Abstract
An end effector structure for tissue ablation powered by microwave energy source and end effector including a microwave antenna surrounded by a segments from microwave absorbing materials. Microwave absorbing material is a material, transparent to microwave energy impregnated with microwave absorbing particles, and has differing microwave transmission and/or absorption characteristics at different locations along the microwave antenna to apply to the desired bi-tissue, a selective amount of microwave and/or heat energy. Microwave transparent material can be ceramic, silicone, fluorosilicone, fluorocarbon, thermoplastic rubber, ethyline propylene diene monomer, urethane etc. Microwave absorbing particles can be from nickel (Ni), copper (Cu), Aluminum (Al), Ag/Cu; Ag/Al; Ag/Ni; Ag/Glass, nickel-plated graphite, silver-plated aluminum, silver-plated copper, silver-plated nickel, silver-plated glass and pure silver etc.
Claims
1. A tissue ablation apparatus to selectively ablate bio-tissue, comprising: an elongated end effector having an outer dimension, including an elongated microwave antenna extending along a length and having an end, a first microwave absorbing material emitting heat in response to microwave energy emitted from said microwave antenna, disposed in contact with said microwave antenna and disposed to provide heat to and allow microwave energy to said bio-tissue and having a first microwave absorption coefficient disposed along said elongated microwave antenna length and within said elongated end effector outer dimension at a first position relative said microwave antenna end, a second microwave absorbing material emitting heat in response to microwave energy emitted from said microwave antenna, disposed in contact with said microwave antenna and disposed to provide heat to and allow microwave energy to said bio-tissue and having a second microwave absorption coefficient disposed along said elongated microwave antenna length and within said elongated end effector outer dimension at a second position over said microwave antenna relative to said microwave antenna end different from said first microwave absorbing heat emitting material first position; and a support connected to said elongated end effector to provide axial and radial positioning of said elongated microwave antenna.
2. The tissue ablation apparatus of claim 1, wherein said first microwave absorbing material and said second microwave material are disposed at different positions along said elongated microwave antenna.
3. The tissue ablation apparatus of claim 1, further including a microwave transparent material disposed around said microwave antenna.
4. The tissue ablation apparatus of claim 1, wherein said first microwave absorbing material includes particles of microwave absorbing materials of different selected particle density and different microwave absorption from said second microwave absorbing material, wherein said first microwave absorbing material is disposed radially around said elongated microwave antenna.
5. The tissue ablation apparatus of claim 4, wherein a portion of said support extends at least partially along said outer dimension.
6. The tissue ablation apparatus of claim 1, further comprising a microwave energy conducting cable connected to said elongated microwave antenna.
7. The tissue ablation apparatus of claim 1, further comprising a metal cover disposed to partially cover said elongated end effector.
8. The tissue ablation apparatus of claim 1, further comprising a metal cover disposed to completely partially cover said elongated end effector.
9. A tissue ablation apparatus to selectively ablate bio-tissue, comprising: an elongated end effector having an outer dimension, including an elongated microwave antenna extending along a length, and a first microwave absorbing material having a first microwave absorption coefficient disposed along said elongated microwave antenna length and within said elongated end effector outer dimension; a tubular metal support connected to and surround said elongated end effector to provide axial and radial positioning of said elongated microwave antenna; and a microwave shield heated by said first microwave absorbing material and which extends at least partially along said elongated microwave antenna length and comprises a microwave shield material and formed to block outward emission of microwave energy from said microwave antenna.
10. The tissue ablation apparatus of claim 9, wherein said microwave shield entirely surrounds said elongated microwave antenna.
11. The tissue ablation apparatus of claim 9, further comprising a microwave energy conducting cable connected to said elongated microwave antenna.
12. The tissue ablation apparatus of claim 9, wherein said tubular metal support has a curvature across its length, and further comprising a metal cover having substantially the same curvature as said tubular support curvature, disposed to partially cover said elongated end effector antenna.
