Electrosurgical system with uniformly enhanced electric field and minimal collateral damage

• US 7,357,802 B2
• Filed: 02/13/2004
• Issued: 04/15/2008
• Est. Priority Date: 02/14/2003
• Status: Expired due to Term

• Current Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford University)
• Original Assignee: Board of Trustees of the Leland Stanford Junior University (Stanford University)
• Inventors: Vankov, Alexander, Palanker, Daniel V.
• Primary Examiner(s): Gibson; Roy D.
• Assistant Examiner(s): VRETTAKOS, PETER J
• Application Number:
  US10/779,529
• Publication Number:
  US 20040236321A1
• Time in Patent Office: 1,523 Days
• Field of Search: 606 27- 52
• US Class Current: 606/45
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/144 Wire
• CPC Class Codes: H05H 1/48 using an arc H05H1/26 takes precedence
• CPC Class Codes: H05H 2245/32 Surgery, e.g. scalpels, blades or bistoury; Treatments inside the body

Abstract

The present invention is directed towards an electrosurgical cutting system. The system comprises an electrically conductive blade, having first and second blade surfaces. First and second insulators are affixed to the first and second blade surfaces, respectively. A blade edge, a region between the first and second blade surfaces, has an edge radius of curvature, which preferably is small. A source of pulsed electrical energy coupled to the electrically conductive blade provides a substantially uniform and highly enhanced electric field along a cutting portion of the blade edge.

The system can also be comprised of a wire electrode. Despite the fact that its field is strongly enhanced around the apex, a uniform vapor cavity is formed and then ionized using an appropriately designed burst of pulses, preferably of alternating polarity.

Claims

1. An electrosurgical cutting system, comprising:

a) an electrically conductive blade, said blade having a first surface, a second surface opposite said first surface, and an edge where said first and second surfaces meet, said edge having an edge radius of curvature, wherein a predetermined length of said edge is a cutting portion for cutting biological tissue;

b) a first insulator on said first surface;

c) a second insulator on said second surface; and

d) a source of pulsed electrical energy electrically configured to connect to said blade,

wherein said source of pulsed electrical energy is configured to apply a plurality of bursts of pulses separated by a burst interval of greater than about 1 ms during which no pulses are present and wherein the duration of the burst of pulses is 1 ms or less;

wherein said cutting portion has an in-plane radius of curvature that is at least 10 times larger than said edge radius of curvature along the entire length of said cutting portion.

2. The system of claim 1, wherein said edge radius of curvature is less than about 25 microns.

3. The system of claim 2, wherein said edge radius of curvature is less than about 10 microns.

4. The system of claim 3, wherein said edge radius of curvature is less than about 5 microns.

5. The system of claim 4, wherein said edge radius of curvature is less than about 1 micron.

6. The system of claim 1, wherein along said cutting portion said first and second insulators each have a thickness less than said edge radius of curvature.

7. The system of claim 1, wherein along said cutting portion said thickness decreases approximately linearly, within a tapering region, as said first and second surfaces approach said edge thereby to define a blade tapering angle.

8. The system of claim 7, wherein said blade tapering angle is less than 45 degrees.

9. The system of claim 8, wherein said blade tapering angle is less than 30 degrees.

10. The system of claim 9, wherein said blade tapering angle is less than 15 degrees.

11. The system of claim 7, wherein said pulses provided by said source are sufficient to vaporize and ionize a liquid medium present along said cutting portion thereby to form a vapor cavity encompassing said tapering region.

12. The system of claim 7, wherein said pulses provided by said source are sufficient to vaporize and ionize tissue present along said cutting portion thereby to form a vapor cavity encompassing said tapering region.

13. The system of claim 1, wherein said blade comprises Tungsten or Titanium.

14. The system of claim 1, wherein said source of pulsed electrical energy provides pulsed electrical energy with each pulse having opposite electrical polarity to that of the previous pulse.

15. The system of claim 1, wherein said source of pulsed electrical energy provides pulses having a pulse duration between 10 ns and 10 μ

s.

16. The system of claim 1, wherein each of said bursts of pulses has a duration less than 0.1 ms.

17. The system of claim 1, wherein an energy of each pulse is such that a liquid adjacent to said cutting portion prior to application of the burst of pulses is vaporized.

18. The system of claim 17, wherein a total duration of said burst of pulses is between 5 μ

s and 500 μ

s.

19. The system of claim 18, wherein said total duration is between 10 μ

s and 100 μ

s.

20. The system of claim 17, wherein any two time-adjacent pulses in said burst of pulses have opposite electrical polarities.

21. The system of claim 1, wherein:

said cutting portion is at least 50 μ

m long; and

a strength of an electric field caused by said pulsed electrical energy at said cutting portion varies by no more than 50% along the entire length of said cutting portion.

22. The system of claim 1, wherein said pulses from said source have a duration sufficiently long for generation of a streamer and spark discharge, and sufficiently short to avoid generation of a high current arc discharge.

23. The system of claim 1, wherein said blade is configured and wherein pulses from said source have a voltage such that a vapor cavity formed in a liquid medium adjacent said blade does not ionize until said vapor cavity extends to said first and second insulators.

24. The system of claim 1, wherein said blade and said first and second insulators are configured to be etched together during operation, whereby said edge radius of curvature remains substantially unchanged during operation.

25. The system of claim 1, wherein said blade is slidably mounted between said first and second insulators, whereby said blade can be extended to compensate for erosion of said blade during operation.

26. An electrosurgical cutting system, comprising:

an electrically conductive blade having a first surface, a second surface opposite the first surface, and an edge where the first and second surfaces meet, wherein a predetermined length of the edge is a cutting portion for cutting biological tissue;

a first insulated region on said first surface;

a second insulated region on said second surface; and

a source of pulsed electrical energy electrically connected to said blade, wherein said source of pulsed electrical energy is configured to apply a plurality of bursts of pulses separated by a burst interval of greater than about 1 ms during which no pulses are present, and wherein the duration of the burst of pulses is 1 ms or less.

27. The system of claim 26, wherein the source of pulsed electrical energy is further configured to apply a plurality of bursts of pulses wherein the pulses are bi-phasic charge-balanced pulses.

28. The system of claim 26, wherein the source of pulsed electrical energy is further configured to apply a plurality of bursts of pulses wherein the pulses have a pulse duration between about 10 ns and 10 μ

s.

29. The system of claim 26, wherein the source of pulsed electrical energy is further configured to apply a plurality of bursts of pulses wherein the pulses each have a duration between about 0.1 to 5 μ

s.