Patent Application
20200383704
This disclosure relates to surgical instruments, and more particularly, to specimen retrieval devices that support tissue collection bags.
Specimen retrieval devices are commonly used during surgical procedures to collect and remove tissue specimens from a patient. Typically, during a surgical procedure in which tissue is transected, e.g., a hysterectomy procedure, a specimen retrieval device including a tissue collection bag is positioned to receive the tissue specimen once the tissue is transected. In some procedures, a grasper may be used to transfer the transected tissue specimen into the bag. Alternately, the bag may be positioned in relation to the tissue specimen to allow the tissue specimen to fall into the bag. Containment and extraction of large specimens in the gynecological space, for instance, can take between 5 minutes and 45 minutes, the length of which often depends on the size of the specimen. For example, large bulky specimens take longer to contain and extract because they are typically difficult to manipulate within a tight anatomical space.
The disclosure generally relates to specimen retrieval devices having end effectors with first and second arms that have different cross-sections for cooperating with one another to support a collection bag.
In aspects of the disclosure, a specimen retrieval device includes an elongated shaft assembly and an end effector. The elongated shaft assembly has a proximal end portion and a distal end portion. The end effector is supported on the distal end portion of the elongated shaft assembly and includes a first arm and a second arm. The first arm defines a first arcuate profile having a first cross-section therealong. The second arm defines a second arcuate profile having a second cross-section therealong different than the first cross section. The first and second arms are configured to cooperate with one another to selectively support a collection bag thereon.
In embodiments, the elongated shaft assembly may include an inner shaft that supports the end effector. The elongated shaft assembly may include an outer shaft. The inner shaft may be supported within the outer shaft. The inner shaft may be axially movable relative to the outer shaft. Axial movement of the inner shaft relative to the outer shaft may cause relative movement between the first and second arms. One or both of the first or second arms may include a flexible material. The flexible material may be a shape memory material. The shape memory material may include a nickel titanium alloy.
In some embodiments, proximal movement of the inner shaft relative to the outer shaft may cause the first and second arms to radially compress and retract into the outer shaft when the first and second arms are disposed distally of the outer shaft.
According to one aspect of this disclosure, a specimen retrieval device includes an elongated shaft assembly having a proximal end portion and a distal end portion. The specimen retrieval device further includes an end effector supported on the distal end portion of the elongated shaft assembly. The end effector includes a first arm and a second arm. The first arm defines a first arcuate profile having a first cross-section therealong. The second arm defines a second arcuate profile having a second cross-section therealong. The first cross-section is bigger than the second cross-section. The specimen retrieval device further includes a collection bag supported on the end effector and deployable through the elongated shaft assembly.
According to another aspect of this disclosure, a specimen retrieval device includes an elongated shaft assembly and an end effector. The elongated shaft assembly has a proximal end portion and a distal end portion. The end effector is supported on the distal end portion of the elongated shaft assembly and includes a first arm and a second arm. The first arm has a first cross-section. The second arm has a second cross-section that is smaller than the first cross-section to enable the first and second arms to move between a retracted position and a deployed position. The first and second arms are receivable within the elongated shaft assembly when in the retracted position, and when in the deployed position, the first and second arms are disposed in an annular arrangement to position a collection bag for receiving a specimen therein.
The details of one or more aspects of this disclosure are set forth in the accompanying drawings and the description below. Other aspects, features, and advantages will be apparent from the description, the drawings, and the claims that follow.
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above, and the detailed description of the embodiment(s) given below, serve to explain the principles of the disclosure, wherein:
Embodiments of the disclosed specimen retrieval devices are described in detail with reference to the drawings, in which like reference numerals designate identical or corresponding elements in each of the several views. As commonly known, the term “clinician” refers to a doctor (e.g., a surgeon), a nurse, or any other care provider and may include support personnel. Additionally, the term “proximal” refers to the portion of structure that is closer to the clinician and the term “distal” refers to the portion of structure that is farther from the clinician. In the following description, well-known functions or constructions are not described in detail to avoid obscuring this disclosure in unnecessary detail.
