Patent Application
20180193085
The present invention pertains to disposable, bipolar electrosurgical forceps that are designed to prevent the sticking of body tissue to the tips of the forceps. More specifically, the present invention is directed to disposable, tissue-sticking resistant forceps that include a pair of electrode arms having lengths with opposite proximal and distal ends, with thin layers of biocompatible metal on the forceps arm distal ends and bipolar electrical conductors permanently secured to the forceps arm proximal ends. The manner in which the forceps are constructed enables the forceps to be manufactured inexpensively, and thereby enables the forceps to be disposable.
Bipolar electrosurgical forceps are typically constructed with a pair of electrode arms having proximal ends that are adapted to have electrical conductors removably attached to the proximal ends, and opposite distal ends with tips that contact and grasp or pinch body tissue between the tips during use of the forceps. For patient safety reasons, it is required that the portions of the forceps tips that contact the body tissue be constructed or formed of a biocompatible material that will not react with the body tissue. In the construction of prior art forceps, the biocompatible material commonly used on the tips of the forceps is an expensive metal such as stainless steel, titanium, tungsten and gold or silver. The use of this metal on the forceps tips is a significant factor in the manufacturing costs of the forceps.
In the use of prior art forceps, one of the electrical conductors connected to the forceps proximal end is connected to a source of electric power, and the other electrical conductor connected to the forceps proximal end is connected to a ground. The pair of forceps arms function as electrodes. When the forceps arms are manually manipulated by the surgeon to grasp body tissue between the distal end tips of the arms, an electric current is completed from one forceps arm through the body tissue to the other forceps arm. This current passing through the forceps tips and the body tissue heats the forceps tips and the body tissue held between the tips and causes the tissue to be joined or coagulated.
However, the heat produced in the forceps tips can also result in pieces of the body tissue sticking to the tips. During a surgical procedure using bipolar electrosurgical forceps, pieces of body tissue can accumulate on the forceps tips. As a result, sterilization of the forceps following the surgical procedure requires scrubbing or scraping of the forceps tips to remove the body tissue. This scrubbing and scraping of the tips can also result in a portion of the expensive biocompatible metal being removed from the tips. Over a period of time and after several uses and subsequent cleaning of the forceps, a sufficient amount of the biocompatible metal can be removed from the forceps tips to where the biocompatible material will no longer contact the body tissue in use of the instrument. At this point the instrument is no longer useful, requiring the disposal of the expensive instrument. This also requires the purchase of another expensive instrument to replace the disposed of instrument.
An additional disadvantage associated with reusable bipolar forceps having layers of biocompatible metals on the forceps tips is the potential for reducing the strength of the bond between the biocompatible metal layers and the forceps tips due to the cleaning of the forceps after each use. High temperature steam cleaning of the forceps can reduce the strength of the bond of the biocompatible metal with the forceps tips. This presents the potential of leaving foreign material in the body, for example in the brain, after a surgical procedure using the forceps. In addition, chemical cleaning of the forceps can adversely affect the forceps tip metal layers by a change in the chemical composition of the layers, for example tarnishing or oxidation of the tip layers.
To prolong the useful life of bipolar electrosurgical forceps, the thickness of the layer or amount of biocompatible metal at the forceps distal end tips has been increased. With the increased amount of biocompatible metal on the forceps distal end tips, the forceps can be used and sterilized a greater number of times before the biocompatible metal is worn away from the forceps tips by repeated sterilizations and scrubbing and scraping of the tips. However, due to the type of biocompatible metal (i.e., gold, silver, etc.) used on the forceps distal end tips, increasing the thickness of the metal significantly increases the cost of the surgical instrument.
To overcome these disadvantages of prior art bipolar electrosurgical forceps, what is needed is a novel construction of bipolar forceps that provides biocompatible metal at the forceps distal ends, but is constructed in a manner that reduces manufacturing costs and enables disposal of the forceps after one use.
The present invention provides a disposable, tissue-sticking resistant forceps. By being disposable, what is meant is that the forceps are specifically designed for one use in an electrosurgical procedure and for disposal after that one use.
