U.S. patent number 3,895,636 [Application Number 05/400,340] was granted by the patent office on 1975-07-22 for flexible forceps.
Invention is credited to William Schmidt.
United States Patent |
3,895,636 |
Schmidt |
July 22, 1975 |
Flexible forceps
Abstract
Flexible forceps including a flexible sheath having a flexible
element extending therethrough, a handle on one end for moving said
flexible element axially and a pair of jaws on the other end
pivoted to a sleeve joined to the sheath and to a trocar assembly
connected to the flexible element and slidably disposed in said
sleeve.
Inventors: |
Schmidt; William (Flushing,
NY) |
Family
ID: |
23583218 |
Appl.
No.: |
05/400,340 |
Filed: |
September 24, 1973 |
Current U.S.
Class: |
606/205;
30/188 |
Current CPC
Class: |
A61B
10/06 (20130101); A61B 17/32053 (20130101); A61B
2017/294 (20130101); A61B 2017/320064 (20130101) |
Current International
Class: |
A61B
17/32 (20060101); A61B 10/00 (20060101); A61B
17/28 (20060101); A61b 017/32 (); A61b 017/34 ();
A61b 017/28 () |
Field of
Search: |
;27/24A
;128/2B,305,356,321,347 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
336,358 |
|
1903 |
|
FR |
|
336,358 |
|
1904 |
|
FR |
|
Primary Examiner: Pace; Channing L.
Claims
What is claimed is:
1. Flexible forceps comprising an elongated flexible tubular member
having proximal and distal ends, a flexible element extending
through and slidably disposed within said tubular member, the
distal end of said tubular member including a jaw assembly
comprising a sleeve secured to and extending from the end of said
tubular member, a trocar assembly including a cylindrical member
slidably disposed within said sleeve and secured to the distal end
of said flexible element, a trocar carried by said cylindrical
member and extending therefrom, a pair of hollow hemispherical jaws
each having a rearwardly extending supporting member, means
pivoting the supporting members to said sleeve for movement of the
jaws between open and closed positions, means coupling said
supporting members to said trocar assembly so that movement of said
assembly in one direction will open said jaws and movement in the
other direction will close said jaws and means on the proximal end
for moving said flexible element relative to said tubular
member.
2. Flexible forceps according to claim 1, wherein retraction of
said trocar assembly effects closure of said jaws.
3. Flexible forceps according to claim 1, wherein said jaws are
provided with cutting edges about the peripheries thereof.
4. Flexible forceps according to claim 1, wherein said jaws each
include hemispherical inserts which protrude from the edges of said
cups and form cutting edges.
5. Flexible forceps according to claim 1, wherein said jaws each
include hemispherical inserts which protrude from the edges of said
cups and form cutting edges, the cutting edge of at least one of
said cups defining a helix whereby one of said cutting edges
slidably engages the other cutting edge to produce a shearing-like
cutting action.
6. Flexible forceps according to claim 1, wherein the means
coupling the supporting means to said trocar assembly comprises a
pin engaging aligned openings in said supporting means and said
trocar.
7. Flexible forceps according to claim 1, wherein the means
coupling the supporting means to said trocar assembly comprises
cooperating engagable elements carried by said supporting means and
said trocar assembly.
8. Flexible forceps according to claim 7, wherein said cooperating
engagable means comprises pairs of studs extending from opposite
sides of said trocar and angularly spaced notches carried by each
of said supporting means and positioned equidistant from the first
said pivotal means, the notches in each of said supporting means
engaging successive studs upon axial movement of the trocar
assembly to move said jaws between the open and closed
positions.
9. Flexible forceps according to claim 1, wherein said means on the
proximal end of said tubular member includes a sleeve-like member
having an enlarged end portion secured to said tubular member with
the enlarged portion extending outwardly, a pair of spaced rods
secured to and extending outwardly of said sleeve-like member, an
actuating rod extending through and slidably engaging said
sleeve-like member, the last said rod lying between said pair of
rods and secured to said flexible element, an actuating element
slidably carried by said pair of rods and secured to said actuating
rod and a handle secured to the outer ends of said pair of rods.
