JPH02121675A - Probe for hyperthermia - Google Patents
Probe for hyperthermiaInfo
- Publication number
- JPH02121675A JPH02121675A JP27563288A JP27563288A JPH02121675A JP H02121675 A JPH02121675 A JP H02121675A JP 27563288 A JP27563288 A JP 27563288A JP 27563288 A JP27563288 A JP 27563288A JP H02121675 A JPH02121675 A JP H02121675A
- Authority
- JP
- Japan
- Prior art keywords
- probe
- sheath
- needle
- prostate
- balloon
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
- 239000000523 sample Substances 0.000 title claims abstract description 26
- 206010020843 Hyperthermia Diseases 0.000 title 1
- 230000036031 hyperthermia Effects 0.000 title 1
- 238000010438 heat treatment Methods 0.000 claims description 10
- 238000000015 thermotherapy Methods 0.000 claims description 9
- 210000002307 prostate Anatomy 0.000 abstract description 13
- 210000003708 urethra Anatomy 0.000 abstract description 3
- 238000005452 bending Methods 0.000 abstract 1
- 206010051482 Prostatomegaly Diseases 0.000 description 4
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 3
- 208000004403 Prostatic Hyperplasia Diseases 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000005540 biological transmission Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000004020 conductor Substances 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000005684 electric field Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 201000004240 prostatic hypertrophy Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000007669 thermal treatment Methods 0.000 description 1
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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1477—Needle-like probes
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/143—Needle multiple needles
-
- 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
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
- A61B2018/1432—Needle curved
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Electrotherapy Devices (AREA)
- Radiation-Therapy Devices (AREA)
Abstract
Description
【発明の詳細な説明】
[産業上の利用分野コ
本発明は例えば前立腺肥大部等を温熱治療する。H熱治
療用プローブに関する。DETAILED DESCRIPTION OF THE INVENTION [Industrial Application Fields] The present invention provides thermal treatment for, for example, prostatic hypertrophy. This invention relates to a probe for H heat treatment.
[従来の技術]
近年、前立腺肥大症の治療を温熱で行なう方法から゛え
られている。これは前立腺を43°C前後で加温すると
、その前立腺肥大症が冶癒することを利用するものであ
る。[Prior Art] In recent years, methods of treating benign prostatic hyperplasia using heat have been developed. This takes advantage of the fact that when the prostate is heated to around 43°C, the enlarged prostate is cured.
そして、従来は周囲にマイクロ波用アンテナを設けたカ
テーテルを尿道に挿入してそのアンテナからマイクロ波
を照射し、加温治療していた。Conventionally, a catheter with a microwave antenna around it was inserted into the urethra and microwaves were irradiated from the antenna to perform heating treatment.
また、特開昭62−292173号公報で知れるように
チューブ体の中間一部の外周に金属バイブなどの導電体
を設け、これにより加温用電界を集中させるようにした
ものが提案されている。Furthermore, as known from Japanese Patent Application Laid-Open No. 62-292173, it has been proposed to provide a conductor such as a metal vibrator on the outer periphery of the middle part of the tube body, thereby concentrating the electric field for heating. .
[発明が解決しようとする課題]
しかしながら、上記加温方式はいずれも被加温対象の部
位、たとえば前立腺の表面にまたはその近傍に、マイク
ロ波用アンテナまたは加温用電極を設置するのみである
から、その前立腺等の患部を全体的に均一に加温するこ
とはできない。また、全体的に確実かつ効率よく加温す
ることができなかった。[Problems to be Solved by the Invention] However, in all of the above heating methods, a microwave antenna or heating electrode is only installed on or near the surface of the area to be heated, for example, the prostate. Therefore, it is not possible to uniformly heat the entire affected area, such as the prostate gland. Moreover, it was not possible to heat the entire device reliably and efficiently.
本発明は上記課題に着目してなされたもので、その目的
とするところは被加温対象部を全体的に均一で効率よく
確実に加温することができる温熱治療用プローブを提供
することにある。The present invention has been made in view of the above-mentioned problems, and its purpose is to provide a thermotherapy probe that can uniformly, efficiently, and reliably heat the entire area to be heated. be.
