Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
  • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
  • A61B17/1644—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid
• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
  • F16N—LUBRICATING
  • F16N7/00—Arrangements for supplying oil or unspecified lubricant from a stationary reservoir or the equivalent in or on the machine or member to be lubricated
  • F16N7/30—Arrangements for supplying oil or unspecified lubricant from a stationary reservoir or the equivalent in or on the machine or member to be lubricated the oil being fed or carried along by another fluid
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
  • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
  • A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
  • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
  • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
  • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
  • A61B17/1644—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid
  • A61B2017/1653—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans using fluid other than turbine drive fluid for lubrication

Definitions

• the present invention generally relates to surgical instruments. More particularly, the present invention relates to powered surgical instruments for use in the dissection of bone and other tissue and a lubrication system for use therewith.
• a typical powered surgical instrument includes a pneumatic motor connected to a fluid supply source.
• An oil system is typically place in-line between the fluid supply source and the pneumatic motor to provide lubrication to the instrument.
• an inline oiler cartridge assembly for a pneumatically powered surgical instrument that includes a housing, a first conduit and a second conduit.
• the housing includes a lower portion removably attached to an upper portion.
• the lower portion defines an inner cylindrical cavity and an outer cylindrical cavity.
• a source of oil is disposed in the inner cylindrical cavity.
• a dry fiber cellulose material is disposed in the outer cylindrical cavity.
• the first conduit has a first end for attachment to a source of pressurized air and a second end for attachment to a pneumatically powered instrument.
• the first conduit passes through a portion of the upper portion of the housing and defines a channel for transmission of the source of pressurized air.
• the channel is in fluid communication with the inner cylindrical cavity such that the source of pressurized air draws oil into an air stream for delivery to the pneumatically powered instrument.
• the second conduit is concentrically arranged with respect to the first conduit and cooperates with the upper portion of the housing to define a path for returning exhaust gases from the pneumatically powered instrument to the outer cylindrical cavity of the lower portion of the housing.
• Fig. 1 A is an environmental view illustrating an inline oiler cartridge assembly for a pneumatically powered instrument according to the teachings of a preferred embodiment of the present invention shown operatively coupled to a pneumatically powered instrument.
• Fig. IB is a cross-sectional view taken through the arrangement of Fig. 1A, the pneumatic instrument shown in simplified form.
• Fig. 2 is a perspective view of the mime oiler cartridge assembly for a pneumatically powered instrument according to the teachings of a preferred embodiment of the present invention.
• Fig. 3 is an exploded view of the inline oiler cartridge assembly for a pneumatically powered instrument according to the teachings of the preferred embodiment of the present invention.
• Fig. 4A is a side view of a lower hosmg portion of the mime oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 4B is a perspective view of the lower housing portion of the inline oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 4C is a top view of the lower housing portion of the inline oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 4D is a bottom view of the lower housing portion of the mime oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 4E is a cross-sectional view taken along the line 4E-4E of Fig. 4D.
• Fig. 4F is a cross-sectional view taken along the line 4F-4F of 4D.
• Fig. 5 A is a perspective view of an upper housing portion of the inline oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 5B is a side view of the upper housing portion of the inline oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 5C is a bottom view of the upper housing portion of the inline oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 5D is a cross-sectional view taken along the line 5D-5D of Fig. 5C.
• Fig. 6A is a bottom side view of the first conduit of the mime oiler cartridge assembly for a pneumatically powered instrument according to the preferred embodiment of the present invention.
• Fig. 6B is a cross-sectional view taken along the line 6B-6B of Fig. 6A.
• Fig. 7A is a cross-sectional view of another embodiment of the present invention.
• Fig. 7B is a cross-sectional view of the embodiment shown in Fig. 7A rotated 90°.
• an mime oiler cartridge assembly for a pneumatically powered surgical instrument is illustrated and generally identified at reference character 10.
