CA1146225A - Disposable electrosurgical instrument - Google Patents
Disposable electrosurgical instrumentInfo
- Publication number
- CA1146225A CA1146225A CA000356265A CA356265A CA1146225A CA 1146225 A CA1146225 A CA 1146225A CA 000356265 A CA000356265 A CA 000356265A CA 356265 A CA356265 A CA 356265A CA 1146225 A CA1146225 A CA 1146225A
- Authority
- CA
- Canada
- Prior art keywords
- plunger
- holder
- electrode
- electrodes
- sleeve
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1482—Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1402—Probes for open surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
- A61B2018/00922—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by switching or controlling the treatment energy directly within the hand-piece
-
- H—ELECTRICITY
- H01—ELECTRIC ELEMENTS
- H01H—ELECTRIC SWITCHES; RELAYS; SELECTORS; EMERGENCY PROTECTIVE DEVICES
- H01H2300/00—Orthogonal indexing scheme relating to electric switches, relays, selectors or emergency protective devices covered by H01H
- H01H2300/014—Application surgical instrument
Abstract
Abstract of the Disclosure A disposable instrument is adaptable for use in electrosurgical operations, such as, coagulation proce-dures used in blocking off fallopian tubes, and is charac-terized by having an improved electrode and switch assembly which permits interchangeable but permanent mounting of electrodes of a selected length and con-figuration within a handle grip. The electrodes conven-tionally may be of a type having normally spaced-apart tips which through actuation of a plunger disposed for extension through the handle grip will cause the tips to be brought together to grasp or surround the tube or other tissue to be coagulated. The interchangeable but positive connection of electrodes within the housing brings them into direct electrical connection with electrical contacts and specifically in such a way that the connection and mounting of the electrodes cannot be disturbed or broken.
An improved control circuit for the instrument assures normal interruption of the electrical circuit to the electrodes unless the electrode tips have been advanced to the tube-engaging position as described. A switch in the sidewall of the housing is positioned with respect to the control circuit so as to permit positive movement in a direction establishing closure of the circuit into the electrodes only when the electrode tips are in the tube-engaging position.
An improved control circuit for the instrument assures normal interruption of the electrical circuit to the electrodes unless the electrode tips have been advanced to the tube-engaging position as described. A switch in the sidewall of the housing is positioned with respect to the control circuit so as to permit positive movement in a direction establishing closure of the circuit into the electrodes only when the electrode tips are in the tube-engaging position.
Description
DISPOSABLE ELECTROSURGICAL INSTRUMENT
Numerous types of instruments have been devised for performing laparoscopic tubal coagulation operations.
Such instruments are broadly characterized by having a handle grip, a pair of electrodes supported on a probe element for extension from the grip and which electrodes terminate at their distal ends in a pair of tube engaging portions. An external power source leads in-to the handle grip and a foot or manually actua~able switch or button on the grip permits the operator to selectively apply current to the electrodes from the e~ternal power source. In per-forming tubal coagulation with a bipolar device, custo-marily the electrodes are passed through a trocar which has been inserted into the abdominal cavity, and the electrode tips are advanced to an open or spread-apart position so that they can be placed on opposite sides of the tube, a~ter which the tips are advanced to a closed position in which the tube is engaged between the tips and current applied thereto for discharge between the electro-des tips so as to coagulate the tube. The same procedure is ollowed for each tube and may be repeated a number o~
times ~or each tube so as to assure complete coagulation and closure.
Further, laparoscopic instruments can either be categorized as monopolar or bipolar. In monopolar coagulation, a single electrode is energized and electric current is directed between the electrode and a dispersive pad or plate upon which the patient is placed. In bipolar instruments, the current discharge is between a pair of -- 1 -- ~
'~..~.
z~s electrodes or electrode tips surrounding -the tube thereby avoiding necessity of a dispersive pad or plate. Either in the use of the monopolar or bipolar laparoscopic instruments, it has been proposed in the past to employ a safety interlock or circuit breaker within the ~andle grip or housing to assure that there will be no electrical current delivered to the electrodes until they are pro-perly positioned in surrounding relation to the -tube to be coagulated. The safety interlock is interposed between the electrodes and cable so as to normally open or interrupt the circuit when the electrode tips are in the spaced-apart or spread position' and the circuit is closed so as to permit activation by the switch only when the electrodes are advanced to the tube grasping or closed position. It has also been proposed in various prior art monopolar and bipolar devices to provide for replaceable electrodes or tips so t~at the handle grip or housing por-tion of the instrument can be reused for a series of operations merely by replacing the electrodes and probe ~0 elements; or for different specific requirements different types of electrodes may be attached to the handle grip member, such as, to perform cutting and coagulation where needed.
Distinct problems arising with the use of -the laparoscopic instruments of the type described, especially those having detachable or replaceable electrodes, are to maintain proper sterilization and cleaning, to avoid any possibility of poor electrical connections between the power source and electrodes during the course of an operation, and to establish and maintain a positive but releasable connection between the electrodes and electrode housing so as not to be subject to misalignment or loosening in use. Another drawback has been -the placement of -the man-ually activated switch for applying current to the electrodes so as to avoid acciden-tal closure of the switch as the doctor is manuevering and advancing the instrument into proper position for the operation to be carried out.
An electrosurgical apparatus has been devised which is completely disposable; yet will permit the desired interchangeability of different electrodes in the process of assembling the apparatus prior to its use without altering any other parts of the apparatus. Thus, an electrode assembly is slidably mounted in a holder, the assembly havingat least one electrode element projecting forwardly from one end of said holder to terminate in a tip end which is operative to discharge electrical current applied thereto and further having a plunger at the end of said electrode element opposite to said tip end disposed within said holder for selective slidable advancement of ~0 said electrode element between an extendéd and retracted position, there being control circuit means disposed in said holder for selectively applying electrical operating current to said electrode element. In accordance with the present ~nvention, first and second connector members bet-ween one end of the plunger and the opposite end of the electrode element detachably interconnect the electrode element and plunger in axially aligned, end-to-end rela-tion to one another, the control circuit means including a first electrical lead projecting from one end of the plunger and the electrode element including a second electrical lead projecting from the opposite end of the electrode element and movable into direct electrical con tact with the first electrical lead when the first and second connector members are detachably connected together. ~n outer electrically insulated sleeve is disposed in surrounding relation to the electro~e element along its substantial length, the sleeve having one end terminating adjacent to said electrode tip and an opposite end terminating adjacent to the opposite end of the electrode element, and the holder includes positioning means therein engageable with the opposite end of the sleeve whereby to anchor the sleeve with respect to the holder while supporting the electrode element in axially aligned relation to the plunger.
Accordingly, it is a principal object of the pre-sent invention to provide for a novel and improved hand-operated, disposable instrument specifically adaptable for use in electrosurgery which is of simplified construction, highly efficient and reliable in use, and avoids a number of the drawbacks and disadvantages of prior art devices.
A further object of the present invention is to pro-vide in an electrosurgical instrument for a novel and improved form of circuit interrupt which will avoid accidental delivery of current to an electrode assembly until the electrodes are in the proper position to perform the intended operation.
It is a further object of the present invention to provide for a novel and improved hand-operated, dispo-sable tubal coagulation instrument which permits interchange able but permanent installation of selected electrode mem-bers within a common handle and control assembly; and further wherein the handle control assembly is charac-terized by having a dual circuit interrupt to maintain an open circuit condition from an external power source into the electrodes until the electrodes are advanced to a pre-selected position for performing an operation.
An additional object of the present invention is to provide for a novel and improved switch actuator mecha-nism for use in combination with an elec-trosurgical instrument of the type having a slidable electrode assembly.
A still further object of the present invention is to provide for a novel and improved hand-operated, disposable instrument in which a selected set of electro-des are assembled into snap-fitting engagement within a handle grip housing and firmly anchored in place therein so as to be in direct electrical contact with a control circuit within the housing, yet be capable of slidable movement through the housing.
