A method of directing energy to tissue using a fluid-cooled antenna assembly includes the initial step of providing an energy applicator. The energy applicator includes an antenna assembly and a hub providing at least one coolant connection to the energy applicator. The method also includes the steps of providing a coolant supply system including a fluid-flow path fluidly-coupled to the hub for providing fluid flow to the energy applicator, positioning the energy applicator in tissue for the delivery of energy to tissue when the antenna assembly is energized, and providing a thermal-feedback-controlled rate of fluid flow to the antenna assembly when energized using a feedback control system operably-coupled to a flow-control device disposed in fluid communication with the fluid-flow path.

An electrosurgical device (10) is provided that is operable to deliver microwave energy within a controlled angular expanse to cause targeted tissue ablation. The device (10) comprises a blocking or reflecting material such as cylindrical members (34) that are laterally spaced from the antenna (20) that is operable to emit the microwave energy. The reflecting material creates regions in and/or surrounding the device into which sensors (51), such as thermocouple wires, may be placed to monitor a condition associated with the device or the patient's body.

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for treating a tissue region (e.g., a tumor) through application of energy.

A medium of interest is interrogated according to ultrasound elastography imaging. A preliminary elasticity-spatial-map is formed. This map is calibrated against a reference elasticity-spatial-map that comprises an array (232) of different (240) elasticity values. The reference map is formed to be reflective of ultrasonic shear wave imaging of a reference medium. The reference medium is not, nor located at, the medium of interest, and may be homogeneous. Shear waves that are propagating in a medium are tracked by interrogating the medium. From tracking locations on opposite sides of an ablated-tissue border, propagation delay of a shear wave in the medium and of another shear wave are measured. The two shear waves result from respectively different pushes (128) that are separately issued. A processor decides, based on a function of the two delays, that the border crosses between the two locations. The calibrated map is dynamically updated and may include post-ablation border expansion (346) and time-annotated previous stages (344, 348).

A system and method enabling the receipt of image data of a patient, identification of one or more locations within the image data depicting symptoms of COPD, analyzing airways and vasculature proximate the identified locations; planning a pathway to the one or more locations, navigating an extended working channel to one of the locations, positioning a microwave ablation catheter proximate the location, and energizing the microwave ablation catheter to treat the locations depicting symptoms of COPD.

A system and a method for medical therapy, particularly ablation treatment, are provided in which diagnostic data may be processed and represented as a function of therapy time. This allows to appropriate plan and dynamically monitor thermal ablation therapy which significantly reduces the risks to damage organs and tissue outside the target area.

An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

A circular microwave ablation antenna is provided with a chamber for accommodating the coaxial cable and the conduit, the chamber and the conduit extend forward to the front end of the antenna. An emission window of the antenna is at least partially located in the conduit to enable the cooling medium to cool the emission window area of the antenna. The conduit of the microwave emission area is made of an insulation material, so that the microwave can radiate outward, and the rest of the conduit is made of a microwave shielding material. The choke ring located at the rear side of emission area is hermetically fixed to the conduit, so that the choke ring acts to block the microwave. A gap exists between the choke ring and the needle bar, and the gap is used for the backflow of the cooling medium.

A method and system for monitoring tissue temperature during microwave ablation of such tissue is disclosed. The method includes applying a predetermined correction value to a temperature measurement to provide a corrected temperature value.

It is an object of the invention to improve the patient safety during thermal ablation. This object is achieved by an ablation therapy planning system, configured to carry out the steps of: receiving a medical image of a patient, and receiving an input defining an intended treatment location for one or more thermal applicators relative to a skin location and one or more intended treatment parameters and determining a location of a skin of the patient and estimating a temperature or thermal dose at the skin location resulting from the intended treatment location and one or more intended treatment parameters and raising an alarm if the calculated temperature or thermal dose at the skin location is above or below a certain threshold.