WO2022098739A1 - Handheld surgical device having retractable portion - Google Patents

Handheld surgical device having retractable portion Download PDF

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Publication number
WO2022098739A1
WO2022098739A1 PCT/US2021/057873 US2021057873W WO2022098739A1 WO 2022098739 A1 WO2022098739 A1 WO 2022098739A1 US 2021057873 W US2021057873 W US 2021057873W WO 2022098739 A1 WO2022098739 A1 WO 2022098739A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical device
handheld surgical
working portion
distal portion
working
Prior art date
Application number
PCT/US2021/057873
Other languages
French (fr)
Inventor
Michael D. Smith
Original Assignee
Wildhurst Surgical Technologies, Llc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Wildhurst Surgical Technologies, Llc filed Critical Wildhurst Surgical Technologies, Llc
Publication of WO2022098739A1 publication Critical patent/WO2022098739A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1622Drill handpieces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1633Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1628Motors; Power supplies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320708Curettes, e.g. hollow scraping instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00336Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means with a protective sleeve, e.g. retractable or slidable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00353Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00473Distal part, e.g. tip or head
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0817Spatulas or spatula like extensions

Definitions

  • This disclosure relates generally to a handheld surgical device configured for performing one or more surgical procedure(s).
  • Surgical tools are used in the healthcare field to, for example, affect (e.g., cut, remove, cauterize, etc.) an anatomical part during a surgical procedure.
  • each surgical tool is configured to perform a specific function. Accordingly, it can be necessary for a professional to use multiple surgical tools during a surgical procedure when different functions are needed to complete the surgical procedure.
  • the disclosure herein provides improved handheld surgical devices and methods related to the handheld surgical devices.
  • Some of the embodiments of the handheld surgical devices described herein are configured with a working portion that is covered (e.g., when not being used), and then uncovered (e.g., when it is being used). For example, a portion of the handheld surgical device can be retracted to uncover the working portion (e.g., when not being used), but then the portion of the handheld surgical device can be extended to cover the working portion (e.g., when being used).
  • the part that covers the working portion can include another working portion that is configured for performing a different procedure.
  • some of the embodiments of the handheld surgical devices can be used to perform two or more specific functions.
  • the embodiments of the handheld surgical devices described herein can reduce and/or eliminate the need for switching between surgical devices during performance of a surgical procedure. Thus, there can be savings in time, related costs, or both.
  • the handheld surgical device has a distal portion and a proximal portion.
  • proximal and distal are used herein to indicate portions of the handheld surgical device with respect to an operator's hand. That is, the proximal portion is relatively closer to the operator’s hand than the distal portion of the handheld surgical device.
  • the proximal portion includes a handle configured for being held by an operator (e.g. handheld).
  • a switch is disposed at the proximal portion (e.g., handle).
  • the switch is remotely located from the handheld surgical device (for example, in an embodiment, the switch is a pedal that can be operated by a user’s foot).
  • a wired or wireless receiver that receives operational signals from the switch is disposed at the proximal portion.
  • the switch is configured to remotely operate the handheld surgical device.
  • the receiver can be a wireless receiver (e.g., via a radio frequency, WiFi, Bluetooth®, etc.).
  • the switch is configured to operate the distal portion so that at least a part of the distal portion covers the working portion.
  • the switch can also be configured operate the distal portion to uncover the working portion.
  • Embodiments of the switch include one or more of a mechanical switch, electronic switch, optical switch, magnetic switch, etc.
  • a single switch can be configured to have two stages, wherein in a first stage, the switch enables the retraction of the distal portion so that the working portion becomes uncovered.
  • the uncovered working portion allows the operator to operate the handheld surgical device to perform a function which the working portion is configured to perform (e.g., drill bone, cut tissue, etc.).
  • the switch In a second stage, the switch enables the extension of the distal portion (e.g., along a major length direction of the handheld surgical device) so that the working portion becomes covered.
  • the covered working portion prevents the operator from operating the handheld surgical device to perform the function of the working portion.
  • the working portion cannot be used by the operator.
  • a different portion can be used by the operator to perform a different function.
  • another portion of the handheld surgical device is configured to protect nearby anatomical part(s) when the uncovered working portion is being used by the operator.
  • the working portion includes a cutting blade.
  • the cutting blade can be configured for cutting soft tissue, but not bone.
  • the working portion includes a drill.
  • the drill can be configured for cutting bone, drilling into bone, or both.
  • the working portion is driven by a motor disposed at the proximal portion connected to a power supply.
  • the distal portion of the handheld surgical device which covers the working portion includes a shroud.
  • the shroud and/or a part of the distal portion includes a cutting edge, wherein the cutting edge is configured to perform a function that is different from the working portion.
  • the cutting edge is configured for cutting soft tissue.
  • the working portion is driven by a motor to cut and/or drill bone.
  • the cutting edge is operable by manual movement of the operator, and the cutting edge is not driven by a motor.
  • a handheld surgical device includes a proximal portion, including a power supply and a motor, the power supply configured to power the motor when the motor is in operation.
  • a working portion configured to be connected to the motor and be driven by the motor such that the working portion is configured to at least cut a bone, drill into the bone, or both cut and drill into the bone when in operation; and a distal portion which is configured to move with respect to the working portion, such that the distal portion includes at least a first position and a second position, wherein in the first position, the distal portion covers at least a portion of the working portion, and in the second position, the distal portion does not entirely cover the working portion.
  • the distal portion in the first position, covers the working portion entirely.
  • the working portion in the second position, is not covered by any part of the distal portion.
  • the power supply comprises a battery.
  • the power supply comprises a converter unit that converts alternating current (AC) to direct current (DC).
  • the power supply comprises a cord for connecting to an alternating current (AC) source.
  • the power supply comprises an air pressure unit.
  • the power supply does not include a battery.
  • the distal portion comprises a cutting edge.
  • the cutting edge is not operably driven by the motor.
  • Figure 1 shows a schematic illustration of an embodiment of the handheld surgical device.
  • Figures 2A and 2B show schematic side views of an embodiment of the handheld surgical device.
  • Figure 3 shows a flowchart of an embodiment of a method of using the handheld surgical device.
  • Figure 4 shows a schematic side view of another embodiment of the handheld surgical.
  • Figure 5 shows a schematic top view of a portion of the distal portion of the handheld surgical device shown in Figure 4.
  • Figure 6 shows a schematic side view of another embodiment of the handheld surgical device.
