CN101272741A - Curette system - Google Patents
Curette system Download PDFInfo
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- CN101272741A CN101272741A CNA2006800254656A CN200680025465A CN101272741A CN 101272741 A CN101272741 A CN 101272741A CN A2006800254656 A CNA2006800254656 A CN A2006800254656A CN 200680025465 A CN200680025465 A CN 200680025465A CN 101272741 A CN101272741 A CN 101272741A
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- elongated member
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Abstract
A method and apparatus for creating or enlarging a cavity in a patient's body are provided. One implementation of the apparatus includes a head, a pushrod and a handle. The head is rotatable about a first axis and is configured to effectuate a medical procedure. The pushrod is attached at a distal end to the head and attached at a proximal end to a handle. The pushrod is configured to translate along a second axis substantially perpendicular to the first axis. Translation of the pushrod along the second axis rotates the head about the first axis. The handle includes a lever coupled at the first end to the pushrod. Pivoting the lever about the third axis translates the pushrod along the second axis. In another implementation, the head translates and can include variously configured cutting portions, including two or more fingers.
Description
The horizontal reference of related application
The application requires following priority: application on July 11st, 2005, serial number is No.60/698,408, and denomination of invention is the unsettled U.S. Provisional Application of " curet head "; Application on July 11st, 2005, serial number is No.60/698,354, denomination of invention is the unsettled U.S. Provisional Application of " Curette system "; With on January 6th, 2006 application, serial number is No.60/756,677, and denomination of invention is the unsettled U.S. Provisional Application of " Curette system ".
Technical field
The application relates to therapy and device
Background technology
When spongy bone for example because osteoporosis, when avascular necrosis or cancer and pathological changes, the pathological changes bone may no longer provide enough supports for the peripheral cortex bone.So cortical bone may become and be easier to compression fracture or subside.Similarly, healthy but for example because traumatic fracture and impaired bone also is easy to further compression fracture or subsides.
Manufacturing cavity or space can be so that diagnose or treat intervention in pathological changes or damaged bone where in experimenter's structure (for example bone).Curet is a kind of being used for removing the surgical instruments of tissue or growth-gen and comprise the curet head from body cavity.The curet head can be shaped to resemble spoon or spoon so that tissue is removed or destroyed.
Summary of the invention
The present invention relates to a kind of method and apparatus that is used for making cavity in patient's body.Generally speaking, in one aspect, the present invention relates to a kind of method of installing and using this device, wherein said device comprises head, push rod, handle and locking mechanism.Described head can and be configured to carry out first medical procedure around the first axle rotation.Described push rod is attached to described head and is configured to along the second axis translation that is basically perpendicular to first axle at far-end, and wherein said push rod makes described head around the first axle rotation along the translation of second axis.Described handle is attached to the near-end of described push rod and comprises pedestal and lever.The point of rotation of described lever on its first end is connected to described pedestal and can rotates around the 3rd axis that is basically perpendicular to second axis at the described point of rotation.Described lever is connected to described push rod and described lever at first end and pivots around the 3rd axis and make described push rod along the second axis translation.Described locking mechanism is configured to described lever lock is fixed on one or more latched positions, and each latched position of wherein said lever is corresponding to the latched position of described head.
Implementation of the present invention can comprise one or more following features.The latched position of described head can be basically in the scope of 0-90 degree with respect to second axis.Described locking mechanism can be included in the described handle, and is included in the ratchet mechanism in the described pedestal and is connected to described ratchet mechanism and is connected to the connection element of second end of described lever at second end at first end.Described lever is advanced to described ratchet mechanism one or more positions and described lever lock is fixed on one or more latched positions around the rotation of the 3rd axis.In an implementation, described ratchet mechanism comprises pallet and comprises the slide link of one or more teeth.Described tooth be configured to be included in described pallet in one or more corresponding recesses cooperate, and described pallet comprises and is configured to one or more grooves of cooperating with described tooth.One or more described teeth can be formed at a plurality of positions and the described one or more groove fit that comprises initial position and one or more extended positions, and wherein at least one position is corresponding to the latched position of described lever.
Described device may further include the extension spring of the near-end of the end that is connected in described slide link and described pedestal.Described extension spring leans against described tooth pressure on the corresponding recesses of described pallet.Described pedestal may further include release member, this release member operationally engages described pallet and discharges from described slide link to carry out described pallet, makes that described extension spring can be with described slide link reorientation more near the alternate location of initial position.
In an implementation, first axle is basically perpendicular to the 3rd axis, and in alternative implementation, first axle is basically parallel to the 3rd.Described push rod can comprise the cam that is used for described push rod is connected to described head at far-end.Described head can comprise conical body and be attached to the disk of the far-end of described conical body that wherein said disk has the cheese upper surface and has the cutting surface of 360 degree basically that forms around the circumference of described disk.
Generally speaking, on the other hand, the present invention relates to a kind of method of installing and using this device, wherein said device comprises head, push rod, handle and locking mechanism.Described head comprises one or more cutting parts and is attached to described push rod at near-end.Described push rod is attached to described handle and is configured to along the first axle translation at near-end, and wherein said push rod makes described head along the first axle translation along the translation of first axle.Described handle comprises pedestal and lever, and the point of rotation of described lever on its first end is connected to described pedestal and can rotates around second axis that is basically perpendicular to first axle at the described point of rotation.Described lever is connected to described push rod and described lever at first end and pivots around second axis and make described push rod along the first axle translation.Described locking mechanism is configured to described lever lock is fixed on one or more latched positions, and each latched position of wherein said lever is corresponding to the latched position of described head.
Implementation of the present invention can comprise one or more following features.At least a portion of described head can be formed by shape-memory material, make that the described part of described head is in compacted location under first temperature, and the described part of described head is deployed into cutting position under second different temperatures, and wherein said head is configured to cutting when described push rod translation and/or rotation.Described head can comprise that one group of three or more finger and one or more cutting part can be configured for and be used to cut or at least a portion of each finger of scraping.Each finger can comprise near-end and far-end, and the far-end of at least two finger can interconnect.In an implementation, at least one finger is not interconnected to another finger at the far-end of this finger.
The cutting part of at least one in described three or more the finger can comprise a part, and this part has from the structure of the group selection of following composition: circular coin end, square coin end, EOC, many EOCs, bent-up end, the flat coil end, flat ring end, curved coin end, coil-end, meander coil end, hourglass coil-end, the osteotome end, whipper end, burr end, many EOCs, crotch end, sharp tip, the hairpin loop end, curved end, press-fit ends, the reaping hook end, arc intubate end, crown end, the ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
The described push rod of translation can be with described three or more finger from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of first axle.
The use of said apparatus can comprise the access path that is formed on the position in the patient body and the described head of described device is incorporated into described position by described access path.The described lever of described device can pivot with the described push rod of translation, thus rotation and/or the described head of translation.The access path that is formed into described position can comprise intubate is inserted into described position that in patient's body wherein said intubate comprises the inner chamber that is configured to receive armarium.Described head can be used for cutting and/or scraping to make or enlarged cavity in the intravital described position of body.
Generally speaking, in one aspect, the present invention relates to a kind of device that comprises elongated member.Described elongated member comprises first group of three or more finger, and it is positioned at the tip far away of the still contiguous described elongated member of distal region of described elongated member.Each finger comprises that the far-end of near-end and far-end and at least two finger is connected to the tip far away of described elongated member.At least a portion of each finger is configured for cutting or scraping.
