Expandable intervertebral tool system and method

• US 8,137,352 B2
• Filed: 10/16/2006
• Issued: 03/20/2012
• Est. Priority Date: 10/16/2006
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Spine Incorporated (Johnson & Johnson)
• Inventors: O'Neil, Michael J., Stad, Shawn D., Hawkins, John Riley, Ruberte, Ramone A.
• Primary Examiner(s): Barrett, Thomas C.
• Assistant Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US11/581,668
• Publication Number:
  US 20080177294A1
• Time in Patent Office: 1,982 Days
• Field of Search: 606/45, 606/46, 606/79, 606/80, 606/81, 606/82, 606/83, 606/84, 606/85, 606167-189, 623 1711- 1716
• US Class Current: 606/79
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/00535 pneumatically or hydraulically operated A61B2017/22051, A61B2090/401 take precedence
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers

Abstract

The invention includes a system and method for loosening of tissue. In one embodiment, an intervertebral tissue removal system includes at least one abrading member for abrading tissue in an area to be cleared and at least one expandable member operable to be expanded from a first condition to a second condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition, the at least one expandable member operably connected to the at least one abrading member such that as the at least one expandable member expands from the first condition to the second condition, the at least one abrading member is moved from a first position to a second position. The system includes an expansion media for insertion within the at least one expandable member and an expansion media conduit for delivering the expansion media to the at least one expandable member to expand the at least one expandable member from the first condition to the second condition.

Claims

1. An intervertebral tissue removal system comprising:

at least one abrading member for abrading tissue in an area to be cleared;

at least one expandable member including a housing and at least one node, the node operable to be expanded from a first condition to a second condition, wherein a first end portion of the at least one abrading member is fixed to the housing and the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition, the at least one expandable member operably connected to a second portion of the at least one abrading member that is not fixed to the housing such that as the at least one node expands from the first condition to the second condition, the at least one abrading member is pivoted by the at least one node from a first position to a second position;

an expansion media for insertion within the at least one expandable member; and

an expansion media conduit connected to the at least one expandable member for delivering the expansion media to the at least one expandable member to expand the at least one expandable member from the first condition to the second condition.

2. The intervertebral tissue removal system of claim 1, wherein the expansion media comprises a fluid, the system further comprising:

a fluid supply system fluidly connected to the at least one node through the expansion media conduit for delivering the fluid from a fluid reservoir to the at least one expandable node at a pressure sufficient to expand the at least one node from the first condition to the second condition.

3. The intervertebral tissue removal system of claim 2, wherein the at least one node is configured to expand symmetrically about a longitudinal axis of the at least one node as the at least one node is expanded from the first condition to the second condition.

4. The intervertebral tissue removal system of claim 2, wherein the at least one node is configured to expand symmetrically along a longitudinal axis of the at least one node as the at least one node is expanded from the first condition to the second condition.

5. The intervertebral tissue removal system of claim 2, wherein the at least one abrading member comprises:

a first abrading member configured to pivot about a first pivot axis; and

a second abrading member configured to pivot about a second pivot axis, wherein the second pivot axis is longitudinally displaced from the first pivot axis along a longitudinal axis of the at least one expandable member.

6. The intervertebral tissue removal system of claim 2, wherein the at least one node comprises a plurality of nodes and the at least one abrading member comprises a plurality of abrading members, each of the plurality of abrading members associated with a respective one of the plurality of nodes.

7. The intervertebral tissue removal system of claim 6, further comprising:

an inter-nodal conduit fluidly connecting a first node and a second node of the plurality of nodes;

an aspiration conduit for removing abraded tissue from the area; and

an aspiration orifice fluidly connected to the aspiration conduit, the aspiration orifice located between the first and the second node.

8. The intervertebral tissue removal system of claim 7, wherein the expansion media conduit extends at least partially within the aspiration conduit.

9. The intervertebral tissue removal system of claim 2, wherein the fluid reservoir is a liquid reservoir.

10. The intervertebral tissue removal system of claim 9, further comprising:

an aspiration fluid outlet fluidly connected to the expanding fluid conduit such that the fluid reservoir provides aspiration fluid to the area to be cleared through the aspiration fluid outlet.

11. The intervertebral tissue removal system of claim 1, wherein the at least one abrading member comprises a chisel.

12. The intervertebral tissue removal system of claim 1, wherein the at least one abrading member comprises a blade.

13. The intervertebral tissue removal system of claim 1, wherein the at least one abrading member defines a flute extending along the at least one expandable member.

14. The intervertebral tissue removal system of claim 1, wherein the at least one abrading member comprises a plurality of abrasive particles.

15. The intervertebral tissue removal system of claim 1, wherein the at least one abrading member comprises a mesh.

16. The intervertebral tissue removal system of claim 1, further comprising:

a guide rod operably engaged to the at least one expandable member for guiding the at least one expandable member to a desired location within the area.

17. The intervertebral tissue removal system of claim 16, wherein the guide rod is controllably deformable between a first shape and a second shape.

18. The intervertebral tissue removal system of claim 17, wherein the guide rod comprises:

a first component having a first thermal coefficient of expansion; and

a second component having a second thermal coefficient of expansion, the second thermal coefficient of expansion larger than the first thermal coefficient of expansion, such that as the thermal environment of the guide rod changes, the first component and the second component undergo different expansion, thereby controllably deforming the guide rod.

19. The intervertebral tissue removal system of claim 17, wherein the guide rod comprises an inherent memory material.

20. The intervertebral tissue removal system of claim 19, wherein the inherent memory material is responsive to temperature.

