The present disclosure generally relates to medical devices, and particularly to medical handheld devices used to assist with surgical procedures.
For surgical procedures, currently there are highly absorbent sponges. However, these sponges may not provide the friction necessary to dissect, which involves the ability to create shearing forces (blunt dissection) and, for example, accordingly, manipulate tissue. Products that do indeed provide shearing forces (peanuts, cotton tips and rosebud dissectors) are, however in contrast, generally poor at absorbing, which leads to having to use a lot of irrigation, cottonoid sponges, or other means of obtaining hemostasis. Thus, the use of separate devices, one to perform absorption and another to perform dissection, may lead to surgical inefficiency and risk, especially when it comes to surgery in small spaces (neurosurgery, ENT, ophthalmology etc.).
According to at least one exemplary embodiment, a single handheld medical dissector/absorber device performs both absorption and dissection concurrently during a surgical procedure. Such a single medical device may include an elongate handle having both an absorber component and dissector component attached at one end. The absorber and dissector components (or regions or areas) may be partially or fully concentric with respect to each other, such that a first portion of the dissector is located concentrically within the absorber, while a second portion of the dissector protrudes out of the end portion of the absorber. In operation, as the protruding second portion of the dissector performs a dissection of, for example, tissue, the absorber absorbs any fluid (e.g., blood) concurrently as the dissection is occurring.
According to at least one other exemplary embodiment, a single handheld medical dissector/absorber device performs both absorption and dissection concurrently during a surgical procedure. Such a single medical device may include an elongate handle having both an absorber component and dissector component attached at one end. The absorber and dissector components (or regions or areas) may be partially or fully concentric with respect to each other, such that the absorber is located concentrically within the dissector. In operation, as the dissector performs a dissection of, for example, tissue, the concentric inner absorber absorbs any fluid (e.g., blood) concurrently as the dissection is occurring.
Accordingly, the above-described embodiments associated with
In terms of dimensionality, the described and illustrated embodiments can be dimensionally scaled in accordance with the type of surgery being carried out. For example, dissector/absorber devices used for ophthalmology applications are going to be relatively smaller than those used for surgical procedures on larger anatomical organs.
The concurrent absorption and dissection referred to herein refers to any instant in time where, as tissue or other matter is being dissected, any resulting accumulated blood and/or other fluid is simultaneously absorbed.
Different materials can be used for the absorber and dissector components. The absorber’s absorbing properties can include PVA synthetic sponges that are composed of Polyvinyl Alcohol, which can include a wide arrange of pore sizes and water holding capacity. For example, characteristics such as pores per centimeter (PPC), density, smoothness, solids penetration, water absorption rate, abrasion resistance, squeezability (ease of water expulsion), water release speed, etc., are but some absorbing properties for an absorber. Absorber sponge technologies for medical applications are manufactured by companies such as RAMERFOAM TECHNOLOGY®. The dissector can be formed from smooth spun cotton (e.g., sterile %100 cotton). Such dissector materials can be found on ENDOSTIK® endoscopic sponges supplied by FABCO®. Example materials used for the dissector may include hydroxylated polyvinyl acetal.
As with
Referring back to
The medical dissector/absorber device 100 may include a handle 109 that includes a detachable handle portion 105 and a head portion 107 to which the absorber 102 and dissector 104 are coupled. The head portion 107 may be detached from, or attached to, the detachable handle portion 105 via a screw or a snap fit coupling 111. This allows for the replacement of the head portion 107 when the absorber 102 and/or the dissector 104 become worn to the point where a user/physician/surgeon determines that a new absorber 102 and/or the dissector 104 is needed. In such a scenario, the head portion 107 including the worn absorber 102 and/or worn dissector 104 may be replaced with a head portion 107 including a new absorber 102 and a new dissector 104. According to some embodiments, the handle 109 may be contemplated as a single elongate component to which the absorber 102 and dissector attach in the manner described. In this scenario, as the absorber 102 and/or dissector 104 become worn, the entire dissector/absorber device 100 is disposed of and replaced.
As depicted in
A cross section along A-A′ of the dissector/absorber device 100 is depicted according to two different examples, as shown by 110 and 115. According to example cross section 110, the absorber 102 includes a single absorption characteristic AC. However, according to example cross section 115, the absorber 102 may include multiple absorption characteristic regions having, for example, a first absorption characteristic AC1 and a second absorption characteristic AC2 that is different than the first absorption characteristic AC1.
