GB2496624A - Surgical instrument with a plurality of handswitches - Google Patents

Surgical instrument with a plurality of handswitches Download PDF

Info

Publication number
GB2496624A
GB2496624A GB1119769.6A GB201119769A GB2496624A GB 2496624 A GB2496624 A GB 2496624A GB 201119769 A GB201119769 A GB 201119769A GB 2496624 A GB2496624 A GB 2496624A
Authority
GB
United Kingdom
Prior art keywords
handswitches
text
surgical instrument
instrument
housing
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.)
Withdrawn
Application number
GB1119769.6A
Other versions
GB201119769D0 (en
Inventor
Christopher Charles Benn
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gyrus Medical Ltd
Original Assignee
Gyrus Medical Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Gyrus Medical Ltd filed Critical Gyrus Medical Ltd
Priority to GB1119769.6A priority Critical patent/GB2496624A/en
Publication of GB201119769D0 publication Critical patent/GB201119769D0/en
Priority to EP12191146.5A priority patent/EP2594218B1/en
Priority to CA2794814A priority patent/CA2794814C/en
Priority to JP2012248492A priority patent/JP6137806B2/en
Priority to AU2012251938A priority patent/AU2012251938B2/en
Priority to US13/679,327 priority patent/US10016186B2/en
Publication of GB2496624A publication Critical patent/GB2496624A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1402Probes for open surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1477Needle-like probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00371Multiple actuation, e.g. pushing of two buttons, or two working tips becoming operational
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320069Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/32007Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device

Abstract

A surgical instrument (3) comprises a housing (10), an end effector carried by the housing, and one or more connections adapted to connect the surgical instrument to a controller such as an electrosurgical generator. The housing includes a plurality of handswitches (13A, 13B, 13C; 14A, 14B, 14C) located at different rotational positions around the housing. Sets (13A, 13B, 13C), (14A, 14B, 14C) of the handswitches are connected in common so as to send the same signal to the controller whichever one of the handswitches is activated. In this way a user of the surgical instrument (3) can send signals to the controller using any of the handswitches within a particular set, depending on the orientation of the surgical instrument. The surgical instrument may be an electrosurgical instrument with electrodes, or an ultrasonic instrument, or a microdebrider or a shaver.

