Laparoscopic flexible suction device and associated methodology
11938292 ยท 2024-03-26
Assignee
Inventors
Cpc classification
A61M25/0147
HUMAN NECESSITIES
A61M25/008
HUMAN NECESSITIES
A61M1/85
HUMAN NECESSITIES
A61M25/0102
HUMAN NECESSITIES
A61M25/0041
HUMAN NECESSITIES
A61M25/0158
HUMAN NECESSITIES
A61B2017/00336
HUMAN NECESSITIES
A61M25/007
HUMAN NECESSITIES
International classification
A61B1/00
HUMAN NECESSITIES
A61M1/00
HUMAN NECESSITIES
Abstract
A laparoscopic suction/irrigation device of the disclosed invention encases a rigid inner cannula with a flexible outer cannula, the outer cannula functioning to insulate the inner cannula from unwanted electrical discharges. Upon translating the distal end of the outer cannula beyond the distal end of the inner cannula, the outer cannula returns to a preexisting curvilinear shape. This curved extension can thereafter be positioned via a proximal handle to concavities within the surgical site for precise and effective fluid retraction.
Claims
1. A surgical device for laparoscopic surgery, comprising: an inner cannula having a first passageway extending from a distal end of the inner cannula to a proximal end of the inner cannula, wherein the inner cannula is rigid; a handle connected to the proximal end of the inner cannula; an outer cannula, wherein the outer cannula is flexible and electrically nonconductive, wherein the outer cannula shields the inner cannula from electrical discharges, and wherein the outer cannula has a second passageway extending from a distal end of the outer cannula to a proximal end of the outer cannula wherein at least a portion of the inner cannula is located and translatable within the second passageway, there being clearance between an interior surface of the outer cannula and an exterior surface of the inner cannula to allow fluid flow therebetween, and wherein the outer cannula is disposed within a trocar to a surgical site; and a clamp fixedly connected to the proximal end of the outer cannula and operable to establish a predetermined shape of a section of the outer cannula, the shape forming a releasable seal between the outer cannula and the inner cannula and wherein the section extends beyond the distal end of the inner cannula.
2. The surgical device of claim 1, further comprising a vacuum source coupled to the first passageway.
3. The surgical device of claim 1, further comprising a fluid source coupled to the first passageway.
4. The surgical device of claim 1, wherein the outer cannula includes a curvilinear shape memory.
5. The surgical device of claim 1, wherein the outer cannula, having a predetermined curvilinear shape, is elastically deformable so as to accept the inner cannula.
6. The surgical device of claim 1, wherein the clamp seals the outer cannula to the inner cannula such that the section forms a curvilinear shape.
7. The surgical device of claim 1, wherein the clamp seals the outer cannula to the inner cannula such that the section forms a curved shape and wherein a degree of curvature is based on an extent the section extends beyond the distal end of the inner cannula.
8. The surgical device of claim 1, wherein the outer cannula translates freely along the inner cannula.
9. The surgical device of claim 1, wherein the inner cannula is coextensive with the outer cannula and wherein the outer cannula is longitudinally and radially movable relative to the inner cannula.
10. The surgical device of claim 1, wherein the handle is operable to position the section to perform fluid retraction within the surgical site.
11. A method of using a surgical device for laparoscopic surgery, the method comprising: positioning the device through a trocar and proximate to a surgical site, wherein the device includes an inner cannula having a first passageway extending from a distal end of the inner cannula to a proximal end of the inner cannula, and an outer cannula having a second passageway extending from a distal end of the outer cannula to a proximal end of the outer cannula, wherein the outer cannula is flexible and electrically nonconductive, wherein the outer cannula shields the inner cannula from electrical discharges, and wherein at least a portion of the inner cannula is located and translatable within the second passageway, there being clearance between an interior surface of the outer cannula and an outer surface of the inner cannula operable to allow fluid flow therebetween; sliding the outer cannula along the inner cannula such that the distal end of the outer cannula extends beyond the distal end of the inner cannula; releasably sealing the outer cannula to the inner cannula near the proximal end of the inner cannula by a clamp thereby establishing a predetermined curvature of a section of the outer cannula based on an amount the section extends beyond the distal end of the inner cannula; and applying a fluidic force to the first passageway.