In general, this disclosure describes a specimen retrieval device having an end effector with flexible, retractable arms positioned to move relative to one another to facilitate quick and easy removal of collection bags supported on the arms. Advantageously, the retractable arms limit steps required for collection bag detachment/disengagement post specimen loading. For instance, the disclosed specimen retrieval device can reduce the complexity of large specimen loading (e.g., between about 500 g to 1500 g, or greater) while providing rigidity and maneuverability required to reduce specimen containment time. The specimen retrieval device can include an outer shaft (e.g., about 20-25 mm in diameter) that can receive a collection bag therethrough for deployment through a natural or artificial opening, such as a port or incision, to access an abdominal and/or vaginal cavity, for instance.
With reference to
End effector 60 of specimen retrieval device 10 supports a collection bag 70 and includes a first arm 62 and a second arm 64 that at least partially overlap (e.g., in a longitudinal direction) and define a ring when deployed from outer shaft 20 (see
As seen in
As illustrated in
Once one or more specimens are loaded into collection bag 70, specimen retrieval device 10 can be retracted in a single motion such that first and second arms 62, 64 can slide or cam over one another so that first and second arms 62, 64 move toward one another (e.g., radially) to facilitate retraction through a port, an incision, and/or other opening. In particular, the surfaces of the port or tissue defining the opening may act on first and second arms 62, 64 to compress first and second arms 62, 64 together in a radially inward direction toward longitudinal axis “L” as specimen retrieval device 10 is drawn through such opening. Alternatively, and/or additionally, movable handle 50 can be separated from stationary handle 40 so that first and second arms 62, 64 are drawn back (e.g., axially and radially) at least partially into outer shaft 20 to facilitate radial movement of first and second arms 62, 64 toward one another and retraction through a narrow opening.
With portions of collection bag 70 and any specimens contain therein still within the patient, but specimen retrieval device 10 otherwise removed from the patient, the clinician can then proceed to extract the remainder of collection bag 70 through the opening and being steps for specimen exteriorization and morcellation.
Securement of any of the components of the disclosed devices may be effectuated using known securement techniques such welding, crimping, gluing, heat-shrinking, fastening, etc.
The various embodiments disclosed herein may also be configured to work with robotic surgical systems and what is commonly referred to as “Telesurgery.” Such systems employ various robotic elements to assist the clinician and allow remote operation (or partial remote operation) of surgical instrumentation. Various robotic arms, gears, cams, pulleys, electric and mechanical motors, etc. may be employed for this purpose and may be designed with a robotic surgical system to assist the clinician during the course of an operation or treatment. Such robotic systems may include remotely steerable systems, automatically flexible surgical systems, remotely flexible surgical systems, remotely articulating surgical systems, wireless surgical systems, modular or selectively configurable remotely operated surgical systems, etc.
The robotic surgical systems may be employed with one or more consoles that are next to the operating theater or located in a remote location. In this instance, one team of clinicians may prep the patient for surgery and configure the robotic surgical system with one or more of the instruments disclosed herein while another clinician (or group of clinicians) remotely controls the instruments via the robotic surgical system. As can be appreciated, a highly skilled clinician may perform multiple operations in multiple locations without leaving his/her remote console which can be both economically advantageous and a benefit to the patient or a series of patients. For a detailed description of exemplary medical work stations and/or components thereof, reference may be made to U.S. Pat. No. 8,828,023, and PCT Application Publication No. WO2016/025132, the entire contents of each of which are incorporated by reference herein.
Persons skilled in the art will understand that the structures and methods specifically described herein and shown in the accompanying figures are non-limiting exemplary embodiments, and that the description, disclosure, and figures should be construed merely as exemplary of particular embodiments. It is to be understood, therefore, that this disclosure is not limited to the precise embodiments described, and that various other changes and modifications may be effected by one skilled in the art without departing from the scope or spirit of this disclosure. Additionally, the elements and features shown or described in connection with certain embodiments may be combined with the elements and features of certain other embodiments without departing from the scope of this disclosure, and that such modifications and variations are also included within the scope of this disclosure. Accordingly, the subject matter of this disclosure is not limited by what has been particularly shown and described.
