Localization element with energized tip

• US 7,468,042 B2
• Filed: 04/27/2004
• Issued: 12/23/2008
• Est. Priority Date: 04/16/2002
• Status: Expired due to Fees

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Vivant Medical, Inc. (Johnson Controls International plc)
• Inventors: Prakash, Mani, Kim, Steven, Su, Ted, Turovskiy, Roman
• Primary Examiner(s): Hindenburg; Max
• Assistant Examiner(s): SZMAL, BRIAN SCOTT
• Application Number:
  US10/833,598
• Publication Number:
  US 20040267156A1
• Time in Patent Office: 1,701 Days
• Field of Search: 600/564, 606/34, 606 49- 51, 606/40, 606/41, 606 29- 31, 606/39, 607/105, 604/22
• US Class Current: 600/564
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2018/183 characterised by the type of antenna
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

This invention is an improved tissue-localizing device with an electrically energized locator element for fixedly yet removably marking a volume of tissue containing a suspect region for excision. The electrical energizing of the locator element facilitates the penetration of the locator element in to subject'"'"'s tissue and minimizes resistance due to dense or calcified tissues. At least one locator element is deployed into tissue and assumes a predetermined curvilinear shape to define a tissue border containing a suspect tissue region along a path. Multiple locator elements may be deployed to further define the tissue volume along additional paths defining the tissue volume border that do not penetrate the volume. Delivery of electric current may be achieved through monopolar or bipolar electronic configuration depending on design needs. Various energy sources, e.g. radio frequency, microwave or ultrasound, may be implemented in this energized tissue-localizing device.

Claims

1. A tissue-localizing device comprising:

a sleeve having a lumen;

an insulating layer at least partially covering an outer surface of said sleeve; and

a locator element at least partially disposed in the lumen of said sleeve in a slidable manner, said locator clement having a distal portion and a distal end, said locator element further having a plurality of electrically conductive surface regions electrically isolated from one another, said locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in tissue.

2. The tissue-localizing device of claim 1 wherein said plurality of electrically conductive surface regions comprises three or more electrically isolated conductive regions.

3. The tissue-localizing device of claim 1 wherein each of said plurality of electrically conductive surface regions is distributed along the length of said locator element.

4. The tissue-localizing device of claim 2 wherein each of said plurality of electrically conductive surface regions is distributed along the length of said locator element.

5. The tissue-localizing device of claim 1 wherein a substantial portion of each of said plurality of electrically conductive surface regions is distributed along the length of said locator element and parallel to the other electrically conductive surface regions.

6. The tissue-localizing device of claim 1 wherein the insulating layer at least partially covers an inner surface of said sleeve.

7. The tissue-localizing device of claim 1 further comprising:

an electric power supply, wherein said power supply having a current output connection and an electric ground connection;

a first electrically conductive path connecting a first electrically conductive surface region of said plurality of electrically conductive surface regions to said current output connection of said power supply; and

a second electrically conductive path connecting a second electrically conductive surface region of said plurality of electrically conductive surface regions to said electric ground connection of said power supply.

8. The tissue-localizing device of claim 7 wherein said first and second electrically conductive surface regions are distributed along the length of said locator element.

9. The tissue-localizing device of claim 1 further comprising:

a bipolar power supply, wherein said bipolar power supply having a positive electric connection and a negative electric connection;

a first electrically conductive path connecting a first electrically conductive surface region on said locator element to said positive electric connection of said power supply; and

a second electrically conductive path connecting a second electrically conductive surface region on said locator element to said negative electric connection of said power supply.

10. The tissue-localizing device of claim 1 wherein said locator element has a cross-section having a width and a height, said width being greater than said height.

