CA2580880A1 - Tissue coagulation method and device using inert gas - Google Patents
Tissue coagulation method and device using inert gas Download PDFInfo
- Publication number
- CA2580880A1 CA2580880A1 CA002580880A CA2580880A CA2580880A1 CA 2580880 A1 CA2580880 A1 CA 2580880A1 CA 002580880 A CA002580880 A CA 002580880A CA 2580880 A CA2580880 A CA 2580880A CA 2580880 A1 CA2580880 A1 CA 2580880A1
- Authority
- CA
- Canada
- Prior art keywords
- tube
- gas
- electrosurgical apparatus
- tissue
- pressurized
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/042—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
- A61B2018/00029—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids open
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1213—Generators therefor creating an arc
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/122—Generators therefor ionizing, with corona
Abstract
A gas-enhanced electrosurgical method and apparatus for coagulating tissue.
The apparatus includes a first tube with a proximal end and a distal end. The proximal end of the first tube is configured to receive pressurized ionizable gas. The distal end of the first tube is configured to deliver ionized gas towards a treatment area. The apparatus also includes at least one electrode positioned to selectively ionize the pressurized ionizable gas before the pressurized ionizable gas exits the distal end of the first tube. The electrode is adapted to operatively couple to an electrical energy source. The apparatus also includes a second tube with proximal and distal ends. The second tube is configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
The apparatus includes a first tube with a proximal end and a distal end. The proximal end of the first tube is configured to receive pressurized ionizable gas. The distal end of the first tube is configured to deliver ionized gas towards a treatment area. The apparatus also includes at least one electrode positioned to selectively ionize the pressurized ionizable gas before the pressurized ionizable gas exits the distal end of the first tube. The electrode is adapted to operatively couple to an electrical energy source. The apparatus also includes a second tube with proximal and distal ends. The second tube is configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
Description
TISSUE COAGULATION METHOD AND DEVICE USING INERT GAS
Technical Field 100011 The present disclosure relates to gas-enhanced electrosurgical methods and devices. More particularly, the present disclosure relates to a gas-enhanced electrosurgical device and method for supplying gas to and removing gas from a surgical site.
Back-yrozrnd of Related Ar=t 100021 Over the last several decades, more and more surgeons are abandoning traditional open methods of gaining access to vital organs and body cavities in favor of endoscopes and endoscopic instruments that access organs through small puncture-like incisions. Endoscopic instruments are inserted into the patient through a cannula, or a port that has been made with a trocar. Typical sizes for cannulas range from about three millimeters to about twelve millimeters. Smaller cannulas are usually preferred, and this presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas and operate in a safe and effective manner.
[0003] Devices for arresting blood loss and coagulating tissue are well known in the art. For example, several prior art instruments employ thermic coagulation (heated probes) to arrest bleeding. However, due to space limitations, surgeons can have difficultly manipulating an instrument to coagulate, desiccate, fulgurate and/or cut tissue. Other instruments direct high frequency electric current through the tissue to stop the bleeding.
I
Eschar adherence may also be a problem with these instruments. In both types of instruments, the depth of the coagulation is difficult to control.
[0004] Using these instruments to treat certain more sensitive tissue sites may be impractical since the constant and/or direct emission of ionized gas/plasma at the tissue may cause unintended results. Moreover, simply controlling the pressure of the gas from the source may not be effective or yield a desired result.
SUMMARY
100051 The present disclosure relates to an electrosurgical apparatus and method for coagulating tissue. An electrosurgical apparatus includes a first tube with a proximal end and a distal end. The proximal end is configured to receive pressurized ionizable gas and the distal end is configured to deliver ionized gas towards a treatment area. The electrosurgical apparatus also includes at least one electrode positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the distal end of the first tube. The electrode is adapted to be operatively coupled to an electrical energy source.
The electrosurgical apparatus also includes a second tube with proximal and distal ends. The second tube is configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
100061 In one embodiment, the first tube is concentrically disposed within the second tube.
[00071 In an exeniplary embodiment, the distal end of the first tube extends distally relative to the distal end of the second tube.
Technical Field 100011 The present disclosure relates to gas-enhanced electrosurgical methods and devices. More particularly, the present disclosure relates to a gas-enhanced electrosurgical device and method for supplying gas to and removing gas from a surgical site.
Back-yrozrnd of Related Ar=t 100021 Over the last several decades, more and more surgeons are abandoning traditional open methods of gaining access to vital organs and body cavities in favor of endoscopes and endoscopic instruments that access organs through small puncture-like incisions. Endoscopic instruments are inserted into the patient through a cannula, or a port that has been made with a trocar. Typical sizes for cannulas range from about three millimeters to about twelve millimeters. Smaller cannulas are usually preferred, and this presents a design challenge to instrument manufacturers who must find ways to make surgical instruments that fit through the cannulas and operate in a safe and effective manner.
[0003] Devices for arresting blood loss and coagulating tissue are well known in the art. For example, several prior art instruments employ thermic coagulation (heated probes) to arrest bleeding. However, due to space limitations, surgeons can have difficultly manipulating an instrument to coagulate, desiccate, fulgurate and/or cut tissue. Other instruments direct high frequency electric current through the tissue to stop the bleeding.
I
Eschar adherence may also be a problem with these instruments. In both types of instruments, the depth of the coagulation is difficult to control.
[0004] Using these instruments to treat certain more sensitive tissue sites may be impractical since the constant and/or direct emission of ionized gas/plasma at the tissue may cause unintended results. Moreover, simply controlling the pressure of the gas from the source may not be effective or yield a desired result.
SUMMARY
100051 The present disclosure relates to an electrosurgical apparatus and method for coagulating tissue. An electrosurgical apparatus includes a first tube with a proximal end and a distal end. The proximal end is configured to receive pressurized ionizable gas and the distal end is configured to deliver ionized gas towards a treatment area. The electrosurgical apparatus also includes at least one electrode positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the distal end of the first tube. The electrode is adapted to be operatively coupled to an electrical energy source.
The electrosurgical apparatus also includes a second tube with proximal and distal ends. The second tube is configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
100061 In one embodiment, the first tube is concentrically disposed within the second tube.
[00071 In an exeniplary embodiment, the distal end of the first tube extends distally relative to the distal end of the second tube.
100081 The electrode may be activated with a first electrical potential and the electrical energy source may include a remote patient pad that is energized to a second electrical potential. 100091 In an embodiment of the disclosure, the electrosurgical apparatus is configured for use in a bipolar mode wherein the first tube is activated with a first electrical potential and the second tube is activated with a second electrical potential.
1000101 In an exemplary embodiment, the electrosurgical apparatus includes a regulator which regulates the flow of pressurized argon through the first tube. The regulator is disposed between a gas supply of the pressurized argon and the proximal end of the first tube.
[00011] In another embodiment of the disclosure, the electrosurgical apparatus includes a fluid agitator, which may be disposed within the first tube, to impart non-laminar flow characteristics to the pressurized ionizable gas. Here, the pressurized ionizable gas may be used to cool tissue.
1000121 The present disclosure also relates to an electrosurgical apparatus for coagulating tissue that is configured to use in a bipolar mode. In this embodiment, an electrode control mechanism that controls the current intensity to the electrode is disclosed.
[00013] The present disclosure also relates to a method for coagulating tissue. The method includes the steps of providing an electrosurgical apparatus including a first tube configured to receive pressurized ionizable gas and to deliver ionized gas towards a treatment area, at least one electrode positioned to selectively ionize pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, and a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
The remaining steps include inserting the electrosurgical apparatus into tissue; delivering ionizable gas to the first tube; ionizing pressurized ionizable gas;
delivering pressurized ionized gas through the first tube towards the treatment area; and removing pressurized ionized gas from the treatment area via the second tube. Additionally, a step of inserting an introducer into the tissue is disclosed.
