Device and method for resecting body tissues

• US 6,066,153 A
• Filed: 03/31/1999
• Issued: 05/23/2000
• Est. Priority Date: 03/31/1999
• Status: Expired due to Fees

• Current Assignee: Medical Enterprises LLC
• Original Assignee: Medical Enterprises LLC
• Inventors: Lev, Avigdor
• Primary Examiner(s): Smith, Jeffrey A.
• Assistant Examiner(s): Robert, Eduardo C.
• Application Number:
  US09/282,168
• Time in Patent Office: 419 Days
• Field of Search: 606/80, 606/159, 606/170, 606/180, 606/171, 606/27, 606/107, 600/562, 600/564, 600/565, 604/22
• US Class Current: 606/180
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 17/320783 through side-hole, e.g. sliding or rotating cutter inside catheter
• CPC Class Codes: A61B 18/04 by heating by applying electromagnetic radiation A61B18/18; hyperthermia using electric or magnetic fields, radiation or ultrasound A61N
• CPC Class Codes: A61B 18/082 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320775 Morcellators, impeller or propeller like means

Abstract

A resecting device for use in tissue removal is disclosed. The resecting device includes a cannula having a hollow and which is sized for introduction into a body. The cannula is formed with at least one, preferably a plurality of, cutting openings each having a cutting edge. The resecting device further includes a rotating mechanism which is connectable through a shaft to the cannula and which serves for rotating the cannula around a longitudinal axis thereof. As a result of such rotation and the cannula'"'"'s construction, when the cannula is contacted with a tissue, the cutting edges of the cutting openings dissect the tissue and direct the dissected tissue through the openings into the hollow of the cannula.

Claims

1. A resecting device for use in tissue removal, comprising:

(a) a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into a body and formed with at least one cutting opening having a cutting edge;

(b) a rotating mechanism connectable through a shaft to said cannula for rotating said cannula around said longitudinal axis thereof, such that when contacted with a tissue and rotated, said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow of said cannulal; and

(c) a heating device, said hearing device being for heating the tissue, said heating device including a friction element being contactable with a portion of said cannula, so as to generate heat thereat.

2. The resecting device of claim 1, wherein said rotating mechanism is for rotating said cannula in reciprocal rotary motion.

3. The resecting device of claim 2, wherein said cannula is formed with at least two cutting openings, said at least two cutting openings are positioned in an opposing configuration on at least a portion of said cannula.

4. The resecting device of claim 1, further comprising a non-rotating protective sleeve covering at least a portion of said shaft.

5. The resecting device of claim 4, wherein both said sleeve and said shaft are flexible, so as to assist in spatial positioning of said cannula in the body.

6. The resecting device of claim 1, further comprising a handpiece, said handpiece being for guiding said cannula into a preselected region of the body.

7. The resecting device of claim 6, wherein said handpiece includes a motor connected to said shaft, said motor serves for rotating said cannula.

8. The resecting device of claim 1, further comprising a tissue collecting chamber, said chamber being in fluid communication with said hollow such that tissue collected in said hollow is transportable to said chamber.

9. The resecting device of claim 8, wherein said chamber is in fluid communication with said hollow through a tube.

10. The resecting device of claim 8, wherein said chamber is in fluid communication with said hollow through a channel formed between said shaft and a sleeve covering said shaft.

11. The resecting device of claim 8, further comprising a pump, said pump being in fluid communication with said collecting chamber and being for pumping the dissected tissue from said cannula and into said collecting chamber.

12. The resecting device of claim 8, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue from said cannula to said collecting chamber.

13. The resecting device of claim 12, wherein said conveying mechanism includes an Archimedes screw.

14. The resecting device of claim 13, wherein said Archimedes screw is counter rotatable relative to said cannula.

15. The resecting device of claim 13, wherein said Archimedes screw is stationary.

16. The resecting device of claim 1, wherein a distal portion of said hollow serves as a tissue collecting chamber.

17. The resecting device of claim 16, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue into said distal portion of said hollow.

18. The resecting device of claim 17, wherein said conveying mechanism includes an Archimedes screw.

19. The resecting device of claim 1, further comprising an imaging system for intrabody monitoring a procedure being effected by the resecting device.

20. The resecting device of claim 1, wherein said cannula is formed with a plurality of cutting openings, said plurality of cutting openings are circumferencely positioned on at least a portion of said cannula.