Other objects, advantages and features of the present invention will become more readily appreciated and understood when taken together with the following detailed description in conjunction with the accompanying drawings, in which:
Figure 1 is a side view partially in section of a preferred form of laparoscopic tubal coagulation instru ment in accordance with the present invention' Figure 2 is a bottom view of the preferred form of invention shown in Figure 1 with the lower housing removed;
Figure 3 is a cross-sectional view taken about lines 3-3 of Figure 2;
Figure 4 is a cross-sectional view taken about lines 4-4 of Figure 2;
Figure 5 is a cross-sectional view taken about lines 5-5 of Figure 1, '5 Figure 6 is a cross-sectional view taken about lines 6-6 of Figure l;
Figure 7 i5 an enlarged view in detail of the preferred Eorm of switch contacts for the switch actuator mechanism of the present invention' Figure 8 is a cross-sectional view taken about lines 8-8 of Figure 7;
Figure 9 is an enlarged view in detail of the preferred form of pushbutton actuator in accordance with the present invention with the parts being shown partially in section; and Figure 10 is a somewhat perspective view, enlarged of circuit interrupt contact used in the pre-ferred form of invention.
Referring in detail to the drawings, there is shown in Figures 1 and 2 a preferred form of electrosurgi-cal instrument which is broadly comprised of a holder or handle grip in the form of an elongated generally tubular housing 10, an electrode assembly 12 disposed for slidable ~ movement within the holder and which is made up of a pair of electrodes 13 and 14 having electrode tips 13' and 14' mounted in a common probe 15 for forward extension through the holder 10 from detachable connection with an electrode plunger 18 which is slidably mounted within the holder. A
control circuit from an external power source has a first circuit interrupt generally designated at 20 in Figure 2, and a switch actuator is generally designated at 22 in Figure 1. ~he external power source, not shown, is con-nected through a cable 24 to the circuit interrupt 20 and switch actuator mechanism 22 for the purpose of supplying 3L~'iLt~225 electrical operating current to the electrodes 13 and 14.
Generally, as illustrated in Figure 2, the electrode assembly is capable of advancement between the retracted position shown in full and an extended position, shown dotted, in which the electrode tips 13' and 14' are free to spring outwardly into spread or spaced-apart relation.
Considering in more detail the construction and arrangement of the preferred form of invention, the housing lO is of relatively thin-walled construction having a main tubular section which has a forward tapered end or nose portion 28 terminating in a central opening 29 at its leading edge. The rearward end of the housing ter-minates in a squared end wall 30 having a central opening 31 which is aligned with the opening 29 at the leading end. Preferably, the housing is made up of two sym-metrical halves, the upper half being illustrated in the bottom plan view of Figure 2. A description of the upper half of the housing will suffice for the lower half as well. Thus, each half comprises a thin-walled shell having diametrically opposed longitudinally extending edges 32 and 33 provided with inner, longitudinally extending recesses 34 along one edge 32 and correspon-dingly spaced ribs 35 along the opposite edge 33. The recesses 34 and ribs 35 mate with complementary recesses and ribs on the opposite half of the housing. ~ plurality of axially spaced, transversely extending, semi-circular locator or positioning members are formed in each semi-cylindrical half, there being a forward locator 36, inter-mediate locator 37 and rearward locator 38 at longitudi-nally spaced intervals which are aligned with correspon-dingly formed locators of the opposite half when the two
Numerous types of instruments have been devised for performing laparoscopic tubal coagulation operations.
Such instruments are broadly characterized by having a handle grip, a pair of electrodes supported on a probe element for extension from the grip and which electrodes terminate at their distal ends in a pair of tube engaging portions. An external power source leads in-to the handle grip and a foot or manually actua~able switch or button on the grip permits the operator to selectively apply current to the electrodes from the e~ternal power source. In per-forming tubal coagulation with a bipolar device, custo-marily the electrodes are passed through a trocar which has been inserted into the abdominal cavity, and the electrode tips are advanced to an open or spread-apart position so that they can be placed on opposite sides of the tube, a~ter which the tips are advanced to a closed position in which the tube is engaged between the tips and current applied thereto for discharge between the electro-des tips so as to coagulate the tube. The same procedure is ollowed for each tube and may be repeated a number o~
times ~or each tube so as to assure complete coagulation and closure.
Further, laparoscopic instruments can either be categorized as monopolar or bipolar. In monopolar coagulation, a single electrode is energized and electric current is directed between the electrode and a dispersive pad or plate upon which the patient is placed. In bipolar instruments, the current discharge is between a pair of -- 1 -- ~
'~..~.
z~s electrodes or electrode tips surrounding -the tube thereby avoiding necessity of a dispersive pad or plate. Either in the use of the monopolar or bipolar laparoscopic instruments, it has been proposed in the past to employ a safety interlock or circuit breaker within the ~andle grip or housing to assure that there will be no electrical current delivered to the electrodes until they are pro-perly positioned in surrounding relation to the -tube to be coagulated. The safety interlock is interposed between the electrodes and cable so as to normally open or interrupt the circuit when the electrode tips are in the spaced-apart or spread position' and the circuit is closed so as to permit activation by the switch only when the electrodes are advanced to the tube grasping or closed position. It has also been proposed in various prior art monopolar and bipolar devices to provide for replaceable electrodes or tips so t~at the handle grip or housing por-tion of the instrument can be reused for a series of operations merely by replacing the electrodes and probe ~0 elements; or for different specific requirements different types of electrodes may be attached to the handle grip member, such as, to perform cutting and coagulation where needed.
Distinct problems arising with the use of -the laparoscopic instruments of the type described, especially those having detachable or replaceable electrodes, are to maintain proper sterilization and cleaning, to avoid any possibility of poor electrical connections between the power source and electrodes during the course of an operation, and to establish and maintain a positive but releasable connection between the electrodes and electrode housing so as not to be subject to misalignment or loosening in use. Another drawback has been -the placement of -the man-ually activated switch for applying current to the electrodes so as to avoid acciden-tal closure of the switch as the doctor is manuevering and advancing the instrument into proper position for the operation to be carried out.
An electrosurgical apparatus has been devised which is completely disposable; yet will permit the desired interchangeability of different electrodes in the process of assembling the apparatus prior to its use without altering any other parts of the apparatus. Thus, an electrode assembly is slidably mounted in a holder, the assembly havingat least one electrode element projecting forwardly from one end of said holder to terminate in a tip end which is operative to discharge electrical current applied thereto and further having a plunger at the end of said electrode element opposite to said tip end disposed within said holder for selective slidable advancement of ~0 said electrode element between an extendéd and retracted position, there being control circuit means disposed in said holder for selectively applying electrical operating current to said electrode element. In accordance with the present ~nvention, first and second connector members bet-ween one end of the plunger and the opposite end of the electrode element detachably interconnect the electrode element and plunger in axially aligned, end-to-end rela-tion to one another, the control circuit means including a first electrical lead projecting from one end of the plunger and the electrode element including a second electrical lead projecting from the opposite end of the electrode element and movable into direct electrical con tact with the first electrical lead when the first and second connector members are detachably connected together. ~n outer electrically insulated sleeve is disposed in surrounding relation to the electro~e element along its substantial length, the sleeve having one end terminating adjacent to said electrode tip and an opposite end terminating adjacent to the opposite end of the electrode element, and the holder includes positioning means therein engageable with the opposite end of the sleeve whereby to anchor the sleeve with respect to the holder while supporting the electrode element in axially aligned relation to the plunger.
Accordingly, it is a principal object of the pre-sent invention to provide for a novel and improved hand-operated, disposable instrument specifically adaptable for use in electrosurgery which is of simplified construction, highly efficient and reliable in use, and avoids a number of the drawbacks and disadvantages of prior art devices.
A further object of the present invention is to pro-vide in an electrosurgical instrument for a novel and improved form of circuit interrupt which will avoid accidental delivery of current to an electrode assembly until the electrodes are in the proper position to perform the intended operation.
It is a further object of the present invention to provide for a novel and improved hand-operated, dispo-sable tubal coagulation instrument which permits interchange able but permanent installation of selected electrode mem-bers within a common handle and control assembly; and further wherein the handle control assembly is charac-terized by having a dual circuit interrupt to maintain an open circuit condition from an external power source into the electrodes until the electrodes are advanced to a pre-selected position for performing an operation.
An additional object of the present invention is to provide for a novel and improved switch actuator mecha-nism for use in combination with an elec-trosurgical instrument of the type having a slidable electrode assembly.
