Device to aid in the deployment of a shape memory instrument

• US 9,241,729 B2
• Filed: 12/14/2012
• Issued: 01/26/2016
• Est. Priority Date: 12/14/2012
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Kuntz, Kyle, Mueller, Marc
• Primary Examiner(s): TANNER, JOCELIN C
• Application Number:
  US13/714,601
• Publication Number:
  US 20140172000A1
• Time in Patent Office: 1,138 Days
• Field of Search: 606/184, 606/185, 606/167, 606/170, 606/172, 606/191, 606/279, 606/93, 606/190, 623/17.12, 623/17.11, 604/103.03, 604/117, 604/164.1, 604/164.12, 604/164.01, 604/170.03
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/885 Tools for expanding or compacting bones or discs or cavities therein A61B17/8805, A61B17/7097 take precedence
• CPC Class Codes: A61B 2017/00331 with preformed bends
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2017/320044 Blunt dissectors blunt suture needles A61B2017/06085
• CPC Class Codes: A61B 2017/320056 Tunnelers

Abstract

A system is configured to create or enlarge a cavity in a tissue body and generally includes a cannula, a friction reduction covering, and a cavity creation member. The cavity creation member includes an end portion that is configured to transition between a first shape and a second shape that is different from the first shape. In operation, retracting the friction reduction covering relative to end portion causes the end portion to change shape from the first shape to the second shape such that the cavity creation member is configured to create or enlarge a cavity in the tissue body as the second end portion exits the friction reduction member.

Claims

1. A system configured to create or enlarge a cavity in a tissue body, the system comprising:

a body defining a proximal body portion including a handle and a distal body portion extending from the proximal body portion in a distal direction, the distal body portion including a distal shaft section;

an adjustable stop having an internal surface defining an internal bore sized to receive the distal shaft section such that the adjustable stop is translatable along the distal shaft section;

a friction reduction covering that includes a covering body defining a proximal covering end and a distal covering end spaced from the proximal covering end along the distal direction, the friction reduction covering including an inner covering surface that defines a covering opening that extends through the covering body and the proximal covering end defining a stop member; and

a cavity creation member having a proximal end portion that extends from the distal body portion in the distal direction, is sized to be at least partially disposed in the covering opening, and is movable in the covering opening with respect to the friction reduction covering from a retracted position to a deployed position, whereby, in the deployed position, the stop member of the friction reduction covering abuts the adjustable stop and the cavity creation member extends out from the friction reduction covering further than when in the retracted position, wherein the cavity creation member includes a portion that is biased to move from a first shape when in the retracted position to a second shape when in the deployed position.

2. The system as recited in claim 1, wherein the inner covering surface comprises a first material, and the cavity creation member defines an outer surface, the outer surface including a second material that is different than the first material.

3. The system as recited in claim 2, wherein the first material is coated onto the covering body.

4. The system as recited in claim 3, wherein at least a portion of the inner covering surface is coated with a lubricious coating that comprises a material selected from the group consisting of polyetheretherketone (PEEK), polytetrafluoroethylene (PTFE), oil, silicon lubricants, fluorinated ethylene propylene, bone wax, polyvinylpyrrolidone, polyurethane, acrylic polyester, vinyl resin, fluorocarbons, silicone rubber, and combinations thereof.

5. The system as recited in claim 1, wherein the cavity creation member defines an end portion that is biased against the inner covering surface of the friction reduction covering when the cavity creation member is in the retracted position, and the end portion extends out the friction reduction covering when the cavity creation member is in the deployed position.

6. The system as recited in claim 5, wherein the friction reduction covering comprises a sleeve that is configured to surround at least the end portion of the cavity creation member.

7. The system as recited in claim 5, wherein the end portion comprises a shape-memory material.

8. The system as recited in claim 1, wherein cavity creation member is more curved when in the second shape than when in the first shape.

9. The system as recited in claim 1, wherein the cavity creation member is configured as a wire that is configured to be inserted into the tissue body.

10. The system as recited in claim 1, wherein the adjustable stop is movable with respect to the cavity creation member so as to define a gap between the adjustable stop and the stop member of the friction reduction covering.

11. The system as recited in claim 10, wherein a biasing force applied to the friction reduction covering urges the friction reduction covering to move relative to the cavity creation member to a position against the adjustable stop, thereby iterating the cavity creation member to the deployed position.

