Systems and methods for ablation of tissue

• US 8,216,229 B2
• Filed: 01/31/2011
• Issued: 07/10/2012
• Est. Priority Date: 05/06/2003
• Status: Expired due to Term

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Elliott, Christopher J.
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US13/017,889
• Publication Number:
  US 20110125147A1
• Time in Patent Office: 526 Days
• Field of Search: 606 32- 50, 128/898
• US Class Current: 606/41
• CPC Class Codes: A61B 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/1214 Coils or wires
• CPC Class Codes: A61B 17/12181 formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2017/1205 Introduction devices
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

A system for treating tissue includes a probe assembly having a cannula, a shaft, and one or more needle electrodes. The shaft has a distal end, a proximal end, and a lumen extending between the distal and proximal ends of the shaft, and is slidable within the lumen of the cannula. Each needle electrode has a lumen that may be placed in communication with a port at a proximal end of the probe assembly, and is configured to deliver an occlusive element to a site. The system may further include an embolization actuator for delivering the occlusive element. A method of treating tissue includes placing an electrode at a site of a treatment region, occluding at least a part of a vessel located adjacent the site by delivering an occlusion element from an electrode, and delivering ablation energy to the site while the vessel is at least partially occluded.

Claims

1. A method for ablating tissue with a probe assembly comprising an elongated shaft having a plurality of ablation electrodes carried by a distal end of the elongated shaft, each of the electrodes having a lumen therein, the probe assembly further comprising a handle member rotatable relative to the elongated shaft and containing a delivery port configured to communicate with a selected one of the electrode lumens, the method comprising:

inserting a cannula having a lumen therein into a treatment region;

advancing the elongated shaft distally within the lumen of the cannula such that one of the ablation electrodes penetrates a wall of a vessel adjacent to or in the treatment region;

rotating the handle member relative to the elongate shaft to selectively place the delivery port in communication with the lumen of the electrode penetrating the wall of the vessel;

inserting an occlusion element into the vessel via the lumen of the electrode penetrating the wall of the vessel; and

delivering radiofrequency energy to the treatment region via at least one of the electrodes.

2. The method of claim 1, wherein the occlusion element comprises an embolic coil.

3. The method of claim 1, wherein the occlusion element comprises a liquid embolic.

4. The method of claim 1, wherein the occlusion element comprises an occlusion balloon.

5. The method of claim 1, wherein the occlusion element comprises embolic particles.

6. The method of claim 1, wherein the occlusion element comprises a filter.

7. The method of claim 1, wherein the radiofrequency energy is delivered to all of the electrodes.

8. The method of claim 1, wherein the radiofrequency energy is delivered to all of the electrodes except the electrode that inserted the occlusion element.

9. The method of claim 1, wherein the radiofrequency energy is delivered to at least one electrode selected by an operator.

10. The method of claim 1, wherein the cannula is inserted to the treatment region with the aid of a stylet contained in the cannula and wherein the stylet is subsequently removed and replaced with the elongated shaft.

11. The method of claim 1, wherein the ablation electrode penetrates the wall of the vessel with the aid of a stylet contained in the electrode lumen.

12. A method for ablating tissue with a probe assembly comprising an elongated shaft having a lumen therein and a plurality of ablation electrodes carried by a distal end of the elongated shaft, each of the electrodes having a lumen therein that communicates with the elongated shaft lumen, the probe assembly further comprising an index member disposed in the lumen of the elongated shaft and comprising a distal end, a proximal end, and a lumen extending there between, the index member being rotatable relative to the elongated shaft to selectively position the index member lumen in communication with one of the electrode lumens, the method comprising:

inserting a cannula having a lumen therein into a treatment region;

advancing the elongated shaft distally within the lumen of the cannula such that one of the ablation electrodes penetrates a wall of a vessel adjacent to or in the treatment region;

rotating the index member relative to the elongate shaft to selectively place the index member lumen in communication with the lumen of the electrode penetrating the wall of the vessel;

inserting an occlusion element into the vessel via the lumen of the electrode penetrating the wall of the vessel; and

delivering radiofrequency energy to the treatment region via at least one of the electrodes.

13. The method of claim 12, wherein the occlusion element comprises an embolic coil.

14. The method of claim 12, wherein the occlusion element comprises a liquid embolic.

15. The method of claim 12, wherein the occlusion element comprises an occlusion balloon.

16. The method of claim 12, wherein the occlusion element comprises embolic particles.

17. The method of claim 12, wherein the occlusion element comprises a filter.

18. The method of claim 12, wherein the radiofrequency energy is delivered to all of the electrodes.

19. The method of claim 12, wherein the radiofrequency energy is delivered to all of the electrodes except the electrode that inserted the occlusion element.

20. The method of claim 12, wherein the radiofrequency energy is delivered to at least one electrode selected by an operator.

21. The method of claim 12, wherein the cannula is inserted into the treatment region with the aid of a stylet contained in the cannula and wherein the stylet is subsequently removed and replaced with the elongated shaft.

22. The method of claim 12, wherein the ablation electrode penetrates the wall of the vessel with the aid of a stylet contained in the electrode lumen.