MICROWAVE ABLATION CATHETER, HANDLE, AND SYSTEM

• US 20150073211A1
• Filed: 09/08/2014
• Published: 03/12/2015
• Est. Priority Date: 09/06/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: DICKHANS, WILLIAM J., RESCHKE, ARLEN J., SHAFFER, CAROL L., PETERSON, ALEX A.
• Granted Patent: US 10,201,265 B2
• Time in Patent Office: Days
• US Class Current: 600/104
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• 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 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2090/571 for clamping a support arm to a bed or other supports
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: F16B 2/18 using cams, levers, eccentrics, or toggles for connections of rods or tubes engaged telescopically F16B7/1418, F16B7/1427, F16B7/1454
• CPC Class Codes: F16B 2/185 using levers

Abstract

A support system including a rail, a lower support, and an instrument support. The lower support is configured to receive a portion of a bronchoscope and to selectively fix the bronchoscope relative to the rail. The instrument support is slidably disposed on the rail and is selectively lockable to the rail. The instrument support is configured to releasably couple to a surgical instrument inserted through the bronchoscope to fix the position of a portion of the surgical instrument relative to the bronchoscope.

Claims

1. A support system comprising:

a rail having upper and lower ends defining a longitudinal axis therebetween;

a lower support configured to receive a portion of a bronchoscope and to selectively fix the bronchoscope relative to the rail; and

an instrument support slidably disposed on the rail and selectively lockable to the rail, the instrument support configured to releasably couple to a surgical instrument inserted through the bronchoscope to fix the position of a portion of the surgical instrument relative to the bronchoscope.

2. The support system of claim 1, wherein the instrument support includes a clamp arm and a clamp arm collar, the clamp arm collar slidably disposed over the rail, the clamp arm including instrument fingers extending from the clamp arm collar, the instrument fingers defining an instrument passage configured to releasably couple to the surgical instrument.

3. The support system of claim 2, wherein the instrument support includes a locking arm having a locking cam, and wherein the clamp arm collar includes a camming surface, the locking cam configured to compress the camming surface of the clamp arm collar against the rail when the locking arm is in a locked position to lock the instrument support to the rail.

4. The support system of claim 3, wherein in the locked position the instrument support is radially locked relative to the rail.

5. The support system of claim 1, wherein the lower support defines a rail opening configured to receive the lower end of the rail.

6. The support system of claim 5, further comprising a collar positioned within the rail opening including a threaded portion.

7. The support system of claim 6, further comprising a securement member threaded over the threaded portion of the collar to compress the collar over the lower end of the rail to fix the rail to the lower support.

8. The support system of claim 1, wherein the lower support includes a pair of support fingers extending orthogonal relative to the rail, the support fingers defining a support opening therebetween.

9. The support system of claim 8, wherein the support fingers are configured to compress the support opening about the bronchoscope to fix the lower support relative to the bronchoscope.

10. A surgical system comprising:

a bronchoscope;

an extended working channel extending through the bronchoscope;

an elongated surgical instrument inserted through the extended working channel; and

a support system for supporting the elongated surgical instrument relative to the bronchoscope, the support system including;

a rail having upper and lower ends defining a longitudinal axis therebetween;

a lower support fixed to the lower end of the rail and to the bronchoscope to fix the rail to the bronchoscope; and

an instrument support slidably disposed on the rail and selectively lockable to the rail, the instrument support releasably coupled to a first portion of the elongated surgical instrument to fix the position of the first portion of the elongated surgical instrument relative to the bronchoscope.

11. The surgical system of claim 10, wherein a second portion of the elongated surgical instrument is moveable relative to the bronchoscope.

12. The surgical system of claim 11, wherein the second portion of the elongated surgical instrument is fixed to a proximal end of the extended working channel such that the extended working channel is moveable relative to the bronchoscope and the first portion of the elongated surgical instrument.

13. The surgical system of claim 12, wherein the first portion of the elongated surgical instrument includes an ablation probe extending through the second portion of the elongated surgical instrument and the extended working channel.

14. The surgical system of claim 10, wherein the extended working channel includes a telescopic extended working channel handle fixed to the bronchoscope such that when the telescopic extended working channel handle is manipulated, the bronchoscope and the elongated surgical instrument, being fixed to the bronchoscope by the support system, move in concert with the telescopic extended working channel handle.

15. A method of positioning an elongated surgical instrument adjacent targeted tissue, the method comprising:

inserting the elongated surgical instrument into an extended working channel, the elongated surgical instrument having a locatable guide adjacent a distal end thereof, the extended working channel passing through a bronchoscope positioned in an airway of a patient;

securing a support system to the bronchoscope;

coupling a portion of the elongated surgical instrument to the support system to fix the portion of the elongated surgical instrument to the bronchoscope; and

manipulating a portion of the extended working channel such that the bronchoscope, the elongated surgical instrument, and the support system move in concert with the portion of the extended working channel.

16. The method of claim 15, wherein manipulating a portion of the extended working channel includes manipulating a telescopic extended working channel handle of the extended working channel that is connected to the bronchoscope.

17. The method of claim 15, wherein securing the support system to the bronchoscope includes fixing a lower support of the support system to a portion of the bronchoscope.

18. The method of claim 17, wherein securing the support system to the bronchoscope includes inserting a lower end of a rail of the support system into the lower support.

19. The method of claim 15, wherein coupling a portion of the elongated surgical instrument to the support system includes coupling the portion of the elongated surgical instrument in an instrument support of the support system.

20. The method of claim 19, further comprising locking the instrument support to a rail of the support system to fix the portion of the elongated surgical instrument relative to the bronchoscope.