Method and apparatus for precisely controlling the size and shape of radiofrequency ablations
Various embodiments of multielectrode radiofrequency (RF) ablation probes are described herein that disclose methods and apparatus for improved control and predictability of the size and shape of RF thermal electrocoagulations. The features of the invention include the ability to make irregularly shaped ablations in order to conform to irregularly shaped target tissue volumes, and to make very large ablations without the requirement for electrode cooling.
1. A method for forming an ablation, including the steps of:
providing a first bipolar electrode set having first and second electrode groups, the first electrode group including one or more electrodes and the second electrode group having at least one more electrode than the first electrode group and forms a low impedance return path for RF current;
wherein each of the one or more electrodes of the first electrode group of the first bipolar electrode set is connected to an excitation voltage;
wherein the electrodes of the second electrode group of the first bipolar electrode set collectively form the low impedance return path for RF current;
disposing the first bipolar electrode set within a body;
providing a second bipolar electrode set having first and second electrode groups, the first electrode group including one or more electrodes and the second electrode group having at least one more electrode than the first electrode group and forms a low impedance return path for RF current;
wherein each of the one or more electrodes of the first electrode group of the second bipolar electrode set is connected to an excitation voltage;
wherein the electrodes of the second electrode group of the second bipolar electrode set collectively form the low impedance return path for RF current;
disposing the second bipolar electrode set within the body;
applying an energy for a period of time to the first bipolar electrode set to form a first portion of the ablation at the first bipolar electrode set;
sequentially applying an energy for a period of time to the second bipolar electrode set to form a second portion of the ablation at the second bipolar electrode set;
repeating the steps of applying the energy to the first bipolar electrode set and then applying the energy to the second bipolar electrode set so as to incrementally form the ablation;
wherein the number of times of repeating the steps of applying the energy to the first bipolar electrode set and second bipolar electrode set is at least 100 times;
wherein the period of time for applying the energy to the first bipolar electrode set is in the range of 10 milliseconds to 1500 milliseconds and wherein the period of time for applying the energy to the second bipolar electrode set is in the range of 10 milliseconds to 1500 milliseconds;
wherein the first bipolar electrode set and the second bipolar electrode set share at least one electrode; and
wherein the at least one electrode that is shared is disposed within the body.
2. The method according to claim 1 , wherein a frequency of repeating the steps of applying the energy to the first bipolar electrode set and second bipolar electrode set is in the range of one per second to 25 per second.
3. The method according to claim 1 , wherein the at least one electrode that is shared is within the ablation.
4. The method according to claim 1 , further including the step of providing a third bipolar electrode set having first and second electrode groups, the first electrode group including one or more electrodes and the second electrode group including one or more electrodes, and wherein each of the one or more electrodes of the first electrode group of the third bipolar electrode set is connected to an excitation voltage; and
using said first bipolar electrode set, second bipolar electrode set and third bipolar electrode set in various combinations to create a three-dimensional non-linear ablation volume in order to conform in size and shape to a target volume.
5. The method according to claim 1 , further including the step of causing tissue ablation by thermal electrocoagulation during the steps of applying the energy to the first bipolar electrode set and applying the energy to the second bipolar electrode set.
6. The method according to claim 1 , wherein each of the electrodes of the first bipolar electrode set and second bipolar electrode set are shared electrodes.
7. The method according to claim 1 , further including the step of providing a third bipolar electrode set having first and second electrode groups, the first electrode group including one or more electrodes and the second electrode group including one or more electrodes, and wherein each of the one or more electrodes of the first electrode group of the third bipolar electrode set is connected to an excitation voltage; and
using said first bipolar electrode set, second bipolar electrode set and third bipolar electrode set in various combinations to create a three-dimensional, long, linear ablation volume in order to conform in size and shape to a target volume.
8. The method according to claim 1 , wherein the energy being applied to the first bipolar electrode set is RF energy and the energy being applied to the second bipolar electrode set is RF energy.
9. The method according to claim 1 , wherein each electrode of the first bipolar electrode set and the second bipolar set is configured to be independently controlled whereby each electrode is capable of being independently reconfigured as an active electrode or a return electrode.
10. The method according to claim 1 , wherein the second electrode group of the first bipolar electrode set creates a reference electrode which has a virtual position.
11. The method according to claim 1 , wherein each of the electrodes of the first bipolar electrode set and second bipolar electrode set are shared electrodes.
12. The method according to claim 1 , further including the steps of providing a probe, wherein the probe has a central longitudinal axis, wherein each electrode of the first electrode set is disposed on the probe, and wherein at least one electrode of the first bipolar electrode set is offset from the central longitudinal axis of the probe.
13. The method according to claim 1 , further including the steps of providing a probe, wherein the probe has a central longitudinal axis, wherein each electrode of the first electrode set is disposed on the probe, and wherein at least one electrode of the first electrode group of the first bipolar electrode set is offset from the central longitudinal axis of the probe.
14. The method according to claim 1 , further including the steps of providing a probe, wherein the probe has a central longitudinal axis, wherein each electrode of the first electrode set is disposed on the probe, and wherein at least one electrode of the second electrode group of the first bipolar electrode set is offset from the central longitudinal axis of the probe.
15. The method according to claim 1 , further including the steps of providing a probe, wherein the probe has a central longitudinal axis, wherein each electrode of the first electrode set is disposed on the probe, and wherein at least one electrode of the first electrode group of the first bipolar electrode set is offset from the central longitudinal axis of the probe and wherein at least one electrode of the second electrode group of the first bipolar electrode set is offset from the central longitudinal axis of the probe.