Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS2944552 A
Publication typeGrant
Publication dateJul 12, 1960
Filing dateDec 29, 1958
Priority dateDec 29, 1958
Publication numberUS 2944552 A, US 2944552A, US-A-2944552, US2944552 A, US2944552A
InventorsJack A Cannon
Original AssigneeRichard B Wilk
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Surgical instrument
US 2944552 A
Images(1)
Previous page
Next page
Description  (OCR text may contain errors)

y 1960 J. A. CANNON 2,944,552

' SURGICAL INSTRUMENT Filed Dec. 29. 8

Ill/U1 INVENTOR.

JACK A. CANNON ATTORNEY Thi'sfinvention pertainsto surglcal devices and more particularly to an'arrangementlfor treating arteriosclerotic occlusivedisease. 1:":5; --i .f p :55", 5.

In thepast in treatingoccluded; rteries the app'roach I generally has beenueitherto provide t n-arterial; graft, or

to' restore the1living -artery by means of conventional have been indeterminate-and inconclusive as to the heme; iitobtained. On the other-hand, -removalio f the occlu-. sion from the living artery has been a long'and diflicult United t Cannon, Westios-Angeles, Califi, nssignor to 4 and 5gwhich are inclined with. respect tothe, axis of thc tube. In the pref'erredfembodimentthese faces are arranged so thatangle at the forwardedge of the'tubular section ,is 209. 5 :A ngle 18; between the axis Aof tubular member3 and -front' -face. 4 therefore is 70?. Outer pe ripheryg 6 ofrthe tubular 'sec tion .tapers forwardly toward face 4; so asto definei' a;relativelysharp cutting edgeat this face. lnterior surface 7 may .rfemainparallelto the axis of thetubulansection.

'- Tubular section 3 and handle both constructed of stainless steelfor durability jand corrosion resistance.

epa i hd b faces in' alignment' with. outer surfacefl. Theattachs positions the forward portionj'9qof facef toflthe tubular V 7 endarter'ectomy." The former} expedient requir 15 1 plyof vessels for use ina the: operation and,the-results.

The joint "b etw 'n-jthe h'andle andlthe' tubular section; is 'lve'rf soldering end 8 of thehan'dle to of the .t11bu1 a1 section to the handle is ;such.,tliat cutting face A inclines. from end 8 of 'ith'efhandle; .,1This section diametrically opposite- 'the connection ofthe ha'n dleto, member 3. o

. 1 using the inst I plored for collapsibility and opened to check for adequate operation, unsuitable for persons in advanced age groups. 2 I

It has been. necessary tolmake a longitudinalfin'cision in the artery throughout the entire length of the obstruction. This, mayextend for as much as 32centimeters, and in some instances even longer." After removal of thefoblqz mlcflowv from below as a result filling from'fadeq'uate collateral. It ispreferred.also tofobtain a popliteal arteriogra m,in,orderlflto' ascertain thelfexact 'status of the vessel.

If popliteal artery. ispatent and' .continuous' with at f least onemajorbranchvessel, isldefsirableto continue structing intima and secondary"thromb .1 1S, theientireli-ncision must be closed'by a'running "arterial sutufel It is necessary. to'do this -very meticulously which extg d theloperating time to what maybe unac eptabIeli nitsA;

' -According to thepresentinventioii, an instrument'is provided giving the advantages of freeing a living artery, yet drastically reducing operating time.

Therefore, it is an object of this invention to provide an instrument usable in treatment of arteriosclerotic occlusive disease.

Another object of this invention is to remove an obstruction in an artery without extensive suturing.

A further object of this invention is to materially reduce operating time in the treatment of such cases.

Yet another object of this invention is to provide an instrument having-a short tubular cutting portion on the end of a flexible handle which may be inserted within an artery for removing an occlusion therein.

