U.S. patent application number 12/418128 was filed with the patent office on 2009-08-20 for interchangeable tips and tool box for assisting surgical procedures.
Invention is credited to Udi Gordin, Gilad Heftman.
Application Number | 20090209947 12/418128 |
Document ID | / |
Family ID | 39268883 |
Filed Date | 2009-08-20 |
United States Patent
Application |
20090209947 |
Kind Code |
A1 |
Gordin; Udi ; et
al. |
August 20, 2009 |
INTERCHANGEABLE TIPS AND TOOL BOX FOR ASSISTING SURGICAL
PROCEDURES
Abstract
A toolbox system for interchanging a variety of interchangeable
working tips within a body cavity, comprising: (a) anchoring means
reversibly attached to an internal wall with said body cavity such
that said interchange of each of said at least interchangeable tip
is obtained within said body cavity; (b) a plurality of
interchangeable working tip reversibly attached to said anchoring
means, comprising a body, characterized by a longitudinal axis and
having a distal end and a proximal end coupled together by one
shaft, adapted to reciprocally move along said main longitudinal
axis of said body; said proximal end comprising at least one
actuation means coupled to the proximal end of said shaft; said
distal end comprising at least one operable means in mechanical
communication with the distal end of said shaft; wherein said
operable means are actuated by reciprocally moving said actuation
means along said longitudinal axis of said working tip.
Inventors: |
Gordin; Udi; (Tardion,
IL) ; Heftman; Gilad; (Kibutz Ein-Gev, IL) |
Correspondence
Address: |
Fleit Gibbons Gutman Bongini & Bianco PL
21355 EAST DIXIE HIGHWAY, SUITE 115
MIAMI
FL
33180
US
|
Family ID: |
39268883 |
Appl. No.: |
12/418128 |
Filed: |
April 3, 2009 |
Related U.S. Patent Documents
|
|
|
|
|
|
Application
Number |
Filing Date |
Patent Number |
|
|
PCT/IL2007/001186 |
Sep 25, 2007 |
|
|
|
12418128 |
|
|
|
|
60848636 |
Oct 3, 2006 |
|
|
|
Current U.S.
Class: |
606/1 |
Current CPC
Class: |
A61B 90/70 20160201;
A61B 2090/701 20160201; A61B 1/32 20130101; A61B 17/29 20130101;
A61B 1/3132 20130101; A61B 2017/294 20130101; A61B 2017/2931
20130101; A61B 1/122 20130101; A61B 2017/00283 20130101; A61B
2017/00575 20130101; A61B 2017/00362 20130101 |
Class at
Publication: |
606/1 |
International
Class: |
A61B 17/00 20060101
A61B017/00 |
Claims
1. A toolbox system for interchanging a variety of different
interchangeable working tips within a body cavity during minimally
invasive surgery; said system comprising: a. at least one anchoring
means (11); said anchoring means (11) are internally and at least
partially reversibly attached to an internal wall with said body
cavity such that said interchange of each of said at least
interchangeable working tip is obtained within said body cavity
during said minimally invasive surgery; b. at least one
interchangeable working tip (12, 13) reversibly attached to said
anchoring means (11); said interchangeable working tip (12, 13)
comprising a body, said body is characterized by a main
longitudinal axis and having a distal end and a proximal end
coupled together by at least one shaft adapted to reciprocally move
along said main longitudinal axis of said body; said proximal end
comprising at least one actuation means coupled to the proximal end
of said shaft; said distal end comprising at least one operable
means in mechanical communication with the distal end of said
shaft; said operable means are adapted to perform a medical
operation; wherein said operable means are actuated by reciprocally
and linearly moving said actuation means along said longitudinal
axis of said working tip such that said shaft is linearly moved
towards and away said proximal end of said body.
2. The toolbox system according to claim 1, wherein said
interchangeable working tip (12, 13) is selected from a group
comprising of cutting means, blood sealing units, illumination
means, imaging means, grasping forceps or provided with hook or/and
loop engagement means, dissector, biopsy punch, needle holder,
clamp or any combination thereof.
3. The toolbox system according to claim 1, wherein said
interchangeable working tip (12, 13) is provided with a hook or/and
loop engagement means used for attaching said interchangeable
working tip to said anchoring means (11) or directly to said an
internal wall with said body cavity.
