A61B2018/00636

Arrays for longitudinal delivery of TTFields to a body

Tumors in portions of a subject's body that have a longitudinal axis (e.g., the torso, head, and arm) can be treated with TTFields by affixing first and second sets of electrodes at respective positions that are longitudinally prior to and subsequent to a target region. An AC voltage with a frequency of 100-500 kHz is applied between these sets of electrodes. This imposes an AC electric field with field lines that run through the target region longitudinally. The field strength is at least 1 V/cm in at least a portion of the target region. In some embodiments, this approach is combined with the application of AC electric fields through the target region in a lateral direction (e.g., front to back and/or side to side) in order to apply AC electric fields with different orientations to the target region.

Selective photocoagulation
RE046493 · 2017-08-01 · ·

A method of scanning a laser beam across a set of cells includes during a first interval, scanning a laser beam across a set of cells; and during a second interval, deflecting the laser beam away from the set of cells. The first interval is selected to cause microcavitation in at least a portion of the cells from the set of cells.

Forceps jaw flanges

Forceps can include a drive pin, an outer tube, a first jaw, a second jaw, and an inner shaft. The outer tube can extend along a longitudinal axis. The first jaw can be pivotably connected to the outer tube. The first jaw can include a first flange that can be located at a proximal portion of the first jaw. The first flange can include a first chamfered edge configured to limit extension of the first flange laterally beyond an outer surface of the outer tube when the first jaw is in a closed position. The inner shaft can be located within the outer tube and can extend along the longitudinal axis.

Systems and methods for treating tissue of a passageway within a body
09770293 · 2017-09-26 · ·

The present disclosure is directed to a method for treating tissue in a passageway within a body. The method may include positioning a medical device adjacent a treatment site in the passageway. The medical device may include an elongate member having a proximal end and a distal end, and an energy emitting portion positioned adjacent the distal end. The method may further include supplying an amount of energy from an energy source to the energy emitting portion. A first portion of the amount of the energy may be transmitted through the energy emitting portion to the tissue and a second portion of the amount of energy may be reflected from the energy emitting portion. The method may further include monitoring a signal corresponding to one of the first portion of the amount of energy and the second portion of the amount of energy.

Medical device for evaluating a temperature signal
09770292 · 2017-09-26 · ·

A medical device including an evaluation unit and an electrode line. The electrode line includes at least one temperature sensor. The temperature sensor delivers a temperature signal to the evaluation unit. The evaluation unit evaluates periodic fluctuations of a signal level of the temperature signal and generates an evaluation output signal qualifying constant wall touching of the electrode line according to whether periodic fluctuations of a signal level of the temperature signal lie below or above a predetermined limit value.

Property determination apparatus for determining a property of an object

The invention relates to a property determination apparatus (1) for determining a property of an object (3). Optical sensing data being indicative of an optical property of the object and ultrasound sensing data being indicative of an ultrasound property of the object are generated, and a property determination unit (75) determines a property of the object based on at least one of the optical sensing data and the ultrasound sensing data. Since light and ultrasound have generally different penetration depths and scattering properties with respect to the object, a property of the object can be determined with good quality, even if the quality of one of the optical sensing data and the ultrasound sensing data is reduced by, for example, a relatively small penetration depth, or if one of the optical sensing data and the ultrasound sensing data is less suitable for determining a desired property of the object.

SURGICAL INSTRUMENTS AND SYSTEMS INCORPORATING MACHINE LEARNING BASED TISSUE IDENTIFICATION AND METHODS THEREOF
20170252095 · 2017-09-07 ·

A surgical system includes an end effector assembly having first and second jaw members, a generator, and one or more machine learning applications. The first and/or second jaw member is movable relative to the other from a spaced-apart position to an approximated position for grasping tissue therebetween. The jaw members are configured to conduct energy therebetween and through tissue grasped therebetween. The generator includes an energy output configured to supply energy to the jaw members, a main controller configured to control the energy output, and sensor circuity configured to sense impedance and/or power. The machine learning application(s) is configured to determine a type of tissue grasped between the first and second jaw members based upon the impedance and/or power sensed by the sensor circuitry.

System and method for measuring heat transfer due to local tissue perfusion prior to an ablation procedure
11395698 · 2022-07-26 · ·

A system and method for performing a radiofrequency (RF) ablation procedure with a cooled RF probe includes measuring one or more local perfusion characteristics at an ablation site within a patient. The method also includes determining a heat transfer due to local perfusion at the ablation site based on the one or more local perfusion characteristics. Further, the method includes determining an operating threshold for the cooled RF probe based, at least in part, on the heat transfer. Moreover, the method includes controlling the cooled RF probe based on the operating threshold to create a lesion at the ablation site within the patient.

ELECTRODE CATHETER SYSTEM
20210401454 · 2021-12-30 ·

The present application provides an electrode catheter system, comprising an interventional catheter for intervening to one side of an artery blood vessel and provided with an electrode element that can release an electrical signal toward an inner wall of a renal artery blood vessel; a pressure sensor for intervening to an artery blood vessel; and a data processing module, connected with the pressure sensor. The electrode element releases an electrical signal toward the inner wall of the renal artery vessel, and then the pressure sensor monitors a blood pressure change in the renal artery vessel at the other side. A data processing module processes the data monitored by the pressure sensor and determines the blood pressure change, and an activity degree of the nerve can be determined by measuring a signal such as the blood pressure of the human body, so as to screen out the patients with an overactive sympathetic nerve, and a surgical effect of a denervation surgery can also be evaluated before or after the surgery, and can be used to determine whether to perform an ultrasonic ablation again.

METHOD FOR CONTROLLING A MEDICAL DEVICE AND A MEDICAL DEVICE IMPLEMENTING THE SAME
20210393310 · 2021-12-23 · ·

A method for controlling a temperature at an end-effector of an instrument connected with a controller includes estimating a residual energy associated with a prior application of base energy to the end-effector based on a first set of parameters. An amount of electric power that is converted to heat at the end-effector is estimated based on the first set of parameters. A current temperature at the end-effector is estimated based on: (i) the residual energy, (ii) the amount of electric power provided to the end-effector, and (iii) a time for which the electric power is provided. The electric power provided to the instrument is controlled to maintain the current temperature at the end-effector within a predetermined range.