Articulating end cap

• US 8,241,204 B2
• Filed: 08/29/2008
• Issued: 08/14/2012
• Est. Priority Date: 08/29/2008
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Spivey, James T.
• Primary Examiner(s): KASZTEJNA, MATTHEW JOHN
• Application Number:
  US12/201,812
• Publication Number:
  US 20100056861A1
• Time in Patent Office: 1,446 Days
• Field of Search: 600106-107, 600/127, 600/129
• US Class Current: 600/106
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00089 Hoods
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2017/00327 with actuating members moving in opposite directions

Abstract

Various embodiments of a surgical device and methods of using the surgical device are disclosed. The surgical device may comprise a collar configured to fit over a distal face of an endoscope and rotate about a longitudinal axis of the endoscope. The surgical device may also comprise a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar. Applying a linear force to the translating mechanism may cause the translating mechanism to exert a rotational force on the collar. In addition, the surgical device may comprise a hollow cap coupled to a distal end of the collar. The cap may be pivotable relative to the collar in a plane parallel to the axis. In addition, the cap may have a first open end configured to face the endoscope and a second open end configured to face distally.

Claims

1. A surgical device comprising:

a collar configured to fit over a distal face of an endoscope, wherein the collar is rotatable about a longitudinal axis of the endoscope;

a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar, wherein applying a linear force to the translating mechanism causes the translating mechanism to exert a rotational force on the collar;

a hollow cap coupled to a distal end of the collar and covering at least a portion of the distal face of the endoscope, wherein the cap is pivotable relative to the collar in a plane parallel to the axis, wherein the cap has a first open end configured to face the distal face of the endoscope and a second open end configured to face distally.

2. The surgical device of claim 1, wherein the cap is pivotable relative to the collar about a hinge.

3. The surgical device of claim 1, wherein the cap is coupled to the distal end of the collar via a flexible member and wherein the cap is pivotable relative to the collar about the flexible member.

4. The surgical device of claim 1, wherein the translating mechanism comprises a first coil positioned around the collar, and wherein the first coil comprises at least one wire end extending proximally from the collar.

5. The surgical device of claim 4, wherein the collar comprises an inner sleeve and an outer sleeve, wherein the first coil is positioned around the inner sleeve, and wherein the outer sleeve is positioned over the inner sleeve.

6. The surgical device of claim 4, further comprising an actuating mechanism positioned proximally from the collar, wherein the actuating mechanism is coupled to the translating mechanism and is configured to apply a linear force to the translating mechanism.

7. The surgical device of claim 6, wherein the actuating mechanism comprises a proximal handle comprising a rotatable knob, and wherein the translating mechanism is coupled to the rotatable knob such that rotation of the knob causes a linear force to be applied to the translating mechanism.

8. The surgical device of claim 1, wherein the first open end defines an opening of a size approximately corresponding to the size of the distal face of the endoscope.

9. The surgical device of claim 1, wherein the second open end defines an opening having a width greater than its length.

10. The surgical device of claim 9, wherein the opening is an oval.

11. The surgical device of claim 1, wherein a distally facing surface of the second open end comprises a friction-enhancing surface.

12. The surgical device of claim 11, wherein the distally facing surface of the second open end defines a frictional texture.

13. The surgical device of claim 11, wherein the distally facing surface of the second open end comprises a tacky material.

14. The surgical device of claim 1, further comprising a second translating device comprising a first end extending proximally from a first side of the cap and a second end extending proximally from a second side of the cap, wherein exerting a proximally directed force on the first end causes the cap to pivot in a first direction and exerting a proximally directed force on the second end causes the cap to pivot in a second direction opposite the first direction.

15. The surgical device of claim 1, further comprising a proximally positioned actuating device comprising a handle and a knob, wherein rotating the knob in a first direction causes the proximally directed force to be exerted on the first end and rotating the knob in the second direction causes the proximally directed force to be exerted on the second end.

16. The surgical device of claim 1, wherein the cap is made from a material selected from the group consisting of a plastic and a metal.

17. A surgical device comprising:

a collar configured to fit over a distal face of an accessory channel, wherein the collar is rotatable about a longitudinal axis of the accessory channel;

a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar, wherein applying a linear force to the translating mechanism causes the translating mechanism to exert a rotational force on the collar;

a hollow cap coupled to a distal end of the collar and covering at least a portion of the distal face of the endoscope, wherein the cap is pivotable relative to the collar in a plane parallel to the axis, wherein the cap has a first open end configured to face the distal face of the accessory channel and a second open end configured to face distally.

18. A surgical device comprising:

a collar configured to fit over a distal face of an endoscope, wherein the collar is rotatable about a longitudinal axis of the endoscope; and

a hollow cap coupled to a distal end of the collar and covering at least a portion of the distal face of the endoscope, wherein the cap is pivotable relative to the collar in a plane parallel to the axis, wherein the cap has a first open end configured to face the endoscope and a second open end configured to face distally.

19. A method of using an endoscope, the endoscope comprising a rotatable collar positioned over a distal face of an endoscope, wherein the collar is rotatable about the distal face of the endoscope;

a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar, wherein applying a linear force to the translating mechanism causes the translating mechanism to exert a rotational force on the rotatable collar; and

a hollow cap coupled to a distal end of the collar, wherein the cap is pivotable relative to the collar in a plane parallel to the axis, wherein the cap has a proximally-facing open end configured to face the endoscope and a distally-facing open end, the method comprising;

introducing a distal portion of the endoscope to a surgical site;

extending the endoscope to bring the distally-facing open end of the cap into contact with tissue;

rotating the collar to change the orientation of the distal face of the endoscope relative to the tissue; and

pivoting the cap to change the orientation of the distal face of the endoscope relative to the tissue.

20. The method of claim 19, wherein rotating the collar comprises applying a linear force to the translating mechanism.

21. The method of claim 19, wherein pivoting the cap comprises steering a distal portion of the endoscope while the distally-facing open end of the cap is in contact with the tissue.

22. The method of claim 19, further comprising extending a surgical tool from a working channel of the endoscope and acting on the tissue with the surgical tool.

23. The method of claim 22, wherein the surgical tool is selected from the group consisting of scissors, a cautery knife and a suturing device.

24. The method of claim 19, wherein rotating the collar causes a change in the orientation of the surgical tool relative to the tissue.

25. The method of claim 19, wherein pivoting the cap causes a change in the orientation of the surgical tool relative to the tissue.

26. The method of claim 19, wherein the pivoting is performed while the surgical tool is in contact with the tissue.

27. The method of claim 19, wherein pivoting the cap comprises exerting a force on a second translating device coupled to a first side of the hollow cap.

28. The method of claim 19, further comprising introducing an overtube to the surgical site, wherein introducing the distal end of the endoscope to the surgical site comprises extending the endoscope through the overtube.

29. The method of claim 19, wherein introducing the distal portion of the endoscope to the surgical site comprises extending the distal portion of the endoscope through at least one natural orifice.

30. The method of claim 19, wherein the collar is rotatable about a longitudinal axis of the endoscope.

31. The method of claim 19, wherein the hollow cap covers at least a portion of the distal face of the endoscope, and wherein the proximally-facing open end is configured to face the distal face of the endoscope.

32. The method of claim 19:

wherein the collar is rotatable about a longitudinal axis of the endoscope;

wherein the hollow cap covers at least a portion of the distal face of the endoscope; and

wherein the proximally-facing open end is configured to face the distal face of the endoscope.