Atraumatic arthroscopic instrument sheath

• US 7,445,596 B2
• Filed: 01/07/2005
• Issued: 11/04/2008
• Est. Priority Date: 01/29/2004
• Status: Active Grant

• Current Assignee: Psip2 LLC
• Original Assignee: Cannuflow Inc.
• Inventors: Kucklick, Theodore R., Trieb, Martin
• Primary Examiner(s): Leubecker; John P
• Application Number:
  US11/031,149
• Publication Number:
  US 20050203342A1
• Time in Patent Office: 1,397 Days
• Field of Search: 600/114, 600/128, 600/153, 600/156, 600/130, 604/164.02
• US Class Current: 600/114
• CPC Class Codes: A61B 1/00094 Suction openings
• CPC Class Codes: A61B 1/00131 Accessories for endoscopes
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/317 for bones or joints, e.g. osteoscopes, arthroscopes
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00336 with a protective sleeve, e.g. retractable or slidable
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 2017/349 Trocar with thread on outside
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 39/24 Check- or non-return valves

Abstract

An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while eliminating the need for a third portal during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic sheath having an inner surface, outer surface, proximal end, and distal end. The atraumatic sheath further comprises plurality of ribs or webs extending from the inner surface of the sheath and designed to contact an outer surface of the arthroscope creating outer lumens facilitating the inflow and outflow of fluid to a surgical site.

Claims

1. A system for performing arthroscopic surgery, said system comprising:

an arthroscopic instrument suitable for performing an arthroscopic surgical procedure; and

an atraumatic sheath having an inner diameter sized and dimensioned to permit fluid flow between an inner surface of the sheath and an outer surface of the arthroscopic instrument disposed within the sheath, said sheath further having a plurality of ribs extending inwardly from the inner surface of said sheath and running longitudinally along said sheath;

wherein said ribs define outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the sheath;

wherein the atraumatic sheath is adapted to be removably disposed over the arthroscopic instrument;

wherein said ribs further comprise flanges.

2. The system of claim 1 wherein the sheath is characterized by an outer surface, wherein said outer surface is provided with a smooth coating.

3. The system of claim 1 further comprising a fluid source in fluid communication with one or more outer lumens in the sheath.

4. The system of claim 1 further comprising a vacuum source.

5. The system of claims 1, 3, or 4 further comprising a control system controlling the inflow and outflow of fluid to the surgical site.

6. The system of claim 5 wherein the outflow of fluid equals or exceeds the inflow.

7. The system of claim 3 further comprising a vacuum source.

8. The system of claim 7 further comprising a control system controlling the inflow and outflow of fluid to the surgical site.

9. The system of claim 1 further comprising check valves coupled to the inner surface of said sheath within the outer lumens.

10. The system of claim 1 further comprising a first set of fittings disposed on the proximal end of the sheath and a second set of fittings disposed on the arthroscopic instrument, wherein the first and second sets of fittings are adapted for releasable coupling, whereby the sheath is secured to the arthroscopic instrument when the first and second sets of fittings are secured together.

11. The system of claim 1 wherein the atraumatic sheath is characterized by a distal portion, said distal portion having a plurality of holes in fluid communication with one or more lumens and the surgical site.

12. An atraumatic sheath comprising:

a tube characterized by a distal portion, a proximal portion, an outer surface, an inner surface, an inner diameter and an outer diameter;

wherein the inner diameter of said tube is sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube; and

a plurality of ribs extending inwardly from the inner surface of the tube and running longitudinally along the tube;

wherein said ribs further define outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the tube;

wherein said ribs further comprise flanges, said flanges forming a seal between the ribs and the outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the sheath.

13. The atraumatic sheath of claim 12 further comprising check valves coupled to the inner surface of the tube within the outer lumens, said anti-backflow gates operable to prevent the back flow of fluid within the lumens.

14. The atraumatic sheath of claim 12 wherein said distal portion further comprises a plurality of holes in fluid communication with one or more outer lumens and a surgical site.

15. A method of performing arthroscopic surgery, said method comprising the steps of:

providing a system for performing arthroscopic surgery, said system comprising;

an arthroscopic instrument suitable for performing an arthroscopic surgical procedure;

an atraumatic sheath having an inner diameter sized and dimensioned to permit fluid flow between an inner surface of the sheath and an outer surface of the arthroscopic instrument disposed within the sheath, said sheath further having a plurality of ribs extending inwardly from the inner surface of said sheath and running longitudinally along said sheath;

wherein said ribs define outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the sheath, said outer lumens facilitating the inflow and outflow of fluid to and from a surgical site;

wherein said ribs further comprise flanges;

wherein the atraumatic sheath is adapted to be removably disposed over the arthroscopic instrument;

placing the arthroscopic instrument inside the sheath; and

performing an arthroscopic surgical procedure with the system for performing arthroscopic surgery.

16. The method of claim 15 further comprising the step of providing substantially simultaneous inflow and outflow of fluid to an arthroscopic surgical site.

17. The method of claim 15 further comprising the step of providing substantially simultaneous inflow and outflow of fluid to an arthroscopic surgical site wherein the outflow of fluid is at a rate equal to or exceeding the inflow rate of fluid.

18. The method of claim 15 wherein the atraumatic sheath is characterized by a distal portion, said distal portion having a plurality of holes in fluid communication with one or more lumens and the surgical site.