Ablation probe with ultrasonic imaging capability

• US 9,241,761 B2
• Filed: 12/28/2012
• Issued: 01/26/2016
• Est. Priority Date: 12/28/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation), Koninklijke Philips N.V.
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation), Koninklijke Philips N.V.
• Inventors: Rankin, Darrell L., Koblish, Josef V., Deladi, Szabolcs
• Primary Examiner(s): Moher, Amanda Lauritzen
• Assistant Examiner(s): Mohammed, Shahdeep
• Application Number:
  US13/729,685
• Publication Number:
  US 20130172742A1
• Time in Patent Office: 1,124 Days
• Field of Search: None
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00577 Ablation
• 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 2090/3784 both receiver and transmitter being in the instrument or receiver being also transmitter
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/445 Details of catheter construction
• CPC Class Codes: A61B 8/4477 using several separate ultrasound transducers or probes
• CPC Class Codes: A61B 8/5207 involving processing of raw data to produce diagnostic data, e.g. for generating an image reconstruction G06T11/00
• CPC Class Codes: A61B 8/54 Control of the diagnostic device
• CPC Class Codes: A61M 5/00 Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests vaccination appliances for veterinary use A61D1/025 ; tube connectors, tube couplings, valves or branch units specially adapted for medical use A61M39/00; containers specially adapted for medical or pharmaceutical purposes A61J1/00; combinations of vial and syringe for mixing or transferring their contents A61J1/20; holders for containers for collecting, storing or administering blood or medical fluids A61J1/16

Abstract

Devices and systems for ultrasonically imaging anatomical structures and performing ablation therapy within the body are disclosed. A combined ablation and ultrasound imaging probe includes an ablation electrode tip including an ablation electrode configured for delivering ablation energy, and a number of ultrasonic imaging sensors configured for imaging the tissue surrounding the probe. The ultrasonic imaging sensors are supported within the interior of the tip via a tip insert, and deliver ultrasonic waves through acoustic openings formed through the tip. The tip insert separates an interior lumen within the tip into a proximal fluid chamber and a distal fluid chamber. During an ablation procedure, the ultrasonic imaging sensors can be tasked to generate a number of ultrasonic images that can be displayed on a user interface.

Claims

1. An ablation probe for treating and imaging body tissue, the ablation probe comprising:

an ablation electrode tip including an ablation electrode configured for delivering ablation energy to body tissue;

a plurality of acoustic openings disposed through the ablation electrode tip;

a distal tip insert disposed within an interior lumen of the ablation electrode tip, the distal tip insert including a plurality of fluid channels; and

a plurality of ultrasonic imaging sensors coupled to the distal tip insert, the ultrasonic imaging sensors configured to transmit ultrasonic waves through the acoustic openings, wherein the distal tip insert includes a plurality of recesses each configured for receiving one of the plurality of ultrasonic imaging sensors.

2. The probe of claim 1, wherein the ablation electrode tip comprises a tubular-shaped metal shell.

3. The probe of claim 1, wherein the interior lumen of the ablation electrode tip includes a proximal fluid chamber and a distal fluid chamber, and wherein the proximal and distal fluid chambers are separated by the distal tip insert and are fluidly coupled to each other via the fluid channels.

4. The probe of claim 1, wherein distal tip insert comprises a cylindrically-shaped insert body having a proximal section and a distal section.

5. The probe of claim 4, wherein the fluid channels extend lengthwise along the proximal section of the distal insert body.

6. The probe of claim 1, wherein the ultrasonic imaging sensors are disposed circumferentially about the distal tip insert.

7. The probe of claim 6, wherein the fluid channels are disposed circumferentially about the distal tip insert.

8. The probe of claim 7, wherein the fluid channels are circumferentially offset from the ultrasonic imaging sensors.

9. The probe of claim 1, further comprising an elongate probe body coupled to the ablation electrode tip.

10. The probe of claim 1, further comprising a proximal tip insert coupling a distal section of the elongate probe body to the ablation electrode tip.

11. The probe of claim 1, further comprising a plurality of irrigation ports disposed through the ablation electrode tip.

12. The probe of claim 11, wherein the irrigation ports are located about the ablation electrode tip distally and/or proximally of the acoustic openings.

13. The probe of claim 1, wherein the ultrasonic imaging sensors comprise a plurality of laterally-facing ultrasonic imaging sensors configured for transmitting ultrasonic waves from a side of the ablation electrode tip.

14. The probe of claim 13, wherein the literally-facing ultrasonic imaging sensors are each coupled to one of the plurality recesses within the distal tip insert.

15. The probe of claim 1, wherein the ultrasonic imaging sensors comprise at least one distally-facing ultrasonic imaging sensor configured for transmitting ultrasonic waves in a distal direction.

16. The probe of claim 15, wherein the distal-facing ultrasonic imaging sensor is coupled to an internal bore within the distal tip insert.

17. An ablation probe for treating and imaging body tissue, the ablation probe comprising:

an elongate probe body having a proximal section and a distal section;

an ablation electrode tip coupled to the distal section of the elongate probe body, the ablation electrode tip including an ablation electrode configured for delivering ablation energy to body tissue;

a plurality of acoustic openings disposed through the ablation electrode tip;

a distal tip insert disposed within an interior lumen of the ablation electrode tip, the distal tip insert separating the interior lumen into a proximal fluid chamber and a distal fluid chamber;

a plurality of laterally-facing ultrasonic imaging sensors each coupled to a corresponding recess within the distal tip insert, the laterally-facing ultrasonic imaging sensors each configured to transmit ultrasonic waves from a side of the ablation electrode tip

a plurality of fluid channels disposed about an outer extent of the distal tip insert and circumferentially offset from the ultrasonic imaging sensors; and

a distally-facing ultrasonic imaging sensor coupled to the distal insert, the distally-facing ultrasonic imaging sensor configured for transmitting ultrasonic waves in a forward direction away from a distal end of the ablation electrode tip.

18. An ablation and ultrasound imaging system, comprising:

a probe configured for delivering ablation energy to body tissue, the probe comprising;

an ablation electrode tip;

a plurality of acoustic openings disposed through the ablation electrode tip;

a distal tip insert disposed within an interior lumen of the ablation electrode tip, the distal tip insert including a plurality of fluid channels; and

a plurality of ultrasonic imaging sensors coupled to the distal tip insert, the ultrasonic imaging sensors configured to transmit ultrasonic waves through the acoustic openings, wherein the distal tip insert includes a plurality of recesses each configured for receiving one of the plurality of ultrasonic imaging sensors;

an ablation therapy module comprising an ablation source configured to generate and supply an electrical signal to the ablation electrode tip; and

an ultrasound imaging module comprising an image processor configured to process ultrasonic imaging signals received from the ultrasonic imaging sensors to generate an ultrasonic image.

19. The system of claim 18, wherein the ultrasonic imaging module further comprises:

a signal generator configured to generate control signals for controlling each ultrasonic imaging sensor.