U.S. patent number 3,752,161 [Application Number 05/168,297] was granted by the patent office on 1973-08-14 for fluid operated surgical tool.
This patent grant is currently assigned to Minnesota Mining and Manufacturing Company. Invention is credited to John H. Bent.
United States Patent |
3,752,161 |
Bent |
August 14, 1973 |
FLUID OPERATED SURGICAL TOOL
Abstract
A fluid operated surgical tool having a body to which variously
configured object-engaging elements may be removably attached for
gripping, cutting or perforating bone, tissue or other structures.
Housed within the body is an assembly, responsive to fluids under
pressure, for operating the object-engaging elements. A fluid
regulating valve assembly is provided for precisely controlling the
flow of fluids to the pressure-responsive assembly, so that the
surgeon may deftly and accurately control the movement of the
object-engaging elements. The fluid regulating valve assembly
comprises a valve seat through which fluid flows to the
pressure-responsive assembly, a valve, an operator control for
disengaging the valve from the valve seat, and an automatic
pressure-balancing mechanism for moving the valve seat into
reengagement with the valve to stop the flow of fluid therethrough
when pressures acting on the pressure-responsive assembly reach
predetermined levels.
Inventors: |
Bent; John H. (Fullerton,
CA) |
Assignee: |
Minnesota Mining and Manufacturing
Company (St. Paul, MN)
|
Family
ID: |
22610923 |
Appl.
No.: |
05/168,297 |
Filed: |
August 2, 1971 |
Current U.S.
Class: |
606/184; 91/433;
91/517; 91/533; 606/169; 91/518; 606/79 |
Current CPC
Class: |
A61B
17/1604 (20130101); F15B 11/0365 (20130101); A61B
17/1611 (20130101); A61B 17/1608 (20130101); F15B
2211/7716 (20130101); F15B 2211/41572 (20130101); F15B
2211/46 (20130101); F15B 2211/40569 (20130101); F15B
2211/423 (20130101); F15B 2211/76 (20130101); F15B
2211/40515 (20130101); F15B 2211/50572 (20130101); F15B
2211/7056 (20130101); A61B 2017/00544 (20130101); F15B
2211/455 (20130101); F15B 2211/55 (20130101) |
Current International
Class: |
A61B
17/16 (20060101); A61B 17/32 (20060101); F15B
11/00 (20060101); F15B 11/036 (20060101); A61B
17/00 (20060101); A61b 017/16 (); A61b 017/32 ();
F15b 011/10 () |
Field of
Search: |
;91/411A,433
;128/33R,305,312 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Pace; Channing L.
Claims
I claim:
1. A fluid operated tool comprising:
a. means responsive to fluid pressure for generating mechanical
forces;
b. a valve seat through which fluid under pressure flows to said
pressure-responsive means;
c. a valve for regulating the flow of fluid through said valve
seat;
d. means for disengaging said valve from said valve seat; and
e. means for moving said valve seat into reengagement with said
valve when pressures exerted against said pressure-responsive means
reach predetermined levels.
2. The tool as defined in claim 1 including means for pressurally
engaging objects and materials, said means being operable by
mechanical forces generated by said pressure-responsive means.
3. The tool as defined in claim 2 in which the means for
pressurally engaging objects and materials comprises first and
second cooperatively interconnected members adapted to be
relatively movable by the mechanical forces generated by said
pressure-responsive means.
4. The tool as defined in claim 3 in which said first and second
cooperatively interconnected members are provided with cutting
means operable by relative movement between said first and second
members for cutting objects and materials.
5. The tool as defined in claim 3 in which said first and second
cooperatively interconnected members are provided with gripping
means operable by relative movement between said first and second
members for gripping objects and materials.
6. The tool as defined in claim 3 in which said first and second
cooperatively interconnected members are provided with perforating
means operable by relative movement between said first and second
members for perforating objects and materials.
7. The tool as defined in claim 1 including means for venting to
atmosphere fluids under pressure within the tool, said means being
operable by said means for disengaging said valve from said valve
seat.
8. A fluid operated tool comprising:
a. a body;
b. first and second cooperating members carried by said body, said
members having means operable by relative movement between said
members for pressurally engaging various structures;
c. means responsive to fluid pressure for urging relative movement
between said first and second members; and
d. means for regulating the flow of fluid to said
pressure-responsive means comprising:
1. a valve seat through which fluid under pressure flows to said
pressure-responsive means;
2. a valve for regulating the flow of fluid through said valve
seat;
3. means for moving said valve relative to said valve seat; and
4. means for automatically moving said valve seat into engagement
with said valve to stop fluid flow to said pressure-responsive
means when various predetermined levels of pressure are exerted on
said pressure-responsive means.
9. The fluid operated tool as defined in claim 8 including means
for urging against movement of said valve seat into engagement with
said valve.
10. The fluid operated tool as defined in claim 8 in which the
means for automatically moving said valve seat into engagement with
said valve is movable in response to fluid pressure.
11. The fluid operated tool as defined in claim 10 in which said
means for automatically moving said valve seat into engagement with
said valve comprises a piston carrying said valve seat.
