Super-elastic flexible jaw assembly

• US 6,190,399 B1
• Filed: 02/09/1998
• Issued: 02/20/2001
• Est. Priority Date: 05/12/1995
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Turkel, David, Palmer, Matthew A., Slater, Charles R., Whittier, John
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Trinh, (Vikki) Hoa B.
• Application Number:
  US08/952,010
• Time in Patent Office: 1,107 Days
• Field of Search: 606/205-208, 814/18, 814/21, 301/86
• US Class Current: 606/205
• CPC Class Codes: A61B 10/02 Instruments for taking cell samples or for biopsy A61B10/0038 and A61B10/0045 take precedence; needle locating or guiding means A61B17/3403; samplers for enzymology or microbiology C12M1/26; sampling or preparing biological specimens G01N33/48
• CPC Class Codes: A61B 10/06 Biopsy forceps , e.g. with cup-shaped jaws
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• 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 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2010/0225 for taking multiple samples
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/2931 with releasable head
• CPC Class Codes: A61B 2017/2937 with flexible part
• CPC Class Codes: A61B 2017/2939 Details of linkages or pivot points
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/146 Scissors
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61F 2002/30092 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2210/0019 operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation
• CPC Class Codes: A61M 2025/0098 having a strain relief at the proximal end, e.g. sleeve
• CPC Class Codes: A61M 2205/6081 Colour codes

Abstract

A jaw assembly for an endoscopic bioptome includes a pair of opposed end effectors having resilient arms formed from a super-elastic metal. The distal ends of the resilient arms terminate in end effector jaw cups which are also preferably formed from super-elastic metal, while the proximal portions of the resilient arms include angled portions which urge the jaw cups away from each other. The jaw cups are brought together into a biting action by a cylinder having a sharp distal edge which moves relative to and over he arms of the end effectors. As the resilient arms are formed from a super-elastic metal, they exhibit very high resiliency and durability even after numerous uses.

Claims

1. End effectors for use in a surgical instrument, the end effectors comprising:

a first end effector having a superelastic metal arm and a superelastic metal jaw cup at a distal end of the arm, wherein the first end effector is capable of flexing from a first position to a second position; and

a second end effector opposing the first end effector.

2. The end effectors of claim 1, wherein the superelastic metal is a nickel-titanium alloy.

3. The end effectors of claim 1, wherein the second end effector has a superelastic metal arm and a superelastic metal jaw cup at a distal end of the arm and the second end effector is capable of flexing from a third position to a fourth position.

4. The end effectors of claim 3, wherein each of the arms has a bend which biases the jaw cups away from one another.

5. End effectors for use in a surgical instrument, the end effectors comprising:

a first end effector having an arm and a jaw cup at a distal end of the arm, the arm and jaw cup being formed from a material capable of a stress induced molecular structure transformation which permits pseudo-plastic deformation from a first shape under an applied stress and subsequent reversion to the first shape without permanent deformation upon removal of the stress; and

a second end effector opposing the first end effector.

6. The end effectors of claim 5, wherein the material is a nickel-titanium alloy.

7. The end effectors of claim 5, wherein the second end effector has an arm and a jaw cup at a distal end of the arm, the arm and jaw cup of the second end effector being formed from a material capable of a stress induced molecular structure transformation which permits pseudo-plastic deformation from a first shape under an applied stress and subsequent reversion to the first shape without permanent deformation upon removal of the stress.

8. The end effectors of claim 7, wherein each of the arms has a bend which biases the jaw cups away from the one another.

9. An end effector assembly for attachment to a distal portion of a surgical instrument, the end effector assembly comprising:

first and second end effectors each having arms, the first end effector formed from a superelastic metal and biased away from the second end effector; and

a connector for coupling the arms of the first and the second end effectors to the surgical instrument.

10. The end effector assembly of claim 9, wherein the connector has a head for receiving the arms of the first and second end effectors and a body for engaging the surgical instrument.

11. The end effector assembly of claim 10, wherein the first end effector has a superelastic metal jaw cup at a distal end of the arm.

