Radiation applicator for microwave medical treatment

Information

  • Patent Grant
  • 10772682
  • Patent Number
    10,772,682
  • Date Filed
    Wednesday, August 23, 2017
    7 years ago
  • Date Issued
    Tuesday, September 15, 2020
    4 years ago
Abstract
A radiation applicator with a dielectric body (2) surrounding the antenna. The dielectric body (2) is comprised of three sections (3, 4 and 5) with different dielectric constants to provide broad-band matching of the applicator to surrounding material. Washers (10) and (11) are mounted on the antenna to act as reflectors.
Description
TECHNICAL FIELD

This invention relates to radiation applicators and, in particular, to microwave medical treatment devices.


PRIOR ART

A known radiation applicator used for microwave medical treatment is shown in PCT/GB00/00682 and comprises a generator which supplies microwave energy via a coaxial conductor to a tip region at the distal end of the conductor. Dielectric packing is provided between the inner and outer conductors of the coaxial conductor but a length of the inner conductor at the tip projects beyond the outer conductor so as to form an antenna to emit radiation. The antenna is embedded axially in a cylindrical body of dielectric which has the same outer diameter as the coaxial conductor. A pointed tip at the end of the dielectric body serves to assist penetration into biological matter, such as a liver to perform ablation on a tumour.


DISCLOSURE OF THE INVENTION

According to one aspect of the invention, a radiation applicator has a power input at one end, an elongate antenna extending axially at its distal end for emitting radiation into surrounding material, and a dielectric body which surrounds the antenna, characterised in that the dielectric body consists of multiple sections of different dielectric constant which are located axially relative to one another along the antenna.


The dielectric constant of each section of the dielectric body is selected so as to tune the applicator to operate at a particular frequency or range of frequencies for optimum performance in transferring energy to the surrounding material of predetermined dielectric constant. For example, energy transfer from the applicator to the surrounding material may change the physical properties of that material and the sectioned nature of the dielectric body may, in some embodiments, permit a broadband match of the applicator to the surrounding material so as to allow efficient energy transfer to the material to continue despite changes in the properties of the material.


Preferably, the dielectric body consists of three consecutive sections: a first section adjacent the power unit, a second first section adapted to be the major emitter of radiation, and a third tipsection. The second section has a higher dielectric constant than the first section. The higher dielectric constant of the second section allows the overall length of the dielectric body to be made shorter than would otherwise be required if the dielectric body was composed entirely of the material of the first dielectric, the length being related to the wavelength of the radiation in tire dielectric. The third, tip section, is composed entirely of a material with a dielectric value from the other two sections and is chosen as a match to the surrounding material. The use of multiple sections of different dielectric constant allows the reflections from the dielectric interfaces to be used for matching or turning at the power input to ensure optimum power transfer.


Preferably, the dielectric body has a tip section furthest from the power input which is pointed so as to penetrate the surrounding material in use. Hie fact that the tip is composed of a dielectric material and not an electrical conductor serves to avoid local surface heating. Preferably, the dielectric constant of the tip is less than that of the second section, and is preferably intermediate that of the first and second sections.


The multiple sections could be made as an integral body, or made as separate components assembled together to abut against one another end-to-end.


According to a further feature of the invention, a radiation reflector is provided at the interface between sections of the dielectric body so as to modulate the transmission of radiation and further tune the applicator. Preferably, a radiation reflector is provided each side of the section which is intended to emit radiation into die surrounding material, a reflector on that side further from the input end having a larger area so as to reflect more energy than the reflector nearer the input end, thereby reducing transmission of radiation to the tip of the applicator. The emission of radiation from the dielectric body can therefore be more localised in one section. Preferably, the invention is designed to radiate more energy from the second section.


According to a second aspect of the invention, a radiation applicator has a power input at one end, an elongate antenna extending axially at its distal end for emitting radiation into surrounding material, and a dielectric body which surrounds the antenna, characterised in that one or more radiation reflectors are located axially along the antenna within the dielectric body to modulate the transmission of radiation.


