In some instances, it may be desirable to operate within or adjacent to an anatomical passageway of a patient, such as performing an incision of mucosa, removal of bone, or dilation of an anatomical passageway. Such operations may occur within anatomical passageways such as ostia of paranasal sinuses (e.g., to treat sinusitis), the larynx, the Eustachian tube, or other passageways within the car, nose, or throat, etc. In addition to the above-described operations, or similar operations, it may be desirable to apply suction and/or irrigation within or adjacent to an anatomical passageway before, during, or after the above-described operations, or similar operations. One method of applying suction within or adjacent to an anatomical passageway of a patient involves obtaining a suction device having an elongate shaft defining a lumen terminating at an open distal end of the elongate shaft, where the lumen is in fluid communication with an external suction source. An operator may then insert the distal end of the elongate shaft within the nostril or mouth of a patient toward a desired location within the patient. With the distal end of the elongate shaft inserted within the patient, an operator may manipulate the suction device and/or suction source in order to remove extraneous and/or undesired matter near or within an anatomical passageway of a patient. Applying suction and/or irrigation during an operation may be beneficial for multiple purposes as will be apparent to those skilled in the art.
Image-guided surgery (IGS) is a technique where a computer is used to obtain a real-time correlation of the location of an instrument that has been inserted into a patient's body to a set of preoperatively obtained images (e.g., a CT or MRI scan, 3-D map, etc.), such that the computer system may superimpose the current location of the instrument on the preoperatively obtained images. An example of an electromagnetic IGS navigation system that may be used in IGS procedures is the TRUDI® Navigation System by Acclarent, Inc., of Irvine, California. In some IGS procedures, a digital tomographic scan (e.g., CT or MRI, 3-D map, etc.) of the operative field is obtained prior to surgery. A specially programmed computer is then used to convert the digital tomographic scan data into a digital map. During surgery, some instruments can include sensors (e.g., electromagnetic coils that emit electromagnetic fields and/or are responsive to externally generated electromagnetic fields), which can be used to perform the procedure while the sensors send data to the computer indicating the current position of each sensor-equipped instrument. The computer correlates the data it receives from the sensors with the digital map that was created from the preoperative tomographic scan. The tomographic scan images are displayed on a video monitor along with an indicator (e.g., crosshairs or an illuminated dot, etc.) showing the real-time position of each surgical instrument relative to the anatomical structures shown in the scan images. The surgeon is thus able to know the precise position of each sensor-equipped instrument by viewing the video monitor even if the surgeon is unable to directly visualize the instrument itself at its current location within the body.
It may be desirable to provide features that further facilitate the use of a suction device in ENT procedures and other medical procedures and, in some instances, in conjunction with an IGS navigation system. While several systems and methods have been made and used with respect to IGS and ENT surgery, it is believed that no one prior to the inventors has made or used the inventions described in the appended claims.
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the inventions, and, together with the general description of the inventions given above, and the detailed description of the embodiments given below, serve to explain the principles of the present inventions.
The drawings are not intended to be limiting in any way, and it is contemplated that various embodiments of the inventions may be carried out in a variety of other ways, including those not necessarily depicted in the drawings. The accompanying drawings incorporated in and forming a part of the specification illustrate several aspects of the present inventions, and together with the description serve to explain the principles of the inventions. It being understood, however, that these inventions are not limited to the precise arrangements shown.
The following description of certain examples of the inventions should not be used to limit the scope of the present inventions. Other examples, features, aspects, embodiments, and advantages of the inventions will become apparent to those skilled in the art from the following description, which is by way of illustration, one of the best modes contemplated for carrying out the inventions. As will be realized, the inventions are capable of other different and obvious aspects, all without departing from the inventions. Accordingly, the drawings and descriptions should be regarded as illustrative in nature and not restrictive.
For clarity of disclosure, the terms “proximal” and “distal” are defined herein relative to a surgeon, or other operator, grasping a surgical instrument having a distal surgical end effector. The term “proximal” refers to the position of an element arranged closer to the surgeon, and the term “distal” refers to the position of an element arranged closer to the surgical end effector of the surgical instrument and further away from the surgeon. Moreover, to the extent that spatial terms such as “top,” “bottom,” “upper,” “lower,” “vertical,” “horizontal,” or the like are used herein with reference to the drawings, it will be appreciated that such terms are used for illustrative description purposes only and are not intended to be limiting or absolute. In that regard, it will be understood that surgical instruments such as those disclosed herein may be used in a variety of orientations and positions not limited to those shown and described herein.
