Flexible microwave catheters for natural or artificial lumens

• US 9,387,038 B2
• Filed: 04/09/2012
• Issued: 07/12/2016
• Est. Priority Date: 04/08/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D., Arts, Gene H., DeCarlo, Arnold V., Ladtkow, Casey M., Reid, William O. Jr.
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US14/110,655
• Publication Number:
  US 20140039487A1
• Time in Patent Office: 1,555 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00226 extending from a surface, i.e. Blisters
• CPC Class Codes: A61B 2018/00232 having an irregular shape
• CPC Class Codes: A61B 2018/00267 having a basket shaped structure
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00285 Balloons
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00511 Kidney
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1846 : Helical 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 2018/1884 : with non-uniform emissions
• CPC Class Codes: A61B 2018/1892 : Details of electrical isolations of the antenna
• CPC Class Codes: A61B 90/10 : for stereotaxic surgery, e.g. frame-based stereotaxis
• CPC Class Codes: A61N 5/022 : Apparatus adapted for a specific treatment

Abstract

A flexible microwave catheter, including a flexible coaxial cable having an inner conductor, an inner dielectric coaxially disposed about the inner conductor, and an outer conductor coaxially disposed about the inner dielectric, at least one feedpoint defining a microwave radiating portion of the flexible coaxial cable, a mesh structure having a collapsed configuration and an expanded configuration and disposed about the microwave radiating portion of the flexible coaxial cable, wherein the mesh structure expands radially outward from the flexible microwave catheter thereby positioning the at least one feedpoint at the radial center of the mesh structure.

Claims

1. A flexible microwave catheter, comprising:

a flexible coaxial cable having an inner conductor, an inner dielectric coaxially disposed about the inner conductor, and an outer conductor coaxially disposed about the inner dielectric;

at least one feedpoint defining a microwave radiating portion of the flexible coaxial cable; and

a mesh structure having a collapsed configuration and an expanded configuration and disposed about the microwave radiating portion of the flexible coaxial cable,

wherein the mesh structure expands radially outward from the flexible microwave catheter thereby positioning the at least one feedpoint at the radial center of the mesh structure.

2. The flexible microwave catheter in accordance with claim 1, wherein the mesh structure further includes a conductive material that reduces propagation of denervation energy from the microwave radiating portion in an axial direction.

3. The flexible microwave catheter in accordance with claim 1, wherein the mesh structure comprises an elastomeric balloon having a conductive pattern disposed on an inner surface thereof.

4. The flexible microwave catheter in accordance with claim 3, wherein the elastomeric balloon in an expanded configuration positions the at least one feed point at the radial center of the mesh structure.

5. The flexible microwave catheter in accordance with claim 4, wherein the conductive pattern defines a window on the inner surface of the elastomeric balloon, wherein the window is characterized by a lack of the conductive pattern.

6. The flexible microwave catheter in accordance with claim 1, wherein the mesh structure and the at least one feed point form a circumferentially balanced resonating structure.

7. The flexible microwave catheter in accordance with claim 1, wherein the mesh structure further includes:

a distal conductive end-cap mesh,

a proximal conductive end-cap mesh; and

a tubular mesh body formed between the distal end-cap mesh and the proximal end-cap mesh,

wherein the distal conductive end-cap mesh and proximal conductive end-cap mesh reduce propagation of microwave energy from the microwave radiating portion in an axial direction.

8. The flexible microwave catheter in accordance with claim 7, wherein the tubular mesh body defines a window that radiates energy over 360 degrees along a longitudinal span of about 2 to about 3 cm.

9. A flexible microwave catheter, comprising:

a flexible coaxial cable having an inner conductor, an inner dielectric coaxially disposed about the inner conductor, and an outer conductor coaxially disposed about the inner dielectric;

at least one feed gap defining a microwave radiating portion of the flexible coaxial cable; and

a centering structure disposed adjacent the microwave radiating portion of the flexible coaxial cable, the centering structure having a collapsed configuration and an expanded configuration,

wherein the centering structure extends radially outward from the flexible microwave catheter thereby positioning the at least one feed gap at the radial center of the centering structure and wherein the centering structure includes a stent-like expandable element that expands to a tubular shape when distally advanced from the confines of an outer sheath of the flexible microwave catheter.

