Multi-mode electrosurgical apparatus

• US 10,064,675 B2
• Filed: 09/25/2015
• Issued: 09/04/2018
• Est. Priority Date: 11/08/2010
• Status: Active Grant

• Current Assignee: Apyx Medical Corporation
• Original Assignee: Bovie Medical Corporation
• Inventors: Rencher, Jeffrey C., Konesky, Gregory A., Simeonov, Borislav S., Shilev, Nickolay Dimitrov, Zoran, Arik
• Primary Examiner(s): GETZOW, SCOTT M
• Application Number:
  US14/865,484
• Publication Number:
  US 20160022347A1
• Time in Patent Office: 1,075 Days
• CPC Class Codes: A61B 17/3209 Incision instruments
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00583 Coblation, i.e. ablation using a cold plasma
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00946 slidable
• CPC Class Codes: A61B 2018/00958 for switching between different working modes of the main function
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/1286 having a specific transformer
• CPC Class Codes: A61B 2018/147 Electrodes transferring energy by capacitive coupling, i.e. with a dielectricum between electrode and target tissue
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument

Abstract

A multi-mode electrosurgical apparatus for use in cold plasma applications, electrosurgical cutting, electrosurgical coagulation and mechanical cutting is provided. The electrosurgical apparatus includes a housing having a passage extending therethrough, an electrically conducting tube being disposed in the passage of the housing; an insulating outer tube disposed around the electrically conducting tube coupled to the housing, the electrically conducting tube being movable along a longitudinal axis of the housing and outer tube; an electrically conducting blade coupled to the distal end of the electrically conducting tube, and a transformer assembly disposed on a proximal end of the housing, the transformer assembly including a first transformer and a first switch for selectively coupling the first transformer and an external second transformer to the electrically conducting tube for providing electrosurgical energy thereto.

Claims

1. An electrosurgical apparatus comprising:

a housing having a passage extending therethrough, the housing having a proximal end and a distal end;

a flow tube having a proximal end and a distal end, the flow tube being disposed in the passage of the housing;

an insulating outer tube having a proximal end and a distal end, the outer tube disposed around the flow tube with the proximal end of the outer tube coupled to the distal end of the housing, the flow tube being movable along a longitudinal axis of the housing and outer tube;

an electrode coupled to the distal end of the flow tube, and

a transformer assembly disposed on the proximal end of the housing, the transformer assembly including a first transformer configured to receive electrosurgical energy at a first predetermined value from an electrosurgical generator and an external input configured to receive electrosurgical energy at a second predetermined value from the electrosurgical generator, the transformer assembly further including a first switch for selectively coupling at least one of the first transformer and the external input to the electrode for providing electrosurgical energy thereto.

2. The electrosurgical apparatus of claim 1, further comprising a first slider member coupled to the flow tube for moving the flow tube thereby extending and retracting the electrode about the distal end of the outer tube, the first slider member being accessible on the housing.

3. The electrosurgical apparatus of claim 2, further comprising a second slider member coupled to the switch and configured to operate the switch, the second slider member being accessible on the housing.

4. The electrosurgical apparatus of claim 3, wherein the first transformer is a step-up transformer.

5. The electrosurgical apparatus of claim 4, wherein the external input is coupled to an external second transformer configured to provide the electrosurgical energy to the electrode at the second predetermined value.

6. The electrosurgical apparatus of claim 3, further comprising a plurality of buttons configured to affect at least one electrosurgical mode based on a position of the first switch.

7. The electrosurgical apparatus of claim 6, further comprising a connector having at least two pins configured to couple the apparatus to the electrosurgical generator.

8. The electrosurgical apparatus of claim 7, wherein the plurality of buttons include at least three buttons and are coupled to the connector via two conductors.

9. The electrosurgical apparatus of claim 7, wherein the connector includes a memory configured to store parameters of the at least one electrosurgical mode.

10. The electrosurgical apparatus of claim 3, further comprising a second switch configured to determine a position of the electrode and generate a signal indicating the position, the signal being transmitted to the electrosurgical generator.

11. The electrosurgical apparatus of claim 3, wherein the proximal end of the flow tube includes a connector for coupling to a gas source to enable gas to flow through the flow tube over the electrode.

12. The electrosurgical apparatus of claim 11, wherein when the electrode is retracted within the outer tube and is energized, plasma is formed when an inert gas flows through the electrically conducting tube.

