Surgical device and endoscope including same

• US 8,679,003 B2
• Filed: 05/30/2008
• Issued: 03/25/2014
• Est. Priority Date: 05/30/2008
• 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): Nia, Alireza
• Application Number:
  US12/130,224
• Publication Number:
  US 20090299135A1
• Time in Patent Office: 2,125 Days
• Field of Search: 600/104, 600/127, 600/149, 600/153, 600/101, 600114-116, 600/129, 600/175
• US Class Current: 600/127
• CPC Class Codes: A61B 1/00073 with externally grooved shaft
• CPC Class Codes: A61B 1/0008 characterised by distal tip features
• CPC Class Codes: A61B 1/00087 Tools A61B17/00234 takes precedence
• CPC Class Codes: A61B 1/00133 Drive units for endoscopic tools inserted through or with the endoscope
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• CPC Class Codes: A61B 1/018 for receiving instruments

Abstract

A surgical device for use with an endoscope. The device includes an end cap removably affixable to a distal end of the endoscope such that at least a portion of the end cap distally extends beyond the distal end of the endoscope. The end cap defines a through bore for receiving the distal end of the endoscope, and the end cap includes an outer surface defining first and second tracks substantially perpendicular to a longitudinal axis of the through bore. The device further includes a first working channel having a distal end disposed in the first track and movable along a length of the first track between a first position and a second position. The device further includes a second working channel having a distal end disposed in the second track and movable along a length of the second track between a first position and a second position. The distal end of each the first and second working channel defines a bore having a longitudinal axis substantially perpendicular to the longitudinal axis of the through bore of the end cap.

Claims

1. A surgical device for use with an endoscope, the device comprising:

an end cap removably affixable to a distal end of the endoscope such that at least a portion of the end cap distally extends beyond the distal end of the endoscope, the end cap defining a through bore for receiving the distal end of the endoscope, and the end cap comprising an outer surface, a first circumferential track, and a second circumferential track;

a first working channel having a distal end disposed in the first circumferential track and circumferentially movable along a length of the first circumferential track about a longitudinal axis defined by said through bore between a first position and a second position relative to said through bore; and

a second working channel having a distal end disposed in the second circumferential track and circumferentially movable along a length of the second circumferential track about the longitudinal axis defined by said through bore between a first position and a second position relative to said through bore.

2. The device of claim 1, comprising:

a translating mechanism coupled to the end cap and to the distal end of each of the first and second working channels; and

an actuator coupled to the translating mechanism to cause the translating mechanism to move the distal end of each of the first and second working channels in unison between the first and second positions.

3. The device of claim 1, wherein the distal end of each of the first and the second working channels comprises a ring slidingly disposed in the corresponding track.

4. The device of claim 2, wherein the translating mechanism comprises a translating member slidingly disposed through at least one tube.

5. The device of claim 4, wherein the translating member comprises at least one cable extending between a proximal end and a distal end of the at least one tube.

6. The device of claim 5, wherein the at least one cable comprises a loop having a distal end that is split to define a first cable segment and a second cable segment.

7. The device of claim 6, wherein each distal end of the at least one tube is connected to a corresponding opening in the end cap, and wherein the end cap is structured to route a portion of the first cable segment and the second cable segment over the first track and second track, respectively.

8. The device of claim 4, wherein the actuator is disposed on a handle coupled to each proximal end of the at least one tube.

9. The device of claim 8, wherein the actuator comprises a rotatable knob coupled to the translating mechanism via a shaft.

12. A surgical kit comprising:

an endoscope; and

a surgical device of claim 1.

10. A system, comprising:

an endoscope;

an end cap removably affixable to a distal end of the endoscope such that at least a portion of the end cap distally extends beyond the distal end of the endoscope, the end cap defining a through bore for receiving the distal end of the endoscope, and the end cap comprising an outer surface, a first circumferential track, and a second circumferential track;

a first working channel having a distal end disposed in the first circumferential track and circumferentially movable along a length of the first circumferential track about a longitudinal axis defined by said through bore between a first position and a second position relative to said through bore; and

a second working channel having a distal end disposed in the second circumferential track and circumferentially movable along a length of the second circumferential track about a longitudinal axis defined by said through bore between a first position and a second position relative to said through bore.

11. The system of claim 10, comprising:

a translating mechanism coupled to the end cap and to the distal end of each of the first and second working channels; and

an actuator coupled to the translating mechanism to cause the translating mechanism to move the distal end of each of the first and second working channels in unison between the first and second positions.

13. A surgical device for use with an endoscope, the device comprising:

an end cap having a bore therethrough configured to removably receive a distal end portion of the endoscope therein, said end cap defining a first arcuate track and a second arcuate track;

a first working channel having a first distal end disposed in the first arcuate track, wherein the first working channel is arcuately movable along a length of the first arcuate track about a longitudinal axis defined by said bore between a first position and a second position relative to said bore;

a second working channel having a second distal end disposed in the second arcuate track, wherein the second working channel is arcuately movable along a length of the second arcuate track between about the longitudinal axis defined by said bore another first position and another second position relative to said bore; and

a translating mechanism operably interfacing with said end cap and said first and second distal ends for selectively moving said first distal end between said first and second positions and said second distal end between said another first and said another second position.

14. The device of claim 13 wherein said first distal end is substantially blocked by a corresponding portion of said end cap when said first distal end is in said first position and wherein said second distal end is substantially blocked by another corresponding portion of said end cap when said second distal end is in said another first position.

15. The device of claim 14 wherein said first distal end is substantially unobstructed by the corresponding portion of said end cap when said first distal end is in said second position and wherein said second distal end is substantially unobstructed by the another corresponding portion of said end cap when said second distal end is in said another second position.

16. The device of claim 15, wherein when the first distal end is in the second position, the first distal end may be longitudinally extended beyond a distal tip portion of the end cap and when said second distal end is in said another second position, said second distal end may be longitudinally extended beyond the distal tip portion of the end cap.

17. A surgical device for use with an endoscope, the device comprising:

an end cap having an opening therethrough for receiving a distal portion of the endoscope, the end cap comprising an outer surface, a first orbital track, and a second orbital track;

a first working channel having a distal portion disposed in the first orbital track, the first working channel orbitally movable along a length of the first orbital track about a central longitudinal axis defined by the opening between a first position and a second position relative to the opening; and

a second working channel having a distal portion disposed in the second orbital track, the second working channel orbitally movable along a length of the second orbital track about the central longitudinal axis defined by the opening between a first position and a second position relative to the opening.

18. A surgical device for use with an endoscope, the device comprising:

an end cap having an opening therethrough for receiving a distal portion of the endoscope, the end cap comprising an outer surface, a first arcuate track, and a second arcuate track;

a first working channel having a distal portion disposed in the first arcuate track, the first working channel arcuately movable along a length of the first arcuate track about a longitudinal axis defined by the opening between a first position and a second position relative to the opening; and

a second working channel having a distal portion disposed in the second arcuate track, the second working channel arcuately movable along a length of the second arcuate track about the longitudinal axis defined by the opening between a first position and a second position relative to the opening.

19. A surgical device for use with an endoscope, the device comprising:

an end cap having an opening therethrough for receiving a distal portion of the endoscope, the end cap comprising an outer surface, a first radial track, and a second radial track;

a first working channel having a distal portion disposed in the first radial track, the first working channel radially movable along a length of the first radial track about a central longitudinal axis defined by the opening between a first position and a second position relative to the opening; and

a second working channel having a distal portion disposed in the second radial track, the second working channel radially movable along a length of the second radial track about the central longitudinal axis defined by the opening between a first position and a second position relative to the opening.