BRIEF DESCRIPTION OF THE DRAWINGS
1000141 Fig. 1 is a perspective view of an electrosurgical instrument according to an embodiment of the present disclosure;
[00015] Fig. 2 is an enlarged, side sectional view of one embodiment of the present disclosure showing a first tube and a second tube inserted into tissue;
[00016] Fig. 3 is an enlarged, side sectional view of the area of detail shown in Fig. 2;
[00017] Fig. 4 is an end cross-sectional view of the first tube and the second tube according to one embodiment of the present disclosure;
[00018] Fig. 5 is an enlarged, schematic sectional view of the first tube and the second tube illustrating ionized gas treating a tissue surface;
1000191 Fig. 6 is an enlarged, schematic sectional view of the first tube and the second tube illustrating a helically-shaped baffle located with the first tube for causing ionizable gas and/or ionized gas to exit the first tube with predetermined flow characteristics;
1000101 In an exemplary embodiment, the electrosurgical apparatus includes a regulator which regulates the flow of pressurized argon through the first tube. The regulator is disposed between a gas supply of the pressurized argon and the proximal end of the first tube.
[00011] In another embodiment of the disclosure, the electrosurgical apparatus includes a fluid agitator, which may be disposed within the first tube, to impart non-laminar flow characteristics to the pressurized ionizable gas. Here, the pressurized ionizable gas may be used to cool tissue.
1000121 The present disclosure also relates to an electrosurgical apparatus for coagulating tissue that is configured to use in a bipolar mode. In this embodiment, an electrode control mechanism that controls the current intensity to the electrode is disclosed.
[00013] The present disclosure also relates to a method for coagulating tissue. The method includes the steps of providing an electrosurgical apparatus including a first tube configured to receive pressurized ionizable gas and to deliver ionized gas towards a treatment area, at least one electrode positioned to selectively ionize pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, and a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
The remaining steps include inserting the electrosurgical apparatus into tissue; delivering ionizable gas to the first tube; ionizing pressurized ionizable gas;
delivering pressurized ionized gas through the first tube towards the treatment area; and removing pressurized ionized gas from the treatment area via the second tube. Additionally, a step of inserting an introducer into the tissue is disclosed.
BRIEF DESCRIPTION OF THE DRAWINGS
1000141 Fig. 1 is a perspective view of an electrosurgical instrument according to an embodiment of the present disclosure;
[00015] Fig. 2 is an enlarged, side sectional view of one embodiment of the present disclosure showing a first tube and a second tube inserted into tissue;
[00016] Fig. 3 is an enlarged, side sectional view of the area of detail shown in Fig. 2;
[00017] Fig. 4 is an end cross-sectional view of the first tube and the second tube according to one embodiment of the present disclosure;
[00018] Fig. 5 is an enlarged, schematic sectional view of the first tube and the second tube illustrating ionized gas treating a tissue surface;
1000191 Fig. 6 is an enlarged, schematic sectional view of the first tube and the second tube illustrating a helically-shaped baffle located with the first tube for causing ionizable gas and/or ionized gas to exit the first tube with predetermined flow characteristics;
[00020] Fig. 7A is an enlarged, schematic sectional view of the first tube and the second tube wherein the first tube includes a rotating plenum having an aperture therein for causing ionizable gas and/or ionized gas to exit the first tube with predetermined flow characteristics;
[00021] Fig. 7B is a cross-sectional view of the embodiment of Fig. 7A taken along line 7B-7B;
1000221 Fig. 8A is an enlarged, schematic sectional view of the first tube and the second tube wherein the first tube includes a pair of elongated flaps therein for causing ionizable gas and/or ionized gas to exit the first tube with predetermined flow characteristics;
and [00023) Fig. 8B is a cross-sectional view of the embodiment of Fig. 8A taken along line 8B-8B.
DETAILED DESCRIPTION
[00024] Referring to Fig. 1, a gas-enhanced tissue coagulator generally identified by reference numeral 10 is shown extending through a working channel of an endoscope 12.
The coagulator 10 may be employed with a variety of suitable endoscopes, such as those manufactured by Olympus, Pentax and Fujinon. As such, only the basic operating features of the endoscope 12 that work in combination with the present disclosure need to be described herein.
1000251 Generally, the endoscope 12 includes a hand piece 26 having a proximal end 27 and a distal end 29. The proximal end 27 is mechanically coupled to a supply 19 of pressurized ionizable gas, e.g., inert gas, via hose 20 and electrically coupled to an electrosurgical generator 22 by way of cable 24 to supply electrosurgical energy, e.g., high frequency coagulation current, to the endoscope 12. Tthe electrosurgical generator 22 may be configured to selectively control the amount of electrosurgical energy transmitted to an electrode during a surgical procedure. The supply 19 of pressurized ionizable gas may be configured to selectively control the rate of flow of gas, which is typically greater than I liter per minute.
1000261 As shown in Figs. I and 2, a long, generally flexible tubular member having a first tube 100 located within a second concentric tube 200 is mechanically coupled to the distal end 29 of the hand piece 26. First tube 100 includes a proximal end 110 and a distal end 120 and second tube 200 includes a proximal end 210 and a distal end 220. As best illustrated in Fig. 4, first tube 100 and second tube 200 are concentrically oriented, such that first tube 100 is disposed within second tube 200. First tube 100 and second tube 200 may include insulation coatings 102, 202, respectively, to electrically isolate tubes 100 and 200 from one another. Distal end 120 of the first tube 100 extends distally from the distal end 220 of the second tube 200, the purposes of which are explained in more detail below.
[000271 Turning now to Fig. 2, an enlarged, side sectional view of one embodiment of the coagulator 10 is shown. First tube 100 and second tube 200 are shown inserted into tissue, generally designated as "N." The first tube 100 is configured to deliver ionizable gas towards a treatment area "T" out of its distal end 120. The proximal end 110 of the first tube 100 is configured to receive ionizable gas from the supply 19. Second tube 200 is configured to remove or evacuate gas and/or waste from the treatment area "T" through distal end 220.
The gas and/or waste exits through proximal end 210 and is typically collected in a known manner such as a suitable medical waste container or a waste containment system. An introducer 300 may be utilized to facilitate the insertion of the coagulator 10 into the tissue N"
[000281 With continued reference to Figs. I and 2, ionizable gas, e.g., argon, is supplied to the proximal end 110 of the first tube 100 by a gas conduit (not explicitly shown) located inside tubular member 13. Ionizable gas 19 may be supplied to the first tube 100 at a selectable, predetermined flow rate. The flow rate of the ionizable gas inay be selectively adjustable and/or regulated via a pressure regulator 21 depending upon a particular purpose or a particular surgical condition.
[000291 As mentioned above, the ionizable gas is supplied under pressure to the proximal end 110 of the first tube 100 and flows generally within the first tube 100 towards distal portion 120. An electrode 48 (see Fig. 5) discharges an electrosurgical current, e.g., radio frequency (RF), which ionizes the gas prior to the gas being expelled from the distal end 110 of the first tube 100 towards tissue "N." (Ionizable gas is illustrated as dashed arrows 18 in Fig. 5 and the resulting ionized gas is illustrated by the area designated as reference numeral 46.) The stream of ionized gas 46 conducts current to the tissue 50 while effectively scattering blood away fronl the treatment site allowing the tissue 50 to readily coagulate and arrest bleeding. The ionized gas 46 along with any vaporized material 52 is then suctioned away from the tissue (in the direction indicated by arrows A) through distal end 220 of second tube 200 via a suitable suctioning device (not explicitly shown). As best shown in Fig. 5, the generally wide ionized gas area allows a surgeon to effectively coagulate a wide tissue area.
