U.S. patent number 3,807,406 [Application Number 05/368,192] was granted by the patent office on 1974-04-30 for instrument surgical with suction device.
This patent grant is currently assigned to BioMedicus, Inc.. Invention is credited to Harold D. Kletschka, Edson H. Rafferty.
United States Patent |
3,807,406 |
Rafferty , et al. |
April 30, 1974 |
INSTRUMENT SURGICAL WITH SUCTION DEVICE
Abstract
A surgical instrument of scissors configuration having one or
more suction openings disposed at the functional end thereof, the
openings communicating with a suction conduit which is carried by
and movable with one or both of the instrument handles or
manipulating means.
Inventors: |
Rafferty; Edson H. (Execelsior,
MN), Kletschka; Harold D. (Montgomery, AL) |
Assignee: |
BioMedicus, Inc. (Minneapolis,
MN)
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Family
ID: |
26853542 |
Appl.
No.: |
05/368,192 |
Filed: |
June 8, 1973 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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156825 |
Jun 25, 1971 |
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Current U.S.
Class: |
606/174; D24/148;
604/22; 30/133; 604/27 |
Current CPC
Class: |
A61M
1/76 (20210501); A61B 17/2812 (20130101) |
Current International
Class: |
A61B
17/28 (20060101); A61M 1/00 (20060101); B26b
013/22 (); A61b 017/32 () |
Field of
Search: |
;30/133X,41.5
;128/276X,277.2,297,318,321X,354,346X,309 ;81/43 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
the Lancet, "Common-Bile Duct Forceps", Page 476, Sept. 4, 1965,
Vol. II/'65, No. 7410..
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Primary Examiner: Medbery; Aldrich F.
Attorney, Agent or Firm: Merchant, Gould, Smith &
Edell
Parent Case Text
This is a continuation of application Ser. No. 156,825, filed June
25, 1971 and now abandoned.
Claims
1. A surgical instrument of scissors-type configuration
comprising:
a. first and second elongated members of essentially the same
length, each having a manipulating end and a functional end, said
functional ends having opposed inner faces and outer faces, said
inner faces being substantially adjacent each other in the closed
position the first and second elongated members being pivotally
connected at an intermediate point disposed nearer the distal end
of the functional ends than the distal end of said manipulating
ends, and arranged so that the functional ends together provide a
surgical function upon relative movement of said manipulating
ends;
b. fluid conduit means associated with at least one of said first
and second elongated members, the conduit means terminating in a
plurality of fluid openings disposed along the inner face of said
one elongated member and distributed between a point proximate said
pivotal connection and said distal end of the functional end of
said one elongated member;
c. the conduit means being adapted for connection to a source of
fluid pressure differential.
2. The surgical instrument defined by claim 1, wherein the
plurality of fluid openings are arranged in a line extending from
said pivotal connection to the extreme functional end of said one
elongated member.
3. The surgical instrument defined by claim 1, wherein the
functional ends of the first and second elongated members comprise
blades constructed and arranged to perform a shearing, incising,
dissecting or cutting function.
4. The surgical instrument defined by claim 1, wherein the
functional ends of the first and second elongated members comprise
clamping members constructed and arranged to perform a forceps-type
or clamping function.
5. The surgical instrument defined by claim 1, wherein the
functional ends of the elongated members comprise gripping portions
constructed and arranged to perform a needle holding function.
6. The surgical instrument defined by claim 1, wherein the fluid
conduit means is formed integrally within the elongated member.
7. The surgical instrument defined by claim 1, and further
comprising:
a. second fluid conduit means associated with the other of said
first and second elongated members, the second conduit means
terminating in a plurality of fluid openings disposed on the inner
face of said other elongated member and distributed between a point
proximate said pivotal connection and the extreme functional end of
said other elongated member;
b. said second fluid conduit means being adapted for connection to
a source of fluid pressure differential.
8. A surgical instrument of scissors-type configuration,
comprising:
a. first and second elongated members of essentially the same
length, each having a manipulating end and a functional end, said
functional ends having opposed inner faces and outer faces, said
inner faces being substantially adjacent each other in the closed
position the first and second elongated members being pivotally
connected at an intermediate point and arranged so that the
functional ends together provide a surgical function upon relative
movement of said manipulating ends;
b. fluid conduit means associated with at least one of said first
and second elongated members, the conduit means terminating in a
plurality of fluid openings disposed along the inner face of said
one elongated member and along a line extending between said
pivotal connection and the extreme functional end of said one
elongated member;
c. the conduit means being adapted for connection with a source of
fluid pressure differential.
9. The surgical instrument defined by claim 8, wherein the conduit
means comprises a passageway formed within at least a portion of
said one elongated member, and a fluid connector member affixed to
said one elongated member and communicating with the passageway,
said connector member being adapted for connection to the source of
fluid pressure differential.
