Implanting apparatus

• US 9,138,227 B2
• Filed: 11/20/2012
• Issued: 09/22/2015
• Est. Priority Date: 11/22/2011
• Status: Active Grant

• Current Assignee: Ovesco Endoscopy AG
• Original Assignee: Ovesco Endoscopy AG
• Inventors: Schostek, Sebastian, Zamida, Stefan, Gottwald, Thomas, Schurr, Marc O.
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): KNAUSS, CHRISTIAN D
• Application Number:
  US13/682,025
• Publication Number:
  US 20130144312A1
• Time in Patent Office: 1,036 Days
• Field of Search: 600/101, 600/104, 600/127, 600/129, 600/371, 600/373, 607/116, 607/126, 607/130, 607/179, 606/142, 606/151, 606/157, 606/158
• US Class Current: 1/1
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61B 17/1227 Spring clips
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2560/066 catheters therefor
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/02042 Determining blood loss or bleeding, e.g. during a surgical procedure
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/6861 Capsules, e.g. for swallowing or implanting
• CPC Class Codes: A61B 5/6884 Clamps or clips

Abstract

An endoscope-like implanting instrument includes an endoscope cap having a holding and withdrawing mechanism for a tissue clip adapted to be slipped onto an expanding sleeve of the endoscope cap. The endoscope cap has a front groove opening at the front edge of the sleeve. A withdrawing thread radially crosses the front groove at an axial front cap portion. The instrument further includes a tissue grasping mechanism being shiftably inserted into the working channel for manually grasping and drawing the tissue inside the endoscope cap. A clamping mechanism is integrally arranged inside the endoscope cap in axial extension to the working channel, holding a capsule-like device and connected with the tissue clip via a thread, band or string such that the capsule-like device will be automatically detached by the grasping mechanism when being manually actuated for tissue grasping.

Claims

1. An endoscope-like implanting instrument having an endoscope cap unit for holding and withdrawing a tissue clip slipped onto an expanding sleeve of the endoscope cap unit, said endoscope cap unit comprises a clip actuating means for slipping the tissue clip off the expanding sleeve, said clip actuating means has a withdrawing thread or string or a pushing bar or pushing cable that is movably introduced or adapted to be introduced into an endoscope channel forming a working channel or separate to the working channel of the endoscope-like implanting instrument for manually operating the clip actuating means at a proximal end portion of the endoscope-like implanting instrument to slip off the tissue clip from the expanding sleeve wherein said endoscope-like implanting instrument is adapted to receive a surgical instrument that is shiftably inserted into the working channel for axially deploying from the distal end of the working channel when manually actuated, wherein a holding or clamping means is integrally arranged inside the endoscope cap unit, the clamping means holding a capsule-like device connected with the tissue clip via a connection thread, band or string, such that the capsule-like device will be automatically detached directly or indirectly by said surgical instrument when manually actuated.

2. An endoscope-like implanting instrument according to claim 1, wherein said clamping means is arranged inside the endoscope cap unit such that the clamping means is located axially in front of the working channel or a distal opening with an axial distance therebetween.

3. An endoscope-like implanting instrument according to claim 1, wherein said capsule-like device is a metering, diagnosis and/or monitoring device.

4. An endoscope-like implanting instrument according to claim 1, wherein said clamping means is dimensioned such that a clamping force applied to the capsule-like device is high enough to safely hold the capsule-like device when the capsule-like device is inserted into the hollow organ, but weak enough to allow a disconnection of the capsule-like device from the clamping means by the surgical instrument when the surgical instrument is shifted forward in the distal direction of the endoscope-like implanting instrument.

5. An endoscope-like implanting instrument according to claim 1, wherein said clamping means is designed such that a disconnection direction of the clamping means is axial or co-axial to a shifting direction of the surgical instrument.

6. An endoscope-like implanting instrument according to claim 1, wherein said clamping means is designed as a ring that is radially expanded by the capsule-like device, the ring having a specific elasticity to apply a predetermined radial clamping force onto the capsule-like device.

7. An endoscope-like implanting instrument according to claim 6, wherein said ring is formed as an open ring having two arc-shaped arms forming a ring gap therebetween.

8. An endoscope-like implanting instrument according to claim 7, wherein the endoscope-like implanting device is equipped with an optic having a lens system or a light sensitive chip at the distal end of the endoscope-like implanting device inside the endoscope cap unit, wherein the open ring is orientated such that the ring gap is substantially in front of the optic to allow a free view in a distal direction of the endoscope-like implanting instrument.

9. An endoscope-like implanting instrument according to claim 8, wherein the clamping means is in the form of an open ring is interconnected to an interior portion of the expanding sleeve at a portion of the open ring away from the ring gap.

10. An endoscope-like implanting instrument according to claim 1, wherein said clamping means is integrally connected with the endoscope cap unit by resin molding, gluing, or melting and can be made of the same or different material with respect to the expanding sleeve.

11. An endoscope-like implanting instrument according to claim 1, wherein said surgical instrument forms an exchangeable or freely selectable part of the endoscope-like implanting instrument.