Ablation apparatus and system to limit nerve conduction

• US 9,168,091 B2
• Filed: 08/08/2012
• Issued: 10/27/2015
• Est. Priority Date: 06/17/2004
• Status: Active Grant

• Current Assignee: Serene Medical, Inc.
• Original Assignee: Serene Medical, Inc.
• Inventors: Balaster, Ammon, Buske, Jeffrey Michael, Janssen, William Michael, Newman, James Paul
• Primary Examiner(s): ROANE, AARON F
• Application Number:
  US13/570,138
• Publication Number:
  US 20130046292A1
• Time in Patent Office: 1,175 Days
• Field of Search: 606 1- 52, 607 88-102
• US Class Current: 1/1
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2018/00434 Neural system
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/0072 Current
• CPC Class Codes: A61B 2018/00732 Frequency
• CPC Class Codes: A61B 2018/00761 Duration
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61B 2090/3937 Visible markers
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Abstract

A method of managing a system of minimally invasive surgery. The management method includes providing a practitioner with a minimally invasive surgery system including a controller. One or more use parameters is stored to memory associated with the controller. In addition, an electrosurgical probe having its own memory is provided to mate with the remaining elements of the system. Complementary use parameters are stored in the memory of the probe. The management method also includes communicating and comparing the use parameters of the controller with the complementary use parameters of the probe and managing the use of the electrosurgical probe according to the use parameters.

Claims

1. An electrosurgical device for use with a source of stimulation energy and a source of ablation energy to simulate and ablate tissue under skin, the device comprising:

a handle having a shape permitting left handed or right handed by a user;

a single axis probe extending from a portion of the handle capable of entering tissue at a single access point, the probe comprising at least an energy transfer section that delivers stimulation energy and ablation energy to the tissue;

at least one stimulation switch located on a surface of the handle to permit single handed activation of the switch, where the stimulation switch is operatively connectable to the source of stimulation energy to allow the user to trigger delivery of stimulation energy to the first and second conductive portions, and to selectively increase or decrease an amount of stimulation energy through sequential depressing of the stimulation switch so that the user can deliver stimulation energy, observe a tissue response and then increase or decrease the amount of stimulation energy using a single hand;

a tip located at a distal end of the probe, where the tip permits advancement and maneuvering of the probe under the skin and minimize a risk of puncture or cutting adjacent tissue or structures; and

an ablation switch configured to trigger the source of ablation energy.

2. The device of claim 1, wherein the single axis probe comprises sufficient column strength and bending strength to permit manipulation of the handle to reposition conductive region within a region of tissue.

3. The device of claim 1, where the energy transfer section comprises at least a first conductive portion and a second conductive portion longitudinally spaced on the probe, the first and the second conductive portions separated by an electrically insulative material.

4. The device of claim 3, wherein a surface area of the first conductive portion and the second conductive portion are similar such that application of ablation energy creates a heating zone having a symmetrical ellipsoid form.

5. The device of claim 3, wherein a surface area of the first conductive portion and the second conductive portion are different.

6. The device of claim 3, further comprising at least one additional conductive portion spaced from either the first or second conductive portion.

7. The device of claim 3, further comprising a temperature sensing element located between the first conductive portion and the second conductive portion.

8. The device of claim 1, where the insulative material comprises a tapered profile.

9. The device of claim 1, further comprising an illumination source on the handle.

10. The device of claim 9, where the illumination source comprises a modulation flash rate proportional to the amount of stimulation energy.

11. The device of claim 1, where a portion of the energy transfer section extends over the tip.

12. The device of claim 1, further comprising a lumen operatively disposed along the length of the single axis probe.

13. The device of claim 12 where the lumen is in communication with a fluid reservoir.

14. The device of claim 1, wherein the probe is in communication with a controller configured to determine the impedance of the tissue surrounding the probe.

15. The device of claim 1, wherein, the handle is enabled to switch between the radiofrequency source and the stimulation current source.

16. The device of claim 1, wherein, the stimulation energy stimulates a motor nerve.

17. The device of claim 1, wherein, the stimulation energy is between 1 milliamp and 20 milliamps.

18. The device of claim 1, wherein, there is an LED on the handpiece.

19. The device of claim 18, where the illumination source comprises a means to distinguish delivery of stimulation energy from delivery of ablation energy.

20. The device of claim 1, wherein the switch is located as to allow use of the switch without repositioning of the hand on the handle.

