University of Washington

Tim R Majoch

David C Auth

Dale M Lawrence

A thermal cautery system having an endoscopically deliverable probe connected to a power supply and display unit. The power supply and display unit, when triggered by a footswitch, energizes a voltage regulator having a current limited output that supplies power to the probe. The current limiting function of the voltage regulator is disabled for a predetermined period that power is initially applied to said probe to minimize the heating time of said probe. The current through said probe is sensed and used to increase the voltage at the output of the voltage regulator as the current increases to compensate for the voltage drop in the conductors connecting the probe to the power supply. A manually selected portion of the sensed current through the probe is also integrated and used to terminate the flow of current through the probe when the integral of the current with respect to time has reached a predetermined value. A tone generator provides an audible indication when power is being applied to the probe and for a predetermined period thereafter to allow the probe to cool before the absence of the tone signals the removal of the probe from tissue being coagulated. The probe is heated by current flowing through an internal diode having a predetermined breakdown voltage at a predetermined temperature. The temperature of the probe is self-regulated by applying a voltage to the probe that is substantially equal to said predetermined voltage so that the current through the probe is reduced at said predetermined temperature.

Thermal cautery system

A miniaturized, endoscopically deliverable thermal cautery probe for cauterizing internal vessels. The probe is applied to tissues cold, and a large number of electric heating pulses of equal energy are then applied to an internal heating element in the probe. The probe has an internal heating element in direct thermal contact with an active heat-transfer portion that has a low heat capacity to insure quick heating and subsequent cooling, thereby adequately coagulating tissue while minimizing heat penetration and resulting tissue damage. The electrical power applied to the probe is continuously measured and is terminated when the energy delivered reaches a preset value. The number of such pulses applied to the probe (and hence the total energy delivered) may be preset while the duration of the period during which the pulses were applied is displayed. Alternatively, the duration of the period during which such pulses are applied to the probe may be preset while the number of pulses applied (and hence the total energy delivered) is displayed. The heating element for the probe is a controlled breakdown diode which has a breakdown voltage that is a function of its temperature so that the temperature can be controlled. The heating element has a resistance of greater than 0.5 ohm to provide adequate power dissipation with relatively low currents. A washing fluid, preferably flowing along the outside of the probe toward its tip, cleans blood from the tissue to be coagulated to make the source of blood more readily visible.

Growing community of inventors

Tacoma, WA, United States of America

Tim R Majoch