Aspects of the present disclosure are directed to intravascular electrophysiology catheters which utilize electrodes on flexible electronic circuit(s) to facilitate reduced assembly complexity and cost. In one example embodiment, a distal tip assembly of an electrophysiology catheter is disclosed. The distal tip assembly including a catheter shaft, flexible circuitry, and a distal tip coupled to a distal end of the catheter shaft. The catheter shaft includes an outer surface with a trench extending into the outer surface, and the flexible circuitry is inserted into the trench and coupled to the catheter shaft. The flexible circuitry includes one or more electrodes configured and arranged to sense electrophysiological characteristics of tissue.

A portable wound treatment system that includes a treatment device and a portable generator that may be used for debridement of target tissue to remove devitalized tissue, manage bacterial biofilm, control the bacterial load, and facilitate wound closure and healing. The treatment device includes a handle, an interior cavity for receiving a conductive fluid, such as a saline solution, a conductive element disposed within the interior cavity, and a plurality of apertures configured to allow passage of the conductive fluid from the interior cavity. The portable generator generates and transmits energy to the conductive element, which is then carried by the conductive fluid passing through one or more of the apertures for coagulation and/or ablation of a target tissue.

A medical instrument that includes a shaft and a device coupled to a distal end of the shaft. The device includes a sensor configured to measure an electrical parameter of tissue at a target site, and an energy delivery device configured to deliver energy to the tissue at the target site based on the measured electrical parameter.

The invention provides an innovative low cost, efficient, short duration, and painless minimally invasive device and method for tightening sagging skin through linear tensing and stimulation of collagen production. More particularly still, the device and method not only allow applying heat directly in the dermis layer of the skin, but also allows for administering an anesthetic and optionally additional ant-inflammatory or collagen induction fluids through the same apparatus.

Systems, devices, and methods for transvascular ablation of target tissue. The devices and methods may, in some examples, be used for splanchnic nerve ablation to increase splanchnic venous blood capacitance to treat at least one of heart failure and hypertension. For example, the devices disclosed herein may be advanced endovascularly to a target vessel in the region of a thoracic splanchnic nerve (TSN), such as a greater splanchnic nerve (GSN) or a TSN nerve root. Also disclosed are methods of treating heart failure, such as HFpEF, by endovascularly ablating a thoracic splanchnic nerve to increase venous capacitance and reduce pulmonary blood pressure.

A method for removing tissues may comprise disposing a tissue resection device at a target tissue site, causing the tissue resection device to resect a core of tissue from the target tissue site, removing the core of tissue from the body, wherein the removing the core of tissue from the body creates a core cavity at the target tissue site.

Systems, devices, and methods for transvascular ablation of target tissue. The devices and methods may, in some examples, be used for splanchnic nerve ablation to increase splanchnic venous blood capacitance to treat at least one of heart failure and hypertension. For example, the devices disclosed herein may be advanced endovascularly to a target vessel in the region of a thoracic splanchnic nerve (TSN), such as a greater splanchnic nerve (GSN) or a TSN nerve root. Also disclosed are methods of treating heart failure, such as HFpEF, by endovascularly ablating a thoracic splanchnic nerve to increase venous capacitance and reduce pulmonary blood pressure.

An electrosurgical energy channel splitter apparatus includes a channel input a plurality of channel outputs, and a controller. The channel input is configured to receive electrosurgical energy from an electrosurgical energy source. Each channel output is configured to couple to a respective electrosurgical device. The controller is coupled to the channel input and the plurality of channel outputs. The controller is configured to selectively direct the electrosurgical energy from the channel input to one of the plurality of channel outputs.

Dual coil ablation systems are provided. Methods of using the systems to ablate tissue are also provided. The dual coil ablation systems can include a first guide needle and a second guide needle, and the methods can include securing the tissue and guiding the dual coil ablation system into the tissue for the ablation, the securing and the guiding facilitated by the first guide needle and the second guide needle. The dual coil ablation systems can also include a phase-offset between the coils to achieve a significant and surprising enhancement to the energy density provided by the systems, and the uniformity of ablation provided by the methods.

A flexible bipolar electrode is provided, with alternating poles positioned over a flexible member. A preferred embodiment may comprise two insulated conductors twisted together to form a twisted-pair, braid, or other similar structure, with the insulation removed at one or more locations along this structure, such that there exist adjacent conductors which have areas that are exposed. The one or more such locations where the insulation on each of the conductors is removed form a bipolar pair on at least one of the sides of the electrode. The exposed locations of the two conductors may form focal points, lines, or areas of alternating poles, and may be used for delivering energy to target tissue or material according to those shapes, to affect the tissue or material at those points, lines, or areas. Use of such electrode as well as additional technologies for treating GI conditions including but not limited to obesity and constipation is further described. The current invention describes methods and devices for treating obesity and other gastrointestinal conditions, by producing ablation patterns on the gastric wall. The ablation patterns may comprise ablation lesions through which propagation of electrical, neural, or hormonal activity may be reduced or otherwise modified. By modifying this propagation, the ablation patterns may modify the behavior of the organ as a whole.