Electrosurgical apparatus with fluid flow regulator

• US 20070106288A1
• Filed: 11/09/2005
• Published: 05/10/2007
• Est. Priority Date: 11/09/2005
• Status: Abandoned Application

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Woloszko, Jean, Dahla, Robert
• Application Number:
  US11/270,344
• Publication Number:
  US 20070106288A1
• Time in Patent Office: Days
• US Class Current: 606/41
• 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 2018/1213 creating an arc
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

An electrosurgical instrument comprising a shaft that includes a distal end section and a distal tip. Near the distal tip is an active electrode and a fluid collection chamber. The fluid collection chamber comprises an ingress port for suctioning a fluid flow over the active electrode and into the fluid collection chamber; a regulator adapted to adjust the fluid flow through the ingress port; and an aspiration port for exhausting the fluid from the fluid collection chamber, and a method thereof.

Claims

1. An electrosurgical apparatus for treating a target site, comprising:

a shaft comprising a distal end section including a distal tip; and

an active electrode disposed near the distal tip,

wherein

the distal end section comprises a fluid collection chamber comprising;

an ingress port for suctioning a fluid flow over the active electrode and into the fluid collection chamber;

a regulator adapted to adjust the fluid flow through the ingress port; and

an aspiration port for exhausting the fluid from the fluid collection chamber.

2. The electrosurgical apparatus of claim 1, wherein the fluid collection chamber comprises a lumen extending through the distal end section of shaft.

3. The electrosurgical apparatus of claim 1, wherein the fluid collection chamber comprises a sleeve disposed on the distal end section of the shaft.

4. The electrosurgical apparatus of claim 1, further comprising a return electrode arranged at the distal end section of the shaft.

5. The electrosurgical apparatus of claim 1, wherein the ingress port comprises an opening into the fluid collection chamber near the active electrode.

6. The electrosurgical apparatus of claim 1, wherein the ingress port is partly surrounded by the active electrode.

7. The electrosurgical apparatus of claim 1, wherein the ingress port is partly covered by the active electrode.

8. The electrosurgical apparatus of claim 1, wherein the regulator comprises one or more openings formed into the fluid collection chamber.

9. The electrosurgical apparatus of claim 1, wherein the regulator comprises one more valves.

10. The electrosurgical apparatus of claim 1, wherein the regulator is adjustable for regulating fluid flow into the collection chamber.

11. The electrosurgical apparatus of claim 1, wherein the aspiration port comprises a lumen formed through the distal end section of the shaft.

12. The electrosurgical apparatus of claim 1, wherein said active electrode is connectable to a high frequency voltage regulator.

13. The electrosurgical apparatus of claim 1, comprising an electrical insulator disposed between the active electrode and the fluid collection chamber.

14. The electrosurgical apparatus of claim 13, wherein the active electrode is partly embedded in the electrical insulator.

15. The electrosurgical apparatus of claim 13, wherein the ingress port comprises a lumen formed through the insulator.

16. The apparatus of claim 1, wherein the fluid ingress port comprises a first cross section area, and the regulator comprises a second cross section area such that the ratio of the second cross section area to the first cross section area is equal to or greater than about ⅗

.

17. The apparatus of claim 17, the ratio of the second cross section area to the first cross section area is equal to or greater than about 1.

18. The apparatus of claim 17, wherein the ratio of the second cross section area to the first cross section area is equal to or greater than about 3/2.

19. The apparatus of claim 17, wherein the second cross section area is about 0.0030 square inch to about 0.0050 square inch.

20. An electrosurgical apparatus for treating a target site comprising:

a shaft comprising a distal end section, a distal tip, and a fluid aspiration lumen extending to the distal tip;

a fluid collection chamber arranged at the distal end section, said fluid collection chamber in fluid communication with said aspiration lumen, said fluid collection chamber comprising a fluid ingress port such that fluid in the vicinity of the said target site may be drawn therein at a first flowrate, and a regulator through which fluid enters said fluid collection chamber at a second flowrate, said regulator adapted to adjust said first flowrate such that the first flowrate is independent of a third flowrate through the aspiration lumen; and

an active electrode arranged at said distal end section such that fluid entering said ingress port is drawn across said active.

25. The apparatus of claim 20, further comprising a return electrode arranged on the distal end of the shaft.

26. The apparatus of claim 20, wherein the regulator comprises a valve.

27. The apparatus of claim 20, wherein the regulator comprises one or more openings into the fluid collection chamber.

21. The apparatus of claim 21, wherein the fluid ingress port comprises a first cross section area, and the regulator comprises a second cross section area such that the ratio of the second cross section area to the first cross section area is equal to or greater than about ⅗

.

22. The apparatus of claim 21 wherein the ratio of the first cross-section is equal to or greater than about 1.

23. The apparatus of claim 21, wherein the ratio of the second cross section area to the first cross section area is equal to or greater than about 3/2.

24. The apparatus of claim 21, wherein the cross section of the second opening is about 0.0030 square inch to about 0.0050 square inch.

28. A method of performing an electrosurgical procedure on a target site, comprising:

applying a high-frequency voltage potential difference between an active electrode and a return electrode of an electrosurgical apparatus in the presence of an electrically conductive fluid, in close proximity to the target site;

removing a first fluid stream from the target site through an ingress port on the electrosurgical apparatus, at a first flow rate, wherein the first fluid stream comprises fluids in contact with the active electrode;

suctioning a second fluid stream from said target site through a regulator on the apparatus;

wherein the first fluid stream flow is regulated by the second stream flow and bubbles at the target site are removed for improved visualization of the target site during the procedure.

29. The method of claim 28, wherein the regulator and the ingress port are sized such that fluid flow through the ingress port is stabilized during the procedure.

30. The method of claim 28, wherein the active electrode spans the ingress port.

31. The method of claim 28, wherein the active electrode circumscribes the ingress port.

32. The method of claim 28, including removing bubbles engulfing the target site by removing the first fluid stream.

33. The method of claim 28, including exhausting fluid from the apparatus through an aspiration port on the apparatus.

34. The method of claim 28, including connecting the aspiration port to a vacuum system.

35. The method of claim 28, including regulating the first fluid stream by adjusting the size of the opening of the regulator.

36. The method of claim 28, including forming stabilized plasma at the active electrode upon applying the high-frequency voltage potential to the active electrode.

37. The method of claim 28, including directing the plasma to treat the target site during the procedure.

38. The method of claim 28, including applying the high-frequency voltage potential at the active electrode to remove volumetric amounts of tissue at the target site.

39. The method of claim 28, including providing an electrically conductive fluid to the target site.

40. The method of claim 28, wherein the regulator comprises a valve.

41. The method of claim 28, wherein the regulator comprises a plurality of holes into the apparatus.

42. The method of claim 28, wherein the regulator cross-section area is about 0.0030 square inch to about 0.0050 square inch.

43. The method of claim 28, wherein the fluid comprises bubbles, water vapor, electrically conductive fluids, body tissue, and bone fragments.