Spinal anulus cutter

• US 5,649,945 A
• Filed: 10/17/1994
• Issued: 07/22/1997
• Est. Priority Date: 10/17/1994
• Status: Expired due to Fees

• Current Assignee: Raymedica, Inc.
• Original Assignee: Raymedica, Inc.
• Inventors: Ray, Charles D., Dickhudt, Eugene A.
• Primary Examiner(s): LEWIS, WILLIAM W
• Application Number:
  US08/324,143
• Time in Patent Office: 1,009 Days
• Field of Search: 606/166, 606/167, 606/181, 606/184, 606/185, 30/113.1, 30/121, 30/315, 30/316, 30/329, 30/332, 128/759, 128/898
• US Class Current: 606/167
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• 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 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61B 2017/00261 Discectomy

Abstract

A spinal anulus cutter for cutting a multisided flap in an encapsulating ligament, such as an anulus of a human intervertebral disc, to provide access to an interior space or material surrounded by the ligament. The spinal anulus cutter is characterized by a knife blade comprised of a plurality of walls which are connected together to define a closed side and an open side. Further, a cutting edge is formed at the forward edge of the walls which is configured to cut the multisided flap in the ligament when an axial force is transmitted to the knife blade in a direction towards the cutting edge. The flap will conform in shape and size to the form of the knife blade, whereby the open side of the knife blade will not cut the ligamentary tissue.

Claims

1. A surgical tool for cutting a flap in an encapsulating ligament, such as an anulus of a human intervertebral disc, to provide access to an interior space or material surrounded by the ligament, the surgical tool characterized by:

a knife blade having a plurality of walls connected together to define a closed side and an open side, and having a cutting edge at a forward end of the walls, wherein a portion of the cutting edge is linear, which is configured to cut at least one multisided flap, a portion of which is linear, in a ligament when a axial force is transmitted to the knife blade in a direction toward the cutting edge; and

a stop member positioned against the knife blade, perpendicular to the cutting edge for limiting cutting depth of the knife blade.

2. The surgical tool of claim 1, further comprising a handle having a first end and a second end wherein the knife blade is attached to and extends forwardly from the first end of the handle.

3. The surgical tool of claim 2 wherein the second end of the handle has a proximal edge which is flat.

4. The surgical tool of claim 1 wherein the closed side is curved.

5. The surgical tool of claim 1 wherein the plurality of walls are connected to form a continuous wall.

6. The surgical tool of claim 5 wherein the knife blade has an internal aperture defined by the continuous wall.

7. The surgical tool of claim 5 wherein the continuous wall is an arch defined by a first side and a second side extending from the closed side.

8. The surgical tool of claim 7 wherein the first side is parallel to the second side.

9. The surgical tool of claim 2 wherein the extension of the blade from the handle to the cutting edge is 20 millimeters.

10. The surgical tool of claim 1 wherein the closed side is a curve having a radius of curvature of 3 millimeters.

11. The surgical tool of claim 7 wherein the distance between the first side of the arch and the second side of the arch is 6 millimeters.

12. The surgical tool of claim 1 wherein the cutting edge has a relief angle.

13. The surgical tool of claim 12 wherein the relief angle is about 30°

to about 60°

.

14. The surgical tool of claim 1 wherein the continuous wall has an elongated H-shape.

15. The surgical tool of claim 1 wherein the blade is constructed of a surgically compatible material.

16. The surgical tool of claim 2 wherein the handle comprises a grip, a shank connected to the grip, and a head connected to the shank;

and wherein the knife blade is connected to the head.

17. The surgical tool of claim 16 wherein the grip is removably mounted on the shank.

18. A surgical tool for cutting a flap in an encapsulating ligament, such as an anulus of a human intervertebral disc, to provide access to an interior space or material surrounded by the ligament, the surgical tool comprising:

a handle having a first end and a second end;

a knife blade attached to and extending forwardly from the first end of the handle, the knife blade defined by spaced first and second end points connected by a continuous, non-linear wall, and having a cutting edge at a forward end of the continuous wall, wherein a portion of the cutting edge is linear, which is configured to cut a multisided flap, a portion of which is linear, in the ligament when an axial force is transmitted through the handle to the knife blade in a direction towards the first end; and

a stop member positioned against the knife blade, perpendicular to the cutting edge for limiting cutting depth of the knife blade.

19. The surgical tool of claim 18 further including a first side terminating at the first endpoint of the knife blade and a second side terminating at the second endpoint of the knife blade;

and wherein the first side and the second side are parallel.

20. A surgical method for cutting a flap through an encapsulating ligament, such as an anulus of a human disc, the method comprising:

positioning a cutting tool, having a knife blade shaped to define a flap cutting pattern extending from a distal end of a handle, on the ligament such that the knife blade contacts the ligament; and

applying an axial force to the handle to cut the flap in the ligament.

21. The surgical method of claim 20 wherein the knife blade is a plurality of walls connected together to form a closed side and an open side, and a cutting edge at a forward end of the walls.

22. The surgical method of claim 20 wherein the knife blade is a continuous, non-linear wall.