4. The toolbox system according to claim 1, wherein said
interchangeable working tip is provided with attachment means
providing said reversible attachment to said anchoring means (11)
selected from a group comprising magnetic attachment means, suction
attachment means, adhesive attachment, mechanical attachment such
as hook or loop attachments, other minimally invasive, or means any
combination thereof.
5. The toolbox system according to claim 1, wherein movement of
said toolbox system from one position to another within said body
cavity is obtained by said reversible attachment of said anchoring
means (11) to said body cavity.
6. The toolbox system according to claim 1, wherein said reversible
attachment of said interchangeable tip is obtained by applying
linear movement to said interchangeable tip.
7. A method for providing at least one interchangeable working tip
within a body cavity during laparoscopic surgery; said method
comprising steps of: a. obtaining a toolbox system comprising: i.
at least one anchoring means (11); ii. at least one interchangeable
working tip (12, 13) reversibly attached to said anchoring means
(11); b. introducing said toolbox system through an incision into
to said body cavity; c. reversibly attaching said attachment means
(11) to the undersurface of said body cavity; d. reversibly
attaching said at least one interchangeable working tip to said
attachment means (11); thereby providing said at least one
interchangeable working tip within said body cavity.
8. The method according to claim 7, additionally comprising step of
interchanging said interchangeable working tip: a. disengaging said
interchangeable working tip from said attachment means (11); b.
attaching said interchangeable working tip to said attachment means
(11) or to the undersurface of said body cavity; and, c. engaging
another interchangeable working tip; thereby interchanging said
interchangeable working tip.
9. The method according to claim 7, additionally comprising step of
extracting said toolbox system from said body cavity.
10. The method according to claim 7, additionally comprising step
of selecting said interchangeable tip from a group comprising
cutting means, blood sealing units, illumination means, imaging
means, grasping forceps or provided with a hook or/and loop
engagement means, dissector, biopsy punch, needle holder, clamp or
any combination thereof.
11. The method according to claim 7, additionally comprising step
of selecting said attachment means from a group comprising magnetic
attachment means, suction attachment, adhesive attachment,
mechanical attachment such as hook and loop attachments, any other
minimally invasive means, or any combination thereof.
12. The method according to claim 7, additionally comprising step
of disengaging said interchangeable working tip from the internal
wall within said body abdominal cavity or from said attachment
means.
13. The method according to claim 7, additionally comprising step
of re-locating said toolbox system from a first position to a
second within said body cavity via releasing said attachment means
(11) from said undersurface of said body cavity in said first
position; and, re-attaching said attachment means (11) to the
undersurface of said body cavity in said second position.
14. The method according to claim 7, additionally comprising step
of manipulating said at least one interchangeable working tip
within said body cavity: a. obtaining a surgical device (600) for a
reversible manipulation of at least one interchangeable working tip
within a body cavity, during minimally invasive surgery, said
device is characterized by having a distal portion, adapted to be
inserted into said body cavity and a proximal portion, located
adjacent to a user; said proximal end comprising at least one
engagement site (604); said distal end comprising means for
activating said at least one engagement site (604); b. introducing
said distal portion of said surgical device through an incision
into to said body cavity; c. reversibly engaging said engagement
site with said at least one interchangeable working tip; thereby
manipulating said interchangeable working tip.
15. A method of interchanging at least one interchangeable working
tip within a body cavity during laparoscopic surgery; said method
comprising steps of: a. obtaining a plurality of interchangeable
working tip (12, 13), each of which comprising a body, said body is
characterized by a main longitudinal axis and having a distal end
and a proximal end coupled together by at least one shaft adapted
to reciprocally move along said main longitudinal axis of said
body; said proximal end comprising at least one actuation means
coupled to the proximal end of said shaft; said distal end
comprising at least one operable means in mechanical communication
with the distal end of said shaft; said operable means are adapted
to perform a medical operation; b. sequentially introducing said
plurality of interchangeable working tip (12, 13) through an
incision into to said body cavity; c. reversibly attaching each of
said plurality of interchangeable working tip (12, 13) to the
undersurface of said body cavity; d. removing at least one of said
interchangeable working tip (12, 13); e. actuating said at least
one of said interchangeable working tip (12, 13) thereby performing
a medical operation via said at least one of said interchangeable
working tip (12, 13); f. interchanging said interchangeable working
tip within said body cavity; wherein said step (e) of actuating is
performed by reciprocally and linearly moving said actuation means
along said longitudinal axis of said working tip such that said
shaft is linearly moved towards and away said proximal end of said
body.