Implementation of the present invention can comprise one or more following features.Described three or more finger can be configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from bone, cartilage and ossified derivant thereof, the group that membrane bone and replacing bone are formed.In an implementation, at least one finger is not connected to the tip far away of described elongated member at the far-end of this finger.
Described elongated member can be formed by the material that is selected from the group that metal, shape-memory material and polymer form.At shape-memory material described in the implementation is Nitinol (NITINOL).
In described three or more the finger at least one can comprise cutting or scraping part, and this part has from the structure of the group selection of following composition: circular coin end, square coin end, EOC, many EOCs, bent-up end, the flat coil end, flat ring end, curved coin end, coil-end, meander coil end, hourglass coil-end, the osteotome end, whipper end, burr end, many EOCs, crotch end, sharp tip, the hairpin loop end, curved end, press-fit ends, the reaping hook end, arc intubate end, crown end, the ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
Described three or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.Described elongated member may further include second group of three or more finger, its contiguous first group of three or more finger are positioned, wherein each finger comprise the far-end of near-end and far-end and at least two finger be connected to described elongated member and wherein at least a portion of each finger be configured for cutting or scraping.Second group of three or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.
Generally speaking, on the other hand, the present invention relates to a kind of device that comprises intubate and elongated member.Described intubate comprises inner chamber and extends to one or more perforates of the outer surface of the distal part that is positioned at described intubate from described inner chamber.Described elongated member is positioned in the interior intracavity of described intubate.Described elongated member comprises two or more finger, and it is positioned in the tip far away of the still contiguous described elongated member of distal part of described elongated member.Each finger comprises that the far-end of near-end and far-end and at least one finger is connected to the tip far away of described elongated member.Each finger comprises the cutting part that is configured for cutting or scraping.Described elongated member is positioned in and makes the described cutting part of described finger to launch by the described one or more perforates in the described intubate in the described intubate.
Implementation of the present invention can comprise one or more following features.Described intubate distal part can be configured to stop the moving of tip far away of described elongated member.When the distal part of described intubate stops tip far away mobile of described elongated member, can cause the cutting part of described two or more finger to launch by described one or more perforates.Described two or more finger of described elongated member are made up of the material that is selected from the group that metal, shape-memory material (for example Nitinol) and polymer form.
In an implementation, the distal part of at least one finger of described elongated member is free of attachment to the tip far away of described elongated member.Described two or more finger can be configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from bone, cartilage and ossified derivant thereof, the group that membrane bone and replacing bone are formed.
Generally speaking, on the other hand, the present invention relates to a kind of device that comprises elongated member.Described elongated member is formed by shape-memory material and comprises one group of two or more finger, and it is positioned in the tip far away of the still contiguous described elongated member of distal part of described elongated member.Each finger comprises that the far-end of near-end and far-end and at least one finger is connected to the tip far away of described elongated member, and at least a portion of each finger is configured for cutting or scraping.
Implementation of the present invention can comprise one or more following features.In an implementation, described shape-memory material is a Nitinol.Described two or more finger are formed by the material that is selected from the group that metal, shape-memory material (for example Nitinol) and polymer form.Described two or more finger can be separated from described elongated member.
In an implementation, one or more described finger comprise cutting or scraping part, and this part has from the structure of the group selection of following composition: circular coin end, square coin end, EOC, many EOCs, bent-up end, flat coil end, flat ring end, the curved coin end, coil-end, meander coil end, the hourglass coil-end, osteotome end, whipper end, the burr end, many EOCs, crotch end, sharp tip, hairpin loop end, curved end, press-fit ends, reaping hook end, arc intubate end, crown end, ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
Described two or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.Described two or more finger can be configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from bone, cartilage and ossified derivant thereof, the group that membrane bone and replacing bone are formed.
Other implementation is possible.Implementation of the present invention can realize one or more following advantages.Lever handle on the Curette system provides mechanical advantage, allows the user to apply enough power by extrusion handle like a cork the curet head is navigated in the bone structure.Described handle be human engineering and can comprise and prevent the feature of in user's hands, sliding.Described handle can be designed to comprise as required the latched position of more or less curet head.Alternatively, can under the situation of the latched position that does not have the curet head, use described handle.If axle ruptures in safety groove, can prevent that throw-out lever moves with respect to handle, and eliminate the risk that silk becomes and reels that pushes away at the far-end of the push rod that is connected to described head.
One or more embodiments of the detail of the present invention have been set forth in the the accompanying drawings and the following description.From description and accompanying drawing, and accessory rights requires apparent further feature of the present invention, target and advantage.
Description of drawings
Fig. 1 has shown the perspective view of Curette system.
Fig. 2 has shown the enlarged drawing of curet head.
Fig. 3 has shown the cutaway side sectional view of handle of the Curette system of Fig. 1.
Fig. 4 has shown the side view of handle of the Curette system of Fig. 1.
Fig. 5 has shown the cutaway side sectional view of alternative handle of the Curette system of Fig. 1.
Fig. 6 has shown the partial cross sectional view of the handle shown in Fig. 5 along line A-A.
Fig. 7-28 has shown the various implementations of curet head.
Reference marks identical in each figure is indicated components identical.
The specific embodiment
A kind of being used in patient's body formation cavity or cutting and/or histoclastic apparatus and method described.For diagrammatic purpose, will in bone, make under the background of cavity and describe described apparatus and method, yet should be understood that described apparatus and method can be used for making the space and carrying out various medical procedures in the other parts of health.
Fig. 1 has shown the perspective view of Curette system 100.Curette system 100 comprises handle 102, axle 104 and head 106.Handle 102 comprises lever 108 and pedestal 103.Lever 108 is configured to by the user towards pedestal 103 extruding.Extrusion lever 108 and pedestal 103 rotate lever 108 along clockwise direction.Rotating lever 108 cause being positioned at push rod in the axle 104 in axle 104 along a direction (that is, shown in y direction in the direction) translation, this will further be described in detail below.
With reference to figure 2, shown the enlarged drawing of head 106, wherein partly excised the far-end of axle 104 for diagram.The far-end of push rod 110 be shown as being attached to push away the silk 112.Push away silk 112 rings and pass curet tip 114.Curet tip 114 can be around the point of rotation 116 rotations.The pin (not shown) is passed axle 104 far-end and is passed curet tip 114 (for example at the point of rotation 116), with respect to the near-end fix in position of axle 104 with curet tip 114.Push rod 110 causes curet most advanced and sophisticated 114 around the point of rotation 116 rotations along the translation of y direction, promptly around the axle rotation along the x direction.Direction of rotation (that is x direction) is basically perpendicular to the translation direction (that is y direction) of axle 104.In another implementation, if be constructed such that the pin and different axis (the x axle shown in not being) aligning that curet tip 114 is connected to axle 104, then curet tip 114 can center on disalignment (that is z axle) rotation.In another implementation, axle 104 can rotate or reverse, and causes the rotation at curet tip 114.
In an implementation, the work intubate is inserted into and makes the far-end of intubate be positioned in the place of waiting to make cavity in the patient's body.Curette system 100 is inserted in the intubate.During inserting by intubate, the required internal diameter (that is initial position) to minimize intubate is axially aimed at curet tip 114 with axle 104.In case the head 106 of Curette system 100 leaves intubate and be positioned to the position of waiting to make cavity in patient's body, curet tip 114 can rotate to extended position, and for example half-twist is to the position shown in Fig. 2.Curet tip 114 can be used as then that shovel digs or the scraping apparatus by the user by turn to, tractive and promotion Curette system 100 operate.
