# US 11,076,909 B2 · Multifunctional medical device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,076,909 B2 - Document ID: US11076909B2 - Status: Granted - Kind: B2 - Application number: 15/747,905 - Filed: 2016-09-26 - Published: 2018-07-26 - Granted: 2021-08-03 - Earliest claimed: 2015-09-25 - Assignees: Gyrus ACMI, Inc. - Applicants: Gyrus Acmi, Inc. - Inventors: Kester J. Batchelor; Richard J. Curtis; Christopher A. Cook; Eric Kurtycz; Riyad Moe - Web page: https://patentgrep.com/patent/US11076909B2 ## CPC - A61B 18/1445: {at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod} - A61B 18/1206: {Generators therefor} - A61B 18/14: 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} - A61B 2018/00589: {Coagulation} - A61B 2018/00595: {Cauterization} - A61B 2018/00601: {Cutting} - A61B 2018/0063: {Sealing} - A61B 2018/122: {ionizing, with corona} - A61B 2018/124: {switching the output to different electrodes, e.g. sequentially} - A61B 2018/1253: {monopolar} - A61B 2018/126: {bipolar} - A61B 2018/1266: {with DC current output} - A61B 2018/1425: {Needle} - A61B 2018/1467: {using more than two electrodes on a single probe} - A61B 2218/008: for smoke evacuation - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A multifunctional medical device, apparatus or system that is capable of perforating a surgical procedure or operation and also capable of attracting, collecting, removing or reducing debris generated by the surgical procedure or operation, on a subject The apparatus comprising a plurality of electrodes, two of which are configured to be in electrical communication with or being electrically connectable to opposite poles of a source of high voltage dc electricity to ionize, attract, collect, and remove or reduce debris. At least one of the electrodes is also configured to be part of a RF circuit to perform a surgical procedure or operation such as tissue cutting, cauterization tissue sealing or coagulating at a surgical site on the subject. ## Claims ### Claim 1 A medical device comprising: a first electrode; a second electrode; and a third electrode; wherein the medical device is operable in an electrostatic configuration where the first electrode is in electrical communication with a first pole of a DC energy source and the second electrode is in electrical communication with a second pole of the DC energy source, the first electrode and the second electrode are configured to cooperate to ionize and attract debris from a surgical site when the medical device is operated in the electrostatic configuration, wherein the medical device is also operable in an electrosurgical configuration where the second electrode is in electrical communication with a first pole of an AC energy source and the third electrode is in communication with a second pole of the AC energy source, the second electrode and the third electrode are configured for use in an electrosurgical procedure at the surgical site when the medical device is operated in the electrosurgical configuration, and wherein at least one of: a) the first electrode is a remote electrode pad in the electrostatic configuration, b) the third electrode is a remote electrode pad in the electrosurgical configuration, c) the DC energy source, the first electrode, and the second electrode cooperate to complete a bipolar electrical circuit in the electrostatic configuration so that the medical device is operable as a bipolar device, or d) the AC energy source, the second electrode, and the third electrode cooperate to complete a bipolar electrical circuit in the electrosurgical configuration so that the medical device is operable as a bipolar medical device, a fourth electrode and a switch, the switch located between the AC energy source and the second and fourth electrodes, the switch to electrically connect either the second electrode or the fourth electrode to the first pole of the AC energy source, and wherein the third electrode and the fourth electrode are arms of a forceps device. ### Claim 2 (depends on 1) The medical device of claim 1, wherein in the electrosurgical configuration the AC energy source, the second electrode, and the third electrode cooperate to complete a first monopolar electrical circuit so that in the electrosurgical configuration medical device is operable as a first monopolar medical device. ### Claim 3 (depends on 1) The medical device of claim 1, wherein in the electrosurgical configuration the AC energy source, the second electrode, and the third electrode cooperate to complete a first bipolar electrical circuit so that in the electrosurgical configuration the medical device is operable as a first bipolar medical device, and wherein in the electrostatic configuration the first electrode is the remote electrode pad. ### Claim 4 (depends on 3) The medical device of claim 3, wherein when the second electrode is electrically connected to the first pole of the AC energy source, the medical device is operable as the first bipolar medical device in the electrosurgical configuration, and wherein when the fourth electrode is electrically connected to the first pole of the AC energy source, the AC energy source, the third electrode, and the fourth electrode cooperate to complete a second bipolar electrical circuit so that the medical device is operable as a second bipolar medical device in the electrosurgical configuration. ### Claim 5 (depends on 4) The medical device of claim 4, wherein when the medical device is operable as the second bipolar medical device in the electrosurgical configuration. ### Claim 6 (depends on 4) The medical device of claim 4, wherein when the fourth electrode is electrically connected to the first pole of the AC energy source, the medical device is simultaneously operable in the electrostatic configuration and in the electrosurgical configuration. ### Claim 7 (depends on 1) The medical device according to claim 1, wherein the medical device comprises a hand piece, the DC energy source is located on the hand piece, and the DC energy source is detachable