Low profile fluid enhanced ablation therapy devices and methods

• US 10,022,176 B2
• Filed: 08/15/2012
• Issued: 07/17/2018
• Est. Priority Date: 08/15/2012
• Status: Active Grant

• Current Assignee: Thermedical, Inc.
• Original Assignee: Thermedical, Inc.
• Inventors: Curley, Michael G.
• Primary Examiner(s): Holmes, Rex R
• Application Number:
  US13/586,559
• Publication Number:
  US 20140052117A1
• Time in Patent Office: 2,162 Days
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

Low profile devices and methods for delivering fluid enhanced ablation therapy are provided herein. In one embodiment, an ablation device is provided that includes an elongate body having proximal and distal ends, an inner lumen extending therethrough and at least one outlet port formed therein and configured to deliver fluid to surrounding tissue. The device can also include at least one ablation element disposed along a length of the body adjacent to the at least one outlet port and configured to deliver energy to surrounding tissue, as well as at least one heating element disposed within the inner lumen of the elongate body. The device further includes a handle having proximal and distal ends, the distal end of the handle being coupled to the proximal end of the elongate body. Further, a longitudinal axis of the elongate body extends at an angle to a longitudinal axis of the handle.

Claims

1. An ablation device, comprising:

a conductive elongate body having

proximal and distal ends,

an inner lumen extending longitudinally through the elongate body, and

at least one outlet port formed in the elongate body configured to deliver fluid to tissue surrounding the elongate body;

at least one heating element disposed within the inner lumen of the elongate body and configured to heat fluid passing therethrough, the at least one heating element including a single wire that extends through at least one spacer, where the single wire is configured to pass electrical energy through the fluid flowing through the inner lumen of the elongate body and the at least one spacer is configured to maintain a position of the single wire within the inner lumen of the elongate body;

a first power source configured to heat fluid flowing through the inner lumen by passing current between the single wire and the elongate body;

a second power source configured to heat tissue surrounding the elongate body by passing current between the elongate body and a collector electrode positioned outside the inner lumen and

a handle having proximal and distal ends, the distal end of the handle being coupled to the proximal end of the elongate body;

wherein a longitudinal axis of the elongate body extends at an angle to a longitudinal axis of the handle and wherein the handle is contoured along a longitudinal length thereof such that the handle forms a concave curve facing the distal end of the elongate body.

2. The ablation device of claim 1, wherein the angle between the longitudinal axis of the elongate body and the longitudinal axis of the handle is in a range of about 10 degrees to about 120 degrees.

3. The ablation device of claim 1, wherein the angle between the longitudinal axis of the elongate body and the longitudinal axis of the handle is in a range of about 30 degrees to about 100 degrees.

4. The ablation device of claim 1, wherein the angle between the longitudinal axis of the elongate body and the longitudinal axis of the handle is in a range of about 45 degrees to about 90 degrees.

5. The ablation device of claim 1, wherein the angle between the longitudinal axis of the elongate body and the longitudinal axis of the handle is about 90 degrees.

6. The ablation device of claim 1, wherein the handle includes an inner lumen extending therethrough.

7. The ablation device of claim 6, wherein the inner lumen extending through the elongate body is in communication with the inner lumen extending through the handle.

8. The ablation device of claim 1, further comprising an insertion stopping element slidably disposed on the elongate body.

9. The ablation device of claim 1, wherein the handle is formed from a non-magnetic material.

10. The ablation device of claim 1, wherein the handle includes a surface texture to improve a user'"'"'s grip of the handle.

11. The ablation device of claim 1, wherein the single wire is covered in an electrically insulating material and is exposed for only a short distance located just proximal of the at least one outlet port.

12. The ablation device of claim 1, wherein the inner lumen of the elongate body is lined with an insulating material.

16. The ablation device of claim 1, wherein the elongate body is configured for insertion into tissue.

17. The ablation device of claim 16, wherein the elongate body includes a pointed distal tip configured to puncture tissue.

24. The ablation device of claim 1, wherein the at least one spacer has a length that is less than a length of the elongate body.

