A direct current application device includes a direct current source or an appliance configured to be linked to a direct current source. A first electrode is configured to be connected to the direct current source. The first electrode comprises a plurality of needles comprising 3-12 needles which are configured to comprise an electrically conductive connection with each other. A second electrode is configured to be connected to the direct current source. The second electrode comprises a flat electrode, a needle, or a plurality of needles which are configured to comprise an electrically conductive connection with each other. A current device is configured to maintain a current at a constant level during an application of the direct current, or a battery as the direct current source.

A portable electrosurgical device (ESD) has a housing, a probe connected to the housing and a heating element connected to the probe for destroying human tissue. The heating element is detachable from the probe and/or the probe with heating element can be detachable from the housing. The user can set a drive signal's electrical characteristics, such as operating frequency, duty cycle, peak voltage and the like for a customized drive signal formed in the ESD based on the heating element used. Memory storage allows for storage of inputted data from a keyboard, downloaded reference documents and information off the Internet from an Ethernet connector that can be displayed for reference on a screen of the ESD. Another even more compact ESD is an integral one-piece portable device having a type of pistol hand-held grip, dis-connectable probe, and a rechargeable, removable battery in the handle provides approximately 30, one-minute treatments on a single battery charge.

A system and method for the safe delivery of treatment energy to a patient, which includes verification of system integrity before, during, or after the delivery of treatment energy and provides several mechanisms for rapid termination of the delivery of potentially harmful energy to the patient when a fault condition in the device and/or system is identified. The system may include an energy generator having processing circuitry to determine if there is a fault condition in the system and to automatically terminate a delivery of treatment energy when the processing circuitry determines there is a fault condition. The method may generally include performing a series of pre-checks, synchronizing a treatment energy delivery to the proper segment of the heart's depolarization pattern, configuring the system for treatment energy delivery, delivering the treatment energy, and performing post-treatment evaluation.

An electrosurgical device (10) is provided that is operable to deliver microwave energy within a controlled angular expanse to cause targeted tissue ablation. The device (10) comprises a blocking or reflecting material such as cylindrical members (34) that are laterally spaced from the antenna (20) that is operable to emit the microwave energy. The reflecting material creates regions in and/or surrounding the device into which sensors (51), such as thermocouple wires, may be placed to monitor a condition associated with the device or the patient's body.

Systems, devices, and methods for electroporation ablation therapy are disclosed, with the system including a pulse waveform signal generator for medical ablation therapy, and an endocardial ablation device includes at least one electrode for ablation pulse delivery to tissue. The signal generator may deliver voltage pulses to the ablation device in the form of a pulse waveform. The system may include a cardiac stimulator for generation of pacing signals and for sequenced delivery of pulse waveforms in synchrony with the pacing signal.

Systems and methods for non-thermal ablation of tissue are provided. A non-implantable minimally invasive system for treatment of tissue in a body via direct current ablation is provided. A catheter for use in such system is further provided. The catheter includes a tubular body having a proximal end, a distal end, and a tip positioned at the distal end. The tubular body is semi-flexible, bi-directionally torqueable, and chemically resistant. The tubular body includes a plurality of routing holes provided between the proximal end and the distal end for facilitating deployment of electrodes from the tubular body. The tubular body further comprises an inner sheath generally at an interior portion and an outer sheath generally at an exterior portion and being chemically resistant.

Described herein is a microneedle treatment system to reduce fat deposits directly under or in close proximity to skin, and to deliver energy or non-energy treatments to thicken and tighten dermis to treat skin laxity, wrinkles, improve skin scars, and other skin problems. The system can include a disposable patch with a microneedle array, and an overlying mask. The patch can be directly connected to a power source or an overlying mask can be configured to be placed directly over the disposable patch. The overlying mask can include a drive circuitry configured to deliver energy into the microneedle array, a sensor configured for localized sensing, and a telemetry uplink to smart phone, a computer or a computer network. Also described is a method to reduce fat deposits in close proximity to skin, and to deliver energy or non-energy treatments to thicken and tighten dermis using a microneedle array.

A dual-output generator is configured to output two or more waveforms at different frequencies. In particular, the dual-output generator is configured to provide low-frequency output, which may be suitable for ultrasonic surgical instruments, and a high-frequency output, which may be suitable for electrosurgical instruments, while reducing the amplitude of all remaining frequencies other than the two selected low and high frequencies to about zero.

In one embodiment, a medical system includes a medical instrument having a grasper head including first and second complementary grasping jaws, and first and second conducting surfaces disposed on respective distal portions of the first and second grasping jaws, the conducting surfaces being electrically isolated from each other in the grasper head, an actuator configured to close the grasping jaws so as to bring the conducting surfaces into contact with a tissue of a body part of a living subject, and a proximity sensor configured to output at least one proximity signal responsive to a displacement between the grasping jaws, and processing circuitry coupled to sense the displacement between the first and second grasping jaws responsively to the at least one proximity signal, and apply an electrical current between the first and second conducting surfaces of the grasping jaws when the sensed displacement is less than a given threshold displacement.

In one embodiment, a medical system includes a medical instrument includes an elongated shaft having a distal end, at least one cutting element disposed at a distal end of the shaft, a position-tracking transducer disposed at the distal end of the shaft, and electrically insulated from the shaft and the at least one cutting element, and at least one metal coagulation electrode disposed at least partially over the position-tracking transducer, which electrically isolates the at least one metal coagulation electrode from the shaft, a signal generator coupled to apply an electrical current to the at least one metal coagulation electrode, and processing circuitry configured to receive signals generated by the position-tracking transducer, and track a location of the distal end responsively to the received signals.