12. The fluid operated tool as defined in claim 8 in which said
means for moving said valve relative to said valve seat comprises a
trigger carried by said body adapted to cooperatively engage said
valve.
13. The fluid operated tool as defined in claim 8 in which said
means for urging relative movement between said first and second
members comprises at least one piston movable within said body in
response to fluid pressure.
14. The fluid operated tool as defined in claim 8 including biasing
means urging against relative movement between said first and
second members.
15. The fluid operated tool as defined in claim 8 in which said
means for pressurally engaging various structures comprises
opposing jaws movable into operative juxtaposition by relative
movement between said first and second members.
16. The tool as defined in claim 15 including means for adjustably
positioning said first and second members relative to said body
portion so as to position said jaws in various angular orientations
relative to said body.
17. The tool as defined in claim 15 in which said means for
pressurally engaging various structures is adapted to cut various
materials.
18. The tool as defined in claim 8 including means for venting to
atmosphere fluids under pressure within the tool, said means being
operable by said means for moving said valve relative to said valve
seat.
19. A fluid operated surgical tool comprising:
a. a hand-held body;
b. first and second slidably interconnected members carried by said
body, said members having opposing jaws adapted to be moved into
pressural engagement with an object by relative movement between
said first and second members;
c. pressure-responsive means for urging relative movement between
said first and second members, said pressure-responsive means
comprising at least one piston mounted for reciprocal movement
within said body;
d. means for supplying fluids under pressure to said
pressure-responsive means; and
e. means for regulating the flow of fluids to said
pressure-responsive means of said regulating means comprising:
1. a valve means operably associated with said fluid supply means
for controlling the flow of fluids to said pressure-responsive
means;
2. means operable by the user of the tool for opening said valve
means to permit various rates of flow of fluids to said
pressure-responsive means;
3. means for automatically closing said valve means so as to stop
the flow of fluids to said pressure-responsive means when fluid
pressures acting on said pressure-responsive means reach various
levels; and
4. means for automatically venting to atmosphere fluids acting upon
said pressure-responsive means when said means operable by the user
of the tool for opening said valve means is not in operation.
20. The surgical tool as defined in claim 19 in which said
pressure-responsive means for urging relative movement between said
first and second members comprises two operatively associated
pistons mounted for reciprocal movement within said body.
21. The surgical tool as defined in claim 19 including means for
urging against relative movement between said first and second
members tending to move said opposing jaws into pressural
engagement with an object.
22. The surgical tool as defined in claim 19 in which said means
for automatically closing said valve means comprises a piston
movable in response to fluid pressure to close said valve
means.
23. The surgical tool as defined in claim 20 in which said piston
has a valve seat adapted to cooperate with said means operable by
the user of the tool for opening said valve means for controlling
the flow of fluids to said pressure-responsive means.
24. A fluid operated surgical tool as defined in claim 19 in which
said first and second slidably interconnected members have
pivotally interconnected jaws, said jaws being movable into
operable juxtaposition by relative movement between said first and
second members due to the urging of said pressure-responsive means.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates generally to fluid operated tools and more
particularly to hand-held pneumatically operated surgical tools for
use in gripping, cutting or perforating bone, tissue and other
structures.
2. Description of the Prior Art
A large family of surgical instruments generally classified as
forceps or rongeurs has been developed to perform various gripping,
holding, cutting, chipping or perforating operations on bone and
tissue. Characteristically, these instruments have pivotally
connected handle members which are adapted to be squeezed together
by the surgeon with one hand to bring variously shaped and
configured opposing gripping or cutting jaw elements into
operational juxtaposition. The compressive forces which are
required to be generated in the use of these instruments during
surgery range from extremely slight gripping pressures for holding
a tissue or small bones to very large pressures for cutting,
chipping or perforating bone.
Power assist forceps or rongeurs are virtually unknown in the prior
art. When cutting or perforating bone the surgeon has been forced
to rely solely on the strentgh in his hands and arms to generate
the considerable compressive forces required. This is highly
disadvantageous since undue exertion by the surgeon during the
cutting or perforating of bone can cause severe muscle fatigue and
concomitant unsteadiness and lessened sensitivity of touch and
feel. Additionally, undue effort required to incise tissue or bone
may cause irreparable harm to important surrounding body
structures.
Although undoubtedly recognizing the drawbacks of surgical
instruments of traditional design for cutting and perforating bone,
the medical profession has nevertheless been highly cautious in
accepting for surgical use any type of power-operated instrument.
This reluctance stems in large part from the failure of designers
of such instruments to adequately satisfy the high quality
standards for surgical instruments demanded by surgical
practitioners. Among these requirements are precise
controllability, strength of construction, versatility of
operation, simplicity of design, reliability of operation, and ease
of sterilization. The surgeon also demands that the instrument be
of such form and size as to permit deft and comfortable
manipulation.
Applicant is familiar with the following patents:
Patentee Patent No. J. A. Heidbrink 1,543,847 W. D. Beezley, et al.
