Bipolar electrosurgical cutter with position insensitive return electrode contact
A bipolar electrosurgical device includes a handle and an elongated end effector coupled to the handle. The end effector includes an elongated, insulating body having first and second electrodes disposed thereon. The first and second electrodes are separated at the distal end of the insulating body, and a cavity formed in the distal end of the effector is positioned between the first and second electrodes. A fluid-delivery tube is positioned on the body to deliver a conductive fluid to the distal end, adjacent the cavity. During use of the electrosurgical device, delivery of the conductive fluid facilitates formation of an electrical coupling between the electrodes via the tissue being treated.
1. A method for electrosurgical cutting of biological tissue, comprising:
initiating a flow of an electrically conductive fluid to a distal end of a bipolar electrosurgical device, the distal end of the bipolar electrosurgical device including a first electrode adjacent a second electrode;
applying electrical energy between the first electrode and the second electrode on the bipolar electrosurgical device;
positioning the first electrode and the second electrode proximate the biological tissue and forming arc adjacent the distal end of the bipolar electrosurgical device;
terminating the flow of the electrically conductive fluid; and
maintaining the arc to cut the biological tissue after terminating the flow of the electrically conductive fluid.
2. The method of claim 1 , wherein initiating the flow of the electrically conductive fluid to the distal end of the bipolar electrosurgical device includes delivering the electrically conducting fluid to a cavity in the distal end of the bipolar electrosurgical device.
3. The method of claim 2 , wherein the bipolar electrosurgical device includes an insulating body disposed between the first electrode and the second electrode.
4. The method of claim 3 , wherein the first electrode protrudes a distance away from the insulating body.
5. The method of claim 4 , wherein the cavity is recessed within a portion of the insulating body.
6. The method of claim 5 , wherein the bipolar electrosurgical device includes a fluid delivery tube disposed along a surface of the second electrode.
7. The method of claim 1 , wherein applying electrical energy includes applying pulsed electrical energy to the biological tissue.
8. The method of claim 1 , wherein applying electrical energy includes applying continuous electrical energy to the biological tissue.
9. The method of claim 1 , wherein terminating the flow of the electrically conductive fluid includes terminating the flow of the electrically conductive fluid about three to five seconds after initiation of the flow.
10. The method of claim 1 , wherein terminating the flow of the electrically conductive fluid includes terminating the flow of the electrically conductive fluid about 0.1 to 2.0 seconds after initiation of the flow.
11. A method for electrosurgical cutting of biological tissue, comprising:
initiating a flow of an electrically conductive fluid to a distal end of a bipolar electrosurgical device, the distal end of the bipolar electrosurgical device including a first electrode adjacent a second electrode;
applying electrical energy between the first electrode and the second electrode on the bipolar electrosurgical device, the first electrode and the second electrode being non-porous;
positioning the first electrode and the second electrode proximate the biological tissue and forming arc adjacent the distal end of the bipolar electrosurgical device;
terminating the flow of the electrically conductive fluid; and
maintaining the arc to cut the biological tissue after terminating the flow of the electrically conductive fluid.
12. A method for electrosurgical cutting of biological tissue, comprising:
initiating a flow of an electrically conductive fluid to a distal end of a bipolar electrosurgical device, the distal end of the bipolar electrosurgical device including a first electrode adjacent a second electrode;
applying electrical energy between the first electrode and the second electrode on the bipolar electrosurgical device, the first electrode and the second electrode being substantially coterminous at the distal end of the bipolar electrosurgical device;
positioning the first electrode and the second electrode proximate the biological tissue and forming arc adjacent the distal end of the bipolar electrosurgical device;
terminating the flow of the electrically conductive fluid; and
maintaining the arc to cut the biological tissue after terminating the flow of the electrically conductive fluid.