Thermal ablation probe for a medical device

Abstract

A thermal ablation probe having one or more sensors for sensing at least one tissue parameter, such as temperature, fluctuation in temperature change, and/or rate of temperature change. The thermal ablation probe includes an elongated shaft and a head portion at a distal end of the elongated shaft. The head portion includes a sensing system having sensors for sensing the tissue parameter. The head portion further includes one or more antennas configured to apply energy to tissue. The proximal end of the thermal ablation probe is configured for removable engagement with a thermal ablation system. The one or more sensors form at least one thermal ablation probe array or sensing platform. The array(s) can be in operative communication with a control system for controlling the operation of the thermal ablation system in accordance with the at least one tissue parameter.

Claims

1. A thermal ablation probe comprising: an elongated shaft; and a head portion formed by a distal end of the elongated shaft and defining a planar tissue contacting surface configured to contact a tissue surface, the head portion comprising: a plurality of tissue contacting sensors configured to determine if the planar tissue contacting surface is in direct contact with the tissue surface; and at least one electrode configured to apply energy to tissue, the at least one electrode defining a planar surface coplanar with the planar tissue contacting surface and disposed at a center portion of the planar tissue contacting surface, wherein the at least one electrode is prevented from applying energy to tissue when it is determined that the planar tissue contacting surface is not in direct contact with the tissue surface, the plurality of tissue contacting sensors disposed on the planar tissue contacting surface and concentrically surrounding the at least one electrode, wherein the head portion further defines a plurality of openings in the planar tissue contacting surface, and wherein each of the plurality of tissue contacting sensors is movably positioned within a respective opening of the plurality of openings.

2. The thermal ablation probe according to claim 1, further comprising at least one temperature sensor configured to sense at least one tissue parameter selected from the group consisting of temperature, fluctuation in temperature, and rate of temperature change, wherein the at least one electrode is prevented from applying energy to tissue when the at least one tissue parameter sensed is outside a predetermined range.

3. The thermal ablation probe according to claim 1, wherein a proximal end of the elongated shaft includes a luer connector configured to releasably couple the thermal ablation probe with an energy delivering source.

4. The thermal ablation probe according to claim 3, wherein the energy delivering source is a generator.

5. The thermal ablation probe according to claim 4, wherein the generator delivers a type of energy to the thermal ablation probe selected from the group consisting of RF energy and microwave energy.

6. The thermal ablation probe according to claim 1, wherein the planar tissue contacting surface defines a plane disposed parallel to a longitudinal axis defined by the elongated shaft.

7. A thermal ablation system comprising: a generator; a thermal ablation probe in operative communication with the generator, said thermal ablation probe comprising: an elongated shaft; and a head portion formed by a distal end of the elongated shaft, wherein the head portion defines a planar tissue contacting surface configured to be positioned on an external tissue surface, the head portion comprising: a plurality of tissue contacting sensors configured to determine whether the planar tissue contacting surface is in direct contact with the external tissue surface; and at least one electrode configured to apply energy to tissue, the at least one electrode defining a planar surface coplanar with the planar tissue contacting surface and disposed at a center portion of the planar tissue contacting surface, wherein the at least one electrode is prevented from applying energy to tissue when it is determined that the planar tissue contacting surface is not in direct contact with the external tissue surface, the plurality of tissue contacting sensors disposed on the planar tissue contacting surface and concentrically surrounding the at least one electrode, wherein the head portion further defines a plurality of openings in the planar tissue contacting surface, and each tissue contacting sensor of the plurality of tissue contacting sensors is movably positioned within a respective opening of the plurality of openings.

8. The thermal ablation system according to claim 7, wherein the thermal ablation probe further comprises at least one temperature sensor configured to sense at least one tissue parameter selected from the group consisting of temperature, fluctuation in temperature, and rate of temperature change.

9. The thermal ablation system according to claim 8, wherein the at least one electrode is prevented from applying energy to tissue when the at least one tissue parameter sensed is outside a predetermined range.

10. The thermal ablation system according to claim 7, wherein the generator delivers a type of energy to the thermal ablation probe selected from the group consisting of RF energy and microwave energy.

