Resonating radio frequency ablation device

• US 9,439,724 B2
• Filed: 12/09/2013
• Issued: 09/13/2016
• Est. Priority Date: 12/13/2012
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Gross, David C.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US14/100,993
• Publication Number:
  US 20140171933A1
• Time in Patent Office: 1,009 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 18/082 Probes or electrodes 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

The invention relates to methods, systems, and devices for ablating a tumor with heat delivered from a non-ferrous metallic rod having a length adapted to support resonating radio frequency waves along the longitudinal axis of the rod. The tumor ablation may be carried out in an MRI where the radio frequency transmitter of the MRI wirelessly delivers the energy to heat the metallic rod.

Claims

1. A method for ablating a tumor inside a bore of a magnetic resonance imager with a resonating radio frequency ablation device, the resonating radio frequency ablation device comprising (i) a non-ferrous metallic rod adapted to wirelessly interact with radio frequency energy from a radio frequency transmitter of a magnetic resonance imager, the non-ferrous metallic rod having a distal tip, a longitudinal axis, and a resonant length for the magnetic resonance imager, the distal tip being configured to heat a tumor, and (ii) a housing, the housing having a distal end and a distal opening where the non-ferrous metallic rod is positioned within the housing with the distal tip projecting through the distal opening of the housing;

wherein a lossy medium with electrical conductivity of about 0.1 to about 0.7 siemens per meter surrounds the non-ferrous metallic rod within the housing, the method comprising the steps of;

(a) advancing a patient into the bore of the magnetic resonance imager;

(b) advancing the distal tip of the resonating radio frequency ablation device to an operative position at a tumor treatment site within the patient;

(c) orienting the resonating radio frequency ablation device in the magnetic resonance imager to interact with radio frequency waves from the radio frequency transmitter; and

(d) supplying radio frequency energy from the radio frequency transmitter to the resonating radio frequency ablation device sufficient to heat the distal tip of the non-ferrous metallic rod.

2. The method of claim 1, wherein the distal end of the housing is adapted to sealingly engage the non-ferrous metallic rod and the housing contains the lossy medium.

3. The method of claim 1 wherein advancing the distal tip of the resonating radio frequency ablation device to an operative position at a tumor treatment site comprises:

positioning a catheter adjacent the tumor treatment site and advancing the resonating radio frequency ablation device through the catheter until the distal tip of the resonating radio frequency ablation device reaches the operative position at the tumor treatment site.

4. The method of claim 3 wherein advancing the distal tip of the resonating radio frequency ablation device to an operative position at a tumor treatment site further comprises using the magnetic resonance imager to guide positioning of the catheter.

5. The method of claim 3 wherein the catheter has a distal end and a seal at the distal end, the method further comprising the step of advancing the distal tip of the non-ferrous metallic rod through the seal.

6. The method of claim 1 wherein sufficient radio frequency energy from the magnetic resonance imager is supplied to the resonating radio frequency ablation device to heat the distal tip to about 46°

C. to about 100°

C.

7. A system for ablating a tumor comprising:

(a) a resonating radio frequency ablation device comprising (i) a non-ferrous metallic rod adapted to wirelessly interact with radio frequency energy from a radio frequency transmitter, the non-ferrous metallic rod having a distal tip, a longitudinal axis, and a resonant length for the radio frequency transmitter, the distal tip being configured to heat a tumor, and (ii) a housing, the housing having a distal end and a distal opening where the non-ferrous metallic rod is positioned within the housing with the distal tip projecting through the distal opening of the housing;

wherein the lossy medium with electrical conductivity of about 0.1 to about 0.7 siemens per meter surrounds the non-ferrous metallic rod within the housing;

(b) a radio frequency transmitter; and

(c) an imaging system.

8. The system of claim 7, wherein the distal end of the housing is adapted to sealingly engage the non-ferrous metallic rod and the housing contains the lossy medium.

9. The system of claim 8 further comprising a cooling system wherein the housing further comprises a cooling connection in communication with the cooling system.

10. The system of claim 7 further comprising a catheter, wherein the catheter is adapted to advance the resonating radio frequency ablation device therethrough.

11. The system of claim 10 wherein the catheter contains the lossy medium.

12. The system of claim 10 wherein the catheter has a distal end and a seal at the distal end, the seal being adapted to be punctured by the distal tip of the non-ferrous metallic rod.

13. The system of claim 7 wherein the imager and the radio frequency transmitter are components of a magnetic resonance imager and the non-ferrous metallic rod further has a resonant length for the magnetic resonance imager.

14. The system of claim 7 further comprising a temperature sensor adapted to measure the temperature of the distal end of the non-ferrous metallic rod.

15. A resonating radio frequency ablation device comprising:

a non-ferrous metallic rod adapted to wirelessly interact with radio frequency energy from a radio frequency transmitter of a magnetic resonance imager, the non-ferrous metallic rod having a distal tip, a longitudinal axis, and a resonant length for the magnetic resonance imager, wherein the distal tip is configured to heat a tumor; and

a housing, the housing having a distal end and a distal opening, where the non-ferrous metallic rod is substantially surrounded by the housing with the distal tip projecting through the distal opening of the housing, wherein the distal end of the housing is adapted to sealingly engage the non-ferrous metallic rod.

16. The resonating radio frequency ablation device of claim 15 wherein the housing further comprises a cooling connection.

17. The resonating radio frequency ablation device of claim 15 wherein the housing contains a lossy medium with electrical conductivity of about 0.1 to about 0.7 siemens per meter.

18. The resonating radio frequency ablation device of claim 15 wherein the non-ferrous metallic rod is made of titanium.

19. The resonating radio frequency ablation device of claim 15 wherein the resonant length is about 10 or about 20 centimeters.

20. The resonating radio frequency ablation device of claim 15 wherein the resonant length is about 80% to about 120% of a theoretical resonant length.