Foam electrode and method of use thereof during tissue resection

• US 7,744,591 B2
• Filed: 12/15/2006
• Issued: 06/29/2010
• Est. Priority Date: 12/29/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Rioux, Robert F., DiCarlo, Paul, Oyola, Arnold
• Primary Examiner(s): Cohen; Lee S
• Application Number:
  US11/611,729
• Publication Number:
  US 20070156127A1
• Time in Patent Office: 1,292 Days
• Field of Search: 606/32, 606/45, 606/51, 606/41, 606/1, 606/48, 606/49, 606/50, 128/898
• US Class Current: 606/32
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

Assemblies and methods are provided for resecting a portion of tissue to be removed (e.g., unhealthy tissue, such as cancerous tissue) from a portion of the tissue to be retained (e.g., healthy tissue) within a patient is provided. An electrically conductive fluid, such as saline, may be absorbed into a hydrophilic electrode. Electrical energy (e.g., radio frequency (RF) energy) is conveyed to or from the hydrophilic electrode while being moved in proximity to the tissue along a resection line, whereby tissue adjacent to the resection line is coagulated. A resection member, such as a blunt resection member or a resection electrode, which may be on the same device as the hydrophilic electrode, is used to separate the tissue along the resection line to resect the tissue portion to be removed from the tissue portion to be retained.

Claims

1. A method of resecting a portion of tissue to be removed from a portion of the tissue to be retained within a patient, comprising:

absorbing a volume of an electrically conductive fluid into a hydrophilic electrode, the hydrophilic electrode comprising a porous electrically insulative material, wherein the volume of electrically conductive fluid is sufficient to provide an electrically conductive path through the porous electrically insulative material, wherein the electrically conductive path is broken when the volume of electrically conductive fluid drops below a threshold level;

conveying electrical energy to or from the hydrophilic electrode while being moved in proximity to the tissue along a resection line, whereby tissue adjacent to the resection line is coagulated;

separating the tissue along the resection line to resect the tissue portion to be removed from the tissue portion to be retained;

conveying electrical energy to or from the hydrophilic electrode to seal a blood vessel that traverses the resection line; and

transecting the sealed blood vessel.

2. The method of claim 1, wherein the tissue comprises an organ.

3. The method of claim 2, wherein the organ is a liver.

4. The method of claim 1, wherein the tissue to be retained is healthy tissue, and the tissue to be removed is unhealthy tissue.

5. The method of claim 4, wherein the unhealthy tissue is cancerous.

6. The method of claim 1, wherein absorbing the electrically conductive fluid into the hydrophilic electrode comprises dipping the hydrophilic electrode into a source of electrically conductive solution.

7. The method of claim 1, wherein absorbing the electrically conductive fluid into the hydrophilic electrode comprises perfusing the hydrophilic electrode with the electrically conductive fluid under pressure.

8. The method of claim 1, wherein the hydrophilic electrode absorbs an amount of the electrically conductive solution equal to at least the dry weight of the hydrophilic electrode.

9. The method of claim 1, wherein the electrically conductive solution comprises saline.

10. The method of claim 1, wherein the electrical energy is radio frequency (RF) energy.

11. The method of claim 1, wherein the tissue separation comprises electrically separating the tissue along the resection line.

12. The method of claim 11, wherein the hydrophilic electrode electrically separates the tissue.

13. The method of claim 11, wherein another electrode separate from the hydrophilic electrode electrically separates the tissue.

14. The method of claim 13, wherein the hydrophilic electrode and other electrode are mounted on a single probe.

15. The method of claim 14, wherein the electrical energy is conveyed to or from the hydrophilic electrode and the other electrode, wherein tissue coagulation and tissue separation is simultaneously achieved.

16. The method of claim 15, wherein the electrical energy is conveyed between the hydrophilic electrode and the other electrode to simultaneously achieve tissue coagulation and tissue separation.

17. The method of claim 1, wherein the tissue separation comprises mechanically separating the tissue along the resection line.

18. The method of claim 1, wherein the tissue coagulation is performed prior to the tissue separation, whereby the coagulated tissue is separated.

19. The method of claim 1, wherein the sealed blood vessel is transected using at least one electrode.

20. The method of claim 1, wherein the sealed blood vessel is transected using a cutting instrument.

21. The method of claim 1, wherein the blood vessel that traverses the resection line is compressed prior to conveying electrical energy to or from the hydrophilic electrode to seal a blood vessel.