Vessel harvester

• US 9,730,782 B2
• Filed: 02/20/2015
• Issued: 08/15/2017
• Est. Priority Date: 08/12/1998
• Status: Expired due to Fees

• Current Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Original Assignee: Maquet Cardiovascular LLC (Getinge AB)
• Inventors: Stewart, Michael C.
• Primary Examiner(s): Kasztejna, Matthew J
• Application Number:
  US14/627,815
• Publication Number:
  US 20150164488A1
• Time in Patent Office: 907 Days
• Field of Search: 600127, 600129
• CPC Class Codes: A61B 17/00008 Vein tendon strippers tube strippers A61M1/83
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• 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 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/320048 Balloon dissectors
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2018/00404 Blood vessels other than those in or around the heart
• CPC Class Codes: A61B 2018/00428 Severing
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2018/1452 including means for cutting A61B2018/146 takes precedence
• CPC Class Codes: A61F 2/062 Apparatus for the production of blood vessels made from natural tissue or with layers of living cells prostheses made from natural tissue or living cells A61L27/507
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

Apparatus and method for harvesting selected vessels in the body of a patient include manual manipulation of a rigid dissecting endoscope and the reconfiguration thereof to facilitate tissue dissection and tissue dilation in the formation of an anatomical space about the vessel within which side-branch vessels may be manipulated in preparation for severance and removal of the vessel from the anatomical space.

Claims

1. A blood vessel harvesting system comprising:

a blunt dissection tip comprising a transparent member having a taper to a vertex and a slot, wherein a portion of the transparent member has a cone shape that includes the vertex;

an elongated shaft attached at a distal end to the dissection tip, wherein the elongated shaft has a longitudinal central axis and comprises an optical path that extends to the transparent member of the dissection tip, wherein the longitudinal central axis is aligned to pass through the vertex;

and

a cutting assembly comprising at least one blade disposed to extend longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated shaft, and at least one electrode that contacts a blood vessel to be transected while captivated by the at least one blade, wherein the at least one electrode is disposed on, along, or about the blunt dissection tip, and wherein the at least one blade is moveable relative to the elongated shaft and through the slot to enable cutting of the blood vessel on a region of the transparent member, and wherein a junction in the vicinity of where the dissection tip is attached to the elongated shaft has a perimeter, and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the perimeter of the junction.

2. The blood vessel harvesting system according to claim 1, wherein the at least one electrode is a bipolar electrode.

3. The blood vessel harvesting system according to claim 1, wherein the at least one blade has a hook shape.

4. The blood vessel harvesting system according to claim 1, wherein a first axis extends through the vertex of the transparent member, and the first axis is substantially parallel to the longitudinal central axis of the elongated shaft and disposed within the perimeter of the junction.

5. A blood vessel harvesting system comprising:

a blunt dissection tip comprising a transparent member having a surface tapering to a solitary vertex, and a first axis that extends through the solitary vertex;

an elongated cylindrical shaft attached at a distal end to the dissection tip, wherein the elongated cylindrical shaft has a longitudinal central axis and comprises an optical path that extends to the transparent member of the dissection tip, wherein the longitudinal central axis and the first axis are substantially collinear;

and

a cutting assembly comprising at least one blade disposed to extend longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated cylindrical shaft, and at least one electrode that contacts a blood vessel to be transected while captivated by the at least one blade, wherein the at least one electrode is disposed on, along, or about the blunt dissection tip, and wherein the at least one blade is moveable relative to the elongated cylindrical shaft and through the transparent member to enable cutting of the blood vessel on a region of the transparent member, and wherein a junction in the vicinity of where the dissection tip is attached to the elongated cylindrical shaft has a perimeter, and the longitudinal central axis of the elongated cylindrical shaft, the first axis and the offset axis are disposed within the perimeter of the junction.

6. A blood vessel harvesting surgical device comprising:

a blunt dissection tip comprising a conical transparent member having a vertex;

an elongated cylindrical shaft attached at a distal end to the dissection tip, wherein the elongated cylindrical shaft has a longitudinal central axis and comprises an optical path that extends to the transparent member of the dissection tip, wherein the vertex is disposed on the longitudinal central axis of the elongated cylindrical shaft;

and

a cutting assembly comprising at least one blade disposed to extend longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated cylindrical shaft, and at least one electrode that contacts a blood vessel to be transected while captivated by the at least one blade, wherein the at least one electrode is disposed on, along, or about the blunt dissection tip, and wherein the at least one blade is moveable relative to the elongated cylindrical shaft and through a slot to enable cutting of a blood vessel located adjacent the transparent member, and wherein a junction in the vicinity of where the dissection tip is attached to the elongated shaft has a raised perimeter, wherein the raised perimeter has a diameter that is larger than a diameter of the elongated cylindrical shaft at the junction and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the raised perimeter of the junction, wherein the slot is disposed distal to a distal edge of the raised perimeter and within a perimeter of a circle defined by the diameter of the elongated cylindrical shaft at the junction.

7. The blood vessel harvesting device according to claim 6, wherein the at least one blade is moveable relative to the elongated shaft to cut a blood vessel that is viewable through the transparent cone of the dissection tip via the optical path of the elongated shaft.

8. The blood vessel harvesting device according to claim 6, wherein the blunt dissection tip with the raised perimeter are configured to dissect a blood vessel in an extremity to form a cavity around the blood vessel.

