Surgical devices for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device has a handle, a fluid passage connectable to a fluid source, a tip portion and a distal end. The tip portion can simultaneously provide RF power and conductive fluid to tissue. The tip portion includes an electrode having a domed portion having a domed surface and a cylindrical portion having a cylindrical surface. The domed portion is located distal to the cylindrical portion and occupies at least a portion of the distal end of the surgical device. The device includes a fluid outlet opening in fluid communication with the fluid passage, the fluid outlet opening configured to provide the conductive fluid to a surface of the electrode proximal to the distal end surface of the surgical device.

Fluid-assisted medical devices, systems and methods

An ablation apparatus including a maneuvering mechanism, a conductive element attached to the apparatus, a sensor attached to the apparatus and an output device in communication with the sensor is provided. The sensor senses vibration during the ablation procedure and sends a signal to the output device to reduce power to the conductive element.

Vibration sensitive ablation device and method

The present invention provides an apparatus and a method for producing a virtual electrode within or upon a tissue to be treated with radio frequency alternating electric current, such tissues including but not limited to liver, lung, cardiac, prostate, breast, and vascular tissues and neoplasms. An apparatus in accord with the present invention includes a supply of a conductive or electrolytic fluid to be provided to the patient, an alternating current generator, and a processor for creating, maintaining, and controlling the ablation process by the interstitial or surficial delivery of the fluid to a tissue and the delivery of electric power to the tissue via the virtual electrode. A method in accord with the present invention includes delivering a conductive fluid to a predetermined tissue ablation site for a predetermined time period, applying a predetermined power level of radio frequency current to the tissue, monitoring at least one of several parameters, and adjusting either the applied power and/or the fluid flow in response to the measured parameters.

Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue

A tissue ablation device has a handle and an ablation head coupled to the handle. The ablation head has a first jaw, a second jaw, and an ablative element coupled to at least one of the first and second jaws. A thickness measurement device may be coupled to the ablation device to indicate the distance separating the first and second jaws. Further, a force measurement device may be coupled to the ablation device to measure the force being applied by the first and second jaws to a piece of tissue. Further, a strain measurement device may be coupled to the ablation device to indicate the strain resulting in a piece of tissue disposed between the first and second jaws when a stress is applied to the tissue.

Device and method for determining tissue thickness and creating cardiac ablation lesions

A device and method for ablating tissue is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding an ablating member within the patient while tracking the position of the ablating member in the patient, positioning the ablating member in a desired position to ablate tissue, emitting ablating energy from the ablating member to form an ablated tissue area and removing the ablating member from the patient.

Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions

Systems and methods for performing a therapeutic procedure using focused ultrasound include providing a piezoelectric transducer including a plurality of transducer elements (22), such as a concave concentric ring array or a linear array of transducer elements. Drive circuitry (14) is coupled to the transducer for providing drive signals to the transducer elements at one of a plurality of discrete RF frequencies. A controller (16) is coupled to the drive circuitry for periodically changing a frequency of the drive signals to one of the plurality of discrete frequencies, while controlling a phase component of the drive signals to maintain the focus of the transducer at a primary focal zone during a single sonication.

Systems and methods for reducing secondary hot spots in a phased array focused ultrasound system

A thermal treatment system including a heat applying element for generating thermal doses for ablating a target mass in a patient, a controller for controlling thermal dose properties of the heat applying element, an imager for providing preliminary images of the target mass and thermal images during the treatment, and a planner for automatically constructing a treatment plan, comprising a series of treatment sites that are each represented by a set of thermal dose properties. The planner automatically constructs the treatment plan based on input information including one or more of a volume of the target mass, a distance from a skin surface of the patient to the target mass, a set of default thermal dose prediction properties, a set of user specified thermal dose prediction properties, physical properties of the heat applying elements, and images provided by the imager. The default thermal dose prediction properties are preferably based on a type of clinical application and include at least one of thermal dose threshold, thermal dose prediction algorithm, maximum allowed energy for each thermal dose, thermal dose duration for each treatment site, cooling time between thermal doses, and electrical properties for the heat applying element. The user specified thermal dose prediction properties preferably include at least one or more of overrides for any default thermal dose prediction properties, treatment site grid density; and thermal dose prediction properties not specified as default thermal dose prediction properties from the group comprised of thermal dose threshold, thermal dose prediction algorithm, maximum allowed energy for each thermal dose, thermal dose duration for each treatment site cooling time between thermal doses, and electrical properties for the heat applying element.

Apparatus for controlling thermal dosing in a thermal treatment system

A focused ultrasound system includes a plurality of transducer elements disposed about and having an angular position with a central axis. Drive signals drive respective transducer elements that include phase shift values based upon the angular position of each respective transducer element. The phase shift values are based upon an oscillation function that oscillates about the central axis between minimal and maximal phase shift values such that a first on-axis focal zone and a second off-axis focal zone are created. An amplitude and frequency of the oscillation function are controlled to adjust relative acoustic energy levels of the first and second focal zones, and to adjust a radius of the second focal zone, respectively. In addition, the drive signals include an additional predetermined phase shift based upon a radial position of each respective transducer element to adjust a focal distance of the focal zones.

Naama Brenner

Papers

Systems and methods for reducing secondary hot spots in a phased array focused ultrasound system

Apparatus for controlling thermal dosing in a thermal treatment system

System and methods for controlling distribution of acoustic energy around a focal point using a focused ultrasound system

Thermal treatment system

Systeme zur verminderung sekundärer heisser stellen in phasengesteuerten fokusierten ultraschallsystemen