  • a working portion of a handheld surgical device is configured for performing a specific function during a medical procedure that is performed by a healthcare professional.
  • the working portion is configured for one or more dental procedure(s).
  • the working portion is configured for one or more podiatry procedure(s).
  • an anatomical location such as a wound.
  • a device for cutting and removing soft tissue may be used, and then, when that device nears a bone, a different device may be needed to cut away the bone.
  • Switching between different handheld surgical devices repeatedly within the wound to complete an operation can increase the operation time and associated costs. Manual actions of switching between the two surgical tools can be very time consuming, and can lead to increase in associated costs.
  • switching between different surgical devices may require the healthcare professional to take her eyes off of the anatomical region (e.g., wound) and also may require additional mental concentration in order to acquire the correct tool for the needed function in the anatomical region.
  • the handheld surgical devices described herein can provide multiple tools and/or functions in a single device. Thus, the handheld surgical devices described herein can reduce and/or eliminate the tedious alternating between different tools.
  • An embodiment of a handheld surgical device described herein includes a shroud that extends from a working portion disposed on a distal portion and a cutting blade within a neck portion of the distal portion, from which the cutting blade can be exposed or covered based on the setting of a switch.
  • the shroud portion of the handheld surgical device can include a cup portion that can function independently of the cutting blade.
  • FIG. 1 shows a schematic illustration of a handheld surgical device 100, according to an embodiment.
  • the handheld surgical device 100 includes a proximal portion 102 and a distal portion 104.
  • the proximal portion 102 includes a handle 106 configured for a user's hand to hold, preferably comfortably, while the handheld surgical device 100 is being used.
  • the distal portion 104 includes a working portion 108. At least a part of the working portion 108 is configured for being inserted into a wound or an anatomical area to perform a function (e.g., drill bone, cut tissue, etc.) during a surgical procedure.
  • a function e.g., drill bone, cut tissue, etc.
  • the distal portion 104 can be attached and/or detached from the proximal portion 102 at an attachment region 110.
  • the distal portion 104 can be detached from the proximal portion 102 at the attachment region 110 after use in a surgical procedure, and then a new (i.e., unused) distal portion 104 can be atached to the proximal portion 102 at the atachment region 110 before being used in another surgical procedure.
  • the distal portion 104 can be removed and cleaned/sanitized before being reatached to the proximal portion 102 for future use. That is, the distal portions 104 can be disposed of after use, or be sanitized after use for reuse.
  • the distal portion 104 includes a neck portion 112, which extends from the attachment region 110 to the working portion 108.
  • the distal portion 104 can be extended or retracted to cover the working portion 108 or expose the working portion 108, respectively. That is, the distal portion 104 can move relative to the working portion 108 so that in a first state, the working portion 108 is extended from the distal portion 104 and uncovered and, in a second state, the working portion 108 is retracted from the distal portion 104 and covered. The movement of the distal portion is along a major length of the handheld surgical device 100.
  • the working portion 108 of the handheld surgical device 100 can be covered by a shroud 114 (or a cover) disposed at or near the end of the distal portion 104.
  • the shroud 114 can be, for example, cup-shaped and have a cutting edge 116.
  • the shroud 114 can be a concave shaped portion, a hooded cover, or be a partially enclosed scoop.
  • the shroud 114 can be configured for cuting and/or scooping soft tissue, without requiring a powered motor, while the working portion 108 is connected to a motor and a power supply so that the motor drive the working portion 108 so that the working portion 108 can cut or drill into hard tissue and/or bone.
  • a healthcare professional can use the handheld surgical device 100 for at least two different functions (e.g., for affecting different anatomical regions).
  • the handheld surgical device 100 can eliminate the need for manually switching between two different surgical tools (e.g., for cuting soft tissue and for cutting bone) during a surgical procedure.
  • the working portion 108 can be uncovered by the shroud 114 by, for example, being extended outward from the shroud 114.
  • the proximal portion 102 of the handheld surgical device 100 includes a switch 118 disposed at or near the handle 106, wherein the switch 118 can include a first seting for uncovering the working portion 108 and a second setting for covering the working portion 108 (e.g., by manipulating the distal portion 104).
  • the length of the working portion 108 is at least 0.5 mm. In some embodiments, the length of the working portion 108 is at least 1.0 mm. In some embodiments, the length of the working portion 108 is at most 10.0 mm. In some embodiments, the length of the working portion 108 can be approximately from 0.5 mm to 10 mm. In some embodiments, the length of the working portion 108 can be approximately from 1 mm to 10 mm.
  • the handheld surgical device 100 can be of various shapes and sizes.
  • FIGS 2A and 2B illustrate schematic side views of a handheld surgical device 200, according to an embodiment.
  • the handheld surgical device 200 includes a proximal portion 202, a distal portion 204, a handle 206, a working portion 208, an attachment region 210, a neck portion 212, a shroud 214, a cutting edge 216, and a switch 218, wherein these elements are similar to the like features shown and described with respect to Figure 1.
  • the proximal portion 202 includes a mechanism 220 that is connected to the switch 218 and to the distal portion 204, wherein the mechanism 220 is configured to change the position of the distal portion 204 (e.g., extended position or retracted position) based in a user’s input via the switch 218.
  • the working portion 208 includes a cutting blade 222 driven by a motor 224 that is powered by a power supply 226.
  • the motor 224 and the power supply 226 are disposed in the proximal portion 202.
  • Another switch 228 is configured to activate the motor 224 to drive the cutting blade 222.
  • Figure 2A shows the distal portion 204 in the extended position (operable by the switch 218), wherein the working portion 208 is substantially disposed inside a cavity 230 in the neck portion 212. This allows for the cutting edge 216 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 208.
  • Figure 2B shows the distal portion 204 in the retracted position such that cutting blade 222 and/or the working portion 208 are uncovered (operable by the switch 218), wherein the cutting blade 222 and/or the working portion 208 is extended out of the cavity 230 and positioned distally away from the cutting edge 216. This allows for the cutting blade 222 and/or the working portion 208 to be used (e.g., for cutting bone) without being hindered by the cutting edge 216.
  • the shroud 214 is disposed at a location away from the cutting blade 222 and/or the working portion 208, so that the shroud 214 can be used to shield and/or protect an anatomical region when the working portion 208 is being used.
