A method of treating liver tissue includes progressively grasping liver tissue, applying a first energy to the grasped liver tissue during the progressive grasping to permanently close parenchyma of the liver tissue, fully grasping the liver tissue, and applying a second energy to the fully grasped liver tissue to permanently close large vessels of the fully grasped liver tissue.

A microwave antenna including a feedline, a radiating section, an inflow hypotube, a puck, a transition collar and a sleeve. The feedline includes a coaxial cable including an inner and outer conductor, and a dielectric disposed therebetween. The radiating section includes a dipole antenna coupled to the feedline and a trocar coupled to the distal end of the dipole antenna. The inflow hypotube is disposed around the outer conductor and configured to supply fluid to the radiating portion. The puck includes at least two ribs with inflow slots defined between two adjacent ribs. The transition collar is coupled to the distal end of the inflow hypotube and the first end of the puck. The transition collar includes at least two outflow slots configured to receive fluid from a distal end of the inflow hypotube and to transition the fluid from the outflow slots to a distal end of the radiating section. The sleeve overlays the two outflow slots of the transition collar, the puck and at least the distal portion of the radiating section. The sleeve forms a fluid-tight seal with the transition collar proximal the outflow slots and defines a first gap for transitioning the fluid to exit the outflow slots of the transition collar to the distal end of the radiating section.

A novel microwave ablation applicator includes a flexible tubular shaft and a partially encapsulated antenna. The applicator is adapted to be used with an endoscope in order to access remote targets deep within an organ of a patient. Microwave power is emitted from the antenna in a desired radiation pattern by circulating an attenuating liquid through the shaft and across a portion of the antenna. Microwave ablation systems and methods are described.

A microwave antenna has a radiating portion connected by a feedline to a power generating source, e.g., a generator. Proximal and distal radiating portions of the antenna assembly are separated by a junction member. A reinforcing member is disposed within the junction member to increase structural rigidity.

An antenna assembly for microwave ablation can include a radiator for emitting a microwave for ablation; a coaxial cable for transmitting the microwave for ablation generated by a microwave generator to the radiator; an annular composite structure is provided around the coaxial cable for inhibiting an electromagnetic wave from propagating backwards along the coaxial cable. In some embodiment, the annular composite structure comprises an annular nonmetallic layer and an annular metallic layer located outside the annular nonmetallic layer. In some embodiments, the annular metallic layer is electrically insulated from the coaxial cable. In some embodiments, the antenna assembly can be used with a microwave ablation needle. The annular composite structure can inhibit the backward propagation of the microwave along the coaxial cable exterior wall. In some embodiments, circulation water enters the radiation zone, to avoid high temperatures of the head the ablation needle.

A flexible instrument comprises an antenna having a distal tip portion shaped to perforate tissue, a proximal base, and an antenna body therebetween. The antenna body comprises a patterned cylindrical structure having antenna body elements spatially separated from each other and having a proximal end coupled to the proximal base and a distal end coupled to the distal tip portion. The distal tip portion is disposed distally of the distal end. The antenna comprises a first material having a flexible plastic deformation limit and a second material plated onto the first material. The second material is more conductive than the first material. The flexible instrument further comprises an adjustment device configured to adjust pitch lengths between adjacent antenna body elements and is configured to generate a radiation pattern from the antenna that varies based on the pitch length between the adjacent antenna body elements to ablate tissue.

An exemplary microwave ablation system is provided. The system may use a switching antenna for both microwave heating of target tissue and microwave radiometry to monitor the temperature of the heated tissue to ensure that the desired temperatures are delivered to adequately treat the target tissue and achieve therapeutic goals. The system may integrate switching components into the switching antenna, which eliminates error from heating of the reference termination and heating of the electrical cables.

A balun includes a center conductor, a dielectric material, a tapered wall, a ring, and a prong. The center conductor extends a length of the balun. The dielectric material surrounds the center conductor along the length of the balun. The tapered wall forms a portion of a tube between a first wall and a second wall. The first wall is opposite the second wall. The tapered wall is formed of a conductive material. The portion of the tube forms a slot exposing the dielectric material. The ring connects to the second wall of the tapered wall and is formed of the conductive material. The ring forms a tube surrounding the center conductor and the dielectric material. The prong connects to the ring to extend toward the first wall and is formed of the conductive material. The prong extends over a portion of the dielectric material exposed by the slot.

The present disclosure provides a system with an innovative electrode designed as an RF/microwave antenna as well as methods to monitor/assess biological tissue and perform surgical procedures.

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.