N/A
Microwave ablation (MWA) is a medical procedure where in vivo tissue is ablated using high frequency electromagnetic field to treat a medical disorder. MWA is commonly performed to treat tumors in body organs. During MWA, a needle-like MWA probe is placed inside the tumor. Microwaves emitted from the probe heat surrounding tumor tissue, destroying the target tissues, such as soft tissue, cancerous tumor, nerve, or other target structure. Cancer cells, in particular, break down and die at elevated temperatures caused by MWA procedures. Some MWA procedures create temperatures up to or exceeding 300 degrees Celsius.
For MWA to be successful, a sufficient amount of molecular agitation must occur within the tissue. For example, the varying electromagnetic field generated by the waves emitted from the MWA probe causes water molecules to rapidly vibrate as they attempt to align with the varying field. This molecular agitation creates frictional heat which is capable of rapidly increasing the temperature of the tissue in a similar manner as a microwave oven heats food.
It is desirable to heat the entire area of the tumor with a single treatment. However, it is difficult to obtain even heat distribution using current ablation techniques. When heated to above 60° C., tissue will immediately coagulate.
The present invention extends to ablation probes that include one or more metalized ceramic components. A metalized ceramic component can include one or more traces for conducting electrical energy and/or for functioning as an antenna for emitting radiation during an ablation procedure. A shaft of an ablation probe may be formed of metalized ceramic to give the shaft strength and to provide an electrical insulator between traces formed on the shaft and other components of the probe. A tip of an ablation probe may also be formed of metalized ceramic.
In one embodiment, the present invention is implemented as an ablation probe that comprises a shaft formed of a metalized ceramic. The shaft may be metalized by forming one or more traces along a surface of the shaft. The one or more traces may extend along an outer and/or inner surface of the shaft.
The one or more traces may extend along a surface of the shaft that is in contact with a tip or a proximal shaft of the ablation probe. The tip or proximal shaft may be formed of various materials. Non-limiting examples of different tip materials include a metalized ceramic, a conductive material, a non-conductive, low loss dielectric insulator with low dielectric constant (insulator), PVC, fiberglass, PEEK, nylon, etc. The tip or proximal shaft may connect the one or more traces to a conductor that extends within the shaft. A tip formed of metalized ceramic may include a tip trace that contacts at least one of the one or more traces on the shaft.
The ablation probe may also comprise one or more coatings on the surface of the shaft covering at least a portion of the one or more traces. The one or more traces may function as an antenna for the ablation probe which transmits electromagnetic waves. The one or more traces may comprise a distal trace and a proximal trace. The distal trace may be electrically connected to a first conductor and the proximal trace may be electrically connected to a second conductor. The distal trace may also be electrically connected to the proximal trace. At least one of the one or more traces may have a varied dimension or pattern.
In another embodiment, the present invention is implemented as an ablation probe that comprises a shaft that is formed of ceramic and that includes one or more metal traces formed on a surface of the shaft, and a tip configured for insertion into a patient to perform an ablation procedure. The tip may be formed of a conductive material, and at least one of the one or more metal traces may be in contact with the tip for receiving electrical energy that is conducted through the tip. At least one of the one or more metal traces may be formed on an outer surface of the shaft. At least one of the one or more metal traces may have a varied dimension or pattern. The tip may also be formed of ceramic. The shaft and the tip may comprise a single component. The tip may include one or more metal traces on a surface of the tip that are connected to the one or more metal traces on the surface of the shaft.
In another embodiment, the present invention is implemented as an ablation probe that comprises a body that is formed of ceramic, and one or more traces formed on a surface of the body. The one or more traces may form an antenna. The body may include a tip. The one or more traces may be formed on one or both of an outer surface or an inner surface of the body. At least one of the one or more traces may have a varied dimension or pattern.
This summary is provided to introduce a selection of concepts in a simplified form that are further described below in the Detailed Description. This Summary is not intended to identify key features or essential features of the claimed subject matter.
