Surgical systems and methods for component cooling while warming fluid to be introduced during a surgical procedure

Information

  • Patent Grant
  • 12303109
  • Patent Number
    12,303,109
  • Date Filed
    Wednesday, December 22, 2021
    3 years ago
  • Date Issued
    Tuesday, May 20, 2025
    a month ago
  • Inventors
  • Original Assignees
  • Examiners
    • Leubecker; John P
    • Song; Li-Ting
    Agents
    • Carter, DeLuca & Farrell LLP
Abstract
A surgical system includes a fluid-delivery device configured to deliver fluid to a surgical site, a surgical instrument including a heat-generating component, and a fluid inflow path defined from a fluid source to the fluid-delivery device to provide fluid to the fluid-delivery device for delivery to the surgical site. At least a portion of the fluid inflow path is thermally coupled to the heat-generating component to simultaneously draw heat from the heat-generating component and warm fluid flowing through the fluid inflow path. A method of surgery includes using a surgical instrument having a heat-generating component that generates heat during use, and introducing fluid along a fluid inflow path from a fluid source to a surgical site. At least a portion of the fluid inflow path is thermally coupled to the heat-generating component to simultaneously draw heat from the heat-generating component and warm the fluid introduced along the fluid inflow path.
Description
BACKGROUND
Technical Field

The present disclosure relates generally to surgical systems and methods. More particularly, the present disclosure relates to surgical systems and methods facilitating cooling one or more components of a surgical instrument while warming fluid to be introduced into a patient during a surgical procedure.


Background of Related Art

Many surgical procedures utilize surgical instruments that have components that generate heat during use such as, for example, motors, generators, battery packs, etc. These heat-generating components need to be maintained at appropriate operating temperatures to ensure safety and adequate performance.


Many surgical procedures also require or are facilitated by the use of fluid introduced into and removed from a patient during the surgical procedure. For example, an intrauterine surgical procedure may be performed by inserting an endoscope into the uterus and introducing a fluid (for example, saline, sorbitol, or glycine) through the endoscope and into the uterus to distend the uterus. A surgical instrument such as, for example, a motor-drive tissue shaver, may be inserted through the endoscope and into the uterus to perform a surgical procedure therein such as, for example, tissue cutting and removal. The inflow and outflow of fluid during the procedure maintains the uterus in a distended state and flushes tissue and other debris from within the uterus to maintain a visible working space. In such surgical procedures, it may be desirable to pre-heat the fluid introduced into the patient. Pre-heating the fluid may be advantageous, for example, in order to make the introduction of fluid into the patient more palatable by reducing or eliminating the temperature differential between the fluid and the patient.


SUMMARY

As used herein, the term “distal” refers to the portion that is described which is farther from the operator (whether a human surgeon or a surgical robot), while the term “proximal” refers to the portion that is described which is closer to the operator. Further, to the extent consistent, any or all of the aspects described herein may be used in conjunction with any or all of the other aspects described herein.


Provided in accordance with aspects of the present disclosure is a surgical system including a fluid-delivery device configured to deliver fluid to a surgical site, a surgical instrument including a heat-generating component, and a fluid inflow path defined from a fluid source to the fluid-delivery device to provide fluid to the fluid-delivery device for delivery to the surgical site. At least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument to simultaneously draw heat from the heat-generating component and warm fluid flowing through the fluid inflow path.


In an aspect of the present disclosure, the fluid-delivery device is an endoscope. In such aspects, the endoscope may be configured to receive a portion of the surgical instrument therethrough.


In another aspect of the present disclosure, the surgical instrument is a tissue shaver. In such aspects, the heat-generating component may be a motor configured to drive a cutting shaft of the tissue shaver.


In yet another aspect of the present disclosure, the surgical instrument includes a handpiece and an end effector assembly releasably engaged with the handpiece. In such aspects, an inflow lumen extending through the handpiece and thermally coupled to the heat-generating component may define a portion of the fluid inflow path. Alternatively or additionally, tubing engaged to the handpiece and thermally coupled to the heat-generating component may define a portion of the fluid inflow path.


In still another aspect of the present disclosure, the at least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument via sufficient approximation of the fluid inflow path with the heat-generating component.


In still yet another aspect of the present disclosure, the at least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument via a thermally conductive material connecting the fluid inflow path with the heat-generating component.


A method of surgery provided in accordance with aspects of the present disclosure includes using a surgical instrument having a heat-generating component that generates heat during the use of the surgical instrument, and introducing fluid along a fluid inflow path from a fluid source to a surgical site. At least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument to simultaneously draw heat from the heat-generating component and warm the fluid introduced along the fluid inflow path.


In an aspect of the present disclosure, using the surgical instrument includes inserting a portion of the surgical instrument into the surgical site. In such aspects, using the surgical instrument may further include activating the surgical instrument to perform a surgical task at the surgical site. In some aspects, the surgical task includes tissue cutting and removal, and activating the surgical instrument includes activating a motor to drive a cutting shaft of the surgical instrument. Further, the motor may be the heat-generating component.


In another aspect of the present disclosure, the method further includes inserting an endoscope into the surgical site. Introducing the fluid along the fluid inflow path from the fluid source to the surgical site includes introducing the fluid through the endoscope.


In still another aspect of the present disclosure, using the surgical instrument includes inserting a portion of the surgical instrument through the endoscope (or other fluid delivery device) and into the surgical site.


