CABLE CONNECTION SYSTEMS FOR ELECTROSURGICAL SYSTEMS
20170365948 · 2017-12-21
Inventors
- Michael D. Ehninger (South Jordan, UT, US)
- Paul R. Borgmeier (Salt Lake City, UT, US)
- Darcy W. Greep (Herriman, UT, US)
Cpc classification
A61B2018/167
HUMAN NECESSITIES
International classification
H01R13/52
ELECTRICITY
A61B18/12
HUMAN NECESSITIES
Abstract
Cable connection systems allow for an electrosurgical return electrode to be simultaneously connected to multiple ESUs. The cable connection systems can include individual return cables for simultaneous connection to each of the ESUs. The cable connection system can also include a junction that joins, connects, or associates the return cables in a manner that allows for the multiple ESU cables to be electrically connected to the return electrode at a single connection point on the return electrode.
Claims
1. A cable connection system for selectively connecting an electrosurgical return electrode to multiple ESUs simultaneously, the cable connection system comprising: a first return cable that provides at least a portion of an electrical path between the return electrode and a first ESU; a second return cable that provides at least a portion of an electrical path between the return electrode and a second ESU; and a junction where the first and second return cables converge, connect, or are otherwise operatively associated with one another, wherein the junction is configured to divide electrosurgical current communicated from the return electrode such that a first portion of the electrosurgical current is communicated to the first ESU and a second portion of the electrosurgical current is communicated to the second ESU.
2. A cable connection system according to claim 1, further comprising a common return cable that provides at least a portion of an electrical path between the return electrode and each of the first and second ESUs.
3. A cable connection system according to claim 2, wherein the common return cable is connectable between the return electrode and the junction.
4. A cable connection system according to claim 2, wherein the common return cable is selectively connectable to the return electrode.
5. A cable connection system according to claim 2, wherein the common return cable is semi-permanently connectable to the return electrode.
6. A cable connection system according to claim 2, wherein the common return cable is selectively connectable to the junction.
7. A cable connection system according to claim 2, wherein the common return cable is permanently connectable to the junction.
8. A cable connection system according to claim 2, wherein the common return cable is selectively connectable to the first return cable.
9. A cable connection system according to claim 2, wherein the common return cable and the first return cable are integrally formed as a single cable.
10. A cable connection system according to claim 1, wherein at least one of the first and second return cables is permanently connected to the junction.
11. A cable connection system according to claim 1, wherein at least one of the first and second return cables is selectively connectable to and disconnectable from the junction.
12. A cable connection system according to claim 11, wherein the junction comprises a junction connector for selectively connecting the at least one of the first and second return cables to the junction.
13. A cable connection system according to claim 12, wherein the junction comprises a cover for selectively covering the junction connector when the at least one of the first and second return cables is disconnected from the junction connector.
14. A cable connection system according to claim 1, wherein at least one of the first and second return cables is selectively extendable from and retractable at least partially into the junction.
15. A cable connection system according to claim 14, wherein the junction comprises a winding device that enables the selective extension and retraction of the at least one of the first and second return cables.
16. A cable connection system according to claim 14, wherein the junction comprises a cover for selectively covering the at least one of the first and second return cables when the at least one of the first and second return cables is retracted into the junction.
17. A cable connection system according to claim 1, wherein the junction is selectively connectable directly to the return electrode.
18. A cable connection system according to claim 1, wherein the junction is semi-permanently connectable directly to the return electrode.
19. A cable connection system according to claim 1, wherein the junction is selectively connectable directly to at least one of the first and second ESUs.
20. A cable connection system according to claim 1, wherein the junction is semi-permanently connectable directly to at least one of the first and second ESUs.
21. A cable connection system according to claim 1, wherein the second return cable is permanently connected to the junction, and wherein the junction is selectively connectable to the first return cable in such a manner as to create a non-conductive, capacitive electrical connection between the first and second return cables.
22. A cable connection system according to claim 21, wherein at least a portion of an insulative outer sheath of the first return cable comprises a different thickness or dielectric constant than other portions of the insulative outer sheath in order to facilitate the non-conductive, capacitive electrical connection between the first and second return cables.
23. A cable connection system according to claim 1, wherein the first and second return cables have different lengths from one another.
24. A cable connection system according to claim 1, wherein each of the first and second return cables comprises a connector that is selectively connectable to an ESU.
25. A cable connection system according to claim 24, wherein the connectors of the first and second return cables are dissimilar types of connectors.
26. A cable connection system according to claim 24, wherein the connectors of the first and second return cables are similar types of connectors.
