U.S. patent number 3,592,199 [Application Number 05/009,105] was granted by the patent office on 1971-07-13 for autoclavable surgical instrument illumination.
This patent grant is currently assigned to Medical Products Corp. Invention is credited to Ralph G. Ostensen.
United States Patent |
3,592,199 |
Ostensen |
July 13, 1971 |
AUTOCLAVABLE SURGICAL INSTRUMENT ILLUMINATION
Abstract
An autoclavable surgical instrument for directly illuminating
interior portions of a human body having a distal end for insertion
into a body cavity and a proximal end including a handle portion, a
fiber optics device extending from a point adjacent the distal end
to a proximal end adjacent the handle portion, and a powerpack unit
including a light source, and means removably mounting that unit on
the handle portion to position the light source in cooperative
relationship with the proximal end of the fiber optics device; lens
means being interposed between the light source and the fiber
optics device, and means for mounting the lens means on the handle
portion to cooperate with the power pack unit to properly position
the latter relative to the fiber optics device.
Inventors: |
Ostensen; Ralph G. (Morton
Grove, IL) |
Assignee: |
Medical Products Corp (Skokie,
IL)
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Family
ID: |
21735598 |
Appl.
No.: |
05/009,105 |
Filed: |
February 9, 1970 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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574431 |
Aug 23, 1966 |
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Current U.S.
Class: |
600/198; 600/199;
600/249; 600/245; 362/573; 362/572; 362/197; 362/804; 362/206;
433/31 |
Current CPC
Class: |
A61B
1/0669 (20130101); A61B 1/0623 (20130101); A61B
1/267 (20130101); Y10S 362/804 (20130101) |
Current International
Class: |
A61B
1/267 (20060101); A61b 001/06 () |
Field of
Search: |
;128/6--9,11,13,16,18,22,23
;240/10.66,11.2,11.3,26,1.4,11.2EP,41.15 ;32/69 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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34,316 |
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Apr 1885 |
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DT |
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680,219 |
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Oct 1952 |
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GB |
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Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Howell; Kyle L.
Parent Case Text
This application is a continuation of application Ser. No. 574,431,
filed Aug. 23, 1966, now abandoned.
Claims
I claim:
1. An autoclavable powerpack unit for directly illuminating
interior portions of a human body, comprising a cylindrical
heat-resistant metal casing having separable sections including a
forward section housing a light bulb and including means allowing
light from said bulb to be directed outwardly from said casing, a
central tubular section housing electric cell means, and a rear
section having an axial bore, the ends of said central section
being threaded on their inner surfaces and the rear end of said
forward section and the forward end of said rear section being
threaded on their outer surfaces and screwed into said central
section, a control switch member threadedly engaging the bore of
said rear section and extending therethrough for selective
engagement with said electric cell means to electrically
interconnect said casing and said cell means to provide electrical
power to said bulb, and heat- and pressure-resistant seals
interposed, respectively, between the bulb and the casing, the
control switch member and the casing, and adjacent sections of said
casing.
2. An autoclavable unit according to claim 1, wherein said casing
sections are of stainless steel and said seals comprise silicone
rubber O-rings.
3. An autoclavable unit according to claim 1, wherein the end of
said casing receiving said bulb is provided with an open-ended
longitudinal recess comprising said means allowing light to be
directed outwardly by collecting and directing outwardly light rays
emanating from said bulb and also is adapted to receive the end of
a fiber optics device for introducing said light rays thereto.
4. In combination with the autoclavable powerpack unit of claim 1,
a surgical instrument having an end portion insertable into a human
body cavity, a fiber optics device having a distal end connected to
said end portion and a proximal end for receiving light rays, and
means removably mounting said unit on said instrument to position
and retain said light bulb in cooperative relationship with the
proximal end of said fiber optics device.
5. An autoclavable surgical instrument according to claim 4,
wherein said surgical instrument comprises a handle portion and
said handle portion, said powerpack unit and said mounting means
cooperate to provide handle means for manipulating the
instrument.
