Bipolar electrosurgical scissors

• US 8,226,649 B2
• Filed: 07/31/2008
• Issued: 07/24/2012
• Est. Priority Date: 07/27/2006
• Status: Active Grant

• Current Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Original Assignee: Applied Medical Resources Corporation (Applied Medical Corporation)
• Inventors: Falkenstein, Zoran, Brown, Blaze, Brustad, John R.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/183,970
• Publication Number:
  US 20090005779A1
• Time in Patent Office: 1,454 Days
• Field of Search: 606/40, 606/41, 606 45- 52
• US Class Current: 606/50
• 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 2018/00083 low, i.e. electrically insulating

Abstract

Bipolar electrosurgical scissors for treating biological tissue include first and second scissor blades. A shearing surface and cutting edge of each blade is electrically neutral. The scissors include a pair of electrical connections for receiving electrical currents of opposing polarities. Each blade includes at least one first electrode and at least one second electrode positioned on a surface opposite the shearing surface. The at least one first electrode on the first blade and the at least one second electrode on the second blade are coupled to the first electrical connection. The at least one second electrode on the first blade and the at least one first electrode on the second blade are coupled to the second electrical connection. In a first energized state, the electrical connections deliver electrical current only to the first electrodes. In a second energized state, the electrical connections deliver electrical current to all of the electrodes.

Claims

1. A bipolar electrosurgical scissors for use in treating biological tissue, comprising:

a first scissor blade including a shearing surface, an opposed surface opposite the shearing surface, and a cutting edge, the shearing surface and cutting edge being electrically neutral;

a second scissor blade pivotally coupled to the first blade, the second blade including a shearing surface, an opposed surface opposite the shearing surface, and a cutting edge, the shearing surface and cutting edge being electrically neutral;

a first electrical connection for receiving an electrical current of a first polarity;

a second electrical connection for receiving an electrical current of a second polarity, the second polarity being opposite the first polarity;

at least one first electrode positioned on the opposed surface of the first scissor blade and coupled to the first electrical connection;

at least one second electrode positioned on the opposed surface of the first scissor blade and coupled to the second electrical connection;

at least one first electrode positioned on the opposed surface of the second scissor blade and coupled to the second electrical connection; and

at least one second electrode positioned on the opposed surface of the second scissor blade and coupled to the first electrical connection,

in a first energized state, the first electrical connection delivers electrical current only to the at least one first electrode on the first scissor blade and the second electrical connection delivers electrical current only to the at least one first electrode on the second scissor blade, and

in a second energized state, the first electrical connection delivers electrical current to the at least one first electrode on the first scissor blade and to the at least one second electrode on the second scissor blade and the second electrical connection delivers electrical current to the at least one second electrode on the first scissor blade and to the at least one first electrode on the second scissor blade.

2. The bipolar electrosurgical scissors of claim 1, wherein the at least one first electrode on the opposed surface of the first scissor blade extends lengthwise along a length of the first scissor blade.

3. The bipolar electrosurgical scissors of claim 1, wherein:

the distance between the at least one first electrode and the at least one second electrode on the opposed surface of the first scissor blade is sufficient to prevent electrical arcing between the electrodes, and small enough to permit simultaneous connection between the tissue and two respective electrodes having opposing polarity; and

the distance between the at least one first electrode and the at least one second electrode on the opposed surface of the second scissor blade is sufficient to prevent electrical arcing between the electrodes, and small enough to permit simultaneous connection between the tissue and two respective electrodes having opposing polarity.

4. The bipolar electrosurgical scissors of claim 1, each of the first and second scissor blades comprising:

an insulating body having a primary surface corresponding with the shearing surface of the blade and a secondary surface corresponding with the opposed surface of the blade;

a shearing layer having a first, shearing surface, a second, opposed surface, and the cutting edge, the opposed surface of the shearing layer being coupled to the primary surface of the insulating body; and

the at least one first electrode and the at least one second electrode being coupled to the secondary surface of the insulating body of each of the first and second scissor blades.

5. The bipolar electrosurgical scissors of claim 4, wherein the first and second electrodes are positioned in an alternating relationship with the first and second electrodes on the second scissor blade corresponding with the first and second electrodes on the first scissor blade.

6. The bipolar electrosurgical scissors of claim 4, wherein a material forming the electrically insulating body of the first and second scissor blades has sufficient dielectric strength to substantially prevent electrical breakdown of the electrically insulating body.

7. The bipolar electrosurgical scissors of claim 1, wherein the first scissor blade further comprises a third electrode positioned adjacent the shearing surface, the third electrode coupled to the first electrical connection, and wherein the shearing surface is formed of an electrically insulating coating;

and

wherein the second scissor blade further comprises a third electrode positioned adjacent the shearing surface, the third electrode coupled to the second electrical connection, and wherein the shearing surface is formed of an electrically insulating coating.

