Ablation systems, probes, and methods for reducing radiation from an ablation probe into the environment

• US 9,925,005 B2
• Filed: 06/24/2016
• Issued: 03/27/2018
• Est. Priority Date: 01/05/2012
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Reid, Jr., William O.
• Primary Examiner(s): Layno, Carl H
• Assistant Examiner(s): Piateski, Erin M
• Application Number:
  US15/192,009
• Publication Number:
  US 20160302863A1
• Time in Patent Office: 641 Days
• Field of Search: 606 33
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00017 with gas
• 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 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00458 Deeper parts of the skin, e.g. treatment of vascular disorders or port wine stains
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00809 measured thermochromatically
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• 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 2018/1892 Details of electrical isolations of the antenna
• CPC Class Codes: A61B 2090/0481 against EM radiation, e.g. microwave
• CPC Class Codes: A61B 90/04 Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery protection of eyes against laser radiation A61F9/022

Abstract

The ablation systems, ablation probes, and corresponding methods according to the present disclosure reduce or eliminate energy radiating from an ablation probe into the environment. Some ablation probes include a retractable sheath that shields at least the radiating portion of the ablation probe. The retractable sheath and/or the ablation probe may include conduits through which a fluid may flow to shield the radiating portion and to drive the retractable sheath to an extended state. Other ablation probes include apertures defined in the probe walls through which the fluid can flow to expand a balloon surrounding the radiating portion. Yet other ablation probes include a thermal indicator to indicate the temperature of the ablation probe to a user. The ablation systems include fluid circuits and associated mechanical controls for varying the contents and/or flow rate of the fluid provided to the radiating portion of the ablation probe.

Claims

1. An ablation system, comprising:

an ablation probe including;

a shaft having a proximal portion and a distal portion, the distal portion including an antenna configured to deliver energy to tissue; and

a retractable sheath surrounding at least a radiating portion of the shaft, the retractable sheath including a rigid tip cover disposed at a distal portion of the retractable sheath, a first fluid conduit configured to deliver a cooling fluid to the distal portion of the shaft, and a second fluid conduit configured to return the cooling fluid to the proximal portion of the shaft;

a fluid source in fluid communication with the first fluid conduit;

a fluid pump in fluid communication with the fluid source, the fluid pump configured to pump a fluid through the first fluid conduit; and

a generator electrically coupled to the antenna, the generator configured to supply electrical energy to the antenna.

2. The ablation system according to claim 1, which further comprises a fluid disposed in the fluid source, wherein the fluid has dielectric properties that reduce the energy radiating from the radiating portion of the shaft.

3. The ablation system according to claim 1, which further comprises a fluid disposed in the fluid source, wherein the fluid is selected from the group consisting of air, a mixture of cooling fluid and air, and a mixture of cooling fluid and a dielectric material.

4. The ablation system according to claim 1, wherein the energy is microwave energy.

5. The ablation system according to claim 1, wherein the retractable sheath is configured to retract when the shaft is inserted in tissue.

6. The ablation system according to claim 5, wherein the fluid pump is configured to supply a fluid to the first fluid conduit under a working pressure sufficient to extend the retractable sheath as the shaft is removed from tissue.

7. The ablation system according to claim 1, wherein the retractable sheath is configured to prevent at least a portion of the energy from radiating outside of the retractable sheath.

8. The ablation system according to claim 5, wherein the distal portion of the shaft includes a sharp tip, the rigid tip cover configured to enclose the sharp tip when the retractable sheath is in an extended state.

9. The ablation system according to claim 5, further comprising a handle coupled to a proximal portion of the shaft, the retractable sheath coupled to a distal portion of the handle.

10. The ablation system according to claim 5, wherein the retractable sheath is a compressible plastic cylinder configured to compress when the shaft is inserted in tissue and at least a portion of the compressible plastic cylinder is coated with an electrically conductive material.

11. The ablation system according to claim 5, wherein the retractable sheath is electrically coupled to an electrical ground.

12. The ablation system according to claim 5, wherein the retractable sheath is a compressible, electrically conductive material formed in the shape of a cylinder and configured to compress when the shaft is inserted in tissue.

13. The ablation system according to claim 12, wherein the compressible, electrically conductive material is a metal.

14. The ablation system according to claim 13, wherein the metal is copper.

15. The ablation system according to claim 5, wherein the retractable sheath includes an inner wall and an outer wall, and wherein the first fluid conduit is disposed between the inner and outer wall.

16. The ablation system according to claim 15, wherein the outer wall of the retractable sheath is coated with an electrically conductive material.