U.S. patent number 3,886,944 [Application Number 05/416,760] was granted by the patent office on 1975-06-03 for microcautery device.
Invention is credited to Khosrow Jamshidi.
United States Patent |
3,886,944 |
Jamshidi |
June 3, 1975 |
MICROCAUTERY DEVICE
Abstract
A microcautery device particularly adapted for use in connection
with the cauterization of elongated unnatural openings of small
diameter formed in a body, for example, for biopsy purposes, the
device including a gripping handle having an elongated tubular
metallic shaft of small diameter extending from one end of the
handle. The metallic shaft consists of a shank portion having a
generally cylindrical tip portion with an electrically resistive
closed tip end coupled thereto at the end thereof, with the body of
the tip portion extending in continuation with the shank portion.
An electrically insulated highly conductive electrical conductor is
disposed within the confines of the tubular shaft and extends from
the handle to the tip of the shaft, and is electrically coupled to
the tip portion along the inner surface of the closed tip end. A
source of electrical energy is coupled across the electrical
conductor and the proximate end of the tubular metallic shaft, so
as to complete an electrical circuit. The cauterizing device is
arranged to be inserted in the opening formed in the body being
treated, energized to cauterizing temperatures, and removed slowly
while heated so as to perform the cauterizing operation.
Inventors: |
Jamshidi; Khosrow (Minneapolis,
MN) |
Family
ID: |
23651198 |
Appl.
No.: |
05/416,760 |
Filed: |
November 19, 1973 |
Current U.S.
Class: |
606/30;
219/233 |
Current CPC
Class: |
A61B
18/082 (20130101) |
Current International
Class: |
A61B
18/08 (20060101); A61B 18/04 (20060101); A61b
017/36 (); A61h 003/06 () |
Field of
Search: |
;128/2B,303.17,303.14,347,310,303.13,303.1,303.12 ;219/233 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Claims
I claim:
1. Means for cauterizing elongated and unnatural openings of small
diameter formed in a body with a small diameter biopsy needle
stylet and comprising:
a. gripping handle means having an elongated hollow tubular
metallic shaft of small diameter stainless steel extending from one
end thereof;
b. said tubular metallic shaft consisting of a tubular shaft
portion having a generally cylindrical tip portion with a closed
hemispherical tip at the end thereof, said closed tip portion being
disposed at the distal end of said tubular shaft portion opposite
said handle means, said tubular shaft portion having a certain
first electrical conductivity, and said tip portion having an
electrical conductivity which is significantly less than that of
said tubular shaft portion;
c. an electrical conductor disposed within the confines of said
tubular metallic shaft and being arranged generally coaxially
therewithin, means for coupling said electrical conductor and said
tubular shaft portion to opposite poles of a source of electrical
energy, said electrical conductor extending from said handle means
to the inner surface of said closed tip end of said tubular
metallic shaft and having a layer of electrical insulation disposed
generally coaxially therearound, and being secured electrically to
the inner wall of said closed tip portion adjacent the distal end
thereof.
2. The cauterizing means as defined in claim 1 being particularly
characterized in that said tubular shaft portion and closed tip
portion have constant and common outer radii.
3. The cauterizing means as defined in claim 1 being particularly
characterized in that the cross-sectional wall thickness of said
tubular shaft portion is substantially equal to that of said closed
tip portion.
4. The cauterizing means as defined in claim 1 being particularly
characterized in that said tubular shaft portion and closed tip
have a polished exterior surface along the entire extent thereof.
Description
BACKGROUND OF THE INVENTION
The present invention relates generally to a cauterizing device,
and more specifically to a cauterizing device particularly adapted
to be used following the performing of a biopsy operation wherein
an internally disposed sample is obtained. The cauterizing device
of the present invention is arranged for use following a biopsy
procedure performed with that certain structure disclosed and
claimed in U.S. Pat. No. 3,628,524, dated Dec. 21, 1971 and
entitled "Biopsy Needle," with the structure being adapted to be
inserted in the opening formed by the biopsy needle stylet. The
structure is provided with an elongated, at least moderately
electrically conductive tubular metallic shaft, with a resistive
closed tip end which is arranged to be electrically energized and
heated to a cauterizing temperature. Heating is accomplished by
material selection and by geometry, such as by utilization of
resistive material with a significantly smaller cross-sectional
thickness for this material than is utilized for the remaining
portion of the tubular metallic shaft. The entire structure is
arranged for insertion into a biopsy tract, energized while
disposed within the tract, and removed with continued heating so as
to cauterize the wound with the tip portion only as the device is
being extracted.