This is commonly referred to as a "coagulative painting."
1000301 Electrode 48 is connected by way of an electrical conduit disposed within the first tube 100, which is ultimately connected to the electrosurgical generator 22. The electrode 48 may be ring- or pin-type and is spaced from the distal opening 110 of the first tube 100 such that the electrode 48 does not come into contact with the tissue "N" or tissue 50 during the surgical procedure. In one embodiment of the present disclosure, an electrode control mechanism 60 allows an operator to control the current intensity to the electrode 48 during surgical procedures.
100031] Ionizable gas 18 is controlled/manipulated such that it flows through the first tube 100 in a generally non-laminar or turbulent manner. However, various systems may be employed to cause the ionizable gas 18 to flow more or less turbulently or with other predetermined flow characteristics through the first tube 100. The gas flow may be used to cool tissue, thus reducing thermal margins or areas of ablated tissue during coagulation.
1000321 A fluid agitator, for example, such as a ribbon 62 (see Fig. 1), may be positioned within the first tube 100 to cause ionizable gas 18 and/or ionized gas 46 to swirl therewithin prior to the ionizable gas 18 and/or ionized gas 46 exiting the distal end 110 of the first tube 100. Additionally, with reference to Fig. 6, a generally helically-shaped baffle 64 may be positioned within the first tube 100 to cause ionizable gas 18 and/or ionized gas 46 to swirl within first tube 100 prior to the gas 18 or 46 exiting distal end 120 of first tube 100.
1000331 A rotatable plenum 66 is illustrated in Figs. 7A and 7B, which includes at least one aperture 68 located therethrough. In this embodiment, the force of the ionizable gas 18 and/or ionized gas 46 flowing through aperture 68 causes the plenum 66 to rotate, which in turn causes the ionizable gas 18 and/or ionized gas 46 to swirl with predetermined flow characteristics. It is envisioned that the user can control the rotational speed of the plenum 66 by varying the pressure of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100. It is also envisioned that the rotational speed of the plenum 66 is controlled by a separate mechanism that is independent of the ionizable gas 18 and/or ionized gas 46, e.g., a regulator (not explicitly shown).
[000341 Figs. 8A and 8B illustrate a flow system that includes a pair of rods disposed within first tube 100 for supporting a pair of elongated flaps 72.
Under flow conditions, flaps 72 attenuate/extend from rods 70 and flutter within the stream of ionizable gas 18 and/or ionized gas 46. It is envisioned that the force of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100 causes each flap 72 to flutter, which in turn causes ionizable gas 18 and/or ionized gas 46 to move in a more turbulent manner. It is also envisioned that the rate/frequency of the flutter is directly related to the pressure of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100. Any suitable number of flaps 72 can be employed to create certain flow conditions, e.g., a series of flaps 72 can be positioned at various positions along first tube 100 to create a more turbulent flow of ionizable gas 18 and/or ionized gas 46. Moreover, the length of each flap 72 may be varied to create additional flow effects.
1000351 CoagLilator 10 may be configured for monopolar and/or bipolar modes.
In the monopolar mode, the first tube 100 may be the active electrode and a patient pad 17 (Fig. 5) may be the return electrode. In the monopolar mode, an arcing pattern 410 (Fig. 3) may radiate out from the distal end 120 of the first tube 100. In the bipolar mode, the first tube 100 may be the active electrode and the second tube 200 may be the return electrode. In the bipolar mode, the conductive path, represented by dashed lines 420, would be relatively self-contained at the distal end 120 of the first tube 100 due to the proximity of the active electrode and the return electrode. In one embodiment, monopolar and bipolar modes may be alternated a plurality of times per second during use, which would enable the conductive path in lnonopolar mode to arc into the surrounding tissue 50 causing desiccation and vaporization of the tissue 50 in close proximity to the distal end 120 of the first tube 100. The conductive path in bipolar mode further desiccates material that has been separated from the tissue 50 as the conductive path enters the second tube 200.
1000361 In operation, the introducer 300 may be inserted through the body and placed into tissue "N." A stylet (not shown) may facilitate the insertion of the introducer 300 into the tissue "N" by taking impedance readings. The stylet may then be removed upon confirmation of a desired impedance reading. Tubular member 13 of the coagulator 10 may then be inserted into the introducer 300, providing free access to the tissue "N." Once tubular member 13 is place in the tissue "N," the gas flow may be selectively initiated and the electrode 48 is thereafter selectively activated. A corona electrode may be used for inducing ignition of the ionizable gas 18. Ionized gas 46 flows out of the first tube 100 and is suctioned back into the second tube 200. When argon gas is used, the argon restricts the amount of tissue affected to the material that is adjacent the distal end 120 of the first tube 100. Nuclear material near the distal end 120 of the first tube 100 is thus vaporized and removed via the second tube 200.
[000371 From the foregoing and with reference to the various figures, those skilled in the art will appreciate that not only can the coagulator 10 of the present disclosure be used to arrest bleeding tissue, but the present disclosure can also be employed for desiccating and/or removing the surface tissue, eradicating cysts, fonning eschars on tumors or thermically marking tissue. Those skilled in the art will also appreciate that certain modifications can be made to the present disclosure without departing from the scope of the present disclosure.
[000381 For example, the coagulator 10 of the present disclosure may include articulating qualities. In addition, tubular member 13, or at least a portion thereof, may have an arcuate shape. Moreover, the coagLilator 10 of the present disclosure may be used while perfonning liposuction and/or for treating tumors. In such tumor-treating embodiments, a level of coagulation may be achieved and the second tube 200 may remove material, as opposed to coagulating the tissue and leaving it in the body. Furthermore, certain aspects of the present disclosure may be utilized with a portable device and a portable argon supply.
[000391 There is described and illustrated herein several embodiments of a gas-enhanced electrosurgical device that supplies gas to and removes gas from a treatment area.
While particular embodiments of the disclosure have been described, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of various embodiments.
Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
[00021] Fig. 7B is a cross-sectional view of the embodiment of Fig. 7A taken along line 7B-7B;
1000221 Fig. 8A is an enlarged, schematic sectional view of the first tube and the second tube wherein the first tube includes a pair of elongated flaps therein for causing ionizable gas and/or ionized gas to exit the first tube with predetermined flow characteristics;
and [00023) Fig. 8B is a cross-sectional view of the embodiment of Fig. 8A taken along line 8B-8B.
DETAILED DESCRIPTION
[00024] Referring to Fig. 1, a gas-enhanced tissue coagulator generally identified by reference numeral 10 is shown extending through a working channel of an endoscope 12.
The coagulator 10 may be employed with a variety of suitable endoscopes, such as those manufactured by Olympus, Pentax and Fujinon. As such, only the basic operating features of the endoscope 12 that work in combination with the present disclosure need to be described herein.
1000251 Generally, the endoscope 12 includes a hand piece 26 having a proximal end 27 and a distal end 29. The proximal end 27 is mechanically coupled to a supply 19 of pressurized ionizable gas, e.g., inert gas, via hose 20 and electrically coupled to an electrosurgical generator 22 by way of cable 24 to supply electrosurgical energy, e.g., high frequency coagulation current, to the endoscope 12. Tthe electrosurgical generator 22 may be configured to selectively control the amount of electrosurgical energy transmitted to an electrode during a surgical procedure. The supply 19 of pressurized ionizable gas may be configured to selectively control the rate of flow of gas, which is typically greater than I liter per minute.
