Endoscopic vessel harvesting system components

• US 10,299,770 B2
• Filed: 08/24/2017
• Issued: 05/28/2019
• Est. Priority Date: 06/01/2006
• Status: Active Grant

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Inventors: Willis, Geoffrey H., Abbott, Ryan C.
• Primary Examiner(s): Giuliani, Thomas
• Application Number:
  US15/686,046
• Publication Number:
  US 20180000470A1
• Time in Patent Office: 642 Days
• Field of Search: 606 39, 606 41, 606 45, 606 46, 606 48, 606 50, 606 51
• CPC Class Codes: A61B 1/00089 Hoods
• CPC Class Codes: A61B 1/00096 Optical elements
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/126 provided with means for cleaning in-use
• CPC Class Codes: A61B 1/313 for introducing through surgical openings, e.g. laparoscopes
• CPC Class Codes: A61B 1/3137 for examination of the interior of blood vessels
• CPC Class Codes: A61B 17/00008 Vein tendon strippers tube strippers A61M1/83
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/70 Cleaning devices specially adapted for surgical instruments

Abstract

Components for an endoscopic vessel harvesting system include a vessel dissector and a vessel harvester. In this case, a vessel dissector is provided that is used in conjunction with an endoscope, and comprises: an elongated cannula including a lumen therein for receiving the endoscope; a blunt dissecting tip provided on a distal end of the elongated cannula that permits an operator of the vessel dissector to dissect tissue while viewing internal body structures via an objective lens of the endoscope; and a vessel severing tool extending through at least a portion of the elongated cannula, wherein the vessel severing tool is capable of translating longitudinally relative to the elongated cannula, and wherein the vessel severing tool comprises an electrode-carrying member that is capable of translating circumferentially within an arcuate slot extending through an outer surface of the vessel dissector.

Claims

1. A vessel dissector that is used in conjunction with an endoscope, comprising:

an elongated cannula including a lumen therein for receiving the endoscope;

a blunt dissecting tip provided on a distal end of the elongated cannula that permits an operator of the vessel dissector to dissect tissue while viewing internal body structures via an objective lens of the endoscope disposed in the elongated cannula;

a vessel severing tool extending through at least a portion of the elongated cannula, wherein the vessel severing tool is moveable to translate longitudinally relative to the elongated cannula, and wherein the vessel severing tool comprises an electrode-carrying member that is moveable to translate circumferentially within a bow-shaped slot extending through an outer surface of the vessel dissector, wherein the bow-shaped slot comprises an inner radius and an outer radius, wherein the outer radius is greater than the inner radius so that the bow-shaped slot provides an opening of uniform width through which the electrode-carrying member is controllable to extend and retract and wherein an arcuate cross section of the electrode-carrying member matches curvature and width of the bow-shaped slot so movement of the electrode-carrying member translating circumferentially in the bow-shaped slot is constrained to move along a central arc of the bow-shaped slot.

2. The vessel dissector of claim 1, wherein the vessel severing tool further comprises a control rod disposed to actuate the electrode-carrying member.

3. The vessel dissector of claim 2, wherein the blunt dissecting tip has a central axis and the bow-shaped slot extends along a longitudinal axis that is offset from the central axis of the blunt dissecting tip.

4. The vessel dissector of claim 1, wherein the electrode-carrying member comprises bipolar electrodes.

5. The vessel dissector of claim 1, wherein the blunt dissecting tip has a central axis and the bow-shaped slot extends along a longitudinal axis that is offset from the central axis of the blunt dissecting tip.

6. A vessel dissector useable in conjunction with an endoscope, the vessel dissector comprising:

an elongated cannula including a lumen therein configured to receive an endoscope;

a blunt dissecting tip provided on a distal end of the elongated cannula that permits an operator of the vessel dissector to dissect tissue while viewing internal body structures via an objective lens of the endoscope;

a vessel severing tool extending through at least a portion of the elongated cannula, wherein the vessel severing tool is moveable to translate longitudinally relative to the elongated cannula, and wherein the vessel severing tool comprises an electrode-carrying member that is moveable to translate circumferentially within a bow-shaped slot extending through an outer surface of the vessel dissector, wherein the bow-shaped slot comprises an inner radius and an outer radius defining an arc, wherein the outer radius is greater than the inner radius so that the bow-shaped slot provides an opening of uniform width through which the electrode-carrying member is controllable to extend and retract, and wherein an arcuate cross section of the electrode-carrying member matches curvature and width of the arc of the bow-shaped slot so movement of the electrode-carrying member translating circumferentially in the bow-shaped slot is constrained to move along a central arc of the bow-shaped slot.