Electrosurgical electrode

• US 5,080,660 A
• Filed: 05/11/1990
• Issued: 01/14/1992
• Est. Priority Date: 05/11/1990
• Status: Expired due to Term

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Urology, Inc.
• Inventors: Buelna, Terrence J.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/522,254
• Time in Patent Office: 613 Days
• Field of Search: 606/41, 606/42, 606/45-50
• US Class Current: 606/45
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/149 bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00505 Urinary tract
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/1213 creating an arc
• CPC Class Codes: A61B 2018/1412 Blade

Abstract

In accordance with an embodiment of the present invention an improvement is set forth in an electrosurgical electrode having a conductor from which a radio frequency electrical signal is generated, which signal sparks to and performs a surgical procedure upon the tissue adjacent the conductor and is received by a receiver. The improvement comprises a dielectric sheath surrounding the conductor in the region where the surgical procedure is being performed, the sheath having a slit extending longitudinally along it in the region exposing only a portion of the lateral surface of the conductor.

Claims

1. In an electrosurgical electrode having an electrical conductor with a lateral surface and a longitudinal axis, the conductor being responsive to an electrical signal to direct a current to and perform a surgical function upon body tissue of a patient, an improvement comprising:

a dielectric sheath surrounding said conductor and in surface contact with said conductor along the longitudinal axis, portions of the sheath defining a slit and limiting exposure of the lateral surface of the conductor to a particular area within the slit.

2. An electrosurgical electrode as set forth in claim 1, wherein said sheath includes a coating of dielectric material in contact with the lateral surface of the conductor.

3. An electrosurgical electrode as set forth in claim 2, wherein the dielectric material has characteristics providing the coating with a non-stick surface to minimize adhesion of the tissue to the electrode.

4. An electrosurgical electrode as set forth in claim 1, wherein said slit is coextensive with the particular area.

5. An electrosurgical electrode as set forth in claim 1, wherein said slit extends beyond said particular area and the electrode further comprises:

an insulating sleeve disposed about said sheath in position to restrict the size of the particular area exposed through the slit and the sheath.

6. An electrosurgical electrode as set forth in claim 5, wherein the particular area has a length and a width and said insulating sleeve is slidable about the sheath to allow adjustment of the length of the particular area of the conductor.

7. An electrosurgical electrode as set forth in claim 1, wherein said slit is defined longitudinally along the sheath.

8. In an electrosurgical electrode having an electrical conductor with a lateral surface and a longitudinal axis, the conductor transmitting a radio frequency electrical signal which sparks to and performs a surgical function upon body tissue of a patient and is received by a receiver which is in conductive contact with the patient, an improvement comprising:

a dielectric sheath surrounding said conductor along the longitudinal axis in a region where the surgical function is to be performed, the sheath having a slit extending therealong and exposing only a portion of the lateral surface of the conductor; and

an insulating sleeve disposed about said sheath in position to restrict the area of the conductor exposed through the sheath.

9. An electrosurgical electrode as set forth in claim 8 wherein said insulating sleeve is slidable on said sheath to adjust the exposure of the lateral surface of the conductor.

10. In an electrosurgical electrode having an electrical conductor with a lateral surface and a longitudinal axis, the conductor transmitting a radio frequency electrical signal which sparks to and performs a surgical function upon body tissue of a patient and is received by a receiver which is in conductive contact with the patient, an improvement comprising:

a dielectric sheath surrounding said conductor along the longitudinal axis in a region where the surgical function is to be performed, the sheath having a slit extending therealong and exposing only a portion of the lateral surface of the conductor; and

an insulating sleeve disposed about and movable on said sheath and having a longitudinal window extending therethrough said insulating sleeve providing an aperture defined by at least portion of said window and by at least an area of said slit for selectively exposing a desired area of the conductor.

11. An electrosurgical device adapted to be disposed in proximity to tissue of a patient and to introduce to the tissue an electrical signal for performing a surgical function on the tissue, the intensity of the surgical function being dependent upon the current density of the electrical signal passing through the tissue, the device including:

a supporting shaft;

a conductor carried by the shaft and extending along a longitudinal axis, the conductor having a lateral surface;

means slidable on and in surface contact with the conductor for adjusting the density of the current being introduced from the conductor to the tissue in order to selectively control the intensity of the surgical function being performed on the tissue;

a sheath included in the adjusting means and surrounding the conductor in proximity to the tissue; and

portions of the sheath defining a slit extending through the sheath and exposing at least a limited area of the lateral surface of the conductor, the size of the limited area being inversely proportional to the density of the current being introduced by the conductor to the tissue.

12. The device recited in claim 11 wherein the portions of the sheath defining the slit extend longitudinally of the axis of the conductor and define the entire limited area of the conductor.

13. The device recited in claim 11 further comprising:

a sleeve disposed in movable relationship with the sheath;

portions of the sleeve defining a window extending over the slit, the sleeve portions at least partially covering the slit;

whereby

the exposed limited area of the conductor is defined by both the portions of the sheath and the portions of the sleeve.

14. The device recited in claim 13 wherein the sleeve is slidable relative to the sheath to vary the size of the exposed limited area of the conductor.

15. The device recited in claim 13 wherein the sleeve is rotatable relative to the sheath to vary the size of the exposed limited area of the conductor.

16. The apparatus recited in claim 11 wherein:

the supporting shaft extends between a proximal end and a distal end of the device;

the conductor is bent from the shaft so that the longitudinal axis of the conductor is transverse to the shaft; and

the shaft is disposed so that the portions of the sheath defining the slit are disposed in a facing relationship with the proximal end of the shaft.

17. An electrosurgical device adapted to be disposed in proximity to tissue of a patient and to introduce to the tissue an electrical signal for performing a surgical function on the tissue, the intensity of the surgical function being dependent upon the current density of the electrical signal passing through the tissue, the device including:

a supporting shaft;

a conductor carried by the shaft and extending along a longitudinal axis, the conductor having a lateral surface;

means slidable on and in surface contact with the conductor for adjusting the density of the current being introduced from the conductor to the tissue in order to selectively control the intensity of the surgical function being performed on the tissue; and

means disposed between the shaft and the conductor for moving the conductor radially of the shaft into proximity to the tissue.

18. The device recited in claim 17 wherein the moving means comprises a balloon having an cuter surface disposed in contact with the conductor, the balloon being inflatable to move the conductor radially outwardly of the shaft.

19. An electrosurgical electrode having a limited exposed area and being adapted to introduce an electrical signal to and perform a surgical function on, the tissue of a patient, the intensity of the surgical function being dependent on the size of the limited exposure area, the electrode comprising;

a conductor having an elongate configuration and an cuter surface;

insulating means disposed on the cuter surface of the conductor for inhibiting passage of the electrical signal from the conductor to the tissue;

portions of the insulating means defining a slit having a size at least as large as the limited exposed area;

whereby

the size of the slit controls the intensity of the electrical signal passing from the limited exposed area of the conductor to the tissue to perform the surgical function.

20. The electrode recited in claim 19 wherein:

the conductor includes a blade having at least two major surfaces and a lateral surface extending around the blade between the two major surfaces;

the insulating means includes a coating disposed on each of the major surfaces of the blade; and

the slit being defined to expose at least a portion of the lateral surface of the blade.

21. The electrosurgical electrode recited in claim 19 wherein the conductor is an active conductor in a bi-polar electrode, and the electrosurgical electrode further comprises:

a return conductor disposed in juxtaposition to the active electrode; and

the insulating means is disposed on the active electrode with the portions of the insulating means defining the slit in facing relationship with the return conductor.