1000261 As shown in Figs. I and 2, a long, generally flexible tubular member having a first tube 100 located within a second concentric tube 200 is mechanically coupled to the distal end 29 of the hand piece 26. First tube 100 includes a proximal end 110 and a distal end 120 and second tube 200 includes a proximal end 210 and a distal end 220. As best illustrated in Fig. 4, first tube 100 and second tube 200 are concentrically oriented, such that first tube 100 is disposed within second tube 200. First tube 100 and second tube 200 may include insulation coatings 102, 202, respectively, to electrically isolate tubes 100 and 200 from one another. Distal end 120 of the first tube 100 extends distally from the distal end 220 of the second tube 200, the purposes of which are explained in more detail below.
[000271 Turning now to Fig. 2, an enlarged, side sectional view of one embodiment of the coagulator 10 is shown. First tube 100 and second tube 200 are shown inserted into tissue, generally designated as "N." The first tube 100 is configured to deliver ionizable gas towards a treatment area "T" out of its distal end 120. The proximal end 110 of the first tube 100 is configured to receive ionizable gas from the supply 19. Second tube 200 is configured to remove or evacuate gas and/or waste from the treatment area "T" through distal end 220.
The gas and/or waste exits through proximal end 210 and is typically collected in a known manner such as a suitable medical waste container or a waste containment system. An introducer 300 may be utilized to facilitate the insertion of the coagulator 10 into the tissue N"
[000281 With continued reference to Figs. I and 2, ionizable gas, e.g., argon, is supplied to the proximal end 110 of the first tube 100 by a gas conduit (not explicitly shown) located inside tubular member 13. Ionizable gas 19 may be supplied to the first tube 100 at a selectable, predetermined flow rate. The flow rate of the ionizable gas inay be selectively adjustable and/or regulated via a pressure regulator 21 depending upon a particular purpose or a particular surgical condition.
[000291 As mentioned above, the ionizable gas is supplied under pressure to the proximal end 110 of the first tube 100 and flows generally within the first tube 100 towards distal portion 120. An electrode 48 (see Fig. 5) discharges an electrosurgical current, e.g., radio frequency (RF), which ionizes the gas prior to the gas being expelled from the distal end 110 of the first tube 100 towards tissue "N." (Ionizable gas is illustrated as dashed arrows 18 in Fig. 5 and the resulting ionized gas is illustrated by the area designated as reference numeral 46.) The stream of ionized gas 46 conducts current to the tissue 50 while effectively scattering blood away fronl the treatment site allowing the tissue 50 to readily coagulate and arrest bleeding. The ionized gas 46 along with any vaporized material 52 is then suctioned away from the tissue (in the direction indicated by arrows A) through distal end 220 of second tube 200 via a suitable suctioning device (not explicitly shown). As best shown in Fig. 5, the generally wide ionized gas area allows a surgeon to effectively coagulate a wide tissue area.
This is commonly referred to as a "coagulative painting."
1000301 Electrode 48 is connected by way of an electrical conduit disposed within the first tube 100, which is ultimately connected to the electrosurgical generator 22. The electrode 48 may be ring- or pin-type and is spaced from the distal opening 110 of the first tube 100 such that the electrode 48 does not come into contact with the tissue "N" or tissue 50 during the surgical procedure. In one embodiment of the present disclosure, an electrode control mechanism 60 allows an operator to control the current intensity to the electrode 48 during surgical procedures.
100031] Ionizable gas 18 is controlled/manipulated such that it flows through the first tube 100 in a generally non-laminar or turbulent manner. However, various systems may be employed to cause the ionizable gas 18 to flow more or less turbulently or with other predetermined flow characteristics through the first tube 100. The gas flow may be used to cool tissue, thus reducing thermal margins or areas of ablated tissue during coagulation.
1000321 A fluid agitator, for example, such as a ribbon 62 (see Fig. 1), may be positioned within the first tube 100 to cause ionizable gas 18 and/or ionized gas 46 to swirl therewithin prior to the ionizable gas 18 and/or ionized gas 46 exiting the distal end 110 of the first tube 100. Additionally, with reference to Fig. 6, a generally helically-shaped baffle 64 may be positioned within the first tube 100 to cause ionizable gas 18 and/or ionized gas 46 to swirl within first tube 100 prior to the gas 18 or 46 exiting distal end 120 of first tube 100.
1000331 A rotatable plenum 66 is illustrated in Figs. 7A and 7B, which includes at least one aperture 68 located therethrough. In this embodiment, the force of the ionizable gas 18 and/or ionized gas 46 flowing through aperture 68 causes the plenum 66 to rotate, which in turn causes the ionizable gas 18 and/or ionized gas 46 to swirl with predetermined flow characteristics. It is envisioned that the user can control the rotational speed of the plenum 66 by varying the pressure of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100. It is also envisioned that the rotational speed of the plenum 66 is controlled by a separate mechanism that is independent of the ionizable gas 18 and/or ionized gas 46, e.g., a regulator (not explicitly shown).
[000341 Figs. 8A and 8B illustrate a flow system that includes a pair of rods disposed within first tube 100 for supporting a pair of elongated flaps 72.
Under flow conditions, flaps 72 attenuate/extend from rods 70 and flutter within the stream of ionizable gas 18 and/or ionized gas 46. It is envisioned that the force of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100 causes each flap 72 to flutter, which in turn causes ionizable gas 18 and/or ionized gas 46 to move in a more turbulent manner. It is also envisioned that the rate/frequency of the flutter is directly related to the pressure of ionizable gas 18 and/or ionized gas 46 flowing through first tube 100. Any suitable number of flaps 72 can be employed to create certain flow conditions, e.g., a series of flaps 72 can be positioned at various positions along first tube 100 to create a more turbulent flow of ionizable gas 18 and/or ionized gas 46. Moreover, the length of each flap 72 may be varied to create additional flow effects.
1000351 CoagLilator 10 may be configured for monopolar and/or bipolar modes.
In the monopolar mode, the first tube 100 may be the active electrode and a patient pad 17 (Fig. 5) may be the return electrode. In the monopolar mode, an arcing pattern 410 (Fig. 3) may radiate out from the distal end 120 of the first tube 100. In the bipolar mode, the first tube 100 may be the active electrode and the second tube 200 may be the return electrode. In the bipolar mode, the conductive path, represented by dashed lines 420, would be relatively self-contained at the distal end 120 of the first tube 100 due to the proximity of the active electrode and the return electrode. In one embodiment, monopolar and bipolar modes may be alternated a plurality of times per second during use, which would enable the conductive path in lnonopolar mode to arc into the surrounding tissue 50 causing desiccation and vaporization of the tissue 50 in close proximity to the distal end 120 of the first tube 100. The conductive path in bipolar mode further desiccates material that has been separated from the tissue 50 as the conductive path enters the second tube 200.
1000361 In operation, the introducer 300 may be inserted through the body and placed into tissue "N." A stylet (not shown) may facilitate the insertion of the introducer 300 into the tissue "N" by taking impedance readings. The stylet may then be removed upon confirmation of a desired impedance reading. Tubular member 13 of the coagulator 10 may then be inserted into the introducer 300, providing free access to the tissue "N." Once tubular member 13 is place in the tissue "N," the gas flow may be selectively initiated and the electrode 48 is thereafter selectively activated. A corona electrode may be used for inducing ignition of the ionizable gas 18. Ionized gas 46 flows out of the first tube 100 and is suctioned back into the second tube 200. When argon gas is used, the argon restricts the amount of tissue affected to the material that is adjacent the distal end 120 of the first tube 100. Nuclear material near the distal end 120 of the first tube 100 is thus vaporized and removed via the second tube 200.