[課題を解決するための手段および作用]上記課題を解
決するために本発明の温熱治療用プローブは体腔内に挿
入するプローブ本体と、このプローブ本体内にその先端
から突没自在に設すられ露出して被加温対象部位に刺通
する複数の加温用針状電極と、この針状電極を露出する
操作手段とからなり、プローブ本体を体腔内に挿入し、
その各針状電極を露出し被加温対象部位に刺通して加温
するようにしたものである。[Means and effects for solving the problems] In order to solve the above problems, the thermotherapy probe of the present invention includes a probe body to be inserted into a body cavity, and a probe body that is installed in the probe body so as to be able to protrude and retract from its tip. It consists of a plurality of heating needle-like electrodes that are exposed and pierced through the target area to be heated, and an operation means that exposes the needle-like electrodes, and the probe body is inserted into the body cavity,
Each of the needle-like electrodes is exposed and pierced into the target area to be heated.
このように複数の針状電極を被加温対象部位に刺通して
加温するようにしたから、被加温対象部位を全体的に均
一で効率よく確実に加温することができる。Since the plurality of needle-like electrodes are inserted into the target region to heat the region, the region to be heated can be heated uniformly, efficiently, and reliably as a whole.
[実施例]
第1図ないし第3図は本発明の第1の実施例を示すもの
である。この実施例は前立腺肥大症を治療するためのも
のである。第1図で示すようにその温熱治療用プローブ
1は体腔内に挿入するプローブ本体として可撓性のシー
ス2を有し、このシース2内にはカテーテル3が挿通さ
れている。[Embodiment] FIGS. 1 to 3 show a first embodiment of the present invention. This example is for treating benign prostatic hyperplasia. As shown in FIG. 1, the thermotherapy probe 1 has a flexible sheath 2 as a probe body to be inserted into a body cavity, and a catheter 3 is inserted into the sheath 2.
このカテーテル3の先端部分はそのシース2の先端開口
から突き出せるように設けられている。カテーテル3の
先端にはゴムで形成したバルーン4が設けられている。The distal end portion of the catheter 3 is provided so as to protrude from the distal opening of the sheath 2. A balloon 4 made of rubber is provided at the tip of the catheter 3.
このカテーテル3は可撓性で、その内部には軸方向に沿
う流体供給用孔(図示しない。)が形成されていて、こ
れは上記バルーン4に連通されている。そして、バルー
ン4は通常収縮しているが、上記流体供給用孔より供給
される流体によって第1図で示すように膨張するように
なっている。This catheter 3 is flexible and has a fluid supply hole (not shown) formed in its interior along the axial direction, which communicates with the balloon 4. The balloon 4 is normally deflated, but is expanded as shown in FIG. 1 by the fluid supplied from the fluid supply hole.
また、上記シース2の先端部にはそれぞれ外側に曲がり
癖のある複数の針状電極5がそのシース2の先端開口か
ら突没自在に設けられている。この各針状電極5はシー
ス2の内部に挿入した図示しない操作ワイヤの先端に連
結され、この操作ワイヤは手元側に設けた操作手段の操
作ハンドル6により進退操作されるようになっている。Further, a plurality of needle-like electrodes 5 each having a tendency to bend outward are provided at the distal end of the sheath 2 so as to be protruding and retractable from the distal opening of the sheath 2. Each of the needle electrodes 5 is connected to the tip of an operating wire (not shown) inserted into the sheath 2, and the operating wire is moved forward and backward by an operating handle 6 of operating means provided on the proximal side.
操作ハンドル6は第2図で示すように上記シース2の手
元側基端に設けたシース保持部材7に対して進退自在に
装管されている。また、この操作ハンドル6には上記針
状電極5に導通する接続端子8が設けられ、この接続端
子8にはマイクロ波伝送用ケブル9を介してマイクロ波
発生装置10に接続されるようになっている。さらに、
操作ハンドル6には上記カテーテル3に通じる口金11
が設けられている。As shown in FIG. 2, the operating handle 6 is attached to a sheath holding member 7 provided at the proximal end of the sheath 2 so as to be able to move forward and backward. Further, this operating handle 6 is provided with a connecting terminal 8 that is electrically connected to the needle-shaped electrode 5, and this connecting terminal 8 is connected to a microwave generator 10 via a microwave transmission cable 9. ing. moreover,
The operating handle 6 has a cap 11 that communicates with the catheter 3.
is provided.
