Patent classifications
A61B2018/1266
Surgical instrument systems comprising battery arrangements
A surgical instrument system comprising a handle, a shaft, and a disposable power module is disclosed. The handle comprises a motor, a control switch, and a motor-control processor which is in communication with the control switch. In various instances, the disposable power module comprises a disposable battery and a display unit configured to indicate at least one function of the surgical instrument system.
METHODS AND APPARATUS FOR REDUCING LEAKAGE CURRENTS IN CRYO, RADIO-FREQUENCY, AND PULSED-FIELD ABLATION SYSTEMS
Methods and apparatus for monitoring and actively reducing leakage currents flowing on patient applied parts used in ablation therapy. In an example, a signal-processing circuit connected between a toroidal-coil sensor and a sleeve-capacitor coupler, both AC-coupled to the catheter cable, applies a Fourier transform and an energy minimization algorithm to the output of the toroidal-coil sensor to determine amplitudes and phases for frequency components of the signal applied to the sleeve-capacitor coupler. A corresponding current coupled through the sleeve-capacitor coupler into the catheter cable counteracts the leakage current to force the total non-therapy electrical current flowing on the patient applied parts to a level that is lower than a fixed threshold value, e.g., selected in accordance with an applicable standard.
Electrosurgical generator
An electrosurgical generator with a high-voltage power supply that supplies a DC output voltage receives the DC output voltage of the high-voltage power supply and generates a high-frequency AC output voltage. When generator is operating, a control unit receives signals from an AC output voltage measuring unit and current measuring unit. The control unit limits an increase of DC output voltage of the high-voltage power supply as soon one predefined maximum value is reached or exceeded. When the generator is operating, the control unit configured to receive signals from a DC output voltage measuring unit that represent a respective current value of the DC output voltage, and to compare a respective current value of DC output voltage with a predefined minimum value for DC output voltage, and to cause the DC output voltage of the high-voltage power supply to increase as soon as it falls below the predefined minimum value.
ELECTROSTATIC SHIELDING OF PLANAR MAGNETIC DEVICES OF ELECTROSURGICAL GENERATORS
An electronic device includes: a multilayered dielectric substrate including a plurality of dielectric layers; a planar magnetic device disposed on at least one internal dielectric layer of the plurality of dielectric layers; and an overlapping shield assembly including a first shield layer and a second shield layer separated by at least one of the plurality of dielectric layers.
APPARATUS AND METHODS FOR RENAL DENERVATION ABLATION
A catheter device for renal denervation ablation includes a flexible catheter shaft having an electrically insulating expandable member in its distal portion with at least one electrode located proximal to the member, at least one electrode located distal to the member, and with openings in the distal shaft with at least one opening proximal to the proximal electrode and one opening distal to the distal electrode of said electrode pair, said openings connected through an inner lumen in the catheter that provides a path for blood to flow through the expandable member. In one embodiment, the device comprises a flexible catheter shaft with a multiplicity of recessed paired electrodes disposed in recessed spaces in its distal portion, such that an electrically conducting portion of each electrode is exposed to the exterior of the catheter within a recessed space, and with an electrical insulator separating the electrodes of each pair.
ELECTRIC FIELD APPLICATION FOR SINGLE SHOT CARDIAC ABLATION BY IRREVERSIBLE ELECTROPORATION
Disclosed herein are apparatus, systems, and methods for ablating tissue in a patient by electroporation. Embodiments generally include an ablation catheter having a hand, a shaft, and an electroporation electrode arrangement. The shaft has a distal end and defines a longitudinal axis of the ablation catheter. The electroporation electrode arrangement is at the distal end of the shaft and is configured to generate a multidirectional electric field when at least one pulse sequence is delivered thereto. The multidirectional electric field includes at least two of the following directions relative to the longitudinal axis: generally axial, circumferential, and transverse. The electroporation electrode arrangement is configured to operatively couple to an electroporation generator that is configured to generate the at least one pulse sequence and is configured to receive the at least one pulse sequence from the electroporation generator.
VARIABLE ACTIVE SNUBBER CIRCUIT TO INDUCE ZERO-VOLTAGE-SWITCHING IN A CURRENT-FED POWER CONVERTER
An electrosurgical generator includes: a power supply configured to output a direct current; a current source coupled to the power supply and configured to output source current based on the direct current, and a power converter coupled to the current source, the power converter including at least one power switching element operated at a switching waveform. The power converter is configured to generate a converted waveform based on the source current. The electrosurgical generator also includes a controller coupled to the power converter and configured to modulate the switching waveform and a snubber circuit coupled to the current source and the power converter. The snubber circuit is configured to return the voltage at the at least one power switching element to zero after the power converter generates at least a portion of the converted waveform.
Systems and methods for improving efficiency of electrosurgical generators
An electrosurgical generator is presented including a radio frequency (RF) amplifier coupled to an electrical energy source and configured to generate electrosurgical energy, the RF amplifier including an inverter configured to convert a direct current (DC) to an alternating current (AC), and a plurality of sensors configured to sense voltage and current of the generated electrosurgical energy. The electrosurgical generator further includes a controller coupled to the RF amplifier and the plurality of sensors. The electrosurgical may be further configured to determine a power level based on the sensed voltage and the sensed current, determine an efficiency of the electrosurgical generator, and insert a predetermined integer number of off cycles when the efficiency of the electrosurgical generator reaches a threshold power efficiency.
Managing simultaneous monopolar outputs using duty cycle and synchronization
Aspects of the present disclosure are presented for managing simultaneous outputs of surgical instruments. In some aspects, methods are presented for synchronizing the current frequencies. In some aspects, methods are presented for conducting duty cycling of energy outputs of two or more instruments. In some aspects, systems are presented for managing simultaneous monopolar outputs of two or more instruments, including providing a return pad that properly handles both monopolar outputs in some cases.
ELECTROPORATION SYSTEM AND METHOD OF PRECONDITIONING TISSUE FOR ELECTROPORATION THERAPY
The present disclosure provides electroporation systems and methods of preconditioning tissue for electroporation therapy. An electroporation generator includes an electroporation circuit, a preconditioning circuit, and a controller. The electroporation circuit is configured to be coupled to a catheter for delivering the electroporation therapy to target tissue of the patient. The electroporation circuit is further configured to transmit an electroporation signal through the catheter. The preconditioning circuit is configured to be coupled to a preconditioning electrode for stimulating skeletal muscle tissue of the patient. The preconditioning circuit is further configured to transmit a preconditioning signal to the preconditioning electrode. The controller is coupled to the electroporation circuit and the preconditioning circuit, and is configured to synchronize transmissions of the electroporation signal and the preconditioning signal such that the preconditioning signal is transmitted prior to transmission of the electroporation signal.