Patent Application
20190388114
The present invention relates to a system where vessel sealing and cutting processes are realized in an extra-luminal manner by means of laser during surgical operations and interventions.
When required during surgical interventions, the vessels shall be closed in cases of undesired bleeding occurred in the surgical field. In ancient times, when this process is first tried, the vessel was held and cut with scalpel or surgical scissors and afterwards the ends of the vessel were cauterized. In cases where the diameter of the vessel was wide, since the cauterization process was insufficient, the two ends of the vessel were separately ligated. Together with the technological developments, this process was begun to be established by using electro-cautery. Electro-cauteries reach approximately 250° C. and they provide closing of the vessel by means of cauterization. Together with the technological developments, cauteries have been turned into energy based devices which utilize bipolar electrical power and afterwards, cauteries have been turned into devices which utilize ultrasonic power.
In the U.S. Pat. No. 7,951,150, an electrosurgical instrument includes a housing having a shaft attached thereto which defines a longitudinal axis there through. The instrument also includes first and second opposing jaw members coupled to the shaft, the first jaw member having a conductive surface and movable relative to the second jaw member. The second jaw member is fixed relative to the shaft and includes an electrode rotatable along the longitudinal axis. The rotatable electrode has a sealing surface and a cutting edge. The cutting structures provided in the jaw members are heated by means of power supply and cauterization process is realized together with the cutting process. The power supply is an electrical source. During the cauterization process, only the vessel, which is to be cut and cauterized, shall be heated. Otherwise, the other adjacent tissues are heated and damaged so lose their function transiently or permanently. In the cauteries which function with microwave, ultrasonic or resistance, this cannot be provided and undesired energy transfer occurs to the adjacent tissues existing in the application area and heating occurs. Another disadvantage which occurs in such cauteries, sealing of vessels with diameter of maximum 6-8 mm can be realized, and simultaneous cutting is not possible.
In the U.S. Pat. No. 5,507,742, an endoscopic tool has an elongate cylindrical cannula with an open hooked end insertable into the body of a patient with a trocar element providing a laser powered flux of energy for precise incision and optional cauterization of tissue. A conventional pointed trocar may be used with the hooked cannula to permit forcible insertion of the hooked cannula end to the selected surgical site. In the alternative, a laser energy conveying trocar may be used with the hooked cannula or homeostatic insertion into the patient's body. The basic disadvantage of said application is that it is insufficient for large vessels. The reason of this is that the whole cutting and cauterizing process is realized by means of laser. Thus, there is no force exerted for closing the vessel ends. Therefore, it is considered that, only the laser ray is not sufficient for closing the vessel end except very small vessel structures. Therefore, resistance to high pressure exposure decreases and there occurs the risk of bleeding in the region where cauterizing is planned to be realized and depending on this, there is increased risk of blood loss and complication proportions of the intervention, and prolongation of duration of the operation. Another disadvantage of this system is that the laser application manner has the risk of external ray radiation and damaging the adjacent tissues due to heat radiation.
In the U.S. Pat. No. 5,147,356, the invention provides a surgical instrument which provides cutting and cauterizing of exposed vessels. There is a cable which reaches one of the cutting ends of said instrument. The cable provides the required heat for the cutting end. In an alternative embodiment of the invention, it is mentioned that this cable can be fiber and can carry laser rays. However, in the specification, it is not mentioned how the operation is to be realized by using laser.
The common disadvantage of all of the abovementioned systems is that usage costs are high since these systems are disposable (single-use). Repetitive sterilization processes are realized for reducing the high usage costs, however, risky conditions occur in terms of patient safety in this case.
The present invention relates to a vessel sealing and cutting system by means of laser in an extra-luminal manner (through the outer surface of the vessels), for eliminating the abovementioned disadvantages and for bringing new advantages to the related technical field.
The object of the present invention is to provide a vessel sealing and cutting system which functions by means of laser energy and which provides simultaneous sealing and cutting of vessels.
Another object of the present invention is to provide a vessel sealing and cutting system which provides joining of vessel walls to each other by means of controlled laser energy besides mechanical tightening.
Another object of the present invention is to provide a vessel sealing and cutting system which reduces the usage costs by means of a re-usable laser processing mechanism.
Another object of the present invention is to provide a vessel sealing and cutting system for increasing patient safety by means of usage of a disposable surgical equipment which has low cost.
Another object of the present invention is to provide a vessel sealing and cutting system which covers all of the open and endoscopic surgical interventions by means of usage of disposable surgical equipment and which supports the variations used in different methods.
Another object of the present invention is to provide a vessel sealing and cutting system whose usage safety has been increased.
In order to realize all of the abovementioned objects and the objects which are to be deducted from the detailed description below, the present invention is a vessel sealing and cutting system comprising a surgical equipment comprising a lower jaw and an upper jaw in a manner defining a holder tip grabbing the vessels in vessel containing tissues, and a lower body embodied at the continuation of said upper jaw, and a laser source connected to said surgical equipment. Accordingly, the subject matter invention is characterized by comprising a module housing embodied in a manner extending inside said lower body and said upper jaw, and a laser module which transmits a laser light to the grabbing region from said holder tip in a simultaneous manner with the closing of the jaws and positioned in said module housing in a manner connected to said laser source from one end thereof.
In a preferred embodiment of the invention, said laser module comprises an outer body placed into the lower body and a tip part is embodied at the continuation of the outer body placed into the upper jaw.
In another preferred embodiment of the invention, a triggering region, which is aligned with a trigger provided on the surgical equipment as the laser module is placed to the lower body, is embodied on the outer body.