6. In an autoclavable surgical instrument according to claim 4,
means mounted on the exterior of said casing for frictional
engagement with said mounting means.
7. An autoclavable surgical instrument for directly illuminating
interior portions of a human body, comprising a distal end for
insertion into a body cavity, a proximal end including a handle
portion, a fiber optics device connected to said distal end and
extending from a point adjacent said distal end to a proximal end
adjacent said handle portion, a powerpack unit including a light
bulb, and means removably mounting said unit on said handle portion
to position said light bulb in cooperative relationship with the
proximal end of said fiber optics device, said powerpack unit
including electric cell means, a casing having separable screw
threadedly interengaged sections for housing said cell means and
said light bulb and including means allowing light from said bulb
to be directed outwardly from said casing, and heat and pressure
resistant seals interposed between said bulb and said casing and
between adjacent sections of said casing.
8. In an autoclavable surgical instrument according to claim 7,
lens means interposed between said light bulb and the proximal end
of said fiber optics device for focusing light rays emanating from
the former onto the latter, means for mounting said lens means on
said handle portion which is adapted to cooperate with said
powerpack unit to properly position the latter relative to said
fiber optics device.
9. An autoclavable surgical instrument according to claim 7,
wherein said mounting means comprises a device for clampingly
engaging said handle portion.
10. In an autoclavable surgical instrument according to claim 9,
means disposed adjacent said distal end thereof for adjustably
positioning the distal end of said fiber optics device to
facilitate selective focusing of the light emanating therefrom.
Description
This invention relates generally to surgical instruments, and more
particularly to apparatus for facilitating interior illumination of
the human body.
Attempts to direct light into specific portions of the human body
have been made heretofore, and the most successful have been in
conjunction with endoscopic devices, which generally are rigid or
slightly flexible tubes that may be passed into the natural
orifices of the body or through incisions and into the body, and
are of sufficient diameter to allow direct viewing of the interior
of the body adjacent their penetration or distal ends and, in some
cases, to permit operating procedures to be performed therethrough.
These attempts comprise means for providing supplemental lighting
which emanates from the penetrating end of the endoscopic
device.
One such means is a very small incandescent bulb positioned along
the inside wall of the tube near the penetrating or distal end,
with electric current being supplied thereto by wires from a
battery or low voltage transformer disposed some distance from the
endoscopic device. Such an arrangement has several distinct
disadvantages. The necessarily small size of the bulb limits the
amount of light available from it. As presently composed, such
bulbs cannot be autoclaved, since they cannot withstand the steam
temperatures and pressures normally used, so they have to be
sterilized by means other than high heat, such as in ethyl alcohol
solutions or gaseous ethylene oxide, which most medical doctors
regard as inferior to autoclaving. Also, approximately 80 percent
of the energy consumed by such an incandescent bulb is converted
into heat which may be directly or indirectly injurious to the
patient, and blood coming into contact with the hot bulb usually
will form a dark crustlike coating thereon which can seriously
reduce the amount of available light and is difficult to
remove.
Another means for providing such supplemental lighting is a larger
more powerful bulb remote from the penetrating end of the scope,
with a fiber optics light carrier extending from the bulb to the
penetrating end of the scope, the bulb again being supplied with
current by wires from a battery or low voltage transformer some
distance from the endoscopic device. The fiber optics carrier must
be flexible where the light source is several feet away from the
scope, or a rigid fiber optics carrier may be used if the bulb is
mounted at the proximal or outer end of the scope, but in either
case the flexible carrier and/or wires are inconvenient to the
surgeon and restrict his freedom of movement and that of the scope,
and there is an ever-present danger of a short or spark occurring
anywhere in the system of electrical components which might be
fatal in causing the patient to suffer cardiac arrest or an
anesthesia explosion.
Other electrically illuminated medical diagnostic instruments also
are known which employ batteries that are carried in the handle
portion of the instrument, but the latter is not autoclavable.
Also, the light source in some such instruments is disposed
exteriorly of the instrument at the outer or proximal end of the
speculum which does not provide satisfactory illumination at the
distal end.
