Releasable, surgical clamp

• US 5,897,565 A
• Filed: 03/06/1995
• Issued: 04/27/1999
• Est. Priority Date: 03/06/1995
• Status: Expired due to Term

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Vance Products Incorporated (Cook Group Incorporated)
• Inventors: Foster, Thomas L.
• Primary Examiner(s): Buiz, Michael Powell
• Assistant Examiner(s): Trinh, Vikki
• Application Number:
  US08/399,946
• Time in Patent Office: 1,513 Days
• Field of Search: 606/151, 606/157, 606/158, 606/142, 606/143, 227/901, 227/902, 24/530, 24/532, 24/533, 24/545, 24/546, 24/547, 24/549, 24/555, 24/551-553, 24/556, 24/563, 24/570, 24/571
• US Class Current: 606/158
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: Y10T 24/44778 Piece totally forms clasp, clip, or support-clamp and has shaped, wirelike, or bandlike configuration with uniform cross section throughout its length

Abstract

A releasable, surgical clamp (10) for insertion through a surgical introducer sheath (11) and into a cavity (12) of a patient (13) during a minimally invasive surgical procedure. The releasable clamp comprises a continuous wire (39) that is shaped for insertion through the surgical sheath and into opposing jaws (14, 15). The jaws have a plurality of open and closed positions. One of the jaws has a retainer (16) that maintains the lateral displacement (17) between the opposing jaws and prevents the clamp from twisting off a vessel. A resilient assembly (18) including a torsion spring (19) and first and second resilient arms (20, 21) extending to the opposing jaws urges the jaws to a closed position. Each of the resilient arms includes a distal portion which cross each other urging the opposing jaws to a closed position. The clamp further includes a tubular, elongated containment member having a hollow passage (26) that extends therein for receiving the clamp and operating it between its open and closed positions.

Claims

1. A surgical device for minimally invasive procedures comprising:

a surgical introducer sheath (11) for establishing access to a cavity (12) of a patient (13); and

a releasable, surgical clamp (10) particularly adapted for facile introduction into, complete containment in and facile removal from the body of the patient (13) that is insertable through the surgical introducer sheath (11) and into the cavity (12) of the patient (13);

wherein the clamp (10) comprises;

first and second opposing jaws (14,

     15) configured for insertion through the surgical introducer sheath (11) and having an open and a closed position, at least one of said opposing jaws (14 or

     15) having a retainer (16) that forms an elongated loop having an atraumatic distal end (32) and that maintains a lateral displacement (17) between said opposing jaws (14,

     15), said opposing jaws including said retainer engaging a vessel in at least three separated points when the vessel is positioned therein; and

a resilient assembly (18) configured for insertion through the surgical introducer sheath and engagement therewith, extending to said opposing jaws (14,

     15), and urging said opposing jaws (14,

     15) to at least one of said open and said closed positions when engaging the surgical introducer sheath;

whereby the clamp (10) can be contained completely within the cavity (12) of the patient (13) during engagement with the vessel.

2. The device of claim 1 wherein said resilient assembly includes a spring (19) urging said opposing jaws to said at least one of said open and said closed positions.

3. The device of claim 1 wherein said resilient assembly comprises a spring (19) having first and second arms (20,21) extending to said first and second opposing jaws, respectively, and urging said opposing jaws to said at least one of said open and said closed positions.

4. The device of claim 3 wherein said spring urges said first and second arms apart and wherein a distal portion (22) of said first arm and a distal portion (23) of said second arm cross each other urging said opposing jaws to said closed position.

5. The device of claim 1 wherein said resilient assembly includes first and second resilient arms (20,21) extending to said first and second opposing jaws, respectively, and urging said opposing jaws to said at least one of said open and said closed positions.

6. The device of claim 5 wherein said first and second resilient arms are spread apart in response to a load applied thereto and wherein a distal portion (22) of said first resilient arm and a distal portion (23) of said second resilient arm cross each other urging said opposing jaws to said closed position.

7. The device of claim 6 wherein the distal portions of said resilient arms are inclined to each other for a prescribed longitudinal length (24).

8. The device of claim 6 wherein said resilient assembly includes a torsion spring extending to said first and second resilient arms.

9. The device of claim 1 wherein said retainer extends longitudinally along at least one said opposing jaws.

10. The device of claim 1 wherein at least one of said opposing jaws includes an atraumatic distal end (31, 32).

11. The device of claim 1 further comprising an elongated containment member configured for insertion through the surgical introducer sheath, having a hollow passage (26) extending therein that is configured to receive said resilient assembly.

