Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.

Abstract: The invention relates to a device for application of hyperthermia in a particular body using microwaves. The device comprises a wire antenna (1) supplied with microwave energy or, upon switching, acting as a radiometric probe, a sleeve (2) enabling the wire antenna to be thermostatted and a Foley-type catheter (3) removably mounted so as to encompass the assembly thus constituted, the catheter enabling this assembly to be positioned in relation to an opening for insertion into the particular body and being the sole disposable part in order to ensure good hygiene of the hyperthermia session. A connection module (4) allows the interconnection both of the wire antenna, from the radio-frequency point of view, and of the sleeve and the catheter, from the hydraulic point of view. Application to thermotherapy or to the thermal treatment of certain bodies is thus provided.

Abstract: A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and guide means for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The style can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue.

Abstract: A system for internal heat treatment of specific bodies by microwave including a generator 1 of microwave energy at a frequency f0, at least one channel for transmission of the microwave energy, each channel making it possible to generate a modulated microwave treatment signal, the wave of the microwave energy of two consecutive channels exhibiting a phase shift of defined value. At least one microwave applicator is associated with one of the channels in order to ensure application of the microwave energy delivered by this channel at separate adjacent points of the area Z to be treated, and a dual-temperature-reference radiometer is interconnected selectively to the applicator which then plays the role of temperature sensor, the absolute temperature of the adjacent point of the area Z to be treated being thus determined. The microwave powers radiated and the instantaneous temperatures of the separate points of the area Z to be treated are displayed.

Abstract: A method for the treatment of the prostate gland which heats the tissues which would otherwise be surgically removed with a trans-urethral resection of the prostate. This method is accomplished by combining a radiating energy device integrated with a urinary drainage Foley type catheter, which is modified to provide cooling along the urethra surfaces. The radiating device also serves as a means to measure the tissue radiated thermal energy for the control or monitoring of temperature of the prostate tissues being heated. A urethral inserted applicator for prostate hyperthermia includes a multi-tube, balloon type catheter. The catheter includes a fluid dry tube for an energy radiator antenna applicator which also serves as a radiometric temperature sensor for measuring the temperature of the prostate tissue, and an open fluid receiving tube. An electromagnetic energy generator supplies electromagnetic energy to the applicator.

Abstract: The invention discloses an antenna arrangement with a supply line in the form of a coaxial cable arrangement suitable for high frequencies, in particular for medical applications of heat in hollow parts of the body, an extrusion process for the production thereof, a dilatation catheter with the antenna arrangement and a procedure for a dilatation treatment. The coaxial cable arrangement comprises a continuous inner conductor, an insulator arranged cylindrically around the inner conductor, a shielding device applied around the insulator in a first section of the coaxial cable arrangement which begins at the proximal end of the coaxial cable arrangement, a second section beginning at the distal end of the first section of the coaxial cable arrangement and ending at the distal end of the coaxial cable arrangement, said second section serving as an antenna and being designed without an insulator or a shielding device around the continuous inner conductor.

Abstract: A method of selectively treating interstitial tissue following microwave thermal therapy includes an intraurethral Foley-type catheter shaft. The catheter shaft contains a microwave antenna which is capable of generating a cylindrically symmetrical thermal pattern in tissue, within which temperatures are capable of exceeding 45.degree. C. The antenna is surrounded by means within the shaft for asymmetrically absorbing electromagnetic energy emitted by the antenna so as to concentrate thermal energy on a first side of the shaft. This asymmetrical absorption alters the thermal pattern generated by the microwave antenna, making it possible to focus microwave thermal therapy toward undesirous tissue and away from healthy tissue. The absorption means is also capable of absorbing heat from adjacent tissue by thermal conduction. Operation of the absorption means upon the conclusion of microwave thermal therapy aids in reducing edema of the treated tissues caused by the elevated temperatures of those tissues.

Abstract: An intraurethral, Foley-type catheter shaft contains a microwave antenna capable of generating a cylindrically symmetrical thermal pattern, within which temperatures are capable of exceeding 45.degree. C. The antenna, which is positioned within the shaft, is surrounded by means within the shaft for absorbing thermal energy conducted by the tissue and asymmetrically absorbing electromagnetic energy emitted by the antenna--a greater amount of electromagnetic energy being absorbed on one side of the shaft. This asymmetrical absorption alters the thermal pattern generated by the microwave antenna, making it cylindrically asymmetrical, which effectively focuses microwave thermal therapy toward undesirous benign tumorous tissue growth of a prostate anterior and lateral to the urethra, and away from healthy tissue posterior to the urethra.

Abstract: A catheter shaft carries a coaxial cable, the terminal end of which contains a dipole antenna with opposing first and second helical elements. The first and second helical elements originate from a common connection to an outer conductor of the coaxial cable. The first and second helical elements are formed by winding flat wire around an outer insulator of the coaxial cable near a terminal end of the coaxial cable. A series capacitance is connected between an inner conductor of the coaxial cable and a point on the second helical element where the resistive component of the antenna's impedance matches the characteristic impedance of the coaxial cable. This match minimizes reflective losses of the antenna, thereby maximizing power transfer to the antenna. The antenna has an effective electrical length which is equal to one half the wavelength of the radiation emitted, independent of the physical length of the antenna.

Abstract: An apparatus for the surgical treatment of tissues by thermal effect, in particular the prostate, is disclosed comprising a urethral emitting probe having a front end capable of being inserted in the urethra, provided with a microwave antenna located intermediate or in the vicinity of the front end, the microwave antenna being connected to an external microwave generating device, and working at a frequency and at a power effective to heat the tissues to a predetermined temperature for a period of time sufficient to treat the tissues by thermal effect.