Surgical instrument having distal face with first and second electrodes

• US 20020049438A1
• Filed: 06/29/2001
• Published: 04/25/2002
• Est. Priority Date: 10/05/1999
• Status: Abandoned Application

• Current Assignee: Oratec Interventions Incorporated (Smith & Nephew PLC)
• Original Assignee: Oratec Interventions Incorporated (Smith & Nephew PLC)
• Inventors: Ashley, John, Sharkey, Hugh R., Stewart, Daren L., Strul, Bruno, Reyes, Ramiro L.
• Application Number:
  US09/895,609
• Publication Number:
  US 20020049438A1
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00136 with polymer
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00625 Vaporization
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/162 located on the probe body
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration
• CPC Class Codes: A61B 2218/008 for smoke evacuation

Abstract

An electrosurgical aspiration instrument that permits aspiration of an area being treated by the instrument. The instrument is coupled at a proximal end to a power source and includes an energy application surface area at a distal end. The power source supplied energy to the energy application surface area such that the distal end of the instrument may apply energy to the treatment area to modify the characteristics of biological material, such as biological tissue in the area. An aspiration lumen is formed through the instrument with an opening through the energy application surface area. The energy application surface area is configured to reduce blockage of the opening. Accordingly, aspiration may be performed simultaneously with electrosurgical treatment whereby unwanted matter such as by-products, biological debris and excess fluid is removed from the treatment area. The electrosurgical aspiration instrument also permits both functions to be performed at different times, with the advantage of not requiring instruments to be switched on during the treatment procedure or removed from the treatment site.

Claims

1. A surgical instrument, comprising:

a shaft having distal and proximal ends, said shaft defining at least one lumen having at least one aspiration opening at said distal end;

an active electrode disposed at the distal end of said shaft, said active electrode defining an energy application surface and electrically coupled to a power source; and

a return electrode coupled to the power supply such that a current path from said active electrode to said return electrode passes over said aspiration opening.

2. The surgical instrument of claim 1, wherein negative pressure applied to said lumen causes matter to be aspirated through said aspiration opening.

3. The surgical instrument of claim 1, wherein said aspiration lumen comprises at least one opening at said distal end that is configured to prevent clogging of aspirated matter at said distal end.

4. The surgical instrument of claim 3, wherein said aspiration opening is defined by said active electrode.

5. The surgical instrument of claim 4, wherein said aspiration opening is configured to provide an electrical and mechanical effect.

6. The surgical instrument of claim 1, wherein said active electrode defines a current crowding edge energy application surface.

7. The surgical instrument of claim 1, wherein said active electrode defines a substantially planar external energy application surface.

8. The surgical instrument of claim 1, wherein said active electrode comprises a mesh having interstices in communication with said aspiration lumen such that aspiration may occur through said interstices of said active electrode.

9. The surgical instrument of claim 8, further comprising a ring of conductive, non-perforated material surrounding said mesh and providing structural support thereto.

10. The surgical instrument of claim 1, wherein said active electrode comprises a disc surface having perforations formed therethrough, said perforations permitting aspiration to occur through said active electrode.

11. The surgical instrument of claim 1, wherein said active electrode is concentrically disposed at said distal end of said shaft to define an energy application surface.

12. The surgical instrument of claim 11, wherein the return electrode is located on an exterior body tissue site.

13. The surgical instrument of claim 11, wherein said return electrode is formed as a ring around the distal end of said shaft and said active electrode is disposed within said ring.

14. The surgical instrument of claim 1, wherein said active and return electrodes are connected to first and second conductors, respectively.

15. The surgical instrument of claim 14, wherein one of said first and second conductors is formed from said shaft.

16. The surgical instrument of claim 15, wherein the proximal end of said shaft is mounted to a handle, said handle providing at least one connection for said conductor to a power supply and a connection for said aspiration lumen to a vacuum source.

18. The surgical instrument of claim 17, wherein said return electrode is located external to the surgical site on a patient'"'"'s body.

19. The surgical instrument of claim 17, wherein said return electrode is disposed on said shaft proximally from said active electrode.

20. The surgical instrument of claim 17, wherein said active electrode comprises a mesh having interstices which define said plurality of openings in communication with said lumen such that aspiration may occur through said interstices of said mesh.

