Dual-function medical instrument

• US 6,976,992 B2
• Filed: 07/16/2002
• Issued: 12/20/2005
• Est. Priority Date: 07/16/2002
• Status: Active Grant

• Current Assignee: Suturecut LLC
• Original Assignee: Suturecut LLC
• Inventors: Sachatello, Charles R., Sawyer, Joseph
• Primary Examiner(s): Dawson, Glenn K.
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US10/196,493
• Publication Number:
  US 20040015181A1
• Time in Patent Office: 1,253 Days
• Field of Search: 606/174, 606/205, 606/207, 606/208, 606/206, 606/210, 301/94, 712/5, 713/2, 713/3, 713/4, 713/5, 715/3
• US Class Current: 606/205
• CPC Class Codes: A61B 17/0467 Instruments for cutting sutures surgical cutting instruments A61B17/32
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/3201 Scissors for biopsy A61B10/02
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping
• CPC Class Codes: A61B 90/92 coded with colour

Abstract

A dual-use medical instrument is disclosed. In one embodiment, the instrument has a first handle pivotally attached to a second handle through a mortise and tenon joint to define opposing jaws at the distal end of the surgical instrument, each of the opposing jaws including a distal gripping portion, at least one longitudinally disposed cutting edge situated between the distal gripping portion and said mortise and tenon joint, wherein at least one longitudinal cutting edge is adjacent to said mortise and tenon joint. The instrument can function as a combination needle holder and surgical scissors.

Claims

1. A medical instrument comprising:

a first handle pivotally attached to a second handle through a mortise and tenon joint to define opposing jaws at the distal end of the surgical instrument, each of said opposing jaws including a distal gripping portion,

a longitudinally disposed aperture, situated between said distal gripping portion and said mortise and tenon joint,

at least one longitudinally disposed cutting edge situated between said distal gripping portion and said mortise and tenon joint,

wherein said at least one longitudinal disposed cutting edge is adjacent to said mortise and tenon joint and fits within said aperture or said at least one longitudinally disposed cutting edge is formed on at least one side of said aperture or both.

2. The medical instrument of claim 1, wherein said opposing jaws are both movable.

3. The medical instrument of claim 1, wherein said opposing jaws further comprise complementary needle receiving teeth, capable of firmly gripping a surgical needle, on said distal gripping portion of each opposing jaw.

4. The medical instrument of claim 1, further comprising:

a transversely disposed stop block positioned on one of said opposing jaws,

between said at least one cutting edge and said distal gripping portion, the other of said opposing jaws being provided with a recess for receiving the stop block.

5. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises two longitudinally disposed cutting edges that oppose one another, and are offset to extend past one another when said first and second handles are brought toward one another.

6. The medical instrument of claim 1, wherein said distal gripping portion of said opposing jaws is from about 1 centimeter in length to about 20 centimeters in length.

7. The medical instrument of claim 1, wherein said medical instrument is made of stainless steel.

8. The medical instrument of claim 1, wherein said medical instrument is disposable.

9. The medical instrument of claim 1, wherein said medical instrument is formed from a sterilizable material.

10. The medical instrument of claim 1, wherein said first and second handles have opposing finger loops at a proximal end of the medical instrument.

11. The medical instrument of claim 10, wherein said first and second handles have opposing locking mechanisms.

12. The medical instrument of claim 1, wherein each of said opposing jaws comprise a replaceable insert.

13. The medical instrument of claim 1, wherein said opposing jaws further comprise serrated teeth, capable of firmly gripping a metal object, on said distal gripping portion of each opposing jaw.

14. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge cuts only on the right hand side of said medical instrument.

15. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge cuts only on the left hand side of said medical instrument.

16. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge can be re-sharpened.

17. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge is a replaceable insert.

18. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge is serrated.

19. The medical instrument of claim 1, wherein said at least one longitudinal cutting edge is serrated and a replaceable insert.

20. The medical instrument of claim 1, wherein said opposing jaws further comprise complementary receiving teeth.

21. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises a single cutting edge formed on a projection of the tenon of said mortise and tenon joint.

22. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises two longitudinally disposed cutting edges, about parallel to one another, formed on both sides of a projection of the tenon of said mortise and tenon joint.

23. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises a single cutting edge, formed on either side of the aperture.

24. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises two longitudinally disposed cutting edges, roughly parallel to one another, formed on both sides of the aperture.

25. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises:

two longitudinally disposed cutting edges, roughly parallel to one another, formed on both sides of the aperture; and

two additional longitudinally disposed cutting edges, roughly parallel to one another, formed on both sides of a projection of the tenon of said mortise and tenon joint.

26. The medical instrument of claim 1, wherein said at least one longitudinally disposed cutting edge comprises two pairs of longitudinally disposed cutting edges, wherein each pair of longitudinally disposed cutting edges further comprises two longitudinally disposed cutting edges that oppose one another, and are offset to extend past one another when said first and second bandies are brought toward one another.

27. A medical instrument comprising:

a first handle pivotally attached to a second handle through a mortise and tenon joint having a mortise and tenon, to define opposing jaws at the distal end of the surgical instrument, each of said opposing jaws including a distal gripping portion,

a longitudinally disposed aperture that is part of the mortise, situated between said distal gripping portion and where said mortise and tenon joint are pivotally attached,

at least one longitudinally disposed cutting edge situated between said distal gripping portion and where said mortise and tenon are pivotally attached and said at least one longitudinally cutting edge is part of said mortise or said tenon or both,

wherein said at least one longitudinal disposed cutting edge fits within said aperture or said at least one longitudinally disposed cutting edge is formed on at least one side of said aperture or both.

28. The medical instrument of claim 27, wherein each of said opposing jaws comprise a replaceable insert.

29. The medical instrument of claim 27, further comprising:

a transversely disposed stop block positioned on one of said opposing jaws, between said at least one cutting edge and said distal gripping portion, the other of said opposing jaws being provided with a recess for receiving the stop block.