In operation, based on the amount of fluid (e.g., blood) present for absorption, the dissector/absorber device 100 can be manipulated by a user/physician/surgeon to bring a lower absorption region (e.g., AC1) in contact with the fluid during the dissecting procedure. However, based on a relative increase in the among of fluid (e.g., blood) present for absorption, a user/physician/surgeon may rotate the detachable handle portion 105 of the dissector/absorber device 100 to now bring a higher absorption region (e.g., AC2) in contact with the increased fluid amount during the dissecting procedure.
A cross section along A-A′ of the dissector/absorber device 200 is depicted according to two different examples, as shown by 210 and 215. According to example cross section 210, the absorber 202 includes a single absorption characteristic AC. However, according to example cross section 215, the absorber 202 may include multiple absorption characteristic regions having, for example, a first absorption characteristic AC1 and a second absorption characteristic AC2 that is different than the first absorption characteristic AC1.
In operation, based on the among of fluid (e.g., blood) present for absorption, the dissector/absorber device 200 can be manipulated by a user/physician/surgeon to bring a lower absorption region (e.g., AC1) in contact with the fluid during the dissecting procedure. However, based on a relative increase in the among of fluid (e.g., blood) present for absorption, a user/physician/surgeon may rotate the detachable handle portion 205 of the dissector/absorber device 200 to now bring a higher absorption region (e.g., AC2) in contact with the increased fluid amount during the dissecting procedure. Upon actuation of the squeezing tongs 204a, 204b by a user/physician/surgeon, absorbed liquid is dispended from one or more regions (e.g., AC or AC1 and AC2) of absorber 202 based on the number of absorption regions incorporated within the absorber 202.
In operation, an absorber/dissector head-changing tray 314 (shown as a plan view) will retain the interchangeable/replaceable lower portion 311 of the device 300 using a hexagonal receptacle 316 configured to receive the hexagonal handle coupling portion 301. This is further illustrated using expanded-view 320, whereby the hexagonal handle coupling portion 301 is placed in and retained by the hexagonal receptacle 316 during a rotation movement of a detachable handle portion 305 of the handle 309. A user/physician/surgeon is thus able to screw-in or snap-in the detachable handle portion 305 of the handle 309 by rotating portion 305 into the head portion 307 of interchangeable/replaceable lower portion 311 while the interchangeable/replaceable lower portion 311 is retained by the hexagonal receptacle 316 of head-changing tray 314.
Similarly, the hexagonal profile of the hexagonal receptacle 316 of head-changing tray 314 and the hexagonal shape of the example coupling mechanism 301 can facilitate rotating the handle portion 305 out of the head portion 307 part of the interchangeable/replaceable lower portion 311 by keeping this lower portion 311 component stationary during the rotation of the handle portion 305 out of the head portion 307. This subsequently provides a decoupling of the handle portion 305 from the interchangeable/replaceable absorber 302 and dissector component 304 of the interchangeable/replaceable lower portion 311.
A cross section along A-A′ of the dissector/absorber device 400 is depicted according to two different examples, as shown by 415 and 420. According to example cross section 415, the absorber 402 includes a single absorption characteristic AC. However, according to example cross section 420, the absorber 402 may include multiple absorption characteristic regions having, for example, a first absorption characteristic AC1 and a second absorption characteristic AC2 that is different than the first absorption characteristic AC1.
In operation, based on the among of fluid (e.g., blood) present for absorption, the dissector/absorber device 400 can be manipulated by a user/physician/surgeon to bring a lower absorption region (e.g., AC1) in contact with the fluid during the dissecting procedure. However, based on a relative increase in the among of fluid (e.g., blood) present for absorption, a user/physician/surgeon may rotate the detachable handle portion 405 of the dissector/absorber device 400 to now bring a higher absorption region (e.g., AC2) in contact with the increased fluid amount during the dissecting procedure.
In operation, initially, a surgeon may rotate the handle 509 to bring the portion of the absorber having the desired absorbing property (e.g., region 502a having higher absorption) in contact with the fluid they wish to absorb. Subsequently, the surgeon may then rotate the handle 509 to bring the other portion of the absorber having a different absorbing property (e.g., region 502b having lower absorption) in contact with the fluid they wish to further absorb. Accordingly, to facilitate this, the different portions of the absorber having different absorption characteristics may, for example, include different colors to signify the difference between the absorbing properties.
A cross section along A-A′ of the dissector/absorber device 500 is depicted, as shown by 515. Accordingly, absorber region 502a may include one absorption characteristic AC1 while absorber region 502b may include another absorption characteristic AC2 that is different than the first absorption characteristic AC1.
