Method for selectively elevating and separating tissue layers and surgical instrument for performing the method

Patent metadata

Field	Value
Publication number	US-9980767-B2
Application number	US-201414295949-A
Country	US
Kind code	B2
Filing date	Jun 4, 2014
Priority date	Apr 11, 2005
Publication date	May 29, 2018
Grant date	May 29, 2018

Abstract

A method for the selective elevation and separation of tissues comprised of multiple layers and a surgical instrument for performing the method. The method may be performed without the requirement of a solid mechanical device insertion or transection through the mucosal layer. In particular, the method and surgical instrument may be used for the selected separation and/or resection of selected portions of benign or malignant tissues (e.g. defining tissue planes, polyp elevation and removal, submucosal tissue tunneling, endoscopic mucosa resection, etc).

First claim

What is claimed as new and desired to be protected by Letters Patent of the United States is:

1. A surgical device for treating tissue, the surgical device comprising:
at least one first channel configured to introduce a gas;
at least one second channel comprising a device for feeding in at least one liquid and for providing the liquid at a suitable pressure such that the liquid may be selectively transferred into a selective tissue layer such that the liquid accumulates within, integrates with, and alters the physical characteristics of the selected tissue layer, wherein the suitable pressure is between 5 bar and 70 bar; and
a high frequency electrode for using the gas introduced by the first channel to generate plasma and to perform a plasma coagulation of the tissue.

2. The surgical device of claim 1 , further comprising a retractable micro needle.

3. The surgical device of claim 2 , wherein the retractable micro needle is configured to penetrate or transect tissue prior to the liquid introduction.

4. The surgical device of claim 1 , wherein the high frequency electrode is fed through the first channel.

5. The surgical device of claim 1 , wherein the gas is a rarefied gas.

6. The surgical device of claim 5 , wherein the rarefied gas is argon gas.

7. The surgical device of claim 6 , wherein the plasma coagulation is argon plasma coagulation.

8. The surgical device of claim 1 , wherein the at least one second channel is within the high frequency electrode.

9. The surgical device of claim 1 , wherein the liquid is an NaCl solution.

10. The surgical device of claim 1 , further comprising a supply container for providing the liquid to the at least one second channel.

11. The surgical device of claim 1 , further comprising a pump for forcing the liquid through the at least one second channel.

12. The surgical device of claim 1 , wherein the at least one second channel is arranged coaxially within the first channel.

13. The surgical device of claim 1 , wherein the at least one second channel has an outer surface that is external to the at least one first channel.

Assignees

• Erbe Elektromedizin

Inventors

• Fischer Klaus
• Maurice Dan
• Day John
• Enderle Markus

Classifications

• A61B2017/22074

  the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel · CPC title

• A61B17/00234

  for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence) · CPC title

• A61B18/1482

  having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy · CPC title

• A61B2018/1407

  Loop · CPC title

• A61B17/32056

  Surgical snare instruments (for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26) · CPC title