US20160249981A1 - Microwave antenna assembly and method of using the same - Google Patents

Abstract

A microwave antenna assembly comprising an elongate shaft having proximal and distal ends and a lumen defined therebetween, a conductive member at least partially disposed within the inner lumen of elongate shaft, conductive member being selectively deployable relative to a distal end of elongate shaft from a first condition wherein a distal end of conductive member at least partially abuts the distal end of elongate shaft to a second condition wherein the distal end of conductive member is spaced relative to the distal end of elongate shaft and a first dielectric material disposed between elongate shaft and conductive member, wherein a portion of conductive member is distal to the distal end of elongate shaft and adapted to penetrate tissue.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS
• This application is a divisional of U.S. patent application Ser. No. 13/281,605, filed Oct. 26, 2011, which is a divisional of U.S. patent application Ser. No. 11/529,823 which is now U.S. Pat. No. 8,068,921, filed Sep. 29, 2006, the entire contents of each of which are incorporated herein by reference.
BACKGROUND
• 1. Technical Field
• The present disclosure relates generally to medical/surgical ablation assemblies and methods of their use. More particularly, the present disclosure relates to microwave antenna assemblies configured for direct insertion into tissue for diagnosis and treatment of the tissue and methods of using the same.
• 2. Background of Related Art
• In the treatment of diseases such as cancer, certain types of cancer cells have been found to denature at elevated temperatures (which are slightly lower than temperatures normally injurious to healthy cells). These types of treatments, known generally as hyperthermia therapy, typically utilize electromagnetic radiation to heat diseased cells to temperatures above 41° C. while maintaining adjacent healthy cells at lower temperatures where irreversible cell destruction will not occur. Other procedures utilizing electromagnetic radiation to heat tissue also include ablation and coagulation of the tissue. Such microwave ablation procedures, e.g., such as those performed for menorrhagia, are typically done to ablate and coagulate the targeted tissue to denature or kill it. Many procedures and types of devices utilizing electromagnetic radiation therapy are known in the art. Such microwave therapy is typically used in the treatment of tissue and organs such as the prostate, heart, and liver.
• One non-invasive procedure generally involves the treatment of tissue (e.g., a tumor) underlying the skin via the use of microwave energy. The microwave energy is able to non-invasively penetrate the skin to reach the underlying tissue. However, this non-invasive procedure may result in the unwanted heating of healthy tissue. Thus, the non-invasive use of microwave energy requires a great deal of control. This is partly why a more direct and precise method of applying microwave radiation has been sought.
• Presently, there are several types of microwave probes in use, e.g., monopole, dipole, and helical. One type is a monopole antenna probe, which consists of a single, elongated microwave conductor exposed at the end of the probe. The probe is sometimes surrounded by a dielectric sleeve. The second type of microwave probe commonly used is a dipole antenna, which consists of a coaxial construction having an inner conductor and an outer conductor with a dielectric separating a portion of the inner conductor and a portion of the outer conductor. In the monopole and dipole antenna probe, microwave energy generally radiates perpendicularly from the axis of the conductor.
SUMMARY
• The present disclosure describes a device structurally robust for direct insertion into tissue, without the need for additional introducers or catheters, while in a first condition, and device, in a second condition, forms a microwave antenna capable of producing a controllable and predictable heating pattern in a clearly defined area or volume of ablation.
• The present disclosure relates generally to microwave antenna assemblies and methods of their use, e.g., in tissue ablation applications. More particularly, the present disclosure relates to microwave antenna assemblies configured for direct insertion into tissue for diagnosis and treatment of the tissue and methods of using the same.
• A microwave antenna assembly of the present disclosure comprises an elongate shaft having proximal and distal ends and an inner lumen defined therebetween, a conductive member at least partially disposed within the inner lumen of elongate shaft, conductive member being selectively deployable relative to a distal end of elongate shaft from a first condition wherein a distal end of the conductive member at least partially abuts the distal end of elongate shaft to a second condition wherein the distal end of conductive member is spaced relative to the distal end of elongate shaft, and a first dielectric material disposed between elongate shaft and conductive member wherein a portion of conductive member is distal to the distal end of elongate shaft and adapted to penetrate tissue.
• In yet another embodiment of the present disclosure, microwave antenna assembly comprises an elongate shaft having a lumen defined therein, a conductive member partially disposed within the lumen of elongate shaft wherein conductive member including a geometry at a distal end thereof configured to penetrate tissue, a first dielectric material disposed between elongate shaft and at least a portion of conductive member and a second dielectric material which covers at least a portion of conductive member wherein at least one of elongate shaft, conductive member, first dielectric material the second dielectric material being configured to selectively deploy relative to a distal end of an introducer from a first condition wherein a distal end of conductive member at least partially abuts a distal end of introducer to a second condition wherein the distal end of conductive member is spaced relative to the distal end of introducer.
