US20150057651A1 - Fluid cooled choke dielectric and coaxial cable dielectric - Google Patents

Fluid cooled choke dielectric and coaxial cable dielectric Download PDF

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Publication number
US20150057651A1
US20150057651A1 US14/532,337 US201414532337A US2015057651A1 US 20150057651 A1 US20150057651 A1 US 20150057651A1 US 201414532337 A US201414532337 A US 201414532337A US 2015057651 A1 US2015057651 A1 US 2015057651A1
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fluid
feedline
low
dielectric
supply
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Kenlyn S. Bonn
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Covidien LP
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Covidien LP
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01QANTENNAS, i.e. RADIO AERIALS
    • H01Q1/00Details of, or arrangements associated with, antennas
    • H01Q1/27Adaptation for use in or on movable bodies
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01QANTENNAS, i.e. RADIO AERIALS
    • H01Q9/00Electrically-short antennas having dimensions not more than twice the operating wavelength and consisting of conductive active radiating elements
    • H01Q9/04Resonant antennas
    • H01Q9/16Resonant antennas with feed intermediate between the extremities of the antenna, e.g. centre-fed dipole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00166Multiple lumina
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1892Details of electrical isolations of the antenna

Definitions

  • the present disclosure relates generally to microwave surgical devices having a microwave antenna which may be inserted directly into tissue for diagnosis and treatment of diseases. More particularly, the present disclosure is directed to a microwave antenna having a cooled coaxial feed, radiating section and balun choke dielectric and a method of manufacturing the same.
  • One non-invasive procedure generally involves the treatment of tissue (e.g., a tumor) underlying the skin via the use of microwave energy.
  • tissue e.g., a tumor
  • the microwave energy is able to non-invasively penetrate the skin to reach the underlying tissue.
  • this non-invasive procedure may result in the unwanted heating of healthy tissue.
  • the non-invasive use of microwave energy requires a great deal of control.
  • microwave probes there are several types of microwave probes in use, e.g., monopole, dipole, and helical.
  • One type is a monopole antenna probe, which consists of a single, elongated microwave conductor exposed at the end of the probe. The probe is typically surrounded by a dielectric sleeve.
  • the second type of microwave probe commonly used is a dipole antenna, which consists of a coaxial construction having an inner conductor and an outer conductor with a dielectric junction separating a portion of the inner conductor.
  • the inner conductor may be coupled to a portion corresponding to a first dipole radiating portion, and a portion of the outer conductor may be coupled to a second dipole radiating portion.
  • the dipole radiating portions may be configured such that one radiating portion is located proximally of the dielectric junction, and the other portion is located distally of the dielectric junction.
  • microwave energy generally radiates perpendicularly from the axis of the conductor.
  • a typical microwave ablation probe includes a transmission line that provides a microwave energy signal to the microwave antenna.
  • the transmission line is enclosed in an elongated shaft and includes a long, thin inner conductor that extends along the axis of the probe and is surrounded by a dielectric material and is further surrounded by an outer conductor around the dielectric material such that the outer conductor also extends along the axis of the probe.
  • a cooling system may also be enclosed in the elongated shaft of the microwave ablation probe.
  • cooling fluid may be supplied to the distal end of the microwave ablation probe through one or more cooling supply lumens. After being deposited at the distal end of the elongated shaft the cooling fluid flows proximally through the elongated shaft through a return lumen, typically a chamber between the outer surface of the transmission line and the inner surface of the elongated shaft.
  • the cooling fluid also at least partially insulates the transmission line from the outer surface of the elongated shaft.
  • the coaxial construction of the monopole antenna, the dipole microwave antennas and the transmission line that provides a microwave signal thereto, include a dielectric sleeve that provides a dielectric junction between the inner and outer conductors.
  • the present disclosure provides a surgical microwave antenna assembly and a surgical microwave ablation system.
  • the microwave antenna assembly includes a feedline electrically connected to an elongated shaft by a choke electrical connector.
  • the feedline includes an inner conductor in coaxial arrangement with an outer conductor and forming a dielectric supply lumen therebetween.
  • the elongated shaft at least partially surrounds the feedline and forms a dielectric return lumen therebetween.
  • the choke electrical connector surrounds at least a portion of the feedline and electrically connects the feedline outer conductor to the elongated shaft.
  • a low-loss dielectric fluid is supplied between the inner conductor and the outer conductor of the feedline and forms a dielectric barrier therebetween.
  • the low-loss dielectric fluid also forms a dielectric barrier between the outer conductor of the feedline and the elongated shaft.
  • the choke electrical connector forms a plurality of apertures extending therethrough, the apertures forming at least a portion of the dielectric return lumen.
  • the dielectric supply lumen and a dielectric return lumen are disposed in fluid communication with each other.
  • the low-loss dielectric fluid, supplied to the dielectric supply lumen and the dielectric return lumen, is configured to absorb thermal energy from the inner conductor and/or the outer conductor.
  • the assembly includes an antenna, connected to the distal end of the feedline, configured to radiate microwave energy at a predetermined microwave frequency.
  • the antenna may be at least partially surrounded by a high-dielectric jacket.
  • the choke electrical connector forms a Faraday shield to shunt electromagnetic energy radiating proximally from the antenna at the predetermined microwave frequency.
  • the predetermined microwave frequency may be in the range of about 915 MHz to about 2.54 GHz.
  • the present disclosure further relates to a surgical microwave ablation system, including a microwave signal generator, a low-loss dielectric fluid supply, and a surgical microwave antenna assembly.
  • the surgical microwave antenna assembly includes a feedline, an elongated shaft, a choke electrical connector and a low-loss dielectric fluid.
  • the feedline includes an inner conductor in coaxial arrangement with an outer conductor, the inner conductor and outer conductor forming a dielectric supply lumen therebetween.
  • the elongated shaft at least partially surrounds the feedline, the elongated shaft and the feedline forming a dielectric return lumen therebetween.
  • a choke electrical connector surrounds at least a portion of the feedline and electrically connects the feedline outer conductor to at least a portion of the elongated shaft.
  • a low-loss dielectric fluid is supplied between the inner conductor and the outer conductor of the feedline and forms a dielectric barrier therebetween.
  • the low-loss dielectric fluid also forms a dielectric barrier between the outer conductor of the feedline and the elongated shaft.
  • the low-loss dielectric fluid supply provides the low-loss dielectric cooling fluid to the dielectric supply lumen.
