Surgical instrument

• US 5,707,350 A
• Filed: 04/22/1996
• Issued: 01/13/1998
• Est. Priority Date: 02/07/1990
• Status: Expired due to Term

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith and Nephew Endoscopy Inc (Smith & Nephew PLC)
• Inventors: Sample, Philip B., Crowell, Richard, Krause, Kenneth W.
• Primary Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/635,554
• Time in Patent Office: 631 Days
• Field of Search: 606/52, 606/53, 606/170, 606/171, 606/180, 606/205-211, 604/22
• US Class Current: 604/22
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/2904 curved, but rigid
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61M 25/0054 with regions for increasing flexibility
• CPC Class Codes: A61M 25/0138 having flexible regions as a result of weakened outer material, e.g. slots, slits, cuts, joints or coils
• CPC Class Codes: Y10T 29/49986 Subsequent to metal working
• CPC Class Codes: Y10T 29/49995 Shaping one-piece blank by removing material
• CPC Class Codes: Y10T 408/03 Processes

Abstract

A surgical instrument that includes a rigid outer member within which is disposed a hollow inner member having rigid proximal and distal ends and a region disposed between the rigid proximal and distal ends that is relieved to render such region relatively flexible. The flexible region is integral with a portion of the proximal end disposed adjacent to the flexible region. The inner member transmits force (such as torsion) applied to its proximal end to move a cutting implement disposed at its distal end and cause it to cut tissue admitted through an opening in the distal region of the outer member. In another aspect, a region of the inner member is weakened (e.g., by relieving an integral region of the member) with respect to the remainder of the inner member to cause this region to break if the force (e.g., torque) applied to the inner member exceeds a predetermined threshold. In yet another aspect, the flexible region is relieved by forming openings therein, and pliable material (such as silicone rubber) is disposed in the openings.

Claims

1. A surgical instrument constructed for insertion into a joint space of a body cavity, said instrument comprising:

a surgical implement configured to manipulate tissue when operated with a force;

said surgical implement being configured to fracture when operated with a force of a first magnitude;

a first member coupled at its distal end to said surgical implement for transmitting force applied at a proximal end of said first member to said surgical implement to operate said surgical implement;

said first member being configured to fracture when transmitting a force of less than said first magnitude.

2. The surgical instrument of claim 1 wherein a wall of said first member is relieved with an opening extending through said wall.

3. The surgical instrument of claim 2 wherein said wall of said first member is relieved with a plurality of openings extending through said wall.

4. The surgical instrument of claim 2 wherein said opening is configured to cause said first member to fracture when transmitting a force of less than said first magnitude.

5. The surgical instrument of claim 1 wherein said first member is a tube.

6. The surgical instrument of claim 1 wherein said surgical implement is a cutting implement.

7. The surgical instrument of claim 6 wherein said cutting implement is a rotary cutting implement.

8. The surgical instrument of claim 1 wherein said force is a torque.

9. The surgical instrument of claim 1 further comprising a second member disposed radially outside said first member.

10. The surgical instrument of claim 9 wherein said second member includes a bend region disposed proximally of said distal end of said first member.

11. The surgical instrument of claim 1 further comprising a hub coupled to said proximal end of said first member and configured to be inserted into a handpiece for applying force to said proximal end of said first member.

12. The surgical instrument of claim 11 wherein said instrument has an operational limit, and wherein said instrument is configured to identify said operational limit to a sensor in said handpiece.

13. The surgical instrument of claim 12 wherein said operational limit corresponds to the force limit of the surgical instrument.

14. The surgical instrument of claim 13 wherein said operational limit corresponds to the torsional limit of the surgical instrument.

15. The surgical instrument of claim 12 wherein said operational limit corresponds to the speed limit of the surgical instrument.

16. The surgical instrument of claim 15 wherein said operational limit corresponds to the rotational speed limit of the surgical instrument.

17. A surgical instrument constructed for insertion into a joint space of a body cavity, said instrument comprising:

a rigid outer member disposed along an axis and having distal and proximal ends;

a surgical implement carried at said distal end of said outer member, said surgical implement being configured to manipulate tissue when operated with force applied parallel to said axis of said outer member;

an inner member disposed within said outer member, said inner member having a proximal end and a distal end coupled to said surgical implement to apply force parallel to said axis of said outer member;

a region of said inner member disposed between said distal and proximal ends of said inner member having an opening to render said region relatively flexible, said region having sufficient stiffness to transmit force applied at said proximal end of said inner member parallel to said axis of said outer member through a bend region to operate said surgical implement.

18. The surgical instrument of claim 17 wherein said surgical implement cuts tissue when operated with force applied parallel to said axis of said outer member.

19. The surgical instrument of claim 18 wherein said surgical implement is a cutter.

20. The surgical instrument of claim 17 wherein said surgical implement grasps tissue when operated with force applied parallel to said axis of said outer member.

21. The surgical instrument of claim 20 wherein said surgical implement is a forceps.

22. The surgical instrument of claim 17 wherein said inner member is configured to transmit torque to said surgical implement.

23. The surgical instrument of claim 17 wherein said outer member includes a bend region disposed between said distal and proximal ends of said outer member.

24. The surgical instrument of claim 17 wherein said inner member is a tube.

25. The surgical instrument of claim 17 wherein said inner member is relieved with a plurality of openings.

26. A surgical instrument constructed for insertion into a joint space of a body cavity, said instrument comprising:

a rigid outer member disposed along an axis and having distal and proximal ends;

a surgical implement carried at said distal end of said outer member, said surgical implement being configured to manipulate tissue when operated with force applied parallel to said axis of said outer member;

an inner member disposed within said outer member, said inner member having a proximal end and a distal end coupled to said surgical implement to apply force parallel to said axis of said outer member;

a region of said inner member disposed between said distal and proximal ends of said inner member having a plurality of openings to render said region relatively flexible, said region having sufficient stiffness to transmit force applied at said proximal end of said inner member parallel to said axis of said outer member to operate said surgical implement.