Surgical instrument guide

• US 8,858,544 B2
• Filed: 05/15/2012
• Issued: 10/14/2014
• Est. Priority Date: 05/16/2011
• Status: Active Grant

• Current Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Original Assignee: Domain Surgical, Inc (OmniGuide Holdings, Inc.)
• Inventors: McNally, David J., Manwaring, Kim H., Stringham, Mark, Shafer, Mark
• Primary Examiner(s): Wieland, Robert N
• Application Number:
  US13/471,972
• Publication Number:
  US 20130006240A1
• Time in Patent Office: 882 Days
• Field of Search: 606/27
• US Class Current: 606/27
• CPC Class Codes: A61B 17/3209 Incision instruments
• CPC Class Codes: A61B 18/1402 Probes for open surgery
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61B 2018/1412 Blade
• CPC Class Codes: A61B 2090/0427 Prevention of contact
• CPC Class Codes: A61B 2090/08021 of the patient or his organs

Abstract

A surgical instrument guide for facilitating treatment of a target tissue is provided. The surgical instrument guide may be placed between two groups of tissue such that a first group of tissue is cut and a second group of tissue is protected from being cut. The surgical instrument guide may lift tissue and slide tissue along a surface so that a target tissue may be cut to a desired depth more easily during a surgical procedure. The surgical instrument guide may be releasably attachable to a surgical instrument or integrally formed therewith.

Claims

1. A system for treating tissue comprising:

a surgical instrument comprising an active element shaped for treating tissue; and

a guide configured for extending from the surgical instrument, the guide including a tissue shield having an inclined surface disposed thereon;

wherein the tissue shield is disposed adjacent the active element and the inclined surface lifts target tissue into contact with the active element while separating the target tissue from one or more adjacent physiologic structures;

wherein the tissue shield substantially prevents contact of the active element with the one or more adjacent physiologic structures.

2. The system for treating tissue of claim 1, wherein the tissue shield has a depression formed therein and wherein the active element extends into the depression.

3. The system for treating tissue of claim 1, wherein the tissue shield comprises a planar surface, and wherein the active elements intersects the planar surface.

4. The system for treating tissue of claim 1, wherein the active element extends into the tissue shield.

5. The system for treating tissue of claim 1, wherein the guide comprises a coupling member and wherein the guide is slidably attached to the surgical instrument using the coupling member.

6. The system for treating tissue of claim 1, wherein the guide comprises a coupling member and wherein the coupling member forms a snap-fit connection with the surgical instrument.

7. The system for treating tissue of claim 1, wherein the guide is integrally formed with the surgical instrument.

8. The system for treating tissue of claim 1, wherein the guide is removably attachable to the surgical instrument.

9. The system for treating tissue of claim 1, wherein the active element is a ferromagnetic coated conductor.

10. A guide comprising:

a coupling member;

an arm having a first end and a second end, wherein the first end of the arm is attached to the coupling member and the second end of the arm extends away from the coupling member; and

a shield attached to the second end of the arm.

11. The guide of claim 10, wherein the shield has a top surface having a channel formed therein.

12. The guide of claim 10, further comprising a wedge disposed on the shield for engaging and lifting a material.

13. The guide of claim 10, wherein the arm includes a beveled edge.

14. The guide of claim 10, wherein the shield is disposed substantially perpendicular with the arm.

15. The guide of claim 10, wherein the shield is disposed substantially parallel with the arm.

16. The guide of claim 10, wherein the coupling member is a collar.

17. A method of cutting tissue, the method comprising:

selecting a surgical instrument having an active element;

attaching a guide to the surgical instrument such that the guide extends from the surgical instrument adjacent the active element, the guide having a tissue shield with a cutting surface;

engaging a target tissue with the tissue shield;

advancing the guide so that tissue slides along the cutting surface of the tissue shield and into contact with the active element to cut the target tissue and substantially prevent the active element from damaging physiologic structures adjacent the target tissue.

18. The method of claim 17, wherein the tissue shield includes an inclined surface for engaging the target tissue, and the method further comprises the step of positioning the inclined surface of the tissue shield between the target tissue and a second tissue and moving the guide such that the inclined surface of the tissue shield separates the target tissue from the second tissue prior to the active element cutting the target tissue.

19. The method of claim 17, wherein the cutting surface of the tissue shield comprises a depression and wherein the guide is attached to the surgical instrument so that the active element extends into the depression and below at least a portion of the cutting surface of the tissue shield.

20. The method of claim 17, wherein the active element is a thermal element, and wherein the method further comprises attaching the guide to the surgical instrument such that transfer of thermal energy from the thermal element to the guide is substantially prevented.

21. The method of claim 17, wherein the active element is a thermally adjustable ferromagnetic coated conductor, and wherein the method further comprises attaching the guide to the surgical instrument such that transfer of thermal energy from the thermally adjustable ferromagnetic coated conductor to the guide is substantially prevented.