Plasma Probe And Method For Assembly Of Its Electrode
20230010005 · 2023-01-12
Inventors
Cpc classification
A61B2018/147
HUMAN NECESSITIES
A61B18/1492
HUMAN NECESSITIES
International classification
Abstract
A plasma probe comprises a hose with a conductor arranged therein that supports an electrode at least at its distal end. The electrode is either directly secured on the conductor or the conductor is provided with a plastic sheathing at least at its distal end by means of which the electrode is held. The electrode can be inserted between the conductor and the plastic sheathing and can be clamped in this manner. After first use the plastic sheathing can be fused to the electrode. The conductor is placed with clearance inside a channel or hollow space of electrode, however, whereby also in case of spot-like contact between the conductor and the electrode due to the gap provided between them apart therefrom the heat transmission from the electrode on the conductor is impeded and thereby the heat introduction in the plasma probe is limited.
Claims
1. A plasma probe (11) comprising: a hose (15) that comprises a proximal end (16) and a distal end (17) between which at least one lumen (27) is formed; an electrical conductor (21) arranged inside the hose (15) and extending from the proximal end (16) of the hose (15) up to its distal end (17) and that comprises a plastic sheathing (22); and an electrode (20) comprising an end (32) electrically connected to the electrical conductor (21) and an end (33) extending in a distal direction; Whereby wherein the electrode (20) is held by the electrical conductor (21) and/or the plastic sheathing (22) of the electrical conductor (21).
2. The plasma probe according to claim 1, wherein the at least one lumen (27) is connected to a gas source (14) at the proximal end (16) of the hose (15).
3. The plasma probe according to claim 1, wherein the electrical conductor (21) is connected to an electrical source (13) at a proximal end thereof.
4. The plasma probe according to claim 1, wherein the at least one lumen (27) is separated into two or more sub-lumina (28, 29) arranged parallel to one another.
5. The plasma probe according to claim 1, wherein the electrical conductor (21) is centrally arranged inside the hose (15).
6. The plasma probe according to claim 1, wherein the plastic sheathing (22) and the electrical conductor (21) arranged therein are movably arranged inside the hose (15).
7. The plasma probe according to claim 1, wherein the plastic sheathing (22) is connected to the hose (15) by at least one flexible wall (24) or by multiple flexible walls (24, 25, 26).
8. The plasma probe according to claim 7, wherein the electrical conductor (21) is supported inside the hose (15) exclusively by the at least one flexible wall (24) or the multiple flexible walls (24, 25, 26).
9. The plasma probe according to claim 1, wherein the end (32) of the electrode (20) connected with the electrical conductor (21) is hollow or an entirety of the electrode (20) is hollow, and the electrical conductor (21) extends into the electrode (20) and/or through the electrode (20).
10. The plasma probe according to claim 1, wherein the electrode (20) comprises a coating.
11. The plasma probe according to claim 1, wherein the proximal end (32) of the electrode (20) extends between the electrical conductor (21) and the plastic sheathing (22).
12. The plasma probe according to claim 1, wherein the electrical conductor (21) is movably arranged in a longitudinal direction inside and relative to the electrode (20).
13. The plasma probe according to claim 1, wherein the electrode (20) is held on the electrical conductor (21) by plastic deformation.
14. The plasma probe according to claim 1, wherein the distal end (33) of the electrode (20) is provided with an insulator body (38).
15. A method for assembly of an electrode (20) of a plasma probe (11) comprising the following steps: arranging an electrical conductor (21) inside of a hose (15) that comprises a proximal end (16) and a distal end (17) between which a lumen (27) is formed, wherein the electrical conductor (21) extends from the proximal end (16) of the hose (15) up to its distal end (17) and comprises a plastic sheathing (22); pushing a hollow end (32) of an electrode (20) on an end (23) of the electrical conductor (21); and inserting the hollow end (32) of the electrode (20) into the plastic sheathing (22) of the electrical conductor (21).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0021] Further characteristics and features of the plasma probe according to aspects of the invention can be taken from the drawing or the following description. The drawings show:
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
DETAILED DESCRIPTION
[0031] A plasma probe 11 is illustrated in
[0032] The plasma probe 11 comprises a hose 15 that extends from a proximal end 16 up to a distal end 17. The face 18 of the distal end 17 of hose 15 surrounds a plasma exhaust port 19 that emits a plasma jet during operation. By the terms end, distal end and proximal end, end sections are always referred to.
[0033] In addition an electrode 20 is arranged in the plasma exhaust port 19 that is electrically connected with the RF generator 13. For this purpose serves an electrical conductor 21, e.g. apparent from
[0034] The conductor 21 can be realized by a monofilament wire, e.g. a stainless steel wire, or also by a wire made of another material. The conductor 21 is thereby provided with a plastic sheathing 22, at least along a part of its length that preferably surrounds the conductor 21 over its entire circumference (360°). The plastic sheathing 22 can thereby extend over the entire length of the conductor up to its distal end 23. The distal end 23 of conductor 21 itself can be exposed, i.e. released from the plastic sheathing. The exposed section can have a length of one or multiple millimeters. Starting from the distal end 23 the plastic sheathing 22 extends at least a few centimeters in proximal direction. However, it can also cover the entire length of conductor 21.
[0035] In an embodiment illustrated in
[0036] The electrode 20 can be realized by means of a metal tube, as illustrated in
[0037] In all embodiments described above or in the following having a sleeve-shaped electrode 20 it can have a face that is orientated obliquely to its longitudinal direction. The tube-shaped electrode 20 can be cut at its distal end obliquely to its axis for this purpose comparable to the distal end of the cannula of a syringe.