While
The inner absorber 602 also further extends into a cavity region 605 of the handle portion 609 of the device, thus facilitating an increased absorption of liquid relative to if the device did not have such an extended absorber region within the handle 609. This can be particularly instrumental based on the relatively narrow channel width CH1 the absorber 602 forms at the tip portion of the absorber/dissector 600 relative to portion of the absorber 602 located within the cavity region 605 of the handle portion 609 (i.e., channel width CH2).
It may be appreciated that multiple absorption channels (e.g., two or more) and patterns of absorber channel (e.g., different channel width ratios, CH1/CH2, tapered channel cross-sections, etc.) associated with the absorber 602 can be comprehended based on the surgical process and the needs for absorbing and dissecting during a surgical procedure. As further depicted, a suction mechanism 620 can enable the removal of absorbed liquid from the absorber 602.
As blood or other fluid collects, the adjacent absorber 902, mainly the protruding region (PR) of the absorber 902, can be brought into contact with the collected blood on surface S by angularly manipulating the device in the direction of arrow B. As depicted, the protruding region (PR) and the absorber sponge (AS) of the absorber 902 collectively facilitate the absorption of blood and/or other fluid.
The housing of the absorber 902, in particular the absorption sponge (AS) within the cavity opening 922 of the handle portion 908 is further illustrated by the cross-section depiction 925 taken across A-A′. In some embodiments the protruding region (PR) and the absorber sponge (AS) of the absorber 902 include the same absorption characteristic (AC), while according to other embodiments, the protruding region (PR) and the absorber sponge (AS) of the absorber 902 may include different absorption characteristic (i.e., AC1 and AC2).
In order to facilitate the flexing of the protruding region (PR), the device 1000 includes a flex member 1015 that is located between (i.e., interfaced between) a region of the absorber sponge (AS) and the base of the absorber applicator 1010, as illustrated by the dashed white lines. The flex member 1015 may be a flexible elongate plastic that is adhered on its top side to the applicator 1010, while being adhered on its bottom side to the absorber sponge (AS). An expanded view of the illustrative flexing of the flex member based on actuating the absorber applicator 1010 in the direction of illustrative arrow Cis depicted at 1005.
The housing of the absorber 1002, in particular the absorption sponge (AS) within the cavity opening 1022 of the handle portion 1008 is further illustrated by the cross-section depiction 1025 taken across B-B′. In some embodiments the protruding region (PR) and the absorber sponge (AS) of the absorber 1002 include the same absorption characteristic (AC), while according to other embodiments, the protruding region (PR) and the absorber sponge (AS) of the absorber 1002 may include different absorption characteristic (i.e., AC1 and AC2).
As depicted, the protruding region (PR) and the absorber sponge (AS) of the absorber 1102 collectively facilitate the absorption of blood and/or other fluid based on at least the dissection. As the protruding region (PR) makes contact with the blood or fluid, the absorber sponge (AS) with its greater volume provides the bulk of the fluid absorption compared to the smaller protrusion region.
In some embodiments the protruding region (PR) and the absorber sponge (AS) of the absorber 1102 include the same absorption characteristic (AC), while according to other embodiments, the protruding region (PR) and the absorber sponge (AS) of the absorber 1102 may include different absorption characteristic (i.e., AC1 and AC2).
In operation, bending or flexing the flexible stem handle 1206 in the direction of arrow C facilitates an increased movement/manipulation of the protruding region PR of the absorber 1202 towards the surface S where blood or any other fluid may have collected. Thus, as blood or other fluid collects, the protruding region of the absorber can be brought into contact with the collected blood/fluid by: (i) angularly manipulating the device 1200 and/or (ii) flexing the flexible stem handle1206 (i.e., in the direction of arrow C) causing the protruding region PR to further flex toward the surface where the blood or fluid is or has collected. An illustrative flexing of the flexible stem handle 1206 in the direction of illustrative arrow C is depicted by 1205. In this embodiment, the thumb and index finger grip 1209 facilitates the manipulation of the device 1200 for dissecting and/or absorbing.
In some embodiments the protruding region (PR) and the absorber sponge (AS) of the absorber 1202 include the same absorption characteristic (AC), while according to other embodiments, the protruding region (PR) and the absorber sponge (AS) of the absorber 1202 include different absorption characteristic (i.e., AC1 and AC2).
