System and method of use for ligating and cutting tissue
First Claim
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1. A system for performing a surgical technique, comprising:
- an actuating assembly at the proximal end of an elongated shaft;
a manipulating assembly at the distal end of said elongated shaft, said manipulating assembly including jaw members, said jaw members having an open and a closed configuration;
a cutting device at the distal end of said elongated shaft said cutting device capable of rotating about said jaw members when said jaw members are in said closed position; and
said actuating assembly operatively connected to said manipulating assembly and said cutting device.
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Abstract
The invention is directed to a medical device for endoscopically ligating and cutting a body vessel. The device may be percutaneously inserted into a patient to perform several possible procedures. The improvements to the device include a hinged jaw capable of grasping and crimping body vessels. An improved clip delivery system and an improved clip which ligate body vessels are also described. The instrument includes a rotating cutting member which provides more efficient body vessel cutting means. Furthermore, the entire system allows a simplified and more efficient method of operation.
527 Citations
49 Claims
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1. A system for performing a surgical technique, comprising:
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an actuating assembly at the proximal end of an elongated shaft;
a manipulating assembly at the distal end of said elongated shaft, said manipulating assembly including jaw members, said jaw members having an open and a closed configuration;
a cutting device at the distal end of said elongated shaft said cutting device capable of rotating about said jaw members when said jaw members are in said closed position; and
said actuating assembly operatively connected to said manipulating assembly and said cutting device. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A method for ligating and cutting tissue using a device including a manipulating assembly, a rotatable cutter device, a plurality of clips and structure for advancing the clips over tissue, the method comprising:
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capturing tissue with the manipulating assembly;
advancing at least one clip over the tissue to be ligated; and
rotating said cutter device to thereby cut the tissue. - View Dependent Claims (15)
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16. A system for performing a surgical technique, comprising:
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an actuating assembly;
an elongated shaft extending distally away from said actuating assembly, said shaft having a proximal end and a distal end;
a manipulating assembly at said distal end of said shaft, said manipulating assembly including jaw members, one said jaw member pivotable with respect to the other said jaw member, said jaw members having an open and a closed configuration; and
a cutting device, said cutting device capable of rotating about said jaw members when said jaw members are in said closed position, wherein said actuating assembly is operatively connected to said manipulating assembly. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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28. A system for performing a surgical technique, comprising:
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an actuating assembly including a knob;
an elongated shaft extending distally from said actuating assembly, said shaft having a proximal end and a distal end;
a manipulating assembly at said distal end of said shaft, said manipulating assembly including jaw members, said jaw members having an open and a closed configuration; and
a cutting device at said distal end of said shaft, said cutting device capable of rotating about said jaw members when said jaw members are in said closed position, wherein said actuating assembly is operatively connected to said manipulating assembly and said cutting device, and said knob is operatively connected to said cutting device such that actuation of said knob causes the said cutting device to rotate. - View Dependent Claims (29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39)
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40. A system for performing a surgical technique, comprising:
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an actuating assembly including a trigger;
an elongated shaft extending distally away from said actuating assembly, said shaft having a proximal end and a distal end;
a manipulating assembly at said distal end of said shaft, said manipulating assembly including jaw members, said jaw members having an open and a closed configuration, wherein said trigger is operatively connected to said manipulating assembly such that actuation of said trigger causes the jaw members to assume open or closed positions;
a cutting device at said distal end of said shaft, said cutting device capable of rotating about said jaw members when said jaw members are in said closed position, wherein said actuating assembly is operatively connected to said manipulating assembly;
a first pushrod configured longitudinally within said tubular shaft, said first pushrod operatively associated with said trigger such that actuation of said trigger causes said first pushrod to travel longitudinally with respect to said manipulating assembly; and
a second pushrod configured longitudinally within said tubular shaft and positioned adjacent said first pushrod, said second pushrod operatively associated with said trigger such that actuation of said trigger causes said second pushrod to travel longitudinally with respect to said manipulating assembly. - View Dependent Claims (41, 42, 43, 44, 45, 46, 47, 48, 49)
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Specification