13. The tissue ablation apparatus of claim 9, further comprising a metal cover disposed to completely cover said first microwave absorbing material.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The above and other aspects, features and advantages of the present invention will become more apparent from the following detailed description when taken in conjunction with the accompanying drawing in which:
(2) FIG. 1 illustrates an isometric view tissue-treating end effector of one embodiment of the present invention;
(3) FIG. 2 illustrates an elevation view of the embodiment of FIG. 1 of the present invention;
(4) FIG. 3 shows a sectional view A-A of the embodiment of the present invention of FIG. 1;
(5) FIG. 4 shows a sectional view A-A of a second embodiment of the present invention;
(6) FIG. 5 shows a sectional view A-A of a third embodiment of the present invention;
(7) FIG. 6 shows a sectional view A-A of a fourth embodiment of the present invention;
(8) FIG. 7 illustrates an isometric view of tissue-treating end effector of the present invention of a fifth embodiment of the present invention;
(9) FIG. 8 illustrates a plan view tissue-treating end effector of the present invention of the fifth embodiment;
(10) FIG. 9 shows a sectional view B-B of the fifth embodiment of invention;
(11) FIG. 10 illustrates an isometric view of tissue-treating end effector of the present invention of the sixth embodiment of the present invention;
(12) FIG. 11 illustrates an exploded view of tissue-treating end effector of the present invention of the sixth embodiment of the present invention;
(13) FIG. 12 illustrates a plan view tissue-treating end effector of the present invention of the sixth embodiment; and
(14) FIG. 13 shows a sectional view C-C of the sixth embodiment of invention.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
(15) Various embodiments of the present invention are described in detail with reference to the accompanying drawings. Wherever possible, the same or similar reference numerals are used in the drawings and the description to refer to the same or like parts or steps. In the following description, specific details are provided to provide an overall understanding of embodiments of the present invention and those skilled in the art will recognize that various changes and modifications of the embodiments described herein can be made without departing from the scope and spirit of the invention. Descriptions of well-known functions and constructions are omitted for the sake of clarity and conciseness.
(16) FIG. 1 and FIG. 2 show general views of an end effector of a first embodiment of present invention. The first embodiment 10 of this invention as shown on in the sectional view of FIG. 3, the end effector including a microwave antenna 12 having a length, and is surrounded by the two segments 4, 6 (in this embodiment) made from microwave absorbing material.
(17) In the sectional view of FIG. 3, in one embodiment, the microwave antenna is connected to the center conductor of a coaxial cable 8, held in a supporting cannula 2 and the cable is connected to a microwave power source (not shown) providing microwave power sufficient to cause the desired ablation. A first segment 4 is located distally from end 5 (end 5 is inserted into bio-tissue) of the end effector and is made from a microwave absorbing material with a high density of particles and segment 6, is located at the proximal to the end 5 of the end effector, is made from microwave absorbing material with a lower density of particles. When microwave antenna 12 emits microwave energy, the ablated tissue 54A, 54B and non-ablated tissue 52 will look like it is shown on FIG. 3 where the depth 56A of ablated tissue area 54A around segment 4 is less as compared to the depth 56B of the ablated tissue area 54B around segment 6. Segment 4 will transform most microwave energy into the heat energy and will heat mostly tissue layers in direct contact with the surface of segment 4, while segment 6 will allow more microwave energy to be transmitted through and ablate deeper layers of tissue by direct application of microwave energy through the less microwave absorbing segment 6. As an example, the segment 4 (with low volume resistivity) can be made from Ja-Bar Silicone Corporation material 807, which is made of silicone with silver particles dispersed inside it. This material has volume resistivity 0.010 ohm-cm, while segment 6 (with high volume resistivity) made from material 852 from Ja-Bar Silicone Corporation, which is made of silicone with nickel particles dispersed inside it, and it has volume resistivity of 2 ohm-cm. Additionally, the circumference and shape of the segments 4, 6 may be different and/or have a varied cross-section.
(18) As it is shown in the second embodiment 20 of FIG. 4, a microwave antenna 12 is surrounded by three segments 14, 16, and 18 made from a microwave absorbing material having different dimensions. The two segments 14 and 18 are located distally and proximally to end 5 and correspondingly and are made from a microwave absorbing material with low volume resistivity (e.g. by high particle density), while segment 16, located between segments 14 and 18, is made from a microwave absorbing material with high volume resistivity. When microwave antenna 12 emits microwave energy, the ablated tissue areas 54C, 54D, 54E and non-ablated tissue 52 will look like it is shown on FIG. 4 where the ablated tissue areas 54C and 54E around segments 14 and 18 respectively, are ablated less in depth 56C and 56E as compared to tissue area 54D around segment 16 having depth 56D.