[0038] Independent from the inclination of the face of electrode 20, the supply line can extend through the electrode 20 and can project beyond the distal end of electrode 20. This can contribute to an improvement of the ignition capability.
[0039] The plasma probe 11 described so far can be manufactured, in that first the hose 15 having a conductor 21 arranged therein is provided. For example, the hose 15 having the conductor 21 can be produced like a cable by means of plastic extrusion. From the material provided in this manner the desired length for the plasma probe 11 is cut and the conductor 21 is first exposed at its distal end 23. Thereby the respective material of the plastic sheathing 22 and the walls 24-26 is removed. In doing so, the distal end 23 of conductor 21 is exposed.
[0040] In the subsequent process the electrode 20 is now pushed on the exposed distal end 23 of conductor 21 and into the plastic sheathing 22. As can be taken from
[0041] For operation of plasma probe 11 it is connected to apparatus 12. In doing so, the proximal end of conductor 21 is electrically connected with the RF generator 13. The proximal end of lumen 27 is connected with gas source 14. For operation the lumen 27 is supplied with gas, e.g. argon or another inert gas, such that a gas flow is created inside lumen 27 flowing in distal direction. The RF generator 13 supplies electrodes 20 with RF voltage of typically multiple 100 Volts relative to a neutral potential that is applied to the patient to be treated by means of a not illustrated neutral electrode.
[0042] Now a so-called spark is created at the electrode 20 with which the discharged gas is ionized such that a plasma jet is formed. The current thereby flows from the conductor 21 via the contact spots between the distal end 23 and the electrode 20 into the electrode 20 and therefrom via the ionized gas to the patient. Thereby the current flow can effect a selective soldering or welding of conductor 21 with electrode 20 and thus a mechanical connection. In addition, the electrode 20 heats remarkably, whereby the plastic sheathing 22 can melt or fuse in the area covering electrode 20. Thereby a substance bond connection is created between sheathing 22 and electrode 20 and/or between the conductor 21 and the electrode 20.
[0043] Modifications can be made to plasma probe 11 without leaving the scope of the invention. For example, according to
[0044] Independent therefrom it is possible to provide electrode 20 with a closed end 33 that forms the distal terminal of electrode 20. Particularly with regard to the connection between conductor 21 and electrode 20, the explanations made above apply accordingly.
[0045] Also with regard to the connection between electrode 20 and conductor 21, numerous modifications are possible. For example, instead of a sleeve-shaped electrode 20 according to
[0046] In the plasma probe according to
[0047] In all probes according to
[0048] It is not necessarily required to move electrode 20 between conductor 21 and its plastic sheathing 22 and to fixate it by means of clamping.
[0049] In any probe in which conductor 21 and its sheathing 22 are not connected with the hose 15 the sleeve 34 arranged on the distal end 17 can have three or more noses 36, 37 facing inwardly or another structure that limits the radial movability of electrode 20 or conductor 21. The noses 36, 37 are therefore suitable to effect a sufficient centering of electrode 20. If electrode 20 is mechanically connected to conductor 21, for example due to radial crushings as illustrated in
[0050]
[0051] The sleeve 20a and the joint between the sleeves 20a, 20b forms a thermal barrier between the part of the electrode 20 subject to the discharge and the remaining plasma probe 11. This increases the durability of electrode 20 and the entire plasma probe 11 on one hand due to the increase of the electrode surface and on the other hand, due to the reduction of the heat flow originating from electrode 20.
[0052] In all embodiments of plasma probe 11 described above it has been assumed that the electrode 20, 20′ does not project beyond the distal face 18 of hose 15. However, based on any of the embodiments described above, plasma probes 11 can also be provided according to the example of
[0053] In terms of the configuration of the hose 15 and the plastic sheathing 22 numerous degrees of freedom exist. For example, the walls 24, 25, 26 can be arranged radially, as shown in
[0054] A plasma probe 11 according to one aspect of the invention comprises a hose with a conductor arranged therein that supports an electrode 20 at least at its distal end. The electrode 20 is either directly secured on the conductor 21 or the conductor 21 is provided with a plastic sheathing 22 at least at its distal end by means of which the electrode 20 is held. The electrode 20 can be inserted between the conductor 21 and the plastic sheathing 22 and can be clamped in this manner. After first use the plastic sheathing 22 can be fused to the electrode 20. In any case, the conductor 21 is placed with clearance inside a channel or hollow space of electrode 20, however, whereby also in case of spot-like contact between the conductor 21 and the electrode 20 due to the gap provided between them apart therefrom the heat transmission from the electrode 20 on the conductor 21 is impeded and thereby the heat introduction in the plasma probe 11 is limited. This benefits the lifetime of the plasma probe 11 and concurrently reduces its outer temperature and thus its sticking tendency to tissue. In doing so, the risk of an undesired perforation of sensitive or thin tissue layers is reduced. In addition, the concept according to the invention allows a long-term preservation of the roundness of the probe.
LIST OF REFERENCE SIGNS
[0055] 11 plasma probe [0056] 12 apparatus [0057] 13 RF generator [0058] 14 gas source [0059] 15 hose [0060] 16 proximal end of hose 15 [0061] 17 distal end of hose 15 [0062] 18 distal face of hose 15 [0063] 19 plasma exhaust port [0064] 20, 20′ electrode [0065] 20a, 20b sleeves [0066] 21 conductor [0067] 22 plastic sheathing [0068] 23 distal end of conductor [0069] 24-26 walls [0070] 27 lumen [0071] 28-30 sub-lumina [0072] 31 distal end of electrode 20 [0073] 32 proximal end of electrode 20 [0074] 33 closed distal end of electrode 20 [0075] 34 sleeve [0076] 35 tapering seat [0077] 36, 37 noses [0078] 38 insulator body