Method and apparatus for applying electrical energy to medical instruments

• US 5,984,921 A
• Filed: 05/14/1997
• Issued: 11/16/1999
• Est. Priority Date: 05/14/1997
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Knodel, Bryan D., Long, Gary L., Freeman, Lynetta J.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US08/856,534
• Time in Patent Office: 916 Days
• Field of Search: 606/185, 606/170, 606/38, 606/40, 606/28, 606/32, 606/48, 607/122
• US Class Current: 606/48
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• 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 18/1487 Trocar-like, i.e. devices producing an enlarged transcutaneous opening
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: H01R 2201/12 for medicine and surgery
• CPC Class Codes: H01R 35/04 Turnable line connectors with limited rotation angle with frictional contact members

Abstract

A safety-shielded trocar having an obturator with a linear cutting edge surface defining a base width substantially less than the diameter of the safety shield is disclosed. When the trocar is inserted through tissue, the tissue dilates from the width of the linear incision to accommodate the size of the safety shield of the trocar, thus making it possible to provide an access opening greater than the incisional width made by the linear cutting edge surface of the obturator. In a preferred embodiment, the safety shield has a shield tip region which is asymmetric to facilitate the dilation of the tissue as the trocar is inserted.

Claims

1. An electrosurgical adapter wherein the electrosurgical adapter comprises:

a) an elongated central aperture extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

b) first and second electrical contacts positioned in and extending axially along said elongated aperture;

c) a first electrical conductor connecting said first electrical contact to a first external connector;

d) a second electrical conductor connecting said second electrical contact to a second external connector;

e) a compression mechanism wherein said compression mechanism is adapted to bias said first and second electrical contacts toward a central axis of said aperture;

f) an outer housing surrounding said aperture and said first and second electrical contacts; and

g) an electrical cord connected to said first and second external connectors and extending from said outer housing.

2. An electrosurgical adapter according to claim 1, wherein said first and second electrical contacts comprise:

a) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall;

b) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall.

3. An electrosurgical adapter according to claim 2 wherein said compression mechanism comprises a compression member surrounding said stator plates.

4. An electrosurgical adapter according to claim 3 wherein said compression member comprises one or more compression rings.

5. An electrosurgical adapter wherein the electrosurgical adapter comprises:

a) an elongated central aperture extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

b) first and second electrical contacts positioned in and extending axially along said elongated aperture, wherein said first and second electrical contacts comprise;

i) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall;

ii) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall;

c) a first electrical conductor connecting said first electrical contact to a first external connector;

d) a second electrical conductor connecting said second electrical contact to a second external connector;

e) a compression mechanism wherein said compression mechanism is adapted to bias said first and second stator plates toward the center of said aperture, said compression mechanism comprising;

i) a compression member surrounding said stator plates, wherein said compression member comprises one or more compression rings;

f) an outer housing surrounding said aperture and said first and second electrical contacts; and

g) an electrical cord connected to said first and second external connectors and extending from said outer housing.

6. An electrosurgical trocar, including a trocar adapter, wherein said electrosurgical adapter comprises:

a) an elongated central aperture extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

b) first and second electrical contacts positioned in and extending axially along said elongated aperture;

c) a first electrical conductor connecting said first electrical contact to a first external connector;

d) a second electrical conductor connecting said second electrical contact to a second external connector;

e) a compression mechanism wherein said compression mechanism is adapted to bias said first and second electrical contacts toward the center of said aperture;

f) an outer housing surrounding said aperture and said first and second electrical contacts; and

g) an electrical cord connected to said first and second external connectors and extending from said outer housing.

7. An electrosurgical trocar according to claim 6 wherein said first and second electrical contacts comprise:

a) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall; and

b) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall.

8. An electrosurgical trocar according to claim 7, wherein said compression mechanism comprises a compression member surrounding said stator plates.

9. An electrosurgical trocar according to claim 8, wherein said compression member comprises one or more compression rings.

10. An electrosurgical trocar, said trocar comprising:

a) a cannula

b) an electrosurgical adapter wherein said electrosurgical adapter comprises;

i) an elongated central aperture extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

ii) first and second electrical contacts positioned in and extending axially along said elongated aperture, wherein said first and second electrical contacts comprise;

A) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall;

B) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall;

iii) a first electrical conductor connecting said first electrical contact to a first external connector;

iv) a second electrical conductor connecting said second electrical contact to a second external connector;

v) a compression mechanism wherein said compression mechanism is adapted to bias said first and second stator plates toward the center of said aperture, said compression mechanism comprising

a compression member surrounding said stator plates, wherein said compression member comprises one or more compression rings;

vi) an outer housing surrounding said aperture and said first and second electrical contacts;

vii) an electrical cord connected to said first and second external connectors and extending from said outer housing;

c) a locking connector adapted to connect said cannula to said adapter, wherein said locking connector comprises;

i) first and second locking cleats extending from said first end of said adapter; and

ii) first and second indentations on said cannula.

11. An electrosurgical adapter wherein the electrosurgical adapter comprises:

a) an elongated central aperture including a central axis extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

b) first and second electrical contact means for providing electrical energy to instruments placed in said aperture, said first and second contact means being positioned in and extend axially along said elongated aperture;

c) a first electrical conductor connecting said first electrical contact means to a first external connector means for connecting said first electrical conductor to an external source of electrical energy;

d) a second electrical conductor connecting said second electrical contact to a second external connector means for connecting said second electrical conductor to an external source of electrical energy;

e) compression means adapted to bias said first and second electrical contact means towards said central axis of said aperture;

f) an outer housing surrounding said aperture and said first and second electrical contact means; and

g) an electrical cord connected to said first and second external connector means and extending from said outer housing.

12. An electrosurgical adapter according to claim 11, wherein said first and second electrical contact means comprise:

a) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall; and

b) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall.

13. An electrosurgical adapter according to claim 12 wherein said compression means comprises a compression member surrounding said stator plates.

14. An electrosurgical adapter according to claim 13 wherein said compression member comprises one or more compression ring means for providing substantially equal pressure around said aperture.

15. An electrosurgical adapter wherein the electrosurgical adapter comprises:

a) an elongated central aperture including a central axis extending from a first end of said adapter to a second end of said adapter, wherein said central aperture is surrounded by an aperture wall;

b) first and second electrical contact means for providing electrical energy to instruments positioned in said aperture, wherein said first and second electrical contact means are positioned in and extend axially along said elongated aperture, wherein said first and second electrical contact means comprise;

i) a first stator plate, wherein said first stator plate comprises a first portion of said aperture wall;

ii) a second stator plate electrically insulated from said first stator plate, wherein said second stator plate comprises a second portion of said aperture wall;

c) a first electrical conductor connecting said first electrical contact means to a first external connector means for connecting said first electrical conductor to an external source of electrical energy;

d) a second electrical conductor connecting said second electrical contact means to a second external connector means for connecting said first electrical conductor to an external source of electrical energy;

e) a compression means adapted to bias said first and second stator plates toward said central axis of said aperture, said compression means comprising

a compression member surrounding said stator plates, wherein said compression member comprises one or more compression rings;

f) an outer housing surrounding said aperture and said first and second electrical contact means; and

g) an electrical cord connected to said first and second external connector means and extending from said outer housing.