Additional features and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by the practice of the invention. The features and advantages of the invention may be realized and obtained by means of the instruments and combinations particularly pointed out in the appended claims. These and other features of the present invention will become more fully apparent from the following description and appended claims, or may be learned by the practice of the invention as set forth hereinafter.
In order to describe the manner in which the above-recited and other advantages and features of the invention can be obtained, a more particular description of the invention briefly described above will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. Understanding that these drawings depict only typical embodiments of the invention and are not therefore to be considered to be limiting of its scope, the invention will be described and explained with additional specificity and detail through the use of the accompanying drawings.
Body 101 typically includes (or provides access to) a microwave power source (not shown) for supplying microwave energy to probe 110. Probe 110 comprises an antenna for emitting the microwave energy into surrounding tissue when probe 110 is inserted within a patient's tissue.
Body 101 may also include (or provide access to) a controller (not shown) for controlling the power, frequency, and/or phase of the microwave energy delivered to probe 110. In some embodiments, the controller can be configured to automatically adjust the power, frequency, and/or phase of the microwave energy delivered to probe 110 in order to tune or impedance match the probe to surrounding tissue.
The MWA device 100 can be configured to transmit energy having one or more frequencies or a variable frequency. For example, in some embodiments, the microwave power source is a microwave source configured to provide microwave energy to probe 110. Such energy can have a frequency within the range of about 300 MHz to 30 GHz. In some embodiments, a specific frequency of 915 or 2,450 MHz may be preferred. When microwave energy is delivered to probe 110, tissue surrounding probe 110 can be ablated by heat generated by probe 110.
Additionally, the microwave power source can be configured to transmit various levels of energy to probe 110. In some embodiments, the microwave power source can transmit up to about 300 W of power to probe 110. In other embodiments, the microwave power source can transmit between 0 W to 300 W of power to probe 110, including specifically transmitting up to 40 W, up to 60 W, up to 120 W, up to 180 W, or up to 240 W of power to probe 110.
In some embodiments, the controller can be configured to ramp up the power delivered to probe 110 slowly during the initial phases of an ablation procedure. Such configurations can incrementally, exponentially, or otherwise ramp up power from zero to a maximum power output over a predetermined time. For instance, the controller can be configured to ramp up power delivered to probe 110 from 0 W to 60 W over a time period.
During MWA, probe 110 is inserted through the skin and tissue of a patient, and is then directed toward a target structure, such as a tumor, cell(s), or nerve(s). Probe 110 can be inserted into the target structure or placed beside the target structure. Microwave energy emitted from probe 110 can then heat the target structure, which may be ablated and/or killed. When the target structure is exposed to the transmitted microwave energy for an adequate amount of time and temperature, the target structure can be ablated. Cancer cells, in particular, can break down and die at elevated temperatures caused by MWA ablation procedures. Some MWA procedures create temperatures up to or exceeding 100 to 350 degrees Celsius.
Generally, the shape and size of an ablation pattern produced by probe 110 roughly corresponds to the shape and intensity of the microwave transmission patterns of the waves emitted from probe 110. Thus, a substantially spherical transmission pattern can produce a roughly spherical ablation pattern. Accordingly, probe 110 can be configured to produce ablation regions that are substantially the same size as the target structure so that the appropriate amount of target tissue is ablated, without ablating healthy surrounding tissues. For example, since many tumors are approximately spherical, probe 110 can be configured to produce a generally spherical ablation region.
Additionally, probe 110 can be configured to produce ablation regions that are directional and dose-able (or shapeable) so that they can be shaped to be the same size as a target structure or so that they can be directed toward a target structure near probe 110. Such directionality can be produced, in some instances, by varying the phase between transmitted microwave energy transmitted through multiple conductors of probe 110.