These and other objects will become apparent from the followingdetailed description taken in connection with the accompanying drawing in which:

Fig. 1 is a perspective view of the surgical instrument of this invention,

Fig. 2 is an enlarged fragmentary sectional view illustrating the forward cutting portion of the instrument,

Fig. 3 is an enlarged sectional view illustratingia' po'rtion of the artery prepared for removal ofthe occlusion by theinstrument of this invention,

' Fig.4 is a fragmentary perspect ve view of the v ment used in its initial stage in freeing the interio'r of an from 'withinan artery, and Fig. 6 is an elevational view, partially broken away,

of a modified form of flexible handle for the instrumen Fig. 5 is an enlarged-sectional view showing the instrument of this inventionduring its removal of an occlusion 7 ',It 1 s. important in the next phase of the operation to start the cleavage planeproperly between the thickened intima., and,the surrounding media. "Thus, vas seen in 131g 3, beveledcut.liljis-rnade in loosening intima 11 from the interior of ,artery 12 at the. location of short longitudinal incision 13. prevents subsequent dissection of the distal intimal edge when blood flow is reestablished. After this beveled incision has been accomplished'carefully around the entire inner circumference of the artery, instrument 1 is threaded on intima 11 in the manner illustrated in Fig. 4. The intima is received by the interior of tubular member 3 with cutting face 4 at the forward edge toward the occluded section of the artery. as best seen in Fig. 5 which frees the thickened intima from the arterial wall. Tubular section 3 is gently forced forwardly by handle 2 extending through incision 13 into the artery a distance suflicient to free the entire obstruction portion. The substantially inclination of the cutting face has been found to give optimum results in advancing .the cleavage plane. Other angular relationshipswmay be used successfully if not as effectively.

When the occluding portion has been freed by the instrument'of this invention, it may be pulled fromthe artery through-incision 13, following which the instrument also is removed and the necessary sutures are made.

It can be seen from the foregoing, therefore, that. it

is possible by the use of the instrument of this invention to' remove a lengthy obstruction from within an artery whilemaking only a small incision in the wall of the that operating time is greatly reduced and that improved results are obtained. q

The instrument of this invention maybe made in various sizes so that arteries of different diameters may be successfully operated upon. Preferably a number of instruments of graduated sizes are supplied in a surgical kit so that whatever the size of the vessel encountered a properly, dimensioned instrument will be available. The outer diameter of the tubular section may vary considerably from around .110 inch to nearly one-half inch 2,944,552" Patented July 12,1960

rut-dent.'iif-Lthis inventionthe patient v is: placed supine {under a long: acting spinalnanesthesia. v An incision is made and the artery isfisolated'. It is x Instrument 1 then is advanced from incision 13 1 in size. Similarly, wall thickness may run from .060

given a slight twist as illustrated. Helically wrapped around the exterior ofportion 14 is an additional'wirelS entirely covering the central portion throughout its length. This provides a strong, flexible handle which has some rigidity in the axial direction, but which also will retain a curvature impartedto it. I V I From the foregoing, therefore, itmay be seen thatI, have. provided an. improved surgicalv instrument. readily usable in removing arterial obstructions" without requiring. long operating time or extensive suturing. Theins trumentxis comparatively simple'to construct and use, and'with the front cuttingedge inclined forwardly at approximately 70 as described above, an eflective. cleavage of the thickened intima is obtained.

H The foregoing detailed description is to be clearly un derstood as given by way of illustration andexample only, a

being limited solely lar cutting edge and' inclined with respectto the axis ofsaid tubular member, .and a flexible rod-like thrust-absorbing handle attached to the opposite end of said1rnemedge being inclined at an angle of substantially 70 with respect tothe axis of said tubular member, and a flexible handle secured to the opposite end of said tubular member.

