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US6358248B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Ball point fluid-assisted electrocautery device

Assignee: Medtronic Inc
•
Filing: 2000-05-26
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Granted: 2002-03-19
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Expires: 2020-05-26
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Abstract

Abstract An electrocautery device is disclosed. In accordance with one aspect of the invention, the electrocautery electrode/tip is provided with a hollow, conductive tube terminating at its distal end in a ball point type tip. Fluid, preferably conductive fluid, is applied to the proximal end of the hollow electrode/tip, and expelled from the distal end thereof during electrocautery. The ball point distal tip allows the distal tip to be directly applied to the tissue and “rolled” or slid along the tissue. This allows the distal tip to be moved across the tissue without dragging or snagging on the tissue. In addition, the conductive fluid expelled from the distal tip further lubricates the distal tip as it moves across the tissue. If conductive fluid is used, the conductive fluid emanating from the electrode/tip conducts the RF electrocautery energy away from the distal tip so that it is primarily the fluid, rather than the distal tip that actually accomplishes the cauterizing of tissue. That is, the fluid serves as a “virtual” electrocautery electrode. Since it is the fluid, rather than the distal tip that cauterizes, coagulates and ablates, no burns or perforations are made to the tissue, reducing the amount of debris at the site. Also, the flow of fluid through the electrode/tip tends to keep the distal tip clean and cool.

Inventors

  • 👤 Peter M. J. Mulier
  • 👤 Michael F. Hoey

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-01 23:23
CPC Classifications
A; A61; A61B; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B18/1402; A61B18/18; A61B18/1815; A61B2018/00053; A61B2018/00184; A61B2018/00196; A61B2018/00273; A61B2018/00291; A61B18/1206; A61B2018/1246; A61B2018/1253; A61B2018/1405; A61B2018/1417; A61B2018/1472; A61B2018/1475; A61B2018/1861; A61B2218/00; A61B2218/001; A61B2218/002; A61B2218/007

Claims Analysis

Total Claims: 25
Claim 1
Independent Claim 82 words
An electrosurgical instrument comprising: a handle; a tube mounted to the handle and having a proximal and a distal end, at least a portion of the distal end of the tube being electrically conductive and connectable to a source of radiofrequency energy; a fluid passage for delivering fluid to the distal end of the tube; and an electrically conductive ball enclosed within the tube at the distal end of the tube, the ball extending distally beyond the distal end of the tube.
Claim 2
Dependent Claim 82 words
An electrosurgical instrument comprising: a handle; a tube mounted to the handle and having a proximal and a distal end, at least a portion of the distal end of the tube being electrically conductive and connectable to a source of radiofrequency energy; a fluid passage for delivering fluid to the distal end of the tube; and an electrically conductive ball enclosed within the tube at the distal end of the tube, the ball extending distally beyond the distal end of the tube.
Claim 3
Dependent Claim 16 words
The electrosurgical instrument according to claim 1 wherein the ball is freely rotatable within the tube.
Claim 4
Dependent Claim 18 words
The electrosurgical instrument according to claim 1 wherein a portion of the tube is crimped around the ball.
Claim 5
Dependent Claim 19 words
The electrosurgical instrument according to claim 1 further comprising a block placed within the tube proximal to the ball.
Claim 6
Dependent Claim 18 words
The electrosurgical instrument according to claim 1 further including a fluid source in communication with the fluid passage.
Claim 7
Dependent Claim 18 words
The electrosurgical instrument according to claim 5 wherein the fluid source comprises an input line and a pump.
Claim 8
Dependent Claim 14 words
The electrosurgical instrument according to claim 5 wherein the fluid source comprises a canister.
Claim 9
Dependent Claim 12 words
The electrosurgical instrument according to claim 7 wherein the canister is pre-pressurized.
Claim 10
Dependent Claim 15 words
The electrosurgical instrument according to claim 7 wherein the canister is received within the handle.
Claim 11
Dependent Claim 14 words
The electrosurgical instrument according to claim 1 wherein the electrically conductive ball is porous.
Claim 12
Dependent Claim 16 words
The electrosurgical instrument according to claim 1 further including a suction tube disposed within the tube.
Claim 13
Dependent Claim 32 words
The electrosurgical instrument according to claim 1 wherein the tube is fabricated from an electrically insulating material except for a portion at its distal end that comes in contact with the ball.
Claim 14
Independent Claim 123 words
A method for treating a selected one of the hemorrhoids, varicose veins and esophageal bleeding comprising: a. contacting an area to be treated with an electrosurgical instrument, the instrument comprising: (i) a handle containing a tube having a proximal and a distal end, at least a portion of the distal end of the tube being electrically conductive and connectable to a source of radiofrequency energy; (ii) a fluid passage for delivering fluid to the distal end of the tube; and (iii) an electrically conductive ball enclosed within the tube at the distal end of the tube, the ball extending distally beyond the distal end of the tube; b. applying fluid through the fluid passage; and c. applying radiofrequency energy to the electrosurgical instrument.
Claim 15
Independent Claim 123 words
A method for treating a selected one of the hemorrhoids, varicose veins and esophageal bleeding comprising: a. contacting an area to be treated with an electrosurgical instrument, the instrument comprising: (i) a handle containing a tube having a proximal and a distal end, at least a portion of the distal end of the tube being electrically conductive and connectable to a source of radiofrequency energy; (ii) a fluid passage for delivering fluid to the distal end of the tube; and (iii) an electrically conductive ball enclosed within the tube at the distal end of the tube, the ball extending distally beyond the distal end of the tube; b. applying fluid through the fluid passage; and c. applying radiofrequency energy to the electrosurgical instrument.
Claim 16
Dependent Claim 15 words
The method according to claim 13 wherein the ball is freely rotatable within the tube.
Claim 17
Dependent Claim 13 words
The method according to claim 13 wherein the fluid is a conducting fluid.
Claim 18
Dependent Claim 23 words
The method according to claim 15 wherein the conducting fluid is selected from the group consisting of saline, saturated saline and Ringer's solution.
Claim 19
Dependent Claim 12 words
The method according to claim 13 , wherein the fluid is cooled.
Claim 20
Dependent Claim 21 words
The method according to claim 13 wherein the electrosurgical instrument further includes a fluid source in communication with the fluid passage.
Claim 21
Dependent Claim 17 words
The method according to claim 18 wherein the fluid source comprises an input line and a pump.
Claim 22
Dependent Claim 13 words
The method according to claim 18 wherein the fluid source comprises a canister.
Claim 23
Dependent Claim 11 words
The method according to claim 20 wherein the canister is pre-pressurized.
Claim 24
Dependent Claim 14 words
The method according to claim 20 wherein the canister is received within the handle.
Claim 25
Dependent Claim 38 words
The method according to claim 13 further comprising the step of applying suction through a suction tube to allow smoke or excess fluid to be removed from the surgical field, the suction tube being disposed within the handle.

References Cited (Backward Citations)

US4920982A Cited
US5697927A Cited
US5395363A Cited
US5718701A Cited
US5458596A Cited
US5897553A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2005-03-18 2005-09-17 2006-03-19 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2009-03-18 2009-09-17 2010-03-19 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2013-03-18 2013-09-17 2014-03-19 $7700.00 Window Closed / Lapsed

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