A thulium fiber laser system can be used to treat tissues based on the ability for quick changes between laser pulses. For example, to treat stones in a tissue, a long pulse having low peak power can be used to create bubbles in front of the stone (calculi), then follow a series of shorter pulses and higher peak power can be used to break the stone. The sequence can be repeated to maintain large bubble formation, with the long pulse characteristics changed to accommodate for the changes in the tissue. A fluorescent sensing assembly can be used to detect the tissue conditions for selecting the conditions of the thulium fiber laser.

In an energy control device, a processor detects a gradual decrease start time at which the electric characteristic value in relation to electric energy output to an ultrasonic transducer starts a gradual decrease after a gradual increase. The processor calculates a difference value by subtracting the electric characteristic value from a peak value at gradual decrease start time and calculates an integrated value of the difference value from the gradual decrease start time. The processor executes, based on a fact that the integrated value become greater than a predetermined threshold, at least one of causing to stop or reduce the output of the electric energy to the ultrasonic transducer, and notifying that the integrated value become greater than the predetermined threshold.

Examples described herein may include medical devices and electrosurgical generators with resonant isolated transformers to perform filtering and gain functions. An example electrosurgical generator includes a radio frequency (RF) inverter stage configured to receive an input signal and, in response to control feedback signals, to provide an output signal that provides power to a load. The RF inverter stage includes a resonant isolated transformer configured to receive the input signal and to provide gain and filtering adjustments to the input signal to provide the output signal.

Provided herein is a multifunctional aesthetic system including a housing, an electromagnetic array situated in the housing and having one or more electromagnetic radiation (EMR) sources, a controller in electronic communication with the array to operate the one or more of the EMR sources to direct the EMR beam to a treatment area, and one or more sensors 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.

The present disclosure provides a method for treating ischemic stroke by illuminating a skin surface to reduce free radical generation in subsurface target tissues (e.g., the brain following an ischemic event). The method utilizes a waveguide that receives light from a light source. The waveguide is placed adjacent a skin surface of a patient and the waveguide emits light that passes through the skin surface and illuminates a subsurface target tissue. The waveguide includes light-extracting features configured to emit light at a target angle relative to the surface tissue. That is, the light-extracting features alter a trajectory of light emitted by the waveguide, such that a larger percentage of light emitted by the light guide has an angle that is +/−25 degrees off of a center line of the light guide.

An electrosurgical controller and related methods. At least some of the illustrative embodiments are methods including: placing a distal end of an electrosurgical wand in operational relationship with biological tissue; delivering energy to an active electrode of the electrosurgical wand. During delivering energy, the method may comprise: measuring a value indicative of flow of the energy to the active electrode; summing, over a first predetermined window of time, to create a first value indicative of energy provided to the active electrode; summing, over a second predetermined window of time, to create a second value indicative of energy provided to the active electrode. The method may further comprise: ceasing delivering energy responsive to the first value meeting or exceeding a predetermined value; and ceasing delivering energy responsive to the second value meeting or exceeding a threshold value.

A system and method for use with an electrosurgical system for delivering energy to tissue wherein the system includes a generator having a maximum power, at least two channels, and a plurality of probes. The method includes a control system allocating power proportionally to the plurality of probes whereby the probes reach a predetermined threshold without significant delays.

A multicarrier ablation system comprising: an antenna for application to biological tissue; a multi-carrier signal generator configured to provide a forward radio frequency (RF) signal to the antenna, the forward RF signal comprising multiple subcarriers that occupy respective frequencies within a bandwidth of the RF signal; and a monitoring circuit configured to receive a reflected RF signal from the antenna and control the multi-carrier signal generator to adjust one or more parameters of the forward RF signal during an ablation procedure based on the reflected RF signal.

Damaged, diseased, abnormal, obstructive, cancerous or undesired neural tissue treated by delivering specialized pulsed electric field (PEF) energy to target tissue areas. In some instances, the target tissue includes a tumor, a benign tumor, a malignant tumor, a cyst, or an area of diseased tissue. Most brain and spinal cord tumors develop from glial cells. These tumors are sometimes referred to as a group called gliomas. They arise from the supporting cells of the brain, called the glia. These cells are subdivided into astrocytes, ependymal cells and oligodendroglial cells (or oligos). One difficulty in the treatment of gliomas is that they are behind the blood-brain barrier (BBB) and blood-tumor barrier (BTB) which leads to poor delivery of anti-cancer drugs or immune agents to the tumor-infiltrated brain. Devices, systems and methods are provided that treat the tumor directly, such as by ablation, and optionally transiently disrupt the BBB coupled with adjuvant antibody, biologic, or other pharmaceutical interventions.

An electrosurgical device includes jaw members, a thermal cutting element coupled to one of the jaw members. When the jaw members are in an approximated position, power is delivered to the thermal cutting element to maintain the temperature of the thermal cutting element at an operating temperature for cutting sealed tissue grasped between the jaw members. When the jaw members are in the spaced apart position, power is delivered to the thermal cutting element to maintain the temperature of the thermal cutting element at a standby setpoint temperature. In response to a determination of contact between tissue and the thermal cutting element when the jaw members are in the spaced apart position, power is delivered to the thermal cutting element to increase the temperature of the thermal cutting element from the standby setpoint temperature to a cutting setpoint temperature for dissecting tissue.