Electrode assembly for RF energy enabled tissue debridement device

• US 10,188,456 B2
• Filed: 02/18/2016
• Issued: 01/29/2019
• Est. Priority Date: 02/18/2015
• Status: Active Grant

• Current Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Xomed Incorporated (Medtronic Plc)
• Inventors: Prisco, John R., Detmers, Eric P., Li, Wenjeng, Little, David J., Richart, Patrick, Valdez, Jose
• Primary Examiner(s): Fowler, Daniel
• Assistant Examiner(s): Maziarski, Katherine
• Application Number:
  US15/046,869
• Publication Number:
  US 20160235474A1
• Time in Patent Office: 1,076 Days
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

A bipolar electrosurgical device is disclosed that operates in a mechanical cutting mode and a hemostasis mode. The device includes a housing and a blade assembly extending from the housing. The blade assembly forms a cutting tip and cutting window at a distal end region to provide mechanical cutting of tissue and first and second electrode assemblies to provide electrical energy to tissue. The first electrode assembly includes an outer shaft defining a first electrode surface and the second electrode assembly includes an electrode body extending along and electrically isolated from an outer shaft and defining a U-shape in cross section.

Claims

1. A blade assembly extending from a proximal region to a distal region, comprising:

an outer shaft assembly including an outer shaft defining a lumen extending along a central axis, an outer circumference, a proximal end and a distal end opposite the proximal end, wherein the distal end defines a cutting window in the outer shaft assembly and a first electrode surface;

an inner shaft assembly rotatably disposed within the lumen of the outer shaft assembly about the central axis, the inner shaft assembly defining a distal portion, the distal portion further including a cutting tip;

an electrode body extending along the outer circumference and electrically isolated from the outer shaft, the electrode body defining a U-shape in cross section with respect to a plane that is perpendicular to the central axis and a second electrode surface spaced apart from the first electrode surface;

a hub rotatably supporting the outer shaft and the electrode body, wherein upon rotation of the hub about the central axis, the outer shaft and the electrode body rotate about the central axis;

a rotary electrical connection assembly comprising an outer connector and an inner connector rotatably disposed within the outer connector, the inner connector electrically connected to the electrode body;

an irrigation channel fluidly coupled with the hub and configured to deliver fluid from the proximal region to the distal region; and

wherein each of the outer connector, the inner connector and the electrode body are formed of a conductive material and extend a respective length in a direction parallel to the central axis, and further wherein, when viewed in cross section along an entirety of the respective length and with respect to the plane that is perpendicular to the central axis, each define a maximum distance from the central axis that includes conductive material such that, for a circle having an origin at the central axis and a circumference at the maximum distance, there exists at least one sector of the circle free of conductive material.

2. The blade assembly of claim 1, wherein the electrode body includes an inner surface facing the outer shaft and an outer surface opposite the inner surface and wherein the blade assembly further includes an insulating body covering the outer surface of the electrode body and the outer circumference of the outer shaft.

3. The blade assembly of claim 2, wherein the insulating body is heat shrink tubing.

4. The blade assembly of claim 1, further comprising wherein the irrigation channel is positioned between the outer circumference of the outer shaft and the electrode body.

5. The blade assembly of claim 4, wherein the electrode body further defines a distal cup fluidly coupled with the irrigation channel, the distal cup directing fluid from the irrigation channel between the first electrode surface and the second electrode surface.

6. The blade assembly of claim 1, wherein the electrode body terminates at a position with respect to the hub that is closer to the distal end than the proximal end.

7. The blade assembly of claim 1, wherein the U-shape defines opposed ends spaced apart around the outer circumference approximately 180 degrees.

8. The blade assembly of claim 1, wherein the U-shape defines opposed ends spaced apart around the outer circumference less than 180 degrees.

9. The blade assembly of claim 1, wherein the U-shape defines opposed ends spaced apart around the outer circumference greater than 180 degrees.

10. The blade assembly of claim 1, further comprising an insulating coating positioned between the outer circumference of the outer shaft and the electrode body.

11. The blade assembly of claim 1, wherein the electrode body extends around the outer shaft to cover a distal-most tip of the outer shaft.

12. The blade assembly of claim 1, wherein the irrigation channel is defined by tubing positioned between the outer shaft and the electrode body, a wall of the tubing separating the irrigation channel from the outer circumference of the outer shaft and an inner surface of the electrode body.

13. The blade assembly of claim 12, wherein the tubing terminates at an outlet end located between the outer shaft and the electrode body, and further wherein the irrigation channel is open to a space between the outer shaft and the electrode body at the outlet end.

14. The blade assembly of claim 1, wherein the inner connector defines an incomplete circle in a plane perpendicular to the central axis along an entirety of the length of the inner connector in the direction parallel to the central axis.

15. The blade assembly of claim 1, wherein the inner connector defines a C-shape in a plane perpendicular to the central axis along an entirety of the length of the inner connector in the direction parallel to the central axis.