US5505210A — Lavage with tissue cutting cannula

Claim 1

Independent Claim 140 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly being operable by one hand of a surgeon, the assembly comprising: a conduit piece; an inner cannula defining an interior region and having a distal end, first means formed adjacent the distal end for cutting tissue, and a proximal end rigidly coupled to the conduit piece; valve means coupled to the conduit piece for controlling the flow of irrigation fluid and body tissue through the conduit piece and the inner cannula; and an outer cannula having a distal end and second means formed adjacent the distal end for cutting tissue, the inner cannula being coaxially positioned inside the outer cannula, the first and second cutting means being axially positioned to cut tissue in response to movement of the outer cannula.

Claim 2

Dependent Claim 140 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly being operable by one hand of a surgeon, the assembly comprising: a conduit piece; an inner cannula defining an interior region and having a distal end, first means formed adjacent the distal end for cutting tissue, and a proximal end rigidly coupled to the conduit piece; valve means coupled to the conduit piece for controlling the flow of irrigation fluid and body tissue through the conduit piece and the inner cannula; and an outer cannula having a distal end and second means formed adjacent the distal end for cutting tissue, the inner cannula being coaxially positioned inside the outer cannula, the first and second cutting means being axially positioned to cut tissue in response to movement of the outer cannula.

Claim 3

Dependent Claim 23 words

The assembly of claim 1, wherein the outer cannula is resiliently coupled to the conduit piece for movement relative to the inner cannula.

Claim 4

Dependent Claim 30 words

The assembly of claim 2, wherein the outer cannula includes means for engaging a digit of the surgeon's hand to permit one-handed movement of the outer cannula by the surgeon.

Claim 5

Dependent Claim 66 words

The assembly of claim 3, wherein the engaging means includes resilient means for coupling the engaging means to the conduit piece and a trigger for engaging a digit of a surgeon's hand, the trigger being pulled toward the conduit piece and released to reciprocate the outer cannula, the resilient means urging the outer cannula away from the conduit piece in response to release of the trigger.

Claim 6

Dependent Claim 66 words

The assembly of claim 3, wherein the engaging means includes resilient means for coupling the engaging means to the conduit piece and an outrigger for engaging a digit of a surgeon's hand, the outrigger being pushed away from the conduit piece and released to reciprocate the outer cannula, the resilient means urging the outer cannula toward the conduit piece in response to release of the outrigger.

Claim 7

Dependent Claim 83 words

The assembly of claim 1, wherein the first cutting means includes a first notch formed adjacent a distal end of the inner cannula and the second cutting means includes a second notch formed adjacent a distal end of in the outer cannula, the first and second notches being alignable to allow tissue to enter the interior region through the notches, the first and second notches cooperating to cut the entered tissue in response to movement of the first notch past the second notch.

Claim 8

Dependent Claim 41 words

The assembly of claim 1, further comprising first means coupled to the proximal end of the inner cannula for breachably sealing the proximal end of the inner cannula to allow a surgical instrument to be sealingly inserted into the inner cannula.

Claim 9

Dependent Claim 42 words

The assembly of claim 7, wherein the conduit piece includes a channel, the assembly further comprising second means coupled to the channel for sealing the channel to allow a surgical instrument to be sealingly inserted into the channel and the inner cannula.

Claim 10

Dependent Claim 16 words

The surgical assembly of claim 1, wherein the valve means is located in the conduit piece.

Claim 11

Dependent Claim 169 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly being operable by one hand of a surgeon, the assembly comprising: a conduit piece; an inner cannula defining an interior region and having a distal end, first means formed adjacent the distal end for cutting tissue, the inner cannula being coupled to the conduit piece; valve means coupled to the conduit piece for controlling the flow of irrigation fluid and body tissue through the conduit piece and the inner cannula; and an outer cannula having a distal end and second means formed adjacent the distal end for cutting tissue, the inner cannula being coaxially positioned inside the outer cannula, the first and second cutting means being axially positioned to cut tissue in response to reciprocating movement of the outer cannula; and means coupled to the outer cannula for engaging a digit of the surgeon's hand to allow the surgeon to move the outer cannula relative to the inner cannula.

