Bipolar Electrosurgical Instrument with Movable Floating Electrode
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Solution Overview
Problem
Existing electrosurgical devices face challenges in reliably and selectively controlling tissue treatment depth during deep tissue desiccation procedures, often leading to extended operative times and unsatisfactory results due to varying contact area between the electrode and tissue.
Innovation Solution
An electrosurgical instrument featuring a pair of electrodes and a movable floating electrode that allows surgeons to control tissue desiccation by positioning the floating electrode between the active electrodes, enabling precise control of the electrosurgical effect through mechanisms like coolant delivery, heat pipe cooling, and bipolar operation.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If a typical electrosurgical device with fixed electrodes is used, then the device structure is simple, but the surgeon cannot reliably and selectively control tissue treatment depth
Solution Approach 1:
The patent introduces a movable floating electrode that can be selectively positioned between the first and second active electrodes. This dynamic element allows the surgeon to control the depth and intensity of the electrosurgical effect by adjusting the floating electrode's position, thereby achieving precise tissue treatment depth control while maintaining a relatively simple overall device structure.
Solution Approach 2:
The floating electrode acts as an intermediary element between the two active electrodes. By positioning this intermediate electrode at different locations within the electric field, the surgeon can modulate the electrosurgical effect's penetration depth and intensity, enabling selective control of tissue treatment without complicating the fundamental bipolar electrode configuration.
2Ease of operation
If the surgeon manipulates tissue with the electrodes to retract and separate tissue, then tissue manipulation is possible, but operative times are extended and contact area varies
Solution Approach 1:
The floating electrode provides additional tissue manipulation capability without requiring the surgeon to use the active electrodes for both treatment and manipulation tasks. The floating electrode can be used to retract and separate tissue independently, allowing the active electrodes to focus solely on electrosurgical treatment, thereby reducing operative time and maintaining consistent contact area during treatment.
3Adaptability or versatility
If the contact area between electrode and tissue varies during manipulation, then tissue manipulation is flexible, but the electrosurgical effect becomes unpredictable
Solution Approach 1:
The electrosurgical system is segmented into multiple functional electrodes: two active electrodes for delivering electrosurgical energy and one floating electrode for tissue manipulation. This segmentation allows the manipulation function to be separated from the treatment function, ensuring that variations in contact area during manipulation do not affect the consistency of the electrosurgical effect delivered by the active electrodes.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The movable floating electrode enhances the ability to selectively control the intensity and depth of the electrosurgical effect, improving surgical precision and reducing undesired tissue effects, thus optimizing surgical outcomes.
Implementation Method 1
Such electrosurgical devices utilize electrical energy to effectuate hemostasis and desiccation by heating the tissue and blood vessels
Implementation Method 2
a movable floating electrode that enables a surgeon to effectively control tissue desiccation... positioned between an extended position where the floating electrode is disposed within an area between the first active electrode and a second active electrode
Implementation Method 3
coolant delivery, heat pipe cooling
Data Source
AI summary
An electrosurgical device is provided that includes a handset having a shaft extending therefrom, a pair of active electrodes at a distal end of the shaft, and a movable, electrically floating electrode selectively positionable between the active electrodes. The floating electrode, when positioned to contact tissue between the active electrodes, modifies the electrosurgical current flows through tissue. The resultant modified current flows enables a surgeon to more effectively to control tissue desiccation by focusing electrosurgical energy toward targeted tissue and by reducing peripheral current flows. Embodiments are provided wherein the active electrodes include cooling provisions. Related electrosurgical systems and method of use are also provided.


