Surgical instrument with protective sheath

• US 9,168,092 B2
• Filed: 02/17/2011
• Issued: 10/27/2015
• Est. Priority Date: 02/17/2011
• Status: Active Grant

• Current Assignee: Megadyne Medical Products Incorporated (Johnson & Johnson)
• Original Assignee: Megadyne Medical Products Incorporated (Johnson & Johnson)
• Inventors: Horner, Shawn K., Lewis, Ryan D.
• Primary Examiner(s): PEFFLEY, MICHAEL F
• Application Number:
  US13/029,434
• Publication Number:
  US 20120215217A1
• Time in Patent Office: 1,713 Days
• Field of Search: 606/41, 606 45- 50
• US Class Current: 1/1
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/046 in liquid form
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1417 Ball
• CPC Class Codes: A61B 2018/1425 Needle

Abstract

An electrode tip for use in performing electrosurgical operative procedures is disclosed. The electrode tip includes a main body that can receive electrical energy from an electrosurgical generator. The main body includes a working surface that communicates the electrical energy to patient tissue during the operative procedure. An insulative sheath is disposed around a portion of the electrode tip to prevent electrical energy from being communicated from the covered portions of the electrode tip to patient tissue. The insulative sheath has a leading edge that is shaped to minimize resistance to the movement of the electrode tip through patient tissue. The leading edge can be arcuately shaped or angled relative to a longitudinal axis of the electrode tip to provide the resistance reducing characteristics.

Claims

1. A monopolar electrosurgical device adapted for use in performing operative procedures, the monopolar electrosurgical device comprising:

a main body having a connection end and a working end, the working end having a proximal end adjacent the connection end, a distal end opposite the connection end, a first major surface, a second, opposing major surface, a first side joining the first major surface and the second, opposing major surface, a second, opposing side joining the first major surface and the second, opposing major surface, and at least one of the first side and second, opposing side forming one or more working surfaces adapted to be applied to patient tissue for performing operative procedures thereupon, at least one of the one or more working surfaces extending between the proximal end and the distal end of the working end; and

an electrically insulative sheath disposed around at least a portion of the working end such that the sheath covers at least a first portion of the at least one of the one or more working surfaces and leaves exposed a second portion of the at least one of the one or more working surfaces, at least a portion of the connection end extending proximally out of the sheath, the sheath having a leading edge that extends away from the working end at the at least one of the one or more working surfaces such that the junction between the leading edge and the at least one of the one or more working surfaces forms a generally obtuse angle, the leading edge being in generally uniform contact with the first major surface, the second, opposing major surface, the first side, and the second, opposing side of the working end such that substantially no void exists between the leading edge and the first major surface, the second, opposing major surface, the first side, and the second, opposing side of the working end.

2. The monopolar electrosurgical device of claim 1, wherein the one or more working surfaces comprise a first working surface disposed on the first side of the working end and a second working surface disposed on the second, opposing side of the working end.

3. The monopolar electrosurgical device of claim 1, wherein the sheath includes a first side disposed adjacent to the first side of the working end and a second side disposed adjacent the second, opposing side of the working end, wherein the leading edge of the sheath extends between the first and second sides of the sheath.

4. The monopolar electrosurgical device of claim 1, wherein the portions of the leading edge of the sheath that extend across the first major surface and the second, opposing major surface each have a general shape that is at least one of arcuate, elliptical, triangular, trapezoidal, or polygonal.

5. The monopolar electrosurgical device of claim 1, wherein the leading edge includes a first end disposed adjacent the first side of the working end, a second end disposed adjacent the second side of the working end, and at least one peak disposed between the first and second ends.

6. The monopolar electrosurgical device of claim 5, wherein the one or more working surfaces comprise a first working surface disposed on the first side of the working end and a second working surface disposed on the second, opposing side of the working end, and wherein the junction between the first end of the leading edge and the first working surface forms a generally obtuse angle and the junction between the second end of the leading edge and the second working surface forms a generally obtuse angle.

7. The monopolar electrosurgical device of claim 5, wherein the working end has a longitudinal axis extending between the proximal and distal ends of the working end and the at least one peak is axially offset along the longitudinal axis from the first and second ends of the leading edge.

8. The monopolar electrosurgical device of claim 7, wherein the first and second ends of the leading edge are axially offset from one another along the longitudinal axis.

9. The monopolar electrosurgical device of claim 7, wherein the at least one peak is axially offset along the longitudinal axis from the first and second ends of the leading edge by a distance of between about 0.015 inches and about 0.029 inches.

10. The monopolar electrosurgical device of claim 7, wherein the at least one peak is axially offset along the longitudinal axis from the first and second ends of the leading edge by a distance of between about 0.009 inches and about 0.052 inches.