As used herein, the terms “about” and “approximately” for any numerical values or ranges are intended to encompass the exact value(s) referenced as well as a suitable dimensional tolerance that allows the part or collection of components to function for its intended purpose as described herein.
When performing a medical procedure within a head of a patient (P), it may be desirable to have information regarding the position of an instrument within the head (H) of the patient (P), particularly when the instrument is in a location where it is difficult or impossible to obtain an endoscopic view of a working element of the instrument within the head of the patient (P).
The IGS navigation system 50 of the present example comprises a field generator assembly 60, which comprises a set of magnetic field generators 64 that are integrated into a horseshoe-shaped frame 62. The field generators 64 are operable to generate alternating magnetic fields of different frequencies around the head (H) of the patient (P). An instrument may be inserted into the head (H) of the patient (P). Such an instrument may include one or more position sensors, as described in greater detail below. In the present example, the frame 62 is mounted to a chair 70, with the patient (P) being seated in the chair 70 such that the frame 62 is located adjacent to the head (H) of the patient (P). By way of example only, the chair 70 and/or the field generator assembly 60 may be configured and operable in accordance with at least some of the teachings of U.S. Pat. No. 10,561,370, entitled “Apparatus to Secure Field Generating Device to Chair,” issued Feb. 18, 2020. The disclosure of U.S. Pat. No. 10,561,370, entitled “Apparatus to Secure Field Generating Device to Chair,” issued Feb. 18, 2020, is incorporated by reference herein in its entirety. In some other variations, the patient (P) lies on a table, and the field generator assembly 60 is positioned on or near the table.
The IGS navigation system 50 of the present example further comprises a processor 52, which controls the field generators 64 and other elements of the IGS navigation system 50. For instance, the processor 52 is operable to drive the field generators 64 to generate alternating electromagnetic fields and process signals from the instrument to determine the location of a position sensor in the instrument within the head (H) of the patient (P). The processor 52 comprises a processing unit (e.g., a set of electronic circuits arranged to evaluate and execute software instructions using combinational logic circuitry or other similar circuitry) communicating with one or more memories. The processor 52 of the present example is mounted in a console 58, which comprises the operating controls 54 that include a keypad and/or a pointing device such as a mouse or trackball. A physician uses the operating controls 54 to interact with the processor 52 while performing the surgical procedure.
While not shown, the instrument may include a position sensor that is responsive to positioning within the alternating magnetic fields generated by the field generators 64. A coupling unit (not shown) may be secured to the proximal end of the instrument and may be configured to provide communication of data and other signals between the console 58 and the instrument. The coupling unit may provide wired or wireless communication of data and other signals.
In some versions, the position sensor of the instrument may comprise at least one coil at or near the distal end of the instrument. When such a coil is positioned within an alternating electromagnetic field generated by the field generators 64, the alternating magnetic field may generate electrical current in the coil, and this electrical current may be communicated along the electrical conduit(s) in the instrument and further to the processor 52 via the coupling unit. This phenomenon may enable the IGS navigation system 50 to determine the location of the distal end of the instrument within a three-dimensional space (i.e., within the head (H) of the patient (P), etc.). To accomplish this, the processor 52 executes an algorithm to calculate location coordinates of the distal end of the instrument from the position-related signals of the coil(s) in the instrument. Thus, a navigation sensor may serve as a position sensor by generating signals indicating the real-time position of the sensor within a three-dimensional space.
