WO2003101327B1 - Electrosurgery with infiltration anesthesia - Google Patents

Electrosurgery with infiltration anesthesia

Info

Publication number
WO2003101327B1
WO2003101327B1 PCT/US2003/005869 US0305869W WO03101327B1 WO 2003101327 B1 WO2003101327 B1 WO 2003101327B1 US 0305869 W US0305869 W US 0305869W WO 03101327 B1 WO03101327 B1 WO 03101327B1
Authority
WO
WIPO (PCT)
Prior art keywords
assembly
tissue
cutting
vacuum
electrosurgical
Prior art date
Application number
PCT/US2003/005869
Other languages
French (fr)
Other versions
WO2003101327A1 (en
Inventor
Philip E Eggers
Michael W Jopling
Original Assignee
Neothermia Corp
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 Neothermia Corp filed Critical Neothermia Corp
Priority to JP2004508687A priority Critical patent/JP2005527319A/en
Priority to CA002483256A priority patent/CA2483256A1/en
Priority to AU2003219912A priority patent/AU2003219912A1/en
Priority to IL16539903A priority patent/IL165399A0/en
Priority to EP03716196A priority patent/EP1509151A4/en
Publication of WO2003101327A1 publication Critical patent/WO2003101327A1/en
Publication of WO2003101327B1 publication Critical patent/WO2003101327B1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M19/00—Local anaesthesia; Hypothermia
    • 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
    • A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
    • 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
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00333—Breast
    • 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
    • A61B18/1206—Generators therefor
    • A61B2018/1213—Generators therefor creating an arc
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation

Abstract

Method for carrying out the recovery of an intact volume of tissue wherein a delivery cannula tip (22) is positioned in confronting adjacency with the volume of tissue to be recovered. The electrosurgical generator employed to form an arc at a capture component extending from the tip is configured having resistance-power profile which permits recovery of the specimen without excessive thermal artifact while providing sufficient power to sustain a cutting arc. For the recovery procedure, a local anesthetic employing a diluent which exhibits a higher resistivity is utilized and the method for deploying the capture component (200) actuation interspersed with pauses of duration effective to evacuate any accumulation or pockets of local anesthetic solution encountered by the cutting electrodes.

Claims

AMENDED CLAIMS [received by the International Bureau on 22 December 2003 (22.12.03); claim 46-48 added] said electrosurgical cutting assembly is maintained stationary for a pause interval of from about four seconds to about six seconds.
44. The method of claim 41 in which: said st&p (b) for providing said fluid evacuation assembly provides said assembly as comprising a vacuum pump having a vacuum port and a transparent tube coupled in vacuum communication between said vacuum port and said intake port; and said pause interval is maintained while said solution is visibly perceptible in said transparent tube.
45. The method for carrying out a surgical procedure upon a patient comprising the steps of: (a) providing an accessing instrument having an electrosurgical cutting assembly which is energteable to form an electrosurgical cutting arc; (b) anesthetizing said patient by parenterally administering a solution of a local anesthetic agent and biocompatible into tissue of said patient; (c) energizing said electrosurgical cutting assembly to effect creation of said cutting arc; (d) maneuvering said accessing instrument borne electrosurgical cutting assembly to carry out a surgical procedure within the tissue of said patient; and (e) simultaneously with said step (d) aspirating any accumulation of said solution within the path of said maneuvering to an extent effective to maintain the presence of said cutting arc to cut tissue.
46. A system for retrieving a tissue volume, comprising: an electrosurgical electrode assembly including a tissue retrieval component; and a fluid evacuation assembly having a fluid intake port adjacent said tissue retrieval component and actuable to effect a fluid suction condition at said fluid intake port.
47. The system of claim 46, wherein: said fluid evacuation assembly comprises a vacuum pump having a vacuum port and a transparent tube coupled in vacuum communication between said vacuum port and said fluid intake port. 89
48. A system for isolating and retrieving a tissue volume of given peripheral extent within adjacent tissue of a patient, comprising: (a) an electrosurgical generator controllable to derive an electrosurgical cutting output at a cutting voltage level;0 (b) a tissue retrieval instrument having a delivery cannula and extending from a proximal end portion along a longitudinal axis to a forward region having a tip, said instrument having a capture component positioned within said delivery cannula internal channel having a forward portion extending to a forwardly disposed cutting electrode assembly energizable to define an electrosurgical cutting arc supportingS leading edge, said capture component being actuable to cause said leading edge to extend from said delivery cannula laterally outwardly and forwardly toward a maximum peripheral extent selected to correspond with said given peripheral extent and subsequently extendable while being drawn toward said axis to a capture orientation, and said instrument further comprising a controllable motor drive0 assembly; (c) a control assembly electrically coupled with said electrosurgical generator and said instrument and actuable between a capture mode effecting the energization of said cutting electrode and actuation of said capture component, and a pause mode effecting the de-actuation of said capture component and de-5 energization of said cutting electrode. (d) an evacuation system having an intake port located at said delivery cannula forward region; and (e) a vacuum source actuable to apply a vacuum at said intake port when said control assembly is actuated into said capture mode and said pause mode to0 promote evacuation of accumulations of said solution.
90
PCT/US2003/005869 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia WO2003101327A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2004508687A JP2005527319A (en) 2002-05-31 2003-02-27 Electrosurgery with invasive anesthesia
CA002483256A CA2483256A1 (en) 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia
AU2003219912A AU2003219912A1 (en) 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia
IL16539903A IL165399A0 (en) 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia
EP03716196A EP1509151A4 (en) 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US38523602P 2002-05-31 2002-05-31
US60/385,236 2002-05-31
US10/243,028 US7004174B2 (en) 2002-05-31 2002-09-13 Electrosurgery with infiltration anesthesia
US10/243,028 2002-09-13

Publications (2)

Publication Number Publication Date
WO2003101327A1 WO2003101327A1 (en) 2003-12-11
WO2003101327B1 true WO2003101327B1 (en) 2005-01-06

Family

ID=29586446

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2003/005869 WO2003101327A1 (en) 2002-05-31 2003-02-27 Electrosurgery with infiltration anesthesia

Country Status (7)

Country Link
US (2) US7004174B2 (en)
EP (1) EP1509151A4 (en)
JP (1) JP2005527319A (en)
AU (1) AU2003219912A1 (en)
CA (1) CA2483256A1 (en)
IL (1) IL165399A0 (en)
WO (1) WO2003101327A1 (en)

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CA2483256A1 (en) 2003-12-11
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JP2005527319A (en) 2005-09-15
EP1509151A1 (en) 2005-03-02
US7004174B2 (en) 2006-02-28
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AU2003219912A1 (en) 2003-12-19
WO2003101327A1 (en) 2003-12-11

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