Resecting device

• US 7,488,319 B2
• Filed: 06/29/2007
• Issued: 02/10/2009
• Est. Priority Date: 07/06/2006
• Status: Expired due to Fees

• Current Assignee: Leroy L. Yates
• Original Assignee: Leroy L. Yates
• Inventors: Yates, Leroy L.
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US11/824,407
• Publication Number:
  US 20080009854A1
• Time in Patent Office: 592 Days
• Field of Search: 606/41, 606/44, 606/49, 606/113, 606/51
• US Class Current: 606/51
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2017/2945 Curved jaws
• CPC Class Codes: A61B 2018/00916 with means for switching or controlling the main function of the instrument or device
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A resecting device is disclosed. The resecting device comprises: a handle having a jaw trigger slidably engaged with the handle and mechanically engaged with a spring mechanism communicating a biasing force to the jaw trigger; a fixed shaft portion having a first and a second end, wherein the fixed shaft portion first end is affixed to the housing, wherein the fixed shaft portion second end forms a first jaw member, and wherein the first jaw member has a tissue contact area; and a slidable shaft portion in communication with the spring mechanism and slidable relative to the fixed shaft portion.

Claims

1. A resecting device comprising:

a. a handle having a jaw trigger slidably engaged with said handle and mechanically engaged with a spring mechanism communicating a biasing force to said jaw trigger;

b. a fixed shaft portion having a first and a second end, wherein said fixed shaft portion first end is affixed to said housing, wherein said fixed shaft portion second end forms a first jaw member, and wherein said first jaw member has a tissue contact area;

c. a slidable shaft portion in communication with said spring mechanism and slidable relative to said fixed shaft portion, wherein said slidable shaft portion has a first and second end, wherein said slidable shaft portion first end is mechanically engaged with said spring mechanism, wherein said slidable shaft portion second end is mechanically engaged with a second jaw member so that said second jaw member and said first jaw member cooperate to form a set of cantilevered jaws, wherein said second jaw member has a tissue contact area oriented to face said tissue contact area of said first jaw member, wherein said tissue contact area of said first jaw member is biased away from said tissue contact area of said second jaw member via said spring mechanism, and wherein the distance between said tissue contact area of said first jaw member and said tissue contact area of said second jaw member is actuated by the position of said jaw trigger;

d. a source of electrosurgical energy adapted to connect to said jaw members such that said tissue contact areas of said jaw members are capable of conducting energy through tissues held therebetween.

2. The resecting device according to claim 1 wherein said handle is fashioned to be usable with either the left or right hand of a person without need to adjust the position of said resecting device.

3. The resecting device according to claim 1 wherein said first jaw member and said second jaw member are curved to emulate the periphery of the outer surface of a human uterus.

4. The resecting device according to claim 3 wherein said first and said second jaw members are of the same length, and wherein the length of said first and said second jaw members is selected to encompass substantially all the tissue on one side of the human uterus that must be electrosurgically treated in a hysterectomy.

5. The resecting device according to claim 3 wherein the distance between said tissue contact area of said first jaw member and said tissue contact area of said second jaw member is uniform across said jaw members at a particular position of said jaw trigger.

6. The resecting device according to claim 5 further comprising a blade, wherein said blade is slidably engaged with said shaft portions along a blade track passing through the interior of said shaft portions, said jaw members, and any linkage connecting said slidable shaft portion to said second jaw member, wherein said blade is mechanically engaged with a blade actuator, wherein said blade actuator is slidably engaged with said handle, and wherein the position of said blade with respect to said blade track is dependent on the position of said blade actuator.

7. The resecting device according to claim 6 wherein said blade track extends into a portion of said handle.

8. The resecting device according to claim 6 wherein said blade is extendable in a direction distal to said handle beyond the most distal portion, with respect to said handle, of said jaw members.

9. The resecting device according to claim 6 wherein said source of electrosurgical energy is further adapted to also connect to said blade so as to conduct energy through tissues in contact with said blade and either said first jaw member or said second jaw member.

10. The resecting device according to claim 9 wherein said handle further comprises an electrode selector, said electrode selector comprising:

a. an interior portion mounted within said handle, wherein said interior portion is in communication with each electrode of said resecting device that is capable of conducting electrosurgical energy, and wherein said first portion is in communication with said source of electrosurgical energy; and

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b. a exterior portion that is mounted outside of said handle, wherein said exterior portion provides a user interface for selecting the electrode to which said electrode selector routes electrosurgical energy.

11. The resecting device according to claim 10 further comprising a foot pedal in communication with said electrode selector and said source of electrosurgical energy, wherein said foot pedal functions as a switch between said electrode selector and said source of electrosurgical energy.

12. The resecting device according to claim 11 wherein said electrode selector allows the user of the tool to energize said tissue contact area on said first jaw member, said tissue contact area on said second member, or said blade, alone or in any combination thereof.

