428 results about "Microwave ablation" patented technology

This invention provides a system and method that allows a therapeutic device, such as an atrial fibrillation microwave ablation catheter or ablation tip to be guided to a remote location within a body cavity and then accurately immobilized on the tissue, including that of a moving organ, such as the heart. In various embodiments, the system and method also enables accurate movement and steering along the tissue, while in engagement therewith. Such movement and engagement entails the use of vacuum or microneedle structures on at least two interconnected and articulated immobilizers that selectively engage to and release from the tissue to allow a crawling or traversing walking across the organ as the therapeutic catheter / tool tip applies treatment (AGE devices). In further embodiments that lack a movement capability (AID devices), the immobilizers allow a predetermined position for the introduced device to be maintained against the tissue while a treatment is applied to the location adjacent thereto. In the exemplary AID devices, variety of steering mechanisms and mechanisms for exposing and anchoring a catheter against the underlying tissue can be employed. In the exemplary AGE devices, a variety of articulation and steering mechanisms, including those based upon pneumatic / hydraulic bellows, lead screws and electromagnetic actuators can be employed.

A catheter which may be configured as a loop during an ablation procedure, and a method of use for such a catheter, are disclosed. According to one aspect of the present invention, an ablation catheter includes a flexible distal member arranged to inserted into a first vessel in the body of a patient, and an elongated flexible tubular member with a distal portion which is coupled to a proximal portion of the flexible distal member. The elongated flexible tubular member has a flexibility that is greater than or equal to the flexibility of the flexible distal member. The catheter also includes a transmission line which is at least partially disposed within the elongated flexible tubular member. A proximal end of the transmission line is suitable for connection to an electromagnetic energy source. The catheter further includes a transducer that is coupled to the transmission line, and is arranged to generate an electric field sufficiently strong to cause tissue ablation. In one embodiment, a distal portion of the flexible distal member is arranged to protrude from a second vessel of the body of the patient while at least part of the elongated flexible tubular member is located in a cardiac chamber of the heart of the patient.

A microwave ablation system includes a generator including a first energy source, a second energy source and a diplexer, the diplexer multiplexes a first energy from the first energy source and a second energy from the second energy source. The system also includes a cable including a center conductor and an outer sheath where the multiplexed energy is transmitted through the center conductor. In addition an antenna is provided that is operable to receive the multiplexed energy from the center conductor and to deliver the multiplexed energy to a region of tissue. The outer sheath acts as a return path of the second energy to the second energy source. A sensor is also provided that measures at least one parameter of the second energy generated by the second energy source and the second energy returned from the region of tissue.

A microwave ablation system is disclosed. The system includes a microwave antenna assembly that includes an identification device configured to store an optimal frequency of the microwave antenna assembly. The system also includes a generator configured to couple to the microwave antenna assembly and to output microwave energy at an operational frequency. The generator is further configured to read the optimal frequency from the identification device and to configure the operational frequency to substantially match the optimal frequency.

An electromagnetic surgical ablation probe having a coaxial feedline and cooling chamber is disclosed. The disclosed probe includes a dipole antenna arrangement having a radiating section, a distal tip coupled to a distal end of the radiating section, and a ring-like balun short) or choke, which may control a radiation pattern of the probe. A conductive tube disposed coaxially around the balun short includes at least one fluid conduit which provides coolant, such as dionized water, to a cooling chamber defined within the probe. A radiofrequency transparent catheter forms an outer surface of the probe and may include a lubricious coating.

A modular biopsy, ablation and track coagulation needle apparatus is disclosed that allows the biopsy needle to be inserted into the delivery needle and removed when not needed, and that allows an inner ablation needle to be introduced and coaxially engaged with the delivery needle to more effectively biopsy a tumor, ablate it and coagulate the track through ablation while reducing blood loss and track seeding. The ablation needle and biopsy needle are adapted to in situ assembly with the delivery needle. In a preferred embodiment, the ablation needle, when engaged with the delivery needle forms a coaxial connector adapted to electrically couple to an ablating source. Methods for biopsying and ablating tumors using the device and coagulating the track upon device removal are also provided.

Devices and methods for treating tissue with microwave energy used in applications such as destroying a soft tissue by microwave ablation and / or creating point, line, area or volumetric lesions. Various embodiments of flexible, low-profile devices are also disclosed where such device can be inserted non-invasively or minimally invasively near or into the target tissue such as cardiac tissue. The devices disclosed herein comprise antennas wherein the field profile generated by an antenna is tailored and optimized for a particular clinical application. The antennas use unique properties of microwaves such as interaction of a microwave field with one or more conductive or non-conductive shaping elements to shape or redistribute the microwave field.

