Multiple treatment zone ablation probe
An energy delivery probe and method of using the energy delivery probe to treat a patient is provided herein. The energy delivery probe has at least one probe body having a longitudinal axis and at least a first trocar and a second trocar. Each trocar comprises at least two electrodes that are electrically insulated from each other, and each electrode is independently selectively activatable. An insulative sleeve is positioned in a coaxially surrounding relationship to each of the first trocar and the second Vocal’. The probe also has a switching means for independently activating at least one electrode. The method involves independently and selectively activating the first and second electrodes to form an ablation zone, then repeating the ablation by delivering energy to a second set of electrodes, producing one or more overlapping ablation zone, and eliminating the need to reposition the ablation probes.
1 . A method of treating prostate tissue in a patient, the method comprising:
independently positioning and spacing a first electrode and second electrode at a treatment site such that the prostate tissue is disposed at least partially between the first and second electrodes;
wherein each of the first electrode and the second electrode is independently selectively activatable; and
activating an electrical energy source operatively coupled to the first electrode and the second electrode to deliver pulsed electrical energy from the first electrode to the second electrode to generate a first irreversible electroporation zone at least partially within the prostate tissue and to switch activation of the first electrode and the second electrode to deliver pulsed electrical energy from the second electrode to the first electrode to generate a second irreversible electroporation zone at least partially within the prostate tissue.
2 . The method of claim 1 , further comprising:
inserting a trocar into or near the target tissue and coaxially placing an energy delivery probe comprising the first electrode through the trocar.
3 . The method of claim 2 , wherein the trocar comprises a needle tip.
4 . The method of claim 1 , wherein the electrical energy comprises biphasic pulses.
5 . The method of claim 1 , wherein the delivering of electrical energy from the first electrode to the second electrode includes delivering a first set of pulses from the first electrode to the second electrode, wherein the first set of pulses is less than a total number of desired pulses to be delivered from the first electrode to the second electrode.
6 . The method of claim 5 , wherein the delivering of electrical energy from the second electrode to the first electrode includes delivering a second set of pulses from the second monopolar electrode to the first electrode, and wherein the second set of pulses is less than a total number of desired pulses to be delivered from the second electrode to the first electrode.
7 . The method of claim 6 , further comprising repeating switching delivering electrical energy from the first electrode to the second electrode and from the second electrode to the first electrode until the total number of desired pulses to be delivered from the first electrode to the second electrode and from the second electrode to the first electrode is delivered.
8 . The method of claim 6 , wherein the first set and second set of electrical pulses each include 10 electrical pulses.
9 . The method of claim 8 , wherein first set and second set of electrical pulses are delivered such that there is a delay between the first set and second set of electrical pulses.
10 . The method of claim 1 , wherein the positioning of the first electrode near the target tissue comprises positioning a first probe near the target tissue, the first probe including the first electrode and an insulator coaxially surrounding the first probe; and wherein the positioning of the second electrode near the target tissue comprises positioning a second probe near the target tissue, the second probe including the second electrode and an insulator coaxially surrounding the second probe.
11 . The method of claim 1 , wherein activating the electrical energy source operatively coupled to the first electrode and the second electrode comprises repeating alternating of delivery of pulsed electrical energy from the first electrode to the second electrode to generate the first irreversible electroporation zone at least partially within the prostate tissue and delivery of pulsed electrical energy from the second electrode to the first electrode to generate the second irreversible electroporation zone at least partially within the prostate tissue.
12 . A system for treating soft tissue in a patient, the system comprising:
a first energy delivery probe comprising a first electrode;
a second electrode configured to be independently placed near the soft tissue in a spaced relation relative to the first energy delivery probe, wherein each of the first electrode and the second electrode are independently selectively activatable; and
an electrical energy source configured to be operatively coupled to the first electrode and the second electrode, the electrical energy source being configured to switch activation of the first electrode and the second electrode to cause the electrical energy source to deliver electrical energy from the first electrode to the second electrode to generate a first non-thermal ablation zone and to cause the electrical energy source to deliver electrical energy from the second electrode to the first electrode to generate a second non-thermal ablation zone that at least partially overlaps the first non-thermal ablation zone,
wherein the electrical energy source is configured to deliver a first set of pulses from the first electrode to the second electrode, and wherein the first set of pulses is less than a total number of desired pulses to be delivered from the first electrode to the second electrode.
13 . The system of claim 12 , wherein the second electrode is on a second energy delivery probe.
14 . The system of claim 12 , further comprising an insulator coaxially surrounding the first energy delivery probe.
15 . The system of claim 12 , wherein the electrical energy source is programmed to deliver biphasic electrical pulses or monophasic electrical pulses.
16 . The system of claim 12 , wherein the delivering of electrical energy from the second electrode to the first electrode includes delivering a second set of pulses from the second electrode to the first electrode, and wherein the second set of pulses is less than a total number of desired pulses to be delivered from the second electrode to the first electrode.
17 . The system of claim 16 , wherein the electrical energy source is configured to repeat switching from delivering electrical energy from the first electrode to the second electrode and from the second electrode to the first electrode until the total number of desired pulses to be delivered from the first electrode to the second electrode and from the second electrode to the first electrode is delivered.
18 . The system of claim 16 , wherein the first set and second set of electrical pulses each include 10 electrical pulses.
19 . The system of claim 14 , wherein the soft tissue comprises prostate tissue.
20 . The system of claim 12 , wherein the electrical energy source is configured to deliver a second set of pulses from the second electrode to the first electrode, and wherein the second set of pulses is less than a total number of desired pulses to be delivered from the second electrode to the first electrode.