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

• US 9,149,321 B2
• Filed: 11/26/2014
• Issued: 10/06/2015
• 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:
  US14/555,303
• Publication Number:
  US 20150088114A1
• Time in Patent Office: 314 Days
• US Class Current: 1/1
• 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 body housing, and a fluid connection site disposed in fluid communication with the first conduit;

a surgical tip comprising a tip housing and a hollow 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; and

wherein the first conduit, the body housing, and the hollow thermal element 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.

6. The thermal surgical instrument according to claim 1, 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.

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 elongate 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 there through, and wherein the elongate tube further comprises an insulating material disposed between the two concentric tubes.

9. The thermal surgical instrument according to claim 8, 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.

10. The thermal surgical instrument according to claim 9, 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.

11. The thermal surgical instrument according to claim 9, further comprising a spline disposed between the outer tube and the two concentric tubes.

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

13. 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.

14. The method according to claim 13, wherein cooling fluid is directed into the thermal surgical instrument through the fluid connection site.

15. The method according to claim 14, 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.

16. The method according to claim 14, 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 at least one aperture.

17. The method according to claim 16, wherein cooling fluid released from the at least one aperture is directed toward the thermal element.

18. The method according to claim 16, 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.

19. The method according to claim 14, wherein the thermal element is a hollow thermal element, and wherein the hollow thermal element is in fluid communication with the coolant flow pathway so as to direct cooling fluid through the hollow thermal element.

20. The method according to claim 19, 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.

21. 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.