Described herein are treatment tip apparatuses (e.g., devices, systems, etc.) including one, or more preferably a plurality, of electrodes that are protected by an electrode partition, such as an electrode housing (which may be retractable) until pressed against the tissue for deployment of the electrodes and delivery of a therapeutic treatment. In particular, these apparatuses may include a plurality of treatment electrodes (e.g., needle electrodes) and be configured for the delivery of nanosecond pulsed electric fields.

A dermatological skin treatment device is provided. The device comprises a handpiece and a cutting tool, wherein the tool is inserted through the conduit and percutaneously inserted into a tissue disposed within a recessed area of the handpiece. The device and method cut the fibrous structures under the skin that cause cellulite at an angle substantially parallel to the surface of the skin and replace these structures with a non-cellulite forming structure by deploying a highly fibrous mesh through a single needle hole to create a highly fibrous layer directly or through wound healing processes. A tool is provided to aspirate excess fluid and tissue from the treatment area.

An irrigated needle electrode ablation catheter has a distal tip section with a tip electrode, a needle electrode assembly longitudinal movable relative to the catheter, and a needle centering insert in a channel in the tip electrode. The assembly has a proximal tubing and a distal needle electrode, and the insert supports the needle electrode in the channel at a predetermined separation distance from the tip electrode while enabling irrigation to flow circumferentially around the needle electrode through the channel and exit at the distal end of the tip electrode. The catheter also provides a first dedicated fluid pathway through the assembly and exits at the distal end of the needle electrode, and a second dedicated fluid pathway to supply fluid to the channel in the tip electrode, wherein the second pathway is defined by a guide tube and directed by a plunger member.

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.

An electrosurgical system may include a medical delivery device and an electrosurgical device to perform an electrosurgical procedure. The electrosurgical device may have a monopolar configuration. An outer surface of the medical delivery device may include a conductive portion that is part of a return path for a bipolar configuration. Current may be supplied through an active member of the electrosurgical device to perform the procedure. After passing through tissue, the current may be drawn to the electrode portion of the medical delivery device to complete the circuit.

Needles are deployed in tissue under direct ultrasonic or other imaging. To aid in deploying the needle, a visual needle guide is projected on to the image prior to needle deployment. Once the needle guide is properly aligned, the needle can be deployed. After needle deployment, a safety boundary and treatment region are projected on to the screen. After confirming that the safety boundary and treatment regions are sufficient, the patient can be treated using the needle.

A probe assembly comprising: an electrode-based probe comprising a probe head and one or more slender electrodes extending from the probe head for insertion into biological tissue; and a support element disposed around one or more of said electrodes, distal from the probe head, the support element comprising one or more apertures through which said one or more electrodes pass, the probe head and said electrode(s) being movable relative to the support element during insertion; wherein the support element is configured to constrain the angle of the end of the said electrode(s) at the point of insertion into the tissue. Also provided is an insertion device for inserting the electrode(s) of such a probe assembly into biological tissue, the insertion device comprising: means for holding the support element against the tissue or in close proximity to the tissue; and means for applying an insertion force to the probe head, to drive the probe head towards the support element and thereby cause the electrode(s) to move through the aperture(s) in the support element and become inserted into the tissue.

Devices and methods for performing subcutaneous surgery in a minimally invasive manner are provided. The methods include application of reduced air pressure in a recessed area of a handpiece placed over a section of skin and drawing the section of skin and subcutaneous tissue into the recessed area. In a subsequent step a tool is inserted through a tool conduit in the handpiece and through the skin into the subcutaneous tissue, enabling the performance of the desired surgery. Common surgical procedures include dissection and ablation . The devices and methods can be directed at the treatment of skin conditions like atrophic scars, wrinkles, or other cosmetic issues, at treatments like or promoting wound healing or preventing hyperhidrosis, or can be used for creating space for various implants.

Methods and apparatuses (e.g., devices, instruments and systems, including applicator handles for use with pulse generators) for automatically and/or mechanically setting impedance matching for connecting the applicator handle with different electrode tips. These methods and apparatuses may be useful for applying therapeutic energy, including but not limited to short, high field strength electric pulses, while avoiding the risk of arcing or otherwise harming the tissue.

A surgical system includes a stylus having a proximal end portion and distal end portion configured to penetrate lung tissue. The stylus may be movable between a first configuration and a second configuration within lung tissue. The surgical system may include a surgical instrument configured to treat lung tissue, a sealant configured to seal lung tissue, and an introducer configured for insertion into lung tissue. The introducer may have a proximal end portion and a distal end portion and may define a lumen therethrough configured to separately receive the stylus, the surgical instrument, and the sealant.