Method for heating a surgical implement

• US 8,523,850 B2
• Filed: 12/24/2009
• Issued: 09/03/2013
• 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, Manwaring, Mark
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): DELLA, JAYMI E
• Application Number:
  US12/647,302
• Publication Number:
  US 20100268212A1
• Time in Patent Office: 1,349 Days
• Field of Search: 606/47, 606/113, 607 98-103
• US Class Current: 606/28
• 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

A power source delivers oscillating electrical energy to an electrical conductor, such as a wire or catheter, which is coated circumferentially with a ferromagnetic material in a selected region. With high frequency electrical energy, the ferromagnetic material has a quick response in heating and cooling adjustable by 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 process of delivering power to a thermally adjustable surgical tool comprising:

providing the thermally adjustable surgical tool, wherein the thermally adjustable tool comprises a conductor configured such that an oscillating electrical signal will have approximately a standing wave with maximum current and minimum voltage at a load, the load consisting of a ferromagnetic material coated on the conductor;

delivering the oscillating electrical signal to the load; and

causing the oscillating electrical signal to no longer be sent to the load; and

wherein the ferromagnetic material coated on the conductor is sufficiently thin to avoid fracturing when passed from air into a liquid while heated.

2. The process according to claim 1, wherein the process comprises providing the oscillating electrical signal at a frequency between 5 megahertz and 24 gigahertz.

3. The process according to claim 2, wherein the oscillating electrical signal is between 40 megahertz and 928 megahertz.

4. The process according to claim 1, wherein the process comprises providing the oscillating electrical signal selected from the group of center frequencies of 6.78 MHz, 13.56 MHz, 27.12 MHz, 40.68 MHz, 433.92 MHz, 915 MHz, 2.45 GHz, 5.80 GHz, 24.125 GHz, 61.25 GHz, 122.5 GHz, and 245 GHz.

5. The process according to claim 1, further comprising contacting the load to a tissue and wherein substantially all of the oscillating electrical signal passes through the conductor or load and does not enter the tissue.

6. The process according to claim 1, wherein the ferromagnetic material coated on the conductor is between 0.05 micrometer and 500 micrometers thick.

7. The process according to claim 6, wherein the ferromagnetic material coated on the conductor is between 1 micrometer and 50 micrometers thick.

8. A method for incising tissue, the method comprising;

selecting a conductor having a ferromagnetic coating disposed on a portion thereof;

disposing the ferromagnetic coating into contact with the tissue; and

delivering an oscillating electrical signal to the conductor so as to heat the ferromagnetic coating and cut the tissue without a substantial amount of the oscillating electrical signal passing into the tissue;

wherein the ferromagnetic coating, when heated sufficiently to cut the tissue, can be moved repeatedly between air and liquid without fracturing.

9. The method according to claim 8, further comprising the step of selecting a power output of the oscillating electrical signal.

10. The method according to claim 9, wherein the power output corresponds to a temperature range at the ferromagnetic coating.

11. The method according to claim 10, wherein the temperature range is selected from the group corresponding to a desired tissue effect consisting of cutting, hemostasis, vascular endothelial welding, tissue vaporization, tissue ablation and tissue carbonization.

12. The method according to claim 9, wherein the power output corresponds to a desired tissue effect.

13. The method according to claim 8, wherein the ferromagnetic coating is between 0.05 micrometer and 500 micrometers thick.

14. The method according to claim 13, wherein the ferromagnetic coating is between 1 micrometer and 50 micrometers thick.

15. The method of claim 8, wherein the conductor has a diameter and wherein the ferromagnetic coating has a thickness which is less than 20 percent of the diameter of the conductor.

16. A method for performing surgery, the method comprising:

selecting a load comprising a conductor with a ferromagnetic coating, the ferromagnetic coating being sufficiently thin that it may be heated in air to a temperature sufficient to cut tissue and repeatedly immersed in liquid while heated to the temperature without cracking;

delivering power to the conductor through oscillating electrical energy from a power source; and

matching an impedance of the load to an impedance of a power source.

17. The method of claim 16, wherein the matching step further comprises changing the impedance of the power source to match the impedence of the load.

18. The method of claim 16, wherein the matching step further comprises altering a frequency of the oscillating electrical energy.

