CN101636120A - Modular electrosurgical adaptors and multi function active shafts for use in electrosurgigal instruments - Google Patents

Modular electrosurgical adaptors and multi function active shafts for use in electrosurgigal instruments Download PDF

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Publication number
CN101636120A
CN101636120A CN200880008790A CN200880008790A CN101636120A CN 101636120 A CN101636120 A CN 101636120A CN 200880008790 A CN200880008790 A CN 200880008790A CN 200880008790 A CN200880008790 A CN 200880008790A CN 101636120 A CN101636120 A CN 101636120A
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CN
China
Prior art keywords
surgical device
main body
forceps system
adapter main
adapter
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Pending
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CN200880008790A
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Chinese (zh)
Inventor
S·利夫内
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Livneh Steve
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Bovie Medical Corp
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Abstract

Forceps include a body, a surgical device, and a pair of handles. The surgical device is removably disposed within the body. The handles are pivotally attached to the handle body for articulating jaws on the surgical device, or grasping the forceps. The forceps accept monopolar, bipolar, or both monopolar and bipolar surgical devices. Wires are disposed within the surgical device for performing various types of electro-surgery. Additional wires are provided within the surgical device for providing the user with the ability to monitor various aspects of the surgical procedure. Spring contacts touch rings surrounding the surgical device for maintaining electrical contact with the surgical device while allowing the surgical device to rotate within the body.