Description

I
SURGICAL INSTRUMENT AND SYSTEM
This invention relates to a surgical instrument for the treatment of tissue, and to a system including the surgical instrument along with a controller such as an electrosurgical generator. Such instruments are commonly used for the cutting/vaporisadon and/or desiccation/coagulation of tissue in surgical intervention, most commonly in "keyhole" or minimally invasive surgery. The terms "cutting" and "vaporization" relate to the removal of tissuc, whether by resection or by the volumetric removal of tissue. Similarly, the terms "desiccation" and "coagulation" relate to the creation of lesions in tissue, the necrosis of tissue, and to the prevention of bleeding.
Surgical instruments requiring a controller have traditionally been activated by means of a footswitch located under the operating table, although more recently it has become known to activate the controfler by means of one or more handswitches present on the instrument itself. US Patent 7,947,039 is one example of an instrument with multiple handswitches. The present hwention attempts to provide an improvement to this type of surgical instrument.
Accordingly, a surgical instrument is provided, the surgical instrument including a housing, an end effector carried by the housing, and one or more connections adapted to connect the surgical instrument to a controller and communicate therewith, the housing further including a plurality of handswitches, two or more of the handswitches being located at different rotational positions around the housing, the two or more handswitches being connected in common so as to send the same signal to the controller whichever one of the two or more handswitches is activated, such that a user of the surgical instrument can send signals to the controller using any of the two or more handswitches depending on the orientation of the surgical instrument.
The provision of a plurality of handswitches disposed at different positions around the housing allows the user to activate the controller easily, regardless of the rotational orientation of the housing. This is an improvement on designs such as those of US 7,947,039 in which the handswitches are really only usable in one onentation of the surgical instrument.
Where designers have previously attempted to solve the problem of handswitch activation in different orientations, they have tended to try to provide annular handswitches. as in US patent 4,492,832. While this does allow for activation in any orientation, this type of handswitch is necessarily complicated in design and therefore relativdy expensive and difficult to assemble. The annular handswitch of US 4,492,832 also suffers from the problem of inadvertent activation, while manipulating the instrument. While relatively simple, the solution of the present invention does provide easy activation in a number of orientations, while maintaining ease of manufacture and discouraging inadvertent activation.
The present invention is applicable to a number of different types of surgical instrument requiring a controller. The first type is an electrosurgical instrument, in which case the controller is an electrosurgical generator. Alternatively, the invention is applicable to a microdebrider or shaver instrument, in which case the controller is a motor adapted to rotate the blade of the instrument. Conceivably, the surgical instrument is an ultrasonic instrument, in which case the controller is a motor adapted to vibrate the blade or tip of the instrument. Whichever type of instrument is employed.
the user needs to give instructions to the controller during use of the instrument, and this can be done using the handswitches located at different rotational positions with respect to the housing of the instrument.
According to a preferred arrangement, the plurality of handswitches includes three or more handswitches connected in common and located at different rotational positions around the housing. In this way, the user is able to activate a handswitch regardless of the onentation of the instrument. If the handswitches are disposed equidistantly around the housing, there will be a handswitch every 1200 around the circumference of the housing, such that the user will always be able to reach at least one handswitch, regardless of the orientation of the instrument.
The plurality of handswitches conveniently includes at least first and second sets of handswitches, each including two or more handswitches connected in common and located at different rotational positions around the housing, each of the first set of handswitches being adapted to send a first signal to the controller, and each of the second set of handswitches being adapted to send a second signal to the controller.
Surgical instruments are becoming increasingly sophisticated, such that there is often more than a simple "on/off' control. By providing at least first and second sets of handswitches, different instructions can be given such as to increase or decrease power or velocity, or in the instance of an electrosurgical instrument, to change from a cutting to a coagulating RE waveform. In a preferred arrangement, the first and second sets of handswitches each include three or more handswitches connected in conrnon and located at different rotational positions around the housing. Thus, there are at least six handswitches mounted on the instrument, three in one set and three in the other.
