Surgical device

• US 9,226,772 B2
• Filed: 01/30/2009
• Issued: 01/05/2016
• Est. Priority Date: 01/30/2009
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Fox, William D.
• Primary Examiner(s): Nguyen, Tuan V
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US12/363,137
• Publication Number:
  US 20100198149A1
• Time in Patent Office: 2,531 Days
• Field of Search: 606/185, 606/194, 606/180, 606191-192, 604/99.01, 604/164.01, 604509-510, 604/274, 604/206, 600/104
• US Class Current: 1/1
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/0034 adapted to be inserted through a working channel of an endoscope
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled for sutures A61B2017/06171
• CPC Class Codes: A61B 2017/22061 for spreading elements apart
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 2017/3484 Anchoring means, e.g. spreading-out umbrella-like structure
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

A surgical device comprises a guide tube having a proximal end, a distal end, and an inside diameter. A needle has a proximal end and a distal end. The needle comprises a longitudinal portion having a diameter suitable to be slidably received within the inside diameter of the guide tube. The needle comprises a helical element disposed at the distal end of the needle.

Claims

1. A surgical device, comprising:

a guide tube having a proximal end, a distal end, and an inside diameter;

a protective sleeve having an inner diameter larger than an outer diameter of the guide tube;

a needle having a proximal end and a distal end, the needle comprising;

a longitudinal portion having a diameter suitable to be slidably received within the inside diameter of the guide tube; and

a helical element comprising a tube or a wire formed into a helical shape disposed at the distal end of the needle, wherein a distal end of the helical element is suitable for piercing tissue, and wherein a tip of the distal end of the helical element is configured to pierce the tissue through rotation of the helical element in a direction perpendicular to the longitudinal portion; and

a tapered element located distally relative to the longitudinal portion and proximally relative to the helical element, the tapered element having a diameter less than the diameter of the longitudinal portion and a diameter of the tube or the wire of the helical element, the tapered element being configured to extend beyond the distal end of the guide tube and being configured to collapse by drawing, in a direction parallel to the longitudinal portion, the longitudinal portion closer to the helical element, when a force parallel to the longitudinal portion of the needle is applied to the proximal end of the needle during piercing of the tissue, the collapse of the tapered element to prevent a build up of pressure against the tissue by the needle, wherein the tapered element is shorter relative to the longitudinal portion;

wherein the protective sleeve is able to be positioned at least partially over the helical element.

2. The surgical device of claim 1, wherein the tapered element comprises:

a first tapered segment;

a second tapered segment; and

a middle segment located between the first and second tapered segments, the middle segment having a diameter which is less than any one of the diameter of the longitudinal portion and the diameter of the tube or wire of the helical element.

3. The surgical device of claim 2, wherein the first tapered segment reduces the diameter of the longitudinal portion of the needle to a reduced diameter of the middle segment;

and wherein the second tapered segment reduces the diameter of the tube or the wire of the helical element to the reduced diameter of the middle segment.

4. The surgical device of claim 3, wherein the diameter of the longitudinal portion of the needle is substantially the same as the diameter of the tube or the wire of the helical element.

5. The surgical device of claim 3, wherein the diameter of the longitudinal portion of the needle is different from the diameter of the tube or the wire of the helical element.

6. The surgical device of claim 1, wherein the helical element is formed of a shape memory alloy.

7. The surgical device of claim 1, wherein the helical element is integrally formed with the longitudinal portion of the needle.

8. The surgical device of claim 1, wherein the helical element is rotatable by rotating the distal end of the needle.

9. The surgical device of claim 1, comprising a conduit to slidably receive the guide tube.

10. The surgical device of claim 1, further comprising:

a conduit having an inner diameter larger than the outer diameter of the guide tube;

an inflatable member at least partially surrounding a portion of the conduit and positioned proximal to the distal end of the guide tube, the inflatable member comprising an outer perimeter; and

an inflation conduit having an inner diameter and being attached to a proximal portion of the inflatable member; and

wherein the inner diameter of the protective sleeve is larger than an outer diameter of the conduit; and

wherein the inner diameter of the protective sleeve is larger than an outer diameter of the inflation conduit; and

wherein the inner diameter of the inflation conduit is larger than the outer diameter of the conduit.

11. The surgical device of claim 10, wherein the protective sleeve is moveable at least between a first position and a second position, the protective sleeve configured to shield the inflatable member when the sleeve is in the first position, and the protective sleeve configured to expose the inflatable member for inflation when the sleeve is in the second position.

