Adjustable ferromagnetic coated conductor thermal surgical tool

• US 8,425,503 B2
• Filed: 07/26/2012
• Issued: 04/23/2013
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/559,386
• Publication Number:
  US 20120296326A1
• Time in Patent Office: 271 Days
• Field of Search: 606/47, 606/113, 606/27, 606/31, 607 98-103, 607/96
• US Class Current: 606/31
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/085 Forceps, scissors
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• 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 2017/00141 continuous, e.g. wave
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00095 high, i.e. heat conducting
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00577 : Ablation
• CPC Class Codes: A61B 2018/00589 : Coagulation
• CPC Class Codes: A61B 2018/00595 : Cauterization
• CPC Class Codes: A61B 2018/00601 : Cutting
• CPC Class Codes: A61B 2018/00619 : Welding
• CPC Class Codes: A61B 2018/00642 : with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00654 : with individual control of each of a plurality of energy emitting elements
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00714 : Temperature
• CPC Class Codes: A61B 2018/00755 : Resistance or impedance
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00803 : with temperature prediction
• CPC Class Codes: A61B 2018/00958 : for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/128 : generating two or more frequencies
• CPC Class Codes: A61B 2018/1407 : Loop
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61M 25/00 : Catheters; Hollow probes dilators A61M29/00; peritoneal catheters A61M1/285; tracheal tubes A61M16/04; for drainage A61M27/00; for uterus, vagina or rectum A61M31/00 ; for measuring or testing A61B; materials for catheters A61L29/00
• CPC Class Codes: A61M 25/0082 : Catheter tip comprising a tool
• CPC Class Codes: Y10T 29/49124 : On flat or curved insulated base, e.g., printed circuit, etc.

Abstract

An electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region, is fed from a high frequency alternating current source. The ferromagnetic material has a quick response in heating and cooling to the controllable power delivery. The ferromagnetic material can be used for separating tissue, coagulation, tissue destruction or achieving other desired tissue effects in numerous surgical procedures.

Claims

1. A method for treating tissue, the method comprising:

selecting a surgical tool, the surgical tool having a thermal element formed by a conductor which passes an oscillating electrical signal from one end of the conductor to an opposing end of the conductor to thereby return the oscillating electrical signal to a power source, the conductor having a ferromagnetic coating disposed on a portion thereof to form a ferromagnetic region;

passing the oscillating electrical signal through the conductor from a position adjacent the one end to a second position adjacent the opposing end to heat the ferromagnetic region to produce a heated ferromagnetic region having a temperature above about 58 degrees Centigrade; and

contacting tissue with the heated ferromagnetic region to thereby treat the tissue with heat produced in the heated ferromagnetic region.

2. The method according to claim 1, wherein the surgical tool forms the thermal element and not a bipolar element.

3. The method according to claim 1, wherein the method comprises passing the oscillating electrical signal at a frequency so that the surgical tool functions primarily as the thermal element rather than a monopolar element.

4. The method according to claim 1, wherein the surgical tool has a handle and wherein the conductor has an exposed portion which extends from and returns to the handle to form a conduction path for the oscillating electrical signal into the handle, through the exposed portion of the conductor and back through the handle and wherein the method comprises passing the oscillating electrical signal through the handle, through the exposed portion and back through the handle.

5. The method according to claim 1, wherein the surgical tool is connected to a power source such that the oscillating electrical signal is received from the power source and returned to the power source without substantially passing through the tissue.

6. The method according to claim 1, wherein the step of contacting the tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 58 and 62 degrees Centigrade using heat from the heated ferromagnetic region to cause vascular endothelial welding.

7. The method according to claim 1, wherein the step of contacting the tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 70 and 80 degrees Centigrade using heat from the heated ferromagnetic region to cause tissue hemostasis.

8. The method according to claim 1, wherein the step of contacting the tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 80 and 200 degrees Centigrade using heat from the heated ferromagnetic region to cause tissue searing and sealing.

9. The method according to claim 1, wherein the step of contacting the tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 200 and 400 degrees Centigrade using heat from the heated ferromagnetic region to create tissue incisions.

10. The method according to claim 1, wherein the step of contacting the tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 400-500 degrees Centigrade to cause tissue ablation and vaporization.

11. The method according to claim 1, wherein the ferromagnetic coating includes a non-stick coating disposed over the ferromagnetic coating.

12. The method according to claim 1, wherein the ferromagnetic coating is sufficiently thin to be repeatably immersible in a liquid while the ferromagnetic coating is hot without the ferromagnetic coating cracking.

13. A method for treating tissue, the method comprising:

selecting a thermal surgical tool having a handle with a continuous conductor extending therefrom, the continuous conductor having a ferromagnetic layer disposed about a portion of the continuous conductor between a first end portion and a second end portion of the continuous conductor to create a ferromagnetic heated region along the continuous conductor and an exposed, non-ferromagnetic portion on either side of the ferromagnetic heated region;

connecting the continuous conductor to a power supply independent of the ferromagnetic layer so that power is passed from the power supply through the handle to the continuous conductor and back through the handle without substantially passing through tissue;

contacting tissue with at least a portion of the ferromagnetic heated region while delivering power to the continuous conductor so as to heat the ferromagnetic layer and treat the tissue contacting the ferromagnetic heated region with heat from the ferromagnetic heated region.

