Anti-Extravasation Sheath

Abstract

An anti-extravasation sheath includes a tube sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube. A plurality of tracts extending inwardly from the inner surface of the tube and running longitudinally along the tube form a seal between the outer surface of the arthroscopic instrument, thus defining outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the tube. At least one drainage lumen extending longitudinally along the tube and disposed within the tracts is in fluid communication with at least one drainage aperture disposed on the central portion of the tube. The sheath further includes at least one inflow outflow hole disposed on the distal portion of the tube in fluid communication with at least one outer lumen defined between the outer surface of the arthroscopic instrument and the inner surface of the tube when the arthroscopic instrument is disposed within the tube.

I claim: 
     
         1 . An arthroscope sheath for engaging an outer surface of an arthroscopic instrument, the arthroscope sheath comprising:
 a tube having a proximal end, a distal portion, a central portion and an inner surface;   at least one drainage aperture disposed on the central portion of the tube;   at least one inflow/outflow hole disposed on the distal portion of the tube;   a plurality of lands extending longitudinally and inwardly from the inner surface of the tube, the plurality of lands sized to form a seal with the outer surface of an arthroscopic instrument;   at least one drainage lumen, each of the at least one drainage lumens disposed within one of the plurality of lands and in fluid communication between the distal end of the tube and the at least one drainage aperture; and   a plurality of outer lumens formed between the plurality of lands, each of the plurality of outer lumens in fluid communication between the distal end of the tube and the at least one inflow/outflow holes.   
     
     
         2 . The arthroscope sheath of  claim 1  further comprising a hub disposed on its proximal end. 
     
     
         3 . The arthroscope sheath of  claim 1  further comprising a vacuum source in fluid communication with the at least one drainage lumen. 
     
     
         4 . The arthroscope sheath of  claim 1  further comprising at least one elastic flange on each of the plurality of lands. 
     
     
         5 . The arthroscope sheath of  claim 1  wherein one or more of the at least one drainage apertures are in fluid communication with at least one of the outer lumens. 
     
     
         6 . An anti-extravasation sheath comprising:
 a tube characterized by a distal portion, a proximal portion, an inner surface, and an inner diameter;   wherein the inner diameter of said tube is sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube;   a plurality of tracts extending inwardly from the inner surface of the tube and running longitudinally along the tube;   at least one drainage lumen running longitudinally along the tube and disposed within the tracts;   wherein the tracts form a seal between the outer surface of the arthroscopic instrument and the tracts when an arthroscopic instrument is inserted into the tube;   wherein said tracts further define outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the tube;   at least one inflow/outflow hole disposed on the distal portion of the tube in fluid communication with at least one outer lumen defined between the outer surface of the arthroscopic instrument and the inner surface of the tube when the arthroscopic instrument is disposed within the tube; and   at least one drainage aperture disposed on the central portion of the tube in fluid communication with at least one drainage lumen.   
     
     
         7 . The anti-extravasation sheath of  claim 6  further comprising a hub disposed on its proximal portion. 
     
     
         8 . A system for performing arthroscopic surgery, said system comprising:
 an arthroscopic instrument suitable for performing an arthroscopic surgical procedure;   an anti-extravasation sheath having an inner diameter sized and dimensioned to permit fluid flow between an inner surface of the sheath and an outer surface of the arthroscopic instrument disposed within the sheath, said sheath having a plurality of tracts extending inwardly from the inner surface of the sheath and running longitudinally along the sheath and at least one drainage lumen disposed within the tracts;   wherein said tracts define outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the sheath;   wherein the sheath is adapted to be removably disposed over the arthroscopic instrument;   at least one drainage aperture disposed in a central portion of the sheath in fluid communication with the drainage lumen; and   at least one inflow/outflow hole disposed on a distal portion of the sheath in fluid communication with at least one outer lumen defined between the outer surface of the arthroscopic instrument and inner surface of the tube when the arthroscopic instrument is disposed within the tube.   
     
     
         9 . The system of  claim 8  further comprising a vacuum source in fluid communication with the drainage lumen.