27. A cable connection system according to claim 1, further comprising one or more adaptor cables.
28. A cable connection system according to claim 27, wherein the one or more adaptor cables are selectively connectable between one or more of: the first return cable and the first ESU; the second return cable and the second ESU; the first return cable and the junction; the second return cable and the junction; the junction and the return electrode; and the junction and a common return cable that is connectable to the return electrode.
29. A cable connection system according to claim 27, wherein the one or more ESU adaptor cables enables connection between otherwise incompatible connectors.
30. A cable connection system according to claim 1, wherein the junction is integrally formed as part of the return electrode.
31. A cable connection system according to claim 30, wherein the junction comprises first and second connectors for selective connection with the first and second return cables.
32. A cable connection system according to claim 31, wherein the first and second connectors of the junction share a single junction housing.
33. A cable connection system according to claim 31, wherein the junction and the first and second connectors thereof are disposed at a corner of the return electrode.
34. A cable connection system according to claim 1, wherein the first and second return cables share a common connector at first ends thereof and have separate connectors at opposing second ends thereof.
35. A cable connection system according to claim 34, wherein the common connector is selectively connectable to at least one of the return electrode or a common return cable that is connectable to the return electrode.
36. A cable connection system according to claim 1, wherein the first and second return cables are selectively joinable together along at least a portion of their respective lengths.
37. A cable connection system according to claim 36, wherein the first return cable comprises an interior retention area extending along at least a portion of its length and in which the second return cable may be selectively disposed.
38. A cable connection system according to claim 37, wherein the first return cable comprises an opening along at least a portion of its length and through which the second return cable may be selectively inserted into or removed from the interior retention area.
39. A cable connection system according to claim 36, wherein at least a portion of the first return cable has a substantially C-shaped cross-section.
40. A cable connection system for selectively connecting an electrosurgical return electrode to multiple ESUs simultaneously, the cable connection system comprising: a common return cable connectable to the return electrode, the return cable providing at least a portion of an electrical path between the return electrode and first and second ESUs; a junction connectable to the return cable, the junction providing at least a portion of the electrical path between the return electrode and the first and second ESUs; a first return cable connectable between the junction and the first ESU, the first return cable providing at least a portion of the electrical path between the return electrode and the first ESU; and a second return cable connectable between the junction and the second ESU, the second return cable providing at least a portion of the electrical path between the return electrode and the second ESU, wherein the junction divides electrosurgical current communicated from the return electrode such that a first portion of the electrosurgical current is communicated to the first ESU and a second portion of the electrosurgical current is communicated to the second ESU.
41. A cable connection system according to claim 40, further comprising one or more ESU adaptor cables selectively connectable between at least one of the first and second return cables and the first and second ESUs.
42. A cable connection system according to claim 40, wherein at least one of the first and second return cables is selectively connectable to the junction.
43. A cable connection system according to claim 40, wherein at least one of the first and second return cables is selectively extendable from and retractable at least partially into the junction.
44. A cable connection system for selectively connecting an electrosurgical return electrode to multiple ESUs simultaneously, the cable connection system comprising: a first return cable that provides at least a portion of an electrical path between the return electrode and a first ESU, the first return cable comprising a connector at a distal end, the connector being selectively connectable to the first ESU; a second return cable that provides at least a portion of an electrical path between the return electrode and a second ESU, the second return cable comprising a connector at a distal end, the connector being selectively connectable to the second ESU; and a shared common connector at the proximal ends of the first and second return cables, the first and second return cables being selectively connectable to a single connector associated with the return electrode via the shared common connector.
45. A cable connection system according to claim 44, wherein the first and second return cables are selectively joinable together along at least a portion of their respective lengths.
46. A cable connection system according to claim 45, wherein the first return cable comprises an interior retention area extending along at least a portion of its length and in which the second return cable may be selectively disposed.
47. A cable connection system according to claim 46, wherein the first return cable comprises an opening along at least a portion of its length and through which the second return cable may be selectively inserted into or removed from the interior retention area.
48. A cable connection system according to claim 45, wherein at least a portion of the first return cable has a substantially C-shaped cross-section.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] To further clarify the above and other advantages and features of the present disclosure, a more particular description will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings. It is appreciated that these drawings depict only illustrated embodiments of the disclosure and are therefore not to be considered limiting of its scope. The disclosure will be described and explained with additional specificity and detail through the use of the accompanying drawings in which:
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
DETAILED DESCRIPTION
[0027] The present disclosure relates to cable connection systems for simultaneously connecting an electrosurgical return electrode to multiple ESUs. Some embodiments of the disclosed cable connection systems can be used with new or existing self-limiting return electrodes, whether those electrodes have a single built-in ESU connection or multiple built-in ESU connections. Some of the disclosed cable connection systems can be at least partially incorporated into the return electrodes.
