Articulated unidirectional microwave antenna systems for cardiac ablation

• US 5,314,466 A
• Filed: 04/13/1992
• Issued: 05/24/1994
• Est. Priority Date: 04/13/1992
• Status: Expired due to Term

• Current Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Original Assignee: EP Technologies Incorporated (Boston Scientific Corporation)
• Inventors: Rosen, Arye, Edwards, Stuart D., Jackson, Jerome, Stern, Roger A.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US07/868,113
• Time in Patent Office: 771 Days
• Field of Search: 128/783-786, 128/804, 128/399, 604/21, 604/22, 604/95, 604/96, 606/27-34, 606/41, 606/7, 606/45-50, 607/154, 607/156, 607/119, 607/122
• US Class Current: 607/156
• CPC Class Codes: A61B 17/22 Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for dilators A61M29/00
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2912 transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/2919 details of linkages or pivot points
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/183 characterised by the type of antenna

Abstract

An improved assembly for steering and orienting a functional element at the distal end of a catheter tube holds the functional element with its major axis aligned with the axis of the catheter tube for convenient steering to a tissue site. The mechanism can also pivot the functional element in response to an external force to orient the major axis of the functional element generally parallel to the plane of the tissue site, without bending the catheter tube.

Claims

1. A unidirectional microwave ablation antenna comprising

a main conductor,

a ground plane conductor having a width substantially greater than its thickness and being positioned with is widest dimension facing said main conductor, and

a dielectric material sandwiched between the main conductor and the ground plane conductor to restrict the propagation of the electromagnetic field by the main conductor in a single direction radially away from the dielectric material.

2. An end assembly attachable to the distal end of a catheter tube comprising:

a functional element having a major axis comprising a unidirectional microwave antenna according to claim 1, and

means for supporting said antenna at the distal end of the catheter tube and including means for holding said antenna with its major axis aligned with the axis of the catheter tube for steering to a tissue site and means for subsequently pivoting the antenna in response to an external force to orient the major axis thereof generally parallel to the plane of the tissue site with said filed of propagation being directed toward said tissue site without bending the catheter tube.

3. An assembly according to claim 2

and further including means for restricting the means for pivoting to a predefined field of movement that directs the unidirection antenna field toward the tissue site for ablation.

4. An assembly according to claim 2

wherein the means for pivoting includes a ball and socket joint.

5. An assembly according to claim 2

and further including means connected to the means for pivoting and to a remote actuator mechanism accessible to the use for applying said external force.

6. An assembly according to claim 2

and further including means for restricting the means for pivoting to a predefined field of movement.

7. An assembly according to claim 2

and further including means for releasably retaining the means for pivoting in at least one preselected position.

8. A unidirection microwave ablation antenna assembly comprising

an antenna element including a main conductor having a major axis, a ground plane conductor, and a dielectric material having a width substantially greater than its thickness and being positioned with its widest dimension facing said main conductor sandwiched between the main conductor and the ground plane conductor to restrict the propagation of the electromagnetic field by the main conductor in a single direction radially of the major axis and away from the dielectric material, and

means for supporting the antenna element at the distal end of a catheter tube and including means for holding the antenna element with its major axis aligned with the axis of the catheter tube for steering to a tissue site and means for pivoting the antenna element in response to an external force to orient the major axis of the antenna element generally parallel to the plane of the tissue site with the main conductor facing the tissue site.

9. An assembly according to claim 8

and further including means for restricting the means for pivoting to a predefined field of movement that only directs the main conductor toward the tissue site for ablation.