System and method for cooling of a heated surgical instrument and/or surgical site and treating tissue

• US 8,932,279 B2
• Filed: 04/06/2012
• Issued: 01/13/2015
• Est. Priority Date: 04/08/2011
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Stringham, Mark, Manwaring, Preston, Manwaring, Kim, Eggers, Philip
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US13/441,823
• Publication Number:
  US 20130023866A1
• Time in Patent Office: 1,012 Days
• Field of Search: 606/29
• US Class Current: 606/29
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320082 for incising tissue
• CPC Class Codes: A61B 2018/00011 with fluids
• CPC Class Codes: A61B 2018/00023 closed, i.e. without wound contact by the fluid
• CPC Class Codes: A61B 2018/00035 with return means
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 50/20 Holders specially adapted for surgical or diagnostic appliances or instruments drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02

Abstract

A cooling system for a surgical handpiece may provide fluid flow to the surgical tip and to the internal electronic components to prevent temperatures that may damage or make the patient or surgeon uncomfortable. Tip directed gas further controls the tip-tissue interface by displacing blood or serum from the incision point, increasing precision and diminishing coagulum build-up. In the alternative, cooling fluid may be used to quench tissue being treated.

Claims

1. A thermal surgical instrument comprising:

a body comprising a body housing, a first conduit disposed in the housing, and a fluid connection site disposed in fluid communication with the first conduit;

a surgical tip comprising a tip housing having a proximal end and a thermal element extending from the tip housing, the thermal element forming an exposed wire loop having a first section, a curved second section and a third section all disposed beyond the proximal end of the tip housing;

wherein the surgical tip is in communication with the body housing such that at least a portion of the surgical tip is in fluid communication with the first conduit; and

wherein the first conduit, the body housing, and the tip housing form a coolant flow pathway for cooling the thermal surgical instrument.

2. The thermal surgical instrument according to claim 1, wherein the surgical tip is removably engageable with the body.

3. The thermal surgical instrument according to claim 1, wherein the surgical tip further comprises a second conduit, and wherein the surgical tip engages the body such that the second conduit is in fluid communication with the first conduit.

4. The thermal surgical instrument according to claim 2, wherein the body housing further comprises a recess having a shape and wherein the tip housing has a shape complimentary to the shape of the recess, wherein the shape of the recess and the shape of the tip housing facilitate alignment and engagement of the surgical tip to the body.

5. The thermal surgical instrument according to claim 2, wherein the body further comprises at least one alignment member to facilitate alignment and engagement of the surgical tip to the body.

7. The thermal surgical instrument according to claim 1, wherein the surgical tip further comprises an elongate tube having a distal end and a proximal end, wherein the distal end of the elongated tube is connected to the tip housing and wherein the thermal element is attached at the proximal end of the elongate tube.

8. The thermal surgical instrument according to claim 7, wherein the elongate tube comprises two concentric tubes having a void therethrough.

9. The thermal surgical instrument according to claim 8, wherein the two concentric tubes are comprised of an electrically conductive material.

10. The thermal surgical instrument according to claim 7, wherein the elongate tube further comprises an insulating material disposed between the two concentric tubes.

11. The thermal surgical instrument according to claim 7, wherein the elongate tube further comprises an outer tube, wherein the outer tube is disposed around the two concentric tubes such that there is a space between the outer tube and the two concentric tubes.

12. The thermal surgical instrument according to claim 11, wherein the space between the outer tube and the two concentric tubes and the void through the two concentric tubes form part of the coolant flow pathway.

13. The thermal surgical instrument according to claim 11, further comprising a spline disposed between the outer tube and the two concentric tubes.

14. The thermal surgical instrument of claim 1, wherein the surgical tip housing is formed integrally with the body housing.