• In yet another embodiment of the present disclosure, a method for deploying a microwave antenna assembly comprising the steps of advancing a microwave antenna assembly in a first condition to a region of tissue to be treated whereby a distal portion of microwave antenna assembly defines a pathway through the tissue during penetration, deploying the distal portion of microwave electrosurgical energy delivery apparatus to a second condition whereby the deployed distal portion of the microwave antenna assembly biases to a predetermined configuration, treating the region of tissue with electrosurgical energy, retracting the deployed distal portion of microwave antenna assembly to the first condition and withdrawing microwave antenna assembly from tissue.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is a perspective view of a microwave antenna assembly according to an embodiment of the present disclosure shown in a first condition;
• FIG. 2 is a perspective view of the microwave antenna assembly ofFIG. 1, shown in a second condition;
• FIG. 3 is an exploded perspective view of the microwave antenna assembly ofFIGS. 1 and 2;
• FIG. 4 is an enlarged perspective view of the indicated area of detail ofFIG. 3;
• FIG. 4A is a cross-sectional view as taken through4A-4A of the biased distal portion of the conductive member ofFIG. 4;
• FIG. 5 is a schematic cross-sectional view of a distal portion of a microwave antenna assembly according to another embodiment of the present disclosure, shown in a first condition;
• FIG. 6 is a schematic cross-sectional view of the distal portion of the microwave antenna assembly ofFIG. 5, shown in a second condition;
• FIG. 7 is an enlarged view of the indicated area of detail ofFIG. 6;
• FIG. 8 is a schematic cross-sectional view of a distal portion of a microwave antenna assembly according to another embodiment of the present disclosure, shown in a first condition;
• FIGS. 8A-8F illustrate alternate embodiments of distal portions of conductive members of the microwave assemblies disclosed herein;
• FIG. 9 is a schematic distal perspective view of a microwave antenna assembly according to a further embodiment of the present disclosure, shown in a first condition;
• FIG. 10 is a longitudinal cross-sectional view of the distal portion of the microwave assembly ofFIG. 9;
• FIG. 11 is a longitudinal cross-sectional view of the distal portion of the microwave antenna assembly ofFIGS. 9 and 10, shown in a second condition;
• FIG. 12 is a longitudinal cross-sectional view of a distal portion of a microwave antenna assembly according to an alternate embodiment of the present disclosure, shown in a first condition;
• FIG. 13 is a longitudinal cross-sectional view of a distal portion of a microwave antenna assembly according to an alternate embodiment of the present disclosure, shown in a first condition;
• FIG. 14 is an elevational view of a portion of a conductive member according to an embodiment of the present disclosure;
• FIG. 15 is a schematic cross-sectional view of a microwave antenna assembly according to another embodiment of the present disclosure with the conductive member ofFIG. 14, shown partially deployed;
• FIG. 16 is a plan view of a portion of the conductive member according to an embodiment of the present disclosure;
• FIG. 17 is a schematic cross-sectional view of a microwave antenna assembly according to another embodiment of the present disclosure with the conductive member ofFIG. 16, shown partially deployed;
• FIG. 18 is a side elevation view of a distal portion of a microwave assembly according to a further embodiment of the present disclosure, shown in a first condition;
• FIG. 19 is an enlarged longitudinal cross-section view of the distal portion of the microwave antenna assembly ofFIG. 18.
• FIG. 20 is a side elevational view of the microwave antenna assembly ofFIGS. 18 and 19, shown in a second condition;
• FIG. 21 is an enlarged longitudinal cross-sectional view of the indicated area of detail of the microwave antenna assembly ofFIG. 20;
• FIG. 22 is a schematic perspective view of a microwave antenna assembly according to yet another embodiment of the present disclosure, shown in a first condition;
• FIG. 23 is an enlarged perspective view of the distal portion of the microwave antenna assembly ofFIG. 22; and
• FIG. 24 is a perspective view of the microwave antenna assembly ofFIG. 22, shown in a second condition.
DETAILED DESCRIPTION
• Embodiments of the presently disclosed microwave antenna assembly will now be described in detail with reference to the drawing figures wherein like reference numerals identify similar or identical elements. As used herein and as is traditional, the term “distal” refers to the portion which is furthest from the user and the term “proximal” refers to the portion that is closest to the user. In addition, terms such as “above”, “below”, “forward”, “rearward”, etc. refer to the orientation of the figures or the direction of components and are simply used for convenience of description.
• During invasive treatment of diseased areas of tissue in a patient the insertion and placement of an electrosurgical energy delivery apparatus, such as a microwave antenna assembly, relative to the diseased area of tissue is critical for successful treatment. Generally, assemblies described herein allow for direct insertion into tissue while in a first condition followed by deployment of the distal penetrating portion thereof to a second condition, thereby forming a microwave antenna at the distal end of the assembly for delivery of microwave electrosurgical energy. An assembly that functions similarly may be found in U.S. Patent Application Publication No. 2003/0195499 A1, filed Oct. 15, 2002, which is herein incorporated by reference.
• Referring now toFIGS. 1-7, a microwave antenna assembly, according to an embodiment of the present disclosure, is shown as10. Themicrowave antenna assembly10 includes anintroducer16 having anelongate shaft12 and aconductive member14 slidably disposed withinelongate shaft12, a coolingassembly20 having a coolingsheath21, a coolingfluid supply22 and a coolingfluid return24, and anelectrosurgical energy connector26.
• Connector26 is configured to connect theassembly10 to an electrosurgicalpower generating source27, e.g., a generator or source of radio frequency energy and/or microwave energy, and supplies electrosurgical energy to the distal portion of themicrowave antenna assembly10. During initial insertion into tissue, while in the first condition,assembly10 defines a path through the tissue by virtue of the mechanical geometry of the distal portion of theconductive member14 and, if needed, by the application of energy to tissue, e.g. electrical, mechanical or electro-mechanical energy.