  • the position of the shroud 214 with respect to the extended cutting blade 222 and/or uncovered working portion 208 provides the shroud 214 to be used for pushing away tissue or other anatomical regions that the user does not desire to be affected (e.g., cut, drill, etc.) by the uncovered cutting blade 222 and/or the uncovered working portion 208.
  • the cutting blade 222 can be a cutting burr made composed of diamond, carbide or like material, and having an oval, matchstick, pear, twist drill, a fluted ball, or the like shape. In some embodiments, the cutting blade 222 can take the shape and/or components of traditional burrs.
  • the cutting edge 216 of the shroud 214 can function.
  • the shroud 214 has a cup-like shape (e.g., scoop-shaped)
  • the shroud 214 can be used to scoop and/or gather tissue, bone, blood, and/or the like during the surgical procedure.
  • the cutting edge 216 can function to cut soft tissue, soft bone, and/or a line during the surgical procedure. Because the cutting edge 216 is not powered by a motor, the cutting edge 216 can function to cut soft tissue and/or soft bone.
  • the cutting blade 222 which is driven by a motor, can function to cut harder tissue and/or bone.
  • the power supply 226 can be a battery, a unit for converting AC to DC with a cord for connecting to an AC source, a gas or a fluid pressure unit (i.e., the motor is driven by pressurized gas or fluid), or suction, etc.
  • the power supply 226 can include a magnet.
  • the power supply 226 can power the motor 224, which can cause the cutting blade 222 to rotate.
  • the cutting blade 222 can rotate at speeds capable of cutting through tissue, bone, or the like during a surgical procedure.
  • FIG. 3 illustrates a method flow diagram 300 for using the handheld surgical device, according to an embodiment.
  • a user connects a proximal portion (e.g., 202 shown in Figure 2A) and a distal portion (e.g., 204 shown in Figure 2A) of the handheld surgical device (e.g., 200 shown in Figure 2A).
  • This step 302 can include attaching a different (e.g., new) distal portion to the proximal portion and activating a locking mechanism on the proximal portion to lock the distal portion in place.
  • the different distal portion can be added and/or detached for each new surgical procedure such that the risk of infection and/or contamination is decreased.
  • the user can use the handheld surgical device for cutting tissue, by using a cutting edge or a cutting blade (e.g., the working portion), based on whether the working portion is extended or retracted.
  • the user can extend or retract the distal portion, thereby uncovering or covering the working portion, and then at step 304, use the handheld surgical device for cutting tissue or bone, by using the cutting edge or the working portion (e.g., the cutting blade).
  • the user can use the handheld surgical device for cutting tissue with the cutting edge.
  • Extending the distal portion includes disabling the operation of the working portion to cut a removal portion with the cutting blade.
  • covering the cutting blade completely protects the cutting blade via inside the neck portion of the handheld surgical device.
  • Step 306 can include powering a motor connected to the cutting blade such that the cutting blade rotates at a speed capable of cutting bone. That is, power can be provided to a motor associated with the cutting blade such that the cutting blade can rotate and cut the removal portion.
  • the user can disconnect the proximal portion and the distal portion. Then the distal portion can be discarded or sanitized for reuse.
  • the distal portion can be removed from the proximal portion at an attachment region, as described herein. Disposing of the distal portion can decrease cross-contamination and/or cross-infection between patients receiving surgical procedures. For instance, using anew distal portion for each patient can significantly reduce contamination and infections risks. Using a new distal portion provides a fresh cutting edge that does not have a worn cutting edge. In some embodiments, the distal portion can be detached and cleaned before being reattached to the proximal portion.
  • the distal portion may be detached and cleaned via autoclaving, sanitization procedures, soap, alcohol, and/or the like.
  • the cleaned and/or sanitized distal portion can be reattached to the proximal portion for future use.
  • FIG. 4 shows a schematic side view of another embodiment of the handheld surgical device 400.
  • the handheld surgical device 400 includes a proximal portion 402, a distal portion 404, a handle 406, a working portion 408, an attachment region 410, a neck portion 412, a shroud 414, a cutting edge 416, and a switch 418.
  • the proximal portion 402 includes a mechanism 420 that is connected to the switch 418 and to the distal portion 404, wherein the mechanism 420 is configured to change the position of the distal portion 404 (e.g., extended position or retracted position) based in a user’s input via the switch 418.
  • the working portion 408 includes a cutting blade 422 driven by a motor 424 that is powered by a power supply 426.
  • the motor 424 and the power supply 426 are disposed in the proximal portion 402.
  • Another switch 428 is configured to activate the motor 424 to drive the cutting blade 422.
  • the distal portion 404 can be placed in the extended position (operable by the switch 418), wherein the working portion 408 is substantially disposed inside a cavity 430 in the neck portion 412. This allows for the cutting edge 416 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 408.
  • Figure 4 shows the cutting blade 422 and/or the working portion 408 in the uncovered position (operable by the switch 418), wherein the cutting blade 422 and/or the working portion 408 is extended out of the cavity 430 and positioned at least partly within a space that is at least partly surrounded by the shroud 414.
  • the shroud 414 is a concave scoop-like configuration, then at least part of the cutting blade 422 and/or the working portion 408 is contained in the concave scoop-like shape, as shown in Figure 4.
  • the shroud 414 can be used to shield and/or protect an anatomical region when the cutting blade 422 and/or the working portion 408 is being used.
  • a top view of a portion 500 of the distal portion 404 is shown in Figure 5.
  • the portion 500 when viewed from above, shows the cutting blade 422 and/or the working portion 408 contained in the concave scoop-like shape of the shroud 414 when the working portion 408 is in the uncovered position.
  • FIG. 6 shows a schematic side view of another embodiment of the handheld surgical device.
  • the handheld surgical device 600 includes a proximal portion 602, a distal portion 604, a handle 606, a working portion 608, a shaft 610, a neck portion 612, a shroud 614, a cutting edge 616, and a switch 618.
  • the proximal portion 602 includes a mechanism 620 that is connected to the switch 618 and to the distal portion 604, wherein the mechanism 620 is configured to change the position of the distal portion 604 (e.g., extended position or retracted position) based on a user’s input via the switch 618.
  • the working portion 608 includes a cutting blade 622 driven by a motor 624 that is powered by a power supply 626.
  • the motor 624 and the power supply 626 are disposed in the proximal portion 602.
  • Another switch 628 is configured to activate the motor 624 to drive the cutting blade 622.