19. The method of claim 16, wherein the matching step further comprises adjusting the power source to achieve a standing wave in the oscillating electrical energy.

20. The method of claim 16, wherein the matching step further comprises maximizing current at the conductor.

21. The method of claim 16, wherein the matching step further comprises choosing components to achieve a standing wave at the conductor.

22. The method of claim 16, wherein the matching step further comprises selecting a length of cable to connect the power source to the conductor wherein the length of the cable is configured to achieve a standing wave at the conductor.

23. The method according to claim 16, wherein the ferromagnetic coating is between 0.05 micrometer and 500 micrometers thick.

24. The method according to claim 23, wherein the ferromagnetic coating is between 1 micrometer and 50 micrometers thick.

25. The method of claim 16, wherein the conductor has a diameter and wherein the ferromagnetic coating has a thickness which is less than 20 percent of the diameter of the conductor.

26. A method for treating tissue, the method comprising;

selecting a conductor having a ferromagnetic coating disposed on a portion thereof;

disposing the ferromagnetic coating into contact with the tissue; and

delivering an oscillating electrical signal to the conductor so as to heat the ferromagnetic coating and treat the tissue while minimizing an amount of electrical energy which is radiated into the tissue;

adjusting a user control to alter the oscillating electrical signal to obtain or maintain a desired heating of the ferromagnetic coating; and

wherein the ferromagnetic coating is sufficiently thin that the ferromagnetic coating can be heated in air and then repeatedly immersed in liquid without cracking.

27. The method of claim 26, wherein substantially no current is passed from the conductor into the tissue.

28. The method according to claim 26, wherein the method comprises maintaining a generally constant current through the conductor.

29. The method according to claim 26, wherein the ferromagnetic coating is between 0.05 micrometer and 500 micrometers thick.

30. The method according to claim 29, wherein the ferromagnetic coating is between 1 micrometer and 50 micrometers thick.

31. The method according to claim 26, wherein the conductor has a cross-sectional thickness and wherein the ferromagnetic coating has a cross-sectional thickness which is about 10 percent or less as thick as the cross-sectional thickness of the conductor.

32. A method for cutting comprising:

selecting a tool having a conductor having opposing ends, a portion of the conductor having a ferromagnetic coating which is between 0.05 micrometer and 500 micrometers thick disposed thereon, and thermal isolation devices at the opposing ends of the conductor;

delivering an oscillating electrical signal through one of the thermal isolation devices to the conductor to cause hysteresis in the ferromagnetic coating and thereby heat the ferromagnetic coating, the oscillating electrical signal continuing through the conductor and through the other thermal isolation device; and

applying the ferromagnetic coating which has been heated to a substance to be cut to thereby cut the substance,

wherein the conductor has a diameter and wherein the ferromagnetic coating coated on the conductor has a thickness which is less than 20 percent of the diameter of the conductor.

33. The method according to claim 32, wherein a majority of current passing through the conductor does not pass through the substance being cut.

34. The method according to claim 32, wherein the ferromagnetic coating is between 1 micrometer and 50 micrometers thick.

35. The method according to claim 32, wherein the ferromagnetic coating thickness is about 10 percent or less as thick as the diameter of the conductor 4.

36. The method of claim 32, wherein the ferromagnetic coating is sufficiently thin that the ferromagnetic coating can be heated in air and then repeatedly immersed in liquid without cracking.

37. A method for treating tissue, the method comprising;

selecting a conductor having a ferromagnetic coating disposed on a portion thereof, the conductor having a cross-sectional thickness and the ferromagnetic coating having a thickness which is less than 20 percent the cross-sectional thickness of the coating so that the ferromagnetic coating can be repeatedly heated in air and then immersed in liquid while still heated without fracturing;

disposing the ferromagnetic coating into contact with the tissue; and

delivering an oscillating electrical signal to the conductor so as to heat the ferromagnetic coating and treat the tissue while minimizing an amount of electrical energy which is radiated into the tissue so that an amount of high frequency energy radiated into the tissue is substantially zero; and

adjusting a user control to alter the oscillating electrical signal to obtain or maintain a desired heating of the ferromagnetic coating.