Patent Grant
6986686
This application is based upon and claims the benefit of priority from the prior Japanese Patent Application No. 2001-048584, filed Feb. 23, 2001 the entire contents of which are incorporated herein by reference.
The present invention relates to a connector for medical instruments which feeds electrical power from a power supply to the medical instrument with the use of a socket and plug.
An ultrasound treating instrument for performing a surgical operation with the use of ultrasound has been known. The ultrasound treating instrument includes a handpiece having a transducer and transmits an ultrasonic vibration which is generated in the transducer to a probe coupled to the handpiece and performs a treating operation with a forward end of the probe set in contact with a living body. A socket of an electric power feeding cable is connected to a plug of the handpiece and, through the cable, the electric power from the power supply is fed to the transducer in the handpiece.
When the handpiece is used, an electric power feeding cable for transmitting a drive current is previously connected to a respective individual handpiece. The probes, if differing in types, etc., act differently upon the living tissue. The probes are different in types and kinds and selectively used in accordance with the use to which they are put. The exchange of the probes to be attached to the associated handpieces takes a lot of time and labor since they are of a detachable screw-threaded type. Such an operation is not convenient during a surgical operation. The exchange of probes has to be done quickly in accordance with the situation under which the surgical operation proceeds. It is, therefore, convenient to make exchanges for handpiece units each with an initially prepared probe attached thereto instead of effecting the exchange for probes each time.
In the case where the exchange of initially prepared handpiece units is done instead of the exchange of probes each time, the associated handpiece has to be replaced by another handpiece together with a cable connected thereto.
In this case, since such handpieces have to be initially prepared with their own special cable connected thereto, the same number of cables are needed and the situations around the instruments are messy such as the entangling of cables. Further, it is necessary to select the needed cable and re-connect it to a power supply. It is cumbersome to re-connect the selected cable to the power supply.
It may be considered that a common cable is used for associated handpieces. In this case, those electric contacts of a plug section of the handpiece and those electric contacts of a socket section of the cable side are exposed to the exterior.
Normally, the respective electric contact sections are exposed to the exterior and they are inadvertently touched by the user. If this is the case, then the contact surface of the electric contact section becomes soiled and there is a risk that the electric conduction performance will be lowered.
In order to prevent a lowing in the electric conduction performance of the electric contacts, one contact is formed of a male type pin and the other contact is formed of a female type narrow hole. By doing so, these contacts are fitted together to create an electric connection. The treating instrument of U.S. Pat. No. 5,395,240 is shown as a pin/hole fitting type. For this reason, the cleanability of the contact section is not good.
The ultrasound treating instrument used for surgery is oftened soiled with humor and blood deposited on its contact section. If this soiled state is left as it is, the electric conduction performance of the electric contact is lowered. For this reason, it is necessary to deeply clean the contact section.
In the pin/hole connection type, however, if the connection section surface is soiled with blood, etc., the cleanability of it is not good. In order to enhance such cleanability, it is possible to use a structure with the connection section area opened. In such an open structure, the opening section of the connector becomes greater and the electric connection section is liable to be touched by human fingers. If the contacts are inadvertently touched by a finger, etc., and a shorting occurs between the contacts, then a discharge sometimes occurs due to a charge built up in the transducer inside the handpiece under a temperature variation involved. Further, due to the greater opening section of the connector, there is also a risk that the contact section will be soiled again with a foreign substance deposited thereon. If, for example, the open structure of the U.S. Pat. No. 5,807,392 is applied to an ultrasonic handpiece, the area between the pin contacts is liable to be touched by a finger and a discharge unavoidably occurs due to the presence of a charge involved.
A connector for a medical instrument according to the present invention comprises a medical instrument adapted to be rendered active upon receipt of electric power from a power supply to allow a treating operation to be performed on a subject; a socket connected to the medical instrument and having a first electrode to allow the electric power to be supplied to the medical instrument; and a plug provided on the medical instrument and adapted to engage the socket to allow the electric power from the power supply to the medical instrument, wherein the plug includes a second electrode having an exposed contact portion electrically connected to the first electrode to allow the medical instrument to be rendered active, at least the exposed contact portion of the second electrode being so located as an elongated portion as to extend along a moving direction in which the plug is connected to the socket, and an annular wall so provided as to surround at least the exposed contact portion of the second electrode.