  • the distal portion 604 can be in the extended position in which the working portion 608 can be placed in the covered position (operable by the switch 618), wherein the working portion 608 is substantially disposed inside a cavity 630 in the neck portion 612. This allows for the cutting edge 616 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 608.
  • Figure 6 shows the distal portion 604 in the retracted position in which cutting blade 622 and/or the working portion 608 is uncovered (operable by the switch 618), wherein the cutting blade 622 and/or the working portion 608 is extended out of the cavity 630 and positioned at least partly within a space that is at least partly surrounded by the shroud 614.
  • the shroud 614 can be used to shield and/or protect an anatomical region when the cutting blade 622 and/or the working portion 608 is being used.
  • the neck portion 612 is at least partly curved.
  • the shaft 610 which connects to the working portion 608 and the mechanism 620 and/or the motor 624, can be configured to be flexible to follow the curved neck portion 612 within the cavity 630.
  • the shaft 610 is not flexible, but is configured to be guided within the cavity 630 of the curved neck portion 612. In other embodiments, at least a part of the shaft 610 is flexible so that the cutting blade 622 and/or the working portion 608 can be guided to be within the cavity 630 of the curved neck portion 612 when retracted. [0069] Aspects: It is to be appreciated that aspect 1 can be combined with any one of aspects 2-11.
  • a handheld surgical device comprising: a proximal portion; and a distal portion, including a working portion configured to cut a bone, drill into the bone, or both cut and drill into the bone, the distal portion configured to move relatively toward the proximal portion to retract and place the handheld surgical device in an uncovered configuration, and configured to move relatively from the proximal portion to extend and place the handheld surgical device in a covered configuration, wherein in the covered configuration, the working portion is at least partially contained within the distal portion, and in the uncovered configuration, the working portion is extended outside the distal portion.
  • a handheld surgical device comprising: a proximal portion, including a power supply and a motor, the power supply configured to power the motor when the motor is in operation; a working portion configured to be connected to the motor and be driven by the motor such that the working portion is configured to at least cut a bone, drill into the bone, or both cut and drill into the bone when in operation; and a distal portion which is configured to move with respect to the working portion, such that the distal portion includes at least a first position and a second position, wherein in the first position, the distal portion covers at least a portion of the working portion, and in the second position, the distal portion does not entirely cover the working portion.
  • Aspect 3 The handheld surgical device according to aspect 2, wherein in the first position, the distal portion covers the working portion entirely or nearly entirely.
  • Aspect 4 The handheld surgical device according to any one of aspects 2-3, wherein in the second position, the working portion is not covered by any part of the distal portion.
  • Aspect 5 The handheld surgical device according to any one of aspects 2-4, wherein the power supply comprises a battery.
  • Aspect 6 The handheld surgical device according to any one of aspects 2-5, wherein the power supply comprises a converter unit that converts alternating current (AC) to direct current (DC).
  • AC alternating current
  • DC direct current
  • Aspect 7 The handheld surgical device according to aspect 6, wherein the power supply comprises a cord for connecting to an alternating current (AC) source or to a direct current (DC) source.
  • Aspect 8 The handheld surgical device according to any one of aspects 2-7, wherein the power supply comprises an air pressure unit.
  • Aspect 9 The handheld surgical device according to any one of aspects 2-8, wherein the power supply does not include a battery.
  • Aspect 10 The handheld surgical device according to any one of aspects 2-9, wherein the distal portion comprises a cutting edge.
  • Aspect 11 The handheld surgical device according to aspect 10, wherein the cutting edge is not operably driven by the motor.

Abstract

A handheld surgical device having a working portion that can be covered or uncovered by extending or retracting a distal portion of the handheld surgical device. The working portion of the handheld surgical device can have an uncovered position or a covered position, which can be controlled by one or more switch(s) at the handle portion of the handheld surgical device. The handheld surgical device can also include a shroud that can cover the working portion having a cutting blade driven by a powered motor. The shroud can also have a cutting edge, which is not driven by the powered motor.

Description

HANDHELD SURGICAL DEVICE HAVING RETRACTABLE PORTION
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] The present application claims priority to and benefit of U.S. Provisional Patent Application No. 63/109,144, filed November 3, 2020, and entitled “HANDHELD SURGICAL DEVICE HAVING RETRACTABLE PORTION,” the entirety of which is herein incorporated by reference.
FIELD
[0002] This disclosure relates generally to a handheld surgical device configured for performing one or more surgical procedure(s).
BACKGROUND
[0003] Surgical tools are used in the healthcare field to, for example, affect (e.g., cut, remove, cauterize, etc.) an anatomical part during a surgical procedure. Generally, each surgical tool is configured to perform a specific function. Accordingly, it can be necessary for a professional to use multiple surgical tools during a surgical procedure when different functions are needed to complete the surgical procedure.
SUMMARY
[0004] The disclosure herein provides improved handheld surgical devices and methods related to the handheld surgical devices. Some of the embodiments of the handheld surgical devices described herein are configured with a working portion that is covered (e.g., when not being used), and then uncovered (e.g., when it is being used). For example, a portion of the handheld surgical device can be retracted to uncover the working portion (e.g., when not being used), but then the portion of the handheld surgical device can be extended to cover the working portion (e.g., when being used). When the working portion is covered, the part that covers the working portion can include another working portion that is configured for performing a different procedure. Thus, some of the embodiments of the handheld surgical devices can be used to perform two or more specific functions.
[0005] Advantageously, the embodiments of the handheld surgical devices described herein can reduce and/or eliminate the need for switching between surgical devices during performance of a surgical procedure. Thus, there can be savings in time, related costs, or both. [0006] In some embodiments, the handheld surgical device has a distal portion and a proximal portion.
[0007] The terms “proximal” and “distal” are used herein to indicate portions of the handheld surgical device with respect to an operator's hand. That is, the proximal portion is relatively closer to the operator’s hand than the distal portion of the handheld surgical device.
[0008] The proximal portion includes a handle configured for being held by an operator (e.g. handheld). In some embodiments, a switch is disposed at the proximal portion (e.g., handle). In some embodiments, the switch is remotely located from the handheld surgical device (for example, in an embodiment, the switch is a pedal that can be operated by a user’s foot). In the embodiments that has the switch disposed remotely from the handle, a wired or wireless receiver that receives operational signals from the switch is disposed at the proximal portion. In some embodiments, the switch is configured to remotely operate the handheld surgical device. The receiver can be a wireless receiver (e.g., via a radio frequency, WiFi, Bluetooth®, etc.). In some embodiments, the switch is configured to operate the distal portion so that at least a part of the distal portion covers the working portion. The switch can also be configured operate the distal portion to uncover the working portion. Embodiments of the switch include one or more of a mechanical switch, electronic switch, optical switch, magnetic switch, etc.
