Surgical cutting apparatus

• US 5,879,365 A
• Filed: 10/13/1995
• Issued: 03/09/1999
• Est. Priority Date: 04/04/1995
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Whitfield, Kenneth H., Chelednik, George, Cortez, David L.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Shai, Daphna
• Application Number:
  US08/542,762
• Time in Patent Office: 1,243 Days
• Field of Search: 606/83, 606/170, 606/171, 606/180, 128/751, 128/753, 128/754, 604/22
• US Class Current: 606/180
• CPC Class Codes: A61B 10/0275 with sample notch, e.g. on the side of inner stylet
• CPC Class Codes: A61B 10/04 Endoscopic instruments
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/1611 the two jaw elements being integral with respective elongate shaft elements
• 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 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/293 with means preventing relative rotation between the shaft and the actuating rod
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable

Abstract

A surgical apparatus for cutting and storing sections of body tissue is provided comprising a housing having a handle assembly, an elongated outer tube extending from the handle assembly, and a cutting tube positioned within the outer tube and movable in response to actuation of the handle assembly between a retracted position and a distal position to cut body tissue. The cutting tube has a chamber formed therein for storing the cut tissue sections. A removable plug assembly is mounted on the proximal end of the cutting tube. A release lever is engagable with the trigger and is movable from a blocking position to a release position to release the trigger and allow the cutting tube to be removed from the outer tube. An anvil is positioned at a distal end of the outer tube for forcing each cut tissue section proximally into the chamber of the cutting tube as the cutting tube is advanced to cut the body tissue. A locking member is engagable with a rotation knob to prevent rotation of the knob.

Claims

1. A surgical apparatus for cutting and storing sections of body tissue comprising:

a housing;

an elongated outer tube extending from the housing;

a cutting tube positioned within the outer tube and movable between a retracted position and an advanced position to cut body tissue, the cutting tube having a chamber formed therein for storing cut tissue sections;

a handle assembly mounted to the housing in operative engagement with the cutting tube, the handle assembly movable between a first position corresponding to the retracted position of the cutting tube and a second position corresponding to the advanced position of the cutting tube; and

a plug assembly at least partially disposed within a proximal end of the cutting tube such that a grasping end portion of the plug assembly extends proximally beyond the proximal end of the cutting tube and beyond the housing when the handle assembly is in at least the first position thereof, the plug assembly being removable from the cutting tube to access the cut tissue sections within the chamber by manual engagement with the grasping end portion.

2. The apparatus of claim 1, further comprising an anvil positioned at a distal end of the outer tube and configured for forcing each cut tissue section proximally into the chamber of the cutting tube as the cutting tube is advanced to cut the body tissue.

3. The apparatus of claim 2, wherein the cutting tube is removably mounted within the outer tube.

4. The apparatus of claim 2, wherein the outer tube has a window at a distal end to receive body tissue and wherein the anvil is positioned distally of the window in the outer tube.

5. The apparatus of claim 4, wherein the anvil is positioned at an angle to a longitudinal axis of the outer tube.

6. The apparatus of claim 1, wherein the plug assembly includes at least one ear engagable with a slot formed in the cutting tube.

7. The apparatus of claim 6, wherein the plug assembly comprises a retaining member, the at least one ear extending from the retaining member.

8. The apparatus of claim 6, wherein the plug assembly includes a plug and a retaining member for retaining the plug on the cutting tube, wherein the plug is removable only when the cutting tube is removed from the outer tube.

9. The apparatus of claim 8, wherein the retaining member has at least one ear extending into a notch in the cutting tube such that pulling on the plug cams the at least one ear further into engagement with the notch.

10. The apparatus of claim 9, wherein the retaining member is removable from the cutting tube in order to remove the plug, the retaining member being accessible only when the cutting tube is removed from the outer tube.

11. The apparatus of claim 8, wherein the handle assembly includes a trigger movable from the first position to the second position to advance the cutting tube, and further movable to a release position to enable release of the cutting tube.

12. The apparatus of claim 11, wherein the release position of the trigger is distal of the first position.

13. The apparatus of claim 12, wherein movement of the release lever to a release position moves the trigger to the release position out of blocking engagement with the plug assembly.

14. The apparatus of claim 1, further comprising a release lever engagable with the handle assembly for releasing the cutting tube.

15. The apparatus of claim 1, further comprising a rotatable knob operatively associated with the outer tube for rotating the outer tube with respect to the handle assembly.

16. The apparatus of claim 15, further comprising a locking member movable between a first position to prevent rotation of the knob and a second position to allow rotation of the knob.

17. The apparatus of claim 16, wherein the locking member is spring biased to the first position.

18. The apparatus of claim 1 wherein the plug assembly is dimensioned such that the grasping end portion of the plug assembly extends beyond the housing when the handle is in at least the first position thereof.

21. The apparatus of claim 18, wherein the locking member is spring biased to the first position.

22. The apparatus as claim 21, wherein the cutting tube is removably mounted in the elongated body portion to allow release thereof to access the body tissue.

23. The apparatus of claim 22, wherein the cutting tube has an opening at a proximal end and a plug assembly is removably mounted to the proximal end, the plug assembly being removable from the cutting tube only when the cutting tube is removed from the elongated body portion.

24. The apparatus of claim 23, wherein at least a portion of the tissue engaging member enters the open distal end of the cutting tube when the cutting tube is advanced to the distal position to thereby force the tissue proximally.

