Apparatus and method for incising

• US 6,139,562 A
• Filed: 03/30/1998
• Issued: 10/31/2000
• Est. Priority Date: 03/30/1998
• Status: Expired due to Term

• Current Assignee: Sanofi-Aventis Deutschland GmbH (Sanofi )
• Original Assignee: Agilent Technologies, Inc.
• Inventors: Greenstein, Michael, Lum, Paul, Verdonk, Edward D., Mauze, Ganapati R.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Bui, Vy Q.
• Application Number:
  US09/050,748
• Time in Patent Office: 946 Days
• Field of Search: 606/171, 606/172, 606/173, 606/181, 606/180, 175/215
• US Class Current: 606/171
• CPC Class Codes: A61B 10/0233 Pointed or sharp biopsy instruments
• CPC Class Codes: A61B 10/0266 means for severing sample
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• 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 17/32093 for skin incisions
• CPC Class Codes: A61B 17/3476 Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
• CPC Class Codes: A61B 5/14514 using means for aiding extraction of interstitial fluid, e.g. microneedles or suction
• CPC Class Codes: A61B 5/150022 for capillary blood or interstitial fluid
• CPC Class Codes: A61B 5/150137 by vibration enhancing collection by vibration A61B5/150175
• CPC Class Codes: A61B 5/15016 by accessories for bringing the piercing element into the body, e.g. through rotation of the piercing element
• CPC Class Codes: A61B 5/150396 Specific tip design, e.g. for improved penetration characteristics
• CPC Class Codes: A61B 5/150419 comprising means for capillary action
• CPC Class Codes: A61B 5/150427 Specific tip design, e.g. for improved penetration characteristics
• CPC Class Codes: A61B 5/150511 Details of construction of shaft
• CPC Class Codes: A61B 5/15121 comprising piezos
• CPC Class Codes: A61B 5/15142 Devices intended for single use, i.e. disposable

Abstract

A multi-shaft apparatus for incising a substrate of soft resilient material such as a body tissue. The incising apparatus includes two or more incision shafts each having a distal edge. The shafts are not affixed to each other and are allowed to slide against each other to drive the distal edges alternately against the substrate to incise the substrate. In the case of incising a body tissue, such alternate motion would result in less pain to the patient than a puncture resulting from a sharp jab by a sharp shaft of similar size to the shafts.

Claims

1. A method for incising a body tissue, comprising:

forming a hole on a body tissue by driving at least two of two the or more parallel incision shafts so that the at least one shaft moves periodically relative to another of the incision shafts in translational position or rotational position, the incision shafts associate as a unit to have a circular circumferential cross-section, each incision shaft having a distal edge at a distal end of the incision shaft; and

urging the shafts in a direction parallel to the shafts toward the body tissue such that the distal edges of the shafts are driven into the body tissue to result in the hole.

2. A method according to claim 1 wherein the shafts are associated with one another in an apparatus and the method comprises steadying the apparatus against the body tissue with one shaft and driving at least one of the other shafts to move relative to the steadying shaft to incise the body tissue.

3. A method according to claim 1 comprising sliding the shafts against each other and associating the shafts to include a channel for liquid flow.

4. A method according to claim 1 comprising moving each of the shafts intermittently in noncontinuous motion.

5. A method according to claim 1 wherein the edges of the shafts are beveled each to form a sharp edge with a bevel surface and comprising arranging the neighboring bevel surfaces of two shafts to face away from each other.

6. A method according to claim 1 wherein the edges are beveled to each form a sharp edge with a bevel surface and comprising aligning the shafts such that the neighboring bevel surfaces of two shafts face the same direction.

7. A method according to claim 1 comprising moving at least one of the shafts relative in translational position to the other in reciprocating longitudinal action.

8. A method according to claim 1 wherein two shafts are concentric tubes suitable for conducting fluids and comprising moving at least one of to the concentric tubes in concentric rotational motion relative the other tube.

9. A method according to claim 1 comprising arranging the shafts to associate with each other to form a tubular channel suitable for conducting fluids and moving one shaft relative in translational position to the other in reciprocating longitudinal action.

10. A method according to claim 1 further comprising piezoelectrically driving the relative motion of the shafts.

11. A method according to claim 1 further comprising associating the shafts to form a needle-sized proboscis.

12. A method according to claim 7 further comprising moving two of the shafts each in reciprocating longitudinal action so that the shafts move relative in translational position to the other.

13. A method according to claim 8 comprising moving at least one of the shafts in intermittent reciprocative concentric rotational motion relative to the other.

14. A method according to claim 8 comprising moving at least one of the shafts in intermittent concentric rotational motion relative to the other in one direction.

15. A method according to claim 1 wherein the at least one of the incision shafts has a sharp edge and is periodically driven to incise the body tissue while another of the parallel incision shafts anchors itself against the body tissue.

16. A method according to claim 1 comprising driving at least one shaft in periodic reciprocative movement of from 0.001 mm to 0.5 mm and comprising urging two or more shafts having sharp edges at the distal ends thereof against the body tissue.

17. A method for incising a body tissue, comprising:

(A) using a power source to drive at least two of two or more parallel shafts such that one shaft moves oscillatorily relative to another of the shafts in translational position, the shafts each having a sharp edge at a distal end, the shafts associate as a unit to have a circular circumferencial cross-section; and

(B) urging the shafts in a longitudinal direction parallel to the shafts toward a body tissue such that the sharp edges of the shafts are driven longitudinally against the body tissue to penetrate the body tissue to result in a hole, wherein periodically the at least one of the shafts penetrates into the body tissue ahead further of the another of the parallel shafts.

18. A method according to claim 17 further comprising associating the shafts to form a needle-sized proboscis and driving at least one shaft in reciprocative movement of from 0.001 mm to 0.5 mm and comprising urging two or more shafts having sharp edges at the distal ends thereof against the body tissue.