The disclosed technology includes a medical probe comprising a tubular shaft extending along a longitudinal axis and including a proximal end and a distal end. The medical probe further comprises an expandable basket assembly proximate the distal end of the tubular shaft. The basket assembly comprises a plurality of C-shaped spines and one or more electrodes coupled to each of the spines, each electrode defining a lumen through the electrode so that a spine extends through the lumen of each of the one or more electrodes. The spines converge at a central spine intersection at a distal end of the basket assembly. Each spine comprises a respective end connected to the distal end of the tubular shaft.

A medical device includes: a tube through which fluid flows; a handle part coupled to a proximal end part of the tube; an electrode tip coupled to a distal end part of the tube; a fluid injection part configured to inject fluid into the tube; one or more openings formed in the tube; and a guide member disposed in the tube, and having an inclined part to guide the direction of the fluid sprayed out through the opening.

A method and device for modulating the autonomic nervous system adjacent a pericardial space to treat cardiac arrhythmia includes a treatment source arranged to supply a treatment medium, a catheter having an end sized for insertion into the pericardial space, a medium delivery assembly having a distal end arranged to be positioned by the catheter into the pericardium, with the distal end of the delivery assembly comprising a delivery tip arranged to extend away from the distal end of the catheter into the pericardial space. A connector operatively couples the delivery tip of the medium delivery assembly to the treatment source, and the delivery tip of the medium delivery assembly including a plurality of delivery points for delivering the treatment medium at a plurality of treatment areas within the pericardial space. The device performs modulation or ablation of the autonomic nervous system at selected treatment areas within the pericardium.

An apparatus is provided to detect electrical contact between anatomical tissue and a shield conductor: a transformer; an alternating current (AC) reference frequency signal generator to inject a reference frequency signal to a primary winding of the transformer; a reactive impedance coupled in parallel with a secondary winding of the transformer between a first node and a second node; and a phase match detector circuit to detect a phase match between the reference frequency signal and a reflected reference frequency signal that is reflected from the secondary winding to the primary winding.

According to some embodiments, a medical instrument (for example, an ablation device) comprises an elongate body having a proximal end and a distal end, an energy delivery member positioned at the distal end of the elongate body, a first plurality of temperature-measurement devices carried by or positioned within the energy delivery member, the first plurality of temperature-measurement devices being thermally insulated from the energy delivery member, and a second plurality of temperature-measurement devices positioned proximal to a proximal end of the energy delivery member, the second plurality of temperature-measurement devices being thermally insulated from the energy delivery member.

A catheter includes a shaft for insertion into an organ of a patient, an expandable distal-end assembly, and at least an electrical interconnection. The expandable distal-end assembly is coupled to the shaft and includes multiple splines, at least one of the splines includes a flexible substrate, which is configured to conform to tissue of the organ. The electrical interconnection has: (i) a first section, which is formed within the flexible substrate and is configured to conduct ablation signals, and (ii) a second section thicker than the first section, which is formed over an outer surface of the flexible substrate and is configured to apply the ablation signals to the tissue.

Embodiments of the present disclosure provide a grounding cuff having a flexible body and an inflatable bladder disposed within the flexible body. The inflatable body is configurable to an inflated state and a deflated state. In the inflated stated, the inflatable bladder applies pressure to the grounding cuff to provide and maintain improved contact between the ground cuff and skin of a patient. Additionally, the inflatable bladder includes an inlet configured to receive a fluid from a hose, the inflatable bladder configured to the inflated state based on the fluid received via the hose. The grounding cuff may include a grounding pad coupled to a ground terminal to extract energy from the patient during a medical therapy, such as ablation therapy. The inflatable bladder may be configured to the inflated state to promote strong contact between the grounding pad and skin of the patient.

An ablation device and method for pulsed field ablation, the device comprising a catheter including an expandable basket, a set of electrodes formed on the expandable basket, and a pulse generator suitable for generating electric pulses wherein the pulse generator being in electrical connection with the set of electrodes. The expandable basket is formed of a braided mesh of filaments, wherein the filaments are made of nonconductive material, wherein at least portion of the filaments comprises a lumen, or is made by molding, wherein the filaments further include electrodes and conductive wires. The conductive wires at least partially lead inside of the lumen of the filaments, or are overmolded and are electrically connected to the electrodes.

A vessel sealing device having a pair of electrodes that are maintained in spaced apart configuration when closed by non-uniform coating formed from a non-conductive material that has been applied to roughened electrodes so that the coating allows for the passage of a predetermined amount of radiofrequency (RF) energy between the electrodes. The coating has a predetermined thickness that spaces the electrodes apart while also having the predetermined non-uniformity that allows RF energy to pass between the electrodes when a vessel is trapped therein, thus desiccating the vessel positioned in the jaws. The electrodes may include a series of grooves in a herringbone pattern, with each electrode having the pattern oriented in the same direction or in opposite directions.

A surgical instrument comprising an end effector is disclosed. The end effector comprises a surgical dissector. The surgical dissector can apply mechanical and/or electrosurgical energy to treated tissue.