A connector for medical instruments according to the present invention comprises a medical instrument adapted to be rendered active upon receipt of an electric power to allow a treating operation to be performed on a subject; a socket having a first electrode for supplying an electric power from a power supply to the medical instrument; and a plug provided on the medical instrument and adapted to engage the socket to allow the electric power which is fed from the power supply to be supplied to the medical instrument, wherein the plug includes a projection provided at a central area; a second electrode provided on a peripheral surface of the projection and having at least a portion exposed on the peripheral surface of the projection and electrically connectable to the first electrode to allow the medical instrument to be rendered active; and an annular wall provided to surround the peripheral surface of the projection, the annular wall and projection being spaced apart a predetermined distance from each other to define a circular groove therebetween.
Additional objects and advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The objects and advantages of the invention may be realized and obtained by means of the instrumentalities and combinations particularly pointed out hereinafter.
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate presently preferred embodiments of the invention, and together with the general description given above and the detailed description of the preferred embodiments given below, serve to explain the principles of the invention.
An ultrasonic coagulation incising apparatus according to a first embodiment of the present invention will be explained below by referring to
Plug sections 231 of the handpieces 201, 201, 201a are of a commonly connectable type and can be detachably mounted in a socket 232 of the commonly detachable cable unit 203.
Here, as the handpieces, three handpieces are prepared: the handpiece 201 with a hook probe unit 205 attached thereto, the handpiece 201 with a scissors probe unit 206 attached thereto, and the handpiece 201a of a different kind with a trocar unit attached thereto.
The hook probe unit 205 and scissors probe unit 206 are detachable/exchangeable relative to the same handpiece 201 and commonly usable relative to one handpiece 201. The handpieces 201 and 201a have different ultrasonic resonant frequencies.
The hook probe unit 205 has a hook probe 208. As shown in
The scissors probe unit 206 has a scissors probe 221. A threaded section is formed on the base portion of the scissors probe 221. By threading this threaded section into the threaded section 212a of the probe attaching section 212 formed on the forward end of the horn 211 of the handpiece 201, the scissors probe 221 is fastened to the horn 211. A sheath 223 including a handle 222 is fitted over the scissors probe 221. The base end portion 224 of the sheath 223 is removably attached to a sheath connection section 216 in such a state as to be fitted over the forward end portion of the handpiece 201.
The trocar unit 207 is different from the hook probe unit 205 and scissors probe unit 206 in terms of its ultrasonic resonant frequency. For this reason, the trocar probe 225 is attached to the handpiece 201a for exclusive use. The trocar probe 225, although not shown, is fastened to the threaded section formed in a horn of the handpiece 201a as in the case of the above-mentioned handpiece. An outer sheath tube 226 is fitted over the trocar probe 225. A base end portion 227 of the outer sheath tube 226 is removably attached to the handpiece 201a.
As shown in
The handpiece plug section 231 is so constructed that the handpiece socket 232 provided on one side end of the cable 202 of the detachable cable unit 203 can be removably attached to the handpiece plug section 231. A generator plug 233 detachably connected to a power supply generator 234 is provided on the other end of the cable 202 of the cable unit 203. Electric power is supplied as a drive power from the power supply generator 234 through the generator plug 233 and cable 202 to a contact provided in the handpiece socket 232.
As shown in
The sheath connection section 216 is so constructed as to allow the sheath (214, 223) to be attached/detached in a simpler way. That is, the sheath connection section 216 comprises a C ring 216a having a C-shaped configuration for securing a proper attaching/detaching amount of force, a C-ring frame 216b incorporated to prevent the C-ring 216a being dropped, a coupling screw member 216d fixed to an inner case 241 constituting a structure of the handpiece 201, and a screw member 216c which, together with the screw member 216d, makes an axial length adjustment.
A bolted Langevin type transducer 242 is held in the inner case 241 and converts a received drive current to an ultrasonic vibration by energy conversion. The Langevin type transducer 242 is fixed in place by abutting a flange 211a which is formed on the proximal side end of the horn 211 against a rib 243 formed on the inner surface of the inner case 241. A packing 245 is located in front of the flange 211a. By threading the fixing nut 246, that is, a threaded section 246a of the fixing nut 246, into a threaded section 247 formed in the inner case 241, the bolted Langevin type transducer 242 is fixed to, and is located in, the inner case 241. In a boundary area between the fixing nut 246 and the horn 211, an O-ring 248 is provided to ensure a water-tight seal between the horn 211 and the fixing nut and also prevent an axial displacement of the bolted Langevin type transducer 242. At a contact surface between the inner case 241 and the fixing nut 246, an O-ring 249 is provided to prevent the intrusion of vapor and liquid from the exterior.
