# US 5,346,497 A · Surgical cutting head with asymmetrical cutting notch

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- Number: US 5,346,497 A
- Document ID: US5346497A
- Status: Granted
- Kind: A
- Application number: 08/111,591
- Filed: 1993-08-25
- Granted: 1994-09-13
- Earliest claimed: 1992-07-15
- Assignees: University of Miami
- Inventors: Gabriel Simon; William Lee; Izuru Nose; Jean-Marie Parel
- Web page: https://patentgrep.com/patent/US5346497A

## CPC

- A61F 9/00763: {with rotating or reciprocating cutting elements, e.g. concentric cutting needles (atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016)}
- A61M 1/85: {with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants (for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208)}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

Surgical cutting heads for use in infusion/aspiration devices for performing surgery on various parts of the body, are disclosed. These cutting heads include, a first tube, having a cutting edge formed in its proximal end and an inner space bounded by the interior surface of this tube. This first tube contains at least one asymmetrical two-sided notch for cutting tissue, which notch proceeds distally from the first tube's proximal end to an apex where the sides of the notch meet. A first side of the notch commences at the first tube's proximal end and is generally in a plane parallel to the first tube's longitudinal axis. The second side of the notch commences at the first tube's proximal end, at a point radially inwardly therefrom, and extends into the first tube's inner space. A second open tube is disposed concentrically around the first tube and has at least one projection located at its proximal end and extending radially inwardly therefrom overhanging the first tube's proximal end. The interior surface of the second tube is opposed to the exterior surface of the first tube, and the respective opposed surfaces of these tubes define a traversable inner space between the tubes.

## Claims

### Claim 1

A surgical cutting head for use in infusion/aspiration devices comprising:
(a) a hollow first tube, adapted to be movable when said cutting head is connected to an infusion/aspiration device, having a distal end and a proximal end having a cutting edge formed therein, said first tube being open and defining an exterior surface and an interior surface further defining an associated interior space suitable for transporting fluids and tissue particles therethrough, said first tube containing at least one asymmetrical two-sided notch for cutting tissue which proceeds distally from said first tube's proximal end along said first tube to an apex where said sides of said notch meet, a first side of said notch commencing at said first tube's proximal end and being generally in a plane parallel to said first tube's longitudinal axis, said first side having a sharpened cutting edge commencing at said first tube's proximal end and extending for a discernable distance towards said apex along said first side's length, the second side of said notch, commencing at said first tube's proximal end at a point radially inwardly from said first side having a sharpened cutting edge extending for a discernable distance into said first tube's associated interior space, and
(b) a hollow second tube, adapted to be stationary when said cutting head is connected to an infusion/aspiration device, having a distal end and a proximal end, said second tube being disposed concentrically around said first tube and having at least one projection located at its proximal end and extending radially inwardly thereform overhanging said first tube's proximal end, said second tube being open at its proximal end and defining an exterior surface and an interior surface, said interior surface said second tube being opposed to and spaced from said exterior surface of said first tube and defining therewith an associated, fluid traversable inner space between said first and second tubes for communicating with said second tube's proximal end.

### Claim 2 (depends on 1)

A surgical cutting head as described in claim 1 wherein said first tube contains two of said asymmetrical, two-sided notches.

### Claim 3 (depends on 1)

A surgical cutting head as described in claim 1 wherein said first side of said notch has its sharpened cutting edge extending for a substantial distance along said first side's length.

### Claim 4 (depends on 1)

A surgical cutting head as described in claim 1 wherein the first side of said notch has its sharpened cutting edge extending for substantially the entire distance form said first tube's proximal end to said apex of said notch.

### Claim 5 (depends on 1)

A surgical cutting head as described in claim 1 wherein the second side of said notch extends inwardly for a distance of between about 20 percent and about 30 percent of the diameter of said first tube.

### Claim 6 (depends on 1)

A surgical cutting head as described in claim 1 wherein said second tube contains two said projections.