With reference to figure 3, shown the cutaway side sectional view of an implementation of the handle 102 of Curette system 100.As mentioned above, handle 102 comprises pedestal 103 and lever 108.Lever 108 can be centered around fulcrum 118 rotations in the proximal region of lever 108.In this implementation, the near-end 120 of lever comprises chamber 122, and this chamber is configured to receive the ball-and-socket joint 124 of the near-end that is attached to push rod 110.Around fulcrum 118, promptly make near-end 120 rotations of lever around x axle rotating lever 108.When lever 108 was closed up by user's extruding, the near-end 120 of lever turned clockwise, and causes ball-and-socket joint 124 translations, promptly is directed downwards along y.Ball-and-socket joint 124 causes push rod 110 along the translation of y direction along the translation of y direction.Ball-and-socket joint 124 is implementations of the connection between push rod 110 and the lever 108.This joint can have other structure.Usually, this joint should imitate the shape in chamber 122, and is promptly square, star, triangle etc.As above described with reference to figure 2, translation push rod 110 makes most advanced and sophisticated 114 rotations of curet.By attaching to outer shaft and be typed into flange 126 anti-throw-out lever 110 shifted laterallys (for example, along x shown in Fig. 3 and z direction) in the pedestal 103 of handle 102.
Ratchet mechanism can be included in the pedestal 103 of handle 102 so that one or more latched positions of lever 108 to be provided, and therefore one or more extended positions at curet tip 114 are provided.In an implementation, ratchet mechanism comprises slide link 130 and pallet 132.In an implementation, slide link 130 comprises that three grooves 134 and pallet 132 comprise at least one corresponding tooth 136, but other structure is possible.For example, non-exclusively, other structure can comprise ratchet and the gear train that is positioned at fulcrum, and its middle gear is along with lever rotation and ratchet prevent reverse rotation, unless break away from.Also can use the snap close and the pallet locking mechanism that for example are positioned at fulcrum 118.Mechanism shown in referring again to, each groove 134 is configured to receive the tooth 136 from pallet 132.Each groove 134 and tooth 136 can have as shown in the figure the inclined-plane so that tooth 136 with engagement with from wherein breaking away from.
With reference to figure 4, shown the side view of handle 102.In an implementation, labelling 138 can be included on the pedestal 103 of handle 102.Each labelling 138 can be corresponding to the latched position of lever 108, and the angle at indication curet tip 114 when lever 108 is in latched position.For example, lever 108 is shown as reset on the throne and represents that the angle at curet tip 114 is 0 °, so curet tip 114 is in initial position, axially aims at axle 104.The angle that next labelling 138 indications are 30 °, expression be when by moving to tooth 136 when making lever 108 be locked in this position in the predetermined groove (that is, next groove) 134, becomes about 30 ° angle at the curet most advanced and sophisticated 114 of extended position with the y axle.Next labelling 138 does not indicate, but can be corresponding to 60 ° angle, and labelling 138 can be corresponding to 90 ° angle at last.The user can extrusion lever 108 with shift lever between latched position 108 with advance slide link 130, make that the tooth 136 on the pallet 132 meshes with different grooves 134 in being included in slide link 130.In other implementation, can comprise more or less latched position of lever 108, it is corresponding to more or less extended position at curet tip 114.
Alternatively, most advanced and sophisticated 114 can be rotated and be not locked to one or more positions.For example, the fast hairdo extruding action of lever 108 can be used for rotating tip 114, and wherein release member 142 is in non-locking, rear positions (referring to Fig. 1 and 3) and prevents to mesh pallet 132.
Refer again to Fig. 3, handle 102 further comprises the extension spring 140 between the near-end of the end that is connected slide link 130 and pedestal 103.Extension spring 140 is pressed against groove 134 on the tooth (a plurality of tooth) 136 of pallet 132.Pedestal 103 further comprises release member 142, release member 142 operationally engages pallet 132 and discharges from slide link 130 to carry out pallet 132, makes that extension spring 140 can be with slide link 130 reorientations more near another selectable location of the corresponding initial position at the initial position of lever 108 and curet tip 114.When release member was in as shown in the figure non-moving position, flex member 141 can be pushed to pallet 132 with slide link 130 and engage.Connection element 135 is connected to pedestal 103 at the point of rotation 137 and 139 far-ends with lever 108.
With reference to figure 5, shown the cutaway side sectional view of another implementation of the handle 150 of Curette system 100.Lever 152 can be around 154 rotations of the fulcrum in the proximal region of lever 152.In this implementation, the near-end 156 of lever for example is connected to a connecting rod 158 by pin.Axle connecting rod 158 is connected to push rod 160.Around fulcrum 154, promptly make near-end 156 rotations of lever around x axle rotating lever 152.When lever 152 was closed up by user's extruding, the near-end 156 of lever turned clockwise, and causes a connecting rod 158 translations (that is, being directed downwards along y).Axle connecting rod 158 causes push rod 160 along the translation of y direction along the translation of y direction.As above described with reference to figure 2, translation push rod 160 makes most advanced and sophisticated 114 rotations of curet.
With reference to figure 5 and 6, in Fig. 6, shown the cross-sectional view of the part of the handle 150 that A-A along the line obtains.In this implementation, push rod 160 has cylindrical proximal end 162, and this cylindrical proximal end is assemblied in the chamber 164 of the inside, lower part that is formed at a connecting rod 158.The top of axle connecting rod 158 is connected to the near-end 156 of lever.When axle connecting rod 158 during along the translation of y direction, the cylindrical proximal end 162 of push rod 160 passes to push rod 160 with translational motion from axle connecting rod 158 along the y direction along with move the lower part of axle connecting rod 158.The near-end of axle 104 is shown and is fixed in the flange 166.Push rod 160 extends through axle 104.Flange 166 is laterally with respect to handle 150 fixed axis 104, and fixing push rod 160 (therefore axle connecting rod 158 can along the translation slightly of z direction) thus.
Refer again to Fig. 5, ratchet mechanism can be included in the handle 150 so that one or more latched positions of lever 152 to be provided, and therefore one or more extended positions at curet tip 114 are provided.Shown in the implementation, ratchet mechanism comprises slide link 168 and pallet 170.Slide link 168 comprises four teeth 172.Pallet 170 comprises at least one corresponding grooves 174.Groove 174 is configured to receive the tooth 172 from slide link 168.Groove 174 and tooth 172 can have inclined-plane as shown in the figure so that tooth 172 engages with groove 174 and from wherein breaking away from.Other structure of tooth and groove is possible.
Handle 150 further comprises the extension spring 176 between the near-end of the end that is connected slide link 168 and pedestal 151.Extension spring 176 is pressed against tooth (a plurality of tooth) 172 on the corresponding recesses (a plurality of groove) 174 of pallet 170.Pedestal 151 further comprises release member 178, release member 178 operationally engages pallet 170 and discharges from slide link 168 to carry out pallet 170, makes that extension spring 176 can be with slide link 168 reorientations more near another selectable location of the corresponding initial position at the initial position of lever 152 and curet tip 114.Connection element 180 is connected to pedestal 151 at the point of rotation 182 and 184 far-ends with lever 152.
