An esophageal deflection device includes an elongate outer tube that has a natural curved deflection at a position that corresponds to a targeted esophagus region for deflection. The outer diameter of the outer tube is substantially matched to an inner diameter of the esophagus to closely contact the esophagus wall, or is at least half of the inner diameter, or is smaller and includes suction ports for drawing the esophagus wall inward. An insertion rod or tube includes a portion that is stiffer than the curved deflection, and slides into the elongate outer tube to straighten the tube and can serve to guide the deflection device into an esophagus. Subsequent withdrawal of the insertion tube or rod will allow the curved deflection to return to its natural shape and deflect the targeted region of the esophagus. A three-dimensional array of temperature sensors can be disposed near an outer surface of the elongate outer tube.

The invention relates generally to methods of using a thiol-Michael addition hydrogel for providing intracavitary brachytherapy and/or displacing tissue and organs. The thiol-Michael addition hydrogel may be used as a packing material and an attenuation material for intracavitary brachytherapy applications. The invention also relates generally to a brachytherapy applicator, which may be used in conjunction with the thiol-Michael addition hydrogel and methods thereof. The invention also relates to a kit comprising at least one container containing the precursor materials of the thiol-Michael addition hydrogel.

A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablate using a suitable source, such as RF or laser energy. A cooling shield is placed in contact with non-target tissue adjacent the target tissue, and actively cooled to conduct thermal energy away from the non-target tissue. In one method, the cooling shield can be placed between two organs, in which case, one of the two organs can comprise the target tissue, and the other of the two organs can comprise the non-target tissue. In this case, the cooling shield may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflated balloon can be actively cooled by pumping a cooling medium through it. In another method, the cooling shield can be embedded within the non-target tissue. In this case, the cooling shield can comprise one or more needles. If a plurality of needles is used, they can be embedded into the non-target tissue in a series, e.g., a rectilinear or curvilinear arrangement. The needle(s) can be actively cooled by jumping a cooling medium through them.

Certain aspects of the present disclosure provide methods and apparatus for managing an esophagus of a subject during a medical procedure, such as cardiac tissue ablation or bronchial tissue ablation. Managing the esophagus may include displacing the esophagus, imaging the esophagus, and/or measuring temperature at one or more locations inside the esophagus. One example esophageal management system generally includes a tube configured for insertion through a mouth and into the esophagus of the subject. The tube generally includes a first port located at a proximal end of the tube and in fluid communication with a distal portion of the tube via a first path, a second port located at the proximal end of the tube, and a third port located between the proximal end of the tube and a distal end of the tube and in fluid communication with the second port via a second path.

A protective assembly for use during laparoscopic surgery, the assembly including: a thin membrane formed from non-toxic material, the membrane being sufficiently thin and maneuverable to be passed through a cannula of a trocar wherein the membrane includes opposed major membrane surfaces separated by thickness of the membrane, each membrane surface including rows of projections and recesses such that any two adjacently located projections are separated by a recess.

The instant disclosure relates to electrophysiology catheters for tissue ablation within a cardiac muscle, for example. In particular, the instant disclosure relates to an electrophysiology ablation balloon catheter with a combination of coated and uncoated surfaces for focusing ablation energy at a desired portion of tissue.

A robotic surgical arm including a receiver configured to receive wireless communications from a robotic surgical instrument attached to the robotic surgical arm and a shield including a plurality of fingers each having a common shape and a connector being in contact with each of the fingers. When the connector is electrically connected to ground, the shape, dimensions and arrangement of the fingers causes attenuation of the transmission of electric fields through the shield.

A surgical instrument includes an end effector assembly having first and second jaw members each jaw member defining an opposed surface. The jaw members are movable between a spaced-apart position and an approximated position for grasping tissue within a grasping area. First and second tissue-treating plates are disposed on the jaw members and adapted to connect to a source of energy for treating tissue disposed within a tissue-treating. Each jaw member defines a knife channel positioned within the grasping area and outside of the tissue-treating area. A knife is selectively movable between a retracted position, wherein the knife is positioned proximally of the jaw members, and an extended position, wherein the knife extends at least partially through the knife channels of the jaw members to cut tissue positioned adjacent the tissue-treating area.

A method of surgery utilizing an end effector assembly having first and second jaw members defining a grasping area therebetween and a tissue-treating area therebetween. Each of the first and second jaw members defines a knife channel positioned within the grasping area and outside of the tissue-treating area. The end effector assembly is positioned such that the knife channels are positioned adjacent tissue to be removed. Thereafter, the first and/or second jaw members are moved from a spaced-apart position to an approximated position to grasp tissue therebetween, the jaw members are energized for conducting energy through tissue disposed within the tissue-treating area to treat tissue disposed within the tissue-treating area, and a knife is advanced through the knife channels to cut tissue adjacent the tissue-treating area thereby separating tissue.

The instant disclosure relates to electrophysiology catheters for tissue ablation within a cardiac muscle, for example. In particular, the instant disclosure relates to an electrophysiology ablation balloon catheter with a combination of coated and uncoated surfaces for focusing ablation energy at a desired portion of tissue.