Consequently, a principal object of the instant invention is to
provide novel autoclavable means for illuminating a desired portion
of the interior of a human body which eliminates the objectionable
features herein noted with respect to instruments currently
available. This object is attained with a novel powerpack unit
comprising a sectional metal casing housing a heat-resistant dry
cell or cells, a light bulb near one end and a control switch
member at the other, and having heat- and pressure-resistant seals
or gaskets, preferably in the form of O-rings of silicone rubber,
interposed between the bulb and the casing, the control switch
member and the casing, and the adjacent sections of the casing.
Another important object of the invention is the provision of such
an autoclavable powerpack unit which is adapted for use with, and
as a part of, existing endoscopic devices or other surgical
instruments or with instruments specifically designed to receive
the same, and which is readily separable therefrom, even when the
instrument is in use, to permit rapid replacement of the unit as a
whole or the bulb or the battery cell or cells therein.
To this end, another object of the invention is to assure proper
positioning of such a powerpack unit in operative relationship to
the proximal end of a fiber optics device which is mounted on or in
a surgical instrument with its other end disposed adjacent the
distal end of the instrument. In this connection, novel mounting
means are provided on the instrument for frictionally engaging the
powerpack unit and retaining it in proper cooperative relationship
with the proximal end of the fiber optics device.
A further object is to supply maximum effective lighting at the
distal end of a surgical instrument by means of a fiber optics
device of minimal diameter and this object is attained by providing
a lens for collecting the light rays emanating from a light source
and focusing the same onto the proximal end of the fiber optics
device.
Numerous other objects and advantages of the invention will be
apparent as it is better understood from the following description,
which, when taken in connection with the accompanying drawings,
discloses preferred embodiments thereof.
In the drawings:
FIG. 1 is a longitudinal section through a mediastinoscope
embodying this invention and including a fiber optics device and a
handle comprising means for frictionally receiving and maintaining
a powerpack unit in proper cooperative position relative to the
fiber optics device;
FIG. 2 is an enlarged longitudinal sectional view of the
autoclavable powerpack unit of FIG. 1;
FIG. 3 is a side elevational view of a bronchoscope modified to
incorporate the features of this invention including an
autoclavable powerpack unit similar to that of FIG. 2 and a lens
attachment for focusing the light therefrom onto the proximate end
of a fiber optics device;
FIGS. 4 and 5 are enlarged detail sectional views taken
substantially on the lines 4-4 and 5-5, respectively, of FIG.
3;
FIG. 6 is a perspective view of a surgical retractor with a
powerpack unit like that of FIG. 2 and a fiber optics device
mounted thereon;
FIG. 7 is a transverse section taken substantially on the line 7-7
of FIG. 6; and
FIG. 8 is a sectional view of a portion of a human body
illustrating the use of the surgical instrument of FIG. 6 as a
retractor and to illuminate a remote portion of a cavity in the
body.
Referring more particularly to FIG. 1, reference numeral 11
indicates in general a mediastinoscope which comprises a speculum
12 of tubular construction for insertion into the opening of a
passage of the human body and having its insertable or distal end
13 chamfered or cut off at an angle in the usual manner and a
lateral opening or slot 14 at its proximal end 15. A handle means
indicated generally by reference numeral 16 forms a part of, or is
secured in any suitable manner to, the speculum 12 adjacent its
proximal end 15, which includes a fin or handle portion 17, a
connecting portion 18 interposed between the latter and the
speculum 12 and including a semitubular portion 19 extending a
short distance into the speculum, and powerpack mounting means 21
in the form of an open-ended tube welded, or otherwise suitably
secured to, or forming an integral part of, the fin or handle
portion 17.