16. The method according to claim 15, wherein said step of
interchanging said interchangeable working tip comprising steps of:
d. disengaging said interchangeable working tip from said
undersurface of said body cavity; and, e. engaging another
interchangeable working tip; thereby interchanging said
interchangeable working tip.
17. The method according to claim 15, additionally comprising step
of selecting said interchangeable tip from a group comprising
cutting means, blood sealing units, illumination means, imaging
means, grasping forceps or provided with a hook or/and loop
engagement means, dissector, biopsy punch, needle holder, clamp or
any combination thereof.
18. The method according to claim 15, additionally comprising step
of re-locating said interchangeable tip from a first position to a
second within said body cavity via releasing said interchangeable
tip from said undersurface of said body cavity in said first
position; and, re-attaching said interchangeable tip to the
undersurface of said body cavity in said second position.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation-in-part application of
International Application No. PCT/IL2007/001186, filed 25 Sep.
2007, which claims priority to U.S. Provisional Application No.
60/848,636, filed Oct. 3, 2006. The entire contents of each of
these applications are incorporated herein by reference.
FIELD OF THE INVENTION
[0002] The present invention generally relates to anchoring devices
attached to internal surface of a cavity for assisting laparoscopic
procedures. More specifically, the present invention relates to
interchangeable tips and a toolbox for minimal invasive
surgery.
BACKGROUND OF THE INVENTION
[0003] Endoscopic interventions represent a significant advance in
various fields of surgery permitting the performance of the
majority of interventions through a number of small incisions
reducing postoperative pain and enhancing the postoperative
recovery.
[0004] In Endoscopic surgery, the surgeon performs the operation
through small holes using long instruments and observing the
internal anatomy with an endoscope camera.
[0005] The surgeons need more than one tool during the laparoscopic
surgery.
[0006] Replacing tools during the procedure requires extracting the
current working tool outside the cavity, an activity which
distracting for surgeons.
[0007] Thus, there is a long felt need for an interchangeable tips
system that enables the surgeon to interchange the tips of the
surgical instruments within the body cavity, and for a tool box
that can be anchored to the internal surface of a cavity or to
various organs within a cavity, without negating the minimal
invasive nature of the procedure.
SUMMARY OF THE INVENTION
[0008] It is one object of the invention to disclose a surgical
device comprising: (a) at least two interchangeable tip (tool
head); and (b) at least one control unit; wherein said device is
adapted with means such that the replacement of said
interchangeable tip via said control unit is enabled within the
abdominal cavity and/or within a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative
spaces, during minimally invasive surgical procedure; further
wherein said control unit is adapted to actuate said
interchangeable tip.
[0009] It is another object of the invention to disclose the
surgical device as defined above, wherein said control unit is
adapted to engages and disengage said interchangeable tip within
said abdominal cavity and/or within said hollow body organs and/or
said natural/artificial orifices and/or said spaces and/or said
post operative spaces, during minimally invasive surgical
procedure; further wherein said control unit is adapted to
introduce said interchangeable tip through an incision and/or
trocar and/or natural orifice to the abdominal cavity and/or body
cavity and/or hollow body organs and/or natural/artificial orifices
and/or spaces and/or post operative spaces; further wherein said
control unit is adapted to extract said interchangeable tip from
said abdominal cavity and/or said body cavity and/or said hollow
body organs and/or said natural/artificial orifices and/or said
spaces and/or said post operative spaces.
[0010] It is another object of the invention to disclose the
surgical device as defined above, wherein said interchangeable tip
is selected from a group comprising cutting means, blood sealing
units, illumination means, imaging means, grasping forceps,
dissector, biopsy punch, needle holder, clamp or any combination
thereof.
[0011] It is another object of the invention to disclose the
surgical device as defined above, wherein said interchangeable tip
is provided with a hook or/and loop engagement means.
[0012] It is another object of the invention to disclose the
surgical device as defined above, wherein said interchangeable tip
is actuated by pulling said engagement means via said control unit,
while counter-force is exercised on the base of the interchangeable
tip.