3. A surgical instrument comprising a relatively short tubular member the ends of which are parallel and inclined with respect to the axis of said member, the outer said member being parallel and inclined with respect to the axis of said tubular. member at an angle of substantially-70", the inner surface of said tubular. rnemberbeing substantially cylindrical in shape, the outerl 'surface of said tubular 'member taperingtoward said inner surface at" one end of said member to define with said inner surface'a cutting edge, and a stainless steel wire handle silver soldered tosaid tubular member- 'in substantial alignment withthe outer surface thereof at the end of said tubular member opposite said cutting edge and positioned so that said cutting'edge inclines away from said handle.

her at. one side of the axis thereof so that said inclined References Cited in theme of thispatent;

UNITED STATES PATENTS Trace Apr. 16, 1957

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US387454 *Mar 19, 1888Aug 7, 1888 Em balm ing-instrument
US1127948 *Dec 31, 1914Feb 9, 1915Reinhold H WapplerCystoscope.
US1749919 *Aug 27, 1928Mar 11, 1930Ida B MierleyOperating curette
US2521161 *Aug 7, 1948Sep 5, 1950Harle B GroverSurgical cutting instrument
US2690750 *Jul 13, 1953Oct 5, 1954Steinberg Marvin DSurgical instrument for treating ingrowing nails
US2788787 *Sep 16, 1955Apr 16, 1957Trace Hebert DSurgical instrument for extirpation of varicose veins
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3611849 *Jul 10, 1969Oct 12, 1971Domonkos JosephEating utensil for stringlike foods
US3730185 *Oct 29, 1971May 1, 1973Cook IncEndarterectomy apparatus
US3886943 *Aug 10, 1973Jun 3, 1975John C RauthSurgical instrument
US3929138 *Jul 18, 1973Dec 30, 1975Eli CuriSub-intimal dissector and methods for performing endarterectomies therewith
US4287890 *Jan 24, 1980Sep 8, 1981Fogarty Thomas JEndarterectomy method
US4290427 *Nov 26, 1979Sep 22, 1981Thomas J. FogartyEndarterectomy apparatus
US4315511 *Sep 2, 1979Feb 16, 1982Thomas J. FogartyEndarterectomy apparatus
US4518152 *Feb 4, 1983May 21, 1985Pierce Harry CDevice for loosening a cable within a conduit
US4559927 *Jun 15, 1981Dec 24, 1985Thomas J. FogartyEndarterectomy apparatus and process
US4574781 *Sep 24, 1981Mar 11, 1986Thomas J. FogartyEndarterectomy process
US4594996 *Jan 31, 1985Jun 17, 1986Ibrahim Adel AMethod for removing objects from tubular body passages
US4597389 *Feb 25, 1985Jul 1, 1986Ibrahim Adel ADevice for removing objects from tubular body passages
US4621636 *Dec 8, 1980Nov 11, 1986Fogarty Thomas JEndarterectomy method and apparatus
US5074869 *Jun 20, 1990Dec 24, 1991Daicoff George RVascular occlusion device
US5156607 *Sep 25, 1991Oct 20, 1992Peter G. KansasManual small incision cataract extraction method and instrument
US5373840 *Oct 2, 1992Dec 20, 1994Knighton; David R.Endoscope and method for vein removal
US5667480 *Oct 20, 1995Sep 16, 1997Ethicon Endo-Surgery, Inc.Method and devices for endoscopic vessel harvesting
US5707389 *Jun 7, 1995Jan 13, 1998Baxter International Inc.Side branch occlusion catheter device having integrated endoscope for performing endoscopically visualized occlusion of the side branches of an anatomical passageway
US5722934 *Aug 15, 1996Mar 3, 1998Ethicon Endo-Surgery, Inc.Method and devices for endoscopoic vessel harvesting
US5772576 *Dec 11, 1995Jun 30, 1998Embro Vascular L.L.C.For removing cylindrical tissue structures from human or animal bodies
US5820629 *Aug 13, 1996Oct 13, 1998Medtronic, Inc.Intimal lining transition device and endarterectomy method
