RF Tissue Vaporization Electrode With Insulating Fluid Shield
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Solution Overview
Problem
Existing minimally invasive surgical techniques using radiofrequency (RF) electrodes to vaporize tissue, such as in transseptal punctures, often vaporize surrounding liquids like blood, leading to inefficiencies and potential health risks due to conductive pathways and thrombotic material formation.
Innovation Solution
An electrosurgical system with a crossing member featuring an electrode and a fluid system to deliver electrically insulating fluid around the electrode, ensuring efficient tissue vaporization by maintaining electrical insulation and preventing liquid contact.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If radiofrequency (RF) electrodes are used to vaporize tissue, then tissue vaporization is achieved, but surrounding conductive liquids like blood are also vaporized causing inefficiencies and health risks
Solution Approach 1:
The patent introduces an electrically insulating fluid as an intermediary substance between the RF electrode and the conductive blood. This insulating fluid prevents direct contact between the electrode and blood, thereby eliminating the harmful conductive pathways that lead to thrombotic material formation while allowing the electrode to effectively vaporize target tissue.
Solution Approach 2:
The patent creates an inert electrical environment by surrounding the RF electrode with an electrically insulating fluid. This insulating atmosphere prevents electrical current from interacting with conductive bodily fluids, thereby preventing the formation of harmful conductive pathways and thrombotic materials while maintaining effective tissue vaporization.
2Productivity
If RF energy is delivered to vaporize tissue in contact with conductive fluid, then tissue ablation occurs, but power is lost to the conductive fluid reducing efficiency
Solution Approach 1:
The electrically insulating fluid acts as a mediator that blocks the transfer of RF energy to conductive fluids. By positioning the insulating fluid between the electrode and the conductive blood, the system prevents energy loss to the blood while maintaining effective energy delivery to the target tissue for ablation.
3Ease of operation
If electrode is exposed to conductive fluid during puncture, then puncture procedure can be performed, but electrical insulation is compromised leading to safety risks
Solution Approach 1:
The patent employs a flexible insulating fluid barrier that can dynamically adapt during the puncture procedure. This fluid barrier maintains electrical insulation integrity while allowing the puncture to proceed, as the insulating fluid can move with the electrode and maintain its protective barrier function throughout the procedure.
Solution Approach 2:
The insulating fluid serves as a protective intermediary layer that maintains electrical insulation during the puncture procedure. This mediator allows the procedure to be performed while preventing direct electrical contact between the electrode and conductive bodily fluids, thereby maintaining safety and reliability.
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 system enhances tissue vaporization efficiency, reduces power consumption, minimizes thrombotic risks, and facilitates safer punctures by ensuring the electrode remains insulated from conductive fluids, thereby improving procedural safety and effectiveness.
Implementation Method 1
puncturing bodily tissues such as the atrial septum with an electrode by dielectric breakdown
Implementation Method 2
energized in the radiofrequency (RF) range. While this procedure can vaporize the targeted septal tissue
Implementation Method 3
a fluid system configured to deliver electrically insulating fluid... ensuring efficient tissue vaporization by maintaining electrical insulation
Data Source
AI summary
An electrosurgical system for piercing tissue includes an electrosurgical generator configured to generate radiofrequency (RF) energy, a fluid system configured to deliver electrically insulating fluid, and a crossing member connected to the electrosurgical generator and the fluid system. The crossing member includes an electrode positioned at a distal tip of the crossing member, and a first fluid port positioned adjacent to the electrode, the first fluid port configured to direct the electrically insulating fluid around the electrode.