In yet another aspect of the present disclosure, introducing the fluid along the fluid inflow path from the fluid source to the surgical site includes introducing the fluid through tubing engaged with the surgical instrument to thereby thermally couple the fluid inflow path with the heat-generating component.


In still yet another aspect of the present disclosure, introducing the fluid along the fluid inflow path from the fluid source to the surgical site includes introducing the fluid through an internal lumen defined within the surgical instrument to thereby thermally couple the fluid inflow path with the heat-generating component.


In another aspect of the present disclosure, the fluid inflow path is thermally coupled to the heat-generating component via at least one of: sufficient approximation of the fluid inflow path with the heat-generating component; or a thermally conductive material connecting the fluid inflow path with the heat-generating component.





BRIEF DESCRIPTION OF THE DRAWINGS

Various aspects and features of the present disclosure are described hereinbelow with reference to the drawings wherein like numerals designate identical or corresponding elements in each of the several views and:



FIG. 1A is a perspective view of a surgical system provided in accordance with aspects of the present disclosure;



FIG. 1B is a perspective view of a surgical instrument and endoscope of the surgical system of FIG. 1A;



FIG. 2 is a side view of a handpiece of a surgical instrument configured for use with the surgical system of FIG. 1A in accordance with aspects of the present disclosure;



FIG. 3 is a longitudinal, cross-sectional view of a portion of the handpiece of FIG. 2;



FIG. 4 is a side view of another handpiece of a surgical instrument configured for use with the surgical system of FIG. 1A in accordance with aspects of the present disclosure including inflow tubing operably coupled to the handpiece;



FIG. 5 is a transverse, cross-sectional view illustrating operable coupling of the inflow tubing with the handpiece of FIG. 4; and



FIG. 6 is a perspective view of another surgical instrument configured for use with the surgical system of FIG. 1A in accordance with aspects of the present disclosure including a handpiece and an end effector assembly engaged with the handpiece.





DETAILED DESCRIPTION

The present disclosure provides surgical systems and methods facilitating cooling of one or more heat-generating components of a surgical instrument used during a surgical procedure while also warming fluid to be introduced into a patient during the surgical procedure. More specifically, in accordance with the system and methods of the present disclosure, inflow fluid to be introduced into a patient during a surgical procedure is utilized as a heat sink to draw heat away (and absorb the heat) from one or more heat-generating components of a surgical instrument used in the surgical procedure. This results in the dual benefit of cooling the heat-generating component(s) of the surgical instrument (by drawing the heat therefrom) while simultaneously warming the inflow fluid to be introduced into the patient (by absorbing the heat). Although described hereinbelow with respect to a surgical system including a motor-powered tissue shaver and hysteroscopic fluid management system, the aspects and features of the present disclosure are equally applicable for use with other surgical instruments (and/or for cooling other heat-generating components thereof, e.g., generators, battery packs, controllers, etc.) and/or other surgical fluid management systems. Further, the systems and methods detailed herein are not limited to use with human-operated surgical instrumentation but, rather, also apply to surgical robotics implementations.


Referring to FIG. 1A, a surgical system provided in accordance with the present disclosure is shown generally identified by reference numeral 10. Surgical system 10 generally includes a control console 100, a surgical instrument 200 including a handpiece 210 and an end effector assembly 260 attachable to handpiece 210, an endoscope 300 (or other suitable fluid delivery device configured to deliver fluid into an internal surgical site), connection tubing 400, a fluid collection drape 500, one or more fluid collection canisters 600, a fluid bag 700 (or other suitable fluid source), a support stand 800, and a footswitch 900. Additional or alternative components of surgical system 10 are also contemplated, depending upon a particular purpose. Surgical system 10 may be configured for use in intrauterine hysteroscopic surgical procedures and/or other suitable procedures.


Control console 100 is configured to power and control surgical instrument 200, e.g., via a cable 110 connecting control console 100 with handpiece 210 of surgical instrument 200, and to perform fluid management with respect to the introduction of fluid through endoscope 300 into the surgical site and/or the withdrawal of fluid from the surgical site via surgical instrument 200 and/or endoscope 300. Although shown as an integrated unit contained within a single housing, it is understood that control console 100 may consist of plural separate units physically and/or operably connected to one another in any suitable manner.


With respect to powering and controlling surgical instrument 200, one or more microprocessors of the control console 100 controls a motor 230 within handpiece 210 of surgical instrument 200 to drive surgical instrument 200 according to appropriate speed and/or direction profiles and provides torque limits to protect surgical instrument 200 and the patient. The microprocessor(s) of control console 100 also directs communicates with surgical instrument 200, e.g., to identify surgical instrument 200, verify surgical instrument 200 is permitted to be used, obtain operational parameters and/or other information associated with surgical instrument 200, write use or other information to surgical instrument 200, etc.


With respect to fluid management, control console 100 may selectively operate one or more inflow pumps (not explicitly shown) disposed therein or connected thereto, one or more vacuum pumps (not explicitly shown) disposed therein or connected thereto, and/or any other suitable inflow and/or outflow pump(s). Control console 100, more specifically, may monitor fluid flow rate, fluid pressure, total fluid volume, fluid impedance, fluid deficit, etc., control the one or more pumps based thereon, and/or provide feedback regarding the same, e.g., display status information, output notifications and/or alarms, disable features, etc.


