RADIO FREQUENCY ABLATION DEVICE FOR THE DESTRUCTION OF TISSUE MASSES

• US 20120165813A1
• Filed: 12/12/2011
• Published: 06/28/2012
• Est. Priority Date: 07/01/2005
• Status: Active Grant

• Current Assignee: Acessa Health Inc. (Hologic Incorporated)
• Original Assignee: Halt Medical, Inc. (Hologic Incorporated)
• Inventors: Epstein, Gordon E., Cohen, Jeffrey, Hagmann, Adam, Lee, Bruce
• Granted Patent: US 9,662,166 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula.

Claims

1. An ablation instrument, comprising:

(a) an elongated cannula having a proximal portion and a distal portion, said cannula defining an internal lumen within said cannula and said cannula defining a cannula axis;

(b) at least one conductor extending along at least a portion of the length of said lumen, said conductor having a proximal portion proximate the proximal portion of said cannula, and a distal portion proximate the distal portion of said cannula;

(c) a plurality of ablation stylets each having a proximal portion and a distal portion, each of said stylets coupled at the respective proximal portion of each of said stylets to the distal portion of said conductor, said stylets comprising a resiliently deflectable material said conductor together with said stylets being mounted for axial movement along at least a portion of said conductor and stylets, said ablation stylets having a substantially straight configuration in the absence of the application of external forces;

(d) a head positioned proximate to the distal portion of said cannula, said head being secured proximate the distal portion of said cannula, said head having a proximal portion and a distal portion, and said distal portion of said head comprising a head end; and

(e) deflection surfaces positioned between said head end and said proximal portion of said cannula, said deflection surface being positioned closer to said head end, the deflection surfaces each being configured and positioned, in response to axial movement of said stylets, to deflect at least some of said stylets laterally and only outwardly along paths which extend away from said cannula axis causing said stylets to exit said deflection surfaces and move along substantially straight external paths external to said cannula and head, deflection by said deflection surfaces achieving most of the deflection in the path of the stylets.

2. An ablation instrument as in claim 1, wherein said conductor is selected from the group consisting of electrical conductors, radio frequency conductors, microwave conductors and optical conductors.

3. An ablation instrument as in claim 1, wherein each of said conductors is integral with its respective ablation stylet.

4. An ablation instrument as in claim 1, further comprising:

(f) a motor member or members coupled to said conductors to drive axial movement of said stylets in directions from said proximal end of said cannula to said distal end of said cannula, and from said distal end of said cannula to said proximal end of said cannula through a plurality of positions.

5. An ablation instrument as in claim 1, wherein said head end is defined at the distal end of a trocar member, said trocar member having an outside surface, and said cannula having an outside surface, said trocar member having a proximal end secured proximate to the distal end of said elongated cannula and a distal end which a defines a trocar point.

6. An ablation instrument as in claim 5, wherein said deflection surface comprises a number of ramps defined proximate the proximal end of said trocar point, the distal ends of said stylets being positionable proximate to said grooves and at least partially within said trocar.

7. An ablation instrument as in claim 6, wherein said conductor is an electrical conductor, said stylets are electrical conductors, and each of said stylets are configured to assume a substantially straight configuration in the absence of external forces.

8. An ablation instrument as in claim 1, wherein said stylets have a curved surface and said deflection surface comprises a plurality of faceted channels guiding said distal ends of said stylets.

9. An ablation instrument as in claim 7, wherein said cannula is secured to said trocar member with the outside surface of said cannula proximate to the outside surface of said trocar member.

10. An ablation instrument as in claim 1, further comprising:

(f) an anchor mounted in said instrument, said anchor extending rearwardly when within said instrument for movement between an internal position disposed within said instrument and an anchoring position wherein said anchor extends radially outwardly from said instrument and external of said lumen; and

(g) a drive member disposed within said lumen and coupled to said anchor to drive said anchor between said internal position and said anchoring position.

11. An ablation instrument as in claim 10, wherein said anchor comprises at least two pointed members mounted for movement in directions which have vector components which extend away from the axis of said cannula and away from each other and rearwardly and away from head.

13. An ablation element as in claim 11, wherein said front end comprises a trocar point defined at the distal end of a trocar member, said trocar member having an outside surface, said cannula having an outside surface, said trocar member having a proximal end secured proximate to the distal end of said elongated cannula, and the outside surface of said cannula and the outside surface of said trocar point define a trocar surface.

14. An ablation element as in claim 13, wherein said trocar member bears a deflection surface, said deflection surface comprising a number of ramps defined proximate the proximal end of said trocar point, the distal ends of said stylets being positionable proximate to said ramps and within said trocar surface.

12. An ablation element, comprising:

(a) an elongated cannula having a proximal end and a distal end, said cannula defining an internal lumen within said cannula and a cannula axis;

(b) a conductor contained within said lumen, said conductor having a proximal end proximate the proximal end of said cannula, and a distal end proximate the distal end of said cannula;

(c) a plurality of ablation stylets each having a proximal end and a distal end, and each coupled to the conductor, said stylets comprising a deflectable material said conductor together with said stylets being mounted for axial movement;

(d) a stylet mechanical drive member coupled to said ablation stylets;

(e) a front end proximate the distal end of said cannula;

(f) an anchor mounted for movement between an internal position disposed substantially within said trocar surface and an anchoring position extending laterally and/or rearwardly away from said front end and from said trocar surface through points external of said lumen; and

(g) an anchor drive member separate from said stylet mechanical drive member, said anchor drive member disposed within said lumen and coupled to said anchor to drive said anchor between said internal position and said anchoring position, wherein said anchor comprises at least two pointed members mounted for movement in directions which have vector components which extend away from the axis of said cannula and away from each other.

15. An ablation element as in claim 12, wherein said anchors when positioned in said cannula extend in directions which have vector components which extend away from the distal end of said of ablation element.

16. An ablation element as in claim 12, wherein said anchors are deployed in response to rotary motion.

17. An ablation element as in claim 12, wherein said anchors are deployed by bearing against a deflection surface.

18. An ablation element as in claim 12, wherein said anchors are made of a springy material which assumes a curved configuration when not subjected to external forces.

19. An ablation element, comprising:

(a) an elongated cannula having a proximal end and a distal end, said cannula defining an internal lumen within said cannula and a cannula axis;

(b) a conductor contained within said lumen, said conductor having a proximal end, and a distal end proximate the distal end of said cannula;

(c) a plurality of ablation stylets each having a proximal end and a distal end, and each coupled to said conductor, said stylets comprising a resiliently deflectable material said conductors together with their respective stylets being mounted for axial movement;

(d) a head member defined proximate the distal end of said cannula; and

(e) a deflection surface comprising a bending surface and a counter surface, positioned between said head member and said proximal end of said cannula, the bending surface being configured and positioned to deflect, in response to axial movement of said stylets in a direction from said proximal end of said cannula to said distal end of said cannula, at least some of said stylets laterally with respect to said cannula axis in different directions along substantially straight paths, said paths defining an ablation volume, the region of contact between a particular one of said stylets and said bending surface being separated from the region of contact between said particular one of said stylets and said counter surface.