13. An electrosurgical apparatus comprising:

an electrosurgical generator coupled to an electrical power supply configured to generate electrosurgical energy, the electrosurgical generator including a step-down transformer coupled to the electrical power source and a first step-up transformer coupled to an output of the step-down transformer; and

a handpiece including;

a housing having a passage extending therethrough, the housing having a proximal end and a distal end;

a flow tube having a proximal end and a distal end, the flow tube being disposed in the passage of the housing;

an insulating outer tube having a proximal end and a distal end, the outer tube disposed around the flow tube with the proximal end of the outer tube coupled to the distal end of the housing, the flow tube being movable along a longitudinal axis of the housing and outer tube;

an electrode coupled to the distal end of the flow tube, and

a transformer assembly disposed on the proximal end of the housing, the transformer assembly including a second step-up transformer coupled to an output of the step-down transformer and a first switch for selectively coupling at least one of the first step-up transformer and the second step-up transformer to the electrode for providing electrosurgical energy thereto.

14. The electrosurgical apparatus of claim 13, wherein the housing further comprises a first slider member coupled to the flow tube for moving the flow tube thereby extending and retracting the electrode about the distal end of the outer tube, the first slider member being accessible on the housing.

15. The electrosurgical apparatus of claim 14, wherein the housing further comprises a second slider member coupled to the switch and configured to operate the switch, the second slider member being accessible on the housing.

16. The electrosurgical apparatus of claim 15, wherein the first step-up transformer is configured to provide electrosurgical energy to the electrode at a first predetermined value.

17. The electrosurgical apparatus of claim 16, wherein the second step-up transformer is configured to provide electrosurgical energy to the electrode at a second predetermined value.

18. The electrosurgical apparatus of claim 15, wherein the housing further comprises a plurality of buttons configured to affect at least one electrosurgical mode based on a position of the first switch.

19. The electrosurgical apparatus of claim 18, further comprising a connector having at least two pins configured to couple the handpiece to an electrosurgical generator via a cable having at least two conductors.

20. The electrosurgical apparatus of claim 19, wherein the plurality of buttons include at least three buttons and are coupled to the connector via two conductors.

21. The electrosurgical apparatus of claim 19, wherein the connector includes a memory configured to store parameters of the at least one electrosurgical mode.

22. The electrosurgical apparatus of claim 15, wherein the handpiece further comprises a second switch configured to determine a position of the electrode and generate a signal indicating the position, the signal being transmitted to a controller disposed in the electrosurgical generator.

23. An electrosurgical apparatus comprising:

a housing having a passage extending therethrough, the housing having a proximal end and a distal end;

a flow tube having a proximal end and a distal end, the flow tube being disposed in the passage of the housing;

an insulating outer tube having a proximal end and a distal end, the outer tube disposed around the flow tube with the proximal end of the outer tube coupled to the distal end of the housing, the flow tube being movable along a longitudinal axis of the housing and outer tube;

an electrode coupled to the distal end of the flow tube, and

an transformer assembly disposed on the proximal end of the housing, the transformer assembly including a first transformer configured to receive electrosurgical energy at a first predetermined value from an electrosurgical generator and an external input configured to receive electrosurgical energy at a second predetermined value from the electrosurgical generator, the transformer assembly further including a first switch for selectively coupling at least one of the first transformer and the first external input to the electrode for providing electrosurgical energy thereto, wherein the first transformer outputs electrosurgical energy to the electrode having a higher voltage than the electrosurgical energy of the external input.

24. An electrosurgical apparatus comprising:

a step-down transformer coupled to an electrical power source;

a first step-up transformer coupled to an output of the step-down transformer and configured to generate electrosurgical energy at a first predetermined value;

a second step-up transformer coupled to an output of the step-down transformer and configured to generate electrosurgical energy at a second predetermined value and

a handpiece including;

a housing having a passage extending therethrough, the housing having a proximal end and a distal end;

a flow tube having a proximal end and a distal end, the flow tube being disposed in the passage of the housing;

an insulating outer tube having a proximal end and a distal end, the outer tube disposed around the flow tube with the proximal end of the outer tube coupled to the distal end of the housing, the flow tube being movable along a longitudinal axis of the housing and outer tube;

an electrode coupled to the distal end of the flow tube, and

a first switch for selectively coupling at least one of the first step-up transformer and the second step-up transformer to the electrode for providing electrosurgical energy thereto.