Bipolar surgical instruments having focused electrical fields

• US 6,030,384 A
• Filed: 05/01/1998
• Issued: 02/29/2000
• Est. Priority Date: 05/01/1998
• Status: Expired due to Term

• Current Assignee: Perfect Surgical Techniques Incorporated
• Original Assignee: Camran Nezhat
• Inventors: Nezhat, Camran
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US09/071,689
• Time in Patent Office: 669 Days
• Field of Search: 606/48, 606/50-52, 606/45, 606/49
• US Class Current: 606/48
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00101 low, i.e. thermally insulating
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• 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 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

A bipolar surgical device includes a pair of actuable jaws. A first electrode member which usually includes a line of electrically coupled tissue penetrating elements is formed on one of the jaws, and a second electrode member which usually includes a line of electrically coupled tissue penetrating elements is formed on the same or the other jaw. The electrode members are laterally spaced-apart and arranged in a parallel, usually linear manner so that the lateral distance therebetween remains generally constant. In operation, tissue may be grasped between the jaws so that the electrode members contact and/or the tissue penetrating elements enter into the tissue. By energizing the electrode members at opposite polarities using a high frequency energy source, tissue between the jaws will be heated, coagulated, and/or necrosed, while heating of tissue outside of the lines will be minimized.

Claims

1. A bipolar surgical instrument comprising:

a shaft having a proximal end and a distal end;

a pair of opposed jaws at the distal end of the shaft;

a first electrode member on one of the jaws;

a second electrode member on one of the jaws, wherein the first and second electrode members are electrically isolated from each other; and

an actuating mechanism for moving the jaws between an opened and closed configuration, wherein electrode members lie parallel to and laterally spaced-apart from each other when the jaws are closed, wherein at least one of the electrode members comprises a plurality of tissue penetrating elements which project toward the opposed jaw.

2. A bipolar surgical instrument as in claim 1, wherein the electrode members are laterally spaced-apart by a distance in the range from 0.5 mm to 10 mm.

3. A bipolar surgical instrument as in claim 1, wherein the electrode members have a length in the range from 5 mm to 30 mm and a width from 0.5 mm to 5 mm.

4. A bipolar surgical instrument as in claim 1, wherein electrode members are on the same jaw.

5. A bipolar surgical instrument as in claim 1, wherein the first electrode member is on one jaw and the second electrode member is on the other jaw.

6. A bipolar surgical instrument as in claim 1, wherein both electrode members comprise a plurality of tissue penetrating elements which project toward the opposed jaw.

7. A bipolar surgical instrument as in claim 1, wherein the tissue penetrating elements have a length in the range from 1 mm to 6 mm and a diameter in the range from 0.1 mm to 1 mm.

8. A bipolar surgical instrument as in claim 6, wherein the first and second electrode members each comprise from 5 to 20 tissue penetrating elements.

9. A bipolar surgical instrument as in claim 8, wherein the tissue-penetrating elements are arranged in two straight lines which are parallel to each other when the jaws are closed over tissue.

10. A bipolar surgical instrument as in claim 1, further comprising a third electrode member aligned with the first electrode member but disposed on the other jaw and a fourth electrode member aligned with the second electrode member but disposed on the other jaw.

11. A bipolar surgical instrument as in claim 1, wherein at least one of the jaws is perforated to permit the release of steam during use.

12. A bipolar surgical instrument as in claim 1, wherein the actuating mechanism comprises scissors, a camming mechanism, or a linear/pivot actuator.

13. A method for applying high frequency electrical energy to tissue, said method comprising:

grasping tissue between first jaw and a second jaw;

applying high frequency energy between a first electrode member comprising a first line of tissue-penetrating elements on one of said jaws and a second electrode member comprising a second line of tissue-penetrating elements on one of said jaws, wherein said lines of tissue penetrating elements are parallel to and laterally spaced-apart from each other when grasping the tissue.

14. A method as in claim 13, wherein the high frequency energy is applied at a level and for a time sufficient to necrose substantially all tissue between said electrode members without causing substantial damage to other tissue.

15. A method as in claim 14, wherein the high frequency energy has a frequency from 100 kHz to 1 MHz, a power level from 25 W to 200 W, and is applied for a time from 5 seconds to 5 minutes.

16. A method as in claim 13, wherein the electrode members are laterally spaced-apart by a distance in the range from 0.5 mm to 10 mm.

17. A method as in claim 13, wherein the electrode members have a length in the range from 5 mm to 30 mm and a width from 0.5 mm to 5 mm.

18. A method as in claim 13, wherein both electrode members are on the same jaw.

19. A method as in claim 13, wherein the first electrode member is on one jaw and the second electrode member is on the other jaw.

20. A method as in claim 13, wherein at least one of the electrode members comprises a plurality of tissue penetrating elements which project toward the opposed jaw.

21. A method as in claim 19, wherein the tissue penetrating elements have a length from 1 mm to 6 mm and a diameter in the range from 0.1 mm to 1 mm.