2,599,888 R. S. Martin 2,688,321 E. C. Carlson 2,984,241 M. S.
DeGroff 3,128,079
In the development of the novel and unique tool as described
herein, I have been successful in accommodating each of these
stringent and diverse requirements. To achieve maximum reliability
and safety of operation, I have chosen to drive the device by fluid
pressure. In this way the drawbacks of electrically powered
surgical tools such as arcing, motor failure and possible
short-circuiting have been avoided. To achieve precise
controllability, I have devised a highly novel and unique automatic
pressure-balancing valving system for regulating the flow of
operating fluids to the tool. This unique regulating system, which
is conveniently housed within a hand-held pistol grip-type body,
allows the surgeon to precisely regulate both the speed of relative
movement of the object-engaging elements of the device as well as
the compressive forces exerted thereby. Due to the novel balancing
feature of the valving means, the relative movement of the
operating elements directly corresponds to the movement of the
surgeon's finger on the operating trigger of the device. This
provides the controllability and "feel" which is so vital in
surgical application and which is typically absent in
power-operated surgical devices. To accommodate easy sterilization,
the object-engaging members are easily and quickly removable from
the body portion of the tool for either chemical or
high-temperature sterilization.
SUMMARY OF THE INVENTION
The previously mentioned disadvantages of prior are power assist
surgical instruments have been largely overcome by the unique
construction of the tool of my invention, an object of which is to
provide a tool for gripping, cutting or perforating various types
of materials which is operable by fluids under pressure and which
is highly reliable and precisely controllable.
It is a further object of my invention to provide a tool of the
type described in the previous paragraph in which there is provided
a novel and unique fluid regulating system operable by the user of
the tool to accurately, precisely and deftly manipulate the
gripping, cutting or perforating elements of the device.
It is still a further object of my invention to provide a tool of
the type described in the preceding paragraph in which the
regulating system comprises a valve seat through which fluid flows
to operate the tool, a valve, an operator actuated mechanism for
moving the valve relative to the valve seat, and an automatically
acting assembly for moving the valve seat into engagement with the
valve when predetermined levels of fluid pressure within the tool
are reached.
More particularly, it is an object of my invention to provide a
hand-held pneumatically-operated surgical tool for gripping,
cutting or perforating bone, tissue or other structures of the
human body in which variously configured object-engaging elements
may be accurately and precisely manipulated by the user to perform
various precise surgical operations.
It is a further object of my invention to provide a tool of the
type described in the previous paragraph in which the
object-engaging elements are carried by a pair of cooperating
elongated blade-like members which are relatively movable in
response to fluid flow into the tool in a manner so as to move the
object-engaging elements into operable juxtaposition.
It is still a further object of my invention to provide a tool of
the class described in which the object-engaging elements may
conveniently be adjusted relative to the tool body for up, down or
sidewise biting action.
It is another object of my invention to provide a tool of the class
described in which variously configured object-engaging elements
may be interchangeably used and in which the object-engaging
elements may be easily disassembled for sterilization, sharpening
or replacement.
It is still another object of my invention to provide a tool of the
class described which may be quickly and easily coupled to either a
remotely located source of pneumatic supply or to a portable supply
which may be transported with the tool.
It is a further object of my invention to provide a tool of the
type described in the preceding paragraphs which is safe to use and
in which all fluids under pressure within the tool are
automatically vented and the operating elements immediately
separated when the operator control mechanism is released by the
operator so as to return to its normal position.
According to the present invention, the foregoing and other objects
are attained by providing a fluid operated assembly which, in
response to fluid pressure, exerts forces on cooperating members to
cause variously configured object-engaging elements to pressurally
engage selected objects and materials, a valve seat through which
fluid under pressure flows to act upon the fluid operated assembly,
and a valve for regulating the flow of fluid through the valve
seat. An operator actuated control is provided to move the valve
relative to the valve seat to allow fluid to flow through the valve
seat, and a novel and unique mechanism is provided for
automatically moving the valve seat to reengage the valve when
various predetermined levels of pressure are exerted upon the fluid
operated assembly.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a side elevational view of the fluid operated tool of my
invention partly in section to show internal construction.
FIG. 2 is a fragmentary view illustrating the fluid regulating
valve means portion of the tool shown in FIG. 1, and enlarged to
better illustrate the interrelationship of the component parts.
FIG. 3 is a fragmentary elevational view illustrating the position
of the parts after the valving means has been opened, as a result
of rearward pressure having been exerted on the trigger.
FIG. 4 is a fragmentary elevational view illustrating the position
the parts will assume if no further pressure is exerted on the
trigger.
FIG. 5 is a view taken along lines 5--5 of FIG. 1 illustrating the
construction of the cooperating blade members.
FIG. 6 is a view taken along lines 6--6 of FIG. 1 illustrating the
construction of the blade orientation ring assembly.
FIG. 7 is a side elevational view of another form of the
object-engaging means of my invention which is used for perforating
bone, tissue or other materials.