  • the choke electrical connector of the surgical microwave antenna assembly forms a plurality of apertures extending therethrough, the apertures forming at least a portion of the dielectric return lumen.
  • the low-loss dielectric fluid supply and the dielectric return lumen are in fluid communication through the dielectric supply lumen.
  • the system further includes an antenna, connected to the distal end of the feedline, configured to radiate microwave energy at a predetermined microwave frequency.
  • the microwave signal generator generates the microwave energy signal and the feedline electrically connects the microwave signal generator to the antenna.
  • the choke electrical connector of the surgical microwave antenna assembly forms a Faraday shield and is configured to shunt electromagnetic energy radiating proximally from the antenna.
  • the antenna of the surgical microwave antenna assembly is at least partially surrounded by a high-dielectric jacket.
  • FIG. 1 shows a representative diagram of a variation of a microwave antenna assembly in accordance with an embodiment of the present disclosure
  • FIG. 2A shows a cross-sectional view of a representative variation of a distal end of microwave antenna assembly of FIG. 1 in accordance with an embodiment of the present disclosure
  • FIG. 2B is a sectional view of the distal radiating section in accordance with another embodiment of the present disclosure.
  • FIG. 3 shows a cross-sectional view of a representative variation of the choked portion of the microwave antenna assembly in accordance with an embodiment of the present disclosure
  • FIG. 4A is an end view of the choke electrical connector from FIG. 3 in accordance with an embodiment of the present disclosure.
  • FIG. 4B is an end view of a variation of the choke electrical connector from FIG. 3 in accordance with another embodiment of the present disclosure.
  • proximal refers to the end of the apparatus that is closer to the user and the term “distal” refers to the end of the apparatus that is further from the user.
  • distal refers to the end of the apparatus that is further from the user.
  • FIG. 1 shows an embodiment of a microwave antenna assembly 100 in accordance with the present disclosure.
  • the antenna assembly 100 includes a radiating portion 12 that is connected by elongated shaft 110 via cable 15 to connector 16 , which may further connect the assembly 100 to a power generating source 28 (e.g., a microwave or RF electrosurgical generator) and a dielectric cooling fluid supply 70 .
  • Assembly 100 is a monopole microwave antenna assembly, but other antenna assemblies, e.g., dipole or leaky wave antenna assemblies, may also utilize the principles set forth herein.
  • Distal radiating portion 105 of the radiating section 12 includes a tapered end 120 which terminates at a tip 123 to allow for insertion into tissue with minimal resistance.
  • tapered end 120 may include other shapes, such as without limitation, a tip 123 that is rounded, flat, square, hexagonal, or cylindroconical.
  • Antenna may be positioned using an insertion assistance device such as a catheter, an introducer, an insertion jacket or any other suitable device configured to aid in the positioning of a microwave antenna assembly in tissue.
  • the feed point 130 is the portion between the distal end of the feedline (i.e., coaxial cable—not explicitly shown) within the elongated shaft 110 and the distal radiating portion 105 .
  • the feed point is the portion between the distal radiating portion and the proximal radiating portion.
  • Power generating source 28 is configured to generate and provide an electrosurgical signal to the assembly 100 .
  • the electrosurgical signal may include a microwave frequency component at 915 MHz, 2.45 GHz or any other suitable frequency.
  • Dielectric cooling fluid supply 70 is configured to supply a low-loss dielectric cooling solution that does not conduct an electric current at the frequency provided from the power generating source 28 .
  • Dielectric cooling fluid may include mineral oil or mineral oil derivatives, soybean oil or a soybean oil derivative, a natural ester-based fluid formulation made from seeds, such as the ester-based fluid sold under the trademark Envirotemp® FR3TM and manufactured and sold by Cooper Power Systems of Waukesha, Wis., a synthetic hydrocarbon fluid such as the synthetic hydrocarbon fluid sold under the trademarks ECO Fluid® and ECO-FR Fluid® manufactured and sold by DSI Ventures, Inc. of Tyler, Tex. Dielectric cooling fluid is selected based on a high degree of biodegradation, environmental compatibility and low toxicity.
  • the dielectric cooling fluids described in the present disclosure are configured to replace the dielectric materials traditionally provided in microwave antenna assemblies and the feedline that provide the microwave signal to the microwave antenna portion of the microwave antenna assemblies.
  • the low-loss dielectric cooling fluid provided to the microwave antenna assembly 100 by the dielectric cooling fluid supply 70 is supplied from the pump 75 .
  • Pump 75 draws low-loss dielectric cooling fluid from a supply reservoir (not explicitly shown) and supplies the fluid to the fluid supply 71 a .
  • the low-loss dielectric cooling fluid returns from the microwave antenna assembly 100 via the fluid return 71 b and is deposited into a return reservoir.
  • the supply reservoir and the return reservoir may or may not circulate fluid therebetween.
  • the dielectric cooling fluid supply 70 is configured to circulate and re-circulate the low-loss dielectric cooling solution through the microwave antenna assembly 100 .
  • Fluid supply 71 a provides a cooled low-loss dielectric cooling fluid to the connector 16 of the microwave antenna assembly 100 .
  • the cooled low-loss dielectric cooling fluid is circulated through the microwave antenna assembly 100 wherein the low-loss dielectric cooling fluid absorbs thermal energy from the microwave antenna assembly.
  • Thermally heated fluid is returned to the dielectric cooling fluid supply 70 through the fluid return 71 b .
  • the circulation path of the low-loss dielectric cooling fluid through the distal portion of the microwave antenna assembly 100 is further described hereinbelow and illustrated in FIGS. 2A-4 .
  • Dielectric cooling fluid supply 70 may include a fluid cooling module 73 configured to remove thermal energy from the low-loss dielectric cooling fluid.
  • Fluid cooling module 73 may include active or a passive cooling. Passive cooling may include passing the low-loss dielectric cooling fluid over a thermal energy absorbing material with a high thermal mass or through a thermal energy exchanging module as is known in the art.
  • Active cooling may include a thermoelectric cooling system that uses the Peltier effect to create a heat flux between the junction of two different types of materials.
  • a Peltier cooler or thermoelectric heat pump may transfer heat energy absorbed from the low-loss dielectric cooling fluid by the fluid cooling module 73 to maintain a desirable temperature in the recirculation system.
  • Various devices are know in the art as a Peltier device, a Peltier diode, a Peltier heat pump, a solid state refrigerator, and a thermoelectric cooler (TEC).
  • Dielectric cooling fluid supply 70 may include a fluid analyzer 77 configured to analyze at least one physical property of the low-loss dielectric cooling fluid.
