Electrosurgical method and apparatus with varying stiffness capture components

Patent metadata

Field	Value
Publication number	US-10363079-B2
Application number	US-201615235891-A
Country	US
Kind code	B2
Filing date	Aug 12, 2016
Priority date	Aug 13, 2015
Publication date	Jul 30, 2019
Grant date	Jul 30, 2019

Abstract

An electrosurgical apparatus and method for cutting and resecting a tissue volume is described. The apparatus includes one or more electrosurgical filaments and capture components deployable by forward extension at or near a forward tip of an elongated shaft of the apparatus to form an elliptical path that defines, with the other capture components, a spheroidal receptacle configured to surround a tissue volume for resection. The elliptical path is formable by a first extension followed by a second extension, said first extension having a first axial component and a radial expansion component, and said second extension having a second axial component and a radial contraction component, where at least one of the capture components is of varying stiffness.

First claim

What is claimed is:

1. An electrosurgical apparatus for cutting and resecting a tissue volume, the apparatus comprising:
one or more electrosurgical filaments; and
a plurality of capture components coupled, at leading edges of the components, to the one or more electrosurgical filaments to define a cutting plane, the plurality of capture components and one or more electrosurgical filaments being deployable by forward extension at or near a forward tip of an elongated shaft of the apparatus to form an elliptical path that defines, with the other capture components, a spheroidal receptacle configured to surround a tissue volume for resection,
wherein the elliptical path is formable by a first extension followed by a second extension, said first extension corresponding to a forward section of the plurality of capture components and having a first axial component and a radial expansion component, and said second extension corresponding to a middle section of the plurality of capture components and having a second axial component and a radial contraction component,
wherein at least one of the plurality of capture components is of varying stiffness, including i) a first stiffness corresponding to the first extension and ii) a second stiffness corresponding to the second extension, wherein the first stiffness is greater than the second stiffness.

2. The apparatus of claim 1 ,
wherein the first extension corresponds to a first width section of a capture component of the plurality of capture components, and the second extension corresponds to a second width section of the capture component of the plurality of capture components, wherein the first width section has a first width and the second width section has a second width, and wherein the first width is greater than the second width.

3. The apparatus of claim 2 , wherein a part of the second width section forms a concave shape.

4. The apparatus of claim 2 , wherein a part of the first width section has uniform width.

5. The apparatus of claim 1 , wherein the first extension, having the first axial component and the radial expansion component, results from the plurality of capture components and one or more electrosurgical filaments being extendable at the same travel rate.

6. The apparatus of claim 1 , wherein the second extension, having the second axial component and the radial contraction component, results from i) the plurality of capture components being extendable at a first travel rate and the one or more electrosurgical filaments being extendable at a second travel rate, the first travel rate being greater than the second travel rate.

7. The apparatus of claim 2 , wherein the first width section is at least 0.550 inch in length.

8. The apparatus of claim 1 , wherein each of the plurality of capture components is at least 0.004 inch thick.

9. The apparatus of claim 1 , wherein the second extension, having the second axial component and the radial contraction component, forms a maximum capture diameter of the apparatus.

10. The apparatus of claim 9 , wherein the maximum capture diameter is about 30 millimeters.

11. The apparatus of claim 9 , wherein the maximum capture diameter is greater than 30 millimeters.

12. The apparatus of claim 9 , wherein the maximum capture diameter is selected from the group consisting of about 10 millimeters, about 12 millimeters, about 15 millimeters, and about 20 millimeters.

13. The apparatus of claim 1 , wherein the plurality of capture components are connected together via a base as a single structure.

14. The apparatus of claim 1 , each of the plurality of capture components couples to a electrosurgical filament of the one or more electrosurgical filaments via an eyelet, the eyelet comprising a low-friction coating.

15. A method for electrosurgical cutting and resecting of a tissue volume, the method comprising:
providing an electrosurgical instrument comprising:
one or more electrosurgical filaments and
a plurality of capture components coupled, at leading edges of the components, to the one or more electrosurgical filaments to define a cutting plane;
energizing the one or more electrosurgical filaments with high frequency electrical energy; and
extending each of the plurality of capture components and the one or more electrosurgical filaments by forward extension at or near a forward tip of an elongated shaft of the apparatus to form an elliptical path that defines, with the other capture components, a spheroidal receptacle configured to surround a tissue volume for resection, wherein the elliptical path is formable by a first extension followed by a second extension, said first extension corresponding to a forward section of the plurality of capture components and having a first axial component and a radial expansion component, and said second extension corresponding to a middle section of the plurality of capture components and having a second axial component and a radial contraction component, wherein at least one of the plurality of capture components is of varying stiffness, including i) a first stiffness corresponding to the first extension and ii) a second stiffness corresponding to the second extension, wherein the first stiffness is greater than the second stiffness.

16. The method of claim 15 ,
wherein the first extension corresponds to a first width section of a capture component of the plurality of capture components, and the second extension corresponds to a second width section of the capture component of the plurality of capture components, wherein the first width section has a first width and the second width section has a second width, and wherein the first width is greater than the second width.

17. The method of claim 16 , wherein a part of the first width section has uniform width.

18. The method of claim 15 , wherein the first extension, having the first axial component and the radial expansion component, results from the plurality of capture components and one or more electrosurgical filaments being extendable at the same travel rate.

19. The method of claim 15 , wherein the second extension, having the second axial component and the radial contraction component, results from i) the plurality of capture components being extendable at a first travel rate and the one or more electrosurgical filaments being extendable at a second travel rate, the first travel rate being greater than the second travel rate.

20. The method of claim 16 , wherein the first width section is at least 0.550 inch in length.

21. The method of claim 15 , wherein each of the plurality of capture components is at least 0.004 inch thick.

22. The method of claim 15 , wherein the second extension, having the second axial component and the radial contraction component, forms a maximum capture diameter of the apparatus.

23. The method of claim 22 , wherein the maximum capture diameter is about 30 millimeters.

24. The method of claim 22 , wherein the maximum capture diameter is greater than 30 millimeters.

25. The method of claim 22 , wherein the maximum capture diameter is selected from the group consisting of about 10 millimeters, about 12 millimeters, about 15 millimeters, and about 20 millimeters.

26. The method of claim 15 , wherein the plurality capture components are connected together via a base as a single structure.

27. The method of claim 15 , each of the plurality of capture components couple

Assignees

• Covidien Ag
• Medtronic Inc

Inventors

• Vacha John F
• Macarthur Douglas M
• Solbjor Albert

Classifications

• A61B2018/1213

  creating an arc · CPC title

• A61B2018/00988

  Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter · CPC title

• A61B2018/00922

  by switching or controlling the treatment energy directly within the hand-piece · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B2018/00779

  Power or energy · CPC title