The processor 52 uses software stored in a memory of the processor 52 to calibrate and operate the IGS navigation system 50. Such operation includes driving the field generators 64, processing data from the instrument, processing data from the operating controls 54, and driving the display screen 56. In some implementations, operation may also include monitoring and enforcement of one or more safety features or functions of the IGS navigation system 50. The processor 52 is further operable to provide video in real-time via the display screen 56, showing the position of the distal end of the instrument in relation to a video camera image of the patient's head (H), a CT scan image of the patient's head (H), and/or a computer-generated, three-dimensional model of the anatomy within and adjacent to the patient's nasal cavity. The display screen 56 may display such images simultaneously and/or superimposed on each other during the surgical procedure. Such displayed images may also include graphical representations of instruments that are inserted in the patient's head (H), such that the operator may view the virtual rendering of the instrument at its actual location in real-time. By way of example only, the display screen 56 may provide images in accordance with at least some of the teachings of U.S. Pat. No. 10,463,242, entitled “Guidewire Navigation for Sinuplasty,” issued Nov. 5, 2019. The disclosure of U.S. Pat. No. 10,463,242, entitled “Guidewire Navigation for Sinuplasty,” issued Nov. 5, 2019, is incorporated by reference herein, in its entirety. In the event that the operator is also using an endoscope, the endoscopic image may also be provided on the display screen 56.
The images provided through the display screen 56 may help guide the operator in maneuvering and otherwise manipulating instruments within the patient's head (H). It should also be understood that other components of a surgical instrument and other kinds of surgical instruments, as described below, may incorporate a navigation sensor like the navigation sensor described above.
Various surgical procedures may warrant the use of a suction instrument in order to clear fluids and/or debris from the surgical field and/or from other sites within a patient. For instance, suction may be desirable in FESS procedures, sinuplasty procedures, and/or in various other ENT procedures. In some instances during a surgical procedure, debris and/or fluids cleared may inadvertently block, clog, or otherwise inhibit fluid communication from a portion of the suction instrument and the suction source. In such instances, suction may not be suitably communicated at the open distal tip of a suction instrument. Therefore, it may be desirable to provide quick and easy access to interior portions of the suction instrument where undesirable fluid communication blockages are prone to occur. Further, it may be desirable to provide an intuitive and easy means of allowing a user of the surgical instrument to control the amount of suction being provided at the open distal tip.
The shaft assembly 160 includes an elongate cannula body 162 extending from the proximal end 164 to the open distal tip 166, with an intermediate bend 168 interposed therebetween. The cannula body 162 defines a lumen 165 extending from the open distal tip 166 to the proximal end 164. In the current example, the cannula body 162 is substantially rigid such that the distal end of the cannula body 162 (including the open distal tip 166) is configured to be inserted, transnasally or otherwise, within or adjacent to a nasal cavity of a patient (or elsewhere within a patient) to provide suction at a selected surgical site via the open distal tip 166 and the lumen 165. During an example of use, when the handle assembly 110 is fully assembled, the lumen 165 of the cannula body 162 is in fluid communication with a suitable suction source 106 via pathways defined by the handle assembly 110 and the fluid conduit 108 such that the open distal tip 166 is operable to provide suction during surgical procedures.
The sensor assembly 170 includes a navigation sensor 172, a communication line 174, a cable 102, and a connector 104. The communication line 174 extends from the navigation sensor 172, along the length of the cannula body 162, within a portion of the handle assembly 110, and into communication with the cable 102. The cable 102 extends away from the handle assembly 110 and terminates into the connector 104, which is configured to establish communication with the IGS navigation system 50 during an example of use.
The communication line 174 may include a plurality of electrical communication paths extending through the cannula body 162, into the handle assembly 110, and in communication with the cable 102. Such electrical communication paths may take on a variety of forms. For instance, in some examples, such electrical communication paths may be configured as traces on a flexible printed circuit board or flex circuit attached to (e.g., on the inner diameter or outer diameter) or embedded within a portion of the cannula body 162. In other examples, such electrical communication paths may be configured as a plurality of wires extending through and/or along the cannula body 162. Such wires may likewise be attached to or embedded within a portion of the cannula body 162. Alternatively, in some examples, the cannula body 162 may be configured to define one or more dedicated lumens configured to receive one or more of such wires. Of course, various other means of facilitating electrical communication paths through the cannula body 162 and/or the handle assembly 110 will be apparent to those of ordinary skill in the art in view of the teachings herein.
