Helical needle apparatus for creating a virtual electrode used for the ablation of tissue

• US 6,537,248 B2
• Filed: 07/06/1999
• Issued: 03/25/2003
• Est. Priority Date: 07/07/1998
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Comben, Richard H., Hoey, Michael F., Mulier, Peter M. J.
• Primary Examiner(s): Nguyen, Anhtuan T.
• Application Number:
  US09/347,752
• Publication Number:
  US 20020183733A1
• Time in Patent Office: 1,358 Days
• Field of Search: 604/20, 604/21, 604/22, 604/114, 604/117, 604/118, 604/272, 604/273, 606/27, 606/33, 606/41, 606/42, 606/46, 606/44, 607/99, 607/105, 607/113, 607/120, 607/126, 607/127, 600/374
• US Class Current: 604/114
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A surgical apparatus for delivering a conductive fluid to a target site for subsequent formation of a virtual electrode to ablate bodily tissue at the target site by applying a current to the delivered conductive fluid. The surgical apparatus includes an elongated device forming a helical needle. The helical needle is configured to engage bodily tissue and is hollow for delivering conductive fluid from a fluid source. Finally, the helical needle terminates in a needle tip. In one preferred embodiment, an electrode is associated with the helical needle for applying a current to conductive fluid delivered from the helical needle. During use, following delivery of conductive fluid, the electrode applies a current to the delivered conductive fluid for creating a virtual electrode. The virtual electrode ablates bodily tissue contacted by the conductive fluid.

Claims

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow and fluidly connected to the fluid source for delivering the conductive fluid and terminating in a needle tip, wherein the helical needle includes a plurality of adjacent coils, and further wherein a pitch between each of the plurality of adjacent coils is variable,

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.

2. The surgical system of claim 1, wherein the pitch decreases proximally along at least a portion of the length of the helical needle.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow and fluidly connected to the fluid source for delivering the conductive fluid and terminating in a needle tip, wherein the helical needle includes a plurality of adjacent coils defining an outer diameter, and further wherein the outer diameter is variable along at least a portion of a length of the helical needle

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.

4. The surgical system of claim 3, wherein the outer diameter decreases proximally from the needle tip.

5. The surgical system of claim 3, wherein the outer diameter increases proximally from the needle tip.

6. The surgical system of claim 3, wherein the helical needle includes a proximal portion, a central portion and a distal portion, and further wherein the outer diameter decreases from the central portion to the proximal portion and the distal portion.

7. The surgical system of claim 3, wherein the helical needle includes a proximal portion, a central portion and a distal portion, and further wherein the outer diameter increases from the central portion to the proximal portion and the distal portion.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming first and second helical needles each configured to engage bodily tissue, the helical needles being hollow and fluidly connected to the fluid source for delivering the conductive fluid, and each terminating in a needle tip,

an electrode associated with at least one of the helical needles, the electrode being connected to the current source for applying a current to delivered conductive fluid to create a virtual electrode.

9. The surgical system of claim 8, where in the second helical needle is concentrically arranged with the first helical needle, the second helical needle having an outer diameter less than an inner diameter defined by the first helical needle.

10. The surgical system of claim 8, wherein the second helical needle is wound parallel with the first helical needle.

11. The surgical system of claim 8, wherein the second helical needle is concentrically disposed within the first helical needle.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow and fluidly connected to the fluid source for delivering the conductive fluid and terminating in a needle tip, wherein the helical needle includes;

a central shaft, the shaft being hollow for delivering conductive fluid; and

a helical flight extending from an outer circumference of the central shaft

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow and fluidly connected to the fluid source for delivering the conductive fluid and terminating in a needle tip, wherein the helical needle includes;

a substantially straight tube, the tube being hollow for delivering conductive fluid;

a disc extending radially from the tube; and

a plurality of starter threads extending from the disc spaced from the tube, the plurality of starter threads defining a helical pattern;

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow, fluidly connected to the fluid source and terminating in a needle tip, wherein the helical needle forms a continuous slit along an outer diameter for delivering conductive fluid

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.

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

a fluid source maintaining a supply of conductive fluid;

a current source for selectively supplying a current; and

a surgical instrument including;

an elongated device forming a helical needle configured to engage bodily tissue, the helical needle being hollow, fluidly connected to the fluid source and terminating in a needle tip, wherein the helical needle forms a continuous slit along an inner diameter for delivering conductive fluid;

an electrode associated with the helical needle, the electrode being connected to the current source for applying a current to conductive fluid delivered from the helical needle to create a virtual electrode.