Needle deployment for temperature sensing from an electrode

• US 6,852,110 B2
• Filed: 08/01/2002
• Issued: 02/08/2005
• Est. Priority Date: 08/01/2002
• Status: Expired due to Term

• Current Assignee: ASTORA Women's Health, LLC (Endo International PLC)
• Original Assignee: Solarant Medical, Inc. (Endo International PLC)
• Inventors: Roy, Loren L., Tobisch, Peter A., Hoarau, Carine, Dietz, Timothy G., Levy, Stanley Jr., House, F. Allen
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/211,973
• Publication Number:
  US 20040024433A1
• Time in Patent Office: 922 Days
• Field of Search: 607/96, 607/98, 607/99, 607/101, 607/102, 606 41- 45, 606/49, 606/50
• US Class Current: 606/41
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00273 Anchoring means for temporary attachment of a device to tissue
• CPC Class Codes: A61B 2018/00505 Urinary tract
• CPC Class Codes: A61B 2018/00791 Temperature

Abstract

Methods and devices for improving contact between tissue and a probe. In exemplary embodiments, methods of the present invention include a deploying a needle into a target tissue and retracting the needle so that tenting around the needle is reduced. The retracting of the needle can increase the amount of tissue contact between a surface of the tissue and a surface contacting portion of a probe body.

Claims

1. A method for improving contact with a surface of a tissue, the method comprising:

placing a tissue contacting surface of a probe body against the surface of the tissue, wherein the tissue contacting surface of the probe body comprises a surface of at least one electrode;

deploying a needle into the tissue;

partially retracting the needle to increase the amount of contact between the tissue contacting surface of the probe body and the surface of the tissue.

2. The method of claim 1 wherein the at least one electrode is cooled.

3. The method of claim 1 wherein placing comprises applying a pressure against the surface of the tissue.

4. The method of claim 1 wherein the needle is deployed into the tissue between approximately 10 mm and 20 mm, and the needle is partially retracted between 6 mm and 11 mm.

5. The method of claim 1 wherein the tissue is selected from the group consisting of a urethral wall, a bladder, a bladder neck, a ureter, bladder suspension ligaments, a sphincter, a pelvic ligament, a pelvic floor muscle, and fascia.

6. The method of claim 1 comprising measuring a temperature of the tissue with the needle;

delivering a heating energy into the tissue; and

adjusting a power level of the heating energy in response to the measured temperature.

7. The method of claim 6 wherein delivering is applied as a bipolar RF energy transmitted between a plurality of electrodes.

8. The method of claim 1 wherein deploying the needle comprises positioning a tip of the needle beyond a target tissue.

9. The method of claim 1 wherein partially retracting the needle comprises positioning a tip of the needle adjacent a target tissue.

10. The method of claim 1 wherein deploying comprises advancing the needle at an angle from the tissue contacting surface.

11. The method of claim 1 wherein deploying is carried out with a pneumatic motor.

12. The method of claim 1 wherein deploying is carried out with a linear motor.

13. The method of claim 1 wherein deploying is carried out with a mechanical plunger.

14. The method of claim 1 wherein the increase the amount of contact comprises reducing a tenting in the surface of the tissue around the needle.

49. The method of claim 1 wherein deploying comprises positioning a needle tip beyond a target zone, wherein partially retracting comprises positioning the needle tip beyond the target zone.

50. The method of claim 1 comprising positioning a first sensor at a tip of the needle and a second sensor along a shaft of the needle.

51. The method of claim 50 wherein in the partially retracted position, the first sensor is positioned beyond a target tissue and the second sensor is in the target tissue.

52. The method of claim 50 wherein in the partially retracted position, the first sensor is in the target tissue and the second sensor is positioned in an intermediate tissue.

53. The method of claim 50 further comprising positioning a third sensor along the shaft of the needle, wherein in the partially retracted position the first sensor is positioned beyond a target tissue, the second sensor is in the target tissue, and the third sensor is positioned in an intermediate tissue.

54. The method of claim 50 further comprising positioning a third sensor along the shaft of the needle, wherein in the partially retracted position the first sensor is positioned in a target tissue, and the second sensor and third sensor are positioned in an intermediate tissue.

55. The method of claim 50 wherein the first sensor and second sensor are temperature sensors.

56. The method of claim 11 wherein a single user actuation device is coupled to the pneumatic motor for automatically deploying and partially retracting the needle.

57. The method of claim 13 wherein the needle is partially retracted only if the mechanical plunger is moved to a fully compressed position.

59. The method of claim 1, wherein the probe body comprises the needle.

60. The method of claim 1, wherein the needle is not affixed to or advanceable from the probe body.

15. A method of improving tissue contact between tissue and a probe, the method comprising;

contacting a tissue contacting surface of the probe against the tissue, wherein the tissue contacting surface of the probe body comprises a surface of at least one electrode;

deploying a needle into the patient tissue; and

a step for reducing tissue tenting around the needle so that tissue substantially maintains contact with the tissue contacting surface of the probe.

