U.S. patent number 3,916,909 [Application Number 05/482,622] was granted by the patent office on 1975-11-04 for suction surgical instrument of the forceps type.
This patent grant is currently assigned to Bio-Medicus, Inc.. Invention is credited to Harold D. Kletschka, Edson H. Rafferty.
United States Patent |
3,916,909 |
Kletschka , et al. |
November 4, 1975 |
Suction surgical instrument of the forceps type
Abstract
Surgical forceps are disclosed which consist of first and second
legs attached at one end in a tweezer-like configuration. One of
the legs includes a small conduit which terminates in one or more
inlets disposed on the inner face of the tweezer end. The opposite
end of the conduit is adapted for connection to a source of vacuum
to permit fluid to be drawn away from a surgical area. In an
alternative embodiment, a similar conduit is formed in the other
forcep leg which is adapted for connection to liquid under
pressure, terminating in an opening on the extreme tip of the
tweezer to permit cleansing of the surgical area.
Inventors: |
Kletschka; Harold D.
(Montgomery, AL), Rafferty; Edson H. (Excelcisor, MN) |
Assignee: |
Bio-Medicus, Inc. (Minneapolis,
MN)
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Family
ID: |
27010608 |
Appl.
No.: |
05/482,622 |
Filed: |
June 24, 1974 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
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384461 |
Aug 1, 1973 |
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198900 |
Nov 15, 1971 |
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Current U.S.
Class: |
604/35;
606/211 |
Current CPC
Class: |
A61B
17/30 (20130101); A61M 1/7411 (20210501); A61M
1/0058 (20130101) |
Current International
Class: |
A61B
17/30 (20060101); A61M 1/00 (20060101); A61B
017/30 (); A61M 001/00 () |
Field of
Search: |
;128/276,2R,2B,346,321,309,318,354,349,350 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Medbery; Aldrich F.
Attorney, Agent or Firm: Merchant, Gould, Smith, Edell,
Welter & Schmidt
Parent Case Text
This is a continuation of application Ser. No. 384,461, filed on
Aug. 1, 1973, which was a continuation of prior application Ser.
No. 198,900, filed on Nov. 15, 1971, both abandoned.
Claims
We claim:
1. Surgical forceps of a tweezer-like configuration,
comprising:
a. first and second elongated movable leg members of essentially
the same length and having functional ends defining opposed inner
faces and distal outer faces, the leg members being commonly
affixed and projecting from the fixed point in cantilever fashion
with the functional ends normally biased apart and cooperable to
perform a forceps function;
b. and fluid conduit means associated with one of said first and
second leg members, the conduit means being adapted for connection
to a source of fluid pressure differential and terminating in a
first opening disposed on the inner face of said one leg member,
and a second opening disposed on said distal outer face thereof in
a position which is accessible for all manipulative and relative
functional positions of said one leg member.
2. The device defined by claim 1, and further comprising second
fluid conduit means associated with the other of said first and
second leg members, the second conduit means being adapted for
connection to a source of fluid pressure differential and
terminating in a first opening disposed on the inner face of said
other leg member, and a second opening disposed on the outer face
thereof in a position which is accessible for all manipulative and
relative functional positions of said other leg member.
3. The device defined by claim 2, and further comprising a
connector member affixed to said first and second leg members and
commonly communicating with said first and second conduit
means.
4. The device defined by claim 1, wherein the conduit means is
adapted for connection to a source of vacuum, and further
comprising a closeable control opening communicating with the
conduit means to vary the amount of vacuum therein.
5. The device defined by claim 4, and further comprising a
slideable closure member for said control opening.
6. The device defined by claim 1, wherein the fluid conduit means
comprises:
a. a fluid passageway formed within at least a portion of said one
leg member;
b. and a fluid connector member affixed to said one leg member and
communicating with said passageway, the connector member being
adapted for connection with a source of fluid pressure
differential.
7. The device defined by claim 6, wherein the fluid passageway
extends longitudinally through said one leg member and opens at the
extreme end thereof to define said second fluid opening.
8. The device defined by claim 7, wherein said first fluid opening
comprises a bore extending transversely through said one leg member
and normal to the fluid passageway.