10. The surgical instrument defined by claim 8, wherein the
functional ends of the first and second elongated members comprise
blades constructed and arranged to perform a shearing, incising,
dissecting or cutting function.
11. The surgical instrument defined by claim 8, wherein the
functional ends of the first and second elongated members comprise
clamping members constructed and arranged to perform a forceps-type
or clamping function.
12. The surgical instrument defined by claim 8, wherein the
functional ends of the elongated members comprise gripping portions
constructed and arranged to perform a needle holding function.
13. The surgical instrument defined by claim 8, wherein the point
at which the first and second elongated members are pivotally
connected is disposed nearer said functional ends than said
manipulating ends.
14. The surgical instrument defined by claim 8, and further
comprising:
a. second fluid conduit means associated with the other of said
first and second elongated members, the conduit means terminating
in a plurality of fluid openings disposed on the inner face of said
other elongated member and along a line extending between said
pivotal connection and the extreme functional end of said other
elongated member;
b. the second fluid conduit means being adapted for connection with
a source of fluid pressure differential.
15. A surgical instrument of scissors type configuration,
comprising:
a. first and second elongated members of essentially the same
length, each having a manipulating end and a functional end, said
functional ends having opposed inner faces and outer faces, the
first and second elongated members being pivotally connected at an
intermediate point and arranged so that the functional ends
together provide a surgical function upon relative movement of said
manipulating ends;
b. a plurality of bore-like passages opening on and spaced along
the inner face of one of said first and second elongated members
and extending entirely therethrough to the outer face thereof;
c. and fluid conduit means associated with said one elongated
member and secured at least in part to the outer face thereof;
d. said fluid conduit means having opening means formed therein
registering with said plurality of bore-like passages for fluid
communication therewith, and being adapted for connection with a
source of fluid pressure differential.
16. The surgical instrument defined by claim 15, wherein the
functional ends of the first and second elongated members comprise
blades constructed and arranged to perform a shearing, incising,
dissecting or cutting function.
17. The surgical instrument defined by claim 15, wherein the
functional ends of the first and second elongated members comprise
clamping members constructed and arranged to perform a forceps-type
clamping function.
18. The surgical instrument defined by claim 15, wherein the fluid
conduit means conforms in shape to the outer face of said one
elongated member.
Description
The invention relates generally to surgical instruments, and is
specifically directed to an instrument of generally scissors
configuration which includes suction means for removing fluid
and/or fumes from a surgical area. As used herein, the term
scissors referes to the manipulating action of the instrument
rather than the cutting or shearing action of the functional end of
the instrument.
A problem encountered in the performance of surgical operations is
the removal of blood and other body fluids, and sometimes fumes,
from the area in which surgery is undertaken. The presence of such
fluids may be the direct result of incision, or there may have been
an accumulation prior to entry into the area. Fumes can sometimes
be a problem also, such as when a Bovey current is being used. In
any such situation, it is ordinarily necessary that such fluids or
fumes be removed as quickly as possible to permit the surgeon to
carry out his tasks with the least possible obstruction.
One solution to the problem has been the provision of a probe or
similar device which is connected to a vacuum source and is capable
of aspirating body fluids from the surgical area. However, when the
surgeon is using scissors, forceps, or the like in his operative
tasks, it is necessary either that the suction device be
manipulated by a surgical assistant, which is often impossible due
to space limitations; or, that the surgeon change instruments as
often as the accumulation of fluid becomes a problem.
Our invention enables the surgeon to perform the normal surgical
tasks as well as the suction removal of accumulated fluids from the
surgical area simultaneously with a single surgical instrument. The
instrument is of scissors configuration and includes one or more
aspirating openings at the functional end of the instrument which
communicates with a fluid conduit carried by and movable with one
or both of the instrument handles or manipulating means. The
conduit is connected to a vacuum source, thus permitting the
surgeon to effect the removal of body fluids simply by exposing the
suction openings to the fluid.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of surgical scissors embodying the
inventive principle, the scissors being shown in an open
position;
FIG. 2 is a sectional view of the surgical scissors taken along the
line 2--2 of FIG. 1, with the scissors in a closed position;
FIG. 3 is a perspective view of a surgical clamp embodying the
inventive principle, the clamp being shown in an open position;
FIG. 4 is a top plan of an alternative surgical clamp shown in an
open position;
FIG. 5 is an enlarged fragmentary view in elevation of the surgical
clamp of FIG. 4; and portions thereof broken away;
FIG. 6 is an enlarged sectional view of the surgical clamp taken
along the line 6--6 of FIG. 4, the jaws of which are shown in a
closed position;
FIG. 7 is a top plan of a needle holder instrument shown in an open
position;
FIG. 8 is an enlarged sectional view taken along the line 8--8 of
FIG. 7; and
FIG. 9 is an enlarged sectional view taken along the line 9--9 of
FIG. 7.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring initially to FIGS. 1 and 2, a surgical instrument of
scissors configuration is represented generally by the numeral 11,
and is shown to comprise a pair of elongated members 12, 13, each
of which has a blade end and a handle end, sometimes referred to
herein as manipulating means. Elongated members 12 and 13 are
pivotally connected at an intermediate point by a screw or rivet
14, or other pivotal means, in a manner so that the respective
blade or functional ends thereof may co-act to perform a surgical
cutting or dissecting operation by relative movement of the handle
portions. Although FIGS. 1 and 2 show a surgical scissors, the term
scissors configuration is often used herein to refer to the general
type of pivotally connected instrument rather than any cutting or
shearing action performed thereby.
