RF endoscopic electrosurgical instrument
A unipolar electrosurgical electrode or probe that is configured for use in MIS electrosurgical procedures. The electrosurgical electrode comprises an elongated tubular member configured to cooperate with the small cannula of a mini-endoscope to reach interior tissue. The active end comprises a pair of jaws that can be normally closed and operative by the surgeon to open and close down on and grasp tissue to excise same. When energized, a unipolar discharge is generated at the working end of the electrode.
1 . An electrosurgical probe for treating tissue, comprising:
(a) an elongated tubular member having a major longitudinal axis and having a proximal first end and a distal second end and being configured to pass through a working channel of an endoscope,
(b) the tubular member terminating at the distal end in an electrically-conductive grasping member,
(c) means at the proximal end connected to the grasping member for causing the grasping member to grasp and ungrasp tissue,
(d) means at the proximal end for supplying electrosurgical currents to the grasping member.
2 . The electrosurgical probe as claimed in claim 1 , wherein the grasping member comprises a pair of pivoted jaws capable of assuming an open position and a closed position.
3 . The electrosurgical probe as claimed in claim 1 , wherein the grasping member is configured such that the pivoted jaws are sprung into a normally closed position.
4 . The electrosurgical probe as claimed in claim 3 , wherein the pivoted jaws are normally closed and are opened by the means for causing the grasping member to grasp and ungrasp tissue.
5 . The electrosurgical probe as claimed in claim 2 , wherein the jaws when closed form a boat-shaped or clam-shaped body.
6 . The electrosurgical probe as claimed in claim 5 , wherein the jaws each comprise a back surrounded on three sides by a perimetrical sharp edge.
7 . The electrosurgical probe as claimed in claim 6 , wherein one of the jaws comprises a tooth located at the point furthest from the proximal end.
8 . The electrosurgical probe as claimed in claim 6 , wherein the tooth extends toward the other jaw.
9 . The electrosurgical probe as claimed in claim 7 , wherein one of the jaws comprises a recess for receiving the tooth located at the point furthest from the proximal end.
10 . The electrosurgical probe as claimed in claim 6 , wherein the jaws each comprise a cleaning opening in the back.
11 . The electrosurgical probe as claimed in claim 1 , wherein the outside diameter of the tubular member is less than about 3 mm.
12 . The electrosurgical probe as claimed in claim 7 , wherein the length of the jaws is about 0.1-0.3 inches.
13 . The electrosurgical probe as claimed in claim 7 , wherein the width of the jaws is about 0.06-0.08 inches.
14 . A surgical procedure using a mini-endoscope having a channel of about 4 mm or less, comprising the steps:
A) positioning the viewing end of the endoscope at a surgical site,
B) inserting into the channel an electrosurgical electrode probe comprising:
(a) an elongated tubular member having a major longitudinal axis and having a proximal first end and a distal second end and being configured to pass through the channel of the endoscope,
(b) the tubular member terminating at the distal end in an electrically-conductive grasping member,
(c) means at the proximal end connected to the grasping member for causing the grasping member to grasp and ungrasp tissue,
(d) means at the proximal end for supplying electrosurgical currents to the grasping member.
(e) the grasping member comprising a pair of pivoted jaws capable of assuming a closed position and an open position,
C) supplying electrosurgical currents to the proximal end to reach and activate the pivoted jaws,
(D) closing the jaws on tissue at the surgical site to excise the tissue.
15 . The surgical procedure of claim 14 , wherein the supplied electrosurgical currents are at a frequency of about 4 MHz.
16 . The surgical procedure of claim 15 , wherein the procedure is removing tissue from the larynx.
17 . The surgical procedure of claim 15 , wherein the procedure is an endonasal procedure.
18 . The surgical procedure of claim 15 , wherein the procedure is a spinal procedure.