12. The method of using a surgical device according to claim 11, wherein the section forms a select degree of the predetermined curvature when directed to a point of interest at the surgical site.
13. The method of using a surgical device according to claim 12, further comprising directing the distal end of the outer cannula to the point of interest by restoring the section to the select degree of the predetermined curvature.
14. The method of using a surgical device according to claim 11, wherein the distal end of the outer cannula is directed to a point of interest for performing fluid retraction.
15. The method of using a surgical device according to claim 11, further comprising positioning the inner cannula coextensive with the outer cannula, wherein the outer cannula is longitudinally and radially movable relative to the inner cannula.
16. The method of using a surgical device according to claim 11, further comprising releasably deforming the outer cannula to conform to the inner cannula.
17. The method of using a surgical device according to claim 16, wherein the distal end of the outer cannula is directed to a point of interest for performing fluid retraction.
18. The method of using a surgical device according to claim 11, further comprising translating the outer cannula freely along the inner cannula.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The aforementioned and other features and objects of the present invention and the manner of attaining them will become more apparent, and the invention itself will be best understood, by reference to the following description of one or more embodiments taken in conjunction with the accompanying drawings, wherein:
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(10) The Figures depict embodiments of the present invention for purposes of illustration only. One skilled in the art will readily recognize from the following discussion that alternative embodiments of the structures and methods illustrated herein may be employed without departing from the principles of the invention described herein.
DESCRIPTION OF THE INVENTION
(11) A laparoscopic flexible suction/irrigation device, positional within a surgical site, provides discrete and localized fluid evacuation and irrigation. The present invention introduces a flexible curvilinear cannula into a laparoscopic surgical environment enabling surgical personnel the ability to quickly and efficiently evacuate and irrigate the surgical site. A inner rigid cannula is circumscribed by a outer flexible cannula. The combined rigid/flexible cannulas are positioned within a surgical site via a laparoscopic trocar. Once proximate to the surgical site the inner rigid cannula is partially withdrawn allowing the outer flexible cannula to return to its natural curvilinear shape. A clamp at the proximal end of the outer flexible cannula provides a fluidic seal between the inner and out cannula such that a fluid force (suction or irrigation) conveyed through the inner rigid cannula is expressed at the distal end of the outer flexible cannula.
(12) Embodiments of the present invention are hereafter described in detail with reference to the accompanying Figures. Although the invention has been described and illustrated with a certain degree of particularity, it is understood that the present disclosure has been made only by way of example and that numerous changes in the combination and arrangement of parts can be resorted to by those skilled in the art without departing from the spirit and scope of the invention.
(13) The following description with reference to the accompanying drawings is provided to assist in a comprehensive understanding of exemplary embodiments of the present invention as defined by the claims and their equivalents. It includes various specific details to assist in that understanding but these are to be regarded as merely exemplary. Accordingly, those of ordinary skill in the art will recognize that various changes and modifications of the embodiments described herein can be made without departing from the scope and spirit of the invention. Also, descriptions of well-known functions and constructions are omitted for clarity and conciseness.
(14) The terms and words used in the following description and claims are not limited to the bibliographical meanings, but, are merely used by the inventor to enable a clear and consistent understanding of the invention. Accordingly, it should be apparent to those skilled in the art that the following description of exemplary embodiments of the present invention are provided for illustration purpose only and not for the purpose of limiting the invention as defined by the appended claims and their equivalents.
(15) By the term substantially it is meant that the recited characteristic, parameter, or value need not be achieved exactly, but that deviations or variations, including for example, tolerances, measurement error, measurement accuracy limitations and other factors known to those of skill in the art, may occur in amounts that do not preclude the effect the characteristic was intended to provide.
(16) Like numbers refer to like elements throughout. In the figures, the sizes of certain lines, layers, components, elements or features may be exaggerated for clarity.
(17) The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the singular forms a, an and the are intended to include the plural forms as well, unless the context clearly indicates otherwise. Thus, for example, reference to a component surface includes reference to one or more of such surfaces.
