Method and apparatus for minimally invasive tissue removal

• US 5,643,304 A
• Filed: 06/07/1995
• Issued: 07/01/1997
• Est. Priority Date: 02/16/1993
• Status: Expired due to Term

• Current Assignee: SDGI Holdings Incorporated (Medtronic Plc)
• Original Assignee: Danek Medical, Inc. (Medtronic Plc)
• Inventors: Schechter, Alan M., Stave, Frederick R., White, Roger, Mark, Joseph P.
• Primary Examiner(s): McDermott, Corrine M.
• Assistant Examiner(s): GRING, NOELLE K
• Application Number:
  US08/483,385
• Time in Patent Office: 755 Days
• Field of Search: 604/22, 604/49, 604/50, 606/167, 606/169, 606/170, 606/171, 606/177, 606/178
• US Class Current: 606/171
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00148 with metal
• CPC Class Codes: A61B 2018/0016 Energy applicators arranged in a two- or three dimensional array
• CPC Class Codes: A61B 2018/00178 Electrical connectors
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00797 measured by multiple temperature sensors
• CPC Class Codes: A61B 2018/00815 measured by a thermistor
• CPC Class Codes: A61B 2018/00982 combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
• CPC Class Codes: A61B 2018/00988 Means for storing information, e.g. calibration constants, or for preventing excessive use, e.g. usage, service life counter
• CPC Class Codes: A61B 2018/124 switching the output to different electrodes, e.g. sequentially
• CPC Class Codes: A61B 2018/1253 monopolar
• CPC Class Codes: A61B 2018/126 bipolar
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208

Abstract

A method and apparatus for minimally invasive tissue removal contemplates a system including a tissue cutting tool having a motor driven cutting blade reciprocating within a percutaneously introducable cannula. In accordance with one method of the invention, the frequency of reciprocation of the cutting blade is tuned to a characteristic frequency of the target tissue to be excised, which frequency is a function of certain properties of the target tissue and the surrounding tissue. Cutting at the characteristic frequency of the target tissue not only enhances the speed and efficiency of the tissue excision, but also minimizes the risk of cutting surrounding tissue. Another aspect of the system includes feedback control of both aspiration and irrigation circuits of the system. With the feedback control, coupled with user settable inputs, the surgeon can control the system to "tease" tissue into the cutting opening to provide more manageable bite sizes of the excised tissue. Controllable valves and pressure transducers allow the operator to set and maintain the aspiration vacuum and irrigation pressure at optimum levels. In other aspects of the invention, other cutting heads, such as a rasp and a tissue morcelator, are disclosed which take advantage of the integrated feedback control system of the invention.

Claims

1. A surgical rasp for use in percutaneous tissue removal, comprising:

a handpiece;

a motor supported by said handpiece having means for producing linearly reciprocating motion;

an elongated cannula sized for introduction into the body, said cannula having a proximal and a distal end, said cannula supported by said handpiece at said proximal end and having a cutting opening at said distal end;

a tubular drive shaft connected to said motor and extending through said cannula to said cutting opening, said drive shaft defining and irrigation channel therethrough;

means for connecting said irrigation channel to a source of irrigation fluid to flow through said irrigation channel; and

a rasp blade mounted to said drive shaft, said rasp blade including a plurality of teeth and defining several apertures between said teeth communicating with said irrigation channel, wherein said rasp blade is slidably disposed within said cannula at said distal end with said plurality of teeth extending through said cutting opening.

2. The surgical rasp of claim 1, wherein said cannula includes a rounded tip or the distal end of the cannula and said cutting opening extends into said rounded tip so that a portion of said rasp blade is exposed beyond said distal end of said cannula.