WO2000024322A1 - Surgical grasper with inserts and method of using same - Google Patents
Surgical grasper with inserts and method of using same Download PDFInfo
- Publication number
- WO2000024322A1 WO2000024322A1 PCT/US1999/025050 US9925050W WO0024322A1 WO 2000024322 A1 WO2000024322 A1 WO 2000024322A1 US 9925050 W US9925050 W US 9925050W WO 0024322 A1 WO0024322 A1 WO 0024322A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- ratchet
- linkage
- insert
- pad
- pawl
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
- A61B17/282—Jaws
- A61B2017/2825—Inserts of different material in jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
- A61B2017/2929—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
Definitions
- a laparoscopic grasper is illustrated in Figure 1 and designated generally by the reference numeral 10.
- the grasper 10 is operatively positioned through a trocar 12 and extends into an abdomen 14 of a patient 16. Within the abdomen 14, the grasper 10 can be operated to grasp a stomach 18, for example, and to move the stomach as required by the surgical procedure.
- the insert 41 of this embodiment is best illustrated in Figures 3-5 to include an elongate injection-molded plastic insert base 43, an insert-molded low-profile atraumatic pad 45, and a high-profile pad 47 which may be wrapped with a polyester braid material 50.
- the disposable insert 41 also incorporates a pair of verticle ribs 52, which are positioned to nest in a corresponding pair of vertical notches 54 in the insert jaw 36.
- the notches 54 are located near the distal tip of the jaw 36 so that the strength of the jaw is not compromised.
- the ribs 52 are preferably an integral portion of the injection-molded, plastic insert base 43.
- FIG. 8 An axial cross-section view of the grasper 10, is illustrated in Figure 8.
- the barrel 21 of a preferred embodiment includes an outer tube 58 and a central shaft 61 that are relatively movable to operate the jaw assembly 32. Relative movement of the outer tube 58 and inner shaft 61 is accomplished by operation of the handle assembly 27 and associated ratchet mechanism 30.
- An apertured cylinder 63 operating in combination with an associated pin 65 provides the grasper 10 with a capability for indexing the jaw assembly 32.
- This particular embodiment of the ratchet mechanism 105 also includes a lock pin 132, which is fixed to the thumb handle 72a, and a pair of arms 134 and 136 which are mounted on the extension 125 and pivotal with the lever 121 to engage and disengage the lock pin 132.
- the lever 121 can be pivoted on the pin 127 between a first position, illustrated in Figure 18, and a second position, illustrated in Figure 19. In the first position, the lever is biased by a spring 141 so that the teeth 123 engage the pawl 130.
- the grasper 10a is provided with ratchet characteristics, meaning that the jaws 134a and 136a are locked into progressively closed positions as the thumb handle 72a is moved into proximity with the finger handle 74a.
- the lever 121 can be pivoted on the pin 127 against the bias of the spring 141 until the teeth 123 disengage the pawl 130.
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP99970903A EP1123051A4 (en) | 1998-10-23 | 1999-10-22 | Surgical grasper with inserts and method of using same |
JP2000577941A JP2002528161A (en) | 1998-10-23 | 1999-10-22 | Surgical gripping device using insert and method of using the same |
CA002347286A CA2347286A1 (en) | 1998-10-23 | 1999-10-22 | Surgical grasper with inserts and method of using same |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10540698P | 1998-10-23 | 1998-10-23 | |
US15603299P | 1999-09-23 | 1999-09-23 | |
US60/156,032 | 1999-09-23 | ||
US60/105,406 | 1999-09-23 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000024322A1 true WO2000024322A1 (en) | 2000-05-04 |
Family
ID=26802547
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1999/025050 WO2000024322A1 (en) | 1998-10-23 | 1999-10-22 | Surgical grasper with inserts and method of using same |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1123051A4 (en) |
JP (1) | JP2002528161A (en) |
CA (1) | CA2347286A1 (en) |
WO (1) | WO2000024322A1 (en) |
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Also Published As
Publication number | Publication date |
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EP1123051A1 (en) | 2001-08-16 |
CA2347286A1 (en) | 2000-05-04 |
EP1123051A4 (en) | 2003-01-02 |
JP2002528161A (en) | 2002-09-03 |
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