Description

The modular electrosurgical adapter and the multi function active shafts that are used for electrosurgical unit
The cross-reference of related application
[0001] the application requires the U.S. Provisional Patent Application No.60/888 of submission on February 8th, 2007, the interim patent No.60/893 of the U.S. that on March 7th, 918 and 2007 submitted to, 514 priority, the full content of above-mentioned two applications clearly is incorporated in this as a reference.
Technical field
[0002] present invention relates in general to electrosurgical unit, and relate more specifically to be used for the adapter and the axle of electrosurgical unit.
Background technology
[0003] in endoscope and open surgery, the recent trend of electrosurgical unit need one or more conductive channels control with standby current and control be attached to advanced surgical instruments in the relevant expectation function of active component.
[0004] because increase cost, sterilization needs and environmental consideration, to active surgical device, promptly have be used for promptly, clamp, clip, the electrode of cutting and/or excision and/or can be disassembled and the device of analog that can be adaptive has increasing needs.These devices have one or more elements, and described element is detachable divided by being used for cleaning or sterilization, disposing, exchanging or changing.
[0005] the required current type of the element of surgical device can be but be not limited to one pole and the bipolar current and the DC electric current of all frequencies and waveform.Conductive channel (for example lead) with extra insulation can be used for carrying out various measurements, the measurement of the measurement of for example temperature survey, current measurement, conductivity, resistance, impedance, pressure, liquid stream and air-flow and/or analog in the element of surgical device.In other cases, for example motor, heating element heater and/or analog may need electric power to the element of other types.
[0006] therefore, need overcome the new and improved system and method for at least one defective of prior art to be used to provide or construct electro-surgical device can be adaptive and/or active.
Summary of the invention
[0007] the invention describes a kind of system and method to provide or to construct surgical device can be adaptive and/or active (for example electro-surgical device).The specific characteristic of these devices is to allow electrosurgery adapter attached and dismounting.In addition, sterilization that also can executive component in the composite shaft of surgical device.Further, adapter and interior the contacting and the basic mechanical movement of layout permission of insulating of related compound axle can comprise a plurality of leads simultaneously.These leads are sent to element (for example clamp, clip, electrode and/or analog) with electric current and signal.The specific design of handle, adapter and composite shaft in the electrosurgical unit allows unrestricted rotation, allows element from the electrosurgical unit attachable/detachable simultaneously.
[0008] more specifically, the present invention also discloses the necessary details of structure attachable/detachable, multi-functional, active surgical device.Described device can be attached to surgical handle that a plurality of electricity and mechanical connection are provided or from its dismounting.Described machinery and electrical connection can and be controlled described device by the electrosurgery adapter in detachable surgical device, joint, adapter, lead, cable or axle startup.Described surgical device can be carried out various mechanical movements (for example firmly grasp, excise and/or shear), revolves more than the three-sixth turn and to various types of organizations to carry out electrocautery, electroblation, blood coagulation or interior stabilization function.Further, these attachable/detachable devices can be equipped with extra electric connection and lead, and described extra electric connection and lead are carried excess power, control and measurement via electromotor by handle between the element of electro-surgical device.Yet any other expection also can be provided for described detachable apparatus with relevant input or control unit.
[0009] but will apparent more applications of the present invention from detailed description provided below.Although should be understood that expression the preferred embodiments of the present invention, the purpose of detailed description and object lesson only is to illustrate rather than be intended to limit the scope of the invention.
Description of drawings
[0010] other advantages of the present invention will readily appreciate that, when considered in conjunction with the accompanying drawings by this will become better understood with reference to following detailed description, wherein:
[0011] Fig. 1-1 has shown total cross-sectional side view of modular electrosurgical pincers, comprises electrosurgery adapter and adversary's handle;
[0012] Fig. 1-2 has shown the amplification of the details area A of Fig. 1-1, has shown the cross section by electrosurgery adapter and adjacent handle;
[0013] Fig. 2-1 has shown the side view of modular electrosurgical pincers;
[0014] Fig. 2-2 has shown the amplification of the details area B of Fig. 2-3;
[0015] Fig. 2-3 has shown the cross-sectional, top view of the pincers that obtain along the line A-A of Fig. 2-1;
[0016] Fig. 3-1 has shown the amplification cross-sectional view of the electrosurgery adapter that has two additive wires that is configured for bipolar application;
[0017] Fig. 3-2 has shown the perspective view of the detachable electro-surgical device that has two extra lead and joint that is configured for bipolar application;
[0018] Fig. 3-3 has shown another view of bipolar detachable, the electro-surgical device that has two extra contacts and lead;
[0019] Fig. 4-1 has shown the side view of electrosurgery adapter, has to be shown as transparent and to be configured for the parts that one pole is used, and has four extra contacts and lead;
[0020] Fig. 4-2 has shown the perspective view that has the electrosurgery adapter that is shown as transparent parts, has four extra contacts and lead;
