Electrocauterizing tip for orthopedic shave devices

• US 6,007,533 A
• Filed: 03/04/1998
• Issued: 12/28/1999
• Est. Priority Date: 09/19/1997
• Status: Expired due to Term

• Current Assignee: Oratec Interventions Incorporated
• Original Assignee: Oratec Interventions Incorporated
• Inventors: Sharkey, Hugh R., Casscells, Christopher D.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/034,885
• Time in Patent Office: 664 Days
• Field of Search: 606/41, 606/42, 606/45-50, 606/170, 606/180, 604/21, 604/22
• US Class Current: 606/45
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/00464 for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00208 actively driven, e.g. by a motor
• CPC Class Codes: A61B 2018/0091 Handpieces of the surgical instrument or device
• CPC Class Codes: A61B 2018/1861 with an instrument inserted into a body lumen or cavity, e.g. a catheter

Abstract

A surgical apparatus includes: a surgical instrument including a housing and a cannula; and a surgical tool including a shaft, and a tip, and a longitudinal member. The longitudinal member is contained within the shaft and is extendable from an interior position to an exterior position in which it is energized in the exterior position to produce a cauterizing action at the tip.

Claims

1. A surgical apparatus, comprising:

a surgical instrument including a housing and a cannula, and the cannula attached at a proximal end to the housing and defining at a distal end thereof an opening and the housing containing a drive interface; and

a surgical tool including a shaft, a tip, and the tip located in the opening, and the shaft contained within the cannula and the shaft defining a longitudinal annulus extending from a proximal end of the shaft to a distal end of the shaft, and the shaft mechanically coupled at the distal end to the tip, and at the proximal end, to the drive interface and the drive interface producing a surgical motion of the tip; and

a longitudinal member, including a proximal and a distal end, and the longitudinal member located within the annulus, and the longitudinal member extendable from an interior position in which the distal end is positioned within the tip to an exterior position in which the distal end extends beyond the tip, and is adapted to be energized in the exterior position to produce a cauterizing action at the tip.

2. The surgical apparatus of claim 1, wherein the longitudinal member includes a generally insulating portion along its length, and its distal end is generally conducting.

3. The surgical apparatus of claim 2, wherein the longitudinal member'"'"'s generally insulating portion forms a bearing surface between an exterior surface of the longitudinal member and an interior surface of the longitudinal annulus of the shaft.

4. The surgical apparatus of claim 1 wherein the surgical instrument further comprises:

a brush coupled to the housing; and

a commutator coupled to the longitudinal member, and the brush electrically connectable to the commutator to energize the longitudinal member.

5. The surgical apparatus of claim 1, further comprising:

a first magnetic member stationary with respect to the housing; and

a second magnetic member coupled to the longitudinal member, and one of the first and second magnetic members switchably energizable, to produce a magnetic field, and another of the first and second magnetic members responsive to the magnetic field to move the longitudinal member between the interior and the exterior positions.

6. The surgical apparatus of claim 5, wherein the first magnetic member includes a first and second coil, and the first coil is switchably energizable to produce a first magnetic field, and the second coil is switchably energizable to produce a second magnetic field, and the second magnetic member includes a permanent magnet responsive to the first magnetic field to move the longitudinal member to the interior position, and the permanent magnet responsive to the second magnetic field to move the longitudinal member to the exterior position.

7. The surgical apparatus of claim 1, further comprising:

an interconnector, which serves to removably connect the surgical tool to the housing.

8. The surgical apparatus of claim 7, wherein the interconnector further comprises:

a first magnetic member stationary with respect to the interconnector; and

a second magnetic member coupled to the longitudinal member, and one of the first and second magnetic members is switchably energizable, to produce a magnetic field, and another of the first and second magnetic members responsive to the magnetic field to move the longitudinal member between the interior and the exterior positions.

9. The surgical apparatus of claim 1 wherein the shaft is generally conductive.

10. The surgical apparatus of claim 1 wherein the shaft is generally non-conductive.

11. The surgical apparatus of claim 1 wherein the shaft is made from a material selected from the material group consisting of stainless steel and plastic.

12. The surgical apparatus of claim 1, further comprising:

an inner seal located at the tip, and positioned between the longitudinal member and the tip to prevent the flow of fluids in the longitudinal annulus.

13. The surgical apparatus of claim 1, further comprising:

an outer seal, located at the distal end of the shaft between the shaft and the cannula to prevent the flow of fluids.

24. A method of performing a surgical procedure, comprising using the surgical apparatus of claim 1 in the course of performing the surgical procedure.

14. A cutting and cauterizing device for connection to a surgical instrument including a drive interface and a first interconnector, the cutting and cauterizing device comprising:

a cannula defining at a distal end thereof an opening;

a second interconnector, suitable for switchably coupling to a power supply, and the second interconnector located at the proximal end of the cannula and shaped to couple to the first interconnector; and

a surgical tool including a shaft and a tip, and the tip located in the opening, and the shaft contained within the cannula, and the shaft defining a longitudinal annulus extending from a proximal end of the shaft to a distal end of the sheet, and the shaft coupled at a distal end to the tip and at a proximal end adapted to be mechanically coupled to the drive interface to permit a surgical motion of the tip,

a longitudinal member, including a proximal and a distal end, and the longitudinal member located within the annulus, and the longitudinal member extendable from an interior position in which the distal end is positioned within the tip to an exterior position in which the distal end extends beyond the tip, and is adapted to be energized in the exterior position to produce a cauterizing action at the tip.

15. The cutting and cauterizing device of claim 14, wherein the longitudinal member includes a generally insulating portion along its length, and its distal end is generally conducting.

16. The cutting and cauterizing device of claim 15, wherein the generally insulating portion of the longitudinal member forms a bearing surface between an exterior surface of the longitudinal member and an interior surface of the longitudinal annulus of the shaft.

17. The cutting and cauterizing device of claim 14, wherein the first interconnector includes:

a first magnetic member stationary with respect to the first interconnector; and

a second magnetic member coupled to the longitudinal member, and one of the first and second magnetic members is switchably energizable, to produce a magnetic field, and another of the first and second magnetic members is responsive to the magnetic field to move the longitudinal member between the interior and the exterior positions.

18. The cutting and cauterizing device of claim 17, wherein the first magnetic member includes a first and second coil, and the first coil switchably energizable to produce a first magnetic field, and the second coil switchably energizable to produce a second magnetic field, and the second magnetic member includes a permanent magnet responsive to the first magnetic field to move the longitudinal member to the interior position, and the permanent magnet responsive to the second magnetic field to move the longitudinal member to the exterior position.

19. The cutting and cauterizing device of claim 14 wherein the shaft is generally conductive.

20. The cutting and cauterizing device of claim 14 wherein the shaft is generally non-conductive.

21. The cutting and cauterizing device of claim 14 wherein the shaft is made from a material selected from the material group consisting of stainless steel and plastic.

22. The cutting and cauterizing device of claim 14, further comprising:

an inner seal located at the tip, and positioned between the longitudinal member and the tip to prevent the flow of fluids in the longitudinal annulus.

23. The cutting and cauterizing device of claim 14, further comprising:

an outer seal, located at the distal end of the shaft between the shaft and the cannula to prevent the flow of fluids.

25. A method of performing a surgical procedure, comprising using the cutting and cauterizing device of claim 14 in the course of performing the surgical procedure.