Adjustable skin mesher device and a system for using the same

• US 6,063,094 A
• Filed: 09/03/1998
• Issued: 05/16/2000
• Est. Priority Date: 12/07/1995
• Status: Expired due to Term

• Current Assignee: 4-Med, Ltd.
• Original Assignee: L.R. Surgical Instruments, Ltd.
• Inventors: Rosenberg, Lior
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US09/077,269
• Time in Patent Office: 621 Days
• Field of Search: 606/132, 83/678
• US Class Current: 606/132
• CPC Class Codes: A61B 17/322 Skin grafting apparatus
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/3225 with processing of harvested tissue
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: Y10T 83/9408 Spaced cut forming tool

Abstract

The present invention generally relates to a skin graft preparation device, or mesher. This device is designed to incise and "mesh" a piece of skin, usually prior to grafting to allow it to expand and cover an area larger than its donor site area. More specifically, the invention relates to an adjustable mesher device wherein the mesher has an adjustable meshing drum (roller) or drums useful for the meshing of the entire range of meshing ratios, thus eliminating the need to keep various meshing devices. Another embodiment of the mesher has two consecutive meshing drums. A further embodiment of the mesher has a rotatable common holder allowing selection from a number of meshing drums. These meshers can mesh skin in both powered and manual modes of operation and may be used with most existing graft carriers or may be used without any carrier. The present invention further relates to a system for using the mesher.

Claims

1. An adjustable skin graft preparation device for producing a predetermined pattern of incisions comprising a plurality of incisions having a predetermined length, said device comprising:

(a) at least one feeding drum rotatably mounted in said device;

(b) a first axle rotatably mounted in said device comprising a plurality of first cutting discs, each said first disc comprising a plurality of circumferentially spaced first cutting edges, said first axle being in substantial parallel arrangement with said at least one feeding drum, said first cutting edges adapted to provide a first pattern of incisions;

(c) a second axle rotatably mounted in said device comprising a plurality of second cutting discs, each said second disc comprising a plurality of circumferentially spaced second cutting edges, said second axle being in substantial parallel arrangement with said at least one feeding drum, said second cutting edges adapted to provide a second pattern of incisions substantially aligned with said first pattern of incisions,

wherein each said incision in said predetermined pattern of incisions is contributed by at least one corresponding said first incision and a corresponding aligned said second incision, and wherein said length of each said incision in said predetermined pattern of incisions is determined by the degree of overlap between said corresponding first incision and said corresponding second incision; and

(d) means for modulating a disposition of said first axle relative to a disposition of said second axle such as to provide said degree of overlap between said first incisions and said second incisions.

2. An adjustable skin graft preparation device as claimed in claim 1, wherein said first axle and said second axle are comprised in a first meshing drum in coaxial arrangement therein, and wherein said plurality of first discs are intercalated with said plurality of second discs to provide a plurality of pairs of discs comprising one said first disc and one said second disc, wherein each said first disc and each said second disc comprise a substantially flat side, wherein in each said pair of discs

said first disc and said second disc are juxtaposed with corresponding flat sides thereof in mutual contact, and wherein said first cutting edges and said second cutting edges thereof are substantially coplanar, such as to provide a plurality of effective cutting blades having an interval space between each pair of adjacent effective cutting blades, said effective cutting blades comprised of a corresponding said first cutting edge and a corresponding said second cutting edge,

wherein said length of each said incision in said predetermined pattern of incisions is associated with an effective cutting length of said effective cutting blade.

3. An adjustable skin graft preparation device as claimed in claim 2, wherein said means for modulating a disposition of said first axle relative to a disposition of said second axle comprises modulating a relative angular orientation between said first cutting disc and said second cutting disc of each said pair of discs.

4. An adjustable skin preparation device as claimed in claim 3, wherein said modulation means comprises a first track adapted for axially locking thereon each said first disc of said plurality of pairs of cutting discs, and a second track adapted for axially locking thereon each said second disc of said plurality of pairs of cutting discs, said first axle and said second axle adapted such as to enable the angular orientation of said first track with respect to said second track to be set.

5. An adjustable skin graft preparation device as claimed in claim 4, comprising means for changing the angular orientation of said first track with respect to said second track.

6. An adjustable skin graft preparation device as claimed in claim 4, wherein said first axle constitutes a central axle and said second axle constitutes a substantially coaxial external axle, said central axle comprising said first track, and said external axle comprising said second track, wherein said central axle may be pivoted with respect to said external axle, and therein said first track protrudes through an opening on said external axle.

