Tissue sealing electrosurgery device and methods of sealing tissue

• US 6,613,048 B2
• Filed: 02/07/2002
• Issued: 09/02/2003
• Est. Priority Date: 07/29/1997
• Status: Expired due to Term

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Hoey, Michael F., Mulier, Peter M. J.
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/071,414
• Publication Number:
  US 20020161364A1
• Time in Patent Office: 572 Days
• Field of Search: 606/45, 606/46, 606/49, 606/51, 606/52, 606/170, 606/206, 606/207, 128/898
• US Class Current: 606/49
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

An electrosurgery medical device is enhanced with unique solution-assistance, and includes, in combination, co-operating device jaws including jaw portions for manipulating tissue, and a plurality of solution infusion openings defined and spaced along each of the jaw portions, for receiving electrolytic solution and infusing the solution onto and into tissue to be manipulated, along said jaw portions. As preferred, the device further includes at least one, and most preferably, many, longitudinal groove(s) along at least one and most preferably, both, of the jaw portions, with the solution infusion openings located in the groove or grooves. The solution is energized with RF energy and contributes to the functions and beneficial effects of the instrument. The solution exits the openings in the grooves at sufficient flow rates to separate substantially all the operative surfaces of the device from tissue, thereby substantially completely preventing adherence between the operative surfaces and tissue. The solution is further energized to a range of energy densities such that tissues to be affected are sealed against flow of blood, lymphatic fluids, air, and other bodily fluids and gases.

Claims

1. An electrosurgical device for ablating tissue, the device comprising:

a jaw comprising a first jaw arm and a second jaw arm, the first and second jaw arms each having a portion on an inner face for engaging tissue;

an elongated, hollow tube on the inner face of at least one of the first jaw arm and the second jaw arm;

the tube extending along a portion of the jaw arm and at least partially recessed within a portion of the jaw arm, the tube having a plurality of infusion openings positioned along the length of tube, the plurality of infusion openings in fluid communication with a source of an electrically conductive liquid; and

an electrical conductor for conducting electrical energy to the tube.

2. An electrosurgical device as in claim 1 wherein the infusion openings are positioned in a groove in the inner face of the jaw arm.

3. An electrosurgical device as in claim 1 wherein the infusion openings are micropores.

4. An electrosurgical device as in claim 1 wherein the infusion openings have diameters in a range from about 0.002 to about 0.006 inches.

5. An electrosurgical device as in claim 1 wherein the hollow tube comprises a conductive material.

6. An electrosurgical device as in claim 5 wherein the conductive material is metal.

7. An electrosurgical device as in claim 6 wherein the metal is stainless steel.

8. An electrosurgical device as in claim 1 wherein the hollow tube is recessed within an electrically insulative portion of the jaw arm.

9. An electrosurgical device as in claim 1 wherein the inner face of the jaw arm includes one or more grooves.

10. An electrosurgical device as in claim 1 wherein the tube is curved.

11. An electrosurgical device as in claim 1 further comprising a handle and a mechanism connected to the handle and to the first and second jaw arms, whereby the movement of the first jaw arm in relationship to the second jaw arm may be manipulated from the handle.

12. An electrosurgical device as in claim 11 further comprising a shaft extending from the handle to the first and second jaw arms, the shaft and jaws arms being elongated to permit endoscopic use of the device.

13. An electrosurgical device as in claim 1 further comprising a pivot for pivoting movement of the first and second jaw arms towards each other and away from each other.

14. An electrosurgical device as in claim 1 further comprising means for moving the first and second jaw arms in a parallel spaced relationship.

15. An electrosurgical device as in claim 1 further comprising means for substantially uniformly compressing tissue by the portions for engaging tissue.

16. An electrosurgical device as in claim 1 wherein both of jaw arms are curved to correspond to a contour of the tissue to be ablated.