Description
This invention relates to forceps and more specifically to novel
and improved flexible forceps which afford more reliable and
dependable operation.
Flexible forceps utilizing an elongated flexible tubular sheath
with a flexible member extending therethrough have a pair of jaws
on the distal end and an operating handle on the proximal end.
Since the jaws may be of the order of 0.050 inch to 0.100 inch in
diameter, known structures have required tedious and timeconsuming
operations in the manufacture thereof in an effort to attain a
reasonable degree of dependability and reliability with the result
that manufacturing costs have been relatively high.
This invention overcomes the difficulties heretofore encountered in
the manufacture of flexible forceps and provides a novel and
improved flexible forcep structure that provides an arrangement and
organization of elements which greatly simplifies manufacture and
therefore materially reduces the cost of production.
Another object of the invention resides in the provision of a novel
and improved jaw assembly at the distal end of the flexible member
which simplifies the coupling of the jaws with the axially movable
element within the flexible member. The improved structure also
produces precise movement of the jaws toward and away from one
another and when moved to the closed position will produce a
positive cutting action. Since the jaws are essentially
hemispherical, sample tissue severed by the jaws will be completely
severed and retained by the jaws as long as they are held in the
closed position.
Still another object of the invention resides in the provision of a
novel and improved jaw construction for flexible forceps embodying
replacable inserts having cutting edges therein and therefore avoid
the need for frequent replacement of the jaws.
A still further object of the invention resides in the provision of
a novel and improved operating handle which enables more effective
control and operation of the forceps.
The above and other objects and advantages of the invention will
become more apparent from the following description and
accompanying drawings forming part of this application.
In the drawings:
FIG. 1 is a side elevational view of flexible forceps in accordance
with the invention and with the jaws in the closed position;
FIG. 2 is a side elevational view similar to FIG. 1 with the jaws
in the open position;
FIG. 3 is an enlarged perspective view of the forcep handle with
the flexible shaft broken away to show the construction
thereof;
FIG. 4 is a longitudinal cross sectional view of the handle shown
in FIG. 3;
FIG. 5 is an exploded perspective view of the jaw assembly on the
distal end of the tubular operating shaft and the actuating rod
which forms part of the handle structure;
FIG. 6 is a longitudinal cross sectional view of the distal end of
the flexible shaft including the jaw assembly in the closed
position;
FIG. 7 is a longitudinal cross sectional view of FIG. 6 taken along
the line 7--7 thereof;
FIGS. 8, and 9 are cross sectional views of FIG. 6 taken along the
lines 8--8, and 9--9 thereof respectively;
FIG. 10 is a longitudinal cross sectional view similar to FIG. 6
but with jaws in the open position; FIG. 11 is a fragmentary
longitudinal cross sectional view of a modified jaw
construction;
FIG. 12 is a cross sectional view of FIG. 11 taken along the line
12--12 thereof;
FIGS. 13 and 14 are perspective views of jaw inserts for the form
of the invention shown in FIGS. 11 and 12;
FIG. 15 is a further modification of the jaw construction wherein
the insert includes a helical cutting edge;
FIG. 16 is a cross sectional view of FIG. 15 taken along the line
16--16 thereof.
FIG. 17 is a perspective view of the jaw insert of FIGS. 15 and
16;
FIG. 18 is a longitudinal cross sectional view of a modified
embodiment of the invention with the jaws in the closed position;
and
FIG. 19 is a view similar to FIG. 18 with the jaws in the open
position;
Referring now to the drawings and more specifically to FIGS. 1 and
2, the flexible forceps in accordance with the invention comprises
an elongated flexible shaft of tubular construction generally
denoted by the numeral 10, a handle assembly 11 on the proximal end
and a jaw assembly 12 on the distal end. The flexible shaft is
generally formed of an outer sheath 13 of spring-type wire wound in
the form of a tight helix and having an elongated flexible element
14 extending therethrough and slidably movable relative thereto.
