Modular medical instrument and method of using same

• US 6,074,408 A
• Filed: 10/13/1998
• Issued: 06/13/2000
• Est. Priority Date: 10/13/1998
• Status: Expired due to Term

• Current Assignee: Freeman, Kenneth V.
• Original Assignee: Freeman, Kenneth V.
• Inventors: Freeman, Kenneth V.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): TRINH, HOA B
• Application Number:
  US09/170,580
• Time in Patent Office: 609 Days
• Field of Search: 606/108, 606/110, 606/113, 606/114, 606/205, 606/206, 606/104
• US Class Current: 606/205
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable

Abstract

A modular medical instrument is used with an endoscope or other similar medical instrument to perform medical procedures, such as endoscopy, bronchoscopy, and laparoscopy. The modular medical instrument comprises an elongated instrument device, an optional port fitting detachably coupled to the instrument device, and an actuator handle detachably coupled to the port fitting. The instrument device includes an elongated guide member, an inner actuation cable slidably disposed within the guide member, and an instrument device head assembly disposed at a distal end of the guide member and actuation cable. The guide member preferably has a smooth outer surface to facilitate insertion within the instrument channel of an endoscope or similar medical device. In one example, the instrument device head assembly includes a grasping device, such as biopsy forceps. The biopsy forceps device includes first and second jaws pivotably coupled to a body member, which is detachably coupled to an adapter at the distal end of the guide member. The actuation cable includes first and second portions or wires extending through the body member and coupled to the respective jaws such that relative movement of the actuation cable with respect to the body member causes the jaws to open and close. Each of the components or sub-assemblies of the modular medical instrument are detachable for cleaning and/or replacement.

Claims

1. A modular medical instrument capable of being disassembled for cleaning and reassembled for reuse, said modular medical instrument comprising:

an elongated guide member having a proximal end and a distal end and a channel extending from said proximal end to said distal end;

an inner actuation cable slidably disposed within said channel in said elongated guide member and having a proximal end and a distal end;

an instrument head assembly disposed at said distal end of said inner actuation cable and extending from said distal end of said elongated guide member; and

an actuator handle detachably coupled to said proximal end of said elongated guide member and detachably coupled to said proximal end of said inner actuation cable such that said actuator handle moves said inner actuation cable within said channel in said elongated guide member to actuate said instrument head assembly, wherein said actuator handle is capable of being detached and reattached to both said elongated guide member and said inner actuation cable.

2. The modular medical instrument of claim 1 further comprising a port fitting detachably coupled between said proximal end of said elongated guide member and said actuator handle, and wherein said port fitting includes at least one flush port in fluid communication with said channel in said elongated guide member.

3. The modular medical instrument of claim 1 wherein said handle actuator includes:

a handle body having a first end detachably coupled to said proximal end of said elongated guide member, and having a second end, for engagement by a hand of a user; and

a sliding member slidably disposed on said handle body, wherein said sliding member is detachably coupled to said proximal end of said inner actuation cable, and wherein said sliding member is adapted to be engaged by said hand of said user such that relative movement between said sliding member and said handle body causes relative movement of said inner actuation cable within said channel of said elongated guide member.

4. The modular medical instrument of claim 1 wherein said instrument head assembly includes:

a body member having a first end and a second end detachably coupled to said distal end of said elongated guide member, wherein said actuation cable extends through said second end of said body member; and

first and second forceps jaws pivotably coupled to said first end of said body member, said first and second forceps jaws having respective first and second tangs, wherein said actuation cable has a first portion at one end coupled to said first tang of said first forceps jaw and a second portion at said one end coupled to said second tang of said second forceps jaw, and wherein movement of said actuation cable relative to said body member causes said forceps jaws to open and close.

5. The modular medical instrument of claim 4 wherein said elongated guide member includes an adapter at said distal end of said elongated guide member, and wherein said body member is detachably coupled to said adapter.

6. The modular medical instrument of claim 1 wherein said instrument head assembly includes a grasping device.

7. The modular medical instrument of claim 6 wherein said grasping device is selected from the group consisting of a helical retrieval basket, a snare, a forceps device, and a prong grasper device.

