Electrical ablation device

• US 8,114,072 B2
• Filed: 05/30/2008
• Issued: 02/14/2012
• Est. Priority Date: 05/30/2008
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L., Zwolinski, Andrew M.
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): ANTISKAY, BRIAN MICHAEL
• Application Number:
  US12/130,010
• Publication Number:
  US 20090299362A1
• Time in Patent Office: 1,355 Days
• Field of Search: 600564-568, 606/37, 606/39, 606/159, 606/167
• US Class Current: 606/37
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/2215 having an open distal end
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1422 Hook
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

An electrical ablation apparatus includes a housing extending along a longitudinal axis. A first electrode and a second electrode are disposed within the housing. The electrodes are configured to connect to electrically conductive wires. The first and second electrodes are separated by a gap. The second electrode includes first and second prongs defining an opening suitable to receive tissue to be ablated therebetween. When the first and second electrodes are energized at a predetermined energy level, an electric current suitable to ablate the tissue flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue. A system includes an energy source to drive the electrical ablation apparatus. A method includes introducing the electrical ablation apparatus into a patient and ablating tissue with the electric arc.

Claims

1. An electrical ablation apparatus, comprising:

a housing comprising a proximal end and a distal end, a flexible housing extending along a longitudinal axis;

a first electrode comprising a proximal end and a distal end is disposed within the housing, the proximal end is adapted to couple to an energy source; and

a second electrode comprising a proximal end and a distal end is disposed within the flexible housing, the proximal end is adapted to couple to an energy source, wherein the distal ends of the first and second electrodes are separated by a gap, the second electrode comprising;

a first prong comprising a proximal end and a distal end; and

a second prong comprising a proximal end and a distal end, the first and second prongs are electrically coupled at the proximal end and are configured to separate and define an opening when the second electrode is extended distally;

wherein the size of the opening is selectively adjustable such that when the first and second electrodes are energized by the energy source at a predetermined energy level, an electric current suitable to ablate tissue located within the opening flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue.

2. The electrical ablation apparatus of claim 1, wherein the first electrode is movable to retract within the flexible housing.

3. The electrical ablation apparatus of claim 1, comprising an electrically insulative sleeve between the flexible housing and the first electrode.

4. The electrical ablation apparatus of claim 1, wherein the distal end of the first electrode defines a tapered surface.

5. The electrical ablation apparatus of claim 4, wherein the tapered surface defines any one of a conical, frustro-conical, oblique-conical, right-conical, and right frustro-conical surface.

6. The electrical ablation apparatus of claim 1, wherein the distal end of the first electrode defines blunt surface.

7. The electrical ablation apparatus of claim 1, wherein the distal end of the first electrode defines a spherical surface.

8. The electrical ablation apparatus of claim 1, wherein the second electrode is movable to retract within a sleeve located at the distal end the housing.

9. The electrical ablation apparatus of claim 8, wherein the first and second prongs are collapsible to be slidably received within the sleeve when the second electrode is retracted.

10. The electrical ablation apparatus of claim 1, wherein the distal ends of the first and second prongs define respective first and second hooks to grasp tissue to be ablated.

11. The electrical ablation apparatus of claim 1, wherein the first and second prongs of the second electrode extend distally at an angle relative to the longitudinal axis.

12. The electrical ablation apparatus of claim 1, wherein the proximal end of the first prong of the second electrode is located at a first distance from the distal end of the first electrode and the proximal end of the second prong of the second electrode is located at the first distance from the distal end of the first electrode, and wherein the first distance is greater than a second distance defined between the proximal ends of the first and second prongs of the second electrode.

13. The electrical ablation apparatus of claim 1, wherein the housing is formed as an elongated tubular flexible member that is slidably receivable within a flexible portion of an endoscope.

14. The electrical ablation apparatus of claim 13, wherein the elongated tubular flexible member is slidably receivable within a working channel of the flexible portion of the endoscope.

15. An electrical ablation system, comprising:

an energy source;

an electrical ablation apparatus coupled to the energy source, the electrical ablation apparatus comprising;

a housing comprising a proximal end and a distal end, the housing extending along a longitudinal axis;

a first electrode comprising a proximal end and a distal end is disposed within the housing, the proximal end is configured to couple to the energy source; and

a second electrode comprising a proximal end and a distal end is disposed within the housing, the proximal end is configured to couple to the energy source, the distal ends of the first and second electrodes are separated by a gap, the second electrode comprising;

a first prong comprising a proximal end and a distal end; and

a second prong comprising a proximal end and a distal end, the first and second prongs are electrically coupled at the proximal end and are configured to separate and define an opening when the second electrode is extended distally;

wherein the size of the opening is selectively adjustable such that when the first and second electrodes are energized by the energy source at a predetermined energy level, an electric current suitable to ablate tissue located within the opening flows across the gap and forms an electric arc between the distal end of the first electrode and the tissue.

16. The electrical ablation system of claim 15, wherein the first electrode is movable to retract within the housing.

17. The electrical ablation system of claim 15, wherein the second electrode is movable to retract within a sleeve located at the distal end of the housing.

18. A method of endoscopically ablating tissue, the method comprising:

inserting a portion of an endoscope into a natural opening of a patient to a target site;

inserting an electrical ablation apparatus through a working channel of the portion of the endoscope, the electrical ablation apparatus comprising;

a housing comprising a proximal end and a distal end, the housing extending along a longitudinal axis;

a first electrode comprising a proximal end and a distal end is disposed within the housing, the proximal end is configured to connect to a first electrically conductive wire; and

a second electrode comprising a proximal end and a distal end is disposed within the housing, the proximal end is configured to connect to a second electrically conductive wire, the distal ends of the first and second electrodes are separated by a gap, the second electrode comprising;

a first prong comprising a proximal end and a distal end; and

a second prong comprising a proximal end and a distal end, the first and second prongs are electrically coupled at the proximal end and are configured to separate and define an opening when the second electrode is extended distally;

extending the distal ends of the first and second electrodes through the distal end of the elongated tubular member to separate the first and second prongs;

receiving tissue to be ablated between the first and second prongs;

energizing the first and second electrodes; and

ablating the tissue located in the gap with an electric current that forms an electric arc between the first electrode and the tissue.