WO2010129525A3 - Tissue modification devices and methods - Google Patents

Tissue modification devices and methods Download PDF

Info

Publication number
WO2010129525A3
WO2010129525A3 PCT/US2010/033508 US2010033508W WO2010129525A3 WO 2010129525 A3 WO2010129525 A3 WO 2010129525A3 US 2010033508 W US2010033508 W US 2010033508W WO 2010129525 A3 WO2010129525 A3 WO 2010129525A3
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
spacer
cutting
methods
tissue modification
Prior art date
Application number
PCT/US2010/033508
Other languages
French (fr)
Other versions
WO2010129525A2 (en
Inventor
Michael P. Wallace
Robert Garabedian
Nestor C. Cantorna
Jeffery L. Bleich
Roy Leguidleguid
Ronald Leguidleguid
Original Assignee
Baxano, Inc.
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
Application filed by Baxano, Inc. filed Critical Baxano, Inc.
Priority to MX2011011636A priority Critical patent/MX2011011636A/en
Priority to AU2010246130A priority patent/AU2010246130B2/en
Priority to CN201080026422.6A priority patent/CN102458273B/en
Priority to JP2012509895A priority patent/JP5406365B2/en
Priority to EP10772678.8A priority patent/EP2427129A4/en
Priority to CA2760925A priority patent/CA2760925A1/en
Publication of WO2010129525A2 publication Critical patent/WO2010129525A2/en
Publication of WO2010129525A3 publication Critical patent/WO2010129525A3/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
    • A61B17/32—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
    • A61B17/14—Surgical saws ; Accessories therefor
    • A61B17/149—Chain, wire or band saws
    • 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
    • A61B17/16—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
    • A61B17/32—Surgical 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
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/3207—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320725—Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions with radially expandable cutting or abrading elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • 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
    • A61B2017/320004—Surgical cutting instruments abrasive
    • 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
    • A61B2017/320004—Surgical cutting instruments abrasive
    • A61B2017/320008—Scrapers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—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
    • A61B2017/320028—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • 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
    • A61B2017/320052—Guides for 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
    • A61B17/32—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
    • 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
    • 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
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

Described herein are devices, systems and methods for cutting tissue in a patient. In some embodiments, a tissue modification region of a device includes a pair of flexible elongate cutting members extending along the length of the tissue modification region. Each elongate cutting member may be configured to cut a discrete trough into tissue to a depth that is greater than the thickness of the cutting member. In some embodiments, the device includes a spacer. The spacer may be sized and configured to operate in one of two modes. A first mode, in which the spacer is coupled to the cutting members such that it holds a portion of each of the two cutting members a distance from one another, and a second mode, in which at least a portion of the spacer is moved away from a cutting member to allow the cutting members to cut further into tissue.
PCT/US2010/033508 2009-05-04 2010-05-04 Tissue modification devices and methods WO2010129525A2 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
MX2011011636A MX2011011636A (en) 2009-05-04 2010-05-04 Tissue modification devices and methods.
AU2010246130A AU2010246130B2 (en) 2009-05-04 2010-05-04 Tissue modification devices and methods
CN201080026422.6A CN102458273B (en) 2009-05-04 2010-05-04 Tissue modification devices and methods
JP2012509895A JP5406365B2 (en) 2009-05-04 2010-05-04 Organizational remodeling device and method
EP10772678.8A EP2427129A4 (en) 2009-05-04 2010-05-04 Tissue modification devices and methods
CA2760925A CA2760925A1 (en) 2009-05-04 2010-05-04 Tissue modification devices and methods

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US17532309P 2009-05-04 2009-05-04
US61/175,323 2009-05-04
US25463809P 2009-10-23 2009-10-23
US61/254,638 2009-10-23
US28518809P 2009-12-10 2009-12-10
US61/285,188 2009-12-10

Publications (2)

Publication Number Publication Date
WO2010129525A2 WO2010129525A2 (en) 2010-11-11
WO2010129525A3 true WO2010129525A3 (en) 2011-03-31

Family

ID=43050814

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/033508 WO2010129525A2 (en) 2009-05-04 2010-05-04 Tissue modification devices and methods

Country Status (7)

Country Link
EP (1) EP2427129A4 (en)
JP (1) JP5406365B2 (en)
CN (1) CN102458273B (en)
AU (1) AU2010246130B2 (en)
CA (1) CA2760925A1 (en)
MX (1) MX2011011636A (en)
WO (1) WO2010129525A2 (en)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8696677B2 (en) 2012-02-13 2014-04-15 DePuy Synthes Products, LLC Orthopaedic surgical saw assembly for removing an implanted glenoid component and method of using the same
CN105310740B (en) * 2015-11-10 2017-10-31 重庆医科大学附属永川医院 The electronic scroll saw of orthopaedics
CN105662540B (en) * 2015-12-15 2018-04-17 宁波华科润生物科技有限公司 A kind of adjustable bending tissue with mapping function removes apparatus
US10828113B2 (en) * 2018-06-04 2020-11-10 Medtronic Navigation, Inc. System and method for performing and evaluating a procedure
US11864774B2 (en) 2021-09-09 2024-01-09 Arthrex, Inc. Adapter assembly for surgical cutting tool

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050209617A1 (en) * 2004-03-05 2005-09-22 Paul Koven Valvulotome
US20050222598A1 (en) * 2004-04-05 2005-10-06 Manoa Medical, Inc., A Delaware Corporation Tissue cutting device
US20080033465A1 (en) * 2006-08-01 2008-02-07 Baxano, Inc. Multi-Wire Tissue Cutter
US20080103504A1 (en) * 2006-10-30 2008-05-01 Schmitz Gregory P Percutaneous spinal stenosis treatment
US20080161810A1 (en) * 2006-10-18 2008-07-03 Warsaw Orthopedic, Inc. Guide and Cutter for Contouring Facet Joints and Methods of Use

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1460837A (en) * 1974-05-21 1977-01-06 Selflex Co Ltd Blade for a surgical bone saw
DE29901724U1 (en) * 1999-02-02 2000-06-29 Synthes Ag Device with a flexible shaft for the extraction of bone chips
US7918849B2 (en) * 2004-10-15 2011-04-05 Baxano, Inc. Devices and methods for tissue access
CN101291633A (en) * 2005-08-31 2008-10-22 斯巴尼沃克斯医学公司 Implantable devices and methods for treating micro-architecture deterioration of bone tissue

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050209617A1 (en) * 2004-03-05 2005-09-22 Paul Koven Valvulotome
US20050222598A1 (en) * 2004-04-05 2005-10-06 Manoa Medical, Inc., A Delaware Corporation Tissue cutting device
US20080033465A1 (en) * 2006-08-01 2008-02-07 Baxano, Inc. Multi-Wire Tissue Cutter
US20080161810A1 (en) * 2006-10-18 2008-07-03 Warsaw Orthopedic, Inc. Guide and Cutter for Contouring Facet Joints and Methods of Use
US20080103504A1 (en) * 2006-10-30 2008-05-01 Schmitz Gregory P Percutaneous spinal stenosis treatment

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2427129A4 *

Also Published As

Publication number Publication date
CN102458273B (en) 2014-08-27
MX2011011636A (en) 2011-11-29
JP2012525927A (en) 2012-10-25
CA2760925A1 (en) 2010-11-11
AU2010246130A1 (en) 2011-11-17
EP2427129A4 (en) 2014-06-18
AU2010246130B2 (en) 2014-03-13
EP2427129A2 (en) 2012-03-14
JP5406365B2 (en) 2014-02-05
WO2010129525A2 (en) 2010-11-11
CN102458273A (en) 2012-05-16

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