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 method for treating trigger finger, comprising:
establishing an entry portal at a location proximal to A1 pulley;
inserting a cannula having open proximal and distal ends and an open slot extending along the length of the cannula;
inserting an endoscope into the cannula, said endoscope comprising an endoscopic knife assembly having a low-profile blade, wherein the low-profile surgical blade comprises 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;
advancing said endoscope so that the blade moves in contact with the A1 pulley through the slot;
operatively engaging the A1 pulley with the blade; and
advancing the blade through the cannula to divide the A1 pulley.
2. The method of claim 1 , wherein the step of inserting an endoscope comprising an endoscopic knife assembly is preceded by the insertion of another endoscope to visualize anatomic structures surrounding the cannula.
3. The method of claim 1 , wherein the crotch is angled downward from the proximal end of the blade towards the distal end of the blade.
4. The method of claim 1 , wherein the top surface of the blade is angled downward towards the proximal end of the blade.
5. The method of claim 1 , wherein the upper cutting surface of the blade is angled about 30-40 degrees from a horizontal plane running through the crotch.
6. The method of claim 5 , wherein the upper cutting surface of the blade is angled about 36 degrees from a horizontal plane running through the crotch.
7. The method of claim 1 , wherein the lower cutting surface of the blade is angled about 50-60 degrees from a horizontal plane running through the crotch.
8. The method of claim 7 , wherein the lower cutting surface of the blade is angled about 54 degrees from a horizontal plane running through the crotch.
9. The method of claim 1 , wherein the upper cutting surface of the blade and the lower cutting surface of the blade meet at a downward angle at the crotch.
10. The method of claim 1 , wherein the surgical tube comprises a distal end and a proximal end and wherein the low-profile blade is mounted on the distal end of the surgical tube.
11. The method of claim 10 , wherein the endoscopic knife assembly further comprising a handle at the proximal end of the surgical tube.
12. The method of claim 10 , 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.
13. The method of claim 1 , wherein the surgical tube is marked on the top or side surface with gradations.
14. The method of claim 1 , wherein the blade is welded to the surgical tube.