Electrosurgical system with selective control of active and return electrodes

• US 9,855,090 B2
• Filed: 01/20/2014
• Issued: 01/02/2018
• Est. Priority Date: 12/16/2008
• Status: Active Grant

• Current Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Original Assignee: ArthroCare Corporation (Smith & Nephew PLC)
• Inventors: Cadouri, Hadar, Tetzlaff, Philip M.
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): Legette-Thompson, Tiffany
• Application Number:
  US14/158,938
• Publication Number:
  US 20140135760A1
• Time in Patent Office: 1,443 Days
• Field of Search: 604 41
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/1233 with circuits for assuring patient safety
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 18/16 Indifferent or passive electrodes for grounding
• CPC Class Codes: A61B 2018/00345 Vascular system
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2218/002 Irrigation

Abstract

Electrosurgical system with selective control of active and return electrodes. At least some of the illustrative embodiments are systems comprising an electrosurgical wand and an electrosurgical controller. The wand comprises a non-conductive outer surface, at least three electrodes disposed on a distal end of the wand, and at least three electrical leads extending from a proximal end of the wand (one electrical lead electrically coupled to each electrode). The controller comprises a voltage generator and a control circuit coupled between the voltage generator and the electrodes of the wand. The control circuit is configured to: selectively electrically couple the active terminal singly and in combination to the electrodes of the wand; and selectively electrically couple the return terminal singly and in combination to electrodes of the wand.

Claims

1. A system comprising:

a wand comprising a non-conductive outer surface, at least three electrodes disposed on a distal end of the wand, and at least three electrical leads extending from a proximal end of the wand, and electrically coupled, one each, to one of the at least three a controller comprising;

a controller connector coupled to the at least three electrical leads;

a voltage generator configured to generate voltage of varying amplitude, the voltage generator has an active terminal and a return terminal; and

a control circuit coupled between the controller connector and the active and return terminals;

the control circuit configured to selectively electrically couple both the active terminal and the return terminal to the at least three electrical leads, such that any of the at least three electrodes are electrically coupled in combination to the voltage generator as an active electrode and as a return electrode.

2. The system of claim 1 wherein the controller further comprises an operator interface device, and wherein the control circuit is configured to selectively electrically couple both the active terminal and the return terminal to the at least three electrical leads based on commands received through the operator interface.

3. The system of claim 1 further comprising a foot pedal assembly operationally coupled to the controller, and wherein the control circuit is configured to selectively electrically couple both the active terminal and the return terminal based on actuation of the foot pedal.

4. The system of claim 1 wherein the wand further comprises an internal passage, and wherein at least one of the at least three electrode resides within the internal passage proximate to the distal end of the wand.

5. The system of claim 1 wherein each of the at least three electrodes of the wand defines a surface area, and at least one of the at least three electrodes has a surface area less than three-quarters the surface area of another of the at least three electrodes.

6. The system of claim 1 wherein a distance between a center of each of the at least three electrodes is constant during deployment and use.

7. The system of claim 1 wherein the control circuit of the controller further comprises:

a first mechanical relay that defines a first coil and first normally-open contact terminals, the first normally-open contact terminals coupled between the active terminal and a first electrode of the at least three electrodes;

a second mechanical relay that defines a second coil and second normally-open contact terminals, the second normally-open contact terminals coupled between the return terminal and the first electrode of the at least three electrodes;

a third mechanical relay that defines a third coil and third normally-open contact terminals, the third normally-open contact terminals coupled between the active terminal and a second electrode of the at least three electrodes;

a fourth mechanical relay that defines a fourth coil and fourth normally-open contact terminals, the fourth normally-open contact terminals coupled between the return terminal and the second electrode of the at least three electrodes;

a fifth mechanical relay that defines a fifth coil and fifth normally-open contact terminals, the fifth normally-open contact terminals coupled between the active terminal and a third electrode of the at least three electrodes; and

a sixth mechanical relay that defines a sixth coil and sixth normally-open contact terminals, the sixth normally-open contact terminals coupled between the return terminal and the third electrode of the at least three electrodes;

wherein the control circuit is configured to selectively electrically couple by selectively powering the first through fifth coils.

