Blood vessel coagulation/stanching device

• US 5,151,102 A
• Filed: 05/31/1990
• Issued: 09/29/1992
• Est. Priority Date: 05/31/1989
• Status: Expired due to Term

• Current Assignee: Hiroyasu Kamiyama, Kyocera Corporation
• Original Assignee: Hiroyasu Kamiyama, Kyocera Corporation
• Inventors: Kamiyama, Hiroyasu, Amino, Hirokazu
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/530,994
• Time in Patent Office: 852 Days
• Field of Search: 606/45, 606/48-52
• US Class Current: 606/51
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/2825 Inserts of different material in jaws
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00119 with metal oxide nitride
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1467 using more than two electrodes on a single probe

Abstract

A blood vessel coagulation/stanching device for flowing high-frequency current between a pair of forceps with a blood vessel being held between the ends of the forceps to cauterize, coagulate and stanch the blood vessel, the device being characterized in that the blood vessel holding section of the forceps comprises a blood vessel contact member made of an electrically insulating sintered substance with a low thermal conductivity, and the blood vessel contact member being provided on its surface with exposed electrodes at an areal ratio between 5% and 60% to the entire surface of the blood vessel contact member. With this device, the blood vessel contact section of the forceps is not excessively heated, preventing a blood vessel from burning. This eliminates any stanching failure due to removal of a coagulated blood vessel portion and ensures superior coagulation and stanching. In addition, the exposed electrode disposed at the frontest end of the forceps has cutting, coagulation and stanching functions so that a single unit of the device can be used for coagulation, stanching and cutting.

Claims

1. In a bipolar-type blood vessel coagulation/stanching device having a pair of conductive forceps including blood vessel holding sections provided at end portions of said forceps and adapted to cauterize, coagulate and stanch said blood vessel, the improvement comprising:

an electrically and thermally insulative blood vessel contact member of sintered substance provided at each of said end portions, each of said contact members having a blood vessel contact surface which includes a plurality of exposed electrodes at an areal ratio between 5% and 60% to the entire surface area of said blood vessel contact surface of said blood vessel contact member.

2. A blood vessel coagulation/stanching device according to claim 1, wherein said exposed electrodes are made of conductive resin adhesive.

3. A blood vessel coagulating/stanching device according to claim 2, wherein each said blood vessel contact member defines a plurality of through holes and said electrodes comprise said conductive resin adhesive filled in said through holes, said electrodes being exposed at said blood vessel contact surface, said exposed electrodes being dispersed over the blood vessel contact surface of said blood vessel contact member.

4. A blood vessel coagulating/stanching device according to claim 3, wherein a contact member further comprises a cutting electrode provided at a front most end of said blood vessel contact member.

5. A blood vessel coagulating/stanching device according to claim 2, wherein said conductive resin adhesive is an epoxy resin-based, non-solvent, single-solution type conductive resin adhesive with 100% solid content, including high purity silver powder.

6. A blood vessel coagulating/stanching device according to claim 1, wherein each forcep end portion defines a recess and each blood vessel contact member has a flat chip shape and is received in an associated recess of said forceps, said device further comprising a conductive resin adhesive layer between each blood vessel contact member and the associated end portion of said forceps.

7. A blood vessel coagulation/stanching device according to claim 1, wherein said blood vessel contact member is extensively provided over the entire surface of said forceps.

8. A blood vessel coagulating/stanching device according to claim 1, wherein said sintered substance is ceramics made of one of zirconia, alumina, silicon nitride and silicon carbide.

9. A device for passing current through living tissue to coagulate the tissue, comprising:

a pair of elongated members, said elongated members being adapted to be brought into physical proximity to each other at a distal end of each elongated member, each elongated member having an electrically insulative and thermally insulative tissue contact member provided at its associated distal end, each tissue contact member having a tissue contact surface opposing the tissue contact surface of the other tissue contact member, each tissue contact surface having a plurality of electrodes, each electrode having a predetermined size and spacing from the other electrodes of the tissue contact surface so as to inhibit overheating of the tissue contact surface by the coagulated tissue; and

coupling means for insulatively coupling said members at proximal ends thereof.

10. The device according to claim 9 wherein said tissue contact member defines at least one through hole, at least one of said electrodes being received in said through hole.

11. The device according to claim 10 wherein said tissue contact member defines a plurality of through holes substantially uniformly dispersed over the tissue contact surface, a corresponding number of said electrodes being received in said through holes.

12. The device according to claim 11 wherein said electrodes cover an area of between 5% and 60% of the entire tissue contact surface of said tissue contact member.

13. The device according to claim 10 wherein said electrode comprises a conductive resin adhesive filled in said through hole.

14. The device according to claim 13 wherein said conductive resin adhesive comprises an epoxy resin-based, non-solvent, single-solution type adhesive with 100% solid content, containing high purity silver powder therein.

15. The device according to claim 9 further comprising a conductive resin adhesive layer provided between said electrically non-conductive tissue contact member and each of said elongated members.

16. The device according to claim 9 further comprising a cutting electrode provided at a front most end of said tissue contact member, said cutting electrode being electrically insulated from said electrodes.

17. The device according to claim 9 wherein said electrically non-conductive tissue contact member comprises a ceramic.

18. A device according to claim 17 wherein said ceramic comprises any one of zirconia, alumina, silicon nitride and silicon carbide.

19. A blood vessel coagulation/stanching device comprising:

a pair of electrically conductive elongated members;

coupling means for insulatively coupling said members at proximal ends thereof;

an electrically and thermally insulative ceramic tissue contact member provided adjacent a distal end of each of the elongated members, each of said tissue contact members further having a polished tissue contact surface and defining a plurality of through holes substantially uniformly dispersed over said tissue contact polished surface of said tissue contact member at an areal ratio between 5% and 60% to the entire area of said tissue contact surface of said tissue contact member;

a plurality of electrodes of conductive resin adhesive received in said through holes and being exposed at said tissue contact surface of each of said tissue contact members; and

a conductive resin adhesive layer provided between each non-conductive tissue contact member and the associated conductive elongated member thereby electrically coupling said electrodes and the associated conductive elongated member.

20. The blood vessel coagulation/stanching device according to claim 19 further comprising a cutting electrode provided adjacent a front most end of one of said tissue contact members.