USRE38268E1 - Rhinoplasty instruments - Google Patents

Rhinoplasty instruments Download PDF

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Publication number
USRE38268E1
USRE38268E1 US10/080,027 US8002702A USRE38268E US RE38268 E1 USRE38268 E1 US RE38268E1 US 8002702 A US8002702 A US 8002702A US RE38268 E USRE38268 E US RE38268E
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US
United States
Prior art keywords
cutting
scissors
pair
nose
blades
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
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US10/080,027
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English (en)
Inventor
Claude Le Louarn
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Individual
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Individual
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Priority to US10/080,027 priority Critical patent/USRE38268E1/en
Priority claimed from US09/142,815 external-priority patent/US6264669B1/en
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Publication of USRE38268E1 publication Critical patent/USRE38268E1/en
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Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3201—Scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/282—Jaws

Definitions

  • the present invention relates to instrumentation for plastic surgery of the nose, for modifying the shape of the latter (rhinoplasty), more particularly for removing an osseocartilaginous bulge from the nose and for performing lateral osteotomy of the nasal bones.
  • the nasal bone extending from the halfway point of the nose to the forehead
  • the cartilage which extends from the halfway point of the nose to the tip of the nose
  • the bone and the cartilage are held between the skin on the outside and the nasal mucous membrane on the inside.
  • the septum is the cartilage which supports this arch in the centre.
  • the nasal bulge thus consists of an oseous half and a cartilaginous half.
  • the two bones of the nose must be brought together to reconstruct a nose of normal width.
  • the surgeon performs lateral osteotomy of the nose, that is to say a cut from the base of the two lateral bones, in order to bring together their upper margins.
  • This cut is made using a straight chisel and hammer, with two variations in axes, namely a variation in the horizontal plane (the patient being assumed to be lying on a horizontal plane) and a variation in axis in the frontal plane.
  • a saw is more rarely used for these lateral osteotomies. Because the cut is straight, and not curved, its angle of attack is difficult to control, and the handling of the chisel or saw is not easy. Finally, a height of bone equal to the height of the blade (2 mm) disappears. This procedure thus presents real difficulties and the result obtained is not perfect.
  • the object of the invention is therefore to provide instrumentation which permits more satisfactory results, which is less difficult to use and which is also less expensive than the instrumentation used hitherto.
  • the instrumentation for plastic surgery of the nose comprises:
  • a pair of scissors intended to remove the bulge and having cutting blades with concave edges which face each other and are adapted to the anatomy of the bulge, and forceps, with two cutting blades each having at least one curvature in one of two perpendicular planes, and adapted to the anatomy of the lateral bones of the nose.
  • the pair of scissors alone allows the cartilaginous and osseous parts of the bulge to be removed in a single operation and therefore replaces the three tools mentioned above.
  • the forceps replace the straight chisel and the hammer, while making it possible to perform much less difficult and more satisfactory lateral cuts than the cuts performed hitherto.
  • the end of one of the cutting blades of the pair of scissors is provided with a transverse stud directed towards the end of the second blade.
  • This stud can either bear on the upper end of the bridge of the nose or be embedded in one of the lateral bones of the nose in order to correctly fix the positioning of the scissors prior to cutting.
  • the blades and cutting edges of the scissors can also have a curvature in a plane perpendicular to the general plane of the pair of scissors.
  • one of the blades of the osteotomy forceps has a concave cutting edge, while the second blade is provided with a convex edge.
  • FIG. 1 is a plan view, substantially to scale, of one embodiment of the pair of scissors for ablation of the nasal bulge.
  • FIG. 2 is a perspective view illustrating a first way of using the pair of scissors from FIG. 1 on a patient's nose, for the purpose of removing the bulge.
  • FIG. 3 is a perspective view, with part cut away, illustrating a second way of using the pair of scissors from FIG. 1 for removing the bulge.
  • FIG. 4 is a plan view, substantially to scale, of a second embodiment of the pair of scissors in FIG. 1 .
  • FIG. 5 is a plan view, substantially to scale, of forceps with cutting blades, adapted for the lateral osteotomy of the nose after removal of the bulge.
  • FIG. 6 is a longitudinal elevation view according to the arrow F of the forceps in FIG. 5 .
  • FIG. 7 is a perspective view illustrating the use of the forceps in FIGS. 5 and 6 for lateral osteotomy of a patient's nose after removal of the bulge.
  • FIG. 8 is a partial perspective view of a variant embodiment of the forceps in FIGS. 5 to 7 .
  • FIG. 9 is a plan view of a variant embodiment of the scissors of FIG. 1 .
  • the instrumentation for plastic surgery of the nose illustrated in the drawings comprise a pair of scissors (FIGS. 1 to 3 ) and forceps 18 with cutting blades (FIGS. 5 to 7 ) adapted respectively for each of the two rhinoplasty operations set out hereinabove.
  • the scissors 1 comprise two handles 2 , 3 which are articulated about a pin 4 and whose ends constitute respective cutting blades 5 , 6 with facing concave cutting edges 7 , 8 which are adapted to the anatomy of a bulge 9 on the nose 11 of a patient P, which bulge 9 is to removed.
