U.S. patent number 3,889,657 [Application Number 05/441,805] was granted by the patent office on 1975-06-17 for uterine aspirating curette.
This patent grant is currently assigned to Gomco Surgical Manufacturing Corp.. Invention is credited to Carl B. Baumgarten.
United States Patent |
3,889,657 |
Baumgarten |
June 17, 1975 |
Uterine aspirating curette
Abstract
A uterine aspirating curette which has an effective 360.degree.
contact with the uterus inner surface in use so that rotation of
the curette in order to scrape and aspirate the entire surface is
not required and a removable specimen collection basket mounted in
the handle of the device in the line of suction.
Inventors: |
Baumgarten; Carl B. (Houston,
TX) |
Assignee: |
Gomco Surgical Manufacturing
Corp. (Buffalo, NY)
|
Family
ID: |
23754363 |
Appl.
No.: |
05/441,805 |
Filed: |
February 12, 1974 |
Current U.S.
Class: |
600/571; 604/22;
606/119 |
Current CPC
Class: |
A61B
10/0291 (20130101); A61B 17/320708 (20130101); A61M
1/79 (20210501) |
Current International
Class: |
A61B
17/22 (20060101); A61B 10/00 (20060101); A61M
1/00 (20060101); A61B 010/00 (); A61B 017/22 () |
Field of
Search: |
;128/2B,2F,276,277,304 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Howell; Kyle L.
Attorney, Agent or Firm: Johnson; Kenneth H.
Claims
The invention claimed is:
1. A uterine aspirating curette comprising
a tube closed on one end by a tip and having a plurality of equally
spaced openings about the circumference thereof, juxtaposed to said
tip, said tip having substantially the same outside diameter of
said tube adjacent to said openings said tube being fixedly
attached to a base, said base having a chamber therein, said tube
communicating with said chamber by a passage,
a hollow handle, said base being removably mounted thereon and said
chamber communicating with said hollow handle, said handle being
adapted for manipulating said curette in use,
a substantially porous basket for receiving an aspirated specimen,
said basket being removably mounted in said handle, juxtaposed to
said chamber and in alignment with said tube, said basket having an
enclosed non-porous end forming a cup, and a means for attaching
said handle to a vacuum source.
2. The uterine aspirating curette according to claim 1 wherein
there are four openings.
3. The uterine aspirating curette according to claim 1 wherein said
tube has a substantially uniform outside diameter.
4. The uterine aspirating curette according to claim 3 wherein said
tip is blunt.
5. The uterine aspirating device according to claim 1 wherein said
tip is dome shaped.
6. The uterine aspirating curette according to claim 1 wherein said
tube and said means for attaching said handle to a vacuum source
are at substantially opposite ends of said handle.
7. The uterine aspirating curette according to claim 1 wherein said
basket is seated in place on a shoulder in said handle and is held
from movement off of said shoulder by an element of said base.
8. The uterine aspirating curette according to claim 1 wherein said
basket comprises a mesh.
9. The uterine aspirating curette according to claim 1 wherein said
base is threaded onto said handle.
10. The uterine aspirating curette according to claim 1 wherein
said tube is flexible and a bendable wire member is located along
the length thereof.
11. A uterine aspirating curette comprising an elongated handle
having a passage therethrough, an inwardly projecting shoulder
adjacent one end thereof, a substantially porous basket having an
annular rim about an opening, said rim being seated on said
shoulder, said basket extending along a portion of said passage in
said handle, a base threadably engaged on said handle adjacent to
said shoulder, a chamber within said base and communicating with
said passage in said handle, a retaining member in said chamber,
adjacent to said basket rim, a tube fixedly mounted in said base
and communicating by a passage with said chamber, said tube
extending axially from said base and said engaged handle, said tube
terminating in a plurality of spaced apart members extending
linearly from said tube and a tip having a blunted surface
projecting away from said tube attached to and over hanging said
spaced members, and a conduit for suction egress located on said
handle opposite said tube.
Description
BACKGROUND OF THE INVENTION
The present invention relates to a surgical device, more
particularly it relates to an aspirating curette for inner uterine
use. Prior uterine curettes usually required a rotational motion in
addition to rectilinear motion in order to scrape the uterus
surfaces. This additional movement increases the degree of trauma
experienced by the patient during the surgical procedure. Also the
specimen recovery for pathological examination has been difficult
using prior art devices.
