Electrosurgical system

• US 10,136,942 B1
• Filed: 10/21/2014
• Issued: 11/27/2018
• Est. Priority Date: 10/21/2014
• Status: Active Grant

• Current Assignee: Cosman Instruments, LLC
• Original Assignee: Cosman Instruments, LLC
• Inventors: Cosman, Jr., Eric R., Cosman, Sr., Eric R.
• Primary Examiner(s): Giuliani, Thomas
• Application Number:
  US14/520,305
• Time in Patent Office: 1,498 Days
• Field of Search: 606 41, 606 45- 50
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2018/167 Passive electrodes capacitively coupled to the skin

Abstract

An RF electrode can have a straight shaft to generate an RF heat lesion that is asymmetric about the central axis of the cannula through which the RF electrode is introduced into bodily tissue. For example, a system for tissue ablation can include a cannula and an electrode, the cannula including an elongated shaft having a proximal end and a distal end, the cannula shaft including an electrically conductive active tip distal to an electrically insulated cannula shaft portion, the cannula shaft including a lumen extending from a proximal opening at the proximal end of the shaft to an exit opening within a distal portion of the cannula shaft, the electrode including an electrode shaft having a proximal end and a distal end, the electrode shaft including an electrically conductive active tip distal to an electrically insulated electrode shaft portion.

Claims

1. A system for tissue ablation including an electrosurgical generator, a cannula and an electrode, the cannula including an elongated shaft having a proximal end and a distal end, the cannula shaft including an electrically-conductive active tip distal to an electrically-insulated cannula shaft portion, the cannula shaft including a lumen extending from a proximal opening at the proximal end of the shaft to an exit opening within a distal portion including the distal end of the cannula shaft, the cannula including a cannula hub at the proximal end of the shaft of the cannula, the electrode including an electrode shaft having a proximal end and a distal end, the electrode shaft including an electrically-conductive active tip distal to an electrically-insulated electrode shaft portion, the electrode including an electrode hub at the proximal end of the shaft of the electrode, the electrode conducting a first electrical potential from the electrosurgical generator to the electrode active tip, wherein the electrode and the cannula are configured to be assembled by inserting the electrode shaft into the cannula lumen through the proximal opening such that engagement of the electrode hub with the cannula hub conducts a second electrical potential from the electrosurgical generator to the cannula active tip via the electrode, the electrode active tip and the electrically-insulated electrode shaft portion extend out of cannula lumen through the exit opening, the electrode active tip is electrically insulated from the cannula active tip within the assembly of the electrode and the cannula, and the assembly of the electrode and the cannula is configured to conduct electrical current through bodily tissue between the cannula active tip and the electrode active tip.

2. The system of claim 1 wherein the exit opening is a side opening through a side wall of the cannula shaft.

3. The system of claim 2 wherein the electrode shaft is substantially straight, the cannula shaft includes a bend at the location of the side opening configured so that the electrode shaft extends out of the cannula lumen through the side opening in a substantially straight configuration.

4. The system of claim 1 wherein the exit opening is located at the distal end of the cannula shaft along a longitudinal axis of the cannula shaft.

5. The system of claim 4 wherein both the cannula active tip and the electrode active tip are cooled by coolant within the electrode shaft.

6. The system of claim 1 wherein the electrode shaft is cooled by a coolant within the electrode shaft.

7. The system of claim 6 wherein the electrode includes a temperature sensor located at or near the distal end of the electrode shaft.

8. The system of claim 6 wherein the electrode includes a temperature sensor located at a distal point of an extension shaft fixed to a distal end of the electrode active tip;

the temperature sensor and the electrode active tip being electrically-isolated from each other within the electrode;

the temperature sensor and the coolant being physically separated from each other within the electrode;

the extension shaft having a smaller outer diameter than the electrode active tip and extending distal to the electrode active tip so that the temperature sensor is spaced away from the electrode active tip.

9. The system of claim 1 wherein the electrode includes an ionic fluid coolant within the electrode shaft, and one or more perfusion holes in the electrode active tip from which the coolant exits the electrode into the bodily tissue.

10. The system of claim 1 wherein the electrode further includes a temperature sensor.

11. The system of claim 10 wherein the temperature sensor is positioned within a part of the electrically:

insulated electrode shaft portion that extends out of cannula lumen through the exit opening when the electrode is assembled with the cannula.

12. The system of claim 1 wherein the cannula further includes a temperature sensor.

13. The system of claim 12 wherein the electrically-insulated cannula shaft portion is covered by electrical insulation, the temperature sensor is positioned under the electrical insulation, wires conducting temperature signals from the temperature sensor to the cannula hub are positioned under the electrical insulation, the engagement of the electrode hub with the cannula hub conducts the temperature signals to the electrosurgical generator via the electrode.

14. The system of claim 1 wherein the cannula hub includes a hub conductive tube, the hub conductive tube forms the proximal opening to the cannula lumen, the hub conductive tube is conductively connected to a conductive tube that runs through the cannula shaft to form the cannula active tip, the cannula hub is covered by electrical insulation except for the hub conductive tube, the electrode hub includes a conductive protrusion configured to conductively engage with the proximal opening of the cannula lumen and thereby conduct the second electrical potential from the electrode to the cannula tip, and the electrode hub is covered by electrical insulation except for the conductive protrusion.

15. The system of claim 14 wherein the hub conductive tube has female-luer geometry, and the conductive protrusion has male-luer geometry.

16. The system of claim 1 wherein the cannula is configured to be inserted into the bodily tissue such that the cannula active tip is fully within the bodily tissue, the electrode is configured to be connected to the electrosurgical generator, and the electrode is configured to be fully inserted into the cannula such that the electrode hub engages with the cannula hub, such that no outer surface of the assembly of the cannula and the electrode outside of the bodily tissue can conduct an electrical signal from within the assembly.