A still further object of the present invention is to provide for a novel and improved hand-operated, disposable instrument in which a selected set of electro-des are assembled into snap-fitting engagement within a handle grip housing and firmly anchored in place therein so as to be in direct electrical contact with a control circuit within the housing, yet be capable of slidable movement through the housing.
Other objects, advantages and features of the present invention will become more readily appreciated and understood when taken together with the following detailed description in conjunction with the accompanying drawings, in which:
Figure 1 is a side view partially in section of a preferred form of laparoscopic tubal coagulation instru ment in accordance with the present invention' Figure 2 is a bottom view of the preferred form of invention shown in Figure 1 with the lower housing removed;
Figure 3 is a cross-sectional view taken about lines 3-3 of Figure 2;
Figure 4 is a cross-sectional view taken about lines 4-4 of Figure 2;
Figure 5 is a cross-sectional view taken about lines 5-5 of Figure 1, '5 Figure 6 is a cross-sectional view taken about lines 6-6 of Figure l;
Figure 7 i5 an enlarged view in detail of the preferred Eorm of switch contacts for the switch actuator mechanism of the present invention' Figure 8 is a cross-sectional view taken about lines 8-8 of Figure 7;
Figure 9 is an enlarged view in detail of the preferred form of pushbutton actuator in accordance with the present invention with the parts being shown partially in section; and Figure 10 is a somewhat perspective view, enlarged of circuit interrupt contact used in the pre-ferred form of invention.
Referring in detail to the drawings, there is shown in Figures 1 and 2 a preferred form of electrosurgi-cal instrument which is broadly comprised of a holder or handle grip in the form of an elongated generally tubular housing 10, an electrode assembly 12 disposed for slidable ~ movement within the holder and which is made up of a pair of electrodes 13 and 14 having electrode tips 13' and 14' mounted in a common probe 15 for forward extension through the holder 10 from detachable connection with an electrode plunger 18 which is slidably mounted within the holder. A
control circuit from an external power source has a first circuit interrupt generally designated at 20 in Figure 2, and a switch actuator is generally designated at 22 in Figure 1. ~he external power source, not shown, is con-nected through a cable 24 to the circuit interrupt 20 and switch actuator mechanism 22 for the purpose of supplying 3L~'iLt~225 electrical operating current to the electrodes 13 and 14.
Generally, as illustrated in Figure 2, the electrode assembly is capable of advancement between the retracted position shown in full and an extended position, shown dotted, in which the electrode tips 13' and 14' are free to spring outwardly into spread or spaced-apart relation.
Considering in more detail the construction and arrangement of the preferred form of invention, the housing lO is of relatively thin-walled construction having a main tubular section which has a forward tapered end or nose portion 28 terminating in a central opening 29 at its leading edge. The rearward end of the housing ter-minates in a squared end wall 30 having a central opening 31 which is aligned with the opening 29 at the leading end. Preferably, the housing is made up of two sym-metrical halves, the upper half being illustrated in the bottom plan view of Figure 2. A description of the upper half of the housing will suffice for the lower half as well. Thus, each half comprises a thin-walled shell having diametrically opposed longitudinally extending edges 32 and 33 provided with inner, longitudinally extending recesses 34 along one edge 32 and correspon-dingly spaced ribs 35 along the opposite edge 33. The recesses 34 and ribs 35 mate with complementary recesses and ribs on the opposite half of the housing. ~ plurality of axially spaced, transversely extending, semi-circular locator or positioning members are formed in each semi-cylindrical half, there being a forward locator 36, inter-mediate locator 37 and rearward locator 38 at longitudi-nally spaced intervals which are aligned with correspon-dingly formed locators of the opposite half when the two
2;~5 halves are united together. In assembled relation, the front locator portions 36 define a common cen-tral opening 40 axially aligned with the cen-tral opening 29.
Similarly, the intermediate locator 37 and rearward loca-tor 38 have enlarged openings 41 and 42, respectively which are axially aligned with the central openings 29 and 40 and are sized to receive the electrode assembly 12. In addition, the wall of the housing is provided adjacen-t to its rearward end with a switch actuator housing 44 and a diametrically opposed cable housing 46 projecting radially and outwardly rom the external surface of the housing 10.
The housing 44 defines a generally cylindrical bore 47 with an inwardly stepped shoulder 48 flush with the inner wall surface of t~,e housing. The housing 46 has a bore 50 of uniform diameter and which is adapted to receive a strain relief sleeve 52 which is positioned in pressfit surrounding relation to the cable 24 and encased electri-cal wires designated Wl to W4.
The electrode assembly 12 is constructed in a ~0 unique manner so as to permit interchangeable but positive, permanent connection of di~ferent selected types oE electrodes 13 and 14 to the electrode control plunger 18. As shown in Figures 1, 2 and 4, the electrodes 13 and 14 are molded in spaced parallel relation to one another within an insulating core 15 which defines the probe member. The core extends for -the greater length of the electrode elements 13 and 14 such that -the tips 13' and 14' are left exposed and project forwardly from the end of the core, each tip having an arcuate or outwardly bowed portion 53 adjacent to the leading extremity of the core.
2 ~5 The electrode tips terminate in transverse, inwardly directed extremities 5~ and 5~' which extremities are off-set with respect to one another so as not to contact one another when in the tube grasping position. The tips are coated with a dielectric insulating material except for uncoated or polished stainless steel electrical discharge surfaces Sl and S2 of limited area located on the inner surfaces of the tips to conduct electricity to the tube during coagulation in accordance with well-known practice.
The opposite ends of the electrodes 13 and 14 project beyond the trailing end of the core into a first connector element 55 which is permanently affixed to and extends rearwardly from the trailing end of the core 15. An outer concentric sleeve 58 is disposed in surrounding relation to the core 15. This outer sleeve is slidable with respect to the core and i5 provided with an enlarged end 60 at its trailing end adapted to be inserted in close-fitting relation to an annular groove 61 in the front locator member 36 so that when the halves o-f the housing are assembled together the sleeve will be anchored in ixed relation to the housing. Accordingly, when the electrode plunger is in its retracted position as shown in full in Figure 2, the outer sleeve 58 is dimensioned to be of a length to extend at least partially over the bowed por-tions of the tips in closely spaced substantially parallel re-lation to one another; however when the electrode assembly is advanced forwardly to the dotted line position shown in Figure 2 the electrode tips 13' and 14' including the bowed portions will extend beyond the outer sleeve 58 and be free to spring outwardly into a spread-apart position.
The sleeve 58 is also dimensioned to be of an external diameter such that it will be disposed in close-fitting relation to the front opening 29.
From a consideration of Figures 1, 2, 5 and 6, the electrode plunger 18 is in the form of an elongated rod-like member which is dimensioned ~o extend t~e greater length of the housing. As will be seen from ~he cross-sectional views of Figures 5 and 6, the body of the plunger disposed within the housing has radia]ly extending ribs 65 extending lengthwise of the plunger to a point terminating adjacent to the rearward end wall 30 of the housing. The plunger includes a rearwardly projecting, generally cylindrical end portion 66 extending through the central opening 31 in the rear end wall 30 and which is manually engageable by the operator to depress or advance the piston forwardly through the housing. In the pre-ferred form, there are a series of four longitudinal ribs 65 arranged at equally spaced circumferential intervals, or 90 apart. An annular disk 68 is mounted in fi~ed relation to -the midsection of the piston internally of the housing to serve as a stop for one end of a compression spring 70 disposed in surrounding relation to -the forward end of the plunger. When the plunger is assembled within the housing, the forward end of the compression spring 70 abuts the locator 37 and the stop 68 abuts the locator 38, and the spring is mounted under compression therebetween so as to bias the piston to a retracted position with the outer sleeve 58 retaining the electrode tips 13' and 14' in closely-spaced relation as described.
In order to permit positive snap-fitting inter-connection between the probe and plunger members of the i2~5 electrode assembly, the forward extremity of the piston 18 has a second connector 75 complementary to the first con-nector 55. Preferably the first connector 55 is of generally U-shaped configuration with opposite sides 76 and 77 extending in spaced parallel relation to one another and having inwardly facing groove portions or guideways 78 adjacent to the rearward free ends of the sides 76 and 77. The rearward ends of the electrodes 13 and 14 extend in spaced parallel relation to one another through the first connector and equidistant from opposite sides 76 and 77. The second connector 75 includes a flange 80 at the forward extremity of the body of the piston 18, and a forwardly projecting head portion 82 has diametrically opposed ribs 83 insertable laterally or in a transverse direction through the opposed grooves 78 in the first connector member such that the free ends of the sides 76 and 77 are situated between the ribs 83 and the flange 80.
