Device and method for electroporation based treatment
The present invention relates to medical devices and methods for treating a lesion such as a vascular stenosis using non-thermal irreversible electroporation (NTIRE). Embodiments of the present invention provide a balloon catheter type NTIRE device for treating a target lesion comprising a plurality of electrodes positioned along the balloon that are electrically independent from each other so as to be individually selectable in order to more precisely treat an asymmetrical lesion in which the lesion extends only partially around the vessel.
1. A method for treating a target lesion by irreversible electroporation comprising:
positioning a plurality of elongated electrodes disposed lengthwise and circumferentially spaced a selected distance from one another at the target lesion;
selecting any combination of electrodes among the plurality of electrodes for administering a plurality of electrical pulses; and
activating a generator to administer the plurality of electrical pulses through only the selected electrodes to the target lesion in an amount which is sufficient to induce irreversible electroporation of cells of the target lesion, wherein at least one of the electrical pulses is applied with a pulse duration of from 1 μs to 1 ms, wherein at least one of the electrical pulses is applied to a first pair of electrodes comprising a first electrode and a second electrode separated by at least one unenergized electrode, wherein the administration of the plurality of electrical pulses through only the selected electrodes treats tissue proximate the energized electrodes while tissue proximate the un-energized electrodes is substantially untreated.
2. The method of claim 1 , wherein the plurality of electrical pulses is administered by sequentially activating different pairs of electrodes.
3. The method of claim 1 , wherein the plurality of electrical pulses is administered in a manner such that a different voltage is applied to different pairs of electrodes.
4. The method of claim 1 , wherein the plurality of electrical pulses is administered in a manner that provides for an electric field distribution ranging from about 5 to 5,000 V/cm.
5. The method of claim 1 , wherein the activating of the generator includes controlling a switch to select at least one electrode to which the electrical pulses are not to be applied.
6. The method of claim 1 , further comprising determining at least one individualized electrical parameter for a pair of electrodes.
7. The method of claim 1 , wherein the positioning is determined by applying test pulses and measuring at least one electrical characteristic of tissue cells.
8. The method of claim 7 , wherein the positioning includes measuring an electrical resistance as the at least one electrical characteristic of the tissue cells.
9. The method of claim 1 , wherein the administration of the electrical pulses includes:
applying a first set of pulses between the first pair of electrodes, wherein the first set of pulses is less than a total number of pulses to be applied between the first and second electrodes; and
applying a second set of pulses between a second pair of electrodes, wherein the second set of pulses is less than a total number of pulses to be applied between the second pair of electrodes.
10. The method of claim 9 , wherein the administration of the electrical pulses further includes repeating application of sets of pulses between the first and second electrodes followed by sets of pulses between the second pair of electrodes until the total number of pulses is reached.
11. The method of claim 1 , wherein the target lesion is asymmetric.
12. A method for treating a target lesion by irreversible electroporation comprising:
positioning a plurality of elongated electrodes disposed lengthwise and circumferentially spaced a selected distance from one another at the target lesion; and
activating a generator to administer a plurality of electrical pulses through only selected electrodes to the target lesion in an amount which is sufficient to induce non-thermal ablation of cells of the target lesion, wherein at least one of the electrical pulses is applied with a pulse duration of from 1 μs to 1 ms,
wherein the selected electrodes includes a number of electrodes less than a total number of electrodes in the plurality of elongated electrodes,
wherein the selected electrodes includes at least a first electrode and a second electrode separated by at least one unenergized electrode, and
wherein the administration of the plurality of electrical pulses through only the selected electrodes treats tissue proximate the energized electrodes while tissue proximate the un-energized electrodes is substantially untreated.
13. The method of claim 12 , wherein the plurality of electrical pulses is administered by sequentially activating different pairs of electrodes.
14. The method of claim 12 , wherein the plurality of electrical pulses is administered by activating pairs of electrodes positioned in a manner capable of treating the target lesion.
15. The method of claim 12 , wherein the plurality of electrical pulses is administered in a manner that provides for an electric field distribution ranging from about 5 to 5,000 V/cm.
16. The method of claim 12 , wherein the activating of the generator includes controlling a switch to select at least one electrode to which the electrical pulses are not to be applied.
17. The method of claim 12 , further comprising:
determining at least one individualized electrical parameter for a pair of electrodes.
18. The method of claim 12 , wherein the positioning is determined by applying test pulses and measuring at least one electrical characteristic of tissue cells.
19. The method of claim 18 , wherein the positioning includes measuring an electrical resistance as the at least one electrical characteristic of the tissue cells.