Apparatus for coagulating tissue

• US 9,510,889 B2
• Filed: 06/13/2014
• Issued: 12/06/2016
• Est. Priority Date: 10/30/2003
• Status: Active Grant

• Current Assignee: Erbe Elektromedizin GmbH (C. Erbe GmbH)
• Original Assignee: Erbe Elektromedizin GmbH (C. Erbe GmbH)
• Inventors: Schnitzler, Uwe, Schaeller, Daniel
• Primary Examiner(s): HUPCZEY, JR, RONALD JAMES
• Application Number:
  US14/304,513
• Publication Number:
  US 20140296851A1
• Time in Patent Office: 907 Days
• Field of Search: 606 31- 50, 607115-116
• US Class Current: 1/1
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00583 Coblation, i.e. ablation using a cold plasma
• 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 2018/00791 Temperature
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

An apparatus for coagulating tissue, including a gas-delivering device for delivering a plasma comprised of an ionized inert gas from the outlet of the gas-delivering device, an electrode adapted to supply a high-frequency current that projects out of the gas-delivering device and a guiding device disposed at a distal end of the electrode. The relative configuration of the outlet of the gas-delivering device and the guiding device are such that the plasma (and an electric arc) can be directed in any direction 360° with respect to the outlet of the gas-delivering device. The plasma is directed along a path of least electric resistance, thus causing the plasma to be directed to a tissue to be treated, regardless of a position of the tissue relative to a rotational position of the outlet of the gas-delivering device.

Claims

1. An apparatus for coagulating tissue, comprising:

a gas-delivering device defining an outlet and adapted to deliver, in use, a plasma comprised of an ionized inert gas from the outlet of the gas-delivering device;

an electrode adapted to supply a high-frequency current, a distal end of the electrode projecting out of the gas-delivering device; and

a guiding device disposed at a distal end of the electrode, wherein a cross-section of at least a portion of said guiding device is at least a size of an opening of said outlet at a furthest distal end of said gas-delivering device in order to divert said plasma substantially radially with respect to an opening of said outlet of said gas-delivering device, and wherein the outlet of the gas-delivering device and the guiding device are adapted such that at least a portion of the plasma is directed to a tissue to be treated, regardless of a position of the tissue relative to a rotational position of the outlet of the gas-delivering device.

2. The apparatus of claim 1, wherein the outlet of the gas-delivering device and the guiding device are adapted such that the plasma can be directed in any direction 360°

with respect to the outlet of the gas-delivering device.

3. The apparatus of claim 1, wherein when a high-frequency current is supplied to the plasma, an electric arc is formed between the electrode and the tissue to be treated.

4. The apparatus according to claim 1, wherein the outlet of the gas-delivering device and the guiding device are adapted such that the plasma is directed along a path of least electric resistance, causing the plasma to be automatically directed to the tissue to be treated.

5. The apparatus according to claim 1, wherein the guiding device is comprised of an electrically insulating material.

6. The apparatus according to claim 1, wherein the guiding device is comprised of a thermally stable material.

7. The apparatus according to claim 1, wherein the guiding device is comprised of a ceramic material.

8. The apparatus according to claim 1, wherein the guiding device defines a concave configuration on a side thereof that faces the outlet.

9. The apparatus of claim 8, wherein the concave configuration on the side of the guiding device that faces the outlet, comprises a concave surface that extends to a rim of the guiding device, in a perpendicular manner relative to a longitudinal axis of the gas-delivering device.

10. The apparatus according to claim 1, wherein the guiding device defines a rounded contour in order to prevent mechanical damage if the guiding device touches the tissue.

11. The apparatus according to claim 1, wherein the electrode is movable relative to the outlet such that when the electrode is moved into a retracted position the guiding device closes the outlet in a substantially leakproof manner.

12. The apparatus according to claim 11, wherein the entire outlet is covered by the guiding device when the guiding device is in the retracted position.

13. The apparatus of claim 1, wherein the guiding device is supported on the electrode.

14. The apparatus of claim 1, wherein the guiding device is adapted such that the plasma is directed perpendicularly relative to a longitudinal axis of the gas-delivering device.

