Electrosurgical instrument and system

• US 8,518,034 B2
• Filed: 02/08/2013
• Issued: 08/27/2013
• Est. Priority Date: 09/30/2008
• Status: Active Grant

• Current Assignee: Gyrus Medical Limited (Olympus Corporation)
• Original Assignee: Gyrus Medical Limited (Olympus Corporation)
• Inventors: Curtis, Richard James, Morris, David Wyn
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): FOWLER, DANIEL WAYNE
• Application Number:
  US13/762,812
• Publication Number:
  US 20130150849A1
• Time in Patent Office: 200 Days
• Field of Search: 606/27, 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 instrument including at least first, second and third electrodes in fixed relationships to each other, the electrodes being 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 instrument having first, second and third connections, the first connection being connected solely to the first electrode, the second connection being connected solely to the second electrode and the third electrode being connected solely to the third electrode, the connections being such that in a first arrangement the first electrode can be placed in circuit with the second electrode such that in use a current path is established between the first and second electrodes, and in a second arrangement the first electrode can be placed in circuit with the third electrode such that in use a current path is established between 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. The electrosurgical instrument according to claim 1, wherein spacing between the first and third electrodes is greater than spacing between the first and second electrodes.

3. The electrosurgical instrument according to claim 1, wherein the area of the first electrode is less than the area of the third electrode.

4. The electrosurgical instrument according to claim 3 wherein the area of the first electrode is less than the area of the second electrode.

5. The electrosurgical instrument according to claim 4 wherein the area of the first electrode and the area of the second electrode are each individually less than the area of the third electrode.

6. The electrosurgical instrument according to claim 1, wherein the third electrode is set back from the first and second electrodes along a longitudinal axis of the electrosurgical instrument relative to a distal end of the instrument.

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

8. The electrosurgical instrument 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 third electrodes, no part of the second electrode lies on the straight line.

9. The electrosurgical instrument 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 the straight line.