# US 10,441,255 B2 · Multiple purpose surgical instruments

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- Number: US 10,441,255 B2
- Document ID: US10441255B2
- Status: Granted
- Kind: B2
- Application number: 15/180,861
- Filed: 2016-06-13
- Published: 2016-09-29
- Granted: 2019-10-15
- Earliest claimed: 2010-09-07
- Applicants: Stephan V. Yacoubian
- Inventors: Stephan V. Yacoubian
- Web page: https://patentgrep.com/patent/US10441255B2

## CPC

- A61B 17/32002: {with continuously rotating, oscillating or reciprocating cutting instruments}
- A61B 1/0625: {for multiple fixed illumination angles}
- A61B 1/3132: {for laparoscopy}
- A61B 1/317: for bones or joints, e.g. osteoscopes or arthroscopes
- A61B 5/1075: {for measuring dimensions by non-invasive methods, e.g. for determining thickness of tissue layer (A61B8/0858 takes precedence)}
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/1703: {using imaging means, e.g. by X-rays}
- A61B 90/06: {Measuring instruments not otherwise provided for}
- A61B 2017/00353: {one mechanical instrument performing multiple functions, e.g. cutting and grasping}
- A61B 2017/320024: {Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue}
- A61B 2018/00577: {Ablation}
- A61B 2090/061: {for measuring dimensions, e.g. length}
- A61B 2090/3618: {with a mirror}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A multiple-purpose surgical instrument having a reflecting, rendering, and sizing tool to increase visibility and provide three-dimensional depth perception of a surgical site so that realization of a condition of the surgical site and safety are enhanced during an arthroscopic or laparoscopic procedure.

## Claims

### Claim 1

A multi-function medical instrument having a plurality of tools for performing various surgical procedures on a surgical site, the multi-function medical instrument comprising:
an elongated body having a handling end and a working end opposite the handling end;
a handle at least partially defining the handling end of the elongated body, the handle having a gripping surface;
a surgical procedure tool at least partially defining the working end of the elongated body, the surgical procedure tool operable to perform a surgical operation on the surgical site; and
a realization tool positioned along the elongated body and substantially adjacent to the working end of the elongated body, the realization tool operable to permit a surgical examination on the surgical site,
wherein,
the realization tool is accessible relative to the surgical procedure tool using the handle to (i) laterally shift the elongated body, (ii) change an angle of the elongated body, or (iii) laterally shift and change an angle of the elongated body relative to the surgical site, and
the realization tool has a surface with a degree of reflectivity operable to reflectively transmit an image of the surgical site with rendering or non-rendering directly from the surgical and directly to a user of the realization tool, the surface operable to transmit a beam of light to the surgical site with rendering or non-rendering.

### Claim 2 (depends on 1)

The multi-function medical instrument according to claim 1, wherein the surface of the realization tool has a configuration operable to render the image of the surgical site to be magnified or minimized and render the beam of light to the surgical site to be focused or scattered.

### Claim 3 (depends on 2)

The multi-function medical instrument according to claim 2, wherein the configuration includes at least one of a convex surface or a concave surface.

### Claim 4 (depends on 1)

The multi-function medical instrument according to claim 1, further comprising:
a scale with units of measurement, the scale operable to permit sizing of an object and/or surface area, the scale positioned along a portion of the realization tool on the elongated body to enable the user to measure the image.

### Claim 5 (depends on 1)

The multi-function medical instrument according to claim 1, wherein the realization tool is embedded in the elongated body.

### Claim 6

A medical instrument for performing a surgical procedure on a surgical site, the medical instrument comprising:
an elongated body;
a handle at least partially defining a handling end of the elongated body, the handle having a gripping surface;
a surgical operation tool at least partially defining a working end of the elongated body, the working end of the elongated body being opposite to the handling end of the elongated body, the surgical operation tool operable to perform a surgical manipulation of the surgical site; and
a realization tool positioned along the elongated body and substantially adjacent to the realization tool, the realization tool operable to reflectively transmit (i) an image of the surgical site in one of a rendered or a non-rendered manner directly from the surgical site and directly to a user of the realization tool, (ii) a beam of light to the surgical site in one of a rendered or a non-rendered manner, or (iii) both, the realization tool selectively accessible before or after use of the surgical operation tool using the handle to (i) laterally shift the elongated body relative to the surgical site, (ii) change an angle of the elongated body relative to the surgical site, or (iii) laterally shift the elongated body relative to the surgical site and change an angle of the elongated body relative to the surgical site.

### Claim 7 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool includes a plurality of realization tools that are accessible with respect to the surgical operation tool by (i) laterally shifting the elongated body, (ii) laterally shifting the elongated body and rotating the elongated body 90°, (iii) laterally shifting the elongated body and rotating the elongated body 180°, and (iv) laterally shifting the elongated body and rotating the elongated body 270°.

### Claim 8 (depends on 7)

The medical instrument according to claim 7, wherein the plurality of realization tools are positioned equidistant from a tip of the working end of the elongated body.

### Claim 9 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool has a degree of reflectivity to render the image of the surgical site or the beam of light to the surgical site with decreased clarity.

### Claim 10 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool includes a plurality of realization tools having different degrees of reflectivity to render the image of the surgical site or the beam of light to the surgical site with decreased clarity.

### Claim 11 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool has a configuration to render the image of the surgical site to be magnified or minimized or the beam of light to the surgical site to be focused or scattered.

### Claim 12 (depends on 11)

The medical instrument according to claim 11, wherein the configuration of the realization tool includes at least one of a convex surface or a concave surface.

### Claim 13 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool includes a plurality of realization tools having a respective configuration operable to render the image of the surgical site to be magnified or minimized or the beam of light to the surgical site to be focused or scattered.

### Claim 14 (depends on 13)

The medical instrument according to claim 13, wherein each configuration includes at least one of a convex surface or a concave surface.

### Claim 15 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool has a reflective surface that is parallel to or angled relative to an axis defined by the elongated body.

### Claim 16 (depends on 6)

The medical instrument according to claim 6, further comprising:
a scale with units of measurement, the scale operable to permit sizing of an object and/or surface area, the scale positioned adjacent to the realization tool on the elongated body.

### Claim 17 (depends on 16)

The medical instrument according to claim 16, wherein the scale is accessible with respect to the surgical operation tool by (i) laterally shifting the elongated body, or (ii) laterally shifting the elongated body and rotating the elongated body 45°.

### Claim 18 (depends on 16)

The medical instrument according to claim 16, wherein the scale is accessible with respect to the realization tool by rotating the elongated body between 1° and 45°.

### Claim 19 (depends on 6)

The medical instrument according to claim 6, wherein the realization tool is further operable to perform a dimensioning function, the dimensioning function providing a basis for a third dimension.

### Claim 20 (depends on 6)

The medical instrument according to claim 6, wherein the surgical manipulation is a physical manipulation of a part of the surgical site, the physical manipulation being one of probing, shaving, ablating, burring, and biting.