Surgical instrument attachment system

• US 20060025793A1
• Filed: 06/29/2005
• Published: 02/02/2006
• Est. Priority Date: 08/02/2004
• Status: Active Grant

• Current Assignee: Karl Storz Endovision, Karl Storz Endovision, Inc. (Karl Storz Se & Co. Kg)
• Original Assignee: Karl Storz Endovision, Inc. (Karl Storz Se & Co. Kg)
• Inventors: Landry, Dana J., Gibson, Roger A.
• Granted Patent: US 7,591,829 B2
• Time in Patent Office: Days
• US Class Current: 606/170
• CPC Class Codes: A61B 17/162 Chucks or tool parts which are to be held in a chuck
• CPC Class Codes: A61B 17/1624 Drive mechanisms therefor
• CPC Class Codes: A61B 17/1633 Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft A61B17/1644 takes precedence
• CPC Class Codes: A61B 17/2909 Handles
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/292 connection of actuating rod to handle, e.g. ball end in recess

Abstract

A surgical implement for use with a hand-piece of a surgical instrument for performing a surgical treatment, comprises: an outer tube member including an outer hub and an outer tube extending longitudinally from the outer hub, the outer tube and the outer hub defining a longitudinal bore, the outer hub having a generally circular outer surface and including a circumferential locking groove and a key for releasable attachment of the outer tube member to the surgical instrument; and, an inner tube member including an inner hub and an inner tube extending longitudinally from the inner hub, the inner tube and the inner hub defining a longitudinal bore, the inner tube configured to insert within the longitudinal bore of the outer tube member and including an end effect portion disposed adjacent to a distal end of the inner tube, the inner hub having a generally circular outer surface and including a plurality of bosses radially formed on the outer surface thereof for releasably connecting the inner tube member to an actuator of the surgical instrument for performing the surgical treatment. A surgical instrument having a coupling for releasable attachment of the surgical implement is also disclosed.

Claims

1. A surgical implement for use with a hand-piece of a surgical instrument for performing a surgical treatment to a human or animal body, the surgical implement comprising:

an outer tube member including an outer hub and an outer tube extending longitudinally from the outer hub, the outer tube and the outer hub defining a longitudinal bore, the outer hub including a circumferentially extending locking groove and an engaging element respectively disposed at an outer surface of the outer hub and configured for releasable attachment of the outer tube member to a corresponding member of the surgical instrument, a proximal end portion of the outer hub having an enlarged bore coaxial with the longitudinal bore of the outer tube and the outer hub; and

an inner tube member including an inner hub and an inner tube extending longitudinally from the inner hub, the inner tube and the inner hub defining a longitudinal bore, the inner tube configured to insert within the longitudinal bore of the outer tube member and including an effect portion for performing a surgical treatment there-about, the inner hub including a connection element configured for detachably connecting to an actuator of the surgical instrument for performing a the surgical treatment, a distal end portion of the inner hub configured to be rotatably received within the enlarged bore of the outer hub.

2. The surgical implement of claim 1, wherein the engaging element of the outer tube member comprises a key for engaging with a coupling of the surgical instrument.

3. The surgical implement of claim 2, wherein the key has a generally rectangular, circular, or elliptic shape.

4. The surgical implement of claim 1, wherein the connection element of the inner hub includes a plurality of bosses equidistantly spaced apart and radially extending from the outer circumference of the inner hub.

5. The surgical implement of claim 4, wherein the bosses of the inner hub each have a generally circular or elliptic configuration.

6. The surgical implement of claim 1, wherein the outer tube of the outer tube member includes an aperture or window adjacent to a distal end of the tube.

7. The surgical implement of claim 6, wherein the effect portion of the inner tube is located at a longitudinal position corresponding to the window of the outer tube for performing a surgical treatment when the inner tube member is assembled within the outer tube member.

8. The surgical implement of claim 6, wherein the effect portion of the inner tube comprises a cutting edge for dissecting tissue in association with the window of the outer tube.