[0028] Reference will now be made to the drawings to describe various aspects of exemplary embodiments. It is understood that the drawings are diagrammatic and schematic representations of such exemplary embodiments, and are not limiting of the claimed subject matter, nor are any particular elements to be considered essential for all embodiments or that elements be assembled or manufactured in any particular order or manner. No inference should therefore be drawn from the drawings as to the necessity of any element.
[0029] In the following description, numerous specific details are set forth in order to provide a thorough understanding of the presently disclosed embodiments. It will be obvious to one of ordinary skill in the art, however, that the presently disclosed embodiments may be practiced without these specific details. In other cases, well known aspects of electrosurgical systems, devices, and methods, and general manufacturing techniques are not described in detail herein in order to avoid unnecessarily obscuring the novel aspects of the presently disclosed embodiments.
[0030]
[0031] Simultaneously connecting the return electrode 104 to multiple ESUs (e.g., the first and second ESUs 106, 108) allows multiple active electrodes, such as first electrode 110 and second electrode 112, to be used simultaneously on a patient during an electrosurgical procedure. For instance, a patient may be positioned on the return electrode 104 during an electrosurgical procedure. A first surgeon may use the first electrode 110 and a second surgeon may use the second electrode 112 to perform the electrosurgical procedure on the patient.
[0032] Upon activation of the first electrode 110, the first ESU 106 produces and transmits electrosurgical current to the first electrode 110, which is applied to the patient to effectuate cutting or cauterization. The electrosurgical current is returned to the first ESU 106 via the return electrode 104 and the cable connection system 102. Similarly, upon activation of the second electrode 112, the second ESU 108 produces and transmits electrosurgical current to the second electrode 112, which is applied to the patient to effectuate cutting or cauterization. The electrosurgical current is returned to the second ESU 108 via the return electrode 104 and the cable connection system 102. In this way multiple surgeons can operate on a patient at the same time and the electrosurgical current can be returned to its originating ESU (thereby completing the electrosurgical circuit).
[0033] In the embodiment illustrated in
[0034] Similar to connector 120, the first and second return cables 116, 118 include respective connectors 124, 126. The connectors 124, 126 may be designed to connect the first and second return cables 116, 118 directly or indirectly to respective ESUs (e.g., the first and second ESUs 106, 108). For instance, the connector 124 may be specifically designed for connection to the first ESU 106 and the connector 126 may be specifically designed for connection to the second ESU 108. In other embodiments, the connectors 124, 126 may be designed to be interchangeably connected to either of the first and second ESUs 106, 108. Thus, the connectors 124, 126 may have similar or dissimilar designs.
[0035] As noted, the connectors 124, 126 may allow for the first and/or second return cables 116, 118 to be indirectly connected to the first and/or second ESUs 106, 108. For instance, as illustrated in
[0036] The ESU adaptor cables 128, 130 may also allow for connections between the first and second return cables 116, 118 and otherwise incompatible ESUs. For instance, the first ESU 106 may include a connector that is not designed to accept, connect to, or otherwise mate with the connector 124. The ESU adaptor cable 128 may include a connector 132 that is compatible with (e.g., designed to accept, connect to, or otherwise mate with) the connector 124. The ESU adaptor cable 128 may also include a connector 134 that is compatible with the first ESU 106. Thus, the ESU adaptor cable 128 may allow for the first return cable 116 to be connected to the first ESU 106 even when the first return cable 116 and the first ESU 106 have otherwise incompatible connectors. Similarly, the ESU adaptor cable 130 may include connectors that allow for the second return cable 118 to be connected to the second ESU 108 even when the second return cable 118 and the second ESU 108 have otherwise incompatible connectors.
[0037] In the illustrated embodiment, the common return cable 114, the first return cable 116, and the second return cable 118 converge, connect, and/or are otherwise associated with one another at junction 136. The junction 136 and/or the connection or association of the cables 114, 116, 118 therein may take a variety of forms. For instance, the junction 136 may be a housing in which the ends of the cables 114, 116, 118 are electrically connected together. In some embodiments, two of the identified cables 114, 116, 118 may actually be formed of a single cable and the third cable may be connected thereto. By way of example, the common return cable 114 and the first return cable 116 may be part of a single cable. In such an embodiment, the second return cable 118 may be connected to the single cable at the junction 136. Regardless of the specific configuration of the junction 136, the junction 136 can provide at least a portion of the electrical path between the return electrode 104 and the first and second ESUs 106, 108. Additionally, the electrosurgical current communicated from the return electrode 104 can be divided at or by the junction 136 such that a first portion of the electrosurgical current is communicated to the first ESU 106 and a second portion of the electrosurgical current is communicated to the second ESU 108.
