Electrosurgical device
An electrosurgical device having improved placement accuracy is provided. The electrosurgical device comprises an elongate member having a proximal end, a distal end and a lumen therethrough, a conductive tip at the distal end for delivery of energy to the tissue, an electrical connector at or near the proximal end for flexibly coupling a power source control unit to supply energy to the conductive tip, a fluid delivery connection interface flexibly coupled at or near the proximal end for coupling a fluid delivery mechanism. The device further comprises a temperature sensor. A method of delivering electrical energy to a target on an animal is also provided.
1 . An electrosurgical device for treating animal tissue comprising:
an elongate member having a proximal end, a distal end and a lumen therethrough;
a conductive tip at the distal end for delivering energy to the tissue;
a power connector at the proximal end for flexibly coupling a power source to supply energy to the conductive tip;
a temperature sensor at the distal end; and
at least one fluid delivery interface connection flexibly coupled at the proximal end for coupling a fluid delivery mechanism to deliver a treatment composition through the lumen to the distal end.
2 . The electrosurgical device of claim 1 , wherein the temperature sensor is located at the conductive tip.
3 . The electrosurgical device of claim 1 , wherein the temperature sensor comprises a thermocouple.
4 . The electrosurgical device of claim 3 , wherein the thermocouple is welded to the conductive tip.
5 . The electrosurgical device of claim 1 , wherein the energy is a high frequency electrical current.
6 . The electrosurgical device of claim 1 , further comprising at least one pre-formed connector flexibly coupled at or near the proximal end for coupling at least one predetermined treatment tool.
7 . The electrosurgical device of claim 1 , wherein the conductive tip defines at least one aperture in fluid communication with the lumen and through which the treatment composition exits.
8 . The electrosurgical device of claim 7 , wherein the at least one aperture is on a side of the conductive tip.
9 . The electrosurgical device of claim 8 , including a flexible tube connecting the fluid delivery interface connection to the lumen.
10 . The electrosurgical device of claim 1 , wherein the conductive tip is sharp for piercing through tissue.
11 . The electrosurgical device of claim 1 , wherein at least a major portion of the elongate member is electrically insulated.
12 . The electrosurgical device of claim 11 , wherein the elongate member comprises an insulating coating.
13 . The electrosurgical device of claim 12 wherein the elongate member comprises a conductive shaft coupled to the conductive tip, said shaft coated with the insulating coating.
14 . The electrosurgical device of claim 13 , further comprising wiring for delivering energy to the conductive tip, the wiring connected to the conductive shaft at the proximal end.
15 . The electrosurgical device of claim 1 , wherein the lumen houses wiring to couple the conductive tip to the power source.
16 . The electrosurgical device of claim 1 , wherein the lumen houses wiring connected to the temperature sensor providing temperature data to a user.
17 . The electrosurgical device of claim 1 , wherein the elongate member has a second lumen, the second lumen carrying wiring for at least one of the temperature sensor and the conductive tip.
18 . The electrosurgical device of claim 1 , further comprising a handle at the proximal end coupled to the elongate member.
19 . The electrosurgical device of claim 18 , wherein the handle couples the power connector and the fluid delivery interface connection to the elongate member.
20 . The electrosurgical device of claim 18 , wherein the power connector is embedded in the handle.
21 . The electrosurgical device of claim 18 , wherein the power connector is flexibly coupled to the handle.
22 . The electrosurgical device of claim 18 , wherein the handle comprises one or more passages in fluid communication with the lumen of the elongate member.
23 . The electrosurgical device of claim 22 , wherein the one or more passages house at least one of cable, wiring and tubing extending from the handle.
24 . The electrosurgical device of claim 1 , comprising a radiopaque marker associated with the conductive tip.
25 . The electrosurgical device of claim 1 , wherein the elongate member is rigid.
26 . The electrosurgical device of claim 1 , wherein the tissue is neural tissue.
27 . The electrosurgical device of claim 1 , comprising wiring extruded in a wall of the elongate member, said wiring comprising at least one of the power connector to the conductive tip and the temperature sensor for providing temperature data to a user.
28 . The electrosurgical device of claim 1 , wherein the device is electrically isolated from a user except for the conductive tip.
29 . The electrosurgical device of claim 1 , wherein the conductive tip is curved.