[000371 From the foregoing and with reference to the various figures, those skilled in the art will appreciate that not only can the coagulator 10 of the present disclosure be used to arrest bleeding tissue, but the present disclosure can also be employed for desiccating and/or removing the surface tissue, eradicating cysts, fonning eschars on tumors or thermically marking tissue. Those skilled in the art will also appreciate that certain modifications can be made to the present disclosure without departing from the scope of the present disclosure.
[000381 For example, the coagulator 10 of the present disclosure may include articulating qualities. In addition, tubular member 13, or at least a portion thereof, may have an arcuate shape. Moreover, the coagLilator 10 of the present disclosure may be used while perfonning liposuction and/or for treating tumors. In such tumor-treating embodiments, a level of coagulation may be achieved and the second tube 200 may remove material, as opposed to coagulating the tissue and leaving it in the body. Furthermore, certain aspects of the present disclosure may be utilized with a portable device and a portable argon supply.
[000391 There is described and illustrated herein several embodiments of a gas-enhanced electrosurgical device that supplies gas to and removes gas from a treatment area.
While particular embodiments of the disclosure have been described, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of various embodiments.
Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.
Claims (13)
1. An electrosurgical apparatus for coagulating tissue, comprising:
a first tube having a proximal end and a distal end, the proximal end being configured to receive pressurized ionizable gas and the distal end being configured to deliver ionized gas towards a treatment area;
at least one electrode positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the distal end of the first tube, the electrode adapted to be operatively coupled to an electrical energy source;
and a second tube having proximal and distal ends, the second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
a first tube having a proximal end and a distal end, the proximal end being configured to receive pressurized ionizable gas and the distal end being configured to deliver ionized gas towards a treatment area;
at least one electrode positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the distal end of the first tube, the electrode adapted to be operatively coupled to an electrical energy source;
and a second tube having proximal and distal ends, the second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area.
2. The electrosurgical apparatus according to claim 1, wherein the first tube is concentrically disposed within the second tube.
3. The electrosurgical apparatus according to claim 1, wherein the distal end of the first tube extends distally relative to the distal end of the second tube.
4. The electrosurgical apparatus according to claim 1, wherein the electrode is activated with a first electrical potential and the electrical energy source includes a remote patient pad that is energized to a second electrical potential.
5. The electrosurgical apparatus according to claim 1, wherein the electrosurgical apparatus is configured for use in a bipolar mode wherein the first tube is activated with a first electrical potential and the second tube is activated with a second electrical potential.
6. The electrosurgical apparatus according to claim 1, further comprising a regulator which regulates the flow of pressurized argon through the first tube, the regulator being disposed between a gas supply of the pressurized argon and the proximal end of the first tube.
7. The electrosurgical apparatus according to claim 6, further comprising a fluid agitator, the fluid agitator being configured to impart non-laminar flow characteristics to the pressurized ionizable gas.
8. The electrosurgical apparatus according to claim 7, wherein the fluid agitator is disposed within the first tube.
9. The electrosurgical apparatus according to claim 8, wherein the pressurized ionizable gas is used to cool tissue.
10. An electrosurgical apparatus for coagulating tissue, comprising:
a first tube being configured to receive pressurized ionizable gas from a gas supply and to deliver ionized gas towards a treatment area;
at least one electrode activated with a first electrical potential positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, the electrode adapted to be operatively coupled to an electrical energy source that includes a remote patient pad and is energized to a second electrical potential;
a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area; and wherein the electrosurgical apparatus is configured for use in a bipolar mode.
a first tube being configured to receive pressurized ionizable gas from a gas supply and to deliver ionized gas towards a treatment area;
at least one electrode activated with a first electrical potential positioned to selectively ionize the pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, the electrode adapted to be operatively coupled to an electrical energy source that includes a remote patient pad and is energized to a second electrical potential;
a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area; and wherein the electrosurgical apparatus is configured for use in a bipolar mode.
11. The electrosurgical apparatus according to claim 10 further comprising an electrode control mechanism that controls the current intensity to the electrode.
12. A method for coagulating tissue, the method including the steps of:
providing an electrosurgical apparatus, the electrosurgical apparatus including a first tube configured to receive pressurized ionizable gas and to deliver ionized gas towards a treatment area, at least one electrode positioned to selectively ionize pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, and a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area;
inserting the electrosurgical apparatus into tissue;
delivering ionizable gas to the first tube;
ionizing pressurized ionizable gas;
delivering pressurized ionized gas through the first tube towards the treatment area; and removing pressurized ionized gas from the treatment area via the second tube.
providing an electrosurgical apparatus, the electrosurgical apparatus including a first tube configured to receive pressurized ionizable gas and to deliver ionized gas towards a treatment area, at least one electrode positioned to selectively ionize pressurized ionizable gas prior to the pressurized ionizable gas exiting the first tube, and a second tube being configured to selectively evacuate the ionized gas and dislodged tissue material from the treatment area;
inserting the electrosurgical apparatus into tissue;
delivering ionizable gas to the first tube;
ionizing pressurized ionizable gas;
delivering pressurized ionized gas through the first tube towards the treatment area; and removing pressurized ionized gas from the treatment area via the second tube.
