A microwave amplifier having a load network which provides more efficient amplification of a low power microwave frequency signal. The amplifier comprises a transistor and a load network coupled to the transistor output to shape a waveform of an amplified microwave signal at the transistor current source plane. The load network comprises: a fundamental matching network to provide impedance matching at a fundamental frequency; a half-wave transmission line for a second harmonic frequency disposed between the transistor output and the fundamental matching network; a quarter-wave stub and a five-quarter-wave stub for a third harmonic frequency arranged on the half-wave transmission line to provide an open circuit condition at the third harmonic; and a quarter-wave stub for the second harmonic frequency and a quarter-wave stub for the fundamental frequency, arranged on the half-wave transmission line to provide a short circuit condition at the second harmonic frequency.

Disclosed herein is an electrosurgical generator capable of supplying energy in a waveform that causes electroporation in biological tissue. The electrosurgical generator may comprise an electroporation waveform supply unit that is integrated with means for generating microwave electromagnetic signals and radiofrequency electromagnetic signals for treatment. The electrosurgical generator may be configured to deliver different types of energy along a common feed cable. The electroporation waveform supply unit comprises a DC power supply and a DC pulse generator. The DC power supply may include a DC-DC converter for up-converting a voltage output by an adjustable voltage supply. Each DC pulse may have a duration in the range 1 ns to 10 ms and a maximum amplitude in the range 10 V to 10 kV.

Provided in accordance with the present disclosure are systems and methods for identifying a percutaneous tool in image data. An exemplary method includes receiving image data of at least a portion of a patients body, identifying an entry point of a percutaneous tool through the patients skin in the image data, analyzing a portion of the image data including the entry point of the percutaneous tool through that patients skin to identify a portion of the percutaneous tool inserted through the patients skin, determining a trajectory of the percutaneous tool based on the identified portion of the percutaneous tool inserted through the patients skin, identifying a remaining portion of the percutaneous tool in the image data based on the identified entry point and the determined trajectory of the percutaneous tool, and displaying the identified portions of the percutaneous tool on the image data.

An electrosurgical instrument capable of performing both thermal ablation and electroporation in a minimally invasive manner. The instrument is dimensioned to fit within an instrument channel of an endoscope to enable non-percutaneous insertion. The instrument comprises a radiating tip mounted at a distal end of a coaxial transmission line to receive microwave EM energy from the coaxial transmission line and emit it as a field around the radiating tip. The instrument further comprises an auxiliary transmission line arranged to convey electromagnetic energy having an electroporation waveform to a microelectrode array mounted on the radiating tip. The electroporation waveform may be a radiofrequency or low frequency electromagnetic (EM) signal. The microelectrode array may comprise a plurality of nanoscale conductive electrode elements.

A coaptive surgical sealing tool may be similar to an ordinary hemostat with long (50, 60, 70 or 80 mm) thin jaws for sliding into the liver parenchyma, without tearing the larger blood vessels. The jaws are spring loaded and are designed for uniform compression, and to avoid closing too quickly. The jaws are capable of sealing a 50, 60, 70 or 80 mm sealing length, in a single bite, although it can also seal shorter lengths as well. The tool can be used with existing ablative therapy microwave generators. The tool may be provided with irrigation and/or suction.

An electrosurgical instrument having a microwave ablation antenna dimensioned to be suitable for insertion into a pancreas via a surgical scoping device, to provide a rapid and accurate alternative to known RF ablation techniques. The electrosurgical instrument comprises: a proximal coaxial transmission line for conveying microwave electromagnetic (EM) energy; a distal radiating portion; and an intermediate impedance transformer arranged to match an impedance of the coaxial transmission line to an impedance of the distal radiating portion, wherein the distal radiating portion comprises a microwave antenna for emitting the microwave EM energy conveyed by the coaxial transmission line, wherein the distal radiating portion has a maximum outer diameter less than an outer diameter of the coaxial transmission line. With these features, the instrument is able to deliver microwave energy via a small diameter structure.

An electrosurgical instrument includes a shaft, an elongated electrosurgical blade coupled to the shaft, and a housing. The shaft is coupled to a source of electrical energy and the electrosurgical blade is coupled to the shaft. The electrosurgical blade defines a longitudinally-extending crease and is configured to be manually bent.

A combined isolator-diplexer device for supplying radiofrequency (RF) energy and microwave energy obtained from separate sources to a probe via a common signal pathway. The invention combines into a single unit all the necessary components to isolate a microwave channel from an RF channel whilst providing a high withstanding voltage (e.g. greater than 10 kV). The device comprises a waveguide isolator for isolating the microwave channel having a pair of DC isolation barriers arranged therein to provide a pair of series-connected capacitive structures between a ground conductor at an output of the combining circuit and a conductive input section of the waveguide isolator.

An apparatus capable of generating high power microwave frequency pulses for use with an electrosurgical device. The apparatus may be used for coagulating or ablating biological tissue. The apparatus includes an amplifier line-up comprising: a microwave signal generator for generating microwave radiation; a modulator arranged to pulse the microwave radiation; and an amplifier module arranged to increase the power of pulses of microwave radiation. The amplifier module works by providing a set of amplifiers that exhibit a gain that is greater than the total loss experienced at the components that divide the input signal and then combine the output signals. For example, if each amplifier in the array has a gain of 10 dBm, it is viable to use conventional power splitters and combiners to obtain an output microwave signal with substantially higher power than is provided by conventional electrosurgical generators.

A shaft assembly for a microwave ablation applicator having a shaft assembly and an antenna assembly located within the shaft assembly is disclosed. The shaft assembly comprises an elongate shaft which extends from a first end to a second end thereof and an applicator tip mounted on the second end of the elongate shaft.