US6500173B2
Expired / Lapsed
US
⏱️ 0.0 years remaining
Methods for electrosurgical spine surgery
Assignee: Arthrocare Corp
•
Filing: 2001-05-18
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Granted: 2002-12-31
•
Expires: 2021-05-18
Abstract
Abstract The present invention provides systems and methods for selectively applying electrical energy to a target location within of a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove, contract or otherwise modify the structure of tissue structures. In one aspect of the invention, a method is provided for treating herniated discs within a patient's spine by applying sufficient electrical energy to the disc tissue to reduce a volume of the disc, thereby relieving pressure on a spinal nerve. In one embodiment, the high frequency voltage is sufficient to ablate a portion of the nucleus pulposis, either the extruded portion outside of the annulus or a portion or all of the pulposis within the annulus. In another embodiment, the electrode terminal is advanced into the annulus and sufficient high frequency voltage is applied to contract or shrink the collagen fibers within the nucleus pulposis. This causes the pulposis to shrink and withdraw from its impingement on the spinal nerve.
Inventors
- 👤 Ronald A. Underwood
- 👤 Terry S. Davison
- 👤 Hira V. Thapliyal
- 👤 Philip E. Eggers
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 23:33
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/1206; A61B18/14; A61B18/148; A61B18/1482; A61B18/1485; A61B18/149; A61B18/1492; A61M; A61M25/00; A61M25/01; A61M25/0105; A61M25/0133; A61B18/1402; A61B17/00; A61B2017/00017; A61B2017/00022; A61B2017/00026; A61B2017/00084; A61B2017/00092; A61B2017/00097; A61B2017/00101; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/00292; A61B2017/003; A61B17/22; A61B2017/22001; A61B2017/22038; A61B2018/00005; A61B2018/00011; A61B2018/00029; A61B2018/00053; A61B2018/0016; A61B2018/00184; A61B2018/00196; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B2018/00434; A61B2018/00571; A61B2018/00577; A61B2018/00583; A61B2018/00636; A61B2018/00642; A61B2018/0066; A61B2018/00666; A61B2018/00678; A61B2018/00696; A61B2018/00726; A61B2018/00761; A61B2018/00773; A61B2018/00791; A61B2018/00797; A61B2018/00821; A61B2018/00827; A61B2018/00875; A61B2018/00886; A61B2018/1213; A61B2018/124; A61B2018/1246; A61B2018/1253; A61B2018/126; A61B2018/1273; A61B2018/1467; A61B2018/1472; A61B2018/1497; A61B18/16; A61B2018/162; A61B90/00; A61B90/36; A61B90/37; A61B2090/378; A61B2218/00; A61B2218/001; A61B2218/002; A61B2218/007; A61F; A61F2/00; A61F2/02; A61F2/24; A61F2/2493; A61M25/0147; A61M25/0158
Claims Analysis
Total Claims: 15
Claim 1
Independent Claim
61 words
A method for treating a degenerative disc in a patient's spine comprising: positioning an electrode terminal between adjacent vertebrae within in the patient's spine; and removing spinal tissue in contact with the vertebrae by applying a high frequency voltage difference between the electrode terminal and a return electrode, the voltage difference being sufficient to remove spinal tissue without damaging the vertebrae.
Claim 2
Independent Claim
61 words
A method for treating a degenerative disc in a patient's spine comprising: positioning an electrode terminal between adjacent vertebrae within in the patient's spine; and removing spinal tissue in contact with the vertebrae by applying a high frequency voltage difference between the electrode terminal and a return electrode, the voltage difference being sufficient to remove spinal tissue without damaging the vertebrae.
Claim 3
Dependent Claim
15 words
The method of claim 1 further comprising fusing adjacent vertebrae together after the removing step.
Claim 4
Dependent Claim
22 words
The method of claim 1 wherein the spinal tissue is attached to the vertebrae, the method comprising removing the attached spinal tissue.
Claim 5
Dependent Claim
18 words
The method of claim 1 further comprising delivering electrically conductive fluid between the electrode terminal and the disc.
Claim 6
Dependent Claim
30 words
The method of claim 4 further comprising positioning the return electrode within the electrically conductive fluid to complete a current flow path between the electrode terminal and the return electrode.
Claim 7
Dependent Claim
38 words
The method of claim 4 further comprising applying sufficient voltage to the electrode terminal in the presence of the electrically conductive fluid to vaporize at least a portion of the fluid between the electrode terminal and the disc.
Claim 8
Dependent Claim
27 words
The method of claim 6 further comprising accelerating charged particles from the vaporized fluid to the tissue to cause dissociation of the molecular bonds within the disc.
Claim 9
Dependent Claim
35 words
The method of claim 1 further comprising positioning the return electrode on the outer surface of the patient's body, and conducting electrical current from the electrode terminal, through the patient's body, to the return electrode.
Claim 10
Dependent Claim
21 words
The method of claim 1 wherein the electrode terminal comprises a single, active electrode at the distal end of a shaft.
Claim 11
Dependent Claim
24 words
The method of claim 1 wherein the electrode terminal comprises a plurality of electrically isolated electrode terminals at the distal end of a shaft.
Claim 12
Dependent Claim
35 words
The method of claim 10 further comprising independently controlling current flow from at least two of the electrode terminals based on impedence between at least one of the two electrode terminals and the return electrode.
Claim 13
Dependent Claim
16 words
The method of claim 1 further comprising aspirating fluid from the patient during the removal step.
Claim 14
Dependent Claim
49 words
The method of claim 1 further comprising: aspirating tissue fragments from the disc through an aspiration lumen within an instrument; and applying high frequency voltage to an aspiration electrode coupled to the lumen, the high frequency voltage being sufficient to remove at least a portion of the tissue fragments.
Claim 15
Dependent Claim
35 words
The method of claim 13 , wherein the aspiration electrode comprises a screen electrode located across a distal opening of the aspiration electrode and having a plurality of openings for aspiration of tissue fragments therethrough.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 2005-12-30 | 2006-07-01 | 2006-12-31 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2009-12-30 | 2010-07-01 | 2010-12-31 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2013-12-30 | 2014-07-01 | 2014-12-31 | $7700.00 | Window Closed / Lapsed |