Examples of biopsy needles which are in use by medical
practitioners are those biopsy needle structures which are found in
U.S. Pat. No. 3,598,108, for example.
Each of these biopsy needle structures contains a relatively
elongated needle stylet which is used to form the tract or opening
into the area to be examined, and the sample gathering device is
thereafter inserted into the tract for its intended purpose.
Normally, it is desirable to cauterize the wound, and the apparatus
of the present invention is particularly adapted to perform this
cauterizing operation in a progressive fashion, from the inner area
of the wound outwardly to the surface as the cautery device is
being withdrawn. In one operative embodiment, such as is
illustrated in U.S. Pat. No. 3,598,108 entitled "Biopsy Technique
and Biopsy Device," the cautery device of the present invention may
be inserted into the outer sleeve structure disclosed in U.S. Pat.
No. 3,598,108, and with the heated tip portion projecting beyond
the end of the sleeve, the composite assembly is withdrawn from the
body of the patient so as to cauterize the tract upon
withdrawal.
SUMMARY OF THE INVENTION
Briefly, the improved cauterizing device of the present invention
includes a gripping handle having an electrically conductive
elongated tubular metallic shaft of small diameter extending
outwardly from one end of the handle. The tubular shaft consists of
a shank portion having a generally cylindrical tip portion with a
closed tip secured to the shaft at the end thereof, with the tip
portion being therefor disposed at the distal end of the shaft. A
single electrically insulated, highly conductive electrical
conductor is disposed within the confines of the shaft and extends
from the handle to the closed tip where it is electrically coupled
to the inner surface of the closed tip end. The tubular shaft
portion may have a certain first cross-sectional thickness which is
significantly greater than the cross-sectional thickness of the tip
portion so as to avoid heating of the shaft. This arrangement
provides for dissipation of more energy in the highly resistive tip
portion disposed at the end of the shaft. A source of electrical
energy is coupled across the electrical conductor and the proximate
end of the tubular metallic shaft, thus forming a completed circuit
through the resistive tip. The handle is arranged with switch means
in order to appropriately energize the tip following insertion in
the wound, and if desired, electrical power may be provided from a
source within the handle, either battery power or normal 115 volt
AC power equipped with transformer means arranged to reduce the
voltage to the desired level.
Therefore, it is a primary object of the present invention to
provide an improved cauterizing device which is particularly
adapted for the cauterizing of elongated unnatural openings of
small diameter formed in a body from a needle stylet of a biopsy
device.
It is yet a further object of the present invention to provide an
improved cauterizing device for the cauterization of elongated
unnatural openings or wounds of small diameter formed in a body,
the cauterizing device including a gripping handle having a tubular
metallic shaft of small diameter secured to one end thereof, and
with means for providing an electrically resistive portion at the
tip end of the shaft for the progressive cauterization of a wound
from the interior to the outer surface opening.
Other and further objects of the present invention will become
apparent to those skilled in the art upon a study of the following
specification, appended claims, and accompanying drawing.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a perspective view of a microcautery device prepared in
accordance with the present invention;
FIG. 2 is a vertical sectional view taken through the diameter of
the microcautery device shown in FIG. 1, and illustrating the
mechanism employed in the device;
FIG. 3 is a detailed sectional view, partially broken away and on
an enlarged scale, and illustrating the tip end portion of the
improved microcautery device; and
FIG. 4 is a vertical sectional view taken along the line and in the
direction of the arrows 4--4 of FIG. 3.
DESCRIPTION OF THE PREFERRED EMBODIMENT
The improved cauterizing device of the present invention generally
designated 10 includes a gripping handle member 11 and an elongated
tubular metallic shaft 12 extending from the end of the gripping
handle 11. Tubular shaft 12, which is hollow, is of small diameter,
normally not exceeding approximately 1.2 mm O.D. The wall thickness
is preferably about 4 mils to provide a desirable and useful
device, however 9 mil wall tubing may be useful. The tubular shaft
12 is electrically conductive, preferably consisting of stainless
steel such as 18-8 Stainless, or other suitable material for
surgical use. The outer surface of the shaft 12 is preferably
polished in order to render the structure readily sterilizable.
