Targeted cooling of deployable microwave antenna and methods of use
View Patent ↗The present disclosure relates to devices and methods for the treatment of tissue with microwave energy. The devices and methods disclosed herein utilize an antenna assembly which includes an elongate member, an outer conductor, an inner conductor, at least a portion of which is deployable, and a cooling system. The cooling system disclosed herein may significantly curtail any theoretical, or potential negative effects upon the target tissue experienced during the transmission of microwave energy to the antenna assembly due to ohmic heating.
1. A microwave ablation probe, comprising: an elongated shaft defining a longitudinal axis and having proximal and distal ends; an outer conductor disposed along the longitudinal axis within the elongated shaft; a dielectric material disposed coaxially within the outer conductor; an antenna disposed coaxially within the dielectric material and movable between a proximal non-deployed position wherein the antenna is substantially within the outer conductor, and a distal deployed position wherein the antenna extends distally from the outer conductor, the antenna comprising: an inner conductor disposed coaxially within the dielectric material; and a cooling sleeve disposed coaxially about a the distal portion of the inner conductor having a cooling chamber defined therein; at least one inflow conduit in fluid communication with the cooling chamber and configured to deliver coolant thereto; and at least one outflow conduit in fluid communication with the cooling chamber and configured to remove coolant therefrom.
2. The microwave ablation probe according to claim 1 , wherein the cooling chamber includes a baffle radially separating the cooling chamber into a first cooling region and a second cooling region.
3. The microwave ablation probe in accordance with claim 2 , wherein the at least one inflow conduit includes a first inflow conduit in fluid communication with the first cooling chamber and a second inflow conduit in fluid communication with the second cooling chamber; and
wherein the at least one outflow conduit includes a first outflow conduit in fluid communication with the first cooling chamber and a second outflow conduit in fluid communication with the second cooling chamber.
4. The microwave ablation probe in accordance with claim 1 , further including at least one temperature sensor configured to sense a temperature of the antenna.
5. The microwave ablation probe in accordance with claim 1 , wherein the inner conductor is laterally biased such that, when in the distal deployed position, the inner conductor assumes a curvate shape.
6. The microwave ablation probe in accordance with claim 5 , wherein in the distal deployed position, the curvate shape of the inner conductor defines an arc of up to about ninety degrees.
7. The microwave ablation probe in accordance with claim 1 , wherein the cooling sleeve is formed from a substantially rigid material.
8. The microwave ablation probe in accordance with claim 1 , wherein the cooling sleeve is formed from a substantially non-rigid material.
9. A method of performing microwave ablation, comprising: providing a microwave ablation probe comprising: an elongated shaft defining a longitudinal axis and having proximal and distal ends; an outer conductor disposed along the longitudinal axis within the elongated shaft; a dielectric material disposed coaxially within the outer conductor; an inner conductor disposed coaxially within the dielectric material; an antenna disposed coaxially within the elongated shaft and movable between a proximal non-deployed position wherein the antenna is substantially within the shaft, and a distal deployed position wherein the antenna extends distally from the shaft, the antenna assembly having a cooling sleeve having a plurality of cooling chambers disposed coaxially about an inner conductor configured to deliver microwave energy to tissue; a plurality of inflow conduits, each one of the plurality of inflow conduits in fluid communication with a corresponding one of the plurality of cooling chambers; and a plurality of outflow conduits, each one of the plurality of outflow conduits in fluid communication with a corresponding one of the plurality of cooling chambers; and a plurality of temperature sensors, each one of the plurality of temperature sensors in thermal communication with a corresponding one of the plurality of cooling chambers; selecting a target temperature for at least one corresponding one of the plurality of cooling chambers; delivering microwave ablation energy to tissue via the antenna; sensing a temperature of at least one of the plurality of temperature sensors; comparing the sensed temperature to the target temperature; and regulating the flow of coolant to at least one of the cooling chambers to maintain the sensed temperature below the target temperature.
10. A method of performing microwave ablation in accordance with claim 9 , further comprising extending the antenna from the proximal non-deployed position to the distal deployed position.
11. A method of performing microwave ablation in accordance with claim 9 , wherein the coolant is selected from the group consisting of water, saline, liquid chlorodifluoromethane, perfluorocarbon fluid, air, nitrous oxide, nitrogen, and carbon dioxide.
12. A method of performing microwave ablation in accordance with claim 9 , wherein the flow of coolant is regulated by varying the output of a peristaltic pump.
13. A method of performing microwave ablation in accordance with claim 9 , further comprising regulating the delivery of microwave energy to tissue to maintain the sensed temperature below the target temperature.
14. A method of performing microwave ablation in accordance with claim 9 , further comprising monitoring a physiological signal; and
regulating the delivery of microwave energy to tissue in response to the physiological signal.
15. A method of performing microwave ablation in accordance with claim 14 , wherein the physiological signal comprises an EKG signal.
16. A microwave ablation probe, comprising: an elongated shaft defining a longitudinal axis and having proximal and distal ends; an outer conductor disposed along the longitudinal axis within the elongated shaft; a dielectric material disposed coaxially within the outer conductor; an inner conductor disposed coaxially within the dielectric material; an antenna member disposed coaxially within the elongate shaft and movable between a proximal non-deployed position wherein the antenna member is substantially within the shaft, and a distal deployed position wherein the antenna member extends distally from the shaft, the antenna assembly including a cooling sleeve having a plurality of cooling chambers disposed coaxially about an inner conductor configured to deliver microwave energy to tissue; a plurality of inflow conduits, each one of the plurality of inflow conduits in fluid communication with a corresponding one of the plurality of cooling chambers; and a plurality of outflow conduits, each one of the plurality of outflow conduits in fluid communication with a corresponding one of the plurality of cooling chambers; and a plurality of temperature sensors, each one of the plurality of temperature sensors associated with a corresponding one of the plurality of cooling chambers and configured to sense a temperature thereof.
17. The microwave ablation probe in accordance with claim 16 , wherein the plurality of cooling chambers are separated by at least one baffle radially positioned therebetween.
18. The microwave ablation probe in accordance with claim 17 , wherein the baffle is configured to substantially prevent fluid communication between the plurality of cooling chambers.
19. The microwave ablation probe in accordance with claim 16 , wherein a first of the plurality of cooling chambers includes a first axial dimension and a second of the plurality of cooling chambers includes a second axial dimension that is different from the first axial dimension.
20. The microwave ablation probe in accordance with claim 16 , wherein a first of the plurality of cooling chambers includes a first radial dimension and a second of the plurality of cooling chambers includes a second radial dimension that is different from the first radial dimension.