With additional reference to FIGS. 1B-3 and 6, surgical instrument 200, as noted above, includes a handpiece 210 and an end effector assembly 260 attachable to handpiece 210. Surgical instrument 200 may be, for example, a motor-driven tissue shaver, as described herein, although other suitable surgical instruments including motors or other heat-generating components such as, for example, battery packs, controllers, generators, etc., are also contemplated. Handpiece 210 of surgical instrument 200 generally includes an outer housing 220, a motor 230 disposed within outer housing 220, one or more activation buttons 240 (e.g., for activating and/or controlling settings of surgical instrument 200), and cable 110 which is configured to operably connect motor 230, activation buttons 240, and/or other electronics of handpiece 210 to control console 100. Motor 230 includes an output rotor 232 configured to provide a rotational output to drive end effector assembly 260, e.g., upon activation of motor 230. Handpiece 210 is described in greater detail below.


End effector assembly 260 of surgical instrument 200 includes a proximal hub 270 configured to releasably engage outer housing 220 of handpiece 210, an outer shaft 280 extending distally from proximal hub 270, and an inner assembly 290 including an inner cutting shaft 292 extending through outer shaft 280 and a drive assembly 294 disposed within proximal hub 270, operably engaged with inner cutting shaft 292, and configured to operable couple to output rotor 232 of motor 230 such that, in response to activation of motor 230 to drive rotation of output rotor 232, inner cutting shaft 292 is driven to rotate continuously, oscillate rotationally, and/or oscillate translationally relative to outer shaft 280 to cut tissue at the distal end of surgical instrument 200. Outer shaft 280 and/or inner cutting shaft 292 may define open distal ends and/or side windows towards the distal ends thereof to enable tissue to be drawn therein and cut by the motion of inner cutting shaft 292. More specifically, in aspects, inner cutting shaft 292 may include an open distal end and may define a cutting edge 296 surrounding the open distal end. Inner cutting shaft 292 may be configured to rotate and oscillate translationally relative to a side window 282 defined through outer shaft 280 towards the distal end thereof to cut tissue extending through side window 282. Suction may be applied through inner cutting shaft 292 to facilitate suctioning tissue through side window 282 for cutting and to facilitate the withdrawal of cut tissue, fluid, and debris from the surgical site through inner cutting shaft 292.


Referring back to FIGS. 1A and 1B, endoscope 300 includes an elongated distal body portion 310 configured for insertion into a surgical site, e.g., through the cervix and into the uterus, a proximal handle portion 320 configured for manipulation by an operator. Proximal handle portion 320 includes an inflow port 330, an outflow port 340, and an arm 350 that is configured to connect to an imaging device (e.g., a camera) to capture images received via a visualization mechanism, e.g., optics (not shown), extending through elongated body portion 310. Endoscope 300 further includes an inflow channel and an outflow channel defined through elongated body portion 310 and fluidly coupled with inflow port 330 and outflow port 340, respectively. An instrument channel defined through elongated body portion 310 and configured to receive an instrument therethrough such as, for example, surgical instrument 200, may be shared with the inflow channel or the outflow channel or may be a separate channel. As an alternative to endoscope 300, another suitable fluid delivery device (for receipt of surgical instrument 200 or separate therefrom) configured to deliver fluid into an internal surgical site may be utilized as part of system 10.


Connection tubing 400 includes inflow tubing 410; outflow tubing 420, 430, 440; and vacuum tubing 450. Each tubing 410-450 may include one or more segments of tube that may be connected with one another directly (via a suitable coupler) or indirectly (via suitable intermediate components). Inflow tubing 410 connects fluid bag 700 with inflow port 330 of endoscope 300 to enable the delivery of fluid from fluid bag 700 through the inflow channel of endoscope 300 and into a surgical site. Fluid may be delivered from fluid bag 700 into the internal surgical site via gravity, an inflow pump (not shown) connected between fluid bag 700 and endoscope 300, and/or via vacuum assist, e.g., via suction established through outflow tubing 420 and 430. Inflow tubing 410 forms at least a portion of a fluid inflow path from fluid bag 700 to endoscope 300. This fluid inflow path, as detailed below, is configured to thermally couple to one or more heat-generating components of surgical instrument 200 along at least a portion of the length of the fluid inflow path to simultaneously cool the heat-generating component(s) and warm the fluid flowing along the fluid inflow path by drawing heat away from the heat-generating components(s) and absorbing the heat with the fluid, respectively.


Outflow tubing 420 connects an outflow port 340 of endoscope 300 with the one or more fluid collection canisters 600 to enable the outflow of fluid from the surgical site, through endoscope 300, to the one or more fluid collection canisters 600. Outflow tubing 430 connects surgical instrument 200 with the one or more fluid collection canisters 600 to enable the removal of fluid, cut tissue, and debris from the surgical site through surgical instrument 200 and to the one or more fluid collection canisters 600. Outflow tubing 440 connects an outflow drain 510 of collection drape 500 with the one or more fluid collection canisters 600. Vacuum tubing 450 connects the one or more fluid collection canisters 600 with a vacuum pump (not shown) within control console 100 to establish suction through outflow tubing 420, 430, 440 to facilitate the outflow of fluid from the surgical site to the one or more fluid collection canisters 600.