30 . The electrosurgical device of claim 1 , comprising wiring connecting the power connector and the conductive tip to supply energy and connecting the temperature sensor for providing temperature data to a user, said wiring for the conductive tip sharing a wire with the wiring for the temperature sensor.
31 . The electrosurgical device of claim 4 , wherein the thermocouple is sharpened.
32 . The electrosurgical device of claim 8 , wherein the at least one aperture has a rounded edge on an outer wall of the conductive tip.
33 . The electrosurgical device of claim 8 , having a marker associated with the proximal end to indicate the orientation of the at least one aperture on the side of the conductive tip.
34 . The electrosurgical device of claim 12 , wherein an outer surface of the elongate member is textured for application of the insulating coating.
35 . The electrosurgical device of claim 16 , wherein the wiring exits the lumen through a side aperture in the lumen at the proximal end.
36 . The electrosurgical device of claim 35 , wherein the side aperture is defined such that the wiring bends less than 90 degrees relative to the axis of the elongate member.
37 . The electrosurgical device of claim 18 , wherein the handle has markings to indicate a 180° rotation of the device about a longitudinal axis of the elongate member.
38 . The electrosurgical device of claim 18 , wherein the handle has markings to indicate a 90° rotation of the device about a longitudinal axis of the elongate member.
39 . The electrosurgical device of claim 23 , wherein the handle further comprises a strain relief for the at least one of cable, wiring and tubing extending from the handle.
40 . The electrosurgical device of claim 39 , wherein the strain relief holds the least one of cable, wiring and tubing closely together and in parallel to a longitudinal axis of the handle.
41 . The electrosurgical device of claim 39 , wherein the strain relief is tapered from the distal end to the proximal end.
42 . The electrosurgical device of claim 39 , wherein the strain relief is textured.
43 . The electrosurgical device of claim 1 , wherein the elongate member further comprises a radiopaque marker.
44 . The electrosurgical device of claim 43 , wherein the radiopaque marker is at a junction between a non-conductive portion of the elongate member and the conductive tip.
45 . The electrosurgical device of claim 43 , wherein the radiopaque marker is proximal to the conductive tip.
46 . The electrosurgical device of claim 1 , wherein the elongate member further comprises depth markers.
47 . The electrosurgical device of claim 1 , whereby the device is insertable and operable without the need to remove any components.
48 . A method for delivering energy to a predetermined treatment area of an animal body comprising the steps of:
(i) providing an electrosurgical device comprising:
an elongate member having a proximal end, a distal end and a lumen therethrough;
a conductive tip at the distal end for delivering energy to the tissue;
a power connector at the proximal end for flexibly coupling a power source to supply energy to the conductive tip;
a temperature sensor at the distal end; and
at least one fluid delivery interface connection flexibly coupled at the proximal end for coupling a fluid delivery mechanism to deliver a treatment composition through the lumen to the distal end;
ii) coupling the power source to the power connector;
iii) coupling the fluid delivery mechanism to the fluid delivery interface connection;
iv) positioning the device at or in the vicinity of the treatment area;
v) administering the treatment composition;
vi) delivering energy to the treatment area;
vii) monitoring temperature at the treatment area; and
viii) controlling the delivered energy based on the monitored temperature;
whereby the steps iv)-vi) are performed without the necessity to remove a part of the electrosurgical device from the animal body.
49 . The method of claim 48 , wherein controlling the delivered energy is automatic.
50 . The method of claim 48 , further comprising verifying the positioning using at least one of imaging technology, impedance measurement and electrical stimulation.
51 . The method of claim 48 , wherein the treatment area is a neural structure.
52 . The method of claim 48 , wherein the energy is high frequency electrical current.
53 . The method of claim 48 , wherein the positioning includes penetrating at least one of skin and tissue.
54 . The method of claim 48 , wherein the conductive tip is sharp.
55 . The method of claim 48 , further comprising, prior to positioning the device, coupling the electrosurgical device to a mounting device that is disposed to be positioned on the animal body.
56 . The method of claim 48 , wherein the device further comprises depth markings and the device is positioned to a pre-determined depth using the depth markings.
57 . The method of claim 48 , wherein the device further comprises a side aperture on the conductive tip from which the treatment composition exits and surrounds the conductive tip and adjacent tissue.
58 . The method of claim 48 , wherein delivering energy to the treatment area and administering the treatment composition occur simultaneously.