Device for receiving a preparation in an extraction bag

Abstract

A device (1) has an extraction bag (5) to receive a preparation (29) that is detached using an electrosurgical cutting loop (6, 6) in a body cavity (27). The extraction bag (5) can be extended out of a distal opening (10) of an insertion tube (3). The cutting loop (6, 6) is flexible and can be extended out of the insertion tube (3) together with the extraction bag (5). The cutting loop (6, 6) is adjacent a first bag opening (9) and adjacent a first loop (8). The cutting loop (6, 6) has an exposed non-insulated electrically conductive cutting region (14, 14) at the distal end (13, 13) of the loop, and an insulated region (15, 15) outside of the cutting region (14, 14). The extraction bag (5) has at least one second closable bag opening (17) at the end facing away from the first bag opening (9).

Claims

1. A device (1) for receiving a preparation (29) that is detached in a body cavity (27), the device (1) comprising: an insertion tube (3) having a distal opening (10); an actuator (4) that can be moved longitudinally in the insertion tube (3); an extraction bag (5) configured for receiving the preparation (29), the extraction bag (5) being arranged at one end (7) of the actuator (4) and being extendable out of the distal opening (10) of the insertion tube (3), thereby moving from a retracted state into an extended state, the extraction bag (5) having a first bag opening (9) and a second bag opening (17) arranged at an end of the extraction bag (5) facing away from the first bag opening (9); an elastically flexible first loop (8, 8) connected to the extraction bag (5) and holding the first bag opening (9) open when the extraction bag (5) is in the extended state; and an electrosurgical cutting loop (6, 6) arranged adjacent to the first bag opening (9) and adjacent to the first loop (8, 8), the electrosurgical cutting loop (6, 6) having an exposed non-insulating electrically conductive cutting region (14, 14) at a distal end (13, 13) and being operative to detach the preparation (29) in the body cavity (27), the cutting loop (6, 6) further having an insulated region (15, 15) provided on the cutting loop (6, 6) outside of the cutting region (14, 14); wherein the first loop (8, 8) is detachably connected to the extraction bag (5).

2. The device of claim 1, wherein the electrosurgical cutting loop (6, 6) is a unipolar or bipolar cutting electrode and is connectable to a high-frequency generator (26).

3. The device of claim 1, wherein the second bag opening (17) is a closable port.

4. The device of claim 1, wherein the second bag opening (17) is an openable port.

5. The device of claim 1, wherein the second bag opening (17) is closable by pulling closed a closure band (20) arranged in the opening region.

6. The device of claim 1, wherein the cutting loop (6, 6) is detachably connected to the extraction bag (5).

7. The device of claim 1, wherein the second bag opening (17) is a camera insertion opening configured for selective insertion and withdrawal of a camera for observing the preparation (29) in the extraction bag (5).

8. The device of claim 1, wherein the electrosurgical cutting loop (6) is connected to the first loop (8) via spacers (12) extending between the first loop (8) and the insulated region (15, 15) provided on the cutting loop (6, 6) outside of the cutting region (14, 14).

9. A device (1) for receiving a preparation (29) that is detached in a body cavity (27), the device (1) comprising: an insertion tube (3) having a distal opening (10); an actuator (4) that can be moved longitudinally in the insertion tube (3); an extraction bag (5) configured for receiving the preparation (29), the extraction bag (5) being arranged at one end (7) of the actuator (4) and being extendable out of the distal opening (10) of the insertion tube (3), thereby moving from a retracted state into an extended state, the extraction bag (5) having a first bag opening (9) and a second bag opening (17) arranged at an end of the extraction bag (5) facing away from the first bag opening (9); an elastically flexible first loop (8, 8) connected to the extraction bag (5) and holding the first bag opening (9) open when the extraction bag (5) is in the extended state; and an electrosurgical cutting loop (6, 6) arranged adjacent to the first bag opening (9) and adjacent to the first loop (8, 8), the electrosurgical cutting loop (6, 6) having an exposed non-insulating electrically conductive cutting region (14, 14) at a distal end (13, 13) and being operative to detach the preparation (29) in the body cavity (27), the cutting loop (6, 6) further having an insulated region (15, 15) provided on the cutting loop (6, 6) outside of the cutting region (14, 14); wherein the extraction bag (5) is made of a thermally resistant material, at least in the region of the cutting loop (6, 6).