[0009] For example, a single switch can be configured to have two stages, wherein in a first stage, the switch enables the retraction of the distal portion so that the working portion becomes uncovered. The uncovered working portion allows the operator to operate the handheld surgical device to perform a function which the working portion is configured to perform (e.g., drill bone, cut tissue, etc.). In a second stage, the switch enables the extension of the distal portion (e.g., along a major length direction of the handheld surgical device) so that the working portion becomes covered. The covered working portion prevents the operator from operating the handheld surgical device to perform the function of the working portion. Thus, when the working portion is covered, the working portion cannot be used by the operator. However, a different portion can be used by the operator to perform a different function.
[0010] Further, in some embodiment, another portion of the handheld surgical device is configured to protect nearby anatomical part(s) when the uncovered working portion is being used by the operator. [0011] In some embodiments, there can be two switches, one switch for uncovering the working portion, and another switch for covering the working portion.
[0012] In some embodiments, the working portion includes a cutting blade. The cutting blade can be configured for cutting soft tissue, but not bone.
[0013] In some embodiments, the working portion includes a drill. The drill can be configured for cutting bone, drilling into bone, or both.
[0014] In some embodiments, the working portion is driven by a motor disposed at the proximal portion connected to a power supply.
[0015] In some embodiments, the distal portion of the handheld surgical device which covers the working portion includes a shroud.
[0016] In some embodiments, the shroud and/or a part of the distal portion includes a cutting edge, wherein the cutting edge is configured to perform a function that is different from the working portion.
[0017] In some embodiments, the cutting edge is configured for cutting soft tissue.
[0018] In some embodiments, the working portion is driven by a motor to cut and/or drill bone. In some embodiments, the cutting edge is operable by manual movement of the operator, and the cutting edge is not driven by a motor.
[0019] In some embodiments, a handheld surgical device includes a proximal portion, including a power supply and a motor, the power supply configured to power the motor when the motor is in operation. These embodiments include a working portion configured to be connected to the motor and be driven by the motor such that the working portion is configured to at least cut a bone, drill into the bone, or both cut and drill into the bone when in operation; and a distal portion which is configured to move with respect to the working portion, such that the distal portion includes at least a first position and a second position, wherein in the first position, the distal portion covers at least a portion of the working portion, and in the second position, the distal portion does not entirely cover the working portion.
[0020] In some embodiments, in the first position, the distal portion covers the working portion entirely.
[0021] In some embodiments, in the second position, the working portion is not covered by any part of the distal portion.
[0022] In some embodiments, the power supply comprises a battery.
[0023] In some embodiments, the power supply comprises a converter unit that converts alternating current (AC) to direct current (DC). [0024] In some embodiments, the power supply comprises a cord for connecting to an alternating current (AC) source.
[0025] In some embodiments, the power supply comprises an air pressure unit.
[0026] In some embodiments, the power supply does not include a battery.
[0027] In some embodiments, the distal portion comprises a cutting edge.
[0028] In some embodiments, the cutting edge is not operably driven by the motor.
BRIEF DESCRIPTION OF THE DRAWINGS
[0029] References are made to the accompanying drawings that form a part of this disclosure and which illustrate embodiments in which the devices and methods described herein can be practiced.
[0030] Figure 1 shows a schematic illustration of an embodiment of the handheld surgical device.
[0031] Figures 2A and 2B show schematic side views of an embodiment of the handheld surgical device.
[0032] Figure 3 shows a flowchart of an embodiment of a method of using the handheld surgical device.
[0033] Figure 4 shows a schematic side view of another embodiment of the handheld surgical.
[0034] Figure 5 shows a schematic top view of a portion of the distal portion of the handheld surgical device shown in Figure 4.
[0035] Figure 6 shows a schematic side view of another embodiment of the handheld surgical device.
DETAILED DESCRIPTION
[0036] Generally, a working portion of a handheld surgical device is configured for performing a specific function during a medical procedure that is performed by a healthcare professional. In some embodiments, the working portion is configured for one or more dental procedure(s). In some embodiments, the working portion is configured for one or more podiatry procedure(s).
[0037] During the medical procedure, it can be necessary for the healthcare professional to switch between different handheld surgical devices at the same or near an anatomical location, such as a wound. For example, a device for cutting and removing soft tissue may be used, and then, when that device nears a bone, a different device may be needed to cut away the bone. Switching between different handheld surgical devices repeatedly within the wound to complete an operation can increase the operation time and associated costs. Manual actions of switching between the two surgical tools can be very time consuming, and can lead to increase in associated costs. Further, switching between different surgical devices may require the healthcare professional to take her eyes off of the anatomical region (e.g., wound) and also may require additional mental concentration in order to acquire the correct tool for the needed function in the anatomical region. Accordingly, alternating between several tools can be tedious and may increase the fatigue of the healthcare professional, risk of contamination, infection, and/or damage to the patient. The contamination, infection, and/or intended damage can cause or exacerbate problems for a patient and a treatment plan. Thus, there is a clear advantage for a handheld surgical device which can reduce and/or eliminate the tedious alternation between different tools.
[0038] The handheld surgical devices described herein can provide multiple tools and/or functions in a single device. Thus, the handheld surgical devices described herein can reduce and/or eliminate the tedious alternating between different tools.
[0039] An embodiment of a handheld surgical device described herein includes a shroud that extends from a working portion disposed on a distal portion and a cutting blade within a neck portion of the distal portion, from which the cutting blade can be exposed or covered based on the setting of a switch. The shroud portion of the handheld surgical device can include a cup portion that can function independently of the cutting blade.
[0040] Figure 1 shows a schematic illustration of a handheld surgical device 100, according to an embodiment. The handheld surgical device 100 includes a proximal portion 102 and a distal portion 104. The proximal portion 102 includes a handle 106 configured for a user's hand to hold, preferably comfortably, while the handheld surgical device 100 is being used. The distal portion 104 includes a working portion 108. At least a part of the working portion 108 is configured for being inserted into a wound or an anatomical area to perform a function (e.g., drill bone, cut tissue, etc.) during a surgical procedure.
