System and method for epidermal tissue ablation
A system and method for surface tissue ablation on the patient's outer skin, such as the epidermis or the underlying dermis. An electrosurgical probe ( 130 ) comprises a shaft ( 132 ) having an array of active electrodes ( 136 ) on its distal tip and a connector ( 134 ) at its proximal end for coupling the electrode array to a high frequency power supply. An electrically conducting liquid is directed along a fluid flow path ( 142 ) past a return electrode surface ( 138 ) to the target site to provide a current flow path between the target site and the return electrode. High frequency voltage is then applied to the active and return electrodes so that an electric current flows from the active electrode, through a layer of vapor formed at the tip of the electrode, and to the return electrode through the current flow path provided by the electrically conducting liquid. The high frequency voltage will preferably be sufficient to establish high electric field densities between the active electrode array and the epidermal tissue to thereby induce molecular breakdown or disintegration of several cell layers of the tissue.
1. A method for dermatological treatment of a patient body surface comprising:
positioning an electrosurgical probe having an active electrode surface in close proximity to a target tissue on the epidermis of the patient;
directing an electrically conducting liquid to the target tissue to provide a current flow path between the target tissue and a return electrode; and
applying high frequency voltage between the active electrode surface and the return electrode to impart sufficient energy into the target tissue to selectively remove a portion of the target tissue without causing substantial tissue necrosis beyond said removed portion.
2. The method of claim 1 wherein the applying step comprises:
vaporizing the electrically conducting liquid in a thin layer over at least a portion of the active electrode surface; and
inducing the discharge of energy from the vapor layer.
3. The method of claim 2 wherein the energy is in the form of ultraviolet energy.
4. The method of claim 2 wherein the energy is in the form of energetic electrons.
5. The method of claim 1 wherein the active electrode surface comprises an electrode array including a plurality of isolated electrode terminals.
6. The method of claim 5 wherein the electrode terminals are substantially flush with an electrically insulating matrix on a distal tip of the probe.
7. The method of claim 5 wherein the electrode terminals are proximally recessed a distance of 0.0 to 0.005 inches from an electrically insulating matrix on a distal tip of the probe.
8. The method of claim 5 wherein the electrode terminals distally extend a distance of 0.0 to 0.005 inches from an electrically insulating matrix on a distal tip of the probe.
9. The method of claim 5 further comprising axially reciprocating the electrode terminals to adjust a distance between a distal surface of the electrode terminals and an electrically insulating matrix on a distal tip of the probe.
10. The method of claim 5 further comprising translating the electrode array transversely across a layer of epidermal tissue.
11. The method of claim 10 wherein a distal end of the probe is beveled to facilitate translation of the electrode array.
12. The method of claim 5 further comprising generating a high electric field intensity at a distal portion of the electrode array.
13. The method of claim 12 wherein the electric field intensity is sufficient to cause molecular disintegration of tissue structure on the target tissue.
14. The method of claim 1 wherein the high frequency voltage is in the range from 600 to 1400 volts peak to peak.
15. The method of claim 1 wherein the depth of necrosis is 10 to 200 microns.