Microwave ablation catheter and method of utilizing the same

• US 9,247,993 B2
• Filed: 03/15/2013
• Issued: 02/02/2016
• Est. Priority Date: 08/07/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Ladtkow, Casey M., Brannan, Joseph D., Peterson, Darion R., Larson, Eric W., Haley, Kaylen J., Dickhans, William J., Case, Jason A.
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US13/836,781
• Publication Number:
  US 20140046175A1
• Time in Patent Office: 1,054 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• CPC Class Codes: A61B 10/04 Endoscopic instruments
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2010/0216 Sampling brushes
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 5/0036 including treatment, e.g., using an implantable medical device, ablating, ventilating
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/0538 invasively, e.g. using a catheter
• CPC Class Codes: A61B 5/062 using magnetic field
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/1114 : Tracking parts of the body
• CPC Class Codes: A61B 5/4836 : Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/7425 : Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 5/7445 : Display arrangements, e.g. multiple display units
• CPC Class Codes: A61B 6/032 : Transmission computed tomography [CT]
• CPC Class Codes: A61B 6/12 : Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/487 : involving fluoroscopy
• CPC Class Codes: A61B 8/0841 : for locating instruments
• CPC Class Codes: A61B 8/12 : in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00

Abstract

A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source and a tool for treating tissue. An extended working channel is configured to provide passage for the tool. A locatable guide, translatable through the extended working channel, is configured to navigate the extended working channel adjacent a target.

Claims

1. A microwave ablation system configured for use in a luminal network, comprising:

a microwave energy source;

a tool for treating tissue, the tool being configured to receive microwave energy from the microwave energy source;

an extended working channel configured to provide passage for the tool, wherein the extended working channel includes an ultrasound probe; and

a locatable guide, translatable through the extended working channel, and configured to navigate the extended working channel adjacent a target.

2. The microwave ablation system according to claim 1, further including a bronchoscope configured to receive the extended working channel and for providing access to the luminal network.

3. The microwave ablation system according to claim 1, wherein the tool is a microwave ablation catheter comprising:

a coaxial cable connected at its proximal end to the microwave energy source and at its distal end to a distal radiating section, the coaxial cable including inner and outer conductors and a dielectric positioned therebetween, the inner conductor extending distally past the outer conductor and in sealed engagement with the distal radiating section; and

a balun formed in part from a conductive material electrically connected to the outer conductor of the coaxial cable and extending along at least a portion of the coaxial cable, the conductive material having a braided configuration and covered by at least one insulative material.

4. The microwave ablation system according to claim 3, wherein the extended working channel includes a closed distal end and a multi-lumen configuration configured to receive the ablation catheter, the extended working channel further comprising a hub at a proximal end thereof, the hub including a fluid intake port and a fluid return port configured to provide respective ingress and egress of a coolant to and from the extended working channel for cooling the ablation catheter.

5. The microwave ablation system according to claim 3, further comprising an expandable member on an exterior of the extended working channel, the expandable member being movable to an inflated condition to create a tamponade when the microwave ablation catheter is positioned within the luminal network.

6. The microwave ablation system according to claim 5, wherein the expandable member is configured to control local properties of the luminal network.

7. The microwave ablation system according to claim 5, wherein the expandable member is configured to anchor the extended working channel when the extended working channel is positioned within the luminal network to prevent the extended working channel from moving out of position when the locatable guide or the microwave ablation catheter are moved therein.

8. The microwave ablation system according to claim 5, wherein the expandable member is in the form of a balloon.

9. The microwave ablation system according to claim 8, wherein the balloon is movable to an inflated condition to create a tamponade when the microwave ablation catheter is positioned within the luminal network.

10. The microwave ablation system according to claim 9, wherein the balloon is configured to anchor the microwave ablation catheter when the microwave ablation catheter is positioned within the luminal network to maintain the microwave ablation catheter in a relatively fixed configuration.

11. The microwave ablation system according to claim 3, wherein one of the distal radiating section of the microwave ablation catheter and a distal tip of the extended working channel is selectively energizable to penetrate tissue.

12. The microwave ablation system according to claim 3, wherein the distal radiating section of the microwave ablation catheter is covered with a temperature sensitive wax configured to melt when the microwave ablation catheter is activated.

13. The microwave ablation system according to claim 1, wherein a piston including a needle is operably coupled to at least one fluid port of the extended working channel and is extendable from the distal end of the extended working channel for piercing tissue.

14. The microwave ablation system according to claim 1, wherein a distal end of the extended working channel is energizable for penetrating target tissue.

15. The microwave ablation system according to claim 14, wherein the distal end of the extended working channel includes at least one electrode extending at least partially along an outer peripheral surface of the extended working channel.

16. The microwave ablation system according to claim 15, wherein the at least one electrode is operable in a monopolar mode of operation.

17. The microwave ablation system according to claim 1, further including a navigation system for guiding at least one of a tool, the extended working channel or a locatable guide through the luminal network following a predetermined determined pathway.

18. The microwave ablation system according to claim 17, wherein the predetermined pathway is generated, using a computer, based on computed tomographic (CT) data of the luminal network, and is displayed in a generated model.

19. The microwave ablation system according to claim 18, wherein the predetermined pathway is generated from CT data to identify a pathway to a target identified by a user in the CT data, and the pathway is generated, using the computer, for acceptance by the user before use in the navigation system.

20. The microwave ablation system according to claim 19, wherein the navigation system further includes a head-up display.