[0013] It is another object of the invention to disclose the
surgical device as defined above, wherein said hook engagement
means of said interchangeable tip is adapted to provide anchoring
of said interchangeable tip to the internal walls of said abdominal
cavity and/or said body cavity and/or said hollow body organs
and/or said natural/artificial orifices and/or said spaces and/or
said post operative spaces.
[0014] It is another object of the invention to disclose a system
adapted to change a wide variety of different tool heads, or
interchangeable tips during minimally invasive surgery; said system
comprising: (a) at least one surgical device as defined above; (b)
at least one anchoring means; wherein said anchoring means is
anchored to the internal wall of the abdominal cavity and/or body
cavity and/or hollow body organs and/or natural/artificial orifices
and/or spaces and/or post operative spaces during minimally
invasive surgery; further wherein said interchangeable tip of said
device is provided with means to be attached to said anchoring
means whilst said interchangeable tip is not engaged to said
control unit of said device during minimally invasive surgical
procedure.
[0015] It is another object of the invention to disclose the system
as defined above, wherein said interchangeable tip is selected from
a group comprising cutting means, blood sealing units, illumination
means, imaging means, grasping forceps, dissector, biopsy punch,
needle holder, clamp or any combination thereof.
[0016] It is another object of the invention to disclose the system
as defined above, wherein said interchangeable tip is provided with
a hook or/and loop engagement means.
[0017] It is another object of the invention to disclose the system
as defined above, wherein said interchangeable tip of said device
is actuated by pulling said engagement means via said control unit
of said device, while counter-force is exercised on the base of the
interchangeable tip.
[0018] It is another object of the invention to disclose the system
as defined above, wherein said attachment means are selected from a
group comprising magnetic attachment means, suction attachment,
adhesive attachment, mechanical attachment such as hook or loop
attachments or other minimally invasive means any combination of
these means, or other non-invasive or minimally invasive anchoring
means.
[0019] It is another object of the invention to disclose the system
as defined above, wherein said attachment means are releasable
attachment means.
[0020] It is another object of the invention to disclose the system
as defined above, additionally comprising means allowing said
system to move from one position to another within said cavity
and/or said organ and/or said hollow body organs and/or said
natural/artificial orifices and/or said spaces and/or said post
operative spaces.
[0021] It is another object of the invention to disclose the system
as defined above, wherein said interchangeable tip of said surgical
device are adapted with means to be released and reattached to said
anchoring means.
[0022] It is another object of the invention to disclose a method
for changing a wide variety of different tool heads, or
interchangeable tips during minimally invasive surgical procedure.
The method comprises steps selected inter alia from (a) obtaining a
device as defined above; (b) introducing said device through an
incision into to a body cavity and/or to an organ and/or a body
cavity and/or to an organ and/or to a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative
spaces and attaching said at least one interchangeable tip via
attachment means to the undersurface of said cavity and/or to said
organ and/or to said hollow body organs and/or to said
natural/artificial orifices and/or to said spaces and/or to said
post operative spaces; (c) interchanging said interchangeable tip
via said control unit; wherein said interchanging step of said
interchangeable tips is enabled within said abdominal cavity and/or
within said hollow body organs and/or said natural/artificial
orifices and/or said spaces and/or said post operative spaces,
during said minimally invasive surgical procedure.
[0023] It is another object of the invention to disclose a method
for changing a wide variety of different tool heads, or
interchangeable tips during laparoscopic surgery. The method
comprises steps selected inter alia from (a) obtaining a system as
defined above; (b) introducing said system through an incision into
to a body cavity and/or to an organ and/or to an organ and/or to a
hollow body organs and/or natural/artificial orifices and/or spaces
and/or post operative; (c) attaching said attachment means of said
system to the undersurface of said body cavity and/or to said organ
and/or to said hollow body organs and/or to said natural/artificial
orifices and/or to said spaces and/or to said post operative
spaces; (d) attaching said interchangeable tip of said device to
said attachment means via said control unit; (e) interchanging said
interchangeable tips via said control unit; wherein said
interchanging step of said interchangeable tips is enabled within
said abdominal cavity and/or within said hollow body organs and/or
said natural/artificial orifices and/or said spaces and/or said
post operative spaces, during said minimally invasive surgical
procedure.
