Telescoping device with saline irrigation line

• US 9,956,029 B2
• Filed: 04/16/2015
• Issued: 05/01/2018
• Est. Priority Date: 10/31/2014
• Status: Active Grant

• Current Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Original Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Inventors: Sylvester, Joseph, Bhatt, Himanshu K., Bruno, Tarquinio A., Patel, Bhavesh D.
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US14/688,723
• Publication Number:
  US 20160120592A1
• Time in Patent Office: 1,111 Days
• CPC Class Codes: A61B 18/042 using additional gas becoming plasma
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• 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 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/00991 Telescopic means
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00166 Multiple lumina
• CPC Class Codes: A61B 2018/00577 Ablation
• 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 2018/1412 Blade
• CPC Class Codes: A61B 2018/1472 for use with liquid electrolyte, e.g. virtual electrodes
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

An electrosurgical device includes a first shaft defining a proximal end, a distal end, and a lumen therethrough. A fluid delivery tube is disposed within the lumen, the fluid delivery tube defining a proximal end a distal end. An electrically conductive treatment element is in electrical communication with and coupled to the distal end of the first shaft, the electrically conductive treatment element includes a conductive fluid conduit in fluid communication with and affixed within a portion of the fluid delivery tube. A second shaft is in electrical communication with the first shaft, the first shaft being slideably disposed within the second shaft and movable from a first position in which the electrically conductive treatment element is proximate to the distal end of the second shaft to a second position in which the electrically conductive treatment element is advanced a distance away from the distal end of the second shaft.

Claims

1. An electrosurgical device, comprising:

a first shaft defining a proximal end, a distal end, and a lumen there through;

a fluid delivery tube disposed within the lumen, the fluid delivery tube defining a proximal end a distal end, the fluid delivery tube being movable with the first shaft;

an electrically conductive treatment element in electrical communication with and coupled to the distal end of the first shaft, the electrically conductive treatment element including a conductive fluid conduit in fluid communication with and affixed within a portion of the fluid delivery tube;

a second shaft in electrical communication with the first shaft, the first shaft being slideably disposed within the second shaft and movable from a first position in which the electrically conductive treatment element is proximate to a distal end of the second shaft to a second position in which the electrically conductive treatment element is advanced a distance away from the distal end of the second shaft; and

a handle, the proximal end of the first shaft and a proximal end of the second shaft being disposed within the handle, the fluid delivery tube being slideable at an oblique angle within at least a portion of the handle.

2. The device of claim 1, wherein the electrically conductive treatment element includes an electrode having a sharp edge disposed at its distal end, the electrode being configured to cut tissue with monopolar ablation energy.

3. The device of claim 2, wherein the electrically conductive treatment element includes a port proximate to the sharp edge, the port being in fluid communication with the conductive fluid conduit and configured to expel a conductive fluid from the conductive fluid conduit.

4. The device of claim 3, wherein the sharp edge is disposed about the port.

5. The device of claim 3, wherein the port is distal to the distal end of the conductive fluid conduit.

6. The device of claim 1, further including an umbilical disposed within the handle, the umbilical being in fluid communication with the lumen and couplable to a vacuum source configured to aspirate fluid from the lumen.

7. The device of claim 1, further including a slideable element disposed between the first shaft and the second shaft and affixed to the first shaft, the slideable element being moveable from a first position within the handle to a second position distal to the handle.

8. The device of claim 7, wherein the slideable element is conductive, and wherein the second shaft includes a conductor configured to conduct radiofrequency energy from a radiofrequency energy source, and wherein the slideable element transfers the radiofrequency energy from the second shaft to the first shaft.

9. The device of claim 7, wherein the second position is substantially coterminous with the distal end of the second shaft.

10. The device of claim 1, further including a finger grip affixed to an exterior of the first shaft.

11. An electrosurgical system, comprising:

a first shaft defining a proximal end and a distal end, and a lumen there through;

a fluid delivery tube disposed within the lumen, the fluid delivery tube defining a proximal end a distal end and extending from at least the proximal end of the first shaft to proximal the distal end of the first shaft;

an electrically conductive treatment element in electrical communication with and coupled to the distal end of the first shaft, the electrically conductive treatment element including a conductive fluid conduit in fluid communication with and affixed within a portion of the fluid delivery tube;

a handle, the first shaft being slideably disposed within the handle, the fluid delivery tube maintaining fluid communication with the conductive fluid conduit when the fluid delivery tube slides within the handle at an oblique angle; and

a radiofrequency generator in electrical communication with the electrically conductive treatment element, the radiofrequency generator including a pump in fluid communication with a fluid source, the pump being in fluid communication with the fluid delivery tube; and

a vacuum source in fluid communication with the lumen, the vacuum source being configured to aspirate fluid expelled from the conductive fluid conduit.

12. The system of claim 11, further including a second shaft in electrical communication with the first shaft, the first shaft being slideably disposed within the second shaft and movable from a first position in which the electrically conductive treatment element is proximate to a distal end of the second shaft to a second position in which the electrically conductive treatment element is advanced a distance away from the distal end of the second shaft.

13. The device of claim 11, wherein the electrically conductive treatment element includes an electrode having a sharp edge disposed at its distal end, the electrode being configured to cut tissue with monopolar ablation energy.

14. The device of claim 13, wherein the electrically conductive treatment element includes a port proximate to the sharp edge, the port being in fluid communication with the conductive fluid conduit and configured to expel the fluid from the conductive fluid conduit.

15. The device of claim 14, wherein the sharp edge is disposed about the port;

and wherein the port is distal to the distal end of the conductive fluid conduit.

16. The device of claim 12, further including a conductive slideable element disposed between the first shaft and the second shaft, the conductive slideable element being moveable from a first position within the handle to a second position distal to the handle.

17. The device of claim 16, wherein the second shaft includes a conductor configured to conduct radiofrequency energy from the radiofrequency generator, and wherein the slideable element is configured to transfer radiofrequency energy from the second shaft to the first shaft.

18. The device of claim 17, wherein the second position is substantially coterminous with the distal end of the second shaft.

19. An electrosurgical device, comprising:

a conductive first shaft defining a proximal end, a distal end, and a lumen there through;

a fluid delivery tube disposed within the lumen, the fluid delivery tube defining a proximal end a distal end, the fluid delivery tube being co-axial with the first shaft;

an electrically conductive treatment element in electrical communication with and coupled to the distal end of the first shaft, the electrically conductive treatment element including;

a conductive fluid conduit in fluid communication with and affixed within

a portion of the fluid delivery tube, the conductive fluid conduit in electrical communication with the first shaft;

an electrode defining a sharp edge, the electrode being configured to cut tissue with radiofrequency energy; and

a port disposed distal to the distal end of the conductive fluid conduit, the port configured to expel conductive fluid from the conductive fluid conduit, the electrode surrounding at least a portion of the port;

a second shaft in electrical communication with the first shaft, the first shaft being slideably disposed within the second shaft and movable from a first position in which the electrically conductive treatment element is proximate to a distal end of the second shaft to a second position in which the electrically conductive treatment element is advanced a distance away from the distal end of the second shaft while fluid communication is maintained between the fluid delivery tube and the conductive fluid conduit; and

a handle, the proximal end of the conductive first shaft and a proximal end of the second shaft being disposed within the handle, the fluid delivery tube being slideable at an oblique angle within at least a portion of the handle.