US5827310 *Jan 14, 1997Oct 27, 1998Endovascular Systems, Inc.Apparatus for forming custom length grafts after endoluminal insertion
US5843102 *Oct 18, 1994Dec 1, 1998Medtronic, Inc.Instrument for loosening and cutting through the intima of a blood vessel, and a method therefor
US5853417 *Dec 15, 1997Dec 29, 1998General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US5893859 *Jun 5, 1998Apr 13, 1999Teramed, Inc.Method for forming custom length grafts after endoluminal insertion
US5899913 *Sep 1, 1998May 4, 1999General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US5902315 *Aug 28, 1997May 11, 1999Ethicon Endo-Surgery, Inc.Optical tissue dissector/retractor
US5913870 *Aug 13, 1996Jun 22, 1999United States Surgical CorporationSurgical dissector
US5922004 *Aug 28, 1997Jul 13, 1999Ethicon Endo-Surgery, Inc.Method for performing optical tissue dissection/retraction
US5928138 *Oct 6, 1997Jul 27, 1999Ethicon Endo-Surgery, Inc.Surgical device for dissecting and retracting tissue
US5928246 *Oct 15, 1997Jul 27, 1999Bsc Northwest Technology Center, Inc.Stent securing catheter
US5947994 *Aug 8, 1997Sep 7, 1999Baxter International Inc.Endoscopically-assisted device for endoluminal occlusion of anatomical passageway side branches
US5954713 *Jul 12, 1996Sep 21, 1999Newman; Fredric A.Endarterectomy surgical instruments and procedure
US5968066 *Dec 7, 1998Oct 19, 1999General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US6027509 *Oct 1, 1997Feb 22, 2000Scimed Life Systems, Inc.Stent retrieval device
US6042538 *Nov 18, 1998Mar 28, 2000Emory UniversityDevice for endoscopic vessel harvesting
US6068639 *Jan 22, 1999May 30, 2000General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US6071232 *Jun 29, 1998Jun 6, 2000Embro Vascular L.L.C.Apparatus for vein removal
US6077289 *Jan 29, 1999Jun 20, 2000General Surgical InnovationsMethods and devices for harvesting blood vessels with balloons
US6106531 *Jul 27, 1998Aug 22, 2000Schatz; Richard A.Retrieval shuttle
US6193653Feb 5, 1999Feb 27, 2001Ethicon Endo-Surgery, Inc.Methods and devices for visualizing, dissecting and harvesting vessels and the like
US6241745Jun 26, 2000Jun 5, 2001David RosenthalApparatus and method for performing an endarterectomy
US6328749Oct 9, 1998Dec 11, 2001Vascular Architects, Inc.Remote endarterectomy ring stripper
US6358244Apr 20, 1999Mar 19, 2002Endo Surgical Devices, Inc.Endarterectomy surgical instrument and procedure
US6428468Jun 5, 2000Aug 6, 2002Cardiothoracic Systems, Inc.Apparatus and method for vein removal
US6451035Mar 7, 2000Sep 17, 2002General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US6506200Mar 14, 2000Jan 14, 2003Origin Medsystems, Inc.Tissue separation cannula and method
US6511494Nov 17, 2000Jan 28, 2003Embro CorporationVein harvesting system and method
US6527787Jan 2, 2001Mar 4, 2003General Surgical Innovations, Inc.Methods and devices for blood vessel harvesting
US6558313Nov 17, 2000May 6, 2003Embro CorporationVein harvesting system and method
US6705986Mar 18, 2003Mar 16, 2004Embro CorporationVein harvesting system and method
US6764497Sep 9, 2002Jul 20, 2004General Surgical Innovations, Inc.Extraluminal balloon dissection
US6989018Mar 1, 2004Jan 24, 2006General Surgical Innovations, Inc.Extraluminal balloon dissection
US7001404Jan 9, 2003Feb 21, 2006Origin Medsystems, Inc.Tissue separation cannula and method
US7066875Jun 7, 2002Jun 27, 2006Cardio Thoracic Systems, Inc.Apparatus and method for vein removal
