US3809091A - Surgical instrument - Google Patents
Surgical instrument Download PDFInfo
- Publication number
- US3809091A US3809091A US00276313A US27631372A US3809091A US 3809091 A US3809091 A US 3809091A US 00276313 A US00276313 A US 00276313A US 27631372 A US27631372 A US 27631372A US 3809091 A US3809091 A US 3809091A
- Authority
- US
- United States
- Prior art keywords
- instrument
- uterus
- shank
- instrument according
- surface area
- Prior art date
- 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
Abstract
The invention relates to a surgical instrument primarily for use during the sterilization of females. The instrument has a handle, a shank and a curved or hook-shaped primary portion. The primary portion is capable of insertion into the uterus where it engages the inner surface of the posterior uterine wall so that, when the instrument is rotated through an angle of approximately 180* the fundus of the uterus is pressed downward in acute retroversion into the cul-de-sac of the peritoneal cavity.
Description
United States Patent 1191 111.1 3,809,091 Shute [451 May 7, 1974 SURGICAL INSTRUMENT 2,296,793 9 1942 Kirschbaum 123/20 [76] Inventor: Wallace B. Shute, 300 Island Park Dr., Ottawa, Ontario, Canada [22] Filed: July 31, 1972 [21] App]. No.: 276,313
[30] Foreign Application Priority Data Aug. 25, 1971 Canada 121340 [52] us. c1. 128/303, 128/361 [51] Int. Cl A61b 17/42 [58] Field of Search 128/303 R, 361, 20, 2 R
[56] References Cited UNITED STATES PATENTS 1,144,220 6/1915 Maguire 128/2 R-X 4/1929 Hyde 128/20 The invention relates to a surgical instrument primar- Primary Examiner-Lucie l-l. Laudenslager Attorney, Agent, or Firm-Cushman, Darby & Cushman ABSTRACT ily for use during the sterilization of females. The instrument has a handle, a shank and a curved or hookshaped primary portion. The primary portion is capable of insertion into the uterus where it engages the inner surface of the posterior uterine wall so that, when the instrument is rotated through an angle of approximately 180 the fundus of the uterus is pressed downward in acute retroversion into the cul-de-sac of the peritoneal cavity.
' 5 Claims, 6 Drawing Figures SURGICAL INSTRUMENT This invention relates to surgical instruments and more particularly to an instrument used during sterilization of females. r
As is well known, sterilization of females is best effected by removing a section of each Fallopian tube. In order to obtain access to these tubes, a posterior colpotomy incision is made in the vaginal vault immediately behind the uterus, opening into the cul-de-sac of the peritoneal cavity to expose the tubes. Before the 'tubes can be reached however, the usually anteverted uterus must be acutely 'retroverted to bring its fundus its attached Fallopian tube (also not shown). I-Ie reand tubes within direct range of the operator working through that colpotomy incision. It is the object of this inventionto provide a simple and relatively inexpensive instrument for so retroverting the uterus, in a quick and simple manner without damage to the soft uterine tissue, thus exposing the Fallopian tubes without recourse toabdominal incision.
The invention is illustrated, by wayof example, inthe accompanying drawings in which:
FIG. 1 is a perspective view of the surgical instrument;
FIG. 2 is a diagrammatic view of the instrument in situ within the vagina and uterus, when the latter is in its normalposition;
FIG. 3 is a view similar to FIG. 2 but showing the instrument in situ afterretro-displacement of the uterus;
FIG. 4 is a diagrammatic section taken through the uterus; and I moves a section of the tube, then returns said ovary and its tube through the incision. The uterus is then deflected in the opposite direction and the second ovary and tube is similarly located and treatedrThe said instrument in the uterine cavity is thenfrotated through an angle of approximately 180 to restore the uterus to its normal position and the posterior colpotomy incision I closed by suture.
If desired, the distal end of the primary portion 1 of the instrument and the surface 4 formed by the smallerradius may beknurled as at 5 in FIG. 5 or provided with grooves as is indicated at 6 in FIGS. 1-3 and 6. By proa viding such an irregular surface at these locations conavoiding all slippage.
