US20220071612A1

US20220071612A1 - Specimen retrieval devices with selective bag release

Info

Publication number: US20220071612A1
Application number: US17/524,961
Authority: US
Inventors: Jacob C. Baril; Saumya Banerjee; George S. Matta; Matthew A. Dinino; Justin J. Thomas; Roy J. Pilletere
Original assignee: Covidien LP
Current assignee: Covidien LP
Priority date: 2019-04-24
Filing date: 2021-11-12
Publication date: 2022-03-10
Also published as: US11172915B2; US20200337686A1

Abstract

A specimen retrieval device includes an elongated shaft assembly having a proximal end portion and a distal end portion. An 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 includes a first distal finger and the second arm includes a second distal finger. The first and second fingers are configured to selectively engage one another to support a collection bag on the first and second arms.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. patent application Ser. No. 16/392,783, filed on Apr. 24, 2019, the entire contents of which are hereby incorporated herein by reference.

TECHNICAL FIELD

This disclosure relates to surgical instruments, and more particularly, to specimen retrieval devices that support

BACKGROUND

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.

SUMMARY

In aspects of the disclosure, a specimen retrieval device includes an elongated shaft assembly having a proximal end portion and a distal end portion. An 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 includes a first distal finger and the second arm includes a second distal finger. The first and second fingers are configured to selectively engage one another to support a collection bag on the first and second arms.
In embodiments, the first and second distal fingers may be secured together with a suture. The first distal finger may define an opening therethrough and the second distal finger may define an opening therethrough. The openings of the first and second distal fingers may be configured to receive the suture therethrough.
In some embodiments, the first distal finger may include a first detent that is selectively engagable with the second distal finger. The second distal finger may include a second detent that is selectively engageable with the first distal finger. One or both of the first and second detents may have a U-shaped configuration.
In embodiments, the first detent may include one or more wings.
In various embodiments, the specimen retrieval device may further include a stationary handle and a movable handle supported on the proximal end portion of the elongated shaft assembly. The movable handle may be movable relative to the stationary handle to move the end effector between a closed position and an open position.
In some embodiments, the specimen retrieval device may further include the collection bag. The first and second arms may be configured to retain the collection bag on the end effector when the end effector is in the closed position. The first and second arms may be configured to release the collection bag from the end effector when the end effector is in the open position.
According to another aspect of the disclosure, a specimen retrieval system includes a collection bag, a first arm, and a second arm. The first arm has a first distal finger supported on a distal end portion of the first arm. The second arm has a second distal finger supported on a distal end portion of the second arm. The first and second arms are selectively movable relative to one another to releasably secure the collection bag on the first and second arms. The first and second distal fingers are disposed in slidable engagement to retain the collection bag on the first and second arms.
In embodiments, each of first and second detents may include a pair of wings.
According to yet another aspect of the disclosure, a specimen retrieval device includes an outer shaft, an inner shaft, a first arm, and a second arm. The outer shaft has a stationary handle on a proximal end portion thereof. The inner shaft is supported within the outer shaft and has a movable handle on a proximal end portion thereof. The movable handle is positioned to move relative to the stationary handle. The first arm has a proximal end portion secured to the inner shaft and distal end portion having a first distal finger. The second arm has a proximal end portion secured to the inner shaft and distal end portion having a second distal finger. The first and second distal fingers are configured to move in opposite directions as the movable handle moves relative to the stationary handle.
In embodiments, the first and second distal fingers may be secured together with a suture to prevent the first and second distal fingers from moving relative to one another.
In various embodiments, the first distal finger may support a first winged detent and the second distal finger may support a second winged detent. In response axial translation of the movable handle relative to the stationary handle, the first winged detent may be configured to radially cam along the second distal finger and the second winged detent may be configured radially cam along the first distal finger.
Other aspects, features, and advantages will be apparent from the description, the drawings, and the claims that follow.

