WO1996019150A1

WO1996019150A1 - Separable economically partially disposable flexible biopsy forceps

Info

Publication number: WO1996019150A1
Application number: PCT/US1995/014515
Authority: WO
Inventors: Georg Pauldrach
Original assignee: Ballard Medical Products
Priority date: 1994-12-21
Filing date: 1995-11-08
Publication date: 1996-06-27
Also published as: EP0798985A1; EP0798985B1; CA2189164A1; US5578056A; CA2189164C; EP0798985A4; DE69529535D1; JPH09508560A; JP3150156B2; ATE231708T1; AU4149896A; AU689352B2; DE69529535T2

Abstract

Biopsy forceps (10) with a flexible support cable (11), a jaw mount (20) on the support cable with jaws (30, 31), and a control wire (40) to operate the jaws. The expensive jaw mount (20) and jaws (30, 31), and the control wire (40) are readily removable from the support cable (11) so that the cable can be discarded, and the more expensive mount (20), jaws (30, 31) and control wire (40), may be cleaned and reused. Only the less expensive support cable (11) need be replaced.

Description

SEPARABLE ECONOMICALLY PARTIALLY DISPOSABLE

FLEXIBLE BIOPSY FORCEPS

Field of the Invention

Biopsy forceps with a flexible support cable, a jaw mount on the support cable with jaws, and a control wire to operate the jaws. The expensive jaw mount and jaws, and the control wire

are readily removable from the support cable so the cable can be discarded, and the more expensive mount, jaws and control wire, may be cleaned and reused. Only the less expensive

support cable need be replaced. Background of the Invention

Biopsy forceps for endoscopic usage characteristically include a pair of pivotally mounted jaws mounted at the distal end of a tubular support member. Rigid instrument constructions

utilize a rigid tube for supporting the jaws. Flexible constructions utilize a flexible tubular cable for supporting the jaws.

Rigid instruments of this type tend to be more expensive, and are intended to be re-used

They are designed for this, and are rather easily cleaned and sterilized for their next use

However, flexible instruments involve a different set of problems, one of which is the near

impossibility of cleaning such instruments, especially when the jaw mount is permanently attached to the support cable. The internal dimensions and clearances are very small, and because the

cables are tightly wound helical springs, it is impractical to reach the inside of the support cable

to clean it. As a consequence, flexible biopsy forceps are usually discarded after a single use. The

mount, the jaws, and the control wire are the greatest part of the cost of the instrument. The

support cable is not very expensive, but the jaws are quite expensive because they are small, held

to close tolerances, and have sharpened cutting edges. Accordingly, if an arrangement can be made such that the jaw mount can readily be removed and replaced, then it along with the jaws and control wire which are attached to it can

easily be cleaned. Then the inexpensive support cable can be discarded and replaced with a new clean one. The expensive parts of the instrument are thereby saved and re-used. The only cost

for re-use is the small expense of a new support cable.

As simple as this objective sounds, it has not heretofore been attained because of the

difficulty of removably attaching the mount to the resilient spring-wound support cable The spring cannot be threaded, and it is impractical to form internal threads in the small jaw mount

Accordingly, the jaw mounts have been permanently affixed, such as by crimping, which prevents the mount from being removed and re-used. Such an instrument is not re-usable because it cannot

be cleaned.

It is an object of this invention to take advantage of an inherent property of the support cable to enable a jaw mount to be removably mounted to a helically-formed support cable, and then be applied readily to another one.

Brief Description of the Invention

A biopsy forceps according to this invention includes a flexible tubular support cable with

an internal passage. The support cable has a proximal end and a distal end

A jaw mount is mounted to the support cable at its distal end. It supports a pair of pivoted jaws having sharp cutting edges that are moved toward and away from one another by a control

wire. The control wire passes through the passage in the support cable It connects to the jaws

at the distal end

The support cable and control wire are attached to actuation means such as a scissor type

grip, or a thumb loop and handle. Both are well-known means for moving a control wire in a

support cable According to this invention, the support cable is a tightly wound helical spring. It is made of a suitable metal, and of such dimensions that it can readily bend to conform to bends in a cavity into which it is inserted, such as the colon. Inherently, its outer surface has a helically shaped

groove and crest, much like a helical thread. Because the support cable is inherently springy in

the sense of deflectibility, it can be compressed radially (lengthening slightly to enable this), and will exert a spring-back force against a body tending to compress it.

