Cautery probes for endoscopic electrosurgical suction-irrigation instrument

• US 5,312,400 A
• Filed: 10/09/1992
• Issued: 05/17/1994
• Est. Priority Date: 10/09/1992
• Status: Expired due to Fees

• Current Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Original Assignee: Symbiosis Corporation (Boston Scientific Corporation)
• Inventors: Solar, Matthew S., Bales, Thomas O., Ryan, Dana W.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Harris, Sonya C.
• Application Number:
  US07/959,247
• Time in Patent Office: 585 Days
• Field of Search: 606/41, 606/43, 606/44, 606/45, 606/46, 606/49, 606/42
• US Class Current: 606/41
• CPC Class Codes: A61B 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/32113 with extendable or retractable guard or blade
• CPC Class Codes: A61B 2018/00958 for switching between different working modes of the main function
• CPC Class Codes: A61M 1/7415 by deformation of the fluid passage
• CPC Class Codes: A61M 1/772 operating alternately
• CPC Class Codes: A61M 2205/6081 Colour codes
• CPC Class Codes: A61M 3/0233 characterised by liquid supply means, e.g. from pressurised reservoirs
• CPC Class Codes: A61M 5/1418 Clips, separators or the like for supporting tubes or leads

Abstract

A cautery probe is described for use with an endoscopic instrument where the endoscopic instrument has an electrical contact located therein. The probe includes an insulated handle which extends out of the instrument, a conductive probe element which is mounted in the insulated handle and extends through the distal end of the endoscopic instrument, and an insulating cover. The conductive probe element has a distal cautery surface, and an electrical contact surface at a location between the proximal end of the conductive probe and the distal cautery surface, with the electrical contact surface contacting the electrical contact in the endoscopic instrument when said cautery probe is inserted in the endoscopic instrument. The insulating cover substantially covers the conductive probe element from the insulated handle up to but not at the electrical contact surface, and substantially covers the probe element from a point beyond the electrical contact surface, up to but not at the distal cautery surface. Preferably, the cannula of the endoscopic instrument is used as the electrical contact, and the electrical contact surface of the probe element is a bump which contacts the cannula.

Claims

1. A removable cautery probe for use with an endoscopic instrument having a proximal probe receiving opening and an electrical contact located within said endoscopic instrument, said probe comprising:

a) an insulated handle;

b) a conductive probe means having a proximal end mounted in said insulated handle, a distal cautery surface, and an electrical contact surface at a location between said proximal end of said conductive probe and said distal cautery surface, said electrical contact surface adapted to contact the electrical contact in the endoscopic instrument when said cautery probe is inserted through the proximal probe receiving opening in the endoscopic instrument and extended therethrough; and

c) an insulating cover for said conductive probe means, said insulating cover substantially covering said conductive probe means from said insulated handle up to but not at said electrical contact surface, and substantially covering said probe means from a point beyond said electrical contact surface, up to but not at said distal cautery surface,

wherein said removable cautery probe is entirely removable from the endoscopic instrument by pulling said insulated handle out of the proximal probe receiving opening of the endoscopic instrument.

2. A cautery probe according to claim 1, wherein:

said insulated handle is provided with a recess for receiving and holding a color coded insert, wherein the color of said color coded insert is determined by the configuration of said distal cautery surface.

3. A cautery probe according to claim 1, the endoscopic instrument including a hollow metal cannula for receiving said cautery probe, said hollow metal cannula constituting said electrical contact, wherein:

said cautery probe has a longitudinal axis, and

said electrical contact surface comprises a bump which extends away from said longitudinal axis of said conductive probe means, said bump contacting the cannula when said cautery probe is inserted in the cannula.

4. A cautery probe according to claim 3, wherein:

said bump is located toward said distal end of said conductive probe means.

5. A cautery probe according to claim 1, the endoscopic instrument including a fluid chamber having a proximal end with a first opening, and a distal end with a second opening, and a cannula extending from said second opening in the distal end of the fluid chamber, the electrical contact being located in said fluid chamber, wherein:

said electrical contact surface is located at a predetermined location along said conductive probe means such that upon said probe means being inserted through the first opening of said fluid chamber to a first inserted position, said cautery probe contacts the electrical contact in the fluid chamber.