Claim 12

Dependent Claim 169 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly being operable by one hand of a surgeon, the assembly comprising: a conduit piece; an inner cannula defining an interior region and having a distal end, first means formed adjacent the distal end for cutting tissue, the inner cannula being coupled to the conduit piece; valve means coupled to the conduit piece for controlling the flow of irrigation fluid and body tissue through the conduit piece and the inner cannula; and an outer cannula having a distal end and second means formed adjacent the distal end for cutting tissue, the inner cannula being coaxially positioned inside the outer cannula, the first and second cutting means being axially positioned to cut tissue in response to reciprocating movement of the outer cannula; and means coupled to the outer cannula for engaging a digit of the surgeon's hand to allow the surgeon to move the outer cannula relative to the inner cannula.

Claim 13

Dependent Claim 34 words

The assembly of claim 10, wherein the engaging means is resiliently coupled to the conduit piece and includes means for storing mechanical energy during movement of the outer cannula relative to the inner cannula.

Claim 14

Dependent Claim 43 words

The assembly of claim 11, wherein the storing means is configured to store energy when the engaging means is pulled toward the conduit piece by the surgeon and to release the stored mechanical energy upon disengagement of the engaging means by the surgeon.

Claim 15

Dependent Claim 44 words

The assembly of claim 11, wherein the storing means is configured to store energy when the engaging means is pushed away from the conduit piece by the surgeon and to release the stored mechanical energy upon disengagement of the engaging means by the surgeon.

Claim 16

Dependent Claim 41 words

The assembly of claim 10, further comprising first means coupled to a proximal end of the inner cannula for breachably sealing the proximal end of the inner cannula to allow a surgical instrument to be sealingly inserted into the inner cannula.

Claim 17

Dependent Claim 42 words

The assembly of claim 14, wherein the conduit piece includes a channel, the assembly further comprising second means coupled to the channel for sealing the channel to allow a surgical instrument to be sealingly inserted into the channel and the inner cannula.

Claim 18

Dependent Claim 16 words

The surgical assembly of claim 10, wherein the valve means is located in the conduit piece.

Claim 19

Dependent Claim 158 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly comprising: an outer cannula having a side wall defining a first cutting surface for cutting tissue, the outer cannula being movable between a rest position and a ready-for-cutting position; an inner cannula coaxially positioned inside the outer cannula and having a proximal end, the inner cannula defining an interior region and having a second cutting surface; first means coupled to a proximal end of the inner cannula for breachably sealing the proximal end to allow a surgical instrument to be sealingly inserted into the inner cannula; valve means coupled to the inner cannula for controlling the flow of irrigation fluid and body tissue through the inner cannula; and means coupled to the outer cannula for moving the outer cannula relative to the inner cannula in response to movement of a digit of the surgeon's hand to cut tissue.

Claim 20

Dependent Claim 158 words

An irrigation and suction lavage assembly for irrigation and removal of irrigation fluid and body tissue during surgery, the assembly comprising: an outer cannula having a side wall defining a first cutting surface for cutting tissue, the outer cannula being movable between a rest position and a ready-for-cutting position; an inner cannula coaxially positioned inside the outer cannula and having a proximal end, the inner cannula defining an interior region and having a second cutting surface; first means coupled to a proximal end of the inner cannula for breachably sealing the proximal end to allow a surgical instrument to be sealingly inserted into the inner cannula; valve means coupled to the inner cannula for controlling the flow of irrigation fluid and body tissue through the inner cannula; and means coupled to the outer cannula for moving the outer cannula relative to the inner cannula in response to movement of a digit of the surgeon's hand to cut tissue.

Claim 21

Dependent Claim 31 words

The assembly of claim 17, further comprising resilient means coupled to the moving means and the outer cannula for moving the outer cannula to the rest position from the ready-to-cut position.

Claim 22

Dependent Claim 45 words

The assembly of claim 18, wherein the moving means includes a trigger for engaging the first digit of the surgeon's hand, the trigger being configured to be pulled toward the conduit piece to move the outer cannula from the rest position to the ready-to-cut position.

Claim 23

Dependent Claim 23 words

The assembly of claim 17 further comprising means for actuating the valve means by movement of a second digit of the surgeon's hand.

Claim 24

Dependent Claim 49 words

The assembly of claim 17, wherein the valve means includes a valve body housing a valve therein, the valve body being shaped to have a manually grippable body and form a pistol grip, wherein said valve body defines a channel extending therethrough in fluid communication with the inner cannula.

Claim 25

Dependent Claim 16 words

The surgical assembly of claim 17, wherein the valve means is located in the conduit piece.

