Surgical instrument including an inwardly deflecting cutting tip for removing an implanted object

• US 10,524,817 B2
• Filed: 12/19/2014
• Issued: 01/07/2020
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Original Assignee: Spectranetics Corporation (Koninklijke Philips N.V.)
• Inventors: Grace, Kenneth P.
• Primary Examiner(s): Aleman, Sarah W
• Application Number:
  US14/577,976
• Publication Number:
  US 20150105796A1
• Time in Patent Office: 1,845 Days
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/2903 transferring rotary motion
• CPC Class Codes: A61B 2017/2924 Translation movement of handle without rotating movement
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61N 1/056 Transvascular endocardial electrode systems
• CPC Class Codes: A61N 2001/0578 having means for removal or extraction

Abstract

A device for removing an implanted object from a body vessel includes an actuator having an elongated sheath extending therefrom, the elongated sheath including a proximal portion and a distal portion. A tubular outer member has a proximal end attached to the distal portion of the elongated sheath, with a ramped surface at a distal end of the tubular outer member which constricts a diameter of a bore formed in the tubular outer member. A tubular inner member is located within the tubular outer member, the tubular inner member including a proximal end operably connected to the actuator and a distal end opposite the proximal end, the distal end of the tubular inner member including a plurality of resiliently flexible blades positioned to interact with the ramped surface of the tubular outer member such that the ramped surface is operable to deflect the resiliently flexible blades radially inwardly as the tubular inner member is advanced distally within the tubular outer member.

Claims

1. A device for removing an implanted object from a body vessel, the device comprising:

a handle and an elongated sheath extending from the handle, the handle comprising a trigger, and the elongated sheath comprising a proximal portion and a distal portion;

a tubular outer member disposed distally of the handle, the tubular outer member having a proximal end attached to the distal portion of the elongated sheath, the tubular outer member having a distal end and a central portion and a ramped surface at the distal end of the tubular outer member;

a tubular inner member located within the tubular outer member, the tubular inner member comprising a proximal end and a distal end opposite the proximal end of the tubular member, the distal end of the tubular inner member comprising a plurality of resiliently flexible blades positioned to deflect inwardly as the tubular inner member is advanced distally within the tubular outer member;

a means for rotating the tubular inner member;

a pin attached to one of the tubular outer member and the tubular inner member; and

a cam slot formed on a surface of the other of the tubular outer member and the tubular inner member, the cam slot receiving the pin, wherein the cam slot and the pin are disposed distally of the means for rotating the tubular inner member;

wherein upon actuation of the trigger, the means for rotating the tubular inner member rotates the tubular inner member relative to the tubular outer member and, and the cam slot and the pin cooperate to cause the tubular inner member to advance distally within the tubular outer member, and the plurality of resiliently flexible blades deflect radially inwardly.

2. The device of claim 1, wherein the resiliently flexible blades are spaced proximally from the distal end of the tubular outer member when the tubular inner member is retracted within the tubular outer member, and the resiliently flexible blades are axially extended distally from the retracted position when the trigger is actuated.

3. The device of claim 1, wherein the resiliently flexible blades at least partially extend distally past the distal end of the tubular outer member when the trigger is actuated.

4. The device of claim 1, wherein the elongated sheath comprises a proximal end, a distal end, and a lumen extending from the distal end toward the proximal end, wherein the lumen is configured to receive an implanted object.

5. The device of claim 1, wherein the pin is attached to the tubular outer member and extends inwardly thereof;

and the cam slot is formed on an exterior surface of the tubular inner member.

6. The device of claim 1, wherein the flexible blades are substantially open when the tubular inner member is advanced distally relative to the tubular outer member.

7. The device of claim 1, wherein the flexible blades are substantially closed when the tubular inner member is advanced distally relative to the tubular outer member.

8. A device for removing an implanted object from a body vessel, the device comprising:

a tubular outer member comprising a ramped surface at a distal end of a bore of the tubular outer member, the ramped surface tapering inwardly proceeding distally to constrict the bore of the tubular outer member, the tubular outer member comprising a distal end and a central portion;

a tubular inner member carried within the bore of the tubular outer member, a distal end of the tubular inner member comprising a plurality of resiliently flexible blades, the tubular inner member being movable from a retracted position to an actuated position and vice versa relative to the tubular outer member, in the retracted position the resiliently flexible blades being disposed within the bore of the tubular outer member, and in the actuated position the resiliently flexible blades at least partially extending from the tubular outer member and the plurality of resiliently flexible blades engaging the ramped surface such that the plurality of resiliently flexible blades are deflected radially inwardly relative to the retracted position;

an actuator operably connected to the tubular inner member, the actuator comprising a means for rotating the tubular inner member and a trigger disposed proximally of the tubular outer member, and the actuator being actuatable by engaging the trigger to move the tubular inner member from the retracted position to the actuated position and vice versa;

a pin attached to one of the tubular outer member and the tubular inner member; and

a cam slot formed on a surface of the other of the tubular outer member and the tubular inner member, the cam slot receiving the pin, wherein the cam slot and the pin are disposed distally of the means for rotating the tubular inner member;

wherein upon actuation of the trigger, the means for rotating the tubular inner member rotates the tubular inner member relative to the tubular outer member and, and the cam slot and the pin cooperate to cause the tubular inner member to move from the retracted position to the actuated position and vice versa relative to the tubular outer member.

9. The device of claim 8, wherein the resiliently flexible blades are spaced proximally from the distal end of the tubular outer member when the tubular inner member is in the retracted position.

10. The device of claim 8, wherein the pin is attached to the tubular outer member and extends inwardly thereof, and the cam slot is formed on an exterior surface of the tubular inner member.

11. The device of claim 8, wherein the flexible blades are substantially open in the actuated position.

12. The device of claim 8, wherein the flexible blades are substantially closed in the actuated position.

13. A device for removing an implanted object from a body vessel, the device comprising:

an actuator having an elongated sheath extending therefrom, the elongated sheath comprising a proximal portion and a distal portion, and the actuator comprising a means for rotating the tubular inner member and a trigger;

a tubular outer member disposed distally of the trigger, the tubular outer member having a proximal end attached to the distal portion of the elongated sheath, with a ramped surface at a distal end of the tubular outer member which constricts a diameter of a bore formed in the tubular outer member;

a tubular inner member located within the tubular outer member, the tubular inner member comprising a proximal end operably connected to the actuator and a distal end opposite the proximal end, the distal end of the tubular inner member comprising a plurality of resiliently flexible blades;

a pin attached to one of the tubular outer member and the tubular inner member; and

a cam slot formed on a surface of the other of the central portion of the tubular outer member and the tubular inner member, the cam slot receiving the pin, wherein the cam slot and the pin are disposed distally of the means for rotating the tubular inner member;

wherein upon actuation of the trigger, the means for rotating the tubular inner member rotates the tubular inner member relative to the tubular outer member and, the cam slot and the pin cooperate to cause the tubular inner member to advance distally within the tubular outer member, and the plurality of resiliently flexible blades interact with the ramped surface of the tubular outer member and deflect radially inwardly.

14. The device of claim 13, wherein the pin is attached to the tubular outer member and extends inwardly thereof, and the cam slot is formed on an exterior surface of the tubular inner member.