The present invention relates to a radiofrequency electrode for locally ablating a tissue in a specific region in a body using a radiofrequency (RF), and more specifically to a radiofrequency electrode which is used for easily ablating a tissue in a desired location, by inserting, through a catheter, a radiofrequency electrode tip assembly to a tissue region in a body to be ablated, and then controlling the direction of the electrode by an elastic force of an end part of the radiofrequency electrode.
Generally, if a hernia of the intervertebral discs in the spine occurs, the inter-vertebral discs in the spine protrude to put pressure on an adjacent nerve, thus causing a lower back pain. The intervertebral discs are composed of a nucleus pulposus 10 (illustrated in
The hernia of the intervertebral discs can be treated by surgical operation. However, a therapeutic effect cannot be attained in 30% of the surgically operated patients, and further the surgical operation is accompanied by ablation of the spinal nerve region, which causes 5 to 10% of the operated patients to suffer Failed Back Surgery Syndromes (F.B.S.S) for one's lifetime.
As an alternative approach for treating the hernia of the intervertebral discs, mention may be made of a restoring method comprising the steps of removing the components of the nucleus pulposus in the intervertebral discs to reduce the internal pressure of the intervertebral discs, which causes the protruded region of intervertebral discs to spontaneously get back to the inside of the intervertebral discs. This approach can be effected not only by a surgical operation, but also by a non-surgical operation, which is a method comprising the steps of inserting a radiofrequency electrode in a tissue in the intervertebral discs, and applying radiofrequency to ablate the tissues around the electrode by the high-energy magnetic field formed using radiofrequency in the gas state where the components of the nucleus pulposus are separated into the negatively charged electrons and the positively charged ions. The method for ablating a tissue by means of a radiofrequency electrode is advantageous in that it can make the hospital stays shorter, significantly lower a surgery cost, and lessen the risk of generation of post-surgery side-effects, as compared with the surgical operation method.
The radiofrequency is a frequency in the range from 100 to 20,000 kHz, and methods for ablating or removing a body tissue, and removing waste products, etc. in the blood vessel are disclosed in U.S. Pat. No. 6,554,827 B2, etc.
Conventional radiofrequency electrodes are in the linear form, and thus electrodes are limited in the regions to be approached in a body, since the electrodes reach only the locations arranged in line with the locations in the body to which the electrode is inserted. Particularly, if the hernia of the intervertebral discs is treated, the presence of the spine and spinal nerve sets a limit on the locations to which a radiofrequency electrode tip is inserted. As such, as illustrated in
On the other hand, mention may be made of another method in which a radiofrequency electrode having its ends preliminarily curved at a prescribed curvature prior to be inserted from the outside is guided by a catheter, and then reaches to the parts, which is hard to be linearly approached, by means of a restoring force. In this method, however, the curves of the parts which had once entered a body are restored in a pre-determined fashion. Accordingly, the method has a risk of trials based on a experience or predictions, which gives a limit on use in the wide applications, and further it has a drawback that it is difficult to ablate the tissues using radiofrequency by precisely locating the electrode in the extruded region in the intervertebral discs which varies depending on the individuals.
Further, disclosed is a method in which an end of a radiofrequency electrode can be bent with a flexible polymeric material, but this method also has a drawback that it is difficult to precisely locate a radiofrequency electrode tip in the extruded region in the intervertebral discs, and the polymeric material is melted upon discharge of radiofrequency.
Therefore, the present invention has been made in order to overcome the above-described problems, and thus it is an object of the present invention to provide a radiofrequency electrode for selective ablation of a body tissue, which has a direction-controlling function so as to easily locate a radiofrequency electrode tip at a specific region in a body tissue.
The present invention relates to a radiofrequency electrode comprising a first electrode and a second electrode, each of which is guided to a body tissue by a catheter.
The radiofrequency electrode is a radiofrequency electrode for selective ablation of a body tissue, wherein a first electrode tip formed at the end of the first electrode and a second electrode tip formed at the end of the second electrode are combined with a predetermined gap between them. A coil spring is bonded to the ends of the first electrode and the second electrode, wherein the coil spring is configured to have its end part bent in the free state and is transformed by pulling either or both of the first electrode and the second electrode.
The first electrode comprises a first electrode tip and a first electrode lead, wherein the first electrode lead is connected to the first electrode tip, the first electrode lead is in the form of a metal wire, and inserted into the coil spring.
The second electrode comprises a second electrode tip and a second electrode lead, and the second electrode lead is in the form of a coil spring, wherein one end of the coil spring is connected to the second electrode tip.
The first electrode tip and the second electrode tip are combined with an electrically insulating material to form an electrode tip assembly.
