Surgical instrument

• US 4,368,734 A
• Filed: 01/27/1978
• Issued: 01/18/1983
• Est. Priority Date: 01/27/1978
• Status: Expired due to Term

• Current Assignee: Surgical Design Incorporated
• Original Assignee: Surgical Design Incorporated
• Inventors: Banko, Anton
• Primary Examiner(s): Johnson, Richard J.
• Application Number:
  US05/872,944
• Time in Patent Office: 1,817 Days
• Field of Search: 128/305, 128/276
• US Class Current: 606/170
• 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

A surgical instrument for removing objects from the body of a human or animal in vitro in which a hook type implement is utilized to grasp a portion of the object to be removed and to bring it into a relationship with a cutting surface of another portion of the instrument to provide a combined crushing and cutting action. In the preferred embodiment of the invention, suction pressure and irrigation fluid is supplied through the instrument with the cut material being removed from the area by the suction pressure.

Claims

1. A surgical instrument for crushing and severing material from an object comprising:

first and second elongated members, one of said members being tubular with an open end and having a cutting surface formed at least partially around said open end thereof,

said first and second members being telescopically mounted relative to each other,

the other of said members having a gripping implement thereon which is shaped with a hook having an end which terminates in an acute angle for gripping the material of the object, the face of said gripping implement opposing said cutting surface having a portion which opposes and overlies a portion of said cutting surface so that the two can be brought into an abutting relationship without moving said gripping implement into the open end of said one member,

means for moving said first and second members longitudinally relative to each other so that the gripping element moves the material against the cutting surface to crush the material against said cutting surface and to sever it with at least a part of the severed material being moved into said open end of said one member.

2. A surgical instrument as in claim 1 wherein the cutting surface is formed fully around said one open end of said one member.

3. A surgical instrument as in claim 2 wherein said one end of said one member is generally cylindrical and said cutting surface is formed completely therearound.

4. A surgical instrument as in claim 1 wherein said cutting surface is serrated.

5. A surgical instrument as in claim 1 wherein said one end of said one member having the cutting surface thereon is formed at an angle of less than 90°

with respect to the longitudinal axis of said one member.

6. A surgical instrument as in claim 1 wherein the inner face of the implement opposing the cutting surface is generally parallel to the cutting surface.

7. A surgical instrument as in claim 1 further comprising means for rotating said cutting surface relative to said implement.

8. A surgical instrument as in claim 1 wherein said one end of said one tubular member is open and further comprising means for applying suction pressure through the member having the open end to draw the severed material into said tubular member.

9. A surgical instrument as in claim 8 wherein there is a passage formed between said first and second members and an opening formed in the outer member in communication with said passage, further comprising means for supplying irrigation fluid to said passage to exit through said opening.

10. A surgical instrument as in claim 1 further comprising means for supplying irrigation fluid through a portion of said instrument.

11. A surgical instrument as in claim 5 wherein said implement is hook shaped with an end that terminates in an acute angle and extends across the open end of said one member.

12. A surgical instrument as in claim 5 wherein said implement is hook shaped with the pointed end of the implement hook entering the open end of said one member.

13. A surgical instrument for crushing and severing material from an object comprising:

first and second elongated members, one of said members having an open end and having a cutting surface formed at least partially around said open end thereof,

the other of said members having a hook shaped gripping implement thereon for gripping the material of the object,

said first and second members being tubular and coaxially and telescopically mounted relative to each other with the other member on the outside so that said implement extends forwardly of said one member,

the face of said gripping implement opposing said cutting surface having a portion which at least partially overlies said cutting surface but always leaving a part of the open end of said one member open, and

means for moving said first and second members longitudinally relative to each other so that the gripping element moves the material against the cutting surface to crush the material against said cutting surface and to sever it with at least a part of the severed material being moved into said open end of said one member.

14. A surgical instrument as in claim 13 wherein said hook shaped implement has a generally dagger-like shape with a pointed end.

15. A surgical instrument as in claim 13 wherein the face of said implement opposing the cutting surface and said cutting surface are both generally transverse to the longitudinal axes of said elongated members.

16. A surgical instrument as in claim 13 wherein the inner face of the implement opposing the cutting surface is generally parallel thereto with both said inner face and said cutting surface being at an angle of less than 90°

with respect to the longitudinal axes of such members.

17. A surgical instrument as in claim 13 wherein said implement extends across the open end of said one member.

18. A surgical instrument as in claim 13 wherein the end of the hook shaped implement terminates in the open end of said one member.

19. A surgical instrument as in claim 18 wherein said hook shaped implement is bent inwardly to extend into the open end of said one member.

20. A surgical instrument for crushing and severing material from an object comprising:

first and second elonated members, one of said members being tubular with an open end and having a cutting surface formed at least partially around said open end thereof at an angle of less than 90°

with respect to the longitudinal axis of said one member,

said first and second members being telescopically mounted relative to each other,

the other of said members having a gripping implement thereon for gripping the material of the object, the face of said gripping implement opposing said cutting surface being generally parallel to said cutting surface and having a portion which overlies a portion of said cutting surface,

means for moving said first and second members longitudinally relative to each other so that the gripping element moves the material against the cutting surface to crush the material against said cutting surface and to sever it with at least a part of the severed material being moved into said open end of said one member.