Self-actuating grasping device
An self-actuating grasping device and corresponding method of using the grasping device for retrieving a foreign object from a location in a patient's body. The grasping device has a handle with a self-actuating mechanism, an actuator on the handle coupled to an actuator wire, an elongated shaft member extending distally from the handle with the actuation wire coaxially disposed therein and opposing jaws at a distal end of the elongated shaft member that are coupled to the actuation wire and pivot between open and closed configurations. The self-actuating mechanism has a bias that imparts a closing force to the opposing jaws through the actuation wire. Actuation of the actuator is configured to impart an opening force to the opposing jaws through the actuation wire.
1. A grasping device, comprising:
a handle;
an actuator on the handle coupled to an actuator wire;
an elongated shaft member extending distally from the handle with the actuator wire coaxially and longitudinally disposed therein;
a plunger extending coaxially within a barrel of the handle, the plunger being coupled to the actuator wire; and
opposing jaws pivotally attached to a distal end of the elongated shaft member that are coupled to the actuator wire, the opposing jaws configured to pivot between an open configuration and a closed configuration in response to proximal and distal longitudinal movement of the actuator wire inside the elongated shaft member, wherein the plunger when in a proximal position by a spring that causes the actuator wire to be pulled proximally and longitudinally to impart a closing force to the opposing jaws through the actuator wire sufficient to maintain the opposing jaws in the closed configuration and wherein actuation of the actuator is configured to cause the plunger to move to a distal position, which causes the actuator wire to move distally and longitudinally to impart an opening force to the opposing jaws through the actuator wire sufficient to overcome the closing force imparted by the spring and pivot the opposing jaws to the open configuration.
2. The grasping device of claim 1 , wherein the spring is a compression spring such that the plunger is biased in a proximal direction and the closing force is a withdrawal force applied to the actuator wire.
3. The grasping device of claim 2 , wherein the actuator is configured to impart the opening force in a distal direction when the user applies a distal force to the actuator.
4. The grasping device of claim 2 , wherein the actuator is configured to impart the opening force in a distal direction when the user applies a withdrawal force to the actuator.
5. The grasping device of claim 1 , wherein an extension of the actuator is coupled to the plunger by a rotating link that reverses the direction of force applied through the actuator.
6. The grasping device of claim 1 , wherein the actuator is configured to augment the closing force when force is applied to the actuator in a direction opposite of that associated with the opening force.
7. The grasping device of claim 1 , wherein the spring is an extension spring such that the plunger is biased in a distal direction and the closing force is a distal force applied to the actuation wire.
8. The grasping device of claim 7 , wherein the actuator is configured to impart the opening force in a withdrawal direction.
9. The grasping device of claim 1 , further comprising an adapter configured to provide direct connection to a cystoscope.
10. The grasping device of claim 9 , further comprising a barrel extension telescopically disposed within a body of the adapter allowing a position of the grasping device relative to the cystoscope to be adjusted.
11. The grasping device of claim 10 , wherein the barrel extension is configured to be locked in an adjusted position.
12. The grasping device of claim 9 , wherein the adapter further comprises an irrigation port.
13. A method for retrieving a foreign object from a location in a patient's body, comprising:
providing a grasping device having a handle with a self-actuating mechanism, an actuator on the handle coupled to an actuator wire, an elongated shaft member extending distally from the handle with the actuator wire coaxially and longitudinally disposed therein, a plunger extending coaxially within a barrel of the handle, the plunger being coupled to the actuator wire, and opposing jaws pivotally attached to at a distal end of the elongated shaft member that are coupled to the actuator wire, the opposing jaws configured to pivot between an open configuration and a closed configuration in response to proximal and distal longitudinal movement of the actuator wire inside the elongated shaft member, wherein the plunger when in a proximal position by a spring that causes the actuator wire to be pulled proximally and longitudinally to impart a closing force to the opposing jaws through the actuator wire sufficient to maintain the opposing jaws in the closed configuration and wherein actuation of the actuator is configured to cause the plunger to move to a distal position, which causes the actuator wire to move distally and longitudinally to impart an opening force to the opposing jaws through the actuator wire sufficient to overcome the closing force imparted by the spring and pivot the opposing jaws to the open configuration;
advancing the grasping device through a lumen of a medical device until the opposing jaws are adjacent to the foreign object;
applying the opening force through the actuator wire to the opposing jaws with the actuator;
positioning the foreign object within a range of the opposing jaws when the opposing jaws are in the open configuration;
applying the closing force to the opposing jaws with the self-actuating mechanism to secure the foreign object; and
withdrawing the grasping device and retrieving the foreign object.
14. The method of claim 13 , wherein the opposing jaws remain closed in a free-standing state when no force is imparted to the actuator.
15. The method of claim 13 , wherein applying the opening force with the actuator comprises applying a distal force to the actuator.
16. The method of claim 13 , wherein the opening force is applied to the actuator wire by applying a force in the opposite direction to the actuator.
17. The method of claim 13 , further comprising augmenting the closing force applied by the self-actuating mechanism by applying a force to the actuator.
18. The method of claim 13 , further comprising directly connecting the grasping device to a cystoscope or other imaging equipment or medical device using an adapter.
19. The method of claim 18 , further comprising telescopically adjusting the adapter to set a desired position of the grasping device relative to the cystoscope or other imaging equipment or medical device and locking the adapter.
20. The method of claim 13 , wherein the foreign object is located in the patient's prostatic urethra, urinary bladder, urinary tract or urinary system.
21. The method of claim 20 , wherein the foreign object is an implant.