RIGIDIZABLE SURGICAL INSTRUMENT

• US 20100076451A1
• Filed: 09/19/2008
• Published: 03/25/2010
• Est. Priority Date: 09/19/2008
• Status: Abandoned Application

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Griffith, David B., Zwolinski, Andrew M., Stefanchik, David
• Application Number:
  US12/234,425
• Publication Number:
  US 20100076451A1
• Time in Patent Office: Days
• US Class Current: 606/113
• CPC Class Codes: A61B 1/00078 with stiffening means
• CPC Class Codes: A61B 1/005 Flexible endoscopes
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2905 flexible

Abstract

A rigidizable surgical instrument comprises a rigidizable member, a first collapsible arm, a second collapsible arm, and a specimen retrieval bag for retrieving biological materials. The collapsible arms may be located at the distal end of the rigidizable member. The specimen retrieval bag may have an open end and a closed end, and may be configured to be retained upon the collapsible arms. The rigidizable member may include a rigidizing component to rigidize the rigidizable member when the state-change material or a stiffening element is in a rigid state. The rigidizable member may be rendered substantially rigid when the rigidizing component is actuated and the rigidizable member may be rendered substantially flexible when the rigidizing component is deactuated. A rigidizing mechanism for actuating the rigidizing component may include a vacuum. Various end-effectors may be provided in addition to the specimen retrieval bag.

Claims

1. A surgical instrument, comprising:

a rigidizable member having a proximal end and a distal end;

a first collapsible arm located at the distal end of the rigidizable member;

a second collapsible arm located at the distal end of the rigidizable member;

a bag having an open end and a closed end, wherein the bag is configured to be retained upon the first collapsible arm and the second collapsible arm;

a central bore extending through the rigidizable member;

a rigidizing component disposed in the central bore, wherein the rigidizing component comprises a state-change material to rigidize the rigidizable member when the state-change material is in a rigid state;

wherein the rigidizable member is rendered substantially rigid when the rigidizing component is actuated; and

wherein the rigidizable member is rendered substantially flexible when the rigidizing component is deactuated.

2. A surgical instrument, comprising:

a rigidizable member having a proximal end and a distal end;

a first collapsible arm located at the distal end of the rigidizable member; and

a second collapsible arm located at the distal end of the rigidizable member.

3. The surgical instrument of claim 2, further comprising:

a central bore extending through the rigidizable member; and

a rigidizing component disposed in the central bore;

wherein the rigidizable member is rendered substantially rigid when the rigidizing component is actuated; and

wherein the rigidizable member is rendered substantially flexible when the rigidizing component is deactuated.

4. The surgical instrument of claim 3, wherein the rigidizing component comprises a tensioning wire to apply a tensioning force to rigidize the rigidizable member.

5. The surgical instrument of claim 3, wherein the rigidizing component comprises a state-change material to rigidize the rigidizable member when the state-change material is in a rigid state.

6. The surgical instrument of claim 2, further comprising:

a rigidizing mechanism coupled to the rigidizable member, wherein the rigidizable member is rendered substantially inflexible when the rigidizing mechanism actuates the rigidizing component and the rigidizable member is rendered substantially flexible when the rigidizing mechanism deactuates the rigidizing component.

7. The surgical instrument of claim 2, further comprising a flexible membrane disposed over the rigidizable member.

8. The surgical instrument of claim 2, wherein the rigidizable member comprises:

a socket; and

a ball partially inserted in the socket;

wherein adjacent surfaces of the ball and the socket coact and can rotate relative to each other in a flexible state; and

wherein the adjacent surfaces of the ball and socket are substantially locked in place when a tensioning force is applied to the ball and the socket.

9. The surgical instrument of claim 2, further comprising:

a hybrid shaft having a proximal end and a distal end, wherein the distal end is flexible, and wherein the proximal end is rigid; and

wherein the distal end of the hybrid shaft is connected to the proximal end of the rigidizable member.

10. The surgical instrument of claim 2, further comprising:

a bag having an open end and a closed end, wherein the bag is configured to be retained upon the first collapsible arm and the second collapsible arm;

a hybrid shaft having a proximal end and a distal end, wherein the distal end is flexible, and wherein the proximal end is rigid;

wherein the distal end of the hybrid shaft is connected to the proximal end of the rigidizable member;

a knot pusher located at the distal end of the rigidizable member;

an outer sheath extending from a distal handle to a distal end of the surgical instrument; and

a proximal handle.

11. The surgical instrument of claim 10, wherein the hybrid shaft extends from the proximal handle to the proximal end of the rigidizable member.

