Anti-clogging device for a vacuum-assisted, tissue removal system

• US 10,342,563 B2
• Filed: 07/15/2014
• Issued: 07/09/2019
• Est. Priority Date: 07/19/2013
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: To, John, Osorio, Fred, Zaretzka, Gary Daniel
• Primary Examiner(s): Coley, Zade
• Application Number:
  US14/332,318
• Publication Number:
  US 20150080896A1
• Time in Patent Office: 1,820 Days
• Field of Search: 606 79- 80, 606 83 R- 86 R, 606159, 606167-185, 606205-211
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

An anti-clogging device for a vacuum-assisted tissue removal system is provided. The device includes a tissue-separation chamber in a close proximity to (i) a cutting head operated by a physician and (ii) the physician for a filling and emptying by the physician during a tissue removal procedure, the cutting head and the tissue separation chamber in an operable communications with the suction assembly. The tissue separation chamber has an entry port in an operable communication with the cutting head for the entry of an excised tissue into the chamber, the excised tissue having a solid component and a liquid component; a baffle to separate the liquid component from the solid component; and, an exit port for the exit of liquid component out of the chamber. The tissue can include any tissue accessible through a small surgical opening, such as a nucleus pulposus tissue removed during a discectomy procedure.

Claims

1. A surgical, nucleus pulposus removal system having an anti-clogging device for a vacuum-assisted tissue removal, the system comprising:

an anti-clogging device including a tubular cutting head, a suction assembly, a collection handle, the collection handle configured for a manual control of the tubular cutting head in an operable communication with the suction assembly, and a tissue-separation chamber to avoid a clogging of a tissue removal system for a discectomy;

wherein,

the tissue separation chamber has

an entry port for the entry of an extracted tissue into the chamber, the extracted tissue having a solid component and a liquid component, the solid component including a nucleus pulposus tissue;

a baffle to separate the solid component from the liquid component; and

,

an exit port for the exit of the liquid component from the chamber;

the tubular cutting head is configured for removing a target tissue of a subject, the cutting head having

an outer perimeter that circumscribes a flow of suction through the cutting head;

a lumen circumscribed by the outer perimeter, the lumen guiding the flow of suction and having a central axis;

a forward cutting blade on a distal edge of the outer perimeter, the forward cutting blade configured for (i) cutting the nucleus pulposus tissue in a forward stroke of the cutting head and (ii) excising and directing entry of the excised nucleus pulposus tissue into the lumen on the forward stroke, the forward cutting blade having a first plane and a second plane, the first plane having a plurality of cutting surfaces and positioned at an angle, θ

FP, to the central axis of the lumen of the tubular cutting head; and

, the second plane having a plurality of cutting surfaces and positioned at an angle, θ

SP, to the central axis of the lumen of the tubular cutting head; and

,

a blade guard positioned distal to the forward cutting blade and configured to guard an annulus fibrosis tissue from the forward cutting blade upon the forward stroke, the blade guard having a transverse, cross-sectional width that is at least substantially smaller than the width of a transverse cross-section of the lumen to facilitate the entry of the excised nucleus pulposus tissue into the lumen on the forward stroke, such that the desired entry of the excised nucleus pulposus tissue into the lumen on the forward stroke is reduced by less than 50% due to the presence of the blade guard, the blade guard also being a backward cutting blade configured with a barb to hook nucleus pulposus tissue for removal of the nucleus pulposus tissue in a backward stroke of the cutting head, the guard having a double-edged blade tip pointing back into the lumen at an angle, θ

₂, of greater than 90°

to trap tissue, cut tissue, or trap and cut tissue in the lumen in the backwards stroke of the cutting head;

wherein, the cutting head is configured for an operable communication between the lumen and a source of a suction; and

,

the suction assembly is configured for an operable communication with the cutting head, the suction assembly comprising an at least substantially rigid suction tube with a central axis and creating the flow of suction for removing the excised nucleus pulposus tissue through the lumen and out of the subject.

2. The system of claim 1, wherein the cutting head also has a transverse cutting blade configured with a plurality of sharp lateral surfaces for cutting and excising the nucleus pulposus in a transverse stroke of the cutting head.

3. The system of claim 1, wherein the central axis of the lumen is at an angle, θ

₁, ranging from about 5°

to about 90°

from the central axis of the rigid suction tube, and the forward cutting blade is located about 3 mm to about 25 mm from the vertex of the angle, θ

₁.

4. The system of claim 1, wherein the central axis of the lumen has a point of exit at the forward cutting blade, and the point of exit is located at a transverse distance of about 3 mm to about 25 mm that is orthogonal to the central axis of the rigid suction tube.

5. The system of claim 1, wherein the central axis of the lumen is at an angle, θ

₁, ranging from 1°

to 180°

from the central axis of the rigid suction tube, and the forward cutting blade is located 3 mm to 25 mm from the vertex of the angle, θ

₁;

wherein,

an additional angle, θ

₃, is located 5 mm to 25 mm proximal to θ

₁;

angles θ

₁ and θ

₃ are independently selected to range from about 0°

to about 180°

, with the limitation that

the net angle, θ

₄, between the central axis of the lumen of the cutting head and the central axis of the rigid suction tube located proximal to θ

₃ ranges from 0°

to 90°

; and

,

the central axis of the lumen has a point of exit at the forward cutting blade, and the point of exit is located at a transverse distance of about 3 mm to about 25 mm that is orthogonal to the central axis of the rigid suction tube.

