The present technology is related generally to energy-delivery devices suitable for use in tissue ablation applications.
Treatment of certain diseases requires the destruction of malignant tissue growths, e.g., tumors. Treatment may involve inserting ablation probes into tissues where cancerous tumors have been identified. Once the probes are positioned, electromagnetic energy is passed through the probes into surrounding tissue.
Electrosurgical devices utilizing electromagnetic radiation have been developed for a variety of uses and applications. Typically, these devices include a power generation source, e.g., a microwave or radio frequency (RF) electrosurgical generator that functions as an energy source, and a surgical instrument having a microwave ablation probe having an antenna assembly for directing energy to the target tissue. The generator and surgical instrument are typically operatively coupled by a cable assembly having a plurality of conductors for transmitting energy from the generator to the instrument, and for communicating control, feedback and identification signals between the instrument and the generator.
In one aspect, the present disclosure provides an energy-delivery device for delivering energy to tissue. The energy-delivery device includes a handle body, an antenna assembly coupled to the handle body and extending distally therefrom, a transmission line, and first and second mating parts. The transmission line has a first end portion configured to be coupled to the handle body, and a second end portion configured to be coupled to an energy source. The first mating part is coupled to the handle body or the first end portion of the transmission line, and the second mating part is coupled to the other of the handle body or the first end portion of the transmission line. The second mating part is configured to be detachably coupled to the first mating part to detachably couple the transmission line to the antenna assembly.
In aspects, the first mating part may define a recess, and the second mating part may have a projection configured for receipt in the recess to couple a coaxial cable of the transmission line to a feedline of the antenna assembly.
In aspects, the first mating part may define an aperture, and the second mating part may have a node configured to be received within the aperture to couple a thermocouple wire of the transmission line to a temperature sensor of the antenna assembly.
In aspects, the projection may include a plurality of tabs arranged in a circular array. The tabs may be configured to flex radially inward upon receipt in the recess.
In aspects, the first mating part may include a rod centrally disposed within the recess, and the second mating part may include a tubular member disposed within the plurality of tabs. The tubular member may be configured to receive the rod.
In aspects, the first mating part may define a pair of depressions disposed on opposite sides of the recess, and the second mating part may have a pair of surface features disposed on opposite sides of the projection. The pair of depressions may be configured to receive the corresponding pair of surface features.
In aspects, the first mating part may be disposed at a proximal-facing end of the handle body and face a proximal direction.
In aspects, the first mating part may be disposed at a proximal portion of the handle body and face a direction that is perpendicular to a longitudinal axis defined by the antenna assembly.
In aspects, the first and second mating parts may be magnetically attracted.
In aspects, the second mating part may be rotatable relative to the first mating part while remaining coupled to the first mating part.
In aspects, the first mating part may define a ring-shaped channel, and the second mating part may have a node configured for receipt in the ring-shaped channel.
In aspects, the first mating part may define a pair of slits, and the second mating part may have a pair of flexible arms configured for receipt in the corresponding pair of slits.
In another aspect of the disclosure, the disclosure provides a microwave-energy delivery device including a handle body, an antenna assembly coupled to the handle body and extending distally therefrom, a transmission line, and first and second mating parts. The transmission line has a first end portion configured to be coupled to the handle body, and a second end portion configured to be coupled to an energy source. The first mating part is coupled to the handle body and defines a recess, and the second mating part is coupled to the first end portion of the transmission line. The second mating part has a projection configured for receipt in the recess. The first and second mating parts are magnetically attracted to one another and configured to be detachably coupled to detachably couple the transmission line to the antenna assembly.
In yet another aspect, the disclosure provides a method of using a microwave-energy delivery device is provided. An antenna assembly of a microwave-energy delivery device is inserted into a body while the antenna assembly is detached from a transmission line of the microwave-energy delivery device. A first mating part disposed at a first end portion of the transmission line is coupled to a second mating part disposed at a handle body of the microwave-energy delivery device after the antenna assembly is inserted into the body. Coupling the first and second mating parts couples a coaxial cable of the transmission line to a feedline of the antenna assembly and a thermocouple wire of the transmission line to a temperature sensor of the antenna assembly
In aspects, coupling the first and second mating parts may include magnetically coupling the first and second mating parts.