The forceps are comprised of first and second elongate pincers. The pincers have the same configurations and are laser cut from a blank of aluminum and machined to their final configurations. Stamping, water jet cutting, EDM, plasma cutting, or molding processes could also be used to form the forceps pincers.
Electrical conductors are crimped to the distal ends of the pair of pincers. The pincers are secured together at their proximal ends, and the electrical conductors are secured to the pincers by a potting material that forms a base around the pincer proximal ends.
A layer of biocompatible metal, preferably silver, is applied to the distal end tips of the pair of pincers. To reduce manufacturing costs, the biocompatible metal has a thickness that is not more than 0.010 of an inch, and is preferably in a range of 0.002 to 0.005 of an inch. This significantly reduces the amount of the expensive biocompatible metal used in the construction of the forceps than that used in prior art forceps.
Constructing the forceps in this manner reduces their manufacturing costs and enables the forceps to be disposed of after a single use.
Further features of the invention are set forth in the following detailed description of the preferred embodiment of the invention and in the drawing figures.
The first and second pincers 12, 14 of the forceps are constructed as mirror images of each other. In view of this, the construction of only the first pincer 12 is described in detail. The same reference numbers are employed to label the component parts of both pincers 12, 14, with the reference numbers of the second pincer 14 being followed by a prime (′). The pincer 12 is constructed with a narrow, elongate length having an intermediate portion 26 and opposite proximal 28 and distal 32 end portions. The pincer intermediate portion 26 is shaped and dimensioned to be held comfortably by a single hand of the surgeon using the forceps. In the preferred embodiment of the invention, the entire length of the pincer 12 is constructed from a blank of 6061-T6 aluminum that is laser cut to the configuration of the pincer shown. In alternate embodiments of the forceps, the pincers 12, 14 may be constructed entirely of stainless steel, entirely of brass, entirely of tin, entirely of copper, or entirely of an alloy of these materials. The pincers 12, 14 could also be constructed of a plastic material. However, a plastic embodiment of the pincers would require an electrical conductor extending the length of the pincers in order to enable the pincers to function as electrodes of the electrosurgical instrument. However, constructing the pincers entirely of aluminum is preferred over other materials to achieve the optimum non-stick perform of the forceps. This is largely due to the high thermal conductivity of the aluminum pincers.
An insulating coating 34 completely covers the intermediate portion 26 of the pincer 12. The coating 34 is electrically insulating, and may also be thermally insulating. The coating 34 covers only the intermediate portion 26 of the pincer 12, leaving the pincer proximal end portion 28 and the pincer distal end portion 32 projecting and exposed from the coating layer 34. A much thinner layer of the insulating coating 34 is applied to each pincer 12 of the disposable forceps than would be applied to pincers of a reusable forceps. Because the forceps are intended to be disposable, a thinner layer of the insulating coating may be used without concern for the layer wearing through during use. Applying the thinner layer of insulating coating 34 to the pincer 12 reduces the production cost, improves visual and sight access, and reduces the barrier for heat rejection to the environment imposed by a thicker insulating coating. The insulating coatings 34 primary purpose is to provide electrical insulation for the patient to prevent stray currents from damaging healthy tissue.
The first 16 and second 18 bipolar conducting cords are connected to the proximal ends 28, 28′ of the first 12 and second 14 pincers. The two cords 16, 18 are identical in construction. Therefore, the construction of only the first cord 16 is described in detail. The same reference numbers employed in the description of the first cord 16 are also used in labeling the component parts of the second cord 18, but the reference numbers labeling the parts of the second cord 18 are followed by a prime (′). The construction of the cord 16 is for the most part conventional. The cord contains an electrically conducting wire 36 that is covered by an insulator layer 38. A distal end 42 of the wire 36 extends from the insulator layer 38 and is electrically connected to the pincer proximal end 28. Referring to
Providing integral electrical conductor cords on the forceps eliminates the cost of the electrical male plugs on the forceps and the removable conductor cords with female plug receptors of prior art bipolar forceps. This reduces the manufacturing cost of the forceps of the invention compared to that of prior art bipolar forceps.