13. The method of coagulating tissue according to claim 12, further including the step of inserting an introducer into tissue, the inserting an introducer step being after the providing step and before the step of inserting the electrosurgical apparatus.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/370,287 | 2006-03-08 | ||
US11/370,287 US7648503B2 (en) | 2006-03-08 | 2006-03-08 | Tissue coagulation method and device using inert gas |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2580880A1 true CA2580880A1 (en) | 2007-09-08 |
Family
ID=38038463
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002580880A Abandoned CA2580880A1 (en) | 2006-03-08 | 2007-03-06 | Tissue coagulation method and device using inert gas |
Country Status (5)
Country | Link |
---|---|
US (2) | US7648503B2 (en) |
EP (3) | EP2181661A1 (en) |
CA (1) | CA2580880A1 (en) |
DE (1) | DE602007003872D1 (en) |
ES (1) | ES2337933T3 (en) |
Families Citing this family (19)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6616660B1 (en) | 1999-10-05 | 2003-09-09 | Sherwood Services Ag | Multi-port side-fire coagulator |
US6475217B1 (en) | 1999-10-05 | 2002-11-05 | Sherwood Services Ag | Articulating ionizable gas coagulator |
US8226643B2 (en) * | 2004-02-03 | 2012-07-24 | Covidien Ag | Gas-enhanced surgical instrument with pressure safety feature |
US7648503B2 (en) | 2006-03-08 | 2010-01-19 | Covidien Ag | Tissue coagulation method and device using inert gas |
GB2458329B (en) * | 2008-03-15 | 2012-11-07 | Creo Medical Ltd | Applicator assembly for plasma sterilisation of body cavities |
US8994270B2 (en) | 2008-05-30 | 2015-03-31 | Colorado State University Research Foundation | System and methods for plasma application |
WO2011123124A1 (en) | 2010-03-31 | 2011-10-06 | Colorado State University Research Foundation | Liquid-gas interface plasma device |
US8226642B2 (en) | 2008-08-14 | 2012-07-24 | Tyco Healthcare Group Lp | Surgical gas plasma ignition apparatus and method |
US8083737B2 (en) | 2009-08-26 | 2011-12-27 | Tyco Healthcare Group Lp | Gas-enhanced surgical instrument with mechanism for cylinder puncture |
AU2010349785B2 (en) | 2010-03-31 | 2014-02-27 | Colorado State University Research Foundation | Liquid-gas interface plasma device |
US8668687B2 (en) | 2010-07-29 | 2014-03-11 | Covidien Lp | System and method for removing medical implants |
US9532826B2 (en) | 2013-03-06 | 2017-01-03 | Covidien Lp | System and method for sinus surgery |
US9555145B2 (en) | 2013-03-13 | 2017-01-31 | Covidien Lp | System and method for biofilm remediation |
WO2016079742A1 (en) | 2014-11-19 | 2016-05-26 | Technion Research & Development Foundation Limited | Cold plasma generating system |
AU2016337508B2 (en) * | 2015-10-16 | 2020-12-03 | U.S. Patent Innovations Llc | Low eletromagnetic field electrosurgical cable |
CN107095717B (en) * | 2017-04-28 | 2023-06-30 | 重庆金山医疗技术研究院有限公司 | Argon gas spray pipe device and medical instrument with same |
US11432865B2 (en) * | 2018-01-26 | 2022-09-06 | Gyrus Medical Limited | Method of inserting an electrosurgical instrument into an endoscope in an apparatus for ionisable gas coagulation and operating the electrosurgical instrument in the endoscope after insertion |
US20220273360A1 (en) * | 2019-08-07 | 2022-09-01 | Covidien Lp | Electrosurgical systems |
EP4164530A4 (en) * | 2020-06-15 | 2024-03-13 | Covidien Lp | Electrosurgical pencil with blowing and suction |
Family Cites Families (131)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2708933A (en) * | 1951-05-17 | 1955-05-24 | August William | Gas blanketed electro-surgical device |
US2828747A (en) * | 1952-12-06 | 1958-04-01 | Birtcher Corp | Gas-blanketed electro-surgical device |
FR1340509A (en) | 1962-11-27 | 1963-10-18 | Siemens Reiniger Werke Ag | Safety device for high frequency surgical devices |
US3434476A (en) * | 1966-04-07 | 1969-03-25 | Robert F Shaw | Plasma arc scalpel |
US3903891A (en) * | 1968-01-12 | 1975-09-09 | Hogle Kearns Int | Method and apparatus for generating plasma |
US3595239A (en) * | 1969-04-04 | 1971-07-27 | Roy A Petersen | Catheter with electrical cutting means |
US3569661A (en) * | 1969-06-09 | 1971-03-09 | Air Prod & Chem | Method and apparatus for establishing a cathode stabilized (collimated) plasma arc |
JPS5220425B1 (en) * | 1969-09-04 | 1977-06-03 | ||
US3699967A (en) * | 1971-04-30 | 1972-10-24 | Valleylab Inc | Electrosurgical generator |
US3838242A (en) * | 1972-05-25 | 1974-09-24 | Hogle Kearns Int | Surgical instrument employing electrically neutral, d.c. induced cold plasma |
US3832513A (en) * | 1973-04-09 | 1974-08-27 | G Klasson | Starting and stabilizing apparatus for a gas-tungsten arc welding system |
US3991764A (en) | 1973-11-28 | 1976-11-16 | Purdue Research Foundation | Plasma arc scalpel |
JPS53925B2 (en) * | 1974-05-04 | 1978-01-13 | ||
US4043342A (en) * | 1974-08-28 | 1977-08-23 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
US3987795A (en) * | 1974-08-28 | 1976-10-26 | Valleylab, Inc. | Electrosurgical devices having sesquipolar electrode structures incorporated therein |
DE2504280C3 (en) * | 1975-02-01 | 1980-08-28 | Hans Heinrich Prof. Dr. 8035 Gauting Meinke | Device for cutting and / or coagulating human tissue with high frequency current |
US4014343A (en) * | 1975-04-25 | 1977-03-29 | Neomed Incorporated | Detachable chuck for electro-surgical instrument |
US4060088A (en) * | 1976-01-16 | 1977-11-29 | Valleylab, Inc. | Electrosurgical method and apparatus for establishing an electrical discharge in an inert gas flow |
US4057064A (en) | 1976-01-16 | 1977-11-08 | Valleylab, Inc. | Electrosurgical method and apparatus for initiating an electrical discharge in an inert gas flow |
US4040426A (en) * | 1976-01-16 | 1977-08-09 | Valleylab, Inc. | Electrosurgical method and apparatus for initiating an electrical discharge in an inert gas flow |
US4041952A (en) * | 1976-03-04 | 1977-08-16 | Valleylab, Inc. | Electrosurgical forceps |
CA1105569A (en) | 1977-10-18 | 1981-07-21 | Ivan A. Kuznetsov | Plasma arc torch head |
US4311145A (en) * | 1979-07-16 | 1982-01-19 | Neomed, Inc. | Disposable electrosurgical instrument |
US4492231A (en) * | 1982-09-17 | 1985-01-08 | Auth David C | Non-sticking electrocautery system and forceps |
AT376460B (en) * | 1982-09-17 | 1984-11-26 | Kljuchko Gennady V | PLASMA ARC DEVICE FOR APPLYING COVERS |
US4545375A (en) * | 1983-06-10 | 1985-10-08 | Aspen Laboratories, Inc. | Electrosurgical instrument |
US4665906A (en) * | 1983-10-14 | 1987-05-19 | Raychem Corporation | Medical devices incorporating sim alloy elements |
US5067957A (en) | 1983-10-14 | 1991-11-26 | Raychem Corporation | Method of inserting medical devices incorporating SIM alloy elements |
USRE33925E (en) * | 1984-05-22 | 1992-05-12 | Cordis Corporation | Electrosurgical catheter aned method for vascular applications |
US4577637A (en) * | 1984-07-13 | 1986-03-25 | Argon Medical Corp. | Flexible metal radiopaque indicator and plugs for catheters |
US4601701A (en) * | 1985-02-25 | 1986-07-22 | Argon Medical Corp. | Multi-purpose multi-lumen catheter |
US4711238A (en) | 1985-03-14 | 1987-12-08 | Cunningham Frank W | Meniscal cutting device |