It follows that if the mount has a tubular socket whose internal diameter is suitably smaller than the outermost diametrical dimension of the support cable's convolutions, and can be placed over them, then the jaw mount will be reliably retained. The nearest known approach to this arrangement is to place the end of the support cable

in a socket in the jaw mount with a net fit or an over-size fit, and crimp it in place. This destroys

the jaw mount for re-use.

According to this invention, the socket makes an interference fit with the convolutions,

and is placed over them by means of rotating it around the cable's axis so that the convolutions tend to "thread" their way into the socket even though the socket has no threads. In fact, it is

cylindrical. Removal is the reverse - the mount is simply turned in the opposite direction.

Accordingly the jaws, jaw mount, and control wire, which are readily cleaned, can be re¬

used indefinitely, requiring only a new support cable each time. The instrument is taken apart to

be cleaned and the jaw mount can readily be applied to a new support cable. The above and other features of this invention will be fully understood from the following

detailed description and the accompanying drawings, in which:

Brief Description of the Drawings

Fig. 1 is a side view of presently-preferred embodiment of the invention;

Fig. 2 is an axial cross-section of the portion marked "2" in Fig. 1; and Fig. 3 is a fragmentary view showing the embodiment of Fig. 1 disassembled.

Detailed Description of the Invention

A biopsy forceps 10 according to this invention includes a support cable 11. The support cable has a distal end 12 and a proximal end 13. The support cable is a flexible metal helically wound wire structure having coil convolutions 15 with a groove 16 between adjacent

convolutions, and a curved crest 17 at the maximum diameter of the convolutions. The convolutions abut each other closely, but they are not attached to one another. The support cable

can lengthen, and its diameter can be reduced. In this invention, the diameter is reduced, and the support cable lengthens locally and slightly to enable it. A jaw mount 20 has a socket with an internal wall 21. Wall 21 is cylindrical, although it may also have a short bell-mouth section 22 or internal bevel to provide a lead-in for the cable. The diameter 23 of the cylindrical portion is smaller than the maximum diameter 24 of the convolutions of the support cable.

Jaws 30, 31 are hingedly mounted to the jaw mount. They have respective sharp cutting edges 32, 33, which when brought against or past each other will cut the specimen loose. For this

purpose each has a respective lever arm 34, 35 connected to a control wire 40. The control wire

extends through the passage in the support cable.

The instrument is assembled by inserting the control wire into the passage. Then, when

the socket of the jaw mount reaches the distal end of the support cable, it is rotated while being

axially pressed over the distal end. This will slightly compress the coiled structure, and the cable passes along the support cable very much like a threaded movement, except that there is no

thread.

Retention of the jaw mount is quite reliable, because of the substantial spring-back force

exerted radially by the convolutions against the inside wall of the jaw mount. The amount of compression varies with the dimensions and characteristics of the support cable. A cable having an external diameter of about 2 mm, will generally be compressed diametrically by about 5%, the support cable being a wound stainless steel wire. The dimensions of the mount will be selected so its outer diameter will be about equal to that of the support cable. Often the support cable will have a coating 41 (Fig. 3) of Teflon or some other plastic. It will be stripped from the cable over the inserted length. The outer diameter of the mount and of the layer will be approximately equal.

Accordingly, a flexible biopsy forceps can be provided whose most expensive parts can be cleaned, and which requires the replacement only of a relatively inexpensive length of cable when it is to be cleaned and reused. This invention is not to be limited by the embodiment shown in the drawings and described in the description, which is given by way of example and not of limitation, but only in accordance with the scope of the appended claims.

What is claimed:

Claims

1. A biopsy forceps comprising: a tubular support cable having a proximal end, a distal end, an outer wall, an inner wall, and a passage defined by said inner wall extending from end to end, said cable having an axis and comprising a helically wound metal wire forming contiguous convolutions,

there being a continuous helical grove in the outer wall between convolutions, and a crest on each convolution defining the largest diameter of the support cable, said cable being

flexible; a control wire passing through said passage;

a pair of jaws, each jaws having a sharpened end which, when said jaws are brought past or against each other, will cut tissue that is positioned between them; a jaw mount to which said jaws are pivotally mounted for movement toward and away from one another, said control wire being connected to said jaws to cause said pivotal movement as the consequence of axial movement in the passage relative to said

support cable, said jaw having a socket with a cylindrical portion that has a diameter which is smaller than the said largest diameter of the convolutions, said jaw mount being

mounted to the distal end of said support cable as the consequence of rotating it around

said axis while pressing it toward said distal end, thereby to compress the contiguous

convolutions and cause the distal end to enter the socket to be retained therein by spring

back force of these convolutions against said inner wall. 2. A biopsy forceps according to claim 1 in which a bell-mouth portion is provided on the

inner wall of the socket to facilitate entry of the said distal end. AMENDED CLAIMS