Fluid collection drape 500 is configured to collect leakage fluid and return the same to the one or more fluid collection canisters 600 via outflow tubing 440 and drain 510 of fluid collection drape 500.


Fluid bag 700 (or other suitable fluid source) may hold any suitable fluid to be introduced into the surgical site such as, for example, saline, sorbitol, or glycine.


Support stand 800 is configured to support control console 100, collection canister(s) 600, and fluid bag 700 thereon.


Footswitch 900 may be configured to connect to control console 100 to act as an input device for actuating and/or controlling surgical instrument 200.


Turning to FIGS. 2 and 3, in conjunction with FIG. 1A, inflow tubing 410, as noted above, forms at least a portion of the fluid inflow path from fluid bag 700 to endoscope 300. In order to thermally couple the fluid inflow path to motor 230 of handpiece 210 of surgical instrument 200 such that the fluid flowing along the fluid inflow path absorbs heat from motor 230 to cool motor 230 while simultaneously warming the fluid, surgical handpiece 210 defines an inflow lumen 1100 extending therethrough. First and second connection ports 1110, 1120 are disposed at opposite ends of inflow lumen 1100 in fluid communication with inflow lumen 1100 to enable segments of inflow tubing 410 to be connected to the input and output ends of inflow lumen 1100. More specifically, a first segment of inflow tubing 410 is connected between fluid bag 700 and first connection port 1110 while a second segment of inflow tubing 410 is connected between second connection port 1120 and inflow port 330 of endoscope 300 to establish the fluid inflow path from fluid bag 700 through endoscope 300 (via surgical instrument) and into the surgical site.


Inflow lumen 1100, more specifically, extends through outer housing 220 of handpiece 210 of surgical instrument 200. At least a portion of inflow lumen 1100 extends along at least a portion of motor 230 (in sufficient approximation relative thereto) to thermally couple inflow lumen 1100 with motor 230 to enable fluid flowing through inflow lumen 1100 to draw and absorb heat from motor 230, thereby cooling motor 230 and warming the fluid. Additionally or alternatively, a thermally conductive material(s) 1130 thermally couples motor 230 with at least a portion of inflow lumen 1100 to enable or facilitate the drawing of heat from motor 230 and absorption of heat by the fluid flowing through inflow lumen 1100 to thereby cool motor 230 and warm the fluid flowing through inflow lumen 1100.


With additional reference to FIG. 1B, in aspects, handpiece 210 may further define an outflow lumen 1200 disposed in fluid communication with inner cutting shaft 292 of end effector assembly 260 when end effector assembly 260 is engaged with handpiece 210. Outflow lumen 1200 extends through outer housing 220 of handpiece 210 to an outflow connection port 1210 that connects to outflow tubing 430 to enable the removal of fluid, cut tissue, and debris from the surgical site through surgical instrument 200 and to the one or more fluid collection canisters 600. Outflow lumen 1200 may also be thermally coupled to motor 230 similarly as described above with respect to inflow lumen 1100 to further facilitate cooling of motor 230. Alternatively, motor 230 may be sufficiently cooled via the fluid flowing through inflow lumen 1100 and, thus, outflow lumen 1200 need not be thermally coupled to motor 230 or routed through handpiece 210.


Turning to FIGS. 4 and 5, in order to thermally couple the fluid inflow path to motor 230 of handpiece 210 of surgical instrument 200 such that the fluid flowing along the fluid inflow path draws and absorbs heat from motor 230 to cool motor 230 while simultaneously warming the fluid, surgical handpiece 210 may be configured to releasably engage a portion of inflow tubing 410 such that the portion of inflow tubing 410 is thermally coupled with motor 230 to enable fluid flowing through inflow tubing 410 to absorb heat from motor 230, thereby cooling motor 230 and warming the fluid.


In order to facilitate the releasable engagement of inflow tubing 410 with handpiece 210, outer housing 220 of handpiece 210 may define a channel 1310 extending therealong and/or one or more retention elements 1320. Channel 1310 may be configured for press-fit receipt of inflow tubing 410 (see FIG. 5) to retain inflow tubing 410 in engagement with outer housing 220, or may receive inflow tubing 410 therein in any other suitable manner. Retention elements 1320 may include clips, latches, hooks, etc. to alternatively or additionally retain inflow tubing 410 in engagement with outer housing 220. Channel 1310 may be disposed in sufficient approximation with motor 230 to facilitate heat transfer from motor 230 to the fluid flowing through inflow tubing 410 and the warming of the fluid. Alternatively or additionally, a thermally conductive material (not explicitly shown) may be provided to thermally couple channel 1310 with motor 230 to enable heat to be drawn from motor 230 and absorbed by the fluid flowing through inflow tubing 410 to thereby cool motor 230 and simultaneously warm the fluid flowing through inflow tubing 410.


Similarly as detailed above, handpiece 210 may further define outflow lumen 1200 extending through outer housing 220 of handpiece 210 to outflow connection port 1210. Outflow lumen 1200 may also be thermally coupled to motor 230 similarly as described above to further facilitate cooling of motor 230. Alternatively, motor 230 may be sufficiently cooled via the fluid flowing through inflow tubing 410 within channel 1310 and, thus, outflow lumen 1200 need not be thermally coupled to motor 230 or routed through handpiece 210.