13. An ablation device, comprising:

an elongate body having

proximal and distal ends,

an inner lumen extending longitudinally through the elongate body, and

at least one outlet port formed in the elongate body configured to deliver fluid to tissue surrounding the elongate body;

at least one ablation element disposed along a length of the elongate body adjacent to the at least one outlet port and configured to deliver energy to tissue surrounding the elongate body;

at least one heating element disposed within the inner lumen of the elongate body and configured to heat fluid passing therethrough, the at least one heating element including two wires that extend through two spacers, where the two wires are configured to pass electrical energy through the fluid flowing through the inner lumen of the elongate body from an exposed portion extending between the two spacers and the two spacers are configured to maintain a position of the two wires within the inner lumen of the elongate body; and

a handle having proximal and distal ends, the distal end of the handle being coupled to the proximal end of the elongate body;

wherein a longitudinal axis of the elongate body extends at an angle to a longitudinal axis of the handle and wherein the handle is contoured along a longitudinal length thereof such that the handle forms a concave curve facing the distal end of the elongate body.

18. The ablation device of claim 13, wherein the elongate body is configured for insertion into tissue.

19. The ablation device of claim 18, wherein the elongate body includes a pointed distal tip configured to puncture tissue.

25. The ablation device of claim 13, wherein the two wires are covered in an electrically insulating material and are exposed for only a short distance located just proximal of the at least one outlet port.

26. The ablation device of claim 13, wherein the elongate body is lined with an insulating material.

27. The ablation device of claim 13, wherein each spacer has a length that is less than a length of the elongate body.

14. An ablation device, comprising:

an elongate body having

proximal and distal ends,

an inner lumen extending longitudinally through the elongate body, and

at least one outlet port formed in the elongate body configured to deliver fluid to tissue surrounding the elongate body;

at least one ablation element disposed along a length of the elongate body adjacent to the at least one outlet port and configured to deliver energy to tissue surrounding the elongate body;

at least one heating element disposed within the inner lumen of the elongate body and configured to heat fluid passing therethrough, the at least one heating element including at least one wire covered in an electrically insulating material and exposed for only a short distance located just proximal of the at least one outlet port that extends through at least one spacer, where the at least one wire is configured to pass electrical energy through the fluid flowing through the inner lumen of the elongate body and the at least one spacer is configured to maintain a position of the at least one wire within the inner lumen of the elongate body; and

a handle having proximal and distal ends, the distal end of the handle being coupled to the proximal end of the elongate body;

wherein a longitudinal axis of the elongate body extends at an angle to a longitudinal axis of the handle and wherein the handle is contoured along a longitudinal length thereof such that the handle forms a concave curve facing the distal end of the elongate body.

20. The ablation device of claim 14, wherein the elongate body is configured for insertion into tissue.

21. The ablation device of claim 20, wherein the elongate body includes a pointed distal tip configured to puncture tissue.

28. The ablation device of claim 14, wherein the at least one spacer has a length that is less than a length of the elongate body.

15. An ablation device, comprising:

an elongate body having

proximal and distal ends,

an inner lumen extending longitudinally through the elongate body that is lined with an insulating material, and

at least one outlet port formed in the elongate body configured to deliver fluid to tissue surrounding the elongate body;

at least one ablation element disposed along a length of the elongate body adjacent to the at least one outlet port and configured to deliver energy to tissue surrounding the elongate body;

at least one heating element disposed within the inner lumen of the elongate body and configured to heat fluid passing therethrough, the at least one heating element including at least one wire that extends through at least one spacer, where the at least one wire is configured to pass electrical energy through the fluid flowing through the inner lumen of the elongate body and the at least one spacer has a length that is less than a length of the elongate body and is configured to maintain a position of the at least one wire within the inner lumen of the elongate body; and

a handle having proximal and distal ends, the distal end of the handle being coupled to the proximal end of the elongate body;

wherein a longitudinal axis of the elongate body extends at an angle to a longitudinal axis of the handle and wherein the handle is contoured along a longitudinal length thereof such that the handle forms a concave curve facing the distal end of the elongate body.

22. The ablation device of claim 15, wherein the elongate body is configured for insertion into tissue.

23. The ablation device of claim 22, wherein the elongate body includes a pointed distal tip configured to puncture tissue.

29. The ablation device of claim 15, wherein the at least one wire is covered in an electrically insulating material and is exposed for only a short distance located just proximal of the at least one outlet port.

30. The ablation device of claim 15, wherein the elongate body is lined with an insulating material.