A61B2018/124

SYSTEMS AND METHODS FOR ACTIVATING TRANSDUCERS

Transducer-based systems and methods may be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Transducer activation characteristics, such as initiation time, activation duration, activation sequence, and energy delivery characteristics, can vary based on numerous factors. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers. Activation requests for a set of transducers can be denied if it is determined that a transducer in the set of transducers is unacceptable for activation.

METHOD FOR ENERGY DISTRIBUTION IN A SURGICAL MODULAR ENERGY SYSTEM

A method of operating a modular surgical system including a control module, a first surgical module, and a second surgical module is disclosed. The method includes detachably connecting the first surgical module to the control module by stacking the first surgical module with the control module in a stack configuration, detachably connecting the second surgical module to the first surgical module by stacking the second surgical module with the control module and the first surgical module in the stack configuration, powering up the modular surgical system, and monitoring distribution of power from a power supply of the control module to the first surgical module and the second surgical module.

ABLATING A REGION OF PATIENT ORGAN USING SELECTED ABLATION ELECTRODES OF AN EXPANDABLE CATHETER
20230088042 · 2023-03-23 ·

A method includes receiving: (i) a position of a target tissue intended to be ablated in an organ of a patient and having a predefined pattern, and (ii) an energy level of an ablation signal intended to be applied to the target tissue. One or more selected ablation electrodes that, when applying the ablation signal, produce together a lesion having a shape that covers the predefined pattern, are selected in a catheter that is inserted into the organ and has an array of ablation electrodes. In response to verifying that: (i) the one or more selected ablation electrodes are positioned on the target tissue, and (ii) a contact force between the one or more selected ablation electrode and the target tissue is larger than a force threshold, the ablation signal is applied to the target tissue using the one or more selected ablation electrodes.

ELECTROSURGICAL TECHNIQUES FOR SEALING, SHORT CIRCUIT DETECTION, AND SYSTEM DETERMINATION OF POWER LEVEL

Disclosed is a method of detecting a short circuit in the jaws of an end effector of a surgical instrument. The method includes applying a sub-therapeutic electrical signal to an electrode located in the jaws of the end effector. The sub-therapeutic electrical signal comprises a sequence of exploratory waveforms comprising pulsed current and voltage waveforms. The method includes detecting a shorted electrode when a measured electrical parameter in the jaws of the end effector is less than a predetermined value and modifying electrical current applied to the shorted electrode by the RF generator.

ELECTROSURGICAL ADAPTATION TECHNIQUES OF ENERGY MODALITY FOR COMBINATION ELECTROSURGICAL INSTRUMENTS BASED ON SHORTING OR TISSUE IMPEDANCE IRREGULARITY

Disclosed is a method of adapting energy modality due to a short circuit or tissue type grasped in the jaws of an end effector of a surgical instrument. The method includes selecting an electrode in an array of segmented electrodes during a pre-energy activation cycle. The method includes applying a sub-therapeutic electrical signal to the selected electrode to differentiate between a shorted electrode and low impedance tissue grasped in the jaws of the end effector. The method includes determining the selected electrode is shorted based on a measured electrical parameter received by the control circuit after applying the sub-therapeutic electrical signal and blending monopolar and bipolar RF energy. The method includes determining that the selected electrode is shorted and switching output energy of the RF generator between monopolar and bipolar RF energy.

COMBINED ELECTRODES FOR TISSUE PENETRATIVE IRREVERSIBLE ELECTROPORATION (IRE)

An irreversible electroporation (IRE) system includes an IRE ablation power source configured to generate bipolar IRE pulses, a switching assembly, and a processor. The switching assembly is configured to short-circuit a first group and a second group of electrodes of a catheter, the groups of electrodes configured to be placed in contact with tissue of organ, so as to create respective combined electrodes of a first size and a second size smaller than the first size, and to connect the IRE ablation power source to the groups of electrodes. The processor is configured to receive target tissue depth of ablation, select the groups of the electrodes, to control the switching assembly to create the combined electrodes and to ablate the tissue by controlling the switching assembly to apply the bipolar IRE pulses to the groups of electrodes to ablate tissue location in contact with a combined electrode to target depth.

METHODS, APPARATUSES, AND SYSTEMS FOR THE TREATMENT OF DISEASE STATES AND DISORDERS

Apparatuses, systems and methods are provided for treating pulmonary tissues via delivery of energy, generally characterized by high voltage pulses, to target tissue using a pulmonary tissue modification system (e.g., an energy delivery catheter system). Example pulmonary tissues include, without limitation, the epithelium (the goblet cells, ciliated pseudostratified columnar epithelial cells, and basal cells), lamina propria, submucosa, submucosal glands, basement membrane, smooth muscle, cartilage, nerves, pathogens resident near or within the tissue, or a combination of any of these. The system may be used to treat a variety of pulmonary diseases or disorders such as or associated with COPD (e.g., chronic bronchitis, emphysema), asthma, interstitial pulmonary fibrosis, cystic fibrosis, bronchiectasis, primary ciliary dyskinesia (PCD), acute bronchitis and/or other pulmonary diseases or disorders.

Controlling impedance rise in electrosurgical medical devices

Various embodiments are directed to an electrosurgical system including an end effector, a jaw closure trigger, and a control circuit. The end effector includes a first jaw and a second jaw. The control circuit is configured to receive an input indicating a repeat mode, apply a first tissue bite algorithm to a first electrode and a second electrode based on an occurrence of a first tissue bite, enter a hold state at a termination of the first tissue bite algorithm, and determine an occurrence of a second tissue bite. The first tissue bite is based on the second jaw moving toward a closed configuration via the jaw closure trigger. Entering the hold state includes maintaining a sub-therapeutic signal. Determining the occurrence of the second tissue bite includes sensing a reduction in impedance between the first electrode and the second electrode via the sub-therapeutic signal.

CONFIGURABLE MULTI-POLAR RF ABLATION PROBE
20230126626 · 2023-04-27 ·

A lesion control system includes a radio-frequency (RF) generator that produces RF energy having a predetermined frequency and power; a controller comprising a microprocessor; a multi-polar RF ablation probe having a plurality of electrical contacts; a plurality of RF input lines electrically coupled to an output terminal of the RF generator; a plurality of RF output lines, each RF output line electrically coupled to a respective one or more of the electrical contacts in the multi-polar RF ablation probe; an RF return line electrically coupled to a return terminal of the RF generator; and a plurality of switches, each switch having a respective terminal electrically coupled to a respective RF output line, each switch electrically coupled to the controller. The controller is configured to produce switch control signals that change a respective state of one or more of the switches to set a configuration of the multi-polar RF ablation probe.

SCOPE WITH CONTROLLABLE ENERGY TIP
20230125835 · 2023-04-27 ·

An endoscopic medical system can include an endoscopic end effector including three or more jaws. Each of the three or more jaws can respectively include a corresponding electromagnetic energy signal conductor. The end effector can also include two or more jaw linkages, an individual jaw linkage corresponding to a respective one of the jaws, such that at least two of the jaws are configured to move, independent of one another.