Thermal resecting loop

• US 9,107,666 B2
• Filed: 07/10/2012
• Issued: 08/18/2015
• Est. Priority Date: 04/17/2009
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: Manwaring, Kim, McNally, David
• Primary Examiner(s): DELLA, JAYMI E
• Application Number:
  US13/545,922
• Publication Number:
  US 20120330295A1
• Time in Patent Office: 1,134 Days
• Field of Search: 606/47, 606/113, 607 98-103
• US Class Current: 1/1
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 10/0266 means for severing sample
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/10 Power sources therefor
• CPC Class Codes: A61B 2018/00107 Coatings on the energy applicator
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00625 Vaporization
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00821 measured by a thermocouple

Abstract

A thermal surgical instrument comprising a conductor having a ferromagnetic material in electrical communication with the conductor, such that passage of electrical energy through the conductor causes substantially uniform heating of the ferromagnetic material sufficient to produce a desired therapeutic tissue effect is provided. The conductor may be shaped to facilitate resection of tissue from a patient and include a support to provide increase rigidity to the loop so that the conductor better resists bending during use. The ferromagnetic material quickly heats and cools in response to a controllable power delivery source. The thermal surgical instrument can be used for substantially simultaneously resecting tissue with hemostasis.

Claims

1. A thermal resecting instrument comprising:

a thermal resecting element comprising;

a conductor loop defining a void for receiving tissue and

a ferromagnetic layer coating and in electrically conductive communication with a surface of at least a portion of the conductor loop, the ferromagnetic layer forming a ferromagnetic region disposed along the conductor loop, the conductor loop extending from a position prior to the ferromagnetic layer, through the ferromagnetic region and to a position beyond the ferromagnetic layer;

wherein the thermal resecting element is configured to allow passage of electrical energy from a conductor loop location prior to the ferromagnetic region to a conductor loop location beyond the ferromagnetic region, to thereby cause the ferromagnetic layer to heat, and

wherein the ferromagnetic layer has a thickness of between about 1 μ

m and about 50 μ

m.

2. The thermal resecting instrument of claim 1, wherein the ferromagnetic region extends along the conductor loop so as to form a generally semi-circular ferromagnetic region.

3. The thermal resecting instrument of claim 1, wherein the ferromagnetic region extends along substantially all of the conductor loop.

4. The thermal resecting instrument of claim 1, wherein the conductor loop comprises a material having a Young'"'"'s Modulus of at least 118 GPa.

5. The thermal resecting instrument of claim 1, wherein the conductor loop comprises a material having a Young'"'"'s Modulus of at least about 400 GPa.

6. The thermal resecting instrument of claim 1, wherein the conductor loop further comprises a support extending across substantially all of the conductor loop.

7. The thermal resecting instrument of claim 6, wherein the conductor loop further comprises at least one intervening layer disposed between the support and the ferromagnetic layer.

8. The thermal resecting instrument of claim 1, further comprising a body, wherein the thermal resecting element is connected to the body and disposed at an angle such that the thermal resecting element is oriented in a non-parallel position with respect to the body.

9. The thermal resecting instrument of claim 1, wherein the ferromagnetic layer has a thickness of between about 2 μ

m and about 30 μ

m.

10. The thermal resecting instrument of claim 1, wherein the ferromagnetic layer has a thickness of between about 2 μ

m and about 10 μ

m.

11. The thermal resecting instrument of claim 1, wherein the ferromagnetic layer has a thickness sufficient to prevent fracturing of the ferromagnetic layer when subjected to thermal stress passing from a first medium to a second medium.

12. A thermal resecting system comprising:

a handpiece;

a continuous conductor having a first end and a second end and defining a void through which tissue can pass;

a ferromagnetic layer coating and in electrically conductive communication with a surface of at least a portion of the continuous conductor between the first end and the second end; and

electrical leads attached to the first end and the second end of the continuous conductor for supplying electrical energy to the continuous conductor; and

a power supply in communication with the electrical leads for providing the electrical energy to the continuous conductor; and

wherein the ferromagnetic layer has a thickness of between about 1 μ

m and about 50 μ

m.

13. The thermal resecting system of claim 12, wherein the thermal resecting system is configured to allow passage of the electrical energy at a predetermined frequency through the continuous conductor and the ferromagnetic layer, to thereby cause direct heating of the ferromagnetic layer sufficient to treat the tissue.

14. The thermal resecting system of claim 13, wherein the continuous conductor has a generally loop-shaped portion and wherein the ferromagnetic layer covers about half of the loop-shaped portion.

15. The thermal resecting system claim 13, wherein the continuous conductor has a generally loop-shaped portion that is substantially covered by the ferromagnetic layer.

16. The thermal resecting system of claim 13, wherein the heating of the ferromagnetic layer is substantially uniform.

17. The thermal resecting system of claim 12, wherein the ferromagnetic layer has a thickness of between about 2 μ

m and about 30 μ

m.

18. The thermal resecting system of claim 12, wherein the ferromagnetic layer has a thickness of between about 2 μ

m and about 10 μ

m.

19. The thermal resecting system of claim 12, wherein the ferromagnetic layer has a thickness sufficient to prevent fracturing of the ferromagnetic layer when subjected to thermal stress passing from a first medium to a second medium.

20. A surgical tip having a continuous conductor having a first end and a second end wherein the surgical tip comprises a cutting or ablating surface comprising a ferromagnetic material coating and in electrically conductive communication with a surface of an elongate section of the continuous conductor to form a ferromagnetic region between the first end and the second end;

the first end or the second end of the continuous conductor having a conductivity and configured such that passage of electrical energy from a conductor location prior to the ferromagnetic region to a conductor location beyond the ferromagnetic region causes the ferromagnetic material to heat; and

wherein the ferromagnetic material has a thickness of between about 1 μ

m and about 50 μ

m.

21. The surgical tip of claim 20, wherein the continuous conductor forms a loop defining a void.

22. The surgical tip of claim 20, wherein the continuous conductor comprises a material having a Young'"'"'s Modulus of about 400 GPa so that the continuous conductor resists bending when used to treat tissue.

23. The surgical tip claim 20, wherein the continuous conductor comprises tungsten.

24. The surgical tip of claim 20, wherein the continuous conductor has at least one intervening layer disposed between the continuous conductor and the ferromagnetic material.

25. The surgical tip of claim 20, wherein the ferromagnetic material is disposed circumferentially around the continuous conductor.

26. The surgical tip of claim 20, wherein the heatable ferromagnetic region is adapted to simultaneously resect tissue while causing hemostasis.

27. The surgical tip of claim 20, wherein the ferromagnetic material has a thickness of between about 2 μ

m and about 30 μ

m.

28. The surgical tip of claim 20, wherein the ferromagnetic material has a thickness of between about 2 μ

m and about 10 μ

m.

29. The surgical tip of claim 20, wherein the ferromagnetic material has a thickness sufficient to prevent fracturing of the ferromagnetic material when subjected to thermal stress passing from a first medium to a second medium.