Tissue harvesting device with manual dicing mechanism

• US 8,535,239 B2
• Filed: 05/11/2010
• Issued: 09/17/2013
• Est. Priority Date: 05/11/2010
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Conlon, Sean P., Hull, Joanne, Haberstich, Wells D.
• Primary Examiner(s): Dougherty, Sean
• Assistant Examiner(s): HENSON, DEVIN B
• Application Number:
  US12/777,753
• Publication Number:
  US 20110282239A1
• Time in Patent Office: 1,225 Days
• Field of Search: 600/562, 600/564, 604/19, 604/22, 606/132, 606/167, 606/184
• US Class Current: 600/564
• CPC Class Codes: A61B 10/0275 with sample notch, e.g. on the side of inner stylet
• 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 2017/00641 for closing fistulae, e.g. anorectal fistulae
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2017/3225 with processing of harvested tissue

Abstract

A dicing device dices tissue harvested from a patient. The dicing device comprises a grid cutting element and a tray to receive diced tissue. The dicing device may be integrated into an otherwise conventional biopsy device. The diced tissue specimens may be further processed, such as by being introduced into a self-expanding fistula plug creation and delivery system. The self-expanding fistula plug creation and delivery system comprises a sheet and a reinforcement tube. A scaffold material may be placed in the sheet, which may then be folded and reinforced, with the scaffold material being compressed in the sheet. The scaffold material may then be pushed into a catheter end. The catheter end may be inserted in a fistula. The scaffold material may then be flushed with a cell matrix that is based on the diced tissue to create a fistula plug, which may be left in the fistula.

Claims

1. A tissue processing device comprising:

(a) a housing;

(b) a cutting element;

(c) a cutting chamber, wherein the cutting chamber is formed in the top of the housing, wherein the cutting chamber has a base, and wherein the cutting element is operable to dice tissue in the cutting chamber;

(d) a tissue tray, wherein the tissue tray is configured to receive tissue diced within the cutting chamber;

(e) a tray recess, wherein the tray recess is formed in a side of the housing at the base of the cutting chamber, wherein the tray recess is substantially parallel with the base of the cutting chamber, wherein the tray recess is in fluid communication with the cutting chamber, and wherein the tray recess is configured to slidably receive the tissue tray; and

(f) a door panel, wherein the door panel is hingedly attached to the housing, wherein the door panel is configured to cover the cutting chamber when in a closed state, wherein the cutting element is integral with the door panel, and wherein the cutting element is configured to contact the tissue tray when the door panel is in the closed state.

2. The device of claim 1, further comprising a user input feature, wherein the user input feature is operable to reconfigure the cutting element.

3. The tissue processing device of claim 2, wherein the user input feature is further operable to establish the number of times a tissue sample is to be diced.

4. The tissue processing device of claim 1, wherein the cutting element comprises a plurality of blades.

5. The tissue processing device of claim 4, wherein the blades of the plurality of blades are oriented to form a grid pattern.

6. The tissue processing device of claim 1, further comprising a cutting board, wherein the cutting board is configured to receive tissue diced within the cutting chamber.

7. The tissue processing device of claim 6, wherein the cutting board is removably disposed within the cutting chamber.

8. The tissue processing device of claim 6, wherein the cutting element is configured to contact the cutting board when the door panel is in the closed state.

9. The tissue processing device of claim 6, wherein the cutting board is defined by the tissue tray.

10. The tissue processing device of claim 6, wherein the housing comprises a cutting board recess.

11. The tissue processing device of claim 10, wherein the cutting board recess is configured to receive the cutting board, and wherein the cutting board recess is further configured to remove diced tissue from the cutting board upon entry into the cutting board recess.

12. The tissue processing device of claim 6, wherein the cutting board comprises a plurality of sections, and wherein at least one of the sections of the plurality of sections is hingedly attached to an interior surface of the cutting chamber.

13. The tissue processing device of claim 1, wherein the cutting element is mounted within the cutting chamber.

14. A tissue processing device comprising:

(a) a housing;

(b) a cutting element;

(c) a cutting chamber, wherein the cutting chamber is formed in the top of the housing, wherein the cutting chamber has a base, and wherein the cutting element is operable to dice tissue in the cutting chamber;

(d) a door panel, wherein the door panel is hingedly attached to the housing, and wherein the door panel is configured to cover the cutting chamber when in a closed state, wherein the door panel further comprises a cutting surface, wherein the cutting surface is configured to contact the cutting element when the door panel is in the closed state;

(e) a tissue tray, wherein the tissue tray is configured to receive tissue diced within the cutting chamber; and

(f) a tray recess, wherein the tray recess is formed in a side of the housing at the base of the cutting chamber, wherein the tray recess is in fluid communication with the cutting chamber, and wherein the tray recess is configured to slidably receive the tissue tray.

15. The tissue processing device of claim 14, wherein the tissue processing device further comprises a user input feature, wherein the user input feature is operable to perform one or both of the functions of reconfiguring the cutting element or establishing the number of times a tissue sample is to be diced.

16. A method of processing tissue, the method comprising:

(a) depositing a tissue specimen in a tissue dicing chamber;

(b) closing a door panel over the tissue dicing chamber, wherein the act of closing the door panel over the tissue dicing chamber causes the tissue specimen to engage a grid cutting element;

(c) dicing the tissue specimen with the grid cutting element to provide diced tissue;

(d) catching the diced tissue within a tissue tray; and

(e) removing the tissue tray from the tissue dicing chamber.

17. The method of claim 16, further comprising the step of removing a cutting board.