Surgical retrieval assembly and related method

• US 5,190,542 A
• Filed: 06/02/1992
• Issued: 03/02/1993
• Est. Priority Date: 11/05/1991
• Status: Expired due to Term

• Current Assignee: Granit Medical Innovations LLC
• Original Assignee: Naomi L. Nakao, Peter J. Wilk
• Inventors: Wilk, Peter J., Mizzi, John V., Nakao, Naomi L.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US07/892,214
• Time in Patent Office: 273 Days
• Field of Search: 606/1, 606/32, 606/37, 606/39, 606/45-52, 606/110, 606/113, 606/114, 606/127, 606/128, 606/40
• US Class Current: 606/47
• CPC Class Codes: A61B 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes precedence
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare

Abstract

A surgical instrument assembly for use in snare cauterization operations comprises a tubular sheath member, a metallic cauterization loop, and a metal wire operatively connected to the loop, the wire passing longitudinally through the sheath. An electrical supply is operatively connectable to the wire for feeding an electrical current to the loop via the wire, while a manually actuatable shifter is operatively connected to the wire for longitudinally sliding the wire along the sheath in alternately opposite directions. A flexible web member is connected to the loop to form a capture pocket, the loop defining a mouth opening of the pocket. During use of the snare cauterization instrument, the loop is at least partially expanded from a collapsed configuration and passed over a polyp to be removed, so that the web member substantially surrounds the selected polyp. The loop is then closed to engage the polyp around a base region thereof and an electrical current is subsequently conducted through the loop to burn through the polyp at the base region thereof. Severance of the polyp occurs upon a closure of the cauterization loop by its being withdrawn or retracted into the tubular sheath member. The severed polyp is automatically captured by the web member.

Claims

1. A surgical instrument assembly for use in snare cauterization operations, comprising:

a flexible cauterization loop;

electrical conductor means operatively connected to said cauterization loop for feeding an electrical current thereto;

a flexible auxiliary loop connected to said cauterization loop at most at three points;

actuator means operatively connected to said cauterization loop and said auxiliary loop for alternately expanding and contracting said cauterization loop and said auxiliary loop; and

a flexible web member connected to said auxiliary loop essentially around a circumference thereof to form a capture pocket, said auxiliary loop defining a mouth opening of said pocket.

2. The assembly defined in claim 1 wherein said cauterization loop and said auxiliary loop are disposed in parallel planes, proximately to one another, and are movable in unison.

3. The assembly defined in claim 2 wherein said auxiliary loop is larger than said cauterization loop.

4. The assembly defined in claim 1 wherein said auxiliary loop is connected to said cauterization loop only at a distal end thereof.

5. The assembly defined in claim 4 wherein said cauterization loop is provided at said distal end with a distally projecting extension, said auxiliary loop being connected to said cauterization loop at said extension.

6. The assembly defined in claim 1 wherein said auxiliary loop is connected to said cauterization loop only at a distal end and a proximal end of said cauterization loop.

7. The assembly defined in claim 1 wherein said auxiliary loop is made of electrically nonconductive material.

8. The assembly defined in claim 1, further comprising a tubular sheath member, said electrical conductor means and at least a portion of said actuator means extending through said sheath member.

9. The assembly defined in claim 1 wherein said web member is fixedly connected to said auxiliary loop at a pair of spaced points, said web member being slidably connected to said loop between said spaced points.

10. A surgical instrument assembly for use in snare cauterization operations, comprising:

a flexible cauterization loop having an inner diameter in a fully opened configuration;

electrical conductor means operatively connected to said cauterization loop for feeding an electrical current thereto;

a flexible auxiliary loop connected to said cauterization loop, said auxiliary loop having an inner diameter in a fully opened configuration, said inner diameter of said auxiliary loop being larger than said inner diameter of said cauterization loop thus spacing said auxiliary loop from said cauterization loop so as not to interfere with cutting and cauterization operations;

actuator means operatively connected to said cauterization loop and said auxiliary loop for alternately expanding and contracting said cauterization loop and said auxiliary loop; and

a flexible web member connected to said auxiliary loop essentially around a circumference thereof to form a capture pocket, said auxiliary loop defining a mouth opening of said pocket.

11. The assembly defined in claim 10 wherein said cauterization loop and said auxiliary loop are disposed in parallel planes, proximately to one another, and are movable in unison.

12. The assembly defined in claim 10 wherein said cauterization loop and said auxiliary loop are disposed in essentially the same plane.

13. The assembly defined in claim 10 wherein said auxiliary loop is connected to said cauterization loop only at a distal end thereof.

14. The assembly defined in claim 13 wherein said cauterization loop is provided at said distal end with a distally projecting extension, said auxiliary loop being connected to said cauterization loop at said extension.

15. The assembly defined in claim 10 wherein said auxiliary loop is connected to said cauterization loop only at a distal end and a proximal end of said cauterization loop.

16. The assembly defined in claim 10 wherein said auxiliary loop is made of electrically nonconductive material.

17. The assembly defined in claim 10, further comprising a tubular sheath member, said electrical conductor means and at least a portion of said actuator means extending through said sheath member.

18. The assembly defined in claim 10 wherein said web member is made of a transparent material.

19. A surgical instrument assembly for use in snare cauterization operations, comprising:

a flexible cauterization loop having an operative portion which is adapted to come into contact with tissues to be severed and cauterized, said cauterization loop including at least one portion which is adapted to be spaced from such tissues during a cauterization procedure;

electrical conductor means operatively connected to said cauterization loop for feeding an electrical current thereto;

a flexible auxiliary loop connected to said cauterization loop only at a plurality of spaced points, including said one portion, all spaced from said operative portion;

actuator means operatively connected to said cauterization loop and said auxiliary loop for alternately expanding and contracting said cauterization loop and said auxiliary loop; and

a flexible web member connected to said auxiliary loop essentially around a circumference thereof to form a capture pocket, said auxiliary loop defining a mouth opening of said pocket.

20. The assembly defined in claim 19 wherein said one portion is a tongue-like extension connected to said operative portion, said auxiliary loop being connected to said cauterization loop at said extension.

21. A method for removing a selected portion of internal body tissues of a patient, comprising the steps of:

providing a conductive cauterization loop to which an auxiliary loop is connected, a flexible web member being connected to said auxiliary loop essentially along a circumference thereof to define an expandable pocket;

at least partially expanding said cauterization loop from a collapsed configuration to an expanded configuration;

expanding said auxiliary loop from a collapsed configuration to an expanded configuration wherein said auxiliary loop is larger than said cauterization loop and essentially parallel thereto when both loops are in their respective expanded configurations;

at least partially opening said web during said step of expanding;

passing the expanded loops over the selected internal body tissues to be removed, so that said web member substantially surrounds said selected internal body tissues;

partially closing said cauterization loop so that said cauterization loop engages said selected internal body tissues around a base region thereof and so that said auxiliary loop is essentially spaced from said selected internal body tissues while maintaining said web member surrounding said selected internal body tissues so as not to interfere with cutting and cauterization operations;

conducting an electrical current through said cauterization loop to burn through said selected internal body tissues at said base region, thereby severing said selected internal body tissues at said base region; and

upon a completed burning of said cauterization loop through said base region, at least partially closing said auxiliary loop, thereby capturing the severed internal body tissues in said web member.