Extending through the semitubular portion 19 and retained in place
thereby is a fiber optics device 22 of well-known construction in
the form of a rod or sheath of fibers having the characteristic of
transmitting rays of light longitudinally therethrough, the
proximal end portion of which is bent substantially at right angles
to the speculum 12 and terminates exteriorly of the latter adjacent
the inner end of the handle 16. The other or distal end of this
fiber optics device or rod 22 extends along the interior wall of
the speculum 12 and terminates adjacent the distal end of the
latter in a planar end surface 23 which is angularly complementally
disposed relative to the chamfered distal end 13 of the speculum to
result in a conical beam of light rays 24 being directed outwardly
from the speculum in the manner illustrated in broken broken lines
in FIG. 1. It will be understood that the fiber optics device 22
may be flexible, but it is preferred that the same be rigid, which
may be accomplished by providing it with a protective covering of
metal, plastic tubing, or the like. In any event, it will be
appreciated that light rays directed upon the proximal end surface
of the fiber optics device 22 will be transmitted longitudinally
through the latter and emanate from its planar end surface 23 in
the manner described to directly illuminate the area or objects
adjacent the distal end of the speculum 12 to a maximum degree.
The connecting portion 18 of the handle 16 is formed to provide an
abutment or positioning surface 25 substantially parallel to the
longitudinal axis of the speculum 12 which limits inward movement
of a powerpack unit, indicated generally by reference numeral 26,
when the same is inserted longitudinally into the mounting means
21. This powerpack unit 26 comprises a sectional casing made up of
a forward end portion 27, a central tubular section 28 and a rear
end portion 29. For obvious reasons, it is preferred that this
casing, like the speculum 12 and handle 16, be made from a suitable
stainless steel, although any desired material may be employed
which will not be affected by the substantial heat employed in
autoclaving. For the intended use of this powerpack unit 26, it is
essential to provide heat- and pressure-resistant seals between the
adjacent sections of its casing. To this end, the inner ends of the
forward and rear portions or sections 27 and 29 are threaded on
their outer surfaces and the ends of the central tubular section 28
are complementally tapped to receive them, while O-rings 31,
preferably made of silicone rubber, are interposed between the end
surfaces of the central section 28 and annular flanges 32 (FIG. 2)
formed on each of the end sections 27 and 29 at the inner ends of
their outwardly threaded portions.
The forward end portion 27 of the casing is provided with a
longitudinal extending bore forming an open-ended recess 33 at its
outer end and a light bulb receiving recess 34 of larger diameter
at its inner end and separated therefrom by an angularly disposed
shoulder 35, as best seen in FIG. 2. This forward end portion 27 of
the casing thus comprises a receptacle for a suitable
high-intensity incandescent light bulb 36, the outer end of the
filament-enclosing glass envelope 37 of which is shaped to extend
freely into the recess 33 while the larger inner end thereof
engages a heat- and pressure-resistant seal in the form of an
O-ring 38, preferably of silicone rubber, interposed between it and
the angular shoulder 35. Pressure is exerted lengthwise of a bulb
36 to maintain such seal by means of an insulating washer 39
interposed between the base portion 41 of the bulb and a shoulder
42 defining the inner end of the tapped portion of the central
tubular section 28. It will be appreciated that light rays
emanating from this bulb or light source 36 thus will be collected
and directed outwardly from the powerpack unit by the walls of the
recess 33.
The other or outer end of the central tubular section 28 also is
provided with an inner shoulder 42 defining the end of its tapped
portion, and an insulating washer 43 is interposed between that
shoulder 42 and the inner end of the rear portion 29 of the casing.
Disposed within the central tubular section 28 between this
insulating washer 43 and the inner end of the base portion 41 of
the light bulb 36 is a suitable source of electric energy in the
form of one or more electric cells 44 which are heat resistant and
preferably encased within a suitable insulating tube 45 (FIG.
2).
The rear end portion 29 of the casing of the powerpack unit 26 also
is bored to provide an inner portion 46 of relatively small
diameter and an outer portion 47 tapped to receive the thread
portion 48 of a control switch member 49. The latter also includes
an inner end portion 51 slidably extending through the inner
portion 46 of the bore in the rear section 29 of the casing, and an
outer end portion 52 which preferably is knurled to facilitate
manual rotation thereof. The inner and outer portions 46 and 47 of
the bore receiving the switch member 49 are joined by an annular
surface defining a shoulder 53 against which a seal, preferably in
the form of an O-ring 54 of silicone rubber, is maintained by means
of a coil spring 55 mounted on the inner end 51 of the switch
member and interposed between the outer threaded portion 48 of the
latter and a washer 56. The seal or gasket 54 is heat and pressure
resistant and comprises an effective packing regardless of the
position assumed, or movement of, the control switch member 49.