12. A surgical device, comprising:

a guide tube having a proximal end and a distal end;

a protective sleeve having an inner diameter larger than an outer diameter of the guide tube;

an inflatable member at least partially surrounding a portion of the guide tube and positioned proximal to the distal end of the guide tube, the inflatable member comprising an outer perimeter;

a needle having a proximal end and a distal end, wherein the proximal end of the needle is attached to the distal end of the guide tube;

a helical element comprising a tube or a wire formed into a helical shape disposed at the distal end of the needle, wherein the helical element is configured to pierce tissue through rotation of the helical element; and

wherein the protective sleeve surrounds at least a portion of the guide tube and is able to be positioned at least partially over the helical element, the protective sleeve moveable at least between a first position outside an incision of the tissue created by piercing of the tissue by the helical element and a second position at least partially inside the incision of the tissue, the protective sleeve configured to;

shield the inflatable member throughout the protective sleeve moving from the first position to the second position, wherein the inflatable member is positioned at least partially inside the incision of the tissue at the second position; and

expose the inflatable member for inflation by moving from the second position to the first position, the inflatable member remaining at the second position; and

wherein the inflatable member is configured to inflate while at least partially inside the incision of the tissue at the second position.

13. The surgical device of claim 12, further comprising a tapered element located distal to the guide tube and proximally relative to the helical element, the tapered element having a diameter less than the outer diameter of the guide tube and a diameter of the tube or wire of the helical element, wherein the tapered element is shorter relative to the guide tube;

and

wherein the tapered element comprises;

a first tapered segment;

a second tapered segment; and

a middle segment located between the first and second tapered segments, the middle segment having a diameter which is less than any one of the outer diameter of the guide tube and the diameter of the tube or wire of the helical element.

14. The surgical device of claim 13, wherein the first tapered segment reduces the outer diameter of the guide tube to a reduced diameter of the middle segment, and wherein the second tapered segment reduces the diameter of the tube or the wire of the helical element to the reduced diameter of the middle segment.

15. The surgical device of claim 14, wherein the outer diameter of the guide tube is substantially the same as the diameter of the tube or the wire of the helical element.

16. The surgical device of claim 14, wherein the outer diameter of the guide tube is different from the diameter of the tube or the wire of the helical element.

17. The surgical device of claim 12, wherein the helical element is formed of a shape memory alloy.

18. A surgical device, comprising:

a guide tube comprising a proximal end and a distal end;

a conduit having an inner diameter larger than an outer diameter of the guide tube;

an inflatable member at least partially surrounding a portion of the conduit and positioned proximal to the distal end of the guide tube, the inflatable member comprising an outer perimeter;

a sleeve at least partially surrounding a portion of the guide tube, the sleeve comprising an elongate channel comprising an inner diameter larger than the outer diameter of the guide tube and larger than an outer diameter of the conduit; and

a needle configured to be slidably disposed within the guide tube located distally relative to the inflatable member, the needle comprising;

a longitudinal portion slidably disposed within an inside diameter of the guide tube;

a helical element comprising a tube or a wire formed into a helical shape disposed at a distal end of the needle, wherein a tip of a distal end of the helical element is suitable for piercing tissue, and wherein the helical element is configured to pierce the tissue through rotation of the helical element; and

a tapered element located distally relative to the longitudinal portion and proximally relative to the helical element;

wherein the tapered element comprises;

a first tapered segment;

a second tapered segment; and

a middle segment located between the first and second tapered segments, the middle segment having a diameter which is less than a diameter of any one of the longitudinal portion of the needle and the helical element, wherein the tapered element is shorter relative to the longitudinal portion;

wherein the sleeve is moveable at least between a first position outside an incision of the tissue created by piercing of the tissue by the helical element and a second position at least partially inside the incision of the tissue, the sleeve configured to;

shield the inflatable member throughout the sleeve moving from the first position to the second position, wherein the inflatable member is positioned at least partially inside the incision of the tissue at the second position; and

expose the inflatable member for inflation by moving from the second position to the first position, the inflatable member remaining at the second position; and

wherein the inflatable member is configured to inflate while at least partially inside the incision of the tissue at the second position.

19. The surgical device of claim 18, wherein the sleeve is further configured to cover the inflatable member when the sleeve is in the first position to at least inhibit the inflatable member from inflating under subatmospheric pressure conditions.