Endoscopic cutting device

• US 7,520,886 B2
• Filed: 01/27/2006
• Issued: 04/21/2009
• Est. Priority Date: 01/27/2005
• Status: Active Grant

• Current Assignee: Cook Medical Technologies, LLC (Cook Group Incorporated)
• Original Assignee: Wilson-Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Surti, Vihar C.
• Primary Examiner(s): Truong; Kevin T
• Assistant Examiner(s): Dowe; Katherine M
• Application Number:
  US11/341,298
• Publication Number:
  US 20060184187A1
• Time in Patent Office: 1,180 Days
• Field of Search: 606/170, 606/159, 606/167, 606/178, 606/180, 112/169, 30/912, 302/87, 301/31, 301/45, 301/73, 301/88, 301/94, 302/12, 302/44, 302/49, 302/61
• US Class Current: 606/170
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end

Abstract

An endoscopic cutting device is disclosed. The device comprises an inner catheter including an inner wall having an opening formed therethrough. The inner wall further has a cutting blade moveably disposed thereon and biasingly extends through the opening. The inner wall has a receiving member disposed thereon and is configured to cooperatively receive the cutting blade. The device further comprises an outer catheter including an outer wall moveably disposed about the inner catheter. The outer wall has an aperture formed therethrough. The aperture is configured to moveably align with the opening of the inner wall for allowing the cutting blade to biasingly extend through the opening and biasingly engage the cutting blade with the receiving member to cut.

Claims

1. An endoscopic cutting device comprising:

an inner catheter including an inner wall having a distal opening formed longitudinally through the side of the inner wall, the inner wall further having a cutting blade moveably disposed thereon and biasingly extending through the opening, the cutting blade including a first cutting edge, the inner wall having a receiving member disposed thereon, the receiving member including a receiving blade having a second cutting edge, the receiving member being configured to cooperatively receive the cutting blade, wherein the first cutting edge engagingly contacts the second cutting edge to cut; and

an outer catheter including an outer wall having a proximal end and an open distal end, the open distal end being open to allow clearance for facilitating longitudinal movement of the outer catheter relative to the inner catheter, the outer wall being moveably disposed about the inner catheter, the outer wall having an aperture formed longitudinally through the side of the outer wall, the aperture being separate from the open distal end and formed proximal to the open distal end through the outer wall, the aperture of the outer wall being configured to moveably align with the distal opening of the inner wall for allowing the cutting blade to biasingly extend through the distal opening, the outer catheter being slidably retractable relative to the inner catheter to force the first cutting edge of the cutting blade inward and biasingly engage the second cutting edge of the receiving blade to cut.

2. The cutting device of claim 1 wherein the inner wall has a proximal portion and a distal portion, the opening being formed through the distal portion.

3. The cutting device of claim 2 wherein the distal portion has a closed distal end.

4. The cutting device of claim 2 further comprising a drive wire disposed on the distal portion of the inner wall for positioning the inner wall within the body of the patient.

5. The cutting device of claim 1 wherein the cutting blade is spring loaded to biasingly extend from the inner wall.

6. The cutting device of claim 1 wherein the receiving member is a receiving assembly having a base for receiving the cutting blade, wherein the receiving blade extends from the base to define a notch for receiving the cutting blade, the second cutting edge of the receiving blade being configured to cooperate with the first cutting edge of the cutting blade for cutting as the cutting blade is cooperatively received in the notch.

7. The cutting device of claim 6 wherein the inner wall further includes:

a spring mechanism having first and second arms, the first arm being attached to the inner wall and the second arm biasingly extending from the first arm and through the opening, the second arm biasingly moveable relative to the first arm, the receiving assembly being disposed on the first arm and attached to the inner wall, the cutting blade being disposed on the second arm and being moveable for cutting.

8. The cutting device of claim 7 wherein the second arm is biasingly pivotable about a cutting axis of the cutting blade, the cutting axis being defined by the spring.

