Endoscopic instrument with disposable auto-regulating heater

• US 5,480,398 A
• Filed: 05/17/1994
• Issued: 01/02/1996
• Est. Priority Date: 05/01/1992
• Status: Expired due to Fees

• Current Assignee: Hemostatic Surgery Corporation
• Original Assignee: Hemostatic Surgery Corporation
• Inventors: Eggers, Philip E.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/245,304
• Time in Patent Office: 595 Days
• Field of Search: 606/28-34, 606/37-42, 606/45-52, 219/10.75
• US Class Current: 606/29
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration

Abstract

An instrument for use in endoscopic surgery is provided. The instrument has a reusable shaft to which a disposable working tip can be removably attached. The disposable working tip has a working surface for providing hemostasis at an auto-regulated temperature. The working surface may include a tapered edge for providing thermally-enhanced cutting and a non-stick coating for operating the instrument at low auto-regulation temperatures. The instrument is capable of being used for a wide variety of endoscopic surgical procedures.

Claims

1. A disposable working tip for use in endoscopically manipulating and coagulating tissue, the disposable working tip adapted to be removably connected to the end of a reusable elongated shaft, the disposable working tip comprising:

a working end having a working surface for contacting tissue and a cross-section extending perpendicularly to the working surface, the working end integrally formed of a heating element, the working surface maintained at an auto-regulated temperature by conducting a current throughout the entire cross-section of the working end, the heating element comprising a material having a skin depth extending substantially throughout the cross-section of said working end responsive to the temperature of the heating element and that decreases as the temperature of the heating element falls below the auto-regulated temperature;

first and second terminals electrically coupled to the working end and adapted to be removably coupled to the end of the reusable elongated shaft; and

means for coupling the disposable working tip to the end of the reusable elongated shaft.

2. A disposable working tip as defined in claim 1 wherein the material further comprises a material that exhibits a Curie transition in permeability.

3. A disposable working tip as defined in claim 2 wherein the material further comprises a ferromagnetic material.

4. A disposable working tip as defined in claim 1 wherein the working surface further comprises a tapered edge for thermally-enhanced cutting of tissue at a temperature in the range of the auto-regulated temperature.

5. A disposable working tip as defined in claim 4 wherein the tapered edge defines an apex having an angle in the range of approximately 15 to approximately 50 degrees.

6. A disposable working tip as defined in claim 1 wherein the working end further comprises a material that can be bent and configured during surgery in order to reach tissue otherwise difficult to access.

7. A disposable working tip as defined in claim 1 wherein the working surface further comprises a coating of electrically-insulating non-stick material to reduce the accumulation of coagulum on the working surface.

8. A disposable working tip as defined in claim 1 further comprising:

an end cap having a passageway therethrough adapted to permanently hold the working end; and

engagement means disposed on said end cap for removably attaching said disposable working tip to said end of the reusable elongated shaft.

9. A disposable working tip as defined in claim 8 wherein the reusable elongated shaft includes a portion defining a window and said engagement means includes a locking tongue adapted to interengage the window.

10. A disposable working tip as defined in claim 8 wherein said end cap includes a second passageway for allowing a tube to pass therethrough, said tube being permanently disposed from the end of the reusable elongated shaft.

11. A disposable working tip as defined in claim 10 wherein the tube is adapted to provide irrigation during surgery.

12. A disposable working tip as defined in claim 10 wherein the tube is adapted to provide suction during surgery.

13. An instrument for use in endoscopically manipulating and coagulating tissue comprising:

a reusable elongated shaft having a proximal end and a distal end, the proximal end having first and second electrical connectors adapted to be coupled to a power supply; and

a working end having a working surface for contacting tissue and a cross-section extending perpendicularly to the working surface, the working end integrally formed of a heating element, the working surface maintained at an auto-regulated temperature by conducting a current throughout the entire cross-section of the working end, the heating element comprising a material having a skin depth extending substantially throughout the cross-section of the working end responsive to the temperature of the heating element and that decreases as the temperature of the heating element falls below the auto-regulated temperature;

first and second terminals electrically coupled to the working end and adapted to be coupled to the first and second electrical connectors, respectively; and

means for removably coupling the working end to the distal end of the reusable elongated shaft.

14. An instrument as defined in claim 13 wherein the material further comprises a material that exhibits a Curie transition in permeability.

15. An instrument as defined in claim 14 wherein the material further comprises a ferromagnetic material.

16. An instrument as defined in claim 13 wherein the working surface further comprises a tapered edge for thermally-enhanced cutting of tissue at a temperature in the range of the auto-regulated temperature.

17. An instrument as defined in claim 13 wherein the working end further comprises a material that can be bent and configured during surgery in order to reach tissue otherwise difficult to access.

18. An instrument as defined in claim 13 wherein the working surface further comprises a coating of electrically-insulating non-stick material to reduce the accumulation of coagulum on the working surface.

19. A disposable working tip as defined in claim 13 further comprising:

an end cap having a passageway therethrough adapted to permanently hold the working end; and

engagement means disposed on said end cap for removably attaching said disposable working tip to said end of the reusable elongated shaft.