In order to establish electrical contact between the electrodes 13 and 14 and the external power source which is applied through the lead wires Wl to W4, a pair of electrical contact strips 88 extend forwardly through the body of the piston from a point just rearwardly of the locator member 38, where the contact strips are exposed on the external surfaces of diametrically opposed rib members 65, forwardly to terminate in exposed wire clip elements 90, respectively, which project forwardly from the ribbed end of the second connector 75. Preferably, each of the electrical contact strips 88 is embedded within the body of the piston along its greater length from the spring 2Z~i clips 90 rearwardly to be exposed on ~he surface of a rib 65 just rearwardly of the locator member 38 and in aligned relation to the circuit interrupt contact~ 20. As shown in Figure 10, each circuit interrupt contact 20 comprises a conventional type of spring-loaded contact element of generally V-shaped configuration having one side 93 anchored to the internal wall of the housing by a slotted portion 92' in an abutment 92 on the inner wall surface of the hou~ing. One contact 20 is spliced to a connecting wire designated Wl and the other contact 20 is spliced ~o a wire W3 from the external power source; and an opposite free side 94 of each contact 20 is bent inwardly and spring-loaded so as to normally bear radially inwardly against an exposed portion of one of the contact strips 88.
The switch actuator mechanism a~ generally illustrated in Figure 1 and shown in more detail in Figures 7 to 9 comprises a pair of contacts 100 anchored in closely-spaced parallel relation to one another on the internal wall surface of the housing as designated at 102.
~ A movable pushbutton actuator 22 has an inner movable con-tact element 104 which when depressed in an inward radial direction will move into simultaneous contact with the spaced contacts 100 so as to establish electrical inter-connection therebetween. Each of the contacts 100 as 6een from a consideration of Figures 7 and 8 has a flat con-necting end portion 105 having a limited aperture for insertion in pressfit relation of a lug or cylindrical projection 106 on the internal wall surface of the hou6-ing. The rearward end of the connecting end portion 105 is spliced as at 108 to one of the electrical power supply wires W2, W4 so as to complete the connection into the ~ s ii2~5 power source. From its point o connection to the housing, each contact 100 angles inwardly as at 110 into a longitudinally extending free end portion 112 aligned in inward radial spaced relation to the inner end of the con-tact 104. The free end portions 112 are located and aligned with the ribs 65 so as to flank opposite sides of a recessed area 113 in one of the ribs 6S and be normally spaced from the inner end of the contact 104.
Referring specifically to Figure 9 when taken in conjunction with Figure 1, the movable contact 104 is in the form of a one-way screw of the type referred to in the trade as a U-drive screw in which a tapered shank portion 114 is threaded into a counterbore at the inner end of the shank 116 of pushbutton 22. An enlarged head 118 at the external end of the pushbutton is of generally circular configuration and is sized to fit snugly within the cylindrical bore 47 formed by the housing 44 and has a shoulder portion 119 formed at the intersection of the head with the shank portion 116. A resilient washer 120 is seated within the bore 47 between t~e shoulder 119 of the pushbutton and the shoulder 48 of the housing for the purpose of normally maintaining the pushbutton and its movable contact 104 in spaced relation to the inner con-tact portions 112. ~ limit stop or annular ridge 117 is positioned intermediately along the external surface of the shank 116 in order to prevent acciden-tal removal of the pushbutton member from the housing once assembled.
Preferably the resilient washer 120 is composed of a spongy material such as a plastic foam which will readily yield when the pushbu-t-ton is depressed by the finger or i2~
thumb so as to permit the movable contac-t 10~ to be advanced the necessary distance into engagemen-t with the contact portions 112. Inward movement of the pushbutton will complete the circuit into the electrodes from the external power source only if -the spring contacts 94 are ali~ned with and engaging the exposed surfaces 88 of the electrical contact strips and the recessed area 113 on upper rib 65' is aligned with the pushbutton to permit inward travel of the contact 104 into engagement with the free ends 112 which are disposed on the side surfaces of the ribs 65 transverse to the upper ribe 65'. When the pushbutton i9 released, the washer 120 will cause it to be returned to the normally open posi.tion as lllustrated in Figure 9 and in which position the rounded external sur-face of the head 118 will be substantially in the plane of the outer edge of the sidewall housing 44. Thus a defi-nite inward force must be applied to the pushbutton to move the enlarged head 118 inwardly through the bore and through a distance of travel approximating one-third of ~ the length of the bore to assure electrical connection between the movable contact 104 and the free ends 112 of the contacts 100.
In a typical procedure employing the preferred form of invention, the patient is first prepared in the customary manner for surgery and a small incision is made in the interior fold of the umbilicus following which a Verres cannula is inserted into the peritonial cavity for injection of C02. A trocar and cannula are then introduc-ed into the cavity, the trocar removed, and laparoscope visualization instrument inserted through the cannula. A
~:~l4~2~5 second -trocar and cannula are introduced in -the lower quadrant of the abdomen, the trocar is removed from -the cannula, and the electrode probe sec-tion is inserted through the cannula into the cavity. Viewing the tube through the laparoscope, the surgeon then depresses the piston, bringing the electrode tips to theix open or spread position, as shown in the dotted line position of Figure 2. In this manner the tips may be aligned on oppo-site sides of the tube to be coagulated following which the electrode piston is released to return to -the position as shown in full in Figure 2 and such that the electrode tips in retreating through the sleeve 15 are contracted into a tube grasping position with the electrical discharge surfaces on the inner faces of the electrode tips contac-ting the tube. The control circuit is then closed by depressing the pushbutton 118 on t~e switch actuator mechanism 22 whereby a high frequency electrical operating current is applied from the external power source through the electrodes to coagulate the section of the tube which is clamped between the electrode tips.
Upon release of the switch actuator, the procedure may be repeated the necessary number of times to assure complete coagulation and closure of the tube. mereafter the same procedure as described above is followed for the other tube, following which the instrument is withdrawn and the wounds are closed.
In accordance with well-known practice, various different specific types of probes or electrodes may be interchanged or substituted for the electrodes described.
For instance, electrodes capable of performing cutting or z25 combined cutting and coagulation may be substitu-ted. I`his is readily done in the assembly of the disposable instru-ment by mounting the desired set of electrodes 13 and 14 within the housing and detachably connecting the Eirst connector end as described to the second connector or mating end of the electrode piston. Considering specifi-cally the manner o assembly of the electrodes and housing, the desired set o-f electrodes is molded in place within the insulating core 15 so as to be disposed in spaced-apart, parallel relation to one another. The first connector end may either be molded simultaneously with the molding of the electrodes or otherwise permanently affixed to the end of the insulating core with the rearward ends of the electrodes 13 and 14 exposed within the hollow space formed between opposite sides 76 and 77 of the first connector end portion. The outer sleeve 58 is t,hen advanced over the insulating core to the position shown in full in Figure 2 and with the enlarged end 60 facing but in adjacent spaced relation to the first connector end.
The probe assembly as described is t~en detachably con-nected to the electrode piston by laterally inserting the ribbed portions 83 on the second connector into the slots 78 on the first connector until the exposed electrode ends 13 and 14 abut the inner wall of the cavity formed in the ribbed end portion 83 and are stationed between the inwardly bent extremities of the spring clips 89. The electrode assembly is then inserted into one of the housing halves, for example as illustrated in Figure 2, with the enlarged end 60 of the outer sleeve 58 inserted into the slot 61 of the front locator 36 and the Z~S
compression spring 70 mounted under compression between the locators 37 and 38. Further the electrode assembly is turned or rotated with respect to the housing such that the exposed surfaces o the electrical contact strips 88 are aligned with the spring contacts 94 of the circuit interrupt 20 in order to establish direct electrical COII-tact therebetween. The mating halves o~ the housing are then brought together with the locator ribs on one half advanced into registry with the inset or slotted portions 34 of the complementary half. The halves may be united by ultrasonic welding, a suitable adhesive or bonding material applied to -the confronting edges 32 of -the halves or by snap-fitting the halves together so that when the halves are closed -they will be joined into a unitary housing.
