Surgical cutter

• US 5,106,364 A
• Filed: 06/29/1990
• Issued: 04/21/1992
• Est. Priority Date: 07/07/1989
• Status: Expired due to Fees

• Current Assignee: Kabushiki Kaisha Topcon
• Original Assignee: Kabushiki Kaisha Topcon
• Inventors: Niimura, Satoru, Hayafuji, Mineki, Hanamura, Yoshihiko
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US07/545,494
• Time in Patent Office: 662 Days
• Field of Search: 606/171, 606/170, 128/751, 128/752, 128/755, 604/22, 30/241, 30/208-210
• US Class Current: 604/22
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/00544 pneumatically
• 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 cutting instrument having an outer tubular member with a closed distal end, and an aperture therein which is adjacent to the closed distal end and which is in communication with the hollow of the outer tubular member. The instrument also includes an inner tube slidably disposed in the outer tube such that it reciprocates between first and second positions. The instrument also has a suction device which draws a portion of an object inwardly through the aperture. The inner tubular member has first and second edges which cooperate with the aperture such that when the suction device draws a first portion of the object into the aperture, the first edge cuts this portion away as the inner tubular member moves from the first position to the second position. However, when the suction device draws a second portion of the object into the aperture, the second edge cuts this portion away as the inner tubular member moves from the first position to the second position.

Claims

1. A surgical cutting instrument which comprises:

an outer tubular member having a closed distal end, a first aperture defined therein adjacent to the closed distal end and being in communication with the hollow of the outer tubular member, and a longitudinal axis, said aperture being delimited by opposed distal and proximal edges;

an inner tubular member, slidably disposed in the outer tubular member, having a longitudinal axis parallel to the longitudinal axis of the outer tubular member and an open distal end, wherein the inner tubular member slides along its longitudinal axis between first and second positions and cooperates with the outer tubular member to provide a scissor action thereby cutting a portion of an object which has protruded inwardly through the aperture in the outer tubular member during a reciprocating motion of the inner tubular member relative to the outer tubular member;

suction means for protruding inwardly said object through the aperture in the outer tubular member and sucking said portion through the hollow of the inner tubular member to the outside of the instrument; and

wherein

said inner tubular member has first and second opposed edges defined therein, adjacent to the open distal end, each of said first and second edges having an edge face lying generally perpendicular to the longitudinal axis of the inner tubular member, said first edge being utilized to cut a first portion of the object which has protruded inwardly through the aperture due to the suction means during the axial movement of the inner tubular member from the first position towards the second position and the second edge being utilized to cut a second portion of the object which has protruded inwardly through the aperture due to the suction means during the axial movement of the inner tubular member from the second position towards the first position.

2. The instrument as claimed in claim 1, wherein each of the distal and proximal edges delimiting the aperture in the outer tubular member has an edge face inclined downwardly towards the longitudinal axis of the outer tubular member such that each of the edge faces and a plane including the longitudinal axis of the outer tubular member form an acute angle.

3. The instrument as claimed in claim 2, wherein said inner tubular member has a first aperture defined therein adjacent to the open distal end thereof, said first aperture in the inner tubular member being delimited by distal and proximal edges which are opposite to each other in a direction parallel to the longitudinal axis of said inner tubular member, and wherein said first and second edges in the inner tubular member are the distal and proximal edges delimiting the first aperture in the inner tubular member, respectively.

4. The instrument as claimed in claim 1, wherein at least the distal edge of the first aperture in the outer tubular member is rounded with a substantially intermediate portion thereof protruding towards the proximal edge of the first aperture in the outer tubular member.

5. The instrument as claimed in claim 1, wherein the distal and proximal ends of the first aperture in the outer tubular member are rounded with respective substantially intermediate portions protruding towards each other in a direction parallel to the longitudinal axis of the outer tubular member.