The base 20 securely connects the pincer proximal ends 28, 28′ together, and further secures the wire distal ends 42, 42′ to the pincer proximal ends 28, 28′. The base is comprised of a cup shaped cap 48 having a hollow interior. A flexible electrically insulating material, preferably vinyl, is used in the construction of the cap. A pair of holes are provided in a bottom of the cup-shaped cap. The cords 16, 18 pass through the cap interior and holes and the cap 48 is positioned over the distal ends 42, 42′ of the cord wires 36, 36′ that have been crimped to the proximal ends 28, 28′ of the pincers 12, 14. The interior of the cap 46 is potted with an epoxy material 52 that securely holds the pincers 12, 14 in their relative positions at the pincer proximal ends 28, 28′, and securely holds the cords 16, 18 to the pincers. In this manner, the pincers 12, 14 and the cords 16, 18 are formed as an integral, disposable electrosurgical device. The cost of providing removable plug connectors between the forceps and the cords is eliminated. The cords 18 originate at the bottom or back of the cap 48 (as held in the surgeon's hand) and naturally flow in the direction of the surgeon's arm to avoid creating any unwanted torque at the back of the forceps. In contrast, almost all reusable forceps have terminations that come straight out of the back of the forceps. When the cord is attached to a typical reusable forceps, the cord adversely affects the balance of the instrument in the surgeon's hand.
The first and second tip layers 22, 24 in the preferred embodiment of the invention are thin layers of biocompatible metal applied to the distal end portions 32, 32′ of the pincers 12,14.
The minimal thickness of the biocompatible metal on the pincer distal ends 32, 32′ reduces the cost of materials used in the construction of the forceps, reduces the cost of manufacturing the forceps, and thereby enables the forceps to be disposable.
The disposable, tissue-sticking resistant forceps of the invention are used in the same manner as prior art bipolar electrosurgical forceps. However, once a single use of the forceps of the invention in a surgical procedure is completed, the forceps are disposed of and replaced with new forceps. Constructing the forceps with an identical pair of pincers laser cut from a metal blank, with integral electrical conductors or cords, and with a very thin layer of biocompatible metal on the forceps distal ends reduces the manufacturing costs of the forceps and enables the disposal of the forceps after a single use. An additional advantage of the disposable, integrated cord forceps is the convenience factor for ordering staff of a hospital or health clinic. Only one line item is needed to be ordered, with there being no concerns for ordering cords that are compatible with forceps for their interconnection. It is also convenient for surgical staff because the disposable, integrated cord design minimizes the parts on a sterile field, and is a convenience for cleaning staff by reducing the time required for autoclaving instruments and prolonging the useful life of cleaning equipment.
The pincers being constructed entirely of aluminum is critical to the operational success of the forceps. Aluminum alone may provide adequate non-stick performance for a brief time if concerns about biocompatibility were non existent and such an instrument was permitted in surgical procedures. However, after multiple coagulation hits, the aluminum tips would become oxidized and experience a significant reduction in electrical conductivity, thus the tips would almost become self insulting by their own oxide layer. Therefore, the silver or gold layered tips (non-oxidizing biocompatible materials) are employed as the coating layer on the aluminum forceps. The thermal properties of the silver, and also of gold layers are superior to aluminum. The tip layer thickness have been selected to provide excellent performance at low cost. The additional benefits provided by the aluminum construction of the pincers include low material costs, greater availability, high thermal conductivity, high thermal diffusivity, low heat retention, high electrical conductivity, very light weight, MRI compatible, adequate rigidity and strength, and non-toxic. No other materials employed in forceps constructions have the unique combinations of these characteristics.
The disposable, bipolar electrosurgical forceps of the invention have been described above by reference to specific embodiments of the forceps. It should be understood that modifications and variations could be made to the forceps described without departing from the intended scope of protection provided by the following claims.
This application is a continuation of U.S. patent application Ser. No. 13/663,771, filed on Oct. 30, 2012, which is a Continuation of U.S. patent application Ser. No. 11/676,340 filed on Feb. 19, 2007 each of which is hereby incorporated by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 13663771 | Oct 2012 | US |
| Child | 15917207 | US | |
| Parent | 11676340 | Feb 2007 | US |
| Child | 13663771 | US |
