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US4633860A Expired / Lapsed US ⏱️ 0.0 years remaining

Canal forming device for percutaneous nephroscopy

Assignee: Olympus Winter and Ibe GmbH
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Filing: 1985-01-30
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Granted: 1987-01-06
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Expires: 2005-01-30
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Abstract

Abstract A device for preparing the insertion canal for inserting an endoscope for percutaneous nephroscopy includes a tubular member which can be guided on a guide wire inserted through the patient's skin and tissue into the renal calyx. The tubular member carries one or more scalpel blades at its distal end for creating incisions along the path of the wire which can then be expanded to provide a canal for the endoscope. Gripping, orientation and insertion depth indicating means are also disclosed.

Inventors

  • 👤 Knut Korth
  • 👤 Heinz Hluchy

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-22 17:05
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3205; A61B17/3207; A61B17/34; A61B17/3415; A61B17/3209; A61B17/32093; A61B90/00; A61B90/06; A61B2090/062

Claims Analysis

Total Claims: 27
Claim 1
Independent Claim 106 words
An apparatus for preparing a canal for insertion of an endoscope into a patient for percutaneous nephroscopy along a path defined by a small diameter guide wire inserted percutaneously into the renal calyx comprising the combination of an elongated hollow tube having an inner diameter slightly larger than the diameter of the guide wire; and an axially extending scalpel blade fixedly attached to the distal end of said tube and protruding radially from the outer surface thereof, whereby said tube can be slidably moved along said guide wire into the patient so that said scalpel blade creates an incision adjacent to the path of said wire.
Claim 2
Independent Claim 106 words
An apparatus for preparing a canal for insertion of an endoscope into a patient for percutaneous nephroscopy along a path defined by a small diameter guide wire inserted percutaneously into the renal calyx comprising the combination of an elongated hollow tube having an inner diameter slightly larger than the diameter of the guide wire; and an axially extending scalpel blade fixedly attached to the distal end of said tube and protruding radially from the outer surface thereof, whereby said tube can be slidably moved along said guide wire into the patient so that said scalpel blade creates an incision adjacent to the path of said wire.
Claim 3
Dependent Claim 24 words
An apparatus according to claim 1 and including two radially extending scalpel blades on opposite sides of said tube, said blades being axially symmetrical.
Claim 4
Dependent Claim 29 words
An apparatus according to claim 2 wherein the cutting edges of said blades are formed so that said edges are capable of cutting in either axial direction of movement.
Claim 5
Dependent Claim 22 words
An apparatus according to claim 3 wherein each of said blades has a cutting edge which is arcuate in an axial plane.
Claim 6
Dependent Claim 45 words
An apparatus according to claim 2 and further comprising a tubular shaft portion fixedly attached to and coaxially surrounding said tube and extending from said scalpel blades toward the proximal end of said tube, said shaft portion having a significantly larger diameter than said tube.
Claim 7
Dependent Claim 54 words
An apparatus according to claim 5 and further comprising a grip member and a stop plate mounted on said shaft portion, said grip member and stop plate being axially movable along said shaft portion toward and away from said scalpel blades, said grip member including means for indicating the mounting angle of said blades.
Claim 8
Dependent Claim 41 words
An apparatus according to claim 6 wherein said shaft portion includes a longitudinal groove and said grip member includes a key member riding in said groove to prevent relative rotation between said shaft portion and said grip member and stop plate.
Claim 9
Dependent Claim 26 words
An apparatus according to claim 7 wherein the outside width of said scalpel blades is smaller than half the diameter of the endoscope to be used.
Claim 10
Dependent Claim 26 words
An apparatus according to claim 2 wherein the outside width of said scalpel blades is smaller than half the diameter of the endoscope to be used.
Claim 11
Dependent Claim 28 words
An apparatus according to claim 1 wherein the cutting edge of said blade is formed so that it is capable of cutting in either axial direction of movement.
Claim 12
Dependent Claim 43 words
An apparatus according to claim 1 and further comprising a tubular shaft fixedly attached to and coaxially surrounding said tube and extending from said scalpel blade toward the proximal end of said tube, said shaft having a significantly larger diameter than said tube.
Claim 13
Dependent Claim 24 words
An apparatus according to claim 11 wherein said shaft includes a tapered portion tapering outwardly from said scalpel blade toward the proximal end thereof.
Claim 14
Dependent Claim 32 words
An apparatus according to claim 12 and further comprising a grip member mounted on said shaft, said grip member being axially movable along said shaft toward and away from said scalpel blade.
Claim 15
Dependent Claim 16 words
An apparatus according to claim 13 and including a stop plate adjustably mounted on said shaft.
Claim 16
Dependent Claim 23 words
An apparatus according to claim 14 wherein said shaft carries indicia for indicating the distance between said stop plate and said scalpel blade.
Claim 17
Dependent Claim 16 words
An apparatus according to claim 11 and including a stop plate adjustably mounted on said shaft.
Claim 18
Dependent Claim 25 words
An apparatus according to claim 16 and further including two radially extending scalpel blades on opposite sides of said tube, said blades being axially symmetrical.
Claim 19
Dependent Claim 28 words
An apparatus according to claim 17 wherein the cutting edges of said blades are formed so that they are capable of cutting in either axial direction of movement.
Claim 20
Dependent Claim 22 words
An apparatus according to claim 18 wherein each of said blades has a cutting edge which is arcuate in the axial direction.
Claim 21
Dependent Claim 32 words
An apparatus according to claim 1 and further comprising a grip member mounted on said tube, said grip member being axially movable along said tube toward and away from said scalpel blade.
Claim 22
Dependent Claim 26 words
An apparatus according to claim 20 wherein the outside width of said scalpel blades is smaller than half the diameter of the endoscope to be used.
Claim 23
Dependent Claim 16 words
An apparatus according to claim 1 and including a stop plate adjustably mounted on said tube.
Claim 24
Dependent Claim 23 words
An apparatus according to claim 22 wherein said tube carries indicia for indicating the distance between said stop plate and said scalpel blade.
Claim 25
Dependent Claim 33 words
An apparatus according to claim 22 and further comprising a grip member mounted on said tube with said stop plate, said grip member including means for indicating the mounting angle of said blades.
Claim 26
Dependent Claim 37 words
An apparatus according to claim 1 wherein said tube includes a concentric, integral shaft portion, said distal end of said tube carrying said scalpel blade having a small diameter and said shaft portion having a larger diameter.
Claim 27
Dependent Claim 26 words
An apparatus according to claim 1 wherein the outside width of said scalpel blades is smaller than half the diameter of the endoscope to be used.

References Cited (Backward Citations)

US2704541A Cited
US864812A Cited
US1037802A Cited
US2001638A Cited
US3367335A Cited
US4083370A Cited
US4444184A Cited
US4273128A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1990-01-05 1990-07-07 1991-01-06 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 1994-01-05 1994-07-07 1995-01-06 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 1998-01-05 1998-07-07 1999-01-06 $7700.00 Window Closed / Lapsed

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