Fluid-assisted medical devices, systems and methods

• US 9,381,061 B2
• Filed: 11/23/2011
• Issued: 07/05/2016
• Est. Priority Date: 03/06/2000
• Status: Expired due to Term

• Current Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Original Assignee: Medtronic Advanced Energy LLC (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:
  US13/303,745
• Publication Number:
  US 20120101496A1
• Time in Patent Office: 1,686 Days
• US Class Current: 1/1
• 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 includes a first electrode tip connected to a first shaft and spaced from a second electrode tip connected to a second shaft. The first electrode tip serves as a first pole, and the second electrode tip serves as a second pole, of a bipolar electrode configuration. A first fluid outlet opening is defined by a distal end of the first shaft and a portion of the first electrode tip. A second fluid outlet opening is defined by a distal end of the second shaft and a portion of the second electrode tip. At least one recess can be formed in an exterior surface of each of the first and the second electrode tips, providing a fluid flow channel for fluid to flow distally along the respective electrode tip.

Claims

1. A bipolar electro surgical device, comprising:

a first electrode tip spaced from a second electrode tip, the first electrode tip being connected to a distal end of a first shaft, and the second electrode tip being connected to a distal end of a second shaft, 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;

a first fluid passage in fluid communication with a first fluid outlet opening; and

a second fluid passage in fluid communication with a second fluid outlet opening,

wherein at least a distal portion of the first electrode tip extends distally beyond the distal end of the first shaft, the distal portion of the first electrode tip comprising an exposed, electrically conductive distal end, and

wherein at least a distal portion of the second electrode tip extends distally beyond the distal end of the second shaft, the distal portion of the second electrode tip comprising an exposed, electrically conductive distal end, and

wherein the first fluid outlet opening is located at the distal end of the first shaft and is defined by the distal end of the first shaft and a proximal portion of the first electrode tip adjacent the distal end of the first shaft, and

wherein the second fluid outlet opening is located at the distal end of the second shaft and is defined by the distal end of the second shaft and a proximal portion of the second electrode tip adjacent the distal end of the second shaft; and

at least one recess is formed in an exterior surface of the distal portion of the first electrode tip, the at least one recess being in fluid communication with the first fluid outlet opening and providing a fluid flow channel for fluid to flow distally along the exterior surface of the distal portion of the first electrode tip, and

at least one recess is formed in an exterior surface of the distal portion of the second electrode tip, the at least one recess being in fluid communication with the second fluid outlet opening and providing a fluid flow channel for fluid to flow distally along the exterior surface of the distal portion of the second electrode tip.

2. The device according to claim 1, further comprising:

a handle, wherein the first and second shafts each extend from the handle and support the respective first and second electrode tips in rigid relation to the handle.

3. The device according to claim 1, wherein:

the first fluid outlet opening is configured to provide fluid to the first electrode tip, and

the second fluid outlet opening IS configured to provide fluid to the second electrode tip.

4. The device according to claim 1, wherein:

the portion of the first electrode tip adjacent the distal end of the first shaft is an exposed, electrically conductive portion, and

the portion of the second electrode tip adjacent the distal end of the second shaft is an exposed, electrically conductive portion.

5. The device according to claim 1, wherein:

outer surfaces of the distal ends of the first and second electrode tips are substantially flush with each other.

6. The device according to claim 1, wherein:

the exposed, electrically conductive distal end of the first electrode tip has a blunt contour outer surface, and

the exposed, electrically conductive distal end of the second electrode tip has a blunt contour outer surface.

7. The device according to claim 6, wherein:

the blunt contour outer surface of the first electrode tip is hemispherical, and

the blunt contour outer surface of the second electrode tip is hemispherical.

8. The device according to claim 1, wherein:

the first shaft and the second shaft are immobile with respect to each other.

9. The device according to claim 1, wherein:

the first and second shafts are substantially parallel such that the first and second electrode tips are laterally adjacent to each other.

