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US5947988A Expired / Lapsed US ⏱️ 0.0 years remaining

Surgical apparatus for tissue removal

Assignee: Individual
•
Filing: 1997-12-04
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Granted: 1999-09-07
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Expires: 2017-12-04
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Abstract

Abstract A surgical instrument including an elongated member connected to both suction for removing excised tissues and fluids and to a source of pressurized fluid. The member has an inner and outer wall with a hollow lumen extending the length of the member which connects a variably shaped ostium, extending through both walls of the member, to suction. The member also has peripheral channels extending the length of the member which connect the fluid source to the ostium through slits in the perimeter of the ostial wall. The slits collectively extend almost the full perimeter of the ostial wall. The slits are preferably designed so that as pressurized fluid is ejected from any point along a slit across the ostium, the fluid will come in contact with an opposing spray of fluid ejected from an opposing point in an opposing slit. The two sprays simultaneously applied across the ostium prevent the tissue from being pushed away by either spray, which in conjunction with a suction force, act to hold the tissue within the ostium as it is cut. Slit-type openings impart superior tissue cutting features compared to the nozzle-type openings of prior art devices because the cutting surface of the spray is elongated. The present invention can utilize a continuous stream from opposing slits, synchronized pulsations from opposing slits, alternating pulsations, or any combination thereof, and the frequency and intensity of the sprays can be varied to optimize tissue removal.

Inventors

  • 👤 Sidney Paul Smith

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 03:45
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/32; A61B17/3203

Claims Analysis

Total Claims: 28
Claim 1
Independent Claim 81 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said sprays are generated by a remote source of pressurized fluid communicating with said ostium through slits formed in a wall defining said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 2
Independent Claim 81 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said sprays are generated by a remote source of pressurized fluid communicating with said ostium through slits formed in a wall defining said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 3
Dependent Claim 52 words
A method as defined in claim 1 wherein said sprays of generating step (a) are generated through at least two opposing slits formed in the wall of said ostium, said slits being formed substantially parallel to an outer surface of the instrument and collectively extending almost the full perimeter of the wall.
Claim 4
Dependent Claim 11 words
A method as defined in claim 2 wherein said sprays alternate.
Claim 5
Dependent Claim 18 words
A method as defined in claim 2, further comprising the step of varying the frequency of said sprays.
Claim 6
Dependent Claim 18 words
A method as defined in claim 2, further comprising the step of varying the intensity of said sprays.
Claim 7
Dependent Claim 27 words
A method as defined in claim 2 wherein the intensity, frequency, and pattern of flow can be programmed in a pattern such that all variables fluctuate independently.
Claim 8
Dependent Claim 36 words
A method as defined in claim 1 wherein said sprays of generating step (a) are generated through at least two non-opposing slits formed in said wall, said slits angled toward a central lumen within the instrument.
Claim 9
Dependent Claim 24 words
A method as defined in claim 7 wherein said non-opposing slits are angled between 0 and 90 degrees from the plane of said ostium.
Claim 10
Dependent Claim 42 words
A method as defined in claim 1, wherein said excised tissue and expended fluid of removing step (c) are removed by a remote suction source in communication with said ostium through a central lumen within said instrument and extending the length thereof.
Claim 11
Independent Claim 74 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said fluid includes an abrasive material suspended in said fluid to assist in breaking apart denser tissues; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 12
Independent Claim 74 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said fluid includes an abrasive material suspended in said fluid to assist in breaking apart denser tissues; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 13
Independent Claim 63 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said fluid includes an anesthetic agent; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 14
Independent Claim 63 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium, wherein said fluid includes an anesthetic agent; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 15
Independent Claim 101 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; c) removing said excised tissue and expended fluid from said sprays; and d) generating at least one spray of pressurized fluid from said instrument directly into body tissues surrounding said instrument, wherein the frequency of said spray of generating step (d) is varied to assist in breaking apart said tissues prior to being introduced within said ostium.
Claim 16
Independent Claim 101 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating sprays of pressurized fluid across said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; c) removing said excised tissue and expended fluid from said sprays; and d) generating at least one spray of pressurized fluid from said instrument directly into body tissues surrounding said instrument, wherein the frequency of said spray of generating step (d) is varied to assist in breaking apart said tissues prior to being introduced within said ostium.
Claim 17
Dependent Claim 41 words
A method as defined in claim 12, wherein said spray of generating step (d) is generated by a remote source of pressurized fluid in communication with the exterior of said instrument through an aperture formed in a wall of said instrument.
Claim 18
Dependent Claim 30 words
A method as defined in claim 13 wherein a plurality of sprays of generating step (d) are generated through a plurality of apertures formed in the wall of said instrument.
Claim 19
Independent Claim 62 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating a plurality of opposing sprays of pressurized fluid across said ostium; b) excising tissue by exposing the tissue to said opposing sprays within said ostium; and c) removing said excised tissue and expended fluid from said opposing sprays.
Claim 20
Independent Claim 62 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating a plurality of opposing sprays of pressurized fluid across said ostium; b) excising tissue by exposing the tissue to said opposing sprays within said ostium; and c) removing said excised tissue and expended fluid from said opposing sprays.
Claim 21
Dependent Claim 42 words
A method as defined in claim 15, wherein said excised tissue and expended fluid of removing step (c) are removed by a remote suction source in communication with said ostium through a central lumen within said instrument and extending the length thereof.
Claim 22
Dependent Claim 12 words
A method as defined in claim 15 wherein said opposing sprays alternate.
Claim 23
Dependent Claim 19 words
A method as defined in claim 15, further comprising the step of varying the frequency of said opposing sprays.
Claim 24
Dependent Claim 19 words
A method as defined in claim 15, further comprising the step of varying the intensity of said opposing sprays.
Claim 25
Dependent Claim 27 words
A method as defined in claim 15 wherein the intensity, frequency, and pattern of flow can be programmed in a pattern such that all variables fluctuate independently.
Claim 26
Independent Claim 84 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating a plurality of non-opposing sprays of pressurized fluid across said ostium, wherein said non-opposing sprays are angled toward a central lumen within the instrument between 0 and 90 degrees from the plane of said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 27
Independent Claim 84 words
A method for removing body tissues with an elongated surgical instrument having an ostium formed in one end, comprising the steps of: a) generating a plurality of non-opposing sprays of pressurized fluid across said ostium, wherein said non-opposing sprays are angled toward a central lumen within the instrument between 0 and 90 degrees from the plane of said ostium; b) excising tissue by exposing the tissue to said sprays within said ostium; and c) removing said excised tissue and expended fluid from said sprays.
Claim 28
Dependent Claim 42 words
A method as defined in claim 21, wherein said excised tissue and expended fluid of removing step (c) are removed by a remote suction source in communication with said ostium through a central lumen within said instrument and extending the length thereof.

References Cited (Backward Citations)

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USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-09-06 2003-03-08 2003-09-07 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-09-06 2007-03-08 2007-09-07 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-09-06 2011-03-08 2011-09-07 $7700.00 Window Closed / Lapsed

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