In operation, in an implementation, the user can bring into use the handle 102 or 150 under the non-locking pattern, unless run into os osseum.Use image-guided, the user can be placed into tip 114 and expects area for treatment (for example bone, intercalated disc, tissue, tumor etc.) contact by the route intubate, and extrusion handle 102 or 150 is to rotate most advanced and sophisticated 114 to expecting angle.Use image-guided, the user for example can use the push-and-pull campaign to draw the area for treatment at quarter modestly.The user can regulate most advanced and sophisticated 114 angle and repeat in case of necessity.If bone is soft, the user can easily rotate most advanced and sophisticated 114 to make the gap.The user can whip tip 114 is placed on complete articulated position (for example, 90 °) under the situation that does not activate locking mechanism, simultaneously by on handle 102 or 150, keep firmly, grasping closely remains on tip 114 its complete articulated position like a cork.Should be noted that most advanced and sophisticated 114 can be separately and handle/trigger mechanism hinged, and Curette system 100 can be along the y axle in the middle translation of push-and-pull campaign back and forth.System 100 also can be in the x-z plane and all these motion combination rotations, these motions for example be hinged most advanced and sophisticated 114 and back and forth with about mobile system 100.
The user can rely on tactile feedback (for example resistance of bone motion) and image-guided to know when run into os osseum, for example cortex shell or healing bone (sclerosis).When the user ran into os osseum, the user can select to use default most advanced and sophisticated 114 expansion patterns (that is latched position) to begin to make the space along fracture line.This can allow the controlled of cavity and open gradually.Use image-guided, the user can be placed into tip 114 and expects that area for treatment contacts and begins actuation handle 102 or 150 by entering intubate.In case run into the resistance that launches tip 114, the user can switch to latched position with release member 142.Bone allows lever 108 to be closed up lentamente by the user to most advanced and sophisticated 114 resistance and enters first latched position.The user can in the push-and-pull campaign and/or scan to draw in the motion then and carve os osseum to smash and/or to remove or to destroy sclerotic bone.If necessary, the user can continue under image-guided operating lever 108 then with further joint second and additional latched position, up to opening or make cavity fully.Release member 142 can be released then, and most advanced and sophisticated 114 turn back to and spool aim at (that is, 0 °) and removal system 100.In an implementation, another instrument then, for example air bag or longer curet can be further used for realizing that best cavity manufacturing and/or fracture reduce.Using Curette system 100 to make space or histoclastic improvement or other technology can be used.For example, can use on August 2nd, 2005 and announce, authorize people's such as Phillips, the people that assigns is the Kyphon company limited, and denomination of invention is the United States Patent (USP) 6,923 of " being used for making at inner body region the equipment and the correlation technique in space ", described in 813, with on July 16th, 2004 by people such as Layne application, denomination of invention is the U.S. Patent application No.10/893 of " being used for making at inner body region the equipment and the correlation technique in space ", the technology described in 155.
Above-mentioned Curette system 100 can use with any structure at curet head 106 and curet tip 114.Curet head 106 shown in Fig. 2 is typical heads 106 and is described for diagram.Other form of curet head 106 for example on July 16th, 2004 by people such as Layne application, denomination of invention is the U.S. Patent application No.10/893 of " being used for making at inner body region the equipment and the correlation technique in space ", is described in 155.
For further diagram, the many different implementations that can be used in the curet head 106 in the Curette system 100 have been described below.Fig. 7 A and 7B show the alternative that is used for making at inner body region the curet head 200 in space.In this embodiment, body 232 be have tapering and with respect to the embodiment half-twist shown in Fig. 2, make when most advanced and sophisticated 220 with the axis S of axle 212 at an angle of 90 during the A expansion, the Breadth Maximum W of body is perpendicular to the axis S of axle 212.This structure make scraping with the cutting during disk 234 minimize with the combination table area that body 232 contacts with bone, and so sizable power and Stress Transfer are minimized to linkage.
Fig. 8 A and 8B show another alternative that is used for making at inner body region the curet head 300 in space.The curet tip comprises cutting disc 224 and body 332.In this embodiment, body 332 has tapering, is similar to the embodiment of Fig. 7 A and 7B, but is conical.Be similar to the embodiment of Fig. 7 A and 7B, body 332 also has dome shape disk 334, thereby allows translation and rotation cutting.
The combination of disk 334 and body 332 cutting surface is minimized and is designed to reduce power and stress on the linkwork by minimizing along the contact area of all directions in bone.Same profile (symmetrical cross-sections of conical body 332) is presented to bone, no matter applies to push away or draw (translation) power, rotates (rotation) power, or the combination of two kinds of power.
Fig. 9-11 shows the embodiment of the curet head 700 at the curet tip 720 that utilization forms by marmem.The use of marmem allows littler apparatus, and reason is no longer to need linkwork to activate head.Littler apparatus is safer and can enter and be arranged in the darker littler vertebral body of spinal column.Littler apparatus also has littler invasive and littler traumatic for the patient, thereby allows recovery time faster.
By marmem for example the toughness bar 701 that forms of Nitinol be located at the far-end of push rod 110.In this implementation, curet tip 720 does not need rotation but need be along the translation of y direction.As mentioned above, curet tip 720 (far-end at push rod 110 forms) can be by translation push rod 110 by translation.Bar 701 can have various different-diameters, head configuration and activated horn.Bar 701 has toughness or aligning state (Fig. 9 and 10) and actuating or hinged predetermined, expecting state (Figure 11).
The size of bar 701 is determined to be and is formed at passes axle and 104 enters vertebra, any bone surface or other zone under aligning or the tough sexual state.As mentioned above, axle 104 can be inserted in the intubate that has been positioned at described zone (for example bone or intercalated disc tissue).In case be inserted in the described zone, bar 701 is because patient's body temperature or turn back to by means of electricity irritation (for example cooling, heating, voltage etc.) that it is predetermined, the expection shape memory.For example, the far-end of bar 701 is activated into an angle, and for example 90 degree limit the elbow that cuts curet tip 720 to form, as shown in Figure 11.In representative embodiment, the length from the far-end of bar to elbow is approximately 0.5cm.As discussed previously, can be by rotatablely moving or the combination of push-and-pull campaign or two kinds of motions realizes the cutting of bone.Bar 701 comprises inner chamber 703 ideally, and this inner chamber allows to introduce cooling or heat medium (S), saline for example, thus bar 701 is turned back to the aligning state of withdrawal easily that allows.
In another embodiment, bar 701 is formed by the marmem of the activationary temperature with the room temperature of equaling, that is, bar 701 at room temperature is austenite fully.So bar 701 at room temperature is hinged to its reservation shape fully.Bar 701 was cooled to martensitic state (tough sexual state) before inserting, thereby allowed to insert easily.Be hinged to predetermined, desired location in case turn back to room temperature bar 701.This near-end that has guaranteed curet tip 720 obtains to activate fully under the heat passage situation that does not rely on far-end (it contacts with the patient) from bar 701 or any external means (for example heating, voltage etc.).Inner chamber 703 can be located in the bar 701 so that introduce cooling medium (S), cool brine for example, thus material is lost activity and allow easy withdrawal.In another alternative, alloy is hyperelastic, and axle 104 qualification prebuckling or shaping curet tips 720, launches curet tips 720 to extend beyond axle 104 (referring to Figure 18 and 19) up to push rod 110.
In another alternative, bar 701 can be used to align the axle 104 that is formed by marmem.In this embodiment, curet tip 720 is arranged on shape memory axle 104 (not shown)s.Axle 104 is trained to have arc-shaped head, and bar 701 is movably disposed within the axle 104 with by bar 701 being bonded on fully in the axle 104 (that is, by catch bar 701) straightening shafts 104 and allowing axle 104 and curet most advanced and sophisticated 720 crooked or hinged by retracting bar 701.Ideally, bar 701 is by for example rustless steel manufacturing of rigid material.
