Fluid-assisted medical devices, systems and methods

• US 8,083,736 B2
• Filed: 09/05/2002
• Issued: 12/27/2011
• Est. Priority Date: 03/06/2000
• Status: Active Grant

• Current Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Original Assignee: Salient Surgical Technologies Incorporated (Medtronic Plc)
• Inventors: McClurken, Michael E., Oyola, Arnold E., Wilson, Jonathan E., Maurer, Christopher W., Luzzi, Robert, Greeley, Roger D.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US10/488,801
• Publication Number:
  US 20050090816A1
• Time in Patent Office: 3,400 Days
• Field of Search: 606/41, 606/42, 606 45- 50, 607101-105
• US Class Current: 606/41
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/00065 porous
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00744 Fluid flow
• CPC Class Codes: A61B 2018/00779 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00809 measured thermochromatically
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 : Blade
• CPC Class Codes: A61B 2018/1417 : Ball
• CPC Class Codes: A61B 2018/1422 : Hook
• CPC Class Codes: A61B 2018/1455 : having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1861 : with an instrument inserted into a body lumen or cavity, e.g. a catheter
• CPC Class Codes: A61B 2218/002 : Irrigation

Abstract

An electrosurgical device is provided which comprises a distal portion having a bipolar electrode configuration and at least one fluid outlet opening. The device further includes a first electrode tip spaced from a second electrode tip with the first electrode tip to serve as a first pole of the bipolar electrode configuration and the second electrode tip to serve as a second pole of the bipolar electrode configuration. The first and second electrode tips are configured to slide over a tissue surface in the presence of a fluid provided from the fluid outlet opening and an electrical current provided from the electrode tips.

Claims

1. A bipolar electrosurgical device comprising:

a handle;

at least one rigid shaft extending from the handle, the rigid shaft having a distal end;

a first electrode tip spaced from a second electrode tip, the first electrode tip to serve as a first pole of a bipolar electrode configuration and the second electrode tip to serve as a second pole of the bipolar electrode configuration, the first electrode tip and the second electrode tip adjacent the distal end of the shaft and the first and the second electrode tips connected with first and second bipolar connectors, respectively, connectable to a bipolar power output of a generator to generate an electrical current flow between the electrode tips;

at least one fluid delivery passage;

each of the first electrode tip and the second electrode tip comprising an electrically conductive material having a porous structure; and

the porous structure of the first electrode tip and the second electrode tip in fluid communication with the at least one fluid delivery passage.

2. The device according to claim 1 wherein:

the first electrode tip and the second electrode tip are substantially parallel.

3. The device according to claim 1 wherein:

the first electrode tip and the second electrode tip are substantially the same shape.

4. The device according to claim 1 wherein:

the first electrode tip and the second electrode tip are substantially mirror images of each other.

5. The device according to claim 1 wherein:

the first electrode tip comprises a spherical distal end surface; and

the second electrode tip comprises a spherical distal end surface.

6. The device according to claim 5 wherein:

the first electrode tip spherical distal end surface comprises a spherical surface less than 180 degrees; and

the second electrode tip spherical distal end surface comprises a spherical surface less than 180 degrees.

7. The device according to claim 5 wherein:

the first electrode tip spherical distal end surface comprises a spherical surface of about 180 degrees; and

the second electrode tip spherical distal end surface comprises a spherical surface of about 180 degrees.

8. The device according to claim 5 wherein:

the first electrode tip spherical distal end surface is provided by an exposed surface portion of a first electrically conductive ball; and

the second electrode tip spherical distal end surface is provided by an exposed surface portion of a second electrically conductive ball.

9. The device according to claim 5 wherein:

the first electrode tip comprises a cylindrical surface; and

the second electrode tip comprises a cylindrical surface.

10. The device according to claim 9 wherein:

the first electrode tip cylindrical surface is located proximally adjacent to the first electrode tip spherical distal end surface; and

the second electrode tip cylindrical surface is located proximally adjacent to the second electrode tip spherical distal end surface.

11. The device according to claim 1 wherein:

the first electrode tip comprises a domed distal end surface; and

the second electrode tip comprises a domed distal end surface.

12. The device according to claim 1 further comprising:

a valve assembly to at least partially open and at least partially close the at least one fluid passage.