In assembled relation, the disposition of the probe element as described specifically with the outer insulating sleeve 58 fixed in position within the front locator 36 and Eur-ther supported by the surrounding edge of the front opening 29 will prevent any accidental displacement or loosening of the detachable connectors between the probe and piston members; and the probe will be maintained in accurate axial alignment with the longi-tudinal axis of the piston so as to be responsive to advancement of the piston through the housing in forcing the electrode tips in-to the spread position.
All of the elements of the disposable instrument as described may be composed of non-toxic plastic materials, such as, ABS or polycarbonate materials, with the exception of the electrically conductive materials.
~L~4~ ZS
Preferably the insulating core l5 is composed of a rigid non-toxic plastic material and the outer insulating sleeve is composed o~ Nylon. The entire instrument is extremely lightweight and relatively inexpensive to manu~acture and assemble so that once the operation is completed the entire instrument may be discarded. It is emphasized in this connection that the instrument housing is inten-tionally assembled over the electrode probe so as to pre-vent substitution or interchange of the probe element once assembled.
Although the present invention has been described with particularity relative to the foregoing detailed description of a preferred embodiment, various modifications, changes, additions and applications other than those specifically mentioned herein will be readily apparent to those having normal skill in the art without departing from the spirit and scope of this invention.
Similarly, the intermediate locator 37 and rearward loca-tor 38 have enlarged openings 41 and 42, respectively which are axially aligned with the central openings 29 and 40 and are sized to receive the electrode assembly 12. In addition, the wall of the housing is provided adjacen-t to its rearward end with a switch actuator housing 44 and a diametrically opposed cable housing 46 projecting radially and outwardly rom the external surface of the housing 10.
The housing 44 defines a generally cylindrical bore 47 with an inwardly stepped shoulder 48 flush with the inner wall surface of t~,e housing. The housing 46 has a bore 50 of uniform diameter and which is adapted to receive a strain relief sleeve 52 which is positioned in pressfit surrounding relation to the cable 24 and encased electri-cal wires designated Wl to W4.
The electrode assembly 12 is constructed in a ~0 unique manner so as to permit interchangeable but positive, permanent connection of di~ferent selected types oE electrodes 13 and 14 to the electrode control plunger 18. As shown in Figures 1, 2 and 4, the electrodes 13 and 14 are molded in spaced parallel relation to one another within an insulating core 15 which defines the probe member. The core extends for -the greater length of the electrode elements 13 and 14 such that -the tips 13' and 14' are left exposed and project forwardly from the end of the core, each tip having an arcuate or outwardly bowed portion 53 adjacent to the leading extremity of the core.
2 ~5 The electrode tips terminate in transverse, inwardly directed extremities 5~ and 5~' which extremities are off-set with respect to one another so as not to contact one another when in the tube grasping position. The tips are coated with a dielectric insulating material except for uncoated or polished stainless steel electrical discharge surfaces Sl and S2 of limited area located on the inner surfaces of the tips to conduct electricity to the tube during coagulation in accordance with well-known practice.
The opposite ends of the electrodes 13 and 14 project beyond the trailing end of the core into a first connector element 55 which is permanently affixed to and extends rearwardly from the trailing end of the core 15. An outer concentric sleeve 58 is disposed in surrounding relation to the core 15. This outer sleeve is slidable with respect to the core and i5 provided with an enlarged end 60 at its trailing end adapted to be inserted in close-fitting relation to an annular groove 61 in the front locator member 36 so that when the halves o-f the housing are assembled together the sleeve will be anchored in ixed relation to the housing. Accordingly, when the electrode plunger is in its retracted position as shown in full in Figure 2, the outer sleeve 58 is dimensioned to be of a length to extend at least partially over the bowed por-tions of the tips in closely spaced substantially parallel re-lation to one another; however when the electrode assembly is advanced forwardly to the dotted line position shown in Figure 2 the electrode tips 13' and 14' including the bowed portions will extend beyond the outer sleeve 58 and be free to spring outwardly into a spread-apart position.
The sleeve 58 is also dimensioned to be of an external diameter such that it will be disposed in close-fitting relation to the front opening 29.
From a consideration of Figures 1, 2, 5 and 6, the electrode plunger 18 is in the form of an elongated rod-like member which is dimensioned ~o extend t~e greater length of the housing. As will be seen from ~he cross-sectional views of Figures 5 and 6, the body of the plunger disposed within the housing has radia]ly extending ribs 65 extending lengthwise of the plunger to a point terminating adjacent to the rearward end wall 30 of the housing. The plunger includes a rearwardly projecting, generally cylindrical end portion 66 extending through the central opening 31 in the rear end wall 30 and which is manually engageable by the operator to depress or advance the piston forwardly through the housing. In the pre-ferred form, there are a series of four longitudinal ribs 65 arranged at equally spaced circumferential intervals, or 90 apart. An annular disk 68 is mounted in fi~ed relation to -the midsection of the piston internally of the housing to serve as a stop for one end of a compression spring 70 disposed in surrounding relation to -the forward end of the plunger. When the plunger is assembled within the housing, the forward end of the compression spring 70 abuts the locator 37 and the stop 68 abuts the locator 38, and the spring is mounted under compression therebetween so as to bias the piston to a retracted position with the outer sleeve 58 retaining the electrode tips 13' and 14' in closely-spaced relation as described.
In order to permit positive snap-fitting inter-connection between the probe and plunger members of the i2~5 electrode assembly, the forward extremity of the piston 18 has a second connector 75 complementary to the first con-nector 55. Preferably the first connector 55 is of generally U-shaped configuration with opposite sides 76 and 77 extending in spaced parallel relation to one another and having inwardly facing groove portions or guideways 78 adjacent to the rearward free ends of the sides 76 and 77. The rearward ends of the electrodes 13 and 14 extend in spaced parallel relation to one another through the first connector and equidistant from opposite sides 76 and 77. The second connector 75 includes a flange 80 at the forward extremity of the body of the piston 18, and a forwardly projecting head portion 82 has diametrically opposed ribs 83 insertable laterally or in a transverse direction through the opposed grooves 78 in the first connector member such that the free ends of the sides 76 and 77 are situated between the ribs 83 and the flange 80.
In order to establish electrical contact between the electrodes 13 and 14 and the external power source which is applied through the lead wires Wl to W4, a pair of electrical contact strips 88 extend forwardly through the body of the piston from a point just rearwardly of the locator member 38, where the contact strips are exposed on the external surfaces of diametrically opposed rib members 65, forwardly to terminate in exposed wire clip elements 90, respectively, which project forwardly from the ribbed end of the second connector 75. Preferably, each of the electrical contact strips 88 is embedded within the body of the piston along its greater length from the spring 2Z~i clips 90 rearwardly to be exposed on ~he surface of a rib 65 just rearwardly of the locator member 38 and in aligned relation to the circuit interrupt contact~ 20. As shown in Figure 10, each circuit interrupt contact 20 comprises a conventional type of spring-loaded contact element of generally V-shaped configuration having one side 93 anchored to the internal wall of the housing by a slotted portion 92' in an abutment 92 on the inner wall surface of the hou~ing. One contact 20 is spliced to a connecting wire designated Wl and the other contact 20 is spliced ~o a wire W3 from the external power source; and an opposite free side 94 of each contact 20 is bent inwardly and spring-loaded so as to normally bear radially inwardly against an exposed portion of one of the contact strips 88.
The switch actuator mechanism a~ generally illustrated in Figure 1 and shown in more detail in Figures 7 to 9 comprises a pair of contacts 100 anchored in closely-spaced parallel relation to one another on the internal wall surface of the housing as designated at 102.
