Needle and tine deployment mechanism
View Patent ↗A needle electrode deployment shaft includes a central member and a plurality of needle electrodes. The central member has a plurality of needle advancement channels formed therein. The needle electrodes are disposed within the advancement channels and each advancement channel terminates in a ramp portion which deflects the needles radially outwardly as they are axially advanced. The ramps may be spirally or acutely configured in order to increase the distance through which the needles may be bent as they are axially advanced. Additionally, the central member may have a radially reduced distal tip in order to decrease tissue insertion forces.
1. A method for treating uterine fibroids, said method comprising:
introducing a probe into a uterus;
locating a uterine fibroid using an ultrasonic transducer carried by the probe;
advancing a central member from the probe into uterine tissue proximate the uterine fibroid; and
advancing a plurality of needle electrodes in a distal direction from the central member through a channel array into the uterine fibroid and/or tissue surrounding the uterine fibroid, wherein each channel has a ramp which has (1) a ramp entrance located at a first angular orientation in a transverse plane about a longitudinal axis of the central member and at a preselected radial depth beneath an outer surface of the central member and 2) a ramp exit located distally of the first ramp entrance along the longitudinal axis and at a second angular orientation in the transverse plane about the longitudinal axis angularly offset from the first angular orientation and on an outer surface of the central member; and
delivering energy from the needle electrodes to necrose the fibroid.
2. A method as in claim 1 , wherein the energy is radiofrequency energy.
3. A method as in claim 2 , wherein the radiofrequency energy is monopolar.
4. A method as in claim 2 , wherein the radiofrequency energy is bipolar.
5. A method as in claim 1 , further comprising rotating an imaging array about the probe to observe the positions of said plurality of needles prior to delivering energy.
6. A method as in claim 1 , wherein the ramps each follow a spiral path.
7. A method as in claim 1 , wherein the ramps are each arcuate and confined within a plane that intersects the central member.