MRI systems having MRI compatible universal delivery cannulas with cooperating MRI antenna probes and related systems and methods

• US 8,108,028 B2
• Filed: 07/26/2005
• Issued: 01/31/2012
• Est. Priority Date: 07/27/2004
• Status: Active Grant

• Current Assignee: SurgiVision Inc.
• Original Assignee: SurgiVision Inc.
• Inventors: Karmarkar, Parag V.
• Primary Examiner(s): Chen, Tse
• Assistant Examiner(s): Gupta, Vani
• Application Number:
  US11/572,629
• Publication Number:
  US 20080097193A1
• Time in Patent Office: 2,380 Days
• Field of Search: 600/407, 600/410, 600/411, 600/423, 600/424, 604/20, 604/503
• US Class Current: 600/423
• CPC Class Codes: A61B 5/055 involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
• CPC Class Codes: A61B 5/06 Devices, other than using radiation, for detecting or locating foreign bodies for removing same A61B17/50 ; determining position of probes within or on the body of the patient
• CPC Class Codes: G01R 33/285 Invasive instruments, e.g. catheters or biopsy needles, specially adapted for tracking, guiding or visualization by NMR

Abstract

In vivio deep brain medical probe systems include: (a) an NMRI compatible cannula comprising a plurality of concentric axially extending tubes with a receiving bore; and (b) an elongate antenna member with a conductor and an insulating layer configured to slidably advance through cannula bore to define an MRI receive antenna.

Claims

1. An in vivo deep brain medical probe system, comprising:

an MRI compatible cannula comprising a plurality of generally concentric axially extending tubes with a receiving bore;

an elongate antenna member with a core comprising a conductor and an insulating layer configured to slidably advance through the cannula bore to cooperate with the cannula to define an MRI receive antenna, wherein the elongate antenna member comprises a center conductor and at least one recording electrode disposed on a distal portion thereof, wherein the probe system has at least two operational modes, including a first MRI signal operational mode wherein the antenna member receives MRI signals from local tissue and a second operational recording signal mode wherein the recording electrode obtains electrical signals from local target tissue;

a tuning circuit coupleable to the MRI receive antenna to tune the MRI receive antenna to a MRI frequency;

a RF decoupling circuit configured to isolate the MRI receive antenna during an MRI excitation RF transmission; and

a recording splitter circuit to decouple the MRI receive antenna during the recording mode.

2. A probe system according to claim 1, further comprising an MRI compatible interventional probe member configured to slidably extend through the MRI compatible cannula, wherein the interventional probe member comprises at least one of an optic probe, an EEG probe, a stimulation probe, a biopsy probe, an ablation probe, a drug delivery probe, a fluid delivery probe, or a fluid extraction probe.

3. A probe system according to claim 1, wherein the antenna member electrically cooperates with the cannula to define a loopless MRI antenna.

4. A probe system according to claim 1, wherein the cannula comprises an intermediate tubular member and an outer member that generally encases at least a major length of the intermediate member.

5. A probe system according to claim 4, wherein the antenna member has a first length, the intermediate member has a second length, and the outer member has a third length, the first length being longer than the second and third lengths, and the second length being longer than the third length.

6. A probe system according to claim 1, in combination with an implantable stimulation lead that is sized and configured to slidably extend through the bore of the cannula after the antenna member is removed therefrom.

7. A probe system according to claim 1, wherein the antenna member comprises a hollow core and is configured to slidably receive selected interventional devices therethrough.

18. A probe system according to claim 1, wherein the cannula is configured to be inserted into a burr hole placed in a patient'"'"'s skull, and wherein the recording electrode and the elongate antenna member are configured for deep brain placement.

19. A probe system according to claim 1, wherein the cannula comprises a conductive shielding layer that cooperates with the elongate antenna member to define the MRI receive antenna configured to obtain MRI signals for MRI positional guidance, and wherein, in operation, the elongate antenna member is removed from the cannula and replaced with a stimulation probe which is then inserted to the same location as the elongate antenna member.

