating a 3-dimensional treatment volume for a device that applies treatment energy through a plurality of electrodes defining a treatment area, the system comprising a memory, a display device, a processor coupled to the memory and the display device, and a treatment planning module stored in the memory and executable by the processor. In one embodiment, the treatment planning module is adapted to generate an estimated first 3-dimensional treatment volume for display in the display device based on the ratio of a maximum conductivity of the treatment area to a baseline conductivity of the treatment area. The invention also provides for a method for estimating 3-dimensional treatment volume, the steps of which are executable through the processor. In embodiments, the system and method are based on a numerical model which may be implemented in computer readable code which is executable through a processor.

An intravascular catheter for nerve activity ablation and/or sensing includes one or more needles advanced through supported guide tubes (needle guiding elements) which expand to contact the interior surface of the wall of the renal artery or other vessel of a human body allowing the needles to be advanced though the vessel wall into the extra-luminal tissue including the media, adventitia and periadvential space. The catheter also includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened needles are advanced to penetrate into the vessel wall. Electrodes at the distal ends of the guide tubes allow sensing of nerve activity before and after attempted renal denervation. In a combination embodiment ablative energy or fluid is delivered to ablate nerves outside of the media.

Provided herein is a multifunctional aesthetic system including a housing, an electromagnetic array situated in the housing and having a plurality of electromagnetic radiation (EMR) sources, each EMR source configured to generate an EMR beam having a wavelength different than that of an EMR beam generated by another of the EMR sources, a controller in electronic communication with the array to operate two or more of the EMR sources to direct the EMR beam to a treatment area, and a sensor in electronic communication with the controller for providing feedback to the controller based on defined parameters to allow the controller to adjust at least one operating condition of the multifunctional system in response to the feedback.

It is an object of the present invention to provide a balloon-type ablation catheter that can measure the electric potential around the entire circumference of the pulmonary vein at a position near the left atrium with electrodes attached to a catheter distal end part of an electrode catheter inserted in a shaft in a state where a balloon is pressed against the area around the ostium of the pulmonary vein. The balloon-type ablation catheter of the present invention includes a catheter shaft (10) having a multi-lumen structure in which a plurality of lumens (11 to 17) are formed that include a liquid feeding lumen (13), (16) and an electrode catheter insertion lumen (12), a distal end tip (30) attached to the distal end of the catheter shaft (10), a balloon (50) attached to the distal end part of the catheter shaft (10), and a high-frequency current application electrode (70) provided in the balloon (50). A side hole (32) that communicates with the electrode catheter insertion lumen (12) and that opens on the side peripheral surface of the distal end tip (30) is formed in the distal end tip (30).