12. The device of claim 11 wherein said elongated containment member includes an engagement member (27) positioned in said hollow passage, extendable from said containment member, and engageable with said resilient assembly to urge said resilient assembly into said hollow passage.

13. The device of claim 12 wherein said containment member also includes a deflector (28) positioned in said hollow passage and configured to engage said resilient member and to transition said opposing jaws between said open and said closed positions.

14. The device of claim 13 wherein said deflector comprises an annular recess (29) in said containment member that extends a projection (30) into said hollow passage of said containment member.

15. The device of claim 1 wherein said opposing jaws and said resilient assembly comprise a continuous wire (39).

17. The device of claim 15 wherein at least one of said opposing jaws includes an atraumatic distal end (31, 32).

16. A surgical device for minimally invasive procedures, comprising:

a surgical introducer sheath (11) for establishing access to a cavity (12) of a patient (13); and

a releasable, surgical clamp (10) particularly adapted for facile introduction into, complete containment in and facile removal from the body of the patient (13) that is insertable through the surgical introducer sheath (11) and into the cavity (12) of the patient (13);

wherein the clamp (10) comprises;

first and second opposing jaws (14,

     15) configured for insertion through the surgical introducer sheath (11) and having an open and a closed position, one of said jaws (14 or

     15) having a retainer (16) that forms an elongated loop having an atraumatic distal end (32) and that maintains a lateral displacement (17) between said opposing jaws (14 and

     15); and

a torsion spring (19) configured for insertion through the surgical introducer sheath (11) and engagement therewith and having first and second arms (20,

     21) extending to said first and second opposing jaws (14,

     15), respectively, and urging said first and second opposing jaws (14,

     15) to one of said open and said closed positions when said arms engage the surgical introducer sheath;

whereby the clamp (10) can be contained completely within the cavity (12) of the patient (13) during engagement with the vessel.

18. The device of claim 16 wherein said torsion spring urges said arms apart and wherein a distal portion (22) of said first arm and a distal portion of said second arm cross each other.

19. The device of claim 16 further comprising an elongated tubular containment member (25) having a hollow passage (26) therein configured to receive said torsion spring and an annular recess (29) in said tubular containment member extending a projection (30) into said hollow passage, said projection configured to engage said arms and transition said opposing jaws between said open and said closed positions.

20. The device of claim 16 wherein said opposing jaws and said torsion spring are shaped from a continuous wire (34).

21. A surgical device for minimally invasive procedures comprising:

(a) a releasable, surgical clamp (10) that is insertable through a surgical introducer sheath (11) and into a cavity (12) of a patient (13), the clamp (10) comprising;

first and second opposing jaws (14,

     15) having an open and a closed position, one of said opposing jaws having an atraumatic distal end (31) and a retainer (16) that maintains a lateral displacement (17) between said opposing jaws when said opposing jaws are in said open and said closed positions, and the other of said opposing jaws having an atraumatic distal end (32); and

a torsion coil spring (19), first and second arms (20,

     21) extending therefrom and to said first and second opposing jaws, respectively, and urging said first and second opposing jaws to said closed position, a distal portion of said first arm and a distal portion of said second arm being inclined to and crossing each other; and

(b) an elongated tubular containment member (25) configured for insertion through a surgical introducer sheath (11) and having a hollow passage (26) therein to receive said torsion coil spring and also having an annular recess (29) in said tubular containment member extending a projection (30) into said hollow passage, said projection configured to engage said first and second arms and transition said first and second opposing jaws between said open and said closed positions, and an engagement member (27) positioned in said hollow passage of said hollow containment member, extendable from said hollow passage, and engageable with said torsion coil spring to urge said torsion coil spring into said hollow passage;

whereby the clamp (10) can be contained completely within the cavity (12) of the patient (13) during engagement with the vessel.

22. A surgical device for minimally invasive procedures comprising:

a surgical introducer sheath (11) for establishing access to a cavity (12) of a patient (13); and

a releasable, surgical clamp (10) particularly adapted for facile introduction into, complete containment in and facile removal from the body of the patient (13) that is insertable through the surgical introducer sheath (11) and into the cavity (12) of the patient (13);

wherein the clamp (10) comprises;

a continuous wire (39) shaped for insertion through the surgical introducer sheath and engagement therewith and shaped into first and second opposing jaws (14,

     15), at least one of said opposing jaws (14 or

     15) having a retainer that maintains a lateral displacement (17) between said opposing jaws (14,

     15), and a resilient assembly urging said opposing jaws (14,

     15) to at least one of an open and a closed position when said resilient assembly engages the surgical introducer sheath;

whereby the clamp (10) can be contained completely within the cavity (12) of the patient (13) during engagement with the vessel.