As is apparent in FIG. 2, shaft 12, being hollow, contains
electrically insulated conductor 13 therewithin, (see FIG. 3) with
an insulation layer 14 being disposed about the circumference
therof. The tip end of shaft 12 is closed, such as is indicated in
FIGS. 2 and 3, by tip member 15. Conductor 13 is electrically
coupled to the inner surface of the closed tip end portion of tip
15 adjacent the outer end 23a, as at 16. with the proximate end 18
of shaft 12 being coupled by electrical conductor 19 to a source of
electrical energy, such as illustrated at 17, the completion of the
electrical circuit is apparent.
With attention being directed to FIG. 3 of the drawing, it will be
observed that the tip portion 15 includes a shank portion 20 having
a generally cylindrical form with the tip portion thereof being
closed, as is apparent at 21. The shank portion of the tubular
metallic shaft 12 has a certain first cross-sectional thickness of
wall, such as in the range of about 4 mils to 9 mils, while the tip
portion has a second cross-sectional thickness which is equal to or
significantly less than the first cross-sectional wall thickness.
For example, the tip portion may have a wall thickness of
approximately 4 mils, which is approximately one-half of that of
the remaining portion of the metallic shaft 12 when 9 mil tubing is
being used. This reduction in wall thickness will render it
possible for the resistive characteristics to enable the tip
portion to be heated to a cauterizing temperature, such as normally
between about 500.degree. C. and 1,000.degree. C. while the
cauterizing procedure is being performed.
It will be appreciated that a reduction in wall thickness is
achieved by utilizing a common or continuous outer diameter, with
the inner diameter being increased or decreased at the tip end in
order to provide the appropriate control in wall thickness.
In order to provide a source of electrical power, battery element
17 is disposed within the interior of handle 11, with switch means
having an attachment casing 15a, spring biased plunger member 15b,
and button 15c being employed to control a flow of electrical power
from battery source 17 to the tip 15. The battery source is
preferably provided with adequate power capabilities so as to
provide an I.sup.2 R loss sufficient to raise the temperature of
tip 15 to a cauterizing level of between about 500.degree. C. and
1,000.degree. C. while internally disposed. Normal commercially
available low internal impedance battery or other power sources
will ordinarily be sufficient to generate sufficient power to
permit certain surgically accepted stainless steel alloys to be
employed, with stainless steel of sufficiently small diameter being
useful, along with certain other alloys of commonly used
cauterizing elements. Stainless steels such as seamless tubing of
Type 18-8 or equivalents may be employed for the materials of
construction. When selecting the materials of construction for the
tip heater portion, a substance having significantly greater
electrical resistance than utilized in the tubular shaft portion is
needed. In this connection, therefore, a material such as Type 18-8
stainless steel may be employed. This material having a thickness
of, for example, 4 mils may be utilized when a tubular shaft of a
wall thickness of 9 mils is employed. The material is also suitable
for use when the tubular shaft is formed with Nichrome tubing.
In certain instances, Nichrome V may be employed, with this
material being, of course, readily commercially available on a
variety of mechanical configurations.
In order to provide electrical continuity in the structure, an
electrically conductive sleeve member such as the sleeve 22 may be
employed between the tip portion 15 and the tubular shaft portion
12, as indicated in FIG. 3.
If desired, battery source 17 may be eliminated and a transformer
power supply employed to permit the unit to be coupled directly to
the 115 A.C. power, and if such is the case, contacts 23 will
continue to be employed to controllably interrupt the flow of
electrical power to the tip 15. However, in this case, if normal
115 volt A.C. power is employed, it may be desirable to utilize a
pair of mating contacts, with one such contact being utilized with
each of the two conductors. Such switch devices are, of course,
normally commercially available.
As is indicated in FIG. 2 of the drawing, the individual leads
extending from the source of power make contact with tip 15 through
tubular metallic shaft 12 by means of the junction at 18, with the
other line or main being coupled directly to tip 15 through
conductor 13.
It will be appreciated that in use, a biopsy technique will
normally employ the preparation of an elongated unnatural opening
or tract of small diameter in the body, this opening being formed
by a small diameter biopsy needle stylet. The tubular metallic
shaft 12 is of comparable diameter, and is arranged to be inserted
into the wound following the completion of the biopsy procedure.
Following insertion, and while at the base of the wound or tract,
power is supplied to the tip 15 and the heat generated through the
I.sup.2 R losses will be adequate to cauterize the wound. The
attendant then withdraws the needle from the wound slowly, as to
permit continuous cauterization at the tip during the withdrawal of
the device.
* * * * *