WO2001024720A1 - Surgical instrument for ablation and aspiration - Google Patents

Surgical instrument for ablation and aspiration Download PDF

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Publication number
WO2001024720A1
WO2001024720A1 PCT/US2000/027611 US0027611W WO0124720A1 WO 2001024720 A1 WO2001024720 A1 WO 2001024720A1 US 0027611 W US0027611 W US 0027611W WO 0124720 A1 WO0124720 A1 WO 0124720A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical instrument
electrode
aspiration
active electrode
instrument
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.)
Ceased
Application number
PCT/US2000/027611
Other languages
English (en)
French (fr)
Inventor
Hugh R. Sharkey
Bruno Strul
Daren L. Stewart
John Ashley
Ramiro L. Reyes
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Oratec Interventions Inc
Original Assignee
Oratec Interventions Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Oratec Interventions Inc filed Critical Oratec Interventions Inc
Priority to AU10742/01A priority Critical patent/AU1074201A/en
Priority to DE60035425T priority patent/DE60035425T2/de
Priority to KR1020027004389A priority patent/KR20020047213A/ko
Priority to CA002386763A priority patent/CA2386763A1/en
Priority to EP00972021A priority patent/EP1223877B1/en
Priority to JP2001527721A priority patent/JP4263863B2/ja
Publication of WO2001024720A1 publication Critical patent/WO2001024720A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/00136Coatings on the energy applicator with polymer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00625Vaporization
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/1253Generators therefor characterised by the output polarity monopolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1435Spiral
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/16Indifferent or passive electrodes for grounding
    • A61B2018/162Indifferent or passive electrodes for grounding located on the probe body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

