Combination tissue dissector and surgical implant inserter

• US 20070156162A1
• Filed: 12/29/2005
• Published: 07/05/2007
• Est. Priority Date: 12/29/2005
• Status: Abandoned Application

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Kammerer, Gene
• Application Number:
  US11/322,142
• Publication Number:
  US 20070156162A1
• Time in Patent Office: Days
• US Class Current: 606/174
• CPC Class Codes: A61B 17/2812 with a single pivotal connection A61B17/29 takes precedence
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 2017/2911 rings
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes

Abstract

A surgical instrument for dissecting tissue and inserting a surgical implant device thereat includes first and second blades which are pivotally joined together. Each of the first and second blades has an elongated length which includes a first section and a second section, the first section of each blade including a free end having a flattened tip for blunt dissection of tissue and a non-cutting, clamping portion situated adjacent to and encompassing the flattened tip for selectively grasping a surgical implant device. The second section of each blade includes a finger ring for grasping and manipulation by a surgeon. The blades are pivotally joined together at the junctures of the first and second sections to allow the first and second blades to pivotally move with respect to one another within a plane of pivotal movement. The non-cutting, clamping portions of each blade has a clamping face, and the clamping faces of the blades reside in parallel planes and are angled to the plane of pivotal movement of the blades.

Claims

1. A surgical instrument for dissecting tissue and inserting a surgical implant device, which comprises:

a first blade having an elongated length including a first section and a second section disposed opposite the first section, the first section of the first blade including a free end having a non-cutting, clamping portion for selectively grasping a surgical implant, the second section of the first blade including a finger ring for grasping and manipulation by a surgeon;

a second blade having an elongated length including a first section and a second section disposed opposite the first section, the second section of the second blade including a free end having a non-cutting, clamping portion for selectively grasping a surgical implant, the second section of the second blade including a finger ring for grasping and manipulation by a surgeon, the first blade and the second blade being pivotally joined together at the junctures of the first and second sections of each blade to allow the first and second blades to pivotally move with respect to one another within a plane of pivotal movement, the non-cutting, clamping portion of each of the first and second blades having a clamping face, the clamping face of the first blade and the clamping face of the second blade being arranged to face each other and to selectively engage and hold therebetween a surgical implant device, the clamping faces of the first and second blades residing in parallel curved or non-curved planes and being angled to the plane of pivotal movement of the blades, the first and second blades being relatively pivotable between at least a first position, wherein the clamping faces of the first and second blades are spaced from each other a first predetermined distance to grasp and hold securely therebetween a surgical implant device, and a second position, wherein the clamping faces of the first and second blades are spaced from each other a second predetermined distance to release a surgical implant device situated therebetween, the first predetermined distance being less than the second predetermined distance.

2. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein the planes in which each of the clamping faces of the first and second blades respectively reside are disposed at about a 40 degrees angle to the plane of pivotal movement of the first and second blades.

3. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 2, wherein the non-cutting, clamping portions of the first and second blades are curved.

4. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein the first section of each of the first and second blades includes a cutting portion situated adjacent to the non-cutting, clamping portion, each cutting portion having a sharpened edge, the cutting portions of the first and second blades being in alignment with each other and with the sharpened edges of each blade facing each other to excise tissue therebetween.

5. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein each of the first and second blades includes a flattened tip at the free end thereof to perform blunt dissection of tissue.

6. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein each of the first and second blades includes a tapered edge, the tapered edge of the first blade facing in an opposite direction to that of the tapered edge of the second blade, the tapered edges of the blades being tapered to perform blunt dissection of tissue.

7. A surgical instrument for dissecting issue and inserting a surgical implant device as defined by claim 1, wherein the first section of at least one of the first and second blades includes markings situated thereon to sense the dimensions of a tissue dissection performed by the surgical instrument.

8. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 7, wherein the markings include a measurement scale having numbers.

9. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein the non-cutting, clamping portion of at least one of the first and second blades includes a plurality of projections extending from the clamping face thereof for engaging and selectively securing a surgical implant device between the clamping faces of the first and second blades.

10. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein the non-cutting, clamping portion of the first blade includes a plurality of projections extending from the clamping face thereof, and wherein the non-cutting, clamping portion of the second blade includes a plurality of recesses formed in the clamping face thereof, the projections being in alignment with respective recesses when the first and second blades are pivotally disposed relative to each other in the first position, the projections being provided for engaging and selectively securing a surgical implant device between the clamping faces of the first and second blades.

11. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein each of the non-cutting, clamping portions of the first and second blades includes a plurality of projections extending from the clamping face thereof for engaging and selectively securing a surgical implant device between the clamping faces of the first and second blades.

12. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 11, wherein the projections of the first blade are offset from the position of the projections of the second blade.

13. A surgical instrument for dissecting tissue and inserting a surgical implant device as defined by claim 1, wherein each of the first and second blade includes a tip situated at the free end thereof, and wherein the tip of at least the first blade includes a pad situated thereon and facing the tip of the second blade to increase the holding force applied by the non-cutting, clamping portions of the first and second blades to a surgical implant device held thereby.

14. A surgical instrument for dissecting tissue and inserting a surgical implant device, which comprises:

a first blade having an elongated length comprised of a first section and a second section disposed opposite the first section, the first section of the first blade including a free end having a flattened tip for blunt dissection of tissue and a non-cutting, clamping portion situated adjacent to and encompassing the flattened tip for selectively grasping a surgical implant device, the second section of the first blade including a finger ring for grasping and manipulation by a surgeon;

a second blade having an elongated length including a first section and a second section disposed opposite the first section, the first section of the second blade including a free end having a flattened tip for blunt dissection of tissue and a non-cutting, clamping portion situated adjacent to and encompassing the flattened tip for selectively grasping a surgical implant device, the second section of the second blade including a finger ring for grasping and manipulation by a surgeon, the first blade and the second blade being pivotally joined together at the junctures of the first and second sections of each blade to allow the first and second blades to pivotally move with respect to one another within a plane of pivotal movement, the non-cutting, clamping portion of each of the first and second blades having a clamping face, the clamping face of the first blade and the clamping face of the second blade being arranged to face each other and to selectively engage and hold therebetween a surgical implant device, the clamping faces of the first and second blades residing in parallel curved or non-curved planes and being angled to the plane of pivotal movement of the blades, the first and second blades being relatively pivotable between at least a first position, wherein the clamping faces of the first and second blades are spaced from each other a first predetermined distance to grasp and hold securely therebetween a surgical implant device, and a second position, wherein the clamping faces of the first and second blades are spaced from each other a second predetermined distance to release a surgical implant device situated therebetween, the first predetermined distance being less than the second predetermined distance, the planes in which each of the clamping faces of the first and second blades respectively reside being disposed at about a 40 degrees angle to the plane of pivotal movement of the first and second blades, each of the first and second blades including a tapered edge, the tapered edge of the first blade facing in an opposite direction to that of the tapered edge of the second blade, the tapered edges of the blades being tapered to perform blunt dissection of tissue, the first section of at least one of the first and second blades including markings situated thereon to sense the dimensions of a tissue dissection performed by the surgical instrument.