11. The thermal ablation system according to claim 10, further comprising a control system for controlling operation of the thermal ablation probe in accordance with at least one sensed tissue parameter.

12. The thermal ablation system according to claim 7, wherein the planar tissue contacting surface defines a plane parallel to a longitudinal axis defined by the elongated shaft.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) The above and other aspects, features, and advantages of the present disclosure will become more apparent in light of the following detailed description when taken in conjunction with the accompanying drawings in which:

(2) FIG. 1 is a schematic diagram of a thermal ablation system having a thermal ablation probe according to an embodiment of the present disclosure;

(3) FIG. 2 is a perspective view of a head portion of the thermal ablation probe according to the present disclosure;

(4) FIG. 3 is a front view of the head portion of the thermal ablation probe according to the present disclosure;

(5) FIG. 4 is a front view of an alternate head portion of the thermal ablation probe according to the present disclosure;

(6) FIG. 5 is a front view of another alternate head portion of the thermal ablation probe having spring-biased sensors according to the present disclosure;

(7) FIG. 6 is a perspective view of the head portion of the thermal ablation probe in full contact with tissue for sensing at least one tissue parameter, such as temperature, according to the present disclosure; and

(8) FIG. 7 is a schematic block diagram of the thermal ablation system according to the present disclosure.

DETAILED DESCRIPTION

(9) Particular embodiments of the present disclosure are described herein below with reference to the accompanying drawings. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.

(10) A thermal ablation system is described herein with reference to the various figures. With reference to FIG. 1, the thermal ablation system is designated generally by reference numeral 10. The thermal ablation system 10 includes a thermal ablation probe 12 coupled to a generator 14 via a cable 16. The thermal ablation probe 12 includes an elongated shaft 18 and a head portion 20 at a distal end 22 of the elongated shaft 18. The head portion 20 includes a sensing system 24 (FIG. 2) having one or more sensors 26 for sensing one or more tissue parameters, such as temperature, fluctuation in temperature, rate of temperature change, etc.

(11) The head portion 20 further includes one or more electrodes and/or antennas 28 for applying energy to tissue for delivering energy to tissue, such as, for example, RF and/or microwave energy received from the generator 14. The antennas 28 can be configured in a monopolar or bipolar configuration. The antennas 28 can be configured with linear, aperture, waveguide, and/or microstrip topologies.

(12) The proximal end 30 of the thermal ablation probe 12 is configured for removably securing the thermal ablation probe 12 to the thermal ablation system 10. Even though FIG. 1 illustrates the proximal end including a luer type connector, other types of connectors or securing mechanisms can be used.

(13) With reference to FIGS. 2-5, there are shown perspective and front views of the head portion 20 of the thermal ablation probe 12. The head portion 20 of the thermal ablation probe 12 defines a tissue-contacting surface 32 having one or more openings 33 defined therein disposed in alignment with the one or more sensors 26 of the sensing system 24. The one or more sensors 26 are configured for sensing the one or more tissue parameters after the tissue-contacting surface 32 contacts tissue (see FIG. 6). The tissue-contacting surface of the sensors 26 is flush with the tissue-contacting surface 32 of the head portion 20.

(14) The sensors 26 may be configured to move or recede within the head portion 20 when the sensors 26 come into contact with tissue and are pressed against the tissue (see FIG. 5). The sensors 26 can be spring-biased as shown by FIG. 5 for moving or receding within the head portion 20 when a force is applied to an external surface of the sensors 26.

(15) The sensors 26 may include one or more skin temperature monitoring devices, such as thermal ablation probes, thermocouples, thermistors, optical fibers and the like, to monitor tissue surface temperature, fluctuation in temperature, and/or rate of temperature change.

(16) In an alternate embodiment shown by FIG. 4, one or more tissue-contacting sensors 34 are provided in additional openings 36 defined in the head portion 20. The tissue-contacting sensors 34 are able to detect contact of the tissue-contacting surface 32 with tissue. The tissue-contacting surface of the sensors 34 is flush with the tissue-contacting surface 32 of the head portion 20.