One end of the second electrode tip is inserted into the electrically insulating material and fixed therein, and the other end is formed of a ‘closely-wound coil spring’ connected to the second electrode lead in the form of a coil spring.
The other end of the coil spring may be welded to one end of a metal tube, as guided by a catheter, to form a second electrode lead.
On the other hand, the first electrode comprises the first electrode tip and the first electrode lead, and the first electrode lead is in the form of a metal wire, wherein the first electrode lead is connected to the first electrode tip and is inserted into the coil spring. The second electrode comprises the second electrode tip and the second electrode lead, and the second electrode lead may be in the form of a metal wire, wherein the second electrode lead is connected to the second electrode tip, inserted into the coil spring, and disposed in parallel with the first electrode lead.
The first electrode tip and the second electrode tip are bonded by an electrically insulating material to form an electrode tip assembly, and one end of the coil spring may be fixed on the electrode tip assembly.
The part to which the coil spring is bonded is formed to be protruded in the electrode tip assembly, and one end of the coil spring may be fixed on the part to which the coil spring is bonded.
The other end of the coil spring may be fixed on one end of the tube.
The coil spring is made from metals, preferably metals such as stainless steel, common alloy steel, titanium steel wire, and shape memory alloy.
The radiofrequency electrode for selective ablation of a body tissue according to the present invention can be used for ablating a tissue in a body, by inserting, through a catheter, a radiofrequency electrode tip to a tissue, and then by controlling the direction and position of the electrode tip through pulling an electrode lead in the form a metal wire to modify the coil spring part, and thus easily positioning the electrode tip in a specific region.
a) to 7(c) are diagrams illustrating the assembly process of the radiofrequency electrode of
100, 200: Radiofrequency electrode
110, 210: First electrode
112, 212: First electrode tip
114, 214: First electrode lead
120, 220: Second electrode
122, 222: Second electrode tip
124, 224: Second electrode lead
126: Metal tube
230: Coil spring
232: Metal tube
140, 240: Electrically insulating material
242: Bonded part of coil spring
150, 250: Electrode tip assembly
160: Operator
162: Trigger
60: Catheter
Hereinbelow, preferable Examples of the present invention will be described in detail with reference to the accompanying figures.
The first electrode 110 and the second electrode 120 are guided by a catheter 60 (illustrated in
The first electrode 110 is configured such that the first electrode lead 114 is inserted into the second electrode 120 and disposed therein, and the first electrode tip 112 in the sharp cylindrical form is connected to the end part of the first electrode lead 114. The first electrode lead 114 is coated by a well known insulator, and the first electrode tip 112 is not coated.
The second electrode 120 is configured such that the second electrode tip 122 in the form of a closely-wound coil spring is connected to the end part of the second electrode lead 124 in the form of a coil spring, and metal tube 126 is welded in the opposite side of the second electrode tip 122 to wholly form the second electrode 120. The second electrode lead 124 and the metal tube 126 are coated by a well known insulator, and the second electrode tip 122 in the form of a closely-wound coil spring is not coated. The second electrode 120 has an outer diameter (outer diameters of the metal tube and the coil spring) of 0.8 to 2.5 mm.
The first electrode tip 112 and the second electrode tip 122 are bonded to each other by a electrically insulating material 140 coated by an insulator in the cylindrical form to form an electrode tip assembly 150. The first electrode tip 112 is closely adhered and fixed on the side of the end part of the electrically insulating material 140, and the second electrode tip 122 is interposed and fixed on the other side of the electrically insulating material 140.
Further, in the second electrode lead 124 in the form of a coil spring, the end part connected to the second electrode tip 122 is bent in the free state, thus to be pigtail- or J-shaped.
The first electrode lead 114 is easily bent by an external force, and made from materials having a high tensile strength. When the first electrode lead 114 is inserted into the second electrode lead 124 in the form of a coil spring, the end part of the first electrode lead 114 is also bent to be pigtail- or J-shaped, according to the shape of the bent second electrode lead. The first electrode lead is connected to the trigger 162 of the below-described operator 160, and functions to control the direction of the electrode tip by the operation of the trigger 162.
Any materials for the first electrode, the second electrode, and the coil spring can be used, as long as radiofrequency current flows therein, preferably used are metals, and more preferably used are metals such as stainless steel, common steel alloy, titanium steel wire, and shape memory alloy.
Such configured radiofrequency electrode 100 is, for example, connected to the operator 160 for use, as illustrated in
By such the operation,
As illustrated in
As illustrated in the figures, the radiofrequency electrode 200 of the second Example is configured such that a separate coil spring 230 is provided at the end part of the radiofrequency electrode, and the first electrode 210 in the form a metal wire and the second electrode 220 are inserted into the coil spring 230 and disposed in parallel to each other.