12. The surgical instrument of claim 10, wherein the outer sheath translates from an unfired position to a fired position upon translation of the distal handle towards the proximal handle.

13. The surgical instrument of claim 12, wherein the hybrid shaft, the first collapsible arm, the second collapsible arm, the bag, the rigidizable member, and the knot pusher are contained within the outer sheath in the unfired position.

14. The surgical instrument of claim 12, wherein the first collapsible arm, the second collapsible arm, the bag, the rigidizable member, and the knot pusher are removed from containment of the outer sheath in the fired position.

15. The surgical instrument of claim 14, wherein the outer sheath translates from the fired position to a retracted position upon translation of the distal handle from the proximal handle.

16. The surgical instrument of claim 15, wherein the first collapsible arm, the second collapsible arm, and the rigidizable member are contained within the outer sheath in the retracted position.

17. The surgical instrument of claim 16, comprising a suture extending from the proximal handle, through the knot pusher, through a top portion of the bag, and terminates with a knot at the knot pusher.

18. The surgical instrument of claim 17, wherein the suture is configured to close the bag upon pulling the suture at the proximal handle in the retracted position.

19. The surgical instrument of claim 17, wherein the knot pusher is configured to be retained at a distal end of the outer sheath in the retracted position.

20. The surgical instrument of claim 17, wherein the first collapsible arm and the second collapsible arm are rotatable.

21. The surgical instrument of claim 2, further comprising a bag having an open end and a closed end, wherein the bag is configured to be retained upon the first collapsible arm and the second collapsible arm.

22. The surgical instrument of claim 2, wherein the second collapsible arm extends distally beyond the first collapsible arm.

23. A method of positioning a surgical apparatus in a patient, the method comprising:

inserting a surgical instrument into a patient through an opening in the patient, the surgical instrument comprising a rigidizable member having a proximal end and a distal end, and an end-effector connected to the distal end of the rigidizable member;

inserting an endoscope into the patient through the opening in the patient;

positioning the surgical instrument with the endoscope; and

rigidizing the rigidzable member.

24. The method of claim 23, wherein the end-effector comprises a first collapsible arm, a second collapsible arm, and a bag having an open end and a closed end, wherein the bag is configured to be retained upon the first collapsible arm and the second collapsible arm;

and wherein the surgical instrument further comprises a hybrid shaft having a proximal end and a distal end, wherein the distal end is flexible, and wherein the proximal end is rigid;

wherein the distal end of the hybrid shaft is connected to the proximal end of the rigidizable member;

a knot pusher located at the distal end of the rigidizable member;

an outer sheath extending from a distal handle to a distal end of the surgical instrument; and

a proximal handle, the method comprising;

translating the distal handle proximally to deploy the bag and the at least collapsible arm from the outer sheath;

receiving biological materials in the bag;

translating the distal handle distally to return the at least one collapsible arm to the outer sheath;

cinching the bag with the assistance of a knot pusher by pulling a suture at a proximal handle; and

removing the bag containing biological material from the patient.

25. The method of claim 23, comprising inserting the surgical instrument through an overtube.

26. The method of claim 25, comprising inserting the surgical instrument through an endoscope.

27. The method of claim 25, comprising inserting the surgical instrument between the overtube and the endoscope.

28. The method of claim 23, comprising inserting the surgical instrument adjacent to the endoscope.

29. A surgical instrument comprising:

a rigidizable member having a proximal end and a distal end; and

an end-effector connected to the distal end of the rigidizable member.

30. The surgical instrument of claim 29, further comprising a rigidizing component disposed in the rigidizable member, wherein the rigidizing component comprises a state-change material to rigidize the rigidizable member when the state-change material is in a rigid state;

wherein the rigidizable member is rendered substantially rigid when the rigidizing component is actuated; and

wherein the rigidizable member is rendered substantially flexible when the rigidizing component is deactuated.

31. The surgical instrument of claim 29, wherein the rigidizable member comprises a stiffening element configured to selectively stiffen when a vacuum force is applied thereto.

32. The surgical instrument of claim 29, wherein the end-effector comprises a bag.

33. The surgical instrument of claim 29, wherein the end-effector comprises grasper jaws.

34. The surgical instrument of claim 29, wherein the end-effector comprises biopsy jaws and a spike.

35. The surgical instrument of claim 29, wherein the end-effector comprises a snare loop.

36. The surgical instrument of claim 29, wherein the end-effector comprises scissors.

37. The surgical instrument of claim 29, wherein the end-effector comprises a needle knife.

38. The surgical instrument of claim 29, wherein the end-effector comprises a sphincterotome.

39. The surgical instrument of claim 29, wherein the end-effector comprises a hook knife.