16. The method of claim 15 comprising delivering electrical energy into the tissue.

17. The method of claim 15 wherein the needle is deployed into the tissue between approximately 10 mm and 20 mm, wherein the step for reducing tissue tenting comprises retracting the needle between approximately 6 mm and 11 mm.

18. The method of claim 15, wherein the at least one electrode comprises a plurality of electrodes, the method comprising delivering a heating energy to the tissue through a plurality of electrodes.

19. The method of claim 18 wherein delivering comprises effecting shrinking of collagenous structures within the tissue to inhibit urinary incontinence.

20. The method of claim 19 wherein the collagenous tissue structure is selected from the group consisting of a urethral wall, a bladder, a bladder neck, a ureter, bladder suspension ligaments, a sphincter, a pelvic ligament, a pelvic floor muscle, and fascia.

21. The method of claim 18 comprising measuring a temperature of the tissue with the needle,

wherein delivering comprises adjusting a power level of the heating energy, wherein adjusting is performed in response to the measured temperature.

22. The method of claim 18 wherein delivering is applied as a bipolar RF energy transmitted between the plurality of electrodes.

23. The method of claim 15 wherein deploying the needle comprises positioning a tip of the needle beyond a target tissue.

24. The method of claim 15 wherein deploying comprises advancing the needle at an angle from the tissue contacting surface.

25. The method of claim 15 wherein deploying is carried out with a pneumatic motor.

26. The method of claim 15 wherein deploying is carried out with a linear motor.

27. The method of claim 15 wherein deploying is carried out with a mechanical plunger.

28. The method of claim 27 wherein the step for reducing tissue tenting is carried out only if the mechanical plunger is moved to a fully deployed position.

29. The method of claim 15 wherein the needle is deployed through an aperture in the probe.

61. The method of claim 15, wherein the probe comprises the needle.

62. The method of claim 15, wherein the needle is not affixed to or advanceable from the probe.

30. A device for treating a target tissue, the target tissue having a tissue surface, the device comprising:

a body comprising a tissue contacting surface that contacts the tissue surface, wherein the tissue contacting surface of the body comprises a surface of at least one electrode;

a needle movably coupled to the body, the needle comprising a tip that is movable from a retracted position to a deployed position,

wherein the needle tip can be moved from the deployed position and locked into a partially retracted position.

31. The device of claim 30 wherein the needle tip in the deployed position is positioned beyond the target tissue.

32. The device of claim 30 wherein the needle tip in the partially retracted position is located within the target tissue and increases the amount of surface contact between the tissue surface and the tissue contacting surface.

33. The device of claim 30 comprising a needle deployment mechanism coupled to the needle.

34. The device of claim 33 wherein the needle deployment mechanism comprises a pneumatic motor.

35. The device of claim 33 wherein the needle deployment mechanism comprises a linear motor.

36. The device of claim 33 wherein the needle deployment mechanism comprises a mechanical plunger.

37. The device of claim 30 wherein the body defines a tangential plane, wherein the needle is deployed at a non-orthogonal angle from the plane.

38. The device of claim 30 wherein the body defines a tangential plane, wherein the needle is deployed at an orthogonal angle from the plane.

39. The device of claim 30 wherein the needle tip comprises a temperature sensor.

40. The device of claim 30 wherein the needle tip comprises an electrode.

41. The device of claim 30 wherein the needle is advanceable through an aperture in the body.

42. The device of claim 30 wherein the needle in the partially retracted position reduces a tissue tenting in the tissue surface.

43. A system for treating a target tissue of a patient body, the target tissue having a tissue surface, the system comprising:

a probe body comprising a proximal portion and a distal portion, said distal portion comprising a tissue contacting surface;

a plurality of electrodes positioned on the distal portion of the probe body, wherein the tissue contacting surface of the distal portion comprises a surface of at least one electrode;

a power source coupled to the plurality of electrodes;

a needle comprising a tip;

actuation means for moving the needle between a first position, a second position, and a third position, wherein the needle in the first position is housed within the distal portion of the probe body, wherein the needle in the second position is extended such that the needle tip is beyond the target tissue, and the needle in the third position is retracted from the second position such that the needle tip is positioned in the target tissue.

44. The system of claim 43 wherein the needle in the third position increases an amount of contact between the tissue surface and the plurality of electrodes.

45. The system of claim 43 comprising a cooling assembly that cools the plurality of electrodes.

46. The system of claim 43 wherein the proximal portion comprises a user actuatable device to move the needle between the first position, second position, and third position.

47. The system of claim 43 wherein the user actuatable device comprises a plunger and a release button.

48. The system of claim 43 wherein the user actuatable device comprises at least one button coupled to a processor that is in communication with the actuation means.

58. A method of operating a probe, the method comprising:

placing a tissue contacting surface of a probe body against the surface of the tissue, wherein the tissue contacting surface of the probe body comprises a surface of at least one electrode;

deploying a needle into the tissue to a deployed position;

partially retracting the needle from the deployed position; and

locking the needle in a partially retracted position.