[0024] It is another object of the invention to disclose the method
as defined above, wherein said step of interchanging said
interchangeable tip additionally comprising steps of (a)
disengaging said interchangeable tip via said control units; (b)
attaching said interchangeable tip to the undersurface of said
cavity and/or to said organ and/or to said hollow body organs
and/or to said natural/artificial orifices and/or to said spaces
and/or to said post operative spaces; and (c) engaging said
interchangeable tip via said control units.
[0025] It is another object of the invention to disclose the method
as defined above, wherein said step of interchanging said
interchangeable tip additionally comprising steps of (a)
disengaging said interchangeable tip of said device via said
control units; (b) attaching said interchangeable tip to said
attachment means; and (c) engaging said interchangeable tip via
said control units.
[0026] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of
re-interchanging said interchangeable tips; wherein said step of
re-interchanging said interchangeable tips is done according to a
medical need.
[0027] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of extracting
said device from said body cavity and/or to said organ and/or to
said hollow body organs and/or to said natural/artificial orifices
and/or to said spaces and/or to said post operative spaces.
[0028] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of extracting
said system from said body cavity and/or to said organ and/or to
said hollow body organs and/or to said natural/artificial orifices
and/or to said spaces and/or to said post operative spaces.
[0029] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of selecting
said interchangeable tip from a group comprising cutting means,
blood sealing units, illumination means, imaging means, grasping
forceps, dissector, biopsy punch, needle holder, clamp or any
combination thereof.
[0030] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of providing
said interchangeable tip with a hook or/and loop engagement
means.
[0031] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of selecting
said attachment means from a group comprising magnetic attachment
means, suction attachment, adhesive attachment, mechanical
attachment such as hook and loop attachments or other minimally
invasive means any combination of these means, or other
non-invasive or minimally invasive anchoring means.
[0032] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of disengaging
said interchangeable tip from the internal wall within said
abdominal cavity and/or within said hollow body organs and/or said
natural/artificial orifices and/or said spaces and/or said post
operative spaces.
[0033] It is another object of the invention to disclose the method
as defined above, additionally comprising the step of disengaging
said interchangeable tip from said attachment means.
[0034] It is another object of the invention to disclose the method
as defined above, additionally comprising the steps of (a)
releasing said interchangeable tip from the internal wall within
said cavity and/or said organ and/or said hollow body organs and/or
said natural/artificial orifices and/or said spaces and/or said
post operative spaces; and (b) reattaching said interchangeable tip
to the internal wall within said cavity and/or said organ and/or
said hollow body organs and/or said natural/artificial orifices
and/or said spaces and/or said post operative spaces; wherein the
steps of releasing and reattaching is done according to the medical
needs.
[0035] It is another object of the invention to disclose the method
as defined above, additionally comprising the steps of (a)
releasing said interchangeable tip from said attachment means; and
(b) reattaching said interchangeable tip to said attachment means;
wherein the steps of releasing and reattaching is done according to
the medical needs.
[0036] It is still object of the invention to disclose the method
as defined above, additionally comprising the step of engaging and
actuating said interchangeable tips in said cavity and/or said
organ and/or said hollow body organs and/or said natural/artificial
orifices and/or said spaces and/or said post operative spaces.
[0037] It is lastly object of the invention to disclose the method
as defined above, additionally comprising the step of allowing said
system to move from one position to another within said cavity
and/or said organ and/or said hollow body organs and/or said
natural/artificial orifices and/or said spaces and/or said post
operative spaces.
BRIEF DESCRIPTION OF THE FIGURES
[0038] In order to understand the invention and to see how it may
be implemented in practice, and by way of non-limiting example
only, with reference to the accompanying drawing, in which
[0039] FIG. 1 is a perspective view of a toolbox with a plurality
of instrument tips magnetically fixed to an attachment means
according to one embodiment of the present invention.
[0040] FIG. 2 is a side view of the same.
[0041] FIG. 3 is a perspective side view of a toolbox with a
plurality of instrument tips hanging from hooks on an attachment
means according to another embodiment of the present invention.
[0042] FIG. 4 is a perspective view of a toolbox with a plurality
of instrument tips attached to the wall of an internal body cavity
according to another embodiment of the present invention.