In aspects, coupling the first and second mating parts may include inserting a projection of the first mating part into a recess defined by the second mating part.
The details of one or more aspects of the disclosure are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the techniques described in this disclosure will be apparent from the description and drawings, and from the claims.
The term “proximal” refers to that portion of the device, or component thereof, closer to the user; and the term “distal” refers to that portion of the device, or component thereof, farther from the user.
Electromagnetic energy is generally classified by increasing energy or decreasing wavelength into radio waves, microwaves, infrared, visible light, ultraviolet, X-rays and gamma-rays. As it is used in this description, “microwave” generally refers to electromagnetic waves in the frequency range of 300 megahertz (MHz) (3×108 cycles/second) to 300 gigahertz (GHz) (3×1011 cycles/second).
Objects and features of the presently disclosed energy-delivery devices will become apparent to those of ordinary skill in the art when descriptions of various embodiments thereof are read with reference to the accompanying drawings, of which:
The disclosure is generally directed to microwave-energy delivery devices including a handle assembly, an antenna assembly supported by the handle assembly, and a transmission line for transmitting microwave energy. The transmission line includes a mating part configured to be detachably coupled to a corresponding mating part of the handle assembly. Since the respective mating parts of the transmission line and the handle assembly are detachably coupled, a clinician may navigate the antenna assembly into a body cavity of a patient during a surgical procedure without having the transmission line coupled to the handle assembly. Upon positioning the antenna assembly at a selected location, the transmission line may then be coupled to the handle assembly, whereupon the device may be activated to cause the coupled transmission line to transmit microwave energy to the antenna assembly for treating tissue. These and other aspects of the present disclosure are described in greater detail below.
Various embodiments of the presently disclosed energy-delivery devices are suitable for microwave or RF ablation and for use to pre-coagulate tissue for microwave or RF ablation-assisted surgical resection. Although various methods described hereinbelow are targeted toward microwave ablation and the complete destruction of target tissue, it is to be understood that methods for directing electromagnetic radiation may be used with other therapies in which the target tissue is partially destroyed or damaged.
With additional reference to
The antenna assembly 14 includes an outer tubular member 34 and a feedline 36 disposed therein. The outer tubular member 34 may be formed of any suitable non-electrically-conductive material, such as, for example, polymeric or ceramic materials. The feedline 36 may be a coaxial cable including an inner conductor, an outer conductor coaxially disposed around the inner conductor, and a dielectric material disposed therebetween. The antenna assembly 14 includes a transition block 38 disposed within the outer handle body 18 that serves to electrically couple the transmission line 16 to the feedline 36, thereby enabling transmission of microwave energy from the transmission line 16 to the feedline 36. With this purpose in mind, the transition block 38 includes a first end portion 38a coupled to a proximal end portion 36a of the feedline 36 and a second end portion 38b coupled to the transmission line 16, as described in more detail below. In embodiments, the first and second end portions 38a, 38b of the transition block 38 may be oriented at any suitable angle relative to one another, such as, for example, a right angle. The antenna assembly 14 further includes a temperature sensor 40 extending generally along a longitudinal axis of the feedline 36 and terminating distally at a distal end portion 36b (
The transmission line 16 has a first end portion 16a configured to be detachably coupled to the antenna assembly 14, and a second end portion 16b (
With reference to
With brief reference to
With continued reference to
The second mating part 60 has a projection 62 extending from the first end portion 16a of the transmission line 16 and configured for receipt in the recess 54 to couple the coaxial cable 42 of the transmission line 16 to the feedline 36 of the antenna assembly 14. The projection 62 includes a plurality of tabs 64 arranged in a circular array about a tubular member 66 of the second mating part 60. The plurality of tabs 64 are configured to flex radially inward upon receipt in the recess 54 of the first mating part 50. Each of the tabs 64 has a bulging free end 68 that passes over the ridge 58 of the first mating part 50 upon receipt of the projection 62 in the recess 54, whereupon the projection 62 snap-fittingly engages the inner annular surface 52 of the first mating part 50. Concurrently with the projection 62 being received in the recess 54, the tubular member 66 of the second mating part 60 receives the rod 56 of the first mating part 50 to electrically couple the coaxial cable 42 of the transmission line 16 with the feedline 36 of the antenna assembly 14.
