High frequency surgical instrument

• US 5,971,994 A
• Filed: 07/14/1998
• Issued: 10/26/1999
• Est. Priority Date: 07/16/1997
• Status: Expired due to Fees

• Current Assignee: Integra ME GmbH (Integra LifeSciences Holdings Corporation)
• Original Assignee: Gebrueder Berchtold GmbH
• Inventors: Fritzsch, Gernod
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Ngo, Wen
• Application Number:
  US09/115,399
• Time in Patent Office: 469 Days
• Field of Search: 606/110-115, 606/46, 606/47, 606/48, 606/1, 606/79, 606/127, 606/128, 606/200
• US Class Current: 606/113
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare

Abstract

The invention relates to a high frequency surgical instrument comprising a handling part (11) which has a guide channel (12) which is open at at least one end and a holding element (13) which is axially displaceably guided therein and on which a high frequency voltage acts. The holding element (13) is axially displaceable by means of an actuating part (14) axially displaceable relative to the handling part (11) and is electrically conductively connected at its free end to a preferably elastic cutting loop (15) in such a way that, through axial adjustment of the actuating part (14), the cutting loop (15) can be drawn to a greater or lesser degree into the guide channel (12), or into a tube (16) which continues it outwardly, or can be pushed out of the guide channel (12), or out of the tube (16) continuing it outwardly, whereby the loop size can be changed. The design is such that the two limbs (15'"'"', 15") of the cutting loop (15) are releasably secured to a shaft (13) which is guided in the guide channel (12) or tube (16) and forms the holding element.

Claims

1. A high frequency surgical instrument comprising a handling part that has a guide channel that is open at at least one end and a holding element that is axially displaceably guided therein and on which a high frequency voltage acts, with the holding element being axially displaceable by means of an actuating part axially displaceable with respect to the handling part and being electrically conductively connected at its free connecting end to a preferably elastic cutting loop in such a way that, through axial adjustment of the actuating part, the cutting loop can be drawn to a varying degree into the guide channel, or into a tube which continues it outwardly, or can be pushed out of the guide channel, or out of the tube continuing it outwardly, whereby the loop size can be changed,

wherein the two of the cutting loop are led to a common base which is in turn releasably connectable to a shaft that is guided in the guide channel or tube and forms the holding element and is so dimensioned that it is displaceable with the shaft within at least one of the guide channel and the tube, and

wherein the shaft can be displaced forwardly in at least one of the guide channel and the tube to such an extent that its front connecting end is located adjacent to the front end of the guide channel or tube, respectively, such that the base can be either released from the connection end or connected to it.

2. An instrument in accordance with claim 1 such that the front connecting end projects out of the front end of the guide channel or tube, respectively.

3. An instrument in accordance with claim 1, wherein the base is releasably connected to the shaft via a threaded connection.

4. An instrument in accordance with claim 1, wherein the base is connectable to the shaft via a bayonet connection.

5. An instrument in accordance with claim 1, wherein the actuating part is arranged behind the handling part.

6. An instrument in accordance with claim 1, wherein the guide channel passes up to the rear end of the handling part and the shaft extends through the rear end of the guide channel to the actuating part and is fixedly connected to the actuating part.

7. An instrument in accordance with claim 1, wherein the shaft extends into the actuating part and is electrically conductively connected from there to a high frequency contact, in particular to a high frequency plug contact which can be connected from the outside to a counterpiece coming from the high frequency generator.

8. An instrument in accordance with claim 1, wherein the actuating part contacts the rear end of the handling part when the cutting loop is open to the greatest degree.

9. An instrument in accordance with claim 1, wherein the actuating part is formed as an actuating ring which is axially slidably arranged on the handling part and is connected through an elongate slot to the shaft which is axially guided inside of the handling part.

10. An instrument in accordance with claim 1, wherein the actuating part has a gripping depression which preferably extends around it.

11. An instrument in accordance with claim 1, wherein the actuating part is biased by a spring arrangement in the direction of a reduction of the loop.

12. An instrument in accordance with claim 1, wherein a fixing means is provided for the cutting loop when drawn into a specific position.

13. An instrument in accordance with claim 12, wherein the fixing means comprises a fixing device which blocks at one side and which is correspondingly co-displaced on reduction of the size of the cutting loop but is only displaceable in the sense of an increase in the size of a cutting loop through a hand actuated deblocking device.

14. An instrument in accordance with claim 12, wherein the spring arrangement is disposed between the fixing means and the actuating part.

15. An instrument in accordance with claim 13, wherein the fixing means comprises a fixing ring which is displaceably guided on the handling part and which is loaded by a spring in the blocking direction, a latch pawl arranged on the fixation and an axial latch tooth arrangement on the handling part.

16. An instrument in accordance with claim 15, wherein a coil spring is arranged between the fixing ring and the actuating part.

17. An instrument in accordance with claim 1 wherein the handling part is at least substantially of right cylindrical shape.

18. An instrument in accordance with claim 16, wherein the coil spring is arranged around the handling part.

19. An instrument in accordance with claim 11, further comprising fixing means, wherein the spring arrangement is in the essentially relaxed state on pulling in the cutting loop, or has been tensioned in the pulling direction just sufficiently that it can move the fixing means with it, and is subsequently tensioned in the compression direction by the elastic force of the cutting loop in such a way that the fixing means is active.

20. An instrument in accordance with claim 1, wherein the cutting loop has a metallic surface in its effective zone and is insulated elsewhere.

21. An instrument in accordance with claim 1 wherein the cutting loop consists at least in part and preferably fully of a memory metal wire.