  • the fluid analyzer 77 may provide an alert, alarm or warning if the analyzed physical property is outside a predetermined range or exceeds a predetermined limit or threshold.
  • fluid analyzer 77 may be configured to sample the impedance of the low-loss dielectric cooling fluid that is returned and/or circulated through the microwave antenna assembly. The analyzer may determine, based on the sampled impedance that a change in impedance of the low-loss dielectric cooling fluid has occurred.
  • the fluid analyzer 77 determines if the impedance of the low-loss dielectric cooling fluid is such that a sufficient dielectric barrier in the microwave antenna assembly 100 cannot be maintained. Based on the measured parameter the dielectric cooling fluid supply 70 may take a preventative action such as, for example, alerting the clinician with an audio or visual alarm or alert, providing an alarm to the power generating source 28 that results in the termination of energy delivery and/or providing an alarm to the microwave antenna assembly 100 that may result in the termination of energy delivery to the distal radiating portion 105 .
  • the dielectric cooling fluid supply 70 may perform a corrective action such as terminating or diverting the circulation of the low-loss dielectric cooling fluid and introducing a fresh supply of low-loss dielectric cooling fluid from a fluid reservoir into the recirculation path.
  • the dielectric cooling fluid supply 70 and power generating source 28 share information via a communication line 78 .
  • Information may be shared as one or more analog signals or shared as a digital signal over the communication line 78 by any suitable unidirectional or bidirectional communication protocol.
  • the shared information may include a property of the low-loss, dielectric cooling fluid, a fluid-flow parameter and/or a parameter related to energy delivery.
  • the fluid analyzer provides a real-time measurement of the low-loss, dielectric cooling fluid to the power generating source 28 and the power generating source 28 may adjust one or more parameters related to energy delivery.
  • the power generating source provides a real-time measurement of the impendence or temperature of the distal radiating portion 105 and the dielectric cooling fluid supply 70 may adjust one or more parameters related to fluid flow or fluid supply. For example, a rise in temperature at the distal radiating portion 105 may be corrected by the dielectric cooling fluid supply 70 increasing the flow rate or an impedance change in the fluid or the distal radiating portion 105 may be corrected by adjusting the impedance of the low-loss, dielectric cooling fluid or the output impedance of the power generating source 28 .
  • FIG. 2A is a cross-sectional view of the distal end of microwave antenna assembly 100 shown as 200 .
  • Distal end 200 includes at least a portion of the elongated shaft 210 and the distal radiating section.
  • the elongated shaft includes a feedline 226 and a choke jacket 260 .
  • Feedline 226 includes an inner conductor 250 separated from an outer conductor 234 by low-loss dielectric cooling fluid, thereby forming fluid supply lumen 236 therebetween.
  • Inner conductor 250 and outer conductor 234 may be formed from any suitable electrically conductive material.
  • inner conductor 250 is formed from stainless steel and outer conductor 234 is formed from copper.
  • the low-loss dielectric cooling fluid forms a dielectric barrier between the inner conductor 250 and the outer conductor 234 such that feedline 226 has an impedance of about 50 ohms.
  • Choke jacket 260 may be formed from a variety of biocompatible heat resistant, electrically conductive material suitable for penetrating tissue, such as without limitation, stainless steel.
  • Metal jacket of the elongated shaft 110 (see FIG. 1 ) is proximal the choke jacket 260 and extends the length of the shaft to provide strength and reduce assembly steps.
  • Metal jacket may be formed of stainless steel, a carbon fiber composite or high strength plastic with a conductive surface (i.e., copper, silver, gold or brass) or a silver plated brass.
  • Choke jacket 260 electrically connects to the outer conductor of the feedline 226 and is configured to prevent the proximal propagation of microwave energy.
  • At least a portion of the outer surface 260 b of the choke jacket 260 may be coated or covered by a dielectric layer or no-stick layer (not explicitly shown).
  • Coating may include any suitable dielectric material, such as without limitation, ceramic material.
  • coating may be formed from titanium dioxide and/or zirconium dioxide.
  • Dielectric coating may be applied to choke jacket 260 or may be applied as an additional dielectric coating over the high dielectric jacket 265 of the distal radiating portion 205 .
  • Coating may be applied by any suitable process, for example without limitation, plasma spraying or flame spraying. Coating may have a thickness in the range of about 0.005 inches to about 0.015 inches.
  • the dielectric coating may provide improved dielectric matching and/or improved dielectric buffering between the antenna and tissue, which may enable the use of higher power levels, which, in turn, may enable a surgeon to achieve greater ablation rates resulting in increased ablation size, reduced operative times, and/or improved operative outcomes.
  • the fluid supply lumen extends proximally through the length of the elongated shaft 110 , the cable 15 and fluidly connects to the fluid supply 71 a through connector 16 .
  • Pump 75 in dielectric cooling fluid supply 70 pressurizes the fluid supply 71 a and the low-loss dielectric cooling fluid flows distally through the fluid supply lumen 236 as indicated by supply flow arrows “A”.
  • Low-loss dielectric cooling fluid exits the fluid supply lumen 236 from the distal end of the feedline 226 and is deposited into the feedpoint 230 . At least a portion of the low-loss dielectric cooling fluid flows distally into the distal radiating portion 205 , as indicated by the distal radiating portion flow arrows “AA”, and absorbs thermal energy therefrom.
  • a fluid return lumen 237 is formed between the outer surface 226 a of the feedline 226 and the inner surface 260 a of the choke jacket 260 . Fluid deposited into the feedpoint 230 and distal radiating portion 205 flows proximally through the fluid return lumen 237 as indicated by return flow arrows “AAA”.
  • the fluid return lumen 237 extends proximally through the length of the elongated shaft 110 , the cable 15 and fluidly connects to the fluid return 71 b through connector 16 .
  • distal end 200 includes the distal radiating portion 205 at least partially surrounded by a high dielectric jacket 265 that forms a tapered end at the distal portion thereof.
  • Inner conductor 250 is electrically coupled with distal radiating portion 205 .
  • High dielectric jacket 265 may be formed from any suitable material, including without limitation polymeric or ceramic materials.
  • outer jacket 265 is coated with a non-stick coating like a polytetrafluoroethylene (PTFE). a fluorinated ethylene propylene (FEP) or coated with a lubricous spray coat.
  • the outer jacket 265 is formed of a composite tubing or formed from any suitable non-conductive material.
  • the fluid supply lumen 236 and the fluid return lumen 237 extend through the distal radiating portion 205 .