[0021] another perspective view of the Fig. 4-2 above Fig. 4-3 has shown;
[0022] Fig. 4-4 has shown the amplification of the details area A of Fig. 4-2.
[0023] Fig. 5-1 has shown the typical section by the Composite Double pole axis that has two extra lead;
[0024] Fig. 5-2 has shown bipolar and the assembly of clamp that has two extra lead;
[0025] Fig. 5-3 has shown the conductive shaft adapter;
[0026] Fig. 5-4 has shown the perspective view of non-conductive mandrel connector;
[0027] Fig. 5-5 has shown the perspective view of the assembly of the uniterminal axis that has four extra lead and clamp;
[0028] Fig. 5-6 has shown the part perspective view of the compound uniterminal axis that has four extra lead;
[0029] Fig. 6-1 has shown the front view of adapter main body;
[0030] Fig. 6-2 has shown the sectional view that obtains along the line A-A of Fig. 6-1;
[0031] Fig. 6-3 has shown the perspective view of spring joint;
[0032] Fig. 6-4 has shown the perspective view of turn;
[0033] Fig. 6-5 has shown the perspective view of adapter main body;
[0034] Fig. 6-6 has shown the amplification of the details area B of Fig. 6-2;
[0035] Fig. 6-7 has shown the amplification of the details area C of Fig. 6-1;
[0036] Fig. 7-1 has shown the cross-sectional side view of the alternative of modular electrosurgical pincers, comprises electrosurgery adapter and adversary's handle;
[0037] Fig. 7-2 has shown the amplification of the details area A of Fig. 7-1, has shown the cross section by electrosurgery adapter and adjacent handle;
[0038] cross-sectional view of three joint composite shaft of the alternative of Fig. 8-1 displayed map 7-1;
[0039] Fig. 8-2 shown Fig. 7-1 alternative composite shaft, joint, lead and bipolar clamp etc. axonometric drawing;
[0040] Fig. 8-3 has shown the exploded isometric view of element of Fig. 8-2 of the alternative of Fig. 7-1;
[0041] Fig. 8-4 has shown contact ring and the lead that is connected to contact ring;
[0042] Fig. 9-1a has shown the side view of the non-conductive core body that is used for two circles;
[0043] Fig. 9-1b has shown the end-view of the non-conductive core body that is used for two circles;
[0044] Fig. 9-1c has shown the perspective view of the non-conductive core body that is used for two circles;
[0045] Fig. 9-2 has shown the perspective view of the alternative non-conductive core body that is used for four circles;
[0046] Fig. 9-3a has shown the front perspective view of adapter;
[0047] Fig. 9-3b has shown the rear perspective of adapter;
[0048] Fig. 9-3c has shown the end-view of adapter;
[0049] Fig. 9-3d has shown the sectional view that obtains along the line A-A of Fig. 9-3c; With
[0050] Fig. 9-4 has shown the perspective view of contact ring.
[0051] identical Reference numeral is represented identical parts in each figure.
The specific embodiment
[0052] the following description of preferred embodiment (one or more) in fact only is typically and never to be intended to limit the present invention or purposes.Generally with reference to the accompanying drawings, identical identical parts of numeral in all several views wherein, and specifically with reference to figure 1, the electrosurgery pincers are generally with 1 expression.
[0053] pincers 1 comprise handle main body 4, surgical device 2 and a pair of handle 9,10.But be arranged in the handle main body 4 surgical device 2 removals.Handle 9,10 is attached to handle main body pivotly to be used for clamp 47,48 or the grasping pincers 1 on the hinged surgical device 2.
[0054] surgical device 2 comprises that preferably described adapter main body is attached to handle main body 4 by locking piece 5, as shown in Fig. 1-2 by the non-conducting material adapter main body 3 made of polymer or pottery for example.Adapter main body 3 limits hollow channel 6.Hollow channel 6 allows composite shaft assembly 7 to move back and forth in tube element 8.Reciprocating motion is relative to each other closed or open and cause by handle 9 and 10.When handle 9 and 10 is closed, bar assembly 11 by link rod 12 and 13 and the withdrawal of sleeve 14 be pulled towards nearside, thereby towards the end 27 of nearside tractive composite shaft assembly 7.
[0055] Fig. 1-2 is the cross-sectional view that obtains by handle main body 4 and adapter main body 3, has shown attaching plug assembly 15.Electrosurgical adaptor body 3 comprises two contact rings 16 and spring joint 17.The insulated conductor 18,19,20 that is connected with axial circle 21,22,23 will arrive sleeve shell 24 and main body spring joint 25,26 from the conduction of current of attaching plug assembly 15 respectively respectively.
[0056] spring joint 25,26 and sleeve shell 14 conduct the current to contact ring 16 and sleeve 14 respectively.Be arranged in spring joints 17 in the adapter main body 3 and conduct the current to the end 27 of spindle guide electric connector and composite shaft 7.
[0057] moment of torsion is applied to tube element 8 shown in Fig. 2-1 or knob 28, and it allows surgical device 2 at handle main body 4 internal rotation, simultaneously by lead, shell, joint and/or the conductor maintenance Continuous Contact from attaching plug assembly 15.So separate current can be used for being transferred incorporating into of extra lead 33,34 of other functions by (for example referring to Fig. 2-3) as mentioned above.
[0058] Fig. 2-2 has shown that the one pole of the end 27 that is attached to composite shaft assembly 7 starts axle 29.Start axle 29 and cause the open and close of clamp 30,31, the relative position synergism of described link rod and handle 9,10 and mechanical linkwork (being link rod 12,13, bar assembly 11, sleeve 14 and/or analog) by link rod 32.
[0059] Fig. 3-1,3-2 and 3-3 have shown the details of another example, and in this case, this example is the bipolar detachable apparatus that has two extra lead passages.In addition, handle main body can be configured to allow to be used for the insulated channel of a plurality of leads.
[0060] under this concrete condition, the adapter main body 35 that has three contact rings 37,38,39 holds composite shaft 45 as shown in the figure.Axle head 40 receives positive current and is attached to the insulated conductor 41 of conduction, drives link rod 46, and causes the motion of the clamp 47 of rotation on dielectric pin 49.Cathode conductor 42 drives clamp 48 by link rod 50 similarly.Therefore, when remaining insulation except joint needs seriality, clamp 47,48 will be recharged with bipolar fashion.Extra lead 43 and 44 allows to carry out other expectation functions as discussed previously.
