Compact endoscopic surgical blade assembly and method of use thereof
An endoscopic surgical device having a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The blade is enclosed within the housing and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. The device further has a device for locking a viewing device in place relative to other components of the device. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described.
1. An endoscopic surgical device, comprising: a blade; a housing having a proximate end and a distal end; a cylindrical body comprising a selector switch; a slotted cannula attached to said distal end of said housing, said slotted cannula comprises a cannula body having a proximate end and a distal end; and an assembly extending proximally from the blade; wherein the slotted cannula further comprises a horizontal blade guidance track, wherein the assembly slidably engages with the horizontal blade guidance track; wherein the assembly comprises a notch, wherein the blade resides at the notch of the assembly in a pre-deployment position, and wherein the selector switch allows engagement selection of said blade for deployment.
2. The endoscopic surgical device of claim 1 , wherein a distal end of the slotted cannula is a closed end that is shaped to serve as an elevator.
3. The endoscopic surgical device of claim 2 , wherein the distal end of the slotted cannula forms an angle with the cannula body, wherein said angle is in a range of 165-145 degrees.
4. An endoscopic surgical kit, comprising the endoscopic surgical device of claim 1 and a scalpel.
5. The endoscopic surgical kit of claim 4 , further comprising an endoscope.
6. A method for performing a uniportal endoscopic surgical procedure on a target tissue using the endoscopic surgical device of claim 1 , comprising: establishing an entry portal in a subject; inserting the slotted cannula of the endoscopic surgical device into the entry portal; advancing the slotted cannula through the entry portal to the target tissue; visualizing the target tissue with an endoscope; and making a desired cut on the target tissue with the blade.
7. The method of claim 6 , wherein establishing an entry portal comprises making an incision.
8. The method of claim 6 , wherein the uniportal endoscopic surgical procedure is selected from a group consisting of trigger finger release, Guyon's canal release, carpal tunnel release, cubital tunnel release, fascia release, lateral release for patella realignment, release of extensor tendons, release of a posterior or other compartments of a leg, fascia release and blood vessel harvesting.
9. The method of claim 6 , wherein the uniportal endoscopic surgical procedure is fascia release.
10. The method of claim 9 , wherein the fascia release is selected from a group consisting of forearm fasciotomy, plantar fasciotomy, fasciotomy for compartment syndrome, leg fasciotomy and hand fasciotomy.
11. The method of claim 6 , wherein the target tissue is selected from a group consisting of Al pulley, carpal transverse ligament, cubital tunnel, Guyon's canal, fascia and blood vessel.
12. The method of claim 6 , wherein the target tissue is a vein or artery.