Atraumatic arthroscopic instrument sheath

• US 8,821,387 B2
• Filed: 09/06/2011
• Issued: 09/02/2014
• 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:
  US13/225,908
• Publication Number:
  US 20120116164A1
• Time in Patent Office: 1,092 Days
• Field of Search: 600/114, 600/128, 600/130, 600/153, 600/156, 600/115, 600/124, 600/125, 600/131, 600/154, 604/164.02, 604/264, 604/159, 604/160, 604/164.07, 604/165.01, 604/165.03, 604/533, 604/539
• US Class Current: 600/125
• CPC Class Codes: A61B 1/00066 Proximal part of endoscope body, e.g. handles A61B1/0052 takes precedence
• CPC Class Codes: A61B 1/00121 Connectors, fasteners and adapters, e.g. on the endoscope handle
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• CPC Class Codes: A61B 1/00154 using guiding arrangements for 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/1675 for the knee
• 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 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• 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 2017/3456 blunt
• 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

Abstract

A removable, resilient atraumatic sheath for arthroscopic instruments. The sheath covers sharp edges on the arthroscopic instrument, particularly the distal tip of the rigid cannula, and thereby protects tissue and objects near a surgical site from accidental trauma. The sheath may be provided in the form of an inflow/outflow sheath that allows a surgeon to irrigate and drain a surgical field without the use of a separate irrigation instrument. The sheath is provided with a cylindrical grip on the proximal end to resiliently squeeze the proximal end of the arthroscopic instrument. A lever is provided to move the grip radially outwardly to release the grip from the arthroscopic instrument.

Claims

1. 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, said arthroscopic instrument characterized by a proximal end;

an atraumatic sheath comprising a tube characterized by a proximal portion and a proximal end, said sheath having an outer surface, said sheath having an inner diameter sized and dimensioned to closely conform to an outer diameter of the arthroscopic instrument, wherein the atraumatic sheath is adapted to be removably disposed over the arthroscopic instrument;

a cylindrical grip disposed coaxially over the outer surface of the sheath on the proximal portion of the sheath, said grip characterized by a proximal portion;

wherein the proximal portion of the grip extends proximally past the proximal end of the sheath;

wherein the material of the proximal portion of the grip and the size and dimensions of the proximal portion of the grip are selected such that the proximal portion of the grip is biased to assume a shape having an inner diameter less than the outer diameter of the arthroscopic instrument, whereby the proximal portion of the grip may squeeze the proximal end of the arthroscopic instrument; and

further comprising a first lever operably attached to the grip, said first lever operable to move a first segment of the proximal portion of the grip in a radially outwardly direction;

placing the arthroscopic instrument in side the sheath; and

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

2. The method of claim 1 further comprising a second lever operably attached to the grip, said second lever operable to move a second segment of the proximal portion of the grip in a radially outwardly direction.

3. The method of claim 2 wherein:

the first lever and the second lever extend distally from the grip;

the first lever and the second lever are characterized by a distal portion; and

the distal portions of the first lever and second lever comprise arcuate segments that extend radially outwardly from the sheath.

4. The method of claim 3 further comprising a first fulcrum disposed on the distal portion of the first lever and a second fulcrum disposed on the distal portion of the second lever.

5. The method of claim 1 further comprising a first tab disposed on the sheath, said tab adapted to prevent fluids disposed outside the sheath from moving proximally of the tab.

6. The method of claim 5 further comprising a second tab disposed on the sheath and distally of the first tab, said second tab adapted to prevent fluids disposed outside the sheath from moving proximally of the second tab.

7. The method of claim 5 wherein the sheath is further characterized by a distal portion and wherein the sheath further comprises a hole disposed in the distal portion of the sheath, said hole communicating from the outer diameter of the sheath to a lumen disposed within the sheath, whereby fluids may be introduced into and suctioned from a surgical site through the hole.

8. The method of claim 1 wherein the sheath is characterized by a distal tip and wherein:

the distal tip comprises a material having a hardness less than the hardness of the material of the sheath; and

the distal tip has an inner diameter less than the inner diameter of the sheath.

9. The method of claim 8 wherein the tip is split in at least one location on the tip.

10. The method of claim 8 wherein the sheath is further characterized by a distal portion and wherein the sheath further comprises a hole disposed in the distal portion of the sheath, said hole communicating from the outer diameter of the sheath to a lumen disposed within the sheath, whereby fluids may be introduced into and suctioned from a surgical site through the hole.

11. The method of claim 1 wherein the sheath is further characterized by a distal portion and wherein the sheath further comprises a hole disposed in the distal portion of the sheath, said hole communicating from the outer diameter of the sheath to a lumen disposed within the sheath, whereby fluids may be introduced into and suctioned from a surgical site through the hole.

12. 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 comprising a tube characterized by a proximal portion and a proximal end, said sheath having an inner diameter sized and dimensioned to closely conform to an outer diameter of the arthroscopic instrument, wherein the atraumatic sheath is adapted to be removably disposed over the arthroscopic instrument;

a cylindrical grip disposed on the proximal portion of the sheath, said grip characterized by a proximal portion;

wherein the proximal portion of the grip extends proximally past the proximal end of the sheath;

wherein the material of the proximal portion of the grip and the size and dimensions of the proximal portion of the grip are selected such that the proximal portion of the grip is biased to assume a shape having an inner diameter less than the outer diameter of the arthroscopic instrument, whereby the proximal portion of the grip may squeeze the arthroscopic instrument;

a first lever operably attached to the grip, said first lever operable to move a first segment of the proximal portion of the grip in a radially outwardly direction;

a second lever operably attached to the grip, said second lever operable to move a second segment of the proximal portion of the grip in a radially outwardly direction;

wherein the first lever and the second lever extend distally from the grip;

the first lever and the second lever are characterized by a distal portion;

and the distal portions of the first lever and second lever comprise arcuate segments that extend radially outwardly from the sheath; and

further comprising a first fulcrum disposed on the distal portion of the first lever and a second fulcrum disposed on the distal portion of the second lever;

placing the arthroscopic instrument in side the sheath; and

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