The present invention provides systems, apparatus and methods for selectively applying electrical energy to
body tissue in order to incise, dissect, harvest or
transect tissues or an organ of a patient. The electrosurgical systems and methods are useful, inter alia, for accessing, dissecting, and transecting a graft
blood vessel, such as the internal mammary arteries (IMA) or the saphenous
vein, for use in a by-pass procedure. A method of the present invention comprises positioning an electrosurgical probe adjacent the
target tissue so that one or more
active electrode(s) are brought into at least partial contact or close proximity with a
target site in the presence of an
electrically conductive fluid. A
high frequency voltage is then applied between the
active electrode and one or more return
electrode(s). During application of the
high frequency voltage, the electrosurgical probe may be translated, reciprocated, or otherwise manipulated such that the
active electrode is moved with respect to the tissue. The present invention volumetrically removes the tissue at the point of incision,
dissection, or transection in a cool
ablation process that minimizes
thermal damage to surrounding, non-
target tissue.