7. An adjustable skin graft preparation device as claimed in claim 1, wherein said first axle and said plurality of first discs are comprised on a first meshing drum, and wherein said second axle and said plurality of second discs are comprised on a second meshing drum, said first meshing drum and said second meshing drum being in substantial parallel arrangement.

8. An adjustable skin graft preparation device as claimed in claim 7, wherein said means for modulating a disposition of said first axle relative to a disposition of said second axle comprises setting and locking a distance between said first meshing drum and said second meshing drum.

9. An adjustable skin graft preparation device as claimed in claim 7, wherein said means for modulating a disposition of said first axle relative to a disposition of said second axle comprises setting and locking a relative rotational phase between said first meshing drum and said second meshing drum.

10. An adjustable skin graft preparation device as claimed in claim 9, wherein said means for modulating a disposition of said first axle relative to a disposition of said second axle further comprises setting and locking a distance between said first meshing drum and said second meshing drum.

11. An adjustable skin graft preparation device for producing a predetermined pattern of incisions comprising a plurality of incisions having a predetermined length, said device comprising:

a first feeding drum and a first meshing drum rotatably mounted therein;

means for rotating said first meshing drum and said first feeding drum;

said first feeding drum being in substantial parallel arrangement with said first meshing drum, said device adapted to provide a predetermined spacing between said first feeding drum and said first meshing drum;

said first meshing drum characterized in comprising a plurality of pairs of cutting discs coaxially mounted on a shaft, each said pair of cutting discs comprising;

a first annular disc having a substantially flat side and comprising a plurality of circumferentially spaced first cutting edges, and

a second annular disc having a substantially flat side and comprising a plurality of circumferentially spaced second cutting edges;

said first disc and said second disc being juxtaposed with corresponding flat sides thereof in mutual contact wherein said first cutting edges and said second cutting edges are substantially coplanar, such as to provide a plurality of effective cutting blades having an interval space between each pair of adjacent effective cutting blades, said effective cutting blade comprised of a corresponding said first cutting edge and a corresponding said second cutting edge, wherein an effective cutting length of said effective cutting blade is determined by the degree of angular overlap between said corresponding first cutting edge and second cutting edge; and

modulation means for modulating a relative angular orientation between said first disc and said second disc of each said pair of cutting discs such as to provide a predetermined length ratio between each effective cutting blade length and a length of said interval space between adjacent effective cutting blades in each said pair of cutting discs.

12. An adjustable skin graft preparation device as claimed in claim 11, wherein said modulation means comprises a first track adapted for axially locking thereon each said first disc of said plurality of pairs of cutting discs, and a second track adapted for axially locking thereon each said second disc of said plurality of pairs of cutting discs, said shaft adapted such as to enable the angular orientation of said first track with respect to said second track to be set.

13. An adjustable skin graft preparation device as claimed in claim 12, comprising means for changing the angular orientation of said first track with respect to said second track.

14. An adjustable skin graft preparation device as claimed in claim 12, wherein said shaft comprises a central axle and a substantially coaxial external axle, said central axle comprising said first track, and said external axle comprising said second track, wherein said central axle may be pivoted with respect to said external axle, and wherein said first track protrudes through an opening on said external axle.

15. An adjustable skin graft preparation device as claimed in claim 14, wherein each said first disc comprises at least one first internal notch complementary to said first track for engaging therewith, and wherein each said second disc comprises at least one first internal notch complementary to said second track for engaging therewith.

16. An adjustable skin graft preparation device as claimed in claim 15, wherein each said first disc comprises at lease one second internal notch substantially wider than and diametrically opposed to a said corresponding first internal notch thereof, and wherein each said second disc comprises at least one second internal notch substantially wider than and diametrically opposed to a said corresponding first internal notch thereof.

17. An adjustable skin graft preparation device as claimed in claim 16, wherein a center of said first internal notch of each corresponding said first disc is aligned between a pair of consecutive said first cutting edges.

18. An adjustable skin graft preparation device as claimed in claim 16, wherein a center of said first internal notch of each corresponding said second disc is aligned with a said second cutting edge.

19. An adjustable skin graft preparation device as claimed in claim 11, wherein said first feeding drum is operatively connected for synchronous rotation with said first meshing drum.

20. An adjustable skin graft preparation device as claimed in claim 19, wherein said means for rotating said first meshing drum and said first feeding drum comprises an electric motor unit.

21. An adjustable skin graft preparation device as claimed in claim 20, wherein said electric motor unit is connected to a rotatable drive shaft having a coupling, wherein said electric motor unit and said drive shaft is comprised in a container such as to prevent contact between an operational environment including said device, and internal contents of said container including said electric motor unit and said drive shaft, and wherein said coupling is adapted for transferring rotational power of said motor to said device for rotation of said first meshing drum and said first feeding drum.