13. The resecting device according to claim 1 further comprising:

a. a wire spool positioned within and rotatable with respect to said handle, wherein a wire capable of conducting electrosurgical energy is positioned around and engaged with a portion of said wire spool, and wherein a portion of said wire is orientated as a wire loop extending through an interior portion of said fixed shaft portion; and

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b. a wire spool handle engaged with said wire spool, wherein said wire loop is deployable outwardly from said shaft through two wire apertures fashioned in the distal end of said fixed shaft portion via actuation of said wire spool handle in a first direction, and wherein said wire loop is retractable inwardly towards said shaft via actuation of said wire spool handle in a second direction.

14. The resecting device according to claim 13 further comprising an electric motor coupled to said wire spool, wherein said handle further comprises a wire loop switch in communication with said electric motor for actuating said electric motor.

15. The resecting device according to claim 14 wherein said electric motor is rotatable in a first direction and a second direction opposite said first direction, and wherein said wire loop switch is operable to cause said electric motor to rotate in either of said directions or to remain stationary.

16. The resecting device according to claim 13 wherein said fixed shaft portion further comprises a contact plate on said first jaw member oriented distal to said handle, wherein said source of electrosurgical energy is further adapted to also connect to said wire loop such that said loop is capable of conducting energy through tissues held between said wire loop and said contact plate.

17. The resecting device according to claim 16 wherein said electrode selector is also in communication with said wire loop.

18. The resecting device according to claim 11 or 17 wherein said electrode selector is fashioned to have a jaw button energizing said tissue contact areas of said jaw members, a blade button energizing said blade, and a loop button energizing said wire loop, wherein only one of said positions may be selected at one time.

19. The resecting device according to claim 11 or 17 wherein said electrode selector is illuminated.

20. The resecting device according to claim 17 wherein said electrode selector allows a user to energize said tissue contact area on said first jaw member, said tissue contact area on said second jaw member, said blade, or said wire loop alone or in any combination thereof.

21. The resecting device according to claim 1 wherein the position of said jaw trigger is lockable.

22. The resecting device according to claim 1 wherein said tissue contact area of said jaw members substantially extends the entire length of said jaw members.

23. The resecting device according to claim 1 wherein at least a portion of said handle is further defined as being fashioned from a transparent or semi-transparent material.

24. The resecting device according to claim 22 wherein said resecting device further comprises a light source within said handle that may illuminate either said electrode selector, said handle, or both.

25. The resecting device according to claim 1 wherein at least a portion of said handle is further defined as being fashioned from a material that is self-illuminating after exposure to a light source.

26. The resecting device according to claim 1 wherein a portion of the periphery of said slidable shaft portion and said fixed shaft portion are encompassed by a shaft sheath.

27. The resecting device according to claim 1 wherein said shaft portions are comprises of an interior portion and an outer portion encompassing said interior portion.

28. The resecting device according to claim 1 wherein said handle is further defined as being ambidextrous.

29. The resecting device according to claim 1 wherein said handle is further defined as allowing 180 degree rotation of said resecting device to effectively treat both sides of an anatomical structure.

30. A resecting device comprising:

a. a handle having a jaw trigger slidably engaged with said handle and mechanically attached to a spring mechanism communicating a biasing force to said jaw trigger;

b. a shaft affixed to said handle at a first end, said shaft having a second end engaged with a first jaw member and a second jaw member, said first and second jaw members each having a tissue contact area, wherein said tissue contact area of said second jaw member is oriented to face said tissue contact area of said first jaw member, wherein said first and second jaw members are mechanically engaged with said shaft so that said first and second jaw members cooperate to form a set of jaws wherein a distance between said tissue contact areas of said first and second jaw members is uniform along the length of said first and second jaw members, wherein said tissue contact area of said first jaw member is biased away from said tissue contact area of said second jaw member via said spring mechanism, and wherein the distance between said tissue contact area of said first jaw member and said tissue contact area of said second jaw member is actuated by the position of said jaw trigger, and

c. a source of electrosurgical energy adapted to connect to said first and second jaw members such that said tissue contact areas of said first and second jaw members are capable of conducting energy through tissues held therebetween.

31. A resecting device comprising:

a. a main body, said main body comprising;

i. a handle integrated into the structure of said main body;

ii. a jaw trigger slidably affixed to said main body at said handle;

iii. a spring mechanism in mechanical communication with said jaw trigger and located within said main body;

iv. an electrode selector having a switch, wherein said switch is mounted exterior said main body;

v. a blade actuator slidably engaged with said main body along a track in said main body;

b. a shaft affixed to said handle, said shaft comprising;

i. a first end affixed to said main body;

ii. a second end forming a first jaw member; and

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iii. a blade track;

c. a second jaw member affixed to said shaft, wherein said second jaw member is affixed to said shaft in a manner such that said first jaw member and said second jaw member form cantilevered jaws, wherein said second jaw member is in mechanical communication with said jaw trigger and said spring mechanism, wherein said spring mechanism biases said second jaw member in a direction away from said first jaw member; and

wherein the position of said second jaw member is actuated by said jaw trigger;

d. a selectively advanceable blade positioned within said shaft, wherein said blade is orientated towards said first and second jaw members, wherein said blade is in mechanical communication with and actuated by said blade actuator, and wherein said blade is actuated along said blade track; and

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e. a source of electrosurgical energy adapted to connect to each jaw member at a tissue contact area such that said jaw members are capable of conducting energy through tissues held therebetween, wherein said source of electrosurgical energy is also adapted to connect to said blade such that said blade is capable of conducting energy through tissues located between said blade and said first or second jaw members, and wherein said electrode selector is capable of routing electrosurgical energy to said jaw members or said blade.

