A61B2018/0016

SYSTEMS AND METHODS FOR ELECTROPORATION USING ASYMMETRIC WAVEFORMS AND WAVEFORMS WITH REDUCED BURST DURATION

Systems and methods for electroporation are provided. An electroporation system includes a catheter including a plurality of electrodes, and a pulse generator coupled to the catheter, the pulse generator configured to generate a waveform to be delivered using at least one of the plurality of electrodes. The waveform includes a first pulse having a first polarity, a first pulse amplitude, and a first pulse width, and a second pulse having a second polarity, a second pulse amplitude, and a second pulse width, wherein the first and second pulses are separated by an interpulse delay, and wherein at least one of i) the first pulse amplitude is different than the second pulse amplitude and ii) the first pulse width is different than the second pulse width.

TREATMENT SYSTEM WITH SENSING AND ABLATION CATHETER FOR TREATMENT OF HEART RHYTHM DISORDERS

A novel catheter is disclosed comprising an electrode array that is capable of switching between a sensing configuration for sensing electrical signals of biological tissue and an ablation configuration for delivery of ablation energy at a region of interest. Irrigation ports are interlaced within the electrode array to vent irrigant during an ablation procedure to; prevent excessive heating, charring of tissue, coagulation of blood, and allow for efficient delivery of ablation therapy for maximum therapy efficacy. The novel catheter includes a plurality of splines with linear portions wherein the electrodes of the electrode array are disposed. The splines are connected by connectors which include one or more bends capable of storing potential energy when the bends are elastically deformed, enabling collapse and expansion of the catheter in a sheath. Software logic associated with this catheter analyzes sensing signals to diagnose critical regions of the biological rhythm disorder, and enables directional guidance to move the catheter to critical regions for therapy.

Systems and methods for therapeutic nasal neuromodulation
11576719 · 2023-02-14 · ·

The invention generally relates to systems and methods for therapeutically modulating nerves in or associated with a nasal region of a patient for the treatment of a rhinosinusitis condition.

ENERGIZED CORERS WITH ENERGIZED INTERNALS

An electrosurgical device including an elongated body extending from a proximal portion to a distal portion and defining an internal passageway configured to convey tissue from the distal portion to the proximal portion, and a coring electrode positioned at the distal portion of the elongated body, where the coring electrode is at an opening to the internal passageway, and where the coring electrode is configured to deliver electromagnetic energy to adjacent tissue to cut a volume of the tissue as the tissue is conveyed into the internal passageway.

PULMONARY VEIN ISOLATION CATHETERS AND ASSOCIATED DEVICES, SYSTEMS, AND METHODS
20230012307 · 2023-01-12 ·

Pulmonary vein isolation catheters and associated devices, systems, and methods are disclosed herein. In some embodiments, a pulmonary vein isolation catheter includes a tip section having an expandable portion and a deployment member. The expandable portion includes a plurality of mesh electrode panels that are electrically insulated from one another. The expandable portion is mechanically coupled to (i) the deployment member at a distalmost portion of the tip section and (ii) a distal end portion of a catheter shaft. The expandable portion is expandable and compressible via proximal and distal movement, respectively, of the deployment member. In some embodiments, the expandable portion in a deployed state is pear- or onion-shaped and includes a nose portion and/or an active body portion. The nose portion can be insulated and/or configured to fit within a pulmonary vein and position the active body portion against tissue about the ostium of the pulmonary vein.

Systems and methods for therapeutic nasal neuromodulation
11547472 · 2023-01-10 · ·

The invention generally relates to systems and methods for therapeutically modulating nerves in or associated with a nasal region of a patient for the treatment of a rhinosinusitis condition.

METHOD FOR TREATING DIABETES AND NONALCOHOLIC FATTY LIVER DISEASE, ASSOCIATED CONDITION OR DISORDER THEREOF, OR SYMPTOMS THEREOF

The present invention provides a method for treating diabetes and nonalcoholic fatty liver disease (NAFLD), associated condition or disorder thereof, or symptoms thereof suffered by a subject such as a mammal (e.g. a human patient or a pet), comprising (1) placing one or more electrodes within a target blood vessel of the subject and against the target blood vessel wall, wherein the target blood vessel includes the celiac artery and/or a segment of the abdominal aorta terminated at its junction with the celiac artery; (2) adhering a surface electrode on an external surface such as skin of the subject; and (3) releasing a therapeutically effective amount of radiofrequency energy through the one or more electrodes to nearby tissues, so as to increase the temperature of the nearby tissues and induce a thermal alteration of the nearby tissues.

METHODS AND DEVICES TO TREAT NASAL AIRWAYS
20180000535 · 2018-01-04 · ·

Methods and devices for treating nasal airways are provided. Such devices and methods may improve airflow through an internal and/or external nasal valve, and comprise the use of mechanical re-shaping, energy application and other treatments to modify the shape, structure, and/or air flow characteristics of an internal nasal valve, an external nasal valve or other nasal airways.

NON-INVASIVE UNIFORM AND NON-UNIFORM RF METHODS AND SYSTEMS

Systems and methods utilizing RF energy to treat a patient's skin (e.g., dermis and hypodermis) or other target tissue including at a depth below a tissue surface (e.g., skin surface, mucosal surfaces of the vagina or esophagus) are provided herein. In various aspects, the methods and systems described herein can provide a RF-based treatment in which the deposition of RF energy can be selectively controlled to help ensure heating uniformity during one or more of body sculpting treatment (lipolysis), skin tightening treatment (laxity improvement), cellulite treatment, vaginal laxity or rejuvenation treatment, urinary incontinence treatment, fecal incontinence treatment, all by way of non-limiting examples. In various aspects, the systems can comprise one or more sources of RF energy (e.g., a RF generator), a treatment applicator comprising one or more electrode arrays configured to be disposed in contact with a tissue surface, and a return electrode (e.g., a neutral pad) to the tissue surface.

APPARATUS AND METHOD FOR INTRA-CARDIAC MAPPING AND ABLATION
20180008343 · 2018-01-11 ·

An intra-cardiac mapping system is based on locating the ports through which blood flows in or out the heart chambers. For many procedures, such as ablation to cure atrial fibrillation, locating the pulmonary veins and the mitral valve accurately allows to perform a Maze procedure. The location of the ports and valves is based on using the convective cooling effect of the blood flow. The mapping can be performed by a catheter-deployed expandable net or a scanning catheter. The same net or catheter can also perform the ablation procedure.