Device and method for manipulating intervertebral tissue

• US 9,282,980 B2
• Filed: 10/22/2014
• Issued: 03/15/2016
• Est. Priority Date: 10/16/2006
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: O'Neil, Michael J., Ruberte, Ramon A., Stad, Shawn D., Hawkins, John Riley
• Primary Examiner(s): BECCIA, CHRISTOPHER J
• Application Number:
  US14/520,951
• Publication Number:
  US 20150045798A1
• Time in Patent Office: 510 Days
• Field of Search: 606 79- 85, 606/167, 623 1711- 1716
• US Class Current: 1/1
• 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

A system and method for manipulating intervertebral tissue in one embodiment includes a conduit, a segmented expansion media configured to pass through the conduit, and an expandable node comprising a plurality of abrading strands and operably connected to the intervertebral tissue removal system conduit so as to receive the segmented expansion media therein, the expandable node expandable from a first condition whereat the plurality of abrading strands define at least one opening having a first maximum diameter, to an expanded condition whereat the at least one opening has a second maximum diameter larger than the first maximum diameter, wherein the second maximum diameter is less than a minimum diameter of the segmented expansion media, such that insertion of the segmented expansion media through the intervertebral tissue removal system conduit and into the expandable node causes the expandable node to expand from the first condition to the expanded condition.

Claims

1. An intervertebral tissue removal system comprising:

an intervertebral tissue removal system conduit;

a segmented expansion media configured to pass through the intervertebral tissue removal system conduit; and

an expandable node comprising a plurality of abrading strands and operably connected to the intervertebral tissue removal system conduit so as to receive the segmented expansion media therein, the expandable node expandable from a first condition whereat the plurality of abrading strands define at least one opening having a first opening size, to an expanded condition whereat the at least one opening has a second opening size larger than the first opening size, wherein the second opening size is sized such that the segmented expansion media cannot pass through the at least one opening, such that insertion of the segmented expansion media through the intervertebral tissue removal system conduit and into the expandable node causes the expandable node to expand from the first condition to the expanded condition.

2. The intervertebral tissue removal system of claim 1, wherein each of the plurality of abrading strands define a generally rectangular cross-section.

3. The intervertebral tissue removal system of claim 1, wherein each of the plurality of abrading strands define a generally triangular cross-section.

4. The intervertebral tissue removal system of claim 1, wherein the plurality of abrading strands are formed in a net-like pattern.

5. The intervertebral tissue removal system of claim 4, wherein the plurality of abrading strands are woven into the net-like pattern.

6. The intervertebral tissue removal system of claim 5, wherein:

the net-like pattern includes at least one junction of at least two of the plurality of abrading strands; and

each of the at least two of the plurality of abrading strands is adhered to the other of the at least two of the plurality of abrading strands at the at least one junction.

7. The intervertebral tissue removal system of claim 5, further comprising:

a ribbing member positioned radially outwardly of the plurality of abrading strands when the plurality of abrading strands is in the first condition, the ribbing member defining a plurality of openings through which portions of the plurality of abrading strands extend when the plurality of abrading strands is in the expanded condition.

8. The intervertebral tissue removal system of claim 7, wherein the plurality of abrading strands are fixedly attached to the ribbing member.

9. The intervertebral tissue removal system of claim 7, wherein the expandable node comprises:

a first end portion operably connected to the intervertebral tissue removal system conduit; and

a second end portion operably connected to a proximal portion of a tip member.

10. The intervertebral tissue removal system of claim 9, wherein the tip member comprises:

a plurality of cutting edges extending axially from a distal portion of the tip member to the proximal portion of the tip member.

11. The intervertebral tissue removal system of claim 10, wherein the tip member further comprises:

at least one aspiration supply orifice in fluid communication with an aspiration supply conduit extending within the intervertebral tissue removal system conduit.

12. A method of removing intervertebral tissue, comprising:

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

inserting a segmented expansion media through an intervertebral tissue removal system conduit into an expandable node of the at least one abrading member, the expandable node including a plurality of abrading strands;

forcing the segmented expansion media against the plurality of abrading strands, thereby expanding the expandable node from a first condition whereat the plurality of abrading strands define at least one opening having a first opening size, to an expanded condition whereat the at least one opening has a second opening size, wherein the second opening size is sized such that the segmented expansion media cannot pass through the at least one opening;

abrading tissue in the area to be cleared with the expanded expandable node; and

removing the abraded tissue from the area to be cleared.

13. The method of claim 12, wherein abrading tissue in the area to be cleared with the expanded expandable node comprises:

abrading tissue in the area to be cleared with corner portions of the plurality of abrading strands.

14. The method of claim 12, wherein forcing the segmented expansion media against the plurality of abrading strands comprises:

forcing the segmented expansion media against a plurality of abrading strands formed in a net-like pattern.

15. The method of claim 14, wherein forcing the segmented expansion media against the plurality of abrading strands comprises:

forcing the segmented expansion media against a plurality of abrading strands formed in a net-like pattern including at least one junction of at least two of the plurality of abrading strands, wherein each of the at least two of the plurality of abrading strands is adhered to the other of the at least two of the plurality of abrading strands at the at least one junction.

16. The method of claim 14, wherein forcing the segmented expansion media against the plurality of abrading strands comprises:

forcing portions of the plurality of abrading strands radially outwardly through a plurality of openings in a ribbing member.

17. The method of claim 16, wherein inserting at least one abrading member comprises:

inserting a tip member having a proximal portion operably connected to an end portion of the expandable node into the area to be cleared.

18. The method of claim 17, further comprising:

abrading tissue in the area to be cleared with a plurality of cutting edges extending axially from a distal portion of the tip member to the proximal portion of the tip member.

19. The method of claim 18, further comprising:

aspirating the area to be cleared with aspiration fluid provided through at least one aspiration supply orifice in the tip member which is in fluid communication with an aspiration supply conduit extending within the intervertebral tissue removal system conduit.

20. The method of claim 12, further comprising:

removing the segmented expansion media from the expandable node after the tissue has been abraded.