An ablation assembly capable of ablating tissues inside the cavity of an organ is disclosed. The ablation assembly generally includes an ablative energy source and an ablative energy delivery device coupled to the ablative energy source. The ablative energy delivery device is configured for delivering ablative energy sufficiently strong to cause tissue ablation. The ablative energy delivery device generally includes a penetration end adapted to penetrate through a wall of an organ and an angular component that is used to position the device inside the organ after the device has penetrated through the wall of the organ.

A microwave ablation system is disclosed. The system includes a microwave antenna assembly that includes an identification device configured to store an optimal frequency of the microwave antenna assembly. The system also includes a generator configured to couple to the microwave antenna assembly and to output microwave energy at an operational frequency. The generator is further configured to read the optimal frequency from the identification device and to configure the operational frequency to substantially match the optimal frequency.

Methods for simulation of heat transport phenomena applicable to the design of a near-field microwave ablation device, the design of such a device based on simulation and a patient planning and monitoring station using simulated thermal ablation of tissue are provided.

An improved antenna for microwave ablation uses a triaxial design which reduces reflected energy allowing higher power ablation and / or a smaller diameter feeder line to the antenna.

An ablation system including an image database storing a plurality of computed tomography (CT) images of a luminal network and a navigation system enabling, in combination with an endoscope and the CT images, navigation of a locatable guide and an extended working channel to a point of interest. The system further includes one or more fiducial markers, placed in proximity to the point of interest and a percutaneous microwave ablation device for applying energy to the point of interest.

The present disclosure relates to devices and methods for the treatment of tissue with microwave energy. The devices and methods disclosed herein incorporate an antenna assembly comprising outer and inner conductors having a dielectric material interposed therebetween, a sealing barrier, and a cooling system to minimize the likelihood that the antenna assembly will overheat.

A microwave ablation catheter is provided. The microwave ablation catheter includes a coaxial cable connected at its proximal end to a microwave energy source and at its distal end to a distal radiating section. The coaxial cable includes inner and outer conductors and a dielectric positioned therebetween. The inner conductor extends distally past the outer conductor and is in sealed engagement with the distal radiating section. A balun is formed in part from a conductive material electrically connected to the outer conductor of the coaxial cable and extends along at least a portion of the coaxial cable. The conductive material has a braided configuration and is covered by at least one insulative material.

An improved antenna for microwave ablation uses a triaxial design which reduces reflected energy allowing higher power ablation and / or a smaller diameter feeder line to the antenna.

A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source and a tool for treating tissue. An extended working channel is configured to provide passage for the tool. A locatable guide, translatable through the extended working channel, is configured to navigate the extended working channel adjacent a target.

A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

A microwave ablation assembly and method including a relatively thin, elongated probe (21) having a proximal access end (22) and an opposite distal penetration end (23) adapted to penetrate into bio-tissue (25). The probe (21) defines an insert passage (26) extending therethrough from the access end (22) to the penetration end (23) thereof. An ablation catheter includes a coaxial transmission line (28) with an antenna device (30) coupled to a distal end of the transmission line (28) for generating an electric field sufficiently strong to cause tissue ablation. The coaxial transmission line (28) includes an inner conductor (31) and an outer conductor (32) separated by a dielectric material medium (33). A proximal end of the transmission line (28) is coupled to a microwave energy source. The antenna device (30) and the transmission line (28) each have a transverse cross-sectional dimension adapted for sliding receipt through the insert passage (26) while the elongated probe (21) is positioned in the bio-tissue (25). Such sliding advancement continues until the antenna device (30) is moved to a position beyond the penetration end (23) and further into direct contact with the bio-tissue (25).

A method and device delivers microwave power to an antenna through a coaxial cable utilizing air or other gases as its dielectric core. The cable includes supports made of low-loss materials to keep the inner conductor centered in the cable, and defining spaces therebetween for the air or gas. Channels in the supports allow the air or gas to circulate in the cable. The gas may be chilled or cooled to provide an addition level of heat dissipation. The device enables delivery of large amounts of power to tissue without undue heating of the feed cable or peripheral tissues, and without increasing the diameter of the feeding cable or antenna, keeping the antenna safe for percutaneous use.

