Intervertebral disc device employing looped probe

• US 6,726,685 B2
• Filed: 06/06/2001
• Issued: 04/27/2004
• Est. Priority Date: 06/06/2001
• Status: Expired due to Term

• Current Assignee: NeuroTherm, Inc. (Abbott Laboratories Incorporated)
• Original Assignee: Oratec Interventions Incorporated
• Inventors: Ashley, John, To, Kevin, Le, Le T., Sharkey, Hugh, Uchida, Andy
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): Johnson, Henry M
• Application Number:
  US09/876,833
• Publication Number:
  US 20020188284A1
• Time in Patent Office: 1,056 Days
• Field of Search: 606/41, 606/14, 606/27, 606/33, 606/49, 606/50
• US Class Current: 606/50
• CPC Class Codes: A61B 18/1492 having a flexible, catheter-like structure, e.g. for heart ablation A61B18/1477 takes precedence
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/0044 Spinal cord
• CPC Class Codes: A61B 2018/1407 Loop

Abstract

An intervertebral disc device is provided comprising a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer; and a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc.

Claims

1. An intervertebral disc device comprising:

a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer, the first and second proximal ends of the probe having different cross sectional geometries; and

a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc.

2. An intervertebral disc device according to claim 1 wherein the device further includes an introducer, the first proximal end of the probe being attached to the introducer adjacent a distal end of the introducer, the second proximal end of the probe being extendable from the introducer distal end to form the loop.

3. An intervertebral disc device according to claim 2 wherein the first proximal end of the probe is attached to the introducer adjacent the distal end of the introducer by a guide wire lead.

4. An intervertebral disc device according to claim 1 wherein the first and second proximal ends of the probe are each separately extendable from the introducer distal end to form the loop.

5. An intervertebral disc device according to claim 1 wherein the different cross sectional geometries of the first and second proximal ends are selected such that the cross sectional geometry of the first proximal end is a compliment of the cross sectional geometry of the second proximal end.

6. An intervertebral disc device according to claim 5 wherein:

the first proximal end has round cross section, the second proximal end has a thin, concave cross section and a concave side, and the first proximal end can be folded into the concave side.

7. An intervertebral disc device according to claim 1 wherein the device further includes flexible tubing disposed between the proximal handle and the introducer.

8. An intervertebral disc device according to claim 1 wherein the probe further includes an electromagnetic energy device capable of supplying energy within the intervertebral disc.

9. An intervertebral disc device according to claim 8 wherein the electromagnetic energy device is capable of delivering energy selected from a group consisting of coherent light, incoherent light, radiofrequency (“

RF”

) waves, microwaves, and ultrasound waves.

10. An intervertebral disc device according to claim 8 wherein the electromagnetic energy device comprises electrodes adapted to deliver RF energy.

11. An intervertebral disc device according to claim 10 wherein the RF electrodes have a monopolar configuration.

12. An intervertebral disc device according to claim 10 wherein the RF electrodes have a bipolar configuration.

13. An intervertebral disc device according to claim 8 wherein the electromagnetic energy device comprises a resistive heating mechanism.

14. An intervertebral disc device according to claim 1 wherein the handle further comprises a probe control element for controlling the movement of the probe adjacent a distal end of the device.

15. An intervertebral disc device according to claim 1 wherein the probe further includes a functional element which performs a function selected from the group consisting of transmitting energy to tissue within an intervertebral disc, delivering material to within an intervertebral disc, and removing material within an intervertebral disc.

16. An intervertebral disc device according to claim 1 wherein the first proximal end has a round cross section and the second proximal end has a thin, concave cross section and a concave side.

31. An intervertebral disc device according to claim 16 wherein the first proximal end has a round cross section and the second proximal end has a thin, concave cross section and a concave side.

17. An intervertebral disc device comprising:

a guide wire capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the guide wire forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer, the first and second proximal ends of the guide wire having different cross sectional geometries;

a probe capable of being extended over the guide wire from the distal end of the introducer; and

a proximal handle for externally causing the guide wire and probe to be extended from the distal end of the introducer and externally guiding the guide wire and probe within an intervertebral disc.

18. An intervertebral disc device according to claim 17 wherein the device further includes an introducer, the first proximal end of the guide wire being attached to the introducer adjacent a distal end of the introducer, the second proximal end of the guide wire being extendable from the introducer distal end to form the loop.

19. An intervertebral disc device according to claim 17 wherein the first and second proximal ends of the guide wire are each separately extendable from the introducer distal end to form the loop.

20. An intervertebral disc device according to claim 17 wherein the device further includes flexible tubing disposed between the proximal handle and the introducer.

21. An intervertebral disc device according to claim 17 wherein the different cross sectional geometries of the first and second proximal ends are selected such that the cross sectional geometry of the first proximal end is a compliment of the cross sectional geometry of the second proximal end.

22. An intervertebral disc device according to claim 21 wherein:

the first proximal end has a round cross section,

the second proximal end has a thin, concave cross section and a concave side, and

the first proximal end can be folded into the concave side.

23. An intervertebral disc device according to claim 17 wherein the probe further includes an electromagnetic energy device capable of supplying energy within the intervertebral disc.

24. An intervertebral disc device according to claim 23 wherein the electromagnetic energy device is capable of delivering energy selected from a group consisting of coherent light, incoherent light, RF waves, microwaves, and ultrasound waves.

25. An intervertebral disc device according to claim 23 wherein the electromagnetic energy device comprises electrodes adapted to deliver RF energy.

26. An intervertebral disc device according to claim 25 wherein the RF electrodes have a monopolar configuration.

27. An intervertebral disc device according to claim 25 wherein the RF electrodes have a bipolar configuration.

28. An intervertebral disc device according to claim 23 wherein the electromagnetic energy device comprises a resistive heating mechanism.

29. An intervertebral disc device according to claim 17 wherein the handle further comprises a guide wire control element for controlling the movement of the guide wire adjacent a distal end of the device.

30. An intervertebral disc device according to claim 17 wherein the probe further includes a functional element which performs a function selected from the group consisting of transmitting energy to tissue within an intervertebral disc, delivering material to within an intervertebral disc, and removing material within an intervertebral disc.

32. An intervertebral disc device comprising:

a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer; and

a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc, the handle including a probe control element for controlling the movement of the probe adjacent a distal end of the device.

33. An intervertebral disc device comprising:

a guide wire capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the guide wire forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer;

a probe capable of being extended over the guide wire from the distal end of the introducer; and

a proximal handle for externally causing the guide wire and probe to be extended from the distal end of the introducer and externally guiding the guide wire and probe within an intervertebral disc, the handle including a guide wire control element for controlling the movement of the guide wire adjacent a distal end of the device.