  • spacers 241 a , 241 b connect distal radiating portion 205 to the high dielectric jacket 265 thereby dividing the lumen formed therebetween into a portion of the fluid supply lumen 236 and a portion of the fluid return lumen 237 .
  • the low-loss dielectric cooling fluid flows distally relative to the distal radiating portion 205 and exits the fluid supply lumen 236 formed between the distal radiating portion 205 and the high dielectric jacket 265 .
  • the low-loss dielectric cooling fluid then flows proximally through the fluid return lumen 237 formed between the distal radiating portion 205 and the high dielectric cooling jacket 265 .
  • FIG. 3 a cross sectional view of the choked portion of the distal end of a microwave antenna assembly 100 of FIG. 1 , in accordance with an embodiment of the present disclosure is shown as 300 .
  • Choked portion includes a feedline 326 separated from a choke jacket 360 by the choke electrical connector 390 .
  • a fluid supply lumen (not explicitly shown) is formed within the feedline 326 as discussed hereinabove and the fluid return lumen 337 is formed between the outer surface of the feedline 326 and the inner surface of the choke jacket 360 and at least a portion of the inner surface of the high dielectric jacket 365 .
  • Choke electrical connector 390 electrically connects the outer conductor (not explicitly shown) of the feedline 326 to the choke jacket 360 .
  • Connection may be a weld, solder joint or a press-fit connection or any other suitable connection that provides suitable continuity between the outer conductor of the feedline 326 and the choke jacket 360 .
  • choke electrical connector 390 also provides a plurality of fluid pathways P1, P2 for fluid to flow distally therethrough the choke electrical connector 390 , the fluid pathways P1, P2 forming at least a portion of the fluid return lumen 337 .
  • the fluid pathways P1, P2 are formed through the plurality of apertures 491 a , 492 b thereby providing a flow path for the low-loss dielectric cooling fluid to flow through the choke electrical connectors 390 , 490 a , 490 b.
  • apertures 491 a , 491 b of the choke electrical connector 390 , 490 a , 490 b form a Faraday shield configured to shunt any microwave energy that propagates distally from the distal radiating section 305 .
  • the effectiveness of the Faraday cage (or shield) is dependent upon the wavelength of the electric or electromagnetic fields produced by the distal radiating section 305 and the geometry of the choke electrical connector 390 , 490 a , 490 b .
  • the thickness T1 of the choke electrical connector 390 , the diameter D1, D2 of the apertures 490 a , 490 b , respectively, and/or the spacing D1, D2 between apertures 490 a , 490 b , respectively, determine the frequencies that are effectively shunted by the choke electrical connector.
  • the diameter D1, D2 of the apertures 490 a , 490 b , respectively must be significantly smaller than the wavelength of the microwave signal radiated by the distal radiating section 305 .
  • the thickness T1 must be sufficiently thick to effectively shunt the electromagnetic fields generated by the distal radiating section 305 .

Abstract

The microwave antenna assembly includes a feedline electrically connected to an elongated shaft by a choke electrical connector. The feedline includes an inner conductor, an outer conductor, an elongated shaft and a choke electrical connector. The inner conductor is disposed in coaxial arrangement with the inner conductor and forms a dielectric supply lumen therebetween. The elongated shaft at least partially surrounding the feedline and form a dielectric return lumen therebetween. The choke electrical connector surrounds at least a portion of the feedline and electrically connects the feedline outer conductor to the elongated shaft. A low-loss dielectric fluid is supplied between the inner conductor and the outer conductor of the feedline and forms a dielectric barrier therebetween. The low-loss dielectric fluid also forms a dielectric barrier between the outer conductor of the feedline and the elongated shaft and the choke electrical connector forms a plurality of apertures extending therethrough, the apertures forming at least a portion of the dielectric return lumen.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • This application is a continuation application of U.S. application Ser. No. 12/568,777, filed on Sep. 29, 2009, the entire contents of which is incorporated herein by reference.
  • BACKGROUND
  • 1. Technical Field
  • The present disclosure relates generally to microwave surgical devices having a microwave antenna which may be inserted directly into tissue for diagnosis and treatment of diseases. More particularly, the present disclosure is directed to a microwave antenna having a cooled coaxial feed, radiating section and balun choke dielectric and a method of manufacturing the same.
  • 2. Background of Related Art
  • In the treatment of diseases such as cancer, certain types of cancer cells have been found to denature at elevated temperatures (which are slightly lower than temperatures normally injurious to healthy cells.) These types of treatments, known generally as hyperthermia therapy, typically utilize electromagnetic radiation to heat diseased cells to temperatures above 41° C., while maintaining adjacent healthy cells at lower temperatures where irreversible cell destruction will not occur. Other procedures utilizing electromagnetic radiation to heat tissue also include ablation and coagulation of the tissue. Such microwave ablation procedures, e.g., such as those performed for menorrhagia, are typically done to ablate and coagulate the targeted tissue to denature or kill the tissue. Many procedures and types of devices utilizing electromagnetic radiation therapy are known in the art. Such microwave therapy is typically used in the treatment of tissue and organs such as the prostate, heart, liver, lung, kidney, and breast.
  • One non-invasive procedure generally involves the treatment of tissue (e.g., a tumor) underlying the skin via the use of microwave energy. The microwave energy is able to non-invasively penetrate the skin to reach the underlying tissue. However, this non-invasive procedure may result in the unwanted heating of healthy tissue. Thus, the non-invasive use of microwave energy requires a great deal of control.
  • Presently, there are several types of microwave probes in use, e.g., monopole, dipole, and helical. One type is a monopole antenna probe, which consists of a single, elongated microwave conductor exposed at the end of the probe. The probe is typically surrounded by a dielectric sleeve. The second type of microwave probe commonly used is a dipole antenna, which consists of a coaxial construction having an inner conductor and an outer conductor with a dielectric junction separating a portion of the inner conductor. The inner conductor may be coupled to a portion corresponding to a first dipole radiating portion, and a portion of the outer conductor may be coupled to a second dipole radiating portion. The dipole radiating portions may be configured such that one radiating portion is located proximally of the dielectric junction, and the other portion is located distally of the dielectric junction. In the monopole and dipole antenna probe, microwave energy generally radiates perpendicularly from the axis of the conductor.
  • A typical microwave ablation probe includes a transmission line that provides a microwave energy signal to the microwave antenna. The transmission line is enclosed in an elongated shaft and includes a long, thin inner conductor that extends along the axis of the probe and is surrounded by a dielectric material and is further surrounded by an outer conductor around the dielectric material such that the outer conductor also extends along the axis of the probe.
