Method and apparatus for plasma-mediated thermo-electrical ablation

• US 20080039832A1
• Filed: 04/06/2007
• Published: 02/14/2008
• Est. Priority Date: 05/03/2002
• Status: Active Grant

• Current Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Original Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford Management Co.)
• Inventors: Vankov, Alexander, Palanker, Daniel
• Granted Patent: US 8,043,286 B2
• Time in Patent Office: Days
• US Class Current: 606/39
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00625 Vaporization
• CPC Class Codes: A61B 2018/00726 Duty cycle
• CPC Class Codes: A61B 2018/122 ionizing, with corona
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

Described herein are methods and apparatus for cutting a material including biological tissue. The apparatus has a cutting electrode with an elongate cutting portion. A voltage pulse waveform (typically comprising repeated bursts of minipulses) having a low or very low duty-cycle is applied to the cutting electrode to cut the tissue or other material by producing a vapor cavity around the cutting portion of the electrode and ionizing a gas inside the vapor cavity to produce a plasma. A low duty cycle cutting waveform may prevent heat accumulation in the tissue, reducing collateral thermal damage. The duration of the burst of minipulses typically ranges from 10 μs to 100 μs, and the rep rate typically ranges from 1 KHz to 10 Hz, as necessary. The apparatus and method of invention may cut biological tissue while decreasing bleeding and maintaining a very shallow zone of thermal damage.

Claims

1. A method for thermo-electrical cutting of biological tissue comprising:

applying a low duty-cycle pulse waveform to a cutting electrode, wherein the cutting electrode is connected to a voltage control unit; and

cutting the tissue with the cutting electrode during application of the low duty-cycle pulse waveform, wherein the voltage applied is between about −

600 V and about +600 V.

2. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a duty cycle of less than 10%.

3. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a duty cycle of less than 5%

4. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a duty cycle of between about 2.5% and about 0.01%.

5. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses wherein each pulse comprises a burst of minipulses.

6. The method of claim 5, wherein the minipulses within the burst of minipulses comprise bipolar minipulses.

7. The method of claim 5, wherein the duration of each minipulse within the burst of minipulses is between about 10 ns and about 100 μ

s.

8. The method of claim 5, wherein the minipulses within each burst of minipulses are continuously applied.

9. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of bursts of minipulses having an interburst repetition rate of between about 10 Hz and 500 Hz, and a minipulse burst duration of between about 5 μ

s and about 200 μ

s.

10. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a voltage of between about −

500 V and about +500 V.

11. The method of claim 1, wherein applying the low duty-cycle cutting waveform comprises applying a pulsing waveform so that the cutting electrode has an average temperature during application of the pulse waveform of less than about 50°

C.

12. The method of claim 11, wherein the average temperature during application of the pulse waveform is less than about 40°

C.

13. The method of claim 11, wherein applying the low duty-cycle cutting waveform comprises applying a pulsing waveform so that the cutting electrode has a peak temperature during application of the pulse waveform of greater than 100°

C.

14. A method for thermo-electrical cutting of biological tissue comprising:

applying a pulse waveform having a duty-cycle of less than 10% to a cutting electrode, wherein the pulse waveform comprises a plurality of bursts of minipulses having an interburst repetition rate of between about 10 Hz and 500 Hz, and a minipulse burst duration of between about 10 μ

s and about 100 μ

s; and

cutting the tissue with the cutting electrode during application of the pulse waveform.

15. The method of claim 14, wherein the minipulses within the burst of minipulses comprise bipolar minipulses.

16. A method for thermo-electrical cutting of biological tissue comprising:

forming a plasma on a cutting electrode by applying a low duty-cycle pulse waveform, wherein the pulse waveform comprises a plurality of bursts of minipulses having an interburst repetition rate of between about 10 Hz and 500 Hz, and a minipulse burst duration of between about 10 μ

s and about 100 μ

s; and

cutting the tissue with the cutting electrode during application of the pulse waveform.

17. The method of claim 16, wherein the minipulses within the burst of minipulses comprise bipolar minipulses.

18. The method of claim 16, wherein the duration of each minipulse within the burst of minipulses is between about 10 ns and about 100 μ

s.

19. The method of claim 16, wherein the minipulses within each burst of minipulses are continuously applied.

20. A method for thermo-electrical cutting of biological tissue comprising:

applying a low duty-cycle pulse waveform to a cutting electrode, wherein the cutting electrode has peak temperature during application of the pulse waveform of greater than 100°

C. and an average temperature during application of the pulse waveform of less than about 50°

C.; and

cutting the tissue with the cutting electrode during application of the low duty-cycle pulse waveform.

21. The method of claim 20, wherein the average temperature during application of the pulse waveform is less than about 40°

C.

22. A method of simultaneously cutting and hematostais of a biological tissue, the method comprising:

contacting a biological tissue with a cutting electrode, applying a low duty-cycle pulse waveform to the cutting electrode, wherein the cutting electrode has an average temperature during application of the pulse waveform of less than about 50°

C.; and

cutting the tissue with the cutting electrode during application of the low duty-cycle pulse waveform while at least partially constricting the blood vessels adjacent to the cut tissue by application of the low duty-cycle pulse waveform to the cutting electrode.

23. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a duty cycle of less than 10%.

24. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a duty cycle of less than 5%

25. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses wherein each pulse comprises a burst of minipulses.

26. The method of claim 25, wherein the minipulses within the burst of minipulses comprise bipolar minipulses.

27. The method of claim 25, wherein the duration of each minipulse within the burst of minipulses is between about 10 ns and about 100 μ

s.

28. The method of claim 25, wherein the minipulses within each burst of minipulses are continuously applied.

29. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of bursts of minipulses having an interburst repetition rate of between about 10 Hz and 500 Hz, and a minipulse burst duration of between about 5 μ

s and about 200 μ

s.

30. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a plurality of pulses having a voltage of between about −

500 V and about +500 V.

31. The method of claim 22, wherein the average temperature during application of the pulse waveform is less than about 40°

C.

32. The method of claim 22, wherein applying the low duty-cycle cutting waveform comprises applying a pulsing waveform so that the cutting electrode has a peak temperature during application of the pulse waveform of greater than 100°

C.