The bolted Langevin type transducer 242 is of such a type that a stacked array of piezoelectric elements 251 for converting a drive electric current to an ultrasonic vibration is pressure-fixed to the rear end surface of the flange 211a. A terminal 252 for feeding electric power is held between corresponding piezoelectric elements 251.
Now an explanation will be made below about the inner structure of the handpiece plug section 231. The connector shell 238 is provided in the handpiece plug section 231. A case 255 for electroconductive members is provided inside of, and in contact with, the connector shell 238. A fixing nut 256 for fixing the case 255 is fixed in place by threading a threaded section 238a which is formed on the connector shell 238 into a threaded section 256a formed in the fixing nut 256.
The connector shell 238, case 255 and fixing nut 256 are assembled as one unit and inserted into the proximal end portion of the inner case 241 in an arrayed position. These are fixed in place in the inner case 241 by means of an adhesive and pin 257. The outer sheath 235 is fixed by an adhesive to the outer side of the inner case 241. In order to ensure positional alignment, a projection 235a is fitted in an associated slit of the connector shell 238. A packing 261 sandwiched between the connector shell 238 and fixing nut 256, as well as an O-ring 262 located at a contact area between the inner case 241 and the outer case 235, prevents the unsightly emergence of the adhesive to the exterior, upon being cured.
In the unit of the connector shell 238, case 255 and fixing nut 256, 4 contacts 265 for supplying the drive current from the handpiece socket 232 are provided, substantially concentrically on the peripheral surface of a connector projection 266 located at a central position of the connector shell 238. The contact 265 has a polarity and its forward end portion extends as a plate-like portion to provide a corresponding electrode terminal. A drive current feeding terminal 267 and drive current feeding terminal 268, as will be explained below, are press-fitted into the electroconductive members 269 and these are connected to the electroconductive members 269. The respective electroconductive members 269 are arranged in a hole in the case 255 and, as shown in
The polarities of those contacts 265 are set to those of the drive current feeding terminals 267 and 268 for conducting the drive current shown in FIG. 3C and those of handpiece detection terminals 275 and 276 for conducting an electric current for detecting the type of handpiece 201.
As shown in
The electroconductive member 269 conducts a drive current fed from the drive current feeding terminals 267 and 268. The terminals of a capacitor 286 are soldered to the U-shaped groove of the two terminals 271. Further, these are covered with a heat shrinkable tube 287. The capacitor 286 is fixed by silicone rubber 289 to the case 255.
As shown in
Next, an explanation will be made below about the handpiece plug 231 of the handpiece 201. As shown in
Between the connector projection 266 including the contacts 265 and the connector shell 238, a fitting space 296 is concentrically defined as a bottomed circular groove as shown in FIG. 5 and the connector projection 266 is so defined as to leave a predetermined distance (width) relative to the connector shell 238. In this case it is desirable that the width of the fitting space 296 be less than that of a finger. As shown, the height of the connector shell or the annular wall of the connector shell from the bottom of the groove is higher than that of the projection from the bottom of the groove.
The electrode elements of the contact 265 are partly exposed at the peripheral surface of the connector projection 266. The exposed portion of the electrode element is located a predetermined distance, for example, more than a width of the contact 265, away from a bottom surface 297 of a connector fitting groove constituting a circumferential groove. The exposed contact portion of the electrode element is also located deep into the circumferential groove from the forward end surface of the connector projection 266. For example, the exposed portion of the electrode element is formed down to a deep position of the circumferential groove which is spaced by more than the width of the contact 265.
The fitting space 296 is so dimensioned as not to allow a finger to be normally inserted therein.
The handpiece socket 232 has a cup-like socket case 301 therein and a first annular wall is formed by the socket case 301. A socket end component part 302 is fixed to the forward end of the socket case 301 by means of an adhesive. A substantially pipe-like inner socket 303 is formed inside the socket case 301. The inner socket 303 forms a second annular wall. The socket case 301 and inner socket 303 are arranged in a concentrical relation with a circumferential groove space defined therebetween. The second annular wall is lower than the first annular wall and located deep in the first annular wall.
A fitting projection 304 is formed in a direction toward the inside of the first annular wall and contacts 305 are located inside the fitting projection 304. As shown in
The contacts 305 are incorporated by an insert-molding method into a contact support 307. The contact support 307 is inserted from a cable side into the socket case 301 and, relative to its surface contacting with the socket case 301, an O-ring 308 is provided. The cable side end of the contact 305 projects from the contact support 307 and this projecting end is press-fitted into, and connected to, a compression-bonded terminal 309. A heat shrinking tube 311 is covered on the outside of this connection section.