In another preferred embodiment of the invention, a connection part is provided at one end of the outer body, and a connector housing is positioned at the end of said connection part and whereto said laser source is connected.
In another preferred embodiment of the invention, a tab opening is embodied at said connection part and a module connection pin is provided under the connection part.
In another preferred embodiment of the invention, at least one connection tab is provided at the lower body in a manner corresponding to said tab opening.
In another preferred embodiment of the invention, in order to provide completion of the circuit such that the system interacts with the laser source, a module connection housing, wherein said module connection pin is placed, is embodied at the lower body.
In another preferred embodiment of the invention, an optical opening is embodied at the upper jaw in a manner providing transmission of the light guided from the upper jaw to the grabbing region through the tip part.
In another preferred embodiment of the invention, a laser processing mechanism is provided in said outer body in a manner providing guidance of the light, generated by the laser source, through the optical opening.
In another preferred embodiment of the invention, said laser processing mechanism comprises an inner transmission line connected to the laser source, and a regulatory lens, a focusing lens and a prism positioned inside the outer body respectively and which transmit a light, exiting said inner transmission line, to the tip part.
In another preferred embodiment of the invention, the laser processing mechanism comprises an optical opening area embodied at the tip part which will provide guidance of the light, exiting the prism, to the optical opening.
In another preferred embodiment of the invention, a line opening embodied at the end of the inner transmission line and the inner transmission line comprises a primary fixation part and a secondary fixation part to provide fixation of the inner transmission line.
In another preferred embodiment of the invention, the light, transmitted from the line opening of the transmission line to the optical opening area, is a light beam.
In another preferred embodiment of the invention, the light beam, which exits the line opening and which is transmitted to the regulatory lens, is a main light beam.
In another preferred embodiment of the invention, the light beam, which exits the regulatory lens and which is transmitted to the focusing lens, is a linear light beam.
In another preferred embodiment of the invention, the light beam, which exits the focusing lens and which is transmitted to the prism, is a focused light beam.
In another preferred embodiment of the invention, the light beam, guided from the prism to the optical opening area, is a directed light beam.
In another preferred embodiment of the invention, a thermo-stable part is provided where said lower jaw and said upper jaw are covered in a manner increasing the tightening effect of the tissue.
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In this detailed description, the subject matter of innovation is explained with references to examples only in order to make the subject more understandable without forming any restrictive effect. Accordingly, a vessel sealing and cutting system (10) is described which comprises a surgical equipment (20) used in surgical operations and which provides sealing of the vessel during transection and which functions by means of laser, and said vessel sealing and cutting system (10) further comprises structural components related to the surgical equipment.
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The surgical equipment (20) whose general and detailed views are given in
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The connection between the surgical equipment (20) and the laser module (30) is provided by means of placement of the external removable laser module (30) into said module housing (215). The outer body (31) is positioned at the lower body (21) in a manner extending inside the module housing (215). During this positioning, while the module connection pin (321) is placed to the module connection housing (216), the connection tabs (214) are placed to the tab opening (322) and they provide fixation of the connection part (32) on the lower body (21) and fixation of the outer body (31) in the lower body (21). As a result of this positioning, the trigger (217) and the safety lock (218) are provided on the triggering region (312). At the same time, the optical opening (213) provided at the upper jaw (212) and the optical opening area (45) are aligned.
In the direction of these details, the operation of the invention is as follows. The tissue (63), whose vessels are to be cut and sealed, is grabbed by means of a holder tip (24) of the surgical equipment (20) which defines a grabbing region (61). This grabbing is provided by means of proximation of the lower jaw (222) and the upper jaw (212) to each other by means of the handle (211) and the gripping handle (221). By means of this process, trigger (217) is pulled simultaneously, and as the trigger (217) is pulled, the laser source (50) becomes active. In order to provide activation of the system as the trigger (217) is pulled, the module connection pin (321) must be placed to the module connection housing (216) and it must complete the circuit. By means of the energy transmitted from the laser tube (51), the laser generator (52) generates a laser light beam (46) and this laser light beam (46) is transmitted to the inner transmission line (41) by means of the transmission line (53) and the connector (54) and it is transmitted to the regulatory lens (42) as a main light beam (461). The light, which exits the regulatory lens (42) as linear light beam (462), enters into the focusing lens (43) and it exits as focused light beam (463) and it is transmitted to the prism (44). The directed light beam (464) transmitted through the optical opening area (45) by the prism (44) exits the optical opening (213) provided at the upper jaw (212). The directed light beam (464) shows effect in the grabbing region (61) in a laser axis (62) which is parallel to the transversal cross section of the vessel. The directed light beam (464), exiting the optical opening (213), realizes the cutting and sealing process as a result of the effect of the pressure formed between the lower jaw (222) and the upper jaw (212) such that said directed light beam (464) is effective only on the related vessels and surrounding tissue (63) existing in the operation region (60) included in the grabbing region (61) and such that it does not emit heat to the other areas. The prevention of heat emission to the areas which is outside the grabbing region (61) is provided by means of thermo-stable surface coating (26). Besides, thanks to the flexibility of the thermo-stable part (25), the effect for tightening the tissue (63) during holding of the tissue (63) is increased.
In said invention, the vessel walls are joined to each other by means of controlled laser energy beside the mechanical tightening, and both the sealing and cutting processes can be realized simultaneously. By means of the used triggering system, an increased usage safety is obtained. Moreover, by means of usage of disposable surgical equipment (20), different methods which cover all of the open and endoscopic surgical interventions, can be used.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2016/17493 | Nov 2016 | TR | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/TR2017/050304 | 7/4/2017 | WO | 00 |
