Fluid-assisted medical devices, systems and methods

• US 10,492,853 B2
• Filed: 06/04/2015
• Issued: 12/03/2019
• 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., Lipson, David, Oyola, Arnold E., Wilson, Jonathan E., Maurer, Christopher W., Luzzi, Robert, Greeley, Roger D.
• Primary Examiner(s): Peffley, Michael F
• Assistant Examiner(s): Good, Samantha M
• Application Number:
  US14/730,925
• Publication Number:
  US 20150297284A1
• Time in Patent Office: 1,643 Days
• 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

Surgical devices, systems and methods for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device comprises a handle (20a) having a proximal end and a distal end; a shaft extending distally beyond the distal end of the handle, the shaft having a proximal end and a distal end; an electrode tip (45), at least a portion of the electrode tip extending distally beyond the distal end of the shaft, the electrode tip extending distally beyond the distal end of the shaft comprising a spherical end surface portion (25) and a cylindrical side surface portion, the spherical end surface portion located distal to the cylindrical side surface portion and comprising at least a portion of the distal end surface of the surgical device; and a fluid passage directed to provide a fluid towards the cylindrical side portion of the electrode tip.

Claims

1. A medical device, comprising:

a first shaft defining a first fluid perfusion lumen there through;

a second shaft defining a second fluid perfusion lumen there through and immovably coupled to the first shaft, the second shaft being substantially parallel to the first shaft;

the first shaft including a first at least partially porous electrode; and

the second shaft including a second at least partially porous electrode, the distal end of the first at least partially porous electrode and the distal end of the second at least partially porous electrode defining a substantially co-planar surface.

2. The medical device of claim 1, wherein the first at least partially porous electrode and the second at least partially porous electrode are engageable with a radiofrequency energy source and are configured to transmit radiofrequency energy.

3. The medical device of claim 1, wherein the first fluid perfusion lumen and the second fluid perfusion lumen are engageable with a common fluid source.

4. The medical device of claim 1, wherein the first shaft defines a first major longitudinal axis and the second shaft defines a second major longitudinal axis, and the substantially co-planar surface is substantially orthogonal to the first major longitudinal axis an the second major longitudinal axis.

5. The medical device of claim 1, further including a collar immovably coupling the first shaft to the second shaft.

6. The medical device of claim 5, wherein the collar defines a first passage sized to receive the first shaft and a second passage sized to receive the second shaft.

7. The medical device of claim 6, wherein the collar is disposed proximal the distal end of the first shaft and the distal end of the second shaft.

8. The medical device of claim 1, further comprising a handle, and wherein the handle is configured to engage a portion of the first shaft and a portion of the second shaft.

9. The medical device of claim 8, wherein the handle is coupled to a radiofrequency source.

10. The medical device of claim 9, wherein the handle is coupled to a fluid source.

11. The medical device of claim 10, wherein the fluid source includes saline.

12. The medical device of claim 1, further including a spacer element disposed between the first shaft and the second shaft, the spacer element configured to space the first at least partially porous electrode a distance away from the second at least partially porous electrode.

13. A medical device, comprising:

a first shaft defining a first fluid perfusion lumen there through;

a second shaft defining a second fluid perfusion lumen there through, the second shaft being substantially parallel to the first shaft;

the first shaft including a first porous electrode extending a distance away from the distal end of the first shaft and in fluid communication with the first fluid perfusion lumen; and

the second shaft including a second porous electrode extending a distance away from the distal end of the second shaft and in fluid communication with the second fluid perfusion lumen, the distal end of second electrode defining a substantially co-planar surface with the distal end of the first electrode; and

a collar coupling the first shaft to the second shaft.

14. The medical device of claim 13, wherein the collar defines a first passage sized to receive the first shaft and a second passage sized to receive the second shaft.

15. The medical device of claim 14, wherein the collar is disposed proximal the distal end of the first shaft and the distal end of the second shaft.

16. The medical device of claim 15, further comprising a handle, and wherein the handle is configured to engage a portion of the first shaft and a portion of the second shaft.

17. The medical device of claim 16, wherein the handle is coupled to a radiofrequency source.

18. The medical device of claim 13, wherein the first shaft defines a first major longitudinal axis and the second shaft defines a second major longitudinal axis, and the substantially co-planar surface is substantially orthogonal to the first major longitudinal axis an the second major longitudinal axis.

19. The medical device of claim 13, wherein the collar immovably couples the first shaft to the second shaft.

20. A medical device, comprising:

a first rigid shaft defining a first fluid perfusion lumen there through;

a second rigid shaft defining a second fluid perfusion lumen there through, the second shaft being substantially parallel to the first shaft;

the first shaft including a first porous electrode extending a distance away from the distal end of the first shaft and in fluid communication with the first fluid perfusion lumen;

the second shaft including a second porous electrode extending a distance away from the distal end of the second shaft and in fluid communication with the second fluid perfusion lumen, the distal end of second porous electrode defining a substantially co-planar surface with the distal end of the first porous electrode;

a collar immovably coupling the first shaft to the second shaft, the collar being disposed proximal to the distal end of the first shaft and the distal end of the second shaft; and

during use of the medical device, the first porous electrode and the second porous electrode are in fluid communication with each other and the first porous electrode and the second porous electrode transmit radiofrequency energy.

21. A medical device, comprising:

a first rigid shaft defining a first fluid perfusion lumen there through;

a second rigid shaft defining a second fluid perfusion lumen there through, the second shaft being substantially parallel to the first shaft;

the first shaft including a first porous electrode extending a distance away from the distal end of the first shaft and in fluid communication with the first fluid perfusion lumen, the first porous electrode defining a first blunted surface at its distal end;

the second shaft including a second porous electrode extending a distance away from the distal end of the second shaft and in fluid communication with the second fluid perfusion lumen, the distal end of second electrode defining a substantially co-planar surface with the distal end of the first porous electrode, the second porous electrode defining a second blunted surface at its distal end;

a collar immovably coupling the first shaft to the second shaft, the collar being disposed proximal to the distal end of the first shaft and the distal end of the second shaft, the collar defining a first passage for receiving the first shaft and a second passage for receiving the second shaft; and

during use of the medical device, the first porous electrode and the second porous electrode are in fluid communication with each other and the first porous electrode and the second porous electrode transmit radiofrequency energy between each other.