WO2007106740A3 - Methods and apparatus for tissue modification - Google Patents

Methods and apparatus for tissue modification Download PDF

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Publication number
WO2007106740A3
WO2007106740A3 PCT/US2007/063679 US2007063679W WO2007106740A3 WO 2007106740 A3 WO2007106740 A3 WO 2007106740A3 US 2007063679 W US2007063679 W US 2007063679W WO 2007106740 A3 WO2007106740 A3 WO 2007106740A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
modifying member
proximal
patient
tissue modifying
Prior art date
Application number
PCT/US2007/063679
Other languages
French (fr)
Other versions
WO2007106740A2 (en
Inventor
Jeffery L Bleich
Vahid Saadat
Steven A Spisak
John Ashley
Roy Leguidleguid
Jefferey Bleam
Ronald Leguidleguid
Mike Drews
Edwin J Hvalka
Original Assignee
Baxano Inc
Jeffery L Bleich
Vahid Saadat
Steven A Spisak
John Ashley
Roy Leguidleguid
Jefferey Bleam
Ronald Leguidleguid
Mike Drews
Edwin J Hvalka
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US11/375,265 external-priority patent/US7887538B2/en
Priority claimed from US11/406,486 external-priority patent/US7938830B2/en
Priority claimed from US11/405,859 external-priority patent/US20070213734A1/en
Priority claimed from US11/405,848 external-priority patent/US8430881B2/en
Priority claimed from US11/429,377 external-priority patent/US8048080B2/en
Application filed by Baxano Inc, Jeffery L Bleich, Vahid Saadat, Steven A Spisak, John Ashley, Roy Leguidleguid, Jefferey Bleam, Ronald Leguidleguid, Mike Drews, Edwin J Hvalka filed Critical Baxano Inc
Priority to CA002646251A priority Critical patent/CA2646251A1/en
Priority to JP2009500564A priority patent/JP5175264B2/en
Priority to EP07758250A priority patent/EP2019635A2/en
Priority to AU2007226692A priority patent/AU2007226692B2/en
Publication of WO2007106740A2 publication Critical patent/WO2007106740A2/en
Publication of WO2007106740A3 publication Critical patent/WO2007106740A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1659—Surgical rasps, files, planes, or scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1626—Control means; Display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8861—Apparatus for manipulating flexible wires or straps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs

Abstract

Apparatus for modifying tissue in a patient may include: an elongate, at least partially flexible body having a proximal portion and a distal portion; a tissue modifying member disposed along one side of the body; an atraumatic surface located adjacent the tissue modifying member; an actuator coupled with the tissue modifying member and extending to the proximal portion of the body; and means at or near the proximal and distal portions of the elongate body for facilitating application of tensioning and/or anchoring force to urge the tissue modifying member against the target tissue. In some embodiments, a flexible portion of the elongate body may be configured to extend through an intervertebral foramen of the patient's spine while the proximal and distal portions of the device extend out of the patient, and the tissue modifying member may be configured to remove soft tissue and/or bone to treat or alleviate spinal stenosis.
PCT/US2007/063679 2006-03-13 2007-03-09 Methods and apparatus for tissue modification WO2007106740A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CA002646251A CA2646251A1 (en) 2006-03-13 2007-03-09 Methods and apparatus for tissue modification
JP2009500564A JP5175264B2 (en) 2006-03-13 2007-03-09 Apparatus and method for modifying tissue
EP07758250A EP2019635A2 (en) 2006-03-13 2007-03-09 Methods and apparatus for tissue modification
AU2007226692A AU2007226692B2 (en) 2006-03-13 2007-03-09 Methods and apparatus for tissue modification

Applications Claiming Priority (10)

Application Number Priority Date Filing Date Title
US11/375,265 US7887538B2 (en) 2005-10-15 2006-03-13 Methods and apparatus for tissue modification
US11/375,265 2006-03-13
US11/406,486 US7938830B2 (en) 2004-10-15 2006-04-17 Powered tissue modification devices and methods
US11/405,848 2006-04-17
US11/406,486 2006-04-17
US11/405,859 US20070213734A1 (en) 2006-03-13 2006-04-17 Tissue modification barrier devices and methods
US11/405,848 US8430881B2 (en) 2004-10-15 2006-04-17 Mechanical tissue modification devices and methods
US11/405,859 2006-04-17
US11/429,377 2006-05-04
US11/429,377 US8048080B2 (en) 2004-10-15 2006-05-04 Flexible tissue rasp

Publications (2)

Publication Number Publication Date
WO2007106740A2 WO2007106740A2 (en) 2007-09-20
WO2007106740A3 true WO2007106740A3 (en) 2008-11-06

