FOAM ELECTRODE AND METHOD OF USE THEREOF DURING TISSUE RESECTION

• US 20100256631A1
• Filed: 06/16/2010
• Published: 10/07/2010
• Est. Priority Date: 12/29/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Rioux, Robert F., DiCarlo, Paul, Oyola, Arnold
• Granted Patent: US 8,016,826 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

Assemblies and methods are provided for resecting a portion of tissue to be removed (e.g., unhealthy tissue, such as cancerous tissue) from a portion of the tissue to be retained (e.g., healthy tissue) within a patient is provided. An electrically conductive fluid, such as saline, may be absorbed into a hydrophilic electrode. Electrical energy (e.g., radio frequency (RF) energy) is conveyed to or from the hydrophilic electrode while being moved in proximity to the tissue along a resection line, whereby tissue adjacent to the resection line is coagulated. A resection member, such as a blunt resection member or a resection electrode, which may be on the same device as the hydrophilic electrode, is used to separate the tissue along the resection line to resect the tissue portion to be removed from the tissue portion to be retained.

Claims

1-153. -153. (canceled)

154. An electrosurgical probe, comprising:

an elongated probe shaft;

a pair of rigid opposing members distally extending from the probe shaft, the rigid members having respective inward facing surfaces that form a channel therebetween, at least one of the inward facing surfaces having a taper, whereby a region of an anatomical vessel that proximally slides within the channel is gradually closed by the respective inward facing surfaces;

a first vessel ligation electrode adjacent the inward facing surface of one of the rigid members, wherein the first ligation electrode is configured for contacting a first side of the anatomical vessel at the closed region; and

a first hydrophilic electrode laterally disposed relative to the one rigid member, wherein the hydrophilic electrode is configured for contacting the first side of the anatomical vessel when disposed within the channel.

155. The electrosurgical probe of claim 154, wherein the first hydrophilic electrode is composed of an electrically insulative material configured for absorbing an electrically conductive solution that provides an electrically conductive path through the first hydrophilic electrode.

156. The electrosurgical probe of claim 154, wherein the first hydrophilic electrode is configured for absorbing an amount of the electrically conductive solution equal to at least the dry weight of the first hydrophilic electrode.

157. The electrosurgical probe of claim 154, wherein the first hydrophilic electrode is composed of foam.

158. The electrosurgical probe of claim 154, wherein the one rigid member is composed of an electrically insulative material.

159. The electrosurgical probe of claim 158, wherein the one rigid member has a recess, and the first ligation electrode is seated within the recess.

160. The electrosurgical probe of claim 154, wherein the first hydrophilic electrode is configured for contacting the first side the anatomical vessel at an open region of the anatomical vessel.

161. The electrosurgical probe of claim 154, wherein both inward facing surfaces of the rigid members taper.

162. The electrosurgical probe of claim 154, further comprising a second vessel ligation electrode adjacent the inward facing surface of another of the rigid members, wherein the second ligation electrode is configured for contacting a second side of the anatomical vessel at the closed region opposite the first side of the anatomical vessel.

163. The electrosurgical probe of claim 162, wherein the first hydrophilic electrode is laterally disposed relative to the other rigid member, wherein the first hydrophilic electrode is configured for contacting the second side of the anatomical vessel when disposed within the channel.

164. The electrosurgical probe of claim 154, further comprising a second hydrophilic electrode laterally disposed relative to the one rigid member, wherein the one rigid member is interposed between the first and second hydrophilic electrodes, and wherein the hydrophilic electrode is configured for contacting the first side of the anatomical vessel when disposed within the channel.

165. The electrosurgical probe of claim 154, wherein the rigid members have respective outward facing surfaces, the electrosurgical probe further comprising a first tissue resection member adjacent the outward facing surface of one of the rigid members.

166. The electrosurgical probe of claim 165, wherein the first tissue resection member is a tissue resection electrode.

167. The electrosurgical probe of claim 166, wherein the tissue resection electrode and the first ligation electrode are formed by the same member.

168. The electrosurgical probe of claim 165, further comprising a second tissue resection member adjacent the outward facing surface of another of the rigid members.

169. The electrosurgical probe of claim 154, wherein the rigid members are fixed relative to each other.

170. The electrosurgical probe of claim 154, further comprising a fluid delivery conduit extending through the probe shaft in fluid communication with the hydrophilic electrode.

171. An electrosurgical probe, comprising:

an elongated probe shaft;

a pair of rigid, electrically insulative, opposing members distally extending from the probe shaft, the rigid members having respective inward facing surfaces that form a channel therebetween, at least one of the inward facing surfaces having a taper, whereby the channel gradually narrows in the proximal direction, each of the rigid members having opposing lateral surfaces;

a metallic material disposed on the inward facing surfaces of the rigid members;

a hydrophilic material disposed on the opposing lateral surfaces of each rigid member; and

at least one connector terminal electrically coupled to the metallic material and hydrophilic material.

172. The electrosurgical probe of claim 171, wherein the hydrophilic material is composed of an electrically insulative material configured for absorbing an electrically conductive solution that provides an electrically conductive path through the hydrophilic material.

173. The electrosurgical probe of claim 171, wherein the hydrophilic material is configured for absorbing an amount of the electrically conductive solution equal to at least the dry weight of the hydrophilic material.

174. The electrosurgical probe of claim 171, wherein the hydrophilic material comprises foam.

175. The electrosurgical probe of claim 171, wherein the rigid members have recesses, and wherein the metallic material forms one or more members seated within the respective recesses.

176. The electrosurgical probe of claim 171, wherein both inward facing surfaces of the rigid members taper.

177. The electrosurgical probe of claim 171, wherein the rigid members have respective outward facing surfaces, the electrosurgical probe further comprising a pair of tissue resection members adjacent the respective outward facing surfaces of the rigid members.

178. An electrosurgical probe, comprising:

an elongated probe shaft;

a rigid, electrically insulative, tissue dissection member extending from the probe shaft, the dissection member having a pair of member portions having opposing inward facing surfaces that form a channel therebetween, whereby an anatomical vessel can be captured between the respective inward facing surfaces, and opposing lateral surfaces;

a hydrophilic material disposed on the opposing lateral surfaces of each of the rigid members; and

at least one connector terminal electrically coupled to the hydrophilic.

179. The electrosurgical probe of claim 178, wherein the hydrophilic material is composed of an electrically insulative material configured for absorbing an electrically conductive solution that provides an electrically conductive path through the hydrophilic material.

180. The electrosurgical probe of claim 178, wherein the hydrophilic material is configured for absorbing an amount of the electrically conductive solution equal to at least the dry weight of the hydrophilic material.

181. The electrosurgical probe of claim 178, wherein the hydrophilic material comprises foam.

182. The electrosurgical probe of claim 178, further comprising a fluid delivery conduit extending through the probe shaft in fluid communication with the hydrophilic material.