摘要:
A method for performing a surgical procedure on tissue at a target site of a patient includes providing a surgical cutting instrument including an outer tube, inner wire assembly and a cutting tip. The outer tube defines a curved segment. The inner wire assembly is rotatably disposed within the outer tube. The cutting tip is connected to the inner wire assembly and positioned at a distal end of the outer tube. The tissue at the target site is exposed and the cutting tip is deployed against the tissue. The method further includes rotating the inner wire assembly relative to the outer tube at speeds in excess of 50,000 RPM such that the cutting tip removes contacted tissue.
摘要:
A tissue cutting device that is especially suited for neurosurgical applications is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. The device is configured to provide multiple functions during a surgical procedure, in addition to resecting tissue, with a single insertion of the device into a patient.
摘要:
An elongate tubular body with a rotatable cutting element is provided. An opening is provided near the distal end of the tubular body, and the cutting element may be partially exposed through the opening. The cutting element is configured to remove plaque from the wall of a body lumen. A distal segment may be coupled to the distal end of the tubular body and may have a distal port for slidably receiving a guidewire therethrough.
摘要:
A surgical instrument system functional in multiple orthopedic applications, including but not limited to shoulder, knee, hip, wrist, ankle, spinal, or other joint procedures. The system comprises a cutting head which includes jaw members which may be urged between open and closed positions to providing a biting or chewing action for removal of targeted tissues. The instrument system is configured to be driven by an attached hub that translates a rotational movement into a reciprocating motion to open and close the jaw members. Suction for removal of bone fragments or other tissues is provided through a suction opening.
摘要:
A cable includes a first layer of wire helically wound to define a lumen having a lumen diameter. A second layer of wire is helically wound over the first layer. A first end segment of the second layer is configured with a plurality of strands that are fused together. A second end segment of the second layer is configured with a plurality of strands that are fused together.
摘要:
A rotational atherectomy device for abrading a stenotic lesion from a vessel of a patient comprises a flexible drive shaft (1) which extends towards a distal end of the device, a distal fluid inflatable support element (3, 3″) located at a distal end of the drive shaft and an abrasive element (5) mounted to the drive shaft proximal to and spaced away from the distal fluid inflatable support element. Both the abrasive element and the distal fluid inflatable support element are rotatable together with the drive shaft and the drive shaft comprises a torque transmitting coil (2) which defines a long lumen of the drive shaft. The distal fluid inflatable support element is formed from a fluid impermeable membrane (9, 9″) that crosses a longitudinal axis (x-x) common to the torque transmitting coil and the lumen of the drive shaft at the distal end of the device, thereby preventing pressurized fluid flowing along the lumen of the drive shaft from entering the vessel in the direction of said longitudinal axis so that fluid has to pass through the fluid inflatable support element, inflating said support element and exiting from the device through an outflow opening (66) in the fluid inflatable support element in a direction different from the direction of the longitudinal axis of the coil and the lumen.
摘要:
The medical handpiece of the present invention has a cutting tool having a flexible shank and a bur provided at the distal end of the cutting tool for cutting an affected area, a tubular sheath for receiving the cutting tool therein, and a handpiece body for detachably holding the proximal end of the cutting tool and transmitting driving force from a drive source to the cutting tool. The sheath and the cutting tool are made flexible for a particular range, with the sheath being plastically deformable and the shank of the cutting tool being elastically deformable. The medical handpiece is further provided with a plurality of bearings arranged in the sheath, first interposed members that are tubular and flexible and arranged proximal to, distal to, and between the bearings, and second interposed members that are tubular and flexible and arranged inside the first interposed members.
摘要:
The invention relates to a medical instrument for cutting biological and especially human tissue, having a hollow cutting tube that can rotate by means of an engine around its longitudinal axis, on whose distal end at least one blade is mounted, as well as with a handle in which the cutting tube is mounted for control purposes. In order to produce a medical instrument for cutting biological and especially human tissue in which the powering of the cutting tube is of simple construction and involves minor losses of capacity, it is proposed with the invention that the engine is configured as a hollow-shaft engine mounted on the cutting tube.
摘要:
Devices, systems, and methods are employed to perform an atherectomy in an identified region to restore patency to arterial lesions. A bioactive material is introduced into the identified region before, after or during performing the atherectomy. The bioactive material can be introduced, e.g., on a balloon coated with the bioactive material, which is expanded in contact with the identified region to deliver the bioactive material. The bioactive material can be, e.g., at least one of a restenosis-inhibiting agent, a thrombus-inhibiting agent, and an anti-inflammatory agent.
摘要:
Devices, systems, and methods are employed to restore patency to arterial lesions, e.g., by debulking restenosis in a blood vessel or within a stent or coil.