8. The modular medical instrument of claim 3 wherein said activator handle includes a gasket fitting disposed within an aperture in a nose of said handle body and includes a luer fitting disposed within said aperture against said gasket fitting and extending from said nose of said handle body.

9. The modular medical instrument of claim 5 wherein said elongated guide member includes a stainless steel spring coil and an FEP heat shrink outer jacket disposed over said stainless steel spring coil;

and wherein said adapter is attached to said stainless steel spring coil.

10. A modular medical instrument assembly capable of being disassembled for cleaning and reassembled for reuse, said modular medical instrument assembly comprising:

an elongated guide member having a proximal end, a distal end and a channel extending from said proximal end to said distal end, said elongated guide member including a coupling member at said proximal end;

a port fitting adapted to be detachably coupled to said coupling member of said elongated guide member, wherein said port fitting includes at least one flush port for providing fluid communication with said elongated guide member and includes a coupling member; and

an actuator handle adapted to be detachably coupled to either one of said coupling member of said port fitting and said coupling member of said elongated guide member, wherein said modular medical instrument assembly is capable of being assembled with said port fitting between said actuator handle and said elongated guide member and with said actuator handle directly coupled to said elongated guide member.

11. The modular medical instrument assembly of claim 10 further comprising:

an inner actuation cable adapted to be slidably disposed within said channel of said elongated guide member, wherein said actuator handle is adapted to be detachably coupled to said inner actuation cable; and

an instrument device head assembly disposed at a distal end of said inner actuation cable such that said instrument device head assembly extends from said distal end of said elongated guide member when said inner actuation cable is disposed within said channel of said elongated guide member.

12. The modular medical instrument assembly of claim 11 wherein said handle actuator includes:

a handle body having a first end adapted to be detachably coupled to said one of said coupling member of said port fitting and said coupling member of said elongated guide member, and having a second end, for engagement by a hand of a user; and

a sliding member slidably disposed on said handle body, wherein said sliding member is adapted to clamp said proximal end of said actuation cable, and wherein said sliding member is adapted to be engaged by said hand of said user such that relative movement between said sliding member and said handle body causes relative movement of said inner actuation cable within said channel of said elongated guide member.

13. The modular medical instrument of claim 11 wherein said instrument head assembly includes a grasping device.

14. The modular medical instrument of claim 11 wherein said instrument head assembly includes:

a body member having a first end and a second end adapted to be detachably coupled to said distal end of said elongated guide member, wherein said actuation cable extends through said second end of said body member; and

first and second forceps jaws pivotably coupled to said first end of said body member, said first and second forceps jaws having respective first and second tangs, wherein said actuation cable has a first portion at one end coupled to said first tang of said first forceps jaw and a second portion at said one end coupled to said second tang of said second forceps jaw, and wherein movement of said actuation cable relative to said body member causes said forceps jaws to open and close.

15. The modular medical instrument of claim 14 wherein said elongated guide member includes an adapter at said distal end of said elongated guide member, and wherein said body member is adapted to be detachably coupled to said adapter.

16. A forceps device for use with a modular medical instrument, said forceps device comprising:

a body member having a first end and a second end;

first and second forceps jaws pivotably coupled to said first end of said body member, said first and second forceps jaws having respective first and second tangs; and

an actuation cable having at least first and second wires wound together, wherein said first and second wires extend through said second end of said body member, wherein said first wire extends through said first tang of said first forceps jaw and said second wire extends through said second tang of said second forceps jaw, and wherein said first and second wires extend back through said second end of said body member to said actuation cable, wherein movement of said actuation cable relative to said body member causes said forceps jaws to open and close.

17. The biopsy forceps device of claim 16 wherein said actuation cable is a wound stainless steel cable.

18. The forceps device of claim 16 further comprising an elongated guide member, wherein said actuation cable extends through said elongated guide member and wherein said body member is detachably coupled to one end of said elongated guide member.

19. The forceps device of claim 18 wherein said elongated guide member includes a stainless steel spring coil and an FEP heat shrink outer jacket disposed over said stainless steel spring coil.

20. The modular medical instrument of claim 19 wherein said elongated guide member includes an adapter secured to said stainless steel spring coil at said distal end of said elongated guide member, and wherein said body member is detachably coupled to said adapter.