[0041] In some embodiments, the distal portion 104 can be attached and/or detached from the proximal portion 102 at an attachment region 110. For example, the distal portion 104 can be detached from the proximal portion 102 at the attachment region 110 after use in a surgical procedure, and then a new (i.e., unused) distal portion 104 can be atached to the proximal portion 102 at the atachment region 110 before being used in another surgical procedure. Alternatively, the distal portion 104 can be removed and cleaned/sanitized before being reatached to the proximal portion 102 for future use. That is, the distal portions 104 can be disposed of after use, or be sanitized after use for reuse. The distal portion 104 includes a neck portion 112, which extends from the attachment region 110 to the working portion 108.
[0042] The distal portion 104 can be extended or retracted to cover the working portion 108 or expose the working portion 108, respectively. That is, the distal portion 104 can move relative to the working portion 108 so that in a first state, the working portion 108 is extended from the distal portion 104 and uncovered and, in a second state, the working portion 108 is retracted from the distal portion 104 and covered. The movement of the distal portion is along a major length of the handheld surgical device 100.
[0043] The working portion 108 of the handheld surgical device 100 can be covered by a shroud 114 (or a cover) disposed at or near the end of the distal portion 104. The shroud 114 can be, for example, cup-shaped and have a cutting edge 116. In some embodiments, the shroud 114 can be a concave shaped portion, a hooded cover, or be a partially enclosed scoop. For example, the shroud 114 can be configured for cuting and/or scooping soft tissue, without requiring a powered motor, while the working portion 108 is connected to a motor and a power supply so that the motor drive the working portion 108 so that the working portion 108 can cut or drill into hard tissue and/or bone.
[0044] Advantageously, a healthcare professional can use the handheld surgical device 100 for at least two different functions (e.g., for affecting different anatomical regions). Thus, the handheld surgical device 100 can eliminate the need for manually switching between two different surgical tools (e.g., for cuting soft tissue and for cutting bone) during a surgical procedure.
[0045] The working portion 108 can be uncovered by the shroud 114 by, for example, being extended outward from the shroud 114. The proximal portion 102 of the handheld surgical device 100 includes a switch 118 disposed at or near the handle 106, wherein the switch 118 can include a first seting for uncovering the working portion 108 and a second setting for covering the working portion 108 (e.g., by manipulating the distal portion 104). [0046] In some embodiments, the length of the working portion 108 is at least 0.5 mm. In some embodiments, the length of the working portion 108 is at least 1.0 mm. In some embodiments, the length of the working portion 108 is at most 10.0 mm. In some embodiments, the length of the working portion 108 can be approximately from 0.5 mm to 10 mm. In some embodiments, the length of the working portion 108 can be approximately from 1 mm to 10 mm.
[0047] The handheld surgical device 100 can be of various shapes and sizes.
[0048] Figures 2A and 2B illustrate schematic side views of a handheld surgical device 200, according to an embodiment. The handheld surgical device 200 includes a proximal portion 202, a distal portion 204, a handle 206, a working portion 208, an attachment region 210, a neck portion 212, a shroud 214, a cutting edge 216, and a switch 218, wherein these elements are similar to the like features shown and described with respect to Figure 1.
[0049] The proximal portion 202 includes a mechanism 220 that is connected to the switch 218 and to the distal portion 204, wherein the mechanism 220 is configured to change the position of the distal portion 204 (e.g., extended position or retracted position) based in a user’s input via the switch 218.
[0050] The working portion 208 includes a cutting blade 222 driven by a motor 224 that is powered by a power supply 226. The motor 224 and the power supply 226 are disposed in the proximal portion 202. Another switch 228 is configured to activate the motor 224 to drive the cutting blade 222.
[0051] Figure 2A shows the distal portion 204 in the extended position (operable by the switch 218), wherein the working portion 208 is substantially disposed inside a cavity 230 in the neck portion 212. This allows for the cutting edge 216 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 208.
[0052] Figure 2B shows the distal portion 204 in the retracted position such that cutting blade 222 and/or the working portion 208 are uncovered (operable by the switch 218), wherein the cutting blade 222 and/or the working portion 208 is extended out of the cavity 230 and positioned distally away from the cutting edge 216. This allows for the cutting blade 222 and/or the working portion 208 to be used (e.g., for cutting bone) without being hindered by the cutting edge 216.
[0053] The shroud 214 is disposed at a location away from the cutting blade 222 and/or the working portion 208, so that the shroud 214 can be used to shield and/or protect an anatomical region when the working portion 208 is being used. For example, the position of the shroud 214 with respect to the extended cutting blade 222 and/or uncovered working portion 208 provides the shroud 214 to be used for pushing away tissue or other anatomical regions that the user does not desire to be affected (e.g., cut, drill, etc.) by the uncovered cutting blade 222 and/or the uncovered working portion 208.
[0054] In some embodiments, the cutting blade 222 can be a cutting burr made composed of diamond, carbide or like material, and having an oval, matchstick, pear, twist drill, a fluted ball, or the like shape. In some embodiments, the cutting blade 222 can take the shape and/or components of traditional burrs.
[0055] When the cutting blade 222 is covered (e.g., not functioning), the cutting edge 216 of the shroud 214 can function. For example, in an embodiment where the shroud 214 has a cup-like shape (e.g., scoop-shaped), the shroud 214 can be used to scoop and/or gather tissue, bone, blood, and/or the like during the surgical procedure. Further, the cutting edge 216 can function to cut soft tissue, soft bone, and/or a line during the surgical procedure. Because the cutting edge 216 is not powered by a motor, the cutting edge 216 can function to cut soft tissue and/or soft bone.
[0056] However, the cutting blade 222, which is driven by a motor, can function to cut harder tissue and/or bone.
[0057] The power supply 226 can be a battery, a unit for converting AC to DC with a cord for connecting to an AC source, a gas or a fluid pressure unit (i.e., the motor is driven by pressurized gas or fluid), or suction, etc. In some embodiments, the power supply 226 can include a magnet. The power supply 226 can power the motor 224, which can cause the cutting blade 222 to rotate. The cutting blade 222 can rotate at speeds capable of cutting through tissue, bone, or the like during a surgical procedure.
