Endoscopic surgical pouch

• US 5,341,815 A
• Filed: 03/25/1993
• Issued: 08/30/1994
• Est. Priority Date: 03/25/1993
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Cofone, Mark A., Bendel, Lee P.
• Primary Examiner(s): Yasko, John D.
• Assistant Examiner(s): MCDERMOTT, CORRINE MARIE
• Application Number:
  US08/037,055
• Time in Patent Office: 523 Days
• Field of Search: 604/327, 604/328, 604/281, 606/114, 606/139, 606/151, 128/749, 128/DIG. 24, 600/37
• US Class Current: 600/562
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• 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
• CPC Class Codes: Y10S 128/24 Medical-surgical bags

Abstract

A medical device for enclosing an internal body organ or tissue during surgery, especially endoscopic surgery. The device has a strand with loop and free end portions, the free end portion enclosed within a cannula. The loop has a cinch. The device has a surgical pouch with an opening or mouth. The pouch is mounted to the loop portion at the open end of the pouch. An optional frangible end of the cannula allows for pulling the free end portion proximally to reduce the diameter of the noose portion so as to close the open end of the surgical pouch. The surgical pouch has a shape memory effect metal insert so that the pouch automatically unfurls or unwinds in a patient'"'"'s body cavity. The device may also have a shape memory effect metal loop which also automatically opens the mouth of the pouch in the patient'"'"'s body.

Claims

1. An endosurgical pouch device comprising:

(a) a longitudinal tubular member having a longitudinal passage therethrough, a distal end, and a proximal end;

(b) a strand having a distal loop means, said loop means having an opening secured with cinch means, the strand having a proximal free end portion, said free end portion slidably mounted within the tubular member, said cinch means configured in a manner so as to allow movement of the free end portion proximally and to prevent the loop portion from loosening when tightened;

(c) a surgical pouch having an open end therein, said pouch attached along substantially the entire perimeter of said open end thereof to said loop portion of said strand;

(d) means for pulling said free end portion of said strand proximally so as to continually reduce the opening of the loop portion thereby continually closing said open end of said surgical pouch;

(e) means for automatically unfurling said pouch when the pouch is inserted furled into a body cavity, said unfurling means mounted in the pouch and wherein said unfurling means comprises a shape memory effect metal insert; and

(f) means for automatically opening said open end of said pouch when the pouch is inserted into a body cavity said automatic opening means mounted to the pouch, wherein said opening means compresses said distal loop means made from a shape memory effect metal,

wherein said cinch means abuts the distal end of the tubular member when said free end portion of said strand is pulled proximally, and the passage through the distal end of the tubular member has a cross-section effective to prevent said cinch means from passing through said tubular sleeve when said free end portion of said strand is pulled proximally.

2. The endosurgical pouch device of claim 1 wherein the shape memory effect metal insert comprises Nitinol.

3. The endosurgical pouch device of claim 1 wherein the shape memory effect metal loop comprises Nitinol.

4. The endosurgical pouch device of claim 1 wherein said tubular sleeve has a frangible portion at its proximal end.

5. The endosurgical pouch device of claim 4 wherein a score line is disposed at the distal end of said frangible portion.

6. The endosurgical pouch device of claim 5 wherein said free end portion of said strand is securingly attached within said frangible portion of said tubular sleeve, whereby a user of said medical device can break said tubular sleeve about said frangible portion at said score line and pull proximally said frangible portion so as to pull said free end portion of said strand proximally.

7. The endosurgical pouch device of claim 6 wherein said free end portion is adhesively attached within said frangible portion with epoxy adhesive.

8. The endosurgical pouch device of claim 1 wherein said pouch comprises block copolyetheramide.

9. The endosurgical pouch device of claim 1 wherein said open end of said pouch is securingly engaged to said loop portion of said strand within a channel disposed along the top of said pouch about the open end.

10. The endosurgical pouch device of claim 1 wherein said pouch further comprises a closed bottom portion sealed by a peripheral edge seal.

11. The endosurgical pouch device of claim 1 wherein the strand comprises a shape memory effect metal.

12. The endosurgical pouch of claim 11 wherein the strand comprises Nitinol.

13. An endosurgical pouch device comprising:

(a) a longitudinal tubular member having a longitudinal passage therethrough, a distal end, and a proximal end;

(b) a strand having a distal loop means, said loop means having an opening secured with cinch means, the strand having a proximal free end portion, said free end portion slidably mounted within the tubular member, said cinch means configured in a manner so as to allow movement of the free end portion proximally and to prevent the loop portion from loosening when tightened;

(c) a surgical pouch having an open end therein, said pouch attached along substantially the entire perimeter of said open end thereof to said loop portion of said strand;

(d) means for pulling said free end portion of said strand proximally so as to continually reduce the opening of the loop portion thereby continually closing said open end of said surgical pouch; and

(e) means for automatically unfurling said pouch when the pouch is inserted furled into a body cavity said unfurling means mounted in the pouch and wherein said unfurling means comprises a shape memory effect metal insert,

wherein said cinch means abuts the distal end of the tubular member when said free end portion of said strand is pulled proximally, and the passage through the distal end of the tubular member has a cross-section effective to prevent said cinch means from passing through said tubular sleeve when said free end portion of said strand is pulled proximally.

