Rotatable electrode device

• US 6,190,383 B1
• Filed: 10/21/1998
• Issued: 02/20/2001
• Est. Priority Date: 10/21/1998
• Status: Expired due to Term

• Current Assignee: Sherwood Services AG
• Original Assignee: Sherwood Services AG
• Inventors: Schmaltz, Dale, Kennedy, Jenifer
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Ruddy, David M.
• Application Number:
  US09/176,292
• Time in Patent Office: 853 Days
• Field of Search: 606/41, 606/44, 606/45, 606/46, 606/48, 606/49, 606/50, 606/180, 606/170
• US Class Current: 606/41
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

An apparatus for thermal treatment of a tissue mass having an elongated housing having a proximal and a distal end and defining a longitudinal axis, and further including at least two electrodes supported at its distal end and mounted for rotation to facilitate entry and passage through a tissue mass. A drive shaft may be disposed within the elongated housing and operatively engageable with the electrodes for causing their rotational movement. The apparatus may include an electrode gear and a drive shaft gear in cooperative engagement whereby rotation of the drive shaft causes corresponding rotation of the electrodes. Preferably, a motor is operatively connected to the drive shaft causing its rotational movement. Desirably, the distal end of the electrodes are threaded. A method for thermally treating a tissue mass is disclosed.

Claims

1. An electrosurgical apparatus for thermal treatment of a tissue mass comprising:

an elongated housing having proximal and distal ends, and defining a longitudinal axis;

at least two electrodes supported at the distal end of the elongated housing, the electrodes mounted for rotation to facilitate entry and passage through tissue and each having a distal end forming a substantially pointed tip with a conductive portion on a surface thereof; and

an RF energy source in electrical connection to the electrodes to supply radio frequency energy.

2. The apparatus according to claim 1, wherein at least one of the electrodes includes an external threaded portion dimensioned to facilitate retention of the one electrode in the tissue.

3. The apparatus according to claim 2, wherein each of the electrodes includes an external threaded portion dimensioned to facilitate retention of the electrodes in the tissue.

4. The apparatus according to claim 1, further including a drive shaft disposed in the elongated housing and operatively engageable with the electrodes, the drive shaft mounted for movement relative to the elongated housing to cause rotation of the electrodes.

5. The apparatus according to claim 4, wherein the drive shaft is adapted for rotation within the elongated housing.

6. The apparatus according to claim 5, wherein each of the electrodes has an electrode gear associated therewith and the drive shaft has a drive shaft gear associated therewith in engagement with the electrode gears, whereby rotation of the drive shaft causes corresponding rotation of the electrodes.

7. The apparatus according to claim 4, further including a motor operatively connected to the drive shaft to cause rotation of the drive shaft.

8. The apparatus according to claim 1, wherein there are six electrodes supported at the distal end of the elongated housing.

10. The apparatus according to claim 1, wherein the electrodes are radio frequency (RF) electrodes.

11. The apparatus according to claim 10, further including a radio frequency (RF) power source connected to the electrodes for supplying radio-frequency (RF) current.

9. An electrosurgical apparatus for thermal treatment of a tissue mass comprising:

an elongated housing having proximal and distal ends, and defining a longitudinal axis;

at least three electrodes supported at the distal end of the elongated housing, the electrodes mounted for rotation to facilitate entry and passage through tissue; and

an RF energy source in electrical connection to the electrodes to supply radio frequency energy.

12. The apparatus according to claim 9, wherein the at least three electrodes have an external threaded portion dimensioned to facilitate retention of the at least three electrodes in the tissue.

13. The apparatus according to claim 9, further including a drive shaft disposed in the elongated housing and operatively engageable with the electrodes, the drive shaft mounted for movement relative to the elongated housing to cause rotation of the electrodes.

14. The apparatus according to claim 9, wherein there are six electrodes supported at the distal end of the elongated housing.

15. An electrosurgical apparatus for thermal treatment of a tissue mass comprising:

a rotatable elongated drive shaft having a proximal end, a distal end and defining a longitudinal axis;

an actuator for cooperatively engaging the drive shaft, whereby the actuator causes rotation of the drive shaft;

a plurality of electrodes, each of the electrodes having a proximal end and an independent conductors distal end forming a substantially pointed tip with a conductive portion on a surface thereof, and a length therebetween defining a longitudinal axis, wherein the plurality of independent conductors are supported adjacent the distal end of the drive shaft and the proximal end of each of the electrodes is adapted for engaging the distal end of the drive shaft, the drive shaft causing rotation of the plurality of electrodes to facilitate entry and passage through tissue; and

an RF energy source in electrical connection to the independent conductors to supply radio frequency energy.

16. The apparatus according to claim 15, further including an elongated housing having a proximal end, a distal end and defining a longitudinal axis, the elongated housing accommodating at least a portion of the drive shaft, and

the plurality of electrodes mounted at the distal end of the elongated housing and the drive shaft is disposed within the elongated housing and mounted for rotation therewithin.

17. The apparatus according to claim 15 further including an end cap mounted to the distal end of the elongated housing, the end cap defining openings for receipt of the plurality of electrodes.

18. The apparatus according to claim 15, wherein the actuator comprises a motor.

19. The apparatus according to claim 15, wherein the drive shaft comprises a drive shaft gear and each of the electrodes comprises an electrode gear in engagement with the drive shaft gear whereby rotation of the drive shaft causes corresponding rotation of the electrodes.

20. The apparatus according to claim 15, wherein the distal end of each of the plurality of electrodes includes a threaded portion to facilitate retention of the plurality of electrodes in the tissue.

21. The apparatus according to claim 15, wherein the plurality of electrodes are retractable from the tissue mass.

22. The apparatus according to claim 15, wherein the actuator is adapted to cause rotation in a reverse direction for retracting the plurality of electrodes from the tissue.

23. A method for thermal treatment of a tissue mass comprising the steps of:

providing an electrosurgical device having at least two rotatable electrodes, each of the electrodes having a distal end forming a substantially pointed tip with a conductive portion on a surface thereof;

positioning the at least two rotatable electrodes adjacent tissue;

rotating the at least two electrodes to cause penetration within the tissue; and

supplying electrosurgical energy to at least two electrodes sufficient to treat the tissue.

24. The method according to claim 23, further including a step of retracting the electrosurgical device from tissue by reversing rotation of each of the electrodes.

25. The method according to claim 23, wherein the first and second electrodes each include external threaded portions and wherein during the step of rotating the threaded portions engage the tissue to facilitate advancement therein.

26. The method according to claim 23, further including a step of irrigating the treated tissue and adjacent tissue.