,FIGS. 5 and 6 are in detail views of the distalend of I the primary portion of the instrument, on anenlarged scale showing alternative embodiments of surface finlshs Referring to the drawings, and in particular to FIG. 1, itwill'be seen that thesurgical instrument, includes a curved primary portion 1, which is capable of insertion into the uterus, a shank 2 secured to the proximal end of the primary portion, and a handle 3 secured substantially at right. angles to the terminal end of the shank remote from the portion 1. The distal end of the primary portion 1 is rounded and, in cross-section, said portion and the shank 2 are each substantially circular.
In use, and reference should now be made to FIG. 2, the instrument is inserted into the vagina, indicated generally at V, so thatthe primary portion 1 is located in the uterusU. Itwill be seen from FIGS. 2 and 4, that the curve of the primary portion 1 approximates to the curve of the central vertical axis A-A of the uterus.
Prior to theinsertion of theinstrument, a posterior colpotomy incision I is made in the vaginal vault immediately behind the uterus.
When the instrument is in situ, the surgeon grasps the handle 3 and turns the instrument through an angle of approximatelyl80. During such rotation, the primary portion 1 of the instrument engages the inner surface of the posterior wall of the uterus and the fundus of the stant pressure between the instrument and the inner surface of the wall of the uterus is-maintained thus In addition, it will be noted from FIGS. 1-3 that the shaft is preferably provided with a pair of opposed flat surfaces 7 which enable the surgeon to obtain better purchase. I
I claim; r
.1. A surgical instrument capable of mechanically retroverting the uterus andholding itin that desired posi-,
tion for operative intervention including sterilization;
said instrument including g a aprimary portion curved to approximate to the curveof the centralvertical axis of the uterus and having a predetermined irregular surface area for engaging the inner surface of the posterior uterine wall, the crosssection of said portion being substantially circular with a substantially constant diameter throughout its length and having a rounded end capable of automatically pressing the fundus of the uterus downward in acute retroversion into the cul-de-sac of the peritoneal cavity;
b a shank, substantially circular in cross-section, secured to the proximal end of said portion; and
c a handle, secured substantially'at right angles to the terminal end of said shank remote from said portion, for rotating the instrument through an angle of substantially after insertion of the instrument into the uterus.
2. An instrument according to claim 1 wherein said 4. An instrument according to claim 2 including a pair of opposed flattened surfaces on said shank.
5. An instrument according to claim 3 including a pair of opposedflattened surfaces on said shank.
Claims (5)
1. A surgical instrument capable of mechanically retroverting the uterus and holding it in that desired position for operative intervention including sterilization; said instrument including a a primary portion curved to approximate to the curve of the central vertical axis of the uterus and having a predetermined irregular surface area for engaging the inner surface of the posterior uterine wall, the cross-section of said portion being substantially circular with a substantially constant diameter throughout its length and having a rounded end capable of automatically pressing the fundus of the uterus downward in acute retroversion into the cul-de-sac of the peritoneal cavity; b a shank, substantially circular in cross-section, secured to the proximal end of said portion; and c a handle, secured substantially at right angles to the terminal end of said shank remote from said portion, for rotating the instrument through an angle of substantially 180* after insertion of the instrument into the uterus.
