Tissue pneumatic separator structure and method

• US 4,709,697 A
• Filed: 11/21/1983
• Issued: 12/01/1987
• Est. Priority Date: 12/09/1980
• Status: Expired due to Term

• Current Assignee: Joseph J. Berke
• Original Assignee: Joseph J. Berke
• Inventors: Muller, George H.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/582,971
• Time in Patent Office: 1,471 Days
• Field of Search: 128/304, 128/305, 128/305.1, 128/310, 128/755, 128/24 A, 128/20, 128/303 R, 604/22, 15/405, 15/316 R, 222/3, 239/DIG. 20, 239/DIG. 21, 239/DIG. 22, 30/123.3
• US Class Current: 606/190
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 2017/32035 with gas or air
• CPC Class Codes: A61B 90/00 Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges protective face masks A41D13/11; surgeon's or patient's gowns or dresses A41D13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M1/00

Abstract

Tissue separator structure and method which in its simplest form comprises a mechanical nudger on the end of a stem for mechanically separating tissue and in the preferred embodiment includes a fluid medium passing through the stem and out of a floating tip to separate the tissue with the directed, controlled pressure of the fluid medium and/or nudging by the floating tip. In a more sophisticated embodiment of the invention, plural fluid medium forces are provided on the tissue to be separated to perform separating and clearing operations and in further embodiments, the area of the tissue being separated may be moistened and/or fluid and debris removed from the area of tissue separation. The stem may be disposable in accordance with the invention. Further in accordance with the method of the invention, tissue is separated by mechanical nudging and/or by means of a fluid medium under pressure. The method may include the steps of moistening the tissue to be separated or withdrawing fluid and debris from the area of the tissue to be separated. In one modification of the method of the invention, the structure of the invention may be used to clean the teeth with fluid pressure from a water faucet or the like and/or the water pressure regulated and/or formed in pulses.

Claims

1. A tissue separator comprising a handle, a stem having a longitudinal axis secured to the handle, tip means retained on one end of the stem including blunt tissue separating means at one end thereof for mechanically separating tissue along natural cleavage planes without cutting of the tissue on nudging of the tissue with the tissue separating means, wherein the handle, stem and tip are hollow to provide for the flow of a fluid medium into the hollow handle, and wherein the tip is not fixed relative to the stem but is a floating tip and means for moving the floating tip axially relative to the stem in accordance with the pressure of the fluid medium acting in balance on the tip.

2. Structure as set forth in claim 1 wherein the floating tip is secured to the stem by means of a tip retainer, the tip retainer is generally cylindrical and includes angularly spaced apart radially extending slots on the inner surface thereof, wherein the stem has a recess in the one end thereof to which the tip retainer is secured and wherein the floating tip comprises a generally cylindrical member having the tissue separating means at one end thereof, a radially extending annular piston flange located centrally thereof, a recess extending axially into the other end thereof, and an opening extending radially of the tip on the one end side of the annular flange through the tip into communication with the recess in the other end of the tip whereby with the other end of the tip positioned in the recess in the one end of the stem the tip is caused to float in the tip retainer.

3. Structure as set forth in claim 2 wherein the one end of the tip is bulbous and solid.

4. Structure as set forth in claim 2 and further including an axial passage acting as a calibrating orifice in the one end of the tip extending between the bottom of the recess in the other end of the tip through the one bulbous end of the tip.

5. Structure as set forth in claim 1 wherein the fluid medium is nitrogen gas.

6. Structure as set forth in claim 1, wherein the fluid medium is water and further including means for connecting the means connecting the fluid medium to the hollow handle to a source of water under pressure.

7. Structure as set forth in claim 6 wherein the means for connecting the handle to a source of water under pressure includes a pressure regulator.

8. Structure as set forth in claim 6 wherein the means for connecting the handle to a source of water under pressure includes a pulse former for providing the water to the handle in discrete pulses.

9. Structure as set forth in claim 1 wherein the means for moving the floating tip in accordance with the pressure of the fluid medium acting in partial balance on the tip'"'"'s effective piston area includes means for moving the tip axially outwardly relative to the stem bore in accordance with said pressure.

10. A tissue pneumatic separator comprising a body assembly including a rear pressure regulator subassembly and a front manifold subsassembly, a valve unit connected to the manifold for metering regulated fluid medium to and from the manifold subassembly, a stem, stem retaining structure for securing the stem to the valve unit, a floating tip, means for floating said tip on said fluid medium, a tip retainer for retaining the tip on the stem, and means for securing the tissue pneumatic separator to a source of fluid medium under pressure.

11. Structure as set forth in claim 10, wherein the pressure regulator subassembly includes means for variably controlling the fluid medium pressure over a relatively wide pressure range.

12. Structure as set forth in claim 11 wherein the means for controlling the fluid medium pressure includes pressure control structure operable on rotation of a control knob, a rotary control knob on the pressure regualtor subassembly for controlling the pressure control structure and variable indicia of the pressure of the fluid medium in the pressure regulator subassembly adjacent the control knob for indicating the pressure of the fluid medium in the pressure regulator subassembly in accordance with particular settings of the control knob over more than 360°

of rotation of the control knob.