• As seen inFIGS. 1 and 2,microwave antenna assembly10 includes a first condition in whichconductive member14 is in a first position substantially entirely withinelongate shaft12 and at least one second condition in whichconductive member14 is at least at a second position extended fromelongate shaft12. While in the first condition, a distal end or tip14aofconductive member14 is positioned beyond adistal end12aofelongate shaft12. While in the second condition,distal end14aofconductive member14 is spaced a distance relative todistal end12aofelongate shaft12. Second condition, as applied in the present disclosure, is any position, configuration or condition, wherein thedistal end14aofconductive member14 is not in the first condition, e.g.,distal end14aofconductive member14 is spaced a distance relative todistal end12aofelongate shaft12. For example, as illustrated inFIG. 2, conductive member may be biased to a substantially pre-determined configuration or, as illustrated inFIGS. 14 and 16, a portion of the conductive member may be biased to a pre-determined configuration. During deployment or retraction ofconductive member14, between the first condition and the second condition,distal end14aof theconductive member14 defines a path through the tissue by virtue of the mechanical geometry of the distal portion thereof and/or the application of energy to tissue, e.g. electrical, thermal mechanical or electro-mechanical energy.
• Elongate shaft12 andconductive member14 are configured as a coaxial cable, in electro-mechanical communication withconnector26, which is capable of delivering electrosurgical energy.Conductive member14 is capable of delivering radio frequency energy in either a bipolar or monopolar mode. Radio frequency energy can be delivered whilemicrowave antenna assembly10 is in the first or second condition. Deployment ofconductive member14 to the second condition, as illustrated inFIG. 2, forms a microwave antenna “M” at the distal end ofmicrowave antenna assembly10 capable of delivering microwave energy to a target tissue.
• Elongate shaft12 may be formed from a flexible, semi-rigid or rigid microwave conductive cable with the original inner conductor removed and replaced withconductive member14.Elongate shaft12 andconductive member14 may be formed of suitable conductive material including and not limited to copper, gold, silver or other conductive metals having similar conductivity values. Alternatively,elongate shaft12 and/orconductive member14 may be constructed from stainless steel or may be plated with other materials, e.g., other conductive materials, such as gold or silver, to improve their respective properties, e.g., to improve conductivity, decrease energy loss, etc.
• As seen inFIGS. 2-4A,conductive member14 includes aproximal portion32, a biaseddistal portion34, and adistal tip portion36. Thevarious portions32,34,36 ofconductive member14 may be constructed of one or more individual elements joined together or may be constructed from a single monolithic element.Conductive member14 may be constructed from suitable materials exhibiting good shape memory properties, such as, for example, nitinol and stainless steel.Conductive member14 may be partially or fully plated with a suitable material, such as gold or silver, in order to further increase the electrical conductivity thereof.
• Whenmicrowave antenna assembly10 is in the first condition, as shown inFIG. 1, at least a portion ofdistal tip portion36 is disposed distal ofelongate shaft12 andintroducer16 concomitantly therewith,proximal portion32 and biaseddistal portion34 ofconductive member14 are partially disposed within inner lumen ofelongate shaft12 or inner lumen ofintroducer16 and are capable of conducting radio frequency energy todistal tip portion36. Whenmicrowave antenna assembly10 is in the second condition, as shown inFIG. 2,proximal portion32 ofconductive member14 is partially disposed within the inner lumen ofelongate shaft12 or the inner lumen ofintroducer16. In the second condition, biaseddistal portion34 anddistal tip portion36 ofconductive member14 in conjunction with the distal end of the coaxial transmission line (not shown) form a microwave antenna capable of delivering microwave energy to the target tissue.Proximal portion32 forms an inner conductor of a coaxial transmission line andelongate shaft12 forms an outer conductor of the coaxial transmission line. Adjustments to the dimension and diameter ofproximal portion32 andelongate shaft12, as well as the type of dielectric material used to separateproximal portion32 andelongate shaft12, can be made to maintain proper impedance.
• Whenmicrowave antenna assembly10 is in a retracted or first condition, as seen inFIG. 1, biaseddistal portion34 is disposed within and/or constrained byelongate shaft12 orintroducer16. Whenmicrowave antenna assembly10 is in a deployed or second condition, as seen inFIG. 4, biaseddistal portion34 deflects to a pre-determined configuration. The pre-determined configuration may be one of a variety of shapes so long asdistal portion34 substantially encloses a defined area, i.e., the shape surrounds at least a portion or majority of the target tissue. Accordingly, when deployed or in the second condition, biaseddistal portion34 deflects to a suitable pre-determined configuration, such as, for example, circles, ellipses, spirals, helixes, squares, rectangles, triangles, etc., various other polygonal or smooth shapes, and partial forms of the various shapes so long as a portion or majority of the target tissue is surrounded.
• The cross-sectional profile of biaseddistal portion34 can be different from the cross-sectional profile of the other portions ofconductive member14. As seen inFIG. 4A, biaseddistal portion34 ofconductive member14 may have an oblong cross-sectional profile; however, other suitable cross-sectional profiles, e.g. round, oval, square, etc. are contemplated. The shape and dimension ofdistal portion34 may influence the microwave matching properties and the ability of the microwave antenna to deliver energy. The cross-sectional profile in thedistal portion34 may vary along its length to suitably match the antenna to the target tissue. Mechanically, different cross-sectional profiles may aid in the deployment ofmicrowave antenna assembly10 as desired and may aid in the ability ofdistal portion34 to form the pre-determined configuration.
• Referring again toFIG. 4,distal tip portion36 is positioned on biaseddistal portion34 ofconductive member14. The geometry ofdistal tip portion36 is configured to define a pathway through the tissue during tissue penetration. The geometry ofdistal tip portion36, will be discussed in the various embodiments hereinbelow.