また、上記シース2の先端部には複数の針状電極5とと
もにそのシース2の先端開口から突没自在な感温素子部
13が設けられている。この感温素子部13はたとえば
熱雷対からなり、これに通じるdPI ?Hケーブル1
4はシース2の内部を通じて外部に設置される?H度計
15に接続されるようになっている。この温度計15の
4−1温データは上記マイクロ波発生装置10を制御す
るコントロールユニット16に接続されている。Further, at the distal end of the sheath 2, a plurality of needle electrodes 5 and a temperature sensing element portion 13 which can be freely protruded and retracted from the distal opening of the sheath 2 are provided. This temperature sensing element section 13 is made up of, for example, a thermal lightning pair, and the dPI? H cable 1
4 is installed externally through the inside of sheath 2? It is designed to be connected to an H degree meter 15. 4-1 temperature data from this thermometer 15 is connected to a control unit 16 that controls the microwave generator 10.
次に、このように構成された混熱治療システムの使用方
法を説明する。まず、プローブ1のバルーン4を収縮さ
せた状態で、ハンドル6を手元側に後退させる。これに
よりカテーテル3とともにバルーン4はシース2内に引
き込まれる。また、各針状電極5および感温素子部13
もそのシース2内に引き込まれる。Next, a method of using the mixed heat treatment system configured as described above will be explained. First, with the balloon 4 of the probe 1 deflated, the handle 6 is retreated toward the user's hand. As a result, the balloon 4 and the catheter 3 are drawn into the sheath 2. In addition, each needle electrode 5 and the temperature sensing element part 13
is also drawn into the sheath 2.
そこで、このシース2を尿道17に挿入し、シース2の
先端部を肥大した前立腺18(患部)のところに位置さ
せる。そして、シース2を後退させることにより第3図
で示すようにバルーン4、各針状電極5および感温素子
部13がそのシース2の先端から露出する。Therefore, this sheath 2 is inserted into the urethra 17, and the distal end of the sheath 2 is positioned at the enlarged prostate 18 (affected area). Then, by retracting the sheath 2, the balloon 4, each needle electrode 5, and the temperature sensing element portion 13 are exposed from the tip of the sheath 2, as shown in FIG.
そして、外側に湾曲する曲がり癖のある各針状電極5を
肥大した前立腺18にそれぞれ突き刺す。Then, each needle electrode 5, which has a tendency to curve outward, is inserted into the enlarged prostate 18, respectively.
感温素子部13は前立腺18の表面部に当てまたは刺通
させる。また、バルーン3に送気してこれを膨張させる
。これによりバルーン3は肥大した前立腺18の奥にあ
る膀胱19側の壁面に当る状態で膨張して係止し、プロ
ーブ1を固定する。The temperature sensing element section 13 is applied to or penetrates the surface of the prostate gland 18. Also, air is supplied to the balloon 3 to inflate it. As a result, the balloon 3 inflates and locks against the wall of the bladder 19 located deep inside the enlarged prostate 18, thereby fixing the probe 1.
ついて、前立腺18の温度を温度計15で測定し始める
とともに、マイクロ波発生装置10を作動してマイクロ
波伝送用ケーブル9を通じてマイクロ波エネルギを上記
各針状電極5に供給し、マイクロ波を出射してその前立
腺18を加温する。Then, the temperature of the prostate gland 18 is started to be measured with the thermometer 15, and the microwave generator 10 is activated to supply microwave energy to each of the needle electrodes 5 through the microwave transmission cable 9 to emit microwaves. The prostate gland 18 is then heated.
このとき、加温される前立腺18の温度は上記温度計1
5で測定され、その温度が43°C(例えば42°C〜
45°C)前後になるようにコントロールユニット16
によりマイクロ波の出力を制御する。At this time, the temperature of the heated prostate 18 is measured by the thermometer 1.