As shown in
The lead wire 273 press-fitted in the compression-bonded terminal 309 leaves wire portions with an outer sheath member stripped off the cable 202. A shield 327 provided between the lead wire 273 and the outer sheath member is folded back on the outer surface of the cable 202 and its outside is compression bonded and fixed by a compression bond body 328. As shown in
A packing 337 is provided between the main support 317 and the fold prevention rubber support 334 and a close-contacting rubber 338 is provided between the cable 202 and the fold preventing rubber support 334, thereby preventing the intrusion of liquid through these portions. The fold prevention rubber 343 is mounted by latching an inner circular surface projection 342 to a flange 341 formed on the outer side surface of the main support 317. A socket cover 345 externally covers these and is fixed to the socket case 301 through the threading of the threaded sections 346 and 347.
Although, in
An angular elongated slit 366 is formed at the left and right side wall portions of the inner socket 303. In the slit 366, a corresponding contact 305 extending from a contact support 307 is so arranged as to be elastically urged against an abutting surface 367 formed in the slit 366. The slit 366 and contact 305 are arranged at four places in a symmetrical fashion. The slit 366 is provided parallel to the longitudinal axis of the socket. One end of the contact 305 is fixedly supported on the contact support 307 and the other end portion of the contact 305 can be elastically deformed on its partway.
As shown in
Now, the operation of the ultrasonic coagulation incising apparatus will be explained below. In use, the generator plug 233 of the detachable cable unit 203 is connected to the power supply generator 234. The hook probe unit 205 and scissors probe unit 206 are previously attached to the handpiece 201 and, further, the trocar unit 207 is attached to the handpiece 201a.
First, when the trocar unit 207 is used, the handpiece socket 232 of the detachable cable unit 203 is fitted over the handpiece plug section 231 of the handpiece 201a to which the trocar unit 207 has been attached. At this time, an assembly operation is performed while the position aligning projection 306 is guided along the position aligning groove 237. When the handpiece socket 232 of the detachable cable unit 203 is attached to the handpiece plug section 231, the inclining surface 365 of the inner lever 363 of the lever 362 is guided along the lock guide 239 and clear of the inclining surface 369, so that the lock edge 364 is fitted into the lock hole 368. Since the contact 305 is urged toward an inward direction, the contact 305 is set in positive contact with the contact 265 as shown in
On the other hand, a handpiece detection current from the generator is immediately supplied through the generator plug 233, cable 202, lead wire 273 and compression-bonded terminal 309 to the handpiece detection terminal 351 and handpiece detection terminal 352 and through the contact 265 contacting the contact 305 to the handpiece detection terminal 275 and handpiece detection terminal 276. Since the resistor 278 is connected to the forward ends of the handpiece detection terminal 275 and handpiece detection terminal 276, the resistance values are detected and setting is made on the generator 234 side to allow a resonant frequency and electric current suitable for the handpiece 201 to be supplied as a drive current.
In the structure thus arranged, the handpiece socket 232 is externally fitted over the handpiece plug section 231 and a strength increased when an external force was exerted on the handpiece 201 and handpiece socket 232. Since the fitting projection 304 is fitted in the fitting slit 295 for guiding, an optimal positional relation is ensured for electrical connection. The electrical connection capability is therefore never lowered, even if a torque moment is exerted on it.
Then, when a forward end of the trocar unit 207 attached to the handpiece 201a is set in contact with the abdominal wall of the patient and a foot switch, not shown, is depressed, a drive current from the generator 234 is conducted through the generator plug 233 and cable 202 and then through the lead wire 273 to the compression-bonded terminal 309 and then through the contact 305 constituting an inner contact surface of the inner socket 305 constituting an inner contact surface of the inner socket 303 and the contact 265 to the handpiece 201a. The drive current is supplied from the drive current feeding terminals 267, 268 through the electroconductive member 269, terminal 271 to the lead wire 273 and it is converted to an ultrasonic vibration by means of the bolted Langevin type transducer 242. At that time, the ultrasonic vibration acts on the abdominal wall at the forward end of the trocar unit 207 to allow the abdominal wall to be pierced.
After this, the outer sheath tube 226 is retained and it is used to allow a treating tool to be inserted for a surgical operation under an endoscope. In a similar manner, another new outer sheath tube 226 is also set in the pierced abdominal wall. By doing so, a requisite number of outer sheath tubes are set in the pierced abdominal wall and retained there.
