High-frequency knife

Patent metadata

Field	Value
Publication number	US-9387034-B2
Application number	US-201414249159-A
Country	US
Kind code	B2
Filing date	Apr 9, 2014
Priority date	Oct 17, 2012
Publication date	Jul 12, 2016
Grant date	Jul 12, 2016

Abstract

A high-frequency knife conduit line and opening hole opening communicate allowing fluid to flow between a rod-shaped electrode outer peripheral surface and the opening hole inner peripheral surface. The guide hole is smaller than the opening and is further toward a radial inner side than the opening outer edge and further toward a radial outer side than the rod-shaped electrode. The fluid is released from the opening to the outside of the sheath over the whole circumference of the rod-shaped electrode on the radial outer side while an electrode portion protrudes toward the sheath distal end portion separating a larger-diameter portion from a supporting member. The fluid is injected to the larger-diameter portion front through the guide hole as the opening hole and the guide hole communicate while the electrode portion is pulled back toward the sheath proximal end portion so that the larger-diameter portion abuts against the supporting member.

First claim

The invention claimed is:

1. A high-frequency knife comprising:
a sheath having a flexibility and in which a conduit line that is communicated with a fluid source supplying a fluid is formed;
a supporting member which is provided on an inner peripheral surface of a distal end portion of the sheath and has electric insulation; and
an electrode portion which has a rod-shaped electrode that is capable of advancing and retracting with respect to the supporting member, and a larger-diameter portion provided at a distal end of the rod-shaped electrode, an outer diameter of the larger-diameter portion being larger than that of the rod-shaped electrode,
wherein the supporting member is formed with an opening hole which passes through the supporting member in an axial direction of the sheath, into which the rod-shaped electrode is inserted, and which communicates with the conduit line of the sheath,
wherein a guide hole is formed in the larger-diameter portion so as to pass through from a proximal end of the larger-diameter portion to a distal end thereof,
wherein the guide hole is located further toward a radial inner side than an outer edge of the opening of a distal end of the opening hole and further toward a radial outer side than the rod-shaped electrode and overlaps the opening of the distal end of the opening hole in the direction of a longitudinal axis of the rod-shaped electrode,
wherein a distal end of the sheath extends further toward the distal end side than the supporting member,
wherein the fluid that is supplied through the conduit from the fluid source is capable of flowing through a gap between an outer peripheral surface of the rod-shaped electrode and an inner peripheral surface of the opening hole,
wherein the fluid is injected to a front of the larger-diameter portion through the guide hole by covering an edge of a proximal end surface of the larger-diameter portion with the radial outer side of the distal end portion and communicating with the opening hole and the guide hole in a pull-back state where the electrode portion is pulled back toward a proximal end portion of the sheath.

2. The high-frequency knife according to claim 1 ,
wherein the opening hole includes:
a larger-diameter hole portion which is formed on a distal end side of the supporting member; and
a smaller-diameter hole portion which is formed on a proximal end side of the larger-diameter hole portion, an internal diameter of the smaller-diameter hole portion is smaller than that of the larger-diameter hole portion,
wherein the internal diameter of the larger-diameter hole portion is smaller than an external diameter of the larger-diameter portion, and
wherein the larger-diameter portion and an edge of the larger-diameter hole portion abut each other in the pull-back state.

3. The high-frequency knife according to claim 2 ,
wherein the larger-diameter portion has electric insulation.

4. The high-frequency knife according to claim 3 ,
wherein the electrode portion includes an auxiliary electrode, which is formed on a proximal end side of the larger-diameter portion so as to extend further in a radial direction than the rod-shaped electrode.

5. The high-frequency knife according to claim 4 ,
wherein the internal diameter of the larger-diameter hole portion is larger than the radial dimension of the auxiliary electrode, and
wherein at least a portion of the auxiliary electrode enters the larger-diameter hole portion in the pull-back state.

6. The high-frequency knife according to claim 5 ,
wherein the guide hole communicates with a through-hole formed in the auxiliary electrode so as to extend in the axial direction of the sheath.

Assignees

• Olympus Corp

Inventors

• Okada Tsutomu

Classifications

• A61B2218/002

  Irrigation · CPC title

• A61B2018/1475

  Electrodes retractable in or deployable from a housing · CPC title

• A61B2018/00083

  low, i.e. electrically insulating · CPC title

• A61B18/1492 Primary

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2018/1412

  Blade · CPC title