• Relatively smooth transitions between the various portions ofconductive member14 are made to avoid stress concentrators and to facilitate tissue penetration during insertion, deployment and retraction. As seen inFIG. 4, atransition33 betweenproximal portion32 and biaseddistal portion34 is tapered in order to strengthen the transition and to avoid any stress points.Tapered transition33 also aids in forming a return pathway forconductive member14 during retraction. Other methods may also be used to strengthen the joint if multiple pieces are used.
• As seen inFIG. 3, afirst dielectric28 is preferably disposed between at least a portion ofelongate shaft12 andconductive member14 to provide insulation therebetween. Firstdielectric material28 may be substantially disposed on theproximal portion32 ofconductive member14 and may be slidably disposed withinelongate shaft12 or the position offirst dielectric28 may be fixed relative to elongateshaft12 with theconductive member14 slidably disposed withfirst dielectric28. Firstdielectric material28 may constitute any number of appropriate materials, including air. The placement and configuration of firstdielectric material28 relative toconductive member14 is discussed in additional embodiments hereinbelow.
• With continued reference toFIGS. 1-3, coolingassembly20 surroundselongate shaft12 and forms a water-tight seal therewith. Coolingassembly20 includes anelongate cooling sheath21 configured to co-axially extend overelongate shaft12, a coolingfluid supply22 fluidly connected to coolingsheath21, and a coolingfluid return24, fluidly connected to coolingsheath21. In operation, as will be discussed in greater detail below, cooling fluid enters coolingsheath21 though coolingfluid supply22 and is delivered to a distal end of coolingsheath21 through one or more thin wall polyimide tubes (not explicitly shown) disposed within an inner lumen of coolingsheath21. Additionally, cooling fluid flows away from the distal end of coolingsheath21 to a proximal end thereof, absorbs energy, and exits through coolingfluid return24.
• As seen inFIGS. 1-3, handle18 is configured to provide a gripping mechanism for the clinician, an interface for various controls and connectors for themicrowave antenna assembly10.Handle18 defines anaccess slot19 that is configured to provide access toconnector26, coolingfluid supply22 and coolingfluid return24. Aselector29, positioned on the proximal end ofhandle18, connects to the electrosurgicalenergy delivery source27.Selector29 provides a means for the clinician to select the energy type, e.g., radio frequency or microwave, the energy delivery mode, e.g., bipolar, monopolar, and the mode of operation, e.g., manual delivery or automatic delivery during deployment from a first to a second condition.
• Introducer16, secured to the distal end ofhandle18, is slightly larger thanelongate shaft12. The increased gauge size provides added strength and rigidity to the microwave antenna assembly for direct insertion into tissue. A distal portion ofintroducer16 may be tapered to create a smooth transition betweenintroducer16 and adjacent components of themicrowave antenna assembly10. At least a portion ofintroducer16 may be in direct contact withelongate shaft12.
• Deployment of themicrowave antenna assembly10 from the first condition, as seen inFIG. 1, to a second condition, as seen inFIG. 2, is accomplished by repositioning a slidable portion of themicrowave antenna assembly10 relative to a fixed portion of themicrowave antenna assembly10. In the embodiment inFIGS. 1 and 2, the slidable portion includesconductive member14, coolingassembly20 andconnector26, and the fixed portion includes theelongate shaft12,introducer16 and handle18.
• In one embodiment, to deploy themicrowave antenna assembly10 from the first condition to the second condition, a clinician grasps a portion of the fixed portion, for example, the handle, and repositions or slides the slidable portion distally until deployed to the second condition. Similarly, the clinician retracts themicrowave antenna assembly10 from the second condition to the first condition by grasping the fixed portion and repositioning or sliding the slidable portion proximally until retracted to the second condition.
• Handle18 may maintain the position of the slidable portion relative tointroducer16 and/or elongateshaft12. As seen inFIGS. 1 and 2, coolingfluid supply22 and coolingfluid return24 may be restrained by theaccess slot19, formed in thehandle18, thereby limiting lateral movement of the slidable portion during deployment and retraction. Guide slots (not shown), in the coolingfluid supply22 and coolingfluid return24, may provide a trackadjacent access slot19 that further restricts lateral movement of the slidable portion and the fixed portion during deployment and retraction. Various other suitable may be used for ensuring alignment between the slidable portion and the fixed portion.
• Microwave antenna assembly may include a motorized means for controlling the position of the slidable portion. Motorized means mechanically engages at least a portion of the slidable portion and drives the slidable portion distally to deploy and proximally to retract. Delivery of radio frequency energy during deployment may coincide with position change of the slidable portion by the motorized means.
• Returning toFIG. 1-2, an embodiment of themicrowave antenna assembly10 may include a position determining means31, such as a suitable sensor, for determining the position ofdistal tip portion36 ofconductive member14. Position determining means31 may include mechanical, magnetic, electrical or electro-mechanical means to provide feedback indicative of the position ofdistal tip portion36. Positioning determining means31 may mechanical engage a portion of a slidable portion or may electrically sense movement of the slidable portion relative to thepositioning determining means31. Alternatively, electrosurgicalpower generating source27 may include electrical elements or circuitry configured to determine the presence of resistive, capacitive and/or inductive contact betweenconductive member14 andelongate shaft12 orintroducer16, indicating deployment ofconductive member14 in a second condition.
