Electrosurgical device and methods

• US 10,105,175 B2
• Filed: 05/16/2017
• Issued: 10/23/2018
• Est. Priority Date: 04/26/2010
• Status: Active Grant

• Current Assignee: Medtronic Holding Company Sarl (Medtronic Plc)
• Original Assignee: Medtronic Holding Company Sarl (Medtronic Plc)
• Inventors: Godara, Neil, Woo, Jason, Won, Emily, Gofeld, Michael
• Primary Examiner(s): Johnson, Nicole F
• Application Number:
  US15/596,205
• Publication Number:
  US 20170245920A1
• Time in Patent Office: 525 Days
• Field of Search: 606 21, 606 23, 606 41
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/0044 Spinal cord
• CPC Class Codes: A61B 2018/00565 Bone
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/126 bipolar

Abstract

An electrosurgical bipolar probe with internal cooling for use in systems and methods for lesioning in bone and other tissue is disclosed. The bipolar probe includes tubular electrodes configured such that the inner surface of the electrodes are cooled, directly or indirectly, while keeping the electrodes electrically isolated. An exemplary disclosed method of using a bipolar probe having an active tip having at least two electrodes for delivering energy includes the steps of: advancing the active tip into a bone tissue; delivering energy substantially between the electrodes in a bipolar manner; and supplying cooling fluid to the active tip for internal cooling of the electrodes. Some versions of the method further include the steps of monitoring the temperature of tissue to which the energy is being delivered; and controlling the delivery of energy in suspense to the temperature of the tissue.

Claims

1. A method of utilizing a bipolar probe between a vertebral body and a tumor located at least partially within the vertebral body, the method comprising:

delivering energy to nervous tissue near the tumor using the bipolar probe, the bipolar probe having an active tip including at least two electrodes, the at least two electrodes including at least a tubular outer electrode defining a first lumen having a longitudinal axis and a tubular inner electrode defining a second lumen having a longitudinal axis extending coaxially with the longitudinal axis of the first lumen along at least a portion of the outer electrode; and

cooling the outer electrode and the inner electrode by flowing a coolant within the second lumen of the inner electrode when the energy is being delivered to the nervous tissue to limit charring of tissue surrounding the surface of the at least two electrodes.

2. The method of claim 1, further comprising:

monitoring the temperature of the nervous tissue to which the energy is being delivered.

3. The method of claim 2, further comprising:

adjusting the delivering of the energy in response to the temperature of the nervous tissue being monitored.

4. The method of claim 1, further comprising:

advancing the active tip of the bipolar probe into a trabecular bone.

5. The method of claim 1, further comprising:

using an introducer assembly including a cannula with a stylet disposed therein to advance the bipolar probe into the vertebral body,

wherein the stylet is withdrawn from the cannula subsequent to the introducer assembly being advanced into the vertebral body.

6. The method of claim 5, further comprising:

inserting the introducer assembly into the vertebral body using a transpedicular approach.

7. The method of claim 1, wherein the bipolar probe includes an electrically-exposed outer conductor at a distal end of the outer electrode.

8. The method of claim 1, wherein the flowing of the coolant within the second lumen includes circulating the coolant within the second lumen between a coolant supply provided at a proximal end thereof and a closed distal end thereof.

9. The method of claim 1, further comprising:

adjusting the flowing of the coolant within the second lumen based on at least one of tissue characteristics and geometry of the tumor.

10. The method of claim 1, wherein the first lumen has a first length and the second lumen has a second length, the second length of the second lumen being different from the first length of the first lumen.

11. An ablation system for delivering energy to nervous tissue near a tumor located at least partially within a vertebral body, the ablation system comprising:

a generator configured to supply power to the ablation system;

a bipolar probe configured to deliver the energy to the nervous tissue near the tumor, the bipolar probe having an active tip including at least two electrodes, the at least two electrodes including at least a tubular outer electrode defining a first lumen having a longitudinal axis and a tubular inner electrode defining a second lumen having a longitudinal axis extending coaxially with the longitudinal axis of the first lumen along at least a portion of the outer electrode; and

a coolant supply configured to cool the outer electrode and the inner electrode by flowing a coolant within the second lumen of the inner electrode when the energy is being delivered to the nervous tissue to limit charring of tissue surrounding the surface of the at least two electrodes.

12. The ablation system of claim 11, wherein the generator is further configured to monitor the temperature of the nervous tissue to which the energy is being delivered.

13. The ablation system of claim 12, wherein the generator is further configured to adjust the energy being delivered in response to the temperature of the nervous tissue being monitored.

14. The ablation system of claim 11, wherein the bipolar probe is further configured to advance the active tip of the bipolar probe into a trabecular bone.

15. The ablation system of claim 11, further comprising:

an introducer assembly including a cannula with a stylet disposed therein to be used to advance the bipolar probe into the vertebral body,

wherein the stylet is withdrawn from the cannula subsequent to the introducer assembly being advanced into the vertebral body.

16. The ablation system of claim 15, wherein the introducer assembly is configured to be inserted into the vertebral body using a transpedicular approach.

17. The ablation system of claim 11, wherein the bipolar probe includes an electrically-exposed outer conductor at a distal end of the outer electrode.

18. The ablation system of claim 11, wherein the coolant being flowed within the second lumen is circulated within the second lumen between the coolant supply provided at a proximal end thereof and a closed distal end thereof.

19. The ablation system of claim 11, wherein the coolant supply is further configured to adjust the flowing of the coolant within the second lumen based on at least one of tissue characteristics and geometry of the tumor.

20. The ablation system of claim 11, wherein the first lumen has a first length and the second lumen has a second length, the second length of the second lumen being different from the first length of the first lumen.