  • A cooling system may also be enclosed in the elongated shaft of the microwave ablation probe. For example, cooling fluid may be supplied to the distal end of the microwave ablation probe through one or more cooling supply lumens. After being deposited at the distal end of the elongated shaft the cooling fluid flows proximally through the elongated shaft through a return lumen, typically a chamber between the outer surface of the transmission line and the inner surface of the elongated shaft. In addition to providing cooling for the elongated shaft portion of the microwave ablation probe, the cooling fluid also at least partially insulates the transmission line from the outer surface of the elongated shaft.
  • The coaxial construction of the monopole antenna, the dipole microwave antennas and the transmission line that provides a microwave signal thereto, include a dielectric sleeve that provides a dielectric junction between the inner and outer conductors.
  • Development of structurally stronger invasive probes have resulted in long, narrow, needle-like antenna probes which may be inserted directly into the body tissue to directly access a site of a tumor or other malignancy. Such rigid probes generally have small diameters that aid not only in ease of use but also reduce the resulting trauma to the patient.
  • Further improvements (i.e., a reduction in diameter, improved temperature management along the shaft and choke, and/or an improvement in strength) may be accomplished by combining the cooling system and the dielectric portions of the transmission line and/or the antenna, as disclosed in the present application.
  • SUMMARY
  • The present disclosure provides a surgical microwave antenna assembly and a surgical microwave ablation system. The microwave antenna assembly includes a feedline electrically connected to an elongated shaft by a choke electrical connector. The feedline includes an inner conductor in coaxial arrangement with an outer conductor and forming a dielectric supply lumen therebetween. The elongated shaft at least partially surrounds the feedline and forms a dielectric return lumen therebetween. The choke electrical connector surrounds at least a portion of the feedline and electrically connects the feedline outer conductor to the elongated shaft. A low-loss dielectric fluid is supplied between the inner conductor and the outer conductor of the feedline and forms a dielectric barrier therebetween. The low-loss dielectric fluid also forms a dielectric barrier between the outer conductor of the feedline and the elongated shaft. The choke electrical connector forms a plurality of apertures extending therethrough, the apertures forming at least a portion of the dielectric return lumen.
  • The dielectric supply lumen and a dielectric return lumen are disposed in fluid communication with each other. The low-loss dielectric fluid, supplied to the dielectric supply lumen and the dielectric return lumen, is configured to absorb thermal energy from the inner conductor and/or the outer conductor.
  • In one embodiment, the assembly includes an antenna, connected to the distal end of the feedline, configured to radiate microwave energy at a predetermined microwave frequency. The antenna may be at least partially surrounded by a high-dielectric jacket.
  • In another embodiment, the choke electrical connector forms a Faraday shield to shunt electromagnetic energy radiating proximally from the antenna at the predetermined microwave frequency. The predetermined microwave frequency may be in the range of about 915 MHz to about 2.54 GHz.
  • The present disclosure further relates to a surgical microwave ablation system, including a microwave signal generator, a low-loss dielectric fluid supply, and a surgical microwave antenna assembly. The surgical microwave antenna assembly includes a feedline, an elongated shaft, a choke electrical connector and a low-loss dielectric fluid. The feedline includes an inner conductor in coaxial arrangement with an outer conductor, the inner conductor and outer conductor forming a dielectric supply lumen therebetween. The elongated shaft at least partially surrounds the feedline, the elongated shaft and the feedline forming a dielectric return lumen therebetween. A choke electrical connector surrounds at least a portion of the feedline and electrically connects the feedline outer conductor to at least a portion of the elongated shaft. A low-loss dielectric fluid is supplied between the inner conductor and the outer conductor of the feedline and forms a dielectric barrier therebetween. The low-loss dielectric fluid also forms a dielectric barrier between the outer conductor of the feedline and the elongated shaft. The low-loss dielectric fluid supply provides the low-loss dielectric cooling fluid to the dielectric supply lumen.
  • In one embodiment the choke electrical connector of the surgical microwave antenna assembly forms a plurality of apertures extending therethrough, the apertures forming at least a portion of the dielectric return lumen. The low-loss dielectric fluid supply and the dielectric return lumen are in fluid communication through the dielectric supply lumen.
  • In yet another embodiment, the system further includes an antenna, connected to the distal end of the feedline, configured to radiate microwave energy at a predetermined microwave frequency. The microwave signal generator generates the microwave energy signal and the feedline electrically connects the microwave signal generator to the antenna.
  • The choke electrical connector of the surgical microwave antenna assembly forms a Faraday shield and is configured to shunt electromagnetic energy radiating proximally from the antenna. The antenna of the surgical microwave antenna assembly is at least partially surrounded by a high-dielectric jacket.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The above and other aspects, features, and advantages of the present disclosure will become more apparent in light of the following detailed description when taken in conjunction with the accompanying drawings in which:
  • FIG. 1 shows a representative diagram of a variation of a microwave antenna assembly in accordance with an embodiment of the present disclosure;
  • FIG. 2A shows a cross-sectional view of a representative variation of a distal end of microwave antenna assembly of FIG. 1 in accordance with an embodiment of the present disclosure;
  • FIG. 2B is a sectional view of the distal radiating section in accordance with another embodiment of the present disclosure;
  • FIG. 3 shows a cross-sectional view of a representative variation of the choked portion of the microwave antenna assembly in accordance with an embodiment of the present disclosure;
  • FIG. 4A is an end view of the choke electrical connector from FIG. 3 in accordance with an embodiment of the present disclosure, and
  • FIG. 4B is an end view of a variation of the choke electrical connector from FIG. 3 in accordance with another embodiment of the present disclosure.
  • DETAILED DESCRIPTION
  • Particular embodiments of the present disclosure will be described herein with reference to the accompanying drawings. As shown in the drawings and as described throughout the following description, and as is traditional when referring to relative positioning on an object, the term “proximal” refers to the end of the apparatus that is closer to the user and the term “distal” refers to the end of the apparatus that is further from the user. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.