Preferably, two radiation reflectors are spaced apart with tire intermediate section of the dielectric body being intended to emit radiation into the surrounding material, the reflector on one side further from the input having a larger area so as to reflect more radiation than the reflector nearer the input end, thereby reducing transmission of radiation to the tip of the applicator.


Preferably, the reflectors, as used in connection with either the first or second aspect of the invention, are located at the interface between separate abutting sections of the dielectric body and help give structural support to the applicator. For example, the reflectors can be soldered or otherwise bonded to sections of the dielectric body and antenna.





DESCRIPTION OF THE DRAWINGS

The invention will now be described by way of example with reference to toe accompanying drawings in which:



FIG. 1 shows an axially section through the tip of the radiation applicator according to the invention, and



FIG. 2 shows a graph of reflected radiation at the input of the radiation applicator of FIG. 1 against fee input frequency.





EMBODIMENTS OF THE INVENTION

The radiation applicator illustrated in FIG. 1 comprises a coaxial conductor 1, which may be rigid or flexible, and which is connected to a microwave power supply art one end (not shown) and terminates at its other end in a radiation emitting tip 2. The tip 2 consists of a cylindrical dielectric body composed of three sections 3,4,5, coaxially aligned and abutting one another at interfaces between them so as to form a continuous body. One outer section 3 is connected to the end of the coaxial conductor 1. A portion 6 of the section 3 at one end is of reduced diameter and is inserted a short distance into the outer conductor 7 of the coaxial conductor to make a secure connection. The central conductor 8 of the coaxial conductor extends through an axial hole 9 in the body 2, through all three sections but terminating within the outer third section 5. During assembly, a metal washer 10 is soldered to the section 3 at the interface with section 4, and is soldered to the central conductor 8; and a second metal washer 11 is soldered to the middle section 4 at the interface with the third section 5, and is soldered to the central conductor 8. The washers 10 and 11 therefore serve to secure the two sections 3 and 4 of the dielectric body to the end of the coaxial conductor 1 via the central conductor 8. The third section 5 is then bonded to the second washer 11 and central conductor 8.


The third section 5 of the applicator has a pointed shape to assist insertion into material to be treated, and this will be made as sharp as is necessary for the application, for example, the treatment of liver cancer.


In operation, that portion of the central conductor 8 that extends from the outer conductor 7, acts as an antenna to emit radiation. The wavelength of the radiation within the dielectric body is determined by the frequency of tire power supply and the dielectric constant of the various components. Thus the wavelength of the radiation is different in each of the three sections 3, 4 and 5. By appropriate selection of the dielectric constant of these three sections relative to one another and to the surrounding material in which the applicator is to be used, it is possible to tune the applicator to give optimum performance.


Another factor which affects the tuning of the applicator is the metal gaskets 10 and 11 which act as radiation reflectors. Both gaskets serve to reflect radiation back to the input, and with appropriate matching at the input ensures a maximum transfer of energy to the tip 2. The gasket 11 has a larger surface area than the gasket 10 so as to reduce the amount of energy transmitted to the third section 5.


Other factors which affect tuning are the length of the central conductor 8 extending beyond the outer conductor 7, the diameter and axial length of the individual dielectric sections 3, 4 and 5, and die thickness and diameter of the washers 10,11.


It will be appreciated that the choice of dielectric materials and dimensions of the various components allows great flexibility in designing a radiation applicator to suit a wide range of applications and performance requirements, bearing in mind that the dielectric constant of the surrounding material when the device is in use, will effect performance.


