ENDOSCOPE SYSTEM WITH PIVOTABLE ARMS

• US 20080269562A1
• Filed: 04/25/2007
• Published: 10/30/2008
• Est. Priority Date: 04/25/2007
• Status: Active Grant

• Current Assignee: Karl Storz Endovision, Inc. (Karl Storz Se & Co. Kg)
• Original Assignee: Karl Storz Endovision, Inc. (Karl Storz Se & Co. Kg)
• Inventors: Marescaux, Jacques Francois Bernard, Dallemagne, Bernard, Leonhard, Martin, Barry, James P., Leroy, Joel, Melanson, Jeffrey S., Storz, Stefan, Mutter, Didier
• Granted Patent: US 9,596,980 B2
• Time in Patent Office: Days
• US Class Current: 600/142
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00098 Deflecting means for inserted tools
• CPC Class Codes: A61B 1/018 for receiving instruments
• 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 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas

Abstract

An endoscopic surgery apparatus is provided, including a tubular member, a handle located on a proximal end of the tubular member, and one or more pivotable arms detachably connected to a distal end of the tubular member. The tubular member has channels along its longitudinal axis, wherein at least one of the channels is an optical channel and at least one other channel is an illumination channel. The arms have guiding channels adapted to receive surgical tools, which direct the surgical tools. The arms are interchangeable with other arms of different configurations. Also, said arms have an open and a closed position, such that when the arms are in the closed position an opening is defined allowing viewing of a surgical site via the optical channel.

Claims

1. An endoscopic surgery apparatus, comprising:

a tubular member having a plurality of channels along its longitudinal axis;

a handle located on a proximal end of the tubular member;

two or more arms pivotably connected to a distal end of the tubular member by hinges;

wherein said arms have guiding channels passing therethrough adapted to receive endoscopic surgical tools.

2. The endoscopic surgery apparatus of claim 1, wherein the distal end of said tubular member articulates.

3. The endoscopic surgery apparatus of claim 1, wherein said tubular member comprises, in order from its proximal end, a shaft portion coupled to said handle, a series of vertebrae coupled to the shaft portion, and a head member coupled to the most distal vertebra of the series of vertebrae, wherein the head member is the distal end to which the arms are pivotably connected.

4. The endoscopic surgery apparatus of claim 3, wherein the head member is detachable from the series of vertebrae and replaceable with a head member of a different configuration.

5. The endoscopic surgery apparatus of claim 3, wherein the vertebrae are moveable relative to one another via a control on said handle such that the distal end of the tubular member articulates.

6. The endoscopic surgery apparatus of claim 1, wherein said handle includes a mechanism for pivoting the arms between a closed position and open positions.

7. The endoscopic surgery apparatus of claim 6, wherein the mechanism permits locking the arms in any selected position.

8. The endoscopic surgery apparatus of claim 6, wherein the arms are adapted to grasp tissue at a surgical site when the arms are pivoted.

9. The endoscopic surgery apparatus of claim 6, wherein the arms include a blade portion adapted to cut tissue when the arms are pivoted.

10. The endoscopic surgery apparatus of claim 6, wherein the arms are adapted to displace tissue when the arms are pivoted.

11. The endoscopic surgery apparatus of claim 1, wherein said arms are detachably connected to the distal end of the tubular member and are interchangeable with arms of different configurations.

12. The endoscopic surgery apparatus of claim 1, wherein one of said channels is an optical channel for the transmission of images and at least one other of said channels is an illumination channel for the transmission of light.

13. The endoscopic surgery apparatus of claim 12, wherein said arms have a closed position and wherein when the arms are in the closed position an opening is defined for viewing of a surgical site via said optical channel and illumination of a surgical site via said at least one illumination channel.

14. The endoscopic surgery apparatus of claim 13, wherein when the arms are in the closed position they form an obturator shape adapted to temporarily displace tissue during insertion of the endoscopic surgery apparatus into a body.

15. The endoscopic surgery apparatus of claim 1, wherein said tubular member includes at least one working channel adapted to receive an endoscopic surgical tool.

16. The endoscopic surgery apparatus of claim 15, wherein said arms include deflecting members formed thereon for deflecting the endoscopic surgical tool running through said working channel.

17. The endoscopic surgery apparatus of claim 1, wherein said tubular member is formed of a flexible, plastic material.

18. The endoscopic surgery apparatus of claim 12, wherein the handle includes controls for controlling a camera utilizing the optical channel to view a surgical site.

19. The endoscopic surgery apparatus of claim 1, wherein at least one channel is adapted to deliver fluid or gas matter to a surgical site.

20. The endoscopic surgery apparatus of claim 1, wherein at least one channel is adapted to remove fluid, gas, or solid matter from a surgical site.

