Microwave ablation catheter, handle, and system

• US 9,867,665 B2
• Filed: 09/08/2014
• Issued: 01/16/2018
• Est. Priority Date: 09/06/2013
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Dickhans, William J., Shaffer, Carol L., Peterson, Alex A., Reschke, Arlen J.
• Primary Examiner(s): Getzow, Scott
• Application Number:
  US14/479,482
• Publication Number:
  US 20150073407A1
• Time in Patent Office: 1,226 Days
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 18/1815 using microwaves
• 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 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A handle for longitudinal movement of a first tubular member over a second tubular member includes a handle body, a nose cone, a locking mechanism, and a retraction control. The nose cone has a sleeve and an outer wall that define a control channel therebetween. The nose cone is moveable over the handle body between extended and retracted positions. The locking mechanism has locked and unlocked positions for selectively fixing the nose cone in the extended and retracted positions. A finger of the retraction control is positioned within the control channel of the nose cone. The retraction control has first and second positions relative to the nose cone for transitioning the locking mechanism between the locked and unlocked position and for moving the nose cone between the extended and retracted positions.

Claims

1. A handle for longitudinal movement of a first tubular member over a second tubular member, the handle comprising:

a handle body;

a nose cone having a sleeve and an outer wall defining a control channel therebetween, the nose cone moveable over the handle body between an extended position and a retracted position;

a locking mechanism including a locking pin having a retention plate, the locking pin being biased out of the slot defined in the handle body such that the retention plate retains the locking pin within the slot, the locking mechanism being disposed within a slot defined in the handle body and having a locked position and an unlocked position for selectively fixing the nose cone in the extended and retracted positions; and

a retraction control including a finger positioned within the control channel of the nose cone, the retraction control having first and second positions relative to the nose cone for transitioning the locking mechanism between the locked and unlocked positions and for moving the nose cone between the extended and retracted positions.

2. The handle of claim 1, wherein when the nose cone is in the extended position and the retraction control is in the first position, the locking mechanism is in the locked position to fix the nose cone in the extended position.

3. The handle of claim 1, wherein when the nose cone is in the extended position and the retraction control is in the second position, the locking mechanism is in the unlocked position such that the nose cone is moveable relative to the handle body.

4. The handle of claim 3, wherein when the nose cone reaches the retracted position, the locking mechanism transitions to the locked position to fix the nose cone in the retracted position.

5. The handle of claim 1, wherein when the nose cone is in the retracted position and the retraction control is in the second position, the locking mechanism is in the locked position to fix the nose cone in the extended position.

6. The handle of claim 1, wherein when the nose cone is in the retracted position and the retraction control is in the first position, the locking mechanism is in the unlocked position such that the nose cone is moveable relative to the handle body.

7. The handle of claim 6, wherein when the nose cone reaches the extended position, the locking mechanism transitions to the locked position to fix the nose cone in the extended position.

8. The handle of claim 1, wherein the second position of the retraction control is proximal to the first position of the retraction control.

9. The handle of claim 1, wherein the sleeve of the nose cone defines first and second openings, wherein when the nose cone is in the extended position and the locking pin is in the locked position, the locking pin is disposed within the first opening, and wherein when the nose cone is in the retracted position and the locking pin is in the locked position, the locking pin is disposed within the second opening.

10. A surgical system comprising:

an extended working channel having proximal and distal ends;

a handle defining a through passage, the handle including;

an adjustment nut;

a housing body defining a proximal portion of the through passage, the housing body defining a nut recess for receiving the adjustment nut to longitudinally fix the ablation probe to the housing body;

a nose cone coupled to the proximal end of the extended working channel and having a sleeve and an outer wall defining a control channel therebetween, the nose cone defining a distal portion of the through passage in communication with the extended working channel, the nose cone longitudinally moveable over the housing body between an extended position and a retracted position; and

a locking mechanism having a locked position and an unlocked position for selectively fixing the nose cone in the extended and retracted positions;

a retraction control including a finger positioned within the control channel of the nose cone, the retraction control having first and second positions relative to the nose cone for transitioning the locking mechanism between the locked and unlocked positions and for moving the nose cone between the extended and retracted positions; and

a catheter assembly disposed within the through passage of the handle, the catheter assembly including;

a catheter hub positioned in the proximal portion of the through passage, the catheter hub having the adjustment nut positioned over an outer surface of the catheter hub; and

an ablation probe extending from the catheter hub through the nose cone of the handle and through the extended working channel, the ablation probe having a distal end that is disposed within the extended working channel when the handle is in the extended position and that is positioned distal to the distal end of the extended working channel when the handle is in the retracted position.

11. The system of claim 10, wherein the catheter hub combines coolant tubes and an antenna into the ablation probe.

12. The system of claim 10, wherein the adjustment nut is threaded to cooperate with threads on the outer surface of the catheter hub to allow fine adjustment of the length of the ablation probe relative to the housing body.

13. The system of claim 11, wherein a distal end of the ablation probe is positioned within the distal end of the extended working channel when the nose cone is in the extended position, and wherein the distal end of the ablation probe is positioned distal to the distal end of the extended working channel when the nose cone is in the retracted position.

14. A method of assembling a surgical system, the method comprising:

positioning a catheter assembly within a half of a first portion of a passage defined within a first half of a housing body of a handle wherein an adjustment nut is positioned within a nut recess defined in the housing body to adjust the length of the probe extending distally from the housing body;

securing a second half of the housing body of the handle to the first half of the housing body with the catheter assembly positioned in a half of the first portion of the passage defined within the second half of the housing body to form the housing body;

sliding a nose cone of the handle over a distal portion of the housing body, the nose cone defining a second portion of the passage that receives a probe of the catheter assembly therethrough; and

inserting a finger of a retraction control within a control channel defined between a sleeve and outer wall of the nose cone.

15. The method of claim 14, further including rotating the adjustment nut about a threaded portion of the catheter hub to fix the length of the probe extending distally from the housing body.

16. The method of claim 14, wherein securing the second half of the housing body to the first half of the housing body prevents adjustment of the length of the probe extending distally from the housing body during use of the surgical system.