5 and the temperature is 43°C (e.g. 42°C ~
Control unit 16 so that the temperature is around 45°C).
to control the microwave output.
しかして、上記患部の前立腺18はこれに刺通された針
状電極5によってその内部から加温され、全体的に均一
に加温できる。Thus, the affected prostate 18 is heated from within by the needle-like electrode 5 pierced through it, and can be heated uniformly as a whole.
なお、上記カテーテル3を先端まで突き抜ける中空なも
のとし、これにプローブの挿入を補助するガイドワイヤ
を挿通できるようにしてもよい。Incidentally, the catheter 3 may be made hollow so that it can be penetrated to the tip, and a guide wire for assisting insertion of the probe may be inserted through the catheter 3.
第4図および第5図は本発明の第2の実施例を示すもの
である。この実施例は針状電極5の少なくとも1本のも
のを第5図で示すように中空状に形成し、この中空部2
0内に熱電対からなる感温素子部〕3を挿通して設けた
ものである。これによれば、針状電極5とともに感温素
子部13を患部内に刺通できる。このため、より正確に
温度を、則定することができる。4 and 5 show a second embodiment of the present invention. In this embodiment, at least one of the needle electrodes 5 is formed into a hollow shape as shown in FIG.
A temperature-sensing element part] 3 consisting of a thermocouple is inserted into the inside of the thermocouple. According to this, it is possible to pierce the temperature sensing element portion 13 together with the needle electrode 5 into the affected area. Therefore, the temperature can be determined more accurately.
なお、本発明は上記各実施例のものに限定されるもので
はない。その要旨を超脱しない範囲で種々の変形が可能
である。また、使用する治療対象は前立腺に限らない。Note that the present invention is not limited to the above embodiments. Various modifications are possible without departing from the gist of the invention. Furthermore, the therapeutic target to be used is not limited to the prostate.
また、上記針状電極を2本で一対とする高周波用電極と
して構成し、その電極間に高周波エネルギを供給して通
電加熱する方式としたものでもよい。Alternatively, the needle-like electrodes may be configured as a pair of high-frequency electrodes, and high-frequency energy may be supplied between the electrodes to conduct electrical heating.
[発明の効果]
以上説明したように本発明の体腔内患部の温熱治療用プ
ローブは複数の針状電画を被加温対象部位に刺通して加
温するようにしたから、被加温対象部位を全体的に均一
で効率よく確実に加温することができる。[Effects of the Invention] As explained above, since the probe for thermotherapy of an affected area in a body cavity of the present invention is configured to heat a target area to be heated by piercing a plurality of needle-like electromagnets into the target area to be heated, can be heated uniformly, efficiently, and reliably throughout.
第1図は本発明の第1の実施例を示す温熱治療用プロー
ブの側断面図、第2図は同じくその第1の実施例の温熱
治療システムを含めた1、14成説明図、第3図は同じ
くその第1の実施例の温熱治療システムの使用説明図、
第4図は本発明の第2の実施例を示す温熱治療用プロー
ブの先端付近の側面図、第5図は同じくその第2の実施
例における針状電極の先端部の側断面図である。
1・i’R熱治療治療ローブ、2・・・シース、5・・
・針状電極、6−・・操作ハンドル、7・・・シース保
持部材、18・・・前立腺。FIG. 1 is a side sectional view of a thermotherapy probe showing a first embodiment of the present invention, FIG. The figure is also an explanatory diagram of the use of the thermotherapy system of the first embodiment,
FIG. 4 is a side view of the vicinity of the tip of a thermotherapy probe showing a second embodiment of the present invention, and FIG. 5 is a side sectional view of the tip of a needle electrode in the second embodiment. 1. i'R heat treatment treatment robe, 2... sheath, 5...
- Needle electrode, 6--operation handle, 7--sheath holding member, 18--prostate.
