Needle and fine deployment mechanism
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 through a cervix into a uterus;
locating a uterine fibroid using an ultrasonic transducer carried by the probe;
advancing a shaft member from the probe into uterine tissue proximate the uterine fibroid; and
advancing a plurality of needle electrodes in a distal direction from the shaft member through a channel array comprising a plurality of ramps into the uterine fibroid and/or tissue surrounding the uterine fibroid, wherein the ramps are each arcuate and curved about a longitudinal axis of the shaft 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 shaft member.
8. A method as in claim 1 , wherein the channel array comprises a plurality of channels and each channel comprises an axially aligned proximal portion and an outwardly directed distal ramp portion such that as the needle electrodes are advanced through the channel, the needle electrodes are deflected radially outwardly as they pass over the distal ramp portion.
9. A method as in claim 1 , wherein each ramp has a ramp entrance angularly offset from a ramp exit in a transverse plane.
10. A method as in claim 9 , wherein each ramp entrance is located at a preselected radial depth beneath an outer surface of the shaft member and each ramp exit is at the surface.
11. A method as in claim 1 , further comprising imaging one or more of the uterine fibroid or needle electrodes using an imaging array.
12. A method as in claim 11 , wherein the imaging array is coupled to a distal end of the probe.
13. A method as in claim 11 , wherein imaging the one or more of the uterine fibroid or needle electrodes comprises one or more of pivoting or rotating the imaging array about the shaft member of the probe.
14. A method as in claim 11 , further comprising pivoting the imaging array between a low profile configuration and a deflected configuration.
15. A method as in claim 14 , wherein introducing the probe through the cervix comprises introducing the probe through the cervix while the imaging array is in the low profile configuration.
16. A method as in claim 1 , wherein advancing the plurality of needle electrodes in the distal direction from the shaft member through the channel array comprises advancing the plurality of needle electrodes from the shaft member through a lateral side of the shaft member.
17. A method as in claim 1 , wherein advancing the plurality of needle electrodes in the distal direction from the shaft member through the channel array comprises advancing the plurality of needle electrodes from the shaft member through a location of the shaft member proximal of a distal end of the shaft member.
18. A method as in claim 1 , wherein advancing the plurality of needle electrodes in the distal direction from the shaft member through the channel array comprises advancing the plurality of needle electrodes from the shaft member through a plurality of deployment ports.
19. A method as in claim 18 , wherein the ports of the plurality of deployment ports are in the form of a slot, circle, or oval at an angle to a longitudinal axis of the shaft member.