2. An instrument according to claim 1 wherein said irregular surface area is formed by knurling.
3. An instrument according to claim 1 wherein said irregular surface area is formed by grooving.
4. An instrument according to claim 2 including a pair of opposed flattened surfaces on said shank.
5. An instrument according to claim 3 including a pair of opposed flattened surfaces on said shank.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA121,340A CA962155A (en) | 1971-08-25 | 1971-08-25 | Surgical instrument |
Publications (1)
Publication Number | Publication Date |
---|---|
US3809091A true US3809091A (en) | 1974-05-07 |
Family
ID=4090691
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US00276313A Expired - Lifetime US3809091A (en) | 1971-08-25 | 1972-07-31 | Surgical instrument |
Country Status (2)
Country | Link |
---|---|
US (1) | US3809091A (en) |
CA (1) | CA962155A (en) |
Cited By (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4000743A (en) * | 1975-07-09 | 1977-01-04 | Kenneth Weaver | Uterine anteverter |
US4022208A (en) * | 1974-07-25 | 1977-05-10 | Valtchev Konstantin L | Gynecologic instrument |
US4976717A (en) * | 1989-04-24 | 1990-12-11 | Boyle Gary C | Uterine retractor for an abdominal hysterectomy and method of its use |
US5109869A (en) * | 1991-01-22 | 1992-05-05 | Baxter International Inc. | Disposable uterine sound device |
US5368598A (en) * | 1991-04-19 | 1994-11-29 | Hasson; Harrith M. | Method of manipulating an uterus using a bendable manipulator |
US5382252A (en) * | 1994-03-24 | 1995-01-17 | Ethicon Endo-Surgery | Transvaginal uterine manipulator |
US5487377A (en) * | 1993-11-05 | 1996-01-30 | Clinical Innovation Associates, Inc. | Uterine manipulator and manipulator tip assembly |
US5645561A (en) * | 1994-07-29 | 1997-07-08 | Utah Medical Products, Inc. | Uterine manipulator |
US6592515B2 (en) | 2000-09-07 | 2003-07-15 | Ams Research Corporation | Implantable article and method |
US20040220613A1 (en) * | 2001-12-20 | 2004-11-04 | Peter Petros | Surgical instrument |
US20050085827A1 (en) * | 2003-10-15 | 2005-04-21 | G. Anselmo N. | Uterine manipulating device |
US20060293555A1 (en) * | 2005-06-28 | 2006-12-28 | Sherwood Services Ag | Illuminated IVS tunneling device |
US20080281345A1 (en) * | 2007-05-07 | 2008-11-13 | David Wise | Method and apparatus for treating pelvic pain |
US20090199849A1 (en) * | 2005-06-27 | 2009-08-13 | Dietmar Enk | dilator for performing a percutaneous medical procedure |
US20090210027A1 (en) * | 2007-05-07 | 2009-08-20 | David Wise | Method and apparatus for treating pelvic pain |
US20150105792A1 (en) * | 2013-10-15 | 2015-04-16 | Boston Scientific Scimed, Inc. | Medical devices and methods for manipulating bodily tissues |
US9622938B2 (en) | 2007-05-07 | 2017-04-18 | National Center for Pelvis Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1144220A (en) * | 1914-11-12 | 1915-06-22 | Francis J W Maguire | Diagnostic-sound. |
US1708578A (en) * | 1927-05-07 | 1929-04-09 | Hyde Tamble Fredrick | Surgical instrument |
US2296793A (en) * | 1942-02-02 | 1942-09-22 | Harry M Kirschbaum | Surgical retractor |
-
1971
- 1971-08-25 CA CA121,340A patent/CA962155A/en not_active Expired
-
1972
- 1972-07-31 US US00276313A patent/US3809091A/en not_active Expired - Lifetime
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1144220A (en) * | 1914-11-12 | 1915-06-22 | Francis J W Maguire | Diagnostic-sound. |
US1708578A (en) * | 1927-05-07 | 1929-04-09 | Hyde Tamble Fredrick | Surgical instrument |
US2296793A (en) * | 1942-02-02 | 1942-09-22 | Harry M Kirschbaum | Surgical retractor |
Cited By (33)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4022208A (en) * | 1974-07-25 | 1977-05-10 | Valtchev Konstantin L | Gynecologic instrument |
US4000743A (en) * | 1975-07-09 | 1977-01-04 | Kenneth Weaver | Uterine anteverter |
