U.S. patent number 3,902,494 [Application Number 05/465,583] was granted by the patent office on 1975-09-02 for suction surgical instrument.
This patent grant is currently assigned to Scheerer. Invention is credited to Roland Haberlen, Theodor Schwarz.
United States Patent |
3,902,494 |
Haberlen , et al. |
September 2, 1975 |
**Please see images for:
( Certificate of Correction ) ** |
Suction surgical instrument
Abstract
A suction surgical instrument combining the functions of
removing liquids and/or tissue from the operation area and of
coagulating tissue. A suction shaft of an electrically insulating
material and modifications of a coagulating electrode positioned at
the suction port prevent traditional clogging of the suction shaft.
Insulation and position of the electric lead aid in increasing the
stiffness of the suction shaft.
Inventors: |
Haberlen; Roland (Tuttlingen,
DT), Schwarz; Theodor (Nendingen, DT) |
Assignee: |
Scheerer (Tuttlingen,
DT)
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Family
ID: |
5880946 |
Appl.
No.: |
05/465,583 |
Filed: |
April 30, 1974 |
Foreign Application Priority Data
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May 15, 1973 [DT] |
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2324415 |
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Current U.S.
Class: |
604/20; 604/902;
174/47; 606/49 |
Current CPC
Class: |
A61B
18/14 (20130101); A61B 18/1402 (20130101); Y10S
604/902 (20130101) |
Current International
Class: |
A61B
18/14 (20060101); A61M 1/00 (20060101); A61M
001/00 (); A61B 017/40 () |
Field of
Search: |
;128/275.1,303.1,303.13,303.14,303.17,303.18,303.19,276,172.1,407-409,417,DIG.1
;174/47 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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1,007,960 |
|
May 1957 |
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DT |
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1,465,581 |
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Nov 1965 |
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FR |
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745,959 |
|
Nov 1932 |
|
FR |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Attorney, Agent or Firm: Kalil; Eugene J. Rhodes, Jr.; James
M.
Claims
Having thus fully disclosed our invention, what we claim is:
1. A surgical instrument comprising:
a tubelike suction shaft comprising an electrical insulating
material forming a wall which surrounds a suction channel, said
suction shaft having at its first end a connection socket for
attachment to a source of suction for removing liquids and/or
tissue from a surgical operation area, the second shaft end being
opened to form a suction port the size of which is co-extensive
with the internal opening of said second shaft end, electrode means
positioned out of said channel and connected to said shaft wall and
extending from the outside across a portion of said suction port
and constricting said suction port, and an insulated electric lead
for supplying high frequency current operably connected with said
electrode means, said electric lead being positioned out of said
channel and disposed lengthwise of and connected to said shaft
wall.
2. An instrument according to claim 1, wherein said electric lead
is formed with means for increasing its bending resistance.
3. A surgical instrument according to claim 1, wherein the
insulation for said electric lead is provided by an insulating tube
enclosing both said electric lead and suction shaft.
4. A surgical instrument as defined in claim 1, wherein said
electric lead comprises a round bar provided with a milled groove
shaped to the circumference of said suction shaft and fitting
thereon.
5. An instrument as defined in claim 1, wherein said electric lead
is embedded in the outer surface of said suction shaft to provide
for the electrical insulation of said lead.
6. A surgical instrument according to claim 1, wherein said suction
shaft consists of polytetrafluoroethylene.
7. An instrument according to claim 1, wherein said coagulating
electrode comprises a material thermally and electrically more
conductive than stainless steel and extends into the insulation of
said electric lead to increase the heating capacity of said
electrode.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to a suction surgical instrument for
drawing off liquids and/or tissue particles from the operation
area, in particular a suction device with a hollow suction shaft
having at its free end a suction port and at its other end
connection socket for attaching a suction tube.
2. Description of the Prior Art
Conventional suction surgical instruments employ tubular suction
shafts of metal, preferably of stainless steel or of a
nickel-plated or chromium-plated brass. Frequently, the electrical
conductivity of the prior art suction shafts serves to connect the
suction shaft to a source of high frequency current for the purpose
of coagulating the tissue, preferably, the blood vessels in the
area of surgery. However, this has the disadvantage that tissue is
coagulated not only at the desired spot in the operation area, but
that the tissue particles sucked up by the suction shaft coagulate
within said shaft, thereby causing the suction shaft to become
clogged very quickly.
It is the purpose of the present invention to obviate the
aforementioned difficulties by providing a suction surgical
instrument with a suction shaft which will not become clogged by
the coagulation of tissue particles when the suction device is
employed as a coagulating instrument.