The plurality of handswitches are conveniently mounted on a single circuit board. According to a typical arrangement, the circuit board conveniently includes an annular section, adapted to extend wholly or partly around the surgical instrument. The circuit board also conveniently includes two or more cantilever sections extending from the annular section, each cantilever section containing at least one handswitch. In this way, each cantilever section contains the handswitches for a particular angular orientation, whether in a single set or two or more different sets. The handswitches can therefore be provided on a single circuit board, making for a low cost manufacture and a simple assembly of the surgical instrument.
As stated previously, the surgical instrument is conceivably an electrosurgical instrument, in which case the end effector is at least one electrode, and the one or more connections are adapted to connect the electrosurgical instrument to an electrosurgical generator for supplying energy to the at least one electrode. Alternatively, the surgical instrument is conceivably a mechanical microdebrider, in which case the end effector is a rotatable blade, and the one or more connections are adapted to connect the surgical instrument to a motor for rotating the blade. Finally, the surgical instrument is conceivably an ultrasonic instrument, in which case the end effector is an oscillating tip, and the one or more connections are adapted to connect the surgical instrument to a generator for oscillating the tip.
Conveniently, at least one of the handswitches is provided with a tactile identification adapted to distinguish it from other handswitches provided on the surgical instrument. A raised pimple or other identifier present on one of the handswitches allows a user of the instrument to establish the orientation of the surgical instrument purely from touch rather than from sight. As the instrument contains multiple handswitches, the handswitches themselves can no longer be used to orient the instrument, as would be the case with a single handswitch. The provision of a tactile indicator reinstates the handswitch as a means of orientation. While it is normally only necessary to provide an indication on one handswitch, conceivably each handswitch could include its own unique tactile identification, such as one pimple, two pimples and three pimples respectively for a three-handswitch instrument.
The surgical instrument conveniently also includes a holding area provided opposite each of the handswitches, the holding area being free from other handswitches and adapted to receive the thumb or finger of a user. In this way, the user can operate each handswitch with a first finger. and with another finger or thumb placed opposite the handswitch in order to provide the appropriate pressure. If a holding area is to be provided in this way, then three handswitches has proved to be the preferred number, as this automatically provides a holding area if the handswitches are disposed equidistantly around the housing of the surgical instrument.
According to a preferred arrangement, the invention relates to an electrosurgical system including i) an electrosurgical generator, ii) an electrosurgical instrument including a housing, one or more electrodes carried by the housing, and one or more connections for connecting the electrosurgical instrument to the generator, the electrosurgical instrument further including a plurality of handswitches, two or more of the handswitches being located at different rotational positions around the instrument, the two or more handswitches being connected in common so as to send the same signal to the electrosurgical generator whichever one of the two or more handswitches is activated, such that a user of the electrosurgical instrument can send signals to the generator using any of the two or more handswitches depending on the orientation of the electrosurgical instrument.
The generator preferably includes a source of radio frequency energy capable of supplying either a coagulating RF waveform or a cutting RF waveform, and the p'urality of handswitches on the electrosurgical instrument includes at least first and second sets of handswitches, each including two or more handswitches connected in common and located at different rotational positions around the electrosurgical instrument. In this way, the first set of handswitches is adapted to cause the generator to supply the cutting RF waveform, and the second set of handswitches is adapted to cause the generator to supply the coagulating RF waveform. Regardless of the orientation of the electrosurgical instrument, the user is able to activate one of the handswitches. either to initiate the cutting RF waveform or the coag&ating RF waveform, as desired.
The invention will now be further described, by way of example only, with reference to the accompanying drawings, in which: Figure I is a schematic diagram of an electrosurgical system including an electrosurgical instrument in accordance with the present invention, Figure 2 is a perspective view of an electrosurgical instrument in accordance with the present invention, Figure 3 is a perspective view of a circuit board forming part of the electrosurgical instrument of Figure 2, and Figure 4 is a perspective view of the electrosurgical instrument of figure 2, shown in a partly assembled condition.