22. An adjustable skin graft preparation device as claimed in claim 21, wherein sterilization and aseptic techniques may be applied to said device and said container including said coupling such as to substantially protect a sterile environment including said device and said container from contamination from said contents of said container.

23. An adjustable skin graft preparation device as claimed in claim 21, wherein at least said container and said coupling are autoclavable.

24. An adjustable skin graft preparation device as claimed in claim 21, wherein a non-sterile motor may be transferred and locked into said container using aseptic techniques.

25. An adjustable skin graft preparation device as claimed in claim 21, further comprising a suitable electrical power source selected from the group consisting of a battery, an AC 220-110V source, and an adequate DC source.

26. An adjustable skin graft preparation device as claimed in claim 20, wherein said device is fixed on a cover of said container, and wherein said coupling is an integral part of said cover.

27. An adjustable skin graft preparation device as claimed in claim 20, wherein said rotational power is transferred to said first meshing drum and said first feeding drum via a plurality of toothed wheels.

28. An adjustable skin graft preparation device as claimed in claim 19, wherein said means for rotating said first meshing drum and said first feeding drum comprises a manually cranked ratchet.

29. An adjustable skin graft preparation device as claimed in claim 28, further comprising means for varying said predetermined spacing between said first feeding drum and said first meshing drum.

30. An adjustable skin graft preparation device as claimed in claim 29, wherein said means for varying said predetermined spacing between first said feeding drum and said first meshing drum comprises at least one micrometric screw associated with a corresponding at least one eccentric axle adapted to allow said first meshing drum to be selectively raised or lowered with respect to said first feeding drum.

31. An adjustable skin graft preparation device as claimed in claim 19, further comprising suitable linkage means for enabling said synchronous rotation between said first feeding drum and said first meshing drum to be maintained for a range of predetermined spacings between said first feeding drum and said first meshing drum.

32. An adjustable skin graft preparation device as claimed in claim 31, wherein said range is from about 0.0 mm to about 15.0 mm.

33. An adjustable skin graft preparation device as claimed in claim 31, wherein said linkage means comprises a suitable geared linkage mechanism.

34. An adjustable skin graft preparation device as claimed in claim 11, comprising at least one further said meshing drum, wherein all said meshing drums are carried on a holder in said device, each said meshing drum being rotatably mounted in said holder, said holder rotatably mounted in said device such as to selectively fix each said meshing roller into operating position with respect to said feeding drum.

35. An adjustable skin graft preparation device as claimed in claim 11, further comprising detaching means for detaching meshed skin graft from said first meshing drum such as to substantially prevent said skin from becoming wrapping onto said first meshing drum and for spreading said skin onto a suitable surface.

36. An adjustable skin graft preparation device as claimed in claim 35, wherein said detaching means comprises a fixed comb in parallel arrangement with said first meshing drum.

37. An adjustable skin graft preparation device as claimed in claim 35, wherein said detaching means comprises a brush in parallel arrangement with said first meshing drum.

38. An adjustable skin graft preparation device as claimed in claim 35, wherein said detaching means comprises a serrated drum in parallel arrangement with said first meshing drum.

39. An adjustable skin graft preparation device as claimed in claim 35, wherein said detaching means comprises a soft serrated cylinder in parallel arrangement with said first meshing drum.

40. An adjustable skin graft preparation device as claimed in claim 11, further comprising a second feeding drum and a second meshing drum substantially similar to said first feeding drum and said first meshing drum, respectively, and rotatably mounted in respective parallel arrangement thereto in said device.

41. An adjustable skin graft preparation device as claimed in claim 40, wherein a distance between said first meshing drum and said second meshing drum may be set an locked.

42. An adjustable skin graft preparation device as claimed in claim 40, wherein a relative rotational phase between said relative angular orientation between said first disc and said second disc of each said pair of cutting discs of said first meshing drum, and said relative angular orientation between said first disc and said second disc of each said pair of cutting discs of said second meshing drum may be set and locked.

43. An adjustable skin graft preparation device as claimed in claim 11, wherein said first meshing drum and said first feeding drum are adapted for passing therebetween at least one skin graft sample.

44. An adjustable skin graft preparation device as claimed in claim 11, wherein said first meshing drum and said first feeding drum are adapted for passing therebetween at least one skin carrier plate.

45. An adjustable skin graft preparation device as claimed in claim 11, wherein said first meshing drum and said first feeding drum are adapted for passing therebetween at least one cutting board.