In accordance with embodiments of the present invention, one or more components of an ablation probe (e.g. probe 110) can be formed of metalized ceramic. Metallizing ceramic refers to the process of applying one or more layers of metal on the surface of the ceramic and then heating the ceramic to cause the metal to bond with the ceramic. Various techniques exist for metallizing ceramic that would be suitable for metallizing a component of an emitter assembly. For example, a thick film ink containing a moly manganese refractory formula or another metal can be applied through a screen, roll printing, hand painting, air brush spraying, immersion, centrifugal coating, needle painting, etc. to a ceramic component and fired at temperatures sufficient to cause bonding of the metal to the ceramic.
A metalized ceramic is therefore a ceramic material having metal applied and heated on its surface to fuse the metal to the surface. For example, metal traces can be placed or deposited on the surface of the ceramic to form an antenna or other electrical component or connector of an ablation probe. Suitable ceramics that can be metalized include aluminum oxide, zirconia toughened alumina, zirconia, partially stabilized zirconia, aluminum nitride, silicon carbide, or other ceramic material. Many different types of metal can be used to metalize ceramics including silver, copper, gold, aluminum, nickel, molybdenum (“moly”) manganese, brass, or other conductive elements or alloyed elements.
Metalized ceramics provide strong adherence of metal to ceramic, excellent electrical and mechanical properties, high electrical conductivity, hermetic sealing capability, flexible three-dimensional designs, and adaptation to metal/ceramic components/assemblies. Aluminum oxide ceramic can be preferred in some embodiments because it is an electrical insulator that is also strong and tolerant of high temperatures. Aluminum oxide also has a moderate thermal conductivity. Accordingly, a component formed of an aluminum oxide ceramic can provide high electrical insulation between different components of a probe while also providing thermal conductance to allow heat to be dissipated. Other ceramic materials may also provide similar benefits.
In typical ablation probe configurations, a conductor extends through the interior of the probe to carry electrical energy to an antenna formed at or near a distal end of the probe. In some embodiments, metal traces formed on an inner and/or outer surface of shaft 201 and/or tip 202 can be connected to this conductor and function as an antenna for emitting electromagnetic waves from the probe.
FIGS. 3 and 3A-3C illustrate an embodiment where an ablation probe 300 includes a metalized ceramic shaft 301. A trace 303 is formed on an outer surface of shaft 301 and functions as an antenna for emitting electrical energy supplied by a conductor 304. Trace 303 extends in a proximal direction away from tip 302. Trace 303 can be connected to an inner conductor for receiving electrical energy in various ways including via tip 302 or a direct connection to the inner conductor.
In addition to the helical pattern of trace 303 shown in
FIGS. 3 and 3A-3C illustrate one example where a trace extends from a distal end of shaft 301. The present invention also encompasses embodiments where one or more traces extend only from a proximal end of shaft 301, or one or more traces extend from both a proximal and distal end of shaft 301 including when these traces are connected. Some examples of these various configurations are further described below.
In some embodiments, trace 303 may have a variable pattern. For example, the pitch of a helical or other pattern may vary. Varying the pitch can change the field intensity of the microwaves emitted from the trace. A smaller pitch will cause the windings of a helical trace to be spaced more closely and will therefore increase the field intensity along the portion of the emitter assembly with the smaller pitched trace. Traces that are more closely spaced will also create a greater density of heat. Accordingly, the pitch of a trace may be reduced nearer the proximal end of shaft 301 so that the heat density is greatest nearer a proximal end where the heat may be more readily dissipated. In some embodiments, proximal and distal portions of trace 303 may have a smaller pitch than a middle portion of the trace such that the trace is more closely spaced in the proximal and distal portions than in the middle portion. Varying the pitch in this manner can create a spherical ablation pattern.
The width of trace 303 may also be varied. A thicker trace will allow more current flow. Accordingly, in some embodiments, a distal portion of trace 303 may be thicker than a proximal portion to account for higher currents that pass through the distal portion.
