Tissue extraction and collection device

• US 8,034,003 B2
• Filed: 03/27/2008
• Issued: 10/11/2011
• Est. Priority Date: 09/11/2003
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: DePuy Mitek Incorporated (Johnson & Johnson)
• Inventors: Boock, Robert, Pesce, Robert S., Cook, Shelby, Ranucci, Kevin, DiMatteo, Kristian
• Primary Examiner(s): HOEKSTRA, JEFFREY GERBEN
• Application Number:
  US12/056,637
• Publication Number:
  US 20080234715A1
• Time in Patent Office: 1,293 Days
• Field of Search: 600562-572, 606/80, 606/167, 606/180
• US Class Current: 600/564
• CPC Class Codes: A61B 10/0096 Casings for storing test samples A61B10/0038 and A61B10/0045 take precedence; preservation of living parts of the human or animal body A01N1/02; containers for retaining a material to be analysed B01L3/50; containers for enzymology or microbiology C12M1/16; swab-sampler being part of enzymology or microbiology container C12M1/30
• CPC Class Codes: A61B 10/025 for taking bone, bone marrow or cartilage samples
• CPC Class Codes: A61B 10/0266 means for severing sample
• CPC Class Codes: A61B 10/0283 with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe A61B10/025, A61B10/0266 take precedence
• CPC Class Codes: A61B 17/1635 for grafts, harvesting or transplants
• CPC Class Codes: A61B 17/32002 with continuously rotating, oscillating or reciprocating cutting instruments
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2090/0807 Indication means

Abstract

Methods and device for extracting and collecting tissue, which can be used for example in tissue engineering and grafting applications, are disclosed. In one embodiment, a device can include an outer tube. A rotatable shaft can be disposed within the outer tube can have a tissue harvesting tip formed on its distal end, the tissue harvesting tip being effective to excise tissue upon rotation thereof. A tissue collection device can be included to receive and collected excised tissue, and the tissue collection device can indicate the amount of tissue collected therein. For example, the tissue collection device can include a straining element which collects excised tissue and an indicator by which to assess the amount of collected tissue. In some embodiments, the tissue collection device can translate to indicate the amount of collected tissue. In many cases, devices disclosed herein can include driving mechanisms that are adapted to drive a tissue harvesting tip such that the tip excises soft tissue, but stops when contacting bone (or soon after contacting bone). In some embodiments, the tissue harvesting tip can be effective to excise viable tissue samples, such that the samples can exhibit desirable proportions of viable cells. Further, in some embodiments, the tissue harvesting tips can excise a tissue sample with tissue particles falling in certain size ranges.

Claims

1. A tissue extraction and collection device, comprising:

an outer tube;

a shaft rotatably disposed within the outer tube and having a tissue harvesting tip disposed at a distal end thereof, the tissue harvesting tip being effective to excise tissue upon rotation thereof; and

a tissue collection device coupled to the outer tube for receiving excised tissue and fluid flow therefrom, the tissue collection device being configured to indicate an amount of excised tissue collected therein via one or more indicators included in the tissue collection device, the one or more indicators being effective to indicate displacement of at least a portion of the tissue collection device, the displacement resulting from collection of tissue in the tissue collecting device which overcomes a spring bias.

2. The device of claim 1, wherein the tissue collection device comprises:

a substantially transparent portion and a tissue collection chamber disposed therein so as to be at least partially viewable through the substantially transparent portion; and

,

one or more visual indicators disposed on any of the substantially transparent portion or the tissue collection chamber to indicate a displacement of the tissue collection chamber which corresponds to the amount of tissue in the tissue collection chamber.

3. The tissue collection device of claim 2, wherein the visual indicator is adapted to indicate when about 50-1000 mg of tissue is disposed in the tissue collection chamber.

4. The device of claim 1, wherein the tissue collection device comprises a container having an inlet and outlet for receiving fluid flow therethrough and a tissue collection chamber disposed within the container.

5. The device of claim 4, wherein the tissue collection chamber is translatable along a longitudinal axis thereof such that fluid flow through the container is effective to translate the tissue collection chamber within the container, the indicator indicating longitudinal displacement of the tissue collection chamber within the container.

6. The device of claim 5, further comprising a biasing element biasing the tissue collection chamber along the longitudinal axis thereof, wherein fluid flow through the container is effective to overcome the biasing element to translate the tissue collection chamber within the container such that the displacement of the tissue collection chamber corresponds to an amount of tissue in the tissue collection chamber.

