Intervertebral disc device employing flexible probe

• US 6,733,496 B2
• Filed: 06/06/2001
• Issued: 05/11/2004
• 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, Sharkey, Hugh, Uchida, Andy
• Primary Examiner(s): Dvorak, Linda C. M.
• Assistant Examiner(s): JOHNSON III, HENRY M
• Application Number:
  US09/876,832
• Publication Number:
  US 20020188292A1
• Time in Patent Office: 1,070 Days
• Field of Search: 606/41, 607/101, 607/99, 607/113, 607/117
• US Class Current: 606/41
• 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 distal probe 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 probe comprising 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; and a proximal handle for externally guiding the probe within an intervertebral disc.

Claims

1. An intervertebral disc device comprising:

a probe 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 probe comprising 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; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the flexible neck is predisposed to bending in opposing directions along a single plane relative to a longitudinal axis of the probe.

2. An intervertebral disc device according to claim 1 wherein the flexible neck is predisposed to bending in at least two different directions along at least two different planes relative to a longitudinal axis of the probe.

3. An intervertebral disc device according to claim 1 wherein the flexible neck has at least one flat surface extending along a longitudinal axis of the neck.

4. An intervertebral disc device according to claim 1 wherein the flexible neck has two flat surfaces extending along a longitudinal axis of the neck on opposing sides of the neck.

5. An intervertebral disc device according to claim 1 wherein the distal tip has a larger cross sectional diameter than a largest cross sectional diameter of the flexible neck.

6. An intervertebral disc device according to claim 1 wherein the distal tip is dome shaped.

7. An intervertebral disc device according to claim 1 wherein the distal tip is dome shaped and symmetrical about a longitudinal axis of the probe.

8. An intervertebral disc device according to claim 1 wherein the distal tip has a flat surface perpendicular to a longitudinal axis of the probe.

9. An intervertebral disc device according to claim 1 wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

10. An intervertebral disc device according to claim 1 wherein the distal tip is attached to the neck of the probe by a spring.

11. An intervertebral disc device according to claim 1 wherein the distal tip is attached to the neck of the probe by a pivot mechanism.

12. An intervertebral disc device according to claim 1 wherein the distal tip is attached to the neck of the probe by a ball and socket mechanism.

13. An intervertebral disc device according to claim 1 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.

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

15. An intervertebral disc device according to claim 1 wherein the device further includes a connector system which enables an introducer to be removably attached to the connector system, the probe being positionable within the introducer for delivery within the intervertebral disc with assistance of the introducer.

16. An intervertebral disc device according to claim 1 wherein the probe includes a resistive heating mechanism capable of supplying energy within the intervertebral disc.

17. An intervertebral disc device according to claim 1 wherein the probe includes a device capable of supplying energy within the intervertebral disc, energy selected from a group consisting of coherent light, incoherent light, radiofrequency (“

RF”

) energy, microwave energy, and ultrasound energy.

18. 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.

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

20. 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 from within an intervertebral disc.

21. 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.

22. An intervertebral disc device according to claim 21 wherein the electromagnetic energy device comprises electrodes adapted to deliver RF energy.

23. An intervertebral disc device according to claim 22 wherein the RF electrodes have a monopolar configuration.

24. An intervertebral disc device according to claim 22 wherein the RF electrodes have a bipolar configuration.

25. A method for treating an interior of an intervertebral disc comprising:

inserting an introducer through a skin of a person such that a distal end of the introducer travels within the person via a posterior lateral approach to an intervertebral disc such that the distal end of the introducer is positioned in or adjacent an intervertebral disc;

extending a probe from the distal end of the introducer such that the probe is positioned within the intervertebral disc, the probe having a flexible neck adjacent a distal tip of the probe such that the flexibility of the neck of the probe causes the probe to bend within the intervertebral disc such that the distal tip trails behind a portion of the probe as the probe is advanced through tissue within an intervertebral disc, wherein the flexible neck is predisposed to bending in opposing directions along a single plane relative to a longitudinal axis of the probe, and extending the probe causes the probe to bend along one of the opposing directions; and

treating tissue within the interior of the intervertebral disc using the probe.

26. A method according to claim 25 wherein the flexible neck is predisposed to bending along a single plane relative to a longitudinal axis of the probe, and extending the probe causes the probe to bend along that single plane.

27. A method according to claim 25 wherein the distal tip has a larger cross sectional diameter than the flexible neck, the distal tip influencing how the flexible neck of the probe bends.

28. A method according to claim 25 wherein the distal tip has a symmetrical shape about a longitudinal axis of the probe, the distal tip not predisposing the probe to bend in a particular direction relative to the longitudinal axis of the probe.

29. A method according to claim 25 wherein the distal tip is asymmetrical about a longitudinal axis of the probe which predisposes the probe to bend in a particular direction relative to the longitudinal axis of the probe.

30. A method according to claim 25 wherein the probe includes a device capable of supplying energy within the intervertebral disc, the energy selected from a group consisting of coherent light, incoherent light, RF energy, microwave energy, and ultrasound energy.

31. A method according to claim 25 wherein the probe includes a resistive heating mechanism capable of supplying energy within the intervertebral disc.

