DEVICES AND METHODS FOR RESECTING SOFT TISSUE

• US 20130211321A1
• Filed: 01/07/2013
• Published: 08/15/2013
• Est. Priority Date: 02/10/2012
• Status: Abandoned Application

• Current Assignee: Myromed, LLC
• Original Assignee: Laurimed, LLC
• Inventors: DUBOIS, Brian R., NIELSEN, James T., GORDON, Alexander
• Application Number:
  US13/735,915
• Publication Number:
  US 20130211321A1
• Time in Patent Office: Days
• US Class Current: 604/26
• 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 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 17/320708 Curettes, e.g. hollow scraping instruments
• CPC Class Codes: A61B 17/42 Gynaecological or obstetrical instruments or methods ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708; dilators A61M29/00
• CPC Class Codes: A61B 2017/320008 Scrapers
• CPC Class Codes: A61B 2017/320024 Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2017/32004 having a laterally movable cutting member at its most distal end which remains within the contours of said end
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61M 13/00 Insufflators for therapeutic or disinfectant purposes , i.e. devices for blowing a gas, powder or vapour into the body hand-held units in which gas flow is produced by muscular energy at the moment of use B05B11/062
• CPC Class Codes: A61M 13/003 Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing

Abstract

The present devices and methods relate generally to medical devices and methods for cutting, resecting, excising and/or evacuating tissue from various regions of a patient'"'"'s body. In particular, devices and methods for cutting and/or removing various tissues, e.g., polyps or endometrium, from a uterus or uterine space are provided. Devices and methods for cutting and/or removing various tissues from the human body, such as during laparoscopic or thoracoscopic surgery, are also provided.

Claims

1. A method for resecting tissue from a uterine space comprising:

visualizing tissue in the uterine space;

inserting as cutting device through the vagina and cervix and into the uterine space, wherein the cutting device is connected to a source of suction;

powering the cutting device with suction created by the source of suction; and

cutting tissue from within the uterine space with the cutting device.

2. The method of claim 1, wherein suction created by the suction source causes as mechanism in the cutting device to actuate a cutter of the cutting device in a linear or rotational motion.

4. The method in claim 1 wherein the cutting device is passed through the vagina and cervix and into the uterine space and tissue is cut with the benefit of visualization within the uterine space.

10. The method in claim 1 wherein the cutting device is connected to a source of sterile irrigation for supplying fluid to the area of tissue resection.

13. The method in claim 1 wherein only a single pass of the cutting device in and out of the uterine space is required to cut and remove the tissue.

15. The method of claim 1, wherein the cutting device is configured to cut and remove tissue from the uterine space and to provide insufflation fluid to the uterine space, such that only a single device is required to cut and remove tissue from the uterine space and to provide insufflation fluid to the uterine space.

3. (canceled)

5-9. -9. (canceled)

11-12. -12. (canceled)

14. (canceled)

16. (canceled)

17. (canceled)

18. A method for resecting tissue from a uterine space comprising:

inserting a hysteroscope through a vagina and cervix and into the uterine space;

visualizing tissue in the uterine space;

inserting a cutting device through a working channel of the hysteroscope and into the uterine space, wherein the cutting device is connected to a source of suction;

powering the cutting, device with suction created by the source of suction; and

cutting tissue from within the uterine space with the cutting device while visualizing the tissue via the hysteroscope.

19. The method of claim 18, wherein suction created by the suction source causes a mechanism in the cutting device to actuate a cutter of the cutting device in a linear or rotational motion.

20. The method of claim 18, further comprising distending the uterine space with a fluid to facilitate visualization within the uterine space.

23. The method in claim 18, wherein the source of suction is utilized to actuate as cutter of the cutting device and to suction cut tissue into a lumen of the cutting device for removal of the tissue from the uterine space.

24. The method in claim 18, wherein an opening or cutting window located at a distal end of the cutting device is positioned next to a tissue in the uterine space and a cutter of the cutting device is actuated past the opening or cutting window to cut the tissue.

25. The method in claim 18, further comprising changing the shape of at least a portion of an elongate shaft of the cutting device subsequent to passing the elongate shaft through the hysteroscope and into the uterine space.

28. The method of claim 18, wherein the cutting device is configured to cut and remove tissue from the uterine space and to provide insufflation fluid to the uterine space, such that only a single device is required to cut and remove tissue from the uterine space and to provide insufflation fluid to the uterine space.

21-22. -22. (canceled)

26-27. -27. (canceled)

29-30. -30. (canceled)

31. A method for resecting tissue from the abdomen of a body comprising:

inserting the cutting device through an abdominal will and into the abdomen, wherein the cutting device is connected to a source of suction;

powering the cutting device with suction created by the source of suction; and

cutting tissue from within the abdomen with the cutting device.

33. The method in claim 31, wherein the cutting device comprises an elongate shaft having a cutter located at a distal end of the elongate shaft.

34. The method of claim 31, wherein the elongate shaft of the cutting device is passed through an elongate instrument or cannula inserted through the abdominal wall and into the abdomen.

35. The method in claim 34, further comprising changing the shape of at least a portion of the elongate shaft of the cutting device subsequent to passing the elongate shaft through the elongate instrument or cannula and into the abdomen.

37. The method in claim 31, wherein the cutting device is connected to a source of sterile irrigation for supplying fluid, to the area of tissue resection.

39. The method in claim 31, wherein the cut tissue is evacuated via a lumen in the cutting device by suction from the suction source.

41. The method of claim 31, wherein the cutting device is configured to cut and remove tissue, such that only a single device is required to cut and remove tissue from the abdomen.

42. The method of claim 31, wherein the cutting device is configured to cut and remove tissue from the abdomen and to provide insufflation fluid into the abdomen, such that only a single device is required to cut and remove tissue from the abdomen and to provide insufflation fluid into the abdomen.

44. The method of claim 31, wherein suction created by the suction source causes a mechanism in the cutting device to actuate a cutter of the cutting, device in a linear or rotational motion.

32. (canceled)

36. (canceled)

38. (canceled)

40. (canceled)

43. (canceled)

45. A method for resecting tissue from the thoracic cavity of a body comprising:

inserting the cutting device through a thorax wall and into the thoracic cavity, wherein the cutting device is connected to a source of suction;

powering the cutting device with suction created by the source of suction; and

cutting tissue from within the thoracic cavity with the cutting device.

49. The method in claim 45, further comprising changing the shape of at least a portion of an elongate shaft of the cutting device subsequent to passing the elongate shaft into the thoracic cavity.

51. The method in claim 45, wherein the cutting device is connected to a source of sterile irrigation for supplying fluid to the area of tissue resection.

53. The method in claim 45, wherein the cut tissue is evacuated via a lumen in the cutting device by suction from the suction source.

46-48. -48. (canceled)

50. (canceled)

52. (canceled)

54-58. -58. (canceled)