Intervertebral disc device employing prebent sheath

• US 6,638,276 B2
• Filed: 06/06/2001
• Issued: 10/28/2003
• Est. Priority Date: 06/06/2001
• Status: Expired due to Term

• Current Assignee: NeuroTherm, Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Oratec Interventions Incorporated
• Inventors: Phan, Huy, Ashley, John, Sharkey, Hugh, Uchida, Andy
• Primary Examiner(s): Douglas, Steven O.
• Application Number:
  US09/876,827
• Publication Number:
  US 20020188290A1
• Time in Patent Office: 874 Days
• Field of Search: 606/27-32, 606/41, 607/96-102, 607/113, 607/116, 607/117, 600/373
• US Class Current: 606/41
• CPC Class Codes: A61B 17/3415 for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 18/148 having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
• 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 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/22038 with a guide wire
• CPC Class Codes: A61B 2018/0044 Spinal cord
• CPC Class Codes: A61B 2018/1407 Loop
• CPC Class Codes: A61B 2018/1475 Electrodes retractable in or deployable from a housing

Abstract

An intervertebral disc device is provided comprising a distal sheath sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the sheath being predisposed to adopting a bent configuration when extended from the introducer; a probe adapted to be extended from a distal end of the sheath, the bent section of the sheath causing the probe to adopt a same bent configuration; and a proximal handle for externally guiding the probe within an intervertebral disc.

Claims

1. An intervertebral disc device comprising:

a sheath configured to be extended into an intervertebral disc from an introducer that is percutaneously delivered into an interior of the intervertebral disc, the sheath being predisposed to adopting a bent configuration when extended from the introducer;

a probe adapted to be extended from the sheath, the sheath causing the probe to adopt a bent configuration; and

a handle coupled to the probe for guiding the probe within the intervertebral disc.

2. An intervertebral disc device according to claim 1 wherein a distal section of the probe comprises a flexible neck which tapers in a proximal to distal direction, and a distal tip which is larger in cross sectional diameter than the flexible neck adjacent the distal tip, the flexible neck and distal tip serving to prevent the probe distal end from piercing an internal wall of the intervertebral disc.

3. An intervertebral disc device according to claim 2 wherein the flexible neck is not predisposed to bending in any direction relative to a longitudinal axis of the probe.

4. An intervertebral disc device according to claim 2 wherein the flexible neck is predisposed to bending along a single plane relative to a longitudinal axis of the probe.

5. An intervertebral disc device according to claim 2 wherein the flexible neck is predisposed to bending in opposing directions along a single plane relative to a longitudinal axis of the probe.

6. An intervertebral disc device according to claim 2 wherein the distal tip is symmetrical about a longitudinal axis of the probe.

7. An intervertebral disc device according to claim 2 wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

8. An intervertebral disc device according to claim 2 wherein the distal tip has a flat surface perpendicular to a longitudinal axis of the probe.

9. An intervertebral disc device according to claim 2 wherein the distal tip is attached to the neck of the probe by a pivot mechanism.

10. An intervertebral disc device according to claim 2 wherein the distal tip is attached to the neck of the probe by a ball and socket mechanism.

11. An intervertebral disc device according to claim 2 wherein the flexibility of the neck of the probe causes the probe to bend and the distal tip to trail behind a portion of the probe as the probe is advanced through tissue within an intervertebral disc.

12. An intervertebral disc device according to claim 1 wherein a distal section of the probe comprising one or more active electrodes and one or more return electrodes which are positioned on the probe such that there are multiple pairs of an active band and a return band of the active and return electrodes adjacent each other positioned longitudinally along the length of the distal section of the probe, the electrodes being adapted to deliver bipolar electromagnetic energy to tissue within the intervertebral disc.

13. An intervertebral disc device according to claim 12 wherein the distal section of the probe is predisposed to forming a loop.

14. An intervertebral disc device according to claim 1 wherein a distal section of the probe is predisposed to forming a loop when extended from the distal end of the introducer, the looping portion of the probe comprising an active electrode and a return electrode which are positioned on the probe such that the active and return electrodes are on opposing sides of the probe loop.

15. An intervertebral disc device according to claim 1 wherein a distal section of the probe comprises separate active and return electrode elements which are predisposed to bending away from each other when extended from the distal end of the introducer.

16. The intervertebral disc device according to claim 1 wherein:

a distal section of the sheath is predisposed to adopting the bent configuration, and

the bent distal section of the sheath causes the probe to adopt the same bent configuration.

17. The intervertebral disc device according to claim 1 wherein the probe is adapted to be extended from a distal end of the sheath.

18. The intervertebral disc device according to claim 1 wherein:

a section of the sheath is predisposed to adopting the bent configuration, and

the sheath causes the probe to adopt the same bent configuration inside of the section when the section has adopted the bent configuration.

19. The intervertebral disc device according to claim 1 wherein the sheath is mechanically predisposed to adopting the bent configuration inside of the intervertebral disc.

20. The intervertebral disc device according to claim 1 further comprising the introducer.

21. An intervertebral disc device comprising:

a sheath configured to be extended into an intervertebral disc from an introducer that is percutaneously delivered into an interior of the intervertebral disc, the sheath being predisposed to adopting a bent configuration when extended from the introducer;

a guide wire adapted to be extended from the sheath, the sheath causing the guide wire to adopt a bent configuration;

a probe adapted to be extended from the sheath over the guide wire, the sheath causing the probe to adopt a bent configuration; and

a handle coupled to the probe for guiding the probe within the intervertebral disc.

22. An intervertebral disc device according to claim 21 wherein a distal section of the probe comprising one or more active electrodes and one or more return electrodes which are positioned on the probe such that there are multiple pairs of an active band and a return band of the active and return electrodes adjacent each other positioned longitudinally along the length of the distal section of the probe, the electrodes being adapted to deliver bipolar electromagnetic energy to tissue within the intervertebral disc.

23. An intervertebral disc device according to claim 22 wherein the distal section of the probe is predisposed to forming a loop.

24. An intervertebral disc device according to claim 21 wherein a distal section of the probe is predisposed to forming a loop when extended from the distal end of the introducer, the looping portion of the probe comprising an active electrode and a return electrode which are positioned on the probe such that the active and return electrodes are on opposing sides of the probe loop.

25. An intervertebral disc device according to claim 21 wherein a distal section of the probe comprises separate active and return electrode elements which are predisposed to bending away from each other when extended from the distal end of the introducer.

26. A method comprising:

extending a sheath into an interior of an intervertebral disc through an introducer, the sheath adopting a predisposed bent configuration at a point that is distal to the introducer; and

extending a probe through the sheath such that the probe adopts a bent configuration distal to the introducer as the probe extends through the extended section of the sheath.

27. The method of claim 26 further comprising performing electrosurgery with an electrode positioned on a distal portion of the probe.

28. A method comprising:

extending a sheath into an interior of an intervertebral disc through an introducer, the sheath adopting a predisposed bent configuration at a point that is distal to the introducer;

extending a guide wire through the sheath such that the guide wire adopts a bent configuration distal to the introducer as the guide wire extends through the extended section of the sheath; and

extending a probe over the guide wire through the sheath such that the probe adopts a bent configuration distal to the introducer as the probe extends through the extended section of the sheath.

29. The method of claim 28 further comprising performing electrosurgery with an electrode positioned on a distal portion of the probe.