FIG. 8 is a side elevational view of still another form of the
object-engaging means of my invention showing a double acting
scissors type means for cutting or gripping bone tissue or other
objects.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to FIG. 1 of the drawings, the preferred embodiment
of my invention is shown to have a hand-held body or housing,
generally designated by the numeral 10, having an upper barrel
portion 12, a grip 14 and a trigger-like portion 16. Detachably
secured to the forward end of barrel portion 12 is means, generally
designated by the numeral 18, for gripping or cutting bone, tissue
or other body structures. Means 18 is shown as comprising slidably
engaged first and second elongate members or blades 20 and 22.
Blades 20 and 22 are preferably constructed of a suitable hard and
durable material capable of withstanding either chemical or
elevated temperature surgical sterilization, and are provided with
cooperating object-engaging means in the form of opposing jaws 24
and 26 which are adapted to be moved into and out of operative
juxtaposition by relative sliding movement between members 20 and
22. Jaws 24 and 26 have beveled, sharp edges which define
cup-shaped portions 28 and 30 respectively, which meet exactly when
the jaws are approximated. As can more clearly be seen by referring
to FIG. 5, blade member 22 is provided with a centrally located
longitudinally extending grooved portion 32 adapted to slidably
receive a longitudinally extending mating tongue portion 34
provided on member 20.
Referring to FIG. 1 and also to FIG. 6, it can be seen that blade
member 22 at its rearward or right end, as viewed in FIG. 1, has a
generally cylindrically-shaped section 36 having an axial opening
or passageway 38 extending therethrough. Passageway 38 is
constructed to closely receive the generally cylindrically-shaped
rearward section 40 of member 20, and serves to hold members 20 and
22 in operable engagement with tongue 34 of member 20 in slidable
engagement with grooved portion 32 of member 22. Rearwardly of
opening 38, cylindrical section 36 is counter-bored to define an
annular space 42 between blades 20 and 22, the purpose of which
will presently be described. Cylindrical section 36 of blade 22
terminates in a radially extending flange 44 which protrudes into
the forwardmost bore 46 of a plurality of generally
cylindrically-shaped bores of differing diameter formed internally
of barrel portion 12.
At the rearward extremity of bore 46 there is provided a
circumferential groove which carries a split or snap ring 48. Ring
48 serves to longitudinally locate means for adjustably orienting
gripping or cutting means 18 relative to body 10. This orienting or
locating means is shown in the form of a locating ring 50 embodying
in its forward face one or more detent mechanisms 52. A locking pin
54 is provided to position ring 50 circumferentially relative to
housing 12.
The cylindrically-shaped section 40 of blade 20 extends through
cylindrical section 36 of member 22, through locating ring 50, and
into a chamber 55 formed within barrel 12, where it terminates in a
radially extending flange 56. A biasing means for resisting forward
movement of blade 20 relative to blade 22 is provided in the form
of a compression spring 58 which surrounds cylindrical section 38.
One end of spring 58 seats against flange 56 and the other end
extends into annular space 42 where it seats against an internal
shoulder of cylindrical section 36 of blade 22.
The forward portion of bore 46 is threaded internally to
accommodate an externally threaded locking ring 60 which is
provided with an axial bore 62 adapted to closely receive
cylindrical section 36 of blade 22. The rearward face of locking
ring 60 engages flange 44 of blade 22 so that when ring 60 is
threadably secured to body 10, as shown in FIG. 1, the rearward
face of flange 44 is held in contact with locating ring 50. The
rearward face of flange 44 is provided with a plurality of
depressions 64 which are adapted to receive balls 66 of spring
loaded detent mechanisms 52.
As shown in FIG. 6, in the preferred embodiment of my invention, I
provide four depressions in the rearward face of flange 44 spaced
circumferentially at 90.degree. intervals so as to allow cutting or
gripping means 18 to be positioned as may be required for upward,
downward, right or left biting by jaws 24 and 26. Locking ring 60
is suitably knurled at its periphery to allow the surgeon to easily
and quickly loosen the ring so as to allow rotation of the blade
members relative to barrel portion 12. The spring-loaded detent
mechanisms in cooperation with depressions 64 in flange 44 allow
the surgeon by "feel" to accurately position the blades at
90.degree. intervals. When the blade members are located as
desired, locking ring 60 may be conveniently tightened to lock the
assemblage securely in place relative to body 10.
After surgery is completed, ring 60 may be easily loosened and
separated from body 10, allowing blade members 20 and 22 to be
withdrawn from barrel 12. The blade members may then be
conveniently separated from each other for sterilization and
sharpening if required.
Referring again to FIG. 1, grip 14 is provided with internal
longitudinally extending gas inlet and exhaust chambers 70 and 72
respectively. A fitting 74 is provided at the inlet port of chamber
70 for quick coupling of the tool with a source of pneumatic supply
such as compressed air, nitrogen or other gas. This supply (not
shown) may be in the form of a remotely located gas supply bottle
or compressor unit, or it may be in the form of a small
pressurizable container which may be conveniently interconnected
to, and transported with the surgical tool so as to make the tool
fully portable and usable as an entirely self-contained unit.