[0038] Attention is now directed to
[0039] Electrosurgical system 150 includes a cable connection system 152 for connecting the return electrode 104 to multiple ESUs (e.g., the first and second ESUs 106, 108). The cable connection system 152 includes a common return cable 114, a first return cable 116, and an ESU adaptor cable 128 that may be similar or identical to those described above in connection with
[0040] The cable connection system 152 also includes a second return cable 154 and a junction 156. In the illustrated embodiment, the second return cable 154 may be selectively connected to and disconnected from the junction 156. More specifically, the second return cable 154 includes a connector 158 that is designed to be connected to a connector (not shown) of the junction 156. When the second return cable 154 is disconnected from the junction 156, the cable connection system 152 allows for the return electrode 104 to be singly connected to the first ESU 106. In contrast, when the second return cable 154 is connected to the junction 156, the cable connection system 152 allows for the return electrode 104 to be connected to both of the first and second ESUs 106, 108. To facilitate the connection of the second return cable 154 to the second ESU 108, the second return cable 154 also includes a connector 160 that is designed for connection to at least the second ESU 108.
[0041] In addition to allowing for selective connection and disconnection of the second return cable 154, the junction 156 illustrated in
[0042] Although
[0043] Turning now to
[0044] For instance,
[0045] According to the present embodiment, one or more of the cables 114, 174, 176 may be selectively extendable from and retractable to/into the junction 178. For instance, the two-headed arrow in
[0046] To facilitate the extension/retraction of the second return cable 176, the junction 178 may be equipped with a winding device. The winding device may include a spool on which the second return cable 176 may be wound. In some embodiments, the winding device may be manually operated via a crank that is accessible from the outside of the junction 178. In other embodiments, the winding device may be a spring-loaded device that automatically retracts the second return cable 176 upon activation of the spring-loaded device (e.g., release of a lock/brake mechanism, short pull on the second return cable 176, etc.).
[0047] To extend the second return cable 176 from the junction 178, the second return cable 176 may be pulled out of the junction 178 so that the second return cable 176 is at least partially unwound from the spool of the winding device. A lock/brake mechanism may selectively retain the second return cable 176 at a desired length and until the second return cable 176 is either extended further out of the junction 178 or until the winding device is activated to retract the second return cable 176.
[0048] When the second return cable 176 is completely retracted, the second return cable 176 may fit entirely within the junction 178. In some such embodiments, the junction 178 may include a cover (e.g., similar to cover 162) to close off the compartment in the junction 178 in which the second return cable 176 is disposed. In other embodiments, the second return cable 176 may not be entirely disposed within the junction 178 when the second return cable 176 is completely retracted. For instance, the connector 184 may be disposed on the outside of the junction 178, which may facilitate extension of the second return cable 176 when desired.
[0049] The selectively extendable/retractable nature of the cable(s) may allow the length(s) of the cable(s) to be adjusted relative to one another. For instance,
[0050] Although
[0051] Attention is now directed to
[0052] In the illustrated embodiment, the junction 194 includes a connector 196 that can be connected to the connector 122 on the return electrode 104. The connection between the connector 196 and the connector 122 may be designed for selective connection and disconnection. In other embodiments, the connection may be a more permanent connection such that once the connector 196 is connected to the connector 122 the connector 196 cannot be disconnected therefrom. In still other embodiments, the connection may be a semi-permanent connection. That is, the connector 196 may be disconnected from the connector 122, but the disconnection may be more difficult that disconnecting other connectors in the system 190.
[0053] The cable connection system 192 also includes a first return cable 198 and a second return cable 200. In the illustrated embodiment, the first return cable 198 is selectively connectable to and disconnectable from the junction 194 and the first ESU 106. Similarly, the second return cable 200 is selectively connectable to and disconnectable from the junction 194 and the second ESU 108. More specifically, the first and second return cables 198, 200 include connectors that allow for connections to be made with the junction 194 and the first and second ESUs 106, 108. In some embodiments, the first and second return cables 198, 200 may have similar or identical connectors such that the first and second return cables 198, 200 are interchangeable. In other embodiments, the first and second return cables 198, 200 may have one or more dissimilar connectors, so as to, for example, facilitate connections to different types of ESUs
[0054] Although
[0055]
[0056] More specifically, the common return cable 214 may include a connector 216 designed for connection to the connector 122 on the return electrode 104. The common return cable 214 also includes a connector 218 designed for connection to the junction 194. In some embodiments, the connectors 216, 218 may be dissimilar connectors. Such configuration may allow for the return electrode 104 to be connected to the junction 194 even when the connector 122 and the junction connector are not designed to be connected together. In other words, the common return cable 214 may function as an adaptor cable.