[0058] Figure 3 illustrates a method flow diagram 300 for using the handheld surgical device, according to an embodiment. At step 302, a user connects a proximal portion (e.g., 202 shown in Figure 2A) and a distal portion (e.g., 204 shown in Figure 2A) of the handheld surgical device (e.g., 200 shown in Figure 2A). This step 302 can include attaching a different (e.g., new) distal portion to the proximal portion and activating a locking mechanism on the proximal portion to lock the distal portion in place. The different distal portion can be added and/or detached for each new surgical procedure such that the risk of infection and/or contamination is decreased. [0059] At step 304, the user can use the handheld surgical device for cutting tissue, by using a cutting edge or a cutting blade (e.g., the working portion), based on whether the working portion is extended or retracted.
[0060] At step 306, the user can extend or retract the distal portion, thereby uncovering or covering the working portion, and then at step 304, use the handheld surgical device for cutting tissue or bone, by using the cutting edge or the working portion (e.g., the cutting blade). When the user extends the distal portion so that the working portion is no longer operable, the user can use the handheld surgical device for cutting tissue with the cutting edge. Extending the distal portion includes disabling the operation of the working portion to cut a removal portion with the cutting blade. In some embodiments, covering the cutting blade completely protects the cutting blade via inside the neck portion of the handheld surgical device. That is, covering the cutting blade disables the operation to cut a removal portion as it is nestled inside the neck portion of the surgical device and not protected by the shroud, as described herein. In some embodiments, the cutting blade and/or the working portion can be partially protected by a shroud while enabling an operation to cut a removal portion in the anatomy. A removal portion, as used herein, is a portion to be removed and/or cut during a surgical procedure. For example, a removal portion can be an area of bone, tissue, blood, or the like. Additionally, the shroud can partially cover the cutting blade so as to protect areas that are not meant to be cut (e.g., non-removal portions). Step 306 can include powering a motor connected to the cutting blade such that the cutting blade rotates at a speed capable of cutting bone. That is, power can be provided to a motor associated with the cutting blade such that the cutting blade can rotate and cut the removal portion.
[0061] At step 308, the user can disconnect the proximal portion and the distal portion. Then the distal portion can be discarded or sanitized for reuse. The distal portion can be removed from the proximal portion at an attachment region, as described herein. Disposing of the distal portion can decrease cross-contamination and/or cross-infection between patients receiving surgical procedures. For instance, using anew distal portion for each patient can significantly reduce contamination and infections risks. Using a new distal portion provides a fresh cutting edge that does not have a worn cutting edge. In some embodiments, the distal portion can be detached and cleaned before being reattached to the proximal portion. For instance, the distal portion may be detached and cleaned via autoclaving, sanitization procedures, soap, alcohol, and/or the like. The cleaned and/or sanitized distal portion can be reattached to the proximal portion for future use.
[0062] The steps shown in Figure 3 can be performed in various sequences and/or combinations. In particular, the flowchart shown in Figure 3 provides for performing the steps according to one or more of the exemplary orders and/or sequences listed below (but not necessarily limited only to these orders):
[0063] steps 302, 304, and 308; steps 302, 304, 306, 304, and 308; steps 302, 306, 304, and 308; steps 306, and 304; steps 304, 306, and 304; steps 304, 306, 304, and 308; steps 302, 306, and 304; steps 302, 306, 304, 306, and 304; steps 302, 304, 306, 304, 306, and 304; steps 306, 304, and 308; steps 306, 304, 306, 304, and 308; steps 304, 306, 304, 306, 304, and 308; steps 302, 306, 304, and 308; steps 302, 306, 304, 306, 304, and 308; and steps 302, 304, 306, 304, 306, 304, and 308.
[0064] Figure 4 shows a schematic side view of another embodiment of the handheld surgical device 400. The handheld surgical device 400 includes a proximal portion 402, a distal portion 404, a handle 406, a working portion 408, an attachment region 410, a neck portion 412, a shroud 414, a cutting edge 416, and a switch 418. The proximal portion 402 includes a mechanism 420 that is connected to the switch 418 and to the distal portion 404, wherein the mechanism 420 is configured to change the position of the distal portion 404 (e.g., extended position or retracted position) based in a user’s input via the switch 418.
[0065] The working portion 408 includes a cutting blade 422 driven by a motor 424 that is powered by a power supply 426. The motor 424 and the power supply 426 are disposed in the proximal portion 402. Another switch 428 is configured to activate the motor 424 to drive the cutting blade 422. The distal portion 404 can be placed in the extended position (operable by the switch 418), wherein the working portion 408 is substantially disposed inside a cavity 430 in the neck portion 412. This allows for the cutting edge 416 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 408.
[0066] Figure 4 shows the cutting blade 422 and/or the working portion 408 in the uncovered position (operable by the switch 418), wherein the cutting blade 422 and/or the working portion 408 is extended out of the cavity 430 and positioned at least partly within a space that is at least partly surrounded by the shroud 414. For example, if the shroud 414 is a concave scoop-like configuration, then at least part of the cutting blade 422 and/or the working portion 408 is contained in the concave scoop-like shape, as shown in Figure 4. Thus, the shroud 414 can be used to shield and/or protect an anatomical region when the cutting blade 422 and/or the working portion 408 is being used. A top view of a portion 500 of the distal portion 404 is shown in Figure 5. The portion 500, when viewed from above, shows the cutting blade 422 and/or the working portion 408 contained in the concave scoop-like shape of the shroud 414 when the working portion 408 is in the uncovered position.
[0067] Figure 6 shows a schematic side view of another embodiment of the handheld surgical device. The handheld surgical device 600 includes a proximal portion 602, a distal portion 604, a handle 606, a working portion 608, a shaft 610, a neck portion 612, a shroud 614, a cutting edge 616, and a switch 618. The proximal portion 602 includes a mechanism 620 that is connected to the switch 618 and to the distal portion 604, wherein the mechanism 620 is configured to change the position of the distal portion 604 (e.g., extended position or retracted position) based on a user’s input via the switch 618. The working portion 608 includes a cutting blade 622 driven by a motor 624 that is powered by a power supply 626. The motor 624 and the power supply 626 are disposed in the proximal portion 602. Another switch 628 is configured to activate the motor 624 to drive the cutting blade 622. The distal portion 604 can be in the extended position in which the working portion 608 can be placed in the covered position (operable by the switch 618), wherein the working portion 608 is substantially disposed inside a cavity 630 in the neck portion 612. This allows for the cutting edge 616 to be used (e.g., for cutting soft tissue) without being hindered by the working portion 608.
