MICROWAVE ENERGY-DEVICE AND SYSTEM

• US 20140276033A1
• Filed: 03/15/2013
• Published: 09/18/2014
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D., Ladtkow, Casey M., Peterson, Darion R., Larson, Eric W., Dickhans, William J., Willyard, Richard A., Case, Jason A.
• Granted Patent: US 9,301,723 B2
• Time in Patent Office: Days
• US Class Current: 600/431
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00333 Breast
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00529 Liver
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/0066 without feedback, i.e. open loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00803 with temperature prediction
• CPC Class Codes: A61B 2018/00821 : measured by a thermocouple
• CPC Class Codes: A61B 2018/00898 : Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/00904 : Automatic detection of target tissue
• CPC Class Codes: A61B 2018/00982 : combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1838 : Dipole antennas
• CPC Class Codes: A61B 2018/1846 : Helical antennas
• CPC Class Codes: A61B 2018/1853 : Monopole antennas
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2018/1892 : Details of electrical isolations of the antenna
• CPC Class Codes: A61B 2034/107 : Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 2034/2051 : Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2072 : Reference field transducer attached to an instrument or patient
• CPC Class Codes: A61B 2090/363 : Use of fiducial points
• CPC Class Codes: A61B 2090/395 : with marking agent for marking skin or other tissue
• CPC Class Codes: A61B 2090/3966 : Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 34/10 : Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/20 : Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems
• CPC Class Codes: A61B 6/03 : Computed tomography [CT] echo-tomography A61B8/14

Abstract

An ablation system including an image database storing a plurality of computed tomography (CT) images of a luminal network and a navigation system enabling, in combination with an endoscope and the CT images, navigation of a locatable guide and an extended working channel to a point of interest. The system further includes one or more fiducial markers, placed in proximity to the point of interest and a percutaneous microwave ablation device for applying energy to the point of interest.

Claims

1. An ablation system comprising:

an image database including a plurality of computed tomography (CT) images of a luminal network;

a navigation system enabling, in combination with an endoscope and the CT images, navigation of a locatable guide and an extended working channel to a point of interest;

one or more fiducial markers, placed in proximity to the point of interest; and

a percutaneous microwave ablation device for applying energy to the point of interest.

2. The ablation system of claim 1, wherein the fiducial markers are placed through the extended working channel within the luminal network.

3. The ablation system of claim 1, further comprising a planning system enabling viewing of the CT images to determine a path through the luminal network to the point of interest.

4. The ablation system of claim 1, further comprising a transmitter generating an electromagnetic field about the luminal network.

5. The ablation system of claim 4, further comprising a plurality of fiducial markers on an exterior of the luminal network.

6. The ablation system of claim 5, wherein the electromagnetic field and the fiducial markers on the exterior of the luminal network enable the navigation system to determine the position of the locatable guide within the luminal network.

7. The ablation system of claim 6, wherein the determination of the position of the locatable guide enables the navigation system to display a graphic representation of the location of the locatable guide based on the CT image data.

8. The ablation system of claim 7, wherein the graphic representation includes a path the locatable guide and the extended working channel must follow to reach the point of interest.

9. The ablation system of claim 6, wherein the location of the locatable guide and the CT image data are registered to one another.

10. The ablation system of claim 1, further comprising a laparoscope to view an exterior portion of the luminal network.

11. The ablation system of claim 10, further comprising a laparoscopic image display device.

12. The ablation system of claim 1, wherein the one or more fiducial markers placed in proximity to the point of interest include a hydrogel material that expands following implantation.

13. The ablation system of claim 12, wherein the one or more fiducial markers include a dye that dissipates from the marker over time and when the marker is placed proximate an exterior surface of the luminal network is visible through the laparoscope to identify the point of interest.

14. The ablation system of claim 12, wherein the one or more fiducial markers include a radiologically opaque maker enabling the position of the marker to be determined using imaging modalities.

15. The ablation system of claim 1, further comprising a microwave generator connected to the percutaneous ablation device.

16. The ablation system of claim 1, further comprising a fluid cooling system supplying cooling fluid to the percutaneous ablation device.

17. The ablation system of claim 1, wherein the percutaneous ablation device comprises a temperature sensor sensing the temperature of a balun therein.

18. The ablation system of claim 17, wherein the temperature sensor is positioned in contact with a balun short electrically connected to an outer conductor of the percutaneous ablation device.

19. The system of claim 1, wherein the percutaneous microwave ablation device, locatable guide, and extended working channel are sized for navigation and ablation of lung tissue.

20. An ablation system, comprising:

a microwave ablation device configured to be inserted into a patient percutaneously and having a radiating section and a proximal handle;

a cooling system configured to provide cooling to the microwave ablation device during an ablation procedure;

a temperature sensing system configured to sense a temperature of tissue proximate the radiating section of the microwave ablation device;

an energy source configured to provide microwave energy to the microwave ablation device; and

a navigation system configured to indicate to a user a location of an ablation target and a pathway to the target.

21. The ablation system of claim 20, further comprising at least one temperature sensor on the radiating section sensing the temperature of tissue adjacent the microwave ablation device.

22. The ablation system of claim 21, wherein the temperature sensing system receives temperature data from each of the temperature sensors.

23. The ablation system of claim 22, wherein the temperature data provides feedback to the energy source to control the operation of the energy source.

24. The ablation system of claim 23, wherein the temperature sensing system compares the received temperature data to temperature profiles stored in a memory for determining whether sufficient energy has been applied to the tissue.

25. The ablation system of claim 22, wherein the temperature sensing system stores in the memory radiation patterns associated with the received temperature data, a duration of energy application, and a power setting of the energy source.

26. The ablation system of claim 20, wherein the navigation system employs a planning phase and a navigation phase.

27. The ablation system of claim 26, wherein the planning phase employs a CT image to identify the ablation target.

28. The ablation system of claim 26, wherein the navigation phase requires registration of a second image to the CT image.

29. The ablation system of claim 20 further comprising one or more fiducial markers placed using the navigation system at the ablation target.

30. The ablation system of claim 29, wherein the fiducial marker includes a releasable dye to mark the location of the marker.