Microwave ablation instrument with a directional radiation pattern

• US 6,471,696 B1
• Filed: 04/12/2000
• Issued: 10/29/2002
• Est. Priority Date: 04/12/2000
• Status: Expired due to Fees

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: AFX, Inc. (Boston Scientific Corporation)
• Inventors: Berube, Dany, Gauthier, Jules
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/547,629
• Time in Patent Office: 930 Days
• Field of Search: 606/33, 606/41, 606/32, 606/39, 606/35, 607/101, 607/102, 607/159, 607/156, 607/96, 607/98, 607/99
• US Class Current: 606/33
• 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 2018/00351 Heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00839 Bioelectrical parameters, e.g. ECG, EEG
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/183 characterised by the type of antenna
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter

Abstract

A medical instrument is disclosed. The medical instrument includes a transmission line suitable for the transmission of electromagnetic energy and an antenna coupled to the transmission line. The antenna is configured for generating an electromagnetic field sufficiently strong to cause tissue ablation. The medical instrument further includes a reflector arranged to be electrically coupled to the transmission line. The reflector is positioned laterally to a first side of the antenna and configured for redirecting a portion of the electromagnetic field to a second side of the antenna opposite the reflector, wherein a majority of the electromagnetic field is directed away from the second side of the antenna.

Claims

1. A medical instrument, comprising:

a transmission line suitable for the transmission of electromagnetic energy;

an antenna coupled to the transmission line, and configured for generating an electromagnetic field sufficiently strong to cause tissue ablation, the antenna having a longitudinal axis; and

a reflector arranged to be electrically coupled to the transmission line, the reflector being positioned laterally to a first side of the antenna and configured for redirecting a portion of the electromagnetic field to a second side of the antenna opposite the reflector,

wherein a majority of the electromagnetic field is directed away from the second side of the antenna in a direction substantially perpendicular to the longitudinal axis of the antenna.

2. The medical instrument as recited in claim 1 wherein the reflector extends longitudinally and wherein the longitudinally extending reflector is positioned substantially in parallel with the longitudinal axis of the antenna.

3. The medical instrument as recited in claim 1 wherein the reflector and antenna extend longitudinally from the transmission line, and wherein the distal end of the reflector extends longitudinally to about the distal end of the antenna.

4. The medical instrument as recited in claim 1 wherein the reflector has an arcuate shape that flares towards the antenna.

5. The medical instrument as recited in claim 1 wherein the longitudinal axis of the antenna is offset from the longitudinal axis of the transmission line in a direction away from said reflector.

6. The medical instrument as recited in claim 1 wherein the instrument is one of a catheter or a surgical tool.

7. The medical instrument as recited in claim 1 wherein the instrument is suitable for ablating internal biological tissues including one of a heart, a brain, a prostate, a stomach, a liver or an intestine.

8. The medical instrument as recited in claim 1 wherein the frequency of the electromagnetic field is in the microwave range.

9. The medical instrument as recited in claim 1 wherein said medical instrument is suitable for ablating the isthmus between the tricuspid valve and the inferior vena cava to treat type I atrial flutter.

10. The medical instrument as recited in claim 1 wherein said medical instrument is suitable for creating linear lesions.

11. The medical instrument as recited in claim 10 wherein said linear lesions are suitable for use between any of the pulmonary veins to treat atrial fibrillation.

12. The medical instrument as recited in claim 10 wherein said linear lesions are suitable for use on the lateral wall of the right atrium from the superior to the inferior vena cava to treat one of type II atrial flutter and or atrial fibrillation.

38. The medical device as recited in claim 1 wherein the reflector is a rigid structure.

39. The medical device as recited in claim 1 wherein the antenna and reflector are arranged to extend side by side in a substantially longitudinal direction.

40. The medical device as recited in claim 1 wherein the reflector has a concave cross sectional dimension taken transverse to the longitudinal axis of the reflector.

41. The medical device as recited in claim 40 wherein the concave cross section dimension extends partially around the periphery of the antenna.

13. A microwave ablation catheter, comprising:

a flexible tubular member having a lumen therein, and being adapted to be inserted into a vessel in the body of a patient;

a coaxial transmission line disposed within the lumen of the flexible tubular member, the coaxial transmission line including an inner conductor and an outer conductor suitable for the transmission of electromagnetic energy;

an antenna electrically coupled to the inner conductor of the coaxial transmission line, the antenna being positioned distally relative to the inner conductor and configured for generating an electromagnetic field sufficiently strong to cause tissue ablation, the antenna having a longitudinal axis; and

an arcuate electrically conductive reflector positioned to a first side of the antenna, the reflector being electrically coupled to the outer conductor of the coaxial transmission line, the reflector further being configured for redirecting a portion of the electromagnetic field to a second side of the antenna opposite the reflector,

wherein a majority of the electromagnetic field is directed away from the second side of the antenna in a direction substantially perpendicular to the longitudinal axis of the antenna.