The first electrode 210 and the second electrode 220 are guided by the catheter 60 (illustrated in
The first electrode 210 is configured such that the first electrode lead 214 in the form of a metal wire is inserted into the coil spring 230 and disposed therein, and the first electrode tip 212 in the sharp cylindrical form is connected to the end part of the first electrode lead 214. The first electrode lead 214 is coated by a well known insulator, and the first electrode tip 212 is not coated.
The second electrode 220 is configured such that the second electrode lead 224 in the form of a metal wire is inserted into the coil spring 230 and disposed in parallel with the electrode lead 214, and the second electrode tip 222 in the cylindrical form is connected to the end part of the second electrode lead 224. The second electrode lead 224 is coated by a well known insulator, and the second electrode tip 222 is not coated.
The first electrode tip 212 and the second electrode tip 222 are bonded to a electrically insulating material 240 in the cylindrical form coated by an insulator to form an electrode tip 250. The first electrode tip 212 is closely adhered to and fixed on the side of the end part of the electrically insulating material 240, and the second electrode tip 222 is interposed and fixed on the side of the other end part of the electrically insulating material 240. In the electrode tip 250, the cylindrical part 242 to which the coil spring is bonded, that is, the part to which the coil spring 230 is bonded, is protruded in the opposite side of the electrically insulating material 240, and the end part of the coil spring 230 is inserted into the outer surface of the part 242 to which the coil spring is bonded. The part 242 to which the coil spring is bonded is coated by a well known insulator.
In the coil spring 230, a metal tube 232 is welded to the opposite side of the electrode tip 250.
In the coil spring 230, the end part connected to the second electrode tip 250 is bent in the free state, thus to be pigtail- or J-shaped.
In the first electrode lead 214 and the second electrode lead 224, which are inserted into the coil spring 230, even the end part connected to the electrode tip 250 may be bent in the free state, thus to be pigtail- or J-shaped.
Any materials for the first electrode 210, the second electrode 220, the coil spring 230, and the tube 232 can be used, as long as radiofrequency current flows therein, preferably used are metals, and more preferably used are metals such as stainless steel, common steel alloy, titanium steel wire, and shape memory alloy. Thus prepared coil spring 230 and the tube 232 are coated by a well known insulator so as not to be affected upon applying radiofrequency between the first electrode tip 212 and the second electrode tip 222.
a) to 7(c) illustrate the assembly process of the radiofrequency electrode of the second Example of the present invention. As illustrated in
Thus configured radiofrequency electrode 200 according to the second Example of the present invention is bonded to a trigger-type operator 160 as illustrated in
In the second Example of the present invention, the first electrode lead 214 and the second electrode lead 224 are both in the linear forms, and the first electrode lead 214 and the second electrode lead 224 are configured to be located inside of a separate coil spring 230. Thus, the second electrode lead 124 is shorter than that in the coil form of the first Example, which allows a lower current loss due to resistance, and a separate coil spring 230 protects the first electrode lead 214 and the second electrode lead 224, which eliminates the noise due to outer currents or electromagnetic wave, thereby it provides an effect of shielding an electromagnetic wave.
According to the radiofrequency electrode of the present invention, local ablation can be performed with various applications, even in the case of the regions to which a linear electrode cannot be easily accessed, such as the hernia of the intervertebral discs. Further, if a local ablation of a body tissue in addition to the above-described cases is required, for example: to ablate a tumor or a cancer tissue; to ablate a thrombus in a blood vessel; to ablate a plaque in a blood vessel; to ablate a stenosed area in a blood vessel; to ablate a fibroma; to ablate a myoma of the uterus; to ablate an apocrine gland for alleviation of an osmidrosis; to ablate a polyp in the small or large intestine; to ablate a tissue in the stomach, small intestine or large intestine; to ablate a stenosed area in the urethra; to ablate a stenosed area in the knee cartilage; to ablate an un-desirably grown nerve tissue; or the like.
On the other hand, the coil spring made from the metal materials in the present invention, as compared with the coil spring made from polymeric materials, can provide a spring back force with a predetermined curvature (pre-curve), and thus makes it possible to locally control the direction of the electrode tip, to perform a precise operation, to have heat resistance against a neutral gas separated into electrons and ions at around 700° C. by radiofrequency, to eliminate the deterioration by the electrode in the case of controlling an electrode in the form of a metal wire, to perform insulation employing various coating techniques, and to have a low production cost.
Number | Date | Country | Kind |
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10-2005-0106763 | Nov 2005 | KR | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/KR2006/004683 | 11/9/2006 | WO | 00 | 5/9/2008 |