WO2001067975A2 - Combined electrosurgical-cryosurgical instrument - Google Patents

Combined electrosurgical-cryosurgical instrument Download PDF

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Publication number
WO2001067975A2
WO2001067975A2 PCT/US2001/008129 US0108129W WO0167975A2 WO 2001067975 A2 WO2001067975 A2 WO 2001067975A2 US 0108129 W US0108129 W US 0108129W WO 0167975 A2 WO0167975 A2 WO 0167975A2
Authority
WO
WIPO (PCT)
Prior art keywords
shaft
distal end
radiofrequency
instrument
cryosurgical instrument
Prior art date
Application number
PCT/US2001/008129
Other languages
French (fr)
Other versions
WO2001067975A3 (en
Inventor
Gary M. Onik
Original Assignee
Onik Gary M
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Onik Gary M filed Critical Onik Gary M
Priority to JP2001566447A priority Critical patent/JP4274727B2/en
Priority to AU4741901A priority patent/AU4741901A/en
Priority to AT01920357T priority patent/ATE529063T1/en
Priority to ES01920357T priority patent/ES2373941T3/en
Priority to EP01920357A priority patent/EP1265543B1/en
Publication of WO2001067975A2 publication Critical patent/WO2001067975A2/en
Publication of WO2001067975A3 publication Critical patent/WO2001067975A3/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound

Definitions

  • a combined electrosurgical-cryosurgical instrument for tissue ablation comprising: a tubular shaft having a proximal end and a distal end, said shaft being electrically and thermally conductive; a radiofrequency insulation sheath surrounding a portion of an outer surface of said shaft, said radiofrequency insulation sheath defining a radiofrequency-insulated segment of said shaft and a radiofrequency-noninsulated segment of said shaft; a cryo-insulation sheath surrounding a portion of a surface of said shaft, said cryo- insulation sheath defining a cryo-insulated segment of said shaft and a cryo- noninsulated segment of said shaft; a radiofrequency power source connected to said shaft, wherein said power source provides electrical energy to said distal end of said shaft; a cryogen supply tube within said shaft, said cryogen supply tube extending from said proximal end of said shaft to said distal end of said shaft, wherein said cryogen supply tube has an open end portion at said distal end of said shaft; and a cryogen supply source connected to the proxi
  • cryo-insulation sheath extends from said proximal end of said shaft to said distal end of said shaft.
  • cryo-insulation sheath surrounds a portion of the inner surface of said shaft.
  • cryogen supply tube provides a cryogenic effect at said distal end of said shaft.
  • a sheath for a tissue ablation instrument comprising an electrically insulating tubular surface and a radiofrequency power source connected to said electrically insulating tubular surface, said tubular surface having a first opening at a proximal end and a second opening at a distal end, wherein when said tubular surface is placed over an elongated surgical probe, said radiofrequency power source is in electrical contact with said elongated surgical probe.
  • tissue ablation instrument is a cryoprobe.
  • a combined electrosurgical-cryosurgical instrument for tissue ablation comprising: a tubular shaft having a proximal end and a distal end, said shaft being electrically and thermally conductive; a sheath surrounding a portion of an outer surface of said shaft, wherein said sheath is cryo-insulating and radiofrequency-insulating, said sheath defining a cryo-insulated and radiofrequency-insulated segment of said shaft and a cryo-noninsulated and radiofrequency-noninsulated segment of said shaft; a radiofrequency power source connected to said shaft, wherein said power source provides electrical energy to said distal end of said shaft;
  • cryogen supply tube within said shaft, said cryogen supply tube extending from said proximal end of said shaft to said distal end of said shaft, wherein said cryogen supply tube has an open end portion at said distal end of said shaft; and a cryogen supply source connected to said cryogen supply tube.

Abstract

The present invention is directed towards a combined electrosurgical-cryosurgical instrument (10) for tissue ablation. The instrument comprises a shaft (30) having a proximal end and a distal end, the distal end being electrically and thermally conductive; a radiofrequency insulation sheath (20) surrounding the outer surface of the shaft; a cryo-insulation sheath (50) surrounding a surface of the shaft; a radiofrequency power supply source (60); a cryogen supply tube (70) within the shaft (30); and a cryogen supply source (80) connected to the cryogen supply tube. The power source (60) provides electrical energy to the distal end of the shaft (30), and the cryogen supply tube (70) provides a cryogen to the distal end of the shaft (30).

