Tissue extraction devices and methods
A tissue resection device comprises inner and outer coaxial sleeves. The outer sleeve has a cutting window formed therein, and the inner sleeve has a distal cutting end that can be reciprocated past the cutting window. The sleeves comprise electrodes to provide electrosurgical cutting, and an edge portion of the window includes a dielectric material.
1. An electrosurgical tissue resecting probe, comprising:
a metallic outer sleeve having a lumen extending longitudinally therein and a window extending through a side wall of the metallic outer sleeve proximate a distal end of the metallic outer sleeve;
a dielectric liner extending along an inner surface of the outer sleeve;
an inner sleeve movably disposed within the lumen of the metallic outer sleeve and having a first polarity electrode defining distal electrode edge configured to resect tissue extending into the window; and
a dielectric material extending around a periphery of the window;
wherein the dielectric material extends radially outward of the inner surface of the outer sleeve from the dielectric liner;
wherein the metallic outer sleeve includes an interlocking structure configured to engage with a mating interlocking structure of the dielectric material to fixedly secure the dielectric material relative to the metallic outer sleeve.
2. The electrosurgical tissue resecting probe of claim 1 , wherein the dielectric material has a radial thickness substantially equal to a radial thickness of the metallic outer sleeve.
3. The electrosurgical tissue resecting probe of claim 1 , wherein an outer surface of the metallic outer sleeve comprises a second polarity electrode.
4. The electrosurgical tissue resecting probe of claim 3 , wherein a length of a current path between the first and second polarity electrodes is within a range of 0.010 inches and 0.050 inches.
5. The electrosurgical tissue resecting probe of claim 3 , wherein a length of a current path between the first and second polarity electrodes is within a range of 0.015 inches and 0.030 inches.
6. The electrosurgical tissue resecting probe of claim 1 , wherein the dielectric material has a radial thickness equal to a radial thickness of the side wall of the outer sleeve.
7. The electrosurgical tissue resecting probe of claim 1 , wherein the dielectric material has a radial thickness in a range of 0.003 inches to 0.010 inches.
8. The electrosurgical tissue resecting probe of claim 1 , wherein the mating interlocking structure of the dielectric material and the interlocking structure of the metallic outer sleeve prevents rotational movement of the dielectric material relative to the metallic outer sleeve.
9. The electrosurgical tissue resecting probe of claim 1 , wherein the mating interlocking structure of the dielectric material and the interlocking structure of the metallic outer sleeve prevents axial movement of the dielectric material relative to the metallic outer sleeve.
10. The electrosurgical tissue resecting probe of claim 1 , wherein the mating interlocking structure of the dielectric material and the interlocking structure of the metallic outer sleeve prevents radial outward displacement of the dielectric material relative to the metallic outer sleeve.
11. The electrosurgical tissue resecting probe of claim 1 , wherein the interlocking structure of the metallic outer sleeve includes at least one beveled edge.
12. The electrosurgical tissue resecting probe of claim 1 , wherein the interlocking structure of the metallic outer sleeve includes a plurality of keys, wherein each key includes:
a circumferential slot having a first end adjacent the edge of the window and a second end opposite the first end; and
an enlarged opening at the second end of the circumferential slot;
wherein the circumferential slot has a first longitudinal extent and the enlarged opening has a second longitudinal extent greater than the first longitudinal extent.
13. The electrosurgical tissue resecting probe of claim 12 , wherein the circumferential slot includes at least one beveled edge.
14. The electrosurgical tissue resecting probe of claim 12 , wherein the circumferential slot includes a proximal beveled edge and a distal beveled edge.
15. The electrosurgical tissue resecting probe of claim 14 , wherein the proximal beveled edge and the distal beveled edge are angled toward each other in a radially outward direction.
16. The electrosurgical tissue resecting probe of claim 1 , wherein the distal electrode edge of the first polarity electrode is configured to reciprocate across the window.
17. The electrosurgical tissue resecting probe of claim 16 , wherein the first polarity electrode is a ring electrode.
18. The electrosurgical tissue resecting probe of claim 17 , wherein the ring electrode has an outer diameter less than an outer diameter of the inner sleeve proximal of the first polarity electrode.
19. The electrosurgical tissue resecting probe of claim 18 , wherein the electrosurgical tissue resecting probe is configured to form a plasma the distal electrode edge to resect tissue.