Surgical retrieval apparatus

• US 9,370,341 B2
• Filed: 10/15/2009
• Issued: 06/21/2016
• Est. Priority Date: 10/23/2008
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Rogers, Mark Peter, Ceniccola, Anthony L., Uznanski, Margaret, Craft, Brandon Wesley, Scott, Natalie, Collier, Nicholas John, Clark, Charlotte Adele
• Primary Examiner(s): Severson, Ryan J
• Assistant Examiner(s): Papeika, Rachel S
• Application Number:
  US12/579,497
• Publication Number:
  US 20100152746A1
• Time in Patent Office: 2,441 Days
• Field of Search: 606110-113, 606/115, 606/119, 606121-123, 606/127, 600/562, 600/565, 600/37, 600/141
• US Class Current: 1/1
• 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 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 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00898 expandable upon contact with fluid
• CPC Class Codes: A61B 2017/00907 for light
• CPC Class Codes: A61B 2017/2212 having a closed distal end, e.g. a loop
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system

Abstract

A surgical retrieval apparatus includes an elongate tubular member having a drive rod slidably disposed therein. A support member is operably coupled to a distal end of the drive rod. A pouch is attached to the support member and has a closed end and an open end. The pouch may be releasably coupled to the support member. An end effector is repositionable with respect to a longitudinal axis of the tubular member. The support member may include an expandable member.

Claims

1. A surgical retrieval apparatus, comprising:

an elongate tubular member having a proximal end, a distal end, a bore extending therebetween, and a passageway extending along a length of the elongate tubular member and parallel to the bore, the distal end including a pair of opposing fingers;

an articulation assembly including a control arm extending through the passageway;

an end effector having a tubular configuration and a proximal end pivotally coupled to the distal end of the elongated tubular member between the pair of opposing fingers, the proximal end of the end effector being pivotally coupled to a distal end of the control arm such that the end effector is repositionable in response to movement of the control arm between a first position and a second position, the first position being substantially aligned with a longitudinal axis of the elongate tubular member, the second position defining an acute angle with respect to the longitudinal axis;

a support member movable between a retracted position at least partially within the end effector and a distal position at least partially exterior to the end effector, the support member including at least one section having a generally arcuate configuration when in a deployed state;

a pouch removably attached to the support member, the pouch having a first end and a closed second end, the first end transitionable between an open configuration and a closed configuration; and

a drive member slidably disposed within the bore for moving the support member from the retracted position to the distal position, the support member being operably coupled to a distal end of the drive member.

2. The surgical retrieval apparatus of claim 1, further including a handle at the proximal end of the elongate tubular member, the handle including a switch for repositioning the end effector between the first and second positions.

3. The surgical retrieval apparatus of claim 1, wherein the support member is rotatable about the longitudinal axis of the elongate tubular member.

4. The surgical retrieval apparatus of claim 1, further including a drawstring for moving the first end of the pouch from the open configuration to the closed configuration.

5. The surgical retrieval apparatus of claim 1, wherein the support member includes a pair of support arms.

6. The surgical retrieval apparatus of claim 1, wherein the support member includes an expandable member formed from an expandable foam.

7. A method of retrieving a tissue sample comprising:

inserting a surgical retrieval apparatus through an opening in a patient'"'"'s skin, the surgical retrieval apparatus including;

an elongate tubular member having a proximal end, a distal end, a bore extending therebetween, and a passageway extending along a length of the elongate tubular member and offset from the bore, the distal end including a pair of opposing fingers having inner surfaces with respective protuberances thereon,

a drive member slidably disposed in the elongate tubular member,

an articulation assembly including a control arm having an opening at a distal end thereof and extending through the passageway of the elongate tubular member,

an end effector having a tubular configuration and a proximal end with a pair of openings defined therethrough, each of the openings positionable between the inner surfaces of the pair of opposing fingers and configured to receive a respective one of the protuberances therein to pivotably couple the end effector to the elongate tubular member, the proximal end of the end effector including a second opening aligned with the opening of the control arm for receiving a pin therethrough to couple the control arm to the end effector such that the end effector is repositionable between a first position and a second position at an angle to the elongate tubular member,

a support member movable between a proximal location at least partially within the end effector and a distal location in response to axial movement of the drive member, the support member including at least one section having a generally arcuate configuration when in a deployed state, and

a pouch removably attached to the support member, the pouch having a first end and a closed second end, the first end transitionable between an open configuration and a closed configuration;

positioning the pouch in proximity to the tissue sample;

moving the tissue sample into the pouch through the first end of the pouch;

closing the first end of the pouch; and

removing the surgical retrieval apparatus through the opening in the patient'"'"'s skin.

8. The method of claim 7, further including separating the pouch from the support member and removing the pouch and the tissue sample through a second opening in the patient'"'"'s skin.

9. The method of claim 7, wherein the surgical retrieval apparatus includes an expandable member formed from an expandable foam.

10. The method of claim 7, wherein the support member includes an expandable member having a chamber, the expandable member transitioning from a first condition to a second condition upon introduction of a fluid to the chamber.

11. The method of claim 7, wherein the step of inserting the surgical retrieval apparatus includes the step of inserting the surgical retrieval apparatus through an access port into the thoracic cavity.

12. A surgical retrieval apparatus comprising:

an elongate tubular member defining a longitudinal axis and having a proximal end, a distal end, and a bore extending between the proximal and distal ends;

an articulation assembly including a control arm extending through the elongated tubular member;

an end effector having a proximal end pivotally coupled to the distal end of the elongated tubular member, the proximal end of the end effector being pivotally coupled to a distal end of the control arm such that the end effector is repositionable in response to movement of the control arm between a first position and a second position, wherein in the first position the end effector is substantially aligned with the longitudinal axis of the elongate tubular member and in the second position the end effector defines an acute angle with respect to the longitudinal axis of the elongate tubular member;

a support member movable between a retracted position at least partially within the end effector and a distal position at least partially exterior to the end effector;

a pouch attached to the support member, the pouch having a first end and a closed second end, the first end transitionable between an open configuration and a closed configuration; and

a drive member slidably disposed within the elongate tubular member, the drive member being movable to move the support member from the retracted position to the distal position.

13. The surgical retrieval apparatus of claim 12, further including a handle positioned at the proximal end of the elongate tubular member, the handle including a switch for repositioning the end effector between the first and second positions.

14. The surgical retrieval apparatus of claim 12, wherein the support member is rotatable about the longitudinal axis of the elongate tubular member.

15. The surgical retrieval apparatus of claim 12, further including a drawstring for moving the first end of the pouch from the open configuration to the closed configuration.

16. The surgical retrieval apparatus of claim 12, wherein the support member includes a pair of support arms.