[received by the International Bureau on 2 April 1996 (02.04.96); original claims 1 and 2 replaced by amended claims 1-3 (1 page)]

1. A biopsy forceps comprising disposable cable means for providing bendable steering and support for a reusable forceps instrument assembly, said cable means comprising a helically wound wire having distal and proximal ends and forming a continuous passage therethrough from the distal to the proximal end; and a reusable forceps instrument assembly comprising: a control wire passing through said passage and having proximal and distal ends; forceps instrument means at the distal end of said control wire and operative in response to movement of said control wire to effect a surgical procedure; and unitary mounting means to which said forceps instrument means is operatively mounted at one end thereof, said mounting means comprising a socket means at an opposite end thereof for selective coupling and uncoupling to the distal end of said helically wound wire by rotating the distal end of said helical wire into or out of said socket means such that said cable means can be uncoupled from said mounting means and discarded, and said reusable forceps assembly, including said control wire, said forceps instrument means and mounting means can be resterilized and reused with another cable means.

2. A biopsy forceps according to claim 1 in which a bell-mouthed portion is provided on an inner wall of the socket means to facilitate entry of said distal end of the helical wire

3. A biopsy forceps according to claim 1 in which said forceps instrument means comprises a pair of jaws pivotally mounted for movement toward and away from one another, said control wire being connected to said jaws to cause said pivotal movement as the consequence of axial movement in the passage. STATEMENT UNDER ARTICLE 19

Please amend the claims in the above-identified application by cancelling sheets 6 - 7 of this application which contain the claims and abstract. Please substitute therefore, sheets 6 - 7, attached hereto, which contain the new claims and abstract to be entered in this application.

Claim 1 has been amended to recite that the biopsy forceps is comprised of a disposable cable means for providing bendable steering and support for a reusable forceps instrument assembly, with the cable comprising a helically wound wire having distal and proximal ends and forming a continuous passage therethrough. The biopsy forceps is further comprised of a reusable forceps instrument assembly which is comprised of a control wire that passes through the passage and has proximal and distal ends, with a forceps instrument means at the distal end of the control wire and operative in response to movement of the control wire to effect a surgical procedure Thus, the reusable forceps instrument assembly is further defined as comprising a unitary mounting means to which the forceps instrument means is operatively mounted at one end thereof, with said mounting means comprising a socket means at an opposite end thereof for selective coupling and uncoupling to the distal end of the helically wound wire by rotating the distal end of the helically wire into or out of the socket means such that the cable means can be uncoupled from the mounting means and discarded, with the reusable forceps assembly, including the control wire, forceps instrument means and mounting means detachable for resterilization and reuse with another cable means.

The reference to Mill-Rose Laboratories, Inc. (European Patent Publication No. 0,225,045) does not anticipate nor make obvious the claimed invention as set forth in claims 1-3 In particular, as shown best in figures 3 and 4, the Mill-Rose reference describes two embodiments of a forceps instrument which includes a sampling segment 20 consisting of a coiled spring sheath 22, an operating cable 24 within the sheath 22, a connector 26 and a sampling forceps 30. As set forth in the right hand column on page 3 and also in the left hand column at page 4 of the Mill-Rose reference, in the figure 3 embodiment "the sheath 22 is demountably mounted on the body 34 of the sampler forceps 30" and "sheath collar 44 is attached to the distal end 32 of the sheath 22 " (Page 3, lines 2-4). In the figure 4 embodiment, "the sheath 22' is non-demountably attached to the body 34" of the sampler forceps 30' by a friction closure 49 or the like." (Page 3, lines 26-29) As described at page 4, beginning at lines 50 et seq., "If the body 34 to which the operating cable 24 is attached is demountably mounted on the sheath 22 as shown in figure 3, the body and cable are removed by unsnapping the teeth 41a, 41b of the fingers 46a, 46b of the sheath collar 44 and the cable is pulled out of the sheath 22 from the distal end If the operating cable 24 is nondemountably attached to the sheath 22, as with the body 34' shown in figure 4, no further disassembly prior to cleaning is possible."

The reference to Mill-Rose thus teaches that in the embodiment of figure 4 wherein the coiled wire is inserted into a socket in the jaw mount, the coiled wire is "nondemountable" and not detachable as in the case of applicant's claimed invention. The figure 3 embodiment, on the other hand, teaches the use of a separate collar member 44 attached to the coiled wire which attaches to the outside of the jaw mount, and which is a considerably more complicated structure to use and to clean.