Endoscopic hook blade and use thereof

Inventors

Mirza, AtherMirza, Romi

Assignees

A M Surgical Inc

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Publication Number

US-11224455-B2

Patent

Publication Date

2022-01-18

Expiration Date


Abstract

An endoscopic surgical blade is disclosed. The blade is of a hook design, having an upper cutting surface located on the trailing edge of an arm and a lower cutting surface on the upper edge of the main body of the blade. The blade is part of an endoscopic knife assembly which also contains a knife tube and alignment ring. The endoscopic knife assembly is for use in endoscopic surgery by insertion of the assembly through a slotted cannula. The knife tube is hollow and allows the insertion of an endoscope for viewing of the surgical procedure. A method for a performing an operative procedure on a target tissue in a subject using an endoscopic knife assembly having a hook blade is also described.

Core Innovation

The invention is directed to a hook blade for an endoscopic surgical assembly comprising the blade and a tube marked with gradations showing distance. The blade includes an arm having a forward edge that is a non-cutting surface, a trailing edge, and an upper cutting surface located on the trailing edge, and a main body having a lower cutting surface located on an upper edge of a distal section.

The distal section angles downward from a proximate section of the main body, and the arm protrudes from the distal section to form a hook angle. The blade geometry defines a crotch where the upper cutting surface and the lower cutting surface meet to form a cutting angle between the two cutting surfaces. A notch is formed on the lower edge, and the notch is on an opposite side of the blade from the upper cutting surface of the arm.

The lower edge that includes the notch is in direct contact with a cylindrical surface of the tube marked with the gradations. During a surgical procedure, relative positions of the gradations with respect to a location of the direct contact with the notch are visible, providing distance indication tied to blade-to-tube geometry. An endoscopic surgical assembly is also described that includes a blade and the tube marked with gradations showing distance, where the distal blade portion angles downward from a planar main body and includes a radiused top edge forming a non-cutting surface facing away from the planar main body, with upper and lower cutting edges meeting at a crotch to form a cutting angle.

Claims Coverage

The document provides two independent claims that share the core requirement of a distance-marked tube with visible gradations correlated to notch contact location. Across the independent claims, inventive features are organized around blade geometry with an angled distal portion and hook/crotch cutting geometry, a notch contacting a cylindrical surface of the gradation-marked tube, and visibility of relative gradation positions during a surgical procedure.

Hook blade with angled distal section and hook angle

A hook blade for an endoscopic surgical assembly comprising the blade and a tube marked with gradations showing distance, wherein the blade comprises an arm having a forward edge that is a non-cutting surface, a trailing edge and an upper cutting surface located on the trailing edge, and a main body having a lower cutting surface located on the upper edge of the distal section; wherein the distal section of the main body angles downward from the proximate section of the main body, and wherein the arm protrudes from the distal section of the main body, forming a hook angle with the proximate section of the main body.

Crotch cutting angle between upper and lower cutting surfaces with notch contacting gradation-marked tube

The hook blade wherein the upper cutting surface and the lower cutting surface meet at a crotch forming a cutting angle between the two cutting surfaces; wherein the main body comprises a notch on the lower edge; wherein the notch is on an opposite side of the blade from the upper cutting surface of the arm; and wherein the lower edge that includes the notch is in direct contact with a cylindrical surface of the tube marked with the gradations.

Visible relative positions of gradations to notch direct contact location during surgery

The hook blade wherein during a surgical procedure, relative positions of the gradations with respect to a location of the direct contact with the notch are visible.

Endoscopic surgical assembly with downward-angled distal blade portion and planar main body

An endoscopic surgical assembly comprising a blade and a tube marked with gradations showing distance, wherein the blade comprises a distal blade portion and a planar main body; wherein the distal blade portion angles downward from the planar main body; and wherein the distal blade portion and the planar main body are connected at an interface to form the blade.

Interface notch defines distal portion and radiused non-cutting top edge facing away from planar main body

An endoscopic surgical assembly wherein the blade comprises a notch formed on a lower edge of the blade at the interface between the distal blade portion and the planar main body so that the notch defines the distal portion of the blade; and wherein the distal blade portion includes a non-cutting surface formed as a radiused top edge facing away from the planar main body, and upper and lower cutting edges meeting at a crotch at the distal blade portion and forming a cutting angle between the two cutting edges.

Notch on opposite side and lower edge direct contact with gradation-marked cylindrical tube with visible relative positions

An endoscopic surgical assembly wherein the lower edge of the blade is on an opposite side of the blade from the radiused top edge of the distal blade portion, and wherein the notch is on an opposite side of the blade from the radiused top edge of the distal blade portion; wherein the lower edge that includes the notch is in direct contact with the cylindrical surface of the tube marked with the gradations; and wherein during a surgical procedure, relative positions of the gradations with respect to a location of the direct contact with the notch are visible.

Across the independent claims, the inventive focus is on a hook blade/endoscopic blade geometry with an angled distal section and a crotch-based cutting angle, together with a notch that directly contacts the cylindrical surface of a tube marked with gradations. The claims further require that, during a surgical procedure, the relative position of the gradations with respect to the notch contact location is visible.

Stated Advantages

Reduced need for moving parts.

Lower risk of malfunction.

Ability to visualize blade/tissue through the hollow tube.

Documented Applications

Carpal tunnel release.

Cubital tunnel release.

Plantar fascia release.

Lateral release for patella realignment.

Extensor tendons release.

Release of posterior and other compartments of the leg.

Forearm fascial release.

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