Electrosurgical instrument

• US 5,226,904 A
• Filed: 02/08/1991
• Issued: 07/13/1993
• Est. Priority Date: 02/08/1991
• Status: Expired due to Term

• Current Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Original Assignee: Conmed Corporation (Jefferies Financial Group, Inc.)
• Inventors: Uhl, Robert, Wheatley, William, Gentelia, John, Longo, Sharyn
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US07/652,632
• Time in Patent Office: 886 Days
• Field of Search: 606/41, 606/42, 606/45, 606/48-50, 200/505, 200/510, 200/520
• US Class Current: 606/42
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2018/00922 by switching or controlling the treatment energy directly within the hand-piece
• CPC Class Codes: H01H 2300/014 Application surgical instrument

Abstract

A simple and reliable electrosurgical instrument includes a cable having a main contact wire and first second insulated switch wires all provided with a short insulated or bare portion. The cable is received in a main member having a first holding mechanism for holding the switch wires adjacent uninsulated portions thereof on one lateral side and spaced from one another as well as a second holding mechanism for holding the switch wires adjacent the uninsulated portions thereof on the other lateral side so that the uninsulated portions span between the first and second holding mechanisms and are spaced longitudinally from one another. A blade receiver receives an electrode blade and is then electrically connected to the contact wire. A switch device selectively connects one of the uninsulated portions of the switch wires to the contact wire during operation. The first and second holding mechanisms preferably include channels and a cover includes projections which hold the wires in place. The switch device also preferably includes a contact strip which is attached to the distal end to the blade receiver and at a proximal end to the contact wire. This contact strip extends longitudinally and above but immediately adjacent the uninsulated portions of the switch wires. Two respective switches mounted in the cover are then selectively depressed to push the contact strip into engagement with an associated bared switch wire therebeneath. This contact strip includes a U-shaped portion which is resiliently held in contact with the uninsulated portion of the contact wire.

Claims

1. A simple and reliable electrosurgical instrument for selectively providing electrical energy from an electrosurgical generator to a patient for cutting, coagulation, and the like comprising:

an electrode blade;

a cable adapted to be connected to the electrosurgical generator, said cable including a main contact wire, and first and second insulated switch wires each having a short uninsulated portion;

a hollow elongate body including a main member and a cover, said main member including (a) lateral sides, (b) a first holding means for holding said switch wires adjacent said uninsulated portions on one lateral side of said main member and spaced from one another, and (c) a second holding means for holding said switch wires adjacent said uninsulated portions on the other lateral side whereby said uninsulated portions span between said first and second holding means and are spaced longitudinally from one another;

a blade receiver within the elongate body which resiliently receives said electrode blade and which is electrically connected to said contact wire to provide electrical connection between said contact wire and said electrode blade, said electrode blade extending from the elongate body; and

a switch means for selectively connecting one of said uninsulated portions of said switch wires to said contact wire such that a selected electrical energy is transmitted along said contact wire to said electrode blade from the generator.

2. An electrosurgical instrument as claimed in claim 1 wherein said first and second holding means include channels in which respective said switch wires are resiliently received.

3. An electrosurgical instrument as claimed in claim 2 wherein said cover includes respective projections which project into adjacent said channels to maintain respective said switch wires in respective said channels.

4. An electrosurgical instrument as claimed in claim 3 wherein said switch means includes (a) a contact strip which is attached at a distal end to said blade receiver and at a proximal end to said contact wire, said contact strip extending longitudinally and above but immediately adjacent said uninsulated portions of said switch wires, and (b) two switches mounted in said cover above respective said uninsulated portions of said switch wires which are selectively depressed to push said contact strip into engagement with an associated said switch wire.

5. An electrosurgical instrument as claimed in claim 4 wherein said proximal end of said contact strip includes a U-shaped portion, and wherein said main member includes a slot in which said U-shaped portion is resiliently received.

6. An electrosurgical instrument as claimed in claim 5 wherein said contact wire includes an uninsulated portion which is received in said slot underneath said U-shaped portion;

and wherein said cover includes a retainer which engages said U-shaped portion and maintains said U-shaped portion in said slot and in engagement with said uninsulated portion of said contact wire.

