Cutting assembly for surgical cutting instrument

• US 5,019,035 A
• Filed: 06/07/1989
• Issued: 05/28/1991
• Est. Priority Date: 06/07/1989
• Status: Expired due to Term

• Current Assignee: Nestle SA
• Original Assignee: Alcon Surgical Incorporated (Nestle SA)
• Inventors: Cook, Wayne A., Missirlian, Berge, Akkas, Tamer
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/362,806
• Time in Patent Office: 720 Days
• Field of Search: 606/107, 606/171, 606/170, 604/22
• US Class Current: 604/22
• 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 microsurgical cutting instrument is disclosed which is provided with a cutting probe assembly wherein the inner and outer cutting members thereof are swaged and the inner cutting member is bent towards the outer cutting member, so as to maintain a preselected relationship of the cutting edges.

Claims

1. A surgical cutting instrument comprising:

a handpiece assembly;

a cutting probe assembly allowing aspiration of body tissue therethrough and being attached to said handpiece assembly and including outer and inner cutting assemblies;

said outer assembly including an outer tubular cutting member having a distal end portion defining a cutting port through which body tissue is aspirated, and a cutting edge;

said inner cutting assembly including an inner tubular cutting member disposed inside of and continuously spaced along its entire length from said outer tubular cutting member;

reciprocating means coupled to said handpiece assembly for rapidly reciprocating said inner cutting member axially within and relative to said outer cutting member;

said inner cutting member having a distal end portion with a cutting edge formed thereon, said end portion of said inner member is angularly inclined relative to a longitudinal axis of said inner cutting member and is sized, shaped and inclined so as to have a preselected relationship with said cutting edge of said outer cutting member, said cutting edge of said inner member being resiliently maintained in the preselected relationship to cooperate with said cutting edge of said outer member to effect cutting of tissue aspirated through said port as said inner and outer cutting members are reciprocated with respect to each other;

said port has a radius which is generally equal to an outer radius of said outer cutting member so as to improve the cutting edge;

the predetermined relationship between said inner and outer cutting members defines a clearance therebetween; and

said inner cutting member has a relief surface formed which extends along the entire length of said distal end portion from a junction of said end portion and an adjacent portion of said inner cutting member, said relief surface being on a surface remote from said port.

2. The instrument of claim 1 wherein, said distal end portion of said inner cutting member is disposed at an angle of about one and a half degrees plus or minus one-quarter degree relative to a longitudinal axis of said inner cutting member.

3. The instrument of claim 1 wherein at least distal end portions of said inner and outer cutting members are swaged.

4. The instrument of claim 3 wherein the inner surface of said outer cutting member adjacent said port is swaged to a mirror-like finish so as to improve cutting action.

5. The instrument of claim 4 wherein said distal end portion of said inner cutting member is opened and said distal end portion of said outer cutting member is closed.

6. The instrument of claim 1 wherein said clearance is no greater than 0.00015 inch.

7. The instrument of claim 1 wherein, said relief surface has a relief thereof about 0.0020 inch.

8. The instrument of claim 7 including,

said relief surface being 0.250 inch long.

9. The instrument of claim 1 wherein

said distal end portion of said inner cutting member is about 0.195 inch long.

10. The assembly of claim 9 including,

said distal end portion of said inner cutting member is disposed at an angle of about one and a half degrees plus or minus one-quarter degree relative to a longitudinal axis of said inner cutting member.

11. The assembly of claim 10 wherein the inner surface of said outer cutting member adjacent said port is swaged to a mirror-like finish so as to improve cutting action.

12. The assembly of claim 11 wherein said distal end portion of said inner cutting member is opened and said distal end portion of said outer cutting member is closed.

13. The assembly of claim 9 wherein at least distal portions of said inner and outer cutting members are swaged.

14. A cutting probe assembly for use with a surgical cutting instrument of the type having a handpiece assembly, the handpiece assembly including means for effecting reciprocation of said probe assembly;

said cutting probe assembly allowing aspiration of body tissue therethrough and being adapted to be attached to said handpiece assembly;

said probe assembly comprising outer and inner cutting assemblies;

said outer cutting assembly including an outer tubular cutting member fixedly attached at a proximal end to said handpiece assembly and having a distal end portion defining a cutting port through which body tissue is aspirated, said outer tubular member having a cutting edge;

said inner cutting assembly including an inner tubular cutting member disposed inside of and continuously spaced along its entire length from said outer tubular cutting member;

said inner cutting member connected to the reciprocating means for reciprocating movement relative to and within said outer cutting member;

said inner cutting member having a distal end portion with a cutting edge formed thereon, said end portion of said inner member is angularly inclined relative to a longitudinal axis of said inner cutting member and is sized, shaped and inclined so as to maintain a preselected relationship with said cutting edge of said outer cutting member, said cutting edge of said inner member being resiliently maintained in the preselected relationship to cooperate with said cutting edge of said outer member to effect cutting of tissue aspirated through said port as said inner and outer cutting members are reciprocated with respect to each other;

said port has a radius which is generally equal to an outer radius of said outer cutting member so as to improve the cutting action;

the preselected relationship between said inner and outer cutting members defines a clearance therebetween; and

said inner cutting member has a relief surface formed which extends along the entire length of said distal end portion from a junction of said end portion and an adjacent portion of said inner cutting member, said relief surface being on a surface remote from said port.

15. The assembly of claim 14 wherein said clearance is no greater than 0.00015 inch.

16. The assembly of claim 14 wherein, said relief surface has a relief thereof about 0.0020 inch.

17. The assembly of claim 16 including,

said relief surface being 0.250 inch long.

18. The assembly of claim 14 wherein

said distal end portion of said inner cutting member is about 0.195 inch long.