Endoscopic cap electrode and method for using the same

• US 9,788,888 B2
• Filed: 06/08/2015
• Issued: 10/17/2017
• Est. Priority Date: 07/03/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Bakos, Gregory J., Shires, Peter K., Long, Gary L.
• Primary Examiner(s): Gedeon, Brian T
• Assistant Examiner(s): Tejani, Ankit D
• Application Number:
  US14/733,638
• Publication Number:
  US 20150265335A1
• Time in Patent Office: 862 Days
• Field of Search: None
• 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 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00613 Irreversible electroporation reversible electroporation A61N1/327
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2218/007 Aspiration
• CPC Class Codes: H02J 2310/23 The load being a medical device, a medical implant, or a life supporting device
• CPC Class Codes: H02J 50/10 using inductive coupling

Abstract

An apparatus for treating tissue in a tissue treatment region. The apparatus can comprise an electrode ring having an interior perimeter and an electrode probe having a proximal end and a distal end. The distal end of the electrode probe can be structured to axially translate relative to the interior perimeter of the electrode ring. The electrode ring and the electrode probe can be operably structured to conduct current therebetween when at least one of the electrode ring and the electrode probe is energized by an energy source. Further, the energy source can be a Radio Frequency (RF) energy source, a pulsed energy source, an irreversible electroporation energy source, or a pulsed irreversible electroporation energy source. A current from the energy source can be selected to non-thermally ablate tissue in the tissue treatment region.

Claims

1. An apparatus, comprising:

a first electrode defining an annular shape having an outer perimeter and an inner perimeter and a tapered tissue contacting surface therebetween; and

a second electrode comprising an elongate conductive portion comprising a tapered tip movable relative to the first electrode, wherein the first electrode and the second electrode are configured to conduct electrical current along a conical path through tissue positioned between the first electrode and the second electrode upon energizing at least one of the first electrode or the second electrode.

2. The apparatus of claim 1, wherein the conical path defined by the first electrode and the second electrode is adjustable.

3. The apparatus of claim 2, wherein the conical path comprises an adjustable height.

4. The apparatus of claim 1, wherein the second electrode comprises a proximal end and a distal end, wherein the proximal end is coupled to a conductor, and wherein the distal end is configured to engage tissue.

5. The apparatus of claim 1, wherein the second electrode is positioned radially within the annular shape.

6. The apparatus of claim 5, wherein the first electrode and the second electrode are concentric.

7. The apparatus of claim 1, wherein the second electrode is configured to pivot relative to the first electrode.

8. The apparatus of claim 1, wherein the second electrode is configured to translate relative to the first electrode.

9. A system, comprising:

an energy source;

a first electrode defining an annular shape having an outer perimeter and an inner perimeter and a tapered surface therebetween configured to contact tissue; and

a second electrode comprising an elongate conductive portion comprising a tapered tip movable relative to the first electrode, wherein the first electrode and the second electrode are configured to conduct electrical current along a conical path through tissue positioned between the first electrode and the second electrode upon energizing at least one of the first electrode and the second electrode by the energy source.

10. The system of claim 9, wherein the energy source is a Radio Frequency (RF) energy source.

11. The system of claim 10, wherein the energy source is a pulsed energy source.

12. The system of claim 9, wherein the energy source is an irreversible electroporation energy source.

13. The system of claim 12, wherein the energy source is a pulsed energy source.

14. The system of claim 9, wherein electrical current conducted along the conical path is selected to non-thermally ablate tissue.

15. The system of claim 14, wherein the electrical current conducted along the conical path is selected to generate an electric field of approximately 1500 Volts per centimeter.

16. A method, comprising:

positioning a first electrode defining an annular shape having an outer perimeter and an inner perimeter and a tapered tissue contacting surface therebetween relative to tissue;

moving a second electrode comprising an elongate conductive portion comprising a tapered tip relative to the first electrode to position the second electrode relative to tissue; and

energizing at least one of the first electrode and the second electrode to conduct electrical current along a conical path through tissue.

17. The method of claim 16, further comprising applying a suctioning force to tissue.

18. The method of claim 16, wherein positioning the first electrode relative to tissue comprises positioning the first electrode in abutting engagement with tissue.

19. The method of claim 18, wherein moving the second electrode relative to the first electrode to position the second electrode relative to tissue comprises piercing tissue with a distal end of the second electrode.