Turning to FIG. 6, as noted above, the outflow fluid path through surgical instrument 200 need not extend through handpiece 210 (or be disposed in thermal communication with motor 230) in aspects where motor 230 is sufficiently cooled via the inflow fluid. That is, rather than extending the outflow fluid path through handpiece 210, end effector assembly 260 may include an outflow port 1410 disposed on proximal hub 270 thereof in fluid communication with the interior of proximal hub 270 and inner cutting shaft 292 such that outflow cut tissue, fluid, and debris are withdrawn from inner cutting shaft 292, through outflow port 1410 (bypassing handpiece 210) and outflow tubing 430 to the one or more collection canisters 600. In this manner, handpiece 210 can remain isolated from contact with outflow tissue, fluid, and debris, thus facilitating cleaning handpiece 210 for reuse.


While several aspects and features of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as examples of particular configurations. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims
  • 1. A surgical system, comprising: a fluid-delivery device configured to deliver fluid to a surgical site;a surgical instrument including a handpiece and an end effector assembly releasably engaged with the handpiece, the handpiece including a heat-generating component and defining: a fluid outflow path thermally coupled to and extending along a first side of the heat-generating component from a distal portion of the handpiece, wherein the fluid outflow path is configured to fluidly couple to the end effector assembly, to a proximal portion of the handpiece, wherein the fluid outflow path is configured to connect to a vacuum source for withdrawing fluid from the surgical site; anda fluid inflow path thermally coupled to and extending along a second, opposite side of the heat-generating component from the proximal portion of the handpiece, wherein the fluid inflow path is configured to fluidly couple to a fluid source, to the distal portion of the handpiece, wherein the fluid inflow path is configured to fluidly couple to the fluid-delivery device to provide fluid to the fluid-delivery device for delivery to the surgical site,wherein the thermal coupling of the fluid inflow path with the heat-generating component of the handpiece simultaneously draws heat from the heat-generating component and warms fluid flowing distally along the fluid inflow path, wherein the thermal coupling of fluid outflow path with the heat-generating component of the handpiece simultaneously draws heat from the heat-generating component and warms fluid flowing proximally along the fluid outflow path, and wherein the fluid inflow path is fluidly isolated from the fluid outflow path and the end effector assembly.
  • 2. The surgical system according to claim 1, wherein the fluid-delivery device is an endoscope.
  • 3. The surgical system according to claim 2, wherein the endoscope is configured to receive a portion of the surgical instrument therethrough.
  • 4. The surgical system according to claim 1, wherein the surgical instrument is a tissue shaver.
  • 5. The surgical system according to claim 4, wherein the heat-generating component is a motor configured to drive a cutting shaft of the tissue shaver.
  • 6. The surgical system according to claim 1, wherein an inflow lumen extending through the handpiece defines a portion of the fluid inflow path, and wherein the inflow lumen is thermally coupled to the heat-generating component.
  • 7. The surgical system according to claim 1, wherein tubing engaged to the handpiece defines a portion of the fluid inflow path, and wherein the tubing is thermally coupled to the heat-generating component.
  • 8. The surgical system according to claim 1, wherein the at least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument via sufficient approximation-of the fluid inflow path with the heat-generating component.
  • 9. The surgical system according to claim 1, wherein the at least a portion of the fluid inflow path is thermally coupled to the heat-generating component of the surgical instrument via a thermally conductive material connecting the fluid inflow path with the heat-generating component.
