Surgical instrument and method of use for releasing soft tissue
A surgical instrument for use in releasing soft tissue within the human body. The surgical instrument has a handle with proximal and distal ends with a tube connected to the distal end. The surgical instrument also includes a blade member that slidingly engages the tube moving along the length of the tube to cut soft tissue. Further included in the surgical instrument is a guard member that is attached to the blade member. The guard member has a hood portion and a capture portion. The hood portion is connected to the blade member with the distally positioned capture portion acting to displace surrounding tissue while capturing certain soft tissue structures resulting in the blade member being in operative position to cut and release the soft tissue. A surgical instrument kit including a plurality of modular surgical instruments and method for releasing soft tissue using the surgical instrument are also disclosed.
1. A method for releasing soft tissue within a patient, the method comprising:
surgically creating an opening on skin of a patient, wherein the opening is proximate to the soft tissue to be released;
inserting a surgical instrument into the opening, the surgical instrument comprising:
a handle having proximal and distal ends, and a longitudinal axis extending therebetween;
a tube having a first end and a second end, and a longitudinal axis extending therebetween and a slot disposed at least partially along a superior surface of the tube and extending along the longitudinal axis, the first end being configured to facilitate the insertion of the surgical instrument into the opening on the skin of the patient and the second end being configured to couple to the distal end of the handle;
a blade member having a cutting edge, the blade member being configured to slidingly engage within the slot of the tube with the cutting edge exterior to the tube and is moveable relative to the tube along the longitudinal axis to release soft tissue; and
a guard member, the guard member comprising a hood portion and a capture portion, wherein when an inferior surface of the hood portion is connected to a superior surface of the blade member, the capture portion is positioned distal to the cutting edge of the blade member and extends from and slants in an inferior direction from the hood portion to displace surrounding tissue when the blade member is actuated along the longitudinal axis of the tube within the slot, and the guard member moves with the blade member following insertion of the surgical instrument into the opening on the skin of the patient;
advancing the tube of the surgical instrument into the opening on the skin of the patient to position the first end of the tube adjacent to the soft tissue;
actuating the blade member along the longitudinal axis of the tube to engage the soft tissue and place the blade member in operable position; and
when the blade member is in operable position, holding the tube in a position adjacent to the soft tissue and sliding the blade member within the slot to release the soft tissue.
2. The method of claim 1 , wherein the capture portion of the guard member is fabricated from a flexible material to pressingly engage soft tissue structures between the capture portion and the tube when the blade member is actuated along the longitudinal axis of the tube following insertion of the surgical instrument into the opening on the skin of the patient.
3. The method of claim 1 , wherein the capture portion further comprises a distal tip, the distal tip being configured as at least one of an arc shape, a chamfer, a taper, a cone, a wedge, a spherical shape, and a bevel to facilitate the passage and engagement of soft tissue structures when the blade member is actuated following insertion of the surgical instrument into the opening on the skin of the patient.
4. The method of claim 1 , wherein the tube is curved along its longitudinal axis to facilitate the insertion and advancement of the surgical instrument into the opening on the skin of the patient.
5. The method of claim 1 , wherein the surgical instrument further comprises an actuator, wherein the actuator is in a slot in the handle and the slot in the handle facilitates movement of the actuator therein.
6. The method of claim 5 , wherein the actuator is operationally connected to the blade member, whereby actuation of the actuator moves the blade member along the longitudinal axis of the tube until the blade member is in operable position to cut and release the soft tissue.
7. The method of claim 1 further comprising:
extracting the surgical instrument from the opening on the skin of the patient after cutting the soft tissue; and
surgically closing the opening on the skin of the patient following the removal of the surgical instrument.
8. A method for releasing soft tissue within a patient, the method comprising:
surgically creating an opening on skin of a patient, wherein the opening is proximate to the soft tissue to be released;
inserting a surgical instrument into the opening, the surgical instrument comprising:
a handle having proximal and distal ends, and a longitudinal axis extending therebetween;
a tube having a first end and a second end, and a longitudinal axis extending therebetween and a slot disposed at least partially along a superior surface of the tube and extending along the longitudinal axis, the first end being configured to facilitate the insertion of the surgical instrument into the opening on the skin of the patient and the second end being configured to couple to the distal end of the handle;
a blade member having a cutting edge, the blade member being configured to slidingly engage within the slot of the tube with the cutting edge exterior to the tube and is moveable relative to the tube along the longitudinal axis to release soft tissue; and
a guard member, the guard member comprising a hood portion and a capture portion, wherein when an inferior surface of the hood portion is connected to a superior surface of the blade member, the capture portion is positioned distal to the cutting edge of the blade member and extends from and slants in an inferior direction from the hood portion to displace surrounding tissue when the blade member is actuated along the longitudinal axis of the tube within the slot, and the guard member moves with the blade member following insertion of the surgical instrument into the opening on the skin of the patient;
advancing the tube of the surgical instrument into the opening on the skin of the patient to position the first end of the tube adjacent to the soft tissue;
actuating the blade member along the longitudinal axis of the tube to engage the soft tissue and place the blade member in a first position; and
cutting the soft tissue with the blade member to release the soft tissue by moving the blade member from the first position to a second position.
9. The method of claim 8 , further comprising:
extracting the surgical instrument from the opening on the skin of the patient after cutting the soft tissue.
10. The method of claim 9 , further comprising:
surgically closing the opening on the skin of the patient following the extraction of the surgical instrument.