21. The endoscopic surgery apparatus of claim 1, wherein the distal end of the tubular member is electrically isolated from the proximal end of the tubular member.

22. The endoscopic surgery apparatus of claim 1, wherein the ambient pressure at the distal end of the tubular member may be monitored via one of the channels along the longitudinal axis of the tubular member.

23. An endoscopic surgery apparatus, comprising:

a tubular member having a plurality of channels along its longitudinal axis;

a handle located on a proximal end of the tubular member;

two or more surgical tool guide members detachably connected to a distal end of the tubular member having guiding channels passing therethrough adapted to receive endoscopic surgical tools;

wherein the surgical tool guide members are interchangeable with other surgical tool guide members of different configurations.

24. The endoscopic surgery apparatus of claim 23, wherein the distal end of said tubular member articulates.

25. The endoscopic surgery apparatus of claim 23, wherein said tubular member comprises, in order from its proximal end, a shaft portion coupled to said handle, a series of vertebrae coupled to the shaft portion, and a head member coupled to the most distal vertebra of the series of vertebrae, wherein the head member is the distal end to which the arms are pivotably connected.

26. The endoscopic surgery apparatus of claim 25, wherein the head member is detachable from the series of vertebrae and replaceable with a head member of a different configuration.

27. The endoscopic surgery apparatus of claim 25, wherein the vertebrae are moveable relative to one another via a control on said handle such that the distal end of the tubular member articulates.

28. The endoscopic surgery apparatus of claim 23, wherein the surgical tool guide members are pivotably connected to the distal end of the tubular member.

29. The endoscopic surgery apparatus of claim 23, wherein said handle includes a mechanism for pivoting the surgical tool guide members between a closed position and open positions.

30. The endoscopic surgery apparatus of claim 29, wherein the mechanism locks the surgical tool guide members in any selected position.

31. The endoscopic surgery apparatus of claim 29, wherein the surgical tool guide members are adapted to grasp tissue at a surgical site when the surgical tool guide members are pivoted.

32. The endoscopic surgery apparatus of claim 29, wherein the surgical tool guide members include a blade portion adapted to cut tissue when the surgical tool guide members are pivoted.

33. The endoscopic surgery apparatus of claim 29, wherein the surgical tool guide members are adapted to displace tissue when the surgical tool guide members are pivoted.

34. The endoscopic surgery apparatus of claim 23, wherein one of said channels is an optical channel for the transmission of images and at least one other of said channels is an illumination channel for the transmission of light.

35. The endoscopic surgery apparatus of claim 34, wherein said surgical tool guide members have a closed position, wherein when the surgical tool guide members are in the closed position an opening is defined allowing for viewing of a surgical site via said optical channel and illumination of a surgical site via said at least one illumination channel.

36. The endoscopic surgery apparatus of claim 35, wherein when the surgical tool guide members are in the closed position they form an obturator shape adapted to temporarily displace tissue during insertion of the endoscopic surgery apparatus into a body.

37. The endoscopic surgery apparatus of claim 23, wherein at least one of said plurality of channels is adapted to receive an endoscopic surgical tool.

38. The endoscopic surgery apparatus of claim 37, wherein said surgical tool guide members include deflecting members formed thereon for deflecting the endoscopic surgical tool.

39. The endoscopic surgery apparatus of claim 23, wherein said tubular member is formed of a flexible, plastic material.

40. The endoscopic surgery apparatus of claim 23, wherein the handle includes controls for controlling a camera utilizing the optical channel to view a surgical site.

41. The endoscopic surgery apparatus of claim 23, wherein at least one channel is adapted to deliver fluid or gas matter to a surgical site.

42. The endoscopic surgery apparatus of claim 23, wherein at least one channel is adapted to remove fluid, gas, or solid matter from a surgical site.

43. The endoscopic surgery apparatus of claim 23, wherein the distal end of the tubular member is electrically isolated from the proximal end of the tubular member.

44. The endoscopic surgery apparatus of claim 23, wherein the ambient pressure at the distal end of the tubular member may be monitored via one of the channels along the longitudinal axis of the tubular member.

45. An endoscopic surgery apparatus, comprising:

a tubular member having a plurality of channels along its longitudinal axis, wherein at least one of the channels of said tubular member is an optical channel for the transmission of images and at least one other of the channels is an illumination channel for the transmission of light;

a handle located on a proximal end of the tubular member;

two or more arms pivotably connected to a distal end of the tubular member, wherein said arms have a closed position, and wherein when the arms are in the closed position an opening is defined allowing for viewing a surgical site via the optical channel and illumination of a surgical site via the at least one illumination channel.

