SURGICAL INSTRUMENT COMPRISING AN ELECTRODE

• US 20110152858A1
• Filed: 12/18/2009
• Published: 06/23/2011
• Est. Priority Date: 12/18/2009
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L., Plescia, David N.
• Granted Patent: US 8,506,564 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61N 1/327 for enhancing the absorption properties of tissue, e.g. by electroporation

Abstract

A surgical instrument can comprise two positive electrodes positioned along a first line, and two negative electrodes positioned along a second line, wherein the first line can be perpendicular to the second line. The positive electrodes can be positioned further away from a central axis than the negative electrodes in order to expand the voltage field created by the electrodes. In various embodiments, a surgical instrument can comprise a first array of electrodes positioned along a first line and a second array of electrodes positioned along a second line. In at least one embodiment, the first array of electrodes can comprise both positive and negative electrodes, and, in addition, the second array of electrodes can comprise both positive and negative electrodes.

Claims

1. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first conductor configured to be operably coupled with a positive terminal of a voltage source;

a second conductor, wherein said first conductor is electrically insulated from said second conductor;

a first electrode operably coupled with said first conductor, said first electrode comprising;

an elongate portion defined along a first axis; and

a distal end configured to contact the tissue;

a second electrode operably coupled with said first conductor, said second electrode comprising;

an elongate portion defined along a second axis; and

a distal end configured to contact the tissue;

a third electrode operably coupled with said second conductor, said third electrode comprising;

an elongate portion defined along a third axis; and

a distal end configured to contact the tissue;

a fourth electrode operable coupled with said second conductor, said fourth electrode comprising;

an elongate portion defined along a fourth axis; and

a distal end configured to contact the tissue, wherein said first electrode and said second electrode are positioned along a first line, wherein said third electrode and said fourth electrode are positioned along a second line, and wherein said first line intersects said second line; and

a shaft, wherein said shaft defines a central axis, and wherein said first electrode and said second electrode are positioned closer to said central axis than said third electrode and said fourth electrode.

2. The surgical instrument of claim 1, wherein said first line is perpendicular to said second line.

3. The surgical instrument of claim 1, wherein the distance between said first electrode and said electrode is less that the distance between said third electrode and said fourth electrode.

4. The surgical instrument of claim 1, wherein a first distance between said first axis and said central axis is equal to a second distance between said second axis and said central axis.

5. The surgical instrument of claim 4, wherein a third distance between said third axis and said central axis is equal to a fourth distance between said fourth axis and said central axis.

6. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first conductor configured to be operably coupled with a positive terminal of a voltage source;

a second conductor, wherein said first conductor is electrically insulated from said second conductor;

a first electrode operably coupled with said first conductor, said first electrode comprising;

an elongate portion defined along a first axis; and

a distal end configured to contact the tissue;

a second electrode operably coupled with said first conductor, said second electrode comprising;

an elongate portion defined along a second axis; and

a distal end configured to contact the tissue;

a third electrode operably coupled with said second conductor, said third electrode comprising;

an elongate portion defined along a third axis; and

a distal end configured to contact the tissue;

a fourth electrode operable coupled with said second conductor, said fourth electrode comprising;

an elongate portion defined along a fourth axis; and

a distal end configured to contact the tissue, wherein said first electrode and said second electrode are positioned along a line, wherein said third electrode is positioned on a first side of said line, wherein said fourth electrode is positioned on a second side of said line, and wherein the distance between said first electrode and said second electrode is less than the distance between said third electrode and said fourth electrode.

7. The surgical instrument of claim 6, further comprising a shaft, wherein said shaft defines a central axis, and wherein said first electrode and said second electrode are positioned closer to said central axis than said third electrode and said fourth electrode.

8. The surgical instrument of claim 6, further comprising a shaft, wherein said shaft defines a central axis, and wherein said first axis and said second axis are positioned closer to said central axis than said third axis and said fourth axis.

9. The surgical instrument of claim 8, wherein a first distance between said first axis and said central axis is equal to a second distance between said second axis and said central axis.

10. The surgical instrument of claim 9, wherein a third distance between said third axis and said central axis is equal to a fourth distance between said fourth axis and said central axis.

11. The surgical instrument of claim 6, wherein said third electrode and said fourth electrode are positioned on a second line, and wherein said first line is perpendicular to said second line.

12. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first conductor configured to be operably coupled with a positive terminal of a voltage source;

a first array of electrodes, said first array comprising;

a first positive electrode operably coupled to said first conductor;

a first negative electrode operably positioned on a side of said first positive electrode; and

a second negative electrode positioned on an opposite side of said first positive electrode, wherein said first and second negative electrodes are operably coupled to a return conductor; and

a second array of electrodes, said second array comprising;

a third negative electrode operably coupled to said return conductor;

a second positive electrode positioned on a side of said third negative electrode; and

a third positive electrode positioned on an opposite side of said third negative electrode, wherein said second and third positive electrodes are operably coupled to said first conductor.

13. The surgical instrument of claim 12, wherein the electrodes of said first array are positioned along a first line, wherein the electrodes of said second array are positioned along a second line, and wherein said first line is parallel to said second line.