[0061] Fig. 4-1,4-2,4-3 and 4-4 have shown another embodiment of the attachable device 51 of monopolar electrosurgical, and wherein compound axle head 52 is connected to positive supply by handle main body.Four contact rings 53 allow the application of connection and/or other expectation functions.
[0062] Fig. 5-1 and 5-2 have shown the bipolar composite shaft 110 that has two extra lead 58,59.When the end 54 of composite shaft 110 was attached to non-conductive mandrel connector 55 securely, whole shaft assembly and other leads 57,58,59 were pushed in adapter main body.Lead 56 and 57 starts and charging clamp 47,48, and lead 58 and 59 can be used for other tasks simultaneously.Should be noted that axle head 54 and non-conductive and Elecrical connector 55,60 are attached respectively rigidly.
[0063] Fig. 5-5 and 5-6 have shown the structure of one pole composite shaft 110.
[0064] Fig. 6-1 has shown non-conductive adapter main body 61 to 6-7, defines circumference latch recess 62 and contact ring groove 63.The hole 66 that adapter main body 61 limits in the contact ring groove 63.Spring joint 65 as shown in Fig. 6-3 sits in the hole 66.Spring joint 65 in contact ring 64 (for example referring to Fig. 6-4) contact and the compressing hole 66 is with the composite shaft 100,110 in the passage that conducts the current to qualification in adapter main body 61 or from these composite shaft 100,110 conductive electric currents.
[0065] Fig. 7-1 has shown the cross-sectional side view by the alternative of modular electrosurgical pincers 300.Pincers 300 comprise detachable endoscopic bipolar surgical device 302.The surgical device 302 of this embodiment is rotatable, keeps simultaneously electrically contacting.Surgical device 302 comprises that preferably described adapter main body is attached to handle main body 304 by locking piece 305, as shown in Fig. 7-2 by the non-conducting material adapter main body 303 made of polymer or pottery for example.Adapter main body 303 limits hollow channel 306.Hollow channel 306 allows composite shaft assembly 307 to move back and forth in tube element 308.Reciprocating motion is by closure and/or open handle 9,10 generations.In this embodiment, the closure of handle 9,10 causes bar assembly 311 to be pulled towards nearside by link rod 312 and 313.When link rod 312,313 during towards nearside stayed pole assembly 311, bar assembly 311 is towards nearside tractive sleeve 314.Promptly the sleeve 314 of composite shaft 307 is towards nearside tractive composite shaft 307.
[0066] Fig. 7-2 has shown the amplification cross-sectional view that obtains by handle main body 304 and adapter main body 303.Insulated conductor 202,203 is connected respectively to spring joint 204,205.Spring joint 204,205 contacts are arranged in the contact ring 316 on the composite shaft 307.So the adapter main body 303 of pincers 300 comprises two contact rings 316 and spring joint 317.Insulated conductor 201 is connected to muff joint 206.Muff joint 206 extends in the groove 323 that is limited by sleeve shell 324.Sleeve shell 324 is arranged in the hollow channel 306.Sleeve shell 324 is formed by metal or other conductive materials.Contact ring 207 is connected to lead 208,209.The cut cable 210 that extends from composite shaft 307 be conduction and convey electrical current to lead 211.
[0067], shown typical contact assembly 212 with reference to figure 8-4.Assembly 212 comprises the contact ring 207 that is connected to insulated conductor 208.Insulated conductor 208 comprise expose and welding, curl, welding or otherwise be attached to the end of contact ring 207.
[0068], shown composite shaft assembly 307 with reference to figure 8-1 and 8-2.Composite shaft assembly 307 comprises the cut cable 210 that is connected to non-conductive core body 217.Two contact rings 207 are set in the recess 218 that is defined in the non-conductive core body 217, shown in cardinal principle among Fig. 2-3.Lead 215,216 is disposed in the groove 219 of non-conductive core body 217 qualifications.Fig. 8-3 has shown the exploded isometric view of composite shaft assembly 307.Lead 216 is attached to contact ring 207 and extends under contact ring 207, is positioned at contact ring 207 distally.In addition, lead 215 is attached to contact ring 207.
[0069] adapter 213 common buckles or be attached to the far-end of composite shaft assembly 307 in addition are with the lead 215,216 of stationary curved, as shown in Fig. 8-3.This has reduced the deflection of sweep 220.
[0070] Fig. 9-1a, 9-1b and 9-1c have shown the various views of non-conductive core body 217.Fig. 9-2 has shown another embodiment of the non-conductive core body 217 that limits four recesses 218 and a through hole.Additional two recesses allow non-conductive core body 217 assembled nearly five electric leads.
[0071] Fig. 9-3a-3d has shown preferably the view of the adapter of being made by non-conductive elastomeric material 213.Fig. 9-4 has shown the typical contact ring 207 that limits slit 214.Contact ring 207 is preferably formed by elasticity, conductive material, and described material allows it flexiblely to make it expand on the non-conductive core body 217 and return to its original dimension very soon when stopping in recess 218.
[0072] although described the present invention with reference to exemplary embodiments, those skilled in the art is to be understood that can carry out various variations and equivalent can replace its element and do not depart from the scope of the present invention.In addition, the elemental range that can carry out many modifications and do not break away from it so that particular condition or material are suitable for instruction of the present invention.So the present invention should not be limited to as expection and be used to realize the disclosed specific embodiment of optimal mode of the present invention, but the present invention will comprise all embodiment in the scope that is encompassed in accessory claim.

