Fingertip surgical instruments

• US 20040193211A1
• Filed: 02/12/2004
• Published: 09/30/2004
• Est. Priority Date: 02/14/2003
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Cilag Gmbh International (Johnson & Johnson)
• Inventors: Stulen, Foster B., Voegele, James W., Gill, Robert P.
• Application Number:
  US10/777,324
• Publication Number:
  US 20040193211A1
• Time in Patent Office: Days
• US Class Current: 606/205
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• 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 17/320068 using mechanical vibrations, e.g. ultrasonic A61B17/22012 takes precedence; dental tooth drilling devices operated by vibration A61C3/03; removing intra-ocular material using mechanical vibrations A61F9/00745
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1442 Probes having pivoting end effectors, e.g. forceps
• CPC Class Codes: A61B 2017/00265 Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
• CPC Class Codes: A61B 2017/00438 connectable to a finger
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 2017/32007 with suction or vacuum means
• CPC Class Codes: A61B 2017/320089 node location
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 5/6826 Finger
• CPC Class Codes: A61B 5/6838 Clamps or clips
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208

Abstract

Disclosed is a minimally invasive surgical instrument that may be used in hand-assisted laparoscopic surgeries. The device is multifunctional surgical instrument that may be mounted directly on a surgeon'"'"'s fingertip and inserted through an incision to allow the surgeon to manipulate tissue during a surgical procedure.

Claims

1. A fingertip-mounted minimally invasive surgical instrument comprising:

a) a finger mount, having a proximal and distal end, and a cavity for releasably receiving a fingertip; and

b) a working element extending from the distal end of the finger mount.

2. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is a scissors element having a stationary jaw and a moveable jaw.

3. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is a tissue grasper.

4. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is a clip applier.

5. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is connected to an RF energy source.

6. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is a blade connected to an ultrasonic transducer.

7. The fingertip-mounted minimally invasive surgical instrument of claim 1, wherein the working element is an aspirator and suction element.

8. A method of performing a minimally invasive surgical procedure in a patient comprising:

a) creating an incision to permit hand access within the patient;

b) introducing a hand instrument comprising;

i) a finger mount, having a proximal and distal end, and a cavity for releasably receiving a fingertip; and

ii) an ultrasonic transducer positioned on the finger mount and a blade extending distally from the transducer; and

c) actuating the transducer to deliver ultrasonic energy to the blade.

9. The method of claim 8 further comprising the step of releasably engaging a finger with the hand instrument.

10. The method of claim 8 further comprising the step of actuating the transducer to provide therapeutic effects to the surgical site.