Unitary endoscopic vessel harvesting devices

• US 10,537,353 B2
• Filed: 10/06/2016
• Issued: 01/21/2020
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Saphena Medical, Inc.
• Original Assignee: Saphena Medical, Inc.
• Inventors: Chin, Albert K., Orphanos, Mark J., Barenboym, Michael
• Primary Examiner(s): Della, Jaymi E
• Application Number:
  US15/287,084
• Publication Number:
  US 20170020546A1
• Time in Patent Office: 1,202 Days
• CPC Class Codes: A61B 17/00008 Vein tendon strippers tube strippers A61M1/83
• 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 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 17/3205 Excision instruments
• 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 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 2017/00778 Operations on blood vessels A61B2017/22097, A61B2017/320741 take precedence
• CPC Class Codes: A61B 2017/00907 for light
• CPC Class Codes: A61B 2017/00969 used for transplantation
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/0063 Sealing

Abstract

Unitary endoscopic vessel harvesting devices are disclosed. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a tip disposed at the distal end of the elongated body; and a cutting unit having a first cutting portion and a second cutting portion, the first cutting portion and the second cutting portion being moveable in a longitudinal direction relative to the elongated body to capture a blood vessel between the first cutting portion and the second cutting portion, and being rotatable relative to one another circumferentially about the tip to cut the captured blood vessel.

Claims

1. A method for harvesting a blood vessel comprising:

advancing a cannula having a dissection tip disposed at a distal tip of an elongated body along the blood vessel to separate the blood vessel and its branch vessels from surrounding tissue, the dissection tip having an inner cavity terminating at an internal apex and an indented external apex at a distal end of the tip, wherein the internal apex and the indented external apex are co-linear with a central axis of the elongated body;

moving a first cutting portion and a second cutting portion in a distal direction from a position proximal of the dissection tip to capture the blood vessel between the first and second cutting portions; and

rotating at least one of the first cutting portion or the second cutting portion circumferentially about the dissection tip toward one another to cut the captured blood vessel.

2. The method of claim 1 wherein, in the step of moving, the first cutting portion and the second cutting porting are moved from the position proximally of the dissection tip to a position over the dissection tip.

3. The method of claim 1 further comprising sealing the blood vessel with a first radio frequency (RF) electrode supported by the first cutting portion and a second RF electrode supported by the second cutting portion.

4. The method of claim 1 wherein, in the step of rotating, the first cutting portion is stationary and the second cutting portion is bi-directionally rotatable about the dissection tip.

5. The method of claim 1 wherein, in the step of rotating, the first cutting portion is stationary and the second cutting portion is rotatable about the dissection tip toward the first cutting portion.

6. The method of claim 1 wherein, in the step of rotating, the first cutting portion has a sharpened edge and the second cutting portion is flat.

7. A method for harvesting a blood vessel comprising:

advancing a cannula having a dissection tip disposed at a distal tip of an elongated body along a blood vessel to separate the blood vessel and its branch vessels from surrounding tissue;

moving a first cutting portion and a second cutting portion in a distal direction from a position proximal of the dissection tip to a position over the dissection tip to capture a blood vessel between the first and second cutting portions; and

rotating at least one of the first cutting portion or the second cutting portion circumferentially about the dissection tip toward one another to cut the captured blood vessel, wherein the first cutting portion has a sharpened edge and an edge of the second cutting portion facing the sharpened edge of the first cutting portion is flat.

8. The method of claim 7 wherein, in the step of advancing, the dissection tip includes an inner cavity terminating at an internal apex and an indented external apex at a distal end of the dissection tip, wherein the internal apex and the indented external apex are co-linear with a central axis of the elongated body.

9. The method of claim 7 further comprising sealing the blood vessel with a first RF electrode supported by the first cutting portion and a second RF electrode supported by the second cutting portion.

10. The method of claim 7 wherein, in the step of rotating, the first cutting portion is stationary and the second cutting portion is bi-directionally rotatable about the dissection tip.

11. The method of claim 7 wherein, in the step of rotating, the first cutting portion is stationary and the second cutting portion is rotatable about the dissection tip toward the first cutting portion.

12. A method for harvesting a blood vessel comprising:

advancing a cannula having a dissection tip disposed at a distal tip of an elongated body along a blood vessel to separate the blood vessel and its branch vessels from surrounding tissue;

moving a first cutting portion and a second cutting portion in a distal direction from a position proximal of the dissection tip to a position over the dissection tip to capture a blood vessel between the first and second cutting portions, wherein at least one of the first cutting portion or the second cutting portion has a sharpened edge; and

rotating at least one of the first cutting portion or the second cutting portion circumferentially about the dissection tip toward one another to cut the captured blood vessel, wherein one of the first cutting portion or the second cutting portion remains stationary as the other of the first cutting portion or the second cutting portion rotates circumferentially about the dissection tip.

13. The method of claim 12 wherein, in the step of advancing, the dissection tip includes an inner cavity terminating at an internal apex and an indented external apex at a distal end of the dissection tip, wherein the internal apex and the indented external apex are co-linear with a central axis of the elongated body.

14. The method of claim 12 further comprising sealing the blood vessel with a first RF electrode supported by the first cutting portion and a second RF electrode supported by the second cutting portion.

15. The method of claim 12 wherein, in the step of rotating, the first cutting portion has the sharpened edge and is stationary and the second cutting portion is bi-directionally rotatable about the dissection tip.

16. The method of claim 12 wherein, in the step of rotating, the first cutting portion has the sharpened edge and is stationary and the second cutting portion is rotatable about the dissection tip toward the first cutting portion.

17. The method of claim 12 wherein, an edge of the second cutting portion is flat.