9. A blood vessel harvesting system comprising:

a blunt dissection tip comprising a cone-shaped transparent portion having a vertex located at a distal end of the blunt dissection tip, wherein the cone-shaped transparent portion and the vertex form a right cone;

an elongated shaft attached at a distal end to the dissection tip, wherein the elongated shaft has a longitudinal central axis and comprises an optical path that extends to the cone-shaped transparent portion of the dissection tip, and wherein the longitudinal central axis is aligned to extend through the vertex of the blunt dissection tip;

and

a blade extending longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated shaft and at least one electrode on, along, or about the blunt dissection tip that contacts a blood vessel to be transected while captivated by the blade, wherein the blade is moveable relative to the elongated shaft and is configured to cut a blood vessel that is adjacent to the cone-shaped transparent portion, and wherein a collar is located in a region where the dissection tip is attached to the elongated shaft, and the collar defines a perimeter that is larger than a perimeter of the elongated shaft in the region and the perimeter defined by the collar is larger than a perimeter of the cone-shaped transparent portion, and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the perimeter defined by the collar, wherein the collar forms a cylindrical raised profile in proximity to the blunt dissection tip, and wherein the collar has a central axis that is substantially collinear with the longitudinal central axis of the elongated shaft.

10. The blood vessel harvesting system according to claim 9, wherein the elongated shaft has a cylindrical shape.

11. The blood vessel harvesting system according to claim 9, wherein the at least one electrode is configured to cauterize the blood vessel.

12. The blood vessel harvesting system according to claim 11, wherein the at least one electrode is a bipolar electrode.

13. The blood vessel harvesting system according to claim 9, wherein the blade is moveable relative to the elongated shaft to cut the blood vessel that is viewable through the right cone of the dissection tip via the optical path of the elongated shaft.

14. The blood vessel harvesting system according to claim 9, wherein the collar has a distal end and a proximal end, and a distance between the collar'"'"'s distal and proximal ends is substantially shorter than a length of the elongated shaft.

15. A blood vessel harvesting system comprising:

a blunt dissection tip comprising a transparent portion having a vertex located at a distal end of the blunt dissection tip, wherein the transparent portion and the vertex form a cone;

an elongated shaft attached at a distal end to the blunt dissection tip, wherein the elongated shaft has a longitudinal central axis and comprises an optical path that extends to the transparent portion of the dissection tip, and wherein the longitudinal central axis is aligned to extend through the vertex of the cone;

and

a blade extending longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated shaft, and at least one electrode on, along, or about the blunt dissection tip that contacts a blood vessel to be transected while captivated by the blade, wherein the blade is moveable relative to the elongated shaft and is configured to cut the blood vessel adjacent to the transparent portion, and wherein a collar is located in a region where the dissection tip is attached to the elongated shaft, and the collar defines a perimeter that is larger than a perimeter of the elongated shaft in the region, and the perimeter defined by the collar is larger than a perimeter of the transparent portion, and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the perimeter defined by the collar, wherein the collar forms a cylindrical raised profile in proximity to the blunt dissection tip, and wherein the collar has a central axis that is aligned to extend through the vertex of the cone.

16. The blood vessel harvesting system according to claim 15, wherein the at least one electrode is a bipolar electrode configured to cauterize the blood vessel.

17. A blood vessel harvesting surgical device comprising:

a blunt dissection tip comprising a conical transparent member having a vertex;

an elongated cylindrical shaft attached at a distal end to the dissection tip, wherein the elongated cylindrical shaft has a longitudinal central axis and comprises an optical path that extends to the transparent member of the dissection tip, wherein the longitudinal central axis of the elongated cylindrical shaft is oriented to extend through the vertex;

and

a cutting assembly comprising at least one blade disposed to extend longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated cylindrical shaft, and at least one electrode on, along, or about the blunt dissection tip that contacts a blood vessel to be transected while captivated by the at least one blade, wherein the at least one blade is moveable relative to the elongated cylindrical shaft and through a slot to enable cutting of the blood vessel adjacent the transparent member, and wherein a junction in the vicinity of where the dissection tip is attached to the elongated shaft has a perimeter, wherein the perimeter has a diameter that is larger than a diameter of the elongated cylindrical shaft at the junction and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the perimeter of the junction as is the slot through which the at least one blade is moveable.

18. The blood vessel harvesting system according to claim 17, wherein the at least one electrode is a bipolar electrode configured to cauterize the blood vessel.

19. The blood vessel harvesting system according to claim 17, wherein at least a portion of the slot is curved.

20. A blood vessel harvesting system comprising:

a blunt dissection tip comprising a transparent member having a taper to a vertex and a slot, wherein a portion of the transparent member has a cone shape that includes the vertex;

an elongated shaft attached at a distal end to the dissection tip, wherein the elongated shaft has a longitudinal central axis and comprises an optical path that extends to the transparent member of the dissection tip;

and

a cutting assembly comprising at least one blade disposed to extend longitudinally along an offset axis that is substantially parallel to the longitudinal central axis and offset from the longitudinal central axis of the elongated shaft, and at least one electrode that contacts a blood vessel to be transected while captivated by the at least one blade, wherein the at least one electrode is disposed on, along, or about the blunt dissection tip and wherein the at least one blade is moveable relative to the elongated shaft and through the slot to enable cutting of the blood vessel adjacent the transparent member, and wherein a junction in the vicinity of where the dissection tip is attached to the elongated shaft has a perimeter, and the longitudinal central axis of the elongated shaft and the offset axis are disposed within the perimeter of the junction.

21. The blood vessel harvesting system according to claim 20, wherein the at least one electrode is a bipolar electrode configured to cauterize the blood vessel.

22. The blood vessel harvesting system according to claim 20, wherein at least a portion of the slot is curved.

23. The blood vessel harvesting system according to claim 20, wherein the longitudinal central axis of the elongated shaft is aligned to pass through the vertex of the blunt dissection tip.