For example, a radiation applicator designed for medical use has the dimensions shown in FIG. 1 and the following further specifications: the washer 10 has an outer diameter of 1.9 mm; die washer 11 has an outer diameter of 2.7 mm; the central conductor 8 protrudes beyond the outer conductor by 8.5 mm; and the dielectric sections 3,4,5 are composed, respectively, of alumina with dielectric constant 10, titanium oxide with dielectric constant 100 and a Ca—Ti—Nd—Al dielectric wife dielectric constant 47. The applicator of this example is capable of operating well at frequencies in the vicinity of 3 GHz. In particular, the applicator of this example is especially suited to operation at a frequency of 2.45 GHz and a power of 50 W.


The performance of the applicator of the above example is illustrated in FIG. 2. This shows the power reflected from the tip of the applicator against the operating frequency, and shows that there is a dip in the reflected power at about 2.45 GHz, which corresponds to a maximum transfer of energy to the tip at this frequency. The width of the dip in FIG. 2, which is about 0.6 GHz, gives the applicator a broadband characteristic which allows it to better accommodate use with surrounding materials with a range of dielectric constant values.


In alternative embodiments of the invention, other dielectric materials may be used, including air, and instead of three dielectric sections there may be just two or may be four or more. Grooves may be formed hi the outer surface of each or any of the dielectric section circumferentially. Also, the dielectric sections may be tapered longitudinally.


Also, an imaging process could be used to guide the applicator to the desired location. The applicator may be of small enough diameter to be inserted through a guidewire, such as used in ultrasound imaging techniques, so as to ensure accurate treatment in use.