The flexible element 14 may be in the form of a thin solid rod or
wire of metal, plastic, or other suitable material and the sheath
13 may take any suitable form and be made of any suitable material
provided that it has adequate strength and flexibility.
The handle 11 includes a fitting 15 having a narrow shank portion
16 and a flared portion 17. The fitting 15 has a central opening 18
extending therethrough for slidably receiving an actuating rod 19
secured to the flexible element 14. The shank 16 is fastened to the
flexible sheath 13 by means of a short intermediate sheath 20
fastened at one end to the shank and engaging a short length of the
sheath 13. Since the intermediate sheath 20 has somewhat less
flexibility than the sheath 13, the possibility of bending the
sheath 13 at the point of attachment to the fitting 15 is
materially reduced. A pair of spaced rods 21 slidably carrying an
actuating member 22 are fastened at one end to said fitting 15 and
carry a loop assembly 23 at the other end. The actuating member 22
has an opening extending therethrough for receiving the actuating
rod 19. The actuating rod 19 is fixed to the actuating member 22 by
a set screw 24 so that displacement of the actuating member 22 will
move the flexible element 14.
One embodiment of the jaw assembly 12 is illustrated in FIGS. 5
through 10. It essentially includes an elongated sleeve 25 having
an opening 26 extending therethrough with one end thereof having an
enlarged portion 27 for receiving and holding the distal end of the
sheath 13. The outer end of sleeve 25 has a transverse slot 28 for
receiving the jaws 29 and 30 as will be described. A trocar
assembly 31 includes a cylindrical member 32 having an opening 33
in one end thereof for receiving and holding the distal end of the
flexible element 14 and a trocar 34 extending from the other end
thereof. The cylindrical member 32 is slidably disposed within the
opening 26 of the sleeve 25 so that the axial displacement of the
flexible element 14 by operation of the actuator 22 will axially
displace the trocar 34. It will be observed in FIG. 5 that the
actuating rod 19 has a slot 19' therein to facilitate soldering or
otherwise securing the actuating rod 19 to the flexible element
14.
Each jaw 29, 30 includes a generally hemispherical cup portion 35
having a sharpened edge 35', a support 36 having two openings 37
and 38, with the support being offset from the centerline of the
jaw so that the support will be on one side of the trocar 34. The
jaws also include flattened portions 39 which slidably engage the
side edges of the trocar 34. The sleeve 25 also includes two sets
of aligned openings 40 and 41 for receiving pins 40' and 41'. The
trocar 34 also has an opening 42 for slidably receiving a pin
42'.
The jaws 29 and 30 are assembled to the sleeve 25 by positioning
the jaws on each side of the trocar 42 with the openings 38 of each
jaw aligned with the opening 42 in the trocar. The pin 42' is then
inserted through the openings 38 and 42 to pivot the jaws to the
trocar. Since the rearward edge 36' of each jaw is sloped at about
45.degree. the jaws can pivot between open and closed positions as
illustrated generally in FIGS. 6 and 10 which also show more
clearly the assembly and operation of the jaws.
After the jaws are pivotally attached to the trocar 34, the trocar
assembly 31 is inserted in the sleeve 25 until the edges 29' and
30' of the jaws hit against the forward edge of the sleeve 25. In
this position the openings 40 in the sleeve 25 will be aligned with
the opening 39 in the jaw 29. Similarly the openings 41 in the
sleeve 25 will be aligned with the opening 39 in the jaw 30. The
pins 40' and 41' are then inserted and slidably engage the openings
39 of the jaws and preferably are press-fit in the cooperating
openings 40 and 41. With this arrangement as the trocar assembly is
axially displaced by operation of the handle 11, the jaws can be
moved between the open and closed positions as seen in FIG. 10.
