Endoscopic surgical blade and method of use thereof
An endoscopic surgical blade having a low-profile design, with an upper cutting surface and a lower cutting surface at its distal end and having a non-cutting radiused surface at the top end of the upper cutting surface, and the upper cutting surface and lower cutting surface meet at a crotch therebetween is disclosed. The blade is part of an endoscopic knife assembly which also contains a hollow knife tube hollow that allows the insertion of an endoscope for viewing of the surgical procedure. The endoscopic knife assembly can be used for in endoscopic surgery by insertion of the assembly through a slotted cannula. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic knife assembly having a low-profile blade with an upper cutting surface and a lower cutting surface is also described.
1. A low-profile surgical blade, comprising;
a proximal end;
a distal end;
a top edge;
a lower edge;
an upper cutting surface and a lower cutting surface at the distal end;
a non-cutting radiused surface at a top end of the upper cutting surface; and
a horizontal mounting surface at the lower edge;
wherein the upper cutting surface and the lower cutting surface meet at a crotch therebetween, wherein the blade is sized to fit at a tip of an endoscope,
wherein the blade comprises a notch on the lower edge that is in contact with a surgical tube, and
wherein the notch is concave, substantially crescent-shaped, and is recessed from the horizontal mounting surface and into a body of the blade.
2. The low-profile blade of claim 1 , wherein the crotch is angled downward from the proximal end of the blade towards the distal end of the blade.
3. The low-profile blade of claim 1 , wherein the top surface of the blade is angled downward towards the proximal end of the blade.
4. The low-profile blade of claim 1 , wherein the upper cutting surface is angled about 30-40 degrees from a horizontal plane running through the crotch.
5. The low-profile blade of claim 4 , wherein the upper cutting surface is angled about 36 degrees from a horizontal plane running through the crotch.
6. The low-profile blade of claim 1 , wherein the lower cutting surface is angled about 50-60 degrees from a horizontal plane running through the crotch.
7. The low-profile blade of claim 6 , wherein the lower cutting surface is angled about 54 degrees from a horizontal plane running through the crotch.
8. The low-profile blade of claim 1 , wherein the upper cutting surface and the lower cutting surface meet at a downward angle at the crotch.
9. An endoscopic knife assembly, comprising:
the surgical tube having a distal end and a proximal end; and
the low-profile blade of claim 1 mounted on the distal end of the surgical tube.
10. The endoscopic knife assembly of claim 9 , further comprising a handle at the proximal end of the surgical tube.
11. The endoscopic knife assembly of claim 9 , wherein the surgical tube comprises an alignment ring attached near the proximal end and one or more slots at the proximal end for the attachment of a locking assembly to the surgical tube and alignment ring.
12. The endoscopic knife assembly of claim 9 , wherein the surgical tube is marked on the top or side surface with gradations.
13. The endoscopic knife assembly of claim 9 , wherein the blade is welded to the surgical tube.
14. An instrument kit for implementing an endoscopic surgical procedure, comprising:
the low profile blade of claim 1 ; and
a surgical tube having a distal end and a proximal end.
15. The instrument kit of claim 14 , wherein the surgical tube further comprises a handle at the proximal end.
16. The instrument kit of claim 14 , wherein the surgical tube comprises an alignment ring attached near the proximal end and one or more slots at the proximal end for the attachment of a locking assembly to the surgical tube and alignment ring.
17. The instrument kit of claim 14 , further comprising a cannula having an open slot extending along the length of the cannula.
18. The instrument kit of claim 17 , wherein the cannula is a clear cannula.
19. The instrument kit of claim 17 , wherein the cannula has an inner diameter of between about 2.4 mm and about 3.0 mm.
20. The instrument kit of claim 19 , wherein the cannula has an inner diameter of about 2.7 mm.
21. The instrument kit of claim 17 , wherein the cannula has an inner diameter of between about 3.7 mm and about 4.3 mm.
22. The instrument kit of claim 21 , wherein the cannula has an inner diameter of about 4.0 mm.
23. The instrument kit of claim 14 , further comprising an obturator, an elevator and/or the endoscope.
24. A low-profile endoscopic surgical assembly, comprising:
a surgical tube,
an endoscope, and
a blade having a proximal main body and a distal end, the blade comprising an upper cutting surface and a lower cutting surface at its distal end and having a non-cutting radiused surface at a top end of the upper cutting surface,
wherein said upper cutting surface and said lower cutting surface meet at a crotch therebetween, wherein the blade is sized to fit at a tip of the endoscope, and the blade further comprises a horizontal mounting surface for laying the blade onto a surface of the surgical tube to form the endoscopic surgical assembly,
wherein the blade has a non-cutting top edge forming an angle with respect to the horizontal mounting surface,
wherein the proximal main body comprises a notch on a lower edge that is in contact with the surgical tube, and
wherein the notch is concave, substantially crescent-shaped, and is recessed from the horizontal mounting surface and into the proximal main body of the blade.