(17) The tissue-contacting sensors 34 may be configured to move or recede within the head portion 20 when the sensors 34 come into contact with tissue and are pressed against the tissue (see FIG. 5). The sensors 34 may be spring-biased as shown by FIG. 5 for moving or receding within the head portion 20 when a force is applied to an external surface of the sensors 34.

(18) The tissue-contacting sensors 34 can detect contact of the tissue-contacting surface 32 of the head portion 20 by using one or more ultrasonic sensors, infrared sensors or other type of sensors capable of detecting contact of the head portion 20 with tissue.

(19) With reference to FIG. 7, there is shown an exemplary block diagram of the thermal ablation system 10. Besides the components mentioned above, such as the sensors 26, 34, the thermal ablation system 10 includes additional circuit components, including, for example, an integrated circuit 60 (such as, for example, an ASIC) programmed to perform at least one function, such as performing a diagnostic test to ascertain the operability of the sensors 26, 34, a processor or controller 62, and a memory 64, within the head portion 20 and/or the elongated shaft 18. The circuit components receive and process signals from the sensors 26 and, in the alternate embodiment, from the sensors 26 and the tissue-contacting sensors 34.

(20) By processing the signals received from the sensors 26, 34, the processor or controller 62 determine a value corresponding to the one or more tissue parameters, such as tissue temperature, and, in the alternate embodiment, determine if the tissue-contacting surface 32 is in full contact with tissue. A look-up table stored in the memory 64 may be used to correlate the value with the tissue parameter. The look-up table may be stored within the processor 62 or externally within a computing device, such as a personal computer.

(21) The tissue-contacting surface 32 is determined to be in full contact with tissue (as shown by FIG. 5) if the signals received from each of the tissue-contacting sensors 34 indicate that each sensor 34 is in contact with tissue. The received signals can be analyzed by the processor 62 to determine if the signals are indicative of the sensors in full contact with tissue. At least one characteristic of the signal may be analyzed for making this determination, e.g., amplitude or frequency.

(22) The processor or controller 62 may be programmed to prevent or stop operation of the thermal ablation system 10 and/or thermal ablation probe 12 if it is determined that the tissue-contacting surface 32 is not in full contact with tissue. Additionally, the processor 62 may also be programmed to prevent or stop operation of the thermal ablation system 10 and/or thermal ablation probe 12 if it is determined that the tissue parameter(s) is above or below a predetermined threshold stored in memory. For example, the processor 62 can be programmed to prevent operation or stop operation of the thermal ablation system 10 by disabling power to the thermal ablation probe 12, or to the antennas 28, when the tissue temperature is determined to be above, for example, 60 degrees Celsius.

(23) Alternatively, the processor 62 can also be programmed to prevent operation or stop operation of the thermal ablation system 10 if there is a fluctuation in tissue temperature outside a predetermined range or the rate of temperature increase is outside a predetermined range.

(24) The sensors 26, 34 of the sensing system 24 of the various embodiments described herein can form one or more thermal ablation probe arrays or sensing platforms. Each thermal ablation probe array or sensing platform may be independently controlled and/or monitored during a medical procedure. Each sensing platform may include only one type of sensor, or a combination of different types of sensors.

(25) The thermal ablation probe arrays) may be in operative communication with a control system of the thermal ablation system 10 for controlling the operation of the thermal ablation system 10 and/or thermal ablation probe 12 in accordance with the sensed parameter(s). The control system may include, for example, one or more of the circuit components shown by FIG. 6, such as the processor 62. The sensing system 24 according to the present disclosure may be used to monitor in real-time the tissue temperature (or other tissue parameters) during energy delivery and use the information to deduce tissue state during a medical procedure, such as tissue ablation.

(26) The generator 14 is configured to provide electromagnetic energy (e.g., high frequency electrosurgical energy and/or microwave energy at an operational frequency from about 100 kHz to about 10,000 MHz). The thermal ablation probe 12 is shown in the various figures as being able to deliver electrosurgical energy to tissue. The probe 12 can be of the type suitable for delivering microwave energy.

(27) The described embodiments of the present disclosure are intended to be illustrative rather than restrictive, and are not intended to represent every embodiment of the present disclosure. Various modifications and variations can be made without departing from the spirit or scope of the disclosure as set forth in the following claims both literally and in equivalents recognized in law.