Multi-function surgical instrument

• US 20060036234A1
• Filed: 10/25/2005
• Published: 02/16/2006
• Est. Priority Date: 10/26/1998
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Durgin, Russell F., Caira, Sheila
• Application Number:
  US11/257,102
• Publication Number:
  US 20060036234A1
• Time in Patent Office: Days
• US Class Current: 606/21
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2018/1437 whereby the windings of the spiral touch each other such as to create a continuous surface
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

A multi-function surgical instrument is disclosed. In accordance with an embodiment of the present invention, the surgical instrument includes a catheter, a bipolar hemostat assembly, an attachment member, and a surgical tool. The bipolar hemostat assembly includes an electrical connector at a proximal end, a bipolar electrode assembly at a distal end, and first and second electrical leads extending from the proximal end to the distal end and disposed within the catheter. The bipolar electrode assembly includes an aperture that extends axially therethrough. The attachment member is disposed within the catheter and has a proximal end and a distal end where the distal end is movable within the aperture of the bipolar electrode assembly between a first position wherein the distal end is extended from the bipolar electrode assembly and a second position wherein the distal end is retracted within the bipolar electrode assembly. The surgical tool is attached to the distal end of the attachment member.

Claims

1-11. -11. (canceled)

12. multi-function surgical instrument comprising:

a catheter;

a hemostat assembly, said hemostat assembly including

an electrical connector at a proximal end,

an electrode assembly at a distal end, wherein said electrode assembly includes

an aperture extending axially therethrough, and

a spiral electrode spirally disposed at said distal end;

an electrical lead extending from said proximal end to said distal end and disposed within said catheter to electrically connect said spiral electrode to said electrical connector;

an attachment member, said attachment member disposed within said catheter and having a proximal end and a distal end, said distal end movable within said aperture of said electrode assembly between a first position wherein said distal end is extended from said electrode assembly and a second position wherein said distal end is retracted within said electrode assembly; and

a surgical tool, said surgical tool attached to said distal end of said attachment member.

13. The multi-function surgical instrument of claim 12 wherein said electrode assembly is a plated ceramic tip.

14. The multi-function surgical instrument of claim 12 wherein said spiral electrode is electrically connected to said electrical lead with a conductive epoxy material.

15. The multi-function surgical instrument of claim 12 wherein said hemostat assembly is a bipolar hemostat assembly.

16. The multi-function surgical instrument of claim 15 wherein said electrode assembly is a bipolar electrode assembly further comprising a second spiral electrode spirally disposed at said distal end.

17. The multi-function surgical instrument of claim 16 further comprising a second electrical lead to electrically connect said second spiral electrode to said electrical connector.

18. The multi-function surgical instrument of claim 12 further comprising an irrigation assembly, said irrigation assembly attached to a proximal end of said catheter.

19. The multi-function surgical instrument of claim 12 wherein said surgical tool is welded to said attachment member.

20. A multi-function surgical instrument comprising:

a catheter;

a hemostat assembly, said hemostat assembly including an electrical connector at a proximal end, an electrode assembly at a distal end, and an electrical lead extending from said proximal end to said distal end and disposed within said catheter and wherein said electrode assembly includes an aperture extending axially therethrough;

an attachment member, wherein said attachment member is a rod and wherein said attachment member is disposed within said catheter and having a proximal end and a distal end, said distal end movable within said aperture of said electrode assembly between a first position wherein said distal end is extended from said electrode assembly and a second position wherein said distal end is retracted within said electrode assembly; and

a surgical tool, said surgical tool attached to said distal end of said attachment member.

21. The multi-function surgical instrument of claim 20 further comprising an irrigation assembly, said irrigation assembly attached to a proximal end of said catheter.

22. The multi-function surgical instrument of claim 20 further comprising a balloon, said balloon disposed on an outside diameter of said catheter at a distal end of said catheter.

23. The multi-finction surgical instrument of claim 20 wherein said surgical tool is a snare.

24. The multi-function surgical instrument of claim 20 wherein said surgical tool is a grasper/forceps device.

25. The multi-function surgical instrument of claim 20 wherein said surgical tool is a scraper/forceps device.

26. The multi-function surgical instrument of claim 20 wherein said surgical tool is a retrieval basket.

27. The multi-function surgical instrument of claim 20 wherein said surgical tool is a cytology brush.

28. The multi-function surgical instrument of claim 20 wherein said surgical tool is a cryotherapy tube.

29. The multi-function surgical instrument of claim 20 wherein said surgical tool is welded to said attachment member.

31. The multi-function surgical instrument of claim 28 further comprising an injection needle hub slidably disposed within said catheter, wherein said injection needle is disposed within said hub and said hub includes an anti-rotation device.

30. A multi-function surgical instrument comprising:

a catheter;

a hemostat assembly, said hemostat assembly including an electrical connector at a proximal end, an electrode assembly at a distal end, and an electrical lead extending from said proximal end to said distal end and disposed within said catheter and wherein said electrode assembly includes an aperture extending axially therethrough;

an attachment member, wherein said attachment member is an injection needle and wherein said attachment member is disposed within said catheter and having a proximal end and a distal end, said distal end movable within said aperture of said electrode assembly between a first position wherein said distal end is extended from said electrode assembly and a second position wherein said distal end is retracted within said electrode assembly; and

a surgical tool, said surgical tool attached to said distal end of said attachment member.