Coil electrode for thermal therapy

• US 9,943,360 B2
• Filed: 01/30/2012
• Issued: 04/17/2018
• Est. Priority Date: 01/30/2011
• Status: Active Grant

• Current Assignee: University Health Network
• Original Assignee: University Health Network
• Inventors: Miller, Brock James, Sherar, Michael, McCann, Claire, Jewett, Michael, Kachura, John R., Furse, Alex, Taylor, Mark William
• Primary Examiner(s): Fowler, Daniel
• Application Number:
  US13/982,337
• Publication Number:
  US 20140296845A1
• Time in Patent Office: 2,269 Days
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis

Abstract

A coil electrode for use with an RFA (radio frequency ablation) apparatus, has a lead portion, and a helical portion coupled to the lead portion, the helical portion being formed of Nitinol SE510. Further, an RFA (radio frequency ablation) apparatus, comprises an applicator, the applicator including a handle and a cannulating delivery needle mounted to the handle, the cannulating delivery needle including a tip spaced apart from the handle. A coil electrode includes a lead portion housed in the cannulating delivery needle, and a helical portion coupled to the lead portion, the helical portion formed of Nitinol. The helical portion has a retracted state when housed within the cannulating delivery needle and a deployed state when moved out of the tip of the cannulating delivery needle.

Claims

1. An RFA (radio frequency ablation) apparatus, comprising:

an applicator, the applicator including a handle and a cannulating delivery needle mounted to the handle, the cannulating delivery needle including a tip spaced apart from the handle;

a coil electrode, the coil electrode including a lead portion housed in the cannulating delivery needle, and a helical portion coupled to the lead portion, the helical portion formed of Nitinol and having a retracted state when housed within the cannulating delivery needle and a deployed state when moved out of the tip of the cannulating delivery needle, the helical portion having a central axis that is offset from the longitudinal axis of the cannulating delivery needle;

a radially projecting first fin on the handle, the first fin being positioned to indicate a deployment path direction of the helical portion of the coil electrode, the first fin extends along half of the handle adjacent to the cannulating delivery needle and the first fin is caused to rotate about the handle to alert a user of the apparatus with tactile feedback when the helical portion encounters resistance when deployed; and

a second fin being aligned with the central axis of the helical portion of the coil electrode when it is in its deployed position to indicate a center of an ablation zone during use.

2. The apparatus of claim 1, wherein the helical portion is formed of Nitinol SE510, has a wire thickness between 1.3 and 1.4 mm, has a pitch between 8 to 12 mm and a length between 3 to 4 cm.

3. The coil electrode of claim 2, wherein the helical portion has a wire thickness of about 1.345 mm.

4. The coil electrode of claim 3, wherein the helical portion has a diameter of between 17 and 20 mm.

5. The coil electrode of claim 4, wherein the helical portion has a diameter of about 18 mm.

6. The coil electrode of claim 2, wherein the helical portion has a pitch of about 10 mm.

7. The coil electrode of claim 2, wherein the helical portion generally has a wire cross sectional shape selected from a circular segment, a triangle, a polygon, and a squircle.

8. The apparatus of claim 1, wherein the handle is generally cylindrical.

9. The apparatus of claim 1, wherein the cannulating delivery needle is sized as a 14-gauge needle to reduce deflection of the tip.

10. The apparatus of claim 9, wherein a distal most end of a tip of the cannulating delivery needle comprises a slot on one side of the cannula delivery needle for guiding deployment of the helical portion therefrom in a known direction and an extra coil of the helical portion of the coil electrode remains inside the cannulating delivery needle when the coil electrode is deployed in order to exert pressure against inner walls of the cannulating delivery needle to restrict rotation of the coil electrode when deployed.

11. The apparatus of claim 10, wherein the helical portion and the tip of the cannulating delivery needle have generally complementary cross sectional shapes in order to restrict rotation of the coil electrode during deployment.

12. The apparatus of claim 11, wherein the cross sectional shapes are selected from a circular segment, a triangle, a polygon, and a squircle.

13. The apparatus of claim 1, further comprising an introducer sheath sized and shaped to slidingly receive the cannulating delivery needle.

14. The apparatus of claim 13, wherein the cannulating delivery needle is sized as a 14-gauge needle and the introducer sheath is sized as a 12-gauge needle.

15. The apparatus of claim 14, wherein the introducer sheath comprises an electrically insulating outer layer.

16. The apparatus of claim 15, further comprising a trocar sized and shaped to be slidingly received within the introducer sheath.

17. The apparatus of claim 1, wherein the helical portion and the tip of the cannulating delivery needle have generally complementary cross sectional shapes being selected from a circular segment, a triangle, a polygon, and a squircle.

18. The apparatus of claim 1, wherein the first fin has a height at a portion thereof that is similar to a diameter of the handle.

19. The apparatus of claim 18, wherein the first fin has a curved first portion with an increasing height adjacent to the cannulating delivery needle and a tapered second portion adjacent to the first portion with a decreasing height.