• the inline oiler cartridge assembly 10 of the present invention is used with a pneumatically powered surgical instrument 11.
• a suitable surgical instrument is shown in commonly assigned U.S. Patent No. 5,505,737 which is hereby incorporated by reference as if fully set forth herein.
• U.S. Patent No. 5,505,737 which is hereby incorporated by reference as if fully set forth herein.
• teachings of the present invention have applicability for va ⁇ ous other powered instruments.
• the mime oiler cartridge assembly 10 of the present invention will be further described.
• the inline oiler cartridge assembly 10 is shown to generally include a body or housing 12 having an upper portion 14 and a lower portion 16.
• the mime oiler cartridge assembly 10 is further shown to generally include a first conduit 18 for delivering a source of pressurized air to the pneumatically powered instrument 11 and a second conduit 20 for returning exhaust gases from the pneumatically powered instrument 11 to the housing 12 of the assembly 10.
• first and second conduits 18, 20 are coaxial in the present description, it is understood that in other embodiments, these conduits may be separate (not coaxial), or one of the conduits may not be used at all.
• housing 12 is injection molded of plastic. Alternatively other suitable mate ⁇ als may be incorporated.
• the lower portion 16 of the housing 12 includes an outer cylindrical wall 22, a concentrically arranged inner cylindrical wall 24, and a bottom wall 26.
• a first generally cylmdncal cavity 28 or chamber is defined between the inner and outer cylindrical walls 22 and 24.
• a second generally cylindrical cavity 30 is defined by the inner cylmdncal wall 24.
• an oil saturated cellulose fiber material 31 is disposed in the second cavity 30.
• a dry cellulose fiber matenal 33 is disposed withm the first generally cylindrical cavity or lubncant chamber 28. It is understood that other matenals can also be used instead of an oil saturated and dry cellulose fiber matenal, such as foam, wool felt, porous plastics, and/or porous metals.
• oil is drawn from the second cavity 30 for introduction into an air stream. Exhaust gases including spent oil are returned to the first cavity 28.
• the dry cellulose fiber material 33 filters the oil from the exhaust gases. The filtered exhaust gases are permitted to pass through a plurality of exhaust apertures 32 provided in the bottom wall 26 of the lower portion 16.
• the upper portion 14 of the housing 12 will be further descnbed. Similar to the lower portion 16, the upper portion 14 is preferably unita ⁇ ly constructed of plastic through an injection molding procedure. Again, alternate materials and manners of construction can alternatively be employed.
• the upper portion 14 of the housing 12 includes a generally cylmdncal segment 36 which is internally threaded. The internal threads 38 engage external threads 39 (Fig. 4A) provided on an upper area of the outer cylindrical wall 22 of the lower portion 16 such that the upper and lower portions 14 and 16 can be removably secured.
• An upper segment 40 of the upper portion 14 defines a channel 42.
• a cylmdncal portion 44 downwardly extends from the upper segment 40 and into the cavity 30 (Fig. 4E).
• the portion 44 includes one or more apertures 46A-C for providing fluid communication between the channel 42 and the cavity 30 and secunng the conduit 18. It is understood that there may be several different configurations and sizes of apertures to achieve different results, depending upon the lubncation requirements of the surgical instrument 11.
• the smallest aperture 46A allows inward air pressure to feed into the lubncant chamber 28 thereby pressunzing the lubncant chamber 28.
• the middle aperture or central aperture 46B projects into the lubncant soaked media of the second cavity 30 and allows lubricant to exit into the air flow passing through the conduit 18.
• the middle aperture 46B has a larger diameter m order to effect a pressure differential (drop) between the conduit 18 and lubricant chamber 28 thereby creating a Venturi or "sucking" action and drawing lubricant into the air flow passing through the conduit 18 for delivery to the pneumatic motor.
• a pressure differential drop
• an oiler tube 48 extends from the central aperture 46B down into the cavity 30.