14. The method according to claim 13, wherein the method comprises using heat from the heated ferromagnetic region to cause vascular endothelial welding.

15. The method according to claim 13, wherein the step of contacting tissue comprises contacting the tissue with the heated ferromagnetic region to raise a temperature of the tissue to between about 70 and about 80 degrees Centigrade using heat from the heated ferromagnetic region to cause tissue hemostasis.

16. The method according to claim 13, wherein the step of contacting tissue comprises contacting the tissue with the heated ferromagnetic region to cause tissue searing and sealing by heat from the ferromagnetic region.

17. The method according to claim 13, wherein the step of contacting tissue comprises contacting the tissue with the heated ferromagnetic region to create tissue incisions by heat from the ferromagnetic region.

18. The method according to claim 13, wherein the continuous conductor has a cross-sectional thickness and the ferromagnetic layer has a cross-sectional thickness that is between about 0.01% and about 50% of the cross-sectional thickness of the continuous conductor and therein the method comprises heating the ferromagnetic layer by induction.

19. The method according to claim 13, wherein the continuous conductor has a cross-sectional thickness and the ferromagnetic layer has a cross-sectional thickness that is between about 0.1% and about 20% of the cross-sectional thickness of the continuous conductor.

20. The method according to claim 13, wherein the power is an oscillating electrical signal having a frequency of about 40 MHz.

21. The method according to claim 13, wherein the ferromagnetic layer has a thickness which is less than one-fifth a cross-sectional diameter of the continuous conductor.

22. A method for treating tissue, the method comprising:

selecting a thermal surgical tool having a handle having a thermal element extending out of the handle, the thermal element being formed by a conductor which extends from and returns to the handle so as to conduct an oscillating electrical signal out of and back into the handle, the conductor having a ferromagnetic region with a ferromagnetic layer which extends along a portion of the conductor extending outside the handle and wherein the conductor is not covered by the ferromagnetic layer on either side of the ferromagnetic region on the portion of the conductor extending outside the handle;

contacting tissue with the ferromagnetic region; and

passing an oscillating electrical signal through the conductor out of the handle, through the ferromagnetic region, and back into the handle to thereby heat and maintain the ferromagnetic layer at a temperature at least sufficient to cause endothelial vascular welding when the ferromagnetic region is contacting the tissue to be treated.

23. The method according to claim 22, wherein the method comprises passing the oscillating electrical signal through the conductor prior to contacting the tissue with the ferromagnetic region to preheat the ferromagnetic region.

24. The method according to claim 22, wherein the method comprises contacting the tissue with the ferromagnetic region to cause hemostasis where the ferromagnetic region contacts the tissue without passing a substantial amount of electrical energy from the oscillating electrical signal through the tissue.

25. The method according to claim 22, wherein the method comprises contacting the tissue with the ferromagnetic region to cause tissue searing and sealing where the ferromagnetic region contacts the tissue without passing a substantial amount of electrical energy from the oscillating electrical signal through the tissue.

26. The method according to claim 22, wherein the method comprises contacting the tissue with the ferromagnetic region to create tissue incisions where the ferromagnetic region contacts the tissue without passing a substantial amount of electrical energy from the oscillating electrical signal through the tissue.

27. The method according to claim 22, wherein the ferromagnetic layer comprises a layer which is less fragile than a ferrite bead when subjected to thermal stress.

28. A method for treating tissue, the method comprising:

selecting a thermal surgical tool having a handle, a continuous conductor having a section extending from the handle and returning to the handle, the continuous conductor having an outer surface and a layer of ferromagnetic material disposed along the outer surface for only a portion of the section extending from the handle to form a heatable ferromagnetic region along said portion of the continuous conductor;

delivering an oscillating electrical signal to the continuous conductor independent of the layer of ferromagnetic material to thereby heat the heatable ferromagnetic region; and

contacting tissue with the heatable ferromagnetic region that is heated to treat the tissue.

29. The method according to claim 28, wherein the method comprises applying the heatable ferromagnetic region at a temperature and for a time to raise a tissue temperature to between about 58-62 degrees Centigrade to cause vascular endothelial welding using heat from the heatable ferromagnetic region.

30. The method according to claim 29, wherein the method comprises maintaining a temperature along the heatable ferromagnetic region in contact with the tissue to heat the tissue to between about 80-200 degrees Centigrade to promote tissue searing and sealing using heat from the heatable ferromagnetic region.

31. The method according to claim 28, wherein the method comprises maintaining a temperature along the heatable ferromagnetic region in contact with the tissue to heat the tissue to between about 70-80 degrees Centigrade to promote tissue hemostasis using heat from the heatable ferromagnetic region.