At the outlet or upper end of chamber 70 is a passageway 76 which
communicates with means, generally designated by the numeral 77,
for regulating the flow of gases into a passageway 78 which in turn
communicates with a means 80 which, in response to fluid pressure,
functions to operate gripping or cutting means 18. Regulating means
77 forms an important part of my invention and will be discussed in
detail in the paragraphs which follow.
Referring to FIGS. 1 and 3, blade operating means 80 which is
operably controlled by regulating means 77 is shown housed within
barrel portion 12 of body 10 and can be seen to comprise a
pressure-responsive means shown in the form of piston assembly 82
mounted for reciprocal movement internally of barrel portion 12.
Mounted within previously identified chamber 55 is a generally
cylindrically-shaped cylinder member 86 having a head portion 90
and a skirt portion, the internal walls of which define piston
chamber 92. Formed within barrel portion 12 rearwardly of, and
immediately adjacent to, chamber 55 is a chamber 94 of slightly
smaller diameter. Near the rearward-most portion of barrel 12,
adjacent to and in communication with chamber 94, is a chamber 96
having a gas inlet passageway 98 which interconnects with
previously identified passageway 78.
As can more clearly be seen by referring to FIGS. 3 and 4,
pressure-responsive means, or piston assembly 82, comprises a first
piston 100, having a stem 102, and a second piston 104 having a
central bore 106 adapted to receive the rearward extremity of stem
102. An elastomeric O-ring 108 serves to sealably interconnect
piston 104 and stem 102. Stem 102 is provided with a centrally
located longitudinal bore or passageway 110 which communicates with
an angularly extending passageway 112 in piston 100, which
passageway communicates with the rearward face of piston 100.
Piston 100 is provided with a central hub-like protuberance 114 on
its forward face which is adapted to mate with axial passageway 116
in blade member 20 so as to hold the assemblages in axial
alignment. Head portion 90 of cylinder member 86 is provided with
an axially located opening 120 which is adapted to receive stem
102, thereby providing a path for the flow of gases between
chambers 96 and 92 through passageways 110 and 112 of stem 102.
Stem 102 is movable relative to head portion 90 as piston assembly
82 moves forwardly and rearwardly within barrel 12. An elastomeric
O-ring 122 is located within opening 120 to provide a gas seal
between stem 102 and head 90. Carried within grooves formed in the
outer peripheries of pistons 100 and 104 are elastomeric O-rings
124 and 126 which similarly serve to form a gas-tight seal between
the pistons and the inner walls of chambers 92 and 94 within which
they reciprocate.
Although two pistons are provided in the preferred embodiment of my
invention, it is to be understood that any number of pistons
greater than one may be used. The novel cooperative coupling of two
pistons, as I have illustrated, serves to increase the total
effective piston area which may be exposed to gases while, at the
same time, keeping the diameter of the pistons small. If the
exertion of greater force upon cutting means 18 is desired for a
given range of pnuematic pressures, additional pistons may be added
in a manner similar to that illustrated. If lesser force is
acceptable, only one piston may of course be used.
Referring now particularly to FIG. 3, when gases under pressure are
controllably introduced into chamber 96 through passageways 78 and
98 by the operation of regulating means 77, the details of
construction and operation of which will presently be described,
pressure is exerted against piston 104, tending to urge it
forwardly in chamber 94. As indicated by arrows 128, gases will
also flow from chamber 96 through passageways 110 and 112 into an
annular chamber 130 which is defined within chamber 92 by the
rearward face of piston 100 and the forward surface of head 90. Gas
pressure in chamber 130 will tend to urge piston 100 forwardly in
chamber 92, and the forces thus generated coupled with the forces
exerted by the gases in chambers 94 and 96 against piston 104 will
combine to urge piston assembly 82 forwardly as a unit within
barrel 12. To prevent pressure buildup in chamber 94 as piston 104
moves forwardly, I have provided an interconnecting passageway 134
through cylinder member 86 which passageway interconnects the
portion of chamber 92 (FIG. 1) in advance of piston 100 and the
portion of chamber 94 (FIG. 1) in advance of piston 104. As best
seen in FIG. 3 the skirt portion of cylinder member 86 has a
central section of reduced diameter and has a tapered slot-like
opening formed at the lower portion of its forward extremity.
Cylinder member 86 also has a tapered slot-like opening formed in
the lower portion of its head section 90. When member 86 is in
position within barrel 12, those tapered slots cooperate with the
peripheral groove or channel formed between barrel 12 and the
reduced diameter portion of cylinder member 86 to form passageway
134. Passageway 134 allows gases in chamber 94 to flow into chamber
92 and thence to atmosphere through an annular groove 135 formed in
housing 10 which annular groove communicates with chamber 92 and
with chamber 72 through exhaust passageways 135a and 135b
respectively.