The navigation sensor 172 is attached to the cannula body 162 at a location proximal to the open distal tip 166. The navigation sensor 172 is configured to provide a signal indicative of its position in response to the alternating magnetic field generated by the field generators 64 of the IGS navigation system 50. The navigation sensor 172 is operable to communicate signals to the console 20 of the IGS navigation system 50 via the communication line 174, the cable 102, and the connector 104. Based on these signals, and the known spatial relationship of the navigation sensor 172 relative to the open distal tip 166, the processor 18 may execute an algorithm to determine a three-dimensional spatial location of the distal end of the cannula assembly 160 relative to the anatomy of patient (P). While one sensor 172 is used in the current example, any suitable number of the navigation sensors 172 may be utilized as would be apparent to one skilled in the art in view of the teachings herein. Such sensors 172 may be located at suitable locations along the cannula body 162 and/or other suitable component of the instrument 100 as would be apparent to one skilled in the art in view of the teachings herein.
As mentioned above, the handle assembly 110 includes the removable fluid coupling body 112 and the grasping portion 130 configured to selectively couple and decouple from each other in order to provide quick and easy access to interior portions therefore, as well as the lumen 165 at the proximal end 164 of the cannula body 162.
Turning to
The proximal fluid source coupling 116 may include any suitable structures as would be apparent to one skilled in the art in view of the teachings herein. For example, the proximal fluid source coupling 116 may include barbed features, a luer fitting, etc. The suction source 106 may include a vacuum pump and a fluid reservoir, among other components readily apparent to persons of ordinary skill in the art, and is configured to provide enough suction at a surgical site to pull excess fluid and/or debris proximally through the suction instrument 100.
The distal handle attachment coupling 118 includes an annular base 120 and a plurality of projections 122 extending radially away from the annular base 120. As shown in
The projections 122 of the distal handle attachment coupling 118 are configured to form a bayonet fitting with a proximal coupling end 140 (see
Turning to
In the current example, an outer surface of the deformable body 132 defines a suction control opening 135. A user may place their finger over all or portions of the suction control opening 135 in order to control the amount of suction transmitted to the open distal tip 166 of the shaft assembly 160.
As mentioned above, the projections 122 (see
As shown between
Next, as shown between
As mentioned above, in some instances during a surgical procedure, debris and/or fluids may inadvertently block, clog, or otherwise inhibit fluid communication from a portion of the suction instrument and the suction source. If a user encounters such a blockage in suction while using the instrument 100 in accordance with the description herein, the user may decouple the removable fluid coupling body 112 from the grasping portion 130 by rotating protections 122 into alignment with a respective access recess 142 (i.e. as shown from
With the fluid communication chamber 138 and the lumen 115 exposed, a user may visually inspect the interior sections of the handle assembly 110, along with a proximal portion of the elongate tubular body 162 to determine if any obstructions are present. Next, the user may remove the obstructions and recouple the removable fluid coupling body 112 with the grasping portion 130, in accordance with the teaching herein. Therefore, it should be understood that the handle assembly 110 provides for an ability to remove unwanted debris obstructing fluid communication between the suction source 106 and the open distal tip 166 of the shaft assembly 160 during a surgical procedure.
While the removable fluid coupling body 112 and the grasping portion 130 are configured to selectively attach with one another via a bayonet fitting, any other suitable means for selectively attaching the fluid coupling body 112 and the grasping portion 130 may be utilized as would be apparent to one skilled in the art in view of the teachings herein. For example, resilient latches may be used to selectively couple the fluid coupling body 112 and the grasping portion 130.
As mentioned above, the deformable body 132 may be compressed, expanded, or otherwise deformed by a user while the open distal tip 166 is applying suction at a suitable location during an example of use. Deformation of the body 132 may alter the geometry of the fluid communication chamber 138, which in turn may alter the amount of suction communicated to the open distal tip 166 during an example of use. Therefore, as shown between
As also shown in
In some instances, it may be desirable to have a section instrument including a combination of reusable components and disposable components, where the reusable components may be sterilized between uses, and the disposable components may be discarded or otherwise reprocessed after a single use (or a predetermined amount of uses).
