Hard drive vitrectomy cutter

• US 6,485,499 B1
• Filed: 02/25/1999
• Issued: 11/26/2002
• Est. Priority Date: 02/25/1999
• Status: Expired due to Term

• Current Assignee: Johnson & Johnson Surgical Vision, Inc. (Johnson & Johnson)
• Original Assignee: Advanced Medical Optics
• Inventors: Barwick, Billie John Jr., Oberkamp, Dennis L.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/257,885
• Time in Patent Office: 1,370 Days
• Field of Search: 606/166, 606/170, 606/180, 606/171, 606/184, 606/185, 606/169, 606/159, 604/22
• US Class Current: 606/171
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 hard drive vitrectomy cutter generally includes a hand held probe for cutting tissue of a body, and a mechanical system for driving cutting action of the probe. The probe includes an outer sleeve having a perforation therein for receiving a portion of tissue, and a cutter sleeve, coaxially disposed within the cutter sleeve, for shearing the portion from the body of tissue. Importantly, the mechanical system for driving the probe includes a coaxial cable having a stationary outer cable and a slidable inner cable, said coaxial cable being connected with a stepper motor adapted for moving the inner cable axially within the outer cable. The inner cable is mounted in operative relationship with the cutter sleeve such that the stepper motor may be operated to move the inner cable and consequently drive cutting strokes of the cutter sleeve. A spring may be included for biasing the cutter sleeve against a pulling force exerted by the stepper motor. An aspiration line may also be included for pulling the portion of tissue into the perforation and subsequently removing the sheared portion from the probe.

Claims

1. A surgical cutting device comprising:

probe means for cutting tissue of a body, said probe means comprising

an outer sleeve including perforation means, proximate a distal end of said out sleeve, for receiving a portion of the tissue, and

cutter sleeve means, coaxially disposed within the outer sleeve, for shearing the portion of tissue by a linear motion thereof with respect to the outer sleeve; and

non-pneumatic mechanical means for driving of the stroking motion of the cutter sleeve means at a selected stroke rate of less than two strokes per minute.

2. The surgical cutting device according to claim 1 wherein the mechanical means includes cable means for connecting the probe means to a stepper motor adapted to move the cutter sleeve means in the stroking motion.

3. The surgical cutting device according to claim 2 wherein the cable means includes an outer stationary cable and an inner cable slidably disposed therein, said inner cable being mounted in operative relationship with the cutter sleeve means.

4. The surgical cutting device according to claim 3 wherein the mechanical means further includes spring means for biasing the cutter sleeve means against a pulling force applied thereto by the stepper motor.

5. The surgical cutting device according to claim 2 further comprising a stepper motor connected to the cable means.

6. The surgical cutting device according to claim 1 further comprising aspiration means for drawing the portion of tissue into the outer sleeve perforation and for removing the portion of tissue from the probe means.

7. A surgical cutting device comprising:

probe means for cutting tissue of a body, said probe means comprising

an outer sleeve including perforation means, proximate a distal end of said outer sleeve, for receiving a portion of the tissue, and

non-pneumatic cutter sleeve means, coaxially disposed within the outer sleeve, for shearing the portion of tissue by a linear motion thereof with respect to the outer sleeve; and

mechanical means for driving of the linear motion of the cutter sleeve means at a selected stroke rate of between about one and about 1000 strokes per minute.

8. An ophthalmic surgical cutting device comprising:

probe means for cutting tissue of an eye, said probe means including

an outer sleeve including perforation means for receiving a portion of the tissue, and

cutter sleeve means, coaxially disposed within said outer sleeve, for shearing the portion by a linear motion of the cutter sleeve with respect to the outer sleeve; and

non-pneumatic mechanical means for enabling control of individual strokes of the linear motion, said mechanical means including cable means for connecting the probe means to a stepper motor in order to drive the linear motion of the cutter sleeve means.

9. The ophthalmic surgical cutting device according to claim 8 wherein said cable means includes an outer stationary cable and an inner cable slidably disposed therein, said inner cable being mounted in operative relationship with the cutting sleeve means.

10. The ophthalmic surgical cutting device according to claim 9 wherein the mechanical means further includes spring means for biasing the cutter sleeve means against a pulling force applied thereto by the stepper motor.

11. The ophthalmic surgical cutting device according to claim 10 further comprising aspiration means for drawing the portion of tissue into the outer sleeve perforation and for removing the portion of tissue from the probe means.

12. The ophthalmic surgical cutting device according to claim 8 further comprising a stepper motor connected to the cable means.

13. An ophthalmic surgical cutting device comprising:

probe means for cutting tissue of an eye, said probe means including

an outer sleeve including perforation means for receiving a portion of the tissue, and

cutter sleeve means, coaxially disposed within said outer sleeve, for shearing the portion by a linear motion of the cutter sleeve with respect to the outer sleeve; and

mechanical means for enabling control of individual strokes of the linear motion, said mechanical means including

an outer stationary cable and an inner cable slidably disposed therein, said inner cable being mounted in operative relationship with the cutter sleeve means,

stepper motor means, connected to the inner cable, for driving the linear motion of the cutter sleeve means, and

spring means for biasing the cutter sleeve means against a pulling force applied thereto by the stepper motor; and

aspiration means for drawing the portion of tissue into the outer sleeve perforation and for removing the portion of tissue from the probe means.