Claims (1)
て、体腔内に挿入するプローブ本体と、このプローブ本
体内にその先端から突没自在に設けられ露出して被加温
対象部位に刺通する複数の加温用針状電極と、この針状
電極を露出する操作手段とからなり、プローブ本体を体
腔内に挿入し、その各針状電極を露出し被加温対象部位
に刺通して加温するようにしたことを特徴とする温熱治
療用プローブ。A thermotherapy probe that performs heat treatment on an affected area within a body cavity includes a probe body that is inserted into the body cavity, and a plurality of probes that are provided within the probe body so as to be able to protrude and retract from its tip and that are exposed and pierce the target area to be heated. The probe body is inserted into the body cavity, and each of the needle electrodes is exposed and pierced into the target area to be heated. A thermotherapy probe characterized by:
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP63275632A JP2619941B2 (en) | 1988-10-31 | 1988-10-31 | Hyperthermia probe |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP63275632A JP2619941B2 (en) | 1988-10-31 | 1988-10-31 | Hyperthermia probe |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH02121675A true JPH02121675A (en) | 1990-05-09 |
JP2619941B2 JP2619941B2 (en) | 1997-06-11 |
Family
ID=17558165
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP63275632A Expired - Lifetime JP2619941B2 (en) | 1988-10-31 | 1988-10-31 | Hyperthermia probe |
Country Status (1)
Country | Link |
---|---|
JP (1) | JP2619941B2 (en) |
Cited By (28)
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---|---|---|---|---|
WO1994017856A1 (en) * | 1993-02-02 | 1994-08-18 | Vidamed, Inc. | Transurethral needle ablation device and method |
WO1994026187A1 (en) * | 1993-05-13 | 1994-11-24 | Vidamed, Inc. | Medical probe device with optic viewing capability |
WO1995017132A1 (en) * | 1993-12-22 | 1995-06-29 | Vidamed, Inc. | Medical probe apparatus with laser and/or microwave monolithic integrated circuit probe |
WO1995018575A1 (en) * | 1994-01-06 | 1995-07-13 | Vidamed, Inc. | Medical probe apparatus with enhanced rf, resistance heating, and microwave ablation capabilities |
US5458597A (en) * | 1993-11-08 | 1995-10-17 | Zomed International | Device for treating cancer and non-malignant tumors and methods |
US5469524A (en) * | 1994-05-12 | 1995-11-21 | Indigo Medical, Incorporated | Fiberoptic delivery system and method of use |
US5472441A (en) * | 1993-11-08 | 1995-12-05 | Zomed International | Device for treating cancer and non-malignant tumors and methods |
WO1996016606A1 (en) * | 1994-12-01 | 1996-06-06 | Vidamed, Inc. | Transurethral needle delivery device with cystoscope and method for treatment of urinary incontinence |
US5531676A (en) * | 1992-08-12 | 1996-07-02 | Vidamed, Inc. | Medical probe device and method |
WO1996022742A1 (en) * | 1995-01-25 | 1996-08-01 | Vidamed, Inc. | Transurethral needle ablation device and method for the treatment of the prostate |
US5582589A (en) * | 1992-08-12 | 1996-12-10 | Vidamed, Inc. | Medical probe with stylets |
US5709224A (en) * | 1995-06-07 | 1998-01-20 | Radiotherapeutics Corporation | Method and device for permanent vessel occlusion |
FR2766721A1 (en) | 1997-08-01 | 1999-02-05 | Technomed Medical Systems | INTRACORPOREAL PROBE COMPRISING AN INTERSTITIAL TEMPERATURE MEASURING DEVICE AND THERAPEUTIC TREATMENT APPARATUS INCLUDING APPLICATION |
USRE36473E (en) * | 1994-05-12 | 1999-12-28 | Indigo Medical, Inc. | Fiberoptic delivery system and method of use |
US6016452A (en) * | 1996-03-19 | 2000-01-18 | Kasevich; Raymond S. | Dynamic heating method and radio frequency thermal treatment |
US6270495B1 (en) | 1996-02-22 | 2001-08-07 | Radiotherapeutics Corporation | Method and device for enhancing vessel occlusion |
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1988
- 1988-10-31 JP JP63275632A patent/JP2619941B2/en not_active Expired - Lifetime
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