SYSTEMS AND METHODS FOR RADIOFREQUENCY NEUROTOMY
Systems and methods for radiofrequency neurotomy. Systems include needles with deployable filaments capable of producing lesions at target volumes, which may include a target nerve. Ablation of at least a portion of the target nerve may inhibit the ability of the nerve to transmit signals, such as pain signals, to the central nervous system. The lesion may facilitate procedures by directing energy towards the target nerve and away from collateral structures. Example anatomical structures include lumbar, thoracic, and cervical medial branch nerves and rami and the sacroiliac joint.
1 . A system for performing radiofrequency neurotomy on a target nerve of a patient, the system comprising:
a radiofrequency probe assembly configured to connect to a radiofrequency generator, the radiofrequency probe assembly comprising a radiofrequency probe; and
a radiofrequency neurotomy needle comprising:
a first hub;
a cannula fixedly attached to the first hub, the cannula comprising a lumen configured to accept the radiofrequency probe;
a tip at a distal end of the radiofrequency neurotomy needle that is conductive and is configured to pierce tissue of the patient;
a plurality of filaments that are conductive and are movable between a retracted position and a deployed position;
a second hub interconnected to the plurality of filaments; and
an actuator interconnected to the second hub, wherein rotation of the actuator relative to the first hub in a first direction causes the second hub to move axially to advance the plurality of filaments to the deployed position and rotation of the actuator relative to the first hub in a second direction that is opposite the first direction causes the second hub to move axially to retract the plurality of filaments to the retracted position,
wherein, when the radiofrequency probe is accepted in the lumen of the cannula and the plurality of filaments are in the deployed position, the tip and the plurality of filaments together form an electrode that transmits radiofrequency energy emitted by the radiofrequency probe to a target volume in which the target nerve is situated, and
wherein the plurality of filaments are advanceable from the retracted position to the deployed position without concurrent advancement of the radiofrequency probe relative to the radiofrequency neurotomy needle.