In another embodiment, the activationary temperature of alloy is set at the temperature that is higher than body temperature.In this embodiment, bar 701 is flexible to insert and to extract out.Bar 701 only realizes being activated to fully its reservation shape by application of heat or voltage.This allows to use the variation of state from tough sexual state to reservation shape of potentiometer or other suitable device control stick 701, or any percentage ratio between them.
In an implementation, handle 102 comprises road strategic point (luer) joint, the size of this road strategic point joint be determined and be configured to fluid introduce equipment for example the complementary road strategic point joint on the syringe cooperates, between inner chamber 703 and fluid introducing equipment, to set up the fluid connection.Fluid, for example cold or hot salt brine can be introduced into control stick 701 from syringe by inner chamber 703 (it extends along the length of push rod 110 and bar 701 basically) and move between flexible (losing activity) state and state of activation.
In the alternative shown in Figure 12 and 13, the most advanced and sophisticated 720A of the curet of expection structure forms at the far-end of pliable and tough bar 701.Pliable and tough bar 701 forms at the far-end of push rod 110.Most advanced and sophisticated 720A can be the discrete item that is attached, for example soldered, to bar 701, and perhaps most advanced and sophisticated 720A can be carved or be formed in the bar 701 in other mode, for example by traditional process technology.In the embodiment shown, the most advanced and sophisticated 720A of curet has conical body and the cheese circular disk configuration that is similar to the embodiment shown in Figure 17 and 18.Yet the structure of the most advanced and sophisticated 720A of apparent curet can change according to the program of carrying out and/or in order to adapt to the individual dissection structure.In one embodiment, the whole bar 701 that comprises the most advanced and sophisticated 720A of curet is formed by marmem.As discussed previously, bar 701 is surrendered state of activation (Figure 30) from tough sexual state (Figure 29).Also as discussed previously, bar 701 and push rod 110 can comprise inner chamber 703 allow introducing fluid media (medium), thus control loses activity and state of activation between motion.
In the alternative shown in Figure 14 and 15, the most advanced and sophisticated 720A of bar 701 and distal part 711 are formed by marmem.Bar main body 713 can be formed by any suitable biocompatible surgical level material.Have distal part 711 welding of the most advanced and sophisticated 720A of curet or be fixed to bar main body 713 in other mode.The distal part 711 of bar 701 is surrendered state of activation (Figure 15) from tough sexual state (Figure 14).Bar 701 and push rod 110 can comprise inner chamber 703 allow introducing fluid media (medium), thus control loses activity and state of activation between motion.In an alternative, push rod 110 and bar 701 can comprise that two inner chambers 714 make that fluid media (medium) can be by push rod 110 with ideally by most advanced and sophisticated 720 circulations (referring to Figure 16) of curet.In another alternative, push rod 110 and bar 701 can comprise that through hole 703A is to hold more hot-fluid (referring to Figure 17).
Figure 20 has shown another embodiment that for example operationally is used for making at inner body region the curet head 500 in space.The curet tip is included in two or more finger 520 that have on the far-end of push rod 512.Preferably, push rod 512 has 520, two finger 520 of four finger and faces with each other.Finger 520 is introduced in the tissue by the intubate (not shown), and closes up with grasping tissue with pulley type system or other similar system then and take out.By translation push rod 512 (that is, along the y direction), curet head 500 may be advanced into outside the axle 104 and enters tissue, and finger expand into deployed condition.Ideally, when the size in space increased, finger 520 was suitable for further expansion.The length of apparent finger 520 can be selected to and is fit to desired use and special individual dissection structure.
Figure 21 and 22 has shown another embodiment that is used for making at inner body region the curet head 600 in space.The curet tip is included in the hinged space manufacturing equipment 620 that has on the far-end of axle 612.Space manufacturing equipment 620 can be used to make the space or crumbly texture is cut better and removed by other machine tool with permission.
Figure 23 has shown and has been similar to Figure 21 and 22, but additionally has been provided for a spring blade of more powerful cutting or the embodiment of a series of spring blades 623.Spring blade 623 be connected to outside axle 612 last blade and ideally prebuckling to be parallel to end plate cutting.
In another implementation, can comprise finger at the curet head 106 of the far-end of push rod 110, for example the finger 800 as shown in Figure 24 A-E with portions of proximal 801 and distal part 802; Finger 800 forms curet tip 114 in this implementation.Finger portions of proximal 801 is connected to the far-end of push rod 110.Finger 800 is arranged and constructed into and is used to cut or scraping patient's structure.In the implementation shown in Figure 24 B, two groups of finger 800 can arranged in series form curet head 106 with the far-end at push rod 110.
In the implementation shown in Figure 24 A-C, 26A and the 27D-E, each finger 800 is interconnected to one or more other finger distal part 802 at finger distal part 802 places.In another implementation, the distal part 802 of each finger 800 can for example be encircled disk, stopper, pipe or other suitable attachment point by common adnexa interconnection.
As shown in Figure 24 D, in another implementation, the curet tip can comprise two or more interconnection finger 800 (promptly, the finger 800 that connects in distal part 802) and the combination of one or more other finger, the finger distal part 802 of wherein said other finger is free of attachment to the distal part 802 of any other finger 800.
In another implementation, finger 800 can be connected to elongated member, rather than push rod 110.Elongated member for example can be configured to curet, silk thread, and point is signed, pin or other suitable cutting or scraping apparatus.Elongated member can be by forming such as the such material of metal, shape-memory material or polymer.The example of metal includes but not limited to cochrome (L605), ASTMf90,304/216 spring temper rustless steel, titanium and Nitinol.For example, shape-memory material can comprise Nitinol (the breadboard Nitinol of naval's weapons), comprises the family of intermetallic material of the mixture of almost equal nickel (55wt.%) and titanium.In another implementation, other element can join Nitinol to regulate or " mediation " material character.For example, polymer can comprise Merlon or nylon (for example glass-filled).In an implementation, elongated member comprises inner chamber, and wherein elongated member is configured to pipe.
As shown in Figure 24 E, in special implementation, curet head 106 comprises the far-end that is connected to push rod 110 or the shape memory metal element of aforesaid elongated member.The shape memory metal element comprises two or more deployable finger 800, described finger comprises portions of proximal 801 and distal part 802, wherein the portions of proximal 801 of finger is connected to the far-end of push rod 110, and wherein finger 800 be arranged and constructed into be used for the cutting or scraping.In an implementation, curet head 106 is by forming such as the such material of metal, shape memory metal and polymer.Metal for example can comprise cochrome (L605), ASTMf90,304/216 spring temper rustless steel, titanium and Nitinol.Shape memory metal for example can comprise Nitinol.In another implementation, other element can join Nitinol, to regulate or " mediation " material character.Polymer for example can comprise Merlon or nylon (for example glass-filled).
With reference to figure 25A-II, finger 800 can comprise cutting or scraping part.The example of suitable cutting or scraping part includes but not limited to spheric end (referring to Figure 25 A), coin end (referring to Figure 25 B), EOC (referring to Figure 25 C), bent-up end (referring to Figure 25 D), butt end (dockingend) (referring to Figure 25 E), square coin end (referring to Figure 25 F), flat coil end (referring to Figure 25 G), flat ring end (referring to Figure 25 H), curved coin end (referring to Figure 25 I), coil-end (referring to Figure 25 J), osteotome end (referring to Figure 25 K), agitator end (referring to Figure 25 L), burr end (referring to Figure 25 M-P), meander coil end (referring to Figure 25 Q), ring end (referring to Figure 25 R), many EOCs (referring to Figure 25 S), crotch end (referring to Figure 25 T), sharp tip (referring to Figure 25 U), hairpin loop end (referring to Figure 25 V), curved end (referring to Figure 25 W), press-fit ends (referring to Figure 25 X), reaping hook end (referring to Figure 25 Y), arc intubate end (referring to Figure 25 Z), crown end (referring to Figure 25 AA), ailhead hammer tip (referring to Figure 25 BB), helicopter end (referring to Figure 25 CC), cross end (referring to Figure 25 DD), spade end (referring to Figure 25 EE) and multiwindow pipe end (referring to Figure 25 FF), hourglass coil-end (referring to Figure 25 GG), brush end (referring to Figure 25 HH) and crooked brush end (referring to Figure 25 II).