14. The microwave ablation catheter as recited in claim 13 wherein:

the reflector and antenna extend substantially in parallel longitudinally from the transmission line;

the longitudinal axis of the antenna is offset from the longitudinal axis of the transmission line in a direction away from said reflector; and

the distal end of the reflector extends longitudinally to about the distal end of the antenna.

15. The microwave ablation catheter as recited in claim 13 wherein the distal end of the reflector extends longitudinally to at least the distal end of the antenna.

16. The microwave ablation catheter as recited in claim 13 wherein the reflector has an arc angle between about 90 and about 180 degrees.

17. The microwave ablation catheter as recited in claim 13 wherein the reflector is formed from stainless steel.

18. The microwave ablation catheter as recited in claim 13 wherein the ablation catheter further includes an antenna enclosure for encapsulating the antenna and the reflector, and being adapted to be inserted into a vessel in the body of a patient.

19. The microwave ablation catheter as recited in claim 13 wherein the ablation catheter further includes an impedance matching device for matching the impedance between the antenna and the coaxial transmission line.

20. The microwave ablation catheter as recited in claim 19 wherein the impedance matching device is disposed between the antenna and the inner conductor.

21. The microwave ablation catheter as recited in claim 19 wherein the impedance matching device is one of a capacitor, resistor, inductor, stub tuner or stub transmission line.

22. The microwave ablation catheter as recited in claim 13 wherein said medical instrument is suitable for ablating the isthmus between the tricuspid valve and the inferior vena cava to treat type I atrial flutter.

23. The microwave ablation catheter as recited in claim 13 wherein said medical instrument is suitable for creating linear lesions.

24. The microwave ablation catheter as recited in claim 23 wherein said linear lesions are suitable for use between any of the pulmonary veins to treat atrial fibrillation.

25. The microwave ablation catheter as recited in claim 24 wherein said linear lesions are suitable for use on the lateral wall of the right atrium from the superior to the inferior vena cava to treat one of type II atrial flutter and or atrial fibrillation.

26. An antenna arrangement for use in an ablation device, comprising:

a transmission line suitable for the transmission of electromagnetic energy;

an antenna coupled to the transmission line, and configured for generating an electromagnetic field; and

a reflector having an arcuate shape that flares towards the antenna, the reflector being positioned laterally to a first side of the antenna and configured for redirecting a portion of the electromagnetic field to a second side of the antenna opposite the reflector, wherein a majority of the electromagnetic field is directed away from the second side of the antenna, the electromagnetic field being sufficiently strong to cause tissue ablation proximate the second side of the antenna; and

an antenna enclosure for encapsulating the antenna and the reflector, and being adapted to be inserted into a vessel in the body of a patient.

27. The antenna arrangement as recited in claim 26 wherein the reflector is electrically connected to the transmission line.

28. The antenna arrangement as recited in claim 26 wherein the longitudinal axis of the antenna is offset from the longitudinal axis of the transmission line in a direction away from the reflector.

29. The antenna arrangement as recited in claim 26 wherein the ablation catheter further includes an impedance matching device for matching the impedance between the antenna and the coaxial transmission line.

30. The antenna arrangement as recited in claim 29 wherein the impedance matching device is disposed between the antenna and the inner conductor.

31. The antenna arrangement as recited in claim 29 wherein the impedance matching device is one of a capacitor, resistor, inductor, stub tuner or stub transmission line.

32. The antenna arrangement as recited in claim 26 wherein said medical instrument is suitable for ablating the isthmus between the tricuspid valve and the inferior vena cava to treat type I atrial flutter.

33. The antenna arrangement as recited in claim 26 wherein said medical instrument is suitable for creating linear lesions.

34. The antenna arrangement as recited in claim 33 wherein said linear lesions are suitable for use between any of the pulmonary veins to treat atrial fibrillation.

35. The antenna arrangement as recited in claim 33 wherein said linear lesions are suitable for use on the lateral wall of the right atrium from the superior to the inferior vena cava to treat one of type II atrial flutter and or atrial fibrillation.

42. The antenna arrangement as recited in claim 26 wherein the electromagnetic field is directed in a direction substantially perpendicular to a longitudinal axis of the antenna.

36. A medical instrument, comprising:

a transmission line suitable for the transmission of electromagnetic energy;

an antenna coupled to the transmission line, the antenna extending substantially longitudinally from the transmission line, the antenna being configured for generating an electromagnetic field sufficiently strong to cause tissue ablation; and

a reflector arranged to be electrically coupled to the transmission line, the reflector extending substantially longitudinally from the transmission line and in a direction substantially parallel to the antenna, the reflector cooperating with the antenna to direct the electromagnetic field in a direction opposite an inner peripheral surface of the reflector.

37. The medical instrument as recited in claim 36 wherein the reflector cooperates with the antenna to direct the electromagnetic field in a radial direction that is substantially perpendicular to the longitudinal axis of the medical device.