Referring to the drawings, Figure 1 shows a conventional electrosurgical apparatus including a generator 1 having an output socket 2 providing a radio frequency (RE) output, for an instrument 3 via a connection cord 4. Activation of the generator I may be performed by means of a footswitch unit 5 connected separately to the rear of the generator I by a footswitch connection cord 6. In the illustrated embodiment, the footswitch unit 5 has two footswitches 5a and Sb for selecting a desiccation mode and a vaporisation mode of the generator I respectively. The generator front panel has push buttons 7a and 7b for respectively setting desiccation and vaporisation power levels, which are indicated in a display 8. Push buttons 9 are provided as an alternative means for selection between the desiccation and vaporisation modes.
Figure 2 shows the instrument 3 in more detail. The instrument 3 comprises a cylindrical housing 10 having an elongate shaft 11 emerging from its distal end. The shaft is provided at its distal end with an electrosurgical assembly (not shown). The shaft is provided with a suction lumen (not shown) connected through the housing 10 to a suction tube 12 located alongside the electrical connection cord 4 at the proximal end of the housing.
The housing 10 is provided with a plurality of handswitch buttons as will be further described. A first set of handswitch buttons 13A, 13 B & 13C are provided on the housing 10 so as to be equidistantly spaced one from another at 120° intervals around the housing. Handswitch button 13C is located on the far side of the housing and cannot be seen in Figure 2. Handswitch 13B is provided with a tactile indicator such as a pimple 22 in order to provide a non-visual orientation signal to the user of the instrument. A plain area 23 is provided in between each of the handsw[tches 13A, l3B & 13C, the holding area being designed so that the user can place a finger or thumb in a holding area 23 while operating the handswitch located directly opposite.
A second set of handswitch buttons 14A. 14B & 14C are provided on the housing 10 proximal of the handswitch buttons 13A, 13B & 13C. As before, the handswitch buttons l4A. 14B & 14C are equidistantly spaced one from another at 120° intervals around the housing. Handswitch button] 4C is located on the far side of the housing and cannot be seen in Figure 2. Handswitch buttons i3A, 13 B & 13C are designated "cutting" buttons and are generally circular in shape. In contrast, handswitch buttons 14A, 14B & 14C are designated "coagulation" buttons and are more elongate in shape. The housing 10 is also provided with a slider button 15 for controlling the amount of suction delivered to the shaft 11, and with a ridged area 16 for assisting with the gripping of the housing by a user of the instrument 3.
Figure 3 shows a circuit board 17 comprising an annular section 18 and three cantilevered sections 19, 20 & 21 depending therefrom. Handswitch buttons 13A & 14A are located on cantilever section 19. handswitch buttons i3B & i4B on cantilever section 20, and handswitch buttons 13C & 14C on cantilever section 21. Figure 4 shows the circuit board 17 located on the instrument 3 before a cover plate 22 is attached, as shown in Figure 2. Handswitch buttons I 3A, 13 B & 13C are connected in common, such that a cutting activation signal is sent to the generator 1 regardless of whether handswitch 13A, l3B or l3C is pressed. Similarly. handswitch buttons 14A, 14 B & 14C are also connected in common, such that a coagulation activation signal is sent to the generator 1 regardless of whether handswitch 14A. MB or 14C is pressed.
The operation of the instrument 3 will now be described. The user of the instrument 3 grasps the housing 10 and manipulates the instrument into position adjacent the tissue to be treated. This may mean rotating the instrument such that it is not in the orientation shown in Figure 2. When the user wishes to cause the generator 1 to provide a cutting RF waveform to the electrode assembly at the tip of the shaft 11, the user presses any one of handswitch buttons I 3A, I 3B or 13C, the choice of button depending on whichever button is easiest to press given the orientation of the housing 10. Similady, when the user wishes to cause the generator I to provide a coagulating RE waveform to the electrode assembly at the tip of the shaft 11, the user presses any one of handswitch buttons 14A. 14B or 14C, the choice of button once again depending on whichever button is easiest to press given the orientation of the housing 10. The provision of multiple buttons avoids the user having to re-orient the housing in order to activate a single button, or the user having to stretch in order to reach a button located on the opposite side of the housing. Whatever the orientation of the housing, the user is a'ways easily able to reach one of the buttons, as they are provided around the circumference of the housing 10.
Other variations can be envisaged without departing from the scope of the present invention. Four or more buttons can be provided around the circumference of the housing 10, as opposed to the three buttons illustrated in Figures 2 to 4. A third set of buttons can be provided, either instead of the slider button 15 or in addition thereto.
For example, the third set of buttons can be used to change the power levels of the cutting and coagulating RE waveforms, or change the "mode" of operation of the generator, for example to provide a "blended" cutting and coagulating RF waveform.
Whatever the function of the handswitch buttons provided, the provision of multiple buttons connected in common and located in different positions around the housing 10 allows for ease of operation whatever the orientation of the instrument.