from the hand piece. ### Claim 8 (depends on 1) The medical device according to claim 1, wherein the AC energy source and the DC energy source are contained in a single, common generator. ### Claim 9 (depends on 8) The medical device according to claim 8, wherein one or more AC electrical leads extend between the AC energy source and the corresponding electrodes, and one or more DC electrical leads extend between the DC energy source and the corresponding electrodes, and wherein the one or more AC electrical leads and the one or more DC electrical leads are provided in a common instrument cable that extends between the single, common generator and the medical device. ### Claim 10 (depends on 1) The medical device according to claim 1, wherein in the electrostatic configuration the DC energy source, the first electrode, and the second electrode cooperate to complete the bipolar electrical circuit so that in the electrostatic configuration the medical device is operable as the bipolar device, and wherein in the electrosurgical configuration the AC energy source, the second electrode, and the third electrode cooperate to complete a bipolar electrical circuit so that in the electrosurgical configuration the medical device is operable as the bipolar medical device. ### Claim 11 A medical device comprising: a housing; a DC energy source; a first electrode in electrical communication with the DC energy source; a second electrode in electrical communication with the DC energy source; a third electrode; wherein the DC energy source is located within the housing, wherein the DC energy source, the first electrode, and the second electrode cooperate to complete an electrostatic circuit to ionize and attract debris from a surgical site during a medical procedure, a fourth electrode and a switch, the switch located between the AC energy source and the second and fourth electrodes, the switch to electrically connect either the second electrode or the fourth electrode to the AC energy source, and wherein the third electrode and the fourth electrode are arms of a forceps device. ### Claim 12 (depends on 11) The medical device of claim 11, wherein the housing is a hand piece that is configured to be held by a user during the medical procedure. ### Claim 13 (depends on 11) The medical device of claim 11, wherein the medical device comprises: I. an ionization instrument comprising the electrostatic circuit, II. an electrosurgical instrument configured as a monopolar electrosurgical instrument, a bipolar electrosurgical instrument, or both, wherein the ionization instrument is configured to ionize and attract the debris from the surgical site during the medical procedure, and wherein the ionization instrument is attachable or detachable to the electrosurgical instrument. ### Claim 14 (depends on 11) The medical device according to claim 11, wherein the medical device comprises: a hand piece; wherein the second electrode extends from the hand piece. ### Claim 15 (depends on 11) The medical device according to claim 11, wherein the medical device is operable in an electrostatic configuration where the first electrode is in electrical communication with a first pole of the DC energy source, and the second electrode is in electrical communication with a second pole of the DC energy source, the first electrode and the second electrode are configured to cooperate to ionize and attract the debris from the surgical site when the medical device is operated in the electrostatic configuration, and wherein the medical device is also operable in an electrosurgical configuration where the first electrode is in electrical communication with a first pole of an AC energy source, and the second electrode is in communication with a second pole of the AC energy source, the first electrode and the second electrode are configured for use in an electrosurgical procedure at the surgical site when the medical device is operated in the electrosurgical configuration. ### Claim 16 (depends on 15) The medical device of claim 15, wherein in the electrosurgical configuration, the DC energy source, the first electrode, and the second electrode cooperate to complete a bipolar electrical circuit. ### Claim 17 A medical device comprising: a DC energy source; a first electrode in electrical communication with a first pole of the DC energy source; a second electrode in electrical communication with an opposing pole of the DC energy source; a third electrode; a filter coupled between the first electrode and the second electrode; wherein the DC energy source, the first electrode, and the second electrode cooperate to complete an electrostatic circuit to ionize and attract debris from a surgical site during a medical procedure; and a fourth electrode and a switch, the switch located between an AC energy source and the second and fourth electrodes, the switch to electrically connect either the second electrode or the fourth electrode to the AC energy source, and wherein the third electrode and the fourth electrode are arms of a forceps device. ### Claim 18 (depends on 17) The medical device of claim 17, wherein the filter at least partially surrounds the second electrode. ### Claim 19 (depends on 17) The medical device of claim 17, wherein the filter is detachable from the second electrode without damaging the second electrode and without damaging the filter. ### Claim 20 (depends on 17) The medical device of claim 17, wherein the medical device is an ultrasonic tissue cutter or an ultrasonic tissue forceps. ### Claim 21 (depends on 17) The medical device of claim 17, wherein the medical device is operable in an electrosurgical configuration where the second electrode is also in electrical communication with a first pole of the AC energy source and the third electrode is in communication with a second pole of the AC energy source, the second electrode and the third electrode are configured for use in an electrosurgical procedure at the surgical site when the medical device is operated in the electrosurgical configuration.