In some instances, where a suction instrument is configured to be used in conjunction with the IGS navigation system 50, it may be desirable to have a suction instrument with interchangeable shaft assemblies that may each operatively couple with a common support structure as well as the IGS navigation system 50. In such instances, it may be desirable to store a calibration profile of a specific interchangeable shaft assembly on electronics associated with the interchangeable shaft assembly. A calibration profile for a specific interchangeable shaft assembly may include, but is not limited to, the shape and bend angle of the specific shaft assembly, the distance between an open distal tip and a navigation sensor of the interchangeable shaft assembly, the sensitivity of the navigation sensor(s) of the interchangeable shaft assembly, and other suitable data, as would be apparent to one skilled in the art in view of the teachings herein.
Storing a calibration profile on electronics housed within the interchangeable shaft assembly may allow for a reusable cable configured to selectively provide communication between a sensor assembly of the interchangeable shaft assembly and the navigation system 50. Such a reusable cable may be operable to transmit sensor signal without being required to store calibration data of the shaft assembly being used, thereby permitting use of multiple interchangeable shaft assemblies with the IGS navigation system 50 without the need of including an interchangeable cable.
Turning to
The elongate cannula body 262 extends distally from the proximal attachment body 264. The lumen 265 is in fluid communication with an interior of the proximal attachment body 264. When the proximal attachment body 264 is suitably attached to the reusable fluid coupling body 212 in accordance with the description herein, the lumen 265 is in fluid communication with a lumen 215 defined by reusable fluid coupling body 212. As will be described greater detail below, the fluid coupling body 212 is configured to fluidly couple with the suction source 106 via the fluid conduit 108. Therefore, during an example of use, the suction source 106 may generate suction at the open distal tip 266 via the lumens 265, 215 and the fluid conduit 108.
The sensor assembly 270 includes a sensor 272 and the communication line 274, which may be substantially similar to the sensor 172 and the communication line 174 described above, with differences elaborated herein. Instead of the communication line 274 being directly coupled to a cable and a connector configured to establish communication with the IGS navigation system 50, the communication line 274 operatively extends between the sensor 272 and the programmable memory unit 276 that is housed within the proximal attachment body 264. The communication line 274 is also in communication with a male connector 278 configured to suitably mate with a female connector 248 of the reusable cable 240. When suitably coupled, connectors 278, 248 allow information from the sensor 272 and/or the programmable memory unit 276 to be transferred to the IGS navigation system 50 during an example of use in accordance with the described herein. While in the current example, the connector 278 of the sensor assembly 270 is a male connector and the connector 248 is a female connector, this is merely optional. In some instances, the connector 278 is the female connector and the connector 248 of the reusable cable 240 is the male connector. Of course, the connectors 248, 278 may take on any other suitable structures as would be apparent to one skilled in the art in view of the teachings herein.
As mentioned above, the programmable memory unit 276 stores a suitable calibration profile of the disposable shaft assembly 260, which may include the geometric information (e.g., shape, bend angle, dimensions) of the elongate cannula body 262, specific data related to the sensor(s) 272, etc. The calibration profile stored on the programmable memory unit 276 may be communicated to the IGS navigation system 50 in accordance with the description herein such that the IGS navigation system 50 may suitably utilize data provided by the sensor 272 during an example of use in accordance with the description herein.
With the programmable memory unit 276 storing data related to a specific the disposable shaft assembly 260, a plurality of disposable shaft assemblies 260 having varying geometric features and/or sensors 272 may be readily attached to the reusable fluid coupling body 212 and the reusable cable 240 in order to function as the suction instrument 200 while still being operable for use in conjunction with the IGS navigation system 50. Further, with calibration data stored on the memory unit 276, the reusable cable 240 may not be required to store such data. Therefore, the reusable cable 240 may be operable to couple with a variety of different disposable shaft assemblies 260 having a variety of profiles and configurations. This may simplify the components required for the reusable cable 240 to function as a communication intermediary between the IGS navigation system 50 and the disposable shaft assembly 260.
The programmable memory unit 276 may have any suitable structure/features as would be apparent to one skilled in the art in view of the teachings herein. For example, the programmable memory unit 276 may include electrically erasable programmable read-only memory (EEPROM). Additionally, or alternatively, the programmable memory unit 276 may include a PCB board. In instances where EEPROM and PCB board are present, such components may be in communication with each other.