6. A thermal surgical instrument comprising:

a body comprising a body housing, a first conduit disposed in the housing, and a fluid connection site disposed in fluid communication with the first conduit;

a surgical tip comprising a tip housing and a thermal element extending from the tip housing;

wherein the surgical tip is in communication with the body housing such that at least a portion of the surgical tip is in fluid communication with the first conduit;

wherein the first conduit, the body housing, and the tip housing form a coolant flow pathway for cooling the thermal surgical instrument; and

wherein the thermal element is disposed at a proximal end of the surgical instrument and wherein the surgical tip further comprises at least one aperture in the surgical tip disposed distally from the thermal element for creating a coolant flow pathway out of the surgical tip and directed toward the thermal element.

15. A thermal surgical instrument comprising:

a primary section having a housing defining a void;

a secondary section connected to the primary section, the secondary section comprising a housing defining a void;

a fluid connection site disposed on at least one of the primary section and the secondary section; and

a hollow thermal element attached to the primary section, the hollow thermal element further comprising at least one aperture disposed between opposing ends thereof to release fluid from the hollow thermal element;

wherein the void in the housing of the primary section and the void in the housing of the secondary section form a coolant flow pathway in the thermal surgical instrument;

and wherein the fluid connection site is in fluid communication with the coolant flow pathway.

16. The thermal surgical instrument according to claim 15, wherein the primary section is a removably connectable surgical tip.

17. The thermal surgical instrument according to claim 15, wherein the primary section further comprises a heat sink.

18. The thermal surgical instrument according to claim 15, further comprising a tube, wherein the tube is attachable to the surgical instrument, and wherein the instrument is connectable to a suction source.

19. A method of cooling a thermal surgical instrument comprising the steps of:

selecting a thermal surgical instrument comprising a ferromagnetic thermal element, a housing having a coolant flow pathway, and a fluid connection site, the housing having a tip housing and the ferromagnetic thermal element extending outwardly from the tip housing;

connecting the fluid connection site to a device to provide a cooling fluid to the thermal surgical instrument; and

directing cooling fluid through the coolant flow pathway to remove heat from the thermal surgical instrument.

20. The method according to claim 19, wherein cooling fluid is directed into the thermal surgical instrument through the fluid connection site.

21. The method according to claim 20, wherein the device connected to the fluid connection site is a suction device, and wherein cooling fluid is drawn into the coolant flow pathway and exits through the fluid connection site.

22. The method according to claim 20, further comprising disposing at least one aperture on the thermal surgical instrument, wherein the at least one aperture is in fluid communication with the coolant flow pathway so that at least a portion of the cooling fluid is released from the thermal surgical instrument through the aperture.

23. The method according to claim 20, wherein cooling fluid released from the at least one aperture is directed toward the thermal element.

24. The method according to claim 22, wherein the cooling fluid is liquid, and wherein at least a portion of the liquid released from the at least one aperture is directed into a surgical site to quench tissue which has been contacted by the thermal element.

25. The method according to claim 20, wherein the thermal element is hollow, and wherein the hollow thermal element is in fluid communication with the coolant flow pathway so as to direct cooling fluid through the hollow element.

26. The method according to claim 20, wherein the hollow thermal element further comprises at least one aperture so that at least a portion of the cooling fluid is released from the at least one aperture in the hollow thermal element and directed toward a tissue being treated.

27. A method of cooling a surgical handpiece comprising:

causing a coolant to flow through an inside first portion of a tip;

reversing the direction of the coolant flow adjacent the first portion of the tip; and

causing the coolant to flow through an inside second portion of the tip.

28. The method of claim 27, further comprising the step of directing coolant flow from the tip to a secondary section of the surgical handpiece.

29. The method of claim 27, further comprising the step of directing a portion of the coolant flow at the end of the tip through the tip onto an active element.

30. The method of claim 27, further comprising the step of directing a portion of the coolant flow at the end of the tip through the tip onto a surgical site.

31. A tip for a heated surgical instrument comprising a tip housing and a thermal element extending proximally from the tip housing such that the thermal element is exposed, wherein the tip housing includes a first structure for receiving coolant and a second structure for directing coolant onto the thermal element of the heated surgical instrument, wherein the second structure comprises at least one of an aperture or a channel distally from the thermal element and configured for directing coolant proximally onto the thermal element.

