Morcellator

• US 5,562,694 A
• Filed: 10/11/1994
• Issued: 10/08/1996
• Est. Priority Date: 10/11/1994
• Status: Expired due to Term

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: Lasersurge, Inc.
• Inventors: Bovard, Mark A., Sauer, Jude S., Greenwald, Roger J., Hammond, John F.
• Primary Examiner(s): Jackson, Gary
• Assistant Examiner(s): DAWSON, GLENN K
• Application Number:
  US08/321,367
• Time in Patent Office: 728 Days
• Field of Search: 128/749-754, 606/1, 606/106, 606/110, 606/127, 606/167, 606/170, 606/171, 606/174-179, 606/184, 606/185, 606/205-208
• US Class Current: 606/176
• 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 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/295 combined with cutting implements
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072

Abstract

A surgical instrument is provided for the morcellation of bodily tissue or bodily organ parts during an endoscopic surgical procedure. The instrument includes a handle assembly and a tubular body portion extending from the handle assembly and defining a longitudinal axis. A tool assembly is associated with a distal end of the tubular body including cooperating jaw members and a cutting member. A first mechanism is for effectuating remote actuation of the cooperating jaw members and a second mechanism is for effectuating remote reciprocal movement of the cutting member with respect to the longitudinal axis of the tubular body.

Claims

1. A surgical apparatus for fragmenting tissue comprising:

a tissue grasping mechanism positioned adjacent a distal end of the surgical apparatus and movable between an open and closed position and defining a tissue receiving cavity therein;

a cutting member disposed in and around a periphery of the tissue receiving cavity in a position to morcellate tissue therein; and

a first actuation mechanism operably connected to the tissue grasping mechanism for remotely opening and closing the tissue grasping mechanism;

wherein the tissue grasping mechanism holds the tissue preparatory to the morcellating of the tissue by the cutting member.

2. A surgical apparatus as recited in claim 1, wherein the tissue grasping mechanism includes a pair of cooperating jaw members configured for securing the tissue.

3. A surgical apparatus as recited in claim 1, wherein the tissue receiving cavity is substantially semi-cylindrical.

4. A surgical apparatus as recited in claim 1, wherein the cutting member includes a flexible cutting blade.

5. A surgical apparatus as recited in claim 4, further comprising a second actuation mechanism operatively connected to the cutting blade for effecting movement of the cutting blade.

6. A surgical apparatus as recited in claim 5, wherein the movement of the cutting blade is reciprocal with respect to the tissue receiving cavity.

7. A surgical apparatus comprising:

a handle assembly;

a body portion extending from the handle assembly and defining a longitudinal axis;

first and second jaw members mounted to the body portion for movement between an open position and a closed position, at least one of the first and second jaw members defining a tissue receiving cavity therein, such that when the first and second jaw members are in the closed position and prior to morcellating, said tissue receiving cavity being substantially closed by jaws such that tissue disposed in the tissue receiving cavity is substantially encapsulated by the first and second jaw members;

a cutting member internal of at least one of the jaw members; and

extending into and around a periphery of said tissue receiving cavity; and

a jaw actuation mechanism connected to the first jaw member;

wherein the first jaw member is actuated between the open and the closed position by the jaw actuation mechanism.

8. A surgical apparatus as recited in claim 7, wherein the tissue receiving cavity is substantially semi-cylindrical.

9. A surgical apparatus as recited in claim 7, wherein at least one of the first and second jaw members is provided with teeth.

10. A surgical apparatus as recited in claim 7, wherein the cutting member includes a flexible cutting blade.

11. A surgical apparatus as recited in claim 7, further comprising a blade actuation mechanism connected to the cutting member for effectuating reciprocating movement of the cutting member within the tissue receiving cavity.

12. A surgical apparatus as recited in claim 11, wherein the blade actuation mechanism includes a handle member pivotally connected to the handle assembly and at least one actuation arm, the actuation arm interconnecting the handle member to the cutting member.

13. A surgical apparatus as recited in claim 7, wherein the jaw actuation mechanism includes a trigger member connected to the handle assembly and at least one linkage member, the at least one linkage member operatively connecting the trigger member to the first jaw member.

14. A surgical apparatus as recited in claim 7, wherein the body portion includes a bore portion having a longitudinal axis defined by the longitudinal axis of the body portion for accessing the cutting member.

15. A surgical apparatus as recited in claim 14, wherein the bore portion is dimensioned so as to be capable of pulling fragmented tissue therethrough.

16. A surgical apparatus as recited in claim 15, wherein the bore portion is dimensioned for reception of a grasping member therethrough.

17. A surgical apparatus as recited in claim 7, wherein the body portion is dimensioned and configured for insertion through a trocar cannula.

18. A surgical apparatus comprising:

a first handle assembly;

a first elongated tubular body portion extending from the handle assembly and defining a longitudinal axis, the first body portion further including a longitudinal bore portion for receiving a grasping instrument therethrough;

a first tool assembly connected to a distal end portion of the first body portion, the first tool assembly including first and second jaw members, the first jaw member being pivotally connected to the distal end of the first body portion, the second jaw member defining a tissue receiving cavity and having a cutting member disposed in and around a periphery of the tissue receiving cavity in a position to morcellate tissue therein;

jaw actuation means for actuating the first jaw member between an open and a closed position; and

means for effectuating movement of the cutting member with respect to the longitudinal axis of the first body portion.

20. A surgical apparatus as recited in claim 18, further comprising a value assembly connected to the longitudinal bore portion and adjacent a proximal end of the first body portion.

21. A surgical apparatus as recited in claim 18, wherein the cutting member includes a flexible cutting blade.

22. A surgical apparatus as recited in claim 21, wherein the cutting blade is provided with a plurality of serrated cutting members.

23. A surgical apparatus as recited in claim 18, wherein the first body portion is dimensioned and configured for endoscopic utilization.

19. A surgical apparatus comprising:

a first handle assembly;

an elongated tubular body portion extending from the handle assembly and defining a longitudinal axis, the tubular body portion further including a longitudinal bore portion;

a tool assembly connected to a distal end portion of the tubular body portion, the tool assembly including a pair of cooperating jaw members and extending into and around a periphery of said tissue receiving cavity having an internal cutting member;

a cutting member actuator mounted within the tubular body portion wherein movement of the actuator moves the cutting member relative to the jaw members;

a grasping instrument inserted into the longitudinal bore portion, the grasping instrument having an elongated body portion including a tool assembly connected to a distal end of the elongated body portion of the grasping instrument, and a handle assembly connected to a proximal end of the elongated body portion of the grasping instrument to effectuate remote actuation of the grasping instrument tool assembly between an open position and a closed position.