Surgical device with incorporated tissue extraction
Systems and methods discussed herein relate to surgical systems including tissue resecting devices where the handset has a disposable portion detachably coupled to a reusable portion. The reusable portion may be a housing where a motor and electronics are stored that may be used to drive a shaft inserted into the disposable portion. The shaft may be coupled to a fluid pathway through the disposable portion that is fluidly isolated from the reusable section. After use, the disposable section is detached from the reusable section and disposed, and the reusable section may be cleaned and sterilized, or may be cleaned only.
1. A tissue resecting system, comprising:
a disposable portion comprising:
a handle portion that defines a hub section and a mating section, the handle defines a fluid path that extends through the hub section and the mating section;
an elongated shaft coupled to the hub section of the handle portion, the elongated shaft defines an internal flow channel fluidly coupled to the fluid path, and a central axis;
an aperture through a distal end of the elongated shaft;
a cutting blade within the elongated shaft and in operational relationship to the aperture;
a rotating hub disposed within hub section and in operational relationship to a portion of the fluid path within the hub section, the rotating hub defines a drive connector exposed at a transition between the hub section and the mating section;
a blade drive shaft that mechanically couples the cutting blade to the rotating hub, the blade drive shaft disposed within the internal flow channel of the elongated shaft and also disposed in the portion of the fluid path in the hub section; and
a seal in operational relationship to the rotating hub and the hub section, the seal fluidly isolates the fluid channel from drive connector exposed at the transition between the hub section and the mating section;
a reusable portion comprising:
an exterior case detachably coupled to the mating section of the disposable portion, the exterior case defines an internal volume; and
a plurality of drive components disposed at least partially within the internal volume of the reusable portion, the plurality of drive components configured to actuate the rotating hub when the tissue resection device is in use, wherein the plurality of drive components includes an electric motor defining a hub drive shaft that protrudes through the exterior case of the reusable portion; and
a power source coupled to the reusable portion.
2. The tissue resecting system of claim 1 wherein the reusable portion further comprises a heat sink in operational relationship to the electric motor.
3. The tissue resecting system of claim 1 , further comprising:
an endoscope that is configured to be inserted into an organ, the endoscope including a working channel that is configured to extend into the organ, wherein the working channel comprises an inflow passageway; and
the elongated shaft of the disposable portion telescoped through the working channel.
4. The tissue resecting system of claim 3 , further comprising:
a pump fluidly coupled to the flow channel and the fluid path, and the pump also fluidly coupled to the inflow passageway of the endoscope;
a filter fluidly coupled between the flow channel and the inflow passageway, the filter configured to remove tissue from the fluid; and
wherein the pump is configured to draw fluid and tissue through the flow channel and the fluid path, and return at least a portion of the fluid to the inflow passageway after the passing through the filter.
5. The tissue resecting system of claim 1 , further comprising a cable that electrically couples the plurality of drive components to the power source.
6. The tissue resecting system of claim 1 , wherein the reusable portion further comprises a battery that powers the plurality of drive components.
7. The tissue resecting system of claim 1 , further comprising a control switch that, when activated, engages the plurality of drive components to operate the cutting blade.
8. The tissue resecting system of claim 1 , wherein the reusable portion is detachably coupled to the disposable portion via a plurality of locking features formed on at least one of the reusable portion and the disposable portion.
9. The tissue resecting system of claim 8 , wherein the plurality of locking features are at least one selected from the group consisting: of threaded engagement;
snap-fit; frictional engagement; pins; fasteners; and combinations thereof.
10. A tissue resecting system, comprising:
a disposable portion comprising:
a handle portion that defines a hub section and a mating section, the handle defines a fluid path that extends through the hub section and the mating section;
an elongated shaft coupled to the hub section of the handle portion, the elongated shaft defines an internal flow channel fluidly coupled to the fluid path, and a central axis;
an aperture through a distal end of the elongated shaft;
a cutting blade within the elongated shaft and in operational relationship to the aperture;
a rotating hub disposed within hub section and in operational relationship to a portion of the fluid path within the hub section, the rotating hub defines a drive connector exposed at a transition between the hub section and the mating section;
a blade drive shaft that mechanically couples the cutting blade to the rotating hub, the blade drive shaft disposed within the internal flow channel of the elongated shaft and also disposed in the portion of the fluid path in the hub section; and
a seal in operational relationship to the rotating hub and the hub section, the seal fluidly isolates the fluid channel from drive connector exposed at the transition between the hub section and the mating section;
a reusable portion comprising:
an exterior case detachably coupled to the mating section of the disposable portion, the exterior case defines an internal volume; and
a plurality of drive components disposed at least partially within the internal volume of the reusable portion, and wherein the plurality of drive components are configured to actuate the rotating hub when the tissue resection device is in use; and
a power source coupled to the reusable portion,
wherein the flow channel defined by the elongated shaft of the disposable portion is fluidly isolated from the reusable portion.