(18) As used herein any reference to one embodiment or an embodiment means that a particular element, feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. The appearances of the phrase in one embodiment in various places in the specification are not necessarily all referring to the same embodiment.
(19) As used herein, the terms comprises, comprising, includes, including, has, having or any other variation thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, article, or apparatus that comprises a list of elements is not necessarily limited to only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Further, unless expressly stated to the contrary, or refers to an inclusive or and not to an exclusive or. For example, a condition A or B is satisfied by any one of the following: A is true (or present) and B is false (or not present), A is false (or not present) and B is true (or present), and both A and B are true (or present).
(20) Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. It will be further understood that terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the specification and relevant art and should not be interpreted in an idealized or overly formal sense unless expressly so defined herein. Well-known functions or constructions may not be described in detail for brevity and/or clarity.
(21) It will be also understood that when an element is referred to as being on, attached to, connected to, coupled with, contacting, mounted etc., another element, it can be directly on, attached to, connected to, coupled with or contacting the other element or intervening elements may also be present. In contrast, when an element is referred to as being, for example, directly on, directly attached to, directly connected to, directly coupled with or directly contacting another element, there are no intervening elements present. It will also be appreciated by those of skill in the art that references to a structure or feature that is disposed adjacent another feature may have portions that overlap or underlie the adjacent feature.
(22) Spatially relative terms, such as under, below, lower, over, upper and the like, may be used herein for ease of description to describe one element or feature's relationship to another element(s) or feature(s) as illustrated in the figures. It will be understood that the spatially relative terms are intended to encompass different orientations of a device in use or operation in addition to the orientation depicted in the figures. For example, if a device in the figures is inverted, elements described as under or beneath other elements or features would then be oriented over the other elements or features. Thus, the exemplary term under can encompass both an orientation of over and under. The device may be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly. Similarly, the terms upwardly, downwardly, vertical, horizontal and the like are used herein for the purpose of explanation only unless specifically indicated otherwise.
(23) Included in the description are flowcharts depicting examples of the methodology associated with the laparoscopic flexible suction/irrigation device of the present invention. It is to be understood that the blocks of the flowchart illustrations support combinations of means for performing the specified functions and combinations of steps for performing the specified functions. It will also be understood that each block of the flowchart illustrations, and combinations of blocks in the flowchart illustrations, can be implemented by special purpose hardware systems that perform the specified functions or steps, or combinations of special purpose hardware and computer instructions.
(24) Upon reading this disclosure, those of skill in the art will appreciate still additional alternative structural and functional designs are contemplated for a laparoscopic flexible suction/irrigation device and its associated methodology through the disclosed principles herein. Thus, while particular embodiments and applications have been illustrated and described, it is to be understood that the disclosed embodiments are not limited to the precise construction and components disclosed herein. Various modifications, changes and variations, which will be apparent to those skilled in the art, may be made in the arrangement, operation and details of the method and apparatus disclosed herein without departing from the spirit and scope defined in the appended claims.
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(26) As presented in
(27) With additional reference to
(28) The outer flexible cannula 102 of the laparoscopic flexible suction/irrigation device possesses, in one embodiment, inherent curvilinear properties. The outer flexible cannula 102 is elastically deformed upon the insertion of the inner rigid cannula 101 into passageway of the outer flexible cannula 102. Upon the removal 210 of the inner rigid cannula 101 the outer flexible cannula 102 resumes its natural curved shape 220. As depicted in
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(30) The distal end 160 of the outer flexible cannula 102 can have a reinforced passageway 420, top or port holes 410 (shown in
(31) Another feature of the outer flexible cannula of the present invention is its insulating characteristics. During laparoscopic surgery the presence of various equipment and surgical devices can result in electrical arcs discharged at the surgical site. If the surgeon is controlling active bleeding or performing dissection with electrocautery, the laparoscopic flexible suction/irrigation device of the present invention can be used to provide better visualization, better outcomes and result in a safer procedure as it can be used actively closer to electrocautery. Indeed, cauterization devices engage such technology to control hemorrhaging at the surgical site. Such electrical discharges, when uncontrolled, can be harmful. Without the device in place, the metallic suction/hydro dissection tips currently in use in the prior art will cause arcing to occur when used close to electrocautery and can cause stray energy to injure a bowel or adjacent structures because of the conductivity of metal. The outer flexible cannula of the present invention insulates the inner rigid cannula substantially reducing or even eliminating any arcing risk.
