Electrosurgical devices with monopolar and bipolar functionality
In general, systems, methods, and devices for electrosurgical devices with monopolar and bipolar functionality are provided. In an exemplary embodiment, a surgical device can have bipolar functionality, in which tissue engaged by the device is treated in a bipolar energy delivery mode, and can have monopolar functionality in which tissue engaged by the device is treated in a monopolar energy delivery mode.
1. An electrosurgical device, comprising:
a housing;
an elongate shaft extending from the housing;
an end effector coupled to a distal end of the elongate shaft, the end effector including first and second jaws, at least one of the first and second jaws being pivotable relative to the other to move the end effector between an open position and a closed position; and
first and second electrode portions on the first jaw, the first electrode portion being in surrounding relation along a perimeter of the second electrode portion such that the first electrode portion is positioned laterally outward of the second electrode portion, the first electrode portion being configured to be exposed along an edge of the first jaw with the end effector in the closed position and with the end effector in the open position;
wherein in a bipolar mode of operation the second electrode portion is configured to deliver energy to tissue engaged by the end effector, and the first electrode portion is disabled from delivering energy to tissue engaged by the end effector;
wherein in a monopolar mode of operation the first electrode portion is configured to deliver energy to tissue; and
wherein a single electrode includes the first and second electrode portions with the first electrode portion being U-shaped and in surrounding relation along longitudinal sides and around a distal tip of the second electrode portion, which is in direct contact with the first electrode portion along the longitudinal sides and around the distal tip.
2. The device of claim 1 , wherein in the monopolar mode of operation the second electrode portion is one of disabled from delivering energy to tissue and enabled to deliver energy to tissue.
3. The device of claim 1 , wherein the second jaw has a width that is less than a combined width of the first and second electrode portions.
4. The device of claim 1 , further comprising a return electrode on the second jaw, the return electrode being configured for energy return in the bipolar mode of operation.
5. The device of claim 1 , further comprising a sensor configured to sense when the end effector is in the closed position; and
an actuator configured to be actuated to cause energy delivery in the bipolar mode of operation only with the end effector in the closed position as sensed by the sensor.
6. The device of claim 5 , wherein the monopolar mode of operation is only possible with the end effector in the open position.
7. The device of claim 6 , further comprising a second actuator configured to be actuated to cause energy delivery in the monopolar mode of operation.
8. The device of claim 1 , wherein the monopolar mode of operation is possible with the end effector in the open position and in the closed position.
9. The device of claim 1 , wherein the first electrode portion, but not the second electrode portion, has a coating thereon.
10. An electrosurgical device, comprising:
a housing;
an elongate shaft extending from the housing; and
an end effector coupled to a distal end of the elongate shaft, the end effector including first and second jaws, at least one of the first and second jaws being pivotable relative to the other to move the end effector between an open position and a closed position;
wherein an electrode on the first jaw extends laterally outward from an outer edge of the first jaw such that with the end effector in the closed position the electrode is exposed, thereby allowing the electrode to contact tissue with the end effector in the closed position and without any tissue being engaged between the first and second jaws;
the electrode is configured to deliver energy to tissue with the end effector in the open position and with the end effector in the closed position;
the electrode is a single electrode; and
a U-shaped portion of the electrode extends laterally outward from the outer edge of the first jaw and is in surrounding relation along a perimeter of a second portion of the electrode such that the U-shaped portion of the electrode is positioned laterally outward of the second portion of the electrode.
11. The device of claim 10 , wherein
in a bipolar mode of operation the second portion of the electrode is configured to deliver energy to tissue and the U-shaped portion of the electrode is disabled from delivering energy to tissue; and
in a monopolar mode of operation the U-shaped portion of the electrode is configured to deliver energy to tissue.
12. The device of claim 11 , further comprising a sensor configured to sense when the end effector is in the closed position; and
an actuator configured to be actuated to cause energy delivery in the bipolar mode of operation only with the end effector in the closed position as sensed by the sensor.
13. The device of claim 11 , wherein the monopolar mode of operation is possible with the end effector in the open position and in the closed position.
14. A surgical method, comprising:
positioning an end effector of a surgical device in contact with tissue, the end effector being coupled to a distal end of an elongate shaft of the surgical device, the end effector including first and second jaws, first and second electrode portions being on the first jaw with the first electrode portion being U-shaped an in surrounding relation along a perimeter of the second electrode portion such that the first electrode portion is positioned laterally outward of the second electrode portion;
activating the surgical device in a bipolar mode of operation such that the second electrode portion, but not the first electrode portion, delivers energy to the tissue; and
activating the surgical device in a monopolar mode of operation such that the first electrode portion delivers energy to the tissue.
15. The method of claim 14 , wherein in the monopolar mode of operation the second electrode portion cannot deliver energy to the tissue.
16. The method of claim 14 , further comprising sensing with a sensor when the end effector is in a closed position;
wherein activating the surgical device in the bipolar mode of operation is only possible with the end effector in the closed position as sensed by the sensor; and
activating the surgical device in the monopolar mode of operation is only possible with the end effector in an open position.
17. The method of claim 14 , wherein activating the surgical device in the monopolar mode of operation is possible with the end effector in an open position and in a closed position.