From the above description, it will now better be appreciated how
the powerpack unit 26 solves the problems encountered by the
applicant and comprises a fully autoclavable device peculiarly
adapted for directly illuminating desired interior portions of a
human body. With the parts in their positions shown in FIG. 2, the
powerpack unit 26 is fully assembled but inactive. In order to turn
the light source or bulb 36 on, it is only necessary to screw
control switch member 49 inwardly against the adjacent end of the
electric cell means 44. This completes a circuit from one end of
the latter through the casing and the light bulb 36 to the other
end of the batteries or cells 44 in well-known manner.
To facilitate retention of the powerpack unit 26 in the mounting
means 21 of FIG. 1 in proper end engagement with the abutment 25
for cooperation with the proximal end of the fiber optics device
22, the outer surface of the central tubular section 28 is provided
with longitudinally spaced, annular recesses 57 (FIG. 2) for
retaining rubber rings 58 therein which are of sufficient diameter
and thickness to extend outwardly just slightly beyond the
spherical outer surface of the casing. These resilient rings 58
thus cooperate with the tubular powerpack receiving or mounting
means 21 to retain the same therein. The powerpack unit 26 thus
becomes a functional part of the handle 16 of the mediastinoscope
11 (FIG. 1), but whenever and if for any reason it is desired to
remove the same therefrom, even during use of this surgical
instrument, such may readily be accomplished merely by sliding the
powerpack unit 26 longitudinally outwardly from the mounting tube
21. Another powerpack thus may easily be substituted for it, or the
bulb or electric cell means may quickly be removed and replaced. At
the same time, the entire surgical instrument, including the
powerpack unit 26, is autoclavable, and this highly desirable
feature is attained without in any way interfering with the normal
use of the particular surgical instrument with which the powerpack
is associated.
While the surgical instrument 11 of FIG. 1 illustrates a form of
endoscopic device specifically designed to receive the powerpack
unit 26, it will be understood from the initial portion of this
description that the powerpack unit also is adapted for use alone
or in connection with different types of existing endoscopic
devices or other surgical instruments. As illustrative of the
latter, FIGS. 3--5 disclose a standard bronchoscope, indicated
generally by reference numeral 59, having a speculum 61 with a
fiber optics device 62 extending from a point adjacent its distal
end to a point exterior of its proximal end and, which like the
fiber optics device 22, is bent substantially at right angles
exteriorly of the speculum and terminates in a proximal end portion
63, and a handle portion 64 extending laterally from the speculum
61 in spaced parallel relationship to the end portion 63 of the
fiber optics device.
A lens-mounting means indicated generally by reference numeral 65
is secured by any suitable support means 66 mounted on the handle
portion 64 (FIG. 3) for cooperative association with the fiber
optics device 62. As best seen in FIG. 5, this lens-mounting means
65 comprises a tubular collet 67 secured in any suitable manner to
the support means 66 and provided with a reduced externally
threaded portion 68 and a longitudinally extending bore 69 for
receiving the proximal end 63 of the fiber optics device 62.
Incidentally, it will be observed from FIG. 5 that the latter is
illustrated as comprising a central core of fibers, as previously
described, sheathed in a protective coating or tubular casing 71 of
metal, plastic, or the like. The externally threaded portion 68 of
the collet 67 receives an internally threaded collar 72 the outer
end of which receives the outwardly threaded inner end of a lens
holder 73 having a lens 74 mounted in well-known manner in its
outer end. With this arrangement, the lens 74 is disposed at the
proper distance from the end surface of the proximal portion 63 of
the fiber optics device 62 to focus and concentrate thereon light
rays directed through the lens from the exterior side thereof.