[0043] FIG. 5 is an enlarged cross sectional view of FIG. 4,
focused on the hook of an instrument tip as it is attached to the
wall of an internal body cavity.
[0044] FIG. 6 is a perspective view of a control unit system
according to one embodiment of the present invention engaging an
interchangeable instrument tip.
[0045] FIG. 7 is a side perspective cross-sectional view of the
body of the control unit;
[0046] FIG. 8 is an enlarged perspective view of the engaging end
of the control unit and instrument tip at one configuration of
work.
[0047] FIG. 9 is an enlarged perspective view of the engaging end
of the control unit and instrument tip at a second configuration of
work.
[0048] FIG. 10 is an enlarged perspective view of the engaging end
of the control unit and instrument tip at a third configuration of
work.
[0049] FIG. 11 is an enlarged perspective view of the engaging end
of a control unit according to another embodiment of the present
invention, engaging an interchangeable instrument tip at one
configuration of work.
[0050] FIG. 12 schematically represents in a flow diagram, the
method for changing a wide variety of different tool heads, or
interchangeable tips during minimally invasive surgical
procedures.
[0051] FIG. 13 schematically represents in a flow diagram, another
method for changing a wide variety of different tool heads, or
interchangeable tips during minimally invasive surgical
procedure.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0052] The following description is provided, alongside all
chapters of the present invention, so as to enable any person
skilled in the art to make use of said invention and sets forth the
best modes contemplated by the inventor of carrying out this
invention. Various modifications, however, will remain apparent to
those skilled in the art, since the generic principles of the
present invention have been defined specifically to provide
anchoring devices attached to undersurface of a cavity surface for
assisting laparoscopic endoscopic procedures.
[0053] U.S. application Ser. No. 10/563,229, PCT publication no.
WO2005/002415, and EP Application No 04 744 933.5 are incorporated
in all its parts as a reference to the current invention.
[0054] Exemplary descriptions and embodiments of the anchoring of
the device are found in U.S. application Ser. No. 10/563,229, PCT
publication no. WO2005/002415, and EP Application No 04 744
933.5.
[0055] The present invention provides a surgical device
comprising:
(a) at least two interchangeable tips (tool head); and (b) at least
one control unit.
[0056] The device is adapted with means such that the replacement
of the interchangeable tip via the control unit is enabled within
the abdominal cavity and/or within a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative
spaces, during minimally invasive surgical procedure; further
wherein the control unit is adapted to actuate the interchangeable
tip.
[0057] The present invention also provides a system adapted to
change a wide variety of different tool heads, or interchangeable
tips during minimally invasive surgery. The system comprising:
(a) at least one surgical device; and (b) at least one anchoring
means.
[0058] The anchoring means is anchored to the internal wall of the
abdominal cavity and/or body cavity and/or hollow body organs
and/or natural/artificial orifices and/or spaces and/or post
operative spaces during minimally invasive surgery. The
interchangeable tip of said device is provided with means to be
attached to the anchoring means whilst the interchangeable tip is
not engaged to the control unit of the device during minimally
invasive surgical procedures.
[0059] The present invention also provides a method for changing a
wide variety of different tool heads, or interchangeable tips
during minimally invasive surgical procedure. The method comprises
steps selected inter alia from:
(a) obtaining a device; (b) introducing the device through an
incision into to a body cavity and/or to an organ and/or a body
cavity and/or to an organ and/or to a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative
spaces and attaching the at least one interchangeable tip via
attachment means to the undersurface of the cavity and/or to the
organ and/or to the hollow body organs and/or to the
natural/artificial orifices and/or to the spaces and/or to the post
operative spaces; (c) interchanging the interchangeable tip via the
control unit; wherein the interchanging step of the interchangeable
tips is enabled within the abdominal cavity and/or within the
hollow body organs and/or the natural/artificial orifices and/or
the spaces and/or the post operative spaces, during the minimally
invasive surgical procedure.
