# US 10,245,096 B2 · Pressure relief system for use with gas-assisted minimally invasive surgical devices

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- Number: US 10,245,096 B2
- Document ID: US10245096B2
- Status: Granted
- Kind: B2
- Application number: 15/602,929
- Filed: 2017-05-23
- Published: 2017-11-30
- Granted: 2019-04-02
- Earliest claimed: 2016-05-25
- Assignees: Covidien LP
- Applicants: Covidien LP
- Inventors: Amit Trivedi
- Web page: https://patentgrep.com/patent/US10245096B2

## CPC

- A61B 18/082: {Probes or electrodes therefor}
- A61B 18/1482: {having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy}
- A61M 13/003: {Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing}
- A61B 2018/00589: {Coagulation}
- A61B 2018/00595: {Cauterization}
- A61B 2018/00601: {Cutting}
- A61B 2018/00922: {by switching or controlling the treatment energy directly within the hand-piece}
- A61B 2018/00958: {for switching between different working modes of the main function}
- A61B 2090/064: {for measuring force, pressure or mechanical tension}
- A61B 2218/005: using gas or vapor, e.g. for protection or purging
- A61B 2218/007: Aspiration
- A61M 2205/3344: Measuring or controlling pressure at the body treatment site
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

An electrosurgical device is adapted for use through a port and within a body cavity. The device includes a gas supply supplying gas to a distal tip and a valve to regular such supply, and an electric supply for supplying electricity to the distal tip. A pressure relief system is provided to regulate an outflow of gas from within the body cavity to prevent exceeding a predetermined pressure. The inflow of the gas through the valve and outflow of gas through the pressure relief system may occur simultaneously.

## Claims

### Claim 1

A method of performing a minimally invasive procedure on a human body, comprising:
a) inserting an insufflation tube through a first surgical incision through tissue and into a body cavity;
b) insufflating the body cavity with gas under pressure through the insufflation tube;
c) inserting a working end of an electrosurgical instrument through a second surgical incision through the tissue and into the body cavity,
d) delivering gas from a gas supply to a distal tip of the electrosurgical instrument
e) delivering electrosurgical energy from an electrosurgical energy source to the distal tip while delivering the gas to the distal tip to treat tissue in the body cavity;
f) inserting a pressure relief device through a third surgical incision through the tissue and into the body cavity; and
g) automatically releasing gas from within the body cavity via the pressure relief device when gas pressure within the body cavity exceeds a predetermined pressure.

### Claim 2 (depends on 1)

The method according to claim 1, wherein
automatically releasing gas from within the body cavity includes automatically releasing gas via the pressure relief device at a location separate from the insufflation tube and the electrosurgical instrument.

### Claim 3 (depends on 1)

The method according to claim 1, wherein
automatically releasing gas from within the body cavity includes opening a normally-closed valve of the pressure relief device.

### Claim 4 (depends on 1)

The method according to claim 1, wherein the gas delivered from the gas supply to the distal tip is carbon dioxide.

### Claim 5 (depends on 1)

The method according to claim 1, further comprising:
inserting a trocar through the second surgical incision prior to inserting the working end of the electrosurgical instrument through the second surgical incision; and
inserting the working end of the electrosurgical instrument through the inserted trocar and into the body cavity.

### Claim 6 (depends on 1)

The method according to claim 1, wherein insufflating the body cavity includes delivering gas from the gas supply through the insufflation tube and into the body cavity.

### Claim 7 (depends on 1)

The method according to claim 1, wherein insufflating the body cavity includes delivering gas from an additional gas supply independent from the gas supply delivering gas to the distal tip of the electrosurgical instrument.

### Claim 8 (depends on 1)

The method according to claim 1, further comprising sensing a pressure within the body cavity via a pressure sensor coupled to the insufflation tube.

### Claim 9 (depends on 8)

The method according to claim 8, further comprising:
opening a valve of the pressure relief device to release gas from the body cavity based on a first threshold pressure sensed by the pressure sensor; and
closing the valve of the pressure relief device to prevent release of gas from the body cavity based on a second threshold pressure sensed by the pressure sensor.

### Claim 10 (depends on 1)

The method according to claim 1, further comprising adjusting at least one valve disposed in the electrosurgical instrument to control a flow rate of the gas delivered from the gas supply to the distal tip.

### Claim 11

A method of performing minimally invasive surgery, comprising:
forming a first surgical incision through tissue at a first location of an abdominal cavity;
inserting an insufflation device through the first surgical incision and into the abdominal cavity;
delivering gas to the abdominal cavity via the insufflation device to insufflate the abdominal cavity;
forming a second surgical incision through tissue at a second location of the abdominal cavity;
inserting a trocar through the second surgical incision and into the abdominal cavity;
inserting at least a portion of an electrosurgical instrument through the inserted trocar and into the abdominal cavity;
forming a third surgical incision through tissue at a third location of the abdominal cavity;
inserting a pressure relief device through the third surgical incision and into the abdominal cavity;
simultaneously delivering gas and electrosurgical energy to the inserted electrosurgical instrument for treating tissue in the abdominal cavity;
sensing a pressure within the abdominal cavity via a pressure sensor; and
releasing gas from the abdominal cavity through the pressure relief device based on the pressure sensed by the pressure sensor.

### Claim 12 (depends on 11)

The method according to claim 11, further comprising delivering gas to the inserted electrosurgical device and the abdominal cavity via the insufflation device from a common source of gas.

### Claim 13 (depends on 11)

The method according to claim 11, further comprising:
delivering gas to the inserted electrosurgical device from a first source of gas; and
delivering gas to the abdominal cavity via the insufflation device from a second source of gas independent from the first source of gas.

### Claim 14 (depends on 11)

The method according to claim 11, further comprising:
opening a valve of the pressure relief device to release gas from the abdominal cavity based on a first threshold pressure sensed by the pressure sensor; and
closing the valve of the pressure relief device to prevent release of gas from the abdominal cavity based on a second threshold pressure sensed by the pressure sensor.

### Claim 15 (depends on 11)

The method according to claim 11, further comprising adjusting at least one valve disposed in the electrosurgical instrument to control a flow rate of the gas delivered to the inserted electrosurgical instrument.