17. An electrosurgical device as in claim 1 wherein the curved portion has a circular contour.

18. An electrosurgical device as in claim 1 wherein at least one portion for engaging tissue comprises a porous surface.

19. An electrosurgical system for ablating tissue, the system comprising:

a forceps, the forceps having a first jaw arm and a second jaw arm, each jaw arm including an elongated, hollow tube on the inner face of the jaw arm;

the tube extending along a portion of the jaw arm and at least partially recessed within a portion of the jaw arm, the tube having a plurality of infusion openings positioned along the length of tube, and at least one electrical conductor;

an electrically conductive liquid source in fluid communication with the plurality of openings; and

an electrical energy source for supplying electrical energy to the electrical conductor.

20. An electrosurgical system as in claim 19 wherein the infusion openings are positioned in a groove in the inner face of the jaw arm.

21. An electrosurgical system as in claim 19 wherein the infusion openings are micropores.

22. An electrosurgical system as in claim 19 wherein the infusion openings have diameters in a range from about 0.002 to about 0.006 inches.

23. An electrosurgical system as in claim 19 wherein the hollow tube comprises metal.

24. An electrosurgical system as in claim 23 wherein the hollow tube comprises stainless steel.

25. An electrosurgical device as in claim 19 wherein the hollow tube is recessed within an electrically insulative portion of the jaw arm.

26. An electrosurgical device as in claim 19 wherein the inner face of the jaw arm includes one or more grooves.

27. An electrosurgical device as in claim 19 wherein the tube is curved.

28. An electrosurgical system as in claim 19 wherein the electrically conductive liquid is saline solution.

29. An electrosurgical system as in claim 19 wherein the electrically conductive liquid source supplies electrically conductive liquid at a rate in a range of about 0.01 to about 100 cc/mm.

30. An electrosurgical system as in claim 19 wherein the electrical energy source supplies electrical energy at a power in a range of about 1 to about 200 watts.

31. An electrosurgical system as in claim 19 wherein the electrically conductive liquid source comprises a reservoir.

32. An electrosurgical system as in claim 31 wherein the reservoir is an IV bag.

33. An electrosurgical system as in claim 19 wherein the electrical energy source is a RF generator.

34. An electrosurgical device as in claim 33 wherein the RF generator provides RF energy having a sine wave waveform.

35. An electrosurgical device as in claim 34 wherein the sine wave waveform has a frequency of about 500 kHz.

36. A method of ablating tissue using an electrosurgical system, the method comprising:

providing an electrosurgical forceps, the forceps having a first jaw arm and a second jaw arm, each jaw arm including an elongated, hollow tube on the inner face of the jaw arm;

the tube extending along a portion of the jaw arm and at least partially recessed within a portion of the jaw arm, the tube having a plurality of infusion openings positioned along the length of tube;

grasping an area of tissue using the electrosurgical forceps;

supplying an electrically conductive fluid from an electrically conductive solution source to the plurality of infusion openings; and

supplying electrical energy from an electrical energy source to the electrical conductor.

37. A method as in claim 36 wherein the supplied electrically conductive liquid is saline solution.

38. A method as in claim 36 wherein the electrically conductive liquid is supplied at a rate in a range of about 0.01 to about 100 cc/mm.

39. A method as in claim 36 wherein the electrical energy is supplied at a power in a range of about 1 to about 200 watts.

40. A method as in claim 36 wherein the electrically conductive liquid is supplied from a reservoir.

41. A method as in claim 36 wherein the reservoir is an IV bag.

42. A method as in claim 36 wherein the electrically conductive liquid is supplied at a rate in a range of about 0.01 to about 100 cc/mm while the electrical energy is supplied at a power in a range of about 1 to about 200 watts.

43. A method as in claim 42 wherein the electrically conductive liquid is supplied at a rate in a range of about 2 to 8 cc/mm while the electrical energy is supplied at a power in a range of about 20 to 40 watts.

44. A method as in claim 36 wherein the electrical energy source is a RF generator.

45. An electrosurgical device as in claim 44 wherein the RF generator provides RF energy having a sine wave waveform.

46. An electrosurgical device as in claim 45 wherein the sine wave waveform has a frequency of about 500 kHz.