[0060] The present invention also provides another method for
changing a wide variety of different tool heads, or interchangeable
tips during laparoscopic surgery. The method comprises steps
selected inter alia from:
(a) obtaining a system; (b) introducing said system through an
incision into to a body cavity and/or to an organ and/or to an
organ and/or to a hollow body organs and/or natural/artificial
orifices and/or spaces and/or post operative; (c) attaching the
attachment means of the system to the undersurface of the body
cavity and/or to the organ and/or to the hollow body organs and/or
to the natural/artificial orifices and/or to the spaces and/or to
the post operative spaces; (d) attaching the interchangeable tip of
said device to the attachment means via the control unit; (e)
interchanging the interchangeable tips via the control unit;
wherein the interchanging step of said interchangeable tips is
enabled within said abdominal cavity and/or within said hollow body
organs and/or said natural/artificial orifices and/or the spaces
and/or the post operative spaces, during the minimally invasive
surgical procedure.
[0061] The term "scope" refers hereinafter to laparoscope,
endoscope, coeloscope or optical device used for observation within
a body cavity and/or procedures being performed within a body
cavity.
[0062] The term "minimally invasive surgery" refers hereinafter to
a procedure that is carried out by entering the body through the
skin or through a body cavity or anatomical opening, but with the
smallest damage possible.
[0063] The term "virtual port" refers hereinafter to a surgical
device introduced within a body cavity without need of dedicated
incision and/or port but by using other port.
[0064] The term "control unit" refers hereinafter to any surgical
instrument specially designed for providing access during a surgery
or operation.
[0065] The term "trocar" refers hereinafter to a surgical
instrument passed through the body, used to allow easy exchange of
endoscopic instruments during endoscopic surgery.
[0066] The term "body cavity" refers hereinafter to any selected
from the internal wall of the abdominal cavity and/or body cavity
and/or hollow body organs and/or natural/artificial orifices and/or
spaces and/or post operative spaces during minimally invasive
surgery or any combination thereof.
[0067] The present invention discloses a system adapted to change
instruments during laparoscopic endoscopic surgery.
[0068] Reference is now made to FIGS. 1 and 2 which schematically
display a toolbox system 10 adapted to change a wide variety of
different tool heads, or interchangeable tips during endoscopic
surgery. The toolbox comprises an anchoring device 11 attached to
the undersurface of the cavity 15. The toolbox also comprises a
plurality of interchangeable tips of surgical devices 12, 13 (shown
for illustration) independently and releasably attached by magnetic
force to the anchoring device 11 by a magnetic strip 14. The
instrument tips all have a ferromagnetic adaptor at their proximal
end by they are attached to the strip and by which a control unit
engages the tip and enables its application.
[0069] Reference is now made to FIG. 3 which schematically displays
a toolbox system 30 which comprises an anchoring device 11 attached
to the undersurface of the cavity 15. The toolbox also comprises a
plurality of interchangeable tips of surgical devices 12, 13, 32
(shown for illustration) independently and releasably attached by
hanging on hooks 33 along a strip 34 attached to the anchoring
device 11. The use and application of the tips is a mentioned above
(toolbox system 10) with the difference that the distal adaptors
need not be made of ferromagnetic material.
[0070] Reference is now made to FIGS. 4-5 which schematically
illustrate a toolbox system 40 in which the various instrument tips
41 (shown for illustration) are directly and independently
releasably attached to undersurface of the cavity 15. The
instrument tips are attached to the cavity undersurface by a hook
42 on the distal end of each tip which pierces the cavity and
remains hooked until needed for use.
[0071] Reference is now made to FIGS. 6-8 which schematically
display a control unit 600 for the manipulation of the
interchangeable instrument tip within body cavity. The control unit
consists of a body 601 with a handle 606, a trigger 605, a stopper
lever 602 and a tubular member 603 with an engaging site 604 at its
distal end. The body 601 of the control unit conceals a piston 702
with three tabs 703, 704 and 705 for engaging the stopper lever
602. The piston is backed by a spring 701 which when compressed by
proximal movement of the piston, tends to expand. Thus, applying
force on the piston tends to return the piston to its distal
position. A rigid wire 706 attached to the proximal end of the
piston runs along its axis and extends through the tube 603 towards
the distal engaging site 604, attaching to the hook 802 within the
tube. At the engaging site, the hook 42 of an interchangeable
instrument tip 41 is hinged on the control unit's (600) plate 801
and hook 802 system.
