Surgical instrument comprising an electrode

• US 9,028,483 B2
• Filed: 12/18/2009
• Issued: 05/12/2015
• Est. Priority Date: 12/18/2009
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Long, Gary L., Plescia, David N.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US12/641,837
• Publication Number:
  US 20110152859A1
• Time in Patent Office: 1,971 Days
• Field of Search: 606/41, 606 45- 50
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2018/00077 high, i.e. electrically conducting
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/0022 Balloons
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/1465 Deformable electrodes
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61N 1/327 for enhancing the absorption properties of tissue, e.g. by electroporation

Abstract

A surgical instrument can comprise a first electrode, a second electrode, and a retractable sheath. At least one of the electrodes can comprise an insulative jacket extending along the length thereof which can comprise a tissue stop for limiting the progression of the electrode into tissue. In various embodiments, a surgical instrument can comprise a first electrode, a second electrode, and a displaceable arc guard positioned between the electrodes. In certain embodiments, a surgical instrument can comprise an electrode including a flexible mesh configured to conform to the tissue against which it is positioned.

Claims

1. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first electrode, comprising;

a first elongate portion defined along a first axis; and

a first distal electrode portion configured to contact the tissue, said first distal electrode portion comprising a first distal electrode end;

a second electrode, comprising;

a second elongate portion defined along a second axis; and

a second distal electrode portion configured to contact the tissue, said second distal electrode portion comprising a second distal electrode end;

a sheath comprising a distal stop portion, wherein said sheath at least partially encompasses said first electrode, wherein said sheath at least partially encompasses said second electrode, wherein said distal stop portion of said sheath is movable between a series of positions relative to said first distal electrode portion and said second distal electrode portion, and wherein said series of positions comprises;

a distal most position, wherein said distal stop portion is aligned with said first distal electrode end and said second distal electrode end at said distal most position; and

a proximal most position;

a first insulator positioned around a length of said first electrode, wherein said first insulator is comprised of an electrically insulative material, wherein said first insulator comprises a first distal end, wherein said first distal electrode portion extends from said first distal end of said first insulator, wherein said first distal electrode portion is configured to penetrate the tissue, and wherein said first distal end of said first insulator comprises a first tissue stop configured to contact the tissue at a maximum insertion depth of said first electrode within the tissue; and

a second insulator positioned around a length of said second electrode, wherein said second insulator is comprised of an electrically insulative material, wherein said second insulator comprises a second distal end, wherein said second distal electrode portion extends from said second distal end of said second insulator, wherein said second distal electrode portion is configured to penetrate the tissue, wherein said second distal end of said second insulator comprises a second tissue stop configured to contact the tissue at a maximum insertion depth of said second electrode within the tissue, and wherein said first tissue stop and said second tissue stop are aligned with said distal stop portion of said sheath at said proximal most position.

2. The surgical instrument of claim 1, further comprising a handle, wherein said first electrode and said second electrode are mounted to said handle, and wherein said distal stop portion of said sheath is retractable toward said handle.

3. The surgical instrument of claim 1, further comprising a handle, wherein said handle comprises a first portion and a second portion, wherein said first electrode and said second electrode are mounted to said first portion, wherein said sheath is mounted to said second portion, and wherein said second portion is configured to move relative to said first portion to move said sheath relative to said first electrode and said second electrode.

4. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first electrode, comprising;

a first elongate portion defined along a first axis; and

a first distal electrode portion configured to contact the tissue, said first distal electrode portion comprising a first distal electrode end;

a second electrode, comprising;

a second elongate portion defined along a second axis; and

a second distal electrode portion configured to contact the tissue, said second distal electrode portion comprising a second distal electrode end;

a sheath comprising a distal stop portion, wherein said sheath at least partially encompasses said first electrode, wherein said sheath at least partially encompasses said second electrode, wherein said distal stop portion of said sheath is retractable between a series of positions relative to said first distal electrode portion and said second distal electrode portion, and wherein said series of positions comprises;

a distal most position, wherein said distal stop portion is aligned with said first distal electrode end and said second distal electrode end at said distal most position; and

a proximal most position; and

a first jacket positioned around a length of said first electrode, wherein said first jacket is comprised of an electrically insulative material, wherein said first jacket comprises a distal end, wherein said first distal electrode portion extends from said distal end of said first jacket, wherein said first distal electrode portion is configured to penetrate the tissue, wherein said distal end of said first jacket comprises a first tissue stop configured to be positioned against the tissue to define a maximum insertion depth of said first electrode within the tissue, and wherein said first tissue stop is aligned with said distal stop portion of said sheath at said proximal most position.

5. The surgical instrument of claim 4, further comprising a second jacket positioned around a second length of said second electrode, wherein said second length does not include said second distal electrode portion, and wherein said second jacket is comprised of an electrically insulative material.

6. The surgical instrument of claim 5, wherein said second jacket comprises a distal end, wherein said second distal electrode portion extends from said distal end of said second jacket, wherein said second distal electrode portion is configured to penetrate the tissue, wherein said distal end of said second jacket comprises a second tissue stop configured to be positioned against the tissue to define a maximum insertion depth of said first electrode within the tissue, and wherein said second tissue stop is aligned with said first tissue stop and said distal stop portion of said sheath at said proximal most position.

7. A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising:

a first electrode, comprising;

a first elongate portion defined along a first axis; and

a first distal end configured to penetrate the tissue;

a second electrode, comprising;

a second elongate portion defined along a second axis; and

a second distal end configured to penetrate the tissue; and

penetration stopping means, comprising;

a first penetration stopping means configured to define a maximum insertion depth of said first electrode within the tissue; and

a second penetration stopping means retractable between a series of positions, wherein said second penetration stopping means is configured to limit the penetration of at least one of said first electrode and said second electrode within the tissue, and wherein said series of positions comprises;

a distal most position, wherein said first distal end and said second distal end are aligned with said second penetration stopping means at said distal most position; and

a proximal most position, wherein said first penetration stopping means is aligned with said second penetration stopping means at said proximal most position.

8. The surgical instrument of claim 7, wherein said penetration stopping means comprises a third penetration stopping means configured to define a maximum insertion depth of said second electrode within the tissue, wherein said third penetration stopping means and said first penetration stopping means are aligned with said second penetration stopping means at said proximal most position.