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    • 1. 发明申请
    • PLASMA ENHANCED BIPOLAR ELECTROSURGICAL SYSTEM
    • 等离子体增强双极电磁系统
    • WO1996024301A1
    • 1996-08-15
    • PCT/IB1996000004
    • 1996-01-03
    • VALLEYLAB, INC.
    • VALLEYLAB, INC.BUYSSE, StevePLATT, Robert, C., Jr.SCHMALTZ, Dale, F.
    • A61B17/36
    • A61B18/042A61B18/1402A61B2018/1213A61B2018/126
    • A surgical system (10) has a multiple electrode electrosurgical capability in combination with a gas plasma capability for delivery of electrosurgical energy to the tissue (14) or bodily fluids (15) of a patient (16). The system includes a holder (17), a source of electrical energy (20), electrodes connected to the source of electrical energy (20), one or more passages (22) carried on the holder (17) for transporting ionizable gas (23), and a source of ionizable gas (24) of a selectable flow rate. The gas passages (22) may include at least one electrode extending toward the operative site. The gas passages (22) may include a part (28) that creates a vortex in the gas flow. The electrodes may be coaxially placed in the gas passages (22). The system may also be configured such that two electrodes are each shrouded by the ionized gas so that the electrosurgical energy is conducted to the tissue (14) or bodily fluids (15) of the operative site by passing along conductive pathways (25) in the ionized gas from each electrode. There may also be a dielectric barrier (26) between the conductive pathways (25). The system may also be configured such that one of the multiple electrodes (11) is substantially in contact with the tissue (14) or bodily fluids (15) of the operative site and another of the multiple electrodes (11) is in the circuit through the conductive pathway of the ionized gas flow so that electrosurgical energy is conducted through the tissue (14) or bodily fluids (15) of the operative site and between the electrodes. Methods of manufacture and use for the system are also claimed.
    • 手术系统(10)具有多电极电外科能力,与用于将电外科能量递送到患者(16)的组织(14)或体液(15)的气体等离子体能力相结合。 该系统包括保持器(17),电能源(20),连接到电能源(20)的电极,在支架(17)上承载的用于输送可电离气体(23)的一个或多个通道(22) )和可选流量的可电离气体源(24)。 气体通道(22)可以包括朝向操作部位延伸的至少一个电极。 气体通道(22)可以包括在气流中产生涡流的部分(28)。 电极可以同轴地放置在气体通道(22)中。 该系统还可以被配置为使得两个电极都被电离气体覆盖,使得电外科能量通过沿着导电通路(25)传导到手术部位的组织(14)或体液(15) 来自每个电极的电离气体。 在导电路径(25)之间还可以存在介电阻挡层(26)。 该系统还可以被配置成使得多个电极(11)中的一个基本上与操作部位的组织(14)或体液(15)接触,并且多个电极(11)中的另一个在电路中 电离气体的导电路径流动,使得电外科能量通过手术部位的组织(14)或体液(15)和电极之间传导。 还要求保护该系统的制造和使用方法。