Microwave antenna apparatus, systems, and methods for localizing markers or tissue structures within a body

• US 10,383,544 B2
• Filed: 07/24/2017
• Issued: 08/20/2019
• Est. Priority Date: 01/26/2013
• Status: Active Grant

• Current Assignee: Cianna Medical Inc. (Merit Medical Systems, Inc.)
• Original Assignee: Cianna Medical Inc. (Merit Medical Systems, Inc.)
• Inventors: Fullerton, Larry W, Greene, John E., Nguyen, Tommy G., Chi Sing, Eduardo
• Primary Examiner(s): Cox, Thaddeus B
• Application Number:
  US15/658,275
• Publication Number:
  US 20180035914A1
• Time in Patent Office: 757 Days
• CPC Class Codes: A61B 2034/2048 using an accelerometer or inertia sensor
• CPC Class Codes: A61B 2090/3908 Soft tissue, e.g. breast tissue
• CPC Class Codes: A61B 2090/3925 ultrasonic
• CPC Class Codes: A61B 2090/3966 Radiopaque markers visible in an X-ray image
• CPC Class Codes: A61B 2090/3975 active
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 2090/3991 having specific anchoring means to fixate the marker to the tissue, e.g. hooks
• CPC Class Codes: A61B 5/0507 using microwaves or terahertz waves
• CPC Class Codes: A61B 5/064 using markers A61B5/062 takes precedence
• CPC Class Codes: A61B 5/4312 Breast evaluation or disorder diagnosis A61B5/0091 takes precedence
• CPC Class Codes: A61B 5/6847 mounted on an invasive device
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

Apparatus, systems, and methods are provided for localizing lesions within a patient'"'"'s body, e.g., within a breast. The system includes a microwave antenna probe for transmitting and receiving electromagnetic signals to detect one or more markers that are implanted within or around the target tissue region. During use, the marker(s) are implanted into a target tissue region, and the microwave antenna probe is placed against the patient'"'"'s skin to transmit a signal to the marker(s) and to receive the reflected signal from the marker(s) in order to determine the location of the marker(s). A tissue specimen, including the lesion and the marker(s), is then removed from the target tissue region based at least in part on the location information from the microwave antenna probe.

Claims

1. A probe for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic disk attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit a transmit signal into the body, and a receive antenna to receive a receive signal that is reflected from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on a second surface of the ceramic disk opposite the first surface; and

a Faraday shield on the tip to shield the transmit and receive antennas,

wherein the antenna elements comprises two pairs of antenna elements offset from one another by ninety degrees, and wherein the ceramic disk comprises slots between adjacent antenna elements to substantially isolate the antenna elements from one another.

2. The probe of claim 1, further comprising shielding surrounding the tip to shield the transmit and receive antennas.

3. The probe of claim 2, wherein the shielding comprises an inner insulation layer and an outer Faraday shield surrounding the inner insulation layer.

4. A probe for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic disk attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit a transmit signal into the body, and a receive antenna to receive a receive signal that is reflected from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on a second surface of the ceramic disk opposite the first surface;

a Faraday shield on the tip to shield the transmit and receive antennas; and

a region filled with air adjacent the second surface configured to minimize lost energy away from the tissue contacted by the first surface.

5. A probe for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic base attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit electromagnetic signals into the patient'"'"'s body, and a receive antenna to receive return signals from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on the ceramic base generally opposite the first surface; and

a Faraday shield on the tip to shield the transmit and receive antennas,

wherein the antenna elements comprises two pairs of antenna elements offset from one another by ninety degrees, and wherein the ceramic base comprises slots between adjacent antenna elements to substantially isolate the antenna elements from one another.

6. The probe of claim 5, further comprising shielding surrounding the tip to shield the transmit and receive antennas.

7. The probe of claim 6, wherein the shielding comprises an inner insulation layer and an outer Faraday shield surrounding the inner insulation layer.

8. A probe

for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic base attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit electromagnetic signals into the patient'"'"'s body, and a receive antenna to receive return signals from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on the ceramic base generally opposite the first surface;

a Faraday shield on the tip to shield the transmit and receive antennas; and

a region filled with air adjacent the ceramic base opposite the first surface configured to minimize lost energy away from the tissue contacted by the first surface.

9. A probe for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic base attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit electromagnetic signals into the patient'"'"'s body, and a receive antenna to receive return signals from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on the ceramic base generally opposite the first surface;

a Faraday shield on the tip to shield the transmit and receive antennas; and

a light source for delivering light energy pulses into the patient'"'"'s body substantially simultaneously with the electromagnetic signals to modulate the return signals from the target.

10. The probe of claim 9, further comprising a processor configured to process the return signals modulated by the light energy pulses to identify the target.

11. The probe of claim 10, wherein the processor is configured to analyze amplitude of the return signals to identify the target.

12. The probe of claim 10, wherein the processor is configured to analyze a time delay between the transmitted signals and the return signals to determine a distance from the probe to the target.

13. A probe for identifying a target within a patient'"'"'s body, comprising:

a housing including a tip for contacting tissue;

a ceramic base attached to the tip comprising a first surface for contacting tissue when the tip is placed in contact with the tissue;

a transmit antenna to transmit electromagnetic signals into the patient'"'"'s body, and a receive antenna to receive return signals from the target, the transmit and receive antennas comprising antenna elements arranged as a Maltese cross on the ceramic base generally opposite the first surface; and

a light source for delivering light energy pulses into the patient'"'"'s body substantially simultaneously with the electromagnetic signals to modulate the return signals from the target.

14. The probe of claim 13, further comprising a processor configured to process the return signals modulated by the light energy pulses to identify the target.

15. The probe of claim 14, wherein the processor is configured to analyze amplitude of the return signals to identify the target.

16. The probe of claim 14, wherein the processor is configured to analyze a time delay between the transmitted signals and the return signals to determine a distance from the probe to the target.

17. The probe of claim 13, wherein the antenna elements comprise two pairs of antenna elements offset from one another by ninety degrees, and wherein the ceramic base comprises slots between adjacent antenna elements to substantially isolate the antenna elements from one another.

18. The probe of claim 17, wherein the light source comprises one of a fiberoptic cable and a light emitting diode located between one of the slots for transmitting the light energy pulses beyond the first surface.

19. The probe of claim 13, further comprising a region filled with air adjacent the ceramic base opposite the first surface configured to minimize lost energy away from the tissue contacted by the first surface.