As mentioned above, the elongate cannula body 262 extends distally from the proximal attachment body 264. The proximal attachment body 264 is configured to selectively attach to both the reusable fluid coupling body 212 and the reusable cable 240 in order to form the handle assembly 210. Therefore, the proximal attachment body 264 acts as a mechanical support for the elongate cannula body 262. The proximal attachment body 264 may be formed of any suitable material using any suitable technique as would be apparent to one skilled in the art in view of the teachings herein. For example, the proximal attachment body 263 may be formed with injection molded plastic.
As shown in
The receiving slots 282 are dimensioned to receive the lateral projections 222 (see
As mentioned above, the reusable fluid coupling body 212 includes a fluid communication body 214 defining a lumen 215 that extends between a distal end and the proximal fluid source coupling 216. The suction control opening 218 provides communication between the lumen 215 and an exterior of the fluid communication body 214. The suction control opening 218 thereby functions in a substantially similar manner to the suction control opening 135 described above. As also mentioned above, the reusable fluid coupling body 212 also includes the lateral projections 222 and the snap-fit features 224, which are configured to allow the reusable fluid coupling body 212 to selectively attach to the proximal attachment body 264 of the disposable shaft assembly 260.
The reusable fluid coupling body 212 also includes a cable docking station 230 configured to selectively receive the reusable cable 240 (see
Turning to
In some instances, the proximally extending cable 202 may be a component of the reusable cable 240. In some instances, the connector 204 may also be a component of the reusable cable 240. The cable 202 and the connector 204 may function in a substantially similar manner to the cable 102 and the connector 104 described above, with differences elaborated herein. Therefore, the cable 202 and the connector 204 are configured to establish communication with suitable components of the IGS navigation system 50. The reusable cable 240 may be formed of suitable materials such that the reusable cable 240 is wipe down compatible, thereby allowing the reusable cable 240 to be suitably sterilized after an example of use in preparation for use in another procedure. Additionally, or alternatively, the reusable cable 240 may be formed of suitable material allowing for gamma ray sterilization or ETO, thereby allowing the reusable cable 240 to be suitably sterilized after an example of use in preparation for use in another procedure.
At least a portion of the grasping body 244 is dimensioned to be housed within the central housing channel defined by the cable docking station 230, while the lateral coupling bodies 246 are dimensioned to be housed within respective receiving slots 232.
Next, as shown in
Once the handle assembly 210 is formed as shown in
The following examples relate to various non-exhaustive ways in which the teachings herein may be combined or applied. It should be understood that the following examples are not intended to restrict the coverage of any claims that may be presented at any time in this application or in subsequent filings of this application. No disclaimer is intended. The following examples are being provided for nothing more than merely illustrative purposes. It is contemplated that the various teachings herein may be arranged and applied in numerous other ways. It is also contemplated that some variations may omit certain features referred to in the below examples. Therefore, none of the aspects or features referred to below should be deemed critical unless otherwise explicitly indicated as such at a later date by the inventors or by a successor in interest to the inventors. If any claims are presented in this application or in subsequent filings related to this application that include additional features beyond those referred to below, those additional features shall not be presumed to have been added for any reason relating to patentability.
Example 1: A suction instrument, comprising: (a) an elongate cannula comprising a proximal portion and a distal portion, the distal portion being configured to be positioned within or adjacent to an anatomical passageway of a patient, the elongate cannula defining a suction lumen in fluid communication with the distal portion, the suction lumen being configured to provide suction at the distal portion of the elongate cannula; and (b) a handle assembly associated with the proximal portion of the elongate cannula, the handle assembly comprising a deformable grasping body defining a fluid communication chamber, the fluid communication chamber being in fluid communication with the suction lumen of the elongate cannula such that the fluid communication chamber is configured to provide suction to the suction lumen, the deformable grasping body being configured to elastically deform between a relaxed state and a compressed state in order to alter the fluid communication between the fluid communication chamber and the suction lumen.
Example 2: The suction instrument of Example 1, further comprising a fluid rate mechanism configured to assist the deformable grasping body in altering the fluid communication between the fluid communication chamber and the suction lumen.
Example 3: The suction instrument of any of Examples 1 through 2, the fluid communication between the fluid communication chamber and the suction lumen being a first amount while the deformable grasping body is in the relaxed state, the fluid communication between the fluid communication chamber and the suction lumen being a second amount while the deformable grasping body is in the compressed state, the first amount being greater than the second amount.