21. The surgical instrument of claim 17, wherein said active electrode comprises a disc having perforations therethrough to form said plurality of opening such that aspiration may occur through said perforations.

17. A surgical instrument, comprising:

a shaft having distal and proximal ends, said shaft defining at least one aspiration lumen extending therethrough and having an aspiration opening at said distal end;

an active electrode disposed at said distal end of the shaft, said active electrode defining an energy application plane across said aspiration opening and having a plurality of openings therethrough communicating with the aspiration lumen such that material may be aspirated through said active electrode across said energy application plane, said plurality of openings being individually sized and configured to avoid clogging of aspirated matter downstream of said openings; and

a return electrode electrically coupled to said power source.

22. A surgical instrument, comprising;

a shaft having distal and proximal ends, said shaft defining an aspiration lumen having a diameter extending therethrough and having an opening at said distal end;

a conductive member disposed at said distal end of said shaft across said aspiration lumen to define an energy application plane across said lumen opening and forming an active electrode, said conductive member having at least one opening therethrough communicating with the aspiration lumen such that material may be aspirated through said active electrode across said energy application plane, said opening being individually smaller than said lumen diameter to avoid clogging of aspirated material downstream of said opening;

a first conductor connected to said conductive member;

a return electrode disposed around said shaft proximally from said active electrode; and

a second conductor connected to said return electrode.

23. The surgical instrument of claim 22, wherein one of said first and second conductors is formed by said shaft.

24. The surgical instrument of claim 22, wherein said lumen has an insulative coating.

25. The surgical instrument of claim 22, wherein said conductive member is a disc.

26. The surgical instrument of claim 22, wherein said conductive member is an ashtray.

28. The surgical instrument of claim 27, wherein said active electrode and return electrode lie in substantially the same plane to define a planar energy application surface at said distal end.

29. The surgical instrument of claim 27, wherein a first of said electrodes is disposed centrally on the distal end of said shaft and the second of said electrodes is a ring disposed around the first electrode.

30. The surgical instrument of claim 27, wherein said electrodes are arcuate in shape and are each disposed around a portion of the distal end of the shaft, lying in substantially the same plane approximately transverse to the longitudinal axis.

31. The surgical instrument of claim 27, wherein said shaft defines an aspiration lumen therethrough and the distal end of the shaft defines at least one opening between said active and return electrodes communicating with the aspiration lumen for aspirating material through the energy application surface.

32. The surgical instrument of claim 31, wherein the active electrode is located on a distal tip portion of the distal end and the return electrode is located on an internal portion of the aspiration lumen and proximal to the active electrode.

33. The surgical instrument of claim 31, wherein said first electrode and second electrode are electrically isolated.

34. The surgical instrument of claim 27, wherein said shaft is substantially cylindrical having a periphery and said arcuate electrodes are disposed on the periphery of said shaft and the distal end, said electrodes being separated by at least one notch in said shaft.

35. The surgical instrument of claim 27, wherein said shaft defines an aspiration lumen therethrough and said distal end of the shaft defines at least one opening between the active electrode and the return electrode communicating with said aspiration lumen for aspirating matter through said energy application surface.

37. The method of claim 36, wherein said energy is radiofrequency energy.

38. The method of claim 36, wherein said energy application surface is formed on the distal end of a surgical instrument.

39. The method of claim 36, wherein said energy application surface is defined by an active electrode.

40. The method of claim 36, wherein said aspirating step occurs over a non-uniform plane creating a differential suction of a blockage across the energy application surface to facilitate aspiration of the blockage through the energy application surface.

27. A surgical instrument, comprising:

a shaft having a proximal end and a distal end with a longitudinal axis;

an active electrode and a return electrode disposed on the distal end and connected to the distal end to define an energy application surface at said distal end generally transverse to said longitudinal axis; and

a connector disposed near said proximal end of said shaft for electrically coupling said electrodes to a power source such that a voltage may be applied between each of the electrodes.

36. A method of electrosurgically treating tissue at a surgical site, comprising:

positioning an energy application surface adjacent or in contact with tissue to be treated;

applying energy across said application surface to the treatment area;

aspirating matter generation as a result of the energy application through the energy application surface; and

applying energy to the aspirated materials passing through the energy application surface.