(19) As it shown in the third embodiment 30 of FIG. 5, the microwave antenna 12 is surrounded by three segments 22, 24, 26, and two of them—22 and 24—are made from a microwave absorbing material and segment 26 is made from a material, such as ceramic, nylon ABS, etc., that is transparent, or substantially transparent, to microwave energy. The transparent materials have no effect on microwave energy when microwaves pass thru them. Two segments 22 and 24 are placed on either side of segment 26, which is located between them. When the microwave antenna 12 emits microwave energy, the ablated tissue areas 54F, 54G, 54H and non-ablated tissue 52 will look like it is shown on FIG. 5 where ablated tissue area 54F an 54H around segments 22 and 24 are ablated less in depth (56F and 56H) as compared to tissue area around segment 26 having depth 56G, since the segment 26 does not absorb substantially any microwave energy.
(20) The fourth embodiment 40 of the present invention is shown on FIG. 6, wherein the microwave antenna 12 is surrounded by five segments—two of them 28 and 34 made from a microwave absorbing material with low volume resistivity, with segment 32 made from a microwave absorbing material with high volume resistivity, while two other segments 26 are made from a material that is transparent to microwave energy. When the microwave antenna 12 emits microwave energy, the ablated tissue area 54 and the non-ablated tissue 52 will look like it is shown on FIG. 6. The ablated tissue areas 54J and 54N around segments 28 and 34, respectively, are ablated less in depth (56J and 56N respectively) as compared to the tissue area 54L having depth 56L around segment 32, and the ablated tissue area 54L around segment 32 is ablated less in depth 56L as compared to the ablated tissue areas 54K and 54M around segments 26 having depths 56K and 56M, respectively.
(21) The present invention includes embodiments having different segment configurations and/or dimensions radially around the antenna 12. For example, a fifth embodiment 50 of this invention is shown on FIG. 7, FIG. 8 and FIG. 9 that addresses the scenario when it is required to ablate some tissue area but without any thermal ablation effect to some other tissue area. As it is shown on FIG. 9, the microwave antenna 12 is surrounded by microwave absorbing material 46. A segment of the end effector, covered by metal segment 36A of cannula 36 (spaced apart from microwave antenna 12), and a thermal insulation material 58 which is positioned at least partially along the microwave absorbent material 46, and it also may be parallel to the microwave antenna at a selected distance between the segment 36A of cannula 36 and the microwave absorbing material 46. When microwave antenna 12 emits microwave energy, only the tissue area 54P which is not covered or shielded by the metal segment 36 and the thermal insulation material 56, will have a thermal effect from the end effector and be ablated to a selected depth 56P. The tissue area 52 will not have a thermal effect and thus have no ablation.
(22) The present invention includes embodiments having different segment configurations and/or dimensions radially around the antenna 12. For example, the sixth embodiment 60 of this invention is shown on FIG. 10, FIG. 11, FIG. 12 and FIG. 13 that addresses the scenario when it is required to ablate only a small amount of tissue that is in direct contacted with the end effector without heating and ablating deeper tissue areas. This heating of tissue which is in direct contact with the end effector is performed only by conduction of heat from the surface of the end effector (metal end effector cap 62) to the tissue in direct contacted with end effector. As it is best shown on FIG. 11 and FIG. 13, the microwave antenna 12 is surrounded by insert 64 made from microwave absorbing material, and the insert 64 is covered by the end effector cap 62 made from metal (preferably stainless steel). When the microwave antenna 12 emits microwave energy, the microwave absorbing material of insert 64 will convert microwave energy into the heat energy, thus heating the insert. The insert 64 then conducts the heat to the end effector cap 62. The end effector cap 62 will get heated and will ablate by conductivity of the tissue that is in direct contact with the end effector. Because the end effector cap 62 is made from metal, it will block microwave energy from escaping from the end effector and will prevent microwave energy from making any undesirable effects to the tissue and accordingly ablate bio-tissue 54R to a selected depth 56R around segment 62.
(23) While the invention has been shown and described with reference to an exemplary embodiment thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention.
