Surgical penetration instrument with transparent blades and tip cover

• US 5,569,292 A
• Filed: 02/01/1995
• Issued: 10/29/1996
• Est. Priority Date: 02/01/1995
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Hughes, Robert, Scwemberger, Richard F., Privitera, Salvatore
• Primary Examiner(s): DAWSON, GLENN K
• Application Number:
  US08/382,462
• Time in Patent Office: 636 Days
• Field of Search: 606/1, 606/167, 606/170, 606/171, 606/184, 606/1 A, 604/164, 604/264, 604/172, 604/272, 600/101
• US Class Current: 606/185
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2017/3456 blunt
• CPC Class Codes: A61B 2017/346 with wings
• CPC Class Codes: A61B 2090/038 during shipment
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

A surgical penetration instrument has an elongated shaft and a penetrating tip extending from the distal end of the shaft. A blade extends outwardly from the penetrating tip. The blade is transparent. When the penetrating tip is transparent, the tip not only facilitates penetration through bodily tissue but also acts as an imaging element in conjunction with an endoscope extending through the shaft of the instrument to simultaneously visualize the surgical field during penetration. Significantly, unlike a conventional metallic blade, the transparent blade will not obstruct the field of view as the instrument is advanced. When the penetrating tip is plastic, and the blade is composed of a transparent plastic, the blade can be joined to the tip using conventional plastic processing methods such as injection molding, thus reducing manufacturing costs incurred if a metallic blade were used. Also disclosed is a surgical penetration instrument with a plastic penetrating tip and a protective cap fitting over and enclosing a portion of the tip to prevent or lessen the possibility of breaking, cracking or otherwise damaging the tip.

Claims

1. A surgical penetration instrument for penetrating bodily tissue during a surgical procedure;

said instrument comprising an elongated shaft having a distal end;

a penetrating tip in communication with said shaft distal end and extending distally therefrom, said penetrating tip having a surface configuration shaped to enlarge an opening in said bodily tissue as said instrument is advanced distally into said tissue; and

a first transparent blade extending outwardly from said penetrating tip, wherein said penetrating tip and said first transparent blade are integrally formed from a single piece of material.

2. The instrument of claim 1 wherein said shaft is generally cylindrical and has a shaft diameter.

3. The instrument of claim 2 wherein said penetrating tip has a circular base and a base diameter, said circular base being adjacent said shaft distal end and having a base diameter substantially the same as said shaft diameter.

4. The instrument of claim 3 wherein said blade is composed of a transparent plastic or a glass.

5. The instrument of claim 4 wherein said blade is composed of a transparent plastic.

6. The instrument of claim 5 wherein said penetrating tip is composed of said plastic.

7. The instrument of claim 6 wherein said plastic exhibits a light transmission greater than about seventy five percent, and a haze factor less than about five percent.

8. The instrument of claim 7 wherein said plastic is a thermoplastic or thermoset polymer or ionomer.

9. The instrument of claim 8 wherein said said plastic is a copolyester.

10. The instrument of claim 5 wherein at least a portion of said penetrating tip is transparent.

11. The instrument of claim 10 wherein said transparent portion of said penetrating tip extends through substantially 360°

.

12. The instrument of claim 11 wherein said instrument further comprises a second transparent blade extending outwardly from said penetrating tip.

13. The instrument of claim 12 wherein said penetrating tip is entirely transparent.

14. The instrument of claim 13 wherein said penetrating tip extends distally from said circular base to a point.

15. The instrument of claim 14 wherein said penetrating tip is generally conical.

16. The instrument of claim 15 wherein said first and second blades have straight linear edge surfaces.

17. The instrument of claim 16 wherein said first and second blades extend longitudinally from adjacent said circular base toward said point of said penetrating tip.

18. The instrument of claim 17 wherein said first and second blades are spaced about 180°

from each other.

19. A surgical penetration instrument for penetrating bodily tissue during a surgical procedure;

said instrument comprising a generally cylindrical, elongated shaft having a distal end and a shaft diameter;

a plastic penetrating tip connected to said shaft distal end, said tip having a generally circular base adjacent said shaft distal end, said base having a base diameter substantially the same as said shaft diameter, said tip extending distally from said base and having an exterior surface configuration shaped to enlarge an opening in said bodily tissue as said instrument is advanced distally into said tissue;

a protective cap sized to fit over and enclose at least a portion of said tip;

cap receiving means on said exterior surface of said tip for securely receiving said cap; and

cap attaching means on said cap for attaching said cap onto said cap receiving means.

20. The instrument of claim 19 wherein said cap has a generally cylindrical sleeve portion having a sleeve diameter, said sleeve diameter being substantially the same as said base diameter of said tip.

21. The instrument of claim 20 wherein said instrument further comprises a blade extending radially outwardly from said tip.

22. The instrument of claim 21 wherein said protective cap has a sleeve diameter sized to fit over and enclose a portion of said blade.

23. The instrument of claim 22 wherein said cap receiving means are first and second notches displayed on said exterior surface of said tip adjacent said circular base, said notches spaced about 180°

from each other.

24. The instrument of claim 23 wherein said cap attaching means are first and second tabs displayed on said sleeve, said first and second tabs engagable with said first and second notches.