22. A method as in claims 21, wherein the first and second electrode members each comprise from 5 to 20 tissue-penetrating elements.

23. A method as in claims 20, wherein the tissue penetrating elements are arranged in two straight lines which are parallel to each other when the jaws are closed over the tissue.

24. A methods as in claim 20, wherein the energy is further applied between a third electrode member aligned with the first electrode member but disposed on the other jaw and a fourth electrode member aligned with the second electrode member but disposed on the other jaw.

25. A method as in claim 13, wherein at least one of the jaws is perforated to permit the release of steam during use.

26. A bipolar surgical instrument comprising:

a shaft having a proximal end and a distal end;

a pair of opposed jaws at the distal end of the shaft;

a first electrode member on one of the jaws;

a second electrode member on one of the jaws, wherein the first and second electrode members are electrically isolated from each other;

a third electrode member aligned with the first electrode member but disposed on the other jaw and a fourth electrode member aligned with the second electrode member but disposed on the other jaw; and

an actuating mechanism for moving the jaws between an opened and closed configuration, wherein electrode members lie parallel to and laterally spaced-apart from each other when the jaws are closed.

27. A bipolar surgical instrument as in claim 26, wherein the electrode members are laterally spaced-apart by a distance in the range from 0.5 mm to 10 mm.

28. A bipolar surgical instrument as in claim 26, wherein the electrode members have a length in the range from 5 mm to 30 mm and a width from 0.5 mm to 5 mm.

29. A bipolar surgical instrument as in claim 26, wherein electrode members are on the same jaw.

30. A bipolar surgical instrument as in claim 26, wherein the first electrode member is on one jaw and the second electrode member is on the other jaw.

31. A bipolar surgical instrument as in claim 26, wherein at least one of the electrode members comprises a plurality of tissue penetrating elements which project toward the opposed jaw.

32. A bipolar surgical instrument as in claim 26, wherein both electrode members comprise a plurality of tissue penetrating elements which project toward the opposed jaw.

33. A bipolar surgical instrument as in claim 31, wherein the tissue penetrating elements have a length in the range from 1 mm to 6 mm and a diameter in the range from 0.1 mm to 1 mm.

34. A bipolar surgical instrument as in claim 32, wherein the first and second electrode members each comprise from 5 to 20 tissue-penetrating elements.

35. A bipolar surgical instrument as in claim 34, wherein the tissue-penetrating elements are arranged in two straight lines which are parallel to each other when the jaws are closed over tissue.

36. A bipolar surgical instrument as in claim 26, wherein at least one of the jaws is perforated to permit the release of steam during use.

37. A bipolar surgical instrument as in claim 26, wherein the actuating mechanism comprises scissors, a camming mechanism, or a linear/pivot actuator.

38. A bipolar surgical instrument comprising:

a shaft having a proximal end and a distal end;

a pair of opposed jaws at the distal end of the shaft;

a first electrode member on one of the jaws;

a second electrode member on one of the jaws, wherein the first and second electrode members are electrically isolated from each other;

wherein at least one of the jaws is perforated to permit the release of steam during use; and

an actuating mechanism for moving the jaws between an opened and closed configuration, wherein electrode members lie parallel to and laterally spaced-apart from each other when the jaws are closed.

39. A bipolar surgical instrument as in claim 38, wherein the electrode members are laterally spaced-apart by a distance in the range from 0.5 mm to 10 mm.

40. A bipolar surgical instrument as in claim 38, wherein the electrode members have a length in the range from 5 mm to 30 mm and a width from 0.5 mm to 5 mm.

41. A bipolar surgical instrument as in claim 38, wherein electrode members are on the same jaw.

42. A bipolar surgical instrument as in claim 38, wherein the first electrode member is on one jaw and the second electrode member is on the other jaw.

43. A bipolar surgical instrument as in claim 38, wherein at least one of the electrode members comprises a plurality of tissue penetrating elements which project toward the opposed jaw.

44. A bipolar surgical instrument as in claim 38, wherein both electrode members comprise a plurality of tissue penetrating elements which project toward the opposed jaw.

45. A bipolar surgical instrument as in claim 43, wherein the tissue penetrating elements have a length in the range from 1 mm to 6 mm and a diameter in the range from 0.1 mm to 1 mm.

46. A bipolar surgical instrument as in claim 44, wherein the first and second electrode members each comprise from 5 to 20 tissue-penetrating elements.

47. A bipolar surgical instrument as in claim 46, wherein the tissue-penetrating elements are arranged in two straight lines which are parallel to each other when the jaws are closed over tissue.

48. A bipolar surgical instrument as in claim 38, further comprising a third electrode member aligned with the first electrode member but disposed on the other jaw and a fourth electrode member aligned with the second electrode member but disposed on the other jaw.

49. A bipolar surgical instrument as in claim 38, wherein the actuating mechanism comprises scissors, a camming mechanism, or a linear/pivot actuator.