As the buildup of pressure against pistons 100 and 104 continues,
piston assembly 82 will gradually and uniformly move forwardly
against the urging of spring 58, causing blade 20 to
correspondingly slowly and uniformly slide forwardly relative to
blade 22. So long as gases under pressure continue to flow into
chamber 96, the forward movement of blade member 20 will continue,
causing jaws 24 and 26 to move toward mating approximation. When,
however, as will be described in the paragraphs which follow, the
flow of additional gases into chamber 96 ceases, the relative
movement of the assemblages will cease and the system will achieve
balanced equilibrium.
Referring now to FIG. 2, regulating means 77 which controls and
regulates the flow of gases into chamber 96 can be seen to comprise
a pressure-responsive means or piston 140 mounted for reciprocal
movement within a generally cylindrically-shaped first chamber 142
formed within grip 14. Piston 140 has an axially extending skirt
portion 144 and a head portion 146 which is provided with an
elastomeric O-ring 148 adapted to form a seal between head 146 and
the inner walls of chamber 142. Skirt portion 144 is mounted to
slide axially into a second chamber 150, through an elastomeric
O-ring carrying aperture 152 in the head portion of a generally
cylindrically-shaped member 154 which is fixedly mounted
intermediate of chambers 142 and 150. An axial passageway 156
through piston 140 serves to interconnect the portion 165 of
chamber 142 which is in advance of, or to the left of piston 140 as
viewed in FIG. 2, with chamber 150, and forms, at the rearward
extremity of skirt portion 148, a valve seat 158.
Threadably carried within a chamber 160, which is located forwardly
or to the left of chamber 142 as viewed in FIG. 2, is a valve
bushing 162. At the rearward extremity of bushing 162 is a reduced
diameter axially extending tubular portion 164 which engages the
forward face of head 146 of piston 140 when the tool is at rest.
Tubular portion 164 is provided with a plurality of slots or
passageways in its side walls which communicate with chamber 165.
Chamber 165, in turn, communicates with passageway 78 which
interconnects with chamber 96 in barrel portion 12. A biasing means
for urging piston 140 forwardly in chamber 142 is provided in the
form of a compression spring 166 which is held captive within
chamber 142 with one end engaging head 146 of piston 140.
Formed internally of valve bushing 162 is an axial passageway 168
and a communicating transversely extending passageway 170.
Passageway 170 interconnects chamber 55 in barrel portion 12 with
exhaust chamber 72 in grip 14 by means of passageways 135a and
135b, thereby serving as another exhause path by which gases may
flow from chamber 55 to atmosphere. As will be discussed in greater
detail in the section herein entitled "Operation" when the surgical
tool is at rest, passageway 170 provides a vent path to atmosphere
for the operating fluids under pressure which operate piston
assembly 82. Passageway 168 serves as a guide for the telescopic
movement of an elongated trigger extension rod 176 which protrudes
rearwardly from a trigger member 177 which is mounted for
reciprocal movement in chamber 178 located adjacent the forward
face of grip 14. A set screw 180 connects rod 176 with trigger
member 177, and a biasing means in the form of a compression spring
182 carried within a coaxial bore 184 within trigger member 177
urges against telescopic movement of trigger 177 into bore 178.
Trigger extension rod 176 is of a length so as to extend into
passageway 168 of bushing 162 to a point at which it partially, but
not completely, closes passageway 170 when trigger member 177 is at
rest in its forward-most position.
The numeral 184 identifies a valve which is mounted for axial
movement within piston 140 and bushing 162, and serves to regulate
the flow of gases through valve seat 158. One end of valve 184 is
carried in a bore 186 in trigger extension rod 176 and the other
end protrudes into chamber 150 terminating in a generally
cylindrically-shaped head 188. An elastomeric O-ring 190 is carried
within a peripheral groove in head 188, and is adapted to sealably
engage seat 158 when the regulating means is in its normal
position. A generally conical-shaped section 192 is provided
intermediate of head 188 and the shank portion of valve 184 and
serves to provide means for a fine adjustment of the flow of gases
through seat 158 into passageway 156 as head 188 is moved away from
seat 158.
As can best be seen in FIG. 2, trigger 177 and its cooperating
trigger extension 176 provide means whereby valve 184 may be moved
rearwardly relative to seat 158 so as to allow gases to flow into
passageway 156. In a manner which will be described in the
following section entitled "Operation," piston 140, being movable
rearwardly in chamber 142 in response to pressure exerted on its
forward face, provides means whereby seat 158 may be moved into
reengagement with valve 184 when the pressure exerted thereon is
sufficient to overcome the opposing forces of biasing means
166.