9. The cutting device of claim 1 wherein the cutting blade comprises a back edge opposite the cutting edge.

10. An endoscope apparatus having a cutting apparatus, the apparatus comprising:

an endoscopic assembly for endoscopy, the assembly comprising;

an insertion tube, the insertion tube having a plurality of channels through which endoscopic parts may be disposed; and

a control system in mechanical and fluid communication with the insertion tube, the control system being configured to control at least one of the endoscopic parts; and

an endoscopic cutting device disposed in one of the plurality of channels of the endoscopic assembly, the endoscopic cutting device comprising;

an inner catheter including an inner wall having a proximal portion, a closed distal portion, and an opening formed longitudinally through a side of the inner wall adjacent the distal portion, the inner wall further having a spring loaded cutting blade disposed thereon and biasingly extending through the opening, the cutting blade including a first cutting edge, the inner wall having a receiving member disposed thereon, the receiving member including a receiving blade having a second cutting edge, the receiving member being configured to cooperatively receive the cutting blade, wherein the first cutting edge engagingly contacts the second cutting edge to cut; and

an outer catheter including an outer wall having a proximal end and an open distal end, the outer wall being slidably disposed about the inner catheter, the outer wall having an aperture formed therethrough, the aperture of the outer wall being configured to align with the opening of the inner wall, allowing the cutting blade to biasingly extend therethrough and biasingly engage the receiving member to cut,

wherein the receiving member has a base for receiving the cutting blade, the receiving blade extending from the base to define a notch to receive the cutting blade, the second cutting edge of the receiving blade being configured to cooperate with the first cutting edge of the cutting blade for cutting as the cutting blade is cooperatively received in the notch.

11. The apparatus of claim 10 further comprising a drive wire disposed on the distal portion of the inner wall for positioning the inner catheter within the body of the patient.

12. The apparatus of claim 11 further comprising a handle assembly cooperable with the drive wire, the handle assembly including a spool disposed about the drive wire for movement of the drive wire therethrough and a handle proximally connected to the drive wire for facilitating movement of the drive wire while positioning the inner catheter within the body of the patient.

13. The apparatus of claim 10 wherein the inner wall of the device further includes:

a spring mechanism having first and second arms, the first arm being attached to the inner wall and the second arm biasingly extending from the first and through the opening, the second arm biasingly moveable relative to the first arm, the receiving assembly being disposed on the first arm and attached to the inner wall, the cutting blade being disposed on the second arm and being moveable for cutting.

14. The apparatus of claim 13 wherein the second arm of the device is biasingly pivotable about a cutting axis of the cutting blade, the cutting axis being defined by the spring mechanism.

15. The apparatus of claim 10 wherein the cutting blade of the device comprises a back edge opposite the cutting edge.

16. The apparatus of claim 15 wherein the outer catheter engages the back edge of the cutting blade to move the cutting blade downwardly to biasingly engage with the receiving blade for closing the blade and cutting.

17. An endoscopic cutting device comprising:

an inner catheter including an inner wall having a distal opening formed longitudinally through the side of the inner wall, the inner wall further having a cutting blade moveably disposed thereon and biasingly extending through the opening, the cutting blade including a first cutting edge, the inner wall having a receiving member disposed thereon, the receiving member including a base for receiving the cutting blade, the receiving member further including a receiving blade having a second cutting edge, the receiving blade extending from the base to define a notch to receive the cutting blade, the receiving member being configured to cooperatively receive the cutting blade, wherein the first cutting edge engagingly contacts the second cutting edge to cut as the cutting blade is received in the notch; and

an outer catheter including an outer wall having a proximal end and an open distal end, the open distal end being open to allow clearance for facilitating longitudinal movement of the outer catheter relative to the inner catheter, the outer wall being moveably disposed about the inner catheter, the outer wall having an aperture formed longitudinally through the side of the outer wall, the aperture being separate from the open distal end and formed proximal to the open distal end through the outer wall, the aperture of the outer wall being configured to moveably align with the distal opening of the inner wall for allowing the cutting blade to biasingly extend through the distal opening, the outer catheter being slidably retractable relative to the inner catheter to force the first cutting edge of the cutting blade inward and biasingly engage the second cutting edge of the receiving blade to cut.