21. The device of claim 1, where the at least one stimulation switch comprises one stimulation switch.

22. The device of claim 1, where the illumination source comprises a laser source.

23. The device of claim 1, where the at least one stimulation switch further comprises a rocker switch where operation of the rocker switch at a first or second end increases or decreases the amount of stimulation energy and where the ablation switch comprises a center of the rocker switch.

24. An electrosurgical device for locating, stimulating, and ablating a nerve from a single point entry in skin and for use with a source of stimulation energy and a source of ablation energy, the device comprising:

a handle having a shape permitting single handed operation by a user;

a single axis probe extending from a portion of the handle capable of entering tissue at the single point entry, the probe comprising at least a first conductive portion and a second conductive portion longitudinally spaced on the probe, the first and the second conductive portions separated by an electrically insulative material such that tissue located between the first and second conductive portion can form a conductive path to deliver stimulation energy or ablation energy; and

at least one stimulation switch operatively connectable to the source of stimulation energy to both trigger delivery of stimulation energy to the first and second conductive portions and to selectively and sequentially increase or decrease adjust an amount of stimulation energy by sequential operation of the switch so that the user can increase or decrease the amount of stimulation energy to allow the user to trigger delivery of stimulation energy to the first and second conductive portions and selectively adjust an amount of stimulation energy so that the user can observe a tissue response while delivering stimulation energy and then increase or decrease the amount of stimulation energy; and

an illumination source affixed on the single axis probe to illuminate a portion of the single axis probe to permit location of the probe under the skin.

25. The device of claim 24, further comprising a temperature sensing device located between the first and second conductive portions.

26. The device of claim 24, further comprising at least one additional conductive portion spaced from either the first or second conductive portion.

27. The device of claim 24, where the actuation switch is located on a surface of the handle to permit single handed activation of the switch.

28. The device of claim 24, further comprising a tip located at a distal end of the probe, where the tip permits advancement and maneuvering of the probe under the skin and minimizes a risk of puncture or cutting adjacent tissue or structures.

29. The device of claim 24, further comprising an Illumination source on the handle.

30. The device of claim 29, where the illumination source comprises a modulation flash rate proportional to the amount of stimulation energy.

31. The device of claim 24, where the at least one stimulation switch comprises one stimulation switch.

32. An electrosurgical device for use with a source of stimulation energy and a source of ablation energy to simulate and ablate tissue under skin, the device comprising:

a handle having a shape permitting left handed or right handed by a user;

a single axis probe extending from a portion of the handle capable of entering tissue at a single access point, the probe comprising at least an energy transfer section that delivers stimulation energy and ablation energy to the tissue;

at least one stimulation switch located on a surface of the handle to permit single handed activation of the switch, where the stimulation switch is operatively connectable to the source of stimulation energy to allow the user to trigger delivery of stimulation energy to the first and second conductive portions and to initiate a stimulation energy and adjust an amount of the stimulation energy through sequential operation of the stimulation switch so that the user can deliver stimulation energy, observe a tissue response and then increase or decrease the amount of stimulation energy using a single hand;

a blunt tip located at a distal end of the probe, where the blunt tip permits advancement and maneuvering of the probe under the skin and minimize a risk of puncture or cutting adjacent tissue or structures; and

an illumination source affixed on the single axis probe to illuminate a portion of the single axis probe to permit location of the probe under the skin.

33. An electrosurgical device for locating, stimulating, and ablating a nerve from a single point entry in skin and for use with a source of stimulation energy and a source of ablation energy, the device comprising:

a handle having a shape permitting single handed operation by a user;

a single axis probe extending from a portion of the handle capable of entering tissue at the single point entry, the probe comprising at least a first conductive portion and a second conductive portion longitudinally spaced on the probe, the first and the second conductive portions separated by an electrically insulative material such that tissue located between the first and second conductive portion can form a conductive path to deliver stimulation energy or ablation energy;

at least one stimulation switch operatively connectable to the source of stimulation energy to both trigger delivery of stimulation energy to the first and second conductive portions and to selectively adjust an amount of stimulation energy through sequential operation of the stimulation switch so that the user can increase or decrease the amount of stimulation energy to allow the user to trigger delivery of stimulation energy to the first and second conductive portions and selectively adjust an amount of stimulation energy so that the user can observe a tissue response while delivering stimulation energy and then increase or decrease the amount of stimulation energy; and

an illumination source affixed on the single axis probe to illuminate a portion of the single axis probe to permit location of the probe under the skin.