Tissue localizing and separating assembly
View Patent ↗A tissue separator assembly has an elongate tubular member and a tissue separator device located at a distal end of the elongate tubular member. An elongate coupler extends through the lumen of the elongate tubular member and has a distal coupler end. A tissue localization assembly has an elongate member and a localization device located at the distal end of the elongate member. The localization device may be movable from a first, radially-contracted state to a second, radially-expandable state. The distal coupler end of the elongate coupler and the proximal end of the elongate tubular member of the localization assembly are joinable to one another to permit docking of the tissue localization assembly to the tissue separator assembly. Methods of use of this device are also described.
1. A tissue localizing and separating assembly comprising:
a tissue separator assembly comprising:
an elongate tubular member comprising a proximal end, a distal end, and a lumen therebetween;
a tissue separator device located near the distal end of the elongate tubular member;
an elongate coupler extending through the lumen of the elongate tubular member and having a distal coupler end; and
a tissue localization assembly comprising an elongate member and a localization device, wherein the elongate member has a proximal end and a distal end, and wherein the localization device is located at the distal end of the elongate member;
wherein the distal coupler end and the proximal end of the elongate member of the tissue localization assembly are joinable to one another to permit the distal coupler end and the proximal end of the elongate member of the tissue localization assembly to be joined and moved into the lumen of the elongate tubular member thereby docking the tissue localization assembly to the tissue separator assembly.
2. The assembly according to claim 1 , wherein the tissue separator device comprises a distal separator part movable between a retracted state, towards the elongate tubular member, and a radially operational state, away from the elongate tubular member.
3. The assembly according to claim 2 , wherein the tissue separator assembly further comprises an introducer sheath within which the elongate tubular member is rotatably mounted and wherein the distal separator part is movable radially outwardly to the operational state.
4. The assembly according to claim 1 , wherein the elongate coupler comprises a flexible wire and the distal coupler end comprises a wire loop.
5. The assembly according to claim 1 , wherein the tissue localization assembly is movable from a first, radially-contracted state to a second, radially-expanded state.
6. The assembly according to claim 5 , wherein the tissue localization assembly comprises a hollow sheath housing a pull wire, the pull wire having a recurved end constituting said proximal localization assembly end.
7. The assembly according to claim 1 , wherein the tissue separator assembly comprises a proximal end opening through which the elongate coupler passes.
8. The assembly according to claim 1 , wherein the tissue separator assembly further includes a handle, the handle having a proximal end opening.
9. The assembly according to claim 1 , wherein the elongate coupler includes an engagement element engageable with the tissue separator assembly when the distal separator device is adjacent to the localization device.
10. The assembly according to claim 9 , wherein the engagement element comprises a spring element carried by the elongate coupler.
11. The assembly according to claim 1 , wherein the tissue separator assembly comprises:
a tissue-energizing circuit comprising an energy source and a force-sensitive switch selectively coupling the tissue separator device to the energy source; and
said force-sensitive switch operably coupled to the tissue separator assembly so that when a driving force applied to the tissue separator device exceeds a level, said switch closes permitting energy from the energy source to reach the distal end of tissue separator device, thereby aiding passage of the tissue separator device through the tissue.
12. A method for docking a tissue separator assembly to a tissue localization assembly comprising:
providing a tissue separator assembly comprising an elongate tubular member and a tissue separator device, wherein the elongate tubular member comprises a proximal end, a distal end, and a lumen therebetween, and the tissue separator device is located near the distal end of the elongate tubular member;
directing a tissue localization assembly along a tissue track to a position at a target site, the tissue localization assembly comprising an elongate member and a localization device, wherein the elongate member has a proximal end and a distal end, and wherein the localization device is located at the distal end of the elongate member;
changing the localization device from a first, radially-contracted state to a second, radially-expanded state;
joining a distal end of an elongate coupler to the proximal end of the elongate member of the tissue localization assembly, the elongate coupler passing through the lumen of the elongate tubular member of the tissue separator assembly; and
moving the joined proximal and distal ends into the lumen of the elongate tubular member of the tissue separator assembly, thereby docking the tissue localization assembly and the tissue separator assembly.
13. The method according to claim 12 , wherein the joining step comprises engaging a coupler loop at the distal end of the elongate coupler to a recurved element at the proximal end of the tissue localization assembly.
14. The method according to claim 12 , wherein the directing step is carried out so that the localization device is directed to a position distal of the target site.