13. The device according to claim 12 wherein:

the at least one fluid passage is within a plastic tubing; and

the valve assembly comprises a roller clamp assembly, the roller clamp assembly having a wheel configured to roll along the plastic tubing to at least partially open and at least partially close the fluid passage.

14. The device according to claim 12 wherein:

the at least one fluid passage is within a plastic tubing; and

the valve assembly is configured to move in a first direction and a second direction, the first direction to compress the plastic tubing to at least partially close the fluid passage and a second direction to decompress the plastic tubing to at least partially open the fluid passage.

15. The device according to claim 12 wherein:

the at least one fluid passage is within a plastic tubing; and

the valve assembly comprises a mechanism configured to at least one of compress and pinch the plastic tubing to at least partially close the fluid passage.

16. The device according to claim 1 further comprising:

a switch assembly to control power, the switch assembly having on and off positions;

a valve assembly to at least partially open and at least partially close the at least one fluid passage, the valve having on and off positions; and

a mechanism which prevents the switch assembly from being in the on position while the valve assembly is in the off position.

17. The device according to claim 1 wherein:

the electrically conductive material of each electrode tip comprises metal.

18. The device according to claim 17 wherein:

the metal of each electrode tip comprises porous metal.

19. The device according to claim 17 wherein:

the metal of each electrode tip comprises a plurality of bonded metal particles.

20. The device according to claim 17 wherein:

the metal of each electrode tip comprises sintered metal.

21. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises pores having a pore size in a range of 2.5 micrometers to 500 micrometers.

22. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises pores having a pore size in a range of 10 micrometers to 120 micrometers.

23. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises pores having a pore size in a range of 20 micrometers to 80 micrometers.

24. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises a plurality of tortuous pathways.

25. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises a plurality of interconnected tortuous pathways.

26. The device according to claim 1 wherein:

the porous structure of each electrode tip comprises a porous surface.

27. The device according to claim 1 wherein:

the porous structure of each electrode tip is hydrophilic.

28. The device according to claim 1 wherein:

the at least one fluid delivery passage comprises a first fluid delivery passage and a second fluid delivery passage;

the porous structure of the first electrode in fluid communication with the first fluid delivery passage; and

a porous structure of the second electrode in fluid communication with the second fluid delivery passage.

29. The device according to claim 1 wherein:

the at least one fluid delivery passage is at least partially defined by a first lumen and a second lumen; and

the porous structure of the first electrode tip is in fluid communication with the first lumen and the porous structure of the second electrode tip is in fluid communication with the second lumen.

30. A bipolar electrosurgical device comprising:

a handle;

at least one rigid shaft extending from the handle;

at least one fluid delivery passage;

a plurality of electrodes adjacent a distal end of the shaft, the plurality of electrodes comprising a first electrode and a second electrode in a bipolar electrode configuration and connected with first and second bipolar connectors, respectively, connectable to a bipolar power output of a generator to generate an electrical current flow between the electrodes; and

each of the first electrode and the second electrode comprising an electrically conductive material having a porous structure in fluid communication with the at least one fluid delivery passage.

31. The device according to claim 30 wherein:

the electrically conductive material of each electrode comprises metal.

32. The device according to claim 31 wherein:

the metal of each electrode comprises porous metal.

33. The device according to claim 31 wherein:

the metal of each electrode comprises a plurality of bonded metal particles.

34. The device according to claim 31 wherein:

the metal of each electrode comprises sintered metal.

35. The device according to claim 30 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 2.5 micrometers to 500 micrometers.

36. The device according to claim 30 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 10 micrometers to 120 micrometers.

37. The device according to claim 30 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 20 micrometers to 80 micrometers.

38. The device according to claim 30 wherein:

the porous structure of each electrode comprises a plurality of tortuous pathways.

39. The device according to claim 30 wherein:

the porous structure of each electrode comprises a plurality of interconnected tortuous pathways.

40. The device according to claim 30 wherein:

the porous structure of each electrode comprises a porous surface.

41. The device according to claim 30 wherein:

the porous structure of each electrode is hydrophilic.

42. The device according to claim 30 wherein:

the at least one fluid delivery passage comprises a first fluid delivery passage and a second fluid delivery passage;

the porous structure of the first electrode in fluid communication with the first fluid delivery passage; and

a porous structure of the second electrode in fluid communication with the second fluid delivery passage.

43. The device according to claim 30 wherein:

the first electrode and the second electrodes are separated at a distance in a range of about 0.5 mm to 10 mm.