For example can realize activating cutting or scraping with respect to the front and back flex motion of push rod 110 by finger 800 with finger 800.Such motion can be by driving (hydraulic pressure) mechanism or manually driving.As shown in Figure 25 K, partly under the situation with the osteotome end, finger 800 for example can comprise Nitinol, and the osteotome end can activated in the motion of front and back in the cutting of finger 800 or scraping.As shown in Figure 25 CC, in the cutting of finger 800 or scraping partly under the situation with the helicopter end, the actuating of cutting or scraping can comprise finger 800 from the low profile folded structure to the not mutual conversion of folded structure.As shown in Figure 25 EE, in the cutting of finger 800 or scraping partly under the situation with the spade end, the actuating of cutting or scraping can comprise that a series of shovels dig and topple over motion.Other cutting of finger 800 or scraping part can comprise pin end, osteotome end and security thread end (braided wires end) (not shown).
In use, use finger 800 actuating cuttings or scraping can comprise the cutting of finger 800 or the structure that the experimenter is partly collided in scraping.Colliding described structure can use cutter, hammer the motion translation of y axle (for example along) or the twist motion rotation of x-z direction (for example along) to realize.
As shown in Figure 26 A-C, in an implementation, curet head 106 can from the distal portion of push rod 110 or aforesaid elongated member from.Figure 26 A has shown an implementation, and wherein a plurality of finger 800 can use coupling 900 to be interconnected to push rod 110 or elongated member as a unit.Coupling 900 comprises the finger portions of proximal 901 of shaping push rod or elongated member distal part and complementary shape.In this implementation, the shape of push rod or elongated member distal part and the complementary shape of finger portions of proximal 901 can be any one in many structures, for example include but not limited to buckle, plug in folder, interference fit or other suitable detachable interconnection.Figure 26 C has shown another implementation, and wherein single finger 800 can use coupling 900 to be interconnected to the far-end of push rod 110.In this implementation, coupling 900 also comprises the finger portions of proximal 901 of push rod or elongated member distal part and complementary shape.
As shown in Figure 26 B, coupling 900 can comprise bayonet lock 902 that is attached in the finger portions of proximal 801 and the complementary projection 901 of extending from the distal part of push rod 110 or elongated member.In use, when causing the distal part engagement finger portions of proximal 801 of push rod 110, bayonet lock 902 and projection 901 can reversibly interconnect.Alternatively, in another implementation, bayonet lock 902 is incorporated in the distal part of push rod 110, and projection is extended from finger portions of proximal 801.
In another implementation, coupling 900 is included in the screw thread interconnection portion between finger portions of proximal 801 and push rod or the elongated member distal part.For example, screw thread Nitinol finger portions of proximal 801 can be screwed onto on the distal part of screw thread rustless steel push rod 110.
In another implementation, the distal part of push rod or elongated member can comprise that finger portions of proximal 801 can be interconnected to keyway (not shown) wherein.The distal part of push rod may further include external screw thread and thread lock mechanism, to be used for that one or more finger 800 are fixed to push rod 110.
In further implementation, coupling 900 can comprise interconnection structure, for example comprises squeeze pin (crush-pins), snap fit, leaf spring, magnetic hex union (hex-tips), connector, spherical bayonet lock or curling (not shown) fast.
Refer again to Figure 24 A and C, in an implementation, the finger 800 at curet tip 114 can be deployed into respect to the longitudinal axis of push rod 110 conllinear geometry (referring to Figure 24 A) not substantially from basic conllinear geometry (referring to Figure 24 C).In addition, as shown in Figure 28 A-D, in another implementation, finger 800 can be deployed into respect to the longitudinal axis of push rod 110 conllinear geometry (referring to Figure 28 B-D) not substantially gradually from basic conllinear geometry (referring to Figure 28 A).In the implementation shown in Figure 28 A-D, the axle 400 of Curette system 100 is used for the degree management finger 800 unfolded progresses based on the elastic property of finger 800 and axle 400 sealing finger 800.As shown in Figure 28 A-D, when showing that the length quantity of finger from axle 400 extensions increases, finger 800 is launched to launch to occur (referring to Figure 28 D) up to maximum gradually.Lever 108 by extrusion handle 102 extends finger 800 along y direction translation push rod 110 with the distal part 404 from axle 400.Can incrementally regulate the expansion of finger 800 by translation push rod 110 in axle 400 or aforesaid elongated member, with expansion (referring to Figure 28 A-C) or the expansion (referring to Figure 28 D) fully that the part degree is provided.In another implementation, locking mechanism can be used to allow to increase progressively expansion, and for example 30 ° of finger 800,60 ° and/or 90 ° are hinged.
The intrinsic property that the expansion of the finger 800 at formation curet tip 114 can be interrelated by the material with structure finger 800 produces.For example, under the situation of finger 800 by metal construction, finger 800 can be deployed into owing to the spring-like character of metal specifies the preform shape.Alternatively, under the situation of finger 800, can serviceability temperature change the expansion of regulating finger 800 by shape-memory material (for example Nitinol) structure.
In use, after entering structure, the cutting of finger 800 or scraping part can be used for making space or cavity in described structure, perhaps cutting, scraping or draw deeply ingrained, i.e. osteoclasia (wherein destroyed bone there is no need to be removed).When used herein, " manufacturing space " expression except the inside of expansion skeletal support structure to produce the existing space that comprises the space in the expansion skeletal support structure.Can expect that the skeletal support structure that enters with Curette system 100 can comprise the space before being entered or when being entered.Can expect that further such space existing or that form simultaneously can use curet tip 114 further to expand.
With reference now to Figure 27 A-E,, the various structures of axle 400 can use with the various tectonic associations of push rod 110 or aforesaid elongated member and curet head 106.The typical construction of axle 400 can include but not limited to tubular shafts 400 (referring to Figure 27 A), have axle 400 (referring to Figure 27 B) of Long Circle cross section inner chamber 403, or has axle 400 (referring to Figure 27 C-E) of the one or more perforates 401 that are arranged in a distal part 404.With particular reference to Figure 27 B, in this implementation, axle 400 comprises Long Circle cross section inner chamber 403.When such axle 400 is used in combination with push rod 110 with complimentary geometries or aforesaid elongated member, inner chamber 403 can be used for the motion at a plane directional push-rod 110, therefore the motion of directed curet head 106, make in use, in given plane, can be controlled to prevent to reverse with 106 cuttings of curet head or scraping.
With particular reference to Figure 27 C-E, in an implementation, axle 400 comprises portions of proximal 405, distal part 404 and one or more perforate 401.The finger 800 that perforate 401 provides curet tip 114 is left and reentrant path from the inner chamber 402 of axle.Axle 400 can comprise any amount of perforate 401, for example single perforate 401 or two or more perforates 401.Perforate 401 can be configured to any one in many structures, includes but not limited to slit (one or more), hole (one or more) etc.As shown in Figure 27 D-E, push rod 110 is with curet head 106 and comprise that the combination of the axle 400 of one or more perforates 401 can be constructed and arranged to be used for a structure is carried and be deployed into to curet head 106.