[0068] Figure 6 shows the distal portion 604 in the retracted position in which cutting blade 622 and/or the working portion 608 is uncovered (operable by the switch 618), wherein the cutting blade 622 and/or the working portion 608 is extended out of the cavity 630 and positioned at least partly within a space that is at least partly surrounded by the shroud 614. The shroud 614 can be used to shield and/or protect an anatomical region when the cutting blade 622 and/or the working portion 608 is being used. The neck portion 612 is at least partly curved. The shaft 610, which connects to the working portion 608 and the mechanism 620 and/or the motor 624, can be configured to be flexible to follow the curved neck portion 612 within the cavity 630. Alternatively, the shaft 610 is not flexible, but is configured to be guided within the cavity 630 of the curved neck portion 612. In other embodiments, at least a part of the shaft 610 is flexible so that the cutting blade 622 and/or the working portion 608 can be guided to be within the cavity 630 of the curved neck portion 612 when retracted. [0069] Aspects: It is to be appreciated that aspect 1 can be combined with any one of aspects 2-11.
[0070] Aspect 1. A handheld surgical device, comprising: a proximal portion; and a distal portion, including a working portion configured to cut a bone, drill into the bone, or both cut and drill into the bone, the distal portion configured to move relatively toward the proximal portion to retract and place the handheld surgical device in an uncovered configuration, and configured to move relatively from the proximal portion to extend and place the handheld surgical device in a covered configuration, wherein in the covered configuration, the working portion is at least partially contained within the distal portion, and in the uncovered configuration, the working portion is extended outside the distal portion.
[0071] Aspect 2. A handheld surgical device, comprising: a proximal portion, including a power supply and a motor, the power supply configured to power the motor when the motor is in operation; a working portion configured to be connected to the motor and be driven by the motor such that the working portion is configured to at least cut a bone, drill into the bone, or both cut and drill into the bone when in operation; and a distal portion which is configured to move with respect to the working portion, such that the distal portion includes at least a first position and a second position, wherein in the first position, the distal portion covers at least a portion of the working portion, and in the second position, the distal portion does not entirely cover the working portion.
[0072] Aspect 3. The handheld surgical device according to aspect 2, wherein in the first position, the distal portion covers the working portion entirely or nearly entirely.
[0073] Aspect 4. The handheld surgical device according to any one of aspects 2-3, wherein in the second position, the working portion is not covered by any part of the distal portion.
[0074] Aspect 5. The handheld surgical device according to any one of aspects 2-4, wherein the power supply comprises a battery.
[0075] Aspect 6. The handheld surgical device according to any one of aspects 2-5, wherein the power supply comprises a converter unit that converts alternating current (AC) to direct current (DC).
[0076] Aspect 7. The handheld surgical device according to aspect 6, wherein the power supply comprises a cord for connecting to an alternating current (AC) source or to a direct current (DC) source. [0077] Aspect 8. The handheld surgical device according to any one of aspects 2-7, wherein the power supply comprises an air pressure unit.
[0078] Aspect 9. The handheld surgical device according to any one of aspects 2-8, wherein the power supply does not include a battery.
[0079] Aspect 10. The handheld surgical device according to any one of aspects 2-9, wherein the distal portion comprises a cutting edge.
[0080] Aspect 11. The handheld surgical device according to aspect 10, wherein the cutting edge is not operably driven by the motor.
[0081] The terminology used in this Specification is intended to describe particular embodiments and is not intended to be limiting. The terms "a," "an," and "the" include the plural forms as well, unless clearly indicated otherwise. With regard to the preceding description, it is to be understood that changes may be made in detail, especially in matters of the construction materials employed and the shape, size, and arrangement of parts without departing from the scope of the present disclosure. The embodiments described are exemplary only. Other and further embodiments may be devised without departing from the basic scope thereof, with the true scope and spirit of the disclosure being indicated by the claims.

Claims

CLAIMS What is claimed is:
1. A handheld surgical device, comprising: a proximal portion; and a distal portion, including: a working portion configured to cut a bone, drill into the bone, or both cut and drill into the bone, the distal portion configured to move relatively toward the proximal portion to retract and place the handheld surgical device in an uncovered configuration, and configured to move relatively from the proximal portion to extend and place the handheld surgical device in a covered configuration, wherein in the covered configuration, the working portion is at least partially contained within the distal portion, and in the uncovered configuration, the working portion is extended outside the distal portion.
2. A handheld surgical device, comprising: a proximal portion, including a power supply and a motor, the power supply configured to power the motor when the motor is in operation; a working portion configured to be connected to the motor and be driven by the motor such that the working portion is configured to at least cut a bone, drill into the bone, or both cut and drill into the bone when in operation; and a distal portion which is configured to move with respect to the working portion, such that the distal portion includes at least a first position and a second position, wherein in the first position, the distal portion covers at least a portion of the working portion, and in the second position, the distal portion does not entirely cover the working portion.
3. The handheld surgical device according to claim 2, wherein in the first position, the distal portion covers the working portion entirely or nearly entirely.
4. The handheld surgical device according to claim 2, wherein in the second position, the working portion is not covered by any part of the distal portion.
5. The handheld surgical device according to claim 2, wherein the power supply comprises a battery.
6. The handheld surgical device according to claim 2, wherein the power supply comprises a converter unit that converts alternating current (AC) to direct current (DC).
7. The handheld surgical device according to claim 6, wherein the power supply comprises a cord for connecting to an alternating current (AC) source or to a direct current (DC) source.
8. The handheld surgical device according to claim 2, wherein the power supply comprises an air pressure unit.
9. The handheld surgical device according to claim 2, wherein the power supply does not include a battery.
10. The handheld surgical device according to claim 2, wherein the distal portion comprises a cutting edge.
11. The handheld surgical device according to claim 10, wherein the cutting edge is not operably driven by the motor.
PCT/US2021/057873 2020-11-03 2021-11-03 Handheld surgical device having retractable portion WO2022098739A1 (en)

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US63/109,144 2020-11-03

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US20080281343A1 (en) * 2006-05-30 2008-11-13 Mako Surgical Corp. Surgical tool
US20140031844A1 (en) * 2012-01-17 2014-01-30 Covidien Lp Material Removal Device and Method of Use
US20180249987A1 (en) * 2013-11-20 2018-09-06 Covidien Lp Devices, systems, and methods for navigating a biopsy tool to a target location and obtaining a tissue sample using the same
US20160051314A1 (en) * 2014-08-20 2016-02-25 GYRUS ACMI, INC., d/b/a Olympus Surgical Technologies America Multi-mode combination electrosurgical device
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