The inner annular surface 58 of the first mating part 50 and the projection 62 of the second mating part 60 may be fabricated from a magnetic material (e.g., iron, nickel, cobalt, alnico, ferrite etc.). In embodiments, both the first and second mating parts 50, 60 are permanent magnets, or one of the first or second mating parts 50, 60 is a permanent magnet and the other of the first or second mating parts 50, 60 is made of a ferromagnetic material. Other or all portions of the first and second mating parts 50, 60 may be made of or coated with a magnetic material, such as, for example, the receptacles 70a, 70b and nodes 74a, 74b, the rod 56 and the tubular member 66, and/or planar contact surfaces 78, 80 (
The first mating part 50 defines a pair of conductive receptacles 70a, 70b each defining an aperture 72a, 72b (
The planar contact surface 78 (
In operation, with the transmission line 16 decoupled from the handle assembly 12, the antenna assembly 14 is inserted into a body of a patient toward a target location (e.g., a section of liver). Due to the transmission line 16 being decoupled from the handle assembly 12, navigating the antenna assembly 14 to the target location is made easier and less cumbersome for the clinician. Upon suitable positioning of the antenna assembly 14 at the target location, the transmission line 16 may then be coupled to the handle assembly 12, thereby enabling transmission of microwave energy from the transmission line 16 to the feedline 36. More specifically, the plurality of tabs 64 of the second mating part 60 of the transmission line 16 are received in the recess 54 of the first mating part 50 and the tubular member 66 of the second mating part 60 is positioned over the rod 56 of the first mating part 50 to couple the first mating part 50 to the second mating part 60. Since the coaxial cable 42 of the transmission line 16 is connected to the tubular member 66 of the second mating part 60, and the feedline 36 of the antenna assembly 14 is connected to the rod 56 of the first mating part 50, the coaxial cable 42 of the transmission line 16 and the feedline 36 of the antenna assembly 14 are electrically coupled upon coupling the first mating part 50 with the second mating part 60. Substantially concurrently with coupling the projection 62 and tubular member 66 of the second mating part 60 with the corresponding recess 54 and rod 56 of the first mating part 50, the nodes 74a, 74b of the second mating part 60 are received in the receptacles 70a, 70b of the first mating part 50. Due to the individual wires of the thermocouple wire 44 of the transmission line 16 being connected to the nodes 74a, 74b, and the individual wires of the temperature sensor 40 of the antenna assembly 14 being connected to the receptacles 70a, 70b, the thermocouple wire 44 and the temperature sensor 40 are electrically coupled upon coupling the first mating part 50 with the second mating part 60.
With the transmission line 16 coupled to the antenna assembly 14, the device 10 may be activated to deliver electrosurgical energy to the target location to treat tissue. After treating the tissue, it may be desirable to either relocate the antenna assembly 14 (e.g., reposition the tip of the antenna assembly 14 within the surgical site) to other target locations to treat tissue or to remove the antenna assembly 14 altogether from the surgical site. To make it easier for the clinician to move the antenna assembly 14, the transmission line 16 may be decoupled from the antenna assembly 14 by simply overcoming the magnetic attraction between the first and second mating parts 50, 60 and the holding force of the inner annular surface 58 of the first mating part 50 on the tabs 64 of the second mating part 60.
The first mating part 250 includes a circular housing 252 defining a series of concentric, circular channels 254a, 254b and a central recess 254c for receipt of the second end portion 38b of the transition block 38. The housing 252 may be fixed about the second end portion 38b of the transition block 38. The first mating part 250 further includes a pair of conductive ring member 256a, 256b fixedly disposed in a corresponding circular channel 254a, 254b of the housing 252. Each of the ring members 256a, 256b has a finger 258a, 258b protruding therefrom. The finger 258a, 258b of each of the ring members 256a, 256b defines an opening 270a, 270b having received therein an end of a respective wire 40a, 40b of the temperature sensor 40 of the antenna assembly 14. It is contemplated that the wires 40a, 40b of the temperature sensor 40 are fixed and electrically connected to the fingers 258a, 258b of the ring members 256a, 256b.
