Electrosurgical method and system for treating foot ulcer

• US 8,663,153 B2
• Filed: 05/05/2009
• Issued: 03/04/2014
• Est. Priority Date: 01/06/2006
• Status: Expired due to Fees

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Davison, Terry S., Warne, Brian
• Primary Examiner(s): Sirmons, Kevin C.
• Assistant Examiner(s): Hall, Deanna K
• Application Number:
  US12/435,682
• Publication Number:
  US 20090216224A1
• Time in Patent Office: 1,764 Days
• Field of Search: 606/41, 606/45, 606 49- 50, 604/22
• US Class Current: 604/22
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

An electrosurgical method for treating foot ulcer, including diabetic foot ulcer, comprising: positioning an active electrode in close proximity to the ulcer, the active electrode being disposed on a distal end of an electrosurgical shaft; applying a high-frequency voltage potential difference across the active electrode and a return electrode in the presence of an electrically conductive fluid, the voltage potential being sufficient to generate plasma at the active electrode; and stimulating the ulcer with the active electrode to increase blood flow, remove unhealthy tissue and induce the body'"'"'s natural healing response.

Claims

1. An electrosurgical method of treating ulcer tissue, comprising:

positioning an active electrode in close proximity to the ulcer tissue, the active electrode disposed on a distal end of a shaft; and

applying a high-frequency voltage between the active electrode and a return electrode;

modifying the ulcer tissue, wherein modifying the ulcer tissue comprises;

removing at least first and second ulcer tissue portions, wherein the at least first ulcer tissue portion is debrided and the at least second ulcer tissue portion is perforated;

inducing blood flow from an underlying tissue adjacent the at least second ulcer tissue portion for restoring blood flow to and in the presence of the ulcer tissue; and

passing a minimal current flow through the ulcer tissue;

wherein modifying the ulcer tissue results in stimulating healthy tissue growth and promoting the healing of the ulcer tissue.

2. The method of claim 1, wherein the ulcer tissue comprises skin ulcer tissue.

3. The method of claim 1, wherein the ulcer tissue comprises mucus membrane ulcer tissue.

4. The method of claim 1, wherein the ulcer tissue comprises foot ulcer tissue.

5. The method of claim 1, wherein the ulcer tissue comprises diabetic foot ulcer tissue.

6. The method of claim 1, wherein the ulcer tissue comprises cellulitic tissue.

7. The method of claim 1, further comprising passing the minimal current flow directly into the ulcer tissue, wherein the current flow is sufficient to coagulate and seal the ulcer tissue to stop bleeding.

8. The method of claim 1, further comprising passing an electric current indirectly into the ulcer tissue through an electrically conductive medium located between the active electrode and the ulcer tissue.

9. The method of claim 1, further comprising coagulating at least a first portion of the ulcer tissue and volumetrically removing at least a second portion of the ulcer tissue.

10. The method of claim 1, whereby positioning the active electrode comprises translating the active electrode across the ulcer tissue and tissue proximate to the ulcer tissue.

11. The method of claim 1, wherein the active electrode and the return electrode are disposed on the shaft.

12. The method of claim 1, including contacting the ulcer tissue with the active electrode.

13. The method of claim 1, wherein perforating the second ulcer tissue further comprises limiting the application of the high-frequency voltage for a selected time period.

14. The method of claim 1, wherein perforating the second ulcer tissue portion comprises forming a plurality of perforations in the second ulcer tissue portion and in the vicinity of the ulcer tissue, the plurality of perforations spaced less than 5 mm apart.

15. The method of claim 1, wherein perforating the second ulcer tissue portion comprises forming a plurality of perforations in the second ulcer tissue portion and in the vicinity of the ulcer tissue with diameters of up to about 3 mm.

16. The method of claim 1, wherein perforating the second ulcer tissue portion comprises forming a plurality of perforations in the second ulcer tissue portion and in the vicinity of the ulcer tissue up to about 3 mm in depth.

17. The method of claim 1, wherein perforating the second ulcer tissue portion comprises forming a plurality of perforations in the second ulcer tissue portion and in the vicinity of the ulcer tissue up to about 5 mm in depth.

18. The method of claim 1, further comprising adjusting the voltage to cause coagulation of at least portions of ulcer tissue and at least portions of tissue in the vicinity of the ulcer tissue.

19. The method of claim 1, wherein the active electrode is connected with a high-frequency voltage supply.

20. An electrosurgical method of treating ulcer tissue, comprising:

positioning an active electrode in close proximity to the ulcer tissue, the active electrode disposed on a distal end of a shaft; and

applying a high-frequency voltage between the active electrode and a return electrode;

modifying the ulcer tissue, wherein modifying the ulcer tissue comprises the steps of;

perforating at least a portion of the ulcer tissue with the active electrode wherein perforating comprises removing the at least a portion of the ulcer tissue;

inducing blood flow from an underlying tissue, wherein the induced blood flow restores blood flow to and in the presence of the ulcer tissue; and

passing a minimal current flow through the ulcer tissue;

wherein modifying the ulcer tissue results in stimulating healthy tissue growth promotes the healing of the ulcer tissue.

21. An electrosurgical method of treating ulcer tissue, comprising:

positioning an active electrode in close proximity to the ulcer tissue, the active electrode disposed on a distal end of a shaft; and

applying a high-frequency voltage between the active electrode and a return electrode;

modifying the ulcer tissue, wherein modifying the ulcer tissue comprises the steps of;

removing at least first and second ulcer tissue portions with the high-frequency voltage at the active electrode, wherein the removing comprises debriding the at least first ulcer portion and perforating the at least second ulcer tissue portion;

inducing a blood flow from an underlying tissue, wherein inducing blood flow and restores blood flow to and in the presence of the ulcer tissue; and

passing a minimal current flow through the ulcer tissue;

wherein modifying the ulcer tissue results in stimulating healthy tissue growth to promotes the healing of the ulcer tissue.

22. An electrosurgical method of treating ulcer tissue, comprising:

positioning an active electrode in close proximity to the ulcer tissue, the active electrode disposed on a distal end of a shaft; and

applying a high-frequency voltage between the active electrode and a return electrode;

modifying the ulcer tissue, wherein modifying the ulcer tissue comprises the steps of;

debriding at least a portion of the ulcer tissue with the high-frequency voltage at the active electrode;

inducing blood flow from an underlying tissue, wherein inducing blood flow restores blood flow in the presence of the ulcer tissues; and

passing a minimal current flow through the ulcer tissue;

wherein modifying the ulcer tissue results in stimulating healthy tissue growth promotes the healing of the ulcer tissue.