13. Structure as set forth in claim 10 wherein the pressure regulator subassembly includes inlet means for passing the fluid medium into the pressure regulator subassembly and further means for passing the fluid medium into or other fluids out of the tissue pneumatic separator.

14. Structure as set forth in claim 10 wherein the manifold subassembly includes an inner cylinder having at least one passage therethrough extending axially thereof and at least one longitudinally extending channel on the outer surface thereof and an outer hollow cylinder sleeved over the inner cylinder.

15. Structure as set forth in claim 10, wherein the valve unit includes longitudinally extending passages therethrough and valve structure extending transversely of the valve unit and intersecting at least one of the passages therethrough operable to meter the flow of fluid medium through the valve unit.

16. Structure as set forth in claim 15, wherein the valve unit is cylindrical and includes a central longitudinally extending passage therethrough, one end of which may be closed and a second longitudinally extending passage in said valve unit, one end of which terminates at one end in the first longitudinally extending passage through the valve unit and a valve extending through the second passage for metering fluid medium through the valve unit.

17. Structure as set forth in claim 16 and further including an elongated moisture aspirating pipe in the first elongated passage and a check valve in the aspirating tube whereby moisture is drawn into the central passage through the check valve on vacuum of a predetermined negative pressure being present in the elongated passage.

18. Structure as set forth in claim 16, and further including an elongated moisture aspirating pipe in the first elongated passage and a check valve in the aspirating tube whereby moisture is drawn into the central passage through the check valve on vacuum of a predetermined negative pressure being present in the elongated passage.

19. Structure as set forth in claim 16 wherein the second passage is in communication with the central passage in a direction to produce a flow of fluid medium through the control passage in a direction opposite that of the tip of the tissue pneumatic separator, whereby a suction will be provided at the tip.

20. Structure as set forth in claim 10, wherein the stem is in an elongated member having a pair of longitudinally extending passages therein, one of which is in communication axially with a passage through the valve unit and the other of which is in communication with a beveled surface on the end of the stem to receive fluid medium from the valve unit proceeding annularly about the beveled surface, whereby the stem may be connected in any angular position with respect to the valve unit.

21. Structure as set forth in claim 10, wherein the stem is a throw-away unit adapted to be used once and then discarded.

22. Structure as set forth in claim 10, wherein the stem is provided with a radially extending flange about one end thereof and an annular groove immediately adjacent to the flange and between the flange and the other end of the stem and the stem retaining structure is an annular member having an inwardly extending annular flange thereabout adapted to slip over the stem with the annular flange on the annular member in engagement with the annular flange on the stem and a snap ring member positioned in the annular groove in the stem securing the annular member in position on the stem aganist axial movement relative thereto while permitting relative rotation between the annular member and stem.

23. Structure as set forth in claim 22 and further including a sealing ring positioned between the valve unit and the stem retaining structure of a size to provide frictional resistance to relative rotary motion therebetween.

24. Structure as set forth in claim 10, wherein the floating tip is positioned within the tip retainer and in one end of the stem.

25. Structure as set forth in claim 24 wherein the stem is provided with a central axial passage therethrough terminating in a recess in one end thereof and is provided with a second radially outward annular passage extending therethrough, one end of the floating tip is positioned within the recess in the one end of the stem and includes an axially extending recess therein, said floating tip further including a centrally positioned radially outwardly extending annular piston flange, a bulbous other outer end and a passage extending radially through the floating tip between the annular flange and the bulbous outer end in communication with the recess in the one end of the floating tip, said tip retaining member being generally cylindrical and secured to the end of the stem and having annularly spaced apart longitudinally extending slots in the inner surfaces thereof for passing fluid around the radially extending piston flange on the floating tip in communication with the radially outer opening through the stem.

26. Structure as set forth in claim 24 wherein the stem has an axially extending passage therethrough and a parallel, radially outer, axially extending passage therethrough and a recess in one end thereof in engagement with the axially extending passage, the floating tip has one end having an axially extending recess therein within the recess in the one end of the stem and radially extending guide fins, and a radially extending passage adjacent the guide fins between the guide fins and the other end of the floating tip in communication with the recess in the one end of the tip and wherein the floating tip retaining member is an annular member secured to the one end of the stem and having an internal cylindrical surface in engagement with the outer tips of the guide fins of the floating tip.

27. Structure as set forth in claim 24 wherein the outer end of the tip is provided with a passage acting as a calibrated orifice extending axially completely therethrough to engage the recess in the one end of the tip.

28. Structure as set forth in claim 24 wherein the outer end of the tip is solid.

29. Disposable structure for a tissue pneumatic separator comprising an elongated stem, a stem retaining member for securing the stem to the tissue penumatic separator and a tip on the stem for separating tissue having a piston portion and a guiding shank, said stem and tip having an opening therethrough through which a fluid medium may be passed to separate tissue and means operable between the stem and tip for floating the tip on the fluid medium passing peripherally around the tip piston portion and its guiding shank.

30. Structure as set forth in claim 29 wherein the floating tip includes a solid outer end.

31. Structure as set forth in claim 29 wherein the floating tip includes a calibrated passage extending axially completely therethrough.