US4708137A (en) | 1985-05-20 | 1987-11-24 | Olympus Optical Co., Ltd. | High-frequency incision device |
US4955863A (en) * | 1986-02-05 | 1990-09-11 | Menlo Care, Inc. | Adjustable catheter assembly |
US4728322A (en) * | 1986-02-05 | 1988-03-01 | Menlo Care, Inc. | Adjustable catheter assembly |
JPH0684994B2 (en) * | 1986-02-28 | 1994-10-26 | 株式会社日立製作所 | Emergency core cooling system |
US4901719A (en) * | 1986-04-08 | 1990-02-20 | C. R. Bard, Inc. | Electrosurgical conductive gas stream equipment |
US4901720A (en) | 1986-04-08 | 1990-02-20 | C. R. Bard, Inc. | Power control for beam-type electrosurgical unit |
US4781175A (en) | 1986-04-08 | 1988-11-01 | C. R. Bard, Inc. | Electrosurgical conductive gas stream technique of achieving improved eschar for coagulation |
US4753223A (en) * | 1986-11-07 | 1988-06-28 | Bremer Paul W | System for controlling shape and direction of a catheter, cannula, electrode, endoscope or similar article |
US4732556A (en) * | 1986-12-04 | 1988-03-22 | Aerojet-General Corporation | Apparatus for synthesizing and densifying materials using a shape memory alloy |
SU1438745A1 (en) | 1986-12-24 | 1988-11-23 | Всесоюзный научно-исследовательский и испытательный институт медицинской техники | Ultrasonic surgical instrument |
US4817613A (en) * | 1987-07-13 | 1989-04-04 | Devices For Vascular Intervention, Inc. | Guiding catheter |
US4931047A (en) * | 1987-09-30 | 1990-06-05 | Cavitron, Inc. | Method and apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US5015227A (en) * | 1987-09-30 | 1991-05-14 | Valleylab Inc. | Apparatus for providing enhanced tissue fragmentation and/or hemostasis |
US4978338A (en) | 1988-04-21 | 1990-12-18 | Therex Corp. | Implantable infusion apparatus |
US4890610A (en) * | 1988-05-15 | 1990-01-02 | Kirwan Sr Lawrence T | Bipolar forceps |
US5242437A (en) * | 1988-06-10 | 1993-09-07 | Trimedyne Laser Systems, Inc. | Medical device applying localized high intensity light and heat, particularly for destruction of the endometrium |
US4864824A (en) * | 1988-10-31 | 1989-09-12 | American Telephone And Telegraph Company, At&T Bell Laboratories | Thin film shape memory alloy and method for producing |
US5041110A (en) * | 1989-07-10 | 1991-08-20 | Beacon Laboratories, Inc. | Cart for mobilizing and interfacing use of an electrosurgical generator and inert gas supply |
US5061268A (en) | 1989-08-24 | 1991-10-29 | Beacon Laboratories, Inc. | Disposable electrosurgical pencil with in-line filter and method |
JP2798723B2 (en) | 1989-08-28 | 1998-09-17 | 三菱化学株式会社 | Vinylidene cyanide copolymer |
US5195968A (en) * | 1990-02-02 | 1993-03-23 | Ingemar Lundquist | Catheter steering mechanism |
US5244462A (en) * | 1990-03-15 | 1993-09-14 | Valleylab Inc. | Electrosurgical apparatus |
US5088997A (en) * | 1990-03-15 | 1992-02-18 | Valleylab, Inc. | Gas coagulation device |
US5217457A (en) * | 1990-03-15 | 1993-06-08 | Valleylab Inc. | Enhanced electrosurgical apparatus |
US5098430A (en) * | 1990-03-16 | 1992-03-24 | Beacon Laboratories, Inc. | Dual mode electrosurgical pencil |
US5306238A (en) * | 1990-03-16 | 1994-04-26 | Beacon Laboratories, Inc. | Laparoscopic electrosurgical pencil |
US5108389A (en) * | 1990-05-23 | 1992-04-28 | Ioan Cosmescu | Automatic smoke evacuator activator system for a surgical laser apparatus and method therefor |
US5256138A (en) | 1990-10-04 | 1993-10-26 | The Birtcher Corporation | Electrosurgical handpiece incorporating blade and conductive gas functionality |
USD330253S (en) | 1990-10-04 | 1992-10-13 | Birtcher Medical Systems, Inc. | Electrosurgical handpiece |
US5688261A (en) | 1990-11-07 | 1997-11-18 | Premier Laser Systems, Inc. | Transparent laser surgical probe |
US5152762A (en) | 1990-11-16 | 1992-10-06 | Birtcher Medical Systems, Inc. | Current leakage control for electrosurgical generator |
US5122138A (en) * | 1990-11-28 | 1992-06-16 | Manwaring Kim H | Tissue vaporizing accessory and method for an endoscope |
US5409453A (en) | 1992-08-12 | 1995-04-25 | Vidamed, Inc. | Steerable medical probe with stylets |
US5163935A (en) | 1991-02-20 | 1992-11-17 | Reliant Laser Corporation | Surgical laser endoscopic focusing guide with an optical fiber link |
US5242438A (en) * | 1991-04-22 | 1993-09-07 | Trimedyne, Inc. | Method and apparatus for treating a body site with laterally directed laser radiation |
US5160334A (en) | 1991-04-30 | 1992-11-03 | Utah Medical Products, Inc. | Electrosurgical generator and suction apparatus |
US5195959A (en) * | 1991-05-31 | 1993-03-23 | Paul C. Smith | Electrosurgical device with suction and irrigation |
DE4121977C2 (en) * | 1991-07-03 | 1994-10-27 | Wolf Gmbh Richard | Medical instrument with a contactless switch for controlling external devices |
US5207675A (en) * | 1991-07-15 | 1993-05-04 | Jerome Canady | Surgical coagulation device |
US5370649A (en) | 1991-08-16 | 1994-12-06 | Myriadlase, Inc. | Laterally reflecting tip for laser transmitting fiber |
US5234457A (en) * | 1991-10-09 | 1993-08-10 | Boston Scientific Corporation | Impregnated stent |
DE4139029C2 (en) | 1991-11-27 | 1996-05-23 | Erbe Elektromedizin | Device for the coagulation of biological tissues |
DE9117019U1 (en) | 1991-11-27 | 1995-03-09 | Erbe Elektromedizin | Device for the coagulation of biological tissues |
DE9117299U1 (en) | 1991-11-27 | 2000-03-23 | Erbe Elektromedizin | Device for the coagulation of biological tissue |
US5292320A (en) * | 1992-07-06 | 1994-03-08 | Ceramoptec, Inc. | Radial medical laser delivery device |
US5248311A (en) * | 1992-09-14 | 1993-09-28 | Michael Black | Fiber-optic probe for soft-tissue laser surgery |
US5720745A (en) * | 1992-11-24 | 1998-02-24 | Erbe Electromedizin Gmbh | Electrosurgical unit and method for achieving coagulation of biological tissue |
US5693044A (en) * | 1992-12-11 | 1997-12-02 | Cosmescu; Ioan | Telescopic surgical device and method therefor |
US5366456A (en) | 1993-02-08 | 1994-11-22 | Xintec Corporation | Angle firing fiber optic laser scalpel and method of use |
US5389390A (en) * | 1993-07-19 | 1995-02-14 | Kross; Robert D. | Process for removing bacteria from poultry and other meats |
DE4326037C2 (en) | 1993-08-03 | 1997-01-16 | Dieter C Dr Med Goebel | Laser device |
JP3607731B2 (en) | 1993-11-10 | 2005-01-05 | メントー オー アンド オー インコーポレイテッド | Bipolar electrosurgical instruments and methods of making instruments |
US5609627A (en) * | 1994-02-09 | 1997-03-11 | Boston Scientific Technology, Inc. | Method for delivering a bifurcated endoluminal prosthesis |
US5476461A (en) | 1994-05-13 | 1995-12-19 | Cynosure, Inc. | Endoscopic light delivery system |
US5537499A (en) * | 1994-08-18 | 1996-07-16 | Laser Peripherals, Inc. | Side-firing laser optical fiber probe and method of making same |
US5669907A (en) | 1995-02-10 | 1997-09-23 | Valleylab Inc. | Plasma enhanced bipolar electrosurgical system |
US6213999B1 (en) * | 1995-03-07 | 2001-04-10 | Sherwood Services Ag | Surgical gas plasma ignition apparatus and method |
US5669904A (en) * | 1995-03-07 | 1997-09-23 | Valleylab Inc. | Surgical gas plasma ignition apparatus and method |
