Blade debrider
Systems and methods for treating disc herniation or degeneration, disc degeneration, and vertebral body fracture include surgical and endoscopic access and removal of disc tissue. The tissue removal devices that may be used include rotatable blade devices having flow control surfaces that may be inserted into a vertebral disc and rotated to pulverize the disc material and facilitate its removal.
1. A discectomy system, comprising:
a proximal handheld housing including a motor;
an outer shaft attached to the handheld housing;
an inner shaft located within the outer shaft and including a proximal section coupled to the motor;
a tissue removal assembly comprising a cutting block element, including:
an inner section attached to a distal section of the inner shaft;
an outer section spaced from the inner shaft;
a cutting structure comprising a leading edge, a trailing surface and a trailing edge, wherein at least a portion of the trailing edge being located radially inward relative to the leading edge; and
a flow control structure comprising a leading edge, a trailing edge, and a flow control surface located between the leading edge and trailing edge of the flow control structure, the flow control surface having a length greater than a length of a radial line extending from the inner shaft to the leading edge of the cutting structure.
2. The discectomy system of claim 1 , wherein an average diameter of the outer shaft is less than about 3 mm.
3. The discectomy system of claim 1 , wherein an average diameter of the inner shaft is less than about 2 mm.
4. The discectomy system of claim 1 , wherein the leading edge of the cutting structure has a linear configuration.
5. The discectomy system of claim 1 , wherein the trailing surface of the cutting structure has a planar configuration.
6. The discectomy system of claim 1 , wherein the leading edge of the flow control structure has a generally transverse orientation with respect to the inner shaft.
7. The discectomy system of claim 1 , wherein the leading edge of the flow control structure is transverse to the leading edge of the cutting structure.
8. The discectomy system of claim 1 , wherein the flow control surface of the flow control structure has a planar configuration.
9. The discectomy system of claim 1 , wherein the flow control structure further comprises a distal edge and a proximal edge.
10. The discectomy system of claim 1 , wherein the tissue removal assembly is asymmetrically configured with respect to the inner shaft.