US2419114A - Skin grafting knife - Google Patents

Skin grafting knife Download PDF

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Publication number
US2419114A
US2419114A US59822645A US2419114A US 2419114 A US2419114 A US 2419114A US 59822645 A US59822645 A US 59822645A US 2419114 A US2419114 A US 2419114A
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Prior art keywords
skin
blade
knife
surface
roller
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Expired - Lifetime
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Theodore W Briegel
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Theodore W Briegel
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/322Skin grafting apparatus

Description

April 15, 1947'. T. w. BRlEGEL 2,419,114

SKIN GRAFTING KNIFE Filed June 8, "1945 2 sheets-sheet 1 /5 o y 24 hu* |||11 7l/527227.?" Theodore WBreyZ 15, T, W, BRIEGEL 2,419,114

SKIN GRAFTING KNIFE Filed June 8, 1945 2 Sheets-Sheet 2 Zjlg 5. 26

Patented pr. 15, 1947 U N ITED STAT ES. PAT EN T` OFFICE SKIN GRAFTING KNIFE Theodore W. riegel, salva, 111. A Application June 8, 1945, Serial No. 598,226

3, Claims. (C1. 128..-305) This inventionrelates to a skin grafting knife.

Heretofore, in .the grafting of skin, the surgeon has had to.f rely very largely` uponY his own experience and skill and. upon the assistance of a helper in the manual operation of cutting a strip; of skin from a living person for grafting upon another portion of that. persons body. Such a manual operation requires more than the usualskill of a surgeon, since the depth of the cut must be very carefully gauged, depending upon the needs of the patient upon whom the stripofv skin is tor be grafted. Furthermore, the manual operation as heretofore carried out has been a very laborious and tedious task, especially wherev long lengths of skin strips are required.

Itis, therefore, an important object of this invention to adaptY a power driven mechanism, similarAv to the power driven mechanism used in the shearing of sheeps wool and the like, to the operation of cui-,lling strips of skin for skin grafting purposes. According to my present4 invention, a power drivenl shearing device of known construction is modified byk the provision of means for gauging the width and depth of the out of skin to be taken, and by the provision o f means for guiding the severed strip of skin, away fromz the cutting edge of the blade t a point where the stripmay be readily grasped by the surgeon orhis assistant.

YIn the preferred form of my invention, the means `for gauging the depth of the cut of skin include a roller positioned adjacent the cutting edge of the blade and adjustable relative to said edge. rlhus, with the roller traveling over the surface of the skin, the blade serves to sever a thickness of skin representedl by the distance between the lower surface of the roller andthe cutting edge of the. blade. In order to insure the cutting of a strip of uniform width andhaving even side edges, the side edges of the blade are notched and sharpened in back of the leading cutting edge, and guide fingers are provided over which said blade oscillates.l The sharpened notched side edges of the blade thu$ eXert a shearing action in relation to the guide fingers that. insures a, clean, straight cut of skin. The skin after beingsevered is guided away from the blade by a forwardly and rearwardly sloping member 'that extends into contact with the blade immediately behind the cutting edge thereof.

It is therefore an important object of this invention to provide a skiny grafting knife that is power driven and that embodies novel and improved. features of construction enabling; the severing of a strip,V of skin of the desired thickness, while requiring only a minimum of experience and skilll on the part of the surgeon, or other operator.

It isa further important object of this invention to provide. a power driven skin grafting knife provided with means for adjustably varying the depthofJ the cut taken to thereby gauge the thickness, of skin severed, and also provided with means for guiding the strip of4 severed skinv away frornthey cutting edge of the knife into a position for-easy handling by the operator, or his assistant.

Other and furtherv important objects of this invention will Abe apparent from the disclosures in the specification and the accompanying drawings.Y

On the drawings:

Figure 1 is a top plan view o'fa power driven skin grafting knife embodying the; principles of my invention.

Eigure 2 is afragmentary enlarged bottom plan viewv/,ith thel knife vcarryinlgr mechanism removed.

Figure 3 is an enlarged fragmentary view taken substantially along the line III- III of Figure 1, with parts in elevation.

Figure. ll kis an enlarged fragmentary sectional View taken substantially along the broken line IV-IV offFigure 1.

v Figure 5 is an enlarged top plan View of the blade carrying mechanism.

