Method and apparatus for tissue ablation

• US 8,221,415 B2
• Filed: 07/27/2007
• Issued: 07/17/2012
• Est. Priority Date: 04/26/2001
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Francischelli, David E.
• Primary Examiner(s): Roane, Aaron
• Application Number:
  US11/881,558
• Publication Number:
  US 20080071271A1
• Time in Patent Office: 1,817 Days
• Field of Search: 128/898, 606/41, 606 49- 52, 607/99, 607/129
• US Class Current: 606/49
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2018/00994 combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes

Abstract

A method for ablation in which a portion of atrial tissue around the pulmonary veins of the heart is ablated by a first elongated ablation component and a second elongated ablation component movable relative to the first ablation component and having means for magnetically attracting the first and second components toward one another. The magnetic means draw the first and second components toward one another to compress the atrial tissue therebetween, along the length of the first and second components and thereby position the device for ablation of the tissue.

Claims

1. A method of ablating tissue, the method comprising:

selecting a hemostat having a pair of jaws pivotably coupled together and moveable with respect to each other, wherein one of the jaws includes a first elongated ablation component and the other of the jaws includes a second elongated ablation component,

wherein the first elongated ablation component includes a length and is configured to perform a linear ablation along the length, and wherein the first elongated ablation component is coupled to a longitudinally extending first means for delivery of ablation energy,

wherein the second elongated ablation component is also configured to perform a linear ablation along the length,

wherein the first and second elongated ablation components comprise means mounted to and extending substantially along the length for magnetically attracting the first and second elongated ablation components toward one another;

placing one of the first and second elongated ablation components along a first portion of tissue of an atrium on an external portion of a heart of a patient adjacent one or more pulmonary veins;

placing the other of the first and second elongated ablation components along a second portion of tissue of the atrium on an external portion of the heart adjacent the one or more pulmonary veins to allow the magnetically attracting means to draw the first and second elongated ablation components toward one another to compress the first and second portions of tissue therebetween along the length of the first and second elongated ablation components; and

applying ablation energy configured to create a linear ablation while the first and second elongated ablation components are relatively stationary with respect to the tissue therebetween, wherein the magnetically attracting means provides a force capable to yieldably clamp the first and second elongated ablation components against the tissue therebetween during the application of ablation energy.

2. A tissue ablation method, the method comprising:

selecting a hemostat having a pair of jaws pivotably coupled together and moveable with respect to each other, wherein one of the jaws includes a first microwave linear ablation component and the other of the jaws includes a second linear ablation component, and wherein the first microwave linear ablation component includes a length;

placing the first microwave linear ablation component on a first portion of tissue of a hollow organ;

placing the second linear ablation component on a second portion of tissue of the hollow organ, wherein the first microwave linear ablation component comprises a first magnet configured to magnetically attract a second magnet carried by the second linear ablation component to compress the first and second portions of tissue therebetween and along substantially the entire length of the first microwave linear ablation component; and

applying microwave ablation energy to the tissue therebetween to create a linear ablation lesion along the length of the first microwave linear ablation component while the first microwave linear ablation component and the second linear ablation component are relatively stationary with respect to the tissue therebetween, wherein the magnetic attraction between the first and second magnets is sufficient to yieldably clamp the first and second components against the tissue therebetween during the application of microwave ablation energy.

3. The method of claim 2 wherein the hollow organ comprises a heart or portion thereof.

4. The method of claim 2 wherein the first portion of tissue comprises a portion of atrial tissue.

5. The method of claim 2 wherein the second portion of tissue comprises a portion of atrial tissue.

6. The method of claim 2 wherein the first portion of tissue comprises a portion of tissue adjacent the base of a pulmonary vein.

7. The method of claim 2 wherein the second portion of tissue comprises a portion of tissue adjacent the base of a pulmonary vein.

8. The method of claim 2 wherein at least one of the first magnet or the second magnet comprises a rare earth magnet.

9. The method of claim 2 wherein the first microwave linear ablation component or the second linear ablation component comprises an electromagnet.

10. The method of claim 2 wherein at least one of the first microwave linear ablation component or the second linear ablation component comprises a rigid portion.

11. The method of claim 2 wherein the first microwave linear ablation component comprises a rigid portion and the second linear ablation component comprises a flexible portion, and wherein the flexible portion is sufficiently flexible to be magnetically deflected into alignment with the first microwave linear ablation component.

12. The method of claim 2 wherein one of the first microwave linear ablation component and the second linear ablation component comprises a pre-formed curve portion.

13. The method of claim 2 wherein the first microwave linear ablation component and the second linear ablation component each comprise a pre-formed curve portion.