Adjustable-length surgical access devices are disclosed herein, which can advantageously allow an overall length of the access device to be quickly and easily changed by the user. The access devices herein can reduce or eliminate the need to maintain an inventory of many different length access devices. In some embodiments, the length of the access device can be adjusted while the access device is inserted into the patient. This can reduce or eliminate the need to swap in and out several different access devices before arriving at an optimal length access device. This can also reduce or eliminate the need to change the access device that is inserted into a patient as the depth at which a surgical step is performed changes over the course of a procedure. Rather, the length of the access device can be adjusted in situ and on-the-fly as needed or desired to accommodate different surgical depths.

An emitter assembly can include a proximal shaft, a distal shaft, a shunt that connects the proximal shaft to the distal shaft, and a tip that is connected to a distal end of the distal shaft. An inner conductor can extend through the proximal shaft, the shunt, and the distal shaft and into the tip to provide microwave energy to the tip. An outer conductor can extend into the shunt. The shunt can therefore form an electrical connection between the outer conductor and a proximal ring of electrically conductive material formed on an exterior surface of the distal shaft. Distal shaft can be made of a thermally conductive but electrically insulated material to facilitate transfer of heat from the distal shaft to the proximal shaft.

An ablation probe is provided. The ablation probe includes a housing that is configured to couple to a microwave energy source. A shaft extends distally from the housing and includes a radiating section at a distal end thereof. A sensor assembly is operably disposed on the housing and includes a pair of sensor contacts. One or more sensors are positioned adjacent the radiating section and extend along the shaft. The sensor(s) have a pair of sensor contact pads that are positioned on the shaft for contact with the pair of sensors such that during transmission of microwave from the radiating section into target tissue at least one electrical parameter is induced into the at least one sensor and detected by the pair of sensor contacts.

Ablation probe tips (108, 148, 320, 360) and physical and virtual stents (110) for use in tooth bud ablation procedures that result in tooth agenesis as well as tooth bud ablation methods are described herein.

An electrosurgical instrument which is capable of selective operation in any of (i) a plasma-generating mode for surface coagulation, (ii) a non-ionising radiation mode for deeper coagulation, e.g. using microwave energy, and (iii) a liquid administration mode for conveying liquid to a treatment site, e.g. to constrict a bleeding vessel so that a clinician can get control of the bleed. These operating modes may be provided in an electrosurgical instrument that is physically configured to be suitable for applying pressure to a tissue vessel, e.g. to act as a tamponade to stem bleeding.

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.

A microwave ablation system includes a first cannula, a trocar insertable through the first cannula and configured to facilitate insertion of the first cannula into a target tissue, and a microwave antenna assembly configured to interlock with the first cannula, the microwave antenna assembly including a coaxial feedline having a radiating section formed thereon, the microwave antenna configured to be inserted into the first cannula. The microwave ablation system further includes an actuator operatively connected to one of the first cannula or microwave antenna assembly. Operation of the actuator between a first position and a second position exposes the radiating section of the microwave antenna assembly from a distal portion of the first cannula.

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.

Devices and methods for surgical retraction are described herein, e.g., for retracting nerve tissue, blood vessels, or other obstacles to create an unobstructed, safe surgical area. In some embodiments, a surgical access device can include an outer tube that defines a working channel through which a surgical procedure can be performed. A shield, blade, arm, or other structure can be manipulated with respect to the outer tube to retract an obstacle. For example, an inner blade can protrude from a distal end of the outer tube to retract obstacles disposed distal to the outer tube. The inner blade can be movable between a radially-inward position and a radially-outward position. The radially-inward position can allow insertion of the blade to the depth of the obstacle to position the obstacle adjacent to and radially-outward from the blade. Subsequent movement of the blade to the radially-outward position can retract the obstacle in a radially-outward direction. The blade can be manipulated remotely, e.g., from a proximal end of the access device or a location disposed outside of the patient. The blade can be manipulated in various ways, such as by rotating the blade relative to the outer tube, translating the blade longitudinally relative to the outer tube, sliding an expander along the blade, driving a wedge between the blade and the outer tube, actuating a cam mechanism of the access device, and/or pivoting the blade relative to the outer tube.

A radiation applicator with a dielectric body (2) surrounding the antenna. The dielectric body (2) is comprised of three sections (3, 4 and 5) with different dielectric constants to provide broad-band matching of the applicator to surrounding material. Washers (10) and (11) are mounted on the antenna to act as reflectors.