7. An electrosurgical instrument as claimed in claim 6 wherein said switches are upstanding buttons of a one-piece elastic pad;

wherein respective apertures are provided in said cover through which said buttons project; and

wherein a retainer member is attached to said cover to maintain said pad in place sealingly with said cover and said projections are provided on said retainer.

8. An electrosurgical instrument as claimed in claim 7 wherein said blade receiver includes a contact tail extending out of said main member and beneath said cover, said contact tail being inwardly wedge shaped;

and wherein said distal end of said contact strip is provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail to trap said contact strip between said main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

9. An electrosurgical instrument as claimed in claim 8 wherein said main member includes a bridge between said uninsulated portions of said switch wires which extends above said uninsulated portions;

and wherein said elastic pad includes a projection which presses an underlying portion of said contact strip into abutment with said bridge.

10. An electrosurgical instrument as claimed in claim 1 wherein said switch means includes (a) a contact strip which is attached at a distal end to said blade receiver and at a proximal end to said contact wire, said contact strip extending longitudinally and above but immediately adjacent said uninsulated portions of said switch wires, and (b) two switches mounted in said cover above respective said uninsulated portions of said switch wires which are selectively depressed to push said contact strip into engagement with an associated said switch wire.

11. An electrosurgical instrument as claimed in claim 10 wherein said main member includes an upstanding ridge, located between said first and second holding means and underneath said contact strip, over which each of said uninsulated portions of said switch wires extend.

12. An electrosurgical instrument as claimed in claim 10 wherein said proximal end of said contact strip includes a U-shaped portion, and wherein said main member includes a slot in which said U-shaped portion is resiliently received.

13. An electrosurgical instrument as claimed in claim 12 wherein said contact wire includes an uninsulated portion which is received in said slot underneath said U-shaped portion;

and wherein said cover includes a retainer which engages said U-shaped portion and maintains said U-shaped portion in said slot and in engagement with said uninsulated portion of said contact wire.

14. An electrosurgical instrument as claimed in claim 12 wherein said U-shaped portion includes a free end;

and wherein said slot includes a recess formed by a lip in which said free end is trapped.

15. An electrosurgical instrument as claimed in claim 10 wherein said switches are upstanding buttons of a one-piece elastic pad;

wherein respective apertures are provided in said cover through which said buttons project; and

wherein a retainer member is attached to said cover to maintain said pad in place sealingly with said cover.

16. An electrosurgical instrument as claimed in claim 15 wherein said main member includes a bridge between said uninsulated portions of said switch wires which extends above said uninsulated portions;

and wherein said elastic pad includes a projection which presses an underlying portion of said contact strip into abutment with said bridge.

17. An electrosurgical instrument as claimed in claim 10 wherein said blade receiver includes a contact tail extending out of said main member and beneath said cover, said contact tail being inwardly wedge shaped;

and wherein said distal end of said contact strip is provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail to trap said contact strip between said main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

18. An electrosurgical instrument as claimed in claim 1 wherein said blade receiver includes a contact member;

and wherein said main member includes a nose in which said contact member is integrally molded to seal said contact member from a remainder of said main member.

19. An electrosurgical instrument as claimed in claim 18 wherein said blade receiver includes a contact tail extending out of said nose of said main member and beneath said cover, said contact tail being inwardly wedge shaped;

and wherein said switch means includes a contact strip having a distal end provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

20. An electrosurgical instrument as claimed in claim 1 wherein said blade receiver includes a contact tail extending out of said main member and beneath said cover, said contact tail being inwardly wedge shaped;

and wherein said switch means includes a contact strip having a distal end provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail to trap said contact strip between said main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

21. A simple and reliable electrosurgical instrument for selectively providing electrical energy from an electrosurgical generator to a patient for cutting, coagulation, and the like comprising:

an electrode blade;

a cable adapted to be connected to the electrosurgical generator, said cable including a main contact wire, and first and second insulated switch wires each having a short uninsulated portion;

a hollow elongate body including a main member and a cover, said main member including a holding means for holding said uninsulated portions of said switch wires in a laterally extending position across said main member and spaced from one another;

a blade receiver within the elongate body which resiliently receives said electrode blade and which is electrically connected to said contact wire to provide electrical connection between said contact wire and said electrode blade, said electrode blade extending from the elongate body; and

a switch means for selectively connecting one of said uninsulated portions of said switch wires to said contact wire such that a selected electrical energy is transmitted along said contact wire to said electrode blade from the generator, said switch means including (a) a contact strip which is attached at a distal end to said blade receiver and at a proximal end to said contact wire, said contact strip extending longitudinally and above but immediately adjacent said uninsulated portions of said switch wires, said proximal end of said contact strip including a U-shaped portion, and wherein said main member includes a slot in which said U-shaped portion is resiliently received; and

(b) two switches mounted in said cover above respective said uninsulated portions of said switch wires and said contact strip which are selectively depressed to push said contact strip into engagement with an associated said switch wire.