8. A bipolar electrosurgical scissors for use in treating biological tissue, comprising:

a first scissor blade including a shearing surface, an opposed surface opposite the shearing surface, and a cutting edge, the shearing surface and cutting edge of the first scissor blade being electrically neutral; and

a second scissor blade pivotally coupled to the first scissor blade, the second scissor blade including a shearing surface, an opposed surface opposite the shearing surface, and a cutting edge, the shearing surface and cutting edge of the second scissor blade being electrically neutral, the shearing surface of the second scissor blade facing the shearing surface of the first scissor blade and interfacing with the shearing surface of the first scissor blade;

each of the first and second scissor blades including a laminated structure comprising;

a first layer coinciding with the shearing surface and cutting edge of the scissor blade, the first layer including a first surface and a second, opposed surface opposite the first surface, the first surface of the first layer forming the shearing surface of the blade;

a second layer coupled to the second surface of the first layer, the second layer being electrically nonconductive,

a third layer coupled to the second layer on the side opposite the first layer with the second layer completely separating the third layer from the first layer, the third layer being electrically conductive and forming at least one first electrode at exposed portions thereof,

a fourth layer coupled to the third layer on the side opposite the second layer, the fourth layer being electrically nonconductive, and

a fifth layer coupled to the fourth layer on the side opposite the third layer with the fourth layer completely separating the fifth layer from the third layer, the fifth layer being electrically conductive and forming at least one second electrode at exposed portions thereof.

9. The bipolar electrosurgical scissors of claim 8, further comprising:

a first electrical connection for receiving an electrical current of a first polarity; and

a second electrical connection for receiving an electrical current of a second polarity, the second polarity being opposite the first polarity; and

wherein the first electrical connection is coupled to the at least one first electrode on the first scissor blade and to the at least one second electrode on the second scissor blade; and

wherein the second electrical connection is coupled to the at least one second electrode on the first scissor blade and to the at least one first electrode on the second scissor blade.

10. The bipolar electrosurgical scissors of claim 9, wherein in a first energized state, the first electrical connection delivers electrical current only to the at least one first electrode on the first scissor blade and the second electrical connection delivers electrical current only to the at least one first electrode on the second scissor blade;

and

wherein in a second energized state, the first electrical connection delivers electrical current to the at least one first electrode on the first scissor blade and to the at least one second electrode on the second scissor blade and the second electrical connection delivers electrical current to the at least one second electrode on the first scissor blade and to the at least one first electrode on the second scissor blade.

11. The bipolar electrosurgical scissors of claim 9, wherein the first layer of the first scissor blade is electrically neutral, and wherein the first layer of the second scissor blade is electrically neutral.

12. The bipolar electrosurgical scissors of claim 8, further comprising an electrically insulating coating disposed on the first surface of the first layer of each of the first and second scissor blades.

13. The bipolar electrosurgical scissors of claim 12, wherein the first layer of each of the first and second scissor blades is electrically conductive and forms at least one third electrode at exposed portions thereof.

14. The bipolar electrosurgical scissors of claim 13, further comprising a first electrical connection for receiving an electrical current of a first polarity;

and

a second electrical connection for receiving an electrical current of a second polarity, the second polarity being opposite the first polarity; and

wherein the first electrical connection is coupled to the at least one first electrode on the first scissor blade, to the at least one third electrode on the first scissor blade, and to the at least one second electrode on the second scissor blade; and

wherein the second electrical connection is coupled to the at least one second electrode on the first scissor blade, to the at least one first electrode on the second scissor blade, and to the at least one third electrode on the second scissor blade.

15. The bipolar electrosurgical scissors of claim 14, wherein in a first energized state, the first electrical connection delivers electrical current only to the at least one third electrode on the first scissor blade and the second electrical connection delivers electrical current only to the at least one third electrode on the second scissor blade.

16. A bipolar electrosurgical scissors for use in treating biological tissue, comprising:

a first scissor blade having a shearing surface, and an opposed surface opposite the shearing surface, the first scissor blade comprising;

at least one first electrode positioned on the opposed surface; and

at least one second electrode positioned on the opposed surface;

a second scissor blade pivotally coupled to the first scissor blade by a pivot pin, the second scissor blade having a shearing surface and an opposed surface opposite the shearing surface, the second scissor blade comprising;

at least one first electrode positioned on the opposed surface; and

at least one second electrode positioned on the opposed surface; and

wherein in a first energized state, electrical current of a first polarity is delivered only to the at least one first electrode on the first scissor blade and electrical current of a second polarity opposite the first polarity is delivered only to the at least one first electrode on the second scissor blade, and

in a second energized state, electrical current of the first polarity is delivered to the at least one first electrode on the first scissor blade and to the at least one second electrode on the second scissor blade and electrical current of the second polarity is delivered to the at least one second electrode on the first scissor blade and to the at least one first electrode on the second scissor blade.

17. The bipolar electrosurgical scissors of claim 16, wherein the shearing surfaces of the first scissor blade and the second scissor blade are electrically neutral.

18. The bipolar electrosurgical scissors of claim 16, wherein the shearing surfaces of the first scissor blade and the second scissor blade each comprise an electrically insulating coating.

19. The bipolar electrosurgical scissors of claim 16, wherein the first scissor blade is formed of a laminated construction comprising a plurality of layers, and wherein the second scissor blade is formed of a laminated construction comprising a plurality of layers.

20. The bipolar electrosurgical scissors of claim 16, wherein the first scissor blade further comprises an insulating body having a primary surface corresponding with the shearing surface of the blade and a secondary surface corresponding with the opposed surface of the blade.

21. The bipolar electrosurgical scissors of claim 16, wherein the first scissor blade comprises two first electrodes and one second electrode.