Tissue removal system with retention mechanism
Systems and methods for minimally invasive discectomy procedures are described herein. In some variations, a tissue removal system may comprise a handheld housing, an outer shaft comprising a distal portion and a proximal portion coupled to the handheld housing, a distal sheath coupled to the distal portion of the outer shaft, a motor, an inner shaft coupled to the motor, where the inner shaft is located partially within the outer shaft and partially within the distal sheath, a tip portion coupled to a distal portion of the inner shaft, and an elongate member distally extending through a distal opening of the inner shaft, the elongate member having a retracted configuration and an extended configuration, where the distal sheath comprises at least one element (e.g. at least one protrusion) that engages the tip portion to couple the tip portion to the distal sheath.
1. A tissue removal system, comprising:
a handheld housing;
an outer shaft comprising a distal portion and a proximal portion, the proximal portion coupled to the handheld housing;
a distal sheath coupled to the distal portion of the outer shaft;
a motor;
an inner shaft including a lumen having a distal opening, the inner shaft coupled to the motor, the inner shaft being located partially within the outer shaft and partially within the distal sheath, the distal sheath including a cylindrical portion extending circumferentially about the inner shaft;
a tip portion having a proximal end, a side opening, and a lumen extending therebetween, the tip portion coupled to a distal portion of the inner shaft; and
an elongate member slidably coupled to the lumen of the inner shaft and the lumen of the tip portion, the elongate member configured to slidably extend through the tip portion, the elongate member having a retracted configuration and an extended configuration,
wherein the distal sheath comprises at least one element that engages the tip portion to couple the tip portion to the distal sheath.
2. The system of claim 1 , wherein the at least one element comprises at least one protrusion extending from an inner surface of the distal sheath.
3. The system of claim 2 , wherein the at least one protrusion comprises a plurality of protrusions.
4. The system of claim 3 , wherein the at least one protrusion comprises four protrusions.
5. The system of claim 1 , wherein the coupling between the tip portion and the distal sheath defines at least one aspiration port therebetween.
6. The system of claim 5 , wherein the coupling between the tip portion and the distal sheath defines a plurality of aspiration ports therebetween.
7. The system of claim 1 , wherein the distal sheath comprises a wall portion having at least one aperture therethrough.
8. The system of claim 7 , wherein the wall portion has a plurality of apertures therethrough.
9. The system of claim 8 , wherein the wall portion has two apertures therethrough.
10. The system of claim 1 , further comprising a stop member coupled to the tip portion.
11. The system of claim 1 , further comprising a tissue transport assembly.
12. The system of claim 11 , wherein the tissue transport assembly comprises the inner shaft and a helical member coupled to the inner shaft.
13. The system of claim 11 , wherein the tissue transport assembly comprises the inner shaft and a helical member integral with the inner shaft.
14. A tissue removal system, comprising:
a handheld housing;
an outer shaft comprising a distal portion and a proximal portion coupled to the handheld housing;
a distal sheath coupled to the distal portion of the outer shaft;
a motor;
an inner shaft including a lumen having a distal opening, the inner shaft coupled to the motor, the inner shaft being located partially within the outer shaft and partially within the distal sheath, the distal sheath including a cylindrical portion extending circumferentially about the inner shaft;
a tip portion having a proximal end a side openg and a lumen extending therebetween the tip portion coupled to a distal portion of the inner shaft;
a stop member coupled to the tip portion; and
an elongate member slidably coupled to the lumen of the inner shaft and the lumen of the tip portion, the elongate member configured to slidably extend through the tip portion, the elongate member having a retracted configuration and an extended configuration.
15. The system of claim 14 , wherein the stop member surrounds an outer surface of the tip portion.
16. The system of claim 15 , wherein the stop member is annular.
17. The system of claim 16 , wherein the stop member is beveled.
18. The system of claim 14 , further comprising a tissue transport assembly.
19. The system of claim 18 , wherein the tissue transport assembly comprises the inner shaft and a helical member coupled to the inner shaft.
20. The system of claim 18 , wherein the tissue transport assembly comprises the inner shaft and a helical member integral with the inner shaft.
21. A tissue removal system, comprising:
a handheld housing;
an outer shaft comprising a distal portion and a proximal portion coupled to the handheld housing;
a distal sheath coupled to the distal portion of the outer shaft;
a motor;
an inner shaft including a lumen having a distal opening, the inner shaft coupled to the motor, the inner shaft being located partially within the outer shaft and partially within the distal sheath, the distal sheath including a cylindrical portion extending circumferentially about the inner shaft;
a tip portion having a proximal end, a side opening, and a lumen extending therebetween, the tip portion coupled to a distal portion of the inner shaft, the tip portion including a stop member;
an elongate member slidably coupled to the lumen of the inner shaft and the lumen of the tip portion, the elongate member configured to slidably extend through the side opening of the tip portion, the elongate member having a retracted configuration and an extended configuration,
wherein the stop member of the tip portion is configured to limit proximal movement by the inner shaft.