8. The system of claim 1 wherein the control circuit of the controller further comprises:

a first means for electrically coupling the active terminal of the voltage generator to a first electrode of the at least three electrical electrodes, and the first means also for electrically isolating the active terminal from the first electrode;

a second means for electrically coupling the return terminal of the voltage generator to the first electrode, and the second means also for electrically isolating the return terminal from the first electrode;

a third means for electrically coupling the active terminal to a second electrode of the at least three electrical electrodes, and the third means also for electrically isolating the active terminal from the second electrode;

a fourth means for electrically coupling the return terminal to the second electrode, and the fourth means also for electrically isolating the return terminal from the second electrode;

a fifth means for electrically coupling the active terminal to a third electrode of the at least three electrical electrodes, and the fifth means also for electrically isolating the active terminal from the third electrode;

a sixth means for electrically coupling the return terminal to the third electrode, and the sixth means also for electrically isolating the return terminal from the third electrode;

wherein the control circuit is configured to selectively electrically couple by selectively activating the first through fifth means for coupling.

9. The system of claim 1 further comprising:

a wand connector coupled to the at least three electrical leads, the wand connector comprising at least three electrical pins, one pin electrically coupled to each electrical lead;

wherein the controller connector and wand connector are configured to couple in only one orientation.

10. The system of claim 9 wherein the wand connector and controller connector further comprise a tab and slot arrangement where the tab and slot are configured to allow the connectors to couple in the only one orientation.

11. The system of claim 10 wherein the tab and slot arrangement is at least one selected from the group consisting of:

the tab on the wand connector and the slot on the controller connector; and

the tab on the controller connector and the slot on the wand connector.

12. A system comprising:

an electrosurgical wand comprising;

an elongate shaft that defines a proximal end and a distal end;

a connector comprising a plurality of electrical pins;

at least two first electrodes disposed on the distal end of the elongate shaft;

at least two second electrodes disposed on the distal end of the elongate shaft and spaced away from the at least two first electrodes;

wherein each of the electrodes is electrically coupled to one of the plurality of electrical pins via an electrical lead;

wherein each of the at least two first electrodes have a surface area less than three-quarters the surface area of each of the at least two second electrodes;

a control circuit coupled between a first group of connections and a second group of connections, the first group of connections comprising an active terminal and a return terminal of a high frequency voltage generator, and the second group of connections comprising the plurality of electrical pins of the connector, the control circuit configured to switch between a first, second, and third modes;

wherein in the first mode the at least two first electrodes are selectively electrically coupled to the high frequency voltage generator as active electrodes and the at least two second electrodes are selectively electrically coupled to the high frequency voltage generator as return electrodes;

wherein in the second mode the at least two first electrodes are electrically isolated from the high frequency voltage generator and one of the at least two second electrodes is selectively electrically coupled to the high frequency voltage generator as the active electrode and at least another of the at least two second electrodes is selectively electrically coupled to the high frequency voltage generator as the return electrode; and

wherein in the third mode the at least two first electrodes are selectively electrically coupled to the high frequency voltage generator as return electrodes and one of the at least two second electrodes is selectively electrically coupled to the high frequency voltage generator as the active electrode and the other of the at least two second electrodes are electrically isolated from the high frequency voltage generator.

13. The system of claim 12 further comprising an operator interface device operationally coupled to the control circuit, wherein the control circuit is configured to switch between the first, second, and third modes based on commands received through the operator interface device.

14. The system of claim 12 further comprising a foot pedal assembly operationally coupled to the control circuit, wherein the control circuit is configured to switch between the first, second, and third modes based on actuation of the foot pedal assembly.

15. The system of claim 12 wherein the connector and the control circuit are configured to couple in only one orientation.

16. The system of claim 12 wherein each of the electrodes defines a center, and distances between the centers are fixed.

17. The system of claim 12 wherein the control circuit is configured to switch between the first, second, and third modes without de-coupling from the connector.