Source: http://www.google.ca/patents/EP0650701B1?cl=en
Timestamp: 2017-12-18 08:44:44
Document Index: 608976973

Matched Legal Cases: ['art 12', 'art 12', 'art 12', 'art 12', 'art 12', 'art 12', 'art 12', 'art 12', 'art 12', 'arts 12', 'art 12', 'art 12']

Patent EP0650701B1 - Electrosurgical apparatus for laporoscopy and similar interventions - Google Patents
www.google.cahttp://www.google.ca/patents/EP0650701B1?cl=en&utm_source=gb-gplus-sharePatent EP0650701B1 - Electrosurgical apparatus for laporoscopy and similar interventions
Publication number EP0650701 B1
Application number EP19940307891
Publication date 24 Mar 1999
Filing date 27 Oct 1994
Also published as DE69417342D1, DE69417342T2, EP0650701A1
Publication number 1994307891, 94307891, 94307891.5, EP 0650701 B1, EP 0650701B1, EP-B1-0650701, EP0650701 B1, EP0650701B1, EP19940307891, EP94307891
Inventors Colin Charles Owen Goble, Nigel Mark Goble
Applicant Gyrus Medical Limited
Referenced by (472), Classifications (10), Legal Events (12)
Electrosurgical apparatus for laporoscopy and similar interventions
EP 0650701 B1
An electrode assembly (12) for an electrosurgical instrument, the assembly comprising an elongate tubular shaft (12S) mounting on a distal end portion thereof at least one electrode (12E), an electrical conductor (20) passing through the shaft and connected to the electrode, and, mounted on a proximal end portion of the shaft, mounting means (12M) for detachably mounting the assembly to a handpiece (10) of the instrument, the mounting means comprising a first component (12H) shaped for attachment to the handpiece in a non-rotational relationship, and a second component (12SL) secured to the shaft and rotatable with the shaft with respect to the first component about a longitudinal axis of the shaft, the conductor terminating in a contact portion (20C) housed in the first component and being formed so as to allow the electrode, the shaft, a part of the conductor in the distal end portion of the shaft, and the second component to rotate with respect to the first component and the contact portion about the longitudinal axis.
An assembly according to claim 1, having two electrodes (12E) mounted on the distal end portion of the shaft (12S), and two respective insulated conductors (20) inside the shaft insulated from one another and having two respective contact portions (20C) housed in the first component (12H) of the mounting means (12M).
An assembly according to claim 1 or claim 2, wherein the or each conductor (20) is formed as an elongate metallic strip.
An assembly according to claim 3, wherein the or each contact portion (20C) is integral with the respective strip (20).
An assembly according to claim 3 or claim 4, wherein the or each contact portion (20C) is bent back in the distal direction with respect to a portion of the conductor (20) extending through the shaft (12S).
An assembly according to any preceding claim, wherein the second component (12SL) comprises a sleeve fixed to the proximal end portion of the shaft (12S) and rotation control means on the sleeve, and the first component (12H) comprises a tubular housing for the sleeve.
An assembly according to claim 6, wherein the tubular housing includes means for securing the end of the or each contact portion (20C).
An assembly according to claim 6 or claim 7, wherein the tubular housing includes a key feature (16) for allowing slidable insertion of the housing into the handpiece (10) preventing rotation with respect to the handpiece.
An assembly according to any of claims 6 to 8, wherein the tubular housing has a discontinuity (28) for longitudinal location of the housing with respect to the second component (12SL)
An assembly according to claim 9, wherein the housing has a cover and the discontinuity (28) is on the cover.
An assembly according to any of claims 6 to 10, wherein the second component (12SL) includes an irrigation fluid passageway (30P) in communication with the interior of the shaft (12S) and wherein the assembly (12) includes a flexible seal (36) arranged to close the interior of the distal end portion of the shaft.
An electrosurgical instrument comprising a handpiece (10) and an electrode assembly (12) as defined in any preceding claim detachably mounted to the handpiece, wherein the handpiece includes at least one electrical supply conductor which has a contact (24) for sliding contact with a respective contact portion (20C) of the assembly.
An instrument according to claim 12, wherein the or each handpiece supply conductor contact (24) and the or each electrode assembly contact portion (20C) are arranged for relative sliding contact with each other in an axial direction, either the or each handpiece contact or the or each electrode assembly contact portion being resiliently deflectable.
