Techniques for irreversible electroporation using a single-pole tine-style internal device communicating with an external surface electrode
Techniques for High-Frequency Irreversible Electroporation (HFIRE) using a single-pole tine-style internal device communicating with an external surface electrode are described. In an embodiment, a system for ablating tissue cells in a treatment region of a patient's body by irreversible electroporation without thermally damaging the tissue cells is described. The system includes at least one single-pole electrode probe for insertion into the treatment region, the single-pole electrode probe including one or more tines. The system further includes at least one external surface electrode for placement outside the patient's body and configured to complete a circuit with the single-pole electrode probe. The system also includes a control device for controlling HFIRE pulses to the single-pole tine-style electrode and the skin-surface electrode for the delivery of electric energy to the treatment region. Other embodiments are described and claimed.
1. A method for ablating tissue cells in a treatment region of a patient's body comprising: inserting a probe into the treatment region, the probe comprising one or more deployable tines and a tine electrode; placing a surface electrode on a first location on a surface of an organ of the patient, deploying the one or more deployable tines of the probe into the treatment region, applying a first set of electrical pulses between the tine electrode and the surface electrode in an amount sufficient to induce a first electrical pull zone and to induce irreversible electroporation of the treatment region, but insufficient to induce significant muscle contractions in the patient, wherein the first electrical pull zone increases a size of an initial substantially spherical ablation zone by up to 3 millimeters; moving the surface electrode to a second location on the surface of the organ of the patient; and applying a second set of electrical pulses between the tine electrode and the surface electrode in an amount sufficient to induce a second electrical pull zone.
2. The method of claim 1 , wherein the organ is skin.
3. The method of claim 1 , wherein the one or more deployable tines are arranged in multiple tiers around a shaft of the probe.
4. The method of claim 1 , wherein the step of applying the first set of electrical pulses comprises applying the electrical pulses having a pulse width of between 100 nanoseconds and 10 microseconds.
5. The method of claim 4 , wherein the first set of electrical pulses are delivered in burst widths of 500 nanoseconds to 1 millisecond.
6. The method of claim 5 , wherein a time delay between the burst widths is between 1 millisecond and 5 seconds.
7. The method of claim 1 , wherein the first set of electrical pulses are bi-phasic.
8. The method of claim 1 , wherein the step of applying the first set of electrical pulses is sufficient to induce non-thermal irreversible electroporation of the treatment region.
9. The method of claim 1 , further comprising the step of: moving the surface electrode to a third location on the surface of the organ; and applying a third set of electrical pulses between the tine electrode and the surface electrode in an amount sufficient to induce a third electrical pull zone.
10. The method of claim 1 , wherein the probe comprises an electrode probe.
11. The method of claim 1 , wherein the second electrical pull zone increases the size of the initial substantially spherical ablation zone by up to 3 millimeters.
12. The method of claim 1 , wherein delivery of a paralytic is not required prior to the step of applying the first set of electrical pulses.
13. A method for ablating tissue cells in a treatment region of a patient's body comprising: inserting an electrode probe into the treatment region, the electrode probe comprises one or more deployable tines and at least one tine electrode; placing a surface electrode at a first location on a surface of an organ of the patient, deploying the one or more deployable tines of the electrode probe into the treatment region, applying a first set of electrical pulses between the at least one tine electrode and the surface electrode in an amount sufficient to induce a first electrical pull zone resulting in irreversible electroporation of the treatment region, but insufficient to induce tissue cell destruction by thermal damage, wherein the first electrical pull zone enlarges a spherical primary ablation zone by up to 3 millimeters; moving the surface electrode to a second location on the surface of the organ of the patient; and applying a second set of electrical pulses between the at least one tine electrode and the surface electrode in an amount sufficient to induce a second electrical pull zone.
14. The method of claim 13 , further comprising the steps of: moving the surface electrode to a third location on the surface of the organ of the patient; applying a third set of electrical pulses between the at least one tine electrode and the surface electrode to induce a third electrical pull zone; moving the surface electrode to a fourth location on the surface of the organ of the patient; applying a fourth set of electrical pulses between the at least one tine electrode and the surface electrode to induce a fourth electrical pull zone.
15. The method of claim 14 , wherein the first pull zone, the second pull zone, the third pull zone, and the fourth pull zone combine to result in a final ablation zone up to 10% larger than the primary ablation zone.
16. The method of claim 15 , wherein the step of applying the first set of electrical pulses further comprises applying the first set of electrical pulses having a pulse width of between 100 nanoseconds and 10 microseconds, wherein the first set of electrical pulses are delivered in burst widths of 500 nanoseconds to 1 millisecond.
17. The method of claim 16 , wherein a time delay between the burst widths is between 1 millisecond and 5 seconds.
18. The method of claim 13 , wherein the first set of electrical pulses are bi-phasic.
19. The method of claim 13 , wherein the step of applying first set of electrical pulses includes applying the first set of electrical pulses in a pattern which has been predetermined to maintain a temperature of the treatment region below 70 degrees C., and further comprising the step of:
moving the first surface electrode.