[0072] Reference is now made to FIG. 8 which is an enlarged
perspective view of the engaging end of the control unit and
instrument tip in one work configuration. FIG. 8 illustrates plate
801 and hook 802 of the control unit in a separated state, as the
trigger 605 of the control unit is fully released. The
configuration illustrated in FIG. 8 allows "fishing" of a tip's
hook 42 which is attached to the toolbox as described in any of the
embodiments in the present invention.
[0073] Reference is now made to FIG. 9 which is an enlarged
perspective view of the engaging end of the control unit and the
instrument tip at the second work configuration. FIG. 9 illustrates
the plate 801 and hook 802 adjacent to each other, thus holding the
tip 41 by its hook 42, as the trigger 605 has been partially pulled
proximally so that the piston 702 consequentially moves proximally
and the stopper lever 602 temporarily locks it in position by
engaging the middle tab 704. The configuration illustrated in FIG.
9 allows attachment of the instrument tip to the toolbox.
[0074] Reference is now made to FIG. 10 which is an enlarged
perspective view of the engaging end of the control unit and
instrument tip at a third configuration of work. As the plate 801
and hook system 802 are concealed within tube 603 of the control
unit, thus a ring 43 on the proximal end of an instrument tip 41 is
adjacent to the tube's distal end 803, as the trigger has been
nearly completely pulled proximally so that the piston 702 is now
temporarily locked in position by the stopper lever engaging the
distal tab 705. The configuration illustrated in FIG. 10 allows the
manipulation of the interchangeable instrument tip 41 by further
pulling the trigger in order to iteratively actuate and operate
mechanical parts of the tip, or by moving and manipulating the tip
within the body cavity. Furthermore, this configuration enables the
insertion and extraction of the tip from within the body cavity
through a trocar.
[0075] Reference is now made to FIG. 11 is an enlarged perspective
view of the engaging end of a control unit according to another
embodiment of the present invention, engaging an interchangeable
instrument tip at one configuration of work. FIG. 11 illustrates
the engaging end 604 of the control unit with a loop 711 which is
integral to the wire 706 of the control unit 600. The loop is
engaging with hook 52 of the interchangeable instrument tip 51
(located on its proximal end). Loop 711 has two configurations: an
open configuration and a closed configuration. In the open
configuration the loop 711 is open and hook 52 of the
interchangeable instrument tip 51 can be engaged with said loop
(i.e., inserted into the loop 711). In the closed configuration the
loop 711 is closed and hook 52 can not be inserted into it or
extracted from it.
[0076] In the configuration illustrated in FIG. 11, the trigger 605
is fully released, allowing attachment and release of the
instrument tip hook to the loop. Pulling the trigger bring about
the proximal retraction of the loop, thus retracting the instrument
tip 51 until the ring 53 at its proximal end abuts against the
distal rim 803 of the tube 603, allowing the actuation and
maneuvering of the instrument tip.
[0077] Reference is now made to FIG. 12 which schematically
represents in a flow diagram, a method (1200) for changing a wide
variety of different tool heads, or interchangeable tips during
minimally invasive surgical procedure. At the first stage (121) a
device is obtained. Next (122), the device is introduced through an
incision into to a body cavity and/or to an organ and/or a body
cavity and/or to an organ and/or to a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative
spaces. Furthermore, at least one interchangeable tip is attached
via attachment means to the undersurface of the cavity and/or to
the organ and/or to the hollow body organs and/or to the
natural/artificial orifices and/or to the spaces and/or to the post
operative spaces. The last stage (123) the interchangeable tip is
interchanges via said control unit.
[0078] Reference is now made to FIG. 13 which schematically
represents in a flow diagram, another method (1300) for changing a
wide variety of different tool heads, or interchangeable tips
during minimally invasive surgical procedure. At the first stage
(131) a system is obtained. Next (132), the system is introduced
through an incision into to a body cavity and/or to an organ and/or
to an organ and/or to a hollow body organs and/or
natural/artificial orifices and/or spaces and/or post operative. At
the next stage (133), the attachment means of the system is
attached to the undersurface of the body cavity and/or to the organ
and/or to the hollow body organs and/or to the natural/artificial
orifices and/or to the spaces and/or to the post operative spaces.
Next (134), the interchangeable tip of the device is attached to
the attachment means via the control unit. The final stage (135) is
interchanging the interchangeable tips via the control unit.
* * * * *