[0057]
[0058] As discussed in connection with the other embodiments herein, the various connections between the components of the electrosurgical system 230 and/or the cable connection system 232 may be selective, semi-permanent, or permanent connections. For instance, the connections between the common return cable 234 and the return electrode 104 and between the junction 240 and the first ESU 106 may be permanent or semi-permanent connections, while the connections between the common return cable 234 and the first return cable 236, between the junction 240 and the first and second return cable 236, 238, and between the second return cable 238 and the second ESU 108 may be selective connections.
[0059] Attention is now directed to
[0060] The cable connection system 252 also include a second return cable 258 and junction 260. The junction 260 may be selectively connected to the first return cable 256 or the common return cable 254 when the return electrode 104 needs to be connected to the second ESU 108. The junction 260 may include a coupling connector that connects the second return cable 258 to either the first return cable 256 or the common return cable 254. For instance, the coupling connector may include or take the form of a clamp feature that physically connects the junction 260 to the first return cable 256 or the common return cable 254.
[0061] Although the junction 260 may physically connect the second return cable 258 to the first return cable 256 or the common return cable 254, the connection may not create a direct conductive electrical connection between the second return cable 258 and either the first return cable 256 or the common return cable 254. Rather, for instance, the junction 260 may create a capacitive connection between the second return cable 258 and either the first return cable 256 or the common return cable 254. More specifically, the first return cable 256 and/or the common return cable 254 may include a conductive core and an insulative outer sheath. When the junction 260 is connected to either the first return cable 256 or the common return cable 254, a conductive element in the junction 260 and/or the second return cable 258 may be positioned close enough to the first return cable 256 or the common return cable 254 to create a capacitive connection therebetween. As a result, at least some of the electrosurgical current passed from the return electrode may be communicated from the first return cable 256 or the common return cable 254 to the junction 260 and/or the second return cable 258 via a capacitive connection therebetween.
[0062] At least a portion of an insulative outer sheath of the first return cable 256 and/or the common return cable 254 may be configured to facilitate the capacitive connection between the junction 260 and the first return cable 256 or the common return cable 254. For instance, a portion of the outer insulative sheath may be thinner and/or have a different dielectric constant than other portions of the insulative outer sheath in order to facilitate a stronger capacitive connection.
[0063] Turning now to
[0064] Unlike some of the other cable connection systems described herein, the cable connection system 274 does not have a separate and distinct junction. Rather, the cable connection system 274 includes a junction 280 integrated with the return electrode 272. Similar to some of the other junctions described herein, the junction 280 includes at least two connectors 282, 284 to which the first and second return cables 276, 278 may be connected. As illustrated in
[0065] Attention is now directed to
[0066] In addition to sharing a common connector 298, the first and second return cables 294, 296 may also be designed to be joined together along at least a portion of their respective lengths.
[0067] According to
[0068] It will be understood that the present disclosure extends beyond the specific combinations of features illustrated and described in connection with the various particular embodiments disclosed herein. For instance, although a particular embodiment described herein may include a combination of multiple features, the present disclosure extends to embodiments that include one or more of the described features. Additionally, it will be understood that a feature described in connection with one embodiment may be incorporated into another embodiment without departing from the disclosure.
[0069] It will now be evident that there have been described herein improved cable connection systems. The disclosed cable connection systems allow for more versatility in electrosurgical procedures. For instance, the cable connection systems allow for a return electrode to be selectively connected to multiple ESU's simultaneously.
[0070] The terms “approximately,” “about,” and “substantially” as used herein represent an amount close to the stated amount that still performs a desired function or achieves a desired result. For example, the terms “approximately,” “about,” and “substantially” may refer to an amount that is within less than 10% of, within less than 5% of, within less than 1% of, within less than 0.1% of, and within less than 0.01% of a stated amount.
[0071] The present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive. The scope of the invention is, therefore, indicated by the appended claims rather than by the foregoing description. All changes which come within the meaning and range of equivalency of the claims are to be embraced within their scope.