Directional microwave ablation instrument with marking device

Abstract

A directional ablation instrument for ablation of a targeted tissue. The instrument includes a transmission line having a proximal portion suitable for connection to an electromagnetic energy source, and an elongated antenna device having a longitudinal axis and an end coupled to the transmission line. The antenna is adapted to generate an electric field sufficiently strong to cause tissue ablation of the targeted tissue. An elongated support assembly includes a central axis, and a ablation surface extending longitudinally along an exterior surface portion of the support assembly. The support assembly is configured to receive the antenna device in the ablation surface such that the longitudinal axis of the antenna device is offset from the support assembly central axis. Further, the antenna device is oriented toward the surface portion for positioning of the antenna device substantially adjacent to or in contact with the targeted tissue during operable use.

In the claims:  
     
         1 . A directional ablation instrument for ablation of a targeted tissue comprising: 
 a transmission line having a proximal portion suitable for connection to an electromagnetic energy source;    an elongated antenna device having a central axis and an end coupled to the transmission line to generate an electric field sufficiently strong to cause tissue ablation of the targeted tissue; and    an elongated antenna assembly coupled to the tubular member and having a central axis, said antenna being located within said antenna assembly, wherein the central axis of said antenna is off-set from the central axis of the antenna assembly.    
     
     
         2 . The ablation instrument of  claim 1  wherein 
 said antenna assembly includes an elongated ablation surface extending longitudinally along an exterior surface portion of the antenna assembly, said ablation surface being adapted to be positioned adjacent to or in contact with the targeted tissue during operable use of the antenna.  
 
     
     
         3 . The ablation instrument according to  claim 2 , wherein 
 said antenna assembly is adapted to direct the majority of the electromagnetic field generally in a predetermined direction across the ablation surface.    
     
     
         4 . The ablation instrument of  claim 3  wherein 
 said ablation surface includes window portion spaced from the antenna, and substantially transparent to said electric field.  
 
     
     
         5 . The ablation instrument according to  claim 3 , wherein 
 said antenna is configured to generate said electromagnetic field substantially radially from the longitudinal axis thereof, and    said antenna assembly includes an elongated shield extending partially around and generally in the direction of the longitudinal axis of the antenna, said shield defining an opening aligned with said ablation surface and adapted to direct said majority of the electromagnetic field generally in said predetermined direction.    
     
     
         6 . The ablation instrument according to  claim 5 , wherein 
 said shield has a substantially C-shaped transverse, cross-sectional dimension adapted to direct the majority of the electromagnetic field out of the opening thereof.    
     
     
         7 . The ablation instrument according to  claim 5 , wherein said shield comprises a metallic reflector.  
     
     
         8 . The ablation instrument according to  claim 5 , further including: 
 a dielectric material disposed between the antenna and the shield in a manner substantially isolating said antenna from direct contact with the shield.    
     
     
         9 . The ablation device of  claim 8  wherein said dielectric material comprises air.  
     
     
         10 . The ablation device of  claim 8  wherein 
 said dielectric material is selected from the group of materials comprising silicone, Teflon, polyimide, and polyethylene.  
 
     
     
         11 . The ablation instrument according to  claim 8  wherein, 
 said dielectric material defines a recess formed and dimensioned for receipt of said antenna therein, and aligned to communicate with the ablation surface to direct said majority of the field generally in said predetermined direction.  
 
     
     
         12 . The ablation instrument according to  claim 1  further including: 
 a bendable, malleable tubular shaft having a proximal portion and a distal portion coupled to said shield device, said transmission line being disposed in said tubular shaft from the proximal portion to the distal portion thereof.  
 
     
     
         13 . The ablation instrument according to  claim 12  further including: 
 a handle mounted to the proximal end portion of said tubular shaft.  
 
     
     
         14 . The ablation instrument according to  claim 1 , wherein 
 said antenna comprises a helical antenna coil that is adapted to radiate electromagnetic energy in the microwave frequency range.    
     
