Endoscopic treating tool

• US 4,896,678 A
• Filed: 12/09/1987
• Issued: 01/30/1990
• Est. Priority Date: 12/12/1986
• Status: Expired due to Term

• Current Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Ogawa, Mototsugu
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): REICHLE, KARIN M
• Application Number:
  US07/130,490
• Time in Patent Office: 783 Days
• Field of Search: 128/749, 128/751, 128/752, 128/753, 128/754, 128/755, 128/304-312, 128/348.1, 128/321, 604/273
• US Class Current: 600/564
• 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 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

Endoscopic treating tool in which structure is provided for completely releasing the transmission of force to a treatment part of the tool adjacent a tip end of an insertable part of the tool from the operating member provided at a base side of the insertable part when the operating force for the operating member becomes larger than a predetermined amount.

Claims

1. An endoscopic treating tool for use with an endoscope comprising:

an elongated insertable part having a distal part insertable through the endoscope, and an opposite proximal part remaining outside the endoscope;

a treating means requiring an operation force to be applied thereto for treating a patient, provided adjacent the distal part of said insertable part;

an operating means provided on the proximal part of said insertable part to which force is applied for operating the treating means;

a force transmitting means connecting said operating means and said treating means with each other so as to make said treating means operable by operation of said operating means; and

an operation force releasing means for completely releasing the transmission of force to said treating means from said operating means when the operating force for said operating means becomes larger than a predetermined force.

2. An endoscopic treating tool according to claim 1 wherein said operation force releasing means includes connecting means for connecting said operating means and said force transmitting means directly with each other so that said operating means and said force transmitting means are disconnected from each other in case a force larger than said predetermined force is applied.

3. An endoscopic treating tool according to claim 2 wherein said insertable part comprises a pipe;

said force transmitting means comprises a shaft slideably and coaxially mounted in said pipe having a distal end and a proximal end slideably extending out of said pipe;

said treating means includes a pair of holding pieces having free ends provided at said distal end of said shaft, extendible out of the distal part of said insertable part and having such resiliency as to separate and open said holding pieces to be in the form of a V with each other when extended out of said insertable part and cutting blades provided at the free ends of said holding pieces; and

said operating means comprises a pair of handles, each having a tip part at one end, a center portion, and a finger loop at the other end, said handles being non-crossingly pivoted together at their center portions, the tip part of one handle being connected to said proximal end of said shaft through said connecting means and the tip part of the other handle being connected to said proximal part of said insertable part.

4. An endoscopic treating tool according claim 3 wherein said connecting means includes a recess provided on said proximal end of said shaft, pin means provided in said tip part of said one handle, at a position corresponding to the position of said recess, for engaging with and disengaging from said recess, and means for biasing said pin means to engage said recess so that, when said pin means is engaged with said recess said one handle and said shaft will be connected with each other and, when a force larger than said predetermined force is applied, said pin means will disengage from said recess.

5. An endoscopic treating tool according to claim 3 wherein said connecting means comprises a connector replaceably connected to the proximal end of said shaft, thin diameter means being formed on said connector for breaking when a pulling force larger than said predetermined force is applied, and fixing means provided on said one handle, for engaging with said thin diameter means and connecting said one handle and said shaft with each other when engaged with said thin diameter means.

6. An endoscopic treating tool according to claim 1 wherein said operation force releasing means comprises bucklable means provided on said operating means for buckling when a force larger than said predetermined force is applied to said operating means.

7. An endoscopic treating tool according to claim 6 wherein said insertable part comprises a pipe;

said force transmitting means comprises a shaft slideably and coaxially mounted in said pipe having a distal end and a proximal end slideably extending out of said pipe;

said treating means includes a pair of holding pieces having free ends provided at said distal end of said shaft, extendible out of the distal part of said insertable part and having such resiliency as to separate and open said holding pieces to be in the form of a V with each other when extended out of said insertable part and cutting blades provided at the free ends of said holding pieces; and

said operating means comprises a pair of handles, each having a tip part at one end, a center portion, and a finger loop at the other end, said handles being non-crossingly pivoted together at their center portions, the tip part of one handle being connected to said proximal end of said shaft through said connecting means and the tip part of the other handle being connected to a said proximal part of said insertable part.

8. An endoscopic treating tool according to claim 7 wherein said bucklable means is provided on said one handle, and said one handle further comprises two portions which overlap each other and are pivotably connected thereat, a communicating hole being provided through the overlapping portions of said two members, and said bucklable means includes pin means inserted in said hole or breaking or escaping out of said hole when a force larger than said predetermined force is applied to said one handle.

9. An endoscopic treating tool according to claim 6 wherein said insertable part comprises a sheath;

said force transmitting means comprises a wire slideably and coaxially mounted in said sheath having a distal end and a proximal end slideably extending out of said sheath;

said treating means comprises a pair of holding pieces having free ends provided at said distal end of said wire, extendable out of the distal part of the insertable part and having such resiliency as to separate and open said holding pieces to be in the form of a V with each other when extended out of said insertable part and cutting blades provided at the free ends of said holding pieces; and

said operating means includes operating body means connected to said proximal part of said insertable part, slider means provided slidably on said operating body means and connected to said proximal end of said wire and finger engaging part means provided on the slider means for sliding said slider means.

10. An endoscopic treating tool according to claim 9 wherein said bucklable means comprises said finger engaging means which is formed to be thin so as to be bucklable and which is replaceably fitted to said slider means.

11. An endoscopic treating tool according to claim 1 wherein said operation force releasing means comprises breakable means provided on said operating means for breaking when a force larger than said predetermined force is applied.

12. An endoscopic treating tool according to claim 11 wherein said insertable part comprises a pipe;

said force transmitting means comprises a shaft slideably coaxially mounted in said pipe having a distal end and a proximal end slideably extending out of said pipe;

said treating means includes a pair of holding pieces having free ends provided at said distal end of said shaft, extendible out of the distal part of said insertable part and having such resiliency as to separate and open said holding pieces to be in the form of a V with each other when extended out of said insertable part and cutting blades provided at the free ends of said holding pieces; and

said operating means comprises a pair of handles, each having a tip part at one end, a center portion, and a finger loop at the other end, said handles being non-crossingly pivoted together at their center portions, the tip part of one handle being connected to said proximal end of said shaft through said connecting means and the tip part of the other handle being connected to said proximal part of said insertable part.

13. An endoscopic treating tool according to claim 12 wherein said breakable means in the form of a notch provided on said one handle.

14. An endoscopic treating tool according to claim 1 wherein said operation force releasing means comprises breakable means provided on said force transmitting means for breaking when a force larger than said predetermined force is applied.

15. An endoscopic treating tool according to claim 14 wherein said insertable part comprises a pipe;

said force transmitting means comprises a shaft slideably and coaxially mounted in said pipe having a distal end and a proximal end slideably extending out of said pipe;

said treating means includes a pair of holding pieces having free ends provided at said distal end of said shaft, extendible out of the distal part of said insertable part and having such resiliency as to separate and open said holding pieces to be in the form of a V with each other when extended out of said insertable part and cutting blades provided at the free ends of said holding pieces; and

said operating means comprises a pair of handles, each having a tip part at one end, a center portion, and a finger loop at the other end, said handles being non-crossingly pivoted together at their center portions, the tip part of one handle being connected to said proximal end of said shaft through said connecting means and the tip part of the other handle being connected to said proximal part of said insertable part.

16. An endoscopic treating tool according to claim 15 wherein said breakable means in the form of a notch provided on said shaft.