11. The tissue-localizing device of claim 1 wherein said locator element has a non-circular cross-section.

12. The tissue-localizing device of claim 1 wherein said locator element comprises a shape memory alloy.

13. The tissue-localizing device of claim 1 wherein the insulating layer at least partially covers said locator element.

14. The tissue-localizing device of claim 1 wherein said sleeve is electrically conductive.

15. The tissue-localizing device of claim 1 wherein said sleeve comprises a cannula.

16. The tissue-localizing device of claim 1 wherein said locator element has at least a first surface and a second surface, wherein said first surface is larger than said second surface, at least a portion of a first electrically conductive surface region is located on said first surface, and at least a portion of a second electrically conductive surface region is located on said first surface.

17. The tissue-localizing device of claim 9 wherein said tissue locator element further having a third electrically conductive surface region, wherein said third electrically conductive surface region is electrically isolated from said first and second electrically conductive surface regions.

18. The tissue-localization device of claim 1 wherein a first electrically deductive surface region is positively charged and a second electrically conductive surface region is negatively charged.

19. A tissue-localizing device comprising:

a sleeve having a lumen;

an insulating layer at least partially covering an outer surface of said sleeve; and

a locator element at least partially disposed in the lumen of said sleeve in a slidable manner, said locator element having a distal portion and a distal end, the distal portion having a plurality of discrete electrically conductive surface regions at or near said distal end, the locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in tissue.

20. A tissue-localizing device as in claim 19 wherein said locator element has a cross-section having a width and a height, said width being greater than said height.

21. A tissue-localizing device as in claim 19 wherein said locator element has a non-circular cross-section.

22. A tissue-localizing device as in claim 19 wherein said locator clement comprises a shape memory alloy.

23. A tissue-localizing device as in claim 19 wherein the insulating layer at least partially covers said locator element.

24. A tissue-localizing device as in claim 19 wherein said sleeve is electrically conductive.

25. A tissue-localizing device as in claim 24 wherein said sleeve comprises a cannula.

26. A tissue-localizing device as in claim 19 wherein said locator element has a second electrically conductive surface region electrically isolated from said first electrically conductive surface region.

27. A tissue-localizing device as in claim 19 further comprising:

a power supply capable of supplying an alternating current with a frequency within a range of about ten kilohertz to about one hundred megahertz, to said first electrically conductive region; and

an electrically conductive path connecting said electrically conductive surface region to said power supply.

28. A tissue-localizing device as in claim 27 further comprising:

an electrically conducting member adapted for connection to tissue; and

a second electrically conductive path connecting said power supply to said electrically conducting member.

29. A tissue-localizing device as in claim 27 further comprising:

an electrically conductive pad; and

a second electrically conductive path connecting said power supply to said electrically conductive pad.

30. A tissue-localizing device as in claim 27 wherein said power supply has an alternating current output power within a range of zero to about four hundred watts.

31. The tissue-localizing device as in claim 27 wherein said alternating current has a primary frequency in the range of about one hundred kilohertz to about one megahertz.

32. A tissue-localizing device comprising:

a sleeve having an insulating layer at least partially covering an outer surface of said sleeve; and

an electrically conductive locator element at least partially disposed in the lumen of said sleeve in a slidable manner, said locator element having a distal portion, the locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in tissue.

33. A tissue-localizing device as in claim 32 wherein said sleeve is electrically conductive.

34. A tissue-localizing device as in claim 33 further comprising:

an insulating layer partially covering said locator element with the distal end of the locator clement exposed.

35. A tissue-localizing device as in claim 32 further comprising:

a power supply capable of supplying an alternating current, with at least a frequency within a range of about fifty kilohertz to about ten megahertz, to said locator element; and

an electrically conductive path connecting said locator element to said power supply.

36. A tissue-localizing device as in claim 32 further comprising:

a power supply capable of supplying a RF energy to said locator element; and

an electrically conductive path connecting said locator element to said power supply.

37. A tissue-localizing device as in claim 33 further comprising:

a power supply capable of supplying an alternating current with a frequency within a range of about three kilohertz to about three hundred gigahertz to said locator element; and

a first electrically conductive path connecting said locator element to said power supply; and

a second electrically conductive path connecting said sleeve to said power supply.