Claim 26

Dependent Claim 333 words

A surgical assembly for removal of body tissue, the assembly comprising: a rigid outer cannula defining a cannula interior, the cannula having a proximal end and a distal end, the distal end being insertible and positionable into a patient's body, and the cannula defining a cutting surface opening adjacent the distal end to permit access to the cannula interior for capture of body tissue in the cannula interior, the rigidity of the cannula causing the distal end thereof to move in the same direction and distance as the proximal end; a rigid inner cannula with a cutting surface and passageway therein, said inner cannula supporting the outer cannula and having its cutting surface cooperate with the cutting surface of the rigid outer cannula for cutting body tissue; means for moving the outer cannula relative to the inner cannula; a conduit piece rigidly attached to the inner cannula which supports the outer cannula for movement, the conduit piece having at least one channel defined therein in fluid communication with the cooperating cutting surface on the outer and inner cannula; moveable valve means rigidly coupled to the rigidly attached conduit piece and inner cannula for controlling flow through said one channel; the rigidly coupled conduit piece and valve means having a handgrip portion for holding and accurately positioning the distal end of the inner cannula at a desired location in the patient by movement of the handgrip portion to direct the distal end of the inner cannula to the desired location; suction means connected to the at least one channel for removing body tissue cut by the cutting surface through the cannula and conduit piece; mean to move the valve means; wherein both the means for moving the cutter and the valve means can be actuated by a digit of the hand gripping the hand grip portion while the hand moves the rigidly attached conduit piece and inner cannula to position the distal end of the inner cannula at the desired location in the patient.

Claim 27

Dependent Claim 333 words

A surgical assembly for removal of body tissue, the assembly comprising: a rigid outer cannula defining a cannula interior, the cannula having a proximal end and a distal end, the distal end being insertible and positionable into a patient's body, and the cannula defining a cutting surface opening adjacent the distal end to permit access to the cannula interior for capture of body tissue in the cannula interior, the rigidity of the cannula causing the distal end thereof to move in the same direction and distance as the proximal end; a rigid inner cannula with a cutting surface and passageway therein, said inner cannula supporting the outer cannula and having its cutting surface cooperate with the cutting surface of the rigid outer cannula for cutting body tissue; means for moving the outer cannula relative to the inner cannula; a conduit piece rigidly attached to the inner cannula which supports the outer cannula for movement, the conduit piece having at least one channel defined therein in fluid communication with the cooperating cutting surface on the outer and inner cannula; moveable valve means rigidly coupled to the rigidly attached conduit piece and inner cannula for controlling flow through said one channel; the rigidly coupled conduit piece and valve means having a handgrip portion for holding and accurately positioning the distal end of the inner cannula at a desired location in the patient by movement of the handgrip portion to direct the distal end of the inner cannula to the desired location; suction means connected to the at least one channel for removing body tissue cut by the cutting surface through the cannula and conduit piece; mean to move the valve means; wherein both the means for moving the cutter and the valve means can be actuated by a digit of the hand gripping the hand grip portion while the hand moves the rigidly attached conduit piece and inner cannula to position the distal end of the inner cannula at the desired location in the patient.

Claim 28

Dependent Claim 40 words

The surgical assembly of claim 23, wherein the means to move the outer cannula is resiliently biased to position the cutting surfaces into a non-cutting position such that a push action against the resilient bias moves the cutter for cutting.

Claim 29

Dependent Claim 29 words

The surgical assembly of claim 23, wherein the hand grip portion for rigidly gripping the rigidly coupled valve means and conduit piece is a surface surrounding the valve means.

Claim 30

Dependent Claim 29 words

The surgical assembly of claim 24, wherein the hand grip portion for rigidly gripping the rigidly coupled valve means and conduit piece is a surface surrounding the valve means.

Claim 31

Dependent Claim 16 words

The surgical assembly of claim 23, wherein the valve means is located in the conduit piece.

Claim 32

Dependent Claim 16 words

The surgical assembly of claim 24, wherein the valve means is located in the conduit piece.

Claim 33

Dependent Claim 16 words

The surgical assembly of claim 25, wherein the valve means is located in the conduit piece.

Claim 34

Dependent Claim 16 words

The surgical assembly of claim 25, wherein the valve means is located in the conduit piece.

Claim 35

Dependent Claim 23 words

The surgical assembly of claim 23, wherein the valve means also controls flow of irrigation fluid to the patient through said one channel.

Claim 36

Dependent Claim 23 words

The surgical assembly of claim 24, wherein the valve means also controls flow of irrigation fluid to the patient through said one channel.

