Devices and methods for arched roof cutters
Disclosed herein are tissue-removal devices and methods for treating spinal diseases using such devices. The tissue-removal devices may comprise a cable and/or extendable elements with a retracted and a deployed configuration. The cable and/or extendable elements may be distally supported and restrained by a support element such that the support element may be pushed transversely away when the extendable element is distally extended into its deployed configuration. An annular cutting element may be provided about the distal end of the extendable element or the support element. Various configurations of the extendable and support elements are described herein, as well as methods of using tissue-removal devices with extendable and support elements coupled by an annular cutting element for treating spinal diseases.
1. A device, comprising:
a rotatable shaft having a proximal end, a distal end and a distal opening about the distal end;
an extension mechanism having a distal end, the extension mechanism configured to extend and retract in the distal opening of the rotatable shaft;
a support mechanism having a proximal attachment to the rotatable shaft, the proximal attachment of the support mechanism having a first attachment and a second attachment, the support mechanism configured to extend from the first attachment to the second attachment;
a cutting mechanism coupled to the extension mechanism and the support mechanism; and
a control at the proximal end of the rotatable shaft, wherein the control is configured to manipulate the extension mechanism,
wherein the support mechanism comprises a distal attachment to at least one of the extension mechanism and the cutting mechanism and wherein the support mechanism comprises a generally fixed length between its proximal attachment and distal attachment, such that the distal end of the extension mechanism deflects as the extension mechanism extends in the distal opening of the rotatable shaft.
2. The device of claim 1 , wherein the extension mechanism comprises an elongate member with a resilient, non-linear extended configuration and a generally straightened retracted configuration.
3. The device of claim 2 , wherein the elongate member is a looped elongate member.
4. The device of claim 3 , wherein the looped elongate member is a fused looped elongate member.
5. The device of claim 1 , wherein the first attachment and the second attachment comprise pivot joint attachments.
6. The device of claim 1 , wherein the distal attachment of the support mechanism comprises a middle segment between the first attachment the second attachment.
7. The device of claim 1 , wherein the cutting mechanism comprises a first cutting edge.
8. The device of claim 7 , wherein the first cutting edge is an arcuate cutting edge.
9. The device of claim 7 , wherein the cutting mechanism further comprises a second cutting edge located between the first cutting edge and the rotatable shaft.
10. The device of claim 7 , wherein the cutting mechanism further comprises a second cutting edge located between the first cutting edge and the extension mechanism.
11. The device of claim 10 , wherein the cutting mechanism further comprises a first lumen located between the first cutting edge and the second cutting edge.
12. The device of claim 1 , wherein the cutting mechanism further comprises a second lumen in which at least one of the extension mechanism and the support mechanism resides.
13. The device of claim 7 , wherein the cutting mechanism further comprises a retaining lumen in which at least one of the extension mechanism and the support mechanism resides.
14. The device of claim 7 , wherein the first cutting edge is generally oriented in a first plane that is substantially transverse to a second plane that is transverse to a rotation axis of the rotatable shaft.
15. The device of claim 1 , wherein the rotatable shaft further comprises a transport mechanism proximal to the proximal attachment of the support mechanism.
16. The device of claim 15 , wherein the transport mechanism is a helical transport mechanism.
17. The device of claim 6 , wherein the rotatable shaft comprises a multifilament cable.
18. The device of claim 6 , wherein the rotatable shaft comprises a flexible rotatable cable.
19. The device of claim 1 , further comprising a tube in which the rotatable shaft resides.
20. The device of claim 19 , wherein the tube comprises a curved segment.
21. The device of claim 19 , further comprising a travel limiter configured to slidably receive the tube.
22. The device of claim 1 , further comprising a collection chamber in which a portion of the rotatable shaft resides.
23. The device of claim 1 , wherein the support mechanism includes a first arm and a second arm, the first arm extending from the first attachment to a first location at the distal attachment of the support mechanism and the second arm extending from the second attachment to a second location at the distal attachment of the support mechanism.
24. A device, comprising:
a rotatable shaft having a proximal end, a distal end and a distal opening about the distal end, the rotatable shaft having a central axis at the distal opening;
an extension mechanism having a distal tip, the extension mechanism configured to extend and retract in the distal opening of the rotatable shaft;
a support mechanism having a proximal attachment to the rotatable shaft;
a cutting mechanism coupled to the extension mechanism and the support mechanism; and
a control at the proximal end of the rotatable shaft, wherein the control is configured to manipulate the extension mechanism,
wherein the support mechanism comprises a distal attachment to at least one of the extension mechanism and the cutting mechanism, and wherein the support mechanism comprises a generally fixed length between its proximal attachment and distal attachment, such that the distal tip of the extension mechanism is displaced a distance from the central axis of the rotating shaft as the extension mechanism extends out the distal opening of the rotatable shaft.
25. The device of claim 24 , wherein the extension mechanism comprises an elongate member with a resilient, non-linear extended configuration and a generally straightened retracted configuration.
26. The device of claim 25 , wherein the elongate member is a looped elongate member.
27. The device of claim 26 , wherein the looped elongate member is a fused looped elongate member.
28. The device of claim 24 , wherein the proximal attachment of the support mechanism includes a first attachment and a second attachment.
29. The device of claim 28 , wherein the first attachment and the second attachment comprise pivot joint attachments.
30. The device of claim 28 , wherein the distal attachment of the support mechanism comprises a middle segment between the first attachment the second attachment.
31. The device of claim 24 , wherein the cutting mechanism comprises a cutting edge.
32. The device of claim 31 , wherein the cutting edge is an arcuate cutting edge.
33. The device of claim 31 , wherein the cutting edge is a first cutting edge, the cutting mechanism further comprising a second cutting edge located between the first cutting edge and the rotatable shaft.
34. The device of claim 31 , wherein the cutting edge is a first cutting edge, the cutting mechanism further comprising a second cutting edge located between the first cutting edge and the extension mechanism.
35. The device of claim 31 , wherein the cutting edge is generally oriented in a first plane that is substantially transverse to a second plane that is transverse to a rotation axis of the rotatable shaft.
36. The device of claim 24 , wherein the rotatable shaft further comprises a transport mechanism proximal to the proximal attachment of the support mechanism.
37. The device of claim 36 , wherein the transport mechanism is a helical transport mechanism.
38. The device of claim 37 , wherein the rotatable shaft comprises a multifilament cable.
39. The device of claim 37 , wherein the rotatable shaft comprises a flexible rotatable cable.
40. The device of claim 24 , further comprising a tube in which the rotatable shaft resides.
41. The device of claim 40 , further comprising a travel limiter configured to slidably receive the tube.
42. The device of claim 24 , further comprising a collection chamber in which a portion of the rotatable shaft resides.