Surgical instrument comprising an electrode

• US 9,005,198 B2
• Filed: 01/29/2010
• Issued: 04/14/2015
• Est. Priority Date: 01/29/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L., Dannaher, William D., Plescia, David N., Vakharia, Omar J.
• Primary Examiner(s): EISEMAN, ADAM JARED
• Application Number:
  US12/696,626
• Publication Number:
  US 20110190659A1
• Time in Patent Office: 1,901 Days
• Field of Search: 600/372, 600/393, 600/544, 600/546, 600/547, 600/562, 606/34, 606/35, 606/40, 606/41, 606/49, 606/50
• US Class Current: 606/50
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61N 1/327 for enhancing the absorption properties of tissue, e.g. by electroporation
• CPC Class Codes: H02J 2310/23 The load being a medical device, a medical implant, or a life supporting device
• CPC Class Codes: H02J 50/10 using inductive coupling
• CPC Class Codes: H02J 50/20 using microwaves or radio frequency waves

Abstract

A surgical instrument configured to deliver electrical energy to tissue of a patient includes a handle, a first conductor, and a second conductor. The surgical instrument further includes a first electrode with a first distal portion, a second electrode with a second distal portion, and a third electrode with a third distal portion, wherein each distal portion is configured to contact the tissue. The second distal portion surrounds the first distal portion and the third distal portion surrounds the second distal portion. A first gap is defined between the first distal portion and the second distal portion. A second gap is defined between the second distal portion and the third distal portion. The first electrode includes a sharp end configured to penetrate the tissue and the second distal portion includes a plurality of projections extending toward third distal portion.

Claims

1. A surgical instrument configured to deliver electrical energy to tissue of a patient, comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor configured to be electrically coupled with the power source;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor;

a second electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion surrounds said first distal portion, wherein a first gap is defined between said first distal portion and said second distal portion, and wherein said second electrode is electrically coupled with said second conductor;

a third electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion surrounds said second distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said third electrode is electrically coupled with said first conductor; and

wherein said first electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, and wherein said second distal portion comprises a plurality of projections extending toward said third distal portion.

2. The surgical instrument of claim 1, wherein said first conductor is configured to be electrically coupled with a negative voltage terminal of the power source, and wherein said second conductor is configured to be electrically coupled with a positive voltage terminal of the power source.

3. The surgical instrument of claim 1, wherein said first gap is an air gap, and wherein said second gap is an air gap.

5. The surgical instrument of claim 1, wherein said second distal portion comprises a first ring, wherein said third distal portion comprises a second ring, and wherein said first ring is concentric with said second ring.

6. The surgical instrument of claim 1, further comprising a vacuum lumen, wherein said vacuum lumen comprises a suction inlet proximal to said at least one of said first distal portion of said first electrode, said second distal portion of said second electrode, and said third distal portion of said third electrode.

4. A surgical instrument configured to deliver electrical energy to tissue of a patient, comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor configured to be electrically coupled with the power source;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor;

a second electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion surrounds said first distal portion, wherein a first gap is defined between said first distal portion and said second distal portion, and wherein said second electrode is electrically coupled with said second conductor;

a third electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion surrounds said second distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said third electrode is electrically coupled with said first conductor; and

wherein said first electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, wherein said first distal portion defines an axis, wherein said second distal portion is cylindrical and is centered along said axis, wherein said third distal portion is cylindrical and is centered along said axis, and wherein said second distal portion comprises at least one projection positioned within said second gap.

7. A surgical instrument configured to deliver electrical energy to tissue of a patient, said surgical instrument comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor;

a second electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion at least partially encloses said first distal portion, wherein a first gap is defined between said first distal portion and said second distal portion, and wherein said second electrode is electrically coupled with said second conductor;

a third electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion at least partially encloses said second distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said third electrode is electrically coupled with said first conductor; and

wherein said first electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, and wherein said second distal portion comprises a plurality of projections extending toward said third distal portion.

8. The surgical instrument of claim 7, wherein said first conductor is configured to be electrically coupled with a negative voltage terminal of the power source, and wherein said second conductor is configured to be electrically coupled with a positive voltage terminal of the power source.

9. The surgical instrument of claim 7, wherein said first gap is an air gap, and wherein said second gap is an air gap.

11. The surgical instrument of claim 7, wherein said second distal portion comprises a first ring, wherein said third distal portion comprises a second ring, and wherein said first ring is concentric with said second ring.

