Electrical ablation devices

• US 9,011,431 B2
• Filed: 09/04/2012
• Issued: 04/21/2015
• 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:
  US13/602,742
• Publication Number:
  US 20120330306A1
• Time in Patent Office: 959 Days
• Field of Search: 604/96.01, 604/20, 606 31- 41
• US Class Current: 606/41
• 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. An electrical ablation apparatus, comprising:

an elongate tubular body extending from a distal end to a proximal end;

an inflatable conductive elastomer electrode having a surface formed entirely of an electrically conductive elastomer;

a non-conductive catheter; and

an energy source coupled to the inflatable conductive elastomer electrode, the energy source configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation through the inflatable conductive elastomer electrode;

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

2. The electrical ablation apparatus of claim 1, wherein the inflatable conductive elastomer electrode comprises:

a conductive terminal coupled to the inflatable conductive elastomer electrode; and

a first conductive wire coupled to the conductive terminal on one end and coupled to a first terminal of the energy source on another end.

3. The electrical ablation apparatus of claim 2, comprising:

a return electrode; and

a second electrically conductive wire coupled to the return electrode on one end and coupled to a second terminal of the energy source on another end.

4. The electrical ablation apparatus of claim 1, wherein the inflatable conductive elastomer electrode comprises:

an elastomeric matrix; and

an electrically conductive metallic filler material infiltrated in the elastomeric matrix;

wherein the inflatable conductive elastomer electrode has elastic properties of the elastomeric matrix and electrically conductive properties of the metallic filler material.

5. The electrical ablation apparatus of claim 1, wherein the first amplitude is selected in a range of about ±

100 to about ±

3000 VDC, the first pulse length is selected in a range of about 1 μ

s to about 100 ms, and the first period is selected in a range of about 1 Hz to about 10000 Hz.