A fluid conduit 15 has one side conforming generally to the shape
of elongated member 12, and is affixed to the outer face of member
12 over its length for movement therewith.
The conduit 15 is shown in FIG. 2 to have a flattened cross
section, but this is not a necessary feature of the device. It will
also be noted that the conduit 15 may be integrally formed within
the elongated member 12. Also, it may be desired for some
applications to provide conduits for both elongated members 12, 13.
A plurality of bores 16 (three are shown in FIG. 1) extend through
the blade portion of elongated member 12 from the inner face to the
outer face thereof, and communicate with conduit 15 through aligned
openings 17 formed therein. In some instruments, it may be
desirable to have only one opening on the instrument end portion,
and for other instruments it may be desirable to have openings
which open on the inner, outer, side or end faces of the
instrument.
The opposite end of conduit 15 projects beyond the associated
handle portion, as shown in FIG. 1, and is adapted for connection
to a vacuum source through a flexible tube 18. For some uses, the
conduit 15 may be connected to source of fluid under pressure to be
dripped from the openings 17 for washing purposes. The source of
vacuum or fluid under pressure is sometimes broadly referred to
herein as a source of fluid pressure differential. Also, it may be
desirable to provide one of the members 12, 13 with a conduit
connected to a vacuum source where the other member has a conduit
connected to a fluid pressure source so that the washing fluid may
be simultaneously flowed out and removed.
In FIG. 3, a surgical instrument 21 comprises a pair of pivotally
connected elongated members 22-4 23, the functional ends of which
are shaped to provide a clamping or forcep-type function. A fluid
conduit 25 is affixed to or made part of elongated member 22 over
its length, and terminates in one or more openings 26 immediately
adjacent the forceps tip or other desired location. The inner faces
22a and 23a of the members 22, 23 are provided with gripping
striations, as shown in FIG. 3.
FIGS. 4-6 disclose an alternative clamp 31, which again comprises a
pair of elongated members 32, 33 which are pivotally connected at
an intermediate point by a screw or rivet 34, or other pivotal
means. As best seen in FIG. 5, the functional ends of elongated
member 32, 33 are curved to facilitate the clamping, grasping or
dissecting function in areas which are difficult to reach, although
such ends may obviously be of straight or other configuration.
A plurality of bores 35 are formed in the functional tip of
elongated member 32, opening on the inner face thereof in a manner
similar to the bores 16 of instrument 12. One or more bores 35 may
be suitably located at various positions as noted above in
connection with instrument 12. A fluid conduit 36 is also affixed
to elongated member 32 for movement therewith, and fluid
communication is established with the bores 35 through openings 37
formed therein.
FIGS. 7-9 disclose another embodiment of our invention which
comprises a surgical instrument commonly referred to as a needle
holder 41. The needle holder 41 is also constructed in a manner
referred to herein as a generally scissors configuration, and
comprises a pair of elongated members 42, 43 which are pivotally
connected at an intermediate location by means of a screw 44 or
other pivotal connecting means.
The functional ends of members 42, 43 are provided with serrated or
striated inner faces 45, 46 to facilitate firm gripping of a
needle, not shown. A plurality of bores 47 are shown opening into
the face 46, although only one bore may be desired for some
applications or several bores opening at different locations on the
instrument end portion may be desired in still other instrument
designs. A fluid conduit 48 is formed within the member 43, as best
shown in FIG. 9 and is arranged to provide fluid communication with
the bores 47. Although this location of the fluid conduit is shown
in association with the needle holder, the same fluid conduit
location could be used in the other instrument as well. The
projecting end portion 48a of conduit 48 is adapted to permit
connection with a vacuum source, as noted above, to provide for the
removal of blood and other fluids.
It will be appreciated from the foregoing that each of the
respective devices 11, 21 and 31 are capable of removing body
fluids or fumes and the like from a surgical area in addition to an
incision, clamping, dissecting or other useful surgical functions
by simple exposure of suction openings to such fluids, fumes or
gases. Thus, the surgeon is capable of keeping the surgical area
continuously clean without help or hindrance from an assistant and
without changing instruments. This helps to remove the hindrance of
additional hands in the surgical field and also permits the use of
a freed hand for other purposes. We claim:
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