Claims
  • 1. A method for treating tissue using microwave, comprising: inserting an applicator into a target site, the applicator comprising: an outer conductor;an inner conductor;a first body having a proximal end; wherein the first body is comprised of a first material having a first dielectric constant; wherein the proximal end of the first body is configured to extend coaxially within the outer conductor;a second body having a sharp end and a cavity; wherein the second body is comprised of a second material having a second dielectric constant; wherein the sharp end is configured to pierce tissue;a tuning reflector comprised of a third material having a third dielectric constant; wherein the tuning reflector is configured to be inside of the cavity of the second body; andwherein the first dielectric constant, the second dielectric constant, and the third dielectric constant are all different;applying microwave energy from the applicator to the target site.
  • 2. The method of claim 1, wherein the inner conductor is coaxially positioned within the outer conductor for a selected distance.
  • 3. The method of claim 2, wherein the target site is comprised of human tissue.
  • 4. The method of claim 3, wherein the tuning reflector comprises a washer.
  • 5. The method of claim 1, wherein the inner conductor further comprises a distal end.
  • 6. The method of claim 5, wherein the tuning reflector is connected to the distal end of the inner conductor.
  • 7. The method of claim 1, further comprising the step: transferring energy at a frequency of up to 3 GHz.
  • 8. The method of claim 7, wherein the energy is transferred at a frequency of 2.45 GHz.
  • 9. The method of claim 8, wherein the energy is transferred at a power of 50 watts.
  • 10. The method of claim 1, wherein the outer conductor is rigid.
  • 11. The method of claim 1, wherein the outer conductor is flexible.
  • 12. The method of claim 1, wherein the applicator further comprises an antenna.
  • 13. The method of claim 1, further comprising the step: avoiding local surface heating surrounding the target site.
  • 14. The method of claim 1, further comprising the step: imaging the applicator to guide the applicator into the target site.
  • 15. The method of claim 14, wherein the imaging is ultrasound.
  • 16. The method of claim 1, wherein the sharp end of the second body is tapered.
  • 17. A method for treating tissue using microwave, comprising: inserting an applicator into a target site, the applicator comprising an antenna; wherein the antenna comprises: an outer conductor;an inner conductor;a first body having a proximal end; wherein the first body is comprised of a first material having a first dielectric constant; wherein the proximal end of the first body is configured to extend coaxially within the outer conductor;a second body having a sharp end and a cavity; wherein the second body is comprised of a second material having a second dielectric constant; wherein the sharp end is configured to pierce tissue;a tuning reflector comprised of a third material having a third dielectric constant; wherein the tuning reflector is configured to be inside of the cavity of the second body; andwherein the first dielectric constant, the second dielectric constant, and the third dielectric constant are all different;applying microwave energy from the applicator to the target site; wherein the microwave energy is applied at a frequency of 2.45 GHz.
  • 18. A method for treating tissue using microwave, comprising: inserting an applicator into a target site, the applicator comprising an antenna; wherein the antenna comprises: an outer conductor;an inner conductor;a first body having a proximal end; wherein the first body is comprised of a first material having a first dielectric constant; wherein the proximal end of the first body is configured to extend coaxially within the outer conductor;a second body having a sharp end; wherein the second body is comprised of a second material having a second dielectric constant; wherein the sharp end is configured to pierce tissue;a tuning reflector comprised of a third material having a third dielectric constant; andwherein the first dielectric constant, the second dielectric constant, and the third dielectric constant are all different;applying microwave energy from the applicator to the target site; wherein the microwave energy is applied at a frequency of 2.45 GHz.