25. The apparatus of claim 18 wherein the locking member is movable between the first and second positions independent of movement of the rotation knob.

19. A surgical apparatus for cutting and storing tissue comprising:

a housing including a handle assembly;

an elongated body portion extending from the housing;

a cutting tube slidably positioned within the elongated body portion for movement upon actuation of the handle assembly from a proximal position to a distal position to cut body tissue, the cutting tube having an open distal end;

a rotation knob for rotating the elongated body portion about its longitudinal axis; and

a manually engageable and manipulable locking member mounted to the housing and movable relative to the housing between a first position in engagement with the rotation knob to prevent rotation of the rotation knob and a second position disengaged from the rotation knob to permit rotation thereof.

20. The apparatus of claim 19, further comprising a tissue engaging member fixedly positioned at a distal end of the elongated body portion for forcing body tissue proximally within the cutting tube as the cutting tube is advanced to cut body tissue.

26. A surgical apparatus for cutting and storing tissue comprising:

a handle assembly including a housing and a trigger mounted to the housing and being movable between at least a first position and a second position;

an elongated body portion extending from the housing of the handle assembly;

a cutting tube slidably positioned within the elongated body portion for movement upon actuation of the trigger from a proximal position to a distal position to cut body tissue, the cutting tube having an open distal end; and

a manually engageable and manipulable release lever pivotally mounted to the housing about a mounting pin connected to the housing, the release lever engagable with the trigger and movable independent of movement of the trigger from a blocking position in engagement with the trigger to a release position in disengagement with the trigger to thereby release the trigger to allow the cutting tube to be removed from the elongated body portion.

27. A surgical apparatus of claim 26 wherein the mounting pin includes a shank mounted to the housing of the handle assembly, and the trigger includes a notch blocked by the shank when the lever is in the blocking position.

28. A surgical apparatus of claim 27, where the release lever is spring biased to the release position.

29. A surgical apparatus of claim 28, wherein movement of the release lever to the release position enables the trigger to pivot to a release position.

30. A surgical apparatus of claim 29, wherein the shank has a planar surface which aligns with the notch in the trigger when the release lever is moved to the release position.

31. A surgical apparatus for cutting and storing sections of body tissue, which comprises:

a housing;

an outer tube connected to the housing and extending distally therefrom, the outer tube defining an opening in a side wall thereof adjacent a distal end of the outer tube, the opening dimensioned to receive body tissue therein;

a cutting tube disposed within the outer tube and movable therewithin from an unadvanced position to an advanced position to cut body tissue received within the opening of the outer tube, the cutting tube having a longitudinal opening defining a chamber to receive cut body tissue sections;

a trigger mounted to the housing and in operative engagement with the cutting tube, the trigger movable to cause corresponding movement of the cutting tube from the unadvanced position to the advanced position;

an anvil mounted to the outer tube adjacent the opening, the anvil dimensioned to force the cut body tissue sections proximally within the chamber of the cutting tube upon movent of the cutting tube to the advanced position thereof;

a plug assembly at least partially disposed within a proximal end of the cutting tube and being releasably mounted thereto to permit access to the cut body tissue sections within the chamber, the plug assembly including a plug for enclosing the chamber of the cutting tube and a grasping portion dimensioned to be grasped by an operator to remove the plug assembly from the cutting tube; and

a manually operable release lever mounted to the housing and engagable with the trigger, the release member movable relative to the housing to a release position to permit the trigger to move to an inoperative position wherein the trigger is in operative disengagement with the cutting tube, to thereby permit removal of the cutting tube from the outer tube.

32. The apparatus according to claim 31 including a rotatable knob rotatably mounted to the housing and in operative engagement with the outer tube, the rotatable knob rotatable to rotate the outer tube and position the opening of the outer tube at a predetermined angular orientation.

33. A surgical apparatus for cutting and storing sections of body tissue, which comprises:

a housing;

an outer tube connected to the housing and extending distally therefrom, the outer tube defining an opening in a side wall thereof adjacent a distal end of the outer tube, the opening dimensioned to receive body tissue therein;

a cutting tube disposed within the outer tube and movable therewithin from an unadvanced position to an advanced position to cut body tissue received within the opening of the outer tube, the cutting tube having a longitudinal opening defining a chamber to receive cut body tissue sections;

a trigger mounted to the housing and in operative engagement with the cutting tube, the trigger movable to cause corresponding movement of the cutting tube from the unadvanced position to the advanced position,

an anvil mounted to the outer tube adjacent the opening, the anvil dimensioned to force the cut body tissue sections proximally within the chamber of the cutting tube upon movement of the cutting tube to the advanced position thereof;

a plug assembly at least partially disposed within a proximal end of the cutting tube and being releasably mounted thereto to permit access to the cut body tissue sections within the chamber, the plug assembly including a plug for enclosing the chamber of the cutting tube and a grasping portion dimensioned to be grasped by an operator to remove the plug assembly from the cutting tube;

a manually operable release lever mounted to the housing and engagable with the trigger, the release member movable to a release position to permit the trigger to move to an inoperative position wherein the trigger is in operative disengagement with the cutting tube, to thereby permit removal of the cutting tube from the outer tube;

wherein the trigger is in direct engagement with the plug assembly to cause movement of the cutting tube and wherein movement of the release lever to the inoperative position causes release of the trigger from engagement with the plug assembly to thereby permit removal of the plug assembly and the cutting tube from the outer tube.