When the handpiece socket 232 is to be removed from the handpiece 201a, the lever 362 is depressed and, by doing so, the handpiece socket 232 is pulled out of the handpiece plug section 231. Then the lock edge 364 is unlocked from the lock hole 368 and the handpiece socket 232 can be readily removed out of the handpiece 201a.
This removed handpiece socket 232 is attached to the handpiece 201 to which the hook probe unit 205 or scissors probe unit 206 has been attached. Then, the resistance of the resistor in the handpiece 201 is detected and the generator supplies a drive current so as to set a resonant frequency and current value suitable for the handpiece 201.
If the foot switch is depressed in a proper timing, the drive current from the generator 234 is supplied to the handpiece 201 and it is converted to an ultrasonic vibration, so that a treating operation can be performed at the forward end of the respective probe.
When the hook probe unit 205 and scissors probe unit 206 are used in an exchangeable way, a handpiece 201 with one of these probe units is removed from the handpiece socket 232 by depressing the lever 362 and another handpiece 201 with the other probe unit is attached to the handpiece socket 232 and this new handpiece is used.
According to this structure, the connector can be fitted into the fitting space and, since the cleaning brush can be inserted into this narrow space, the cleanability of electric contacts in the connector is improved. As a result, it is possible to prevent a lowering in electrical conduction capability. Needless to say, the inside of the cable-side socket is wider than the fitting space of the handpiece and there arises no problem from the standpoint of its washing. In case a liquid such as water enters the connector, the contacts are located a given distance away from the inner bottom of the connector and, even if a little amount of liquid is accumulated there, there arises no shortening between the contacts. If a somewhat greater amount of liquid is pooled inside the connector, the handpiece (201, 201a) is tilted toward a lateral side direction and, by doing so, the liquid is flowed out of the connector. Therefore, there arises no “shorting” problem. In the handpiece socket 232 on the detachable cable unit 203 side, even if a liquid enters the inside of the contact, the slit 366 is provided on the rear side of the contact and serves as a liquid drain, so that it is quickly drained. Therefore, no shorting occurs between the contacts.
According to the present embodiment, needless to say, the desired probes can be quickly exchanged without the need of connecting and disconnecting the probes through their threaded sections.
According to the present invention, as set out above, there is provided a connector for medical instruments capable of detachably connecting the plug for the medical instrument to the socket for power supply, the connector ensuring an electrical conduction capability by preventing electric contacts in the connector from being soiled and preventing an operator's finger from unduly touching the electric contacts.
An ultrasonic coagulation incising apparatus according to a second embodiment of the present invention will be described below by referring to
A packing 401 is provided at that surface of a socket case 301 on the detachable cable unit 203 side against which a connector shell 238 is abutted. As shown in
An ultrasonic coagulation incising apparatus according to a third embodiment of the present invention will be described below by referring to FIG. 15. The third embodiment constitutes a variant of the first embodiment of the present invention and an explanation will be made below mainly about its different aspect.
In this ultrasonic treating instrument, a handpiece is comprised of one kind of system and it is not necessary to provide a detection resistor. As shown in
The advantages of this variant are the same as those of the first embodiment of the present invention except that it is not possible to use a different handpiece.
Although the above-mentioned first to third embodiments have been explained as being preferred embodiments of the present invention, the present invention is not restricted to the first to third embodiments. That is, the present invention relates to a connector for medical instruments including a medical instrument unit having a plug and a medical instrument unit having a socket engaging the plug. The present connector can be applied to all those medical instrument units which, when the plug and socket engage each other, are rendered active based on an electric power fed from a power supply. For example, the present invention can be used for a plug/socket system involving an electric surgical knife and heating surgical knife.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2001-048584 | Feb 2001 | JP | national |
| Number | Name | Date | Kind |
|---|---|---|---|
| 3725840 | Hesse | Apr 1973 | A |
| 4960393 | Stoll et al. | Oct 1990 | A |
| 5301061 | Nakada et al. | Apr 1994 | A |
| 5324297 | Hood et al. | Jun 1994 | A |
| 5395240 | Paschke et al. | Mar 1995 | A |
| 5660567 | Nierlich et al. | Aug 1997 | A |
| 5807392 | Eggers | Sep 1998 | A |
| 6010369 | Itabashi et al. | Jan 2000 | A |
| 6022237 | Esh | Feb 2000 | A |
| 6083030 | Wright | Jul 2000 | A |
| 6402553 | Schwarz et al. | Jun 2002 | B1 |
| Number | Date | Country | |
|---|---|---|---|
| 20020177373 A1 | Nov 2002 | US |