OPERATION
With the tool connected to a pneumatic supply by means of fitting
74 and with cutting or gripping means 18 properly oriented and
secured to body 10 by means of ring 60, the device is ready for use
by the surgeon. Upon pulling trigger member 177 inwardly, extension
rod 176 moves rearwardly, sealing passageway 170 and causing valve
stem 184 to move axially relative to bushing 162 and piston 140. As
illustrated in FIG. 3, this rearward movement of valve 184 causes
O-ring 190 to separate from seat 158, thereby allowing gases to
flow, in the direction of arrows 194, into passageway 156 of piston
140. As indicated by arrows 196, gases will flow through passageway
156, pass through the openings in tubular portion 164 of bushing
162 into chamber 165, and thence into passageway 78 leading to
chamber 96. From chamber 96 gases will impinge upon piston 104, as
illustrated by arrows 198, and will also flow through passageways
110 and 112 into chamber 130, exerting pressure on the rearward
face of piston 100. The forces thus exerted will cause piston
assembly 82 to move forwardly against the urging of spring 58 from
the position shown in FIG. 1 to the position shown in FIG. 3. This
movement, of course, causes blade member 20 to be gradually moved
slidably forward relative to blade member 22, bringing jaws 24 and
26 toward approximation. If trigger member 177 is held in the
position illustrated in FIG. 3 and FIG. 4, i.e., is not pulled
further rearwardly, the forces exerted by the gases against piston
assembly 82 will equalize the opposing forces exerted by spring 58,
and the various assemblages will remain in balanced
equilibrium.
Turning to FIG. 4, it can be seen that as the gas pressure within
the device equalizes and the forces tending to move the piston
assembly forward balance the opposing forces generated by spring
58, forces will be exerted against the forward face of head 146 of
piston 140 by the gases backing up within chamber 165. At the point
where the force against piston 140 counterbalances the opposing
force exerted by spring 166, piston 140 will separate from bushing
162, skirt portion 144 will move axially through aperture 152 in
member 154, and seat 158 will again move into sealing engagement
with O-ring 190 as shown in FIG. 4. Gases trapped within chamber
142 between piston 140 and member 154 are provided with a path to
atmosphere in the form of passageway 193 formed internally of the
body between grip 14 and barrel 12 (shown by dotted lines in FIGS.
3 and 4), leading to vent passageway 134 (FIG. 3) which in turn is
in communication with atmosphere through passageways 135a and 135b
and annular groove 135. Since, as previously pointed out, exhaust
passageway 170 is blocked by member 176, and since gases can no
longer flow through passageway 156 into chamber 96, the system will
remain in equilibrium as illustrated in FIG. 4 until trigger member
177 is pulled further rearwardly by the surgeon. When trigger 177
is again moved rearwardly, valve stem 184 will be further moved
axially rearwardly, causing O-ring 190 to again separate from seat
158. This will allow additional gas to flow through passageway 156
in piston 140, through passageway 78 into chamber 96, causing
additional forces to be exerted against pistons 100 and 104 of a
magnitude sufficient to further compress spring 58. This movement,
of course, causes blade member 20 to move forwardly relative to
blade member 22, further reducing the separation between jaws 24
and 26 and bringing them closer to mating juxtaposition. If
rearward movement of trigger member 177 is again stopped,
equalization will result and gases under pressure in chamber 165
will again cause piston 140 to move rearwardly into seating
position with O-ring 190, once more stabilizing the system.
It is apparent that the novel and unique construction of the valve
regulating means of my invention causes movement of the trigger
member by the surgeon to be directly reflected into relative
movement between blade members 20 and 22. This allows the surgeon
to maintain precise controllability over relative movement between
the blades. By gradually depressing the trigger member, jaws 24 and
26 can be deftly approximated so as to lightly engage the object to
be gripped or cut. When the jaws of the blades are thusly
positioned at the location chosen by the surgeon, a quick squeezing
of trigger member 177 will result in an immediate surge of gas
flow, causing a rapid increase in the pressure being exerted by jaw
members 24 and 26, thereby causing the desired cutting or chipping
action.
When trigger member 177 is released by the surgeon, spring 182 will
urge it forwardly within chamber 176 until it reaches the position
shown in FIG. 1. In this position it can be seen that exhaust
passageway 170 is opened to atmosphere. As indicated in FIG. 2,
gases exerting pressure on piston 140 will immediately flow through
passageway 170 into exhaust chamber 72 to atmosphere, causing
piston 140, due to the urging of spring 166, to again move into
engagement with valve bushing 162. With trigger 177 in its forward
position as illustrated in FIG. 1, O-ring 190 is in sealing
engagement with seat 158, thereby precluding further flow of gas
through the regulating means. Gases within chambers 94 and 96 will
flow through passageways 98 and 78 into chamber 165, and thence
through passageways 170 and 135b into exhaust chamber 72. Gases
under pressure within chamber 92 tending to urge piston 100
forwardly against the urging of spring 58 will flow through
openings in skirt portion 88 of cylinder 90 into exhaust passageway
170, thence into exhaust chamber 72. Compression spring 58 along
with positive gas pressures formed in chambers 92 and 94 due to the
opening of passageway 170 will urge blade member 20 and piston
assembly 80 rearwardly within barrel portion 12 to the position
illustrated in FIG. 1. In this position the tool is safely
depressurized and in a static condition ready for the next
manipulation by the surgeon.