  • FIG. 1 shows an embodiment of a microwave antenna assembly 100 in accordance with the present disclosure. The antenna assembly 100 includes a radiating portion 12 that is connected by elongated shaft 110 via cable 15 to connector 16, which may further connect the assembly 100 to a power generating source 28 (e.g., a microwave or RF electrosurgical generator) and a dielectric cooling fluid supply 70. Assembly 100, as shown, is a monopole microwave antenna assembly, but other antenna assemblies, e.g., dipole or leaky wave antenna assemblies, may also utilize the principles set forth herein. Distal radiating portion 105 of the radiating section 12 includes a tapered end 120 which terminates at a tip 123 to allow for insertion into tissue with minimal resistance. It is to be understood, however, that tapered end 120 may include other shapes, such as without limitation, a tip 123 that is rounded, flat, square, hexagonal, or cylindroconical. Antenna may be positioned using an insertion assistance device such as a catheter, an introducer, an insertion jacket or any other suitable device configured to aid in the positioning of a microwave antenna assembly in tissue.
  • In the monopole antenna of FIG. 1, the feed point 130 is the portion between the distal end of the feedline (i.e., coaxial cable—not explicitly shown) within the elongated shaft 110 and the distal radiating portion 105. In a dipole antenna, the feed point is the portion between the distal radiating portion and the proximal radiating portion.
  • Power generating source 28 is configured to generate and provide an electrosurgical signal to the assembly 100. The electrosurgical signal may include a microwave frequency component at 915 MHz, 2.45 GHz or any other suitable frequency.
  • Dielectric cooling fluid supply 70 is configured to supply a low-loss dielectric cooling solution that does not conduct an electric current at the frequency provided from the power generating source 28. Dielectric cooling fluid may include mineral oil or mineral oil derivatives, soybean oil or a soybean oil derivative, a natural ester-based fluid formulation made from seeds, such as the ester-based fluid sold under the trademark Envirotemp® FR3™ and manufactured and sold by Cooper Power Systems of Waukesha, Wis., a synthetic hydrocarbon fluid such as the synthetic hydrocarbon fluid sold under the trademarks ECO Fluid® and ECO-FR Fluid® manufactured and sold by DSI Ventures, Inc. of Tyler, Tex. Dielectric cooling fluid is selected based on a high degree of biodegradation, environmental compatibility and low toxicity.
  • The dielectric cooling fluids described in the present disclosure are configured to replace the dielectric materials traditionally provided in microwave antenna assemblies and the feedline that provide the microwave signal to the microwave antenna portion of the microwave antenna assemblies.
  • In one embodiment, the low-loss dielectric cooling fluid provided to the microwave antenna assembly 100 by the dielectric cooling fluid supply 70 is supplied from the pump 75. Pump 75 draws low-loss dielectric cooling fluid from a supply reservoir (not explicitly shown) and supplies the fluid to the fluid supply 71 a. The low-loss dielectric cooling fluid returns from the microwave antenna assembly 100 via the fluid return 71 b and is deposited into a return reservoir. The supply reservoir and the return reservoir may or may not circulate fluid therebetween.
  • In another embodiment, as illustrated in FIG. 1, the dielectric cooling fluid supply 70 is configured to circulate and re-circulate the low-loss dielectric cooling solution through the microwave antenna assembly 100. Fluid supply 71 a provides a cooled low-loss dielectric cooling fluid to the connector 16 of the microwave antenna assembly 100. The cooled low-loss dielectric cooling fluid is circulated through the microwave antenna assembly 100 wherein the low-loss dielectric cooling fluid absorbs thermal energy from the microwave antenna assembly. Thermally heated fluid is returned to the dielectric cooling fluid supply 70 through the fluid return 71 b. The circulation path of the low-loss dielectric cooling fluid through the distal portion of the microwave antenna assembly 100 is further described hereinbelow and illustrated in FIGS. 2A-4.
  • Dielectric cooling fluid supply 70 may include a fluid cooling module 73 configured to remove thermal energy from the low-loss dielectric cooling fluid. Fluid cooling module 73 may include active or a passive cooling. Passive cooling may include passing the low-loss dielectric cooling fluid over a thermal energy absorbing material with a high thermal mass or through a thermal energy exchanging module as is known in the art. Active cooling may include a thermoelectric cooling system that uses the Peltier effect to create a heat flux between the junction of two different types of materials. For example, a Peltier cooler or thermoelectric heat pump may transfer heat energy absorbed from the low-loss dielectric cooling fluid by the fluid cooling module 73 to maintain a desirable temperature in the recirculation system. Various devices are know in the art as a Peltier device, a Peltier diode, a Peltier heat pump, a solid state refrigerator, and a thermoelectric cooler (TEC).
  • Dielectric cooling fluid supply 70 may include a fluid analyzer 77 configured to analyze at least one physical property of the low-loss dielectric cooling fluid. The fluid analyzer 77 may provide an alert, alarm or warning if the analyzed physical property is outside a predetermined range or exceeds a predetermined limit or threshold. For example, fluid analyzer 77 may be configured to sample the impedance of the low-loss dielectric cooling fluid that is returned and/or circulated through the microwave antenna assembly. The analyzer may determine, based on the sampled impedance that a change in impedance of the low-loss dielectric cooling fluid has occurred.
  • In one embodiment, the fluid analyzer 77 determines if the impedance of the low-loss dielectric cooling fluid is such that a sufficient dielectric barrier in the microwave antenna assembly 100 cannot be maintained. Based on the measured parameter the dielectric cooling fluid supply 70 may take a preventative action such as, for example, alerting the clinician with an audio or visual alarm or alert, providing an alarm to the power generating source 28 that results in the termination of energy delivery and/or providing an alarm to the microwave antenna assembly 100 that may result in the termination of energy delivery to the distal radiating portion 105. Alternatively, the dielectric cooling fluid supply 70 may perform a corrective action such as terminating or diverting the circulation of the low-loss dielectric cooling fluid and introducing a fresh supply of low-loss dielectric cooling fluid from a fluid reservoir into the recirculation path.
  • In another embodiment, the dielectric cooling fluid supply 70 and power generating source 28 share information via a communication line 78. Information may be shared as one or more analog signals or shared as a digital signal over the communication line 78 by any suitable unidirectional or bidirectional communication protocol. The shared information may include a property of the low-loss, dielectric cooling fluid, a fluid-flow parameter and/or a parameter related to energy delivery.
  • In one embodiment, the fluid analyzer provides a real-time measurement of the low-loss, dielectric cooling fluid to the power generating source 28 and the power generating source 28 may adjust one or more parameters related to energy delivery. In another embodiment, the power generating source provides a real-time measurement of the impendence or temperature of the distal radiating portion 105 and the dielectric cooling fluid supply 70 may adjust one or more parameters related to fluid flow or fluid supply. For example, a rise in temperature at the distal radiating portion 105 may be corrected by the dielectric cooling fluid supply 70 increasing the flow rate or an impedance change in the fluid or the distal radiating portion 105 may be corrected by adjusting the impedance of the low-loss, dielectric cooling fluid or the output impedance of the power generating source 28.