6. A cautery probe according to claim 1, wherein:

said conductive probe means is a long thin, wire, and

said insulated handle includes a recess at a distal end of said insulated handle which receives said proximal end of said long thin wire.

7. A cautery probe according to claim 6, where the endoscopic instrument has mating means for mating with said cautery probe, wherein:

said insulated handle includes a radial groove which receives the mating means of the endoscopic instrument.

8. A cautery probe according to claim 1, wherein:

said insulated handle has a proximal portion which is substantially round in cross section.

9. A cautery probe according to claim 1, where the endoscopic instrument has mating means for mating with said cautery probe, wherein:

said conductive probe means is a long thin wire,

said insulated handle includes a recess at a distal end of said insulated handle which receives said proximal end of said long thin wire, and a radial groove which receives the mating means of the endoscopic instrument, and said insulated handle has a proximal portion which is substantially round in ross section.

10. A cautery probe according to claim 9, wherein:

said insulated handle is provided with a recess for receiving and holding a color coded insert, wherein the color of said color coded insert is determined by the configuration of said distal cautery surface.

11. A cautery probe according to claim 9, where the endoscopic instrument including a hollow metal cannula constituting said cautery probe, said hollow metal cannula constituting said electrical contact, wherein:

said cautery probe has a longitudinal axis, and

said electrical contact surface comprises a bump which extends away from said longitudinal axis of said conductive probe means, said bump contacting the cannula when said cautery probe is inserted in the cannula.

12. A cautery probe according to claim 11, wherein the endoscopic instrument including a fluid chamber having a proximal end with a first opening, and a distal end with a second opening, and a cannula extending from said second opening in the distal end of the fluid chamber, the electrical contact being located in said fluid chamber, wherein:

said electrical contact surface is located at a predetermined location along said conductive probe means such that upon said probe means being inserted through the first opening of said fluid chamber to a first inserted position, said cautery probe contacts the electrical contact in the fluid chamber.

13. A removable cautery probe for use with an endoscopic instrument having a proximal probe receiving opening and an electrical contact located within the endoscopic instrument, said probe comprising:

a) an insulated shank insertable in the endoscopic instrument and having a hollow interior with a proximal opening and a distal opening;

b) a conductive probe means having a proximal end, a distal cautery surface a proximal end extended into the distal opening of said insulating shank, and an electrical contact surface at a location between said proximal end of said conductive probe and said distal cautery surface, said electrical contact surface adapted to contact the electrical contact in the endoscopic instrument when said cautery probe is inserted through the proximal probe receiving opening in the endoscopic instrument;

c) an insulating cover for said conductive probe means, said insulating cover covering said conductive probe means along a portion thereof proximal said electrical contact surface but not at said electrical contact surface, and substantially covering said probe means from a point beyond said electrical contact surface, up to but not at said distal cautery surface; and

d) means for moving said conductive probe means relative to said insulated shank.

14. A cautery probe according to claim 13, wherein:

said means for moving said conductive probe means comprises an insulated handle mounted in said insulated shank and extending through said proximal opening of said insulated shank, said proximal end of said conductive probe means being mounted in said insulated handle.

15. A cautery probe according to claim 14, wherein:

said means for moving said conductive probe means further comprises a spring means mounted within said hollow interior of said insulated shank, said spring means for biasing said insulated shank out of said proximal opening of said insulated shank.

16. A cautery probe according to claim 15, wherein:

said means for moving said conductive probe means further comprises a movable latch means for preventing movement of said insulated handle through said proximal opening of said insulated shank.

17. A cautery probe according to claim 16, wherein:

said insulated handle is provided with interlocking means cooperating with said movable latch means wherein movement of said insulated handle is prevented when said insulated handle is in a first position.

18. A cautery probe according to claim 17, wherein:

said movable latch means comprises a spring biased pin which is biased toward said insulated handle, and which engages said interlocking means.

19. A cautery probe according to claim 18, wherein:

said insulated shank is provided with a third opening, and said spring biased pin is provided with an extending portion which extends through said third opening.