Needle grasping apparatus

• US 6,102,920 A
• Filed: 01/22/1998
• Issued: 08/15/2000
• Est. Priority Date: 05/13/1996
• Status: Expired due to Term

• Current Assignee: Boston Scientific Corporation
• Original Assignee: Boston Scientific Corporation
• Inventors: Sullivan, Roy H., Gellman, Barry N.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US09/010,988
• Time in Patent Office: 936 Days
• Field of Search: 606/147, 606/144, 606/148, 606/139
• US Class Current: 606/147
• CPC Class Codes: A61B 17/062 Needle manipulators

Abstract

Apparatus for needle grasping and performing a second modality comprising a sheath axially extending between distal and proximal ends thereof. The device includes an inner hollow tube with a slot formed therein for receiving a needle at the distal end. Retraction and extension of the inner tubular member relative to the sheath enable the grasping and releasing of a suture needle received in the slot. A handle is provided at the proximal end of the apparatus for selectively extending and retracting the inner tube relative to the sheath and for retaining the inner tube in its extended and retracted positions. A second switch can be provided in the handle to actuate a catheter slidably inserted through the inner tube to perform a second therapeutic modality. The catheter preferably includes a distal bight that forms a loop when extended from the distal end of the sheath for facilitating intracorporeal knot tying thereat. The catheter includes a lumen therethrough for receiving suture thread for use at the distal end of the sheath.

Claims

1. A handle assembly for a surgical instrument, the surgical instrument having first and second axially, relatively displaceable members each with a proximal end, the first and second members for clamping an item that prohibits relative displacement between the first and second members, the handle assembly comprising:

a housing configured for coupling to the proximal end of the first member;

a biasing assembly configured for coupling to the proximal end of the second member, the biasing assembly having a first and a second biasing element and a casing, the casing configured for moving relative to the housing and to the second member; and

a trigger movably coupled to the housing and configured to displace the casing relative to the housing, wherein the first biasing element extends between the casing and the housing and the second biasing element is configured for extending between the second member and the casing and is configured for supplying a clamping force to the item.

2. The handle assembly of claim 1 wherein the trigger is a camming device rotatably coupled to the housing.

3. The handle assembly of claim 2 wherein the first biasing element is configured for compressing upon relative movement of the casing and the first member, and the second biasing element is configured for compressing upon relative movement of the casing and the second member.

4. The handle assembly of claim 3 wherein the first biasing element is configured for biasing the distal end of the first member away from the distal end of the second member.

5. The handle assembly of claim 1 wherein the first biasing element is deflected upon movement of the trigger from a first to a second position, and the second biasing element is deflected upon movement of the trigger from the first to the second position when the item is clamped between the first and the second members.

6. The handle assembly of claim 5 wherein the first biasing element is configured for biasing the distal end of the first member away from the distal end of the second member.

7. The handle assembly of claim 1, wherein the first biasing element is configured for biasing the distal end of the second member away from the distal end of the first member, and the second biasing element is configured for biasing the distal end of the second member towards the distal end of the first member.

8. The handle assembly of claim 7 wherein the biasing assembly includes an adjustment device configured for varying the clamping force applied to the item clamped between the first member and the second member.

9. The handle assembly of claim 1, wherein the trigger has a first position an second position.

10. The handle assembly of claim 9, wherein the biasing assembly is configured to apply a first and second force to the trigger in the first and second trigger positions that maintains the trigger in the first and second trigger positions, respectively.

11. The handle assembly of claim 9, wherein in a first configuration, the trigger is in the first position and the first and second biasing elements have first and second lengths, respectively, and in a second configuration, the trigger is in the second position and the first biasing element has a third length less than the first length.

12. The handle assembly of claim 11, wherein in a third configuration resulting from an item restricting the movement of the second member relative to the first member, the trigger is in the second position, the first biasing element has the third length and the second biasing element has a fourth length less than the second length.

13. A surgical instrument having a proximal and a distal end, the surgical instrument comprising:

an elongate first member extending from the distal end to the proximal end;

an elongate second member extending from the distal end to the proximal end, the second member being axially, displaceable relative to the first member, the first and second members configured for clamping an item that prohibits relative displacement between the first and second members;

an end effector coupled to the second member at the distal end;

a housing coupled to the first member at the proximal end;

a biasing assembly coupled to the second member at the proximal end, the biasing assembly having a first and a second biasing element and a casing, the casing capable of moving relative to the housing and to the second member; and

a trigger movably coupled to the housing for displacing the casing relative to the housing, wherein the first biasing element extends between the casing and the housing and the second biasing element extends between the second member and the casing and is configured to supply a clamping force to the item.