Description

WHAT IS CLAIMED IS:
1. A combined electrosurgical-cryosurgical instrument for tissue ablation, comprising: a tubular shaft having a proximal end and a distal end, said shaft being electrically and thermally conductive; a radiofrequency insulation sheath surrounding a portion of an outer surface of said shaft, said radiofrequency insulation sheath defining a radiofrequency-insulated segment of said shaft and a radiofrequency-noninsulated segment of said shaft; a cryo-insulation sheath surrounding a portion of a surface of said shaft, said cryo- insulation sheath defining a cryo-insulated segment of said shaft and a cryo- noninsulated segment of said shaft; a radiofrequency power source connected to said shaft, wherein said power source provides electrical energy to said distal end of said shaft; a cryogen supply tube within said shaft, said cryogen supply tube extending from said proximal end of said shaft to said distal end of said shaft, wherein said cryogen supply tube has an open end portion at said distal end of said shaft; and a cryogen supply source connected to the proximal end of said cryogen supply tube.
2. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said radiofrequency insulation sheath extends from said proximal end of said shaft to said distal end of said shaft.
3. The combined electrosurgical-cryosurgical instrument of claim 2, wherein said cryo-insulation sheath extends from said proximal end of said shaft to said distal end of said shaft.
4. The combined electrosurgical-cryosurgical instrument of claim 3, wherein said cryo-insulation sheath surrounds a portion of the inner surface of said shaft.
5. The combined electrosurgical-cryosurgical instrument of claim 4, wherein said radiofrequency-noninsulated segment of said shaft includes the distal tip of said shaft. 6. The combined electrosurgical-cryosurgical instrument of claim 4, wherein said cryo-noninsulated segment of said shaft includes the distal tip of said shaft.
7. The combined electrosurgical-cryosurgical instrument of claim 4, wherein said radiofrequency-noninsulated segment of said shaft overlaps with said cryo- noninsulated segment of said shaft.
8. The combined electrosurgical-cryosurgical instrument of claim 4, wherein said radiofrequency-noninsulated segment of said shaft is proximal to the distal tip of said shaft.
9. The combined electrosurgical-cryosurgical instrument of any one of claims 4, wherein said cryo-noninsulated segment of said shaft is proximal to the distal tip of said shaft.
10. The combined electrosurgical-cryosurgical instrument of claim 8, wherein said radiofrequency-noninsulated segment of said sheath is adjacent to said cryo- noninsulated segment of said sheath.
11. The combined electrosurgical-cryosurgical instrument of claim 9, wherein said radiofrequency-noninsulated segment of said sheath is adjacent to said cryo- noninsulated segment of said sheath.
12. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said cryogen supply tube provides a cryogenic effect at said distal end of said shaft.
13. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said instrument produces a radiofrequency lesion in tissue around said distal end of said shaft. 14. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said instrument produces a lesion having characteristics of both a cryolesion and a radiofrequency lesion.
19 15. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said instrument produces a cryolesion in tissue around said distal end of said shaft.
16. The combined electrosurgical-cryosurgical instrument of claim 1, wherein said instrument produces a cryolesion and a radiofrequency lesion in tissue around to said distal end of said shaft.
17. The combined electrosurgical-cryosurgical instrument of claim 16, wherein said cryolesion is substantially co-extensive with said radiofrequency lesion.
18. The electrosurgical instrument of claim 16, wherein said cryolesion is adjacent to said radiofrequency lesion.
19. A sheath for a tissue ablation instrument comprising an electrically insulating tubular surface and a radiofrequency power source connected to said electrically insulating tubular surface, said tubular surface having a first opening at a proximal end and a second opening at a distal end, wherein when said tubular surface is placed over an elongated surgical probe, said radiofrequency power source is in electrical contact with said elongated surgical probe.
20. A sheath according to claim 19, wherein said tissue ablation instrument is a cryoprobe.
21. A combined electrosurgical-cryosurgical instrument for tissue ablation, comprising: a tubular shaft having a proximal end and a distal end, said shaft being electrically and thermally conductive; a sheath surrounding a portion of an outer surface of said shaft, wherein said sheath is cryo-insulating and radiofrequency-insulating, said sheath defining a cryo-insulated and radiofrequency-insulated segment of said shaft and a cryo-noninsulated and radiofrequency-noninsulated segment of said shaft; a radiofrequency power source connected to said shaft, wherein said power source provides electrical energy to said distal end of said shaft;
20 a cryogen supply tube within said shaft, said cryogen supply tube extending from said proximal end of said shaft to said distal end of said shaft, wherein said cryogen supply tube has an open end portion at said distal end of said shaft; and a cryogen supply source connected to said cryogen supply tube.
21
PCT/US2001/008129 2000-03-15 2001-03-14 Combined electrosurgical-cryosurgical instrument WO2001067975A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2001566447A JP4274727B2 (en) 2000-03-15 2001-03-14 Electrosurgery-Cryosurgery combined device
AU4741901A AU4741901A (en) 2000-03-15 2001-03-14 Combined electrosurgical-cryosurgical instrument
AT01920357T ATE529063T1 (en) 2000-03-15 2001-03-14 COMBINED CRYOSURGICAL AND ELECTROSURGICAL DEVICE
ES01920357T ES2373941T3 (en) 2000-03-15 2001-03-14 COMBINED INSTRUMENT ELECTROQUIRÚRGICO - CRIOQUIRÚRGICO.
EP01920357A EP1265543B1 (en) 2000-03-15 2001-03-14 Combined electrosurgical-cryosurgical instrument

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/526,145 2000-03-15
US09/526,145 US6379348B1 (en) 2000-03-15 2000-03-15 Combined electrosurgical-cryosurgical instrument

Publications (2)

Publication Number Publication Date
WO2001067975A2 true WO2001067975A2 (en) 2001-09-20
WO2001067975A3 WO2001067975A3 (en) 2002-07-04

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/008129 WO2001067975A2 (en) 2000-03-15 2001-03-14 Combined electrosurgical-cryosurgical instrument

Country Status (8)

Country Link
US (1) US6379348B1 (en)
EP (1) EP1265543B1 (en)
JP (1) JP4274727B2 (en)
AT (1) ATE529063T1 (en)
AU (1) AU4741901A (en)
ES (1) ES2373941T3 (en)
PT (1) PT1265543E (en)
WO (1) WO2001067975A2 (en)

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US10206739B2 (en) 2002-03-05 2019-02-19 Avent, Inc. Electrosurgical device and methods
US11291496B2 (en) 2002-03-05 2022-04-05 Avent, Inc. Methods of treating the sacroiliac region of a patient's body
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WO2001067975A3 (en) 2002-07-04
EP1265543A2 (en) 2002-12-18
EP1265543B1 (en) 2011-10-19
JP4274727B2 (en) 2009-06-10
US6379348B1 (en) 2002-04-30
ATE529063T1 (en) 2011-11-15
JP2003526445A (en) 2003-09-09
AU4741901A (en) 2001-09-24
PT1265543E (en) 2012-01-04
ES2373941T3 (en) 2012-02-10

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