Claims (1)

  1. <claim-text>CLAIMS1. A surgical instrument including a housing, an end effector carried by the housing, and one or more connections adapted to connect the surgical instrument to a controller and communicate therewith, the housing further including a plurality of handswitches, two or more of the handswitches being located at different rotational positions around the housing, the two or more handswitches being connected in common so as to send the same signal to the controher whichever one of the two or more handswitches is activated, such that a user of the surgical instrument can send signals to the controller using any of the two or more handswitches depending on the orientation of the surgical instrument.</claim-text> <claim-text>2. A surgical instrument according to claim 1, wherein the plurality of handswitches includes three or more handswitches connected in common and located at different rotational positions around the housing.</claim-text> <claim-text>3. A surgical instrument according to claim 1 or claim 2, wherein the plurality of handswitches includes at least first and second sets of handswitches. each including two or more handswitches connected in common and located at different rotational positions around the housing, each of the first set of handswitches being adapted to send a first signal to the controller, and each of the second set of handswitches being adapted to send a second signal to the controller.</claim-text> <claim-text>4. A surgical instrument according to claim 3, wherein the first and second sets of handswitches each include three or more handswitches connected in common and located at different rotational positions around the housing.</claim-text> <claim-text>5. A surgical instrument according to any preceding claim, wherein the plurality of handswitches are mounted on a single circuit board.</claim-text> <claim-text>6. A surgical instrument according to claim 5, wherein the circuit board includes an annular section, adapted to extend wholly or partly around the surgical instrument.</claim-text> <claim-text>7. A surgical instrument according to claim 6, wherein the circuit board includes two or more cantilever sections extending from the annular section, each cantilever section containing at least one handswitch.</claim-text> <claim-text>8. A surgical instrument according to any preceding claim, wherein the surgical instrument is an electrosurgical instrument, the end effector is at least one e'ectrode, and the one or more connections are adapted to connect the electrosurgical instrument to an electrosurgical generator for supplying energy to the at least one electrode.</claim-text> <claim-text>9. A surgical instrument according to any of claims I to 7, wherein the surgical instrument is a mechanical microdebrider, the end effector is a rotatable blade, and the one or more connections are adapted to connect the surgical instrument to a motor for rotating the blade.</claim-text> <claim-text>10. A surgical instrument according to any of claims ito 7. wherein the surgical instrument is an ultrasonic instrument, the end effector is an oscillating tip, and the one or more connections are adapted to connect the surgical instrument to a motor for oscillating the tip.</claim-text> <claim-text>11. A surgical instrument according to any preceding claim, wherein at least one of the handswitches is provided with a tactile identification adapted to distinguish it from other handswitches provided on the surgical instrument.</claim-text> <claim-text>12. A surgical instrument according to any preceding claim, wherein a holding area is provided opposite each of the handswitches, the holding area being free from other handswitches and adapted to receive the thumb or finger of a user.</claim-text> <claim-text>13. An electrosurgical system including i) an electrosurgical generator, ii) an electrosurgical instrument including a housing, one or more electrodes carried by the housing, and one or more connections for connecting the dectrosurgical instrument to the generator, the e1ectrosurgica instrument further including a plurality of handswitches, two or more of the handswitches being located at different rotational positions around the instrument, the two or more handswitches being connected in common so as to send the same signal to the electrosurgical generator whichever one of the two or more handswitches is activated, such that a user of the electrosurgical instrument can send signals to the generator using any of the two or more handswitches depending on the orientation of the electrosurgical instrument.</claim-text> <claim-text>14. An electrosurgical system according to claim 13, wherein the generator includes a source of radio frequency energy capable of supplying either a coagulating RF waveform or a cutting RE waveform.</claim-text> <claim-text>15. An electrosurgical system according to claim 13 or claim 14, wherein the plurality of handswitches on the electrosurgical instrument includes at least first and second sets of handswitches, each including two or more handswitches connected in common and located at different rotational positions around the electrosurgical instrument.</claim-text> <claim-text>16. An electrosurgical system according to claims 14 and 15. wherein the first set of handswitches is adapted to cause the generator to supply the cutting RE waveform, and the second set of handswitches is adapted to cause the generator to supply the coagulating RF waveform.</claim-text>
GB1119769.6A 2011-11-16 2011-11-16 Surgical instrument with a plurality of handswitches Withdrawn GB2496624A (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
GB1119769.6A GB2496624A (en) 2011-11-16 2011-11-16 Surgical instrument with a plurality of handswitches
EP12191146.5A EP2594218B1 (en) 2011-11-16 2012-11-02 Surgical instrument and system
CA2794814A CA2794814C (en) 2011-11-16 2012-11-08 Surgical instrument and system
JP2012248492A JP6137806B2 (en) 2011-11-16 2012-11-12 Surgical instruments and surgical systems
AU2012251938A AU2012251938B2 (en) 2011-11-16 2012-11-12 Surgical instrument and system
US13/679,327 US10016186B2 (en) 2011-11-16 2012-11-16 Surgical instrument and system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB1119769.6A GB2496624A (en) 2011-11-16 2011-11-16 Surgical instrument with a plurality of handswitches