Example 4: The suction instrument of any of Examples 1 through 2, the fluid communication between the fluid communication chamber and the suction lumen being a first amount while the deformable grasping body is in the relaxed state, the fluid communication between the fluid communication chamber and the suction lumen being a second amount while the deformable grasping body is in the compressed state, the first amount being less than the second amount.
Example 5: The suction instrument of any of Examples 1 through 4, the handle assembly further comprising a removable fluid coupling body configured to selectively attach to the deformable body.
Example 6: The suction instrument of Example 5, the deformable grasping body and the removable fluid coupling body being configured to selectively attach to each other via a bayonet fitting.
Example 7: The suction instrument of any of Examples 5 through 6, further comprising a fluid tight seal interposed between the removable fluid coupling body and the deformable grasping body.
Example 8: The suction instrument of any of Examples 1 through 7, the elongate cannula comprising an intermediate bend located between the proximal portion and the distal portion.
Example 9: The suction instrument of any of Examples 1 through 8, the elongate cannula being formed of a rigid material.
Example 10: A suction instrument, comprising: (a) an elongate cannula comprising a proximal portion and a distal portion, the distal portion being configured to be positioned within or adjacent to an anatomical passageway of a patient, the elongate cannula defining a suction lumen in fluid communication with the distal portion, the suction lumen being configured to provide suction at the distal portion of the elongate cannula; (b) a handle assembly comprising: (i) a grasping body, the proximal portion of the elongate cannula extending distally from the grasping body, the grasping body comprising an open proximal end defining a fluid communication chamber, the fluid communication chamber being in fluid communication with the suction lumen of the elongate cannula such that the fluid communication chamber is configured to provide suction to the suction lumen, (ii) a removable fluid coupling body configured to removably couple with the grasping body between an attached configuration and a detached configuration, the removable fluid coupling body, while in the attached configuration, being configured to couple the grasping body with a suction source such that the suction source may communicate suction to the distal portion of the elongate cannula, the removable fluid coupling body, while in the detached configuration, being configured to expose the fluid communication chamber at the open proximal end of the grasping body to thereby provide access to the fluid communication chamber.
Example 11: The suction instrument of Example 10, the grasping body defines a suction control opening configured to alter the amount of fluid communication between the fluid communication chamber and the suction lumen of the elongate cannula.
Example 12: The suction instrument of any of Examples 10 through 11, the grasping body is formed of a resiliently deformable material.
Example 13: The suction instrument of Example 12, the grasping body configured to deform to alter an amount of fluid communication between the fluid communication chamber and the suction lumen of the elongate cannula.
Example 14: The suction instrument of any of Examples 10 through 13, the grasping body comprising a fluid rate mechanism housed within the fluid communication chamber.
Example 15: The suction instrument of any of Examples 10 through 14, the removable fluid coupling body and the grasping body being configured to removably couple via bayonet fitting.
Example 16: The suction instrument of Example 15, the removable fluid coupling body comprising at least one projection dimensioned to be house within a bayonet slot defined by the grasping body.
Example 17: A suction instrument, comprising: (a) a shaft assembly, the shaft assembly comprising: (i) an elongate cannula comprising a proximal portion and a distal portion, the distal portion being configured to be positioned within or adjacent to an anatomical passageway of a patient, the elongate cannula defining a suction lumen in fluid communication with the distal portion, the suction lumen being configured to provide suction at the distal portion of the elongate cannula, (ii) a proximal attachment body attached to the proximal portion of the elongate cannula, the proximal attachment body defining a first receiving slot, (iii) a navigation assembly, comprising: (A) a navigation sensor, (B) a programmable memory unit being in communication with the navigation assembly, the programmable memory unit comprising a navigation sensor profile, and (C) a first connector fixed to the proximal attachment body, the first connector being in communication with both the programmable memory unit and the navigation sensor; (b) a reusable cable comprising a second connector configured to selectively couple with the first connector, the reusable cable being configured to establish communication between the navigation assembly and a navigation system; and (c) a reusable fluid coupling body configured to establish fluid communication between a suction source and the suction lumen of the elongate cannula of the shaft assembly, the reusable fluid coupling body comprising at least one protrusion dimensioned to fit within the first receiving slot of the proximal attachment body to thereby selectively attach the reusable fluid coupling body and the proximal attachment body of the shaft assembly, the reusable fluid coupling body comprising a cable docking station configured to house the reusable cable while the reusable fluid coupling body is selectively attached to proximal attachment body.