Family

ID=38510184

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/063679 WO2007106740A2 (en) 2006-03-13 2007-03-09 Methods and apparatus for tissue modification

Country Status (5)

Country Link
EP (1) EP2019635A2 (en)
JP (1) JP5175264B2 (en)
AU (1) AU2007226692B2 (en)
CA (1) CA2646251A1 (en)
WO (1) WO2007106740A2 (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100022824A1 (en) * 2008-07-22 2010-01-28 Cybulski James S Tissue modification devices and methods of using the same
KR100946270B1 (en) 2008-08-12 2010-03-09 주식회사 메가젠임플란트 Dental instrument for cutting soft tissue
US20100121139A1 (en) 2008-11-12 2010-05-13 Ouyang Xiaolong Minimally Invasive Imaging Systems
DE202011103583U1 (en) 2011-07-22 2011-10-28 Martin Fähndrich Instrumentarium for treating spinal canal stenosis
EP3035870A1 (en) * 2013-08-19 2016-06-29 Smith & Nephew, Inc. Bone removal under direct visualization
JP6524071B2 (en) * 2013-09-30 2019-06-05 コーディーナミックス， インコーポレイテッド Method and apparatus for assisting cardiac dilation
US10772678B2 (en) 2013-09-30 2020-09-15 Michael D. Laufer Methods and devices for diastolic assist
US10342579B2 (en) 2014-01-13 2019-07-09 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
US9370295B2 (en) 2014-01-13 2016-06-21 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
US11547446B2 (en) 2014-01-13 2023-01-10 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
WO2017027749A1 (en) 2015-08-11 2017-02-16 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
US10335225B2 (en) 2016-11-21 2019-07-02 Arthrex, Inc. Electrosurgical medical device handpiece with insulated aspiration system
WO2019191705A1 (en) 2018-03-29 2019-10-03 Trice Medical, Inc. Fully integrated endoscope with biopsy capabilities and methods of use
JP7305788B2 (en) * 2019-04-16 2023-07-10 ラブンピープル カンパニー リミテッド tissue removal device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020077648A1 (en) * 1998-09-03 2002-06-20 Rubicor Medical, Inc. Excisional biopsy devices and methods
US6416528B1 (en) * 1997-02-11 2002-07-09 Gary K. Michelson Anterior cervical plating system, instrumentation, and method of installation
US20030191474A1 (en) * 2000-02-16 2003-10-09 Cragg Andrew H. Apparatus for performing a discectomy through a trans-sacral axial bore within the vertebrae of the spine
US20050065542A1 (en) * 2003-07-08 2005-03-24 Board Of Regents, The University Of Texas System Surgical cutting tools and related methods
US20060004369A1 (en) * 2004-06-17 2006-01-05 Scimed Life Systems, Inc. Slidable sheaths for tissue removal devices
US20060036272A1 (en) * 2004-07-29 2006-02-16 X-Sten, Inc. Spinal ligament modification

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ATE306213T1 (en) * 1998-12-23 2005-10-15 Nuvasive Inc DEVICES FOR CANNULATION AND NERVE MONITORING
IL131197A (en) * 1999-08-01 2009-12-24 Assaf Dekel Apparatus for spinal procedures
CA2500973C (en) * 2002-09-27 2012-05-15 Surgifile, Inc. Shielded reciprocating surgical file

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6416528B1 (en) * 1997-02-11 2002-07-09 Gary K. Michelson Anterior cervical plating system, instrumentation, and method of installation
US20020077648A1 (en) * 1998-09-03 2002-06-20 Rubicor Medical, Inc. Excisional biopsy devices and methods
US20030191474A1 (en) * 2000-02-16 2003-10-09 Cragg Andrew H. Apparatus for performing a discectomy through a trans-sacral axial bore within the vertebrae of the spine
US20050065542A1 (en) * 2003-07-08 2005-03-24 Board Of Regents, The University Of Texas System Surgical cutting tools and related methods
US20060004369A1 (en) * 2004-06-17 2006-01-05 Scimed Life Systems, Inc. Slidable sheaths for tissue removal devices
US20060036272A1 (en) * 2004-07-29 2006-02-16 X-Sten, Inc. Spinal ligament modification

Also Published As

Publication number Publication date
CA2646251A1 (en) 2007-09-20
JP5175264B2 (en) 2013-04-03
WO2007106740A2 (en) 2007-09-20
AU2007226692A1 (en) 2007-09-20
AU2007226692B2 (en) 2013-01-17
JP2009529981A (en) 2009-08-27
EP2019635A2 (en) 2009-02-04

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