Microwave energy-delivery device and system

• US 9,119,650 B2
• Filed: 03/15/2013
• Issued: 09/01/2015
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D., Ladtkow, Casey M., Peterson, Darion R., Larson, Eric W., Dickhans, William J., Willyard, Richard A., Case, Jason A.
• Primary Examiner(s): MANUEL, GEORGE C
• Application Number:
  US13/834,581
• Publication Number:
  US 20140276739A1
• Time in Patent Office: 900 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00017 with gas
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00166 Multiple lumina
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00297 Means for providing haptic feedback
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00494 Stomach, intestines or bowel
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00529 Liver
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00684 using lookup tables
• 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 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1823 : Generators therefor
• CPC Class Codes: A61B 2018/1838 : Dipole antennas
• CPC Class Codes: A61B 2018/1846 : Helical antennas
• CPC Class Codes: A61B 2018/1853 : Monopole antennas
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2018/1892 : Details of electrical isolations of the antenna
• CPC Class Codes: A61B 2034/105 : Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2034/107 : Visualisation of planned trajectories or target regions
• CPC Class Codes: A61B 34/10 : Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems

Abstract

A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

Claims

1. A microwave ablation device comprising:

a cable assembly configured to connect a microwave ablation device to an energy source;

a feedline in electrical communication with the cable assembly;

a balun disposed on an outer conductor of the feedline;

a balun short electrically connecting the balun to the outer conductor; and

a temperature sensor disposed on the balun and adapted to sense the temperature of the balun.

2. The microwave ablation device of claim 1, wherein the temperature sensor is in physical contact with the balun short.

3. The microwave ablation device of claim 1, wherein the balun includes a dielectric material in contact with the balun short.

4. The microwave ablation device of claim 3, wherein the balun short and dielectric material are held in place on the feedline by a heat shrink material.

5. The microwave ablation device of claim 4, wherein a portion of the dielectric material extends distally beyond the distal most portion of the heat shrink material.

6. The microwave ablation device of claim 4, wherein the temperature sensor is held in contact with the balun short by the heat shrink material.

7. The microwave ablation device of claim 6, wherein a wire of the temperature sensor is secured to the feedline by a second heat shrink material.

8. The microwave ablation device of claim 3, further comprising an electrically conducting ink disposed between the heat shrink material and the balun.

9. The microwave ablation device of claim 1, further comprising an inner tubular member and an outer tubular member, wherein the feedline, inner tubular member, and outer tubular members are arranged columinally.

10. The microwave ablation device of claim 9, further comprising gaps between the feedline and the inner tubular member and between the inner tubular member and the outer tubular member to enable fluid flow through the ablation device.

11. The microwave ablation device of claim 10, wherein proximal end of the inner tubular member connects to a fluid outflow port and the proximal end of the outer tubular member connects to a fluid inflow port, fluid flow through the ablation device providing cooling when energized.

12. The microwave ablation device of claim 11, further comprising a hub including a first chamber in fluid communication with the fluid inflow port and a second chamber in fluid communication with the fluid outflow port.

13. The microwave ablation device of claim 12, wherein the first and second chambers are separated by a hub divider.

14. The microwave ablation device of claim 13, wherein the inner tubular member is secured in the hub by the hub divider.

15. The microwave ablation device of claim 14, wherein the hub divider is formed of an elastic material and further comprises a substantially rigid metal ring securing the hub divider to the proximal portion of the inner tubular member, the proximal portion having a greater diameter than a distal portion of the inner tubular member.

16. The microwave ablation device of claim 12, wherein the hub, the inner and outer tubular members, the feedline, and the transition are secured within a handle body, their alignment being maintained by one or more alignment pins.

17. The microwave ablation device of claim 9, further comprising a distal radiating section connected to the feedline, a portion of which extends beyond the inner tubular member.

18. A microwave ablation device, comprising:

a handle assembly fluidly enclosing a portion of a microwave feedline and an inner tubular member;

an outer tubular member extending from the handle assembly and enclosing a distal portion of the feedline and the inner tubular member, the distal portion of the feedline terminating in a radiating section and the distal portion of the inner tubular member configured to cool the radiating section,

wherein the feedline, inner tubular member, and outer tubular members are arranged columinally and comprise gaps between the feedline and the inner tubular member and between the inner tubular member and the outer tubular member to enable fluid flow through the ablation device;

a flexible cable assembly connected to the handle assembly and enclosing a proximal portion of the feedline, the flexible cable assembly configured to connect the feedline to an energy source; and

a temperature sensing system associated with the cable assembly and configured to sense a temperature profile of tissue surrounding the distal radiating end of the tubular member.

19. The microwave ablation device of claim 18, further comprising at least one temperature sensor located on the distal portion of the feedline sensing the temperature of the distal portion of the feedline.

20. The microwave ablation device of claim 19, wherein the temperature sensor detects the temperature of a cooling fluid in the inner tubular member.

21. The microwave ablation device of claim 18, further comprising at least one temperature sensor on the tubular member sensing the temperature of tissue adjacent the tubular member.

22. The microwave ablation device of claim 21, wherein a plurality of temperature sensors are located at points along the tubular member sensing the temperature of tissue adjacent the tubular member.

23. The microwave ablation device of claim 22, wherein the temperature sensing system receives temperature data from each of the temperature sensors.

24. The microwave ablation device of claim 23, wherein the temperature data provides feedback to the energy source to control the operation of the energy source.

25. The microwave ablation device of claim 23, wherein the temperature sensing system compares the received temperature data to temperature profiles stored in a memory for determining whether sufficient energy has been applied to the tissue.

26. The microwave ablation device of claim 25, wherein the temperature sensing system stores in the memory radiation patterns associated with the received temperature data, a duration of energy application, and a power setting of the energy source.

27. The microwave ablation device of claim 21, wherein the energy source ceases application of energy when one of the sensed temperatures exceeds a threshold.