• In yet another embodiment of the present invention, position determining means31 and motorized means for positioning the slidable portion may be combined into a single device such as a micro-servo drive or similar motorized means with position control.
• Other more sophisticated means may be employed for determining the position of the slidable portion, such as measuring the reflected power, or S₁₁, on eitherconductive member14 orelongate shaft12. Alternatively, the reflective power betweenconductive member14 andelongate shaft12, or S₁₂, could also be measured. The approximate position ofconductive member14 relative to elongateshaft12 may be determined by various reflective power signatures or profiles. Power signatures and profiles may be specific for each microwave antenna assembly.
• In yet another embodiment of the present disclosure, the position ofconductive member14 is used to determine which type of energy the generator may supply. Radio frequency energy, delivered in either a monopolar or bipolar mode, is typically delivered whilemicrowave antenna assembly10 is in a first condition (i.e., during positioning of themicrowave antenna assembly10 in tissue) and when deployed or retracted between the first condition and the second condition. Radio frequency energy may be selectively supplied, in a bipolar mode, whenmicrowave antenna assembly10 is in the first condition and, in a monopolar mode, when deploying or retracting conductive member between the first condition and the second condition. Microwave energy may be delivered by microwave antenna “M” following formation of the microwave antenna “M” at the distal end ofmicrowave antenna assembly10.
• Turning now toFIGS. 5-7, another embodiment of a microwave antenna assembly in accordance with the present disclosure is designated as100.Microwave antenna assembly100 is substantially similar tomicrowave antenna assembly10 and thus will only be described herein to the extent necessary to identify differences in construction and operation.Microwave antenna assembly100 includes anelongate shaft112 or outer conductor, a conductive member, orinner conductor114, and a firstdielectric material128 interposed therebetween.
• As depicted inFIG. 5, whenmicrowave antenna assembly100 is in a first condition firstdielectric material128 is disposed betweenelongate shaft112 andconductive member114. Firstdielectric material128 andconductive member114 are at least partially disposed within the lumen ofelongate shaft112. In the illustrated embodiment, adistal tip portion136 ofconductive member114 is configured to penetrate tissue, and a distal tip portion ofelongate shaft112 is configured to not penetrate tissue (e.g., the distal tip portion ofelongate shaft112 may have a blunt or rounded profile to prevent it from penetrating tissue). Whenmicrowave antenna assembly100 is in the first condition,distal tip portion136 abuts the distal end ofelongate shaft112 with at least a portion ofdistal tip portion136 extending distally beyondelongate shaft112. A proximal section or surface ofdistal tip portion136 is of similar size and cross section as a distal portion ofelongate shaft112 such that when in the first condition a smooth transition exists betweendistal tip portion136 andelongate shaft112.Distal tip portion136 may engage firstdielectric material128 or the distal end ofelongate shaft112; however, the geometry (i.e., size and/or shape) ofdistal tip portion136 impedes retraction ofdistal tip portion136 intoelongate shaft112.
• As depicted inFIG. 6,conductive member114 is deployed from or extended from firstdielectric material128 whenmicrowave antenna assembly100 is in a second condition. In the second condition,distal tip portion136 is spaced relative to the distal end ofelongate shaft112 and biaseddistal portion134 ofconductive member114 is biased, flexed or bent to a pre-determined configuration.
• As seen inFIG. 7, deployment ofmicrowave antenna assembly100 to the second condition placesdistal tip portion136 in close proximity to the outer periphery or surface ofelongate shaft112 wherein resistive, capacitive and/or inductive contact exists betweenelongate shaft112 anddistal tip portion136 or biaseddistal portion134 ofconductive member114 andelongate shaft112. It is desirable for the resistive, capacitive and/or inductive contact to be sufficient such that the contact improves the efficiency of the energy delivery, i.e. lower reflective power.
• Resistive, capacitive and/or inductive contact betweendistal tip portion136 andelongate shaft112 improves the efficiency of energy delivery, i.e. lower reflective power.Microwave antenna assembly100 may include a shorting-wire that connects distal portion ofconductive member114 to the distal portion ofelongate shaft112. The shorting-wire may attach to and run alongdistal portion134 of theconductive member114, deploy with theconductive member114 to a second condition and provide the desired short-circuit betweendistal tip portion136 andelongate shaft112.Conductive member114 may be hollow and the shorting-wire may be housed therewithin.
• In the embodiment illustrated inFIG. 8,microwave antenna assembly100 includes acooling sheath120 at least partially co-axially surrounding and extending overelongate member112. Coolingsheath120 may be formed of a conductive material, such as thin wall stainless steel.Elongate member112 andcooling sheath120 are connected to one another in acontact area140 wherein coolingsheath120 andelongate member112 are shorted.Contact area140 creates a fluid-tight seal between a coolingchamber142 and anoutside surface144 ofmicrowave antenna assembly100. As seen inFIG. 8, a distal end of coolingsheath120 is positioned distally of a distal end ofelongate shaft112. Coolingsheath120 may, in some embodiments, only partially surroundelongate member112. In an embodiment, the distal end ofelongate shaft112 may extend past the distal end of coolingsheath120 and engagetip portion136 ofconductive member114. The engagement ofdistal tip portion136 to conductive member and/orelongate member112 may be used to signify non-deployment of the ring.
• Referring now toFIGS. 3 and 8, coolingfluid supply22 of coolingassembly20, located on the proximal end of coolingsheath21, may supply cooling fluid to distal end of coolingchamber142. Cooling fluid may flow through coolingchamber142 to coolingfluid return24, located on proximal end of coolingsheath21.