  • 10. A method of surgery, comprising: using a surgical instrument including a handpiece and an end effector assembly releasably engaged with the handpiece, wherein a heat-generating component of the handpiece of the surgical instrument generates heat during use of the surgical instrument, and wherein use of the surgical instrument includes withdrawing fluid from a surgical site along a fluid outflow path, at least a portion of the fluid outflow path thermally coupled to and extending proximally along a first side of the heat-generating component to simultaneously draw heat from the heat-generating component and warm fluid flowing proximally along the fluid outflow path; androuting fluid along a fluid inflow path from a fluid source to the handpiece of the surgical instrument and from the handpiece of the surgical instrument to a surgical site such that the fluid inflow path is fluidly isolated from the fluid outflow path and the end effector assembly of the surgical instrument, wherein routing the fluid to the handpiece thermally couples at least a portion of the fluid inflow path to the heat-generating component of the handpiece with the at least a portion of the fluid outflow path extending distally along a second, opposite side of the heat-generating component to simultaneously draw heat from the heat-generating component and warm the fluid routed distally along the fluid inflow path from the handpiece of the surgical instrument to the surgical site.
  • 11. The method according to claim 10, wherein using the surgical instrument includes inserting a portion of the end effector assembly of the surgical instrument into the surgical site.
  • 12. The method according to claim 11, wherein using the surgical instrument further includes activating the surgical instrument to perform a surgical task at the surgical site.
  • 13. The method according to claim 12, wherein the surgical task includes tissue cutting and removal, and wherein activating the surgical instrument includes activating a motor to drive a cutting shaft of the surgical instrument.
  • 14. The method according to claim 13, wherein the motor is the heat-generating component.
  • 15. The method according to claim 10, further comprising: inserting an endoscope into the surgical site, wherein routing the fluid along the fluid inflow path from the fluid source to the surgical site includes routing the fluid through the endoscope.
  • 16. The method according to claim 15, wherein using the surgical instrument includes inserting a portion of the end effector assembly of the surgical instrument through the endoscope and into the surgical site.
  • 17. The method according to claim 10, wherein routing the fluid along the fluid inflow path from the fluid source to the surgical site includes routing the fluid through tubing engaged with the handpiece of the surgical instrument to thereby thermally couple the fluid inflow path with the heat-generating component.
  • 18. The method according to claim 10, wherein the routing the fluid along the fluid inflow path from the fluid source to the surgical site includes routing the fluid through an internal lumen defined within the handpiece of the surgical instrument to thereby thermally couple the fluid inflow path with the heat-generating component.
  • 19. The method according to claim 10, wherein the fluid inflow path is thermally coupled to the heat-generating component via at least one of: sufficient approximation of the fluid inflow path with the heat-generating component; or a thermally conductive material connecting the fluid inflow path with the heat-generating component.
US Referenced Citations (306)
Number Name Date Kind
1585934 Muir May 1926 A
1666332 Hirsch Apr 1928 A
1831786 Duncan Nov 1931 A
2708437 Hutchins May 1955 A
3297022 Wallace Jan 1967 A
3686706 Finley Aug 1972 A
3734099 Bender et al. May 1973 A
3791379 Storz Feb 1974 A
3812855 Banko May 1974 A
3835842 Iglesias Sep 1974 A
3850162 Iglesias Nov 1974 A
3945375 Banko Mar 1976 A
3980252 Tae Sep 1976 A
3995619 Glatzer Dec 1976 A
3996921 Neuwirth Dec 1976 A
4011869 Seiler, Jr. Mar 1977 A
4108182 Hartman et al. Aug 1978 A
4146405 Timmer et al. Mar 1979 A
4184256 Loge Jan 1980 A
4198958 Utsugi Apr 1980 A
4203444 Bonnell et al. May 1980 A
4210146 Banko Jul 1980 A
4246902 Martinez Jan 1981 A
4247180 Norris Jan 1981 A
4258721 Parent et al. Mar 1981 A
4261346 Wettermann Apr 1981 A
4294234 Matsuo Oct 1981 A
4316465 Dotson, Jr. Feb 1982 A
4369768 Vukovic Jan 1983 A
4392485 Hiltebrandt Jul 1983 A
4414962 Carson Nov 1983 A
4449538 Corbitt et al. May 1984 A
4493698 Wang et al. Jan 1985 A
4517977 Frost May 1985 A
4543965 Pack et al. Oct 1985 A
4567880 Goodman Feb 1986 A
4589414 Yoshida et al. May 1986 A
4601284 Arakawa et al. Jul 1986 A