(32) In another embodiment of the present invention the distal end of the outer flexible cannula can be configured to be curved by one or more cords or cables placed along the passageway of the flexible tubing and along the exterior of the rigid device. In this embodiment of the present invention and as shown in
(33) The invention can also include magnetic material placed longitudinally along the distal end of the device on one side could be actuated by applying electromagnetic energy causing the tubing to curve as the magnetic material draws closer and causes the side to contract causing the distal end to curve. Other features that enable and control the outer flexible cannula to curve are contemplated and are to be deemed within the scope of the present invention.
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(36) The device of the present invention can, in this configuration, be used in a retracted position straight until there is a need to have suction or irrigation applied to an area around a structure or another device being used during the procedure.
(37) According to one embodiment of the present invention, the methodology for use of the laparoscopic flexible suction/irrigation device begins 805 by unlocking the clamping device at the proximal end and retracting the inner rigid cannula. Effectively the retracting of the inner rigid cannula slides 820 the outer flexible cannula along the inner rigid cannula such that the distal end of the flexible cannula extends beyond the distal end (tip) of the inner rigid cannula. At that point the outer flexible cannula is clamped (releasably sealed) 840 to the inner rigid cannula at the proximal end of the inner rigid cannula. The portion of outer flexible cannula, no longer being elastically deformed by the inner rigid cannula and apart from the inner rigid cannula, reverts to is curvilinear shape.
(38) The tip of the outer flexible cannula is thereafter positioned around anatomical structures to areas at the surgical site that would be otherwise unreachable with the straight inflexible configuration to facilitate effective fluid evacuation. Once positioned, a fluidic force (suction) to the outer flexible cannula is applied 860 via the inner rigid cannula. Upon completion of the evacuation, the fluid force is removed and the device can then be unlocked and repositioned ending the process 895. Alternatively, the inner rigid cannula can be extended to once again be coexistent with the outer flexible cannula and thereafter used for straight for rigid dissection, retraction, suction or irrigation. The process can be performed at any time as needed during the procedure to achieve the benefits of function of the curved distal end.
(39) Although the invention has been described and illustrated with a certain degree of particularity, it is understood that the present disclosure has been made only by way of example and that numerous changes in the combination and arrangement of parts can be resorted to by those skilled in the art without departing from the spirit and scope of the invention.
(40) The laparoscopic flexible suction/irrigation device and associated methodology of the present invention enables surgeons and their staff to effective remove fluid and debris from recessed, concavities, and hard to reach regions at a surgical site without removing and repositioning other laparoscopic instruments. By simply unclamping and repositioning the relationship between an outer flexible cannula with respect to an inner rigid cannula, the laparoscopic flexible suction/irrigation device introduces a curved cannula through which suction or irrigation can be applied. Upon completion the laparoscopic flexible suction/irrigation device can be reconfigured and yet applied to a different location at the surgical site. The present invention greatly increases visualization of the surgical site and makes the laparoscopic procedure more efficient while reducing risk.
(41) While there have been described above the principles of the present invention in conjunction with a laparoscopic flexible suction/irrigation device and its associated methodology, it is to be clearly understood that the foregoing description is made only by way of example and not as a limitation to the scope of the invention. Particularly, it is recognized that the teachings of the foregoing disclosure will suggest other modifications to those persons skilled in the relevant art. Such modifications may involve other features that are already known per se and which may be used instead of or in addition to features already described herein. Although claims have been formulated in this application to particular combinations of features, it should be understood that the scope of the disclosure herein also includes any novel feature or any novel combination of features disclosed either explicitly or implicitly or any generalization or modification thereof which would be apparent to persons skilled in the relevant art, whether or not such relates to the same invention as presently claimed in any claim and whether or not it mitigates any or all of the same technical problems as confronted by the present invention. The Applicant hereby reserves the right to formulate new claims to such features and/or combinations of such features during the prosecution of the present application or of any further application derived therefrom.