Claim 37

Dependent Claim 225 words

A lavage assembly for surgery, irrigation, suction, and removal of body tissue, the assembly comprising: a rigid cannula defining a cannula interior, the cannula having a proximal end and a distal end, the distal end being insertible and positionable in a patient's body, and the cannula defining a cannula opening adjacent the distal end to permit access to the cannula interior for capture of body tissue in the cannula interior; a cutter moveable outside the cannula interior for cutting body tissue entering the cannula opening; means for moving the cutter; an independently actuated vane means rigidly connected to the cannula to control irrigation and suction flow to the cannula interior, regardless of movement or lack of movement of the cutter; means to actuate the valve means; wherein the cannula and valve means are integrated into a rigid structure to be held in one hand such that movement of the rigidly coupled valve means and cannula by a users hand allows the distal end of the cannula to be accurately positioned at a specific location in the patients body; and wherein the means for moving the cutter and the means to actuate the valve means are both operable by a hand of the user as it moves the rigidly coupled valve means and cannula to accurately position the distal end of the cannula in the patient.

Claim 38

Dependent Claim 225 words

A lavage assembly for surgery, irrigation, suction, and removal of body tissue, the assembly comprising: a rigid cannula defining a cannula interior, the cannula having a proximal end and a distal end, the distal end being insertible and positionable in a patient's body, and the cannula defining a cannula opening adjacent the distal end to permit access to the cannula interior for capture of body tissue in the cannula interior; a cutter moveable outside the cannula interior for cutting body tissue entering the cannula opening; means for moving the cutter; an independently actuated vane means rigidly connected to the cannula to control irrigation and suction flow to the cannula interior, regardless of movement or lack of movement of the cutter; means to actuate the valve means; wherein the cannula and valve means are integrated into a rigid structure to be held in one hand such that movement of the rigidly coupled valve means and cannula by a users hand allows the distal end of the cannula to be accurately positioned at a specific location in the patients body; and wherein the means for moving the cutter and the means to actuate the valve means are both operable by a hand of the user as it moves the rigidly coupled valve means and cannula to accurately position the distal end of the cannula in the patient.

Claim 39

Dependent Claim 38 words

The surgical assembly of claim 33, wherein the means to move the cutter is resiliently biased to position the cutter into a non-cutting position such that a push action against the resilient bias moves the cutter for cutting.

Claim 40

Dependent Claim 32 words

The surgical assembly of claim 33, wherein there is a hand grip portion for the rigidly coupled valve means and cannula, which hand grip portion is a surface surrounding the valve means.

Claim 41

Dependent Claim 32 words

The surgical assembly of claim 34 wherein there is a hand grip portion for the rigidly coupled valve means and cannula, which hand grip portion is a surface surrounding the valve means.

Claim 42

Dependent Claim 12 words

The surgical assembly of claim 33 wherein the cannula supports the cutter.

Claim 43

Dependent Claim 12 words

The surgical assembly of claim 34 wherein the cannula supports the cutter.

Claim 44

Dependent Claim 12 words

The surgical assembly of claim 35 wherein the cannula supports the cutter.

Claim 45

Dependent Claim 12 words

The surgical assembly of claim 36 wherein the cannula supports the cutter.

Claim 46

Dependent Claim 24 words

The surgical assembly of claim 33 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 47

Dependent Claim 24 words

The surgical assembly of claim 34 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 48

Dependent Claim 24 words

The surgical assembly of claim 35 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 49

Dependent Claim 24 words

The surgical assembly of claim 36 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 50

Dependent Claim 24 words

The surgical assembly of claim 37 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 51

Dependent Claim 24 words

The surgical assembly of claim 38 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 52

Dependent Claim 24 words

The surgical assembly of claim 39 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Claim 53

Dependent Claim 24 words

The surgical assembly of claim 40 wherein the cannula has an opened distal end to allow communication between the cannula interior and the patient.

Annuity Stage	Window Opens	Payment Deadline	Surcharge Period Until	Estimated Fee	Status
3.5 Years (Year 4)	1999-04-09	1999-10-09	2000-04-09	$2000.00	Window Closed / Lapsed
7.5 Years (Year 8)	2003-04-09	2003-10-09	2004-04-09	$3760.00	Window Closed / Lapsed
11.5 Years (Year 12)	2007-04-09	2007-10-09	2008-04-09	$7700.00	Window Closed / Lapsed

Lavage with tissue cutting cannula

Abstract

Inventors

Bibliographic Details

Claims Analysis

References Cited (Backward Citations)

USPTO Annuity & Maintenance Windows

Assigned Categories & Tags

Assign Category Tag