BRIEF DESCRIPTION OF THE DRAWINGS

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:

FIG. 1 is a perspective view of one embodiment of a specimen retrieval device in accordance with the principles of this disclosure, the specimen retrieval device illustrated in a closed position;

FIG. 2 is an enlarged, perspective view of the indicated area of detail shown in FIG. 1;

FIG. 3 is a perspective view of a distal portion of arms of the specimen retrieval device, the arms shown coupled together by a suture;

FIGS. 4-7 are progressive views illustrating the specimen retrieval device receiving a specimen in a collection bag of the specimen retrieval device, and moving the arms from the closed position to an open position to release the collection bag from the specimen retrieval device with the specimen contained within the collection bag;

FIG. 8 is a perspective view of a distal portion of another embodiment of a specimen retrieval device in accordance with the principles of this disclosure;

FIG. 9 is an enlarged, cross-sectional view, of the specimen retrieval device of FIG. 8 as taken along section line 9-9 shown in FIG. 8;

FIG. 10 is an enlarged, perspective view of the indicated area of detail shown in FIG. 8;

FIG. 11 is a perspective view of a distal end portion of another embodiment of a specimen retrieval device in accordance with the principles of the disclosure;

FIG. 12 is a perspective of an arm of the specimen retrieval device of FIG. 11; and

FIG. 13 is an enlarged view of the indicated area of detail shown in FIG. 12.