  • 19. The method of claim 16, wherein the second body comprises a cavity.
  • 20. The method of claim 17, wherein the tuning reflector is configured to be inside of the cavity of the second body.
US Referenced Citations (113)
Number Name Date Kind
3065752 Fritz Nov 1962 A
3461261 Lewis Aug 1969 A
3871359 Pacela Mar 1975 A
4446874 Vaguine May 1984 A
4476363 Berggren Oct 1984 A
4676258 Inokuchi Jun 1987 A
4891483 Kikuchi Jan 1990 A
5227730 King Jul 1993 A
5364392 Warner Nov 1994 A
5370644 Langberg Dec 1994 A
5458597 Edwards Oct 1995 A
5536267 Edwards Jul 1996 A
5540737 Fenn Jul 1996 A
5620479 Diederich Apr 1997 A
5630426 Eggers et al. May 1997 A
5683384 Gough et al. Nov 1997 A
5728143 Gough Mar 1998 A
5735847 Gough et al. Apr 1998 A
5800484 Gough et al. Sep 1998 A
5807272 Kun et al. Sep 1998 A
5810742 Pearlman Sep 1998 A
5873849 Bernard Feb 1999 A
6009347 Hofmann Dec 1999 A
6016452 Kasevich Jan 2000 A
6027502 Desai Feb 2000 A
6047216 Carl Apr 2000 A
6050994 Sherman Apr 2000 A
6066134 Eggers et al. May 2000 A
6106524 Eggers et al. Aug 2000 A
6134460 Chance Oct 2000 A
6134476 Arndt Oct 2000 A
6200314 Sherman Mar 2001 B1
6223086 Carl Apr 2001 B1
6287302 Berube Sep 2001 B1
6296636 Cheng Oct 2001 B1
6298726 Adachi Oct 2001 B1
6436072 Kullas Aug 2002 B1
6478793 Cosman Nov 2002 B1
6485487 Sherman Nov 2002 B1
6488678 Sherman Dec 2002 B2
6497704 Ein-Gal Dec 2002 B2
6558378 Sherman May 2003 B2
6616657 Simpson Sep 2003 B2
6635055 Cronin Oct 2003 B1
6673070 Edwards et al. Jan 2004 B2
6712811 Underwood Mar 2004 B2
6723094 Desinger Apr 2004 B1
6770070 Balbierz Aug 2004 B1
6869430 Balbierz Mar 2005 B2
6962587 Johnson Nov 2005 B2
7008421 Daniel Mar 2006 B2
7488292 Adachi Feb 2009 B2
7553309 Buysse Jun 2009 B2
7699842 Buysse Apr 2010 B2
7763018 Decarlo Jul 2010 B2
7776035 Rick Aug 2010 B2
7846108 Turovskiy Dec 2010 B2
7875025 Cockburn Jan 2011 B2
7879031 Peterson Feb 2011 B2
8057391 Lau Nov 2011 B2
8062290 Buysse Nov 2011 B2
8073550 Spertell Dec 2011 B1
8182477 Orszulak May 2012 B2
8277379 Lau Oct 2012 B2
8366712 Bleich Feb 2013 B2
8377057 Rick Feb 2013 B2
8398626 Buysse Mar 2013 B2
8512330 Epstein Aug 2013 B2
8579902 Bleich Nov 2013 B2
8585704 Schmitz Nov 2013 B2
8586897 Cronin Nov 2013 B2
8613745 Bleich Dec 2013 B2
8617163 Bleich Dec 2013 B2
8647346 Bleich Feb 2014 B2
8652138 Bleich Feb 2014 B2
8668688 Rusin Mar 2014 B2
8672937 Decarlo Mar 2014 B2
8801626 Sun Aug 2014 B2
8853600 Spertell Oct 2014 B2
9101386 Wallace Aug 2015 B2
9113888 Orszulak Aug 2015 B2
9247952 Bleich Feb 2016 B2
9770295 Cronin Sep 2017 B2
20020077627 Johnson Jun 2002 A1
20020161361 Sherman Oct 2002 A1
20030100894 Mahon May 2003 A1
20030109862 Prakash Jun 2003 A1
20040204679 Visconti Oct 2004 A1
20040215185 Truckai Oct 2004 A1
20040267340 Cioanta Dec 2004 A1
20050015081 Turovskiy Jan 2005 A1
20050033276 Adachi Feb 2005 A1
20050107781 Ostrovsky May 2005 A1
20060151485 Cronin Jul 2006 A1
20060217704 Cockburn Sep 2006 A1
20060293734 Scott Dec 2006 A1
20070066971 Podhajsky Mar 2007 A1
20070078453 Johnson Apr 2007 A1
20070197895 Nycz Aug 2007 A1
20070203551 Cronin Aug 2007 A1
20080275436 Cronin Nov 2008 A1
20080294155 Cronin Nov 2008 A1
20080314894 Cronin Dec 2008 A1
20090030336 Woo Jan 2009 A1
20090088636 Lau Apr 2009 A1
20090209955 Forster Aug 2009 A1
20090240247 Rioux Sep 2009 A1
20100292686 Rick Nov 2010 A1
20110230874 Epstein Sep 2011 A1
20140042154 Cronin Feb 2014 A1
20140081255 Johnson Mar 2014 A1
20150066020 Epstein Mar 2015 A1
20160000505 Cronin Jan 2016 A1
Foreign Referenced Citations (14)
Number Date Country
2003267607 May 2004 AU
2339277 Nov 1999 CA