12. The system as recited in claim 11, further comprising a cannula that includes a cannula body and defines a cannula opening that extends through the cannula body, the cannula opening sized to receive the friction reduction covering.

13. The system as recited in claim 12, wherein the cannula is configured to apply the biasing force.

14. The system as recited in claim 13, wherein a portion of the friction reduction covering is positioned so as to mechanically interfere with the cannula, such that movement of the cannula toward the adjustable stop causes the friction reduction covering to travel with the cannula toward the adjustable stop.

15. The system as recited in claim 14, wherein the portion of the friction reduction covering is integral with the covering body.

16. The system as recited in claim 14, wherein the portion of the friction reduction covering is flared.

17. The system as recited in claim 1, wherein the adjustable stop includes an adjustable stop member configured to abut the friction reduction covering and an actuator that is threadedly coupled to a drive member, such that rotation of the actuator about the drive member causes the drive member to move away from the friction reduction covering.

18. The system of claim 1, wherein the cavity creation member is coupled to the body so as to fix the cavity creation member with respect to translation relative to the body along the distal direction and a proximal direction, opposite the distal direction.

19. A system configured to create or enlarge a cavity in a tissue body, the system comprising:

a body defining a proximal body portion including a handle and a distal body portion extending from the proximal body portion in a distal direction, the distal body portion including a distal shaft section;

an adjustable stop having an internal surface defining an internal bore sized to receive the distal shaft section such that the adjustable stop is translatable along the distal shaft section;

a friction reduction covering that includes a covering body defining a proximal covering end and a distal covering end spaced from the proximal covering end along a distal direction, the friction reduction covering including an inner covering surface that defines a covering opening that extends through the covering body and the proximal covering end defining a stop member;

a cavity creation member having a proximal end portion that extends from the distal portion of the body in the distal direction and has an end portion that is sized to be at least partially disposed in the covering opening and movable in the covering opening with respect to the covering opening from a retracted position to a deployed position, wherein the end portion is biased to move from a first shape when in the refracted position to a second shape when in the deployed position and, when in the deployed position, the stop member of the friction reduction covering abuts the adjustable stop and the end portion extends farther from the friction reduction covering than when in the retracted position; and

a cannula that includes a cannula body and defines a cannula opening that extends through the cannula body, wherein the cannula opening is sized to receive the friction reduction covering and configured to bias the friction reduction covering to move relative to the cavity creation member so as to iterate the cavity creation member from the retracted position to the deployed position.

20. The system of claim 19, further comprising a cannula that includes a cannula body and defines a cannula opening that extends through the cannula body, the cannula opening sized to receive the friction reduction covering.

21. The system of claim 20, wherein the cannula is configured to apply a biasing force to the friction reduction covering to urge the friction reduction covering to move relative to the cavity creation member to a position against the adjustable stop, thereby iterating the cavity creation member to the deployed position.

22. The system as recited in claim 19, wherein the cavity creation member is coupled to the body so as to fix the cavity creation member with respect to translation relative to the body along the distal direction and a proximal direction, opposite the distal direction.

23. A system configured to create or enlarge a cavity in a tissue body, the system comprising:

a friction reduction covering that includes a covering body sized to be received in a cannula opening, the friction reduction covering including an inner covering surface that defines a covering opening that extends through the covering body;

a cavity creation member that is sized to be at least partially disposed in the covering opening and movable in the covering opening with respect to the friction reduction covering from a retracted position to a deployed position, whereby the cavity creation member extends out from the friction reduction covering further than when in the retracted position, the cavity creation member including a portion that is biased to move from a first shape when in the retracted position to a second shape when in the deployed position;

a drive member coupled to the cavity creation member;

an adjustable stop movable with respect to the cavity creation member so as to define a gap between the adjustable stop and the friction reduction covering, wherein the cannula is configured to apply a biasing force to the friction reduction covering to urge the friction reduction covering to move relative to the cavity creation member to a position against the adjustable stop, thereby iterating the cavity creation member to the deployed position; and

a cannula that includes a cannula body and defines a cannula opening that extends through the cannula body, the cannula opening sized to receive the friction reduction covering, wherein a portion of the friction reduction covering is positioned so as to mechanically interfere with the cannula, such that movement of the cannula toward the adjustable stop causes the friction reduction covering to travel with the cannula toward the adjustable stop.

24. The system as recited in claim 23, wherein the portion of the friction reduction covering is integral with the covering body.

25. The system as recited in claim 23, wherein the portion of the friction reduction covering is flared.