Publications (2)

Publication Number Publication Date
GB201119769D0 GB201119769D0 (en) 2011-12-28
GB2496624A true GB2496624A (en) 2013-05-22

Family

ID=45444216

Family Applications (1)

Application Number Title Priority Date Filing Date
GB1119769.6A Withdrawn GB2496624A (en) 2011-11-16 2011-11-16 Surgical instrument with a plurality of handswitches

Country Status (6)

Country Link
US (1) US10016186B2 (en)
EP (1) EP2594218B1 (en)
JP (1) JP6137806B2 (en)
AU (1) AU2012251938B2 (en)
CA (1) CA2794814C (en)
GB (1) GB2496624A (en)

Families Citing this family (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105286992B (en) 2013-03-15 2017-10-17 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) Combine electrosurgery device
WO2014143477A1 (en) 2013-03-15 2014-09-18 GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) Offset forceps
WO2014150754A1 (en) 2013-03-15 2014-09-25 GYRUS ACMI, INC. (d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA) Combination electrosurgical device
EP2967741B1 (en) 2013-03-15 2018-02-21 Gyrus Acmi Inc. Combination electrosurgical device
JP6239129B2 (en) 2014-08-20 2017-11-29 ジャイラス エーシーエムアイ インク Multimode combination electrosurgical device
CN107405168B (en) 2015-03-23 2020-05-05 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) Medical clamp with blood vessel cutting capability
US10080579B2 (en) 2015-03-25 2018-09-25 Medtronic Ps Medical, Inc. Pin drive rotary surgical cutting tools and powered handpieces
US10314610B2 (en) 2015-03-25 2019-06-11 Medtronic Ps Medical, Inc. Slanted drive axis rotary surgical cutting tools and powered handpieces
USD782042S1 (en) 2015-03-25 2017-03-21 Medtronic Ps Medical, Inc. Surgical tool
USD790699S1 (en) 2015-03-25 2017-06-27 Medtronic Ps Medical, Inc. Surgical tool
USD800907S1 (en) 2015-03-25 2017-10-24 Medtronic Ps Medical, Inc. Surgical tool
USD800906S1 (en) 2015-03-25 2017-10-24 Medtronic Ps Medical, Inc. Surgical tool
US10413314B2 (en) * 2015-08-26 2019-09-17 Ethicon Llc Ultrasonic surgical instrument with activation member pair and slidable cover
US10548655B2 (en) * 2015-10-16 2020-02-04 Ethicon Llc Control and electrical connections for electrode endocutter device
USD800903S1 (en) 2016-02-09 2017-10-24 Medtronic Ps Medical, Inc. Surgical tool
JP6714724B2 (en) * 2016-04-07 2020-06-24 ジャイラス・エーシーエムアイ・インコーポレーテッド Electronic switch mechanism
US11065048B2 (en) 2017-06-28 2021-07-20 Cilag Gmbh International Flexible circuit arrangement for surgical fastening instruments
US10888325B2 (en) 2017-06-28 2021-01-12 Ethicon Llc Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features
US10888369B2 (en) 2017-06-28 2021-01-12 Ethicon Llc Systems and methods for controlling control circuits for independent energy delivery over segmented sections
USD908216S1 (en) 2017-06-28 2021-01-19 Ethicon Llc Surgical instrument
US11129666B2 (en) 2017-06-28 2021-09-28 Cilag Gmbh International Shaft module circuitry arrangements
US11298128B2 (en) 2017-06-28 2022-04-12 Cilag Gmbh International Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same
US11278346B2 (en) 2017-06-28 2022-03-22 Cilag Gmbh International Systems and methods of displaying surgical instrument status
US11160604B2 (en) 2017-06-28 2021-11-02 Cilag Gmbh International Surgical end effector to adjust jaw compression
USD865175S1 (en) 2017-06-28 2019-10-29 Ethicon Llc Staple cartridge for surgical instrument
US11103301B2 (en) 2017-06-28 2021-08-31 Cilag Gmbh International Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths
US11272976B2 (en) 2017-06-28 2022-03-15 Cilag Gmbh International Surgical end effector for applying electrosurgical energy to different electrodes on different time periods
USD893717S1 (en) 2017-06-28 2020-08-18 Ethicon Llc Staple cartridge for surgical instrument
US10813640B2 (en) 2017-06-28 2020-10-27 Ethicon Llc Method of coating slip rings
US11013552B2 (en) 2017-06-28 2021-05-25 Cilag Gmbh International Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument
US11058477B2 (en) 2017-06-28 2021-07-13 Cilag Gmbh International Surgical cutting and fastening instruments with dual power sources
US10702636B2 (en) * 2017-08-31 2020-07-07 Gyrus Acmi, Inc. Medical device
US10849634B2 (en) 2018-06-20 2020-12-01 Medtronic Xomed, Inc. Coupling portion for rotary surgical cutting systems
EP3616637A1 (en) * 2018-08-29 2020-03-04 Erbe Elektromedizin GmbH Medical instrument
US11826043B2 (en) 2021-04-30 2023-11-28 Cilag Gmbh International Staple cartridge comprising formation support features
US11931035B2 (en) 2021-04-30 2024-03-19 Cilag Gmbh International Articulation system for surgical instrument
US11857184B2 (en) 2021-04-30 2024-01-02 Cilag Gmbh International Surgical instrument comprising a rotation-driven and translation-driven tissue cutting knife
US11918275B2 (en) 2021-04-30 2024-03-05 Cilag Gmbh International Electrosurgical adaptation techniques of energy modality for combination electrosurgical instruments based on shorting or tissue impedance irregularity
US11944295B2 (en) 2021-04-30 2024-04-02 Cilag Gmbh International Surgical instrument comprising end effector with longitudinal sealing step
WO2023199112A1 (en) * 2022-04-11 2023-10-19 Stryker European Operations Limited Electrosurgical instrument