4601290 Effron et al. Jul 1986 A
4606330 Bonnet Aug 1986 A
4630598 Bonnet Dec 1986 A
4644952 Patipa et al. Feb 1987 A
4649919 Thimsen et al. Mar 1987 A
4700694 Shishido Oct 1987 A
4706656 Kuboto Nov 1987 A
4718291 Wood et al. Jan 1988 A
4737142 Heckele Apr 1988 A
4749376 Kensey et al. Jun 1988 A
4756309 Sachse et al. Jul 1988 A
4819635 Shapiro Apr 1989 A
4844064 Thimsen et al. Jul 1989 A
4850354 McGurk-Burleson et al. Jul 1989 A
4856919 Takeuchi et al. Aug 1989 A
4867157 McGurk-Burleson et al. Sep 1989 A
4924851 Ognier et al. May 1990 A
4940061 Terwilliger et al. Jul 1990 A
4950278 Sachse et al. Aug 1990 A
4955882 Hakky Sep 1990 A
4971034 Doi et al. Nov 1990 A
4986827 Akkas et al. Jan 1991 A
4998527 Meyer Mar 1991 A
4998914 Wiest et al. Mar 1991 A
5007917 Evans Apr 1991 A
5027792 Meyer Jul 1991 A
5037386 Marcus et al. Aug 1991 A
5105800 Takahashi et al. Apr 1992 A
5106364 Hayafuji et al. Apr 1992 A
5112299 Pascaloff May 1992 A
5116868 Chen et al. May 1992 A
5125910 Freitas Jun 1992 A
5133713 Huang et al. Jul 1992 A
5152744 Krause et al. Oct 1992 A
5158553 Berry et al. Oct 1992 A
5163433 Kagawa et al. Nov 1992 A
5167619 Wuchinich Dec 1992 A
5169397 Sakashita et al. Dec 1992 A
5176677 Wuchinich Jan 1993 A
5195541 Obenchain Mar 1993 A
5226910 Kajiyama et al. Jul 1993 A
5244459 Hill Sep 1993 A
5254117 Rigby et al. Oct 1993 A
5269785 Bonutti Dec 1993 A
5270622 Krause Dec 1993 A
5275609 Pingleton et al. Jan 1994 A
5288290 Brody Feb 1994 A
5304118 Trese et al. Apr 1994 A
5312399 Hakky et al. May 1994 A
5312425 Evans et al. May 1994 A
5312430 Rosenbluth et al. May 1994 A
5320091 Grossi et al. Jun 1994 A
5347992 Pearlman et al. Sep 1994 A
5350390 Sher Sep 1994 A
5364395 West, Jr. Nov 1994 A
5374253 Burns, Sr. et al. Dec 1994 A
5390585 Ryuh Feb 1995 A
5392765 Muller Feb 1995 A
5395313 Naves et al. Mar 1995 A
5403276 Schechter et al. Apr 1995 A
5409013 Clement Apr 1995 A
5409453 Lundquist et al. Apr 1995 A
5411513 Ireland et al. May 1995 A
5421819 Edwards et al. Jun 1995 A
5425376 Banys et al. Jun 1995 A
5429601 Conley et al. Jul 1995 A
5435805 Edwards et al. Jul 1995 A
5443476 Shapiro Aug 1995 A
5449356 Walbrink et al. Sep 1995 A
5456673 Ziegler et al. Oct 1995 A
5456689 Kresch et al. Oct 1995 A
5483951 Frassica et al. Jan 1996 A
5490819 Nicholas et al. Feb 1996 A
5490860 Middle et al. Feb 1996 A
5492537 Vancaillie Feb 1996 A
5498258 Hakky et al. Mar 1996 A
5527331 Kresch et al. Jun 1996 A
5549541 Muller Aug 1996 A
5556378 Storz et al. Sep 1996 A
5563481 Krause Oct 1996 A
5569164 Lurz Oct 1996 A
5569254 Carlson et al. Oct 1996 A
5569284 Young et al. Oct 1996 A
5575756 Karasawa et al. Nov 1996 A
5586973 Lemaire et al. Dec 1996 A
5591187 Dekel Jan 1997 A
5601583 Donahue et al. Feb 1997 A
5601603 Illi Feb 1997 A
5602449 Krause et al. Feb 1997 A
5603332 O'Connor Feb 1997 A
5630798 Beiser et al. May 1997 A
5649547 Ritchart et al. Jul 1997 A
5669927 Boebel et al. Sep 1997 A
5672945 Krause Sep 1997 A
5674179 Bonnet et al. Oct 1997 A
5676497 Kim Oct 1997 A
5695448 Kimura et al. Dec 1997 A
5702420 Sterling et al. Dec 1997 A
5709698 Adams et al. Jan 1998 A
5730752 Alden et al. Mar 1998 A
5733298 Berman et al. Mar 1998 A
5741286 Recuset Apr 1998 A
5741287 Alden et al. Apr 1998 A
5749885 Sjostrom et al. May 1998 A
5749889 Bacich et al. May 1998 A
5759185 Grinberg Jun 1998 A
5772634 Atkinson Jun 1998 A
5775333 Burbank et al. Jul 1998 A
5782849 Miller Jul 1998 A
5807240 Muller et al. Sep 1998 A
5807282 Fowler Sep 1998 A
5810770 Chin et al. Sep 1998 A
5810861 Gaber Sep 1998 A
5814009 Wheatman Sep 1998 A
5833643 Ross et al. Nov 1998 A
5840060 Beiser et al. Nov 1998 A
5857995 Thomas et al. Jan 1999 A
5871493 Sjostrom Feb 1999 A
5873886 Larsen et al. Feb 1999 A
5899915 Saadat May 1999 A
5911699 Anis et al. Jun 1999 A
5911722 Adler et al. Jun 1999 A
5913867 Dion Jun 1999 A
5916229 Evans Jun 1999 A
5925055 Adrian et al. Jul 1999 A
5928163 Roberts et al. Jul 1999 A
5944668 Vancaillie et al. Aug 1999 A
5947990 Smith Sep 1999 A
5951490 Fowler Sep 1999 A
5956130 Vancaillie et al. Sep 1999 A
5957832 Taylor et al. Sep 1999 A
6001116 Heisler et al. Dec 1999 A
6004320 Casscells et al. Dec 1999 A
6007513 Anis et al. Dec 1999 A
6024751 Lovato et al. Feb 2000 A
6032673 Savage et al. Mar 2000 A
6039748 Savage et al. Mar 2000 A
6042552 Cornier Mar 2000 A
6068641 Varsseveld May 2000 A
6086542 Glowa et al. Jul 2000 A
6090094 Clifford, Jr. et al. Jul 2000 A
6090123 Culp et al. Jul 2000 A
6113594 Savage Sep 2000 A
6119973 Galloway Sep 2000 A
6120147 Vijfvinkel et al. Sep 2000 A