9. Surgical forceps of a tweezer-like configuration,
comprising:
a. first and second elongated movable leg members of essentially
the same length and having functional ends defining essentially
flat, fluid impermeable opposed inner faces and outer faces, the
leg members being commonly affixed and projecting from the fixed
point in cantilever fashion, the functional ends being normally
biased apart with the essentially flat opposed inner surfaces
cooperable to perform a forceps function;
b. fluid conduit means associated with at least one of the first
and second leg members and adapted for connection with a source of
fluid pressure differential;
c. said one leg member having a plurality of fluid openings formed
on its inner face and disposed along a straight line extending
between said fixed point and the extreme end of said one leg
member, each of said openings communicating with said fluid conduit
means to permit the transfer of fluid to or removal of fluid from a
surgical area.
10. The device defined by claim 9, wherein the fluid conduit means
comprises:
a. a passageway formed within at least a portion of said one leg
member;
b. and a fluid connector member affixed to said one leg member and
communicating with said passageway, the connector member being
adapted for connection with a source of fluid pressure
differential.
11. The device defined by claim 10, wherein the fluid passageway
extends longitudinally through a substantial portion of said one
leg member.
12. The device defined by claim 10, wherein each of said plurality
of fluid openings comprises a bore extending transversely through
said one leg member and normal to the fluid passageway.
13. The device defined by claim 10, wherein the fluid connector
member is adapted for connection to a source of vacuum, and further
comprising a closeable control opening communicating with the
passageway to vary the amount of vacuum therein.
14. The device as defined by claim 10, wherein the fluid connector
member is tubular and terminates in a series of tapered segments
constructed to receive and retain a resilient tube.
15. The device defined by claim 9, and further comprising:
a. second fluid conduit means associated with the other of said
first and second leg members and adapted for connection with a
source of fluid pressure differential;
b. said other leg member having a plurality of fluid openings
formed on its inner face and disposed along a line extending
between said fixed point and the extreme end of said other leg
member, each of said openings communicating with said second fluid
conduit means to permit the transfer of fluid to or removal of
fluid from a surgical area.
Description
The invention relates generally to surgical instruments and is
specifically directed to surgical forceps of a tweezer-like
configuration which includes suction means for removing the fluid
and/or gases from a surgical area, and in some instances these
instruments include fluid delivery means for cleansing a surgical
area.
A problem encountered in the performance of surgical operations is
the removal of blood and other body fluids, including gases, 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. Gases are a problem,
for example, when a Bovey current is being used. Where the problem
arises, it is ordinarily necessary that such fluids or gases 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 other surgical instruments in his operative tasks,
it is necessary either that the suction device be manipulated by a
surgical assistant, which is often impossible or at best hindering
or disrupting due to space limitations; or, that the surgeon change
instruments as often as the accumulation of fluids 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 comprises a surgical forceps of tweezer-like
configuration and includes one or more aspirating openings at the
pincer end of the instrument which communicate with a fluid conduit
carried by and movable with one of the forceps legs. The conduit is
connected to a source of vacuum, thus permitting the surgeon to
effect the removal of body fluids simply by exposing the suction
openings to the fluid.
Our invention also contemplates a second fluid conduit associated
with the opposite forcep leg which terminates in similar openings
at the pincer end of the instrument. The second conduit may be
connected to a source of liquid under positive pressure, which can
permit the surgeon to cleanse the surgical area in much the same
manner as fluid removal, or to an additional vacuum source which
can permit additional fluid removal in situations where it is
desired to remove large quantities of fluid quickly .
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of surgical forceps embodying the
inventive principle;
FIG. 2 is a side elevation of the surgical forceps showing the side
opposite that seen in FIG. 1;
FIG. 3 is a sectional view taken along the line 3--3 of FIG. 2;
FIG. 4 is a perspective view of an alternative surgical
forceps;
FIG. 5 is an end view of the surgical forceps of FIG. 4;
FIG. 6 is a fragmentary sectional view of the alternative surgical
forceps taken along the line 6--6 of FIG. 4;
FIG. 7 is a fragmentary sectional view of the alternative surgical
forceps taken along the line 7--7 of FIG. 4;
FIG. 8 is an enlarged fragmentary view in side elevation of an
alternative structure for variably controlling the amount of
applied vacuums, portions thereof being broken away and shown in
section; and
FIG. 9 is a sectional view taken along the line 9--9 of FIG. 8.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
With initial reference to FIGS. 1-3, a surgical forceps embodying
the inventive principle is represented generally by the numeral 11.
Forceps 11 are of tweezer-like configuration, consisting of a pair
of elongated leg members 12, 13 which are commonly affixed at one
end and project in cantilever fashion from the affixed point.
