Electrosurgical snare

Patent metadata

Field	Value
Publication number	US-11344360-B2
Application number	US-201916555941-A
Country	US
Kind code	B2
Filing date	Aug 29, 2019
Priority date	Jul 11, 2013
Publication date	May 31, 2022
Grant date	May 31, 2022

Abstract

An electrosurgical snare, e.g. suitably sized for insertion down the instrument channel of an endoscope, arranged to radiate microwave frequency energy (e.g. having a frequency greater than 1 GHz) from an elongate conductive element within an area encircled by a retractable loop. The elongate conductive element and retractable loop may be independently slidable relative to a snare base at a distal end of a sleeve to provide an appropriate device configuration. By controlling the shape of the emitted microwave field, the risk of collateral thermal damage can be reduced.

First claim

The invention claimed is:

1. A surgical snare comprising:
a retractable loop for encircling an area containing biological tissue;
a radiating structure arranged to radiate microwave frequency energy into the area encircled by the retractable loop;
a coaxial cable for conveying the microwave frequency energy to the radiating structure, the coaxial cable comprising an inner conductor, an outer conductor surrounding and coaxial with the inner conductor, and a dielectric material separating the inner conductor and the outer conductor; and
a snare base at a distal end of the coaxial cable, wherein the retractable loop is retractable relative to the coaxial cable towards the snare base, and
wherein the radiating structure consists of a curved conductive portion partially bounding the area encircled by the retractable loop, the curved conductive portion being connected to the inner conductor of the coaxial cable and electrically insulated from the outer conductor of the coaxial cable to act as a radiating microwave monopole antenna,
wherein the curved conductive portion comprises a guide for the retractable loop, and
wherein the guide comprises an opening, the retractable loop extending through the opening and a length of the retractable loop that protrudes from the opening being adjustable.

2. A surgical snare according to claim 1 , wherein the curved conductive portion extends between two ends, which are spaced at equal distances from a connection point at which the inner conductor of the coaxial cable is connected to the curved conductive portion.

3. A surgical snare according to claim 2 , wherein an electrical length between the ends of the curved conductive portion is

(

2
⁢

⁢
n

-
1

)

⁢

λ
L

4

,

where λ L is a wavelength of the microwave frequency energy when propagating through the biological tissue, and n is a positive integer.

4. A surgical snare according to claim 2 , wherein an electrical length of the curved conductive portion is 10 mm or more.

5. A surgical snare according to claim 1 , wherein the curved conductive portion comprises a pair of flexible prongs extending from the distal end of the coaxial cable.

6. A surgical snare according to claim 5 having a tubular end cap mounted at the distal end of the coaxial cable, wherein the curved conductive portion and tubular end cap are movable relative to each other between:
a stored configuration in which the curved conductive portion is surrounded by the tubular end cap, and
a deployed configuration in which the curved conductive portion protrudes beyond a distal end of the tubular end cap.

7. A surgical snare according to claim 6 , wherein the tubular end cap has an outer diameter less than 2.6 mm.

8. A surgical snare according to claim 1 , wherein the guide comprises a hollow tubular section with the opening at one end thereof, wherein the retractable loop extends along the hollow tubular section and through the opening.

9. A surgical snare according to claim 8 , wherein the opening of the hollow tubular section is at a first end of the curved conductive portion and wherein the retractable loop includes a wire that is fixed to a second end of the curved conductive portion.

10. Electrosurgical apparatus comprising:
a microwave signal generator for outputting microwave frequency energy having a frequency of 1 GHz or more, and
a surgical snare according to claim 1 connected to receive the microwave frequency energy and deliver it through the coaxial cable to be emitted as a microwave frequency field by the curved conductive portion.

11. A surgical snare comprising:
a retractable loop for encircling an area containing biological tissue;
a radiating structure arranged to radiate microwave frequency energy into the area encircled by the retractable loop;
a coaxial cable for conveying the microwave frequency energy to the radiating structure, the coaxial cable comprising an inner conductor, an outer conductor surrounding and coaxial with the inner conductor, and a dielectric material separating the inner conductor and the outer conductor; and
a snare base at a distal end of the coaxial cable, wherein the retractable loop is retractable relative to the coaxial cable towards the snare base,
wherein the radiating structure consists of a conductive portion formed in or on the retractable loop, the conductive portion being connected to receive microwave power from the coaxial cable and configured to radiate the received microwave frequency energy into the area encircled by the retractable loop,
wherein the conductive portion comprises a guide for the retractable loop, and
wherein the guide comprises an opening, the retractable loop extending through the opening and a length of the retractable loop that protrudes from the opening being adjustable.

12. A surgical snare according to claim 11 , wherein an electrical length of the conductive portion around the retractable loop is

(

2
⁢

⁢
n

-
1

)

⁢

λ
L

4

,

where λ L is a wavelength of the microwave frequency energy when propagating through the biological tissue, and n is a positive integer.

13. A surgical snare according to claim 11 , wherein the retractable loop comprises a wire having a first end fixed at the distal end of the coaxial cable, and a second end whose position relative to the distal end of the coaxial cable is adjustable, and wherein the conductive portion extends around the retractable loop from the first end.

14. A surgical snare according to claim 11 , wherein the conductive portion comprises a length of coaxial cable that is shorted at its distal end and along which portions of the outer conductor are periodically removed to permit radiation therefrom.

15. Electrosurgical apparatus comprising:
a microwave signal generator for outputting microwave frequency energy having a frequency of 1 GHz or more, and
a surgical snare according to claim 11 connected to receive the microwave frequency energy and deliver it through the coaxial cable to be emitting as a microwave frequency field by the conductive portion.

Assignees

• Creo Medical Ltd

Inventors

• Hancock Christopher Paul
• White Malcolm
• Gulliford Craig
• Saunders Brian
• Holmes Sandra May Bernadette

Classifications

• A61B2018/1861

  with an instrument inserted into a body lumen or cavity, e.g. a catheter · CPC title

• A61B17/32056 Primary

  Surgical snare instruments (for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26) · CPC title

• A61B2018/1853

  Monopole antennas · CPC title

• A61B2018/00589

  Coagulation · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title