Method and system to provide therapy for obesity, gastric motility, or to induce weight loss comprises ablating the gastric tissue around the “pacemaker” region of the stomach, and electrically pacing the stomach with a pulse generator / stimulator to control the electrical activity of the gastric muscle. The ablation to the gastric tissue may be from the epigastric side, or may be from inside the stomach. The ablation may be performed utilizing any one of: radiofrequency catheter ablation; radiofrequency catheter ablation using an irrigated tip catheter; microwave ablation; cryoablation; high intensity focused ultrasound (HIFU) ablation; and laser ablation. The ablation of the “pacemaker” region of the stomach may be partial or complete. A gastric pulse generator / stimulator is implanted to provide electrical pulses to the stomach. The function of the gastric stimulator after complete ablation of the pacemaker region, is to provide a basic electrical rhythm (BER) to regulate and control electrical activity of the stomach. Alternatively, if partial ablation is performed the function of the gastric pulse generator / stimulator is to enhance the residual basic electrical rhythm (BER), or to interfere with the residual basic electrical rhythm (BER).

Microwave antenna assemblies incorporating a resilient insulating coupler are described herein. The microwave antenna includes a radiating portion connected by a coaxial feedline to a power generating source, e.g., a generator. Distal and proximal radiating portions of the antenna, which correspond to inner and outer conductors provided by the coaxial feedline, are separated by the resilient insulating coupler. The described coupler includes a proximal threaded portion, and an overmolded insulating portion formed from an elastomeric material. The inner conductor of the coaxial feedline is joined to the threaded portion of the coupler, and is placed under tension to draw together the distal radiating portion, the coupler, and the proximal radiating portion into a single rigid assembly. In use, the resilient coupler provides increased strength and reliability by absorbing mechanical stresses typically encountered during microwave ablation procedures.

The invention comprises novel microwave antennas wherein the microwave field profile generated by an antenna is tailored and optimized for a particular clinical application. The antennas disclosed herein incorporate one or more additional elements called shaping elements that use unique properties of microwaves such as interaction of a microwave field with one or more conductive or non-conductive elements to shape or redistribute the microwave field. Such shaping elements may be used to reduce the undesired backward coupling of the emitted microwave field to the transmission line. Such shaping elements may be used to increase the power efficiency of the antenna. The invention also discloses devices and methods for treating tissue with microwave energy emitted from the antennas for use in applications such as destroying a soil tissue by microwave ablation.

An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablation energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and a tissue sensor probe operatively coupled to the controller. The tissue sensor provides a tissue temperature and at least one tissue dielectric property to the controller. During an electromagnetic tissue ablation procedure, the controller monitors tissue temperature and the at least one tissue dielectric property to determine tissue status, and to activate and deactivate the generator in accordance therewith.

A microwave ablation probe for providing microwave energy to tissue is disclosed. The probe includes a feedline having an inner conductor, a secondary inner conductor, an insulating spacer, and an outer conductor. The inner conductor is slidably disposed within the secondary inner conductor. The feedline also includes a radiating portion having an extruded portion of the inner conductor centrally disposed therein, wherein longitudinal movement of the inner conductor relative to the feedline tunes the radiating portion.

Microwave antenna assemblies incorporating a resilient insulating coupler are described herein. The microwave antenna includes a radiating portion connected by a coaxial feedline to a power generating source, e.g., a generator. Distal and proximal radiating portions of the antenna, which correspond to inner and outer conductors provided by the coaxial feedline, are separated by the resilient insulating coupler. The described coupler includes a proximal threaded portion, and an overmolded insulating portion formed from an elastomeric material. The inner conductor of the coaxial feedline is joined to the threaded portion of the coupler, and is placed under tension to draw together the distal radiating portion, the coupler, and the proximal radiating portion into a single rigid assembly. In use, the resilient coupler provides increased strength and reliability by absorbing mechanical stresses typically encountered during microwave ablation procedures.

A microwave ablation probe for providing microwave energy to tissue is disclosed. The probe includes a feedline having an inner conductor, an insulating spacer and an outer conductor. The probe also includes a radiation portion having an extruded portion of the inner conductor that is centrally disposed therein. The radiation portion also includes one or more conductive disks disposed on the extruded portion of the inner conductor that defines one or more spaces and a dielectric material disposed within the spaces.

A microwave antenna assembly including an elongated cooling jacket having proximal and distal ends and an inner lumen defined therebetween and a helical microwave antenna member disposed within at least a portion of the elongated cooling jacket and having an inner and outer conductor, the inner conductor disposed within the outer conductor, wherein at least a portion of the inner conductor extends distally from the outer conductor and forms at least one loop; and wherein the inner conductor is configured to deliver microwave energy.

A microwave energy delivery and measurement system, including a microwave energy source configured to delivery microwave energy to a microwave energy delivery device, a measurement system configured to measure at least one parameter of the microwave energy delivery device and a switching network configured to electrically isolate the microwave energy source and the measurement system. The measurement system is configured to actively measure in real time at least one parameter related to the microwave energy delivery device.