7. The device of claim 4, wherein the tissue collection chamber includes a straining element for collecting tissue and passing fluid.

8. The device of claim 7, wherein the straining element comprises any of a mesh, a filter, a screen, and a perforated surface.

9. The device of claim 4, wherein at least a portion of the tissue collection chamber extends across a lumen formed in the container such that substantially all fluid flow through the container flows through the tissue collection chamber.

10. The device of claim 1, wherein the tissue collection device includes a substantially transparent portion and a tissue collection chamber disposed therein so as to be at least partially viewable through the substantially transparent portion, and wherein the indicator comprises one or more visual indicators disposed on any of the substantially transparent portion or the tissue collection chamber to indicate the amount of tissue in the tissue collection device.

11. The tissue collection device of claim 10, wherein the visual indicator is adapted to indicate when about 50-1000 mg of tissue is disposed in the tissue collection device.

12. The device of claim 1, further comprising a handle housing from which the outer tube extends.

13. The device of claim 1, further comprising a driver mechanism coupled to the shaft for rotating the tissue harvesting tip.

14. The device of claim 1, further comprising a port for coupling to a vacuum source, the vacuum source being effective to draw tissue through at least a portion of the tissue collection device.

15. A tissue extraction and collection device, comprising:

an outer tube;

a shaft rotatably disposed within the outer tube and having a tissue harvesting tip disposed at a distal end thereof, the tissue harvesting tip being effective to excise tissue upon rotation thereof; and

a tissue collection device coupled to the outer tube for receiving excised tissue and fluid flow therefrom, the tissue collection device having

a container having an inlet and outlet for receiving fluid flow therethrough,

a tissue collection chamber movably disposed within the container, wherein the tissue collection chamber moves in response to an amount of tissue collected in the chamber against a bias of a spring, and

an indicator effective to indicate longitudinal displacement of the tissue collection chamber within the container.

16. The device of claim 15, wherein the tissue collection device is coupled to the outer tube by a transfer tube extending through a housing coupled to a proximal end of the outer tube.

17. The device of claim 15, wherein the container comprises a substantially transparent cylindrical tube.

18. The device of claim 15, wherein the tissue collection chamber includes a staining element configured to allow fluid to pass therethrough while preventing passage of excised tissue.

19. The device of claim 15, wherein the tissue collection device further includes a biasing element configured to bias the tissue collection chamber along a longitudinal axis of the container.

20. The device of claim 15, wherein the indicator comprises a reference line on the container.

21. A tissue extraction and collection device, comprising:

a housing configured to be grasped by a user;

an outer shaft extending distally from a distal end of the housing;

an inner shaft rotatably disposed within the outer shaft and having a tissue harvesting tip disposed at a distal end thereof, the tissue harvesting tip being effective to excise tissue upon rotation thereof;

a container removably coupled to the housing and in fluid communication with the outer shaft; and

a tissue collection chamber movably disposed within the container and biased via a spring toward one of a proximal end and a distal end of the container, the tissue collection chamber being configured to receive and retain tissue excised by the inner shaft while allowing fluid to flow therethrough.

22. The device of claim 21, further comprising an indicator on one of the container and the tissue collection chamber for indicating an amount of tissue retained within the tissue collection chamber.

23. The device of claim 21, further comprising an indicator on one of the container and the tissue collection chamber for indicating longitudinal displacement of the tissue collection chamber within the container.

24. The device of claim 21, wherein movement of the tissue collection chamber corresponds to an amount of tissue collected in the chamber.

25. A tissue extraction and collection device, comprising:

an outer tube;

a shaft rotatably disposed within the outer tube and having a tissue harvesting tip disposed at a distal end thereof, the tissue harvesting tip being effective to excise tissue upon rotation thereof; and

a tissue collection device coupled to the outer tube for receiving excised tissue and fluid flow therefrom, a portion of the tissue collection device being spring biased and configured to translate along a longitudinal axis of the tissue collection device as tissue is collected therein.

26. The device of claim 25, wherein the tissue collection device includes an indicator effective to indicate an amount of tissue collected therein.

27. The device of claim 25, wherein translation of the portion of the tissue collection device corresponds to an amount of tissue collected in the tissue collection device.