FIGS. 4 and 4A-4C illustrate another embodiment where an ablation probe 400 includes a metalized ceramic shaft 401. In contrast to probe 300, probe 400 includes a trace 403 that extends in a distal direction towards tip 402. As with trace 303, trace 403 can be connected to an inner conductor for receiving electrical energy in various ways including via proximal shaft 410 or a direct connection to the inner conductor. Trace 403 can also have any suitable pattern, shape, dimension, etc. beyond what is shown in
Although
In
Probe 500 may also be configured in a similar manner as is shown in
In addition to the embodiments shown in
Probes 300, 400, and 500 are all depicted as having a conically-shaped tip. However, any shaped tip may equally be used. Also, although
The present invention also encompasses embodiments where a trace extends in a distal direction on an outer surface of the tip. For example, referring to
Additionally, although the above description has generally treated the tip and the shaft as separate components, the present invention encompasses embodiments where the tip and the shaft are the same component. For example, the shaft and tip portions shown in the figures could be formed of a single piece of ceramic that is metalized with one or more traces. These traces may extend distally towards the tip such as is shown in
Further, the present invention encompasses embodiments where the traces are formed only on an inner surface of a metalized ceramic component. For example, as opposed to being formed on an outer surface as shown in the figures, traces 303, 403, 503a, or 503b can be formed on an inner surface.
The present invention also encompasses embodiments where a trace is formed on an outer surface of a metalized ceramic component but is not directly connected to a conductor.
In some embodiments, one or more coatings can be applied to an outer surface of a metalized ceramic component. For example, a coating can be applied overtop traces 303 on the outer surface of shaft 301. Using a coating can isolate the traces from a patient's tissue, protect the traces from decomposition (e.g. via oxidation), and provide a smooth surface. In some embodiments, this coating can be comprised of glass which may be preferred due to its dielectric properties which helps radio frequency waves emitted from the traces transition into surrounding tissue.
In some embodiments, a material that provides a non-stick surface may be preferred for the coating. For example, a coating can be formed of Polytetrafluoroethylene (PTFE), glass, or diamond like carbon to prevent ablated tissue from sticking to the outer surface of the coating component and to potentially increase its lubricity. In some embodiments, a glass coating can be employed with an additional PTFE coating overtop the glass. In this way, the benefits of a glass coating can be obtained while also having a non-stick PTFE surface. Other combinations of coatings may also be applied to all or a portion of an outer surface of a probe.
In some embodiments, an insulative coating (not shown) can be applied on probe 1100 prior to forming trace 1101. One or more outer coatings (e.g., glass and/or PTFE) may also be applied overtop trace 1101 after trace 1101 is formed. In some embodiments, probe 1100 can be configured to be inserted within a shaft (not shown) within which the inner and outer conductors are contained. In some embodiments, probe 1100 may have a blunt or rounded tip for fitting inside an external shaft.
In any of the above described embodiments, the tip can be formed of more than one piece. For example, in some embodiments, a tip may comprise an inner metallic piece and an outer non-conductive piece which may be formed of ceramic. The inner metallic piece may form a connection between a conductor and a trace formed on the outer non-conductive piece and/or on a shaft to which the tip is connected.
In some embodiments, one or more inner coatings may be applied to the proximal and/or distal ends of a metalized ceramic component. For example, one or more inner coatings may be applied within the proximal and distal ends of shafts 301, 401, or 501 such as overtop traces 303, 403, 503a, or 503b. Inner coatings can be applied to enhance the connection and/or increase the conductivity between connecting components such as between a distal ring and a tip. One or more inner coatings may also be applied other components such as over traces 305, 405, 505a, or 505b.
In many of the above described embodiments included those shown in
In summary, the present invention is generally directed to a probe for use in MWA procedures that includes one or more metalized ceramic components. A ceramic component may be metallized to form an antenna, ground plane, or other conductive trace for carrying or emitting microwave energy. Ceramic components provide high heat tolerance thereby allowing a probe containing such ceramic components to be effectively operated at levels that produce large amounts of heat.
The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.