Systems and methods for electrosurgical treatment of tissue in the brain and spinal cord

• US 6,045,532 A
• Filed: 08/07/1998
• Issued: 04/04/2000
• Est. Priority Date: 02/20/1998
• Status: Expired due to Term

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Eggers, Philip E., Thapliyal, Hira V.
• Primary Examiner(s): Coggins, Wynn Wood
• Assistant Examiner(s): Sirmons, Kevin C.
• Application Number:
  US09/130,804
• Time in Patent Office: 606 Days
• Field of Search: 604/22, 604/28, 604/96, 604/114, 604/500, 606/108
• US Class Current: 604/114
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00583 Coblation, i.e. ablation using a cold plasma
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient'"'"'s brain and spinal cord. The systems and methods of the present invention are particularly useful for treating cerebrovascular diseases, such as vessel occlusion, or for the volumetric removal or ablation of intracranial tumors or Arteriovenous Malformations (AVMs). The method of the present invention comprises positioning an electrosurgical probe or catheter adjacent the target site so that one or more electrode terminal(s) are brought into at least partial contact or close proximity with a body structure within the patient'"'"'s head or neck, such as tumor tissue or an occlusion within a blood vessel. High frequency voltage is then applied between the electrode terminal(s) and one or more return electrode(s) to volumetrically remove or ablate at least a portion of the body structure in situ. In specific embodiments, the high frequency voltage is sufficient to effect the dissociation or disintegration of organic molecules into non-viable atoms and molecules. Specifically, the present invention converts the solid tissue cells into non-condensable gases that are no longer intact or viable, and thus, not capable of spreading viral or bacterial particles to other portions of the body structure.

Claims

1. A method of treating aneurysms in the brain comprising:

positioning an electrode terminal and a return electrode in close proximity to an aneurysm within the brain; and

applying sufficient high frequency voltage between the active electrode and the return electrode such that an electric current flows from the active electrode through at least a portion of the aneurysm and to the return electrode to harden a flowable substance adjacent the aneurysm.

2. The method of claim 1 wherein the flowable substance is collagen.

3. The method of claim 2 further comprising delivering the collagen to a position adjacent the aneurysm.

4. The method of claim 1 further comprising positioning the return electrode and the electrode terminal within electrically conductive fluid to generate a current flow path therebetween.

5. The method of claim 4 wherein the electrically conductive fluid is isotonic saline.

6. The method of claim 1 wherein the active electrode comprises a plurality of electrically independent electrode terminals.

7. The method of claim 1 wherein the active electrode comprises a single electrode.