• the largest aperture 46C is a hole through which a mechanical securing device (not specifically shown) is positioned for affixing the first conduit 18 to the lubncant chamber 28, as discussed in greater detail below.
• a first O-rmg 50 provides a seal between the upper portion 14 and the lower portion 16 of the housing 12.
• a second O-ring 52 provides a seal between the cylindrical portion 44 and the chamber 30.
• the first conduit 18 of the inline oiler cartridge assembly 10 is further illustrated.
• the first conduit 18 is a hollow tubular member injection molded of plastic or constructed of other suitable matenals
• the first conduit 18 defines a central channel 54.
• a first end 56 of the first conduit 18 is intended to be coupled to an air source (now shown).
• the first end 56 also is positioned inside of the channel 42 (Fig. 5D).
• a second end 58 is reduced in diameter and is adapted to be coupled to the pneumatically powered instrument 11 through a hose 59 (Figs. 1A, IB).
• the first conduit 18 includes radially extending apertures 60A-C that align with the apertures 46A-C, respectively, of the upper portion 14 of the housing 12.
• the mechanical secunng device (not shown), such as a set screw, engages with the apertures 46C and 60C to secure the first conduit mside the upper segment 40.
• the second conduit 20 is a hollow tubular member
• the second conduit 20 is received withm the cylmdncal segment 40 of the upper portion 14 of the housing 12 and cooperates with the upper portion 14 to define a fluid path for returning exhaust gases from the pneumatically powered instrument to the outer cylmdncal cavity 28 of the lower portion 16.
• the second conduit 20 concentncally surrounds the second end 58 of the first conduit 18.
• pressurized air is introduced into the first end 56 of the first conduit 18.
• the air is introduced at a pressure of approximately 120 psi.
• an on/off control mechanism such as a foot pedal, may be disposed between a compressed air source and the instrument 11, such as at the first end 56 of the first conduit 18.
• the pressurized air passes through the channel 54 defined by the first conduit 18 and through a Ventun effect draws oil from the wet fiber cellulose material 31 m the chamber 30 into the air stream.
• This oil is atomized and delivered with the air stream into the motor of the pneumatically powered instrument for lubncation.
• the atomized oil lubricates the motor within approximately 45-50 seconds of startup. This compares with conventional arrangements which take approximately 150 to 300 seconds.
• Exhaust gases carrying spent oil from the motor of the pneumatically powered instrument are returned through the second conduit 20. These exhaust gases are introduced into the outer cylmdncal chamber 28 containing the dry fiber cellulose matenal through a pathway 62 (shown m Fig. 5D) defined in the upper portion 14 of the housing 12.
• the dry fiber cellulose material withm the cavity 28 filters the spent oil from the exhaust gases and allows the exhaust gases to pass through the plurality of apertures 32 in the bottom wall 26.
• the mime oiler cartridge assembly 10 described above is pre-filled with oil.
• the amount of oil is sufficient to ensure lubncation of the motor of the pneumatically powered instrument throughout a surgical procedure.
• the nsk of running out of oil dunng a surgical procedure is effectively eliminated.
• the inline oiler cartridge assembly 10 may be disconnected from the surgical instrument and discarded.
• Lubrication assembly 110 includes many of the same components of the previously descnbed embodiments and is intended for operation in the same environment set forth above.
• Lubncation assembly 110 includes a body 120 having apertures for receiving inlet air tube 112 and outlet air tube 114.
• body 120 is formed from aluminum.
• inlet air tube 112 is connected to a source of pressurized fluid.
• a coaxial hose may be connected to the lubncation housing 110 with a high pressure hose fitted over flanges 116 and the lower pressure exhaust hose received with aperture 118.
• Body 120 further defines a cylmdncal shell 124 having an opening at one end to receive a lubncation fluid reservoir and exhaust filter unit as previously described above.
• Shell 124 includes a pair of locking slots 126 adapted to receive projections on the extenor of the lubrication and filter unit to retain it within the body 120.