Figure 6 is a bottomrplan View of the blade carrying mechanism of Figure 5.

Figurer'l is atop plan view kof' the blade holder and. blade.

Figure 8. is a sectional View taken substantially along the broken lineY VIII-VIII of Figurev 7.

The. reference. numeral. lil indicates` generally 2@ DOwer driven skin grafting knife embodying the principles of my invention. Said devicev I 0 includes a tubular casing. H having an enlarged head end l2 andprovided at the other end with an insulated lead-in electrical connection. I3 through which extend wires i4 for plugging into any suitable sour-ce of electrical current. As is customary in power operated shears and the like, the casing.. ll houses. a motor (not shown), the shaft lof which carries at its end an eccentric pin. l6`that extends into a block I1 (Figures Zand 3). Said block I1 is mounted for reciprocatory movement between guiding portions l8'of an oscillating head I9. As will be obvious, when the motoris: being driven, thev motor shaft l5 will revolve, causing the'eccentric pin lli` also to re.- volve. Since the eccentric pin lli-is free to. rotate within the block I1, said block will beheld against rotation within the guiding fingers I8 and cause the oscillating head I9 to oscillate in a horizontal plane while the block I1 moves up and down within the guiding portions I8. The oscillating head I9 is secured at its rear end, as at to the forward ends of leaf springs 2I, the rear ends of said springs being attached to the motor housing 22 as by means of screws 23.

The oscillating head I9 is provided with a pair of spaced downwardly projecting points 24 (Figures 2 to 4, inclusive), which are adapted to cooperate with aknife blade assembly, indicated generally by the reference numeral 25. Said knife blade assembly 25 comprises a lower plate 25, which has a lower ribbed surface for sliding movement over the surface of the skin from which a strip is to be severed. Said plate 25, as best shown in Figures 5 and 6, has laterally opposed portions 21 that are struck up from the plate and are provided along their rear edges with notches 28 for receiving screws |29 that attach said plate 25 securely to the thickened wall por' tions |23 of the casing I2.

A blade holder, indicated generally by the reference numeral 29 (Figures 3 to 8, inclusive) is adapted to cooperate with the plate 29 for the mounting of a blade proper 3) in the blade assembly 25. As best shown in Figure '7, the blade holder 29 carries intermediate its ends a spring finger 3I`, which is mounted upon the underside of said holder 29 and overlies a blade receiving recess 32 into which is adapted to be fitted the blade proper 33. Said blade 39 is provided with inwardly extending notches 33 for receiving pins 34. In inserting the blade 39 in the holder 29, the rear edge of the blade is slipped under the spring finger 3I until the notches 33 are in registration with the pins 34, whereupon the blade is allowed to seat under the pressure of the spring 3l with the pins 34 extending into said notches 33. Thev cutting edge of the blade 39 is beveled, as at 35 (Figure 3), to give a smoothly inclined upper face. The side edges of said blade are lnotched and sharpened adjacent the cutting edge,

as at 36. The upper surface of the blade holder 29 is provided with conically shaped depressions 31 (Figures 3 to 5 and '7) into which project the points of the conically shaped projections 24. The oscillating head I9, therefore, transmits its oscillatory movement to the blade holder 29 to cause the blade 30 to have an oscillatory vibration relative to the lower plate 26.

A guiding plate38 (Figures 3 to 5, inclusive) is secured to the forward edge of the blade holder 29, as by means of brazing, welding or the like. Said guiding plate 38 is formed with a lower forwardly extending sloping portion 39, the front edge of which directly overlies the blade 39 and serves to separate the strip of skin being severed from the upper surface of said blade 30. The guide plate 38 extends upwardly and rearwardly from said forward portion 39 and as shown in Figure 3, lies against the downwardly extending forward portion of the end casing I2. The strip of skin severed by the cutting knife 39 is thus caused to travel upwardly over the outer surface of the guide plate 38 into a position where it can be manually grasped by the operator, or his assistant.

In order to gauge the depth of the cut of skin made by the knife, I provide an attachment, indicated generally by the reference numeral 4I) (Figures 1 and 3 to 6, inclusive), which comprises upwardly and forwardly extending side plates 4I secured to or integrally formed with the plate 26.

