Electrosurgical apparatus and method of tissue ablation

Patent metadata

Field	Value
Publication number	US-12268441-B2
Application number	US-202218061659-A
Country	US
Kind code	B2
Filing date	Dec 5, 2022
Priority date	May 4, 2017
Publication date	Apr 8, 2025
Grant date	Apr 8, 2025

Abstract

An electrosurgical apparatus for treating fluid-filled biological growths by replacing the fluid within the growth with a substance that assists in delivering treatment energy. The treatment energy may be microwave energy or may be thermal energy derived from microwave energy. The apparatus comprises an instrument having a radiating tip portion, and a fluid delivery mechanism for transporting fluid to and from a treatment zone located around the radiating tip portion. The fluid delivery mechanism comprises a rigid insertion element arranged to extend into the treatment zone, whereby fluid can be aspirated from the treatment zone, and a substance injected into the treatment zone to replace the aspirated fluid. The injected substance has dielectric properties selected to facilitate uniform delivery of treatment energy to biological tissue in the treatment zone.

First claim

The invention claimed is:

1. An electrosurgical apparatus for treating a biological growth that contains a fluid-filled sac, the apparatus comprising:
an electrosurgical instrument for delivering microwave energy into biological tissue, the electrosurgical instrument comprising:
a coaxial cable for conveying microwave energy; and
a radiating tip portion disposed at a distal end of the coaxial cable to receive microwave energy from the coaxial cable; and

a fluid delivery mechanism for transporting fluid to and from a treatment zone located around the radiating tip portion,
wherein the fluid delivery mechanism comprises:
a flexible fluid conveying conduit that extends along the coaxial cable, and
a rigid insertion element in fluid communication with a distal end of the fluid conveying conduit and arranged to extend into the treatment zone,

wherein the fluid delivery mechanism is arranged:
to aspirate fluid from the treatment zone, and
to inject a substance into the treatment zone to replace the aspirated fluid, and

wherein the substance has dielectric properties selected to facilitate uniform delivery of treatment energy to biological tissue in the treatment zone, and
wherein the coaxial cable comprises an inner conductor, an outer conductor, and a first dielectric material separating the inner conductor and outer conductor, and wherein the inner conductor is hollow to provide a passageway for the fluid delivery mechanism.

2. An electrosurgical apparatus according to claim 1 , wherein the treatment zone includes a fluid-filled sac contained within a biological growth, whereby the fluid delivery mechanism is arranged to replace biological fluid in the fluid-filled sac with the substance.

3. An electrosurgical apparatus according to claim 1 , wherein the fluid delivery mechanism is arranged to inject a volume of the substance into the treatment zone that is equal to a volume of the fluid aspirated from the treatment zone.

4. An electrosurgical apparatus according to claim 1 , wherein the substance consists of a dielectric fluid.

5. An electrosurgical apparatus according to claim 1 , wherein the substance comprises de-ionised water or saline.

6. An electrosurgical apparatus according to claim 1 , wherein the substance extends the radiating tip portion.

7. An electrosurgical apparatus according to claim 1 , wherein the rigid insertion element is in fluid communication with the flexible fluid conveying conduit via the passageway.

8. An electrosurgical apparatus according to claim 1 , wherein the rigid insertion element is slidably mounted in the passageway.

9. An electrosurgical apparatus according to claim 1 , wherein the rigid insertion element is movable between an exposed position where it protrudes beyond the distal end of the electrosurgical instrument, and a retracted position in which it is set back from the distal end of the electrosurgical instrument.

10. An electrosurgical apparatus according to claim 1 , wherein the electrosurgical instrument comprises an ultrasound probe for producing images of a patient's internal organs.

11. An electrosurgical apparatus according to claim 1 , further comprising:
a generator for generating the microwave energy; and
a surgical scoping device for non-percutaneous insertion into a patient's digestive tract, the surgical scoping device having an instrument channel running along its length,
wherein the electrosurgical instrument and fluid delivery mechanism are conveyed within the instrument channel of the surgical scoping device, and
wherein the coaxial cable is connected to receive the microwave energy from the generator.

Assignees

• Creo Medical Ltd

Inventors

• Hancock Christopher Paul
• Burn Patrick
• Campion Charlie
• Turner Louis

Classifications

• A61M2025/0089

  Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip · CPC title

• A61M25/0084

  being one or more injection needles · CPC title

• A61B2218/007

  Aspiration · CPC title

• A61B2218/002

  Irrigation · CPC title

• A61B2018/1861

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