• internal grooves 127 extend from the aperture opening to the grooves 126 such that the projections may be advanced into the interior of the body 120. It will be appreciated that the helical path of grooves 126 will tend to advance the lubrication and filter unit into the body 120.
• Grooves 126 includes substantially flat portions at their termination such that the lubrication and filter body will be locked into position m the body 120 and permitting the seals to seahngly engage the lubncation and filter unit.
• Lubrication assembly 110 further includes fluid passageways adapted to create fluid flow through the lubncation material (not shown). Specifically, mlet channel 130 having a first diameter is in fluid communication with the pressunzed fluid from mlet tube 112. A reduced diameter portion 132 provides a conduit between mlet channel 130 and outlet channel 136 withm outlet tube 114. Withm the wall defining inlet channel 130, an aperture communicates with inlet fluid path 142. Similarly, within the wall defining reduced diameter portion, an aperture communicates with outlet fluid path 148. A further component of the fluid pathway is extension 140 joined to the body 120 substantially centered withm cylmdncal shell 124.
• the extension 140 defines an inlet fluid path 144 in communication with inlet fluid path 142 and an outlet fluid path 146 in communication with outlet fluid path 148. It will be understood that the extension 140 generates a longer fluid path through the lubncation material to enhance the uniform nature of atomizing lubricant in the return air stream. While it is contemplated that the combination of aperture sizes, fluid passage diameters and lengths may be sized to approximate the desired airflow through the lubricating material, the present embodiment incorporates a flow control mechanism such that air flow may be controlled through the lubricating assembly.
• a needle valve body 150 is received in aperture 162 in the body 120.
• the needle valve body 150 includes a needle valve portion 152 extending into conical valve seat 160 to restrict fluid flow.
• the needle valve body 150 also includes a instrument engaging recess 156 to move it within aperture 162 via the threaded connection 154.
• pressurized fluid entering inlet channel 130 encounters reduced diameter portion 132, thus restricting flow.
• pressurized fluid may enter inlet fluid path 142 and travel through inlet fluid path 144 to exit extension 140 into the lubricant material (not shown).
• the lubricant material may be a porous substrate impregnated with oil or some other lubricant. The pressurized fluid tends to seek a path to escape from the lubricant material.
• outlet fluid path 146 experiences a lower pressure and the higher pressure fluid may flow into the outlet through outlet path 148 and ultimately into reduced diameter portion 132.
• the fluid passes through the lubricant material it picks up small particles or drops of lubricant and carries these elements in the fluid stream. The lubricating material may then be carried by the fluid to the motor where it performs its lubricating function.
• the needle valve 152 may be adjusted to control fluid flow through the lubricating material and thereby control lubricant to the motor.
• the needle valve is set in the manufacturing process to provide lubrication within the required specifications prior to packaging and shipping to the end user. It is anticipated that further adjustments will not be necessary for the end user. However, it is contemplated that if changes are made to the lubricating material or the pressure of the inlet fluid, modifications of the needle valve setting may be performed.

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• Health & Medical Sciences (AREA)
• Engineering & Computer Science (AREA)
• Life Sciences & Earth Sciences (AREA)
• Surgery (AREA)
• General Engineering & Computer Science (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Heart & Thoracic Surgery (AREA)
• Dentistry (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Chemical & Material Sciences (AREA)
• Oil, Petroleum & Natural Gas (AREA)
• Combustion & Propulsion (AREA)
• Biomedical Technology (AREA)
• Mechanical Engineering (AREA)
• Medical Informatics (AREA)
• Molecular Biology (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Surgical Instruments (AREA)

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• 2002
  • 2002-06-27 DE DE02742343T patent/DE02742343T1/de active Pending
  • 2002-06-27 WO PCT/US2002/020616 patent/WO2003002016A1/en not_active Application Discontinuation
  • 2002-06-27 EP EP02742343A patent/EP1414365A1/de not_active Withdrawn

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