  • the bulge 9 is made up of a cartilaginous part 9 a and an osseous part 9 b.
  • the cutting edge 7 of the blade 5 is advantageously made up of two rectilinear sections 7 a, 7 b extending in a slightly concave general direction.
  • the section 7 b, farthest from the hinge pin 4 can be continued, as shown by a transverse stud 10 which is directed towards the rounded end 6 a of the second blade 6 and is connected via a rounded end 5 a to the rest of the blade 5 .
  • the cutting edge 8 of the blade 6 forms a regular concavity facing the concave edge 7 and substantially along the same length.
  • the geometry of the cutting edges 7 , 8 can vary considerably compared to that represented in the drawings, while remaining adapted to the particular anatomy of the person to be operated on.
  • the two scissors 7 a, 7 b can be replaced by a concave circular section.
  • the cartilaginous part 9 a and the osseous part 9 b of the nasal bulge 9 can be sectioned in a single operation, without variation in the cutting axis between the osseous part 9 b and the cartilaginous part 9 a.
  • the surgeon chooses, from a set of scissors 1 of different dimensions, those scissors which are best adapted to be anatomy of the nose of the person from which the bulge 9 is to be removed.
  • the space between the two edges 7 , 8 prior to cutting is determined by the shape of the nose 11 of the patient P at the location where the section is to be performed.
  • the latter can be done in two different ways.
  • the stud 10 is placed bearing on the nasal bridge at the base of the bulge 9 , level with the eyes of the patient P, and determines the location where the cut is to stop.
  • the surgeon introduces the ends 5 a, 6 a of the blades 5 , 6 into one of the nostrils of the patient, namely the right nostril for a right-handed surgeon (FIG. 2 ), with the branches 5 and 6 under the skin of the nose and against the bone and the cartilage.
  • the blades 5 , 6 are withdrawn from the nose 11 and the bulge 9 extracted via the nostril.
  • the pair of scissors 1 which has just been described in open to various alternative embodiments.
  • the scissors while still retaining the principle of scissors with curved blades, can have different shapes and dimensions on the basis of several elements, in particular the volume of the bulge on the patient and the solidity of the bone.
  • the stud 10 can be omitted, and at least one of the cutting edges 7 , 8 can be equipped with micro teeth 30 , which present the blades from slipping on the nasal bone.
  • FIG. 4 Another possible variant is illustrated is FIG. 4 : in this, the handles 12 , 13 of the scissors 14 are articulated on a pin 15 at the free founded ends 16 a, 17 a of their cutting blades 16 , 17 .
  • the axis of rotation 15 is arranged at the nasofrontal angle.
  • the blades 5 , 6 or 16 , 17 can have a slight curvature in a vertical plane, that is to say in a plane perpendicular to the plane of FIGS. 1 and 4, in order to obtain a slightly concave line of profile of the bridge of the nose.
  • the rhinoplasty instrumentation proposed by the invention also comprises forceps 18 (FIGS. 5 to 7 ) adapted for lateral osteotomy of the nasal bones, after cutting the bulge 11 , in order to bring together the two lateral parts of the nose 11 .
  • the forceps 18 are made up of two handles 19 , 21 which are articulated about a pin 22 and are provided with respective cutting blades 23 , 24 having the respective edges 25 , 26 .
  • the blades 23 , 24 and their edges 25 , 26 each have a double curvature in two perpendicular planes, namely the horizontal plane and the vertical plane, the cutting edge 25 additionally being concave while the associated cutting edge 26 is convex.
  • FIG. 5 shows the curvature of the blades 23 and of their edges 25 , 26 in the horizontal plane, while their respective curvatures in the vertical plane are illustrated in FIGS. 6 .
  • the curvatures of the cutting edges 25 , 26 are adapted to the shape of the actual bone of the nose, right forceps and left forceps are therefore necessary.
  • Each cutting blade 23 , 24 has a rectilinear part 27 between its axis of articulation 22 on the other blade and the incurved part constituting the cutting edge 25 , 26 ; a straight line D passing through the ends of the incurred part 25 or 26 forms, with a straight line D′ passing through the rectilinear part 27 , an angle A of between 5 and 90°.
  • the cutting edges 25 , 26 can be equipped with micro teeth (not shown).
  • the free ends of the blades 23 , 24 can be equipped with a flat point 28 formed by a disc arranged in the continuation of the corresponding cutting edge 25 or 26 .
  • the disc 28 can either be attached to the point of the cutting blade or can be made in one piece with the latter.
  • the advantage of the abovementioned angular range relating to the straight lines D and D′ lies in the fact that it makes it possible to arrange the blades 23 , 24 almost in parallel in order to slide them almost parallel to the bone when the instrument 18 is placed against the lateral bone 29 of the nose (FIG. 7 ).
  • the outer blade 23 is introduced between the skin and the bone, and the inner blade 24 is slid between the bone and the mucous membrane.
  • the cutting operation is performed on each lateral bone using the corresponding forceps.
  • one or two flat end discs 28 on the cutting blades makes it easier to introduce the latter between the skin and the bone on the one hand, and between the bone and the mucous membrane on the other hand, by promoting the detachment of the soft tissue in contact with the bone.
  • the surgeon is able to reconstruct the profile of the nose by displacing the sectioned lateral parts of the nose to the desired level in order to recomplete the nose from the front.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Surgical Instruments (AREA)
  • Scissors And Nippers (AREA)
US10/080,027 1996-03-11 1997-03-11 Rhinoplasty instruments Expired - Lifetime USRE38268E1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US10/080,027 USRE38268E1 (en) 1996-03-11 1997-03-11 Rhinoplasty instruments