It is an advantage of the present invention that rotation of the
device in use is unnecessary to achieve scraping contact with the
entire uterine surface and removal of material attached thereto. It
is a further advantage that the patient is subjected to less trauma
with the present device than prior devices in the same procedure.
It is a further feature of the present invention that specimen may
be removed from the uterus surface without dilation of the cervix.
It is a further advantage that specimens removed by aspiration from
the uterus are recovered for pathological examination. These and
other advantages and features of the present invention will become
apparent from the following discussion and from viewing the
drawing.
SUMMARY OF THE INVENTION
The present invention is a uterine aspirating curette comprising a
tube attachable to a suction means, a plurality of a spaced apart
members extending linearly from one end of said tube, and a tip
attached to said spaced apart members. The tip has a blunted
surface, for example a dome shape projecting away from the tube and
preferably overhanging the spaced members which extend from the end
of the tube. The projection forms a lip which provides a scraper
for dislodging specimens adhered to the inner surface for the
uterus contacting the curette. The tip and tube have a
substantially round cross-section to conform anatomically with the
vaginal channel, cervix and uterus in which the device is employed.
The underside of the tip which is attached to the spaced members is
substantially flat.
The surface attached to the spaced members may be at approximately
90.degree. thereto, although the angle could be from say 60.degree.
to 120.degree.. The angle (FIG. 5) of under surface of the tip is
relevant in so far as the angle of the under surface at the point
it contacts the upper surface is of such a nature that the rim or
outer edge of the tip will serve as a scraper. At angles greater
than 120.degree. the configuration of the rim is generally too
blunt and hence the scraping action is diminished. Under surfaces
angled at less than 60.degree. may result is a very sharp edge on
the tip.
Another preferred feature of the device is having the diameter of
the tip substantially the same as the diameter of the tube. Another
preferred feature is having a tube with approximately a 25.degree.
to 35.degree. angle located adjacent the end of the tube inserted
into the uterus. This is an anatomical configuration which
facilitates the insertion of the device.
Another feature of the present invention is the location of a
removable specimen collection basket in a handle portion of the
device between the aspirator tip and the suction.
The following brief description of the drawings and the detailed
description of the invention will make the substance of the
invention clear, where possible similar parts have been identified
with the same indicia in the figures. Standard and conventional and
obvious modifications or changes within the routineers skill are
within the scope of invention, although no particular mention
thereof may have been made.
DRAWINGS
FIG. 1 is an isomeric view of the device of the present
invention.
FIG. 2 is a partial cross sectional view of the present device.
FIG. 3 is a detail of a specimen collection basket.
FIG. 4 is a cross section taken along line 4--4 of FIG. 1.
FIG. 5 is a detail view of the aspirating tip.
FIG. 6 is a cross section taken along line 6--6 of FIG. 1.
FIG. 7 is a cross section of a flexible tube.
FIG. 8 is a cross section of an alternate cross section of a
flexible tube.
FIG. 9 is a view of an alternate configuration of a tip.
DETAILED DESCRIPTION OF THE INVENTION
Referring to FIG. 1 the uterine aspirating curette is shown in an
isomeric view as having an angularly bent tube member 1 attached to
a base 4 having a suction control opening 26 thereon and mounted to
handle 7. Projecting outward along the axis of the tube 1 is a
series of spaced apart members 6, onto which is attached the tip 2
thereby creating a plurality of slots or openings adjacent to the
tip 2. Tip 2 closes off the end of the tube. The device is attached
to a suction such as a vacuum pump (not shown) by a flexible tube
8. Aspiration is achieved through slots 3. An aid to gripping the
handle is provided with surface 5. This is particularly useful when
the base and handle are disassembled for removal of a collected
specimen as described herein below.
The invention can be better understood from FIG. 2. The tube 1 is
shown as fixedly mounted in recess 11 in base 4. The aspirating end
of device can be seen in more detail in FIG. 5. The tip 2 can be
seen to have a rounded configuration to provide for safe entry and
manipulation within the uterus. There are slots 3 which can be
formed by removing portions of tube 1 adjacent to the end. The
portions of the tube remaining form the members 6. The slots are
arranged around the tube to provide aspiration on an effective
360.degree.. Referring to FIG. 4 there can be seen to be 4 slots 3.
Preferably there would be at least two and more preferably three or
four slots around the tube. Because of the relatively small
diameter of this uterine device, there will not be more than four
slots, because such slots would tend to be too small to allow
material from the uterus wall to pass through. The members 6 are
seen to be extensions of tube 1 and have the same outside diameter
thereas.