US6264650B1 (en) * | 1995-06-07 | 2001-07-24 | Arthrocare Corporation | Methods for electrosurgical treatment of intervertebral discs |
US5620439A (en) * | 1995-06-06 | 1997-04-15 | George S. Abela | Catheter and technique for endovascular myocardial revascularization |
US5662621A (en) * | 1995-07-06 | 1997-09-02 | Scimed Life Systems, Inc. | Guide catheter with shape memory retention |
US6458125B1 (en) | 1995-07-10 | 2002-10-01 | I. C. Medical, Inc. | Electro-surgical unit pencil apparatus and method therefor |
US5800500A (en) * | 1995-08-18 | 1998-09-01 | Pi Medical Corporation | Cochlear implant with shape memory material and method for implanting the same |
DE19537897A1 (en) | 1995-09-19 | 1997-03-20 | Erbe Elektromedizin | Multi=functional surgical instrument suitable for variable surgical methods |
US5653689A (en) * | 1995-09-30 | 1997-08-05 | Abacus Design & Development, Inc. | Infusion catheter |
MY119499A (en) * | 1995-12-05 | 2005-06-30 | Matsushita Electric Ind Co Ltd | Scroll compressor having bypass valves |
US5964714A (en) | 1996-03-07 | 1999-10-12 | Scimed Life Systems, Inc. | Pressure sensing guide wire |
DE19706269A1 (en) * | 1996-03-21 | 1997-09-25 | Valleylab Inc | Instrument for gas-enriched electrosurgery |
US5821664A (en) | 1996-03-28 | 1998-10-13 | Shahinpoor; Moshen | Fibrous parallel spring-loaded shape memory alloy rebotic linear |
US5797920A (en) * | 1996-06-14 | 1998-08-25 | Beth Israel Deaconess Medical Center | Catheter apparatus and method using a shape-memory alloy cuff for creating a bypass graft in-vivo |
US5800516A (en) * | 1996-08-08 | 1998-09-01 | Cordis Corporation | Deployable and retrievable shape memory stent/tube and method |
JP3244435B2 (en) * | 1996-09-05 | 2002-01-07 | 株式会社共立 | 4-cycle internal combustion engine |
US5782896A (en) * | 1997-01-29 | 1998-07-21 | Light Sciences Limited Partnership | Use of a shape memory alloy to modify the disposition of a device within an implantable medical probe |
US5908402A (en) * | 1997-02-03 | 1999-06-01 | Valleylab | Method and apparatus for detecting tube occlusion in argon electrosurgery system |
US5782860A (en) * | 1997-02-11 | 1998-07-21 | Biointerventional Corporation | Closure device for percutaneous occlusion of puncture sites and tracts in the human body and method |
AUPO523297A0 (en) | 1997-02-20 | 1997-04-11 | Canon Kabushiki Kaisha | A method of linking display images |
DE29724247U1 (en) | 1997-03-20 | 2000-08-03 | Erbe Elektromedizin | Device for the coagulation of biological tissue |
DE19730127C2 (en) * | 1997-07-14 | 2001-04-12 | Erbe Elektromedizin | Dissecting instrument |
FR2775182B1 (en) * | 1998-02-25 | 2000-07-28 | Legona Anstalt | DEVICE FORMING INTRACORPOREAL ENDOLUMINAL ANDOPROTHESIS, IN PARTICULAR AORTIC ABDOMINAL |
DE19820240C2 (en) * | 1998-05-06 | 2002-07-11 | Erbe Elektromedizin | Electrosurgical instrument |
US6666865B2 (en) * | 1998-09-29 | 2003-12-23 | Sherwood Services Ag | Swirling system for ionizable gas coagulator |
US6039736A (en) * | 1998-09-29 | 2000-03-21 | Sherwood Services Ag | Side-Fire coagulator |
JP2000107196A (en) * | 1998-10-02 | 2000-04-18 | Olympus Optical Co Ltd | High frequency coagulation apparatus for endoscope |
DE19848784C2 (en) | 1998-10-22 | 2003-05-08 | Erbe Elektromedizin | probe |
US6080183A (en) * | 1998-11-24 | 2000-06-27 | Embol-X, Inc. | Sutureless vessel plug and methods of use |
US6206878B1 (en) | 1999-05-07 | 2001-03-27 | Aspen Laboratories, Inc. | Condition responsive gas flow adjustment in gas-assisted electrosurgery |
EP1595507B1 (en) | 1999-10-05 | 2012-03-21 | Covidien AG | Articulating ionizable gas coagulator |
CA2320652C (en) | 1999-10-05 | 2011-01-11 | Sherwood Services Ag | Swirling system for ionizable gas coagulator |
US6616660B1 (en) * | 1999-10-05 | 2003-09-09 | Sherwood Services Ag | Multi-port side-fire coagulator |
US6475217B1 (en) * | 1999-10-05 | 2002-11-05 | Sherwood Services Ag | Articulating ionizable gas coagulator |
ES2354563T3 (en) * | 2000-02-16 | 2011-03-16 | Covidien Ag | IMPROVED ENGINE GAS ENHANCED ELECTRICAL APPLIANCE. |
US7044950B2 (en) * | 2001-03-30 | 2006-05-16 | Olympus Corporation | High-frequency coagulation apparatus |
AU2002357166A1 (en) * | 2001-12-12 | 2003-06-23 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
US6740081B2 (en) * | 2002-01-25 | 2004-05-25 | Applied Medical Resources Corporation | Electrosurgery with improved control apparatus and method |
US20060052774A1 (en) * | 2002-09-20 | 2006-03-09 | Garrison David M | Electrosurgical instrument for fragmenting, cutting and coagulating tissue |
SE524441C2 (en) * | 2002-10-04 | 2004-08-10 | Plasma Surgical Invest Ltd | Plasma surgical device for reducing bleeding in living tissue by means of a gas plasma |
US7628787B2 (en) | 2004-02-03 | 2009-12-08 | Covidien Ag | Self contained, gas-enhanced surgical instrument |
US7833222B2 (en) * | 2004-02-03 | 2010-11-16 | Covidien Ag | Gas-enhanced surgical instrument with pressure safety feature |
US7648503B2 (en) | 2006-03-08 | 2010-01-19 | Covidien Ag | Tissue coagulation method and device using inert gas |
-
2006
- 2006-03-08 US US11/370,287 patent/US7648503B2/en active Active
-
2007
- 2007-03-06 CA CA002580880A patent/CA2580880A1/en not_active Abandoned
- 2007-03-07 EP EP09015212A patent/EP2181661A1/en not_active Withdrawn
- 2007-03-07 DE DE602007003872T patent/DE602007003872D1/en active Active
- 2007-03-07 EP EP07004659A patent/EP1832243B1/en not_active Expired - Fee Related
- 2007-03-07 EP EP10186524A patent/EP2314242B1/en not_active Expired - Fee Related
- 2007-03-07 ES ES07004659T patent/ES2337933T3/en active Active
-
2010
- 2010-01-14 US US12/687,251 patent/US8460290B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US8460290B2 (en) | 2013-06-11 |
ES2337933T3 (en) | 2010-04-30 |
EP1832243A2 (en) | 2007-09-12 |
US7648503B2 (en) | 2010-01-19 |
US20100114096A1 (en) | 2010-05-06 |
EP1832243B1 (en) | 2009-12-23 |
DE602007003872D1 (en) | 2010-02-04 |
EP2314242A1 (en) | 2011-04-27 |
US20070213709A1 (en) | 2007-09-13 |
EP2181661A1 (en) | 2010-05-05 |
EP2314242B1 (en) | 2012-06-06 |
EP1832243A3 (en) | 2008-04-02 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US7648503B2 (en) | Tissue coagulation method and device using inert gas | |
US20210007787A1 (en) | System and Method for Electrosurgical Conductive Gas Cutting for Improving Eschar, Sealing Vessels and Tissues | |
US6666865B2 (en) | Swirling system for ionizable gas coagulator | |
US6616660B1 (en) | Multi-port side-fire coagulator | |
EP1559377B1 (en) | Bipolar electrosurgical snare | |
EP1090598B1 (en) | Deflectable ionizable-gas coagulator | |
EP1602337B1 (en) | Articulatable ionizable gas coagulator | |
US9050080B2 (en) | Multifunctional element and method to prevent the carbonization of tissue by means of a multi-functional element | |
JP2008543355A (en) | Endoscopic surgery device for argon plasma coagulation | |
CA2320652C (en) | Swirling system for ionizable gas coagulator | |
AU2007203640B2 (en) | Articulating ionizable gas coagulator |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
FZDE | Discontinued |
Effective date: 20150306 |
|
FZDE | Discontinued |
Effective date: 20150306 |