Electrosurgical Electrode Segmentation for Clean Tissue Cuts

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Solution Overview

Problem

Existing electrosurgical instruments face challenges in achieving clean and accurate cuts while also performing sealing procedures, as the energy profiles required for cutting and sealing differ, leading to issues with jagged cuts and inefficiency.

Innovation Solution

An electrosurgical system with a configuration of electrodes on opposing jaws, allowing for dynamic control of electric potential differences between electrodes to switch between sealing and cutting modes, using different electrode pairs and altering the return electrode during cutting to reduce energy consumption and improve precision.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Device complexity

If a bipolar electrosurgical instrument uses the same electrode configuration for both sealing and cutting, then the device complexity is reduced, but the manufacturing precision and cut quality deteriorate due to jagged cuts and inability to optimize energy profiles

Engineering Contradiction:
Improveelectrode configurationVSAvoidcut quality
Core Design Contradiction:
Device complexityVSManufacturing precision

Solution Approach 1:

The electrosurgical instrument divides the electrode system into multiple independent electrodes (first electrode, second electrode, third electrode) that can be selectively paired and activated. This segmentation allows different electrode pairs to be used for different functions (sealing vs. cutting), enabling optimized energy delivery for each function while maintaining a single integrated device structure.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system dynamically switches between different operational states by controlling which electrodes are active and which are at neutral potential. The controller can transition between first operational state (first electrode active, third electrode return) and second operational state (second electrode active, first electrode return), allowing the same physical device to adapt its electrical characteristics for different surgical needs.

Inventive Principle:
Principle #15Dynamics

2Ease of operation

If the electrosurgical instrument uses fixed electrode pairs for sealing and cutting, then the ease of operation is improved, but the adaptability deteriorates because the energy profiles cannot be optimized for different tissue types and procedures

Engineering Contradiction:
Improveoperational simplicityVSAvoidenergy profile optimization
Core Design Contradiction:
Ease of operationVSAdaptability or versatility

Solution Approach 1:

The electrosurgical instrument is designed with multiple electrodes that can serve multiple functions through different pairings. The same set of electrodes can be configured for sealing operations, cutting operations, or potentially other procedures, making the device universally applicable to various surgical needs without requiring separate specialized instruments for each function.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Solution Approach 2:

The system changes operational parameters by altering which electrodes are active and their respective potentials. The controller modifies the electrical configuration by switching between different operational states, thereby changing the energy delivery characteristics to match the specific surgical requirement while maintaining a consistent user interface.

Inventive Principle:
Principle #35Parameter changes

3Reliability

If the instrument uses traditional bipolar electrode pairing, then the reliability of energy return is improved, but the use of energy increases during cutting operations due to higher energy consumption and inability to reduce energy usage

Engineering Contradiction:
Improveenergy return pathVSAvoidenergy consumption
Core Design Contradiction:
ReliabilityVSUse of energy by moving object

Solution Approach 1:

The system can alternately activate different electrode pairs during cutting operations. By periodically switching between different active electrode configurations, the instrument can maintain reliable energy return paths while distributing the energy delivery burden, potentially reducing overall energy consumption and improving cut quality through varied energy profiles.

Inventive Principle:
Principle #19Periodic action

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

Enables robust, accurate, and efficient cutting and sealing operations by optimizing energy delivery, reducing jagged cuts and energy usage, and promoting clean, complete tissue cuts without fragments.

Implementation Method 1

electrical energy from an ESU that is converted to thermal energy when the gripping end effector grip a section of tissue

Methodology Applied
Scientific EffectJoule heating: Joule Heating

Implementation Method 2

electrical energy is supplied to the first electrode and returned from the third electrode

Methodology Applied
Scientific EffectElectrical conduction: Conduction (electrical)

Data Source

PatentUS20240299080A1Controlling conductive paths between electrodes in electrosurgical instruments and related systems and methods
Publication Date: 2024.09.12 INTUITIVE SURGICAL OPERATIONS INC
  • US20240299080A1 patent drawing
  • US20240299080A1 patent drawing
  • US20240299080A1 patent drawing

AI summary

An electrosurgical instrument may comprise electrodes provided on the working surfaces of each jaw member that can be set to different electrical potentials and/or polarities to perform electrosurgical operations, such as sealing and cutting. Different combinations of electrodes can be selectively activated to create different pathways for the transfer of electrical energy through the material, to achieve the desired effects.