Needle structure and method of performing needle biopsies
A biopsy needle having a longitudinal channel formed within an inner conductor of a coaxial antenna is disclosed. The coaxial antenna terminates in a rigid insertion tip e.g. a ceramic cone that is insertable into biological tissue. Microwave energy (e.g. having a frequency of 1 to 100 GHz) delivered to the coaxial antenna is emitted at the insertion tip. The insertion tip may be arranged to match the impedance of the coaxial antenna to a predetermined tissue impedance. The emitted radiation can be used to measure properties of or treat (e.g., ablate) tissue at the insertion tip. Needle biopsy apparatus is also disclosed, in which a microwave energy is controllably delivered to a needle from a microwave generator. The apparatus may include an impedance tuner to dynamically match the impedance of the needle with tissue at the insertion tip.
1. Surgical apparatus for introducing material through a needle into biological tissue, the apparatus comprising:
a power source for delivering microwave energy,
a needle that is insertable into biological tissue, the needle having:
an elongate body terminating at a distal end with an insertion tip and at a proximal end with a microwave connector;
a coaxial cable connected between the power source and the microwave connector;
a longitudinal channel formed within the elongate body for transporting material to or from the tissue, wherein the longitudinal channel extends through the insertion tip and terminates at an opening in the insertion tip; and
a coaxial antenna comprising an inner conductor along an inside wall of the longitudinal channel and an outer conductor coaxial with the inner conductor and separated from it by a first dielectric material,
wherein the insertion tip is made from a second dielectric material and is arranged to create a matched condition between the first dielectric material and a representative tissue impedance for the microwave energy;
wherein the needle is connected to the power source via a first signal path and a second signal path to receive energy from the power source, and the coaxial antenna is connected to couple the received energy into biological tissue at the insertion tip, and
wherein the energy delivered on the first signal path has a first frequency and the energy delivered on the second signal path has a second frequency greater than the first frequency.
2. Surgical apparatus according to claim 1 , wherein the inner conductor is a conductive tube having a diameter of about 0.5 mm and a wall thickness of about 0.01 mm.
3. Surgical apparatus according to claim 1 , wherein the insertion tip comprises a rigid element attached to the first dielectric material of the coaxial antenna, the rigid element extending away from the outer conductor at a distal end of the elongate body.
4. Surgical apparatus according to claim 1 , wherein the needle is insertable through any one of an endoscope, a bronchoscope and a cystoscope.
5. Surgical apparatus according to claim 1 including a controller arranged to control the amount of energy delivered into the biological tissue.
6. Surgical apparatus according to claim 1 , wherein the needle is arranged to convey a material through the longitudinal channel to react with the energy delivered from the coaxial antenna.
7. Surgical apparatus according to claim 1 , wherein the needle is arranged to convey a radioactive implant through the longitudinal channel.