Example 18: The suction instrument of Example 17, the reusable fluid coupling body comprising a snap-fit feature, the proximal attachment body comprising a protrusion dimensioned to fit within the snap-fit feature to inhibit the reusable fluid coupling body from disassociating with the proximal attachment body.
Example 19: The suction instrument of any of Examples 17 through 18, the program memory unit further comprising an electrically erasable programmable read-only memory.
Example 20: The suction instrument of any of Examples 17 through 19, the reusable cable comprising a pair of lateral coupling bodies dimensioned to be received within the cable docking station of the reusable fluid coupling body.
Example 21: The suction instrument of any of Examples 17 through 20, the programmable memory unit being housed within the proximal attachment body.
It should be understood that any one or more of the teachings, expressions, embodiments, examples, etc. described herein may be combined with any one or more of the other teachings, expressions, embodiments, examples, etc. that are described herein. The above-described teachings, expressions, embodiments, examples, etc. should therefore not be viewed in isolation relative to each other. Various suitable ways in which the teachings herein may be combined will be readily apparent to those of ordinary skill in the art in view of the teachings herein. Such modifications and variations are intended to be included within the scope of the claims.
It should be appreciated that any patent, publication, or other disclosure material, in whole or in part, that is said to be incorporated by reference herein is incorporated herein only to the extent that the incorporated material does not conflict with existing definitions, statements, or other disclosure material set forth in this disclosure. As such, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated by reference herein, but which conflicts with existing definitions, statements, or other disclosure material set forth herein will only be incorporated to the extent that no conflict arises between that incorporated material and the existing disclosure material.
Versions of the devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. Versions may, in either or both cases, be reconditioned for reuse after at least one use. Reconditioning may include any combination of the steps of disassembly of the device, followed by cleaning or replacement of particular pieces, and subsequent reassembly. In particular, versions of the device may be disassembled, and any number of the particular pieces or parts of the device may be selectively replaced or removed in any combination. Upon cleaning and/or replacement of particular parts, versions of the device may be reassembled for subsequent use either at a reconditioning facility, or by a surgical team immediately prior to a surgical procedure. Those skilled in the art will appreciate that reconditioning of a device may utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. Use of such techniques, and the resulting reconditioned device, are all within the scope of the present application.
By way of example only, versions described herein may be processed before surgery. First, a new or used instrument may be obtained and if necessary cleaned. In some instances, the instrument may be placed in a reprocessing tray (e.g., a metal bin or basket) and then cleaned in a surgical instrument washer. The instrument may then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument may then be placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, or high-energy electrons. The radiation may kill bacteria on the instrument and in the container. The sterilized instrument may then be stored in the sterile container. The sealed container may keep the instrument sterile until it is opened in a surgical facility. A device may also be sterilized using any other technique known in the art, including but not limited to beta or gamma radiation, ethylene oxide, steam, hydrogen peroxide vapor (e.g., via a STERRAD sterilization system by Advanced Sterilization Products of Irvine, California), and/or using any other suitable systems or techniques.
Having shown and described various versions of the present inventions, further adaptations of the methods and systems described herein may be accomplished by appropriate modifications by one of ordinary skill in the art without departing from the scope of the present inventions. Several of such potential modifications have been mentioned, and others will be apparent to those skilled in the art. For instance, the examples, versions, geometrics, materials, dimensions, ratios, steps, and the like discussed above are illustrative and are not required. Accordingly, the scope of the present inventions should be considered in terms of the following claims and is understood not to be limited to the details of structure and operation shown and described in the specification and drawings.
This application claims the benefit of U.S. Provisional Application No. 63/540,129, filed Sep. 25, 2023, the entirety of which is incorporated herein by reference.
Number | Date | Country | |
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63540129 | Sep 2023 | US |