TREATMENTS METHODS AND PORTABLE SURGICAL DEVICES FOR TREATING NEOPLASTIC AND HYPERPLASTIC CELLS IN THE CERVIX AND OTHER DERMATOLOGICALLY OR SURVACE RELATED DISORDERS

• US 20170215936A1
• Filed: 04/29/2015
• Published: 08/03/2017
• Est. Priority Date: 04/29/2014
• Status: Active Grant

• Current Assignee: William Dean Wallace
• Original Assignee: William Dean Wallace
• Inventors: Wallace, William Dean
• Granted Patent: US 10,849,675 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/08 by means of electrically-heated probes
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/1206 Generators therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2018/00029 open
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/0013 non-sticking
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00559 Female reproductive organs
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00702 : Power or energy
• CPC Class Codes: A61B 2018/00714 : Temperature
• CPC Class Codes: A61B 2018/0072 : Current
• CPC Class Codes: A61B 2018/00732 : Frequency
• CPC Class Codes: A61B 2018/00761 : Duration
• CPC Class Codes: A61B 2018/00767 : Voltage
• CPC Class Codes: A61B 2018/00815 : measured by a thermistor
• CPC Class Codes: A61B 2018/00982 : combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/00988 : Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/087 : using semiconductors as heating element
• CPC Class Codes: A61B 2018/1226 : powered by a battery
• CPC Class Codes: A61B 2018/1266 : with DC current output
• CPC Class Codes: A61B 2018/1495 : Electrodes being detachable from a support structure
• CPC Class Codes: A61B 2090/0807 : Indication means
• CPC Class Codes: A61B 2090/306 : using optical fibres
• CPC Class Codes: A61B 2218/006 : for smoke evacuation

Abstract

A portable electrosurgical device (ESD) has a housing, a probe connected to the housing and a heating element connected to the probe for destroying human tissue. The heating element is detachable from the probe and/or the probe with heating element can be detachable from the housing. The user can set a drive signal'"'"'s electrical characteristics, such as operating frequency, duty cycle, peak voltage and the like for a customized drive signal formed in the ESD based on the heating element used. Memory storage allows for storage of inputted data from a keyboard, downloaded reference documents and information off the Internet from an Ethernet connector that can be displayed for reference on a screen of the ESD. Another even more compact ESD is an integral one-piece portable device having a type of pistol hand-held grip, dis-connectable probe, and a rechargeable, removable battery in the handle provides approximately 30, one-minute treatments on a single battery charge.

Claims

1. An electrosurgical device comprising:

a housing, and

a probe connected to the housing, the probe having a distal end comprising a heating element for heating a tissue on a patient'"'"'s body, whereby

the heating element is detachable from the probe'"'"'s distal end and a different heating element is attachable to the probe'"'"'s distal end.

4. The electrosurgical device as in claim 1 wherein

the housing comprises electronic controls for controlling electronic signals sent from the housing to the heating element, and

the electronic controls are configured to modify at least one of a signal'"'"'s configuration and parameters from the group of a signal'"'"'s frequency, waveshape, duty cycle, voltage and current.

5. The electrosurgical device as in claim 1 wherein

the heating element is one heating element from the group of a resistance heating element, a microwave heating element, a laser heating element, a ferromagnetic material heating element and an ultrasound heating element.

6. The electrosurgical device as in claim 1 wherein

the heating element is a snap-in cartridge heating element whereby the heating element is contained in a cartridge housing that contains electrical connectors for connecting to electrical conductors in the probe and mechanical connectors that enable the snap-in cartridge heating element to be attachable to and detachable from the probe'"'"'s distal end by a user'"'"'s manual attachment and detachment without a need for a use a tool.

8. The electrosurgical device as in claim 5 wherein

the housing contains a first selector switch configured to enable the user to select a heating element that is used with the electrosurgical device and

a drive signal connector that, in response to a heating element being selected, connects the at least one pre-programmed signal configuration and signal parameters that define the drive signal for the selected heating element to be outputted from the housing.

9. The electrosurgical device as in claim 6 wherein

the housing contains a second selector switch configured to enable the user to select the pre-programmed drive signal to send to the heating element or to modify the pre-programmed drive signal, and

the housing contains a signal modification control comprising at least one signal modification control, wherein

the signal modification control is activated when the second selector switch is selected to modify the pre-programmed drive signal, and

the signal modification control is configured to enable the user to modify the selected pre-programmed drive signal to form a modified drive signal to send to the heating element.