Said side plates 4I are provided at their forward edges with vertical guides 42, within which are slidably disposed blocks 43 that support the ends of the shaft of a roller 44. In order to provide adjustability as to height of the roller 44, the blocks 43 are provided with threaded apertures 45 and the side plates are provided with elongated slots 46 for the reception of adjusting screws 41. Said screws 41 may be loosened to adjust the slide blocks 43 in their guide ways 42 to adjust the height of the roller 44 toits desired position, after which the screws 41 are tightened to hold the roller 44 in its adjusted position. In that position, the tapered face 35 of the blade 33 is parallel to a tangent of said roller and closely spaced from the surface of said roller to provide a passage P (Figure 3) for the severed strip of skin to pass through.

As best shown in Figures 3 to 6, inclusive, the plate 25 has forwardly projecting, downwardly offset guiding ngers 59 that lie on either side of the lateral edges of the blade 33. Said blade 3D thus oscillates over the upper surfaces of said guide fingers 59, and, in so doing, the sharpened edges of the notches 36 cooperate with the adjacent edges of said guide ngers 50 to shear the skin therebetween.

In using the power operated skin grafting knife of my invention, the operating end of the device is moved toward the surface of the skin from which a strip is to be severed until the plate 26 rests upon the skin surface. As is customary in cutting skin for grafting purposes, the skin is held stretched ahead of the knife by the use of suction cups. The roller 44 is then adjusted, if necessary, to the height required for making the depth of cut desired by the surgeon. Suincient pressure is next exerted upon the head end of the device to cause the knife edge 35 to bite into the roller 44 serving to gauge the depth of the cut.

When the device is connected to a source of power to energize the motor and start the knife blade 30 oscillating, the device is slowly moved forward. iA strip of skin is severed by the cutting edge of the knife to a thickness that is gauged by the elevation of the roller 44. The surface skin so severed passes back over the upper surface of the knife 39 through the passage P until it reaches the forward edge of the lower guide plate portion 39, which serves to separate the skin from the knife blade. As the length of the surface skin increases, the surgeon, or his assistant, grasps the strip and when a strip of skin of the desired length has been obtained, the knife edge is pointed slightly upwardly to complete the severance of the strip.

It is possible through the use of the skin grafting knife of my invention to gauge much more accurately the thickness of skin to be severed, and also to accomplish` the skin cutting operation much more quickly and with less effort on the part of the surgeon, or operator.

It will, of course, -be understood that various details of construction may be varied through a wide range without departing from the principles of this invention and it is, therefore, not the purpose to limit the patent granted hereon otherwise than necessitated by the scope of the appended claims.

I claim as my invention:

1. In a skin grafting knife including a blade carrying member having a lower longitudinally corrugated surface for traveling over a skin surface, a blade oscillatably mounted on said member and means for oscillating said blade, said blade having a beveled cutting edge, a member having a curved surface adapted to be positioned adjacent to and slightly above said cutting edge and means for adjusting the position of said curved surface to gauge the depth of cut made by said cutting edge.

2. In a skin grafting knife including a blade carrying member having a lower longitudinally corrugated surface for traveling over a skin surface, a blade oscillatably mounted on said member and means for oscillating saidblade, said blade having a beveled cutting edge, a rotatably mounted roller adapted to be positioned adjacent to and slightly above said cutting edge and means for adjusting the position of said roller to gauge the depth of cutJ made by said cutting edge.

3. In a skin grafting knife, a blade carrying member having an under surface provided with corrugations extending in the direction of movement over the skin surface to prevent side mo- 5 tion and reduce the amount of friction in the direction of movement.