• Microwave antenna assembly may include one or more temperature measuring device (not shown) such as a resistive temperature device (RTD) or a thermocouple. The temperature measuring device may measure one or more of the following: the temperature of the cooling fluid at one or more locations within coolingchamber142; the temperature of one or more of the components of the microwave antenna assembly; or the temperature of patient tissue.
• With continued reference toFIG. 8, whenmicrowave antenna assembly100 is in the first condition,distal tip portion136 ofconductive member114 engages the distal portion of coolingsheath120 and/or the distal portion ofelongate shaft112 or a portion of first dielectric material that extends beyond coolingsheath120 and elongate shaft112 (if coolingsheath120 does not extend beyond distal end of elongate shaft112). Irrespective of which elementdistal tip portion136 engages, a smooth transition is formed between an exterior surface ofdistal tip portion136 and the adjacent abutting member in order to facilitate tissue penetration.
• As mentioned above the distal tip portion is configured to define a pathway through the tissue during tissue penetration and may have any suitable geometry. Referring now toFIGS. 8A-8F, various geometries for distal tip portions, used to define a pathway through the tissue, are illustrated as150-155, respectively.FIGS. 8A and 8B depict geometries ofdistal tip portion150,151, respectively, with smooth surfaces adapted to create a pathway through the tissue with the application of electrical energy, e.g., tear drop (FIG. 8A), hemispherical (FIG. 8B).FIGS. 8C and 8D depict geometries with sharp or piercing distal tips adapted to create a pathway when applied with mechanical force. Other geometries are suitable provided the distal edge of the distal tip portion forms a sharp feature as the leading edge for introducing the device to the desired location. If the pathway is created with the application of electrical and mechanical energy any of the geometries illustrated inFIGS. 8A-8F, as well as other geometries, may be utilized. The distal portion of the firstdielectric material128 is adapted to conform to the geometry of the proximal surface of thedistal tip portion150,151,152,153,154,155 depicted inFIGS. 8-8F, respectively.
• Turning now toFIGS. 9-11, a microwave antenna assembly according to another embodiment of the present disclosure is shown as200.Microwave antenna assembly200 includes atransition member260 disposed at the distal end ofelongate shaft212 and at least partially surroundingconductive member214.Transition member260 includes a distal taperedsurface260 that creates a smooth transition withelongate shaft212 to facilitate tissue penetration. As seen inFIG. 10,transition member260 is secured to the distal end ofelongate shaft212 by coolingsheath220 extending at least partially overelongate shaft212 andtransition member260.
• Transition member260 strengthens the distal portion of themicrowave antenna assembly200 for tissue penetration and acts as a dielectric electrically insulatingdistal tip portion236 from coolingsheath220 andelongate shaft212.Transition member260 also allows the maximum cross sectional area of thedistal tip portion236 to be reduced to a value less than the cross sectional area ofelongate shaft212 or of coolingsheath220. The reduced maximum cross-sectional area of thedistal tip portion236 creates a smaller pathway in tissue and requires less force to penetrate tissue when deploying between a first condition and a second condition.
• With reference toFIG. 12,transition member260 ofmicrowave antenna assembly200 engages bothelongate shaft212 andcooling sheath220. A press fit engagement is utilized to matetransition member260 to coolingsheath220 while a threaded engagement is used to matetransition member260 to elongateshaft212.
• With reference toFIG. 13, coolingsheath220 has been removed andtransition member260 is mated withelongate shaft212 via a threaded engagement, although other securing means and methods can be used.Distal tip portion236,elongate shaft212 andtransition member260 create a smooth transition between one another in order to facilitate tissue penetration whilemicrowave antenna assembly200 is in a first condition. Various other suitable methods may be used for mating elements to one another.
• Referring now toFIGS. 14 and 15, as described aboveconductive member114 includes aproximal portion132, a biaseddistal portion134 and adistal tip portion136. Whenmicrowave antenna assembly100 is substantially in a first condition, as seen inFIG. 14, biaseddistal portion134 andproximal portion132 are substantially retracted withinelongate shaft112 and are surrounded by firstdielectric material128 whiledistal tip portion136 is located distal ofelongate shaft112. Whenmicrowave antenna assembly100 is in a second condition, as seen inFIG. 15, the portion ofconductive member114 exposed to tissue includes biaseddistal portion134 anddistal tip portion136. If radio frequency energy is utilized to define a pathway during deployment or retraction,distal portion134 anddistal tip portion136 deliver radio frequency energy to tissue. While the main pathway will be created by the curvilinear movement ofdistal tip portion136 through tissue, lateral movement of the deployed portion is possible since the entire deployed portion is energized with radio frequency energy.
• Referring now toFIGS. 16 and 17,microwave antenna assembly100 includes a seconddielectric material162 disposed betweenelongate shaft112 andconductive member114. Seconddielectric material162 covers at least a portion ofconductive member114 including a substantial amount of the length of biaseddistal portion134. Seconddielectric material162 may be a PTFE shrink with a non-stick outer surface having a high temperature profile, although other suitable dielectrics may be used. The various properties of seconddielectric material162, such as material type and thickness, can be adjusted to better match the antenna assembly to tissue. Seconddielectric material162 defines the outer diameter of biaseddistal portion134 ofconductive member114. In one embodiment, the outer diameter of seconddielectric material162 should form a smooth transition with the proximal end ofdistal tip portion136 to facilitate movement of conductive member in tissue between a first condition and a second condition. The outer diameter of the seconddielectric material162 is also dimensioned to conform with the inner diameter ofelongate shaft112 such that whenmicrowave antenna assembly100 is in a first condition biaseddistal portion134 and seconddielectric material162 are retracted within the lumen ofelongate shaft112.
