DEVICES AND METHODS FOR CUTTING TISSUE

• US 20140081266A1
• Filed: 11/27/2013
• Published: 03/20/2014
• Est. Priority Date: 06/30/2010
• Status: Active Grant

• Current Assignee: Myromed, LLC
• Original Assignee: Laurimed, LLC
• Inventors: DUBOIS, Brian R., NIELSEN, James T., GORDON, Alexander
• Granted Patent: US 8,882,793 B2
• Time in Patent Office: Days
• US Class Current: 606/49
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/24 for use in the oral cavity, larynx, bronchial passages or nose for medical inspection of cavities or tubes in the body A61B1/00; Tongue scrapers
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1485 having a short rigid shaft for accessing the inner body through natural openings
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00269 endoscopic mucosal resection EMR
• CPC Class Codes: A61B 2017/00561 creating a vacuum
• CPC Class Codes: A61B 2017/320008 Scrapers
• CPC Class Codes: A61B 2017/320028 with reciprocating movements
• CPC Class Codes: A61B 2017/320032 Details of the rotating or oscillating shaft, e.g. using a flexible shaft
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2018/00595 Cauterization
• CPC Class Codes: A61B 2018/00601 Cutting

Abstract

Various medical devices and methods for cutting, evacuating and/or performing work on tissue are provided. The devices and methods may utilize a reciprocating mechanism or motor powered by suction from a vacuum source. The medical devices and methods may be used on tissue in various regions of a patient'"'"'s body and for treating various conditions, e.g., for performing a polypectomy.

Claims

1-15. -15. (canceled)

16. A tissue cutting device comprising:

an elongate shaft having a proximal portion, a distal portion and a lumen defined therein, wherein the distal portion includes an opening for receiving tissue;

wherein the distal portion includes at least a section which is configured to be manipulated into a first configuration by hand without the use of a separate tool prior to inserting the distal portion of the elongate shaft into a patient'"'"'s body, wherein the elongate shaft is configured to retain the manipulated first configuration of the distal portion, wherein the manipulated distal portion is configured to be hand adjusted into a second configuration, wherein the elongate shaft is configured to retain the manipulated second configuration of the distal portion, such that the elongate shaft can access a variety of anatomical locations during a procedure;

a cutting mechanism positioned within the distal portion of the elongate shaft, wherein the cutting mechanism is configured to be actuated within the distal portion of the elongate shaft and past the opening to cut tissue in the opening, and wherein manipulation of the distal portion causes manipulation of the cutting mechanism and the opening; and

a chamber coupled to the proximal portion of the elongate shaft, the chamber having a cutting mechanism driver assembly positioned therein.

17. The device of claim 16, wherein the opening is positioned on a side of the distal portion of the elongate shaft.

18. The device of claim 16, wherein the distal portion of the elongate shaft comprises slits in the elongate shaft which allow for bending or twisting of the elongate shaft.

19. The device of claim 16, further comprising an evacuation shaft positioned in the elongate shaft and having an evacuation lumen which is in fluid communication with the opening in the elongate shaft for evacuating and removing cut tissue through the opening.

20. The device of claim 19, further comprising an irrigant lumen, wherein the irrigant lumen is configured to deliver irrigant to a distal portion of the evacuation lumen, wherein the irrigant does not flow through the irrigant lumen unless suction from a vacuum source is present to draw the irrigant through the irrigant lumen.

21. The device of claim 19, wherein the evacuation shaft is positioned within the elongate shaft and the evacuation lumen includes a variable diameter to optimize a tissue resection rate or tissue evacuation rate.

22. The device of claim 16, wherein the chamber is in the form of an ergonomic handle.

23. The device of claim 22, wherein the handle is positioned at an angle relative to the elongate shaft thereby providing a clear line of sight above and/or to the side of the elongate shaft.

24. The device of claim 16, wherein a tissue collection chamber is integrated in the device wherein removal of the chamber disables the device.

25. The device of claim 16, wherein the cutting mechanism includes a cutting blade and the cutting blade is not exposed on an outside of the opening to provide safety to patients.

26. The device of claim 16, further comprising an electrocautery element positioned at a distal end of the elongate shaft.

27. The device of claim 16, wherein the device is fully disposable.

28. The device of claim 16, wherein the cutting mechanism driver assembly is powered by vacuum, battery power, gas power, electrical power or compressed air.

29. The device of claim 16, wherein the cutting mechanism driver assembly is powered solely by suction created by a vacuum source.

30. The device of claim 16, further comprising an outer sheath, wherein the outer sheath provides a covering on the elongate shaft.

31. A tissue cutting device comprising:

an elongate shaft having a proximal portion, a distal portion and a lumen defined therein, wherein the distal portion includes an opening for receiving tissue;

wherein the distal portion includes at least a section which is configured to be manipulated into one or more configurations by hand without the use of a separate tool prior to inserting the distal portion of the elongate shaft into a patient'"'"'s body, wherein the elongate shaft is configured to retain a manipulated configuration of the distal portion;

a cutting mechanism positioned within the distal portion of the elongate shaft, wherein the cutting mechanism is configured to be actuated within the distal portion of the elongate shaft and past the opening to cut tissue in the opening, and wherein manipulation of the distal portion causes manipulation of the cutting mechanism and the opening;

an evacuation shaft positioned in the elongate shaft and having an evacuation lumen which is in fluid communication with the opening in the elongate shaft for evacuating and removing cut tissue through the opening;

an irrigant lumen, wherein the irrigant lumen is configured to deliver irrigant to a distal portion of the evacuation lumen, wherein the irrigant does not flow through the irrigant lumen unless suction from a vacuum source is present to draw the irrigant through the irrigant lumen; and

a chamber coupled to the proximal portion of the elongate shaft, the chamber having a cutting mechanism driver assembly positioned therein.

32. The device of claim 31, wherein the opening is positioned on a side of the distal portion of the elongate shaft.

33. The device of claim 31, wherein the distal portion of the elongate shaft comprises slits in the elongate shaft which allow for bending or twisting of the elongate shaft.

34. The device of claim 31, further comprising an outer sheath, wherein the outer sheath provides a covering on the elongate shaft.

35. The device of claim 34, wherein the outer sheath encloses openings along the elongate shaft.

36. The device of claim 31, wherein the evacuation shaft is positioned within the elongate shaft and the evacuation lumen includes a variable diameter to optimize a tissue resection rate or tissue evacuation rate.

37. The device of claim 31, wherein the chamber is in the form of an ergonomic handle.

38. The device of claim 37, wherein the handle is positioned at an angle relative to the elongate shaft thereby providing a clear line of sight above and/or to the side of the elongate shaft.

39. The device of claim 31, wherein a tissue collection chamber is integrated in the device wherein removal of the chamber disables the device

40. The device of claim 31, wherein the cutting mechanism includes a cutting blade and the cutting blade is not exposed on an outside of the opening to provide safety to patients.

41. The device of claim 31, further comprising an electrocautery element positioned at the distal end of the elongate shaft.

42. The device of claim 31, wherein the device is fully disposable.

43. The device of claim 31, wherein the cutting mechanism driver assembly is powered by vacuum, battery power, gas power, electrical power or compressed air.

44. The device of claim 31, wherein the cutting mechanism driver assembly is powered solely by suction created by a vacuum source.