Tissue cutting and retrieval device and method

• US 6,660,011 B2
• Filed: 09/17/2002
• Issued: 12/09/2003
• Est. Priority Date: 09/17/2001
• Status: Expired due to Fees

• Current Assignee: Melvin E. Levinson
• Original Assignee: Melvin E. Levinson
• Inventors: Levinson, Melvin E.
• Primary Examiner(s): Peffley, Michael
• Application Number:
  US10/245,116
• Publication Number:
  US 20030176859A1
• Time in Patent Office: 448 Days
• Field of Search: 606/41, 606/47, 606/113, 606/127, 606/128
• US Class Current: 606/113
• CPC Class Codes: A61B 17/221 Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions surgical snare instruments A61B17/32056
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/141 Snare

Abstract

A device for cutting and retrieving tissue, including a handle having a tube, a first set of wires positioned within the tube and extending from the handle to distal ends, and a control tip at the distal ends thereof. A second set of wires are positioned within the tube and extend from the handle. A retaining pin portion at the control tip, extends between at least two of the second set of wires, allows the second set of wires to be extended from the tube and through the control tip, and prevents the second set of wires from being withdrawn from the control tip and into the tube. The retaining pin portion also extends the second set of wires from the tube upon the first set of wires being extended from the tube.

Claims

1. A device for selectively capturing, cutting and retrieving tissue, comprising:

A) a handle having an elongated, flexible tube extending therefrom along a central axis to a distal end;

B) a first set of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle to joined distal ends for extending out of the distal end of the tube;

C) a second set of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle to joined distal ends for extending out of the distal end of the tube; and

D) a control tip joining the distal ends of the first set of wires and including a transverse portion extending beyond the distal end of the tube in a direction transverse to the central axis, the transverse portion being adapted for interfering engagement with the distal end of said tube, thereby preventing the distal ends of said first set of wires from being wholly drawn into said tube, and

wherein the wires of said first set and said control tip are formed from a single wire, said control tip having a substantially S shape defining two apertures separated by a retaining pin portion, and wherein the wires of said second set pass on opposite sides of said retaining pin portion and through an associated one of said apertures; and

wherein said retaining pin portion is adapted for interfering engagement of the joined distal ends of said second set of wires, thereby maintaining said distal ends of said second set of wires farther from said distal end of said tube than said control tip.

2. A device according to claim 1, wherein the first set of wires includes two wires.

3. A device according to claim 1, wherein at least two of the wires of the first set define a first reference plane and at least two of the wires of the second set define a second reference plane, and wherein the first reference plane and the second reference plane are angularly offset.

4. A device according to claim 3, wherein the first reference plane is substantially perpendicular to the second reference plane.

5. A device according to claim 1, wherein the wires have shape memory such that each of the first and the second sets of wires expand upon being extended from the distal end of the tube.

6. A device according to claim 5, wherein each of the first and the second sets of wires expand to an oval loop upon being extended from the distal end of the tube.

7. A device according to claim 1, further comprising:

F) a first deployment assembly operatively connected to the first set of wires and allowing a user to selectively extend and withdraw the distal ends of the first set of wires from the distal end of the tube; and

G) a second deployment assembly operatively connected to the second set of wires and allowing a user to selectively extend and withdraw the distal ends of the second set of wires from the distal end of the tube.

8. A device according to claim 7 further comprising a latching mechanism for connecting the first and second deployment assemblies.

9. A device according to claim 7 further comprising a locking mechanism for preventing movement of the first deployment assembly.

10. A device for selectively capturing, cutting and retrieving tissue, comprising:

A) a handle having an elongated, flexible tube extending therefrom along a central axis to a distal end;

B) a first set of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle to distal ends for extending out of the distal end of the tube;

C) a control tip disposed at the distal ends of the first set of wires, and wherein the wires of said first set and said control tip are formed from a single wire, said control tip having a substantially S shape defining two apertures separated by a retaining pin portion;

D) a second set of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle, said second set of wires passing on opposite sides of said retaining pin portion of said control tip and through an associated one of the apertures in the control tip, to distal ends, the second set of wires coupled at the distal ends; and

E) wherein the retaining pin portion allows the distal ends of the second set of wires to be extended through the control tip, and preventing the coupled distal ends of the second set of wires from being withdrawn from the apertures of the control tip and into the tube, the retaining pin portion extending the distal ends of the second set of wires from the distal end of the tube upon the distal ends of the first set of wires being extended from the distal end of the tube.

11. A device according to claim 10, wherein the second set of wires includes two wires.

12. A device according to claim 10, wherein a first reference plane defined by at least two of the wires of the first set and a second reference plane defined by at least two of the wires of the second set are angularly offset.

13. A device according to claim 12, wherein the first reference plane is substantially perpendicular to the second reference plane.

14. A device according to claim 10, wherein the wires have shape memory such that each of the first and the second sets of wires expand upon being extended from the distal end of the tube.

15. A device according to claim 14, wherein each of the first and the second sets of wires expand to an oval loop upon being extended from the distal end of the tube.

16. A device according to claim 10, further comprising:

F) a first deployment assembly operatively connected to the first set of wires and allowing a user to selectively extend and withdraw the distal ends of the first set of wires from the distal end of the tube; and

G) a second deployment assembly operatively connected to the second set of wires and allowing a user to selectively extend and withdraw the distal ends of the second set of wires from the distal end of the tube.

17. A device according to claim 16 further comprising a latching mechanism for connecting the first and second deployment assemblies.

18. A device according to claim 16 further comprising a locking mechanism for preventing movement of the first deployment assembly.

19. A device for selectively capturing, cutting and retrieving tissue, comprising:

A) a handle having an elongated, flexible tube extending therefrom along a central axis to a distal end, said tube having a diameter D at its distal end;

B) a first pair of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle to continuously joined distal ends for extending out of the distal end of the tube, wherein said joined distal ends include a control tip wire portion extending a distance larger than D in a direction transverse to said central axis, said control tip wire portion defining two apertures separated by a retaining portion, wherein the first pair of wires and said control tip portion are formed from a single wire,

C) a second pair of elongated, flexible wires slidingly positioned within the tube and extending along the central axis from the handle, to joined distal ends, wherein each wire of said second pair passes on opposite sides of said retaining portion and through an associated one of said apertures of said control tip wire portion,

wherein said distal ends of said first pair of wires and said second pair of wires are each adapted for selective positioning along said central axis between points adjacent to said distal end of said tube and points distal therefrom.

20. A device according to claim 19, wherein said selective positioning of said first pair of wires and said selective positioning of said second pair of wires are independently controllable, with said distal ends of said second pair of wires being farther from said distal end of said tube than said distal ends of said first pair of wires.