12. The surgical instrument of claim 7, further comprising a vacuum lumen, wherein said vacuum lumen comprises a suction inlet proximal to said at least one of said first distal portion of said first electrode, said second distal portion of said second electrode, and said third distal portion of said third electrode.

10. A surgical instrument configured to deliver electrical energy to the tissue of a patient, said surgical instrument comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor;

a second electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion at least partially encloses said first distal portion, wherein a first gap is defined between said first distal portion and said second distal portion, and wherein said second electrode is electrically coupled with said second conductor;

a third electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion at least partially encloses said second distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said third electrode is electrically coupled with said first conductor;

wherein said first electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, wherein said first distal portion defines an axis, wherein said second distal portion is cylindrical and is centered along said axis, and wherein said third distal portion is cylindrical and is centered along said axis; and

at least one projection positioned within said second gap.

13. A surgical instrument configured to deliver electrical energy to tissue of a patient, said surgical instrument comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor;

an inner electrode comprising a first distal portion configured to contact the tissue, wherein said inner electrode is electrically coupled with said first conductor;

an outer electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion extends exteriorly relative to said first distal portion, and wherein said outer electrode is electrically coupled with said first conductor;

an intermediate electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion extends between said first distal portion and said second distal portion, wherein a first gap is defined between said first distal portion and said third distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said intermediate electrode is electrically coupled with said second conductor; and

wherein said inner electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, and wherein said third distal portion comprises a plurality of projections extending toward said second distal portion.

14. The surgical instrument of claim 13, wherein said first conductor is configured to be electrically coupled with a negative voltage terminal of the power source, and wherein said second conductor is configured to be electrically coupled with a positive voltage terminal of the power source.

15. The surgical instrument of claim 13, wherein said first gap is an air gap, and wherein said second gap is an air gap.

17. The surgical instrument of claim 13, wherein said second distal portion comprises a first ring, wherein said third distal portion comprises a second ring, and wherein said first ring is concentric with said second ring.

18. The surgical instrument of claim 13, further comprising a vacuum lumen, wherein said vacuum lumen comprises a suction inlet proximal to said at least one of said first distal portion of said inner electrode, said second distal portion of said outer electrode, and said third distal portion of said intermediate electrode.

16. A surgical instrument configured to deliver electrical energy to tissue of a patient, said surgical instrument comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor;

an inner electrode comprising a first distal portion configured to contact the tissue, wherein said inner electrode is electrically coupled with said first conductor;

an outer electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion extends exteriorly relative to said first distal portion, and wherein said outer electrode is electrically coupled with said first conductor;

an intermediate electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion extends between said first distal portion and said second distal portion, wherein a first gap is defined between said first distal portion and said third distal portion, wherein a second gap is defined between said second distal portion and said third distal portion, and wherein said intermediate electrode is electrically coupled with said second conductor;

wherein said inner electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, wherein said first distal portion defines an axis, wherein said second distal portion is cylindrical and is centered along said axis, and wherein said third distal portion is cylindrical and is centered along said axis; and

at least one projection positioned within said second gap.

19. A surgical instrument configured to deliver electrical energy to tissue of a patient, said surgical instrument comprising:

a first conductor configured to be electrically coupled with a power source;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor;

a second electrode comprising a second distal portion configured to contact the tissue;

a third electrode comprising a third distal portion configured to contact the tissue;

positioning means for positioning said first distal portion relative to said second distal portion and said second distal portion relative to said third distal portion; and

wherein said first electrode comprises a sharp end, wherein said sharp end is configured to penetrate the tissue, and wherein said second distal portion comprises a plurality of projections extending toward said third distal portion.

20. A surgical instrument configured to deliver electrical energy to tissue of a patient, comprising:

a handle;

a first conductor configured to be electrically coupled with a power source;

a second conductor;

a first electrode comprising a first distal portion configured to contact the tissue, wherein said first electrode is electrically coupled with said first conductor, wherein said first distal portion defines a central axis, and wherein said first distal portion is configured to contact an inner tissue region along said central axis;

a second electrode comprising a second distal portion configured to contact the tissue, wherein said second distal portion is configured to contact an outer tissue region, wherein said outer tissue region encloses said inner tissue region, and wherein said second electrode is electrically coupled with said second conductor;

a third electrode comprising a third distal portion configured to contact the tissue, wherein said third distal portion is configured to contact an intermediate tissue region between said outer tissue region and said and inner tissue region;

wherein said first electrode comprises a sharp end, and wherein said sharp end is configured to penetrate the tissue; and

at least one projection positioned within a space defined between said second distal portion and said third distal portion.