Method and apparatus for creating a bi-polar virtual electrode used for the ablation of tissue

• US 6,238,393 B1
• Filed: 07/06/1999
• Issued: 05/29/2001
• Est. Priority Date: 07/07/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Hoey, Michael F., Mulier, Peter M. J.
• Primary Examiner(s): COHEN, LEE S
• Application Number:
  US09/347,971
• Time in Patent Office: 693 Days
• Field of Search: 606/41, 606/48, 606/50, 604/114, 607/99, 607/105, 607/113
• US Class Current: 606/41
• 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 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00053 Mechanical features of the instrument of device
• CPC Class Codes: A61B 2018/00291 using suction
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A method and apparatus for creating a virtual electrode to ablate bodily tissue. The apparatus includes an outer tube, a first electrode, an inner tube and a second electrode. The outer tube is fluidly connected to a source of conductive fluid and defines a proximal end and a distal end. The distal end includes an opening for delivering conductive fluid from the outer tube. The first electrode is disposed at the distal end of the outer tube for applying a current to conductive fluid delivered from the outer tube. The inner tube is coaxially received within the outer tube and is connected to a source of conductive fluid. The inner tube defines a proximal end and a distal end, with the distal end forming an opening for delivering conductive fluid from the inner tube. Finally, the second electrode is disposed at the distal end of the inner tube for applying a current to conductive fluid delivered from the inner tube. With this configuration, upon final assembly, the distal end of the outer tube is axially spaced from the distal end of the inner tube such that the first electrode is spaced from the second electrode. As a result, a bi-polar virtual electrode can be established.

Claims

1. A surgical apparatus for creating a virtual electrode to ablate bodily tissue, the apparatus comprising:

an outer tube fluidly connected to a source of conductive fluid, the outer tube defining a proximal end and a distal end, the distal end of the outer tube including an opening for delivering a conductive fluid from the outer tube;

a first electrode disposed at the distal end of the outer tube for applying a current to conductive fluid delivered from the outer tube;

an inner tube coaxially received within the outer tube, the inner tube being fluidly connected to a source of conductive fluid and defining a proximal end and a distal end, the distal end of the inner tube forming an opening for delivering a conductive fluid from the inner tube;

a second electrode disposed at the distal end of the inner tube for applying a current to conductive fluid delivered from the inner tube; and

a separation device, at least a portion of which is disposed between the distal ends;

wherein upon final assembly, the distal end of the outer tube is axially spaced from the distal end of the inner tube such that the first electrode is spaced from the second electrode, and further wherein the separation device facilitates a reduction in fluid interaction between fluid dispensed from the distal ends of the inner and outer tubes, respectively, external the apparatus.

2. The surgical apparatus of claim 1, wherein the distal end of the outer tube is proximal the distal end of the inner tube.

3. The surgical apparatus of claim 1, wherein the separation device includes:

an intermediate tube coaxially disposed between the outer tube and the inner tube, the intermediate tube defining a proximal end and a distal end, wherein upon final assembly, the distal end of the intermediate tube is positioned between the distal end of the outer tube and the distal end of the inner tube.

4. The surgical apparatus of claim 3, wherein the intermediate tube is fluidly connected to a vacuum source and forms a vacuum aperture at the distal end of the intermediate tube.

5. The surgical apparatus of claim 4, wherein the distal end of the intermediate tube forms a plurality of vacuum apertures each fluidly connected to the vacuum source.

6. The surgical apparatus of claim 3, wherein the intermediate tube has a diameter less than diameter of the outer tube to permit flow of conductive fluid to the distal end of the outer tube.

7. The surgical apparatus of claim 3, wherein the distal end of the intermediate tube is configured to receive tissue during a suction procedure.

8. The surgical apparatus of claim 3, further comprising:

an elongated probe slidably extending within the inner tube, the probe including a distal end such that upon final assembly, the distal end of the probe selectively extends distal the distal end of the inner tube.

9. A surgical system for creating a virtual electrode to ablate bodily tissue, the surgical system comprising:

a fluid source maintaining a supply of a conductive fluid;

a current source configured to selectively supply an electrical current; and

a surgical instrument including;

an outer tube fluidly connected to the fluid source, the outer tube defining a proximal end and a distal end, the distal end of the outer tube including an opening for delivering the conductive fluid,

a first electrode disposed at the distal end of the outer tube and electrically connected to the current source,

an inner tube coaxially received within the outer tube, the inner tube being fluidly connected to the fluid source and defining a proximal end and a distal end, the distal end of the inner tube forming an opening for delivering the conductive fluid,

a second electrode disposed at the distal end of the inner tube and electrically connected to the current source,

a separation device, at least a portion of which is disposed between the distal ends;

wherein upon final assembly, the distal end of the outer tube is spaced from the distal end of the inner tube such that the conductive fluid is delivered from the outer tube and inner tube as a first and second bolus, respectively, to which a current is applied by the first and second electrodes, respectively, and further wherein the separation device facilitates separation between the first and second boluses.

10. The surgical system of claim 9, wherein the distal end of the outer tube is proximal the distal end of the inner tube.

11. The surgical system of claim 9, wherein the separation device includes:

an intermediate tube coaxially disposed between the outer tube and the inner tube, the intermediate tube defining a proximal end and a distal end, wherein upon final assembly, the distal end of the intermediate tube is positioned between the distal end of the outer tube and the distal end of the inner tube.

12. The surgical system of claim 11, wherein the intermediate tube is fluidly connected to a vacuum source and forms a vacuum aperture at the distal end thereof.

13. The surgical system of claim 12, wherein the distal end of the intermediate tube forms a plurality of vacuum apertures each fluidly connected to the vacuum source.

14. The surgical system of claim 11, wherein the intermediate tube has a diameter less than a diameter of the outer tube to permit flow of conductive fluid to the distal end of the outer tube.

15. The surgical system of claim 11, wherein the surgical instrument further includes:

an elongated probe slidably extending within the inner tube, the probe including a distal end such that upon final assembly, the distal end of the probe selectively extends distal the distal end of the inner tube.

16. The method of ablating bodily tissue at a target site, the method comprising:

delivering a first bolus of a conductive fluid at the target site;

delivering a second bolus of a conductive fluid at the target site, the second bolus being spaced from the first bolus; and

substantially simultaneously applying a current to each of the first bolus and the second bolus to create a virtual electrode, ablating tissue in contact with the first and second boluses.

17. The method of claim 16, wherein the first and second boluses are delivered substantially simultaneously.

18. The method of claim 16, further comprising:

collapsing tissue between the first and second boluses prior to applying the current.

19. The method of claim 18, wherein collapsing the tissue between the first and second boluses includes:

positioning a distal end of a tube between the first and second boluses, the tube being connected to a vacuum source and the distal end forming a vacuum aperture; and

activating the vacuum source to draw tissue into contact with the distal end via the vacuum apertures.

20. The method of claim 18, further including:

suctioning excess conductive fluid from between the first and second boluses.