11. The monopolar electrosurgical device of claim 1, wherein the leading edge has a radius of between about 0.060 inches and about 0.200 inches.

12. The monopolar electrosurgical device of claim 1, wherein the leading edge has a radius of between about 0.075 inches and about 0.125 inches.

13. The monopolar electrosurgical device of claim 1, wherein the working end has a longitudinal axis and the leading edge extends across the working end from the first side to the second, opposing side, the leading edge forming a generally obtuse angle with the longitudinal axis.

14. The monopolar electrosurgical device of claim 13, wherein the leading edge includes a first end that forms a generally obtuse angle with at least one of the one or more working surfaces.

15. The monopolar electrosurgical device of claim 1, wherein the one or more working surfaces comprise a first working surface disposed on the first side of the working end and a second working surface disposed on the second, opposing side of the working end, and wherein the leading edge comprises a first section that forms a generally obtuse angle with the first working surface and a second section that forms a generally obtuse angle with the second working surface.

16. The monopolar electrosurgical device of claim 15, wherein the first section and the second section of the leading edge are oriented generally transversely to one another.

17. The monopolar electrosurgical device of claim 1, wherein the leading edge is asymmetrical across a longitudinal axis of the monopolar electrosurgical device.

18. The monopolar electrosurgical device of claim 1, wherein the monopolar electrosurgical device comprises an electrosurgical electrode tip adapted to communicate electrical energy to patient tissue.

19. A monopolar electrode tip adapted for use in performing electrosurgical operative procedures, the monopolar electrode tip comprising:

a main body, formed of a conductive material, adapted to be electrically connected to an electrosurgical generator to facilitate communication of electrical energy from the electrosurgical generator to the monopolar electrode tip, the main body comprising a connection end and a working end, the working end having a proximal end, a distal end, and first and second opposing working surfaces adapted to communicate the electrical energy from the main body to patient tissue for performing electrosurgical operative procedures thereupon, the first and second opposing working surfaces extending between the proximal and distal ends of the working end;

an electrically insulative sheath, formed of an electrically insulative material, disposed around at least a portion of the working end such that the insulative sheath covers at least a portion of each of the first and second opposing working surface and leaves exposed at least a portion of each of the first and second working surfaces, at least a portion of the connection end extending proximally out of the sheath the insulative sheath having a first side disposed adjacent the first working surface, a second side disposed adjacent the second working surface, and a leading edge extending between the first and second sides, the leading edge having a generally arcuate shape such that a first end of the leading edge forms a generally obtuse angle with the first working surface and a second end of the leading edge forms a generally obtuse angle with the second working surface, an interior surface of the sheath having a size and a shape that correspond to a cross-sectional size and shape of the working end such that the leading edge is in contact with the first working surface and the second working surface and such that substantially no void exists between the leading edge and the first working surface or between the leading edge and the second working surface.

20. The monopolar electrode tip of claim 19, wherein the leading edge comprises at least one peak that is offset from the first and second ends of the leading edge along a longitudinal axis of the monopolar electrode tip.

21. The monopolar electrode tip of claim 20, wherein the first and second ends of the leading edge are axially offset from one another along the longitudinal axis of the monopolar electrode tip.

22. The electrode tip of claim 19, wherein the at least one peak is offset from the first and second ends of the leading edge by a distance of about 0.015 inches and the leading edge has a radius of about 0.125 inches.

23. The surgical device of claim 19, wherein the insulative sheath is formed of PTFE.

24. A monopolar electrosurgical device adapted for use in performing operative procedures, the monopolar electrosurgical device comprising:

a main body having a connection end and a working end, the working end having first and second opposing sides that extend between proximal and distal ends of the working end, the first and second opposing sides defining respective first and second working surfaces that are adapted to be applied to patient tissue for performing operative procedures thereupon, the working end having a longitudinal axis that extends between the proximal and distal ends of the working end;

an electrically insulative sheath disposed around at least a portion of the working end such that the sheath covers at least a portion of each of the first and second working surfaces and leaves exposed at least a portion of each of the first and second working surfaces, at least a portion of the connection end extending proximally out of the sheath the sheath having a first side disposed adjacent the first working surface, a second side disposed adjacent the second working surface, and a leading edge extending between the first and second sides of the sheath, the leading edge extending across the working end and forming a generally obtuse angle with the longitudinal axis and at the junction with each of the first and second working surfaces, an interior surface of the sheath having a size and a shape that correspond to a cross-sectional size and shape of the working end such that the leading edge is in uniform contact with the first working surface and the second working surface and such that substantially no void exists between the leading edge and the first working surface or between the leading edge and the second working surface.

25. The monopolar electrosurgical device of claim 24, wherein the leading edge includes a first end disposed adjacent the first working surface, the first end and the first working surface forming a generally obtuse angle.