46. The endoscopic surgery apparatus of claim 45, wherein the distal end of said tubular member articulates.

47. The endoscopic surgery apparatus of claim 45, wherein said tubular member comprises, in order from its proximal end, a shaft portion coupled to said handle, a series of vertebrae coupled to the shaft portion, and a head member coupled to the most distal vertebra of the series of vertebrae, wherein the head member is the distal end to which the arms are pivotably connected.

48. The endoscopic surgery apparatus of claim 47, wherein the head member is detachable from the series of vertebrae and replaceable with a head member of a different configuration.

49. The endoscopic surgery apparatus of claim 47, wherein the vertebrae are moveable relative to one another via a control on said handle such that the distal end of the tubular member is articulable.

50. The endoscopic surgery apparatus of claim 45, wherein said arms have guiding channels passing therethrough to receive endoscopic surgical tools.

51. The endoscopic surgery apparatus of claim 45, wherein said arms are detachably connected to the distal end of the tubular member and are interchangeable with other arms of a different configuration.

52. The endoscopic surgery apparatus of claim 45, wherein at least one of said plurality of channels is a working channel adapted to receive an endoscopic surgical tool.

53. The endoscopic surgery apparatus of claim 52, wherein the arms have deflecting members formed thereon for deflecting an endoscopic surgical tool that is inserted into the working channel.

54. The endoscopic surgery apparatus of claim 45, wherein said tubular member is formed of a flexible, plastic material.

55. The endoscopic surgery apparatus of claim 45, wherein said handle includes a mechanism for pivoting the arms between a closed position and open positions.

56. The endoscopic surgery apparatus of claim 55, wherein the mechanism permits locking the arms in any selected position.

57. The endoscopic surgery apparatus of claim 55, wherein the arms are adapted to grasp tissue at a surgical site when the arms are pivoted.

58. The endoscopic surgery apparatus of claim 55, wherein the arms include a blade portion adapted to cut tissue when the arms are pivoted.

59. The endoscopic surgery apparatus of claim 55, wherein the arms are adapted to displace tissue when the arms are pivoted.

60. The endoscopic surgery apparatus of claim 45, wherein the handle includes controls for controlling a camera utilizing the optical channel to view a surgical site.

61. The endoscopic surgery apparatus of claim 45, wherein at least one channel is adapted to deliver fluid or gas matter to a surgical site.

62. The endoscopic surgery apparatus of claim 45, wherein at least one channel is adapted to remove fluid, gas, or solid matter from a surgical site.

63. The endoscopic surgery apparatus of claim 45, wherein the distal end of the tubular member is electrically isolated from the proximal end of the tubular member.

64. The endoscopic surgery apparatus of claim 45, wherein the ambient pressure at the distal end of the tubular member may be monitored via one of the channels along the longitudinal axis of the tubular member.

65. An endoscopic surgery apparatus, comprising:

a tubular member having a plurality of channels along its longitudinal axis;

a handle located on a proximal end of the tubular member;

two or more surgical tool guide members connected to a distal end of said tubular member;

wherein at least one of the plurality of channels is a working channel adapted to receive an endoscopic surgical tool and wherein the surgical tool guide members have deflecting members formed thereon for deflecting the endoscopic surgical tool.

66. The endoscopic surgery apparatus of claim 65, wherein the distal end of said tubular member articulates.

67. The endoscopic surgery apparatus of claim 65, wherein said tubular member comprises, in order from its proximal end, a shaft portion coupled to said handle, a series of vertebrae coupled to the shaft portion, and a head member coupled to the most distal vertebra of the series of vertebrae, wherein the head member is the distal end to which the arms are pivotably connected.

68. The endoscopic surgery apparatus of claim 67, wherein the head member is detachable from the series of vertebrae and replaceable with a head member of a different configuration.

69. The endoscopic surgery apparatus of claim 67, wherein the vertebrae are moveable relative to one another via a control on said handle such that the distal end of the tubular member articulates.

70. The endoscopic surgery apparatus of claim 65, wherein the surgical tool guide members are pivotably connected to the distal end of the tubular member and have guiding channels passing therethrough adapted to receive endoscopic surgical tools.

71. The endoscopic surgery apparatus of claim 70 wherein said handle includes a mechanism for pivoting the surgical tool guide members between a closed position and open positions.

72. The endoscopic surgery apparatus of claim 71, wherein the mechanism locks the surgical tool guide members in any selected position.

73. The endoscopic surgery apparatus of claim 71, wherein the surgical tool guide members are adapted to grasp tissue at a surgical site when the surgical tool guide members are pivoted.

74. The endoscopic surgery apparatus of claim 71, wherein the surgical tool guide members include a blade portion adapted to cut tissue when the surgical tool guide members are pivoted.

75. The endoscopic surgery apparatus of claim 71, wherein the surgical tool guide members are adapted to displace tissue when the surgical tool guide members are pivoted.