6. The system of claim 1, wherein the cutting head and the at least substantially rigid suction tube are a single unit, the cutting head formed at the distal end of the at least substantially rigid tube.

7. A surgical, tissue removal system for a discectomy having an anti-clogging device for a vacuum-assisted tissue removal, the system comprising:

an anti-clogging device including a tubular cutting head, a suction assembly, a collection handle, the collection handle configured for a manual control of the tubular cutting head in an operable communication with the suction assembly, and a tissue-separation chamber to avoid a clogging of a tissue removal system for a discectomy;

wherein,

the tissue separation chamber has

an entry port for the entry of an extracted tissue into the chamber, the extracted tissue having a solid component and a liquid component, the solid component including a nucleus pulposus tissue;

a baffle to separate the solid component from the liquid component; and

,

an exit port for the exit of the liquid component from the chamber;

the tubular cutting head is configured for removing a nucleus pulposus tissue from a subject, the cutting head having

an outer perimeter that circumscribes a flow of suction through the cutting head;

a lumen circumscribed by the outer perimeter, the lumen guiding the flow of suction;

a forward cutting blade on a distal edge of the outer perimeter and configured for (i) cutting and excising the nucleus pulposus tissue in a forward stroke of the cutting head and (ii) directing entry of the cut and excised nucleus pulposus into the lumen on the forward stroke, the forward cutting blade having a first plane and a second plane, the first plane having a plurality of cutting surfaces and positioned at an angle, θ

FP, to a central axis of the lumen of the tubular cutting head; and

, the second plane having a plurality of cutting surfaces and positioned at an angle, OSP, to the central axis of the lumen of the tubular cutting head;

a backward cutting blade configured with a barb to hook nucleus pulposus tissue for removal of the nucleus pulposus tissue in a backward stroke of the cutting head;

a transverse cutting blade configured with a plurality of sharp lateral surfaces for cutting and excising the nucleus pulposus in a transverse stroke of the cutting head; and

,

a blade guard positioned distal to the forward cutting blade and configured to guard an annulus fibrosis tissue from the forward cutting blade upon the forward stroke, the blade guard having a transverse, cross-sectional width that is at least substantially smaller than the width of a transverse cross-section of the lumen to facilitate the entry of the excised nucleus pulposus tissue into the lumen on the forward stroke, such that the desired entry of the excised nucleus pulposus tissue into the lumen on the forward stroke is reduced by less than 50% due to the presence of the blade guard, the blade guard also being the backward cutting blade, the guard having a double-edged blade tip pointing back into the lumen at an angle, θ

₂, of greater than 90°

to trap tissue, cut tissue, or trap and cut tissue in the lumen in the backwards stroke of the cutting head;

the suction assembly is configured for an operable communication with the cutting head, the suction assembly comprising an at least substantially rigid suction tube with a central axis and creating the flow of suction for removing the nucleus pulposus tissue through the lumen and out of the subject.

8. The system of claim 7, wherein the central axis of the lumen of the cutting head is at an angle, θ

₁, ranging from about 5°

to about 90°

from the central axis of the rigid suction tube, and the forward cutting blade is located about 3 mm to about 25 mm from the vertex of the angle, θ

₁.

9. The system of claim 7, wherein the central axis of the lumen of the cutting head has a point of exit at the forward cutting blade, and the point of exit is located at a transverse distance of about 3 mm to about 25 mm that is orthogonal to the central axis of the rigid suction tube.

10. The system of claim 7, wherein the plurality of cutting surfaces include serrations.

11. The system of claim 7, wherein the central axis of the lumen is at an angle, θ

₁, ranging from 1°

to 180°

from the central axis of the rigid suction tube, and the forward cutting blade is located 3 mm to 25 mm from the vertex of the angle, θ

₁;

wherein,

an additional angle, θ

₃, is located 5 mm to 25 mm proximal to θ

₁;

angles θ

₁ and θ

₃ are independently selected to range from about 0°

to about 180°

, with the limitation that

the net angle, θ

₄, between the central axis of the lumen of the cutting head and the central axis of the rigid suction tube located proximal to θ

₃ ranges from 0°

to 90°

; and

,

the central axis of the lumen has a point of exit at the forward cutting blade, and the point of exit is located at a transverse distance of about 3 mm to about 25 mm that is orthogonal to the central axis of the rigid suction tube.

12. The system of claim 7, wherein the backward cutting blade is configured as a talon, positioned on the distal edge of the outer perimeter for cutting the nucleus pulposus tissue in the backward stroke of the cutting head.

13. The system of claim 7, wherein the blade guard is also the transverse cutting blade, the plurality of sharp lateral surfaces positioned on the blade guard for cutting the nucleus pulposus tissue in the transverse stroke of the cutting head.

14. The system of claim 7, wherein the cutting head and the at least substantially rigid suction tube are a single unit, the cutting head formed at the distal end of the at least substantially rigid tube.