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
FR9603042 1996-03-11
FR9603042A FR2745705B1 (fr) 1996-03-11 1996-03-11 Instrumentation de chirurgie esthetique du nez
US09/142,815 US6264669B1 (en) 1997-03-11 1997-03-11 Rhinoplasty instruments
US10/080,027 USRE38268E1 (en) 1996-03-11 1997-03-11 Rhinoplasty instruments
PCT/FR1997/000427 WO1997033521A1 (fr) 1996-03-11 1997-03-11 Instrumentation de chirurgie esthetique du nez

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US09/142,815 Reissue US6264669B1 (en) 1996-03-11 1997-03-11 Rhinoplasty instruments

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USRE38268E1 true USRE38268E1 (en) 2003-10-07

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US10/080,027 Expired - Lifetime USRE38268E1 (en) 1996-03-11 1997-03-11 Rhinoplasty instruments

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US (1) USRE38268E1 (de)
EP (1) EP0886490A1 (de)
FR (1) FR2745705B1 (de)
WO (1) WO1997033521A1 (de)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070112376A1 (en) * 2005-11-14 2007-05-17 Tri-State Hospital Supply Corporation Medical tubing clamping apparatus
USD991449S1 (en) * 2019-01-16 2023-07-04 Jon Garito Rhinoplasty instrument

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19917287A1 (de) * 1999-04-16 2000-11-02 Storz Karl Gmbh & Co Kg Medizinisches Instrument für die Nasenplastik
US6168605B1 (en) * 1999-07-08 2001-01-02 Ethicon Endo-Surgery, Inc. Curved laparoscopic scissor having arcs of curvature

