Surgical knife blade and method of performing cataract surgery utilizing a surgical knife blade

• US 5,217,476 A
• Filed: 10/01/1991
• Issued: 06/08/1993
• Est. Priority Date: 10/01/1991
• Status: Expired due to Term

• Current Assignee: Surgical Specialties Puerto Rico, Inc. (Angiotech Pharmaceuticals Incorporated)
• Original Assignee: Medical Sterile Products, Inc.
• Inventors: Wishinsky, David H.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): YAN, REN LUO
• Application Number:
  US07/769,389
• Time in Patent Office: 616 Days
• Field of Search: 606/166, 606/167, 606/172, 606/185, 606/160, 606/4, 606/5, 606/6, 606/79, 606/161, 606/170, 606/173, 606/181, 30/41.8, 30/34.05, 30/123, 30/289, 30/368, 30/346.52, 128/751, 128/207.29, 128/754, 33/628, 7/158, 7/163, 7/170, 604/22
• US Class Current: 606/167
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61F 9/0133 Knives or scalpels specially adapted therefor

Abstract

A surgical knife blade for forming an incision of predetermined length in bodily tissue includes indicia disposed adjacent opposing portions of a cutting edge such that alignment of the opposing indicia with the tissue during insertion of the knife blade in the tissue produces an incision of the predetermined length. A method of performing cataract surgery utilizes the surgical knife blade to precisely form a smaller incision for lens removal and a larger incision for implant of the intraocular lens.

Claims

1. A surgical knife blade for forming an incision of predetermined length in bodily tissue comprising

a body having a cutting edge terminating at a distal tip, said cutting edge including opposing cutting edge segments extending distally to meet at said tip, said cutting edge being configured to form an incision in the tissue when said body is moved in a cutting direction transverse to the tissue to cause said tip to enter the tissue, the incision having a length transverse to the cutting direction of movement of said body;

and

indicia carried on said body including first and second portions disposed, respectively, adjacent opposing portions of said cutting edge segments in alignment such that the width of said body between said cutting edge segments at said first and second indicia portions is transverse to the cutting direction of movement of said body and is parallel to the length of the incision, said width corresponding to said predetermined length of the incision whereby alignment of said first and second indicia portions with said tissue creates said predetermined length incision.

2. A surgical knife blade as recited in claim 1 wherein said indicia visually identifies said predetermined length.

3. A surgical knife blade as recited in claim 1 wherein said body has a longitudinal axis aligned with said distal tip and said cutting edge includes opposing, tapering lateral edges.

4. A surgical knife blade as recited in claim 1 wherein said body includes a longitudinal axis, said distal tip is laterally offset from said longitudinal axis, and said cutting edge segments include an edge parallel with said longitudinal axis and an edge angularly joined to said parallel edge at said distal tip.

5. A surgical knife blade as recited in claim 1 wherein said indicia includes a line extending between said opposing cutting edge portions transverse to the cutting direction of movement.

6. A surgical knife blade as recited in claim 1 further comprising second indicia carried on said body including third and fourth portions disposed, respectively, adjacent second opposing portions of said cutting edge segments in alignment such that the width of said body between said cutting edge segments at said third and fourth indicia portions is transverse to the cutting direction of movement of said body and is parallel to the length of the incision, said width corresponding to a second predetermined length of the incision greater than said first mentioned predetermined length.

7. A surgical knife blade as recited in claim 6 wherein said second indicia visually identifies said second predetermined length.

8. A surgical knife blade as recited in claim 1 wherein said cutting edge segments have an arcuate configuration.

9. A surgical knife blade for forming an incision of predetermined length in bodily tissue comprising

body means having a proximal end, a longitudinal axis and a tapered distal end for insertion in the tissue in a direction aligned with said axis;

opposing edge means on said body means extending longitudinally to said distal end and spaced laterally in a direction transverse to said axis for forming an incision in the tissue, said body means having a blade width defined between said edge means transverse to said direction of insertion, said blade width being variable along said tapered end;

a predetermined blade width defined between said edge means along said tapered end transverse to said direction of insertion, said predetermined blade width being equal to said predetermined length of incision; and

means on said tapered end disposed, respectively, along said opposing edge means for being aligned with the tissue when said tapered end is inserted in the tissue in said direction of insertion whereby said predetermined blade width is aligned with the tissue to form an incision of said predetermined length.

10. A surgical knife blade as recited in claim 9 wherein a maximum blade width is defined between said edge means, said tapered distal end extends longitudinally from said maximum blade width in a distal direction, and said blade width along said tapered end is less than said maximum blade width.

11. A surgical knife blade as recited in claim 10 wherein said alignment means includes alignment marks disposed, respectively, adjacent said opposing edge means on said tapered end at said predetermined width.

12. A surgical knife blade as recited in claim 11 further including indicia on said body means identifying said predetermined width.

13. A method of performing cataract surgery comprising the steps of

providing a surgical knife blade having a longitudinal axis, a distal end for penetrating tissue, said distal end having opposing portions aligned in a direction transverse to said axis and a width defined between said opposing portions in the transverse direction, and indicia disposed, respectively, on said opposing portions;

inserting the distal end of the knife blade in the sclera or adjacent tissue in a direction aligned with the longitudinal axis until the indicia are aligned with the tissue to form an incision of a predetermined length corresponding to said width;

removing the knife blade from the eye; and

removing the natural lens from the eye through the incision.

14. A method of performing cataract surgery as recited in claim 13 further including the steps of

providing the surgical knife blade with second indicia disposed, respectively, on second opposing portions of the distal end, said distal end having a second width between said second opposing portions greater than the width between the first mentioned opposing portions;

reinserting the knife blade in the tissue through the incision in a direction aligned with the longitudinal axis until the second indicia are aligned with the tissue to enlarge the incision to a second predetermined length corresponding to said second width; and

inserting an intraocular lens through the enlarged incision.

15. A method of performing cataract surgery as recited in claim 14 wherein the predetermined length is approximately 3 mm and the second enlarged predetermined length is approximately 5 mm.