Adjustable high frequency electrode

• US 7,976,542 B1
• Filed: 03/02/2006
• Issued: 07/12/2011
• Est. Priority Date: 03/02/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Neuromodulation Corporation (Boston Scientific Corporation)
• Original Assignee: Eric R. Cosman, Eric R. Cosman Jr
• Inventors: Cosman, Eric R., Cosman, Eric R. Jr.
• Primary Examiner(s): Dvorak; Linda C
• Assistant Examiner(s): SCOTT, AMANDA L
• Application Number:
  US11/365,843
• Time in Patent Office: 1,958 Days
• Field of Search: 606/41, 606/34, 606/32, 606/37, 606/45, 606/49
• US Class Current: 606/41
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple
• CPC Class Codes: A61B 6/504 for diagnosis of blood vessels, e.g. by angiography

Abstract

A method and apparatus for application of an electrical signal to neural and other target tissue in the living body.

Claims

1. An adjustable high frequency electrode system comprising:

a rigid shaft adapted to be inserted into a target tissue of a living body, the rigid shaft having a distal end and a proximal end, the distal end comprising an uninsulated electrode tip;

an insulating covering with a proximal end and a distal end that covers at least a portion of the rigid shaft and at least a portion of the insulating covering can be moved with respect to the rigid shaft so that the exposed surface of the uninsulated electrode tip can be adjusted;

the electrode system being configured to be connected to a high frequency generator so that a high frequency signal output from the high frequency generator can be applied to the target tissue near the uninsulated electrode tip when the rigid shaft is inserted into the living body; and

a spacer between and directly adjacent to a hub of the electrode tip and a hub of the insulating covering, wherein the spacer includes a distal end, a proximal end, and a length between the distal and proximal end of the spacer, wherein the length of the spacer determines the length of the uninsulated electrode tip.

2. The system of claim 1, wherein the rigid shaft comprises a metal tubing, and the uninsulated electrode tip comprises at least a portion of a distal end of the metal tubing.

3. The system of claim 2, wherein the metal tubing has a sharpened tip at the distal end of the metal tubing to enable penetration of the tissue of the living body.

4. The system of claim 2, wherein the distal end of the metal tubing has a curve shape.

5. The system of claim 2, wherein the insulating covering comprises an insulating sleeve of electrically insulating material that covers at least a portion of the rigid shaft, and at least a portion of the insulating sleeve can be moved with respect to the rigid shaft to adjust the length of the uninsulated electrode tip.

6. The system of claim 5, further comprising a fixation clamp that enables the insulating sleeve to be fixed at adjusted positions on the metal tubing.

7. The system of claim 1, wherein the insulating covering comprises a removable insulative member covering at least a portion of the distal end.

8. The system of claim 1, wherein the rigid shaft comprises a metal tubing and the uninsulated electrode tip comprises a portion of a distal end of the metal tubing, and the insulating covering comprises an insulating sleeve of insulating material that can be moved on the metal tubing to adjust the length of the uninsulated electrode tip.

9. The system of claim 1, wherein the rigid shaft comprises a metal tubing and the uninsulated electrode tip comprises a portion of the distal end of the metal tubing, and the insulating covering comprises a removable insulating member covering at least a portion of the distal end of the metal tubing.

11. The system of claim 1, wherein the proximal end of the rigid shaft comprises the hub of the electrode tip.

12. The system of claim 1, wherein the proximal end of the insulating covering comprises the hub of the insulating covering.

10. A method of treating target tissue in the living body comprising:

determining the size of a high frequency electrode needed to treat the target tissue with a high frequency signal output;

selecting a high frequency electrode system having a rigid shaft adapted to be inserted into the target tissue, the distal end comprising an uninsulated electrode tip, and an insulating covering that covers at least a portion of the rigid shaft and at least a portion of the insulating covering can be moved with respect to the rigid shaft so that an exposed surface of the uninsulated electrode tip can be adjusted, wherein the electrode system is configured to be connected to a high frequency generator so that the high frequency signal output from the high frequency generator can be applied to a target tissue near the uninsulated electrode tip when the rigid shaft is inserted into a living body;

selecting a spacer according to the uninsulated electrode tip length;

adjusting the exposed surface according to the size of high frequency electrode;

interposing a spacer between and directly adjacent to a hub of the electrode tip and a hub of the insulating covering; and

connecting the high frequency electrode system to a high frequency generator to deliver a high frequency signal output to the target tissue through the uninsulated electrode tip.

13. An adjustable high frequency electrode system comprising:

a rigid shaft adapted to be inserted into a target tissue of a living body, the rigid shaft having a distal end and a proximal end, the distal end comprising an uninsulated electrode tip;

an insulating covering with a proximal end and a distal end that covers at least a portion of the rigid shaft and at least a portion of the insulating covering can be moved with respect to the rigid shaft so that the exposed surface of the uninsulated electrode tip can be adjusted;

the electrode system being configured to be connected to a high frequency generator so that a high frequency signal output from the high frequency generator can be applied to the target tissue near the uninsulated electrode tip when the rigid shaft is inserted into the living body; and

a set of spacers including spacers of discrete lengths, wherein one or more spacers can be interposed between a hub of the electrode tip and a hub of the insulating covering, and wherein the one or more spacers determines the length of the uninsulated electrode tip.

14. A method of treating target tissue in the living body comprising:

determining the size of a high frequency electrode needed to treat the target tissue with a high frequency signal output;

selecting a high frequency electrode system having a rigid shaft adapted to be inserted into the target tissue, the distal end comprising an uninsulated electrode tip, and an insulating covering that covers at least a portion of the rigid shaft and at least a portion of the insulating covering can be moved with respect to the rigid shaft so that an exposed surface of the uninsulated electrode tip can be adjusted, wherein the electrode system is configured to be connected to a high frequency generator so that the high frequency signal output from the high frequency generator can be applied to a target tissue near the uninsulated electrode tip when the rigid shaft is inserted into a living body;

selecting one or more spacers from a set of spacers according to the uninsulated electrode tip length, wherein the set of spacers includes spacers of discrete lengths;

adjusting the exposed surface according to the size of high frequency electrode; and

connecting the high frequency electrode system to a high frequency generator to deliver a high frequency signal output to the target tissue through the uninsulated electrode tip.