~ A movable pushbutton actuator 22 has an inner movable con-tact element 104 which when depressed in an inward radial direction will move into simultaneous contact with the spaced contacts 100 so as to establish electrical inter-connection therebetween. Each of the contacts 100 as 6een from a consideration of Figures 7 and 8 has a flat con-necting end portion 105 having a limited aperture for insertion in pressfit relation of a lug or cylindrical projection 106 on the internal wall surface of the hou6-ing. The rearward end of the connecting end portion 105 is spliced as at 108 to one of the electrical power supply wires W2, W4 so as to complete the connection into the ~ s ii2~5 power source. From its point o connection to the housing, each contact 100 angles inwardly as at 110 into a longitudinally extending free end portion 112 aligned in inward radial spaced relation to the inner end of the con-tact 104. The free end portions 112 are located and aligned with the ribs 65 so as to flank opposite sides of a recessed area 113 in one of the ribs 6S and be normally spaced from the inner end of the contact 104.
Referring specifically to Figure 9 when taken in conjunction with Figure 1, the movable contact 104 is in the form of a one-way screw of the type referred to in the trade as a U-drive screw in which a tapered shank portion 114 is threaded into a counterbore at the inner end of the shank 116 of pushbutton 22. An enlarged head 118 at the external end of the pushbutton is of generally circular configuration and is sized to fit snugly within the cylindrical bore 47 formed by the housing 44 and has a shoulder portion 119 formed at the intersection of the head with the shank portion 116. A resilient washer 120 is seated within the bore 47 between t~e shoulder 119 of the pushbutton and the shoulder 48 of the housing for the purpose of normally maintaining the pushbutton and its movable contact 104 in spaced relation to the inner con-tact portions 112. ~ limit stop or annular ridge 117 is positioned intermediately along the external surface of the shank 116 in order to prevent acciden-tal removal of the pushbutton member from the housing once assembled.
Preferably the resilient washer 120 is composed of a spongy material such as a plastic foam which will readily yield when the pushbu-t-ton is depressed by the finger or i2~
thumb so as to permit the movable contac-t 10~ to be advanced the necessary distance into engagemen-t with the contact portions 112. Inward movement of the pushbutton will complete the circuit into the electrodes from the external power source only if -the spring contacts 94 are ali~ned with and engaging the exposed surfaces 88 of the electrical contact strips and the recessed area 113 on upper rib 65' is aligned with the pushbutton to permit inward travel of the contact 104 into engagement with the free ends 112 which are disposed on the side surfaces of the ribs 65 transverse to the upper ribe 65'. When the pushbutton i9 released, the washer 120 will cause it to be returned to the normally open posi.tion as lllustrated in Figure 9 and in which position the rounded external sur-face of the head 118 will be substantially in the plane of the outer edge of the sidewall housing 44. Thus a defi-nite inward force must be applied to the pushbutton to move the enlarged head 118 inwardly through the bore and through a distance of travel approximating one-third of ~ the length of the bore to assure electrical connection between the movable contact 104 and the free ends 112 of the contacts 100.
In a typical procedure employing the preferred form of invention, the patient is first prepared in the customary manner for surgery and a small incision is made in the interior fold of the umbilicus following which a Verres cannula is inserted into the peritonial cavity for injection of C02. A trocar and cannula are then introduc-ed into the cavity, the trocar removed, and laparoscope visualization instrument inserted through the cannula. A
~:~l4~2~5 second -trocar and cannula are introduced in -the lower quadrant of the abdomen, the trocar is removed from -the cannula, and the electrode probe sec-tion is inserted through the cannula into the cavity. Viewing the tube through the laparoscope, the surgeon then depresses the piston, bringing the electrode tips to theix open or spread position, as shown in the dotted line position of Figure 2. In this manner the tips may be aligned on oppo-site sides of the tube to be coagulated following which the electrode piston is released to return to -the position as shown in full in Figure 2 and such that the electrode tips in retreating through the sleeve 15 are contracted into a tube grasping position with the electrical discharge surfaces on the inner faces of the electrode tips contac-ting the tube. The control circuit is then closed by depressing the pushbutton 118 on t~e switch actuator mechanism 22 whereby a high frequency electrical operating current is applied from the external power source through the electrodes to coagulate the section of the tube which is clamped between the electrode tips.
Upon release of the switch actuator, the procedure may be repeated the necessary number of times to assure complete coagulation and closure of the tube. mereafter the same procedure as described above is followed for the other tube, following which the instrument is withdrawn and the wounds are closed.
In accordance with well-known practice, various different specific types of probes or electrodes may be interchanged or substituted for the electrodes described.
For instance, electrodes capable of performing cutting or z25 combined cutting and coagulation may be substitu-ted. I`his is readily done in the assembly of the disposable instru-ment by mounting the desired set of electrodes 13 and 14 within the housing and detachably connecting the Eirst connector end as described to the second connector or mating end of the electrode piston. Considering specifi-cally the manner o assembly of the electrodes and housing, the desired set o-f electrodes is molded in place within the insulating core 15 so as to be disposed in spaced-apart, parallel relation to one another. The first connector end may either be molded simultaneously with the molding of the electrodes or otherwise permanently affixed to the end of the insulating core with the rearward ends of the electrodes 13 and 14 exposed within the hollow space formed between opposite sides 76 and 77 of the first connector end portion. The outer sleeve 58 is t,hen advanced over the insulating core to the position shown in full in Figure 2 and with the enlarged end 60 facing but in adjacent spaced relation to the first connector end.
The probe assembly as described is t~en detachably con-nected to the electrode piston by laterally inserting the ribbed portions 83 on the second connector into the slots 78 on the first connector until the exposed electrode ends 13 and 14 abut the inner wall of the cavity formed in the ribbed end portion 83 and are stationed between the inwardly bent extremities of the spring clips 89. The electrode assembly is then inserted into one of the housing halves, for example as illustrated in Figure 2, with the enlarged end 60 of the outer sleeve 58 inserted into the slot 61 of the front locator 36 and the Z~S
compression spring 70 mounted under compression between the locators 37 and 38. Further the electrode assembly is turned or rotated with respect to the housing such that the exposed surfaces o the electrical contact strips 88 are aligned with the spring contacts 94 of the circuit interrupt 20 in order to establish direct electrical COII-tact therebetween. The mating halves o~ the housing are then brought together with the locator ribs on one half advanced into registry with the inset or slotted portions 34 of the complementary half. The halves may be united by ultrasonic welding, a suitable adhesive or bonding material applied to -the confronting edges 32 of -the halves or by snap-fitting the halves together so that when the halves are closed -they will be joined into a unitary housing.
In assembled relation, the disposition of the probe element as described specifically with the outer insulating sleeve 58 fixed in position within the front locator 36 and Eur-ther supported by the surrounding edge of the front opening 29 will prevent any accidental displacement or loosening of the detachable connectors between the probe and piston members; and the probe will be maintained in accurate axial alignment with the longi-tudinal axis of the piston so as to be responsive to advancement of the piston through the housing in forcing the electrode tips in-to the spread position.
All of the elements of the disposable instrument as described may be composed of non-toxic plastic materials, such as, ABS or polycarbonate materials, with the exception of the electrically conductive materials.
~L~4~ ZS
Preferably the insulating core l5 is composed of a rigid non-toxic plastic material and the outer insulating sleeve is composed o~ Nylon. The entire instrument is extremely lightweight and relatively inexpensive to manu~acture and assemble so that once the operation is completed the entire instrument may be discarded. It is emphasized in this connection that the instrument housing is inten-tionally assembled over the electrode probe so as to pre-vent substitution or interchange of the probe element once assembled.
Although the present invention has been described with particularity relative to the foregoing detailed description of a preferred embodiment, various modifications, changes, additions and applications other than those specifically mentioned herein will be readily apparent to those having normal skill in the art without departing from the spirit and scope of this invention.