38. A tissue-localizing device comprising:

a sleeve having an electrically conductive region and a lumen, said sleeve further having an insulating layer at least partially covering an outer surface thereof; and

a locator element at least partially disposed in the lumen of said sleeve in a slidable manner, said locator element having a distal portion and a distal end, the distal end having a plurality of electrically conductive regions electrically isolated from one another, the locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in a mammalian tissue.

39. A tissue-localizing device as in claim 38 further comprising:

a power supply capable of generating a RF electric current;

a first electrically conductive path connecting said power supply to said electrically conductive region of said sleeve; and

a second electrically conductive path connecting said power supply to said plurality of electrically conductive regions.

40. A tissue-localizing device comprising:

a sleeve having a lumen;

an insulating layer at least partially covering an outer surface of said sleeve;

a locator element at least partially disposed in the lumen of said sleeve in a slidable manner and having a distal portion and a plurality of electrically conductive surface regions electrically isolated from one another, said locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in tissue;

a power supply capable of generating a RF electric current;

an electrically conductive member adapted for connection to tissue;

a first electrically conductive path connecting said power supply to said electrically conductive region; and

a second electrically conductive path connecting said power supply to said electrically conductive member.

41. A tissue-localizing device as in claim 40 wherein said distal end of said locator element has a sharp edge, and wherein said sharp edge has a conductive surface.

42. A method of placing a locator element in a mammalian tissue, comprising the steps of:

a.) penetrating through tissue with a sleeve containing a locator element at least partially disposed in a lumen defined by said sleeve, said sleeve further having an insulating layer at least partially covering an outer surface thereof, said locator element having a distal portion and a distal end, said locator element further having a plurality of electrically conductive surface regions electrically isolated from one another; and

b.) advancing said locator element through said sleeve and penetrating the tissue so that the distal portion of the locator element forms at least a partial loop such that said locator element when fully deployed substantially surrounds a volume of tissue.

43. A method of placing a locator element in tissue as in claim 42, further comprising the step of:

delivering an alternating current to said plurality of electrically conductive surface regions.

44. A method of placing a locator element in a mammalian tissue, comprising the steps of:

a.) connecting an electrically conducting pad to a surface on a mammalian body;

b.) penetrating through a tissue on said mammalian body with a sleeve containing a locator element at least partially disposed in a lumen defined by said sleeve, said sleeve further having an insulating layer at least partially covering an outer surface thereof, said locator element having a distal portion, the distal portion having an electrically conductive surface region;

c.) advancing said locator element through said sleeve and penetrating the tissue so that the distal portion of the locator element forms a partial loop such that said locator element when fully deployed substantially surrounds a volume of tissue next to the sleeve; and

d.) energizing said locator element with an electric current while said locator element is being advanced through the tissue.

45. A method of placing a locator element in a mammalian tissue, comprising the steps of:

a.) penetrating into a tissue with a sleeve containing a locator element at least partially disposed in a lumen defined by said sleeve, said sleeve further having an insulating layer at least partially covering an outer surface thereof, said locator element having a distal portion, the distal portion further having a plurality of electrically conductive regions, wherein said sleeve further has an electrically conductive region;

b.) advancing said locator element through said sleeve and penetrating the tissue so that the distal portion of the locator element forms at least a partial loop such that said locator element when fully deployed substantially surrounds a volume of tissue next to the sleeve; and

c.) allowing a current to flow between at least one of said plurality of electrically conductive regions and said electrically conductive region of the sleeve.

46. A method of placing a locator element in a mammalian tissue, comprising the steps of:

a.) penetrating through tissue with a sleeve containing a locator element at least partially disposed in a lumen defined by said sleeve, said sleeve further having an insulating layer at least partially covering an outer surface thereof, said locator element having a distal portion, the distal portion having an electrically conductive surface region, said locator element further adapted to penetrate tissue so that the distal portion of the locator element forms at least a partial loop that defines a volume of tissue when said locator element is deployed in tissue;

b.) advancing the locator element into the tissue; and

c.) applying an alternating current to said electrically conductive region.

47. The method of claim 46 wherein steps (b) and (c) are performed simultaneously.