• As seen inFIG. 17, whenmicrowave antenna assembly100 is in a second condition, the portion ofconductive member114 deployed frommicrowave antenna assembly100 includesdistal tip portion136, biaseddistal portion134 and seconddielectric material162 covering biaseddistal portion134. If radio frequency energy is utilized, when deploying conductive member between a first condition and a second condition,distal tip portion136 will deliver radio frequency energy to tissue. The pathway through the tissue is created by the curvilinear movement of thedistal tip portion136 through the tissue and the energy delivered is concentrated at the distal end ofdistal tip portion136.
• The outer surface of seconddielectric material162 may also be coated. The coating is a suitable lubricious substance to aid in the movement ofconductive member114 between a first condition and a second condition as well as to aid in preventing tissue from sticking to the outer surface thereof. The coating itself may be made from suitable conventional materials, e.g., polymers, etc.
• Yet another embodiment of amicrowave antenna assembly300, in accordance with the present disclosure, is illustrated inFIGS. 18-22. In the present embodiment,microwave antenna assembly300 includes anintroducer316, aconductive member314 and anelongate shaft312 slidably disposed withinintroducer316, a firstdielectric material328 interposed betweenconductive member314 andelongate shaft312, a seconddielectric material362 interposed betweenconductive member314 andintroducer316 at a location distal of firstdielectric material328, and acooling sheath320.Conductive member314 includes adistal tip portion336 configured to engage the distal portion ofintroducer316 and has a geometry such thatdistal tip portion336 impedes retraction thereof into alumen316aofintroducer316. Seconddielectric material362 substantially covers biaseddistal portion334 ofconductive member314. Theelongate shaft312, coolingsheath320 and firstdielectric material328 are positioned withinlumen316aofintroducer316. It is envisioned that firstdielectric material362 and seconddielectric material328 may be the same or may be formed of the same material.
• As seen inFIGS. 18 and 19,distal tip portion336 ofconductive member314 forms a smooth transition withintroducer316 such that the distal end of themicrowave antenna assembly300 is adapted for penetrating tissue and to facilitate insertion ofmicrowave antenna assembly300 into tissue.
• As seen inFIGS. 20 and 21,microwave antenna assembly300 has been deployed to a second condition. Whenmicrowave antenna assembly300 is deployed to the second condition,elongate shaft312, coolingsheath320 and firstdielectric material328 are repositioned and/or advanced from a proximal end portion ofintroducer316 to a distal end portion ofintroducer316. In particular,elongate shaft312 is advanced an amount sufficient to contact the distal end portion ofintroducer316 at or near adistal tip364 thereof to form a resistive, capacitive and/or inductive connection therebetween. As discussed in the earlier embodiments,elongate shaft312contacts cooling sheath320 and forms a resistive, capacitive and/or inductive connection at acontact area340. Whenmicrowave antenna assembly300 is in the second condition distal end ofconductive member314 is spaced a distance relative to a distal end ofintroducer316 and bends around such thatdistal tip portion336 is in close proximity to an exterior surface ofintroducer316.Distal tip portion336 ofconductive member314 may have or be in resistive, capacitive and/or inductive contact withintroducer316.
• In another embodiment of the present disclosure, coolingsheath320 may be incorporated intointroducer316 andconductive member314,elongate shaft312 and first and seconddielectric materials328,362 are slidably positioned therewithin.
• Another embodiment ofmicrowave antenna assembly400, in accordance with the present disclosure, is illustrated inFIGS. 22-24. In the present embodiment,microwave antenna assembly400 includes aconductive member414, a firstdielectric material428 covering at least a portion of aproximal portion432 ofconductive member414, a seconddielectric material462 covering a biaseddistal portion434 ofconductive member414, and aconnector426 connected to the proximal end ofconductive member414. Adistal tip portion436 ofconductive member414 is configured to engage a distal end ofelongate shaft412.
• Microwave antenna assembly400 further includes acooling sheath420 extending overelongate shaft412 and engagingelongate shaft412 atcontact area440. Coolingsheath420 engageselongate shaft412 in such a manner so as to form a water-tight seal therebetween. Cooling fluid, supplied to the proximal end of a cooling chamber, defined betweencooling sheath420 andelongate shaft412, through a coolingfluid supply422, flows from the proximal end of the cooling chamber to the distal end and returns through the cooling chamber to exitmicrowave antenna assembly400 through a coolingfluid return424.
• As seen inFIG. 23, whenmicrowave antenna assembly400 is in a first condition,distal tip portion436 forms a smooth transition withelongate shaft412 to facilitate tissue penetration. The geometry ofdistal tip portion436 is such that retraction ofdistal tip portion436 intoelongate shaft412 is prevented.Elongate shaft412 may also form a smooth transition withcooling sheath420.
• As seen inFIG. 24, whenmicrowave antenna assembly400 is in a second condition,distal tip portion436 ofconductive member414 is spaced a relative distance to the distal end ofelongate shaft412,proximal portion432 is substantially disposed within the lumen ofelongate shaft412, and distalbiased portion434, covered by seconddielectric material462, projects out from the distal end ofelongate shaft412. Whendistal tip portion436 and distalbiased portion434 are deployed to the second condition a microwave antenna is formed. The distal end ofconductive member414 may form a resistive, capacitive and/or inductive connection withelongate shaft412, as discussed supra.
• The applications of the microwave antenna assemblies and methods of using the assemblies discussed above are not limited to microwave antennas used for hyperthermic, ablation, and coagulation treatments but may include any number of further microwave antenna applications. Modification of the above-described assemblies and methods for using the same, and variations of aspects of the disclosure that are obvious to those of skill in the art are intended to be within the scope of the claims.