DETAILED DESCRIPTION

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 with bag release mechanisms to facilitate quick and easy removal of collection bags supported on the specimen retrieval device. In embodiments of this disclosure, a specimen retrieval device includes overlapping arms that are secured together by a suture to create a single rigid ring for supporting a collection bag and for providing leverage when loading a specimen in the collection bag. The suture may be cut to enable the arms to separate so that the collection bag can be removed from the specimen retrieval device, for instance, once a specimen is contained within the collection bag. In some embodiments of this disclosure, a specimen retrieval device includes arms having U-shaped detents that overlap to secure a collection bag to the arms. The U-shaped detents provide increased rigidity to the arms when the arms are overlapped for supporting the collection bag on the arms. The arms may be slidably releasable to enable bag release.
With reference to FIGS. 1-3, a specimen retrieval device 10 defines a longitudinal axis “L” and includes an elongated shaft assembly 15 having an outer shaft 20 and an inner shaft 30 supported within outer shaft 20. Outer shaft 20 has a proximal end portion 20 a that supports a stationary handle 40 and a distal end portion 20 b that defines a distal opening 20 c. Stationary handle 40 defines finger openings 42 therethrough to facilitate grasping of stationary handle 40 by a user's fingers. Stationary handle 40 further defines a central opening 44 axially therethrough that is configured to slidably receive inner shaft 30 therein. Inner shaft 30 has a proximal end portion 30 a that supports a movable handle 50 and a distal end portion 30 b that supports an end effector 60. Movable handle 50 defines a finger opening 52 therethrough and includes wings 54 that extend from opposite sides of movable handle 50. Finger opening 52 and wings 54 are configured to receive a user's fingers to facilitate finger gripping. Movable handle 50 is positioned to move axially along longitudinal axis “L,” and relative to stationary handle 40, between distal and proximal positions, as indicated by arrows “A.”
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 define a ring when coupled together. First arm 62, which may have a hook or question mark shape, includes a proximal end portion 62 a that curves distally to a distal end portion 62 b. Distal end portion 62 b of first arm 62 includes a first distal finger 62 c and defines a first finger recess 62 d along a side surface 62 e of first distal finger 62 c. First distal finger 62 c defines an opening 62 f configured to receive suture 66 therethrough. Second arm 64, which may also have a hook or question mark shape, includes a proximal end portion 64 a that curves distally to a distal end portion 64 b. Distal end portion 64 b of second arm 64 includes a second distal finger 64 c and defines a second finger recess 64 d along a side surface 64 e of second distal finger 64 c. Second distal finger 64 c defines an opening 64 f configured to receive suture 66 therethrough. First and second arms 62, 64 curve in opposite directions so as to be mirrored relative to one another about longitudinal axis “L.” First and second distal fingers 62 c, 64 c are configured to be disposed in an overlapped arrangement (e.g., so that fingers 62 c 64 c, and/or openings 62 f, 64 f thereof are in vertical registration with one another) as seen in FIG. 2. Side surfaces 62 e, 64 e of first and second distal fingers 62 c, 64 c, respectively, are configured to cam along one another such that first and second distal fingers 62 c, 64 c are selectively receivable into and/or out of first and second finger recesses 62 d, 64 d of respective first and second arms 62, 64. Suture 66 can be looped through openings 62 f, 64 f of respective first and second distal fingers 62 c, 64 c, and tied off, to rigidly secure first and second distal fingers 62 c, 64 c together so that first and second arms 62, 64 form a unitary or single rigid ring that provides increased leverage against applied force when loading a specimen into collection bag 70, as indicated by arrows “F” seen in FIG. 3.
As seen in FIGS. 1 and 2, collection bag 70 includes a first arm channel 72 that has open proximal and distal ends 72 a, 72 b and second arm channel 74 with open proximal and distal ends 74 a, 74 b. First arm channel 72 slidably receives first arm 62 of end effector 60 and a second arm channel 74 slidably receives second arm 64 of end effector 60. First and second arm channels 72, 74 are separated by gap 76 that enables first and second distal fingers 62 c, 64 c to extend out of respective first and second arm channels 72, 74. Gap 76 provides access to openings 62 f, 64 f of respective first and second distal fingers 62 c, 64 c (e.g., to loop suture 66 therethrough for connecting first and second distal fingers 62 c, 64 c together) and/or access to suture 66 (e.g., for removing suture 66 to disconnect first and second distal fingers 62 c, 64 c). Gap 76 may include a recess 76 a that extends below first and second arm channels 72, 74 to increase accessibility to first and second distal fingers 62 c, 64 c and/or suture 66, and which may provide increased visualization, for instance, while end effector 60 is disposed in a patient's body.
As illustrated in FIGS. 1-7, specimen retrieval device 10 can be provided in a retrieval configuration in which collection bag 70 is mounted to first and second arms 62, 64 of end effector 60, suture 66 is tied to first and second distal fingers 62 c, 64 c of respective first and second arms 62, 64, and movable handle 50 is disposed in a distal position in which movable handle 50 may be in contact with, or at least in close approximation to stationary handle 40 so that specimen retrieval device 10 can be positioned for collecting a specimen. Once a specimen “S” is collected in collection bag 70 of specimen retrieval device 10, as seen in FIG. 4, suture 66 can be removed, such as by untying or cutting with a sharpened instrument like scissors “SC,” as seen in FIG. 5. With suture 66 removed from first and second arms 62, 64, movable handle 50 can be retracted proximally to cause first and second arms 62, 64 to move in radially opposite directions relative to one another, as indicated by arrows “B” and “C,” to separate first and second arms 62, 64. Once first and second arms 62, 64 are separated, collection bag 70 can be slid (e.g., in a distal direction “D”) off distal end portions 62 b, 64 b of first and second arms 62, 64 and/or end effector 60 can be retracted proximally relative to collection bag 70 (e.g., in a proximal direction “P”) to facilitate removal of collection bag 70 from end effector 60, as seen in FIG. 7.
FIGS. 8-10 illustrate another embodiment of a specimen retrieval apparatus 100 that is similar to specimen retrieval apparatus 10, but includes an end effector 110 having a first arm 112 and a second arm 114. First arm 112 extends to a first distal finger 112 a and second arm 114 extends to a second distal finger 114 a that is configured to be disposed in vertical registration with first distal finger 112 a. A distal end portion of first distal finger 112 a includes a first winged detent 116 having an outer wing 116 a and an inner wing 116 b. Outer wing 116 a is configured to extend downwardly over an outer surface 114 o of second distal finger 114 a and inner wing 116 b is configured to extend downwardly over an inner surface 114 i of distal finger 114 a. Similarly, a distal end portion of second distal finger 114 a includes a second winged detent 118 with inner and outer wings 120 that are configured to extend upwardly over inner and outer surfaces 112 i, 112 o of first distal finger 112 a so as to mirror first winged detent 116 of first distal finger 112 a. First and second winged detents 116, 118 may have U-shaped configurations as seen in FIG. 9. First and second winged detents 116, 118 may be formed by any suitable technique such as stamping. Advantageously, first and second winged detents 116, 118 increase rigidity of end effector 110 and maintain a “slide-to-release” function for bag deployment.
In use, when first and second arms 112, 114 are moved in radially opposite directions, as indicated by arrows “B” and “C,” first and second winged detents 116, 118 (e.g., camming/contacting surfaces thereof) slid or cam over first and second distal fingers 112 a, 114 a, respectively, to separate first and second arms 112, 114 for selectively releasing a collection bag, such as collection 70 (FIG. 1) that is supported on end effector 110 of specimen retrieval device 100.
In some embodiments, first and/or second winged detents 116, 118 may include fewer or more wings. In one embodiment, first and/or second winged detents 116, 118 include only a single wing. In certain embodiments, the single wing of one of the winged detents 116, 118 is disposed on an inner surface of end effector 100 and the single wing of the other winged detent is disposed on an outer surface of end effector 100. In embodiments, the single wings are disposed on just the inner surface of end effector 100, or, in certain embodiments, just the outer surface of end effector 100.
FIGS. 11-13 illustrate another embodiment of a specimen retrieval apparatus 200 that is similar to specimen retrieval apparatus 100, but includes an end effector 210 having first and second arms 212, 214 without any detents.
In some embodiments, the arms of the disclosed end effectors may be formed of any suitable material, which may be shape memory material such as nitinol.
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.