Claims (14)

1. forceps system comprises:
Main part;
Surgical device, but the part removal of described surgical device be arranged in the described main body, another part of described surgical device operationally with the pair of jaws element associated;
A pair of handle component, described handle component is attached to described main part pivotly, to be used for the clamp element on the hinged described surgical device; With
Adapter main body, described adapter main body joins described main part to by locking member, and the part of described adapter main body comprises the zone that limits hollow channel, and wherein said hollow channel allows the composite shaft assembly to move back and forth in tube element.
2. forceps system according to claim 1, wherein said adapter main body is made up of the non-conducting material that is selected from the group that polymer, pottery and their combination form.
3. forceps system according to claim 1, wherein said adapter main body further comprise power supply, at least one contact ring and at least one spring joint.
4. forceps system according to claim 3, wherein said adapter main body further comprises at least one wire element, described wire element is connected with at least one axial coil element optionally can operating, thereby will be from the conduction of current of described power supply to described at least one spring joint.
5. forceps system according to claim 4, wherein said at least one spring joint optionally can be operated, thereby conducts the current to described at least one contact ring.
6. forceps system according to claim 5, wherein said at least one spring joint optionally can be operated, thereby conducts the current to the end of spindle guide electric connector and described composite shaft assembly.
7. forceps system according to claim 6, wherein when moment of torsion is applied to described tube element, described surgical device can be operated, and with at described main part internal rotation, keeps contacting from the continuous electric of described power supply by described at least one wire element simultaneously.
8. forceps system according to claim 7 further comprises at least one other wire element that is used to provide miscellaneous function.
9. forceps system according to claim 7 further comprises a plurality of other wire elements that are used to provide miscellaneous function.
10. forceps system according to claim 7 further comprises a plurality of contact rings.
11. forceps system according to claim 1, wherein said surgical device is operated in the one pole mode.
12. forceps system according to claim 1, wherein said surgical device is operated with bipolar fashion.
13. forceps system according to claim 7, wherein said adapter main body comprise the groove around its extension, described groove comprises the zone that limits a hole, and described at least one spring joint is arranged in the described hole.
14. forceps system according to claim 13, wherein said at least one contact ring contact and compress described spring joint in the described hole, with conduct the current in the hollow channel that in described adapter main body, limits composite shaft or from this composite shaft conductive electric current.
CN200880008790A 2007-02-08 2008-02-08 Modular electrosurgical adaptors and multi function active shafts for use in electrosurgigal instruments Pending CN101636120A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US88891807P 2007-02-08 2007-02-08
US60/888,918 2007-02-08
US60/893,514 2007-03-07

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CN101636120A true CN101636120A (en) 2010-01-27

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3000421A1 (en) * 2014-09-17 2016-03-30 Covidien LP Deployment mechanisms for surgical instruments
EP3005968A1 (en) * 2014-09-17 2016-04-13 Covidien LP Deployment mechanisms for surgical instruments
US9931158B2 (en) 2014-09-17 2018-04-03 Covidien Lp Deployment mechanisms for surgical instruments
CN108369256A (en) * 2015-10-29 2018-08-03 伊利诺斯工具制品有限公司 Electrical measurement

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3000421A1 (en) * 2014-09-17 2016-03-30 Covidien LP Deployment mechanisms for surgical instruments
EP3005968A1 (en) * 2014-09-17 2016-04-13 Covidien LP Deployment mechanisms for surgical instruments
US9918785B2 (en) 2014-09-17 2018-03-20 Covidien Lp Deployment mechanisms for surgical instruments
US9931158B2 (en) 2014-09-17 2018-04-03 Covidien Lp Deployment mechanisms for surgical instruments
US10039592B2 (en) 2014-09-17 2018-08-07 Covidien Lp Deployment mechanisms for surgical instruments
US10080605B2 (en) 2014-09-17 2018-09-25 Covidien Lp Deployment mechanisms for surgical instruments
US11707315B2 (en) 2014-09-17 2023-07-25 Covidien Lp Deployment mechanisms for surgical instruments
CN108369256A (en) * 2015-10-29 2018-08-03 伊利诺斯工具制品有限公司 Electrical measurement
US10768204B2 (en) 2015-10-29 2020-09-08 Illinois Tool Works Inc. Electrical measurement devices for a device under test

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