Multiple antenna ablation apparatus and method

• US 5,951,547 A
• Filed: 11/03/1997
• Issued: 09/14/1999
• Est. Priority Date: 08/15/1995
• Status: Expired due to Term

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: Rita Medical Systems Incorporated (AngioDynamics, Inc.)
• Inventors: Gough, Edward J., Stein, Alan A.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/963,035
• Time in Patent Office: 680 Days
• Field of Search: 606/41, 606/42, 606/45-50, 607/100-102, 607/115, 607/116
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• 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 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00101 using an array of thermosensors
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00476 Hair follicles
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• 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 2018/00726 : Duty cycle
• CPC Class Codes: A61B 2018/00744 : Fluid flow
• CPC Class Codes: A61B 2018/00761 : Duration
• CPC Class Codes: A61B 2018/00779 : Power or energy
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00797 : measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00827 : Current
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/143 : multiple needles
• CPC Class Codes: A61B 2018/1432 : curved
• CPC Class Codes: A61B 2018/1435 : Spiral
• CPC Class Codes: A61B 2018/1472 : for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2018/162 : located on the probe body
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61M 25/007 : Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61M 3/0279 : Cannula; Nozzles; Tips; their connection means
• CPC Class Codes: A61N 1/06 : for high-frequency therapy
• CPC Class Codes: A61N 1/403 : for thermotherapy, e.g. hyperthermia
• CPC Class Codes: A61N 5/04 : Radiators for near-field treatment

Abstract

An ablation treatment apparatus includes an energy source. A multiple antenna device is included and has a primary antenna with a longitudinal axis, a central lumen and a distal end, and a secondary antenna with a distal end. The secondary antenna is positionable in the primary antenna after the primary antenna is positioned at a tissue site and deployed from the primary antenna central lumen in a lateral direction relative to the longitudinal axis. A selected primary or secondary antenna is electromagnetically coupled to the energy source. A non-selected antenna is electromagnetically coupled to the selected antenna. A cable connects the energy source to the selected antenna.

Claims

1. A treatment apparatus, comprising:

an introducer including a lumen and a tissue piercing distal end;

an energy delivery device configured to be coupled to an energy source, the energy delivery device including at least a first, and a second RF electrode each with a tissue piercing distal end and at least partially positionable in the lumen in a compacted state as the introducer is advanced through tissue, the first and second RF electrodes being deployable from the lumen with curvature in an expanded state and including a deployed perpendicular section that is perpendicular to a longitudinal axis of the introducer, the deployed perpendicular section being positioned between a first and a second curved section of the electrode;

an RF electrode advancement member coupled to the first and second RF electrodes that simultaneously advances the first and second RF electrodes out of the introducer distal end, the RF electrode advancement member; and

at least one cable coupling the first secondary antenna to the energy source.

2. The apparatus of claim 1 further comprising:

a third RF electrode with a tissue piercing distal end and deployable from the lumen with curvature in an expanded state that includes a deployed perpendicular section that is perpendicular to the longitudinal axis of the introducer, the third RF electrode perpendicular section being positioned being a first and a second curved section, wherein each of the first, second and third RF electrodes having an energy delivery surface configured to create an ablation volume between the energy delivery surfaces of the first, second and third RF electrodes.

3. The apparatus of claim 1, further comprising:

an insulation sleeve positioned in a surrounding relationship around at least a portion of an exterior of the introducer.

4. The apparatus of claim 3, wherein the insulation sleeve is adjustably moveable along an exterior of the introducer.

5. The apparatus of claim 1, further comprising:

a first and a second insulation sleeve each positioned in a surrounding relationship around at least a portion of an exterior of the first and second RF electrodes.

6. The apparatus of claim 5, wherein the first and second insulation sleeves are adjustably moveable along an exterior of the first and second RF electrodes.

7. The apparatus of claim 1, further including a ground pad electrode coupled with the first and second RF electrodes.

8. The apparatus of claim 1, wherein the energy delivery device is switchable between bipolar and monopolar operation.

9. The apparatus of claim 1, wherein the first RF electrode is hollow and configured to be coupled to an infusion medium source to receive an infusion medium.

10. A method for creating an ablation volume in a selected tissue mass, comprising:

providing an energy source, a treatment device with an introducer with a lumen and a tissue piercing distal end, an energy delivery device with first and second RF electrodes positionable in the lumen in a compacted state and advanced from the introducer distal end with curvature and including a perpendicular section that is perpendicular to a longitudinal axis of the introducer, the perpendicular section being position between a first and a second curved section, the first and second RF electrodes having tissue piercing distal ends and an RF electrode advancement member coupled to the first and second RF electrodes, the RF electrode advancement member simultaneously advancing the first and second RF electrodes from the distal end of the introducer;

inserting the into the selected tissue mass;

positioning at least a portion of the energy delivery device in the lumen after the introducer is inserted into the selected tissue mass;

simultaneously advancing the distal ends of the first and second RF electrodes into the selected tissue from the distal end of the introducer;

delivering electromagnetic energy from the first and second RF electrodes; and

creating an ablation volume defined by the first and second RF electrodes.

11. The method of claim 10, wherein the energy delivery device includes

a third RF electrode with a tissue piercing distal end, the third RF electrode being at least partially positioned in the lumen in a compacted state and advanced from the lumen with curvature with one section that is perpendicular to the longitudinal axis of the introducer wherein, an ablation volume is created between the first, second and third RF electrodes.

12. The method of claim 10, wherein the energy delivery device is operated in a monopolar mode.

13. The method of claim 10, wherein the energy delivery device is operated in a bipolar mode.

14. The method of claim 11, wherein the ablation volume has a substantially spherical geometry.