22. An electrosurgical instrument as claimed in claim 21 wherein said switches are upstanding buttons of a one-piece elastic pad;

wherein respective apertures are provided in said cover through which said buttons project; and

wherein a retainer member is attached to said cover to maintain said pad in place sealingly with said cover.

23. An electrosurgical instrument as claimed in claim 22 and further including a bridge between said uninsulated portions of said switch wires which extends above said uninsulated portions;

and wherein said elastic pad includes a projection which presses an underlying portion of said contact strip into abutment with said bridge.

24. An electrosurgical instrument as claimed in claim 22 wherein said blade receiver includes a contact tail extending out of said main member and beneath said cover, said contact tail being inwardly wedge shaped;

and wherein contact strip of said switch means includes a distal end provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail to trap said contact strip between said main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

25. A simple and reliable electrosurgical instrument for selectively providing electrical energy from an electrosurgical generator to a patient for cutting, coagulation, and the like comprising:

an electrode blade;

a cable adapted to be connected to the electrosurgical generator, said cable including a main contact wire, and first and second insulated switch wires;

a hollow elongate body including a hollow interior and a nose having an elongate bore extending longitudinally of said body, said bore being open at a distal end thereof and closed otherwise by said nose whereby said bore is fluidly isolated from said hollow interior;

a blade receiver located in said bore which resiliently receives said electrode blade inserted into said distal end of said bore, said blade extending from said elongate body, said blade receiver including a contact tail which extends through said nose and which is electrically connected to said contact wire to provide electrical connection between said contact wire and said electrode blade, said blade receiver further including a cylindrical contact member which is integrally formed with said contact tail; and

wherein said contact member and said contact tail are integrally molded in said nose;

a switch means for selectively connecting one of said switch wires to said contact wire such that a selected electrical energy is transmitted along said contact wire to said electrode blade from the generator.

26. An electrosurgical instrument as claimed in claim 25 wherein said contact tail is inwardly wedge shaped;

and wherein said switch means includes a contact strip having a distal end provided with an elongate hole therein whereby said contact tail is received through said elongate hole and said contact strip is rotated 90°

with respect to said contact tail to trap said contact strip between said main member and said contact tail and force said slot to spread and form a cold weld between said contact strip and said contact tail.

27. An electrosurgical instrument as claimed in claim 26 wherein said hollow elongate body further includes an upstanding ridge in said hollow interior located parallel but spaced from said contact strip;

and a holding means for holding uninsulated portions of said switch wires in a laterally extending position over said upstanding ridge in said hollow interior and spaced from one another and said contact strip.

28. An electrosurgical instrument as claimed in claim 27, wherein said hollow body includes a cover for said hollow interior;

wherein said switch means includes two buttons of a one-piece elastic pad;

wherein respective apertures are provided in said cover through which said buttons project; and

wherein a retainer member is attached to said cover to maintain said pad in place sealingly with said cover.

29. An electrosurgical instrument as claimed in claim 28 wherein said upstanding ridge includes a bridge between said uninsulated portions of said switch wires which extends above said uninsulated portions;

and wherein said elastic pad includes a projection which presses an underlying portion of said contact strip into abutment with said bridge.

30. An electrosurgical instrument as claimed in claim 29, wherein a proximal end of said contact strip includes a U-shaped portion;

and wherein said elongate body includes a slot in which said U-shaped portion is resiliently received.

31. An electrosurgical instrument as claimed in claim 30 wherein said contact wire includes an uninsulated portion which is received in said slot underneath said U-shaped portion;

and wherein said cover includes a retainer which engages said U-shaped portion and maintains said U-shaped portion in said slot and in engagement with said uninsulated portion of said contact wire.