In FIG. 7, I show another form of the object-engaging means of my
invention. This form is adapted for use principally as a punch for
perforating bone, tissue or other materials, and comprises
telescopically-engaged first and second members 212 and 214. Member
212 which forms the punch body has a generally cylindrically-shaped
elongated central body portion 216 terminating at its rearward or
right end, as viewed in FIG. 7, in a generally cylindrically-shaped
section 218 of increased diameter having a radially protruding
flange 220. Member 212 terminates at its forward extremity in a
head portion 222 which is generally U-shaped in cross section
having spaced apart legs 224 and 226 which are interconnected by a
cross member 228. Leg 226 is formed integrally with central body
portion 216 and spaced apart leg or die member 124 is provided with
a bore and counter-sink 230 which is concentric with body portion
216.
A longitudinal bore 224 which is coaxial with central body portion
216 extends through end section 218, central body portion 216 and
leg 226. Bore 224 is adapted to slidably receive generally
cylindrically-shaped member 214 which forms the punch element. A
counterbore 230 in end section 218 is arranged to receive the
rearward end section of punch element 214 which is of enlarged
diameter, has a counterbore 232, and a radially extending flange
234. Punch element 214 has near its forward extremity reduced
diameter sections 236 and 238, the forwardmost of which is
receivable in bore 230 in leg or die member 224, and the second of
which is closely receivable in a central bore provided in a stop
screw 240. Stop screw 240 has a threaded shank portion which is
threadably received in bore 224 through leg 226, and an enlarged
diameter head 241 disposed between legs 224 and 226. By threading
the stop screw in and out of bore 224, the spacing between its
forward face and the rear face of leg or die member 124 may be
adjusted so that the material to be perforated may be gripped
firmly therebetween. To assist in gripping and supporting the
material, the rearward face of die member 124 is provided with
transverse tooth-like striations.
This form of object-engaging means is adapted to be removably
secured to body 10 in the same manner as the object-engaging means
18 of the preferred embodiment of my invention, as previously
described. A locating ring 236 which may be threadably secured to
body 10 serves to position the rear face of flange 220 of member
212 in contact with locating ring 50 and flange 234 of member 214
in engagement with piston assembly 82. The rear face of flange 220
is provided with a plurality of depressions adapted to receive
balls 66 of detent mechanism 52 so that the orientation of the
assemblage relative to the body may be easily adjusted in the
manner previously described. A biasing means for urging relative
separation between members 212 and 214 is provided in the form of a
spring 238 positioned around member 214 and in engagement with an
internal shoulder 240 near the rear of member 212 and flange 234 of
member 214.
In FIG. 8, I show still another form of the object engaging means
of my invention.
This form, which is a double acting type of mechanism, is adapted
for use in gripping, cutting or chipping bone or other structures
in situations where a scissors-type of action is desirable. As is
the case in the previously described embodiment, this form of
object-engaging means can be quickly and easily removably secured
to body 10 in the same manner as the object-engaging means of the
preferred embodiment of my invention.
As shown in FIG. 8, a main body member, designated by the numeral
250, is provided with a stationary jaw 252 at its forward or left
extremity as viewed in FIG. 8, and has a generally
cylindrically-shaped section 254 at its other extremity. A flange
256 protrudes radially from section 254 and, as in the previously
described forms, is provided with a plurality of orientation
depressions 257 on its rearward face which are adapted to receive
balls 66 of detent mechanism 52 when member 250 is secured to body
10 by locating ring 60 (not shown). A longitudinal bore 258 extends
through section 254 and slidably receives a generally
cylindrically-shaped section 260 formed at the rearward extremity
of a movable jaw assembly 262. When this form of object-engaging
means is secured to the hand-held body of the tool in the manner
previously described, section 260 protrudes into body 10 and is
held in engagemnt with piston assembly 82 by a biasing means (not
shown) which resists its forward movement as the piston assembly
moves forwardly within barrel portion 12.
As indicated by the phantom lines in FIG. 8, when section 260 is in
its normal position with piston assembly 82 at rest, jaw portion
264 of jaw member 262 is separated from stationary jaw 252. Jaw
portion 264 is pivotally connected near its mid-point to main body
member 250 by a pivot pin 266 and is pivotally connected at its
rearward extremity to linkage member 268 by pivot pin 270. Linkage
member 268 iS, in turn, pivotally connected at 272 to the forward
extremity of cylindrical section 260.
When piston assembly 82 moves forwardly during the operation of the
tool by the surgeon, section 260 moves telescopically within bore
258, causing pivot point 272 to move forwardly to the position
shown in the solid lines in FIG. 8. This forward movement causes
movable jaw 264 to pivot about pivot pin 266 and to move gradually
and controllably into juxtaposition with stationary jaw 252. In
this way, objects may be lightly gripped by the surgeon for
manipulation or inspection. Further rearward movement of the
trigger assembly of the tool will, of course, result in the
generation of significant pressures between the jaws for cutting or
chipping by opposing cutting edges 274 formed in the jaws for such
purpose.
It is to be understood that numerous types of object-engaging
means, in addition to those illustrated herein, can be used with
the hand-held body portion of my invention and that the scope of my
invention is not intended to be limited to the embodiments
shown.
* * * * *