0294854 Dec 1988 EP
2074826 Nov 1981 GB
2387544 Oct 2003 GB
2406521 Apr 2005 GB
2415630 Jan 2006 GB
2002109971 Apr 2002 JP
2002541884 Dec 2002 JP
2006507865 Mar 2006 JP
0049957 Aug 2000 WO
03039385 May 2003 WO
2004047659 Jun 2004 WO
2006002943 Jan 2006 WO
Non-Patent Literature Citations (39)
Entry
Carmi, and Georgiades, Combination percutaneous and intraarterial therapy for the treatment of hepatocellular carcinoma: A review, Seminars in Interventional Radiology, 2010, vol. 27, No. 3, pp. 296-301.
International Search Report for PCT/GB2004/002620; Filed Jun. 18, 2004; Date of Completion Sep. 24, 2004; dated Oct. 1, 2004, 4 pages.
International Search Report 04815540 SESR dated Jan. 21, 2010, 4 pages.
International Search Report 09155664 ESR dated Jun. 9, 2009, 2 pages.
International Search Report PCT-EP-05-007103 IPRP dated Jan. 9, 2007, 6 pages.
International Search Report PCT-EP-05-007103 ISR dated Oct. 11, 2005, 3 pages.
International Search Report PCT-EP-05-007103 WOSA dated Oct 7, 2005, 5 pages.
International Search Report PCT-EP-05-007553 IPRP dated Nov. 2, 2006, 16 pages.
International Search Report PCT-EP-05-007553 ISR dated Oct 4, 2005, 6 pages.
International Search Report PCT-EP-06-012144 IPRP dated May 2, 2008, 8 pages.
International Search Report PCT-EP-06-012144 ISR dated Jul. 3, 2007, 3 pages.
International Search Report PCT-GB-00-00682 IPRP dated May 21, 2001, 8 pages.
International Search Report PCT-GB-00-00682 ISR dated May 24, 2000, 3 pages.
International Search Report PCT-GB-03-004082 ISR dated Feb. 2, 2004, 4 pages.
International Search Report PCT-GB-03-04082 IPER dated Nov. 12, 2004, 11 pages.
International Search Report PCT-GB-04-002620 IPRP dated Jul. 21, 2005, 14 pages.
International Search Report PCT-GB-04-002620 ISR dated Oct. 1, 2004. 4 pages.
International Search Report PCT-GB-09-050113 IPRP dated Aug. 10, 2010, 11 pages.
International Search Report PCT-GB-09-050113 ISR dated May 25, 2009, 3 pages.
International Search Report PCT-GB-10-051625 IPRP dated Apr. 11, 2012, 10 pages.
International Search Report PCT-GB-10-051625 ISR dated May 3, 2011, 6 pages.
International Search Report PCT-GB-10-051625 WOSA dated Apr. 6, 2012, 9 pages.
International Search Report PCT-GB-11-051735 IPRP dated May 7, 2013, 8 pages.
International Search Report PCT-GB-11-051735 ISR dated Dec. 15, 2011, 5 pages.
International Search Report PCT-GB-11-051735 WOSA dated May 4, 2013, 7 pages.
International Search Report PCT-GB-94-01565 IPER dated Nov. 2, 1995, 1 page.
International Search Report PCT-GB-99-001398 ISR dated Sep. 3, 1999, 4 pages.
International Search Report PCT-GB-99-001400 ISR dated Sep. 3, 1999, 4 pages.
International Search Report PCT-GB-99-01398 IPER dated Aug. 7, 2000, 5 pages.
International Search Report PCT-GB-99-01398 ISR dated Sep. 3, 1999, 4 pages.
International Search Report PCT-GB-99-01398 WOSA dated Feb. 2, 2000, 5 pages.
International Search Report PCT-GB-99-01400 ISR dated Sep. 3, 1999, 4 pages.
International Search Report PCT-US-04-043477 IPRP dated Jun. 26, 2006, 4 pages.
International Search Report PCT-US-04-043477 ISR dated Aug. 26, 2005, 1 page.
International Search Report, PCT-GB-94-01565 ISR, dated Nov. 28, 1994, 4 pages.
Kurup, et al, Image-Guided Percutaneous Ablation of Bone and soft Tissue Tumors, Semin Intervent Radiol 2010, 27:276-284.
Maybody, An Overview of Image-Guided Percutaneous Ablation of Renal Tumors, Seminars in Interventional Radiology/vol. 27, No. 3, 2010, pp. 261-267.
McCarley, and Soulen, Percutaneous ablation of hepatic tumors, Seminars in Interventional Radiology, 2010, vol. 27, No. 3, pp. 255-260.
Saldanha, et al, Current tumor ablation technologies: Basic science and device review, Seminars in Interventional Radiology, 2010, vol. 27, No. 3, pp. 247-254.
Related Publications (1)
Number Date Country
20190125441 A1 May 2019 US
Continuations (3)
Number Date Country
Parent 14857915 Sep 2015 US
Child 15684315 US
Parent 13683047 Nov 2012 US
Child 14857915 US
Parent 10561701 Aug 2006 US
Child 13683047 US