US4976717A (en) * | 1989-04-24 | 1990-12-11 | Boyle Gary C | Uterine retractor for an abdominal hysterectomy and method of its use |
US5109869A (en) * | 1991-01-22 | 1992-05-05 | Baxter International Inc. | Disposable uterine sound device |
US5368598A (en) * | 1991-04-19 | 1994-11-29 | Hasson; Harrith M. | Method of manipulating an uterus using a bendable manipulator |
US5487377A (en) * | 1993-11-05 | 1996-01-30 | Clinical Innovation Associates, Inc. | Uterine manipulator and manipulator tip assembly |
US5643311A (en) * | 1993-11-05 | 1997-07-01 | Clinical Innovation Associates, Inc. | Uterine manipulator and manipulator tip assembly |
US5382252A (en) * | 1994-03-24 | 1995-01-17 | Ethicon Endo-Surgery | Transvaginal uterine manipulator |
US5645561A (en) * | 1994-07-29 | 1997-07-08 | Utah Medical Products, Inc. | Uterine manipulator |
US8905912B2 (en) | 2000-09-07 | 2014-12-09 | Ams Research Corporation | Implantable article and method |
US8702586B2 (en) | 2000-09-07 | 2014-04-22 | Ams Research Corporation | Implantable article and method |
US6884212B2 (en) | 2000-09-07 | 2005-04-26 | Ams Research Corporation | Implantable article and method |
US6592515B2 (en) | 2000-09-07 | 2003-07-15 | Ams Research Corporation | Implantable article and method |
US9987113B2 (en) | 2000-09-07 | 2018-06-05 | Astora Women's Health, Llc | Implantable article and method |
US7517313B2 (en) | 2000-09-07 | 2009-04-14 | Ams Research Corporation | Implantable article and method |
US9022921B2 (en) | 2000-09-07 | 2015-05-05 | Ams Research Corporation | Implantable article and method |
US9211177B2 (en) | 2000-09-07 | 2015-12-15 | Ams Research Corporation | Implantable article and method |
US20040220613A1 (en) * | 2001-12-20 | 2004-11-04 | Peter Petros | Surgical instrument |
US20050085827A1 (en) * | 2003-10-15 | 2005-04-21 | G. Anselmo N. | Uterine manipulating device |
US9162033B2 (en) * | 2005-06-27 | 2015-10-20 | Cook Medical Technologies Llc | Dilator for performing a percutaneous medical procedure |
US20090199849A1 (en) * | 2005-06-27 | 2009-08-13 | Dietmar Enk | dilator for performing a percutaneous medical procedure |
US8029433B2 (en) | 2005-06-28 | 2011-10-04 | Sheila Salter | Illuminated IVS tunneling device |
US20060293555A1 (en) * | 2005-06-28 | 2006-12-28 | Sherwood Services Ag | Illuminated IVS tunneling device |
US8337435B2 (en) | 2007-05-07 | 2012-12-25 | National Center For Pelvic Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US8639360B2 (en) | 2007-05-07 | 2014-01-28 | National Center For Pelvic Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US8632482B2 (en) | 2007-05-07 | 2014-01-21 | National Center For Pelvic Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US8224464B2 (en) | 2007-05-07 | 2012-07-17 | National Center For Pelvic Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US20090210027A1 (en) * | 2007-05-07 | 2009-08-20 | David Wise | Method and apparatus for treating pelvic pain |
US9402778B2 (en) | 2007-05-07 | 2016-08-02 | National Center For Pelvic Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US9622938B2 (en) | 2007-05-07 | 2017-04-18 | National Center for Pelvis Pain Research Devices, Inc. | Method and apparatus for treating pelvic pain |
US20080281345A1 (en) * | 2007-05-07 | 2008-11-13 | David Wise | Method and apparatus for treating pelvic pain |
US20150105792A1 (en) * | 2013-10-15 | 2015-04-16 | Boston Scientific Scimed, Inc. | Medical devices and methods for manipulating bodily tissues |
US10363065B2 (en) * | 2013-10-15 | 2019-07-30 | Boston Scientific Scimed, Inc. | Medical devices and methods for manipulating bodily tissues |
Also Published As
Publication number | Publication date |
---|---|
CA962155A (en) | 1975-02-04 |
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