Definitions

  • FIG 5 is a perspective view of an electrosurgical aspiration instrument according to the present invention with a distal tip active electrode having a convex configuration
  • FIG.6 is a perspective view of an electrosurgical aspiration instrument according to the present invention with a distal tip active electrode having a concave configuration
  • FIG 7 is a cross-sectional view of a basic distal tip portion of the instrument of FIGS. 5 and 6.
  • FIGS. 16A and 16B are cross-sectional and perspective views of an alternative embodiment of the instrument present invention wherein the distal tip is a true bipolar configuration having a single aspiration opening;
  • FIGS. 18 A-C are cross-sectional, end and perspective views of an alternative embodiment of the distal tip having a single aspiration opening with both active and return electrodes formed by loop prongs defining the energy application surface;
  • the power source preferably permits modification and adjustment of the power, frequency, and voltage of the energy transmitted to distal end 12.
  • a handle 17 may be provided to facilitate grasping of instrument 10 adjacent proximal end 14
  • At least one actuator 18, such as an aspiration control valve or switch or a power button may be provided.
  • a foot pedal (not shown) is provided to control power supplied to distal end 12 and actuator 18 controls aspiration through the instrument. Additional actuators or controllers, such as for adjusting the power, frequency, or voltage, may be provided either on instrument 10 itself or on the power source if desired
  • Electrosurgical aspiration instrument 10 has an energy application surface or plane 20 formed by at least one electrode that applies energy to the patient area to be treated
  • instrument 10 has at least two electrodes, active electrode 22 and return electrode 24 that cooperate to apply energy across surface 20
  • Electrodes 22 and 24 are formed from electrically conductive materials, for example a medical grade stainless steel, capable of withstanding the high temperatures resulting from use of instrument 10 It will be appreciated that the material that is selected for electrodes 22 and 24 has defined conductivity characte ⁇ stics that affects the power necessary to achieve the desired treatment operation.
  • electrodes 22 and 24 must also be elect ⁇ cally isolated axially along longitudinal axis 11 between proximal end 14 (at which instrument 10 applies treatment energy) so that power supply to energy application surface 20 is not shorted.
  • insulation on wire 26 is typically sufficient to electrically insulate active electrode 22 from return electrode 24, optional insulation 30 on interior surface 32 of return electrode 24 may be provided.
  • Insulation 30 is selected from biocompatible and elect ⁇ cally insulative mate ⁇ al which could include nylon, polyimide or other shrink tubing and also functions to limit the heat transfer to the shaft. If active electrode 22 (rather than return electrode 24) is coupled to the power source via a conductive shaft as mentioned above and described with respect to the embodiments of FIGS. 8-11, insulation 30 would be more desirable.
  • Electrosurgical aspiration instrument 10 may be used for a variety of electrosurgical treatments. On particular use of instrument 10 is for ablation of human or animal tissue. Because ablation generally occurs at very high temperatures, e.g. 300-1000 degrees Celsius, smoke and/or vapor may be generated du ⁇ ng ablation. It may be desirable to remove smoke; unwanted or excess gases, such as air bubbles; fluids, such as imgation fluid required to imgate or enhance conduction after treatment, from the treatment area du ⁇ ng treatment. Moreover, debris or other materials or biological elements may remain after the ablation procedure that should be removed from the treatment area. Thus, in accordance with the principles of the present invention, instrument 10 is also designed to aspirate such unwanted matter from the treatment area du ⁇ ng the electrosurgical procedure performed thereby.
  • an aspiration lumen 50 is provided within electrosurgical aspiration instrument 10 along longitudinal axis A-A.
  • aspiration lumen 50 has a diameter and extends through shaft 27.
  • the interstices between the mesh permit fluid communication therethrough such that unwanted matter (e.g , ablated tissue, smoke, air bubbles, and other elements or biological debns) may pass through the mesh and into aspiration lumen 50 for transport away form the treatment area.
  • unwanted matter e.g , ablated tissue, smoke, air bubbles, and other elements or biological debns
  • power is supplied substantially uniformly over the entire mesh of active electrode 22
  • unwanted matter that is too large to fit through the interstices of the mesh are caught on the mesh and accordingly ablated thereby when power is applied to the electroconductive mesh.
  • the matter is ablated until it becomes small enough to fit through the mesh.
  • the energy application surface has a uniform elect ⁇ cal potential being one piece across the surface of the mesh.
  • a blockage occurring at one portion of the mesh causes an increase m the suction force at unblocked portions of the mesh forming a non- uniform suction path.
  • a differential axial suction force is created in which the blockage is turned and twisted to continue ablation and pass through apertures 25 to be aspirated through aspiration lumen 50.
  • active electrode 22 not only provides treatment energy but also permits aspiration therethrough, as well as destruction of larger pieces of unwanted matter dunng aspiration which might otherwise clog the aspiration lumen 50
  • FIGS. 5-7 illustrate a vaponzing electrode in which the basic concept is an alternate tip configuration that is unipolar and has suction capability.
  • the form of the active electrode may be modified as desired so long as external access to the internal lumen through the shaft of the electrosurgical aspiration instrument of the present invention is permitted. It will further be appreciated that the form and relative arrangement of the active electrode with respect to the return electrode may be modified as desired.