9. The surgical implement of claim 8, wherein the effect portion of the inner tube includes a distal aperture in fluid communication with the longitudinal bore of the inner tube member.

10. The surgical implement of claim 6, wherein the effect portion of the inner tube comprises a surgical burr or grinder.

11. The surgical implement of claim 1, wherein the outer hub of the outer tube member is configured to be coupled with a sealing element of the surgical instrument for providing a sealing effect when the surgical implement is attached to the hand-piece of the surgical instrument.

12. The surgical implement of claim 1, wherein the implement is formed of a metallic material and reusable.

13. A surgical Instrument for performing a surgical treatment, comprising:

a surgical implement including an elongate outer tube member and an elongate inner tube member, the outer tuber member defining a longitudinal bore, the outer tube member including a distal outer tube and a proximal outer hub, the outer hub having a circumferential locking groove and an engaging element at an outer circumference thereof, a proximal end portion of the outer hub having an enlarged bore coaxial with the longitudinal bore of the outer tube and the outer hub, the inner tuber member defining another longitudinal bore, the inner tube member including a distal inner tube and a proximal inner hub, the inner hub having a connection element, a distal end portion of the inner hub configured to be rotatably received within the enlarged bore of the outer hub, the inner tube of the inner tube member configured to slidably insert within the longitudinal bore of the outer tube member;

a hand-piece including an actuator, and a coupling for attaching the surgical implement to the hand-piece;

wherein the coupling includes a generally cylindrical coupler, the coupler having a longitudinal opening configured to receive a proximal portion of the surgical implement therein and at least one circumferential hole formed through the cylindrical coupler in a radial direction, the coupler further having a counterpart engaging element connectable with the engaging element of the outer hub for attachment of the surgical implement to the hand-piece, the coupling further includes at least one locking ball slidably received within the circumferential hole of the coupler, and an outer slider having a longitudinal opening for receiving the coupler therein, the outer slider including a circumferential inner recess and being moveable along the coupler between a lock position where the locking ball is pushed radially by the outer slider for engaging with the circumferential locking groove of the outer hub of the surgical implement for connection of the surgical implement to the coupling of the hand-piece and an unlock position where the locking ball is at least partially retrieved into the circumferential recess of the outer slider for allowing detachment of the surgical implement from the coupling of the hand-piece; and

wherein a distal end of the actuator includes a counterpart connection element for connecting with the connection element of the inner hub of the surgical implement for performing a surgical treatment.

14. The surgical instrument of claim 13, wherein the engaging element of the outer tube member comprises a key disposed at an outer circumference of the outer hub, and the counterpart engaging element of the coupler comprises one or more distal grooves configured to receive the key of the outer tube member therein.

15. The surgical instrument of claim 13, wherein the connection element of the inner hub includes a plurality of bosses equidistantly spaced apart and radially extending from the outer circumference of the inner hub.

16. The surgical instrument of claim 15, wherein the counterpart connection element of the actuator includes a plurality of longitudinally extending coupling grooves for receiving the bosses of the inner hub for the connection of the inner hub with the actuator.

17. The surgical instrument of claim 16, wherein the counterpart connection element of the actuator further includes guide slopes formed adjacent to the coupling grooves of the actuator.

18. The surgical instrument of claim 13, wherein the coupling further includes a spring disposed between the coupler and the outer slider.

19. The surgical instrument of claim 18, wherein the spring is biased to push the outer slider to the lock position.

20. The surgical instrument of claim 18, wherein the coupling further includes a retaining element for preventing self-disassembly of the outer slider from the cylindrical coupler.

21. The surgical instrument of claim 20, wherein the retaining element is a retaining ring positioned in an annular groove formed at an outer circumference of the cylindrical coupler.

22. The surgical instrument of claim 13, wherein the actuator includes a distal opening for receiving at least a proximal portion of the inner hub therein.

23. The surgical instrument of claim 13, further comprising a suction device configured to draw irrigating fluid and tissue debris via the longitudinal bore of the inner tube member.