A method of performing denervation with a cooled microwave denervation catheter assembly includes advancing a catheter body over a guide wire in a body lumen of a patient to a treatment location adjacent targeted nerves, with the guide wire being located in an interior lumen of the catheter body, inflating the balloon with cooling fluid to contact a wall of the body lumen of the patient, removing the guide wire from the interior lumen of the catheter body, and inserting a microwave antenna catheter into the interior lumen of the catheter body, so that denervation treatment may be performed by simultaneously circulating cooling fluid in the balloon and supplying power to the microwave antenna, to cause the targeted nerves to be heated to a temperature sufficient to cause thermal damage while the wall of the body lumen is maintained at a temperature where thermal damage does not occur.

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.

The invention provides devices and systems, as well as associated methods of using them, that employ a remote Dicke switching elementi.e., distal to a radiometer. The devices, systems, and methods are suitable for both diagnostic and therapeutic applications in a wide variety of tissues.

An energy-delivery device suitable for delivery of energy to tissue includes an antenna assembly, a chamber defined about the antenna assembly, and a cable having a proximal end suitable for connection to an electrosurgical energy source. The energy-delivery device also includes a flexible, fluid-cooled shaft coupled in fluid communication with the chamber. The flexible, fluid-cooled shaft is configured to contain a length of the cable therein and adapted to remove heat along the length of the cable during delivery of energy to the antenna assembly.

A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

Various aspects of the present disclosure are directed apparatuses, systems, and methods that may include a microwave ablation system. The microwave ablation system may include a microwave ablation needle, a controller, a microwave generator configured to provide ablation power to the microwave ablation needle, and a pump configured to provide a coolant to the microwave ablation needle at a flow rate, such that the microwave ablation needle emits microwave radiation based on the received ablation power and the controller is configured to perform a plurality of predefined processes having an associated applied ablation power and coolant flow rate.

An electrosurgical device (10) operable to deliver microwave energy to cause targeted tissue ablation is provided. The electrosurgical device (10) comprises an antenna (26), a reflector (30), and a dielectric material (34) disposed therebetween. The selection of the dielectric material (30) and the relative positioning of the antenna (26) and the reflector (30) provide impedance matching between the antenna (26) and a transmission line (12) so as to minimize heating along the length of the device (10) during use.

A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

An electrosurgical apparatus is provided. The electrosurgical apparatus includes a cannula insertable into a patient and positionable adjacent abnormal tissue. The electrosurgical apparatus includes a microwave antenna that includes a distal end having a radiating section receivable within the cannula and positionable within a patient adjacent abnormal tissue. The microwave antenna is adapted to connect to a source of electrosurgical energy for transmitting electrosurgical energy to the radiating section. A portion of the radiating section substantially encompasses a portion of the abnormal tissue and may be configured to apply pressure thereto. The microwave antenna is actuated to electrocautery treat tissue to reduce blood flow to the abnormal tissue.

The present invention discloses medical systems and methods adapted for the delivery of various medical components such as microwave antennas within or on a body for performing one or more medical procedures. Several embodiments herein disclose medical systems comprising a combination of one or more medical components and one or more elongate steerable or non-steerable arms that are adapted to mechanically manipulate the one or more medical components. Several embodiments of microwave antennas are disclosed that comprise an additional diagnostic or therapeutic modality located on or in the vicinity of the microwave antennas.