10. The electrosurgical device as in claim 1 wherein the housing contains a third selector switch for setting for a bipolar or a monopolar with a setting of said third selector switch being made by a user.

11. The electrosurgical device as in claim 1 wherein the heating element comprises a positive temperature coefficient material.

12. The electrosurgical device as in claim 1 further includes a smoke evacuation unit comprising:

a conduit for evacuating smoke and other air impurities away from a site of a surgery having a first end with a first opening, a second end with a second opening, and a middle section integrally formed with and between the first and second ends,

a vacuum creating system capable of being activated to form an air vacuum at the surgery site so to withdraw air comprising said smoke and other air impurities from said surgery site and carry the smoke and other air impurities along the conduit to an outside area located away from the surgery site,

the first opening is located close to the surgery site and is configured to use the air vacuum to suck in smoke and other air impurities from the surgery site into the conduit,

the second opening is located away from the surgery site and is configured to expel said smoke and other air impurities from the conduit to the outside area,

the vacuum creating system is located at least in part in the conduit, and

the conduit is located running along at least a part of a length of the probe.

13. The electrosurgical device as in claim 10 wherein the smoke evacuation unit comprises an on and off switch activatable by a user and located on the electrosurgical device.

14. The electrosurgical device as in claim 10 wherein the smoke evacuation unit is activated automatically based on one condition from the group of conditions of when the electrosurgical device is turned on to deliver a current to the heating element, and when an air sensor location in an area of the first opening emits a sensor signal indicating a presence of smoke or other air impurities above a threshold level at the surgery site.

15. The electrosurgical device as in claim 1 wherein the probe is detachable from the housing and the housing contains a probe connector configured to allow for a connection and a disconnection of a probe to the housing.

16. The electrosurgical device as in claim 1 wherein the housing further comprises:

a field programmable component configured to allow a user to program in-the-field the electrosurgical device to generate at least one characteristic of a drive signal sent from the housing to the heating element.

17. The electrosurgical device as in claim 1 wherein

the probe tip comprises at least one lighting element for casting illumination onto a surgical site,

the probe comprises at least one switch and at least one light indicator configured to allow a user to use the said one switch to control an operation of the surgical device and the at least one light indicator provides a visual sign to the user of an on or off state of the switch, wherein

the switch is a switch type from the group of a membrane switch, a mechanical switch and a foot switch, and

the at least one light indicator is a light type from the group of a backlighting light and a discrete light, and

the light source of the at least one light indicator is one from the group of a light emitting diode, an optical fiber and an electroluminescent light.

18. The electrosurgical device as in claim 1 further includes:

a cooling down system comprising;

an opening down the length of the probe shaft,

a pump positioned in the opening and configured to produce fluid from an outside area down the probe shaft to the probe tip,

a rim section with a plurality of apertures extends outwardly from the probe tip, the plurality of apertures being coupled to the opening down the length of the probe shaft, configured to allow passage of fluid from the outside area through said apertures to an area surrounding the probe tip.

19. The electrosurgical device as in claim 1 wherein the probe tip comprises a non-stick coating material.

20. The electrosurgical device as in claim 5 further comprising:

a display that includes a monitor screen,

a user input and

an Ethernet input, wherein

the user input contains at least one input terminal for connecting at least one of a keyboard and a mouse,

the user input is configured for a user to input at least one from the group of input data from the keyboard connected to the user input, information downloaded to the electrosurgical device and audio entered into the input device and converted into digital data within the electrosurgical device,

where the at least one input data is processed by the electrosurgical device according to at least one from the group of being displayed on the display and stored in the at least one memory storage component.

21. The electrosurgical device as in claim 18 wherein the Ethernet input is configured to receive an internet connection, to connect to a web site, to display said web site on the monitor screen and to save information displayed on the monitor screen to the at least one memory storage component.

2. A portable electrosurgical device comprising:

a housing,

a probe with a first end connected by a detachable cable to the housing and having a distal end,

a tip detachably connected to the probe'"'"'s distal end, with

a heating element located in the tip.

7. The electrosurgical device as in claim 2 wherein

the housing comprises at least one memory storage component, and

the at least one memory storage component contains at least one pre-programmed signal configuration and signal parameters that define a pre-programmed drive signal for a certain heating element to be sent from the housing to the heating element, and

the at least one pre-programmed signal configuration and signal parameters are selectively modifiable by the user.

