Electrosurgical devices, systems and methods of using the same

• US 9,877,769 B2
• Filed: 12/06/2013
• Issued: 01/30/2018
• Est. Priority Date: 07/22/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Sartor, Joe D., Heard, David N.
• Primary Examiner(s): Price, Nathan R
• Assistant Examiner(s): Snyder, Melissa A
• Application Number:
  US14/099,550
• Publication Number:
  US 20140100571A1
• Time in Patent Office: 1,516 Days
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/149 bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/1407 Loop

Abstract

A desiccation device for operation on a target tissue includes a handle, a shaft extending distally from the handle, and a head. The shaft defines a lumen therethrough, and the head has a loop configuration supported on a distal end of the shaft. The head is hollow and defines a lumen therethrough. The lumen is in fluid communication with the lumen of the shaft. At least a portion of the head is electrically connected to a source of electrosurgical energy. A fluid is circulatable through the lumen of the shaft and the head.

Claims

1. A surgical device for operation on a target tissue, the surgical device comprising:

a shaft including a proximal portion defining a longitudinal axis and a distal portion;

a suction lumen supported by the shaft and being adapted to connect to a vacuum source; and

an electrode supported at the distal portion of the shaft, the electrode including;

a non-conductive portion including a non-conductive scraping edge spaced apart from the suction lumen; and

a conductive portion extending distally from the non-conductive portion, wherein the non-conductive scraping edge of the non-conductive portion extends proximally beyond the conductive portion.

2. The surgical device according to claim 1, wherein the non-conductive scraping edge is spaced apart from the suction lumen by a distance that is one of approximately equal to an inner diameter of the suction lumen or less than the inner diameter of the suction lumen.

3. The surgical device according to claim 1, further comprising a fluid source in fluid communication with the electrode.

4. The surgical device according to claim 1, wherein the shaft supports an inflow conduit and an outflow conduit, the inflow conduit and the outflow conduit each in fluid communication with the electrode.

5. The surgical device according to claim 1, wherein the suction lumen includes:

a proximal portion defining an axis that is parallel to the longitudinal axis defined by the proximal portion of the shaft; and

a distal portion defining an axis that is substantially orthogonal to the longitudinal axis defined by the proximal portion of the shaft.

6. The surgical device according to claim 1, wherein the conductive portion of the electrode has a distally-oriented surface that is disposed distally in relation to the non-conductive scraping edge of the non-conductive portion of the electrode.

7. The surgical device according to claim 6, wherein the conductive distally-oriented surface of the electrode extends at an angle that ranges from 0 to 90 degrees from an intermediate plane defined by the electrode and that is perpendicular to the longitudinal axis of the shaft.

8. The surgical device according to claim 1, wherein the non-conductive scraping edge of the non-conductive portion of the electrode extends at an angle that ranges from 0 to 90 degrees from an intermediate plane defined by the electrode and that is perpendicular to the longitudinal axis of the shaft.

9. The surgical device according to claim 1, wherein the non-conductive portion of the electrode is in the form of a coating of insulative material on a proximal portion of the electrode.

12. The surgical device according to claim 5, wherein the distal portion of the suction lumen defines a distal opening that is offset from the proximal portion of the shaft.

13. The surgical device according to claim 1, wherein the distal portion of the shaft extends laterally from the proximal portion of the shaft such that a distal end of the shaft is laterally offset from the proximal portion of the shaft.

14. The surgical device according to claim 1, further comprising a conduit supported by the shaft and in fluid communication with a lumen defined within the electrode.

15. The surgical device according to claim 14, wherein the conduit includes:

an inflow conduit having a proximal portion configured to be coupled to a fluid source and a distal portion in fluid communication with the lumen defined within the electrode; and

an outflow conduit in fluid communication with the lumen defined within the electrode such that the conduit is configured to circulate fluid from a fluid source, through the inflow conduit, into the lumen defined within the electrode, and out of the electrode via the outflow conduit.

16. The surgical device according to claim 1, wherein the conductive portion of the electrode has a first distally-oriented surface and a second distally-oriented surface angled relative to the first distally-oriented surface.

17. The surgical device according to claim 1, wherein the non-conductive portion of the electrode has a first proximally-oriented surface and a second proximally-oriented surface angled relative to the first proximally-oriented surface.

18. The surgical device according to claim 1, wherein the conductive portion has a distal-most end that is disposed distally of a distal-most end of the non-conductive portion.

19. The surgical device according to claim 1, wherein the electrode includes:

an arm disposed outside of the shaft and laterally spaced from the shaft; and

a finger extending perpendicularly from an end of the arm, the finger including each of the non-conductive and conductive portions of the electrode.

10. A method of performing a surgical procedure, the method comprising:

providing a surgical device for operation on a target tissue, the surgical device including;

a shaft having a proximal portion defining a longitudinal axis and a distal portion;

a suction lumen supported by the shaft and adapted to connect to a vacuum source; and

an electrode supported at the distal portion of the shaft, the electrode including;

a non-conductive portion; and

a conductive portion extending distally from the non-conductive portion;

applying electrosurgical energy to the electrode to treat target tissue;

moving the electrode in a proximal direction thereby scraping at least a portion of the treated target tissue with a non-conductive scraping edge of the non-conductive portion of the electrode; and

aspirating at least a portion of the treated target tissue through the suction lumen.

11. The method according to claim 10, wherein aspirating the treated target tissue includes circulating a fluid into a lumen defined in the electrode through an inflow conduit supported by the shaft and out of the lumen defined in the electrode through an outflow conduit supported by the shaft.

20. A surgical device for operation on a target tissue, the surgical device comprising:

a shaft including a proximal portion defining a longitudinal axis and a distal portion;

a suction lumen supported by the shaft and being adapted to connect to a vacuum source; and

an electrode supported at the distal portion of the shaft, the electrode including;

a non-conductive portion including a non-conductive scraping edge spaced apart from the suction lumen; and

a conductive portion extending distally from the non-conductive portion, wherein the conductive portion of the electrode has a distally-oriented surface that is disposed distally in relation to the non-conductive scraping edge of the non-conductive portion of the electrode.