Microwave ablation system

Patent metadata

Field	Value
Publication number	US-11678934-B2
Application number	US-201816005067-A
Country	US
Kind code	B2
Filing date	Jun 11, 2018
Priority date	Aug 7, 2012
Publication date	Jun 20, 2023
Grant date	Jun 20, 2023

Abstract

A method for treating tissue through a branched luminal network of a patient is provided. A pathway to a point of interest in branched luminal network of a patient is generated. An extended working channel is advanced transorally into the branched luminal network and along the pathway to the point of interest. The extended working channel may be positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. Tissue at the point of interest is treated.

First claim

What is claimed is:

1. A microwave ablation system comprising:
a microwave energy source;
a microwave ablation catheter for treating tissue, the microwave ablation catheter receiving microwave energy from the microwave energy source and having an inner conductor, an outer conductor, and a balun electrically coupled to the outer conductor;
a guide catheter configured to navigate a patient's airways, the guide catheter including a tool lumen configured to receive the microwave ablation catheter for positioning of the microwave ablation catheter adjacent a target within the patient's lungs;
a probe disposed on the guide catheter for facilitating navigation of the guide catheter within the patient's airways;
a locatable guide configured to be inserted through the tool lumen of the guide catheter while the guide catheter is navigated within the patient's airways; and
an electromagnetic position sensor disposed on a distal tip portion of the locatable guide for electromagnetically tracking a position of the distal tip portion within the patient's airways, the electromagnetic position sensor configured to project from a distal tip of the guide catheter during use of the locatable guide while navigating the guide catheter and the locatable guide within the patient's airways, wherein the locatable guide is configured to be removed from the tool lumen after navigation of the guide catheter and the locatable guide adjacent the target and the microwave ablation catheter is configured to be inserted through the tool lumen and positioned adjacent the target after removal of the locatable guide from the tool lumen.

2. The microwave ablation system according to claim 1 , further comprising a plurality of fluid lumens configured to receive a cooling fluid for cooling the microwave ablation catheter.

3. The microwave ablation system according to claim 2 , wherein the plurality of fluid lumens comprises three lumens substantially forming in a cross-section of the guide catheter a circumference adjacent an inner side of an outer perimeter of the guide catheter.

4. The microwave ablation system according to claim 2 , wherein the plurality of fluid lumens comprises four lumens, the four lumens substantially forming in a cross-section of the guide catheter a circumference adjacent an inner side of an outer perimeter of the guide catheter.

5. The microwave ablation system according to claim 1 , wherein the microwave ablation catheter includes a coaxial cable connected to a microwave energy source at the proximal end of the coaxial cable and connected to a distal radiating section at the distal end of the coaxial cable, and the balun is formed in part from a conductive material extending along at least a portion of the coaxial cable, the conductive material having a braided configuration and covered by at least one insulative material.

6. The microwave ablation system according to claim 5 , wherein at least a portion of the outer conductor is removed to form a feedgap between the distal radiating section and the balun.

7. The microwave ablation system according to claim 1 , wherein the guide catheter further comprises a hub at a proximal end thereof, the hub including at least one fluid intake port and at least one fluid return port configured to provide respective ingress and egress of the cooling fluid to and from the plurality of fluid lumens for cooling the microwave ablation catheter.

8. The microwave ablation system according to claim 1 , wherein an outer surface of a distal end portion of the guide catheter forms a chamber, the chamber surrounding a distal radiating section of the microwave ablation catheter and configured to receive a high boiling point liquid to cool the distal radiating section.

9. The microwave ablation system according to claim 1 , wherein a balloon is configured to be positioned adjacent a distal radiating section of the microwave ablation catheter and is expandable to anchor the distal radiating section within patient's airways.

10. The microwave ablation system according to claim 9 , wherein the balloon is thermally conductive and is configured to dissipate heat from the distal radiating section into a wall of the patient's airways when the distal radiating section is energized.

11. The microwave ablation system according to claim 1 , further comprising at least one temperature sensor disposed proximate a distal radiating section of the microwave ablation catheter and configured to measure a temperature of target tissue while the distal radiating section is energized.

12. A microwave ablation system, comprising:
a microwave energy source;
a microwave ablation catheter configured to couple to the microwave energy source for treating tissue, the microwave ablation catheter including:
an inner conductor, an outer conductor, and a dielectric disposed between the inner and outer conductors; and
a balun electrically coupled to the outer conductor;

a guide catheter configured to navigate a patient's airways, the guide catheter including a lumen configured to receive the microwave ablation catheter for positioning the microwave ablation catheter adjacent a target within the patient's lungs;
a probe disposed on the guide catheter for facilitating navigation of the guide catheter within the patient's airways;
a locatable guide configured to be inserted through the lumen of the guide catheter while the guide catheter is navigated within the patient's airways; and
an electromagnetic position sensor for electromagnetically tracking a position of the locatable guide within the patient's airways, the electromagnetic position sensor configured to project from a distal tip of the guide catheter during use of the locatable guide while navigating the guide catheter and the locatable guide adjacent the target, wherein the locatable guide is configured to be removed from the lumen after navigation of the guide catheter and the locatable guide adjacent the target and the microwave ablation catheter is configured to be inserted through the lumen and positioned adjacent the target after removal of the locatable guide from the lumen.

13. A microwave ablation system, comprising:
a microwave energy source;
a microwave ablation catheter configured to couple to the microwave energy source for treating tissue, the microwave ablation catheter including an inner conductor, a braided outer conductor, and a dielectric disposed between the inner and outer conductors;
a guide catheter configured to navigate a luminal network of a patient, the guide catheter including a lumen configured to receive the microwave ablation catheter for positioning the microwave ablation catheter adjacent a target within the patient's lungs;
a probe disposed on the guide catheter for facilitating navigation of the guide catheter within the luminal network of the patient;
a locatable guide configured to be inserted through the lumen of the guide catheter; and
an electromagnetic position sensor integrally formed with a distal end portion of the locatable guide for electromagnetically tracking a position of the distal end portion of the locatable guide within the luminal network, the electromagnetic position sensor configured to project from a distal tip of the guide catheter during use of the locatable guide to navigate the guide catheter and the locatable guide adjacent the target.

14. The microwave ablation system according to claim 1 , further comprising an electromagnetic navigation system for guiding at least one of the microwave ablation catheter, the guide catheter, or the locatable guide along a planned pathway through the patient's airways to the target.

Assignees

• Covidien Lp

Inventors

• Ladtkow Casey M
• Brannan Joseph D
• Peterson Darion R
• Larson Eric W
• Haley Kaylen J
• Dickhans William J
• Case Jason A

Classifications

• A61B18/1477

  Needle-like probes · CPC title

• A61B5/01

  Measuring temperature of body parts {; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue} (clinical contact thermometers G01K13/20) · CPC title

• A61B2018/00702

  Power or energy · CPC title

• A61B2018/00541

  Lung or bronchi · CPC title

• A61B8/12

  in body cavities or body tracts, e.g. by using catheters · CPC title