Method and system for heating solid tissue

• US 7,001,379 B2
• Filed: 01/12/2004
• Issued: 02/21/2006
• Est. Priority Date: 06/25/1999
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Behl, Robert S., Kermit, Eben L., Lyons, Peter F., Nichols, Colin J.
• Primary Examiner(s): Gibson, Roy D.
• Application Number:
  US10/756,147
• Publication Number:
  US 20040147919A1
• Time in Patent Office: 771 Days
• Field of Search: 606/27, 606/32, 606 34- 42, 606/45, 606/49, 607/96, 607/98, 607/99, 607101-102, 607/13
• US Class Current: 606/34
• 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 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

Method for heating tissue by delivering radio frequency energy through tissue electrodes having controlling energy delivery so that an abrupt increase in impedance between the electrodes and the tissue is observed, typically in the form of an abrupt decrease in power delivered to the electrodes. The power at which the impedance increases and/or the time required to induce such an increase in impedance, are relied on to determine acceptable ranges to achieve a maximum sustainable delivery of radio frequency energy to the tissue consistent with complete, rapid, and uniform heating of the tissue.

Claims

1. A power supply for delivering radio frequency power to a tissue region in a body, the power supply being programmed to:

monitor a power level being delivered to the tissue region;

increase the power being delivered to an elevated power level at which a rapid increase in impedance is detected;

determine the elevated power level at which the rapid increase in impedance is detected;

reduce the power being delivered to a level below the elevated power level to allow the impedance to decrease; and

increase the power being delivered to a level that is in a range of approximately 50% to approximately 90% of the elevated power level.

2. The power supply of claim 1, wherein the elevated power level is in a range from approximately 50 W to approximately 200 W.

3. The power supply of claim 1, wherein the power supply is programmed to increase the delivered power to the elevated power level non-linearly at a rate which increases within a range from approximately 5 W/min to approximately 25 W/min.

4. The power supply of claim 3, wherein the power supply is programmed to increase the delivered power to the elevated power level exponentially.

5. The power supply of claim 1, wherein the power supply is programmed to increase the delivered power to the elevated power level linearly at a rate in a range from approximately 10 W/min to approximately 15 W/min.

6. A method for delivering radio frequency power to a target tissue region in a body, comprising:

delivering the radio frequency power using a power supply programmed to

rapidly increase an initial power level of a first power signal to a predetermined level,

monitor the first power signal to detect an abrupt drop in the power level thereof,

measure an elapsed time from initiation of the rapid power increase to detection of the abrupt drop in the power level, and

deliver a second power signal at a power level below the predetermined level.

7. The method of claim 6, wherein the power level of the second power signal varies inversely with the measured elapsed time.

8. The method of claim 6, wherein the first power signal is applied at the initial power level for at least 3 minutes prior to initiating the rapid increase in power to the predetermined level.

9. The method of claim 6, wherein the predetermined level is in a range from approximately 100 W to approximately 120 W.

10. The method of claim 6, wherein the rapid increase in the initial power level is accomplished by creating a spike in the first power signal.

11. A system for delivering radio frequency power to a target tissue region in a body utilizing a programmable power supply, the power supply comprising:

means for rapidly increasing an initial power level of a first power signal to a predetermined level;

means for monitoring the first power signal to detect an abrupt drop in the power level thereof;

means for measuring an elapsed time from initiation of the rapid power increase to detection of the abrupt drop in the power level; and

means for delivering a second power signal at a power level below the predetermined level based on the measured elapsed time.