32. A method according to claim 25 wherein extending the probe is performed using a handle external to the person, the handle comprising a probe control element for controlling the movement of the probe within the intervertebral disc.

33. A method to claim 25 wherein extending the probe further comprises first extending a guide wire and then passing the probe over the guide wire.

34. A method according to claim 33 wherein extending the guide wire is performed using a handle external to the person, the handle comprising a guide wire control element for controlling the movement of the guide wire within the intervertebral disc.

35. A method according to claim 25 wherein the probe further includes an electromagnetic energy device capable of supplying energy within the intervertebral disc and treating tissue comprises delivering the electromagnetic energy to the tissue.

36. A method according to claim 35 wherein the electromagnetic energy device comprises electrodes adapted to deliver RF energy.

37. A method according to claim 36 wherein the RF electrodes have a monopolar configuration.

38. A method according to claim 36 wherein the RF electrodes have a bipolar configuration.

39. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the flexible neck is predisposed to bending in at least two directions along at least two different planes relative to a longitudinal axis of the probe.

40. An intervertebral disc device according to claim 39 wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

41. An intervertebral disc device according to claim 39 wherein the distal tip is attached to the neck of the probe by a spring.

42. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the neck is formed of a flexible coil.

43. An intervertebral disc device according to claim 42 wherein the flexible neck is predisposed to bending in at least two directions along at least two different planes relative to a longitudinal axis of the probe.

44. An intervertebral disc device according to claim 42 wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

45. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

46. An intervertebral disc device according to claim 45 wherein the distal tip is attached to the neck of the probe by a spring.

47. An intervertebral disc device according to claim 45 wherein the distal tip is attached to the neck of the probe by a pivot mechanism.

48. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the distal tip is attached to the neck of the probe by a spring.

49. An intervertebral disc device according to claim 48 wherein the flexible neck has two flat surfaces extending along a longitudinal axis of the neck on opposing sides of the neck.

50. An intervertebral disc device according to claim 48 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.

51. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the distal tip is attached to the neck of the probe by a pivot mechanism.

52. An intervertebral disc device according to claim 51 wherein the flexible neck is predisposed to bending in at least two directions along at least two different planes relative to a longitudinal axis of the probe.

53. An intervertebral disc device according to claim 51 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.

54. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc; and

a proximal handle for externally guiding the probe within an intervertebral disc,

wherein the distal tip is attached to the neck of the probe by a ball and socket mechanism.

55. An intervertebral disc device according to claim 54 wherein the flexible neck is predisposed to bending in at least two directions along at least two different planes relative to a longitudinal axis of the probe.

56. An intervertebral disc device according to claim 54 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.

57. An intervertebral disc device comprising:

a probe 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 probe comprising 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 section from piercing an internal wall of the intervertebral disc;

a connector system which enables an introducer to be removably attached to the connector system, the probe being positionable within the introducer for delivery within the intervertebral disc with assistance of the introducer; and

a proximal handle for externally guiding the probe within an intervertebral disc.

58. An intervertebral disc device according to claim 57 wherein the flexible neck is predisposed to bending in at least two directions along at least two different planes relative to a longitudinal axis of the probe.

59. An intervertebral disc device according to claim 57 wherein the distal tip is asymmetrical about a longitudinal axis of the probe.

60. A method for treating an interior of an intervertebral disc comprising:

inserting an introducer through a skin of a person such that a distal end of the introducer travels within the person via a posterior lateral approach to an intervertebral disc such that the distal end of the introducer is positioned in or adjacent an intervertebral disc;

extending a probe from the distal end of the introducer such that the probe is positioned within the intervertebral disc, the probe having a flexible neck adjacent a distal tip of the probe such that the flexibility of the neck of the probe causes the probe to bend within the intervertebral disc such that the distal tip trails behind a portion of the probe as the probe is advanced through tissue within an intervertebral disc, wherein the distal tip is asymmetrical about a longitudinal axis of the probe which predisposes the probe to bend in a particular direction relative to the longitudinal axis of the probe; and

treating tissue within the interior of the intervertebral disc using the probe.

61. A method according to claim 60 wherein the flexible neck is predisposed to bending along a single plane relative to a longitudinal axis of the probe, and extending the probe causes the probe to bend along that single plane.

62. A method according to claim 60 wherein the distal tip has a larger cross sectional diameter than the flexible neck, the distal tip influencing how the flexible neck of the probe bends.

63. A method for accessing an intervertebral disc, the method comprising:

inserting an elongated probe into an intervertebral disc, the probe including a distal section that includes a tip and a flexible section, the flexible section bending as a result of pressure from tissue in the intervertebral disc such that a portion proximal of the tip leads distal insertion; and

advancing the probe through the intervertebral disc with the portion proximal of the tip leading distal advancement.

64. A method according to claim 63 wherein the flexible section is predisposed to bending along a single plane relative to a longitudinal axis of the probe, and inserting the probe causes the flexible section to bend along that single plane.

65. A method according to claim 63 wherein the tip has a larger cross sectional diameter than the flexible section, the tip influencing how the flexible section bends.

66. A method according to claim 63 wherein the tip is asymmetrical about a longitudinal axis of the probe which predisposes the probe to bend in a particular direction relative to the longitudinal axis of the probe.