System and method for ablating tissue

• US 8,795,270 B2
• Filed: 04/24/2006
• Issued: 08/05/2014
• Est. Priority Date: 04/24/2006
• Status: Active Grant

• Current Assignee: Covidien AG (Medtronic Plc)
• Original Assignee: Covidien AG (Medtronic Plc)
• Inventors: Drake, Scott
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): GOOD, SAMANTHA M
• Application Number:
  US11/409,832
• Publication Number:
  US 20070250054A1
• Time in Patent Office: 3,025 Days
• Field of Search: 606/41, 606/45, 607/105, 607/113
• US Class Current: 606/41
• CPC Class Codes: A61B 17/28 Surgical forceps for holding suture needles or materials A61B17/0483; for removing or smashing calculi A61B17/221; surgical scissors A61B17/3201 ; obstetrical forceps A61B17/44; for inserting intraocular lenses A61F2/1662; hand-held gripping tools in general B25B7/00 ]
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1487 Trocar-like, i.e. devices producing an enlarged transcutaneous opening
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

An electrosurgical system and method for performing an electrosurgical procedure are disclosed. The electrosurgical system includes a high frequency generator to supply energy, the generator including one or more electrical connections. The system also includes one or more instruments configured to be inserted into tissue of the patient'"'"'s body having a hardened tissue volume. The instruments are configured to penetrate the hardened tissue volume to create at one or more orifices defined therein. The instruments are also configured to selectively encapsulate one or more active electrodes that are coupled to the electrical connections. Each of the electrodes has an elongated shaft terminating in an exposed, conductive tip. The electrodes are configured to be inserted into the tissue of the patient'"'"'s body and into the hardened tissue volume through the orifices to subsequently apply energy from the high frequency generator to the exposed, conductive tip to induce a coherent heating effect in the hardened tissue volume from power deposition therein, thereby producing a heat ablation volume in the hardened tissue volume.

Claims

1. An electrosurgical system, comprising:

a high frequency generator including at least one electrical connection;

at least one instrument including;

a plurality of electrodes, each of the plurality of electrodes including an elongated shaft having an exposed, conductive distal end coupled to the at least one electrical connection such that each electrode of the plurality of electrodes is energized at a same radiofrequency voltage potential from the high frequency generator; and

a plurality of removably engageable, tissue-penetrating tips each having a closed distal end configured to be inserted into tissue of a patient'"'"'s body having a hardened tissue volume and configured to penetrate the hardened tissue volume to create a plurality of orifices defined therein, wherein each of the tips are removably engageable with the at least one instrument using at least one of a threadable or interlocking connection and each of the tips selectively encapsulates the conductive distal end of each of the plurality of electrodes;

wherein the plurality of electrodes are configured to be inserted into the tissue of the patient'"'"'s body and into the hardened tissue volume through the plurality of orifices to subsequently apply energy from the high frequency generator to the conductive distal ends to induce a coherent heating effect in the hardened tissue volume from power deposition therein thereby producing a heat ablation volume in the hardened tissue volume; and

a computer configured to selectively regulate an insertion depth of the at least one instrument to selectively adjust a depth of the plurality of orifices.

2. An electrosurgical system according to claim 1, wherein each of the tips are is selected from the group consisting of a laser, an ultrasonic tissue penetrating element and a chemically-enhanced tip.

3. An electrosurgical system according to claim 1, wherein each electrode of the plurality of electrodes includes an internal cavity configured for circulation of a coolant fluid supplied by a coolant supply.

4. An electrosurgical system according to claim 1, wherein the computer configured to regulate the energy from the high frequency generator to adjust the heat ablation volume.

5. An electrosurgical system according to claim 1, further comprising a grasping instrument that stabilizes the hardened tissue volume within the patient'"'"'s body.

6. An electrosurgical system according to claim 1, wherein the distal ends of the plurality of electrodes are coupled to a generator configured to supply a parallel voltage level.

7. A method for performing an electrosurgical procedure comprising the steps of:

encapsulating exposed, conductive distal ends of a plurality of electrodes with removably engageable, tissue-penetrating tips each having a closed distal end, wherein each electrode of the plurality of electrodes is disposed on an elongated shaft of at least one instrument configured to penetrate a hardened tissue volume and each of the tips are removably engageable with the distal ends of the plurality of electrodes using at least one of a threadable or interlocking connection;

coupling the plurality of electrodes to an electrical energy source such that each electrode of the plurality of electrodes is energized at a same radiofrequency voltage potential from the electrical energy source;

inserting the tips into the hardened tissue volume to create a plurality of orifices defined therein;

removing the tips from the distal ends of the plurality of electrodes;

inserting the distal ends of the plurality of electrodes into the plurality of orifices defined in the hardened tissue volume;

activating the plurality of electrodes to apply energy from the electrical energy source to induce a coherent heating effect in the hardened tissue volume from power deposition therein thereby producing a heat ablation volume in the hardened tissue volume; and

selectively regulating a depth of insertion of the at least one instrument into the hardened tissue volume via a computer.

8. A method according to claim 7, wherein each of the tips is selected from the group consisting of a laser, an ultrasonic tissue penetrating element and a chemically-enhanced tip.

9. A method according to claim 7, wherein each of the tips is selected from the group consisting of a laser and an ultrasonic tissue penetrating element that is connected to the electrical energy source.

10. A method according to claim 7, wherein each of the tips is selected from the group consisting of a laser and an ultrasonic tissue penetrating element that is connected to a separate electrical energy source.

11. A method according to claim 7, wherein each of the tips is selected from the group consisting of a laser and an ultrasonic tissue penetrating element that is connected and independently activatable from the at least one active electrode.

12. A method according to claim 7, further comprising circulating a coolant fluid through an internal cavity of each electrode of the plurality of electrodes.

13. A method according to claim 7, further comprising automatically regulating the energy from the electrical energy source to adjust the ablation volume via a computer.

14. A method according to claim 7, further comprising stabilizing the hardened tissue volume within the patient'"'"'s body.

15. A method according to claim 7, wherein the distal ends of the plurality of electrodes are coupled to a generator configured to supply a parallel voltage level.

16. An ablation probe, comprising:

a plurality of electrodes, each electrode of the plurality of electrodes having an elongated shaft, the plurality of electrodes being adapted to connect to an electrical energy source such that each electrode of the plurality of electrodes is energized at a same radiofrequency voltage potential from the electrical energy source;

a plurality of removably engageable, tissue-penetrating boring devices each having a closed distal end and each being configured to selectively encapsulate a distal end of one electrode of the plurality of electrodes, wherein each of the boring devices includes at least one of a threadable or interlocking connection for removably engaging with each of the distal ends of the electrodes, the boring devices are configured to penetrate a hardened tissue volume to create a plurality of orifices defined therein such that, after removal of the boring devices, the plurality of electrodes can be subsequently inserted into the plurality of orifices and activated to induce a coherent heating effect in the hardened tissue volume from power deposition therein thereby producing a heat ablation volume in the hardened tissue volume, wherein each of the removably engageable boring devices includes a laser.

17. The ablation probe according to claim 16, wherein the distal ends of the plurality of electrodes are coupled to a generator configured to supply a parallel voltage level.