As shown in Figure 27 D-E, the distal part 404 of axle is arranged and constructed into and stops moving of curet tip 114.As shown in Figure 27 E, after curet tip 114 is prevented from, can cause two or more finger 800 to be launched by one or more perforates 401.In use, when push rod 110 is advanced to the distal part 404 of axle with the curet tip 114 that is positioned at far-end, realize launching being prevented from (referring to Figure 27 D) up to moving.Subsequently, as shown in Figure 27 E, the further propelling of push rod 110 causes launching finger 800 by one or more perforates 401.The push-in stroke of push rod 110 in axle 400 can be used to control the expansion of finger 800; Propelling can be passed through lever 108 controls of the handle 102 of extruding Curette system 100.Can be by curet head 106 being positioned at the expansion of incrementally regulating finger 800 in the axle 400, with expansion (not shown) and the expansion (referring to Figure 27 E) fully that the part degree is provided.For example by in axle 400 in opposite direction translation push rod 110 can reverse the expansion process of finger 800.
In last implementation, two or more finger 800 can be formed by the material that includes but not limited to metal, shape memory metal and polymer.In special implementation, shape memory metal is a Nitinol.In addition, the distal part 802 of two or more finger 800 can be interconnected to one or more other finger distal part 802.For example, the distal part 802 of two finger 800 can interconnect.Similarly, the distal part 802 of three or more finger 800 can interconnect (referring to Figure 27 D-E).Alternatively, two finger 800 interconnection and the 3rd or more a plurality of additional finger 800 be included under the situation in the curet tip 114, the distal part 802 of additional finger 800 can be free of attachment to any other finger 800 (not shown)s.Can predict the interconnection with the many combinations that are not connected finger 800 in any one can be included in the curet tip 114.Minimum in an implementation have only two finger 800 to interconnect.
Many embodiment of the present invention are described.Yet, will be understood that and can under the situation that does not break away from the spirit and scope of the present invention, carry out various modifications.Therefore, other embodiment is possible.
Claims (42)
1. device, it comprises:
Head, described head can and be configured to carry out medical procedure around the first axle rotation;
Push rod, it is connected to described head and is connected to handle at near-end at far-end, and described push rod is configured to along the second axis translation that is basically perpendicular to first axle, and wherein said push rod makes described head around the first axle rotation along the translation of second axis;
Described handle comprises:
Pedestal,
Lever, first end of described lever is connected to described pedestal and can rotates around the 3rd axis that is basically perpendicular to second axis at described point of rotation place at point of rotation place, wherein said lever is connected to described push rod at first end, and described lever makes described push rod along the second axis translation around the 3rd axis pivot; And
Locking mechanism, it is configured to described lever lock is fixed on one or more latched positions, and each latched position of wherein said lever is corresponding to the latched position of described head.
2. device according to claim 1, the latched position of wherein said head with respect to second axis basically in the scope of 0-90 degree.
3. device according to claim 1, wherein said locking mechanism are included in the described handle and comprise:
Be included in the ratchet mechanism in the described pedestal; And
Connection element, second end that it is connected to described ratchet mechanism and is connected to described lever at second end at first end;
Wherein said lever is advanced to one or more positions around the rotation of the 3rd axis with described ratchet mechanism, and described lever lock is fixed on one or more latched positions.
4. device according to claim 3, wherein said ratchet mechanism comprises:
Pallet;
The slide link that comprises one or more teeth, described tooth be configured to be included in described pallet in one or more corresponding recesses cooperate; And
Described pallet, it comprise be configured to be included in described slide link in one or more grooves of cooperating of described tooth;
Wherein one or more described teeth are formed at a plurality of positions and the described one or more groove fit that comprises initial position and one or more extended positions, and at least one position is corresponding to the latched position of described lever.
5. device according to claim 4, it further comprises the extension spring of the near-end of the end that is connected in described slide link and described pedestal, described extension spring leans against described tooth pressure on the corresponding recesses of described pallet.
6. device according to claim 5, wherein said pedestal further comprises release member, this release member operationally engages described pallet to carry out the release of described pallet from described slide link, makes described extension spring that described slide link is repositioned at more alternate location near initial position.
7. device according to claim 1, wherein said push rod comprise the cam that is used for described push rod is connected to described head at far-end.
8. device according to claim 1, wherein said head comprises:
Conical body; And
Be connected to the disk of the far-end of described conical body, wherein said disk has dome shape upper surface and has around the circumference of the described disk cutting surfaces of 360 degree basically.
9. device according to claim 1, wherein first axle is basically perpendicular to the 3rd axis.
10. device according to claim 1, wherein first axle is basically parallel to the 3rd axis.
11. a device, it comprises:
Head, it comprises one or more cutting parts and is connected to push rod at near-end;
Be connected to the described push rod of handle at near-end, described push rod is configured to along the first axle translation, and wherein said push rod makes described head along the first axle translation along the translation of first axle;
Described handle comprises:
Pedestal,
Lever, first end of described lever is connected to described pedestal and can rotates around second axis that is basically perpendicular to first axle at the described point of rotation at point of rotation place, wherein said lever is connected to described push rod at first end, and described lever makes described push rod along the first axle translation around second axis pivot; And
Locking mechanism, it is configured to described lever lock is fixed on one or more latched positions, and each latched position of wherein said lever is corresponding to the latched position of described head.
12. device according to claim 11, at least a portion of wherein said head is formed by shape-memory material, make described part at described head under first temperature be in compacted location and under second different temperatures described part of described head be deployed into cutting position, and described head is configured to cutting when described push rod translation and/or rotation.
13. device according to claim 11, wherein said head comprise one group of three or more finger, and one of them or more a plurality of cutting part comprise at least a portion of each finger that is configured for cutting or scraping.
14. device according to claim 13, wherein each finger comprises near-end and far-end, and the interconnection of the far-end of at least two finger.
15. device according to claim 13, wherein at least one finger is not interconnected to another finger at the far-end of described finger.
16. device according to claim 13, the cutting part of at least one in wherein said three or more the finger comprises a part, and this part has from the structure of the group selection of following formation: circular coin end, square coin end, EOC, many EOCs, bent-up end, flat coil end, flat ring end, the curved coin end, coil-end, meander coil end, the hourglass coil-end, osteotome end, whipper end, the burr end, many EOCs, crotch end, sharp tip, hairpin loop end, curved end, press-fit ends, reaping hook end, arc intubate end, crown end, ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
17. device according to claim 13, wherein the described push rod of translation with described three or more finger from be deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of first axle.
18. a method, it comprises:
Be formed into the access path of the intravital position of patient;
The head of armarium is incorporated into described position by described access path, and described armarium comprises:
Head, described head can and be configured to carry out medical procedure around the first axle rotation;
Push rod, it is connected to described head and is connected to handle at near-end at far-end, and described push rod is configured to along the second axis translation that is basically perpendicular to first axle, and wherein said push rod makes described head around the first axle rotation along the translation of second axis;
Described handle comprises:
Pedestal,
Lever, first end of described lever is connected to described pedestal and can rotates around the 3rd axis that is basically perpendicular to second axis at the described point of rotation at point of rotation place, wherein said lever is connected to described push rod at first end, and described lever makes described push rod along the second axis translation around the pivot of the 3rd axis; And
Locking mechanism, it is configured to described lever lock is fixed on one or more latched position, and each latched position of wherein said lever is corresponding to the latched position of described head; And
Pivot described lever with along the described push rod of the second axis translation around the 3rd axis, around first axle described head is rotated to and the described push rod expanding position of conllinear not from the initial position with the basic conllinear of described push rod thus.