It is known to construct an electrosurgical instrument in the form of a handpiece, a tubular shaft mounted in the handpiece and, at a distal end of the shaft, at least one fixed or movable electrode supplied with a radio frequency electrical potential via a conductor passing through the shaft and the handpiece. In an instrument for laparoscopic use in particular, it is advantageous to be able to rotate the electrode or electrodes about the axis of the shaft with respect to the handpiece. In addition, it is conventional to be able to remove and replace electrodes so that new electrodes are used for each surgical procedure. Generally, the remainder of the instrument is sterilisable and can be used for a number (typically 10) of operations before disposal. A known electrosurgical instrument of this type is described in US-A-4 936 842.
The invention also includes an electrosurgical instrument comprising a handpiece and an electrode assembly as described above, detachably mounted to the handpiece. The handpiece includes at least one electrical supply conductor which has a contact for sliding contact with a respective contact portion of the electrode assembly.
The invention will now be described by way of example with reference to the drawings, in which:-
Figure 1 is a partly sectioned side view of an electrosurgical instrument having an electrode assembly in accordance with the invention;
Figure 2 is a longitudinally sectioned plan view of a handpiece and a proximal part of the electrode assembly of the instrument of Figure 1;
Figure 3 is a transverse cross-section through the handpiece on the line III-III in Figure 1; and
Figure 4 is a perspective view of the proximal part of the electrode assembly.
Referring to Figures 1 to 4, a laparoscopic electrosurgical instrument in accordance with the invention has a handpiece 10 with a hollow nose portion 10N providing a receptacle 10R for a detachable electrode assembly 12 which, in Figure 1, is shown mounted inside the handpiece receptacle 10R.
Running through the tubular shaft 12S is a pair of flexible electrical conductors 20, each of which extends from a respective electrode 12E to an integral spring steel contact portion 20C located on the outer surface of the mounting means 12M. In fact, the contact portions 20C are mounted on diametrically opposite sides of the mounting means 12M, and a longitudinal key rail 12K is integrally moulded on a lower surface of the mounting means 12M for engaging a keyway 22 in the receptacle 10R of the handpiece 10, this keyway being visible in the transverse cross-section of the handpiece nose in Figure 3. Due to upper positioning of the keyway 22, the contacts 20C, which are perpendicularly arranged with respect to the key rail 12K on the mounting means 12M, are received on opposite sides of the receptacle 10R where they engage vertically oriented metallic contact posts 24 housed in the handpiece nose 10N, as shown in Figures 2 and 3. Supply conductors (not shown) inside the handpiece 10 connect the contact posts 24 to a source of radio frequency electrical power.
Referring to Figure 2, the mounting means 12M have two main components. A first component comprises a tubular housing 12H, in the form of an elongate cap, which receives the second component constituted by a sleeve 12SL surrounding, and fixed to, the proximal end portion of the tubular shaft 12S. Both components are plastic mouldings, the sleeve 12SL being rotatable inside the housing 12H about the longitudinal axis of the shaft 12S, and having an annular groove 26 which receives an interior annular ridge 28 of the housing 12H to provide longitudinal location of the sleeve 12SL within the housing 12H. Since the sleeve 12SL is fixed to the shaft 12S, and since, as described above, the housing 12H is so mounted in the handpiece nose 10N that it cannot rotate with respect to the handpiece 10, rotation of the sleeve 12SL causes rotation of the shaft 12S and electrodes 12E with respect to the handpiece 10 about the axis of the shaft 12S. A collar portion 12C of the sleeve 12SL, visible in Figures 1, 2, and 4, is exposed beyond the end of the handpiece nose 10N when the electrode assembly 12 is mounted in the handpiece 10, where it can be gripped for rotating the electrodes 12E, as required, during use.
Incorporated in the rotation collar 12C is an integral pipe stub 30 (see Figure 2) with an inner passageway 30P in registry with an aperture 32 in the tubular shaft 12S to allow the supply of irrigation fluid to the interior of the tubular shaft 12S and thence to the region of the electrodes 12E.
