Bipolar electrocautery surgical snare

• US 4,493,320 A
• Filed: 04/02/1982
• Issued: 01/15/1985
• Est. Priority Date: 04/02/1982
• Status: Expired due to Fees

• Current Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Original Assignee: Trustees Of Columbia University In The City Of New York (Columbia University)
• Inventors: Treat, Michael R.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/364,977
• Time in Patent Office: 1,019 Days
• Field of Search: 128/303.13-303.17, 128/784, 128/785, 128/786, 128/320
• US Class Current: 606/47
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• 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 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare

Abstract

A bipolar electrocautery surgical snare is described capable of performing the endoscopic removal of growths within a body cavity with improved precision and accuracy. The bipolar surgical snare comprises an electrically insulating elongated double lumen tubular member, a pair of flexible electrically conductive snare wires extending through the respective lumina of the tubular member and from each end thereof, an electrically insulating connector means for mechanically uniting but electrically insulating one end of each of the snare wires to form a surgical loop extending from one end of the tubular member; and attachment for electrically connecting the opposed ends of said snare wires to a high frequency electrocautery current source.

Claims

1. A bipolar electrocautery surgical snare for endoscopic removal of growths within a body cavity, said snare comprising:

a unitary elongated electrically insulating flexible double-lumen tubular member having a proximal end and a distal end;

a pair of elongated flexible electrically conductive uninsulated snare wires, each snare wire disposed within one of the respective lumina within said tubular member in slidable relation therewith, said snare wires being of a length greater than said tubular member such that each snare wire extends from both the proximal and distal ends of said tubular member;

an electrically insulating connector means disposed at the distal end of each of said snare wires;

said connector means mechanically uniting but electrically insulating said distal ends of said snare wires to form a surgical snare loop extending from the distal end of said tubular member; and

means for electrically connecting the proximal ends of said snare wires to a bipolar electrocautery current source; and

actuator means for sliding the snare wires inwardly or outwardly through the tubular member to respectively expand or contract the surgical loop.

2. A bipolar electrocautery surgical snare as recited in claim 1 wherein said tubular member and said connector means are formed of an electrically insulating material selected from the group consisting of plastic, ceramic, glass and epoxy.

3. A bipolar electrocautery surgical snare as recited in claim 1 wherein said pair of snare wires are comprised of a metal selected from the group consisting of stainless steel, spring steel, platinum and silver.

4. A bipolar electrocautery surgical snare as recited in claim 1 wherein said actuator means comprises:

an elongated base member;

the proximal ends of said snare wires;

a fixed abutment disposed at one end of the base member, said fixed abutment including a pair of spaced apertures therethrough slidably receiving the proximal ends of said snare wires; and

a slide block slidably mounted to said base member and slidable along the longitudinal axis thereof, said slide block including a pair of spaced and oppositely curved passages extending therethrough from the distal face thereof to one of the opposed side walls of the slide block, each of said passages fixedly receiving one of the respective snare wires therethrough, said slide block further including a handle member extending from the proximal face thereof, whereby movement of said slide block is manually operative to slide said snare wires through said tubular member to expand or retract said surgical loop extending from the distal end of the tubular member.

5. A bipolar electrocautery surgical snare as recited in claim 1 wherein said tubular member and said electrically insulating connector means are formed of polytetrafluoroethylene or polyethylene.

6. A bipolar electrocautery surgical snare as recited in claim 1 wherein said connector means is a V-shaped piece of molded plastic with each of the distal ends of said snare wires extending within one of the respective legs of the V, such that when the snare wires are pushed inwardly through the tubular member, the snare wires will flare outwardly from the distal end of the tubular member to form a surgical snare loop.

7. A bipolar electrocautery snare as recited in claim 1 wherein said connector means is formed of a solid piece of plastic material with the distal ends of the snare wires extending therein in spaced parallel fashion, and said distal ends of the snare wires being crimped outwardly at the point at which they extend from said connector means in such manner as to cause the snare wires to flare outwardly from the distal end of the tubular member to form a surgical snare loop as the snare wires are pushed inwardly through the tubular member.