Electrosurgical instrument with interchangeable surgical tools

• US 5,792,139 A
• Filed: 05/06/1997
• Issued: 08/11/1998
• Est. Priority Date: 12/02/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Sejourne, Eric L., Merrifield, Tom H., Chambers, Alan L., McMorrow, Brian, Terrill, Arnold M., Cusati, Ward R.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US08/851,554
• Time in Patent Office: 462 Days
• Field of Search: 606/37-42, 606/45-52, 606/205-208, 604/21, 604/22
• US Class Current: 606/41
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy

Abstract

A multi-functional surgical instrument having an interchangeable surgical tool removeably, rotatably attached to a handle. An axially moveable sheath on the surgical tool is moveable from a retracted first position wherein an electrosurgical electrode is exposed to an extended second position wherein the sheath covers the electrosurgical electrode. Both the interchangeable surgical tools and the handle are sterilizable and disposable.

Claims

1. A multi-functional surgical instrument comprising:

a handle;

an interchangeable surgical tool removably, rotatably attached to said handle wherein said surgical tool comprises;

at least one electrode for electrosurgical cutting of tissue;

a moveable sheath for covering the at least one electrode, said sheath being moveable from a first axial position to a second axial position; and

a means adapted to contact said sheath for latching said sheath in one of said axial positions;

means for indexing the interchangeable surgical tool to a plurality of discrete radial positions wherein said means for indexing is connected between said interchangeable surgical tool and said handle; and

said surgical tool including at least one spring member, said at least one spring member providing a biasing force for said means for indexing and said means for latching.

2. The multi-functional surgical instrument according to claim 1, wherein the means for latching includes a tool attachment extension on the housing, the tool attachment extension having a first latching engagement member and a second latching engagement member for engaging said at least one spring member.

3. The multi-functional surgical instrument according to claim 1 wherein said means for indexing includes a tool attachment extension on said handle, said tool attachment extension having a plurality of ratchets about an outer peripheral surface and said at least one spring member engaging said plurality of ratchets.

4. The multi-functional surgical instrument according to claim 3, further comprising:

a ratchet engaging button on each of said at least one spring member.

5. The multi-functional surgical instrument according to claim 1 wherein said handle includes a releasable latch means for releasably engaging the surgical tool.

6. The multi-functional surgical instrument according to claim 5 wherein said releasable latch means forms an electrically conductive connection from an electrical source to said at least one electrode.

7. A multi-functional surgical instrument comprising:

a handle;

an interchangeable surgical tool removeably, rotatably attached to the handle wherein said surgical tool comprises;

at least one electrode for electrosurgical cutting of tissue;

a moveable sheath for covering said at least one electrode, said sheath being moveable from a first axial position to a second axial position;

a means for latching said sheath in one of said axial positions, wherein said surgical tool includes at least one spring member, when said sheath is in the second axial position said at least one spring member providing a biasing force for the means for latching and when said sheath is in the first axial position said at least one spring member providing a biasing force for both the means for latching and the means for indexing; and

means for indexing said interchangeable surgical tool to a plurality of discrete radial positions.

8. A multi-functional surgical instrument comprising:

an electrically insulating housing having a tool attachment extension thereon, the tool attachment extension having a plurality of ratchets and first and second latch engagement members about an outer peripheral surface, the first latch engagement member being axial spaced from the second engagement member;

a releasable latch means on said housing for releasably engaging an interchangeable surgical tool;

a fluid irrigation tube in said housing and a valve for controlling the flow of fluid through the fluid irrigation tube;

a fluid evacuation tube in said housing and a valve for controlling the flow of fluid through the fluid evacuation tube;

an interchangeable surgical tool comprising;

an electrically conductive annular tube;

an electrical conductive interface fitting attached to a first end of the annular tube;

an electrode for electrosurgical cutting of tissue attached to a second end of the annular tube;

a moveable sheath, the sheath being moveable from a first position to a second position relative to said annular tube, when in the second position the sheath covering the electrode; and

a spring means for engaging the ratchets and the first and second latch engagement members;

the interface fitting adapted to fit into said releasable latch means having an axially extending bore there-through and a groove around the exterior of the interface fitting, the fluid irrigation tube and fluid evacuation tube being in fluid communication with the electrically conductive annular tube and the releasable latch means engaging the groove of the interface fitting, the releasable latch means forming an electrically conductive connection from an electrical source to the electrically conductive interface fitting.