A61B2018/00886

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.

Ultrasonic sealing algorithm with temperature control

A method of ultrasonic sealing includes activating an ultrasonic blade temperature sensing, measuring a first resonant frequency of an ultrasonic electromechanical system that includes a transducer coupled to the blade via a waveguide, making a first comparison between the measured first resonant frequency and a first predetermined resonant frequency, and adjusting a power level applied to the transducer based on the first comparison. The first predetermined frequency may correspond to an optimal tissue coagulation temperature. The method may further include measuring a second resonant frequency of the system, making a second comparison between the measured second frequency and a second predetermined frequency, and adjusting the power level based on the second comparison. The second predetermined frequency may correspond a melting point temperature of a clamp arm pad. An ultrasonic instrument and a generator may implement the method.

Irreversible electroporation (IRE) based on field, contact force and time

A method includes, using a probe, applying irreversible electroporation (IRE) pulses to tissue over a time period to form a lesion in the tissue. A contact force applied to the tissue by the probe is measured over the time period. An IRE index is calculated based on the measured contact force and on a power level of the IRE pulses. Application of the IRE pulses to the tissue is ceased in response to the calculated IRE index reaching a prespecified target IRE index value.

ABLATION OPERATION PROMPTING METHOD, ELECTRONIC DEVICE, AND COMPUTER READABLE STORAGE MEDIUM
20230022310 · 2023-01-26 ·

Disclosed are an ablation operation prompting method, an electronic device, and a computer-readable storage medium. The method includes: acquiring an image of an ablation site and displaying the image on a screen when an ablation task is triggered; acquiring position data of a currently-being-ablated target ablation point, marking the target ablation point in the image according to the position data; acquiring the elapsed ablation time and the temperature of the target ablation point in real time, and determining the ablation status of the target ablation point according to the elapsed ablation time and the temperature; and generating a schematic real-time dynamic change diagram of the target ablation point according to the ablation status, and displaying the schematic diagram on the screen, to indicate the real-time ablation status change of the target ablation point.

Methods for controlling temperature in ultrasonic device

A generator, ultrasonic device, and method for controlling a temperature of an ultrasonic blade are disclosed. A control circuit coupled to a memory determines an actual resonant frequency of an ultrasonic electromechanical system comprising an ultrasonic transducer coupled to an ultrasonic blade by an ultrasonic waveguide. The actual resonant frequency is correlated to an actual temperature of the ultrasonic blade. The control circuit retrieves from the memory a reference resonant frequency of the ultrasonic electromechanical system. The reference resonant frequency is correlated to a reference temperature of the ultrasonic blade. The control circuit then infers the temperature of the ultrasonic blade based on the difference between the actual resonant frequency and the reference resonant frequency. The control circuit controls the temperature of the ultrasonic blade based on the inferred temperature.

HIGH-VOLTAGE MINIMALLY INVASIVE APPLICATOR DEVICES FOR SUB-MICROSECOND PULSING
20230218335 · 2023-07-13 ·

Described herein are elongate applicator tools adapted to be inserted into a body to deliver high voltage, sub-microsecond electrical energy to target tissue. These tools may be configured as laparoscopes, endoscopes, and/or catheters. Also disclosed herein systems including these tools and method of their operation.

Method and device for controlling the energy supply to a medical instrument
11696794 · 2023-07-11 · ·

A device for controlling the energy supply to a medical instrument contains the medical instrument and an energy supply device. The energy supply device has at least a first and a second energy supply mode that can be preselected on the energy supply device and which supplies energy to the medical instrument according to a preselected energy supply mode. The energy supply device additionally has a third mode which differs from the at least two energy supply modes, can be preselected on the energy supply device, can detect an actuation of an energy supply operating element arranged on the medical instrument, and can carry out the supply of energy to the medical instrument in the first or second mode based on the detected actuation.

Consolidated user interface for modular energy system

A modular energy system including a header module configured to removably connect to an energy module. The energy module can comprise a port configured to deliver one or more energy modalities to a surgical instrument connected thereto. The header module can comprise a display screen configured to display a user interface. The header module can further include a control circuit configured to detect attachment of energy modules to the modular energy system and control the display of the user interface to display UI portions for each connected module and reconfigure the displayed UI portions to accommodate the new UI portions as additional energy modules are connected to the modular energy system.

SURGICAL INSTRUMENT WITH AUTOMATED ACTIVATION
20230011611 · 2023-01-12 ·

A surgical instrument includes a housing having a shaft extending therefrom for supporting an end effector assembly. A handle is disposed on the housing and is selectively moveable relative thereto to actuate the end effector assembly. A PCB is disposed within the housing and includes one or more accelerometers and a timing circuit having a first timer. The accelerometer is configured to activate the first timer of the timing circuit upon detecting movement of the surgical instrument after the surgical instrument is coupled to an electrosurgical energy source. A deactivating assembly is disposed within the housing and is operably associated with the timing circuit such that after expiration of the first timer, the deactivation assembly mechanically decommissions the surgical instrument for continued or subsequent use.

METHODS FOR ESTIMATING AND CONTROLLING STATE OF ULTRASONIC END EFFECTOR

Various aspects of a generator, ultrasonic device, and method for estimating and controlling a state of an end effector of an ultrasonic device are disclosed. The ultrasonic device includes an electromechanical ultrasonic system defined by a predetermined resonant frequency, including an ultrasonic transducer coupled to an ultrasonic blade. A control circuit measures a complex impedance of an ultrasonic transducer, wherein the complex impedance as defined as

[00001] Z g ( t ) = V g ( t ) I g ( t ) ;

The control circuit receives a complex impedance measurement data point and compares the complex impedance measurement data point to a data point in a reference complex impedance characteristic pattern. The control circuit then classifies the complex impedance measurement data point based on a result of the comparison analysis and assigns a state or condition of the end effector based on the result of the comparison analysis. The control circuit estimates the state of the end effector of the ultrasonic device and controls the state of the end effector of the ultrasonic device based on the estimated state.