14. The endosurgical pouch device of claim 13 wherein said tubular sleeve has a frangible portion at its proximal end.

15. The endosurgical pouch device of claim 14 wherein a score line is disposed at the distal end of said frangible portion.

16. The endosurgical pouch device of claim 15 wherein said free end and portion of said strand is securingly attached within said frangible portion of said tubular sleeve, whereby a user of said medical device can break said tubular sleeve about said frangible portion at said score line and pull proximally said frangible portion so as to pull said free end portion of said strand proximally.

17. The endosurgical pouch device of claim 16 wherein said free end portion is adhesively attached within said frangible portion with epoxy adhesive.

18. The endosurgical pouch device of claim 13 wherein said pouch comprises of block copolyetheramide.

19. The endosurgical pouch device of claim 13 wherein said open end of said pouch is securingly engaged to said loop portion of said strand within a channel disposed along the top of said pouch about the open end.

20. The endosurgical pouch device of claim 13 wherein said pouch further comprises a closed bottom portion sealed by a peripheral edge seal.

21. The endosurgical pouch device of claim 13 wherein the strand comprises a shape memory effect metal.

22. An endosurgical pouch device comprising:

(a) a longitudinal tubular member having a longitudinal passage therethrough, a distal end, and a proximal end;

(b) a strand having a distal loop means, said loop means having an opening secured with cinch means, the strand having a proximal free end portion, said free end portion slidably mounted within the tubular member, said cinch means configured in a manner so as to allow movement of the free end portion proximally and to prevent the loop portion from loosening when tightened;

(c) a surgical pouch having an open end therein, said pouch attached along substantially the entire perimeter of said open end thereof to said loop portion of said strand;

(d) means for pulling said free end portion of said strand proximally so as to continually reduce the opening of the loop portion thereby continually closing said open end of said surgical pouch; and

,

(e) means for automatically opening said open end of said pouch when the pouch is inserted into a body cavity said automatic opening means mounted to the pouch, wherein said opening means comprises said distal loop means made from a shape memory effect metal,

wherein said cinch means abuts the distal end of the tubular member when said free end portion of said strand is pulled proximally, and the passage through the distal end of the tubular member has a cross-section effective to prevent said cinch means from passing through said tubular sleeve when said free end portion of said strand is pulled proximally.

23. The endosurgical pouch device of claim 22 wherein the shape memory effect metal comprises Nitinol.

24. The endosurgical pouch device of claim 22 wherein said tubular sleeve has a frangible portion at its proximal end.

25. The endosurgical pouch device of claim 24 wherein a score line is disposed at the distal end of said frangible portion.

26. The endosurgical pouch device of claim 22 wherein said free end portion of said strand is securingly attached within said frangible portion of said tubular sleeve, whereby a user of said medical device can break said tubular sleeve about said frangible portion at said score line and pull said free end portion of said strand proximally.

27. The endosurgical pouch device of claim 26 wherein said free end portion is adhesively attached within said frangible portion with epoxy adhesive.

28. The endosurgical pouch device of claim 22 wherein said pouch comprises of block copolyetheramide.

29. The endosurgical pouch device of claim 22 wherein said open end of said pouch is securingly engaged to said loop portion of said strand within a channel disposed along the top of said pouch about the open end.

30. The endosurgical pouch device of claim 22 wherein said pouch further comprises a closed bottom portion sealed by a peripheral edge seal.

31. The endosurgical pouch device of claim 22 wherein the strand comprises a shape memory effect metal.

32. The endosurgical pouch device of claim 31 wherein the shape memory effect metal comprises Nitinol.

33. A surgical pouch, comprising;

a bag, for use with a cannula assembly having an open end for access into the interior of the bag; and

means for automatically unfurling the bag when furled around a cannula wherein the means for automatically unfurling the bag comprises a shape memory effect metal insert mounted in the surgical bag.

34. The surgical pouch of claim 33 wherein the shape memory effect metal comprises Nitinol.

35. A surgical pouch, comprising;

a bag having an open end for access into the interior of the bag; and

,

means for automatically opening the open end of the bag wherein the means for opening the open end of the bag comprises a shape memory effect metal loop mounted to the open end of the bag.

36. The surgical pouch of claim 35 wherein the shape memory effect metal comprises Nitinol.

37. A surgical pouch, comprising;

a bag, for use with a cannula assembly having an open end for access into the interior of the bag;

means for automatically unfurling the bag when furled around a cannula wherein the means for automatically unfurling the bag comprises a shape memory effect metal insert mounted in the surgical bag; and

,

means for automatically opening the open end of the bag wherein the means for opening the open end of the bag comprises a shape memory effect metal loop mounted to the open end of the bag.

38. The surgical pouch of claim 37 wherein the shape memory effect metal comprises Nitinol.

39. A method of performing an endoscopic surgical procedure comprising;

inserting a trocar cannula into a body cavity of a patient;

inserting a surgical pouch device into the body cavity through the trocar cannula, the surgical pouch device comprising a cannula and a surgical pouch mounted thereto, said pouch having an open end and also having automatic unfurling means and automatic opening means for opening the open end, wherein the pouch is furled about the cannula; and

,

automatically unfurling the surgical pouch and opening the open end in the body cavity.