Members 12, 13 are preferably formed from stainless steel for
sterile purposes, and have a spring characteristic which causes the
leg members to be normally biased away from each other.
The outer face of each leg member 12, 13 has an irregular surface
portion 14 at an intermediate point thereon to provide a gripping
surface for the user. The leg members each terminate in a
functional end, such ends together cooperating to perform the
forceps function. In the embodiment of FIGS. 1-3, the functional
ends of leg members 12, 13 are rounded and each has a serrated
portion 15 on its inner face, the teeth of such serrated portions
alternately merging with the other to provide an efficient clamping
or pincer function.
As best shown in FIG. 3, leg member 13 has formed therein an
extended passageway or conduit 16, one end of which communicates
with a tubular connector 17 rigidly affixed to leg member 13.
Connector 17 terminates in a series of tapered, annular segments 18
which adapt the conduit 16 for connection to a vacuum source (not
shown) through a flexible tube 19.
The opposite end of conduit 16 terminates in a plurality of bores
21 which open on the inner face of leg member 13 within the
serrated portion 15. It will be appreciated that the connection of
tubular connector 17 will effect a sucking or aspirating action at
the bores 21, which permits the removal of fluids and gases from a
surgical area by simple exposure of the inner face of leg member 13
to the area. The amount of vacuum is controlled by the user by
means of an elongated opening 22 which communicates with conduit 16
and is disposed on the outer face of leg member 13 immediately
rearward of irregular surface 14. If vacuum is not desired at the
functional end of forceps 11, the elongated opening 22 is left
uncovered. When all or part of the vacuum is deemed necessary, the
user simply covers all or part of elongated opening 22.
In FIG. 4-7, an alternative forceps embodying the inventive
principle is represented generally by the numeral 31. Forceps 31 is
much the same as forceps 11, comprising commonly affixed leg
members 32, 33 each of which has an irregular gripping surface 34
disposed on the outer surface thereof. The functional ends of leg
members 32, 33 are somewhat more squared than those of forceps 11,
as shown in FIG. 4, and the serrated portion 35 of each extends to
the extreme tip as well as the inner face of each functional end
(see FIG. 5).
One principle modification of forceps 31 is directed to the
inclusion of extended passageways or conduits 36, 37 respectively,
in each of the leg members 32, 33. Similarly, each of the conduits
36, 37 communicates with a tubular connector, designated 38, 39,
respectively; and, by means of the series of tapered segments, each
connector is adapted to receive a flexible tube 41, 42. As is
indicated by the arrows in FIG. 4, flexible conduit 41 is connected
to a source of fluid, either liquid or gas, under positive pressure
for rinsing or otherwise cleansing the surgical area; and flexible
tube 42 is connected to a vacuum source as described above.
As best seen in FIGS. 5 and 6, conduit 36 opens at the functional
end of leg member 32 by a bore 43 disposed on the inner face within
the serrated portion 35 and a bore 44 disposed at the tip of the
forceps. Similar bores 45, 46 are provided for leg member 33. It
will be appreciated that location of the bores 43, 46 enable the
user to apply or draw fluid, either at the inner functional face or
the extreme tip of forceps 31.
In FIG. 7, the respective tubular connectors 38, 39 of forceps 31
are commonly connected to a single vacuum source by a flexible tube
47 having a bifurcated end.
FIGS. 8 and 9 disclose a modification to the vacuum control of
forceps 11. The modified forceps is represented generally by the
numeral 11a, and the parts corresponding to those of forceps 11 are
designated by the same numeral with the addition of the letter a.
As shown, forceps 11a includes an elongated opening 22a to control
the vacuum at its functional end, and a sliding valve assembly
represented generally by the numeral 51 assists in providing a more
precise control of the vacuum. Sliding valve 51 consists of a pair
of elongated guiding members 52, 53 affixed to the outer face of
leg member 13a, each of which defines an elongated slot in which a
sliding valve member 54 is disposed. Preferably, the fit of valve
member 54 within the slots is sufficiently tight so that movement
is frictional, thus permitting it to be retained in a preselected
position. Movement of the sliding valve member 54 is facilitated by
an irregular surface portion 55, which provides a gripping surface
for the user's fingers. As will be appreciated, sliding valve
member 54, in its extended position, is fully capable of sealing
elongated opening 22a; and its movement to a selected position to
open, partially seal or fully seal elongated opening 22a effects
control of the vacuum at the forceps tip.
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