Helical coil apparatus for ablation of tissue

• US 7,699,805 B2
• Filed: 11/30/2007
• Issued: 04/20/2010
• 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): Mendez; Manuel A
• Application Number:
  US11/998,743
• Publication Number:
  US 20080091194A1
• Time in Patent Office: 872 Days
• Field of Search: 604/20, 604/21, 604/22, 604/114, 604/117, 604500-510, 604/118, 604/272, 604/273, 606/41, 606/47, 606/49, 606/50, 606/27, 606/33, 606/44, 606/42, 606/46, 607/113, 607/122, 607/99, 607/105, 607/120, 607/126, 607/127, 607/701, 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 medical procedure comprising:

providing a medical device comprising first and second helical coils configured to engage bodily tissue, the first and second helical coils comprising at least one opening for delivery of a conductive fluid to a tissue treatment site, the first and second helical coils wound parallel to one another, the first and second helical coils configured to apply electric current to bodily tissue, the first helical coil serving as a first electrode of a bipolar electrode configuration and the second helical coil serving as the second electrode of the bipolar electrode configuration;

maneuvering the first and second helical coils into contact with tissue;

delivering the conductive fluid to the tissue; and

applying electric current to the tissue.

2. The medical procedure according to claim 1 wherein the first coil comprises a plurality of conductive fluid delivery openings.

3. The medical procedure according to claim 2 wherein the plurality of conductive fluid delivery openings are located along the length of the first coil.

4. The medical procedure according to claim 1 wherein the conductive fluid delivery opening of the first coil comprises a hole.

5. The medical procedure according to claim 1 wherein the conductive fluid delivery opening of the first coil comprises a slit.

6. The medical procedure according to claim 1 wherein the second coil comprises a plurality of conductive fluid delivery openings.

7. The medical procedure according to claim 6 wherein the plurality of conductive fluid delivery openings are located along the length of the second coil.

8. The medical procedure according to claim 1 wherein the conductive fluid delivery opening of the second coil comprises a hole.

9. The medical procedure according to claim 1 wherein the conductive fluid delivery opening of the second coil comprises a slit.

10. The medical procedure according to claim 1 wherein the first coil is provided by a first needle and the second coil is provided by a second needle.

11. The medical procedure according to claim 10 wherein the first needle is hollow and the second needle is hollow.

12. A medical procedure comprising:

providing a medical device comprising first and second helical coils configured to engage bodily tissue, the first and second helical coils comprising at least one opening for delivery of a conductive fluid to a tissue treatment site, the second helical coil concentrically disposed within the first helical coil, the first and second helical coils configured to apply electric current to bodily tissue, the first helical coil serving as a first electrode of a bipolar electrode configuration and the second helical coil serving as the second electrode of the bipolar electrode configuration;

maneuvering the first and second helical coils into contact with tissue;

delivering the conductive fluid to the tissue; and

applying electric current to the tissue.

13. The medical procedure according to claim 12 wherein the first coil comprises a plurality of conductive fluid delivery openings.

14. The medical procedure according to claim 13 wherein the plurality of conductive fluid delivery openings are located along the length of the first coil.

15. The medical procedure according to claim 12 wherein the conductive fluid delivery opening of the first coil comprises a hole.

16. The medical procedure according to claim 12 wherein the conductive fluid delivery opening of the second coil comprises a slit.

17. The medical procedure according to claim 12 wherein the second coil comprises a plurality of conductive fluid delivery openings.

18. The medical procedure according to claim 17 wherein the plurality of conductive fluid delivery openings are located along the length of the second coil.

19. The medical procedure according to claim 12 wherein the conductive fluid delivery opening of the second coil comprises a hole.

20. The medical procedure according to claim 12 wherein the conductive fluid delivery opening of the second coil comprises a slit.

21. The medical procedure according to claim 12 wherein the first coil is provided by a first needle and the second coil is provided by a second needle.

22. The medical procedure according to claim 21 wherein the first needle is hollow and the second needle is hollow.

23. The medical procedure according to claim 12 wherein the second coil has an outer diameter less than an inner diameter defined by the first coil.