The second mating part 260 has a pair of diametrically-opposed, conductive nodes 262a, 262b electrically coupled to the individual wires (not explicitly shown) of the thermocouple wire 44 (
Upon coupling the first and second mating parts 250, 260 to one another, the transmission line 16 is rotatable about its longitudinal axis and relative to the antenna assembly 14 while remaining coupled to the antenna assembly 14. During rotation of the transmission line 16, the nodes 262a, 262b of the second mating part 260 travel around the respective circular channels 254a, 254b of the first mating part 250. The nodes 262a,262b and the ring members 256a, 256b may be fabricated from magnetic material to assist in maintaining the first and second mating parts 250, 260 coupled to one another via magnetic attraction.
The first mating part 350 has a main body 352 fixed to the second end portion 38b of the transition block 38. The main body 352 defines a pair of diametrically opposed slits 354a, 354b disposed on opposite sides of the second end portion 38b of the transition block 38.
The second mating part 360 includes an outer housing 362 defining a pair of flexible tabs 362a,362b on opposite sides of the outer housing 362. The second mating part 360 includes a pair of flexible arms 364a, 364b disposed within the outer housing 362, such that the tabs 362a, 362b overlap the pair of arms 364a, 364b. The arms 364a, 364b are movable from a first state, in which free distal ends 366a, 366b of the arms 364a, 364b are out of alignment with the slits 354a, 354b of the first mating part 350 when the first and second mating parts 350, 360 are positioned for coupling, and a second state, in which the free distal ends 366a, 366b are spaced apart from one another the same distance the slits 354a, 354b are spaced apart from one another. Proximal ends 370a, 370b of the arms 364a, 364b resiliently bias the free distal ends 366a, 366b thereof toward the first state. The free distal ends 366a, 366b of the arms 364a, 364b each have a hook-shaped member 374, such as, for example, a barb, latch, protrusion, and/or tooth for facilitating fixation of the free distal ends 366a, 366b in the slits 354a, 354b.
To couple the first and second mating parts 350, 360 to one another, the first and second mating parts 350, 360 are positioned such that the free distal ends 366a, 366b of the arms 364a, 364b of the second mating part 360 are substantially aligned with the slits 354a, 354b of the first mating part 350 and the nodes 374a, 374b of the second mating part 360 are aligned with the holes 372a,372b of the first mating part 350. The tabs 362a,362b of the outer housing 362 are flexed inwardly, thereby flexing the arms 364a, 364b inwardly until the free distal ends 366a, 366b of the arms 364a, 364b are aligned with the slits 354a, 354b of the first mating part 350. The free ends 366a, 366b of the arms 364a, 364b are translated into the slits 354a, 354b, whereupon the free distal ends 366a, 366b pass over a corresponding lip (not shown) protruding into the slits 354a, 354b. At this point, the clinician may release the tabs 362a,362b of the second mating part 360, allowing the tabs 362a,362b and, in turn, the arms 364a, 364b, to flex outwardly back to their first state in which the free distal ends 366a, 366b catch on the lip to resist withdrawal of the transmission line 16 from the antenna assembly 14. To decouple the transmission line 16 from the antenna assembly 14, the tabs 362a,362b of the second mating part 360 are flexed inwardly to disengage the free distal ends 366a, 366b of the arms 364a, 364b from the lip, and the transmission line 16 is translated away from the transition block 38.
The above-described energy-delivery devices are capable of directing energy into tissue, and may be suitable for use in a variety of procedures and operations. The above-described energy-delivery devices may be suitable for utilization with hand-assisted, endoscopic and laparoscopic surgical procedures. The above-described energy-delivery devices may also be suitable for utilization in open surgical applications.
It should be understood that various aspects disclosed herein may be combined in different combinations than the combinations specifically presented in the description and accompanying drawings. It should also be understood that, depending on the example, certain acts or events of any of the processes or methods described herein may be performed in a different sequence, may be added, merged, or left out altogether (e.g., all described acts or events may not be necessary to carry out the techniques).
Filing Document | Filing Date | Country | Kind |
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PCT/CN2019/094583 | 7/3/2019 | WO |