Such light rays are provided by the bulb 36 of the powerpack unit
26 when the latter is mounted on the bronchoscope 59 in proper
position with respect to the lens 74. To this end, the powerpack
unit 26 is provided with a slightly modified forward end portion
27a which differs from the previously described end portion 27 of
the casing by having the outer end of the light bulb receiving
recess therein enlarged at 75 to receive the lens holder 73 (FIG.
5). In order to maintain the powerpack unit 26 in this operative
position with respect to the lens 74 and fiber optics device 62,
mounting means indicated generally by reference numeral 76 (FIGS. 3
and 4) for the powerpack unit is adjustably secured to the handle
portion 64 in the following manner. This mounting means 76
comprises a tubular portion 77 similar to, and interiorly
dimensioned like, the previously described tubular mounting means
21, and an elongated, U-shaped clamping portion 78 having the edges
of its leg portions secured, as by welding or the like, to the
tubular portion 77. This clamping portion 78 preferably contains a
longitudinally split resilient filler 79 of foam rubber, or the
like, to receive the handle portion 64 of the bronchoscope 59. As
best seen in FIG. 4, suitable clamping screws 81 mounted in one leg
of the clamping portion 78 may be provided for insuring retention
of the mounting means 76 in proper position on the handle portion
64.
When so mounted, a powerpack unit 26 having a modified end section
27a may be slid longitudinally into the tubular portion 77 of this
mounting means 76 until its inner end abuts against the end of the
collar 72 as shown in FIG. 5. This will result in accurate
positioning of the light bulb relative to the lens 74 to insure all
light emanating from the bulb being concentrated upon the proximal
end surface of the fiber optics device 62. It will be appreciated,
therefore, that the fiber optics device may be of minimum diameter,
with the obvious attendant advantages of taking up as little of the
interior space in the speculum 61 as possible.
It also will be appreciated that such mounting means 76 is useful
for mounting a powerpack unit 26 on any other generally similar
surgical instrument even though the handle portion thereof may not
be dimensioned exactly like the handle portion 64 of the
bronchoscope 59. Similarly, it will be appreciated that the
powerpack unit 26 readily lends itself to use with or without a
fiber optics device with almost any other type of surgical
instrument.
Illustrative of this feature is the arrangement disclosed in FIGS.
6--8 in which clamping means indicated generally by reference
numeral 82 is adapted to secure a powerpack unit 26 on a surgical
retractor 83. To this end, the clamping means 82 comprises opposed
elements 84 curved at their upper ends to embracingly engage the
powerpack unit, having central portions 85 disposed substantially
parallel to each other, and terminating at their lower ends in
angularly disposed portions 86 for clamping engaging the edges of
the main portion of the retractor 83. A screw 87 is employed to
bring these opposed elements 84 toward each other to retain the
powerpack unit in desired adjusted position on the retractor.
The forward end portion 27 of the casing of the powerpack unit 26
receives the proximal end of a fiber optics device 88 which is
retained on the retractor 83 by a suitable clip 89 (FIG. 6) secured
in any suitable manner to the retractor. With this arrangement,
when the distal end of the retractor 83 engages an edge portion of
an incision in a human body illustrated at 91 in FIG. 8, the distal
end of the fiber optics device 88 may be adjustably positioned as
desired to facilitate selective focusing of the light emanating
therefrom at any adjacent point or area in the exposed body cavity
92.
From the description and illustrations herein, it will be seen that
the several objects of the invention set forth have been attained,
principally by virtue of the autoclavable structure of the
powerpack unit. Not only is such a unit usable as a part of or with
different types of surgical instruments, it also is useful alone
or, with slight modification, as a voltage source in substitution
for the transformers or batteries of some of the prior art
arrangements noted.
It is thought that the invention and many of its attendant
advantages will be understood from the foregoing description, and
it will be apparent that various changes may be made in the form,
constructions, and arrangement of the parts without departing from
the spirit and scope of the invention or sacrificing all of its
material advantages, the forms hereinbefore described being merely
preferred embodiments thereof.
* * * * *