Claims (14)

1-16. (canceled)

17. A method for deploying a microwave antenna assembly, comprising:

advancing a microwave antenna assembly into tissue with a conductive member of the microwave antenna assembly being in a first configuration;

deploying a distal portion of the conductive member, the distal portion biasing the conductive member into a predetermined second configuration;

delivering electrosurgical energy through the conductive member to tissue;

retracting the distal portion of the conductive member thereby returning the conductive member into the first configuration.

18. The method ofclaim 17, wherein advancing the microwave antenna assembly includes delivering electrosurgical energy to tissue during the advancement.

19. The method ofclaim 17, wherein deploying the conductive member includes delivering electrosurgical energy to tissue during the deployment.

20. The method ofclaim 17, wherein retracting the distal portion of the conductive member includes delivering electrosurgical energy to tissue during the retraction.

21. The method ofclaim 17, wherein deploying the distal portion of the conductive member includes:

inserting the microwave antenna assembly into an introducer; and

inserting the introducer into tissue.

22. The method ofclaim 21, wherein deploying the distal portion of the conductive member includes deploying the distal portion of the conductive member relative to a distal portion of an introducer into tissue.

23. The method ofclaim 22, wherein advancing the microwave antenna assembly into tissue includes advancing an elongated shaft of the microwave antenna assembly into tissue, the elongated shaft defining a lumen configured to receive the conductive member therein, a first dielectric material disposed between the elongate shaft and at least a portion of the conductive member, and a second dielectric material disposed on at least a portion of the conductive member.

24. The method ofclaim 23, wherein deploying the distal portion of the conductive member includes deploying at least one of the elongate shaft, the conductive member, the first dielectric material, or the second dielectric material relative to the distal portion of the introducer.

25. The method ofclaim 23, wherein the distal portion of the conductive member has a diameter larger than a diameter of at least one of a distal portion of the introducer or a distal portion of the lumen of the elongated shaft.

26. The method ofclaim 17, wherein delivering electrosurgical energy includes delivering radio frequency energy to tissue with the conductive member in the first configuration.

27. The method ofclaim 17, wherein delivering electrosurgical energy includes delivering microwave energy to tissue with the conductive member in the second configuration.

28. The method ofclaim 17, further comprising, determining the relative position of the conductive member via at least one sensor.

29. The method ofclaim 17, further comprising, cooling at least a portion of the conductive member by contacting the conductive member with a cooling sheath, the cooling sheath partially surrounding at least a portion of the conductive member and coupled to a coolant source.

Images