  • Electrosurgical instrument 510 of FIG 5 has a substantially centrally located electrode 522 and a proximally disposed ring-shaped electrode 524 both of which are positioned at distal end 512 of instrument 510. Ring-shaped electrode 524 is disposed around centrally located electrode 522 One of electrodes 522, 524 is an active electrode and the other of electrodes 522, 524 is a return electrode. Both electrodes are supported and electrically isolated by insulator 528.
  • FIGS. 8A and 8B, FIGS. 9A and 9B and FIGS. 10A and 10B illustrate similar embodiments of the electrosurgical aspiration instrument of the present invention including unipolar tip configurations.
  • FIGS. 8-10 that are substantially the same (and thus referenced by the same reference numbers) are not repeated in detail, reference being made to the description provided in connection with similar elements described with reference to FIGS 8-10
  • FIG. 9A is a cross-sectional view showing nng active electrode 922 on distal tip 812.
  • the outermost portion of the ring active electrode 922 defines energy application surface 820 which forms both an energy treatment surface through the delivery of energy end a mechanical smoothing surface.
  • the rounded surface provides a more diffuse energy application surface than electrode 822 of FIG. 8. This provides a surgeon with the ability to sculpt the body tissue by smoothing irregular areas by passing the curved electrode 922 over the tissue.
  • the electrode 922 may also be formed into a sharp edge to provide a mechanical scraping surface for the removal of unwanted tissue. The electrical current is then crowded for maximum ablative effect along the sharp edge.
  • Electrode 922 is preferably electrically connected through shaft 827 to the power source through conductor 816. Electrode 922 is in the form of a ring on the distal tip and defines aspiration aperture 825 Insulative material 830 lines aspiration lumen 850 to provide both elect ⁇ cal insulation from any stray electncal current and thermal insulation of the shaft. Return electrode 824 is located internally within aspiration lumen 850 and is electrically isolated from the active electrode 922 by insulator 828 and insulation mate ⁇ al 830. Return conductor 826 connects the return electrode 824 to the power source (not shown) at proximal end 814 FIG 9B is an end view of the distal tip of the instrument of FIG. 9A.
  • Active electrode 922 is shown as a ring around the aspiration lumen to define aperture 825.
  • Return electrode 824 is shown within the aspiration lumen and is electrically isolated from the active electrode 922 by insulator 828. Internal return electrode 824 functions to form a soiling chamber as described above.
  • FIGS 10 A and 10B illustrate another alternative embodiment of electrosurgical instrument 810 having an active electrode 1022 in the form of a double gong on distal tip 812.
  • the double prong configuration of active electrode 1022 may be reformed memory metal or a solid metal partial loop or coil on distal tip 812
  • Electrode 1022 is formed of any biocompatible mate ⁇ al including stainless steel, tungsten, titanium or any of its respective alloys
  • FIG. 10A is a cross-sectional view showing prong active electrode 1022 within insulator 828
  • the prong is preferably fixed within insulator 828 such that one end is fixed within the insulator 828 and a portion of the prong passes over aperture 825 to fix into he opposite side of the insulator 828.
  • the outermost edge portion of the prong active electrode 1022 defines energy application surface 820 which forms both an energy treatment surface through the delivery of energy and a mechanical treatment surface.
  • a rounded prong surface provides a smoothing function as described above.
  • the prong active electrode 1022 may also be formed into a sharp edge to provide a mechanical scraping surface for the removal of unwanted tissue The electrical current is then crowded for maximum ablative effect along the sharp edge.
  • Electrode 1022 is preferably electrically connected through shaft 827 to the power source through conductor 816 Insulative material 830 lines aspiration lumen 850 to provide both electrical insulation from any stray electrical current and thermal insulation of the shaft.
  • Return electrode 824 is located internally within aspiration lumen 850 and is elect ⁇ cally isolated from the active electrode 1022 by insulator 828 and insulation material 830.
  • Return conductor 826 connects the return electrode 824 to the power source (not shown) at proximal end 814.
  • FIGS. 11A-C includes a mechanical grating configuration of the active electrode
  • FIG. 11A shows a distal end 11 12 with active electrode 1122 forming an energy application surface 1120 for treatment of body tissue at a surgical site.
  • conductor 1116 connects the shaft to electncally activate the active electrode 1122
  • Return electrode 1124 is located externally to shaft 1127 and is electncally isolated from the active electrode 1122 by insulator 1128
  • return electrode 1124 is m the form of a ring electrode around a circumference of the shaft 1127
  • Return conductor 1126 connects return electrode 1124 to the power source
  • the return electrical path may also be located on the patient's body as discussed previously Shaft insulation 1134 covers shaft 1127
  • the interior suction lumen 1150 may also be lined with an insulative mate ⁇ al
  • Apertures 1725 are located within insulator 1728 and communicates with aspiration lumen 1750. As the ablation, cutting and coagulation occur at the active electrode 1722, the suction applied to the aspiration lumen forces the by-products and excess fluid through apertures 1725.
  • the present invention includes a surgical instrument and method for the application of energy to a treatment area of a patient and for the aspiration of unwanted matter, such as smoke, air bubbles and biological waste debris from the surgical site
  • the present invention includes a combination of electrosurgical and aspiration instrument that provides an energy application surface area that applies energy uniformly over the treatment area and also permits aspiration therethrough so as to limit clogging
  • the present invention includes a combination electrosurgical and aspiration instrument having both an active electrode and a return electrode at a distal tip of the instrument such that energy dist ⁇ bution is substantially limited to the distal tip surface

