ANGLED GRINDER
A tissue removal system comprises a rotatable burr element located within a distal housing and a burr opening. The burr opening is located about a distal surface and side surface of the distal housing. The distal housing is configured to bend or pivot with respect to a proximal housing. The proximal housing comprises an auger hole configured to draw fluid and particulate matter for transport proximally along the length of the tissue removal system. A linkage assembly attaches a drive shaft of the tissue removal assembly to the rotatable burr element to permit rotation of the rotatable burr element when the distal housing is bent or pivoted.
1 . A burr system, comprising:
a proximal handle with a trap cavity;
an outer shaft attached to the proximal handle and movably coupled to a deflectable burr housing;
a rotatable burr located in the burr housing and protruding from a burr opening located along a side wall and a distal end of the distal housing;
a drive shaft comprising a rotational axis and configured to be axially displaceable and rotatably coupled to a motor located in the proximal handle; and
a coupling element pivotably coupled to the threaded drive shaft and the rotatable burr.
2 . The burr system of claim 1 , wherein the coupling element is pivotably coupled to the threaded drive shaft and the rotatable burr with a wire clip.
3 . The burr system of claim 1 , wherein the outer shaft is movably coupled to the deflectable burr housing with a pivot joint.
4 . The burr system of claim 3 , wherein the pivot joint comprises a pivot axis that is located about 0.1 mm to about 7 mm from the rotational axis of the drive shaft.
5 . The burr system of claim 1 , wherein the coupling element is configured with a variable rotation axis with respect to the rotational axis of the drive shaft.
6 . The burr system of claim 5 , wherein the variable rotation axis of the coupling element has a variable angle with respect to the rotational axis of the drive shaft in the range of about 0 degrees to about 90 degrees.
7 . The burr system of claim 1 , wherein the coupling element is configured with a variable rotation axis with respect to the rotational axis of the rotatable burr.
8 . The burr system of claim 7 , wherein the variable rotation axis of the coupling element has a variable angle with respect to the rotational axis of the rotatable burr in the range of about 0 degrees to about 90 degrees.
9 . The burr system of claim 1 , wherein the coupling element is configured to transmit torque from the drive shaft to the rotatable burr while free to rotate about variable rotational axis relative to the rotational axis of the drive shaft.
10 . The burr system of claim 1 , wherein the coupling element is linked to the drive shaft and the rotatable burr by a proximal arcuate member and a distal arcuate member.
11 . The burr system of claim 10 , wherein:
the proximal arcuate member is fixedly attached to the drive shaft in a first plane; and
the distal arcuate member if fixedly attached to the coupling element in a second plane that is generally transverse to the first plane.
12 . The burr system of claim 11 , wherein the first plane and the second plane maintain a generally transverse relationship during rotation of the coupling element.
13 . The burr system of claim 1 , where the drive shaft is a threaded drive shaft.
14 . A method of treating a patient, comprising:
inserting a shaft of a burr system into a patient;
removing a first calcified material using a burr of the burr system;
deflecting the burr relative to the shaft; and
removing a second calcified material using the deflected burr.
15 . The method of claim 14 , further comprising:
passing the burr system through an endoscopic retractor; and
positioning a retractor element of the endoscopic retractor between the first calcified material and an adjacent neural structure.