The tip 2 is of substantially the same diameter as the outside
diameter of tube 1. The shoulder 9 on the tube 1 is thus in line
with the edge of tip 2. Both shoulder 9 and shoulder 10 on tip 2
form scraping surfaces. The uterus would be distended by the tube
and would tend to press in against the tube thereby allowing the
scraping surfaces to break lose any material adhered to the inner
wall of the uterus. The tube 1 has a single angle along its length
which is anatomically designed to facilitate its use.
The base 4 is removably attached to hollow handle 7 by threads 13
and 14 located respectively thereon. Tube 1 communicates with
chamber 15 via passage 12. Located in chamber 15, projecting from
the inner wall of base 4 are fins 24 of which there are two to
several, equally spaced about base 4. The function served by fins
24 could just as well be served by an annular member 24. The member
24 is spaced slightly above handle 7 when the base is completely
seated down onto the handle 7 against the annular ridge 25.
Seated within handle 7 and removable therefrom is basket 16. The
basket 16 consists of annular rim 18, ribs 19 attached to the rim
18, said ribs being joined at one end to form a bottom. Rim 18 has
a ledge 22 which is seated against shoulder 17 in handle 7. The
member(s) 24 serve to retain basket 16 in place allowing only
slight movement of the basket if the handle is inverted or joggled.
The fins or members 24 may be seated against the basket rim 18 to
prevent any movement of the basket.
At the end of the handle 7 opposite the tube 1 a suction egress
conduit is provided. The conduit has annular ridges 23 for securing
a resiliant tube 8 thereon.
In FIG. 2 a partial section of gauze 21 is shown in place within
basket 16, seated against ribs 19. The guaze would, in use, line
the entire basket and provide the surface, on which any specimen
material recovered from the uterus is collected. The entire curette
device, i.e., tube, base, handle and basket or just the basket with
the specimen, is then sent to the laboratory for pathological
examination.
Referring to FIG. 3, there is an alternate form of basket shown
comprising a rim 118 having a ledge 122 and attached to the rim a
mesh 121 forming an enclosed area having a frustro conical cross
section and attached to said mesh 121 opposite said rim 118, a
closed cup 119.
There are a number of obvious variations in the present device,
some of which have been noted such as the basket, the basket
retaining member, and slots in the aspirating tip. Some other
obvious modifications are location of the suction egress 20 at some
point other than directly opposed to tube 1, change in the manner
of securing tube 8 to the device and the like.
The present device may be manufactured from stainless steel for a
long lived reusable device or lends itself to easy fabrication from
polymeric materials to provide a one use disposable device. In
either event it is intended to provide for a non-traumatic
procedure.
In use the device is inserted into the uterus by a physician in a
position 180.degree. from that shown in FIGS. 1 and 2, thereby
conforming to the patients anatomy. During the insertion the
suction control opening 26 is left open thus providing the path of
lest resistance to suction. After insertion of the tip 2 into the
uterus the physician closes the opening 26 with the thumb thereby
creating the suction through slots 6. The device is moved generally
in a rectilinear motion to scrape the walls of the uterus. The
specimen, if any, is then drawn through slots 6 into tube 1, hence
into basket 16. The entire device can be made of substantially
clear polymeric material to aid the physician in determining when
to terminate the procedure. Upon terminating the procedure the
opening 26 is again released and the tube removed from the patient.
The alternate basket shown in FIG. 3 is particularly useful if the
specimen is small or of a very thin consistency. The velocity of
the specimen will carry it into the cup 119 while the suction
passes through mesh 121.
In FIG. 5 the aspirating end of the device is shown in more detail.
The angle .alpha. should be between 60.degree. and 120.degree.. The
angle .alpha. is formed between tip 2 and the opening 3 by shoulder
10. The 90.degree. angle shown in the figures is considered a
preferred embodiment.
In FIG. 6 the members 6 are shown at the periphery of tip 2.
In one embodiment shown in FIG. 7 the tube 31 is made of a flexible
material. In order to provide the anatomical shape, which may vary,
i.e., as in the case of an inverted uterus, a bendable wire member
30 which is embedded in the wall of tube 31. FIG. 8 shows an
alternate configuration wherein the wire 30 is attached on either
or both ends at the tip or base (not shown). This embodiment allows
a wider use of the present device. The desired anatomical
configuration is determined by the physician and the tube 31 and
hence the wire 30 is bent to that shape.
* * * * *