Post-ablation verification of lesion size

• US 20080275440A1
• Filed: 05/03/2007
• Published: 11/06/2008
• Est. Priority Date: 05/03/2007
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Skwarek, Thomas R., Kratoska, Paul S.
• Application Number:
  US11/799,785
• Publication Number:
  US 20080275440A1
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00505 Urinary tract
• CPC Class Codes: A61B 2018/00517 Urinary bladder or urethra
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00738 Depth, e.g. depth of ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2018/1475 : Electrodes retractable in or deployable from a housing

Abstract

This disclosure is directed to a method of providing feedback regarding the outcome of ablation therapy. Measuring one or more tissue properties after the ablation procedure may allow the clinician to verify the size of the lesion formed or other therapy results. In one embodiment, the invention is directed toward a method for providing feedback regarding the results of tissue ablation, the method comprising deploying one or more needles from a catheter into a target tissue, delivering energy via at least one of the one or more needles to ablate at least a portion of the target tissue to form a lesion, stopping energy delivery via the at least one of the one or more needles, and measuring a tissue property via at least one of the one or more needles after the energy delivery has been stopped. The measured tissue property may be temperature or impedance. Also, the measured tissue property may be used to determine a volume of the lesion formed by ablation therapy.

Claims

1. A method for providing feedback regarding the results of tissue ablation, the method comprising:

deploying one or more needles from a catheter into a target tissue;

delivering energy via at least one of the one or more needles to ablate at least a portion of the target tissue to form a lesion;

stopping energy delivery via the at least one of the one or more needles; and

measuring a tissue property via at least one of the one or more needles after the energy delivery has been stopped.

2. The method of claim 1, further comprising determining a volume of the lesion using the measured tissue property.

3. The method of claim 1, wherein the one or more needles comprise a needle that measures the tissue property and delivers energy to the target tissue.

4. The method of claim 1, wherein the one or more needles comprise a first needle that delivers energy to the target tissue and a second needle that measures the tissue property.

5. The method of claim 4, wherein the second needle delivers energy to the target tissue.

6. The method of claim 5, wherein the target tissue is at least one of between or proximate to the first and second needles, and wherein delivering energy to the target tissue comprises delivering energy to the target tissue using bipolar ablation.

7. The method of claim 1, further comprising delivering a conductive fluid to the target tissue via at least one of the one or more needles.

8. The method of claim 7, further comprising moving the fluid through a plurality of holes in at least one of the one or more needles.

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

10. The method of claim 9, wherein the one or more needles comprise a first needle and a second needle, further comprising measuring a temperature difference between the first needle and the second needle.

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

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

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

14. The method of claim 1, wherein delivering energy via the at least one of the one or more needles is at least partially controlled by an insulated sleeve covering a portion of the at least one of the one or more needles.

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

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

17. A system comprising:

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

one or more needles that deliver the energy to the target tissue, wherein at least one of the needles comprises a measurement device that measures a tissue property of the target tissue after the lesion is formed; and

a processor that analyzes the measured tissue property and provides an indicator of therapy outcome based on the measured tissue property.

18. The system of claim 17, further comprising a display, wherein the indicator of therapy outcome is displayed on the display.

19. The system of claim 17, further comprising a pump to deliver a conductive fluid to the target tissue via at least one of the one or more needles.

20. The system of claim 19, wherein the at least one of the one or more needles comprises a plurality of holes that deliver the conductive fluid to the target tissue.

21. The system of claim 17, wherein the target tissue is a prostate.

22. The system of claim 17, wherein the indicator of therapy outcome comprises a volume of the lesion.

23. The system of claim 17, wherein the tissue property is temperature.

24. The system of claim 23, wherein the one or more needles comprise a first needle and a second needle, further comprising measuring a temperature difference between the first needle and the second needle.

25. The system of claim 23, wherein a change in temperature is measured over time.

26. The system of claim 17, wherein the tissue property is impedance.

27. The system of claim 26, wherein a change in impedance is measured over time.

28. The system of claim 17, further comprising a return electrode pad that receives energy dispersed from the one or more needles.

29. The system of claim 28, wherein the one or more needles comprise a first needle and second needle, further comprising measuring an impedance difference between the first needle and the return electrode pad and the second needle and the return electrode pad.

30. The system of claim 17, further comprising a catheter that houses at least a portion of the one or more needles.

31. A computer-readable medium comprising instructions for causing a programmable processor to:

deliver energy via one or more needles to ablate at least a portion of a target tissue to form a lesion;

receive a tissue property measurement, wherein the tissue property measurement is measured via at least one of the one or more needles after the energy delivery has been stopped; and

analyze the measured tissue property and provide an indicator of therapy outcome based on the measured tissue property.

32. The computer-readable medium of claim 31, wherein the indicator of therapy outcome comprises a volume of the lesion.