19. method according to claim 18, the access path that wherein is formed into described position comprise intubate is inserted the described position of arrival in patient's body, described intubate comprises the inner chamber that is configured to receive described armarium.
20. method according to claim 18, wherein said head comprises cutting part, and described method further comprises:
Engage described locking mechanism with the locking position of described head at expanding position; And
Move cutting part expansion existing cavity or the manufacturing cavity of described armarium in order to the described head in the described position that is used in patient body.
21. method according to claim 20, wherein move described armarium and comprise with respect to patient's body rotation, tractive and/or promote described armarium, thus rotation, tractive and/or promote the cutting part of described head in the described position of patient body.
22. method according to claim 18, it further comprises:
Break away from described locking mechanism;
Pivot described lever with along the described push rod of the second axis translation around the 3rd axis, and thus described head is rotated to initial position with the basic conllinear of described push rod around first axle; And
In patient's body, extract described armarium by access path out.
23. a device, it comprises:
Elongated member, it comprises first group of three or more finger, described finger is positioned at the tip far away of the still contiguous described elongated member of distal region of described elongated member, wherein each finger comprises near-end and far-end, and the far-end of at least two finger is connected to the tip far away of described elongated member, and wherein at least a portion of each finger is configured for cutting or scraping.
24. device according to claim 23, wherein said three or more finger are configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from a group that bone, cartilage and ossified derivant thereof, membrane bone and replacing bone are formed.
25. device according to claim 23, wherein at least one finger is not connected to the tip far away of described elongated member at the far-end of this finger.
26. device according to claim 23, wherein said elongated member is made of the material that is selected from the group that metal, shape-memory material and polymer form.
27. device according to claim 23, at least one in wherein said three or more the finger comprise cutting or scraping part, this part has the structure of selecting by in the following group of forming: circular coin end, square coin end, EOC, many EOCs, bent-up end, flat coil end, flat ring end, the curved coin end, coil-end, meander coil end, the hourglass coil-end, osteotome end, whipper end, the burr end, many EOCs, crotch end, sharp tip, hairpin loop end, curved end, press-fit ends, reaping hook end, arc intubate end, crown end, ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
28. device according to claim 23, wherein said three or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.
29. device according to claim 23, wherein said elongated member further comprises:
Second group of three or more finger, its contiguous first group of three or more finger location, wherein each finger comprises near-end and far-end, and the far-end of at least two finger is connected to described elongated member, and wherein at least a portion of each finger is configured for cutting or scraping.
30. device according to claim 29, wherein second group of three or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.
31. a device, it comprises:
Intubate, it comprises inner chamber and extends to one or more perforates of the outer surface of the distal part that is positioned at described intubate from described inner chamber;
Be positioned in the elongated member of the interior intracavity of described intubate, described elongated member comprises:
Two or more finger, it is positioned in the tip far away of the still contiguous described elongated member of distal region of described elongated member, wherein each finger comprises near-end and far-end, and the far-end of at least one finger is connected to the tip far away of described elongated member, and wherein each finger comprises the cutting part that is configured for cutting or scraping;
Wherein said elongated member is positioned in the described intubate, makes the described cutting part of described finger to launch by the described one or more perforates in the described intubate.
32. device according to claim 31, the distal part of wherein said intubate are configured to stop the moving of tip far away of described elongated member.
33. device according to claim 32, wherein when the distal part of described intubate stoped tip far away mobile of described elongated member, the cutting part of described two or more finger launched by described one or more perforates.
34. device according to claim 31, described two or more finger of wherein said elongated member are made up of the material that is selected from the group that metal, shape-memory material and polymer form.
35. device according to claim 31, the distal part of at least one finger of wherein said elongated member are free of attachment to the tip far away of described elongated member.
36. device according to claim 31, wherein said two or more finger are configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from the group that bone, cartilage and ossified derivant thereof, membrane bone and replacing bone are formed.
37. a device, it comprises:
Elongated member, it is formed by shape-memory material and comprises one group of two or more finger, described finger is positioned in the tip far away of the still contiguous described elongated member of distal region of described elongated member, wherein each finger comprises near-end and far-end, and the far-end of at least one finger is connected to the tip far away of described elongated member, and wherein at least a portion of each finger is configured for cutting or scraping.
38. according to the described device of claim 37, wherein said two or more finger are made up of the material that is selected from the group that metal, shape-memory material and polymer form.
39. according to the described device of claim 37, wherein said two or more finger can be separated with described elongated member.
40. according to the described device of claim 37, wherein one or more described finger comprise cutting or scraping part, this part has the structure of selecting from the group of following formation: circular coin end, square coin end, EOC, many EOCs, bent-up end, flat coil end, flat ring end, the curved coin end, coil-end, meander coil end, the hourglass coil-end, osteotome end, whipper end, the burr end, many EOCs, crotch end, sharp tip, hairpin loop end, curved end, press-fit ends, reaping hook end, arc intubate end, crown end, ailhead hammer tip, helicopter end, cross end, spade end and multiwindow pipe end.
41. according to the described device of claim 37, wherein said two or more finger can be from being deployed into substantially not conllinear geometry with respect to the basic conllinear geometry of the longitudinal axis of described elongated member.
42. according to the described device of claim 37, wherein said two or more finger are configured for cutting or scraping experimenter's inner skeleton supporting construction, and described structure is selected from the group that bone, cartilage and ossified derivant thereof, membrane bone and replacing bone are formed.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US69835405P | 2005-07-11 | 2005-07-11 | |
| US60/698,354 | 2005-07-11 | ||
| US60/698,408 | 2005-07-11 | ||
| US60/756,677 | 2006-01-06 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101272741A true CN101272741A (en) | 2008-09-24 |
Family
ID=40006292
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA2006800254656A Pending CN101272741A (en) | 2005-07-11 | 2006-07-06 | Curette system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101272741A (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105101892A (en) * | 2012-12-05 | 2015-11-25 | 史密夫和内修有限公司 | Surgical instrument |
| CN113476144A (en) * | 2021-08-23 | 2021-10-08 | 上海生知医疗科技有限公司 | Multi-degree-of-freedom portable minimally invasive surgery mechanical arm |
| TWI785786B (en) * | 2021-09-09 | 2022-12-01 | 邁斯科生醫股份有限公司 | Vascular clip applier with counting function |
| CN115969463A (en) * | 2023-02-02 | 2023-04-18 | 北京新云医疗科技有限公司 | Bone tissue resection device |
-
2006
- 2006-07-06 CN CNA2006800254656A patent/CN101272741A/en active Pending
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105101892A (en) * | 2012-12-05 | 2015-11-25 | 史密夫和内修有限公司 | Surgical instrument |
| CN113476144A (en) * | 2021-08-23 | 2021-10-08 | 上海生知医疗科技有限公司 | Multi-degree-of-freedom portable minimally invasive surgery mechanical arm |
| TWI785786B (en) * | 2021-09-09 | 2022-12-01 | 邁斯科生醫股份有限公司 | Vascular clip applier with counting function |
| CN115969463A (en) * | 2023-02-02 | 2023-04-18 | 北京新云医疗科技有限公司 | Bone tissue resection device |
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