WO2003051217A3 - Hyperthermia treatment and probe therefor - Google Patents

Hyperthermia treatment and probe therefor Download PDF

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Publication number
WO2003051217A3
WO2003051217A3 PCT/CA2002/001911 CA0201911W WO03051217A3 WO 2003051217 A3 WO2003051217 A3 WO 2003051217A3 CA 0201911 W CA0201911 W CA 0201911W WO 03051217 A3 WO03051217 A3 WO 03051217A3
Authority
WO
WIPO (PCT)
Prior art keywords
probe
fiber
temperature
heat source
controlled
Prior art date
Application number
PCT/CA2002/001911
Other languages
French (fr)
Other versions
WO2003051217A2 (en
Inventor
Mark G Torchia
Richard Tyc
John S Pacak
Original Assignee
Monteris Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/014,846 external-priority patent/US7167741B2/en
Application filed by Monteris Medical Inc filed Critical Monteris Medical Inc
Priority to ES02784959T priority Critical patent/ES2305320T3/en
Priority to EP02784959A priority patent/EP1455672B1/en
Priority to AU2002350313A priority patent/AU2002350313B2/en
Priority to MXPA04005792A priority patent/MXPA04005792A/en
Priority to BR0214951-6A priority patent/BR0214951A/en
Priority to IL162483A priority patent/IL162483A/en
Priority to JP2003552154A priority patent/JP4142586B2/en
Priority to DE60226635T priority patent/DE60226635D1/en
Publication of WO2003051217A2 publication Critical patent/WO2003051217A2/en
Publication of WO2003051217A3 publication Critical patent/WO2003051217A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2272—Optical elements at the distal end of probe tips with reflective or refractive surfaces for deflecting the beam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/374—NMR or MRI

Abstract

An MRI guided surgical apparatus includes a heat source formed by a laser and an optical fiber carrying the heat energy into a part to be coagulated by hyperthermia with an end reflector to direct the energy in a beam to one side of the fiber end. A reinforcing sleeve for the fiber is mounted in a shielded, Piezo-electric motor which causes movement of the fiber longitudinally and angularly within a rigid elongate cannula. A magnetic resonance imaging system is arranged to generate a series of output signals over a period of time representative of temperature in the part as the temperature of the part changes during that time. The heat source is controlled in heat energy applied and location and orientation of the beam to stop heating when the temperature at the boundary of a tumor reaches the required hyperthermic temperature. Cooling of the tip portion of the probe is effected by expansion of a supplied cooling fluid in gaseous form through a restrictive orifice into an expansion zone at the probe end. The fiber is thus encased in a stiff tubular titanium probe with a relatively small fluid supply duct along the inside of the probe with the interior of the probe acting as a return duct for the expanded gas. Thus the fiber end is contained in gas rather than liquid and the temperature of the probe end can be monitored by a sensor in the probe end and controlled by controlling the pressure in the supplied cooling fluid. The probe is driven in the longitudinal and rotational directions to move the fiber tip.
PCT/CA2002/001911 2001-12-14 2002-12-12 Hyperthermia treatment and probe therefor WO2003051217A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
ES02784959T ES2305320T3 (en) 2001-12-14 2002-12-12 TREATMENT OF HYPERTHERMIA AND PROBE FOR IT.
EP02784959A EP1455672B1 (en) 2001-12-14 2002-12-12 Hyperthermia treatment and probe therefor
AU2002350313A AU2002350313B2 (en) 2001-12-14 2002-12-12 Hyperthermia treatment and probe therefor
MXPA04005792A MXPA04005792A (en) 2001-12-14 2002-12-12 Hyperthermia treatment and probe therefor.
BR0214951-6A BR0214951A (en) 2001-12-14 2002-12-12 Treatment of hyperthermia and probe for the same
IL162483A IL162483A (en) 2001-12-14 2002-12-12 Hyperthermia treatment apparatus and probe therefor
JP2003552154A JP4142586B2 (en) 2001-12-14 2002-12-12 Thermotherapy and probe therefor
DE60226635T DE60226635D1 (en) 2001-12-14 2002-12-12 HYPERTHERMIE TREATMENT AND ASSOCIATED PROBE

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/014,846 2001-12-14
US10/014,846 US7167741B2 (en) 2000-06-15 2001-12-14 Hyperthermia treatment and probe therefor

Publications (2)

Publication Number Publication Date
WO2003051217A2 WO2003051217A2 (en) 2003-06-26
WO2003051217A3 true WO2003051217A3 (en) 2003-11-27

Family

ID=21768089

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CA2002/001911 WO2003051217A2 (en) 2001-12-14 2002-12-12 Hyperthermia treatment and probe therefor

Country Status (11)

Country Link
US (2) US7344529B2 (en)
EP (1) EP1455672B1 (en)
JP (1) JP4142586B2 (en)
AT (1) ATE395003T1 (en)
AU (1) AU2002350313B2 (en)
BR (1) BR0214951A (en)
DE (1) DE60226635D1 (en)
ES (1) ES2305320T3 (en)
IL (1) IL162483A (en)
MX (1) MXPA04005792A (en)
WO (1) WO2003051217A2 (en)

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US20060287647A1 (en) 2006-12-21
US7344529B2 (en) 2008-03-18
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BR0214951A (en) 2004-11-09
IL162483A0 (en) 2005-11-20
EP1455672B1 (en) 2008-05-14
US20040249261A1 (en) 2004-12-09
DE60226635D1 (en) 2008-06-26
MXPA04005792A (en) 2005-03-31
US7691100B2 (en) 2010-04-06
WO2003051217A2 (en) 2003-06-26
AU2002350313B2 (en) 2005-12-01
JP2005511239A (en) 2005-04-28
ES2305320T3 (en) 2008-11-01
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EP1455672A2 (en) 2004-09-15
IL162483A (en) 2010-11-30

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