20. An instrument as defined in claim 19 wherein the reusable elongated shaft includes a portion defining a window and said engagement means includes a locking tongue adapted to interengage the window.

21. An instrument as defined in claim 19 wherein said end cap includes a second passageway for allowing a tube to pass therebetween, said tube being permanently disposed from the distal end of the reusable elongated shaft.

22. An instrument as defined in claim 21 wherein the tube is adapted to provide irrigation or suction during surgery.

23. A disposable working tip for use in endoscopically manipulating and hemostatically cutting tissue, the disposable working tip adapted to be removably connected to the end of a reusable elongated shaft, the disposable working tip comprising:

a working end having a working surface for contacting tissue and a cross-section extending perpendicularly to the working surface, the working end integrally formed of a heating element, the working surface maintained at an auto-regulated temperature by conducting a current throughout the entire cross-section of the working end, the working surface including an atraumatic edge that becomes capable of cutting tissue when heated to a temperature in the range of the auto-regulated temperature, the heating element comprising a material having a skin depth extending substantially throughout the cross-section of said working end responsive to the temperature of the heating element and that decreases as the temperature of the heating element falls below the auto-regulated temperature;

first and second terminals electrically coupled to the working end and adapted to be removably attached to the end of the reusable elongated shaft; and

means for coupling the disposable working tip to the end of the reusable elongated shaft.

24. A disposable working tip as defined in claim 23 wherein the material further comprises a material that exhibits a Curie transition in permeability.

25. A disposable working tip as defined in claim 24 wherein the material further comprises a ferromagnetic material.

26. A disposable working tip as defined in claim 23 wherein the atraumatic edge comprises a tapered edge defining an apex having an angle in the range of approximately 15 to approximately 50 degrees.

27. A disposable working tip as defined in claim 23 wherein the working end further comprises a material that can be bent and configured during surgery in order to reach tissue otherwise difficult to access.

28. A disposable working tip as defined in claim 23 wherein the working surface further comprises a coating of electrically-insulating non-stick material to reduce the accumulation of coagulum on the working surface.

29. A disposable working tip as defined in claim 23 further comprising:

an end cap having a passageway therethrough adapted to permanently hold the working end; and

engagement means disposed on said end cap for removably attaching said disposable working tip to said end of the reusable elongated shaft.

30. A disposable working tip as defined in claim 29 wherein the reusable elongated shaft includes a portion defining a window and the engagement means includes a locking tongue adapted to interengage the window.

31. A disposable working tip as defined in claim 29 wherein said end cap includes a second passageway for allowing a tube to pass therethrough, the tube being permanently disposed from the end of the reusable elongated shaft, the tube adapted to provide suction or irrigation.

32. An instrument for use in endoscopically manipulating and hemostatically cutting tissue comprising:

a reusable elongated shaft having a proximal end and a distal end, the proximal end having first and second electrical connectors adapted to be coupled to a power supply; and

a working end having a working surface for contacting tissue and a cross-section extending perpendicularly to the working surface, the working end integrally formed of a heating element, the working surface maintained at an auto-regulated temperature by conducting a current throughout the entire cross-section of the working end, the working surface including an atraumatic edge that becomes capable of cutting tissue when heated to a temperature in the range of the auto-regulated temperature, the heating element comprising a material having a skin depth extending substantially throughout the cross-section of the working end responsive to the temperature of the heating element and that decreases as the temperature of the heating element falls below the auto-regulated temperature;

first and second terminals electrically coupled to the working end and adapted to be coupled to the first and second electrical connectors, respectively; and

means for removably coupling the working end to the distal end of the reusable elongated shaft.

33. A disposable working tip as defined in claim 32 wherein the material further comprises a material that exhibits a Curie transition in permeability.

34. A disposable working tip as defined in claim 33 wherein the material further comprises a ferromagnetic material.

35. A disposable working tip as defined in claim 32 wherein the atraumatic edge comprises a tapered edge defining an apex having an angle in the range of approximately 15 to approximately 50 degrees.

36. A disposable working tip as defined in claim 32 wherein the working end further comprises a material that can be bent and configured during surgery in order to reach tissue otherwise difficult to access.

37. A disposable working tip as defined in claim 32 wherein the working surface further comprises a coating of electrically-insulating non-stick material to reduce the accumulation of coagulum on the working surface.

38. A disposable working tip as defined in claim 32 further comprising:

an end cap having a passageway therethrough adapted to permanently hold the working end; and

engagement means disposed on said end cap for removably attaching said disposable working tip to said end of the reusable elongated shaft.

39. A disposable working tip as defined in claim 38 wherein the reusable elongated shaft includes a portion defining a window and the engagement means includes a locking tongue adapted to interengage the window.

40. A disposable working tip as defined in claim 38 wherein said end cap includes a second passageway for allowing a tube to pass therethrough, the tube being permanently disposed from the end of the reusable elongated shaft, the tube adapted to provide suction or irrigation.