Electrical ablation devices

• US 10,004,558 B2
• Filed: 03/30/2015
• Issued: 06/26/2018
• Est. Priority Date: 01/12/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L., Ghabrial, Ragae M., Plescia, David N., Vakharia, Omar J.
• Primary Examiner(s): BOUCHELLE, LAURA A
• Application Number:
  US14/673,111
• Publication Number:
  US 20150265342A1
• Time in Patent Office: 1,184 Days
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 2018/00214 Expandable means emitting energy, e.g. by elements carried thereon
• CPC Class Codes: A61B 2018/00482 Digestive system
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00613 Irreversible electroporation reversible electroporation A61N1/327
• CPC Class Codes: A61B 2018/00898 Alarms or notifications created in response to an abnormal condition
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1425 Needle

Abstract

An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.

Claims

1. A method for using an electrical ablation apparatus, comprising:

inserting an elongated tubular body made of an electrically conductive material comprising an arcuate closed distal end and a first electrode received in an open proximal end of the elongated tubular body into a first natural orifice of a body, wherein the first electrode is electrically coupled to the elongated tubular body;

inserting a second electrode, located external to the elongated tubular body, into the body;

electrically contacting a first conductive terminal of an energy source with the first electrode, and electrically contacting a second conductive terminal of the energy source with the second electrode; and

delivering, by the energy source, a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation across the first electrode and the second electrode,

wherein the first series of electrical pulses are characterized by a first amplitude, a first pulse length, and a first frequency.

2. The method of claim 1, wherein inserting an elongated tubular body into a first natural orifice of a body comprises inserting the elongated tubular body through the first natural orifice of the body into a lung of the body.

3. The method of claim 1, wherein inserting the second electrode into the body comprises inserting the second electrode into a second natural orifice of the body.

4. The method of claim 1, wherein inserting the second electrode into the body comprises inserting the second electrode transcutaneously into the body.

5. The method of claim 1, further comprising placing a distal end of the second electrode proximate to a distal end of the first electrode independent of a placement of the distal end of the first electrode.

6. An electrical ablation system, comprising:

an elongated tubular body made of an electrically conductive material, the elongated tubular body comprising;

an arcuate closed distal end configured for entry into a first natural orifice of a body;

an open proximal end; and

a first electrode received in the open proximal end of the elongated tubular body, the first electrode electrically coupled to the elongated tubular body;

a visualization device configured to visualize an internal compartment of the body and configured to receive the elongated tubular body;

a second electrode, located external to the elongated tubular body, the second electrode configured for entry into the body; and

an energy source having a first conductive terminal in electrical communication with the first electrode and a second conductive terminal in electrical communication with the second electrode, the energy source configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation across the first electrode and the second electrode;

wherein the first series of electrical pulses are characterized by a first amplitude, a first pulse length, and a first frequency.

7. The system of claim 6, wherein visualization device comprises an endoscope, a thoracoscope, or a laparoscope.

8. The system of claim 6, wherein visualization device comprises a plurality of working channels.

9. The system of claim 6, wherein the visualization device further comprises a viewing port.

10. The system of claim 6, wherein the second electrode further comprises a conductive portion in electrical communication with a distal end of the second electrode.

11. The system of claim 10, wherein the conductive portion is a sharpened portion.

12. The system of claim 10, wherein the conductive portion is a pad.

13. The system of claim 10, further comprising a handpiece comprising an activation switch in electrical communication with the energy source.