44. The device according to claim 30 wherein:

the first electrode and the second electrodes are separated at a distance in a range of about 1.5 mm to 4 mm.

45. The device according to claim 30 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are located at distal end of the device.

46. The device according to claim 30 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are flush.

47. The device according to claim 30 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are substantially flush.

48. The device according to claim 30 wherein:

an electrically insulative material is located between the two electrodes.

49. The device according to claim 48 wherein:

the electrically insulative material has a thickness of 0.01 mm to 0.5 mm.

50. The device according to claim 48 wherein:

the electrically insulative material has a thickness of about 0.5 mm to 10 mm.

51. The device according to claim 30 wherein

the first electrode and the second electrode are separated by a spacer.

52. The device according to claim 30 further comprising:

a valve assembly to at least partially open and at least partially close the at least one fluid passage.

53. The device according to claim 30 wherein:

the at least one fluid delivery passage is at least partially defined by a first lumen and a second lumen; and

the porous structure of the first electrode tip is in fluid communication with the first lumen and the porous structure of the second electrode tip is in fluid communication with the second lumen.

54. An electrosurgical system comprising:

an electrosurgical generator having a bipolar power output; and

a bipolar electrosurgical device configured to be connected to the electrosurgical generator, the bipolar electrosurgical device comprising;

a handle;

at least one rigid shaft extending from the handle;

at least one fluid delivery passage;

a plurality of electrodes adjacent a distal end of the shaft, the plurality of electrodes comprising a first electrode and a second electrode in a bipolar electrode configuration; and

each of the first electrode and the second electrode comprising an electrically conductive material having a porous structure in fluid communication with the at least one fluid delivery passage.

55. The device according to claim 54 wherein:

the electrically conductive material of each electrode comprises metal.

56. The device according to claim 55 wherein:

the metal of each electrode comprises porous metal.

57. The device according to claim 55 wherein:

the metal of each electrode comprises a plurality of bonded metal particles.

58. The device according to claim 55 wherein:

the metal of each electrode comprises sintered metal.

59. The device according to claim 54 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 2.5 micrometers to 500 micrometers.

60. The device according to claim 54 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 10 micrometers to 120 micrometers.

61. The device according to claim 54 wherein:

the porous structure of each electrode comprises pores having a pore size in a range of 20 micrometers to 80 micrometers.

62. The device according to claim 54 wherein:

the porous structure of each electrode comprises a plurality of tortuous pathways.

63. The device according to claim 54 wherein:

the porous structure of each electrode comprises a plurality of interconnected tortuous pathways.

64. The device according to claim 54 wherein:

the porous structure of each electrode comprises a porous surface.

65. The device according to claim 54 wherein:

the porous structure of each electrode is hydrophilic.

66. The device according to claim 54 wherein:

the at least one fluid delivery passage comprises a first fluid delivery passage and a second fluid delivery passage;

the porous structure of the first electrode in fluid communication with the first fluid delivery passage; and

a porous structure of the second electrode in fluid communication with the second fluid delivery passage.

67. The device according to claim 54 wherein:

the first electrode and the second electrodes are separated at a distance in a range of about 0.5 mm to 10 mm.

68. The device according to claim 54 wherein:

the first electrode and the second electrodes are separated at a distance in a range of about 1.5 mm to 4 mm.

69. The device according to claim 54 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are located at distal end of the device.

70. The device according to claim 54 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are flush.

71. The device according to claim 54 wherein:

the first electrode has a first electrode surface and the second electrode has a second electrode surface; and

the first electrode surface and the second electrode surface are substantially flush.

72. The device according to claim 54 wherein:

an electrically insulative material is located between the two electrodes.

73. The device according to claim 72 wherein:

the electrically insulative material has a thickness of 0.01 mm to 0.5 mm.

74. The device according to claim 72 wherein:

the electrically insulative material has a thickness of about 0.5 mm to 10 mm.

75. The device according to claim 54 wherein:

the first electrode and the second electrode are separated by a spacer.

76. The device according to claim 54 further comprising:

a valve assembly to at least partially open and at least partially close the at least one fluid passage.

77. The device according to claim 54 wherein:

the at least one fluid delivery passage is at least partially defined by a first lumen and a second lumen; and

the porous structure of the first electrode tip is in fluid communication with the first lumen and the porous structure of the second electrode tip is in fluid communication with the second lumen.