Claims

1-20. (canceled)

21. A specimen retrieval device, comprising:

a shaft having a proximal end portion and a distal end portion; and

an end effector supported on the distal end portion of the shaft and including a first arm and a second arm configured to cooperate to support a collection bag thereon, the first arm including a first distal finger and the second arm including a second distal finger, the first and second fingers releasably slidably engaged with one another.

22. The specimen retrieval device of claim 21, wherein, with the first and second distal fingers slidably engaged with one another, the first and second arms define a closed ring.

23. The specimen retrieval device of claim 22, wherein, with the first and second distal fingers slidably engaged with one another, the first and second distal fingers are configured to slide relative to one another to increase or decrease a diameter of the closed ring.

24. The specimen retrieval device of claim 23, wherein, with the first and second distal fingers released from one another, the first and second distal fingers define free, spaced-apart ends.

25. The specimen retrieval device of claim 21, wherein the first distal finger or the second distal finger includes a first or a second detent, respectively, that is selectively engagable with the second distal finger or the first distal finger, respectively.

26. The specimen retrieval device of claim 25, wherein the first detent or the second detent has a U-shaped configuration.

27. The specimen retrieval device of claim 25, wherein the first detent or the second detent includes at least one wing.

28. The specimen retrieval device of claim 21, further comprising a stationary handle and a movable handle supported on the proximal end portion of the shaft, the movable handle movable relative to the stationary handle to move the end effector between a closed position within the shaft and an open position extending distally from the shaft.

29. A specimen retrieval system, comprising:

a collection bag; and

an end effector supported on the distal end portion of the shaft and including a first arm and a second arm cooperating to support the collection bag thereon, the first arm including a first distal finger and the second arm including a second distal finger, the first and second fingers releasably slidably engaged with one another.

30. The specimen retrieval system of claim 29, wherein, with the first and second distal fingers slidably engaged with one another, the first and second arms define a closed ring configured to support the collection bag thereon.

31. The specimen retrieval system of claim 30, wherein, with the first and second distal fingers slidably engaged with one another, the first and second distal fingers are configured to slide relative to one another to increase or decrease a diameter of the closed ring thereby increasing or decreasing a diameter of an open end of the collection bag.

32. The specimen retrieval system of claim 31, wherein, with the first and second distal fingers released from one another, the first and second distal fingers define free, spaced-apart ends configured for slidable receipt or removal of the collection bag.

33. The specimen retrieval system of claim 29, wherein the first distal finger or the second distal finger includes a first or a second detent, respectively, that is selectively engagable with the second distal finger or the first distal finger, respectively.

34. The specimen retrieval system of claim 33, wherein the first detent or the second detent has a U-shaped configuration.

35. The specimen retrieval system of claim 33, wherein the first detent or the second detent includes at least one wing.

36. A specimen retrieval device, comprising:

an outer shaft;

an inner shaft disposed within the outer shaft;

a first arm having a proximal end portion secured to the inner shaft and distal end portion having a first distal finger; and

a second arm having a proximal end portion secured to the inner shaft and distal end portion having a second distal finger,

wherein the inner shaft is movable relative to the outer shaft to deploy the first and second arms from the outer shaft, and wherein the first and second distal fingers are releasably slidably engaged with one another and configured to slide in opposite directions as the first and second arms are deployed from the outer shaft.

37. The specimen retrieval device of claim 36, wherein, with the first and second distal fingers slidably engaged with one another and deployed from the outer shaft, the first and second arms define a closed ring.

38. The specimen retrieval device of claim 37, wherein the first and second distal fingers are configured to slide in opposite directions to increase or decrease a diameter of the closed ring.

39. The specimen retrieval device of claim 38, wherein, with the first and second distal fingers released from one another and deployed from the outer shaft, the first and second distal fingers define free, spaced-apart ends.

40. The specimen retrieval device of claim 36, wherein the first and second distal fingers support first and second winged detents, respectively, configured to cam along the second and first distal fingers, respectively.