15. The apparatus of claim 1, wherein a distal end of the guiding device is flat.

16. An apparatus for coagulating tissue, comprising:

a gas-delivering device defining an outlet and adapted to deliver, in use, a plasma comprised of an ionized inert gas from the outlet of the gas-delivering device;

an electrode adapted to supply a high-frequency current, a distal end of the electrode projecting out of the gas-delivering device; and

a guiding device disposed at a distal end of the electrode, wherein a cross-section of at least a portion of said guiding device is at least a size of an opening of said outlet at a furthest distal end of said gas-delivering device in order to divert said plasma substantially radially with respect to an opening of said outlet of said gas-delivering device, and wherein the outlet of the gas-delivering device and the guiding device are adapted such that when a high-frequency current is supplied to the plasma, an electric arc can be formed in any direction 360°

with respect to the outlet of the gas-delivering device.

17. The apparatus according to claim 16, wherein the outlet of the gas-delivering device and the guiding device are adapted such that the plasma is directed along a path of least electric resistance, causing the electric arc to be automatically directed to a tissue to be treated, regardless of a position of the tissue relative to a rotational position of the outlet of the gas-delivering device.

18. The apparatus according to claim 16, wherein the guiding device is comprised of an electrically insulating material.

19. The apparatus according to claim 16, wherein the guiding device is comprised of a thermally stable material.

20. The apparatus according to claim 16, wherein the guiding device is comprised of a ceramic material.

21. The apparatus according to claim 16, wherein the guiding device defines a concave configuration on a side thereof that faces the outlet.

22. The apparatus according to claim 16, wherein the guiding device defines a rounded contour in order to prevent mechanical damage if the guiding device touches the tissue.

23. The apparatus according to claim 16, wherein the electrode is movable relative to the outlet such that when the electrode is moved into a retracted position the guiding device closes the outlet in a substantially leakproof manner.

24. The apparatus of claim 16, wherein the guiding device is adapted such that the plasma is directed perpendicularly relative to a longitudinal axis of the gas-delivering device.

25. An apparatus for coagulating tissue, comprising:

a gas-delivering device defining an outlet and adapted to deliver, in use, a plasma comprised of an ionized inert gas from the outlet of the gas-delivering device;

an electrode adapted to supply a high-frequency current, a distal end of the electrode projecting out of the gas-delivering device; and

a guiding device disposed at a distal end of the electrode, wherein a cross-section of at least a portion of said guiding device is at least a size of an opening of said outlet at a furthest distal end of said gas-delivering device in order to divert said plasma substantially radially with respect to an opening of said outlet of said gas delivering device, and wherein the outlet of the gas-delivering device and the guiding device are adapted such that the plasma can be directed in any direction 360°

with respect to the outlet of the gas-delivering device, the plasma being directed along a path of least electric resistance, causing the plasma to be directed to a tissue to be treated, regardless of a position of the tissue relative to a rotational position of the outlet of the gas-delivering device.

26. The apparatus of claim 25, wherein when a high-frequency current is supplied to the plasma, an electric arc is formed between the electrode and the tissue to be treated.

27. The apparatus of claim 25, wherein the guiding device is adapted such that the plasma is directed perpendicularly relative to a longitudinal axis of the gas-delivering device.

28. A tubular apparatus for coagulating tissue, the tubular apparatus having an apparatus diameter and comprising:

a gas-delivering device defining a circular outlet with an outlet diameter and adapted to deliver, in use, a plasma comprised of an ionized inert gas from the circular outlet of the gas-delivering device;

an electrode adapted to supply a high-frequency current, a distal end of the electrode projecting out of the gas-delivering device; and

a guiding device disposed at a distal end of the electrode, the guiding device having at a distal end of the guiding device circular section and at a proximal end, opposite the circular outlet, a concave inner section;

wherein the circular outlet of the gas-delivering device and the concave inner section guiding device are adapted such that at least a portion of the plasma is directed to a tissue to be treated, regardless of a position of the tissue relative to a rotational position of the circular outlet of the gas-delivering device,

wherein the electrode together with the guiding device is movable relative to the circular outlet in a longitudinal direction of the tubular apparatus such that, when the electrode is moved into a retracted position, the concave inner section of the guiding device closes the circular outlet in a substantially leak-proof manner by engaging with the circular outlet,

wherein the circular section of the guiding device has a diameter that is greater than the outlet diameter and smaller than or equal to the apparatus diameter, and

wherein the guiding device is designed such that in the retracted position the circular section is the most distal part of the tubular apparatus.