Surgical snare with shape memory effect wire

• US 5,201,741 A
• Filed: 07/24/1990
• Issued: 04/13/1993
• Est. Priority Date: 07/24/1990
• Status: Expired due to Fees

• Current Assignee: Andrew Surgical Incorporated
• Original Assignee: Andrew Surgical Incorporated
• Inventors: Dulebohn, David H.
• Primary Examiner(s): Pellegrino, Stephan C.
• Assistant Examiner(s): Dawson, Glenn K.
• Application Number:
  US07/557,536
• Time in Patent Office: 994 Days
• Field of Search: 606/110-114, 606/127, 606/78, 606/39, 606/45, 606/46, 128/4-11
• US Class Current: 606/113
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2018/00547 Prostate
• CPC Class Codes: A61B 2018/141 Snare
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Abstract

A surgical snare having a wire which forms the snare loop made from a shape memory effect metallic alloy which exhibits superelasticity at room temperature. The wire is trained so that it assumes an intermediate snare loop size in an unrestrained free state. From this trained free state configuration, the loop can be expanded to a large loop and contracted to a very small loop without permanent deformation from the trained intermediate state. This range of movement enables an expanded range of applicability for snares in general, and also enables reducing the instrument tip size with improved loop configuration.

Claims

1. A surgical snare device comprising:

a handle means for holding and controlling the snare;

a tip means having a distal end extending from the handle means and having a hollow channel there-through;

a wire means having first and second ends positioned in the handle means, the remainder of the wire means extending through the handle means and hollow channel of the tip means to a loop end, the wire means comprising a shape memory effect material;

a control means associated with the handle means for moving the first and second ends of the wire means within the handle means to move the loop from a position substantially enveloped by the distal end of the tip means to positions outside the tip means and to alter the size of the loop end of the wire means when outside the tip means;

the loop end being alterable in shape by movement of the control means and adjustable between a plurality of expanded positions and a contracted position where the loop end is retracted into the distal end of the tip means, the shape memory material being trained to form a loop end wider than the distal end of the tip means but allowing contraction of the loop end substantially into the distal end of the tip means without permanent deformation of the wire means, and to allow expansion of the loop end beyond the trained size to the expanded positions without permanent deformation of the wire means;

the tip means including a hemispherical distal end including a slot transversely through opposite sides of the distal end to receive at least a portion of the loop end when in a retracted position.

2. The device of claim 1 wherein the ratio of the diameter of the wire means to the inside diameter of the distal end of the tip means is approximately 1:

5 or greater.

3. The device of claim 1 wherein the shape memory material is a shape memory alloy.

4. The device of claim 3 wherein the shape memory alloy is a nearly equiatomic alloy of nickel and titanium.

5. The device of claim 1 wherein the control means comprises a slide element slidably connected to the handle means.

6. The device of claim 1 wherein the control means has independent controls for each of the first and second ends of the wire means to allow for differential motion between said ends.

7. A surgical snare instrument including a handle, a tip with hemispherical distal end extending from the handle, a wire loop extending from the tip having first and second ends positioned in the handle with intermediate portions extending through at least a portion of the handle to the tip, and control means attached to the first and second ends of the wire moveable with respect to the handle to in turn contract or expand the loop, the improvement comprising:

the wire loop being comprised of shape memory material trained to a loop shape;

the wire loop being adjustable between a fully expanded and a fully contracted loop end size, the wire loop being trained to a loop end size intermediate between the fully expanded and fully contracted loop end sizes so that said wire loop can be contracted to a size equal to or only slightly larger than the inside diameter of the tip to allow the inside diameter of the tip to be as small as possible for passage of the tip and wire loop through as small an opening as possible, and allowing expansion of the loop end beyond said intermediate size to assist in surrounding a targeted item, the fully expanded and fully contracted loop end sizes not exceeding the limits of elasticity of the shape memory effect material.

8. The instrument of claim 7 wherein the ratio of the diameter of the wire of said wire loops to the inside diameter of the tip is approximately 1:

5 or greater.

9. A method of maximizing a wire diameter while minimizing the diameter of a snare tip, for the wire of a surgical snare instrument, comprising:

forming a loop end of the wire of the surgical snare at least in part of shape memory effect material;

training the loop end to an intermediate size between a fully contracted loop end size having a diameter equal to or only slightly larger than an inside diameter of the snare tip of said surgical snare instrument and an expanded shape larger than the intermediate shape, where the expanded shape and fully contracted shape do not exceed the limits of elasticity of the shape memory effect material;

enabling the wire of the surgical snare to be deformed into the loop end which can be reduced to a very small size for insertion into the tip and return to an increased size out of the tip without permanent deformation of the wire of the surgical snare, thus enabling the diameter of the wire to be maximized while minimizing the inside diameter of the tip of the instrument.

10. The method of claim 9 wherein the diameter of the wire is selected to be approximately one-fifth the size or smaller of the inside diameter of the tip of the surgical snare.

11. The method of claim 9 wherein the wire is selected from a shape memory effect alloy.

12. The method of claim 11 wherein the shape memory effect alloy is Nitinol.