10. The device of claim 9, wherein the insulation region (15, 15) of the cutting loop (6, 6) has an insulation layer (16, 16) made of a thermally resistant material.

11. The device claim 9, wherein the thermally resistant material is a polytetrafluoroethylene.

12. The device claim 9, wherein the thermally resistant material is a fluorinated ethylene propylene.

13. The device of claim 9, wherein the electrosurgical cutting loop (6) is connected to the first loop (8) via spacers (12), the spacers (12) extend between the first loop (8) and the insulated region (15, 15) provided on the cutting loop (6, 6) outside of the cutting region (14, 14).

14. The device of claim 9, wherein the second bag opening (17) includes closing means (20) for selectively opening and closing the second bag opening (17).

15. The device of claim 14, wherein the closing means (20) is a closure band (20) for selectively opening and closing the second bag opening (17).

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) FIG. 1 a top-down view of the outline and enlarged depiction of a device for receiving a preparation in an extraction bag with extended electrosurgical cutting loop as a first loop connected to the first bag opening;

(2) FIG. 2 a top-down view of the outline and enlarged depiction of a device for receiving a preparation in an extraction bag with extended electrosurgical cutting loop arranged adjacent to the first loop connected to the first bag opening;

(3) FIG. 3 a lateral view of the device from FIG. 1 in the non-extended state, being introduced into a body cavity via a trocar sleeve (in outline);

(4) FIG. 4 a lateral view of the device from FIG. 3 from Direction IV in the extended state of the cutting loop and extraction bag with an open first bag opening placed over the preparation being resected;

(5) FIG. 5a lateral view of the device from FIG. 4 in the retracted state of the cutting loop and with closed first bag opening and a resected preparation in the extraction bag; and

(6) FIG. 6a lateral view of the extraction bag from FIG. 5, the ends of which have been pulled out of the body access openings for the trocar sleeves for further processing.

DETAILED DESCRIPTION

(7) A device 1 for receiving a preparation essentially comprises an insertion tube 3, an actuator 4, an extraction bag 5 and an electrosurgical cutting loop 6.

(8) The insertion tube 3 has the longitudinally displaceable actuator 4 in its central guide channel. An elastically flexible first loop 8 is arranged at the distal end 7 of the actuator 4, said loop being connected to a first bag opening 9 of the extraction bag 5 and serving to open the first bag opening 9 out of the distal opening 10 of the insertion tube 3 in the extended state of the distal end 7. In the still unextended, retracted state of the actuator 4, the loops 6, 8 with the extraction bag 5 are completely covered by the distal end 11 of the insertion tube 3. The first bag opening 9 is arranged at a first end 18 of the extraction bag 5 facing toward the first loop 8, 8.

(9) The electrosurgical cutting loop 6 is implemented as elastically flexible such that it opens in the extended state, i.e., due to its spring force. The same also applies to the first loop 8 as described above.

(10) According to FIGS. 1 and 3 to 6, the electrosurgical cutting loop 6 is constituted by the first loop 8.

(11) According to FIG. 2, the electrosurgical cutting loop 6 is arranged adjacent to the first loop 8. The electrosurgical cutting loop 6 is in this regard connected to the first loop 8 via the spacers 12. However, in principle, the spacers 12 can be dispensed with.

(12) The electrosurgical cutting loop 6, 6 has at its distal end 13, 13 an exposed, uninsulated, electrically conductive cutting region 14, 14 and has, outside of the cutting region 14, 14, an insulation region 15, 15 with an insulating layer 16, 16, such as a plastic tube. In the cutting region 14, 14, the cutting loop can be more strongly curved than outside of the cutting region.

