Bronchoscope-compatible catheter provided with electrosurgical device

• US 9,427,281 B2
• Filed: 03/15/2011
• Issued: 08/30/2016
• Est. Priority Date: 03/11/2011
• Status: Active Grant

• Current Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Original Assignee: Medtronic Advanced Energy LLC (Medtronic Plc)
• Inventors: Bloom, Eliot, Earles, Donald
• Primary Examiner(s): Della, Jaymi
• Assistant Examiner(s): KIM, EUN HWA
• Application Number:
  US13/048,735
• Publication Number:
  US 20120232553A1
• Time in Patent Office: 1,995 Days
• Field of Search: 606/46
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/00323 Cables or rods
• CPC Class Codes: A61B 2017/320056 Tunnelers
• CPC Class Codes: A61B 2018/00172 Connectors and adapters therefor
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00541 Lung or bronchi
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00607 Coagulation and cutting with the same instrument
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing
• CPC Class Codes: A61B 2218/007 Aspiration
• CPC Class Codes: A61B 2218/008 for smoke evacuation

Abstract

A catheter system can include an electrical adapter and a catheter. The electrical adapter includes a hollow adapter body having a longitudinally extending channel and an electrical terminal positioned within the channel. The electrical adapter can be configured to connect to an energy source. The catheter can include an elongated body having a proximal end portion and a distal end portion, and an electrical connector coupled to the proximal end portion. The electrical connector forms the outer periphery of the catheter along a portion of the longitudinal length of the catheter. The electrical terminal and the electrical connector contact each other when the electrical connector is advanced through the channel to an electrical contact position in the channel, and are isolated from each other when the electrical connector is proximal of the electrical contact position.

Claims

1. A catheter system comprising:

an electrical adapter including a hollow adapter body having a longitudinally extending channel and an electrical terminal positioned within the longitudinally extending channel, the electrical adapter being configured to be electrically connected to an energy source; and

a catheter having a longitudinal length and being removeably insertable within the electrical adapter, the catheter including an elongated body having a proximal end portion and a distal end portion, the distal end portion defining a first diameter and including an electrosurgical cutting tip, the distal end portion being configured to be inserted into a proximal most end of the longitudinally extending channel and advanced through an entirety of the longitudinally extending channel during an electrosurgical procedure; and

an electrical connector coupled to the proximal end portion of the elongated body, the electrical connector forming an outer periphery of the catheter along a portion of the longitudinal length of the catheter, the electrical connector defining a second diameter larger than the first diameter, the electrical connector configured to be inserted in the channel of the hollow adapter body, wherein the electrical terminal and the electrical connector are configured to be electrically connected to each other when the electrical connector is advanced to an electrical contact position within the channel, and are configured to be electrically isolated from each other when the electrical connector is proximal of the electrical contact position.

2. The catheter system of claim 1, wherein the electrical terminal comprises an exposed, electrically conductive surface biased towards a center of the longitudinally extending channel of the hollow adapter body.

3. The catheter system of claim 2, wherein the electrically conductive surface comprises a ball bearing.

4. The catheter system of claim 2, wherein the electrically conductive surface is configured to engage an electrically conductive surface of the electrical connector when the electrical connector is advanced to the electrical contact position within the longitudinally extending channel.

5. The catheter system of claim 4, wherein the electrical contact position includes a region from a first position to a second position, wherein the electrically conductive surface of the electrical terminal is configured to engage the electrically conductive surface of the electrical connector while the distal end of the electrical connector is advanced distally from the first position to the second position.

6. The catheter system of claim 1, further comprising a second catheter having a longitudinal length, the second catheter including an elongated body having a proximal end portion, a distal end portion, and a lumen extending from the proximal end portion to the distal end portion of the elongated body of the second catheter, the lumen of the second catheter extending distally from a distal end of the longitudinally extending channel of the electrical adapter, wherein at least a portion of the catheter is configured to be disposed within the lumen of the second catheter.

7. The catheter system of claim 6, wherein the distal end of the catheter exits an opening at a distal end of the lumen of the second catheter at the electrical contact position.

8. The catheter system of claim 6, wherein the second catheter is a bronchoscope.

9. The catheter system of claim 1, wherein the catheter has one or more aspiration holes on its sidewall at distal end portion of the catheter.

10. The catheter system of claim 1, wherein the electrosurgical cutting tip is electrically connected to the electrical connector.

11. A method comprising:

inserting a distal end of an inner catheter having a first diameter into a proximal most end of a channel defined by a hollow electrical adapter body; and

advancing the distal end of the inner catheter through the channel, through a lumen of an outer catheter that extends distally from a distal end of the channel of the hollow electrical adapter body, and to a first position at which the distal end of the inner catheter exits an opening at a distal end of the lumen of the outer catheter;

wherein, when the distal end of the inner catheter is advanced to the first position, an electrical terminal, which is disposed in the channel of the hollow electrical adapter body and electrically connected to an energy source, contacts an electrical connector on a proximal end portion of the inner catheter and having a second diameter larger than the first diameter, and electrically connects the electrical connector to the energy source, wherein when the distal end of the inner catheter is proximal of the first position, the electrical terminal fails to contact the electrical connector and electrically connect the electrical connector to the energy source.

12. The method of claim 11, wherein the advancing includes advancing distally the distal end of the inner catheter a distance from the first position to a second position, wherein the electrical connector on the proximal end portion of the inner catheter contacts the electrical terminal disposed in the channel of the hollow electrical adapter body as the distal end of the inner catheter is advanced along a distance from the first position to the second position.

13. The method of claim 12, wherein the distal end of the inner catheter includes a tool electrically connected to the electrical connector, wherein the tool is energized with electrical energy from the energy source when the distal end of the inner catheter is advanced to the first position and when the distal end of the inner catheter is advanced from the first position to the second position.

14. The method of claim 13, wherein the tool is an electrosurgical cutting tip;

and

wherein the method further comprises;

introducing the distal ends of the inner and outer catheters into a body lumen; and

treating target tissue with the energized electrosurgical cutting tip.