76. The endoscopic surgery apparatus of claim 65, wherein the surgical tool guide members are detachably connected to the distal end of the tubular member and are interchangeable with other surgical tool guide members having different configurations.

77. The endoscopic surgery apparatus of claim 65, wherein one of said channels is an optical channel for the transmission of images and at least one other of said channels is an illumination channel for the transmission of light.

78. The endoscopic surgery apparatus of claim 77, wherein said surgical tool guide members have a closed position, wherein when the surgical tool guide members are in the closed position and opening is defined for viewing of a surgical site via said optical channel and illumination of a surgical site via said at least one illumination channel.

79. The endoscopic surgery apparatus of claim 78, wherein when the surgical tool guide members are in the closed position they form an obturator shape adapted to temporarily displace tissue during insertion of the endoscopic surgery apparatus into a body.

80. The endoscopic surgery apparatus of claim 65, wherein said tubular member is formed of a flexible, plastic material.

81. The endoscopic surgery apparatus of claim 65, wherein the handle includes controls for controlling a camera utilizing the optical channel to view a surgical site.

82. The endoscopic surgery apparatus of claim 65, wherein at least one channel is adapted to deliver fluid or gas matter to a surgical site.

83. The endoscopic surgery apparatus of claim 65, wherein at least one channel is adapted to remove fluid, gas, or solid matter from a surgical site.

84. The endoscopic surgery apparatus of claim 65, wherein the distal end of the tubular member is electrically isolated from the proximal end of the tubular member.

85. The endoscopic surgery apparatus of claim 65, wherein the ambient pressure at the distal end of the tubular member may be monitored via one of the channels along the longitudinal axis of the tubular member.

86. An endoscopic surgery apparatus, comprising:

a tubular member having a plurality of channels along its longitudinal axis, wherein at least one of the channels is an optical channel for transmission of images, at least one other channel is an illumination channel for the transmission of light, and at least one other channel is a working channel adapted to receive endoscopic surgical tools;

a handle located on a proximal end of the tubular member;

one or more pivotable arms detachably connected to a distal end of the tubular member, and having guiding channels passing therethrough adapted to receive surgical tools, wherein said arms have deflecting members formed thereon for deflecting the endoscopic surgical tool emerging from the working channel;

wherein said arms are interchangeable with other arms of different configurations; and

wherein said arms have a closed position, such that when the arms are in the closed position an opening is defined allowing viewing of a surgical site via the optical channel and illumination of a surgical site via the illumination channel.

87. The endoscopic surgery apparatus of claim 86, wherein the distal end of said tubular member articulates.

88. The endoscopic surgery apparatus of claim 86, wherein said tubular member comprises, in order from its proximal end, a shaft portion coupled to said handle, a series of vertebrae coupled to the shaft portion, and a head member coupled to the most distal vertebra of the series of vertebrae, wherein the head member is the distal end to which the arms are pivotably connected.

89. The endoscopic surgery apparatus of claim 88, wherein the head member is detachable from the series of vertebrae and replaceable with a head member of a different configuration.

90. The endoscopic surgery apparatus of claim 88, wherein the vertebrae are moveable relative to one another via a control on said handle such that the distal end of the tubular member articulates.

91. The endoscopic surgery apparatus of claim 86, wherein said tubular member is formed of a flexible, plastic material.

92. The endoscopic surgery apparatus of claim 86, wherein said handle includes a mechanism for pivoting the arms between a closed position and open positions.

93. The endoscopic surgery apparatus of claim 92, wherein the mechanism locks the arms in any selected position.

94. The endoscopic surgery apparatus of claim 92, wherein the arms are adapted to grasp tissue at a surgical site when the arms are pivoted.

95. The endoscopic surgery apparatus of claim 92, wherein the arms include a blade portion adapted to cut tissue when the arms are pivoted.

96. The endoscopic surgery apparatus of claim 92, wherein the arms are adapted to displace tissue when the arms are pivoted.

97. The endoscopic surgery apparatus of claim 86, wherein the handle includes controls for controlling a camera utilizing the optical channel to view a surgical site.

98. The endoscopic surgery apparatus of claim 86, wherein at least one channel is adapted to deliver fluid or gas matter to a surgical site.

99. The endoscopic surgery apparatus of claim 86, wherein at least one channel is adapted to remove fluid, gas, or solid matter from a surgical site.

100. The endoscopic surgery apparatus of claim 86, wherein the distal end of the tubular member is electrically isolated from the proximal end of the tubular member.

101. The endoscopic surgery apparatus of claim 86, wherein the ambient pressure at the distal end of the tubular member may be monitored via one of the channels along the longitudinal axis of the tubular member.