Surgical instrument with retractable sheath

• US 7,198,625 B1
• Filed: 06/02/2004
• Issued: 04/03/2007
• Est. Priority Date: 10/01/2003
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Stryker Corporation
• Inventors: Hui, Simon S., Cover, Reid S.
• Primary Examiner(s): Peffley; Michael
• Assistant Examiner(s): TOY, ALEX B
• Application Number:
  US10/859,765
• Time in Patent Office: 1,035 Days
• Field of Search: 606/41
• US Class Current: 606/41
• 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 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/1422 Hook
• CPC Class Codes: A61B 2218/002 Irrigation
• CPC Class Codes: A61B 2218/007 Aspiration
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463

Abstract

An electrosurgical suction/irrigation instrument includes a shaft hub, an electrically conductive member, and a sheath. The conductive member has a proximal end mounted to the shaft hub and a distal end including a conductive operating tip. The sheath covers the conductive member so that the operating tip is covered when the sheath is in an extended position and exposed when the sheath is in a retracted position. The sheath hub is coupled to the sheath and is movably engaged with the shaft hub. The surgical instrument further includes a locking mechanism to lock the sheath in the retracted position, and a bias element to bias the sheath toward the extended position.

Claims

1. A surgical instrument comprising:

a shaft hub;

an electrically conductive member which has a proximal end mounted to the shaft hub and which has a distal end including a conductive operating tip;

a sheath to cover the conductive member such that the sheath covers the operating tip when the sheath is in an extended position and the operating tip is exposed when the sheath is in a retracted position;

a sheath hub coupled to the sheath and movably engaged with the shaft hub;

a locking mechanism to lock the sheath in the retracted position, the locking mechanism including

a flexible beam protruding from the shaft hub at an angle, to engage the sheath hub at an opening in the sheath hub while the sheath is in the retracted position, and

a cantilever beam extending from the sheath hub which, if depressed while the sheath is in the retracted position, repositions the flexible beam to disengage the flexible beam from the opening in the sheath hub; and

a bias element to bias the sheath toward the extended position.

2. A surgical instrument as recited in claim 1, wherein the shaft hub is removably connectable to a handpiece from which suction and irrigation can be controlled.

3. A surgical instrument as recited in claim 1, wherein the electrically conductive member comprises a tube to channel irrigation solution to an operative site and to channel fluid away from the operative site.

4. A surgical instrument as recited in claim 1, further comprising an electrically conductive post removably mounted to the shaft hub so as to be in electrical contact with the conductive member, the conductive post configured to be coupled to an electrical conductor to receive electrical power from a power source.

5. A surgical instrument as recited in claim 4, wherein the shaft hub comprises a receptacle to receive the conductive post.

6. A surgical instrument as recited in claim 5, wherein the conductive post comprises threading to allow the conductive post to be screwed into the receptacle so that the conductive post is held in contact with the electrically conductive member.

7. A surgical instrument as recited in claim 6, wherein the receptacle comprises no threading prior to an initial mating between the conductive post and the receptacle, and wherein threading is created in the receptacle by the initial mating between the conductive post and the receptacle.

8. A surgical instrument as recited in claim 1, wherein the shaft hub comprises a rotator knob extending radially outward from an outer surface of the shaft hub.

9. A surgical instrument as recited in claim 8, wherein the shaft hub is removably connectable to a handpiece, and wherein the rotator knob allows rotation of the surgical instrument relative to the handpiece when the surgical instrument is coupled to the handpiece.

10. A surgical instrument as recited in claim 9, wherein the sheath hub comprises a retractor flange extending radially outward from an outer surface of the sheath hub to facilitate retraction of the sheath in response to an axial force applied to the retractor flange.

11. A surgical instrument as recited in claim 10, wherein the retractor flange is disposed against the rotator knob when the sheath is in the fully retracted position.

12. A surgical instrument as recited in claim 11, wherein the retractor flange has an outer edge that is at least partially conformal with an outer edge of the rotator knob, such that the retractor flange and the rotator knob form a substantially monolithic shape when the retractor flange is disposed against the rotator knob.

13. A surgical instrument comprising:

a shaft hub;

an electrically conductive tube which has a proximal end mounted to the shaft hub and which has a distal end with a conductive operating tip formed thereon;

a flexible beam protruding from the shaft hub, the flexible beam having an actuator formed thereon, the flexible beam further having a latch formed thereon;

a retractable tubular sheath covering the conductive tube and which covers the operating tip when the sheath is in an extended position, wherein the operating tip is exposed when the sheath is in a retracted position;

a sheath hub coupled to the sheath and movably engaged with the shaft hub, the sheath hub including a latch opening which engages the latch when the sheath is retracted, the sheath hub further including a slot through which the actuator extends; and

a bias element to bias the sheath toward the extended position.