Citations (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US252306A (en) 1882-01-17 Tendon-cutting implement
US342617A (en) 1886-05-25 William a
US791917A (en) 1904-11-18 1905-06-06 Edward D C Koeth Combination-tool.
US801471A (en) 1904-11-14 1905-10-10 Samuel H Miller Hog-nose cutter.
GB191008357A (en) 1910-04-06 1910-08-11 George Hugh Peddle Improvements in and relating to Surgeons' Scissors.
GB191102169A (en) 1911-01-27 1911-09-21 Frederic George Cooke Brooking Means for Controlling Gas Taps.
US2397823A (en) 1941-02-12 1946-04-02 Carl W Walter Forceps
US2619965A (en) 1950-08-14 1952-12-02 Salo H Goldstone Scissors with probe used for circumcision
US3548496A (en) 1968-07-15 1970-12-22 Alco Standard Corp Filament clip scissors
US3557792A (en) 1968-08-07 1971-01-26 Frank F Rubin Septal morselizer
US3631858A (en) 1969-07-14 1972-01-04 Robert A Ersek Sever cord
DE2928689A1 (de) 1979-07-16 1981-02-12 Dieter Von Zeppelin Dammschere
USD264677S (en) 1979-11-02 1982-06-01 Perry Jr Leroy R Scissors
US4385628A (en) 1980-04-21 1983-05-31 Straith Richard E Surgical instrument
USD278117S (en) 1982-08-30 1985-03-26 Smith Sharon K Contoured pair of scissors
USD331179S (en) 1990-01-08 1992-11-24 Masanori Omichi Hair-cutting scissors
US5168629A (en) 1990-08-28 1992-12-08 Frank Willard Scissor assembly
US5400452A (en) 1988-05-19 1995-03-28 Goldstein; Fredric Ribbon curling tool
USD363122S (en) 1994-05-27 1995-10-10 Koichi Uetake Suture needle-holding forceps
US5486185A (en) 1989-01-30 1996-01-23 Dexide, Inc. Surgical apparatus

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB191002169A (en) * 1910-03-18 1911-03-09 Percy Montagu Scholefield Improvements in or relating to Pivot Joints of Forceps and other Surgical or Nursing Instruments.

Patent Citations (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US252306A (en) 1882-01-17 Tendon-cutting implement
US342617A (en) 1886-05-25 William a
US801471A (en) 1904-11-14 1905-10-10 Samuel H Miller Hog-nose cutter.
US791917A (en) 1904-11-18 1905-06-06 Edward D C Koeth Combination-tool.
GB191008357A (en) 1910-04-06 1910-08-11 George Hugh Peddle Improvements in and relating to Surgeons' Scissors.
GB191102169A (en) 1911-01-27 1911-09-21 Frederic George Cooke Brooking Means for Controlling Gas Taps.
US2397823A (en) 1941-02-12 1946-04-02 Carl W Walter Forceps
US2619965A (en) 1950-08-14 1952-12-02 Salo H Goldstone Scissors with probe used for circumcision
US3548496A (en) 1968-07-15 1970-12-22 Alco Standard Corp Filament clip scissors
US3557792A (en) 1968-08-07 1971-01-26 Frank F Rubin Septal morselizer
US3631858A (en) 1969-07-14 1972-01-04 Robert A Ersek Sever cord
DE2928689A1 (de) 1979-07-16 1981-02-12 Dieter Von Zeppelin Dammschere
USD264677S (en) 1979-11-02 1982-06-01 Perry Jr Leroy R Scissors
US4385628A (en) 1980-04-21 1983-05-31 Straith Richard E Surgical instrument
USD278117S (en) 1982-08-30 1985-03-26 Smith Sharon K Contoured pair of scissors
US5400452A (en) 1988-05-19 1995-03-28 Goldstein; Fredric Ribbon curling tool
US5486185A (en) 1989-01-30 1996-01-23 Dexide, Inc. Surgical apparatus
USD331179S (en) 1990-01-08 1992-11-24 Masanori Omichi Hair-cutting scissors
US5168629A (en) 1990-08-28 1992-12-08 Frank Willard Scissor assembly
USD363122S (en) 1994-05-27 1995-10-10 Koichi Uetake Suture needle-holding forceps

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070112376A1 (en) * 2005-11-14 2007-05-17 Tri-State Hospital Supply Corporation Medical tubing clamping apparatus
USD991449S1 (en) * 2019-01-16 2023-07-04 Jon Garito Rhinoplasty instrument

Also Published As

Publication number Publication date
FR2745705B1 (fr) 1998-05-29
FR2745705A1 (fr) 1997-09-12
WO1997033521A1 (fr) 1997-09-18
EP0886490A1 (de) 1998-12-30

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