With specific reference to FIGS. 6 and 10, it will be observed that
when the jaws are in the closed position as shown in FIG. 6, the
trocar in 34 is retracted and the pointed end thereof will lie just
within the outer end of the jaws. When the trocar assembly is
displaced forwardly to open the jaws as shown in FIG. 10, the
pointed end of the trocar has been displaced outwardly and extends
slightly beyond the edges of the open jaws. With this arrangement
the trocar can be inserted in a specific tissue area to be sampled
and it will tend to retain alignment of the jaws with that specific
area so that the desired sample can be extracted.
As previously explained, the edges of the jaws are sharpened to
provide peripheral cutting edges 35'. By reason of the improved jaw
construction and the mode of operation, the edges of the jaws can
be brought into firm contact and thus effect complete severing of a
sample. Furthermore, the specific mode of attachment of the jaws to
the trocar greatly simplifies assembly and provides a precise and
reliable device.
In order to simplify the problem of maintaining sharpened cutting
edges, jaw inserts may be utilized as illustrated in FIGS. 11
through 17. Referring more specifically to FIGS. 11 through 14 each
jaw 29 and 30 includes an insert 43 and 44 respectively. The insert
43 is shaped to conform with the inner surface of the jaw 29 and
has an opening 45 therein which surrounds the opening 46 in the
jaw. In the formation of the opening 46, a narrow peripheral lip 47
surrounds the inner edge of the opening 46 so that when the insert
43 is positioned in the jaw, the lip can be swaged outwardly to
engage the end of the opening 45 in the insert to hold the latter
in place. The insert 44 is similarly secured in position within the
jaw 30 by swaging the lip 47' to engage the opening 45' in the
insert 44. The outer edge 47 of the insert 43 extends slightly
beyond the edge of the jaw 29 and is adapted to be received within
the jaw 30 as illustrated more clearly in FIG. 11. The edge 48 of
the insert 43 is sharpened as shown more clearly in FIGS. 11 and 14
and the outside diameter of the insert is slightly smaller than the
inside diameter of the insert 43 so that it will move within the
insert 43. With this arrangement the inserts 43 and 44 can be
readily removed and replaced and it avoids the need for frequently
resharpening the edges of jaws 29 and 30. While in this embodiment
of the invention the inserts are held in place by swaging the lips
47 and 47', it is evident that the inserts may be held in place by
silver soldering or other suitable means.
A modified construction of the insert 43 is shown in FIGS. 15
through 17. In this embodiment the insert 49 which corresponds to
the insert 43 of FIG. 11 has a helically formed edge 50 so that
when the jaws are brought together the cutting edge of the insert
44 produces in effect a slicing action to provide more effective
severance of a sample.
In the previous embodiments of the invention, the jaw supports 36
were secured to the trocar 34 by a pin 42' so that as the trocar
was displaced axially, the jaws could be moved between their open
and closed positions.
A modified mode of effecting operation of the jaws is shown in
FIGS. 18 and 19. In this embodiment of the invention the trocar 34'
has a pair of spaced openings 51 and 52 into which pins 52 and 54
are press-fit. Each jaw 29 and 30 include semicircular notches 55
and 56. The notch 55 on each jaw is formed on the inner edge 57 of
the jaw support 36 which lies in a place substantially parallel
with the plane of the jaw edge 35'. Each notch 56 is formed in the
inclined edge 58 of each jaw. Since the arcuate spacing of the
notches 55 and 56 corresponds precisely with the spacing of the
pins 53 and 54, the notches and the pins simulate the operation of
a rack and pinion. With this arrangement as the trocar 34' is
displaced forwardly as shown in FIG. 18, the pin 53 bears against
the forward edges of notches 55 tending to cause the jaws to pivot
outwardly. At the same time, the notches 56 move inwardly to engage
the pin 54 whereupon the pin 54 will complete the outward motion of
the jaws. As the trocar 34' is retracted from the position as shown
in FIG. 19, the reverse operation occurs. Inasmuch as the pins 53
and 54 are effectively fixed to the trocar, the assembly of the
jaws to the sleeve is greatly facilitated.
While only certain forms of the invention have been illustrated and
described, it is understood that alterations, changes, and
modifications may be made without departing from the true scope and
spirit of the invention.
* * * * *