Surgery – Instruments – Cutting – puncturing or piercing
Patent
1995-09-15
1996-06-18
Pellegrino, Stephen C.
Surgery
Instruments
Cutting, puncturing or piercing
606180, 606 45, 604 22, A61B 1700
Patent
active
055273319
ABSTRACT:
A tissue resection device for preferred use in an organ inflated with non-conductive optically transparent fluid under pressure is disclosed. The instrument includes a rigid shaft having a proximal end, a distal end, and defining a perfusion lumen extending therebetween. At its distal end, the shaft is provided with a rounded blunt end having an elongate aperture exposing the lumen near the distal end. A drive tube is rotatably disposed within the shaft lumen and has a proximal end, a distal end, and a drive tube aspiration lumen extending therebetween. A cutting head is mounted on the distal end of the drive tube and has a laterally disposed cutting edge which can resection either by conventional cutting or electrocautery. This laterally disposed cutting edge is communicated to an internal passage between the cutting edge and the aspiration lumen of the drive tube so that tissue severed as the cutting head is rotated may be drawn directly into the aspiration lumen. A housing attached to the proximal end of the shaft. Preferably, a DC motor in the housing is connected to rotate the drive tube and thus the laterally disposed cutting head. Connection is provided on the housing for connecting the perfusion shaft lumen to a perfusion source and the aspiration lumen to an aspiration source. Preferably, an optic fiber provides an optical view of surgery while a proximally mounted and laterally exposed ultrasound transducer is disposed with a solid angle of interrogation including the surgical site.
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Alden Donald L.
Kresch Arnold J.
FemRx
Lewis William
Pellegrino Stephen C.
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