SUMMARY
The preferred embodiment of the present invention solves this
problem inherent in suction surgical instruments of the type
referred to in the beginning, by a suction shaft of an electrically
insulating material with its suction port provided with a
coagulating electrode, said electrode attached to an electric lead
that can be connected to a source of high frequency current. This
prevents coagulation from ocurring within the hollow portion of the
suction shaft, so that the suction shaft cannot become clogged
thereby. Should over-heating of the coagulating electrode cause
clotted material to settle thereon during the coagulating process,
then this material can be removed easily, since the coagulating
electrode is located outside the suction shaft. By shaping the
electrode correspondingly, it is possible in addition to avoid with
certainty clogging of the suction port by the tissue coagulated at
the tip of the coagulating electrode. Furthermore, the coagulating
electrode located outside of the suction shaft can readily be
cleaned at any time, for example, by the operating nurse also
during a surgical procedure, e.g., by the use of a correspondingly
formed instrument.
The electric lead can be attached to the electrode in any arbitrary
manner, e.g., as a trailing, preferably insulated, wire joined to
the electrode.
The electric lead of one preferred embodiment of the invention runs
in a longitudinal direction to the suction shaft and is preferably
insulated. Thereby for one preferred embodiment of the invention,
it is possible for the electric lead to have a profile increasing
its bending resistance, and to be preferably connected mechanically
to the suction shaft, so that the electric lead contributes to
increasing the stiffness of the suction shaft, thereby forming a
metallic reinforcement for the suction shaft.
In order to insulate the electric lead positioned on the outside
adjacent to the suction shaft, an insulating tube may be used to
enclose the suction shaft and the electric lead. Thereby, a
mechanical connection is established at the same time between the
suction shaft and the electric lead.
A further preferred embodiment of the invention has the suction
port of the suction shaft constricted by the coagulating electrode.
Such constriction may take various forms, e.g., the internal
diameter of a ring-shaped electrode is smaller than the internal
diameter of the suction shaft, or in the case of a differently
shaped electrode, the latter extends a bit beyond the suction port,
thereby reducing the diameter of the suction port. Constricting the
suction port of a suction shaft in this way, causes only such
tissue particles to be drawn off by the shaft, which are smaller
than the internal diameter of the suction shaft, so that
unobjectionable removal of these particles through the shaft is
ensured, and clogging of the suction shaft by particles drawn in
that are too large, is avoided with certainty. This procedure to
prevent clogging of a suction shaft can also be employed to
advantage with conventional surgical suction devices having the
entire suction shaft of metal.
The suction shaft of the suction device of the present invention
may be any arbitrary material that is electrically insulating. One
preferred embodiment employs polytetrafluoroethylene as the
electrically insulating material. Tetrafluoroethylene has the
advantage that practically no particles adhere to it, so that the
problem basic to the invention, namely to prevent clogging of the
suction shaft by the tissue particles drawn into it, is solved
especially well.
DESCRIPTION OF THE DRAWINGS
The description refers to the accompanying drawings, in which like
reference characters refer to like parts throughout the several
views illustrating examples of the suction surgical instruments of
the present invention, and in which:
FIG. 1 is a partial cross section and partial elevation of a first
embodiment;
FIG. 2 is an end-on view of the suction port of the suction
surgical instrument of FIG. 1;
FIG. 3 is a cross section along the line III -- III of FIG. 1;
FIG. 4 is a perspective view of the coagulating electrode of the
embodiment shown in FIGS. 1 - 3;
FIGS. 5 and 6 are illustrations corresponding to FIG. 4 showing two
different variations of the coagulating electrode;
FIG. 7 is a view of the suction port of a suction instrument with a
coagulating electrode as illustrated in FIG. 6;
FIG. 8 is a cross section of the suction instrument shown in FIGS.
6 and 7.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to the drawings, the invention is described with
reference to a surgical instrument for drawing off liquids and/or
tissue particles from a surgical operating area, as represented in
FIGS. 1 - 4, comprising a suction shaft 10 of tetrafluoroethylene,
provided at its free end with suction port 11 and connected at its
other end to handle 12 forming a connection socket 13 to attach a
suction tube not illustrated in the drawing, which tube serves to
join in conventional fashion suction shaft 10 with a vacuum source,
also not illustrated. Handle 12 is provided at its end opposite
connection socket 13 with a bore 14 forming a seat for the end of
suction shaft 10 opposite suction port 11. Bore 14 extends into a
channel 15 connecting the hollow passage of the suction shaft 10
with the hollow passage of connection socket 13. A ventilating
opening 16 terminates in channel 15, which opening may be closed
with the thumb of the hand holding handle 12, when drawing off
liquids and/or tissue particles from the operation area. Handle 12
consists of a comparatively stiff insulating material, preferably a
plastic.