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4492832A (en) * 1982-12-23 1985-01-08 Neomed, Incorporated Hand-controllable switching device for electrosurgical instruments
EP1199040A2 (en) * 2000-10-20 2002-04-24 Ethicon Endo-Surgery, Inc. Ring contact for rotatable connection of switch assembly for use in a surgical system
US20050113824A1 (en) * 2003-11-20 2005-05-26 Sartor Joe D. Electrosurgical pencil with improved controls

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2460481A1 (en) * 1974-12-20 1976-06-24 Delma Elektro Med App Electrode grip for remote HF surgical instrument switching - has shaped insulated piece with contact ring of sterilizable (silicon) rubber
US4540871A (en) * 1983-06-07 1985-09-10 Miller Electric Manufacturing Company Welding gun with multi-directional switch
JP2618110B2 (en) * 1991-05-20 1997-06-11 オリンパス光学工業株式会社 Surgical treatment equipment
EP0625077B1 (en) * 1992-02-07 1997-07-09 Valleylab, Inc. Ultrasonic surgical apparatus
US6896674B1 (en) * 1993-05-10 2005-05-24 Arthrocare Corporation Electrosurgical apparatus having digestion electrode and methods related thereto
US5451735A (en) * 1993-06-03 1995-09-19 Worthington Data Solutions Flexible circumferential switch
US5976075A (en) 1997-12-15 1999-11-02 University Of Massachusetts Endoscope deployment apparatus
NL1017424C2 (en) * 2001-02-22 2002-08-23 Megadent Endo Products B V Dental instrument with heated tip, uses flexible foil switch within shaft of instrument, under flexible collar
JP3859653B2 (en) * 2004-03-16 2006-12-20 株式会社長田中央研究所 Laser handpiece
US7947039B2 (en) 2005-12-12 2011-05-24 Covidien Ag Laparoscopic apparatus for performing electrosurgical procedures
US20080004608A1 (en) * 2006-06-30 2008-01-03 Alcon, Inc. Multifunction surgical probe
EP2521506B1 (en) * 2010-01-06 2020-09-23 Biolase, Inc. Handpiece finger switch for actuation of handheld medical instrumentation

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4492832A (en) * 1982-12-23 1985-01-08 Neomed, Incorporated Hand-controllable switching device for electrosurgical instruments
EP1199040A2 (en) * 2000-10-20 2002-04-24 Ethicon Endo-Surgery, Inc. Ring contact for rotatable connection of switch assembly for use in a surgical system
US20050113824A1 (en) * 2003-11-20 2005-05-26 Sartor Joe D. Electrosurgical pencil with improved controls

Also Published As

Publication number Publication date
JP6137806B2 (en) 2017-05-31
EP2594218B1 (en) 2014-07-23
US10016186B2 (en) 2018-07-10
CA2794814A1 (en) 2013-05-16
CA2794814C (en) 2020-01-21
AU2012251938B2 (en) 2016-11-17
US20130138096A1 (en) 2013-05-30
EP2594218A1 (en) 2013-05-22
US20180078245A9 (en) 2018-03-22
JP2013116323A (en) 2013-06-13
AU2012251938A1 (en) 2013-05-30
GB201119769D0 (en) 2011-12-28

Similar Documents

Publication Publication Date Title
CA2794814C (en) Surgical instrument and system
EP1707147B1 (en) Electrosurgical instrument
US6551312B2 (en) Wireless electrosurgical device and methods thereof
EP2531130B1 (en) Electrosurgical instrument with two active electrodes optimised for vaporisation and coagulation
US20140081256A1 (en) Portable electrosurgical instruments and method of using same
US20110112530A1 (en) Battery Powered Electrosurgery
US20050113823A1 (en) Electrosurgical pencil with improved controls
EP1755475A1 (en) A surgical instrument
EP2531129B1 (en) Electrosurgical system
EP2531131B1 (en) Electrosurgical instrument
AU2011209579A2 (en) Electrosurgical instrument
JP2004049566A (en) Electrosurgical apparatus
US11596467B2 (en) Articulating tip for bipolar pencil
CA2818660A1 (en) Electrosurgical instrument
GB2594973A (en) An operative shaft for an electrosurgical device

Legal Events

Date Code Title Description
WAP Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1)