3. A portable electrosurgical device comprising:

a handle,

a probe with a first end directly and detachably connected to the handle and having a distal end,

a tip detachably connected to the distal end with

a heating element located in the tip.

22. A method of destroying a tissue using an electrosurgical device having a drive signal and a probe tip, the method comprising steps of:

setting a switch for either a bipolar or a monopolar mode of operation,

setting a switch for a type of heating element attached to the probe tip,

reviewing a drive signal information displayed on a display of the electrosurgical device,

selecting whether to accept displayed default drive signal characteristics or to modify at least one of the default drive signal characteristics, and if selecting to modify the at least one of the default drive signal characteristics, then

using at least one control on the electrosurgical device to modify at least one of the default drive signal characteristics to form a modified drive signal, and

sending one from the group of the default drive signal and the modified drive signal to the heating element,

applying the probe tip with the drive signal to the heating element to thereby destroy the tissue.

25. The portable electrosurgical device according to claim 22, wherein the time data is configured to display on a first light indicator a count-down starting at 60 seconds with a start of the treatment and counting down in increments of one second to zero.

26. The portable electrosurgical device according to claim 22, wherein the state of the battery displayed to the user comprises an incremental status covering a range of from 0 to 100% of a full battery charge.

27. The portable electrosurgical device according to claim 22 further comprising:

an emergency button positioned within a reach of a user'"'"'s finger of the user'"'"'s hand holding the probe during a treatment for stopping the heating of the probe tip.

28. The portable electrosurgical device according to claim 22, wherein the path for providing the light comprises one from the group of an end emitting optical fiber with an end-emitter fixture attached, a side emitting optical fiber and a combined end emitting with end-emitter fixture and side emitting optical fiber.

29. The portable electrosurgical device according to claim 22, wherein the probe comprises an electric bulb mounted in a vicinity of the distal end of the probe and the path for providing a light comprises an electrically conductive pair of wires for transmitting electric current to the electric bulb.

32. The electrosurgery device as in claim 28 or 29, comprises a feedback circuit with one end connected at the heating element, said feedback circuit comprising a thermistor for controlling a temperature at the tip.

33. The electrosurgery device as in claim 28 or 29, comprising at least one removable and rechargeable battery.

23. A method of destroying a tissue using a portable electrosurgical device having a drive signal and a probe tip, the method comprising steps of:

examining a tissue to be destroyed,

selecting a heating element to use for destroying the tissue,

attaching the selected heating element to the probe tip,

forming a drive signal to use to destroy the tissue by using the electrosurgical device to set at least one electrical characteristic for the drive signal and to generate the drive signal. and

applying the probe tip with the heating element and the drive signal to the tissue to thereby destroy the tissue.

24. An portable electrosurgical device powered by a rechargeable battery for heating a heating element to perform a treatment on human tissue comprises

a probe,

at least one from the group of

a timer for measuring and providing time data, and

a battery sensor for detecting and display a state of the battery, and a

a light at a distal end of the probe and a transmission path for providing the light at the distal end, for illuminating an area where the treatment is conducted,

at least one light indicator mounted on the probe, visible to a user while holding the electrosurgical device during the treatment, and operably connected to at least one from the group of the timer, the battery sensor and the light at the probe'"'"'s distal end,

a feedback circuit with a first end connected at the heating element and comprising a thermistor for controlling a temperature at the tip,

at least one membrane switch mounted on the probe within a finger reach of a hand holding the electrosurgical device during the treatment that when depressed displays to the user on the at least one light indicator of the electrosurgical device of at least one from the group of a time data associated with the treatment, a state of the battery and a condition of the illuminating light at the probe'"'"'s distal end, and wherein

the rechargeable battery can be removed and replaced by a fully charged battery.

30. A portable electrosurgical device comprising:

a housing,

a probe with a first end connected by a detachable cable to the housing and having a distal end,

a tip with an integral heating element detachably connected to the probe'"'"'s distal end,

wherein the probe with the connected tip and integral heating element is configured to be manually disconnectable from, and connectable to, the cable by the user.

31. A portable electrosurgical device comprising:

a handle,

a probe with a first end directly and detachably connected to the handle and having a distal end,

a tip detachably connected to the distal end with

a heating element located in the tip,

wherein the probe with the connected tip and integral heating element is configured to be manually disconnectable from, and connectable to, the handle by the user.

34. The electrosurgery device as in claim 31, wherein the battery is one from the group of a lithium ion battery and a lithium polymer battery.