Electric lead 17 butts against suction shaft 10, which lead extends
longitudinally the entire length of suction shaft 10 and along a
portion of handle 12. This electric lead is a round rod provided in
the region in which it butts against suction shaft 10 and handle
12, with a milled groove 18, which is shaped corresponding to the
circumference of suction shaft 10 and of handle 12, for the purpose
of fitting it thereto.
The remaining part 19 of the rod-shaped electric lead 17 extends
away from handle 12 at an angle and is shaped as a plug 24 for the
purpose of joining electric lead 17 with a source of high frequency
current.
The end of electric lead 17 near suction port 11 is connected,
i.e., welded, to a ring-shaped coagulating electrode 21
encompassing suction port 11. As is apparent from FIG. 2, the
internal opening of the coagulating electrode 21, which at the same
time forms the actual suction port 11, has a somewhat smaller
diameter than the internal opening of suction shaft 10. Coagulating
electrode 21 consists of a material which is thermally and
electrically more conductive than stainless chromium alloy steel,
e.g., of silver or of an alloy of silver-gold, silver-copper,
silver-paladium, silver-cadmium, silver-cadmiumoxide,
silver-nickel, copper-beryllium, or something similar, and for the
purpose of increasing its heating capacity, it extends a bit along
suction shaft 10 as part 22.
For the purpose of insulating electric lead 17 on the outside,
which lead extends lengthwise of suction shaft 10, insulating tube
23 is provided, encompassing suction shaft 10 and electric lead 17
and holding the two together mechanically. The portion of electric
lead 17 extending partly the length of handle 12 and away from the
latter, is provided with additional insulation, so that not
insulated is only part 19 of electric lead 17 opposite handle 12
forming connecting plug 24.
The sickle-shaped profile of electric lead 17 of the part butting
against suction shaft 10, provides the electric lead with
comparative stiffness. Because electric lead 17 and suction shaft
10 are firmly held together mechanically by insulating tube 23, the
comparatively soft suction shaft 10 receives the stiffness
necessary for its use. Since the internal opening of the circular
coagulating electrode 21 is smaller than the internal opening of
suction shaft 10, only such tissue particles can get into suction
shaft 10 having outer dimensions smaller than the diameter of the
suction shaft, so that these tissue particles can easily be drawn
off through suction shaft 10 without leading to clogging, which is
additionally aided by the property of the polytetrafluoroethylene
forming suction shaft 10, to which tissue particles cannot
adhere.
Since the coagulating electrode 21 consists of a material which is
thermally and electrically very conductive, the heat formed during
coagulation is quickly dissipated and heating of the coagulating
electrode by the coagulating current is avoided, so that said
electrode is not overheated and thus tissue particles do not stick
to the coagulating electrode, which is aided by the piece 22
increasing the heating capacity of the coagulating electrode 21.
Should coagulated tissue nevertheless adhere to the opening of the
coagulating electrode 21 and clog said opening, then it can very
easily be freed from the outside even during the surgical
procedure.
The embodiment of the invention illustrated in FIG. 5 comprises a
coagulating electrode 121 which encompass suction port 111 only
partly, which may be of advantage for certain types of
applications. But even here the coagulating electrode 121 extends
beyond suction port 111 to constrict the internal opening of
suction shaft 10, in order to prevent tissue particles that might
lead to a clogged shaft from becoming sucked in.
The embodiment of the invention illustrated in FIGS. 6 - 8 shows
the coagulating electrode 221 formed merely by a flap extending
into suction port 211. For this embodiment, electric lead 217 as
well as the extending electrode part 222 welded to the end of
electric lead 217, are groove shaped, so that they butt against
suction shaft 10 at its inner side, and as a result of the
groove-shaped curvature provide a profile of increased
stiffness.
One embodiment not illustrated in the drawings has the electric
lead shaped as a tube encompassing suction shaft 10, which also
achieves the desired increase in stiffness of suction shaft 10. For
this embodiment, it is not necessary to provide an insulating tube
encompassing the tubular electric lead for the purpose of
insulation. It suffices, if the outer surface of the tubular
electric lead is provided with an insulating layer.
However, it is also possible to provide the electric lead with any
other arbitrary profile, which ensures that the lead has the
necessary bending resistance to increase the stiffness of suction
shaft 10 to correspond to the respective requirements.
The necessary stiffness of the suction shaft, however, can also be
achieved by a corresponding selection of the material, or by
shaping of the same, e.g., by molded longitudinal ribs, or
something similar, so that one can dispense with the effect of
increasing the stiffness achieved through the electric lead and can
attach the latter loosely to the coagulating electrode, for
example, as an insulated wire.
Although our invention has been illustrated and described with
reference to the preferred embodiment thereof, we wish to have it
understood that it is in no way limited to the details of such
embodiments, but is capable of numerous modifications within the
scope of the appended claims.
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