Apparatus and method for minimally invasive surgery using rotational cutting tool
First Claim
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1. A surgical instrument comprising:
- a tube having a distal end and a proximal end, said distal end including a first cutting edge; and
a shaft within said tube, said shaft having a distal end and a proximal end, said distal end of said shaft including a blade, one of said shaft and said tube being rotatable with respect to the other such that said blade cooperates with said cutting edge wherein said blade has an elongated portion having two opposing surfaces and a second cutting edge on each of said opposing surfaces.
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Abstract
An apparatus and method for minimally invasive surgery using a cutting tool with rotational cutting edges. The surgical instrument includes a tube having a distal end and a cutting edge at the distal end. A handle is attached to the proximal end of the tube. Within the tube is a shaft having a longitudinally extending blade at its distal end that is adjacent to the distal end of the tube. The blade is revolvable about the longitudinal axis of the instrument to provide rotational cutting action. One or both of the blade and the cutting edge on the tube can be electrically energized to provide for electrocauterization of the body tissue being cut.
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Citations
18 Claims
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1. A surgical instrument comprising:
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a tube having a distal end and a proximal end, said distal end including a first cutting edge; and
a shaft within said tube, said shaft having a distal end and a proximal end, said distal end of said shaft including a blade, one of said shaft and said tube being rotatable with respect to the other such that said blade cooperates with said cutting edge wherein said blade has an elongated portion having two opposing surfaces and a second cutting edge on each of said opposing surfaces. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A surgical instrument comprising:
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a handle;
a tube extending from and coupled to said handle, said tube having a distal end and a first cutting edge at said distal end, said tube having a proximal end associated with said handle;
a tubular shaft defining a lumen coaxial with said tube, said shaft rotatably disposed within said tube and having at its distal end an elongated portion having two opposing surfaces and a second cutting edge on each of said opposing surfaces, said opposing surfaces having an insulating layer thereon, said shaft having a proximal end adjacent said handle and a distal end adjacent said distal end of said tube, wherein one of said second cutting edges on said shaft and said first cutting edge on said tube is adapted to be electrically energized; and
wherein said handle defines an opening in communication with said lumen of said tubular shaft wherein said opening and said lumen provide access through the instrument to said distal end of said tubular shaft. - View Dependent Claims (11)
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12. A surgical instrument comprising:
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a handle;
a tube having a distal end and an outer blade extending from said distal end, said tube having a proximal end associated with said handle; and
a shaft disposed within said tube, said shaft having a distal end adjacent said distal end of said tube, said shaft having an inner blade extending from said distal end, wherein said inner blade has an elongated portion having two opposing surfaces and a cutting edge on each of said opposing surfaces, said opposing surfaces having an insulating layer thereon, said shaft having a proximal end extending into said handle, wherein said inner blade and said outer blade are adapted to be electrically energized. - View Dependent Claims (13, 14, 15, 16)
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17. A method for cutting body tissue, the method comprising:
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inserting a surgical instrument comprising a tube having a distal end, a proximal end, a longitudinal axis between said distal and proximal ends, and a first cutting edge at said distal end of said tube, said instrument further including a shaft having a distal end, a proximal end, and a blade at said distal end of said shaft, wherein said blade has an elongated portion having two opposing surfaces and a second cutting edge on each of said opposing surfaces, said shaft being rotatably disposed within said tube such that said cutting edge and said blade are rotatably engageable;
aligning the body tissue to be cut between said first cutting edge and said blade; and
rotating at least one of said tube and said shaft about said longitudinal axis such that said first cutting edge and said blade engage to cut the body tissue. - View Dependent Claims (18)
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Specification