(13) The first loop 8, 8 is detachably connected to the extraction bag 5.

(14) According to the exemplary embodiments, the electrosurgical cutting loop 6, 6 is detachably connected to the extraction bag 5.

(15) The extraction bag 5 has a closable second bag opening 17. According to FIGS. 4 to 6, the second bag opening 17 is arranged at the second end 19 of the extraction bag 5 facing away from the first end 18 with the first bag opening 9. The second bag opening 17 is closable by pulling closed a closure band 20 arranged in the opening region of the second bag opening 17. The second bag opening 17 can also be implemented as a closable and/or an openable port.

(16) According to FIGS. 3 to 5, the actuator 4 has at its proximal end 21 a thumb ring 22 with which to effect longitudinal displacement of the actuator 4 relative to the insertion tube 3. The insertion tube 3 has at its proximal end 23 two retaining rings 24 to receive, for example, an index and middle finger.

(17) The actuator 4, at its proximal end 21, has a high-frequency connection 25 for connection with an electrosurgical high-frequency generator 26.

(18) To introduce the insertion tube 3 into a body cavity 27, the distal end 11 is introduced via a (laparoscopic) trocar 28, known to one skilled in the art, that has been placed in the body cavity 27. In a subsequent step, the actuator 4 is activated and extended with its distal end 7 such that the cutting loop 6 and the first loop 8 open, and the loops 6, 8 together with the first bag opening 9 are placed over the preparation 29 being resected. In an additional subsequent step, the cutting loop 6 is pulled closed, i.e., retracted with the actuator 4 into the insertion tube 3, and as a result the preparation is detached such that it falls through the first bag opening 9 into the extraction bag. Simultaneously or in a second step, the first bag opening is closed by the first loop 8. In an additional subsequent step, the first end 18 of the extraction bag 5 can be positioned outside of the body cavity 27. The second end 19 of the extraction bag 5 can be grabbed with gripping tongs (not depicted) introduced through a second trocar 28 and can also be taken out of the body cavity 27.

(19) In additional subsequent steps, a morcellator (not depicted) can be introduced through the first bag opening 9 and a camera (not depicted), for example, can be introduced into the extraction bag 5 through the second bag opening 17. The preparation 29 can be morcellated (shredded) inside the extraction bag and removed from the body cavity 27 (contained within the bag).

(20) Of course, the embodiments discussed in the specific description and shown in the Figures are merely illustrative exemplary embodiments of the present invention. In the light of the present disclosure a person skilled in the art has a broad spectrum of optional variations available. In particular, the relative motion between the insertion tube 3 and the actuator 4 at the proximal end 21 of the actuator 4 and at the proximal end 23 of the insertion tube 3 can be effected by grip ends (not depicted) that are displaceable relative to one another.

LIST OF REFERENCE NUMBERS

(21) 1 device

(22) 2 preparation

(23) 3 insertion tube

(24) 4 actuator

(25) 5 extraction bag

(26) 6, 6 electrosurgical cutting loop

(27) 7 distal end of 4

(28) 8, 8 first loop

(29) 9 first bag opening of 5

(30) 10 distal opening of 3

(31) 11 distal end of 3

(32) 12 Spacer

(33) 13, 13 distal end of 6, 6

(34) 14, 14 uninsulated cutting region of 13, 13

(35) 15, 15 insulation region of 6, 6

(36) 16, 16 insulation layer of 15, 15

(37) 17 second bag opening of 5

(38) 18 first end of 5

(39) 19 second end of 5

(40) 20 closure band of 17

(41) 21 proximal end of 4

(42) 22 thumb ring of 4

(43) 23 proximal end of 3

(44) 24 retaining ring of 3

(45) 25 high-frequency connection of 4

(46) 26 high-frequency generator

(47) 27 body cavity

(48) 28 trocar

(49) 29 preparation