Electrosurgical instrument and system

• US 8,394,089 B2
• Filed: 01/31/2011
• Issued: 03/12/2013
• Est. Priority Date: 09/30/2008
• Status: Active Grant

• Current Assignee: Gyrus Medical Limited (Olympus Corporation)
• Original Assignee: Gyrus Medical Limited (Olympus Corporation)
• Inventors: Morris, David Wyn, Curtis, Richard James
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US13/017,434
• Publication Number:
  US 20110190757A1
• Time in Patent Office: 771 Days
• Field of Search: 606/34, 606/41
• US Class Current: 606/37
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/162 located on the probe body

Abstract

An electrosurgical system includes an electrosurgical instrument and an electrosurgical generator, the instrument having a longitudinal axis and including at least first, second and third electrodes. The electrodes are spaced from each other by one or more insulating members therebetween, the spacing between the first and third electrodes being greater than that between the first and second electrodes. The electrosurgical generator includes a source of radio frequency energy capable of producing either a coagulating RF waveform or a cutting RF waveform and has first second and third output connections connected to the first, second and third electrodes respectively of the electrosurgical instrument. The generator further includes a switching means, and a controller, the controller being such that when a cutting RF waveform is selected, the switching means directs the cutting RF waveform between the first and second output connections and hence the first and second electrodes. When a coagulating RF waveform is selected, the switching means directs the coagulating RF waveform between the first and third output connections and hence the first and third electrodes.

Claims

1. An electrosurgical system including:

an electrosurgical instrument and an electrosurgical generator,

the electrosurgical instrument including at least first, second and third electrodes in fixed relationship to each other, each spaced from each other by insulating members therebetween,

the first electrode having a characteristic such that it is adapted to constitute an active electrode,

the second electrode having a characteristic such that it is adapted to constitute a first return electrode, and

the third electrode having a characteristic such that it is adapted to constitute a second return electrode,

the electrosurgical generator including a source of radio frequency energy and first second and third output connections connected to the first, second and third electrodes, respectively, of the electrosurgical instrument,

a switching circuit, and

a controller, the controller being able to control the switching circuit so as to selectively direct the radio frequency energy to either the first and second output connections, and hence, the first and second electrodes, or to the first and third output connections, and hence, the first and third electrodes,

the first, second and third electrodes being arranged, such that the third electrode is not in the current path between the first and second electrodes when the first and second electrodes are in use, and the second electrode is not in the current path between the first and third electrodes when the first and third electrodes are in use.

2. An electrosurgical system according to claim 1, wherein the spacing between the first and third electrodes is greater than that between the first and second electrodes.

3. An electrosurgical system according to claim 1, wherein the area of the first electrode is less than that of the third electrode.

4. An electrosurgical system according to claim 3 wherein the area of the first electrode is less than that of the second electrode.

5. An electrosurgical system according to claim 4 wherein an area of the first electrode and an area of the second electrodes are each individually less than an area of the third electrode.

6. An electrosurgical system according to claim 1, wherein the third electrode is axially set back with respect to the first and second electrodes along the longitudinal axis of the electrosurgical instrument.

7. An electrosurgical instrument according to claim 1, wherein the second electrode comprises a cowl wrapped around the distal end of the instrument.

8. An electrosurgical system according to claim 1, wherein the electrosurgical generator includes a source of radio frequency energy capable of producing either a coagulating RF waveform or a cutting RF waveform, the system further including a switch, and a switching circuit activated by the switch, the switching circuit being such that when a cutting RF waveform is selected, the switching circuit directs the cutting RF waveform between the first and second output connections, and hence, the first and second electrodes, and when a coagulating RF waveform is selected, the switching circuit directs the coagulating RF waveform between the first and third output connections, and hence, the first and third electrodes.

9. An electrosurgical system according to claim 1, wherein the first, second and third electrodes are arranged, such that if a straight line is drawn representing the shortest distance between the first and second electrodes, no part of the third electrode lies on that straight line, and if a straight line is drawn representing the shortest distance between the first and third electrodes, no part of the second electrode lies on that straight line.