8. An in vivo deep brain medical probe system, comprising:

an MRI compatible cannula comprising a plurality of generally concentric axially extending tubes with a receiving bore;

an elongate antenna member with a core comprising a conductor and an insulating layer configured to slidably advance through the cannula bore to cooperate with the cannula to define an MRI receive antenna; and

a tuning circuit coupleable to the MRI receive antenna to tune the MRI receive antenna to a MRI frequency,

wherein the elongate antenna member comprises a flexible elongate inner member body having opposing proximal and distal portions, the inner member body comprising at least one recording electrode disposed on the distal portion;

the MRI compatible cannula having increased rigidity relative to the elongate antenna member;

the probe system further comprising

an RF transmit decoupling circuit in communication with the elongate antenna member with the decoupler circuit configured to decouple the MRI receive antenna during an MRI RF excitation transmission; and

a splitter circuit in communication with the elongate antenna member to electrically isolate a recording circuit from an MRI imaging circuit.

9. A probe system according to claim 8, wherein the system is configured to attach to an MRI scanner and a recording circuit for selectively operating the recording electrode or the MRI receive antenna.

10. A probe system according to claim 8, wherein the decoupler circuit comprises a matching and tuning decoupling circuit that engages an MRI scanner and decouples the MRI receive antenna during RF transmission.

11. A probe system according to claim 8, wherein the system has selective operative first and second electrical transmission paths associated with first and second operational modes, the first transmission path connecting the MRI receive antenna with an MRI scanner and decoupling the recording electrode during MRI operation and the second transmission path connecting the recording electrode with a recording source during electrical recording, respectively.

12. A probe system according to claim 8, wherein the elongate antenna member has a hollow core.

13. A probe system according to claim 8, wherein the conductor is substantially centrally held in the core.

14. A medical kit, comprising:

(a) an elongate sterilized bio and MRI compatible internal MRI-antenna probe member having opposing distal and proximal portions, the MRI-antenna probe member comprising a core with a conductor and at least one recording electrode disposed on the distal portion of the MRI- antenna probe member, wherein the MRI-antenna probe member has at least two operational modes, including a first MRI signal operational mode wherein an antenna portion of the MRI-antenna probe member receives MRI signals from local tissue and a second operational recording signal mode wherein the recording electrode obtains electrical signals from local target tissue;

(b) a generally rigid cannula comprising at least two generally concentric tubular members sized and configured to slidably receive the elongate MRI-antenna probe member therein, wherein, in operation, the MRI-antenna probe member cooperates with the cannula to define an internal MRI antenna;

(c) a tuning circuit coupleable to the internal MRI antenna to tune the internal MRI antenna to a MRI frequency;

(d) a RF decoupling circuit configured to isolate the MRI-antenna probe member during an MRI excitation RF transmission; and

(e) a recording splitter circuit to decouple the antenna portion of the MRI-antenna probe member during the recording mode.

15. A kit according to claim 14, wherein the conductor resides substantially in a center of the core of the MRI-antenna probe member.

16. A kit according to claim 14, wherein the core of the MRI-antenna probe member is hollow.

17. A kit according to claim 14, further comprising an implantable flexible elongate stimulation probe sized and configured to slidably extend through an axially extending bore of the cannula.

20. An in vivo deep brain medical probe system, comprising:

an MRI compatible cannula comprising a plurality of generally concentric axially extending tubes with a receiving bore;

an elongate antenna member with a core comprising a conductor and an insulating layer configured to slidably advance through the cannula bore to cooperate with the cannula to define an MRI receive antenna;

a tuning circuit coupleable to the MRI receive antenna to tune the MRI receive antenna to a MRI frequency,

the elongate antenna member having opposing proximal and distal portions and comprising at least one optic fiber in the core of the antenna member;

the cannula having increased rigidity relative to the antenna member; and

the probe system further comprising an RF transmit decoupling circuit in communication with the antenna member, wherein the decoupler circuit is configured to decouple the MRI receive antenna during an MRI RF excitation transmission.

21. A probe system according to claim 20, wherein the core is encased in an MRI compatible conductive material.

22. A probe system according to claim 20, wherein the optic fiber defines the core, and wherein the optic fiber is coated with an MRI compatible conductive material.

23. A probe system according to claim 20, further comprising a fiber optic splitter disposed at a proximal portion of the antenna member that separates the fiber optic core into two light paths, an input path that is adapted to connect to an input light source and an output path that is adapted to connect to a spectrometer.

24. A probe system according to claim 20, wherein the elongate antenna member cooperates with the cannula and provides the MRI receive antenna and an NIR imaging member.

25. A probe system according to claim 20, wherein the core is generally solid.

26. A probe system according to claim 20, wherein the core is generally hollow.

27. A probe system according to claim 20, wherein the plurality of generally concentric axially extending tubes are configured to snugly abut each other.