21. The resecting device of claim 1, wherein said cannula has a shape selected from the group consisting of a cone-shape, a cylindrical shape and a spherical shape.

22. The resecting device of claim 1, wherein said heating device includes a heating wire.

23. The resecting device of claim 1, further comprising a temperature sensor for sensing said heat.

26. The resecting device of claim 22, further comprising a temperature sensor for sensing said heat.

27. The resecting device of claim 22, wherein said heating device includes a heating wire.

24. A surgical procedure of tissue excision in a preselected region in a body, the procedure comprising the steps of:

(a) providing a resecting device, including a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into the body and being formed with at least one cutting opening having a cutting edge, said resecting device further including a heating device, said heating device being for heating a tissue, said heating device including a friction element being contactable with a portion of said cannula, so as to generate heat thereat;

(b) inserting said cannula into the preselected region in the body; and

(c) contacting said cannula with a tissue to be excised and rotating said cannula via a rotating mechanism, such that said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow.

25. The surgical procedure of claim 24, selected from the group consisting of a urological procedure, a gynecological procedure, a gastrointestinal procedure, a cardiovascular procedure, a neurological procedure and an ophthalmologic procedure.

28. A resecting device for use in tissue removal, comprising:

(a) a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into a body and formed with at least one cutting opening having a cutting edge;

(b) a rotating mechanism connectable through a shaft to said cannula for rotating said cannula around said longitudinal axis thereof, such that when contacted with a tissue and rotated, said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow of said cannula, said shaft including at least one bendable portion;

(c) a guiding mechanism for bending said at least one bendable portion of said shaft to thereby change a positional orientation between said cannula and said shaft, for allowing flexibility in guiding and positioning of said cannula; and

(d) a heating device for heating the tissue, said heating device includes a friction element being contactable with a portion of said cannula, so as to generate heat thereat.

29. The resecting device of claim 28, wherein said rotating mechanism is for rotating said cannula in reciprocal rotary motion.

30. The resecting device of claim 29, wherein said cannula is formed with at least two cutting openings, said at least two cutting openings are positioned in an opposing configuration on at least a portion of said cannula.

31. The resecting device of claim 28, further comprising a handpiece said handpiece being for guiding said cannula into a preselected region of the body.

32. The resecting device of claim 31, wherein said handpiece includes a motor connected to said shaft, said motor serves for rotating said cannula.

33. The resecting device of claim 28, further comprising a tissue collecting chamber, said chamber being in fluid communication with said hollow such that tissue collected in said hollow is transportable to said chamber.

34. The resecting device of claim 33, further comprising a pump, said pump being in fluid communication with said collecting chamber and being for pumping the dissected tissue from said cannula and into said collecting chamber.

35. The resecting device of claim 33, wherein said chamber is in fluid communication with said hollow through a channel formed between said shaft and a sleeve covering said shaft.

36. The resecting device of claim 33, wherein said chamber is in fluid communication with said hollow through a tube.

37. The resecting device of claim 33, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue from said cannula to said collecting chamber.

38. The resecting device of claim 37, wherein said conveying mechanism includes an Archimedes screw.

39. The resecting device of claim 38, wherein said Archimedes screw is counter rotatable relative to said cannula.

40. The resecting device of claim 38, wherein said Archimedes screw is stationary.

41. The resecting device of claim 28, wherein a distal portion of said hollow serves as a tissue collecting chamber.

42. The resecting device of claim 41, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue into said distal portion of said hollow.

43. The resecting device of claim 42, wherein said conveying mechanism includes an Archimedes screw.

44. The resecting device of claim 28, further comprising a non-rotating protective sleeve covering at least a portion of said shaft.

45. The resecting device of claim 44, wherein both said sleeve and said shaft are flexible, so as to assist in spatial positioning of said cannula in the body.

46. The resecting device of claim 28, further comprising an imaging system for intrabody monitoring a procedure being effected by the resecting device.

47. The resecting device of claim 28, wherein said cannula is formed with a plurality of cutting openings, said plurality of cutting openings are circumferencely positioned on at least a portion of said cannula.

48. The resecting device of claim 28, wherein said cannula has a shape selected from the group consisting of a cone-shape, a cylindrical shape and a spherical shape.