THEODORE W. BRIEGEL.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS

US2419114A 1945-06-08 1945-06-08 Skin grafting knife Expired - Lifetime US2419114A (en)

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3476112A (en) * 1966-12-05 1969-11-04 Jacob K Elstein Surgical instrument for removal of thin layers
US4917086A (en) * 1988-05-26 1990-04-17 Snyder Laboratories, Inc. Dermatome blade assembly
US5601584A (en) * 1993-10-22 1997-02-11 Zein E. Obagi Scalpel with integrated visual control aperture
US5873881A (en) * 1995-12-05 1999-02-23 Mcewen; James Allen Linear drive dermatome
WO2001095814A1 (en) * 2000-06-15 2001-12-20 Kadoch Isaac Jacques Cutting tool for tissue surgical resection
US20040097998A1 (en) * 2000-06-02 2004-05-20 Rod Ross Cutting blade assembly for a microkeratome
WO2004071313A2 (en) * 2003-02-10 2004-08-26 Applied Tissue Technologies, Llc Apparatus for dermal tissue harvesting
US20040199754A1 (en) * 2003-04-04 2004-10-07 Arm Limited Controlling execution of a block of program instructions within a computer processing system
US20090157096A1 (en) * 2007-12-13 2009-06-18 Zimmer Orthopaedic Surgical Products, Inc. Dermatome With Orientation Guides
US20090157095A1 (en) * 2007-12-13 2009-06-18 Zimmer Orthopaedic Surgical Products, Inc. Dermatome Blade Assembly

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1516071A (en) * 1921-11-02 1924-11-18 Stanley L Apolant Method of performing skin-grafting operations and surgical instrument used therefor
US1594613A (en) * 1922-10-05 1926-08-03 Gilbert L Hagen Dermatome
US1935605A (en) * 1932-05-03 1933-11-21 Joseph B Altruda Skin grafting apparatus

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1516071A (en) * 1921-11-02 1924-11-18 Stanley L Apolant Method of performing skin-grafting operations and surgical instrument used therefor
US1594613A (en) * 1922-10-05 1926-08-03 Gilbert L Hagen Dermatome
US1935605A (en) * 1932-05-03 1933-11-21 Joseph B Altruda Skin grafting apparatus

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3476112A (en) * 1966-12-05 1969-11-04 Jacob K Elstein Surgical instrument for removal of thin layers
US4917086A (en) * 1988-05-26 1990-04-17 Snyder Laboratories, Inc. Dermatome blade assembly
US5601584A (en) * 1993-10-22 1997-02-11 Zein E. Obagi Scalpel with integrated visual control aperture
US5873881A (en) * 1995-12-05 1999-02-23 Mcewen; James Allen Linear drive dermatome
US7645291B2 (en) * 2000-06-02 2010-01-12 Med-Logics, Inc. Cutting blade assembly for a microkeratome
US20040097998A1 (en) * 2000-06-02 2004-05-20 Rod Ross Cutting blade assembly for a microkeratome
WO2001095814A1 (en) * 2000-06-15 2001-12-20 Kadoch Isaac Jacques Cutting tool for tissue surgical resection
FR2810228A1 (en) * 2000-06-15 2001-12-21 Isaac Jacques Kadoch Cutting tool or bistoury for surgical tissue resection has a cutting element parallel to a support that rests on the skin surface so that as the tool is moved forward a constant thickness tissue layer is removed
US20040092986A1 (en) * 2000-06-15 2004-05-13 Issac-Jacques Kadoch Cutting tool for tissue surgical resection
US7338489B2 (en) 2000-06-15 2008-03-04 Isaac-Jacques Kadoch Cutting tool for tissue surgical resection
WO2004071313A2 (en) * 2003-02-10 2004-08-26 Applied Tissue Technologies, Llc Apparatus for dermal tissue harvesting
WO2004071313A3 (en) * 2003-02-10 2004-11-11 Applied Tissue Technologies Ll Apparatus for dermal tissue harvesting
US20040199754A1 (en) * 2003-04-04 2004-10-07 Arm Limited Controlling execution of a block of program instructions within a computer processing system
US7386709B2 (en) 2003-04-04 2008-06-10 Arm Limited Controlling execution of a block of program instructions within a computer processing system
US20090157095A1 (en) * 2007-12-13 2009-06-18 Zimmer Orthopaedic Surgical Products, Inc. Dermatome Blade Assembly
US20090157096A1 (en) * 2007-12-13 2009-06-18 Zimmer Orthopaedic Surgical Products, Inc. Dermatome With Orientation Guides
US8002779B2 (en) * 2007-12-13 2011-08-23 Zimmer Surgical, Inc. Dermatome blade assembly
US8814881B2 (en) * 2007-12-13 2014-08-26 Zimmer Surgical, Inc. Dermatome with orientation guides

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