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
PCT/US2000/027611 1999-10-05 2000-10-05 Surgical instrument for ablation and aspiration Ceased WO2001024720A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
AU10742/01A AU1074201A (en) 1999-10-05 2000-10-05 Surgical instrument for ablation and aspiration
DE60035425T DE60035425T2 (de) 1999-10-05 2000-10-05 Chirurgisches instrument zur ablation und aspiration
KR1020027004389A KR20020047213A (ko) 1999-10-05 2000-10-05 애블레이션 및 흡인을 위한 수술용 기구
CA002386763A CA2386763A1 (en) 1999-10-05 2000-10-05 Surgical instrument for ablation and aspiration
EP00972021A EP1223877B1 (en) 1999-10-05 2000-10-05 Surgical instrument for ablation and aspiration
JP2001527721A JP4263863B2 (ja) 1999-10-05 2000-10-05 切除及び吸引のための外科器具

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US09/412,878 US6379350B1 (en) 1999-10-05 1999-10-05 Surgical instrument for ablation and aspiration
US09/412,878 1999-10-05

Publications (1)

Publication Number Publication Date
WO2001024720A1 true WO2001024720A1 (en) 2001-04-12

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Family Applications (1)

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PCT/US2000/027611 Ceased WO2001024720A1 (en) 1999-10-05 2000-10-05 Surgical instrument for ablation and aspiration

Country Status (9)

Country Link
US (3) US6379350B1 (enExample)
EP (1) EP1223877B1 (enExample)
JP (1) JP4263863B2 (enExample)
KR (1) KR20020047213A (enExample)
AT (1) ATE366086T1 (enExample)
AU (1) AU1074201A (enExample)
CA (1) CA2386763A1 (enExample)
DE (1) DE60035425T2 (enExample)
WO (1) WO2001024720A1 (enExample)