32. The tip of claim 31, wherein the first structure includes an intake port for receiving the tubing of a coolant line and wherein the at least one aperture of the second structure is configured to direct coolant on the thermal element.

33. The tip of claim 32, wherein the at least one aperture comprises a plurality of apertures.

34. A system for cooling a heated surgical instrument comprising:

a fluid drip line comprising a bag of fluid and tubing;

a surgical instrument having a heatable thermal element formed by an exposed wire heatable by a power source, the thermal element disposed at a proximal end of the surgical instrument, the surgical instrument having a first structure for receiving the tubing of the fluid drip line and a second structure for directing fluid to the thermal element of the surgical instrument to cool the thermal element; and

wherein the rate of fluid flow to the thermal element of the surgical instrument can be controlled.

35. The system for cooling a surgical instrument of claim 34, wherein the first structure for receiving the tubing of a fluid drip line is an intake and the second structure for directing fluid to the thermal element of the surgical instrument is a port.

36. The system for cooling a surgical instrument of claim 35, wherein the port comprises a plurality of ports which direct fluid toward the thermal element.

37. The system for cooling a surgical instrument of claim 36, wherein the intake is disposed on the tip of the surgical instrument.

38. The system for cooling surgical instrument of claim 37, wherein the heated surgical instrument is designed for use in a surgical field and the bag of fluid is hung at a height relative to the surgical field, and wherein the fluid flow rate to the thermal element is controlled by adjusting the height of the bag of fluid relative to the surgical field.

39. A thermal surgical instrument comprising:

a body comprising a body housing, a first conduit disposed in the housing, and a fluid connection site disposed in fluid communication with the first conduit;

a surgical tip comprising a tip housing and a thermal element extending from the tip housing;

wherein the surgical tip further comprises an elongate tube, the elongate tube comprising two concentric tubes having a void therethrough, and the elongate tube having a distal end and a proximal end, wherein the distal end of the elongated tube is connected to the tip housing and wherein the thermal element is attached at the proximal end of the elongate tube;

wherein the surgical tip is in communication with the body housing such that at least a portion of the surgical tip is in fluid communication with the first conduit; and

wherein the first conduit, the body housing, and the tip housing form a coolant flow pathway for cooling the thermal surgical instrument.

40. The thermal surgical instrument according to claim 39, wherein the two concentric tubes are comprised of an electrically conductive material.

41. The thermal surgical instrument according to claim 39, wherein the elongate tube further comprises an insulating material disposed between the two concentric tubes.

42. The thermal surgical instrument according to claim 39, wherein the elongate tube further comprises an outer tube, wherein the outer tube is disposed around the two concentric tubes such that there is a space between the outer tube and the two concentric tubes.

43. The thermal surgical instrument according to claim 42, wherein the space between the outer tube and the two concentric tubes and the void through the two concentric tubes form part of the coolant flow pathway.

44. The thermal surgical instrument according to claim 42, further comprising a spline disposed between the outer tube and the two concentric tubes.

45. The thermal surgical instrument according to claim 39, wherein the surgical tip is removably engageable with the body.

46. The thermal surgical instrument according to claim 45, wherein the body housing further comprises a recess having a shape and wherein the tip housing has a shape complimentary to the shape of the recess, wherein the shape of the recess and the shape of the tip housing facilitate alignment and engagement of the surgical tip to the body.

47. The thermal surgical instrument according to claim 45, wherein the body further comprises at least one alignment member to facilitate alignment and engagement of the surgical tip to the body.

48. The thermal surgical instrument according to claim 39, wherein the surgical tip further comprises at least one aperture in the surgical tip for creating a coolant flow pathway directed toward the thermal element.

49. The thermal surgical instrument of claim 39, wherein the surgical tip housing is formed integrally with the body housing.