12. The end effector assembly of claim 11, wherein the arm of the second end effector is formed from a superelastic metal, the second end effector including a superelastic metal jaw cup at a distal end of the arm, and the second end effector being biased away from the first end effector.

14. The end effector assembly of claim 12, wherein each of the arms has a bend which biases the jaw cups away from one another.

13. An endoscopic instrument, comprising:

a distal end assembly including a cylindrical member and first and second end effectors, the first end effector having an arm formed from a superelastic metal, the arm biasing the first end effector away from the second end effector; and

an actuation device coupled by a catheter portion to either the cylindrical member or the first and second end effectors, the actuation device for causing the cylindrical member and the first and second end effectors to move relative to each other so as to cause the cylindrical member, in a first position, to extend over at least a portion of both of the first and second end effectors and force the first end effector toward the second end effector and, in a second position, to permit the first end effector to extend away from the second end effector.

15. An endoscopic instrument, comprising:

a distal end assembly including a cylindrical member and first and second end effectors, the first end effector having an arm formed from a superelastic metal, the first end effector being biased away from the second end effector; and

an actuation device coupled by a catheter portion to either the cylindrical member or the first and second end effectors, the actuation device for causing the cylindrical member and the first and second end effectors to move relative to each other so as to cause the cylindrical member, in a first position, to extend over at least a portion of the first and second end effectors and force the first end effector toward the second end effector and, in a second position, to permit the first end effector to extend away from the second end effector.

16. The endoscopic instrument of claim 15, wherein the first end effector has a distal jaw cup formed from a superelastic metal.

17. The endoscopic instrument of claim 16, wherein the catheter portion includes a coil, and the distal end assembly includes a connector for coupling the first and second end effectors to the coil.

18. The endoscopic instrument of claim 15, wherein the second end effector has an arm formed from a superelastic metal and a distal jaw cup formed from a superelastic metal, the second end effector being biased away from the first end effector, and the cylindrical member, in the first position, forces the first and second end effectors toward one another, and, in the second position, permits the first and second end effectors to extend away from one another.

19. The endoscopic instrument of claim 18, wherein the superelastic metal of the first and second end effectors is a nickel-titanium alloy.

20. The endoscopic instrument of claim 18, wherein each of the arms has a bend which biases the jaw cups away from one another.

22. The endoscopic instrument of claim 18, wherein the actuation device includes a pull wire extending through the coil, wherein the pull wire has a distal end coupled to the cylindrical member.

21. A proximal handle assembly for a surgical instrument, the surgical instrument having a distal end effector assembly and an elongate flexible coil connecting the distal end effector assembly to the proximal handle assembly, the proximal handle assembly comprising:

a shaft; and

a spool slidably mounted on the shaft, the spool including a first portion and a second portion, the first portion including a locking tab for insertion into a tab receiving slot defined by the second portion and the second portion including a locking tab for insertion into a tab receiving slot defined by the first portion.

25. The proximal handle assembly of claim 21 wherein the first and second portions are substantially identical.

26. The proximal handle assembly of claim 21 wherein the locking tab elastically flexes from a first tab position to a second tab position during insertion into the tab receiving slot.

27. The proximal handle assembly of claim 26 wherein the locking tab returns to the first tab position when the locking tab is fully inserted into the tab receiving slot.

23. A proximal handle assembly for a surgical instrument, the surgical instrument having a distal end effector assembly and an elongate flexible coil connecting the distal end effector assembly to the proximal handle assembly, the proximal handle assembly comprising:

a shaft; and

a spool slidably mounted on the shaft, the spool including a first portion and a second portion, the first portion including a locking tab for insertion into a tab receiving slot defined by the second portion.

24. The proximal handle assembly of claim 23 wherein the second portion includes a cantilevered spring element in the tab receiving slot for retaining the locking tab in the tab receiving slot.

28. The proximal handle assembly of claim 23 wherein the locking tab elastically flexes during insertion into the tab receiving slot.

29. The proximal handle assembly of claim 28 wherein the locking tab returns to an undeflected shape when the locking tab is fully inserted into the tab receiving slot.