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WO2003024305A2 (en) 2001-09-14 2003-03-27 Arthrocare Corporation Electrosurgical apparatus and methods for tissue treatment & removal
EP1304084A1 (en) * 2001-10-18 2003-04-23 Electrosurgery Associates, LLC Electrosurgical ablator with aspiration
WO2009141579A1 (en) * 2008-05-20 2009-11-26 Gyrus Medical Limited A surgical instrument
US7632267B2 (en) 2005-07-06 2009-12-15 Arthrocare Corporation Fuse-electrode electrosurgical apparatus
EP2177780A2 (de) 2008-10-16 2010-04-21 Zf Friedrichshafen Ag Nasslaufende Kopplungsanordnung
WO2010061376A1 (en) 2008-11-03 2010-06-03 Ben-Gurion University Of The Negev Research And Development Authority Method and apparatus for thrombus dissolution/thrombectomy by an electrode catheter device
WO2010119238A1 (en) * 2009-04-16 2010-10-21 Gyrus Medical Limited A surgical instrument
US7998140B2 (en) 2002-02-12 2011-08-16 Salient Surgical Technologies, Inc. Fluid-assisted medical devices, systems and methods
EP2077807A4 (en) * 2006-10-06 2012-08-08 Biomedcraft Designs Inc SURGICAL INSTRUMENT FOR COAGULATION AND SUCTION
US8870866B2 (en) 2007-01-05 2014-10-28 Arthrocare Corporation Electrosurgical system with suction control apparatus, system and method
US8876746B2 (en) 2006-01-06 2014-11-04 Arthrocare Corporation Electrosurgical system and method for treating chronic wound tissue
US9095358B2 (en) 2009-12-09 2015-08-04 Arthrocare Corporation Electrosurgery irrigation primer systems and methods
US9131597B2 (en) 2011-02-02 2015-09-08 Arthrocare Corporation Electrosurgical system and method for treating hard body tissue
WO2015136338A1 (en) * 2013-03-15 2015-09-17 Baylis Medical Company Inc. Electrosurgical device having a distal aperture
US9138282B2 (en) 2009-06-17 2015-09-22 Arthrocare Corporation Method and system of an electrosurgical controller with wave-shaping
AU2012332231B2 (en) * 2011-11-04 2016-01-28 Minerva Surgical, Inc. Tissue extraction devices and methods
GB2484560B (en) * 2010-10-15 2016-03-30 Arthrocare Corp Electrosurgical wand and related method and system
US9358063B2 (en) 2008-02-14 2016-06-07 Arthrocare Corporation Ablation performance indicator for electrosurgical devices
US9693818B2 (en) 2013-03-07 2017-07-04 Arthrocare Corporation Methods and systems related to electrosurgical wands
US9713489B2 (en) 2013-03-07 2017-07-25 Arthrocare Corporation Electrosurgical methods and systems
WO2017136414A1 (en) 2016-02-04 2017-08-10 RELIGN Corporation Arthroscopic devices and methods
US9801678B2 (en) 2013-03-13 2017-10-31 Arthrocare Corporation Method and system of controlling conductive fluid flow during an electrosurgical procedure
US10179025B2 (en) 2013-09-13 2019-01-15 Gyrus Medical Limited Electrode assembly
US11020173B2 (en) 2013-03-15 2021-06-01 Baylis Medical Company Inc. Electrosurgical device having a distal aperture
US11065023B2 (en) 2017-03-17 2021-07-20 RELIGN Corporation Arthroscopic devices and methods
US11234759B2 (en) 2015-10-23 2022-02-01 RELIGN Corporation Arthroscopic devices and methods
US11311332B2 (en) 2011-08-23 2022-04-26 Magneto Thrombectomy Solutions Ltd. Thrombectomy devices
US11419670B2 (en) 2015-10-23 2022-08-23 RELIGN Corporation Arthroscopic devices and methods
US11426231B2 (en) 2017-01-11 2022-08-30 RELIGN Corporation Arthroscopic devices and methods
US11660105B2 (en) 2017-11-23 2023-05-30 Magneto Thrombectomy Solutions Ltd. Tubular thrombectomy devices
US12029475B2 (en) 2017-03-22 2024-07-09 Magneto Thrombectomy Solutions Ltd. Thrombectomy using both electrostatic and suction forces

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US5697882A (en) 1992-01-07 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US6277112B1 (en) 1996-07-16 2001-08-21 Arthrocare Corporation Methods for electrosurgical spine surgery
US7297145B2 (en) 1997-10-23 2007-11-20 Arthrocare Corporation Bipolar electrosurgical clamp for removing and modifying tissue
US6053172A (en) * 1995-06-07 2000-04-25 Arthrocare Corporation Systems and methods for electrosurgical sinus surgery
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JP4263863B2 (ja) 2009-05-13
US6379350B1 (en) 2002-04-30
US20020049438A1 (en) 2002-04-25
DE60035425D1 (de) 2007-08-16
EP1223877A4 (en) 2005-08-10
US20040193150A1 (en) 2004-09-30
AU1074201A (en) 2001-05-10
JP2003525662A (ja) 2003-09-02
KR20020047213A (ko) 2002-06-21
EP1223877B1 (en) 2007-07-04
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EP1223877A1 (en) 2002-07-24
DE60035425T2 (de) 2008-03-13

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