  • FIG. 2A is a cross-sectional view of the distal end of microwave antenna assembly 100 shown as 200. Distal end 200 includes at least a portion of the elongated shaft 210 and the distal radiating section. The elongated shaft includes a feedline 226 and a choke jacket 260. Feedline 226 includes an inner conductor 250 separated from an outer conductor 234 by low-loss dielectric cooling fluid, thereby forming fluid supply lumen 236 therebetween. Inner conductor 250 and outer conductor 234 may be formed from any suitable electrically conductive material. In some embodiments, inner conductor 250 is formed from stainless steel and outer conductor 234 is formed from copper. In one embodiment, the low-loss dielectric cooling fluid forms a dielectric barrier between the inner conductor 250 and the outer conductor 234 such that feedline 226 has an impedance of about 50 ohms.
  • Choke jacket 260 may be formed from a variety of biocompatible heat resistant, electrically conductive material suitable for penetrating tissue, such as without limitation, stainless steel. Metal jacket of the elongated shaft 110 (see FIG. 1) is proximal the choke jacket 260 and extends the length of the shaft to provide strength and reduce assembly steps. Metal jacket may be formed of stainless steel, a carbon fiber composite or high strength plastic with a conductive surface (i.e., copper, silver, gold or brass) or a silver plated brass. Choke jacket 260 electrically connects to the outer conductor of the feedline 226 and is configured to prevent the proximal propagation of microwave energy. At least a portion of the outer surface 260 b of the choke jacket 260 may be coated or covered by a dielectric layer or no-stick layer (not explicitly shown). Coating may include any suitable dielectric material, such as without limitation, ceramic material. In some embodiments, coating may be formed from titanium dioxide and/or zirconium dioxide. Dielectric coating may be applied to choke jacket 260 or may be applied as an additional dielectric coating over the high dielectric jacket 265 of the distal radiating portion 205. Coating may be applied by any suitable process, for example without limitation, plasma spraying or flame spraying. Coating may have a thickness in the range of about 0.005 inches to about 0.015 inches. During an ablation procedure, the dielectric coating may provide improved dielectric matching and/or improved dielectric buffering between the antenna and tissue, which may enable the use of higher power levels, which, in turn, may enable a surgeon to achieve greater ablation rates resulting in increased ablation size, reduced operative times, and/or improved operative outcomes.
  • With reference to FIGS. 1 and 2A, the fluid supply lumen extends proximally through the length of the elongated shaft 110, the cable 15 and fluidly connects to the fluid supply 71 a through connector 16. Pump 75 in dielectric cooling fluid supply 70 pressurizes the fluid supply 71 a and the low-loss dielectric cooling fluid flows distally through the fluid supply lumen 236 as indicated by supply flow arrows “A”. Low-loss dielectric cooling fluid exits the fluid supply lumen 236 from the distal end of the feedline 226 and is deposited into the feedpoint 230. At least a portion of the low-loss dielectric cooling fluid flows distally into the distal radiating portion 205, as indicated by the distal radiating portion flow arrows “AA”, and absorbs thermal energy therefrom.
  • A fluid return lumen 237 is formed between the outer surface 226 a of the feedline 226 and the inner surface 260 a of the choke jacket 260. Fluid deposited into the feedpoint 230 and distal radiating portion 205 flows proximally through the fluid return lumen 237 as indicated by return flow arrows “AAA”.
  • With reference to FIGS. 1 and 2, the fluid return lumen 237 extends proximally through the length of the elongated shaft 110, the cable 15 and fluidly connects to the fluid return 71 b through connector 16.
  • With continued reference to FIG. 2A, distal end 200 includes the distal radiating portion 205 at least partially surrounded by a high dielectric jacket 265 that forms a tapered end at the distal portion thereof. Inner conductor 250 is electrically coupled with distal radiating portion 205. High dielectric jacket 265 may be formed from any suitable material, including without limitation polymeric or ceramic materials. In some embodiments, outer jacket 265 is coated with a non-stick coating like a polytetrafluoroethylene (PTFE). a fluorinated ethylene propylene (FEP) or coated with a lubricous spray coat. In another embodiment, the outer jacket 265 is formed of a composite tubing or formed from any suitable non-conductive material.
  • In another embodiment, the fluid supply lumen 236 and the fluid return lumen 237 extend through the distal radiating portion 205. As illustrated in FIG. 2B, spacers 241 a, 241 b connect distal radiating portion 205 to the high dielectric jacket 265 thereby dividing the lumen formed therebetween into a portion of the fluid supply lumen 236 and a portion of the fluid return lumen 237. As such, the low-loss dielectric cooling fluid flows distally relative to the distal radiating portion 205 and exits the fluid supply lumen 236 formed between the distal radiating portion 205 and the high dielectric jacket 265. The low-loss dielectric cooling fluid then flows proximally through the fluid return lumen 237 formed between the distal radiating portion 205 and the high dielectric cooling jacket 265.
  • Turning now to FIG. 3, a cross sectional view of the choked portion of the distal end of a microwave antenna assembly 100 of FIG. 1, in accordance with an embodiment of the present disclosure is shown as 300. Choked portion includes a feedline 326 separated from a choke jacket 360 by the choke electrical connector 390. A fluid supply lumen (not explicitly shown) is formed within the feedline 326 as discussed hereinabove and the fluid return lumen 337 is formed between the outer surface of the feedline 326 and the inner surface of the choke jacket 360 and at least a portion of the inner surface of the high dielectric jacket 365.
  • Choke electrical connector 390 electrically connects the outer conductor (not explicitly shown) of the feedline 326 to the choke jacket 360. Connection may be a weld, solder joint or a press-fit connection or any other suitable connection that provides suitable continuity between the outer conductor of the feedline 326 and the choke jacket 360.
  • Referring to FIGS. 4A and 4B choke electrical connector 390 also provides a plurality of fluid pathways P1, P2 for fluid to flow distally therethrough the choke electrical connector 390, the fluid pathways P1, P2 forming at least a portion of the fluid return lumen 337. As illustrated in FIGS. 4A and 4B, the fluid pathways P1, P2 are formed through the plurality of apertures 491 a, 492 b thereby providing a flow path for the low-loss dielectric cooling fluid to flow through the choke electrical connectors 390, 490 a, 490 b.