In operation, bending or flexing the flexible stem handle 1306 in the direction of arrow C facilitates an increased movement/manipulation of the protruding region PR of the absorber towards the surface S where blood or any other fluid may have collected. Thus, as blood or other fluid collects, the protruding region of the absorber can be brought into contact with the collected blood/fluid by: (i) angularly manipulating the device 1300 and/or (ii) flexing the flexible stem handle 1306 by exerting force on the raised portion 1315 (i.e., in the direction of arrow C) causing the protruding region PR to further flex toward the surface where the blood or fluid is or has collected. The device of
In some embodiments the protruding region (PR) and the absorber sponge (AS) of the absorber 1302 include the same absorption characteristic (AC), while according to other embodiments, the protruding region (PR) and the absorber sponge (AS) of the absorber 1302 include different absorption characteristic (i.e., AC1 and AC2).
As depicted by the expanded view 1409 of the protrusion region PR, taken across cross section A-A′ of the absorber 1402, the protrusion region PR includes two protrusion fins or regions 1410a, 1410b (as opposed to a single protrusion). The two protrusion fins or regions 1410a, 1410b facilitate performing an additional absorption action by swiveling the stem 1406 (clockwise or anticlockwise, as indicated by illustrative arrows Ar) in a manner where blood or other liquid is absorbed as a result of the protrusion fins 1410a, 1410b rotatively and thus sequentially brushing over and contacting the blood and/or other liquid.
In some embodiments, both the protrusion fins 1410a, 1410b can include the same absorption properties (i.e., AC). According to other embodiments, each of the protrusion fins 1410a, 1410b can have different absorption properties (i.e., AC1 and AC2), allowing a user or surgeon to rotate the appropriate fin, 1410a or 1410b, into contact with blood and/or other liquid based on the required absorption. For example, if less absorption is needed, the fin with relatively less absorptive properties relative to the other fin is used. Conversely, if more absorption is required, the fin with relatively more absorptive properties relative to the other fin is used.
In the embodiments depicted in
As depicted by the expanded view 1509 of the protrusion region PR, taken across cross section A-A′ of the absorber 1502, the protrusion region PR includes four protrusion fins or regions 1510a, 1510b, 1510c, 1510d (as opposed to a single protrusion). The two protrusion fins or regions 1510a, 1510b, 1510c, 1510d facilitate performing an additional absorption action by swiveling the stem 1506 (clockwise or anticlockwise, as indicated by illustrative arrows Ar) in a manner where blood or other liquid is absorbed as a result of the protrusion fins 1510a, 1510b, 1510c, 1510d rotatively and thus sequentially brushing over and contacting the blood and/or other liquid.
In some embodiments, the protrusion fins 1510a, 1510b, 1510c, 1510d can include the same absorption properties (i.e., AC). According to other embodiments, each of the protrusion fins can have different absorption properties (i.e., AC1, AC2, AC3, AC4, or any combination thereof), allowing a user or surgeon to rotate the appropriate fin, 1510a, 1510b, 1510c, 1510d, into contact with blood and/or other liquid based on the required absorption. For example, if less absorption is needed, the fin with relatively less absorptive properties relative to the other fin is used. Conversely, if more absorption is required, the fin with relatively more absorptive properties relative to the other fin is used.
For example, fins 1510c and 1510d may include the same absorption characteristic AC1, while fins 1510a and 1510b may include the same absorption characteristic AC2, where AC1 and AC2 have different absorption characteristics. According to another example, fins 1510a, 1510b, 1510c, and 1510d may include absorption characteristic AC1, AC2, AC3, and AC4, respectively, whereby AC1, AC2, AC3, and AC4 all have different absorption characteristics. In other embodiments, for example, fins 1510a, 1510b, 1510c, and 1510d may all include the same absorption characteristic AC.
The devices of the present disclosure can be made of any suitable materials such as surgical stainless steel, titanium, carbon fiber plastic, etc. Also, reference to adhered or adhering in the context of the present disclosure includes any suitable means of coupling such as glue, adhesive, complementary snap-fit assemblies, Velcro, etc.
Absorption characteristics may include any property of a material that describes, among other things, the amount and/or rate at which it can absorb liquid. For example, characteristics such as pores per centimeter (PPC), density, smoothness, solids penetration, water absorption rate, abrasion resistance, squeezability (ease of water expulsion), water release speed, etc., are but some exemplary absorbing characteristics for an absorber.
This application claims the benefit under 35 U.S.C 119 from provisional application no. 63/340,195, filed May 10th, 2022, incorporated by reference herein in its entirety.
Number | Date | Country | |
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63340195 | May 2022 | US |