14. The surgical instrument of claim 13 wherein the trigger is a camming device rotatably coupled to the housing.

15. The surgical instrument of claim 14 wherein the first biasing element is configured to compress upon relative movement of the casing and the first member, and the second biasing element is configured to compress upon relative movement of the casing and the second member.

16. The surgical instrument of claim 15 wherein the first biasing element is configured to bias the distal end of the first member away from the distal end of the second member.

17. The surgical instrument of claim 13 wherein the first biasing element is configured to deflect upon movement of the trigger from the first to the second position, and the second biasing element is configured to deflect upon movement of the trigger from the first to the second position when the item is clamped between the first and the second members.

18. The surgical instrument of claim 17 wherein the first biasing element is configured to bias the distal end of the first member away from the distal end of the second member.

19. The surgical instrument of claim 13 wherein the biasing assembly includes an adjustment device for changing an amount of the clamping force supplied to an item that prohibits relative displacement between the first member and the second member.

20. The surgical instrument of claim 13 wherein the end effector includes a retrieval device.

21. The surgical instrument of claim 20 wherein the retrieval device includes a retrieval basket.

22. The surgical instrument of claim 13, wherein the first biasing element is configured to bias the distal end of the second member away from the distal end of the first member, and the second biasing element is configured to bias the distal end of the second member towards the distal end of the first member.

23. The surgical instrument of claim 13, wherein the trigger has a first position and a second position.

24. The surgical instrument of claim 23, wherein in a first configuration, the trigger is in the first position and the first and second biasing elements have first and second lengths, respectively, and in a second configuration, the trigger is in the second position and the first biasing element has a third length less than the first length.

25. The surgical instrument of claim 24, wherein in a third configuration, the trigger is in the second position and the first biasing element has the third length and the second biasing element has a fourth length less than the second length.

26. A handle assembly for a surgical instrument, the surgical instrument having first and second axially, relatively displaceable members each having a proximal end and a distal end, wherein relative displacement of the members defines first and second limit positions and an intermediate position for supplying a clamping load to an item interfering with the relative displacement between the members, the handle assembly configured for coupling to the proximal ends of the first and second members, the handle assembly comprising:

a housing configured for attaching to the proximal end of the first member;

a trigger rotatably coupled to the housing for movement between first and second trigger positions; and

a biasing assembly configured for mounting coaxially with the members and having first and second biasing elements, the biasing assembly being responsive to motion of the trigger for permitting motion to the first limit position when the trigger is at a first trigger position and, when the trigger is at a second trigger position, for permitting motion to one of the second limit position and the intermediate position depending upon the presence of the item that prohibits relative displacement between the members.

27. The handle assembly of claim 26 wherein the biasing assembly includes a first and a second compressible spring.

28. The handle assembly of claim 27 wherein the trigger is a camming device rotatably coupled to the housing.

29. The handle assembly of claim 27 wherein the biasing assembly maintains the trigger in the first and second trigger positions.

30. A surgical instrument having a proximal and a distal end, the surgical instrument comprising:

an elongate first member extending from the distal end to the proximal end;

an elongate second member extending from the distal end to the proximal end, the second member being axially, relatively displaceable from the first member, the first and second members configured for clamping an item that prohibits relative displacement between the first and second members;

an end effector coupled to the second member at the distal end;

a housing coupled to the first member at the proximal end;

a biasing assembly slidably coupling the housing and the proximal end of the second member, the biasing assembly having at least one biasing element and a casing capable of movement relative to both the first and second members; and

a trigger pivotably coupled to the housing for deflecting and releasing the at least one biasing element and displacing the second member relative to the first member, wherein the trigger has a first trigger position corresponding to an extended position of the second member relative to the first member and a second trigger position corresponding to a retracted position of the second member relative to the first member.

31. The surgical instrument of claim 30 wherein the biasing assembly is configured to bias the trigger in the first trigger position to maintain the trigger in the first trigger position and to bias the trigger in the second trigger position to maintain the trigger in the second trigger position.

32. The surgical instrument of claim 31 wherein a force applied by the biasing assembly to the trigger in the first trigger position creates a moment about a trigger pivot point that maintains the trigger in the first trigger position, and a force applied by the biasing element to the trigger in the second trigger position creates a moment about the trigger pivot point that maintains the trigger in the second trigger position.

33. The surgical instrument of claim 30 wherein the biasing assembly includes first and second compressible elements.

34. The surgical instrument of claim 33 wherein the first biasing element is configured for compressing upon actuation of the trigger and displacement of the first member, and the second biasing element is configured for compressing upon actuation of the trigger and displacement of the second member.