US7211040Feb 17, 2004May 1, 2007Embro CorporationVein harvesting system and method
US7214180Jan 6, 2003May 8, 2007Origin Medsystems, Inc.Method for cardiac restraint
US7264587Jan 17, 2003Sep 4, 2007Origin Medsystems, Inc.Endoscopic subxiphoid surgical procedures
US7288096Feb 18, 2003Oct 30, 2007Origin Medsystems, Inc.Apparatus for placement of cardiac defibrillator and pacer
US7314475Nov 14, 2005Jan 1, 2008General Surgical Innovations, Inc.Extraluminal balloon dissection
US7384423Oct 8, 2002Jun 10, 2008Origin Medsystems, Inc.Tissue dissection method
US7398781Aug 9, 2000Jul 15, 2008Maquet Cardiovascular, LlcMethod for subxiphoid endoscopic access
US7526342Oct 29, 2003Apr 28, 2009Maquet Cardiovascular LlcApparatus for endoscopic cardiac mapping and lead placement
US7597698Jul 10, 2003Oct 6, 2009Maquet Cardiovascular LlcApparatus and method for endoscopic encirclement of pulmonary veins for epicardial ablation
US7867163Dec 12, 2008Jan 11, 2011Maquet Cardiovascular LlcInstrument and method for remotely manipulating a tissue structure
US7938842Oct 5, 1999May 10, 2011Maquet Cardiovascular LlcTissue dissector apparatus
US7959553Sep 30, 2008Jun 14, 2011Embro CorporationVein harvesting system and method
US7967835May 5, 2003Jun 28, 2011Tyco Healthcare Group LpApparatus for use in fascial cleft surgery for opening an anatomic space
US7972265Jul 21, 2004Jul 5, 2011Maquet Cardiovascular, LlcDevice and method for remote vessel ligation
US7981133Dec 21, 2007Jul 19, 2011Maquet Cardiovascular, LlcTissue dissection method
US8016850Oct 31, 2007Sep 13, 2011General Surgical Innovations, Inc.Extraluminal balloon dissection
US8048087Oct 15, 2007Nov 1, 2011Tyco Healthcare Group LpApparatus for use in fascial cleft surgery for opening an anatomic space
US8062323Sep 11, 2009Nov 22, 2011Tyco Healthcare Group LpExtraluminal balloon dissection
US8241210Jan 4, 2008Aug 14, 2012Maquet Cardiovascular LlcVessel retractor
US8323304Sep 1, 2011Dec 4, 2012Covidien LpExtraluminal balloon dissection
US8460331Apr 22, 2011Jun 11, 2013Maquet Cardiovascular, LlcTissue dissector apparatus and method
US8480696Jun 16, 2005Jul 9, 2013Medtronic, Inc.Minimally invasive coring vein harvester
US8579927Jan 13, 2012Nov 12, 2013Lemaitre Vascular, Inc.Systems and methods for remote endarterectomy
US8617192 *Feb 22, 2007Dec 31, 2013Bradley H. StraussGuide-wire sleeve for facilitation of lesion crossing
US8777835Jan 11, 2012Jul 15, 2014Embro CorporationVein harvesting system and method
USRE36043 *Jan 11, 1996Jan 12, 1999Embro Vascular, L.L.C.Endoscope and method for vein removal
DE3006170C2 *Feb 19, 1980Apr 8, 1982Aesculap-Werke Ag Vormals Jetter & Scheerer, 7200 Tuttlingen, DeTitle not available
EP0176957A2 *Sep 26, 1985Apr 9, 1986Ezra Dr. LevySurgical apparatus
WO1982003168A1 *Mar 12, 1982Sep 30, 1982Skjaerpe FinnMicrosurgical instrument
WO1995011633A1 *Oct 18, 1994May 4, 1995Cardiovascular Concepts IncAn instrument for loosening and cutting through the intima of a blood vessel, and a method therefor
WO1998002102A2 *Jul 11, 1997Jan 22, 1998Martin J KaplittEndarterectomy surgical instruments and procedure
WO1998030156A1 *Jan 14, 1998Jul 16, 1998Teramed IncMethod for forming custom length grafts after endoluminal insertion
WO2000021445A1 *Aug 20, 1999Apr 20, 2000Avatar Inc Vascular ArchitectsRemote endarterectomy ring stripper
Classifications
U.S. Classification606/159, D24/147, 606/167, 30/316
International ClassificationA61B17/32, A61B17/22
Cooperative ClassificationA61B17/32053, A61B17/320708, A61B17/00008, A61B2017/320741
European ClassificationA61B17/3205G, A61B17/3207C