System for indirectly ablating tissue using implanted electrode devices

• US 6,979,330 B2
• Filed: 03/13/2003
• Issued: 12/27/2005
• Est. Priority Date: 03/13/2003
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Garabedian, Robert J., Landreville, Steven K., Kelly, Amy C.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/387,892
• Publication Number:
  US 20040181215A1
• Time in Patent Office: 1,020 Days
• Field of Search: 606 27- 50, 607/61, 607 96-105, 607/113, 607/154, 607115-116, 600372-374, 600377-381, 600/393, 600 1- 13
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1495 Electrodes being detachable from a support structure
• CPC Class Codes: A61B 2090/3987 Applicators for implanting markers
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61N 1/06 for high-frequency therapy

Abstract

Systems and methods are provided for ablating tissue by implanting a plurality of electrode devices within the tissue to be treated and exposing the implanted electrode devices with RF energy conveyed from a separate electrode device. In this manner, a greater region of tissue is ablated than what would normally be ablated with the separate electrode device. In addition, the implanted electrode devices can create a roadmap that allows the progress of the treatment to be managed during follow-ups. The implanted electrode devices can be variously delivered to the tissue, for example, by detaching the electrode devices from one or more delivery devices. For example, a core wire with an electrolytically detachable junction can be used to separate the electrode device from the core wire. Pusher rods with mechanically detachable junctions are also contemplated.

Claims

1. A medical probe assembly, comprising:

one or more implantable needle electrode arrays; and

an electrode delivery assembly including a mechanism for releasably implanting the one or more needle electrode arrays into tissue.

2. The medical probe assembly of claim 1, wherein each of the needle electrode arrays everts proximally when delivered into the tissue.

3. The medical probe assembly of claim 1, wherein the one or more needle electrode arrays is detachably coupled to the delivery assembly.

4. The medical probe assembly of claim 1, wherein the one or more needle electrode arrays is coated with a therapeutic agent.

5. The medical probe assembly of claim 1, wherein the one or more needle electrode arrays comprises a single needle electrode array.

6. The medical probe assembly of claim 1, wherein the one or more needle electrode arrays comprises a plurality of needle electrode arrays.

7. The medical probe assembly of claim 6, wherein the delivery assembly is configured for sequentially delivering the needle electrode arrays into the tissue.

8. The medical probe assembly of claim 1, wherein the delivery assembly comprises:

an elongated tubular member having a lumen; and

a delivery device disposed within the lumen, wherein the one or more needle electrode arrays is detachably coupled to the delivery device.

9. The medical probe assembly of claim 8, wherein the delivery device comprises a core wire that includes one or more electrolytically detachable junctions coupled to the one or more needle electrode arrays.

10. The medical probe assembly of claim 8, wherein the delivery device comprises a pusher rod that includes one or more mechanically detachable junctions coupled to the one or more needle electrode arrays.

11. The medical probe assembly of claim 8, wherein the tubular member comprises a cannula.

12. The medical probe assembly of claim 1, wherein the on or more needle electrode arrays is configured to be detached from the delivery assembly while the respective one or more needle electrode arrays is implanted within the tissue.

13. A tissue ablation kit, comprising:

a plurality of needle electrode arrays

an electrode delivery assembly including a mechanism for releasably implanting the needle electrode arrays into tissue; and

an ablation probe having one or more distally located electrodes configured for conveying radio frequency (RF) energy to the implanted electrode arrays.

14. The tissue ablation kit of claim 13, wherein each of the needle electrode arrays everts proximally when delivered into the tissue.

15. The tissue ablation kit of claim 13, wherein each of the needle electrode arrays is coated with a therapeutic agent.

16. The tissue ablation kit of claim 13, wherein the needle electrode arrays are detachably coupled to the delivery assembly.

17. The tissue ablation kit of claim 13, wherein the delivery assembly is configured for sequentially delivering the needle electrode arrays into the tissue.

18. The tissue ablation kit of claim 13, wherein the electrode delivery assembly comprises:

an elongated tubular member having a lumen; and

one or more delivery devices configured to be slidably disposed within the lumen of the tubular member;

wherein the needle electrode arrays are detachably coupled to the one or more delivery devices.

19. The tissue ablation kit of claim 18, wherein the one or more delivery devices comprises a single delivery device.

20. The tissue ablation kit of claim 19, wherein the single delivery device is configured for sequentially delivering the needle electrode arrays into the tissue.

21. The tissue ablation kit of claim 18, wherein the one or more delivery devices comprises a plurality of delivery devices.

22. The tissue ablation kit of claim 18, wherein the needle electrode arrays are detachably coupled to the one or more delivery devices.

23. The tissue ablation kit of claim 18, wherein each of the one or more delivery devices comprises a core wire that includes an electrolytically detachable junction, wherein the needle electrode arrays are coupled to the one or more electrolytically detachable junctions.

24. The tissue ablation kit of claim 18, wherein each of the one or more delivery devices comprises a pusher rod that includes one or ore mechanically detachable junctions, wherein the needle electrode arrays are coupled to the one or more mechanically detachable junctions.

25. The tissue ablation kit of claim 18, wherein the tubular member is a cannula.

26. The tissue ablation kit of claim 18, wherein the ablation device is configured for being slidably disposed within the tubular member.

27. The tissue ablation kit of claim 13, wherein the distally located one or more electrodes comprises a plurality of electrodes.

28. The tissue ablation kit of claim 13, wherein the distally located one or more electrodes comprises one or more needle electrodes.

29. The tissue ablation kit of claim 13, wherein the distally located one or more electrodes comprises a needle electrode army.

30. The tissue ablation kit of claim 13, wherein the ablation probe is an electrosurgical probe.

31. The tissue ablation kit of claim 13, wherein the needle electrode arrays are configured to be detached from the delivery assembly while the respective needle electrode arrays are implanted within the tissue.

32. A medical probe assembly, comprising:

one or more needle electrode arrays; and

a core wire that includes one or more electrolytically detachable junctions coupled to the one or more needle electrode arrays.

33. The medical probe assembly of claim 32, comprising an elongated tubular member having a lumen in which the core wire is disposed.

34. The medical probe assembly of claim 32, wherein the one or more needle electrode arrays comprises a plurality of needle electrode arrays and the one or more detachable junctions comprises a plurality of detachable junctions.