RF treatment apparatus

• US 5,935,123 A
• Filed: 03/29/1996
• Issued: 08/10/1999
• Est. Priority Date: 11/08/1993
• Status: Expired due to Term

• Current Assignee: AngioDynamics, Inc.
• Original Assignee: Rita Medical Systems Incorporated (AngioDynamics, Inc.)
• Inventors: Baker, James, Edwards, Stuart D., Lax, Ronald G., Strul, Bruno
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/623,652
• Time in Patent Office: 1,229 Days
• Field of Search: 606/37-42, 606/45-50, 607/100-102, 607/115, 607/116, 604/21, 604/22
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• 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 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/1815 using microwaves
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00452 Skin
• CPC Class Codes: A61B 2018/00476 Hair follicles
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00666 using a threshold value
• CPC Class Codes: A61B 2018/00678 upper
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00708 switching the power on or off
• CPC Class Codes: A61B 2018/00726 : Duty cycle
• CPC Class Codes: A61B 2018/00761 : Duration
• CPC Class Codes: A61B 2018/00779 : Power or energy
• CPC Class Codes: A61B 2018/00791 : Temperature
• CPC Class Codes: A61B 2018/00821 : measured by a thermocouple
• CPC Class Codes: A61B 2018/00827 : Current
• CPC Class Codes: A61B 2018/00875 : Resistance or impedance
• CPC Class Codes: A61B 2018/00892 : Voltage
• CPC Class Codes: A61B 2018/124 : switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 : monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2018/1435 : Spiral
• CPC Class Codes: A61B 2018/162 : located on the probe body
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61M 25/007 : Side holes, e.g. their profiles or arrangements; Provisions to keep side holes unblocked
• CPC Class Codes: A61N 5/02 : using microwaves
• CPC Class Codes: A61N 5/04 : Radiators for near-field treatment
• CPC Class Codes: A61N 5/045 : specially adapted for treatment inside the body

Abstract

An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle electrode includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrodes, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.

Claims

1. A tissue ablation apparatus, comprising:

an elongated delivery device with a tissue piercing distal end and a proximal end;

an RF electrode with a tissue piercing distal tip, the RF electrode being positionable in the delivery device as the delivery device is advanced through tissue, the RF electrode having a non-deployed state when positioned in the delivery device and a deployed state with curvature as the RF electrode is advanced from the delivery device into a selected tissue site; and

an electrode advancement member coupled to the RF electrode for advancing the RF electrode out of the elongated delivery device, wherein the elongated delivery device, the RF electrode and the electrode advancement member form an integral unit.

2. The apparatus of claim 1, further comprising:

an electrode advancement stop that prevents advancement of the RF electrode beyond a predetermined distance.

3. The apparatus of claim 1, further comprising:

an electrode stop that prevents removal of the RF electrode from the elongated delivery device.

4. The apparatus of claim 3, wherein the electrode stop prevents the RF electrode from being removable from the elongated delivery device as the elongated delivery device is advanced through tissue.

5. The apparatus of claim 1, wherein the RF electrode includes a fluid delivery lumen.

6. The apparatus of claim 1, further comprising:

an insulator positioned in a surrounding relation to at least a portion of the elongated delivery device.

7. A tissue ablation apparatus, comprising:

an elongated delivery device with a tissue piercing distal end and a proximal end;

an RF electrode with a tissue piercing distal tip, the RF electrode being positionable in the delivery device as the delivery device is advanced through tissue, the RF electrode having a non-deployed state when positioned in the delivery device and a deployed state, wherein in the deployed state and RF electrode distal end exhibits a changing direction of travel as the RF electrode is advanced from the delivery device into a selected tissue site; and

an electrode advancement member coupled to the RF electrode for advancing the RF electrode out of the elongated delivery device.

8. The apparatus of claim 7, wherein in the deployed state the RF electrode includes curve sections with different radii.

9. The apparatus of claim 7, wherein in the deployed state the RF electrode includes at least one curved portion and at least one straight portion.

10. The apparatus of claim 7, further comprising:

an electrode advancement stop that prevents advancement of the RF electrode beyond a predetermined distance.

11. The apparatus of claim 7, further comprising:

an electrode stop that prevents removal of the RF electrode from the elongated delivery device.

12. The apparatus of claim 11, wherein the electrode stop prevents the RF electrode from being removable from the elongated delivery device as the elongated delivery device is advanced through tissue.

13. The apparatus of claim 7, wherein the RF electrode includes a fluid delivery lumen.

14. The apparatus of claim 7, further comprising:

an insulator positioned in a surrounding relation to at least a portion of the elongated delivery device.

15. The apparatus of claim 7, wherein the RF electrode is deployable with curvature from the elongated delivery device.

16. The apparatus of claim 7, wherein the RF electrode exhibits a changing direction of travel as the RF electrode is advanced from the delivery device into a selected tissue site with a single radius of curvature.

17. A tissue ablation apparatus, comprising:

an elongated delivery device with a tissue piercing distal end and a proximal end;

an RF electrode with a tissue piercing distal tip, the RF electrode being positionable in the delivery device as the delivery device is advanced through tissue, the RF electrode having a non-deployed state when positioned in the delivery device and a deployed state with curvature as the RF electrode is advanced from the delivery device into a selected tissue site;

an electrode advancement member coupled to the RF electrode and the handpiece; and

a handpiece coupled to the elongated delivery device proximal end, the handpiece having a proximal end sufficiently closed to inhibit removal of the RF electrode from the elongated delivery device.

18. A tissue ablation apparatus, comprising:

an elongated delivery device with a tissue piercing distal end and a proximal end;

an RF electrode with a tissue piercing distal tip, the RF electrode being positionable in the delivery device as the delivery device is advanced through tissue, the RF electrode having a non-deployed state when positioned in the delivery device and a deployed state with curvature as the RF electrode is advanced from the delivery device into a selected tissue site, the RF electrode being non-removable from the elongated delivery device as the elongated delivery device is advanced through tissue; and

an electrode advancement member coupled to the RF electrode for advancing the RF electrode out of the elongated delivery device.