Sensing needle for ablation therapy

• US 20070179491A1
• Filed: 01/31/2006
• Published: 08/02/2007
• Est. Priority Date: 01/31/2006
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Elmouelhi, Ahmed, Kratoska, Paul
• Application Number:
  US11/343,921
• Publication Number:
  US 20070179491A1
• Time in Patent Office: Days
• US Class Current: 606/32
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

The disclosure describes a method and a system that may be used to provide feedback on the progress of ablation therapy. The system includes a first needle that penetrates a target tissue to deliver radio frequency energy, with or without a conductive fluid, that heats and ablates the target tissue and a second needle that penetrates the target tissue and detects a tissue property indicative of the ablation progress. Temperature, impedance, or another parameter may be the tissue property detected and measured by the system. In addition, more than one sensor may be positioned on the first or second needle. The system may provide real-time monitoring of the tissue property or use the tissue property measurement to automatically terminate the ablation therapy. In particular, the system may be used to treat benign prostatic hypertrophy.

Claims

1. A method for providing feedback during tissue ablation, the method comprising:

deploying a first needle and a second needle from a common catheter into a target tissue, wherein the first and second needles exit from one or more sides of the common catheter;

delivering energy via the first needle to ablate at least a portion of the target tissue; and

measuring a tissue property via the second needle.

2. The method of claim 1, further comprising delivering a conductive fluid to the target tissue via the first needle.

3. The method of claim 2, further comprising moving the fluid through a plurality of holes in the first needle.

4. The method of claim 1, wherein the first and second needles do not extend beyond a distal tip of the common catheter.

5. The method of claim 1, wherein the first needle is deployed to a first length and the second needle is deployed to a second length.

6. The method of claim 5, wherein the first length is different from the second length.

7. The method of claim 1, wherein the tissue property is temperature.

8. The method of claim 7, further comprising measuring a temperature difference between the first needle and the second needle.

9. The method of claim 7, further comprising measuring a temperature change over time.

10. The method of claim 1, wherein the tissue property is impedance.

11. The method of claim 10, further comprising measuring an impedance change over time.

12. The method of claim 1, further comprising measuring a second tissue property at a second location of the second needle.

13. The method of claim 1, further comprising measuring a second tissue property via the first needle.

14. The method of claim 1, further comprising displaying the tissue property measurement to a user.

15. The method of claim 1, wherein delivering energy via the first needle is at least partially controlled by an insulated sleeve covering a portion of the first needle.

16. The method of claim 1, further comprising modifying at least one of fluid delivery and energy delivery when the tissue property reaches a threshold.

17. The method of claim 16, wherein modifying comprises terminating at least one of fluid delivery and energy delivery when the tissue property reaches the threshold.

18. The method of claim 1, further comprising retracting the first needle and the second needle after at least a portion of the target tissue is ablated.

19. The method of claim 1, wherein the target tissue is a prostate.

20. A system that provides feedback during tissue ablation, the system comprising:

a generator that generates energy to ablate at least a portion of a target tissue;

a first needle that delivers the energy to the target tissue;

a second needle that detects a tissue property; and

a common catheter that houses at least a portion of each of the first needle and the second needle, wherein the first and second needles exit from one or more sides of the common catheter.

21. The system of claim 20, further comprising a pump to deliver a conductive fluid to the target tissue via the first needle.

22. The system of claim 21, wherein the first needle comprises a plurality of holes for the fluid to pass through.

23. The system of claim 20, wherein the first and second needles do not extend beyond a distal tip of the common catheter.

24. The system of claim 20, wherein the first needle is deployed to a first length and the second needle is deployed to a second length.

25. The system of claim 24, wherein each of the first and second lengths are between 1 mm and 50 mm.

26. The system of claim 20, wherein a distance between a tip of the first needle and a tip of the second needle is between 1 mm and 50 mm.

27. The system of claim 20, wherein an angle formed between the first needle and the second needle is between 0 degrees and 120 degrees.

28. The system of claim 27, wherein the angle formed between the first needle and the second needle is between 35 degrees and 50 degrees.

29. The system of claim 20, wherein the second needle comprises a temperature sensor to detect the tissue property of temperature.

30. The system of claim 29, wherein multiple temperature sensors are located at different positions along the second needle.

31. The system of claim 29, wherein the first needle comprises a temperature sensor to detect the tissue property of temperature.

32. The system of claim 20, wherein the tissue property of impedance is detected between the first and second needles.

33. The system of claim 20, further comprising a user interface that displays a tissue property measurement to a user.

34. The system of claim 20, wherein the first needle is at least partially covered by an insulated sleeve.

35. The system of claim 20, wherein the generator modifies energy generation when the tissue property reaches a threshold.

36. The system of claim 21, wherein the pump modifies fluid delivery when the tissue property reaches a threshold.

37. The system of claim 20, wherein the target tissue is a prostate.

38. A device that provides feedback during tissue ablation, the device comprising:

a first needle that delivers the energy to the target tissue;

a second needle that detects a tissue property; and

a common catheter that houses at least a portion of each of the first needle and the second needle, wherein the first needle exits a first opening in a side of the common catheter and the second needle exits a second opening of the side of the common catheter when the first and second needles are deployed.

39. The device of claim 38, wherein the first needle comprises a plurality of holes that deliver a conductive fluid to the target tissue.

40. The device of claim 38, wherein the first and second needles do not extend beyond a distal tip of the common catheter.

41. The device of claim 38, wherein a distance between a tip of the first needle and a tip of the second needle is between 1 mm and 50 mm.

42. The device of claim 38, wherein an angle formed between the first needle and the second needle is between 0 degrees and 120 degrees.

43. The device of claim 42, wherein the angle formed between the first needle and the second needle is between 35 degrees and 50 degrees.

44. The device of claim 43, wherein the second needle comprises at least one temperature sensor to detect the tissue property of temperature.

45. The device of claim 44, wherein the first needle comprises a temperature sensor to detect the tissue property of temperature.

46. The device of claim 38, wherein the first and second needles detect the tissue property of impedance.