10. A bipolar electro surgical device, comprising:

a first electrode tip connected to a distal end of a first shaft, wherein at least a distal portion of the first electrode tip extends distally beyond the distal end of the first shaft, the distal portion of the first electrode tip comprising an exposed, electrically conductive distal end;

a second electrode tip spaced from the first electrode tip and connected to a distal end of a second shaft, wherein at least a distal portion of the second electrode tip extends distally beyond the distal end of the second shaft, the distal portion of the second electrode tip comprising an exposed, electrically conductive distal end;

the first electrode tip configured 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;

a first fluid passage being connectable to a fluid source;

a second fluid passage being connectable to the fluid source;

a first fluid outlet opening in fluid communication with the first fluid passage, the first fluid outlet opening arranged to provide the fluid from the fluid source to at least one recess formed in an exterior surface of the distal portion of the first electrode tip, the at least one recess being in fluid communication with the first fluid outlet opening and providing a fluid flow channel for the fluid to flow distally along the exterior surface of the distal portion of the first electrode tip; and

a second fluid outlet opening in fluid communication with the second fluid passage, the second fluid outlet opening arranged to provide the fluid from the fluid source to at least one recess formed in an exterior surface of the distal portion of the second electrode tip, the at least one recess being in fluid communication with the second fluid outlet opening and providing a fluid flow channel for the fluid to flow distally along the exterior surface of the distal portion of the second electrode tip.

11. The device according to claim 10, further comprising:

a handle, wherein the first and second shafts each extend from the handle and support the respective first and second electrode tips in rigid relation to the handle.

12. The device according to claim 10, further comprising:

a plurality of first fluid outlet openings formed in the exterior surface of the distal portion of the first electrode tip; and

a plurality of recesses formed in the exterior surface of the distal portion of the first electrode tip, wherein the recesses in the first electrode tip are equal in number to the first fluid outlet openings, and wherein each recess in the first electrode tip is in fluid communication with one of the plurality of first fluid outlet openings, each recess in the first electrode tip to provide a fluid flow channel for the fluid from the fluid source to flow distally along the exterior surface of the first electrode tip.

13. The device according to claim 12, further comprising:

a plurality of second fluid outlet openings formed in the exterior surface of the distal portion of the second electrode tip; and

a plurality of recesses formed in the exterior surface of the distal portion of the second electrode tip, wherein the recesses in the second electrode tip are equal in number to the second fluid outlet openings, and wherein each recess in the second electrode tip is in fluid communication with one of the plurality of second fluid outlet openings, each recess in the second electrode tip to provide a fluid flow channel for the fluid from the fluid source to flow distally along the exterior surface of the second electrode tip.

14. The device according to claim 10, wherein:

wherein the first fluid outlet opening is located at the distal end of the first shaft and is defined by the distal end of the first shaft and an exposed, electrically conductive portion of the first electrode tip adjacent the distal end of the first shaft, and

wherein the second fluid outlet opening is located at the distal end of the second shaft and is defined by the distal end of the second shaft, and an exposed, electrically conductive portion of the second electrode tip adjacent the distal end of the second shaft.

15. The device according to claim 10, wherein:

outer surfaces of the distal ends of the first and second electrode tips are substantially flush with each other.

16. The device according to claim 10, wherein:

the exposed, electrically conductive distal end of the first electrode tip has a blunt contour outer surface, and

the exposed, electrically conductive distal end of the second electrode tip has a blunt contour outer surface.

17. The device according to claim 16, wherein:

the blunt contour outer surface of the first electrode tip is hemispherical, and

the blunt contour outer surface of the first electrode tip is hemispherical.

18. The device according to claim 10, wherein:

the first shaft and the second shaft are immobile with respect to each other.

19. The device according to claim 10, wherein:

the first and second shafts are substantially parallel such that the first and second electrode tips are laterally adjacent to each other.