Clamp having bendable shaft

• US 6,544,274 B2
• Filed: 05/02/2001
• Issued: 04/08/2003
• Est. Priority Date: 05/02/2001
• Status: Expired due to Term

• Current Assignee: Vitalitec International Inc. (Groupe Peters Surgical SAS)
• Original Assignee: Novare Surgical Systems, Inc. (Groupe Peters Surgical SAS)
• Inventors: Buelna, Terrence J., Gold, Adam C., Danitz, David J., Hegeman, David E.
• Primary Examiner(s): WEHNER, CARY ELLEN
• Application Number:
  US09/847,135
• Publication Number:
  US 20020165560A1
• Time in Patent Office: 706 Days
• Field of Search: 606/151, 606/157, 606/158, 606/205, 600/123, 600/124, 600/125, 600/139, 600/141, 600/142, 600/40, 604/523, 604/524, 604/525, 604/535
• US Class Current: 606/157
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 2017/00292 mounted on or guided by flexible, e.g. catheter-like, means
• CPC Class Codes: A61B 2017/2837 with a locking ratchet
• CPC Class Codes: A61B 2017/2901 Details of shaft
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/508 with releasable brake mechanisms
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms
• CPC Class Codes: Y10T 74/20456 Specific cable or sheath structure

Abstract

A clamp has a handle assembly, a gripping assembly having a pair of jaws that can be opened and closed to grip an element, and a shaft assembly. The shaft assembly has a flexible shaft having a proximal end that is coupled to the handle assembly and a distal end that is coupled to the gripping assembly. The flexible shaft also defines a bore that retains a cable which is operatively coupled to the handle assembly and to the gripping assembly. The shaft assembly also includes a retractable generally rigid covering which can be oriented in a first position where the covering exposes a portion of the flexible shaft, and in a second position where the covering completely covers the flexible shaft.

Claims

1. A clamp, comprising:

a handle assembly;

a gripping assembly having a pair of jaws that can be opened and closed to grip an element; and

a shaft assembly having;

a flexible shaft having a proximal end that is coupled to the handle assembly and a distal end that is coupled to the gripping assembly, the flexible shaft defining a bore;

a cable which extends through the bore of the flexible shaft, the cable having a proximal end that is operatively coupled to the handle assembly and a distal end that is operatively coupled to the gripping assembly; and

a plurality of rigid telescoping tubes that can be oriented in a first position where the telescoping tubes are nested within each other, and in a second position where the telescoping tubes are fully deployed to completely cover the flexible shaft.

2. The clamp of claim 1, wherein the plurality of telescoping tubes has a distal telescoping tube that is locked to the gripping assembly when the telescoping tubes are oriented in the second position.

3. The clamp of claim 1, wherein the plurality of telescoping tubes has a proximal telescoping tube that is secured to the handle assembly.

4. The clamp of claim 1, wherein the plurality of telescoping tubes has a proximal telescoping tube, a distal telescoping tube, and at least one intermediate telescoping tube between the proximal telescoping tube and the distal telescoping tube, and wherein the size of each of the plurality of telescoping tubes progressively decreases from the proximal telescoping tube to the distal telescoping tube.

5. The clamp of claim 1, wherein the shaft is completely flexible when the plurality of telescoping tubes is in the first position.

6. The clamp of claim 5, wherein the flexible shaft is capable of withstanding axial loads when the plurality of telescoping tubes is in the first position.

7. The clamp of claim 1, wherein the flexible shaft comprises a plurality of beads, each having a bore through which the cable extends.

8. The clamp of claim 1, further including a locking hub positioned at the distal end of the shaft, and a locking mechanism positioned on the distal-most telescoping tube, with the locking mechanism removably engaging the locking hub to secure the plurality of telescoping tubes in the second position.

9. The clamp of claim 1, wherein the handle assembly includes:

a proximal tube having a distal end coupled to the proximal end of the flexible shaft, and with the plurality of telescoping tubes slidable over the proximal tube.

10. The clamp of claim 1, wherein the handle assembly includes:

a calibration assembly coupled to the proximal end of the cable for adjusting the tension of the cable.

11. The clamp of claim 10, wherein the calibration assembly includes:

a cable holder that retains the proximal end of the cable; and

an adjuster piece having a coupling mechanism that couples the cable holder.

12. The clamp of claim 10, wherein the calibration assembly includes:

a stop member positioned in the handle assembly;

a proximal tube retained in the handle assembly and having a proximal end that is threadably connected to the stop member; and

a plurality of washers positioned at the threaded connection between the proximal tube and the stop member.

13. The clamp of claim 1, wherein the handle assembly includes:

a first handle piece;

a second handle piece pivotable with respect to the first handle piece;

a transmission link coupled to the second handle piece and the cable; and

a resilient element biasing the transmission link in a distal direction.

14. The clamp of claim 1, wherein the plurality of telescoping tubes are non-rotational.

15. The clamp of claim 1, wherein the jaws are non-rotational and are capable of supporting axial loads, side loads, moments, and torques.

16. The clamp of claim 1, wherein the plurality of telescoping tubes are nested inside the handle assembly in the first position.

17. A clamp, comprising:

a handle assembly;

a gripping assembly having a pair of jaws that can be opened and closed to grip an element; and

a shaft assembly having;

a flexible shaft having a proximal end that is coupled to the handle assembly and a distal end that is coupled to the gripping assembly, the flexible shaft defining a bore;

a cable which extends through the bore of the flexible shaft, the cable having a proximal end that is operatively coupled to the handle assembly and a distal end that is operatively coupled to the gripping assembly; and

a retractable generally rigid covering that can be oriented in a first position where the covering exposes a portion of the flexible shaft, and in a second position where the covering completely covers the flexible shaft.

18. The clamp of claim 17, wherein the covering has a distal end that is locked to the gripping assembly when the covering is oriented in the second position.

19. The clamp of claim 18, wherein the covering has a proximal end that is secured inside the handle assembly.

20. The clamp of claim 19, wherein the covering progressively decreases in size from its proximal end to its distal end.

21. The clamp of claim 17, wherein the shaft is completely flexible when the covering is in the first position.

22. The clamp of claim 17, wherein the flexible shaft comprises a plurality of beads, each having a bore through which the cable extends.

23. The clamp of claim 17, wherein the rigid covering is non-rotational.

24. A surgical method, comprising:

a. providing a clamp, comprising;

a handle assembly;

a gripping assembly having a pair of jaws that can be opened and closed to grip an element; and

a shaft assembly having a flexible shaft having a proximal end that is coupled to the handle assembly and a distal end that is coupled to the gripping assembly, and a retractable rigid covering that completely covers the flexible shaft so that a region of the flexible shaft is generally rigid;

b. introducing the jaws through a surgical site or a trocar;

c. closing the jaws to grip a blood vessel;

d. withdrawing the covering from the flexible shaft so that a portion of the region of the flexible shaft is completely flexible; and

e. moving the handle assembly away from the surgical site.

25. The method of claim 24, wherein step (d) includes retaining the withdrawn covering inside the handle assembly.

26. A clamp comprising:

a handle assembly;

a gripping assembly having a pair of jaws that can be opened and closed to grip an element; and

a shaft assembly having;

a flexible elongate member having a proximal end that is operatively coupled to the handle assembly and a distal end that is operatively coupled to the gripping assembly; and

a movable covering coaxial to the elongate member that can be placed in a first position where the covering exposes a portion of the flexible shaft, and in a second position where the covering covers a substantial portion of the flexible shaft.