Reciprocating rotary arthroscopic surgical instrument

• US 7,226,459 B2
• Filed: 10/26/2001
• Issued: 06/05/2007
• Est. Priority Date: 10/26/2001
• Status: Expired due to Term

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Jezierski, Rafal, Cesarini, Peter M., Drucker, Karen, Cassidy, Roger R. Jr.
• Primary Examiner(s): Woo; Julian W.
• Application Number:
  US09/983,810
• Publication Number:
  US 20030083684A1
• Time in Patent Office: 2,048 Days
• Field of Search: 606/168, 606/169, 606/171, 606/180, 606/79, 606/80, 606/83, 606/159, 408/124, 408/13, 408/129, 600/564, 600/566, 600/567, D8/59, 81/33
• US Class Current: 606/170
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320758 with a rotating cutting instrument, e.g. motor driven A61B17/320725, A61B17/32075 and A61B17/320783 take precedence; for removing intra-ocular material A61F9/00763; endoscopic rotatable cutting instruments A61B17/32002
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• CPC Class Codes: A61B 2017/2913 cams or guiding means
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

A surgical instrument includes a cutting member with an implement for cutting tissue, and a drive coupled to the cutting member to simultaneously rotate and translate the cutting member in response to a force applied to the drive. A method of cutting tissue includes positioning an outer member such that tissue is located within the outer member, engaging the tissue with an inner member, and simultaneously rotating and translating the inner member to cut the tissue. A tangential cutting force is applied to the tissue with the inner member to mechanically cut the tissue. The inner member is mechanically driven to undergo simultaneous rotation and translation.

Claims

1. A surgical instrument, comprising:

a cutting member including an implement for cutting tissue; and

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive in a single direction and to cut tissue during simultaneous rotation and translation of the cutting member;

wherein the drive includes a drive member attached to the cutting member, the drive member including a helical groove, and the drive includes a translation piece disposed in the groove such that rotary driving of the drive member results in simultaneous reciprocation of the drive member relative to the translation piece.

2. The instrument of claim 1, wherein the drive further comprises an inner drive hub coupled to the drive member such that the drive member rotates with the inner drive hub while being free to translate relative to the inner drive hub.

3. The instrument of claim 2 wherein the inner drive hub defines a slot and the drive member includes a key received in the slot rotary coupling the drive member to the inner drive hub.

4. The instrument of claim 1, wherein the helical groove comprises a left-hand threaded helical channel.

5. The instrument of claim 1, wherein the helical groove comprises a right-hand threaded helical channel.

6. The instrument of claim 1, wherein the helical groove comprises two helical channels, a first helical channel being a left-hand threaded helical channel and a second helical channel being a right-hand threaded helical channel.

7. The instrument of claim 6 wherein the helical channels blend together at their ends to form a continuous groove such that there is a smooth transition from the first helical channel to the second helical channel.

8. The instrument of claim 7 wherein the drive includes a translation piece disposed in the groove such that rotary driving of the drive member results in simultaneous reciprocation of the drive member relative to the translation piece.

9. The instrument of claim 8 wherein the translation piece includes a follower received in the continuous groove and configured to follow the continuous groove and transition between the first helical channel and the second helical channel.

10. The instrument of claim 1,

wherein the cutting member is attached to the drive member to move rotatably and axially with the drive member.

11. The instrument of claim 1, wherein the implement comprises a chamfered cutting edge at a distal end of the cutting member.

12. The instrument of claim 11, wherein the chamfered edge of the cutting member comprises a straight cutting edge.

13. The instrument of claim 11, wherein the chamfered edge comprises an angled cutting edge.

14. The instrument of claim 1 further comprising an outer tubular member, the cutting member being received within the outer tubular member.

15. The instrument of claim 14, wherein the outer tubular member includes a cutting window disposed proximate to a tip of the outer tubular member.

16. The instrument of claim 14, wherein the cutting window comprises an opening in the outer tubular member exposing the cutting member to tissue.

17. The instrument of claim 16, wherein the cutting window comprises a U-shaped proximal end and a saddle-shaped distal end.

18. The instrument of claim 17, wherein the saddle-shaped distal end of the cutting window includes a hook.

19. The instrument of claim 1, wherein the translation piece includes a follower received within the groove and configured to follow the groove as the drive member is rotated.

20. The instrument of claim 19, wherein the follower has an arched bridge shape.

21. The instrument of claim 19 wherein the translation piece includes a sealing cap over the follower, the follower being free to swivel relative to the sealing cap.

22. The instrument of claim 1, wherein the translation piece is coupled to the drive member such that the translation piece is disposed in the helical groove and swivels to follow the helical groove as the drive member rotates.

23. A surgical instrument, comprising:

an outer tubular member including a cutting window disposed proximate to a tip of the outer tubular member, the cutting window including a saddle-shaped distal end;

a cutting member including an implement for cutting tissue, the cutting member being received within the outer tubular member; and

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive.

24. The surgical instrument of claim 23 wherein the cutting window includes a U-shaped proximal end and the saddle-shaped distal end includes a hook.

25. A surgical instrument, comprising:

a cutting member including an implement for cutting tissue; and

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive in a single direction and to cut tissue during simultaneous rotation and translation of the cutting member;

wherein the drive includes a drive member attached to the cutting member, the drive member including a helical groove, and the drive includes an inner drive hub coupled to the drive member such that the drive member rotates with the inner drive hub while being free to translate relative to the inner drive hub.

26. The instrument of claim 25 wherein the inner drive hub defines a slot and the drive member includes a key received in the slot rotary coupling the drive member to the inner drive hub.

27. A surgical instrument, comprising:

a cutting member including an implement for cutting tissue; and

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive in a single direction and to cut tissue during simultaneous rotation and translation of the cutting member;

wherein the drive includes a drive member attached to the cutting member, the drive member including a helical groove having a left-hand threaded helical channel.

28. A surgical instrument, comprising:

a cutting member including an implement for cutting tissue; and

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive in a single direction and to cut tissue during simultaneous rotation and translation of the cutting member;

wherein the drive includes a drive member attached to the cutting member, the drive member including a helical groove having two helical channels, a first helical channel being a left-hand threaded helical channel and a second helical channel being a right-hand threaded helical channel.

29. The instrument of claim 28 wherein the helical channels blend together at their ends to form a continuous groove such that there is a smooth transition from the first helical channel to the second helical channel.

30. The instrument of claim 29 wherein the drive includes a translation piece disposed in the groove such that rotary driving of the drive member results in simultaneous reciprocation of the drive member relative to the translation piece.

31. The instrument of claim 30 wherein the translation piece includes a follower received in the continuous groove and configured to follow the continuous groove and transition between the first helical channel and the second helical channel.

32. A surgical instrument, comprising:

a cutting member including an implement for cutting tissue;

a drive coupled to the cutting member to simultaneously rotate, translate, and reciprocate the cutting member in response to only a rotational force applied to the drive in a single direction and to cut tissue during simultaneous rotation and translation of the cutting member; and

an outer tubular member, the cutting member being received within the outer tubular member, the outer tubular member including a cutting window disposed proximate to a tip of the outer tubular member.

33. The instrument of claim 32, wherein the cutting window comprises an opening in the outer tubular member exposing the cutting member to tissue.

34. The instrument of claim 33, wherein the cutting window comprises a U-shaped proximal end and a saddle-shaped distal end.

35. The instrument of claim 34, wherein the saddle-shaped distal end of the cutting window includes a hook.