Body tissue ablation is carried out by inserting a probe into a body of a living subject, urging the probe into contact with a tissue in the body, generating energy at a power output level, and transmitting the generated energy into the tissue via the probe. While transmitting the generated energy the ablation is further carried out by determining a measured temperature of the tissue and a measured power level of the transmitted energy, and controlling the power output level responsively to a function of the measured temperature and the measured power level. Related apparatus for carrying out the ablation is also described.

Disclosed herein are ablation systems and methods for providing feedback on lesion formation in real-time. The methods and systems assess absorptivity of tissue based on a degree of electric coupling or contact between an ablation electrode and the tissue. The absorptivity can then be used, along with other information, including, power levels and activation times, to provide real-time feedback on the lesions being created. Feedback may be provided, for example, in the form of estimated lesion volumes and other lesion characteristics. The methods and systems can provide estimated treatment times to achieve a desired lesion characteristic for a given degree of contact, as well as depth of a lesion being created. The degree of contact may be measured using different techniques, including the phase angle techniques and a coupling index.

Some embodiments provide a method of providing ultrasound energy having a stable power output. The method can comprise providing ultrasound energy from a ultrasound transducer; determining a power level threshold of the ultrasound energy; monitoring a power level of the ultrasound energy over time of the ultrasound energy; communicating a power level to a controller; adjusting the frequency of the ultrasound energy upon a change in the power level; and maintaining the power level threshold of the ultrasound energy.

Systems and methods are disclosed for providing and using an irrigated ablation catheter. The catheter may include a distal shell electrode having irrigation apertures. An insert disposed within the electrode has protrusions that mate with orifices in the shell of the electrode. Each protrusion has a port communicating with at least one interior lumen in the insert and a sensor is disposed in each port. A support seals the proximal end of the electrode and engages the insert. The plurality of sensors may be used to measure electrical and thermal characteristics surrounding the electrode and may help assess contact between the electrode and tissue and/or determine movement of the electrode during ablation.

The present invention relates to an RF treatment apparatus, the method of controlling the RF treatment apparatus and the skin treatment method using RF energy according to the present invention have an effect in that they can improve the accuracy and efficiency of treatment because whether a target tissue corresponds to a treatment temperature is determined based on impedance of the tissue and the volume of the target tissue corresponding to the treatment temperature can be maximized while maintaining the target tissue to the treatment temperature for a predetermined time.

The present disclosure is directed to a medical device. More particularly, aspects of the disclosure relate to a medical device including an energy source configured to emit energy into a first end of an optical fiber and a monitoring device configured to receive energy from a second end of the optical fiber.

An ablation device having an electrode control system configured to adjust an output of an active electrode and a variable aspiration control system configured to control aspiration in an aspiration system based upon the output of the active electrode is disclosed. In particular, the variable aspiration control system may adjust the aspiration within the aspiration system between at least a zero aspiration setting corresponding to a low ablation power setting and a high aspiration setting corresponding to a high ablation power setting, whereby a plasma field developed at the active electrode at the high ablation power setting is greater than a plasma field developed at the active electrode at the low ablation power setting. By reducing, if not, ceasing the aspiration provided by the aspiration system for the low ablation power setting, the variable aspiration control system is able to reduce the likelihood that the plasma field will be disturbed.

There is a need for a minimally invasive surgical treatment method for periodontitis for the removal of deep pockets, elimination of disease, creation of reattachment of the gingiva to the tooth surface and true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface. The PerioLase® MVP-7™ including eGUI or another device capable of laser dosimetry, such as an original MVP-7™ type laser without the eGUI, achieves this with the LANAP protocol (laser-assisted new attachment procedure) and the LENAP protocol (laser excisional new attachment procedure).

Optical fibers for delivering laser energy inside the body are often tasked with traversing tortuous routes in accessing the target tissue or pathology, e.g. ureteroscopic laser lithotripsy. A common failure in such applications, known in the field as ‘fiber burn through’, has been known to injure patients and is a major cause of damage to ureteroscopes. Where irregular output that is produced at the start of a lasing interval passes through a fiber that is at or near the optical minimum bend limit, fail safe polymer claddings are damaged and can no longer contain even regular laser output in tight deflection. The invention disclosed provides a solution to premature fiber failure and collateral damage.

Devices, kits, and methods described herein are usable for medical treatments by generating local maxima using constructive interference of multiple oscillator outputs. Where constructive interference occurs between the oscillator waves, the output signal can have significant strength to cause heating and coagulation at a bleeding vessel, for instance, while at areas with little interaction (or with destructive interference) there is insufficient power dissipated by the output signal to cause heating sufficient to cause coagulating heating.