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 distal end and a distal opening about the distal end;
a cutting mechanism;
an extension mechanism having a distal end coupled to the cutting mechanism, the extension mechanism configured to extend and retract in the distal opening of the rotatable shaft;
a support mechanism having a proximal portion coupled to the rotatable shaft and a distal portion coupled to the cutting mechanism, the support mechanism having a generally fixed length between the proximal portion and the distal portion, such that a portion of the distal end of the extension mechanism distal to the distal opening of the rotatable shaft 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 proximal portion includes a first attachment to the rotatable shaft and a second attachment to the shaft.
6. The device of claim 5 , wherein the first and second attachments to the rotatable shaft comprise pivot joint attachments.
7. The device of claim 5 , wherein the distal portion of the support mechanism comprises a middle segment between the first attachment the second attachment.
8. The device of claim 1 , wherein the cutting mechanism comprises a first cutting edge.
9. The device of claim 8 , wherein the first cutting edge is an arcuate cutting edge.
10. The device of claim 8 , wherein the cutting mechanism further comprises a second cutting edge located between the first cutting edge and the rotatable shaft.
11. The device of claim 8 , wherein the cutting mechanism further comprises a second cutting edge located between the first cutting edge and the extension mechanism.
12. The device of claim 11 , wherein the cutting mechanism further comprises a first lumen located between the first cutting edge and the second cutting edge.
13. The device of claim 12 , wherein the cutting mechanism further comprises a second lumen in which at least one of the extension mechanism and the support mechanism resides.
14. The device of claim 8 , wherein the cutting mechanism further comprises a retaining lumen in which at least one of the extension mechanism and the support mechanism resides.
15. The device of claim 8 , 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.
16. The device of claim 1 , wherein the rotatable shaft further comprises a transport mechanism proximal to the proximal attachment of the support mechanism.
17. The device of claim 16 , wherein the transport mechanism is a helical transport mechanism.
18. The device of claim 17 , wherein the rotatable shaft comprises a multifilament cable.
19. The device of claim 17 , wherein the rotatable shaft comprises a flexible rotatable cable.
20. The device of claim 1 , further comprising a tube in which the rotatable shaft resides.
21. The device of claim 20 , wherein the tube comprises a curved segment.
22. The device of claim 20 , further comprising a travel limiter configured to slidably receive the tube.
23. The device of claim 1 , further comprising a collection chamber in which a portion of the rotatable shaft resides.