32. The resecting device according to claim 31 wherein said first jaw member and said second jaw member employ a non-linear portion shaped to follow the contour of the outer wall of a human uterus.

33. The resecting device according to claim 31 further comprising:

a. a wire spool positioned within and rotatable with respect to said handle, wherein a wire capable of conducting electrosurgical energy is positioned around and engaged with a portion of said wire spool, and wherein a portion of said wire is orientated as a wire loop extending through an interior portion of said shaft; and

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b. a wire spool handle engaged with said wire spool, wherein said wire loop is deployable outwardly from said shaft through two wire apertures fashioned in the distal end of said shaft via actuation of said wire spool handle in a first direction, and wherein said wire loop is retractable inwardly towards said shaft via actuation of said wire spool handle in a second direction.

34. The resecting device according to claim 33 further comprising an electric motor coupled to said wire spool, and wherein said handle further comprises a wire loop switch in communication with said electric motor for actuating said electric motor.

35. The resecting device according to claim 34 wherein said electric motor is rotatable in a first direction and a second direction opposite said first direction, and wherein said wire loop switch is operable to cause said electric motor to rotate in either said direction or to remain stationary.

36. The resecting device according to claim 33 wherein said shaft further comprises a contact plate on said first jaw member oriented distal to said handle, where said source of electrosurgical energy is further adapted to also connect to said wire loop such that said loop is capable of conducting energy through tissues held between said loop and said contact plate.

37. A resecting device comprising:

a. a main body, said main body comprising;

i. a handle integrated into the structure of said main body;

ii. a jaw trigger slidably affixed to said main body at said handle;

iii. a spring mechanism in mechanical communication with said jaw trigger and located within said main body;

iv. an electrode selector having a switch, wherein said switch is mounted exterior said main body; and

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v. a blade actuator slidably engaged with said main body along a blade actuator track;

b. a shaft affixed to said handle, said shaft comprising;

i. a first end affixed to said main body;

ii. a second end forming a first jaw member;

iii. a contact plate orientated distally from said main body with respect to said first jaw member; and

iv. a blade track;

c. a second jaw member affixed to said shaft, wherein said second jaw member is affixed to said shaft in a manner such that said first jaw member and said second jaw member form a set of cantilevered jaws, wherein said second jaw member is in mechanical communication with said jaw trigger and said spring mechanism, wherein said spring mechanism biases said second jaw member in a direction away from said first jaw member; and

wherein the position of said second jaw member is actuated by said jaw trigger;

d. a selectively advanceable blade positioned within said shaft, wherein said blade is orientated towards said first and second jaw members, wherein said blade is in mechanical communication with and actuated by said blade actuator, and wherein said blade is actuated along said blade track;

e. a wire spool located within said main body, wherein said wire spool is mechanically engaged with a wire spool handle, wherein said wire spool handle is external said main body, wherein a portion of said wire spool is orientated as a wire loop extending through said shaft, wherein said wire loop is deployable outwardly from said shaft via actuation of said wire spool handle in a first direction and retractable inwardly to said shaft via actuation of said wire spool handle in a second direction, and wherein said wire loop may function as a wire loop resector; and

f. a source of electrosurgical energy adapted to connect to each jaw member such that said jaw members are capable of conducting energy through tissues held therebetween, wherein said source of electrosurgical energy is also adapted to connect to said blade such that said blade is capable of conducting energy through tissues between said blade and said first jaw member or said second jaw member, and wherein said source of electrosurgical energy is also adapted to connect to said wire loop such that said wire loop is capable of conducting energy through tissues between said wire loop and said contact plate.

38. An introducer sheath for facilitating the introduction of an instrument into a body opening of a patient comprising:

a. an introducer sheath body, wherein said introducer sheath body provides a path for passing said instrument therethrough, and wherein said introducer sheath body is fabricated of a flexible material;

b. a first end, wherein said first end is fashioned as an introducer sheath ring, and wherein said first end provides an opening into said introducer sheath body for said instrument;

c. a second end, wherein said second end is closed, wherein said second end is capable of being punctured with an appropriate surgical tool, and wherein said second end is fabricated of a flexible material; and

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d. at least one group of perforations, wherein said group of perforations extend along at least one axial plane of said introducer sheath from said first end to said second end.