35. The surgical instrument of claim 34 wherein the first biasing element is configured for biasing the distal end of the first member away from the distal end of the second member, and the second biasing element is configured for supplying a clamping force to the item that prohibits relative displacement between the first member and the second member.

36. A handle assembly for a surgical instrument, the surgical instrument having first and second axially, relatively displaceable members each with a proximal end, the handle assembly comprising:

a housing configured for coupling to the proximal end of the first member;

a biasing assembly configured for coupling to the proximal end of the second member, the biasing assembly having a first and a second compressible element; and

a trigger coupled to the housing and configured for displacing the first member relative to the second member, wherein the trigger is a camming device rotatably coupled to the housing, and the first compressible element is configured for biasing the distal end of the first member away from the distal end of the second member and the second compressible element is configured for supplying a clamping force to an item that prohibits relative displacement between the first member and the second member.

37. A handle assembly for a surgical instrument, the surgical instrument having first and second axially, relatively displaceable members each with a proximal end, the handle assembly comprising:

a housing configured for coupling to the proximal end of the first member;

a biasing assembly configured for coupling to the proximal end of the second member, the biasing assembly having a first and a second compressible element; and

a trigger coupled to the housing and configured for displacing the first member relative to the second member, wherein the biasing assembly includes an adjustment device configured for changing an amount of clamping force supplied to an item that prohibits relative displacement between the first member and the second member.

38. A surgical instrument having a proximal and a distal end, the surgical instrument comprising:

an elongate first member extending from the distal end to the proximal end;

an elongate second member extending from the distal end to the proximal end, the second member being axially, displaceable relative to the first member;

an end effector coupled to the second member at the distal end;

a housing coupled to the first member at the proximal end;

a biasing assembly coupled to the second member at the proximal end, the biasing assembly having a first and a second compressible element; and

a trigger coupled to the housing for displacing the second member-relative to the first member, wherein the trigger is a camming device rotatably coupled to the housing, and the first compressible element biases the distal end of the first member away from the distal end of the second member and the second compressible element supplies a clamping force to an item that prohibits relative displacement between the first member and the second member.

39. A surgical instrument having a proximal and a distal end, the surgical instrument comprising:

an elongate first member extending from the distal end to the proximal end;

an elongate second member extending from the distal end to the proximal end, the second member being axially, displaceable relative to the first member;

an end effector coupled to the second member at the distal end;

a housing coupled to the first member at the proximal end;

a biasing assembly coupled to the second member at the proximal end, the biasing assembly having a first and a second compressible element; and

a trigger coupled to the housing for displacing the second member relative to the first member, wherein the biasing assembly includes an adjustment device for changing an amount of the clamping force supplied to an item that prohibits relative displacement between the first member and the second member.

40. A handle assembly for a surgical instrument, the surgical instrument having first and second axially, relatively displaceable members each having a proximal end and a distal end, wherein relative displacement of the members defines first and second limit positions and an intermediate position for supplying a clamping load to an item interfering with the relative displacement between the members, the handle assembly configured for coupling to the proximal ends of the first and second members, the handle assembly comprising:

a housing configured for attaching to the proximal end of the first member;

a trigger coupled to the housing for movement between first and second trigger positions; and

a biasing assembly configured for mounting coaxially with the members, the biasing assembly being responsive to motion of the trigger and configured for permitting motion to the first limit position when the trigger is at a first trigger position, to the second limit position when the trigger is at a second trigger position, and to the intermediate position when the trigger is at the second position and the item prohibits relative displacement between the members, wherein the trigger is a camming device rotatably coupled to the housing.

41. A surgical instrument having a proximal and a distal end, the surgical instrument comprising:

an elongate first member extending from the distal end to the proximal end;

an elongate second member extending from the distal end to the proximal end, the second member being axially, relatively displaceable from the first member;

an end effector coupled to the second member at the distal end;

a housing coupled to the first member at the proximal end;

a biasing assembly slidably coupling the housing and the proximal end of the second member, the biasing assembly having at least one compressible element; and

a trigger coupled to the housing for compressing and releasing at least one compressible element and displacing the second member relative to the first member, wherein the trigger has a first trigger position corresponding to an extended position of the second member relative to the first member and a second trigger position corresponding to a retracted position of the second member relative to the first member, wherein a force applied by the biasing assembly to the trigger in the first trigger position creates a moment about a trigger pivot point that maintains the trigger in the first trigger position, and a force applied by the biasing element to the trigger in the second trigger position creates a moment about the trigger pivot point that maintains the trigger in the second trigger position.