Electrode assembly
An electrode assembly ( 3 ) is provided for use in a resectoscope, the electrode assembly ( 3 ) comprising a pair of arms ( 4 ), and a tissue treatment element ( 9 ) depending from the arms. The arms ( 4 ) are pivotably mounted one to the other such that they are movable between a retracted position in which they lie alongside one another and a deployed position in which they diverge one from another. The electrode assembly ( 3 ) includes actuation means for moving the arms between their retracted and deployed positions. The tissue treatment element ( 9 ) is disposed at the distal end of each arm such that it is movable between at least two different operating positions.
1. A method of resecting tissue from within a bladder of a patient, including steps of
i) introducing an instrument into the bladder of the patient, the instrument including a cutting wire disposed between two arms, the two arms lying alongside one another in a retracted position,
ii) deploying the two arms into an expanded position in which the two arms diverge one from another, with the cutting wire therebetween,
iii) rotating the cutting wire about an axis running between a distal end of the two arms such that the cutting wire is displaced from its original position by a preset offset spacing,
iv) maneuvering the instrument such that the cutting wire is in contact with tissue to be resected, and
v) moving the instrument laterally with respect to the tissue so as to resect tissue from the bladder.
2. A method according to claim 1 including a step of supplying electrosurgical cutting energy to the cutting wire.
3. A method according to claim 1 , including an additional step of pressing down against the tissue to be resected with the two arms, so as to deform a portion of the bladder from a curved shape into a substantially linear surface.
4. A method according to claim 3 , wherein the pressing step takes place before moving the instrument laterally, and the pressing is maintained throughout the lateral movement of the instrument.
5. A method of surgically removing a bladder tumour comprising steps of
i) introducing an instrument into a bladder of a patient, the instrument including a cutting wire disposed between two arms, the two arms lying alongside one another in a retracted position,
ii) deploying the two arms into an expanded position in which the two arms diverge one from another, with the cutting wire therebetween,
iii) rotating the cutting wire about an axis running between a distal end of the two arms such that the cutting wire is displaced from its original position by a preset offset spacing,
iv) maneuvering the instrument such that the cutting wire is in contact with tissue to be resected,
v) pressing down against the tissue to be resected with the two arms, so as to deform a portion of the bladder from a curved shape into a substantially linear surface,
vi) supplying electrosurgical cutting energy to the cutting wire, and
vii) moving the instrument laterally with respect the tissue while continuing to press down to deform the bladder into a substantially planar surface, so as to resect the bladder tumour and surrounding tissue from the bladder.