     
         15 . The ablation instrument according to  claim 14  wherein: 
 the transmission line is a coaxial transmission line suitable for transmission of microwave energy at frequencies in the range of approximately 800 to 6000 megahertz, the coaxial transmission line having a center conductor, an outer shield and a dielectric material disposed between the center conductor and outer shield.  
 
     
     
         16 . An ablation device comprising: 
 (a) an elongated tubular member having a proximal end portion, a distal end portion, and at least one lumen therein, said lumen having a longitudinal centerline;    (b) a transmission line located within said lumen and having a proximal portion suitable for connection to an energy source; and    (c) an elongated energy delivery portion coupled to the transmission line near the distal end portion of the tubular member which is configured to generate an electromagnetic field sufficient to effect ablation of a tissue surface at a target site within a body of a patient; said energy delivery portion having a longitudinal centerline which is offset from the centerline of said tubular member.    
     
     
         17 . The ablation instrument of  claim 16  further including: 
 an elongated antenna assembly coupled to the tubular member and having a central axis, said antenna being located within said antenna assembly, wherein the central axis of said antenna is off-set from the central axis of the antenna assembly.  
 
     
     
         18 . The ablation instrument of  claim 17  wherein 
 said antenna assembly includes an elongated ablation surface extending longitudinally along an exterior surface portion of the antenna assembly, said ablation surface being adapted to be positioned adjacent to or in contact with the targeted tissue during operable use.  
 
     
     
         19 . The ablation instrument according to  claim 18 , wherein 
 said antenna assembly is adapted to direct the majority of the electromagnetic field generally in a predetermined direction across the ablation surface.    
     
     
         20 . The ablation instrument of  claim 18  wherein 
 said ablation surface comprises a substantially transparent window portion spaced from the antenna.  
 
     
     
         21 . The ablation instrument according to  claim 18 , wherein 
 said antenna is configured to generate said electromagnetic field substantially radially from the longitudinal axis thereof, and    said antenna assembly includes an elongated shield extending partially around and generally in the direction of the longitudinal axis 'of the antenna, said shield defining an opening aligned with said ablation surface and adapted to direct said majority of the electromagnetic field generally in said predetermined direction.    
     
     
         22 . The ablation instrument according to  claim 21 , wherein 
 said shield has a substantially C-shaped transverse, cross-sectional dimension adapted to direct the majority of the electromagnetic field out of the opening thereof.    
     
     
         23 . The ablation instrument according to  claim 21 , wherein said shield comprises a metallic reflector.  
     
     
         24 . The ablation instrument according to  claim 21 , further including: 
 a dielectric material disposed between the antenna and the shield in a manner substantially isolating said antenna from direct contact with the shield.    
     
     
         25 . The ablation device of  claim 24  wherein said dielectric material comprises air.  
     
     
         26 . The ablation device of  claim 24  wherein 
 said dielectric material is selected from the group of materials comprising silicone, Teflon, polyimide, and polyethylene.  
 
     
     
         27 . The ablation instrument according to  claim 24  wherein, 
 said dielectric material defines a recess formed and dimensioned for receipt of said antenna therein, and aligned to communicate with the ablation surface to direct said majority of the field generally in said predetermined direction.  
 
     
     
         28 . The ablation instrument according to  claim 17  further including: 
 a handle mounted to the proximal portion of said tubular member.  
 
     
     
         29 . The ablation instrument according to  claim 17 , wherein 
 said antenna comprises a helical antenna coil that is adapted to radiate electromagnetic energy in the microwave frequency range.    
     
     
         30 . The ablation instrument according to  claim 29  wherein: 
 the transmission line is a coaxial transmission line suitable for transmission of microwave energy at frequencies in the range of approximately 800 to 6000 megahertz, the coaxial transmission line having a center conductor, an outer shield and a dielectric material disposed between the center conductor and outer shield.