Insulated surgical scissors including cauterizing tip

• US 6,562,035 B1
• Filed: 04/19/2001
• Issued: 05/13/2003
• Est. Priority Date: 04/19/2001
• Status: Expired due to Fees

• Current Assignee: John M. Levin
• Original Assignee: John M. Levin
• Inventors: Levin, John M.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US09/837,903
• Time in Patent Office: 754 Days
• Field of Search: 606/41, 606/45, 606/46, 606/48-52, 606/170
• US Class Current: 606/45
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/0088 ceramic
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/146 Scissors

Abstract

An insulated surgical scissors including a cauterizing tip that permits a surgeon the ability to mechanically cut tissue that is purchased between the cutting blades of the scissors and to apply a cauterization current to a precise portion of the seized tissue, thereby minimizing inadvertent burning of surrounding tissue. Both monopolar and bipolar configurations of the insulated surgical scissors are provided.

Claims

1. An apparatus for cutting and cauterizing tissue during surgery while minimizing electrical and thermal contact of said apparatus with surrounding tissue, said apparatus comprising:

a pair of opposing electrically conductive cutting blades pivotally connected to allow for shearing action of any tissue confined between opposed cutting edges of said cutting blades, said blades having blunted tips, said pair of opposing cutting blades being entirely covered with an electrically and thermally insulative material except at said blunted tips;

wherein each of said cutting blades comprises an inner surface, an outer surface, an outer edge, the cutting edge and a distal edge surface, said blunted tip comprising said distal edge surface and forming a portion of said inner surface, said outer surface, said outer edge, and said cutting edge;

wherein each of said cutting blades is covered with an electrically and thermally insulative material except on said inner surface closely adjacent said cutting edge or except on said outer surface closely adjacent said cutting edge; and

a power source coupled to at least one of said pair of opposing cutting blades for electrically and thermally energizing at least one of said pair of blades.

2. An apparatus for cutting and cauterizing tissue during surgery while minimizing electrical and thermal contact of said apparatus with surrounding tissue, said apparatus comprising:

a pair of opposing electrically conductive cutting blades pivotally connected to allow for shearing action of any tissue confined between opposed cutting edges of said cutting blades, said blades having blunted tips, said pair of opposing cutting blades being entirely covered with an electrically and thermally insulative material except on confronting surfaces at said blunted tips;

a power source having a power side that is electrically coupled to one of said pair of opposing cutting blades and having a ground side that is electrically coupled to the other one of said pair of opposing cutting blades for generating a cauterization current that flows through tissue trapped between said confronting surfaces at said blunted tips; and

wherein each of said confronting surfaces comprises a set back, said set back forming a cavity for facilitating the capture of tissue between said cutting blades.

3. An apparatus for cutting and cauterizing tissue during surgery while minimizing electrical and thermal contact of said apparatus with surrounding tissue, said apparatus comprising:

a pair of opposing electrically conductive cutting blades pivotally connected to allow for shearing action of any tissue confined between opposed cutting edges of said cutting blades, said blades having blunted tips, one of said pair of opposing cutting blades being entirely covered with an electrically and thermally insulative material including its blunted tip and the other one of said pair of opposing cutting blades being entirely covered with an electrically and thermally insulative material except at its corresponding blunted tip; and

a power source coupled to at least one of said pair of opposing cutting blades for electrically and thermally energizing at least one of said pair of blades.

4. The apparatus of claim 3 wherein said each of said cutting blades comprises an inner surface, an outer surface, an outer edge, the cutting edge and a distal edge surface, said blunted tip comprising said distal edge surface and forming a portion of said inner surface, said outer surface, said outer edge, and said cutting edge.

5. The apparatus of claim 4 wherein said portions of said inner surface, said outer surface, said outer edge and said cutting edge forming said corresponding blunted tip comprise lengths of less than 5 millimeters from said distal edge surface.

6. The apparatus of claim 3 wherein said portions of said inner surface, said outer surface, said outer edge and said cutting edge forming said corresponding blunted tip comprise lengths of between 1 and 3 millimeters from said distal edge surface.

7. The apparatus of claim 3 wherein said cutting blades comprise respective confronting surfaces, said apparatus including a closed condition wherein said confronting surfaces form overlapping surfaces when the tissue being cut is trapped therebetween.

8. The apparatus of claim 3 wherein said apparatus includes a closed condition whereby said respective cutting edges of said cutting blades lie in a common plane and do not pass each other.

9. The apparatus of claim 8 wherein each of said cutting blades comprises a stop surface along said cutting edge, said stop surfaces of said cutting blades contacting to prevent said cutting blades from passing each other during closure of said apparatus.

10. The apparatus of claim 4 wherein one of said cutting blades is covered with an electrically and thermally insulative material except on said inner surface closely adjacent said cutting edge.

11. The apparatus of claim 10 wherein one of said cutting blades is covered with an electrically and thermally insulative material except on said outer surface closely adjacent said cutting edge.

12. The apparatus of claim 4 wherein one of said cutting blades is covered with an electrically and thermally insulative material except on said outer surface closely adjacent said cutting edge.

13. The apparatus of claim 12 wherein one of said cutting blades is covered with an electrically and thermally insulative material except on said inner surface closely adjacent said cutting edge.

14. The apparatus of claim 3 wherein said power source is coupled to the other one of said pair of opposing cutting blades for electrically and thermally energizing the other one of said pair of blades.