  • With reference to FIGS. 3, 4A and 4B, apertures 491 a, 491 b of the choke electrical connector 390, 490 a, 490 b form a Faraday shield configured to shunt any microwave energy that propagates distally from the distal radiating section 305. The effectiveness of the Faraday cage (or shield) is dependent upon the wavelength of the electric or electromagnetic fields produced by the distal radiating section 305 and the geometry of the choke electrical connector 390, 490 a, 490 b. The thickness T1 of the choke electrical connector 390, the diameter D1, D2 of the apertures 490 a, 490 b, respectively, and/or the spacing D1, D2 between apertures 490 a, 490 b, respectively, determine the frequencies that are effectively shunted by the choke electrical connector. For example, the diameter D1, D2 of the apertures 490 a, 490 b, respectively, must be significantly smaller than the wavelength of the microwave signal radiated by the distal radiating section 305. Similarly, the thickness T1 must be sufficiently thick to effectively shunt the electromagnetic fields generated by the distal radiating section 305.
  • The described embodiments of the present disclosure are intended to be illustrative rather than restrictive, and are not intended to represent every embodiment of the present disclosure. Further variations of the above-disclosed embodiments and other features and functions, or alternatives thereof, may be made or desirably combined into many other different systems or applications without departing from the spirit or scope of the disclosure as set forth in the following claims both literally and in equivalents recognized in law.

Claims (18)

1-17. (canceled)
18. A microwave ablation system, comprising:
a power generating source configured to supply microwave energy to a microwave antenna assembly, the microwave antenna assembly including:
a feedline having a length, the feedline including:
an inner conductor;
an outer conductor in a coaxial arrangement with the inner conductor, the inner conductor and outer conductor forming a supply lumen therebetween;
an elongated shaft at least partially surrounding the feedline, the elongated shaft and the feedline forming a return lumen therebetween in fluid communication with the supply lumen; and
a choke including a substantially cylindrical inner surface surrounding at least a portion of the length of the feedline and configured to electrically connect the outer conductor to the elongated shaft; and
a fluid supply configured to supply a low-loss dielectric fluid to the supply lumen, wherein a first dielectric barrier is formed between the inner conductor and the outer conductor, and to receive the low-loss dielectric fluid from the return lumen, wherein a second dielectric barrier is formed between the outer conductor and the elongated shaft.
19. The system of claim 18, wherein the fluid supply includes a fluid analyzer configured to determine at least one characteristic of the low-loss dielectric fluid.
20. The system of claim 19, wherein the fluid analyzer is configured to determine a strength of at least one of the first dielectric barrier or the second dielectric barrier based on the at least one characteristic of the low-loss dielectric fluid.
21. The system of claim 19, wherein the at least one characteristic of the low-loss dielectric fluid is selected from the group consisting of impedance and temperature.
22. The system of claim 18, wherein the microwave antenna assembly includes a radiating section connected to a distal end of the feedline, the radiating section configured to radiate microwave energy supplied from the power generating source.
23. The system of claim 19, wherein the power generating source is configured to adjust energy delivered to the radiating section based on the at least one characteristic of the low-loss dielectric fluid.
24. The system of claim 18, wherein the fluid supply includes a fluid cooler configured to remove thermal energy from the low-loss dielectric fluid received from the return lumen.
25. The system of claim 18, wherein the low-loss dielectric fluid is configured to absorb thermal energy from at least one of the inner conductor or the outer conductor.
26. The system of claim 18, wherein the choke includes a plurality of apertures disposed therethrough, the plurality of apertures forming at least a portion of the return lumen.
27. A microwave ablation system, comprising:
a power generating source configured to supply microwave energy to a microwave antenna assembly, the microwave antenna assembly including:
a feedline having a length, the feedline including:
an inner conductor; and
an outer conductor in a coaxial arrangement with the inner conductor, the inner conductor and outer conductor forming a supply lumen therebetween;
an elongated shaft at least partially surrounding the feedline, the elongated shaft and the feedline forming a return lumen therebetween in fluid communication with the supply lumen;
a choke including a substantially cylindrical inner surface surrounding at least a portion of the length of the feedline and configured to electrically connect the outer conductor to the elongated shaft; and
a radiating section connected to a distal end of the feedline and configured to radiate microwave energy supplied from the power generating source; and
a fluid supply including a fluid analyzer, the fluid supply configured to supply a low-loss dielectric fluid to the supply lumen and to receive the low-loss dielectric fluid from the return lumen, wherein a first dielectric barrier is formed between the inner conductor and the outer conductor and a second dielectric barrier is formed between the outer conductor and the elongated shaft, the fluid analyzer configured to determine a strength of at least one of the first dielectric barrier or the second dielectric barrier based on at least one characteristic of the low-loss dielectric fluid received from the return lumen.
28. The system of claim 27, wherein the at least one characteristic of the low-loss dielectric fluid is selected from the group consisting of impedance and temperature.
29. The system of claim 27, wherein the power generating source is configured to adjust energy supplied to the radiating section based on the at least one characteristic of the low-loss dielectric fluid.
30. The system of claim 27, wherein the fluid supply includes a fluid cooler configured to remove thermal energy from the low-loss dielectric fluid.
31. A microwave antenna assembly, comprising:
a feedline having a length, the feedline including:
an inner conductor; and
an outer conductor in a coaxial arrangement with the inner conductor, the inner conductor and outer conductor forming a supply lumen therebetween;
an elongated shaft, at least partially surrounding the feedline, the elongated shaft and the feedline forming a return lumen therebetween in fluid communication with the supply lumen, wherein the supply lumen is configured to receive a low-loss dielectric fluid from a fluid supply such that a first dielectric barrier is formed between the inner conductor and the outer conductor, and the return lumen is configured to return the low-loss dielectric fluid to a fluid supply such that a second dielectric barrier is formed between the outer conductor and the elongated shaft; and
a choke including a substantially cylindrical inner surface surrounding at least a portion of the length of the feedline and configured to electrically connect the outer conductor to the elongated shaft.
32. The assembly of claim 31, further comprising:
a radiating section connected to the distal end of the feedline and configured to radiate microwave energy supplied from a power generating source.
33. The assembly of claim 31, wherein the low-loss dielectric fluid is configured to absorb thermal energy from at least one of the inner conductor or the outer conductor.
34. The assembly of claim 31, wherein the choke includes a plurality of apertures disposed therethrough, the plurality of apertures forming at least a portion of the return lumen.
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