RF treatment apparatus

• US 6,663,624 B2
• Filed: 07/30/1999
• Issued: 12/16/2003
• Est. Priority Date: 11/08/1993
• Status: Expired due to Fees

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: Rita Medical Systems Incorporated (AngioDynamics, Inc.)
• Inventors: Strul, Bruno, Baker, James, Edwards, Stuart D., Lax, Ronald G.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/364,203
• Publication Number:
  US 20020035363A1
• Time in Patent Office: 1,600 Days
• Field of Search: 606/41, 606/42, 606/49, 606/50, 607/101, 607/102, 607/115, 607/116
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00476 Hair follicles
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00726 : Duty cycle
• CPC Class Codes: A61B 2018/00761 : Duration
• CPC Class Codes: A61B 2018/00779 : Power or energy
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00821 : measured by a thermocouple
• CPC Class Codes: A61B 2018/00827 : Current
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/1435 : Spiral
• CPC Class Codes: A61B 2018/162 : located on the probe body
• 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
• CPC Class Codes: A61M 25/007 : Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61N 5/02 : using microwaves
• CPC Class Codes: A61N 5/04 : Radiators for near-field treatment
• CPC Class Codes: A61N 5/045 : specially adapted for treatment inside the body

Abstract

An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle electrode includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrodes, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.

Claims

1. A tissue ablation apparatus, comprising:

a tissue penetrating member with a tissue piercing distal end;

an elongated delivery device coupled to the tissue penetrating member;

an RF electrode with a tissue piercing distal tip and positionable in the elongated delivery device, the RF electrode having a non-deployed state when positioned in the delivery device and a deployed state, wherein in the deployed state, the RF electrode distal end exhibits a changing direction of travel as the RF electrode is advanced from the delivery device into a selected tissue site; and

an electrode advancement member coupled to the RF electrode for advancing the RF electrode out of the elongated delivery device.

2. The apparatus of claim 1, wherein the tissue penetrating member is positionable in the elongated delivery device.

3. The apparatus of claim 2, wherein the tissue penetrating member is removably positionable in the elongated delivery device.

4. The apparatus of claim 3, wherein the elongated delivery device is positionable in the tissue penetrating member.

5. The apparatus of claim 3, wherein the elongated delivery device is removeably positionable in the tissue penetrating member.

6. The apparatus of claim 1, wherein the RF electrode includes a hollow lumen configured to receive a fluidic medium.

7. The apparatus of claim 1, wherein the RF electrode exhibits the changing direction of travel as the RF electrode is advanced from the delivery device into the selected tissue site with at least two radii of curvature.

8. The apparatus of claim 1, wherein the RF electrode exhibits the changing direction of travel as the RF electrode is advanced from the delivery device into the selected tissue site with at least one radius of curvature and a linear section.

9. The apparatus of claim 1, wherein in the deployed state the RF electrode includes curved sections with different radii.

10. The apparatus of claim 1, wherein in the deployed state the RF electrode includes at least one curved portion and at least one straight portion.

11. The apparatus of claim 1, further comprising:

an impedance monitoring device coupled to the RF electrode.

12. The apparatus of claim 1, wherein the RF electrode is deployable with curvature from the elongated delivery device.

13. A method of creating a lesion in tissue, comprising:

providing a tissue penetrating member with a tissue piercing distal end;

providing a treatment apparatus coupled to an RF energy source, the treatment apparatus including an elongated delivery device and an RF electrode with a tissue piercing distal tip, the RP electrode being positionable in the elongated delivery device in a non-deployed state when positioned in the delivery device and advanceable from the elongated delivery device in a deployed state where an RF electrode distal end exhibits a changing direction of travel as the RF electrode is advanced from the delivery device into a selected tissue site;

introducing the tissue penetrating member to a selected tissue site;

positioning the elongated member at least partially in the tissue penetrating member;

advancing the RF electrode from the elongated member, the RF electrode exhibiting a changing direction of travel as it advanced through tissue;

delivering energy from the RF electrode to a target tissue site; and

creating cell necrosis at the target tissue site.

14. The method of claim 13, further comprising:

forming a closed electrical circuit through the selected tissue site.

15. The method of claim 13, further comprising:

operating the RF energy source to create a lesion of predetermined size and shape.