Referring to Figure 4 in conjunction with Figure 1, the housing of the mounting means 12M is in two parts, the first part 12HA constituting the main part of the housing 12H extends the full length of the housing and includes the whole of the rotation collar 12C. In the region of the end of the mounting means 12M furthest from the electrodes, the main part 12HA is in the form of a half cylinder, the other half of the cylinder being formed by the second part 12HB acting as a cover which is a snap fit on the main part 12HA. As will be seen by comparing Figures 1 and 2, the annular ridge 28 for locating the sleeve 12SL is formed at a location where the main part 12HA and the cover part 12HB of the housing 12H form opposite walls of the housing 12H, so that part of the ridge 28 is formed by a feature of the cover part 12HB. This allows assembly of the mounting means 12M by placement of the sleeve 12SL within the main part 12HA of the housing 12H, followed by snap location of the cover part 12HB to secure the sleeve 12SL with its locating groove 26 housing the ridge 28, as shown in Figure 2.
Referring to Figures 1, 3 and 4, the electrical conductors 20 connected to the electrodes 12E are formed as stainless steel strips each with an insulative coating (not shown) to isolate the conductors from the shaft 12S and a control rod 34 passing through the shaft 12S for controlling movement of the electrodes 12E. At the end of the shaft 12S which is furthest from the electrodes 12E, the conductors pass through an elastomeric sealing cap 36 (e.g. made of silicone rubber) which is clamped over the end of the sleeve 12SL by the housing 12H to seal off the interior space of the proximal end portion of the tubular shaft 12S thereby to prevent escape of irrigation fluid supplied via passage 30P. This clamping is effected by the cap configuration of the housing 12H which has a generally conical cap end 12HC for guiding the electrode assembly into its receptacle in handpiece 10. As mentioned above, the contact portions 20C are arranged on the outside of the housing 12H in diametrically opposite positions, as shown in Figure 4. In fact, the contact portions 20C are integral parts of the conductors 20, the metallic strip in each case being exposed to the outside of the housing 12H insofar as the end portion of each conductor 20, here without an insulating covering, passes through a respective slot or aperture 12HS in the end cap of the housing 12H and is bent back in the distal direction over the outer surface of the housing 12H, the extreme end portion 20E of each strip being folded inwardly to run once again in the proximal direction in a cavity in the housing 12H, thereby securing the exposed contact portion 20C. By referring to Figure 4, it will be appreciated that the slots 12HS and the cavities housing the extreme end portions 20E of the conductors are formed in both parts 12HA and 12HB of the housing.
Each contact portion 20C is formed so that it stands away from the outer surface 12HO of the housing 12H over a portion of its length so as to be resiliently deflectable towards the surface 12HO by the contact posts 24 (see Figures 2 and 3) when the electrode assembly is inserted in the handpiece receptacle 10R.
It will now be appreciated that, to prepare the instrument for use, the electrode assembly 12, sterilised, is mounted in the handpiece 10 by pushing the mounting means 12M (Figure 1), with the retaining ring 14 in place around the annular ridge 16, into the receptacle 10R with the contact portions 20C facing opposite sides of the handpiece 10 so that the guide rail 12K engage the keyway 22 in the handpiece nose 10N. When the mounting means 12M is pushed fully home in the receptacle 10R, the contact posts 24 of the handpiece engage the contact portions 20C of the electrode assembly to form an electrical circuit between the supply conductors in the handpiece and the electrodes 12E. The assembly is secured in the handpiece by screwing the retaining ring 14 onto the threaded external surface of the handpiece nose 10N, as shown in Figure 2. Since the sleeve part 12SL of the mounting means 12M is rotatable within the housing part 12H, but is fixed to the tubular shaft 12S, rotation of the rotation collar 12C causes the electrodes 12E also to rotate, allowing the surgeon to orient the electrodes as required while keeping the handpiece in the most suitable orientation for manipulating the instrument, and operating the handles 10H. Since the conductors 20 are free to move inside the tubular shaft 12S, the electrodes 12E may be rotated about the axis of the shaft without rotation of the contact portions 20C. Consequently, no rotational sliding contact between the contact portions 20C and the contact posts 24 in the handpiece is necessary, with a consequent improved reliability of connection.
International Classification A61B18/14, A61M3/02, A61B18/00, A61B18/12
Cooperative Classification A61B18/1402, A61B2018/1861, A61M3/0279, A61B2017/2948, A61B18/1445
3 May 1995 AK Designated contracting states:
27 Dec 1995 17P Request for examination filed
13 Aug 1997 17Q First examination report
24 Mar 1999 AK Designated contracting states:
29 Apr 1999 REF Corresponds to:
Ref document number: 69417342
11 Jun 1999 ET Fr: translation filed
15 Mar 2000 26N No opposition filed
28 Oct 2014 REG Reference to a national code
19 Nov 2014 REG Reference to a national code
Expiry date: 20141026