Surgery – Means for introducing or removing material from body for... – With means for cutting – scarifying – or vibrating tissue
Patent
1992-01-17
1993-04-27
Pellegrino, Stephen C.
Surgery
Means for introducing or removing material from body for...
With means for cutting, scarifying, or vibrating tissue
128 24AA, 606169, A61B 1720
Patent
active
052058174
DESCRIPTION:
BRIEF SUMMARY
TECHNICAL FIELD
The present invention relates to a surgical instrument which cuts organic tissue by ultrasonic vibration.
BACKGROUND ART
Kerrison forceps, alveolar-bone forceps, scalpels, gouges (cylindrical chisels), files, surgical bars, etc. have been used for cutting organic tissue, particularly hard tissue, in neurosurgery, orthopaedic surgery, plastic surgery, oral surgery, etc. However, cutting with scalpels, forceps such as Kerrison forceps, etc. is inefficient, requiring long hours of operation, substantial labor of an operator and highly developed skill in the case of a fine cutting operation. Surgical bars driven by air pressure have a problem in that because a drill is rotating during an operation, shaking occurs at a contact location between a bar and hard tissue and is transmitted to the hand of the operator, thus making a fine and delicate operation difficult. Also, organic tissue at a cut surface is likely to lose its activity because of frictional heat caused by the rotational cutting. Further, because of rotational movements of the drill, a surgical bar will damage vascular or neural tissue in organic tissue even by a slight touch thereto.
Surgical instruments using ultrasonic have previously been developed. There are known a surgical instrument which destroys contacting organic tissue by ultrasonic vibration of an ultrasonic vibration transmitter and then sucks to remove the destroyed tissue (disclosed, for example, in JP-B-47-39197) and a surgical instrument for incision of hard and soft organic tissue, which comprises a metallic operational part having a cutting edge (disclosed, for example, in JP-B-51-46990). However, the former surgical instrument is unsuitable for cutting to form a surface or to form or enlarge a hole because a vibrator including an operational portion having a flat surface perpendicular to the direction of vibration destroys and emulsifies a surface layer of soft organic tissue by ultrasonic vibration and sucks to remove the emulsified tissue. The latter surgical instrument incises organic tissue by a cutting edge vibrating ultrasonically. The frictional heat is generated between an operational portion and organic tissue being incised due to the vibration of the operational portion having a minimum amplitude, about 30 to 50 .mu.m, required for incision. Therefore, even when an operational portion is made of a titanium alloy having a favorable heat conductivity, the surface temperature thereof rises to several hundred degrees Celsius, so that the organic tissue at the incision surface becomes carbonized. Also, the shape of the operational portion of the latter instrument is not suitable for cutting operation.
The present invention is aimed at solving these problems of the above-mentioned conventional surgical instruments. It is an object of the present invention to provide a surgical instrument for cutting organic tissue, which has improved cutting efficiency and operational precision, can prevent the deterioration of organic tissue caused by frictional heat generated between an operational portion and the organic tissue cut by the operational portion, and can minimize the loss of the mechanical strength of the operational portion caused by heat generated during operation.
DISCLOSURE OF THE INVENTION
In order to achieve the above object, the present invention provides a surgical instrument comprising an ultrasonic transmitter which is connected to an ultrasonic source and generates ultrasonic mechanical vibration and which includes a plurality of ring-shaped cutting-edge portions formed on a periphery of an operational part thereof which contacts organic tissue, and a liquid passage extending therein and having openings at a front end of said operational part and at a recess between the ring-shaped cutting-edge portions.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a block diagram of a surgical system employing a surgical instrument according to one embodiment of the present invention;
FIG. 2A is a perspective view of the instrument shown in FIG. 1;
FIG. 2B
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Idemoto Morito
Inoue Naohiko
Noguchi Yasuo
Pellegrino Stephen C.
Rafa Michael
Sumitomo Bakelite Company Limited
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