Surgical instruments which are especially useful for ophthalmic surgical procedures, and methods of making the same

• US 20050080441A1
• Filed: 10/10/2003
• Published: 04/14/2005
• Est. Priority Date: 10/10/2003
• Status: Abandoned Application

• Current Assignee: Duke University
• Original Assignee: Duke University
• Inventors: Overaker, Ronald F., Nappi, Richard B., Dodge, Brian C.
• Application Number:
  US10/682,835
• Publication Number:
  US 20050080441A1
• Time in Patent Office: Days
• US Class Current: 606/171
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

Surgical instrument include a longitudinally sectioned needle member establishing respective needle segments, and an outer sleeve member which exerts a circumferentially radial compression onto the needle segments yet allows for relative longitudinal movements between at least one and another of the needle segments. The needle member may be longitudinally bifurcated so as to establish said one and another needle segments. Alternatively, the needle member may be longitudinally trifurcated so as to establish a pair of stationary outer needle segments, and an intermediate needle segment sandwiched between but longitudinally moveable relative to said outer needle segments. Thus, collectively the needle segments define respective opposed longitudinal bearing edges which contact one another and thereby allow for one of the needle segments to be moveable longitudinally relative to another of the needle segments. As such, the lumen within the sectioned needle member may be maximized while the overall dimension of the instrument is minimized.

Claims

1. A surgical instrument comprising a longitudinally sectioned needle member establishing respective needle segments, and an outer sleeve member which exerts a circumferentially radial compression onto said needle segments yet allows for relative longitudinal movements between at least one and another of said needle segments.

2. The surgical instrument of claim 1, wherein said needle member is longitudinally bifurcated so as to establish said one and another needle segments.

3. The surgical instrument of claim 1, wherein said needle member is longitudinally trifurcated so as to establish a pair of stationary outer needle segments, and an intermediate needle segment sandwiched between but longitudinally moveable relative to said outer needle segments.

4. The surgical instrument of claim 2 or 3, wherein said outer sleeve member is formed of a plastics material.

5. The surgical instrument of claim 4, wherein said outer sleeve member is formed of a plastics material at least one selected from the group consisting of polyimides, polyacetals and polymethylpentenes.

6. The surgical instrument of claim 1, further comprising a handle connected operatively to a proximal end of said longitudinally sectioned needle member.

7. The surgical instrument of claim 6, wherein said one needle segment is positionally fixed to said handle, and wherein said another needle segment is coupled operatively to said handle to allow for relative reciprocal longitudinal movements thereof.

8. The surgical instrument of claim 6, wherein said needle member is longitudinally trifurcated so as to establish a pair of outer needle segments which are immovably fixed to said handle, and an intermediate needle segment sandwiched between said pair of outer needle segments, said intermediate needle segment being connected operatively to said handle for reciprocal longitudinal movements relative to said outer needle segments.

9. The surgical instrument of claim 7 or 8, wherein said outer sleeve member is formed of a plastics material.

10. The surgical instrument of claim 9, wherein said outer sleeve member is formed of a plastics material at least one selected from the group consisting of polyimides, polyacetals and polymethylpentenes.

11. The surgical instrument of claim 1, 2 or 3 which further comprises forming a stop in at least one of said needle segments to limit an extent of longitudinal movement thereof.

12. A method of making a surgical instrument comprising:

(i) longitudinally sectioning an elongate needle member to thereby establish respective needle segments, and

(ii) positioning the needle segments within an outer sleeve member and allowing the sleeve member to circumferentially radially compress the needle segments yet allow for relative longitudinal movements between at least one and another of the needle segments.

13. The method of claim 12, wherein step (i) includes longitudinally bifurcating said needle member so as to establish said one and another needle segments.

14. The method of claim 12, wherein step (i) includes longitudinally trifurcating said needle member so as to establish a pair of stationary outer needle segments, and an intermediate needle segment sandwiched between but longitudinally moveable relative to said outer needle segments.

15. The method of claim 13 or 14, wherein step (ii) includes forming said outer sleeve of a plastics material.

16. The method of claim 15, wherein the sleeved is formed of a plastics material at least one selected from the group consisting of polyimides, polyacetals and polymethylpentenes.

17. The method of claim 12, wherein step (ii) includes positioning the needle segments within a preformed plastics tube.

18. The method of claim 12, wherein step (ii) includes extruding a thermoplastics material onto an exterior surface of the longitudinally sectioned needle member.

19. The method of claim 12, which further comprises joining said longitudinally sectioned needle member to a handle.

20. The method of claim 12, wherein step (i) is practiced using electrical discharge machining (EDM).