11. The tissue resecting system of claim 10 , further comprising:
an endoscope that is configured to be inserted into an organ, the endoscope including a working channel that is configured to extend into the organ, wherein the working channel comprises an inflow passageway; and
the elongated shaft of the disposable portion telescoped through the working channel.
12. The tissue resecting system of claim 11 , further comprising:
a pump fluidly coupled to the flow channel and the fluid path, and the pump also fluidly coupled to the inflow passageway of the endoscope;
a filter fluidly coupled between the flow channel and the inflow passageway, the filter configured to remove tissue from the fluid; and
wherein the pump is configured to draw fluid and tissue through the flow channel and the fluid path, and return at least a portion of the fluid to the inflow passageway after the passing through the filter.
13. The tissue resecting system of claim 10 , further comprising a cable that electrically couples the plurality of drive components to the power source.
14. The tissue resecting system of claim 10 , wherein the reusable portion further comprises a battery that powers the plurality of drive components.
15. The tissue resecting system of claim 10 , further comprising a control switch that, when activated, engages the plurality of drive components to operate the cutting blade.
16. A tissue resecting system, comprising:
a disposable portion comprising:
a handle portion that defines a hub section and a mating section, the handle defines a fluid path that extends through the hub section and the mating section;
an elongated shaft coupled to the hub section of the handle portion, the elongated shaft defines an internal flow channel fluidly coupled to the fluid path, and a central axis;
an aperture through a distal end of the elongated shaft;
a cutting blade within the elongated shaft and in operational relationship to the aperture;
a rotating hub disposed within hub section and in operational relationship to a portion of the fluid path within the hub section, the rotating hub defines a drive connector exposed at a transition between the hub section and the mating section;
a blade drive shaft that mechanically couples the cutting blade to the rotating hub, the blade drive shaft disposed within the internal flow channel of the elongated shaft and also disposed in the portion of the fluid path in the hub section; and
a seal in operational relationship to the rotating hub and the hub section, the seal fluidly isolates the fluid channel from drive connector exposed at the transition between the hub section and the mating section,
wherein a proximal end of the disposable portion is coupled to at least one of a filtration system, a sample collection system, or another receptacle employed for further processing;
a reusable portion comprising:
an exterior case detachably coupled to the mating section of the disposable portion, the exterior case defines an internal volume; and
a plurality of drive components disposed at least partially within the internal volume of the reusable portion, and wherein the plurality of drive components are configured to actuate the rotating hub when the tissue resection device is in use; and
a power source coupled to the reusable portion.
17. The tissue resecting system of claim 16 , further comprising:
an endoscope that is configured to be inserted into an organ, the endoscope including a working channel that is configured to extend into the organ, wherein the working channel comprises an inflow passageway; and
the elongated shaft of the disposable portion telescoped through the working channel.
18. The tissue resecting system of claim 17 , further comprising:
a pump fluidly coupled to the flow channel and the fluid path, and the pump also fluidly coupled to the inflow passageway of the endoscope;
a filter fluidly coupled between the flow channel and the inflow passageway, the filter configured to remove tissue from the fluid; and
wherein the pump is configured to draw fluid and tissue through the flow channel and the fluid path, and return at least a portion of the fluid to the inflow passageway after the passing through the filter.
19. The tissue resecting system of claim 16 , further comprising a cable that electrically couples the plurality of drive components to the power source.
20. The tissue resecting system of claim 16 , wherein the reusable portion further comprises a battery that powers the plurality of drive components.
21. The tissue resecting system of claim 16 , further comprising a control switch that, when activated, engages the plurality of drive components to operate the cutting blade.