10. The flexible microwave catheter in accordance with claim 9, wherein the stent-like expandable element defines a plurality of windows that radiate energy over 360 degrees along a longitudinal span.

11. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

a plurality of centering devices, at least one of the plurality of centering devices being disposed distal to the at least one feed gap along a longitudinal axis and at least one of the plurality of centering devices being disposed proximal to the at least one feed gap along the longitudinal axis.

12. The flexible microwave catheter in accordance with claim 11, wherein the plurality of centering devices reduces propagation of microwave energy from each of the at least one feed gap in an axial direction.

13. The flexible microwave catheter in accordance with claim 9, wherein the at least one feed gap includes a first feed gap and a second feed gap and the centering structure further includes:

a first centering device operably associated with the first feed gap; and

a second centering device operably associated with the second feed gap,

wherein in the expanded configuration the first feed gap is at the radial center of the first centering device and the second feed gap is at the radial center of the second centering device.

14. The flexible microwave catheter in accordance with claim 13, wherein the first centering device and the second centering device each define a window therein that radiates microwave energy therethrough.

15. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

an inflatable balloon housing, and

a plurality of lobes formed on the inflatable balloon housing,

wherein in an expanded configuration a channel is formed between adjacent lobes of the plurality of lobes.

16. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

a plurality of fins equally spaced about the circumference of the flexible microwave catheter,

wherein in a collapsed configuration the plurality of fins is restrained within an outer sheath of the flexible microwave catheter and in an expanded configuration the plurality of fins extends radially outward from the flexible microwave catheter.

17. The flexible microwave catheter in accordance with claim 16, wherein the plurality of fins is dimensioned to self-center the flexible microwave catheter in a fluid flow lumen via fluid/hydrodynamic forces generated by fluid flowing through the fluid flow lumen.

18. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

a centering basket, the centering basket including;

a first receiver for engaging the flexible microwave catheter;

a second receiver for engaging the flexible microwave catheter; and

a plurality of bands extending between the first receiver and the second receiver, each of the plurality of bands bowing outwardly and forming an arcuate path between the first receiver and the second receiver,

wherein in the collapsed configuration the plurality of bands is compressed radially inwardly thereby elongating the centering basket and in an expanded configuration the plurality of bands is uncompressed and extends radially outwardly.

19. The flexible microwave catheter in accordance with claim 18, wherein the first receiver fixedly engages the flexible microwave catheter and the second receiver slidably engages the flexible microwave catheter.

20. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

at least two centering baskets, each of the at least two centering baskets including;

a first receiver for engaging the flexible microwave catheter;

a second receiver for engaging the flexible microwave catheter; and

a plurality of bands extending between the first receiver and the second receiver, each of the plurality of bands bowing outwardly and forming an arcuate path between the first receiver and the second receiver;

wherein in the collapsed configuration the plurality of bands is compressed radially inwardly thereby elongating the centering basket and in an expanded configuration the plurality of bands is uncompressed and extends radially outwardly.

21. The flexible microwave catheter in accordance with claim 18, wherein the first receiver fixedly engages the flexible microwave catheter and the second receiver slidably engages the flexible microwave catheter.

22. The flexible microwave catheter in accordance with claim 21, wherein one of the at least one feed gap is between a first and a second of the at least two centering baskets.

23. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

a plurality of paddles equally spaced about the circumference of the flexible microwave catheter, each of the plurality of paddles hingedly attached to the flexible microwave catheter,

wherein in a collapsed configuration the plurality of paddles is adjacent and parallel the flexible microwave catheter and in expanded configuration the plurality of paddles extends perpendicular to, and extending radially outwardly from, the flexible microwave catheter.

24. The flexible microwave catheter in accordance with claim 9, wherein the centering structure includes:

a plurality of helical ribs connected to the outer surface of the flexible microwave catheter an extending about the outer surface of the flexible microwave catheter in a helical-like fashion,

wherein in collapsed configuration the plurality of helical ribs is compressed between the flexible coaxial cable and an inner surface of the outer sheath of the flexible microwave catheter and in an expanded configuration, the plurality of helical ribs extends radially from the flexible coaxial cable.