14. A surgical instrument as recited in claim 13, further comprising an electrically conductive post removably mounted to the shaft hub so as to be in electrical contact with the conductive tube, the conductive post configured to be coupled to an electrical conductor to receive electrical power from a power source.

15. A surgical instrument as recited in claim 14, wherein the shaft hub comprises a receptacle to receive the conductive post, and wherein the conductive post comprises threading to allow the conductive post to be screwed into the receptacle so that the conductive post is held in contact with the electrically conductive tube.

16. A surgical instrument as recited in claim 15, wherein the receptacle comprises no threading prior to an initial mating between the conductive post and the receptacle, and wherein threading is created in the receptacle by the initial mating between the conductive post and the receptacle.

17. A surgical instrument as recited in claim 13, wherein the shaft hub comprises a rotator knob extending radially outward from an outer surface of the shaft hub, and wherein the sheath hub comprises a retractor flange extending radially outward from an outer surface of the sheath hub to facilitate retraction of the sheath in response to an axial force applied to the retractor flange.

18. A surgical instrument as recited in claim 17, wherein the retractor flange is disposed against the rotator knob when the sheath is in the fully retracted position.

19. A surgical instrument as recited in claim 18, wherein the retractor flange has an outer edge that is at least partially conformal with an outer edge of the rotator knob, such that the retractor flange and the rotator knob form a substantially monolithic shape when the retractor flange is disposed against the rotator knob.

20. A surgical instrument as recited in claim 13, wherein the bias element comprises a spring disposed around the conductive tube between the sheath hub and the shaft hub.

21. An electrosurgical suction/irrigation instrument comprising:

a shaft hub that is removably connectable to a handpiece from which suction and irrigation are controlled;

an electrically conductive tube which has a proximal end mounted to the shaft hub and which has a distal end with a conductive operating tip formed thereon, the electrically conductive tube to channel irrigation solution to an operative site and to channel fluid away from the operative site;

a flexible beam protruding from the shaft hub and extending parallel to the electrically conductive tube, the flexible beam having an actuator and a latch formed thereon;

a retractable tubular sheath covering the conductive tube and which covers the operating tip when the sheath is in an extended position, wherein the operating tip is exposed when the sheath is in a retracted position;

a sheath hub coupled to the sheath and slideably engaged with the shaft hub, the sheath hub including a latch opening which engages the latch when the sheath is retracted to a fully retracted position to lock the sheath in the fully retracted position, the sheath hub further including a slot through which the actuator slideably extends, such that actuating the actuator causes flexing of the flexible beam to disengage the latch from the latch opening to unlock the sheath from the fully retracted position; and

a spring disposed around the conductive tube between the sheath hub and the shaft hub to bias the sheath toward the extended position.

22. A electrosurgical suction/irrigation instrument as recited in claim 21, further comprising an electrically conductive post mounted to the shaft hub so as to be in electrical contact with the conductive tube, the conductive post configured to be coupled to an electrical conductor to receive electrical power from a power source.

23. A electrosurgical suction/irrigation instrument as recited in claim 22, wherein the shaft hub comprises a receptacle to receive the conductive post, and wherein the conductive post comprises threading to allow the conductive post to be screwed into the receptacle so that the conductive post is held in contact with the electrically conductive tube.

24. A electrosurgical suction/irrigation instrument as recited in claim 23, wherein the receptacle comprises no threading prior to an initial mating between the conductive post and the receptacle, and wherein threading is created in the receptacle by the initial mating between the conductive post and the receptacle.

25. A electrosurgical suction/irrigation instrument as recited in claim 24, wherein the shaft hub is formed from molded plastic.

26. A electrosurgical suction/irrigation instrument as recited in claim 21, wherein the shaft hub comprises a rotator knob extending radially outward from an outer surface of the shaft hub, and wherein the sheath hub comprises a retractor flange extending radially outward from an outer surface of the sheath hub to facilitate retraction of the sheath in response to an axial force applied to the retractor flange.

27. A electrosurgical suction/irrigation instrument as recited in claim 26, wherein the retractor flange is disposed against the rotator knob when the sheath is in the fully retracted position.

28. A electrosurgical suction/irrigation instrument as recited in claim 27, wherein the retractor flange has an outer edge that is at least partially conformal with an outer edge of the rotator knob, such that the retractor flange and the rotator knob form a substantially monolithic shape when the retractor flange is disposed against the rotator knob.