Claims (23)
1. In an electrosurgical apparatus wherein an electrode assembly is slidably mounted in a holder, the assembly having at least one electrode element projecting forwardly from one end of said holder to terminate in a tip end which is operative to discharge electrical current applied thereto and further having a plunger at the end of said electrode element opposite to said tip end disposed within said holder for selective slidable advancement of said electrode element between an extended and retracted position, there being control circuit means disposed in said holder for selectively applying electrical operating current to said electrode element, the improvement comprising:
first and second connector members between one end of said plunger and said opposite end of said electrode element detachably interconnecting said electrode element and said plunger in axially aligned, end-to-end relation to one another;
said control circuit means including a first electrical lead projecting from said one end of said plunger and said electrode element including a second electrical lead projecting from said opposite end of said electrode element and movable into direct electrical con-tact with said first electrical lead when said first and second connector members are detachably connected together;
an outer electrically insulated sleeve disposed in surrounding relation to said electrode element along its substantial length, said sleeve having one end terminating adjacent to said electrode tip and an opposite end terminating adjacent to said opposite end of said electrode element; and said holder including positioning means therein engageable with said opposite end of said sleeve whereby to anchor said sleeve with respect to said holder while supporting said electrode element in axially aligned relation to said plunger, and resilient means normally urging said electrode element in the retracted position with respect to said sleeve.
first and second connector members between one end of said plunger and said opposite end of said electrode element detachably interconnecting said electrode element and said plunger in axially aligned, end-to-end relation to one another;
said control circuit means including a first electrical lead projecting from said one end of said plunger and said electrode element including a second electrical lead projecting from said opposite end of said electrode element and movable into direct electrical con-tact with said first electrical lead when said first and second connector members are detachably connected together;
an outer electrically insulated sleeve disposed in surrounding relation to said electrode element along its substantial length, said sleeve having one end terminating adjacent to said electrode tip and an opposite end terminating adjacent to said opposite end of said electrode element; and said holder including positioning means therein engageable with said opposite end of said sleeve whereby to anchor said sleeve with respect to said holder while supporting said electrode element in axially aligned relation to said plunger, and resilient means normally urging said electrode element in the retracted position with respect to said sleeve.
2. In an electrosurgical apparatus according to claim 1, one of said first and second connector members being laterally inserted into detachably connected rela-tion to the other of said first and second connector members, each of said connector members having a central aperture and each of said first and second electrical leads projecting into one of said apertures.
3. In an electrosurgical apparatus according to claim 1, said positioning means being defined by an annu-lar locating rib in said holder and a ring-like member interposed between said locating rib and said opposite end of said sleeve.
4. In an electrosurgical apparatus according to claim 3, said ring-like member affixed to said opposite end of said sleeve and being inserted in a slot formed in said locating rib.
5. In an electrosurgical apparatus according to claim 2, said first and second connector members defined by mating, diametrically opposed ribs and slotted portions, respectively, said diametrically opposed ribs laterally inserted into said diametrically opposed slotted portions to detachably interconnect said electrode element and plunger in end-to-end relation to one another.
6. In an electrosurgical apparatus according to claim 1, said control circuit means including an electri-cal contact strip extending through the interior of said plunger and terminating in said first electrical lead at one end of said plunger.
7. In an electrosurgical apparatus according to claim 1, said holder being of elongated, generally tubular configuration and including a plurality of axially spaced plunger locator members centering said plunger within said holder, said plunger projecting through one end of said holder opposite to said electrode element, resilient means mounted under compression on said plunger for extension between a pair of adjacent plunger locator members to nor-mally urge said plunger in a rearward direction causing said sleeve to be in its forwardmost position with respect to said electrode element tip end.
8. In an electrosurgical apparatus according to claim 7, said control circuit means including at least one fixed contact member on aid holder and an electrical con-tact strip on said plunger normally disposed in direct electrical contact with said fixed electrical contact member on said holder when said sleeve is in its forward-most position with respect to said electrode element tip end and movable away from electrical contact with said fixed electrical contact when said plunger is urged in a direction overcoming said resilient means.
9. In an electrosurgical apparatus according to claim 1, said holder being of elongated generally tubular configuration and said control circuit means including a pair of switch contacts mounted in fixed relation to the interior of said holder, pushbutton actuator means disposed in a sidewall housing in said holder, said sidewall housing defining a cylindrical bore through which said pushbutton actuator means extends, said pushbutton actuator means including a movable contact element disposed for extension through said bore into the interior of said housing into contact with said switch contacts to establish an electrical connection therebetween, and biasing means in said sidewall housing normally urging said pushbutton actuator means to a position maintaining said movable contact element away from contact with said switch contacts.
10. In an electrosurgical apparatus according to claim 9, said sidewall housing having an inwardly stepped shoulder at the inner end of said cylindrical bore, said pushbutton actuator being in the form of an enlarged end portion on said movable contact element and said biasing means defined by a resilient cushion interpositioned bet-ween said inwardly stepped shoulder and said enlarged end portion.
11. In an electrosurgical apparatus according to claim 10, said plunger having longitudinally extending ribs and a recess in one of said ribs movable into align-ment with said pushbutton actuator means, said pair of switch contacts disposed on opposite sides of said push-button actuator means and engageable by said movable con-tact element only when said recess is aligned with said pushbutton actuator means.
12. A disposable laparoscopic instrument adaptable for use with a high frequency electrosurgical generator having a power source, said instrument comprising:
an elongated probe including an elongated core composed of electrical insulating material and a pair of electrodes extending longitudinally through said core in closely spaced parallel relation to one another, said electrodes terminating in a pair of electrode tips and a first complementary connector member at the end of said core opposite to said electrode tips, the ends of said electrodes opposite to said electrode tips being exposed within said first complementary connector member;
an electrode slide member having a second complementary connector member at one end of said slide member complementary to said first complementary connector member, high frequency conducting means for connection to said power source extending through said slide member and terminating in an electrode contacting end portion disposed in said second complementary connector member and movable into direct electrical connection with said electrodes when said first and second complementary con-nector members are interconnected together, said high fre-quency conducting means extending from said electrode con-tacting end portion and terminating in contact strips on the external surface of said slide member;
a handle comprising a hollow elongated shell provided with openings at opposite ends thereof, said probe extending through the opening at one end of said shell and connected in end-to-end relation to said slide member, said slide member having a manually engageable extension projecting externally through the opening at the opposite end of said shell, and switching means on said shell connectable to said power source and high frequency conducting means having first and second inner stationary contacts disposed in axially spaced relation to one another on the inner wall of said shell, said first con-tacts engageable with the contact strips for said high frequency conducting means and said second stationary con-tacts projecting radially and inwardly from the inner wall surface of said shell, a manual pushbutton having a movable contact projecting radially through the sidewall of said shell and into position spaced from said second stationary contacts and an extended position engaging said second stationary contacts, said electrode slide member including switch interrupt means movable between a first position permitting electrical connection between said movable contact on said pushbutton and said second sta-tionary contacts and a second position in which said switch interrupt means prevents movement of said movable contact to the extended position.
an elongated probe including an elongated core composed of electrical insulating material and a pair of electrodes extending longitudinally through said core in closely spaced parallel relation to one another, said electrodes terminating in a pair of electrode tips and a first complementary connector member at the end of said core opposite to said electrode tips, the ends of said electrodes opposite to said electrode tips being exposed within said first complementary connector member;
an electrode slide member having a second complementary connector member at one end of said slide member complementary to said first complementary connector member, high frequency conducting means for connection to said power source extending through said slide member and terminating in an electrode contacting end portion disposed in said second complementary connector member and movable into direct electrical connection with said electrodes when said first and second complementary con-nector members are interconnected together, said high fre-quency conducting means extending from said electrode con-tacting end portion and terminating in contact strips on the external surface of said slide member;
a handle comprising a hollow elongated shell provided with openings at opposite ends thereof, said probe extending through the opening at one end of said shell and connected in end-to-end relation to said slide member, said slide member having a manually engageable extension projecting externally through the opening at the opposite end of said shell, and switching means on said shell connectable to said power source and high frequency conducting means having first and second inner stationary contacts disposed in axially spaced relation to one another on the inner wall of said shell, said first con-tacts engageable with the contact strips for said high frequency conducting means and said second stationary con-tacts projecting radially and inwardly from the inner wall surface of said shell, a manual pushbutton having a movable contact projecting radially through the sidewall of said shell and into position spaced from said second stationary contacts and an extended position engaging said second stationary contacts, said electrode slide member including switch interrupt means movable between a first position permitting electrical connection between said movable contact on said pushbutton and said second sta-tionary contacts and a second position in which said switch interrupt means prevents movement of said movable contact to the extended position.
13. A disposable laparoscopic instrument according to claim 12, said electrode probe including an outer insu-lating sleeve slidably mounted on said insulating core, said sleeve anchored with respect to said handle and having a distal end portion normally embracing said electrode tips to maintain them in a retracted position when said slide member is in a position establishing con-nection between said conducting means and said first sta-tionary contacts, said electrode tips and elongated probe being slidable forwardly through said insulating sleeve when said electrode slide member is advanced to the second position whereby said electrode tips are free to spring outwardly to a spread position.