21. The intervertebral tissue removal system of claim 20, further comprising:

a variable temperature fluid reservoir; and

an aspiration fluid outlet proximate to at least a portion of the guide rod and fluidly connected to the variable temperature fluid reservoir such that the fluid reservoir provides variable temperature fluid through the aspiration fluid outlet.

22. The intervertebral tissue removal system of claim 16, wherein the guide rod comprises a flexible shape retaining material.

23. The intervertebral tissue removal system of claim 1, further comprising:

a cannula for providing access to the area to be cleared, the cannula sized to receive the at least one expandable member when the at least one expandable member is in the first condition.

24. The intervertebral tissue removal system of claim 1, further comprising:

an aspiration fluid supply conduit within the expansion media conduit for providing aspiration fluid to the area to be cleared.

25. An intervertebral tissue removal system comprising:

at least one abrading member for abrading tissue in an area to be cleared;

at least one deformable member configured to be reversibly deformed from a first shape to a second shape, the at least one deformable member operably connected to the at least one abrading member such that as the at least one deformable member deforms from the first shape to the second shape, the at least one abrading member is moved from a first position to a second position;

a non-liquid segmented expansion media configured to be inserted within the at least one deformable member and configured to be removed from the at least one deformable member; and

an expansion media conduit connected to the at least one deformable member for delivering the expansion media to the at least one deformable member to deform the at least one deformable member from the first shape to the second shape.

26. The intervertebral tissue removal system of claim 25 wherein the at least one deformable member is configured to deform asymmetrically about a longitudinal axis of the at least one deformable member as the at least one deformable member is deformed from the first shape to the second shape.

27. The intervertebral tissue removal system of claim 25 wherein the at least one deformable member is configured to deform asymmetrically along a longitudinal axis of the at least one deformable member as the at least one deformable member is deformed from the first shape to the second shape.

28. The intervertebral tissue removal system of claim 25 wherein the at least one abrading member is configured to rotate from the first position to the second position as the least one expandable member is deformed from the first shape to the second shape.

29. The intervertebral tissue removal system of claim 25, wherein the at least one deformable member comprises a plurality of strands.

30. The intervertebral tissue removal system of claim 29, wherein the at least one abrading member comprises a portion of each of the plurality of strands.

31. The intervertebral tissue removal system of claim 29, wherein the at least one deformable member further comprises a rib for restricting the deformation of the plurality of strands.

32. The intervertebral tissue removal system of claim 25, wherein:

the at least one deformable member comprises a deformable mesh defining a plurality of holes therethrough, the holes sized such that when the mesh is deformed, the segmented media does not pass through the plurality of holes.

33. The intervertebral tissue removal system of claim 32, wherein the segmented media comprises a plurality of spherical segments.

34. The intervertebral tissue removal system of claim 25, wherein the segmented media comprises a plurality of elongated segments.

35. The intervertebral tissue removal system of claim 34, wherein the segmented media comprises a connector connecting at least a first and a second of the plurality of elongated segments.

36. The intervertebral tissue removal system of claim 25, wherein the at least one deformable member comprises a resilient material such that the at least one deformable member returns to the first shape from the second shape when the expansion media is removed from the at least one deformable member.

37. The intervertebral tissue removal system of claim 25, further comprising:

a cannula for providing access to the area to be cleared, the cannula sized to receive the at least one deformable member when the at least one deformable member is in the first shape.

38. A method of loosening intervertebral tissue comprising:

inserting at least one abrading member for abrading tissue into an area to be cleared;

expanding at least one expandable member from a first condition to a second condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the first condition;

moving a portion of the inserted at least one abrading member that is not affixed to a housing of the at least one expandable member from a first position to a second position by the expansion of the at least one expandable member while a second portion of the at least one abrading member is fixed to a housing of the at least one expandable member;

manipulating the inserted at least one abrading member to loosen tissue; and

removing the loosened tissue from the area to be cleared.

39. The method of claim 38, wherein:

inserting comprises inserting the at least one abrading member through a cannula into the area; and

expanding comprises delivering a fluid from a fluid reservoir to the at least one expandable member at a pressure sufficient to expand the at least one expandable member from the first condition to the second condition.

40. The method of claim 39, further comprising:

aspirating the area with the fluid.

41. The method of claim 38, further comprising:

providing aspiration fluid to the area through a conduit located within a conduit used to provide expansion media to the at least one expandable member.

42. The method of claim 38, wherein moving the inserted at least one abrading member comprises rotating the at least one abrading member from the first position to the second position.

43. The method of claim 38, further comprising, after manipulating the inserted at least one abrading member:

expanding the inserted at least one expandable member from the second condition to a third condition, wherein the volume defined by the at least one expandable member in the third condition is greater than the volume defined by the at least one expandable member in the second condition;

moving the inserted at least one abrading member from the second position to a third position by the expansion of the at least one expandable member to the third condition;

manipulating the at least one abrading member in the third position to loosen additional tissue; and

removing the additionally loosened tissue from the area to be cleared.

44. The method of claim 38, further comprising:

reducing the at least one expandable member from the second condition to a fourth condition, wherein the volume defined by the at least one expandable member in the second condition is greater than the volume defined by the at least one expandable member in the fourth condition;

moving at least one abrading member from the second position to a fourth position by the reduction of the at least one expandable member; and

removing the reduced at least one expandable member from the area.

45. The method of claim 38, further comprising:

guiding the inserted at least one expandable member to a desired location within the area with a guide rod.

46. The method of claim 45, wherein guiding comprises:

controllably deforming the guide rod between a first shape and a second shape.

47. The method of claim 45, wherein the guide rod is controllably deformed prior to insertion within a cannula.

48. The method of claim 45, wherein the guide rod is controllably deformed after passing through a cannula.

49. The method of claim 38, wherein expanding comprises:

inserting a segmented media into the at least one expandable member.