Methods and systems for handling or delivering materials for natural orifice surgery

• US 8,968,267 B2
• Filed: 08/05/2011
• Issued: 03/03/2015
• Est. Priority Date: 08/06/2010
• Status: Active Grant

• Current Assignee: Board of Regents of the University of Nebraska
• Original Assignee: Board of Regents of the University of Nebraska
• Inventors: Midday, Jeff, Oleynikov, Dimitry, Goyzueta, Alan, Nelson, Carl A
• Primary Examiner(s): Bosques, Edelmira
• Application Number:
  US13/204,231
• Publication Number:
  US 20120035582A1
• Time in Patent Office: 1,306 Days
• Field of Search: 604/500, 604/131, 604/264
• US Class Current: 604/500
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• 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 17/22031 Gripping instruments, e.g. forceps, for removing or smashing calculi A61B17/221 takes 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 17/50 Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body locating otherwise A61B5/06; locating by radiation A61B6/00; removing calculi A61B17/22; from the eyes A61F9/00709
• CPC Class Codes: A61B 2017/00287 Bags for minimally invasive surgery
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/22034 for gripping the obstruction or the tissue part from inside
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means

Abstract

The embodiments disclosed herein relate to various medical systems, including systems that can be used in conjunction with medical devices used in endoscopic surgery. Certain embodiments include various material handling devices that can transport materials between the inside and the outside of an endoscopic surgery patient.

Claims

1. A system configured to transport a material between the outside and the inside of a patient undergoing laparoscopic surgery and an insufflated abdominal cavity, the system comprising:

a. a compliant overtube further comprising at least a primary lumen and a proximal end and a distal end;

b. a material capture device comprising a retaining mechanism disposed within the primary lumen; and

c. a helical drive member disposed within the primary lumen and configured to repeatedly shuttle the material capture device between the proximal end and the distal end and into the insufflated abdominal cavity of the patient,

wherein the material capture device further comprises a tab that can be disposed between adjoining coils of the helical drive member and further can be disposed into a slot defined in the wall of the primary lumen, wherein the slot constrains the orientation of the material capture device within the primary lumen.

2. The system of claim 1, wherein the retaining mechanism comprises a passive spring-type grasper.

3. The system of claim 2, wherein the retaining mechanism comprises a shape memory alloy.

4. The system of claim 2, wherein the retaining mechanism is shaped into a plateau-like profile.

5. The system of claim 1, wherein a motor that drives the drive member is housed within an electronic housing.

6. The system of claim 5, further comprising motor controls disposed on or within the electronic housing.

7. The system of claim 5, wherein the motor is controlled using components remote from the electronic housing.

8. The system of claim 1, wherein the compliant overtube comprises silicone.

9. The system of claim 1, further comprising at least a secondary lumen.

10. The system of claim 9, wherein the at least secondary lumen is capable of providing at least one port selected from the group consisting of:

a lighting port, a video port, a suction and an irrigation port.

11. A method for transporting a material between the outside and the inside of a natural orifice translumenal endoscopic surgery patient having an insufflated abdomen, comprising:

a. inserting through an incision in the natural orifice translumenal endoscopic surgery patient a distal end of a compliant overtube having;

i. a primary lumen;

ii. a material capture device comprising a retaining mechanism disposed within the primary lumen wherein the retaining mechanism further comprises a passive spring-type grasper and a shape memory alloy; and

iii. a drive member configured to repeatedly shuttle the material capture device between the proximal end and the distal end;

b. retaining the material in the retaining mechanism of the material capture device; and

c. actuating the drive member to advance the material capture device and the retained material from the insufflated abdomen of the patient to the outside of the patient or from the outside of the patient to the insufflated abdomen of the patient.

12. The method of claim 11, wherein the incision is in a tissue that is accessible through a natural orifice.

13. The method of claim 11, wherein the drive member is a helical drive member disposed within the primary lumen.

14. The method of claim 11, wherein the drive member is a hydraulic or pneumatic system.

15. The method of claim 11, wherein the material is selected from the group consisting of:

sutures, excised tissue, tool tips, waste bags, and diagnostic sensors.

16. The method of claim 11, further comprising at least a secondary lumen.

17. The method of claim 15, wherein the at least secondary lumen is capable of providing at least one port selected from the group consisting of:

a lighting port, a video port, a suction and an irrigation port.

18. The method of claim 11, wherein the material is selected from the group consisting of:

sutures, excised tissue, tool tips, waste bags, and diagnostic sensors.