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.

An electrosurgical electrode (30) includes a conductive rod (32) having a working portion (38) at a distal end portion (35). The electrode (30) also includes a composite coating (40) disposed on the working portion (38). The composite coating (40) includes a first coating (42) disposed on an outer surface of the working portion (38) and a second coating (44) disposed over the first coating (42).

The disclosed technology includes a medical probe including a tubular shaft having a proximal end and a distal end. The tubular shaft can extend along a longitudinal axis. The medical probe can include an expandable basket assembly proximate the distal end of the tubular shaft. The expandable basket assembly can include a single spine comprising a resilient material extending generally linearly along the longitudinal axis in a collapsed form and forming a spiral member defining a generally spherical outer periphery in an expanded form. One or more electrodes can be coupled to the single spine. Each electrode can include a lumen offset with respect to a centroid of the electrode so that the single spine extends through the lumen of each of the one or more electrodes.

An apparatus is provided to detect electrical contact between anatomical tissue and a shield conductor: a transformer; an alternating current (AC) reference frequency signal generator to inject a reference frequency signal to a primary winding of the transformer; a reactive impedance coupled in parallel with a secondary winding of the transformer between a first node and a second node; and a phase match detector circuit to detect a phase match between the reference frequency signal and a reflected reference frequency signal that is reflected from the secondary winding to the primary winding.

A monitoring unit which is configured to monitor a patient during an operation of a high-frequency surgery device, wherein the high-frequency surgery device is configured to separate and/or coagulate biological tissue by means of high-frequency electrical energy, wherein the monitoring unit has: measuring electrodes which are disposed in a periphery of the patient, and an evaluation and control unit which is configured to impress a predetermined measuring alternating voltage or a predetermined measuring alternating current on the measuring electrodes, and to monitor an impedance decreasing between the measuring electrodes and to monitor a time curve of the impedance and/or to monitor a temporal change thereof

Embodiments of the present disclosure provide a grounding cuff having a flexible body and an inflatable bladder disposed within the flexible body. The inflatable body is configurable to an inflated state and a deflated state. In the inflated stated, the inflatable bladder applies pressure to the grounding cuff to provide and maintain improved contact between the ground cuff and skin of a patient. Additionally, the inflatable bladder includes an inlet configured to receive a fluid from a hose, the inflatable bladder configured to the inflated state based on the fluid received via the hose. The grounding cuff may include a grounding pad coupled to a ground terminal to extract energy from the patient during a medical therapy, such as ablation therapy. The inflatable bladder may be configured to the inflated state to promote strong contact between the grounding pad and skin of the patient.

A device for radio frequency (RF) skin treatment of skin of a user is provided. The device comprises an active electrode and a return electrode. The device further comprises an RF generator arranged to supply RF energy to the user's skin via the active electrode and the return electrode. The return electrode has a planar skin contact surface extending in a main plane. The active electrode has a skin contact surface with a maximum dimension in a range from 100 μm to 500 μm, and a surface area of the planar skin contact surface of the return electrode is at least 5 times larger than a surface area of the skin contact surface of the active electrode. The skin contact surface of the active electrode is arranged in a position at a distance from the main plane, seen in a direction perpendicular to the main plane. The device may be advantageously used, for example, to control the dimensions and shape of a thermal lesion in the user's skin generated by the RF energy.

An elongate medical device shaft may comprise an elongate body and an annular electrode disposed on the elongate body. The annular electrode may define a longitudinal axis and have an outer diameter. The outer diameter may be greater at an axial center of the electrode than at an axial end of the electrode. Additionally or alternatively, the elongate body may comprise three longitudinal sections having three wall thicknesses. The middle wall thickness may be less than the proximal and distal wall thicknesses and the distal wall thickness may be less than the proximal wall thickness. Additionally or alternatively, the shaft may comprise an inner cylindrical structure and an outer tube. The outer tube may comprise a first radial layer and a second radial layer that is radially-outward of the first radial layer, the first radial layer, second radial layer, and inner structure having different stiffnesses.

An electric heating pad for warming a patient. The electric heating pad may be a heated underbody support, heated mattress or heated mattress overlay. An embodiment of the heating pad includes a flexible sheet-like heating element including an upper edge, a lower edge, and at least two side edges. The heating pad may also include a shell covering the heating element and comprising at least two sheets of flexible material (e.g., two sheets may be one sheet folded over to form at least two sheets). The two sheets of flexible material may be coupled together about the edges of the heating element by a weld. The material of the two sheets may include urethane. In some embodiments, a catalyst to accelerate hydrogen peroxide decomposition is coated on or impregnated into an element within the shell, or on the interior surface of the shell.

A medical apparatus includes a probe configured for insertion into a body of a patient. The probe includes a plurality of electrodes configured to contact tissue within the body. The medical apparatus further includes an electrical signal generator configured to apply between one or more pairs of the electrodes signals of first and second types in alternation. The signals of the first type include a sequence of bipolar pulses having an amplitude sufficient to cause irreversible electrophoresis (IRE) in the tissue contacted by the electrodes. The signals of the second type include a radio-frequency (RF) signal having a power sufficient to thermally ablate the tissue contacted by the electrodes.