Endoscopic surgical instrument

• US 5,861,002 A
• Filed: 04/26/1996
• Issued: 01/19/1999
• Est. Priority Date: 10/18/1991
• Status: Expired due to Fees

• Current Assignee: 2000 Injectx, Inc., Nokia Telecommunications Oy (Nokia Corporation)
• Original Assignee: Nokia Telecommunications Oy (Nokia Corporation)
• Inventors: Desai, Ashvin H.
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US08/639,199
• Time in Patent Office: 998 Days
• Field of Search: 606/139, 606/210, 606/39-41, 604/8, 604/105, 604/21, 604/27-30, 604/32, 604/33, 604/34, 604/35, 604/167, 604/294, 604/404, 600/10, 600/120
• US Class Current: 606/210
• CPC Class Codes: A61B 1/018 for receiving instruments
• 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 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3498 Valves therefor, e.g. flapper valves, slide valves haemostasis valves A61M39/06; check valves A61M39/24
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• 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 18/1477 Needle-like probes
• 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 18/149 bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
• CPC Class Codes: A61B 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/22072 with an instrument channel, e.g. for replacing one instrument by the other
• CPC Class Codes: A61B 2017/3411 with a plurality of holes, e.g. holes in matrix arrangement
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 : bipolar
• CPC Class Codes: A61B 2018/1425 : Needle
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61B 2218/007 : Aspiration
• CPC Class Codes: A61B 6/12 : Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 8/0841 : for locating instruments
• CPC Class Codes: A61M 1/772 : operating alternately
• CPC Class Codes: A61M 1/774 : Handpieces specially adapted for providing suction as well as irrigation, either simultaneously or independently
• CPC Class Codes: A61N 5/0601 : Apparatus for use inside the body
• CPC Class Codes: A61N 5/062 : Photodynamic therapy, i.e. excitation of an agent

Abstract

An endoscopic surgical instrument treatment device assembly for inserting an endoscope and hollow core electrode assembly through a single access conduit, including a curved electrode guiding sheath or bendable bellows mechanism to deflect the electrode at an angle to the primary axis of the instrument. The device assembly further includes an electrode/needle supply connector assembly through which treatment fluids, laser fiberoptics or microsurgical instruments can be inserted into and through the hollow core electrode. A connector assembly is included for connecting the electrode with an RF energy source for operation in monopolar mode, or for connection of the RF power supply active side to the electrode and RF supply passive side to an electrode guiding sheath additionally functioning as an electrical return path.

Claims

1. A treatment device assembly for an endoscopic surgical instrument comprising:

a) a needle having a hollow core;

b) means for guiding said needle;

c) control structure means for extending and retracting said needle;

d) needle supply means for providing connection to said hollow core of said needle;

e) means for interlocking said assembly to a housing of said endoscopic surgical instrument, so as to extend said needle and means for guiding through a single access conduit of said endoscopic surgical instrument; and

f) means for insertion of an endoscope probe through said single access conduit with said assembly interlocked with said housing.

2. An assembly as recited in claim 1 wherein said needle supply means is for inserting laser fiberoptics through said hollow core.

3. An assembly as recited in claim 1 wherein said needle supply means is for inserting microsurgical instruments through said hollow core.

4. An assembly as recited in claim 1 further comprising:

means for deflecting said needle at an angle from a primary axis of said needle.

5. An assembly as recited in claim 4 wherein said means for deflecting includes said means for guiding having a bendable guiding sheath with a bendable bellows having a guide wire enclosed therein having a first end and a second end with a hollow portion located near said first end, and said assembly further comprising means for tensioning said guide wire;

whereby when said guide wire is tensioned by an operator through operation of said means for tensioning, said bellows portion is angled away from a primary axis of said guiding sheath and said electrode is deflected away from said primary axis.

6. An assembly as recited in claim 4 wherein said means for deflecting is a curved end in said means for guiding for directing said needle away from said primary axis.

7. An assembly as recited in claim 1 wherein said needle is an electrode having a hollow core.

8. An assembly as recited in claim 7 further comprising:

means for connecting RF energy to said assembly.

9. An assembly as recited in claim 8 wherein said means for connecting is for connection of RF energy to said electrode for monopolar operation.

10. An assembly as recited in claim 8 wherein

a) said means for guiding includes an electrical return path;

and

b) said means for connecting includes means for connecting the active side of an RF power supply to said electrode, and means for connecting the return path of said RF power supply to said means for guiding, whereby said assembly is configured to operate in bipolar mode.

11. An assembly as recited in claim 1 wherein said needle having a hollow core is constructed of nickel-titanium.

12. An assembly as recited in claim 1 wherein said control structure means for extending and retracting said needle includes:

a) a central portion having one or more guide bars extending therefrom, and said guide bars terminating in an end block; and

b) a slidable portion coaxially and slidably mounted on said central portion with said guide bars extending therethrough, and said slidable portion having said needle attached thereto;

whereby as said slidable portion is moved relative to said central position, said needle is also moved relative to said central portion.

13. An assembly as recited in claim 12 wherein

a) said needle is an RF electrode;

and

b) said assembly further comprises means for application of RF energy to said electrode for monopolar operation.

14. An assembly as recited in claim 13 further comprising:

means for deflecting said electrode at a predetermined angle from a primary axis of said electrode.

15. An assembly as recited in claim 13 wherein said electrode is constructed from nickel-titanium.

16. An assembly as recited in claim 12 wherein

a) said needle is an RF electrode;

and

b) said means for guiding said needle is an electrical conductor serving as an RF energy return path; and

c) said assembly further comprises means for connecting said electrode and said means for guiding to a source of RF energy for bipolar operation.

17. An assembly as recited in claim 16 further comprising:

means for deflecting said electrode at an angle from a primary axis of said electrode.

18. An assembly as recited in claim 16 wherein said electrode is constructed from nickel-titanium.

19. An assembly as recited in claim 1 wherein said needle supply means is for injecting liquid through said hollow core.