System and method for ablation procedure monitoring using electrodes

• US 9,814,525 B2
• Filed: 01/23/2015
• Issued: 11/14/2017
• Est. Priority Date: 02/03/2011
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Brannan, Joseph D.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US14/604,368
• Publication Number:
  US 20150133910A1
• Time in Patent Office: 1,026 Days
• Field of Search: 606 33- 50
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1823 Generators therefor
• CPC Class Codes: A61B 2018/1838 Dipole antennas
• CPC Class Codes: A61B 2018/1869 with an instrument interstitially inserted into the body, e.g. needles
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

A microwave ablation system includes an antenna assembly configured to deliver microwave energy from a power source to tissue. One or more electrodes are disposed on the antenna assembly and are configured to be positioned relative to tissue upon insertion of the antenna assembly into tissue. The one or more electrodes are configured to generate a feedback signal in response to an electrical signal supplied thereto from the power source. The feedback signal corresponds to the proximity of tissue relative to the at least one electrode and is configured to be compared to a predetermined parameter to determine a depth of the insertion of the antenna assembly into tissue. The power source is configured to control the delivery of microwave energy to the antenna assembly based on the comparison.

Claims

1. An ablation device, comprising:

an antenna having a proximal end portion and a distal end portion; and

a trocar including;

a shaft operably associated with the distal end portion of the antenna, the antenna extending longitudinally within the shaft;

a first electrode disposed on a proximal end portion of the shaft; and

a second electrode forming a distal tip of the shaft and configured for insertion into tissue, the proximal end portion of the shaft having a tubular outer surface formed with the distal tip, wherein the first and second electrodes are longitudinally spaced from one another along a longitudinal axis defined by the shaft.

2. The ablation device according to claim 1, wherein the distal end portion of the antenna is operably coupled to the distal tip of the trocar.

3. The ablation device according to claim 1, wherein the distal tip of the trocar is conical and configured to penetrate tissue.

4. The ablation device according to claim 1, wherein the first electrode is ring-like and at least partially encircles the shaft of the trocar.

5. The ablation device according to claim 1, wherein the antenna further includes an inner conductor electrically connected to the second electrode.

6. The ablation device according to claim 1, wherein the first electrode abuts the tubular outer surface of the proximal end portion of the shaft.

7. The ablation device according to claim 1, wherein the antenna has a distal end that terminates proximally of the second electrode.

8. The ablation device according to claim 1, wherein the tubular outer surface has a distal end directly connected to the distal tip.

9. An ablation system, comprising:

an antenna having a proximal end portion and a distal end portion;

a trocar including;

a shaft defining a longitudinal axis therethrough and having a distal end portion operably associated with the distal end portion of the antenna;

a first electrode disposed on a proximal end portion of the shaft; and

a second electrode extending distally from the distal end portion of the shaft and configured for insertion into tissue, the proximal end portion of the shaft having a tubular outer surface formed with the second electrode, the first and second electrodes longitudinally spaced from one another along the longitudinal axis of the shaft;

a power source electrically connected to at least one of the first electrode or the second electrode; and

a controller operably associated with the power source, wherein the controller is configured to determine an insertion depth of the trocar in tissue and to control an amount of power output by the power source based on the determined insertion depth;

wherein the antenna extends longitudinally within the shaft of the trocar.

10. The ablation system according to claim 9, wherein the distal end portion of the antenna is operably coupled to the second electrode of the trocar.

11. The ablation system according to claim 9, wherein the second electrode of the trocar is conical and configured to penetrate tissue.

12. The ablation system according to claim 9, wherein the first electrode is ring-like and at least partially encircles the shaft of the trocar.

13. The ablation system according to claim 9, wherein the antenna includes an inner conductor electrically connecting the power source and the second electrode.

14. The ablation system according to claim 13, further comprising a transmission line extending along an outer surface of the shaft of the trocar and electrically connecting the first electrode to the power source.

15. The ablation system according to claim 9, wherein the first electrode abuts the tubular outer surface of the proximal end portion of the shaft.

16. The ablation system according to claim 9, wherein the antenna has a distal end that terminates proximally of the second electrode.

17. An ablation device, comprising:

an antenna including an inner conductor; and

a trocar including;

a shaft operably associated with a distal end portion of the antenna;

a first electrode disposed on a proximal end portion of the shaft; and

a second electrode forming a distal tip of the shaft and configured for insertion into tissue, the second electrode electrically connected to the inner conductor of the antenna, the proximal end portion of the shaft having a tubular outer surface formed with the distal tip, wherein the first and second electrodes are longitudinally spaced from one another along a longitudinal axis defined by the shaft.