6120462 Hibner et al. Sep 2000 A
6132448 Perez et al. Oct 2000 A
6149633 Maaskamp Nov 2000 A
6156049 Lovato et al. Dec 2000 A
6159160 Hsei et al. Dec 2000 A
6159209 Hakky Dec 2000 A
6171300 Adams Jan 2001 B1
6203518 Anis et al. Mar 2001 B1
6217543 Anis et al. Apr 2001 B1
6224603 Marino May 2001 B1
6244228 Kuhn et al. Jun 2001 B1
6258111 Ross et al. Jul 2001 B1
6277096 Cortella et al. Aug 2001 B1
6315714 Akiba Nov 2001 B1
6358200 Grossi Mar 2002 B1
6358263 Mark et al. Mar 2002 B2
6359200 Day Mar 2002 B1
6402701 Kaplan et al. Jun 2002 B1
6428486 Ritchart et al. Aug 2002 B2
6471639 Rudischhauser et al. Oct 2002 B2
6494892 Ireland et al. Dec 2002 B1
6585708 Maaskamp Jul 2003 B1
6610066 Dinger et al. Aug 2003 B2
6626827 Felix et al. Sep 2003 B1
6632182 Treat Oct 2003 B1
6656132 Ouchi Dec 2003 B1
6712773 Viola Mar 2004 B1
6824544 Boebel et al. Nov 2004 B2
6837847 Ewers et al. Jan 2005 B2
7025720 Boebel et al. Apr 2006 B2
7025732 Thompson et al. Apr 2006 B2
7150713 Shener et al. Dec 2006 B2
7226459 Cesarini et al. Jun 2007 B2
7249602 Emanuel Jul 2007 B1
7510563 Cesarini et al. Mar 2009 B2
7763033 Gruber et al. Jul 2010 B2
7922737 Cesarini et al. Apr 2011 B1
8025656 Gruber et al. Sep 2011 B2
8061359 Emanuel Nov 2011 B2
8062214 Shener et al. Nov 2011 B2
8419626 Shener-Irmakoglu et al. Apr 2013 B2
8465421 Finkman et al. Jun 2013 B2
8523852 Manwaring et al. Sep 2013 B2
8528563 Gruber Sep 2013 B2
8574253 Gruber et al. Nov 2013 B2
8617151 Denis et al. Dec 2013 B2
8647349 Gruber et al. Feb 2014 B2
8663264 Cesarini et al. Mar 2014 B2
8678999 Isaacson Mar 2014 B2
8834487 Gruber et al. Sep 2014 B2
8840625 Adams et al. Sep 2014 B2
8840626 Adams et al. Sep 2014 B2
8852085 Shener-Irmakoglu et al. Oct 2014 B2
8893722 Emanuel Nov 2014 B2
8932208 Kendale et al. Jan 2015 B2
8951274 Adams et al. Feb 2015 B2
9060760 Sullivan et al. Jun 2015 B2
9060800 Cesarini et al. Jun 2015 B1
9060801 Cesarini et al. Jun 2015 B1
9066745 Cesarini et al. Jun 2015 B2
9072431 Adams et al. Jul 2015 B2
9089358 Emanuel Jul 2015 B2
9095366 Sullivan et al. Aug 2015 B2
9125550 Shener-Irmakoglu et al. Sep 2015 B2
9155454 Sahney et al. Oct 2015 B2
9259233 Gruber et al. Feb 2016 B2
9649123 Riva May 2017 B2
9955991 Riva May 2018 B2
10178997 Edwards Jan 2019 B2
10898218 Prokop Jan 2021 B2
11065147 Prokop et al. Jul 2021 B2
20010039963 Spear et al. Nov 2001 A1
20010047183 Privitera et al. Nov 2001 A1
20020040229 Norman Apr 2002 A1
20020058859 Brommersma May 2002 A1
20020165427 Yachia et al. Nov 2002 A1
20030050603 Todd Mar 2003 A1
20030050638 Yachia et al. Mar 2003 A1
20030078609 Finlay et al. Apr 2003 A1
20030114875 Sjostrom Jun 2003 A1
20040204671 Stubbs et al. Oct 2004 A1
20050043690 Todd Feb 2005 A1
20050085692 Kiehn et al. Apr 2005 A1
20060036132 Renner et al. Feb 2006 A1
20060047185 Shener Mar 2006 A1
20060047239 Nita et al. Mar 2006 A1
20060241586 Wilk Oct 2006 A1
20080015621 Emanuel Jan 2008 A1
20080058588 Emanuel Mar 2008 A1
20080058842 Emanuel Mar 2008 A1
20080097468 Adams et al. Apr 2008 A1
20080097469 Gruber et al. Apr 2008 A1
20080097470 Gruber Apr 2008 A1
20080097471 Adams et al. Apr 2008 A1
20080135053 Gruber et al. Jun 2008 A1
20080146872 Gruber et al. Jun 2008 A1
20080146873 Adams et al. Jun 2008 A1
20080208233 Barnes Aug 2008 A1
20080245371 Gruber Oct 2008 A1
20080249366 Gruber et al. Oct 2008 A1
20080249534 Gruber et al. Oct 2008 A1
20080249553 Gruber et al. Oct 2008 A1
20080262308 Prestezog et al. Oct 2008 A1
20090082628 Kucklick et al. Mar 2009 A1
20090270812 Litscher et al. Oct 2009 A1
20090270895 Churchill Oct 2009 A1
20090270896 Sullivan et al. Oct 2009 A1
20090270897 Adams et al. Oct 2009 A1
20090270898 Chin et al. Oct 2009 A1
20100087798 Adams et al. Apr 2010 A1
20100152647 Shener et al. Jun 2010 A1
20110034943 Churchill et al. Feb 2011 A1
20110077674 Sullivan et al. Mar 2011 A1
20110118544 Adams et al. May 2011 A1
20110166419 Reif et al. Jul 2011 A1
20120067352 Gruber et al. Mar 2012 A1
20120078038 Sahney et al. Mar 2012 A1
20130131452 Kuroda et al. May 2013 A1
20140031834 Germain Jan 2014 A1
20150051598 Orszulak et al. Feb 2015 A1
20150157352 Thistle Jun 2015 A1
20170055810 Germain Mar 2017 A1
20200121496 Prokop Apr 2020 A1
Foreign Referenced Citations (1)
Number Date Country
WO-2022234448 Nov 2022 WO
Non-Patent Literature Citations (1)
Entry
PCT/IB2022/062236, The International Search Report and the Written Opinion of the International Searching Authority, 13 pages, Feb. 20, 2023.
Related Publications (1)
Number Date Country
20230190087 A1 Jun 2023 US