14. A disposable laparoscopic instrument according to claim 12, said switch interrupt means defined by a generally rib-shaped portion on said electrode slide member provided with a recess therein, said second sta-tionary contacts extending from the inner wall of said shell alongside said recess, and said movable contacts movable into said recess into engagement with said second stationary contacts when said electrode slide member is disposed in the first position.
15. A disposable laparoscopic instrument according to claim 12, said tips projecting beyond one end of said core and having arcuate portions bowed transversely away from the longitudinal axis of the electrodes at a point just beyond the end of the core, said arcuate portions being bowed in opposite transverse directions away from one another.
16. A disposable laparoscopic instrument according to claim 12, said first and second connector members having interfitting ribs and slots in which said ribs are laterally inserted into said slots.
17. In a bipolar laparoscopic instrument wherein an electrode assembly is slidably mounted in a holder, the assembly having a pair of electrodes projecting forwardly from one end of said holder to terminate in tip ends which are operative to discharge electrical current applied thereto and further having a plunger at the end of said electrodes opposite to said tip ends disposed within said holder for selective slidable advancement of said electro-des between an extended and retracted position, there being control circuit means disposed in said holder for selectively applying electrical operating current to said electrodes, the improvement comprising:
male and female connector members between one end of said plunger and said opposite end of said electrodes detachably interconnecting said electrodes and said plunger in end-to-end relation to one another, one of said male and female connector members being laterally inserted into detachably connected relation to the other of said male and female connector members, each of said male and female connector members having a central aper-ture into which first and second electrical leads are extended therein;
said control circuit means including first electrical leads projecting from said one end of said plunger and second electrical leads projecting from said opposite end of said electrodes and movable into direct electrical contact with said first electrical leads when said male and female connectors are detachably connected together;
an outer electrically insulated sleeve disposed in surrounding relation to said electrodes along their substantial length, said sleeve having one end ter-minating adjacent to said electrode tips and an opposite end terminating adjacent to said opposite end of said electrodes; and said holder defined by a pair of sym-metrical halves joined together into a unitary assembly including positioning means therein engageable with said opposite end of said sleeve whereby to anchor said sleeve with respect to said holder while permanently mounting said electrodes in axially aligned relation to said plunger.
male and female connector members between one end of said plunger and said opposite end of said electrodes detachably interconnecting said electrodes and said plunger in end-to-end relation to one another, one of said male and female connector members being laterally inserted into detachably connected relation to the other of said male and female connector members, each of said male and female connector members having a central aper-ture into which first and second electrical leads are extended therein;
said control circuit means including first electrical leads projecting from said one end of said plunger and second electrical leads projecting from said opposite end of said electrodes and movable into direct electrical contact with said first electrical leads when said male and female connectors are detachably connected together;
an outer electrically insulated sleeve disposed in surrounding relation to said electrodes along their substantial length, said sleeve having one end ter-minating adjacent to said electrode tips and an opposite end terminating adjacent to said opposite end of said electrodes; and said holder defined by a pair of sym-metrical halves joined together into a unitary assembly including positioning means therein engageable with said opposite end of said sleeve whereby to anchor said sleeve with respect to said holder while permanently mounting said electrodes in axially aligned relation to said plunger.
18. In a bipolar laparoscopic instrument according to claim 17, said positioning means having an annular locating rib in said holder and said sleeve having an enlarged end portion at said opposite end positively engaged with said locating rib.
19. In a bipolar laparoscopic instrument according to claim 17, said male and female connector members defined by mating, diametrically opposed ribs and slotted portions, respectively, said diametrically opposed ribs laterally inserted into said diametrically opposed slotted portions to detachably interconnect said electrodes and plunger in end-to-end relation to one another.
20. In a bipolar laparoscopic instrument according to claim 17, said control circuit means including electrical contact strips extending through the interior of said plunger and terminating in said first electrical leads at one end of said plunger.
21. In a bipolar laparoscopic instrument according to claim 17, said holder being of elongated, generally tubu-lar configuration divided into semi-cylindrical halves along the longitudinal axis thereof and including a plura-lity of axially spaced plunger locator members centering said plunger within said holder, said plunger projecting through one end of said holder opposite to said electrodes, resilient means mounted under compression on said plunger for extension between a pair of adjacent plunger locator members to normally urge said plunger in a rearward direction causing said sleeve to be in its for-wardmost position with respect to said electrode tips.
22. In a bipolar laparoscopic instrument according to claim 21, said control circuit means including at least one fixed electrical contact member on said holder and an electrical contact strip on said plunger normally disposed in direct electrical contact with said fixed electrical contact on said holder when said sleeve is in its forward-most position with respect to said electrode tips and movable away from electrical contact with said fixed electrical contact member when said plunger is urged in a direction overcoming said resilient means.
23. In a bipolar laparoscopic instrument according to claim 17, said holder being of elongated generally tubular configuration divided into semi-cylindrical halves including a pair of switch contacts mounted in fixed rela-tion to the interior of said holder, a pushbutton actuator disposed in a sidewall housing in said holder, said sidewall housing defining a cylindrical bore through which said pushbutton actuator extends, said pushbutton actuator including a movable contact element disposed for extension through said bore into the interior of said housing into contact with said switch contacts to establish an electri-cal connection therebetween.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US06/057,603 US4311145A (en) | 1979-07-16 | 1979-07-16 | Disposable electrosurgical instrument |
| US57,603 | 1979-07-16 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1146225A true CA1146225A (en) | 1983-05-10 |
Family
ID=22011629
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000356265A Expired CA1146225A (en) | 1979-07-16 | 1980-07-15 | Disposable electrosurgical instrument |
Country Status (5)
| Country | Link |
|---|---|
| US (1) | US4311145A (en) |
| EP (1) | EP0032156A1 (en) |
| CA (1) | CA1146225A (en) |
| IT (1) | IT1131579B (en) |
| WO (1) | WO1981000200A1 (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1978495A (en) * | 1927-10-08 | 1934-10-30 | Firm Elek Citatsgesellschaft S | Medical instrument |
| DE2324658B2 (en) * | 1973-05-16 | 1977-06-30 | Richard Wolf Gmbh, 7134 Knittlingen | PROBE FOR COAGULATING BODY TISSUE |
| US4016881A (en) * | 1973-07-04 | 1977-04-12 | Centre De Recherche Industrielle Du Quebec | Instrument for use in laparoscopic tubal cauterization |
| CH587664A5 (en) * | 1974-09-05 | 1977-05-13 | Fischer Fa F L | |
| US3955578A (en) * | 1974-12-23 | 1976-05-11 | Cook Inc. | Rotatable surgical snare |
| US4005714A (en) * | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
| US4034762A (en) * | 1975-08-04 | 1977-07-12 | Electro Medical Systems, Inc. | Vas cautery apparatus |
| US4174715A (en) * | 1977-03-28 | 1979-11-20 | Hasson Harrith M | Multi-pronged laparoscopy forceps |
| DE2734847C2 (en) * | 1977-08-02 | 1985-12-12 | Delma, elektro- und medizinische Apparatebau GmbH, 7200 Tuttlingen | Bipolar coagulation forceps |
| US4170234A (en) * | 1977-10-11 | 1979-10-09 | Dytek Corporation | System for use with electro-surgical pencil |
-
1979
- 1979-07-16 US US06/057,603 patent/US4311145A/en not_active Expired - Lifetime
-
1980
- 1980-07-15 IT IT23457/80A patent/IT1131579B/en active
- 1980-07-15 WO PCT/US1980/000915 patent/WO1981000200A1/en unknown
- 1980-07-15 CA CA000356265A patent/CA1146225A/en not_active Expired
-
1981
- 1981-02-09 EP EP80901580A patent/EP0032156A1/en not_active Withdrawn
Also Published As
| Publication number | Publication date |
|---|---|
| EP0032156A1 (en) | 1981-07-22 |
| US4311145A (en) | 1982-01-19 |
| IT1131579B (en) | 1986-06-25 |
| IT8023457A0 (en) | 1980-07-15 |
| WO1981000200A1 (en) | 1981-02-05 |
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