Biological unit removal tools and methods
Tools and methods are provided for removing biological units from a body surface utilizing a removal tool. The tools may incorporate retention members and mechanisms configured to impede movement of the biological unit in the direction of a distal end of the tool and to improve retention of the biological unit in the tool. Some of the retention members are stationary and some are movable within the lumen of the biological unit removal tools. The distal tips of the tools are desirably configured to reduce the chance of transection of a biological unit, such as by including both cutting segments and blunt relief segments. A number of dual concentric tube embodiments permit a division of removal functions. Distal fluid or gas delivery may be used to help separating biological units from surrounding tissue.
1. A method of removing biological tissue from a donor area, comprising:
rapidly advancing an outer elongated body to penetrate the donor area, the outer elongated body having a distal tip configured to cut through tissue;
halting the advancement of the outer elongated body at a first depth;
advancing an inner elongated body having a lumen sized to receive a biological unit more slowly than the rapid advancement of the outer elongated body and concentrically relative to the outer elongated body so that a distal tip of the inner elongated body extends past the first depth to a second depth, the distal tip of the inner elongated body being relatively more dull than the distal tip of the outer elongated body; and
withdrawing the inner and outer elongated bodies to remove the biological unit from the donor area.
2. The method of claim 1 , wherein the inner and the outer elongated bodies are simultaneously withdrawn, or withdrawing of the inner elongated body is initiated after or before the withdrawal of the outer elongated body is initiated.
3. The method of claim 1 , wherein the method is performed manually, semi-automatically, fully automated, or comprises the use of a robotic system.
4. The method of claim 1 , comprising rotating the inner elongated body, the outer elongated body, or both at least during a portion of advancement into the donor area.
5. The method of claim 1 , comprising rotating the inner and/or the outer elongated body off the axis relative to the other to cause the respective elongated body to wobble.
6. The method of claim 1 , comprising supplying a fluid or gas under pressure to the distal tip of one or both of the outer and inner elongated bodies.
7. The method of claim 6 , comprising actuating a fluid dispensing subsystem using one or more computer-controlled mechanisms.
8. The method of claim 1 , wherein the biological unit is a follicular unit and wherein the method further comprises harvesting the follicular unit from a body surface.
9. The method of claim 1 , comprising removing the biological unit from the donor area for transplantation into a recipient area.
10. The method of claim 1 , comprising monitoring operation of the inner and/or outer elongated body with a use of a visualization subsystem and transmitting the monitored information to a display.
11. The method of claim 1 , comprising applying suction within the lumen of the inner elongated body.
12. The method of claim 1 , wherein the inner elongated body comprises a retention member configured to retain the biological unit received in the lumen of the inner elongated body, the method further comprising activating the retention member to achieve a retention position to impede movement of the biological unit in the distal tip direction.
13. The method of claim 12 , wherein the activating the retention member is automatically controlled by a robotic system or comprises activating via an electronically controlled actuation mechanism.
14. The method of claim 12 , wherein the retention member comprises a plurality of retention members, a tapered insert, at least one continuous rib around an internal circumference of the elongated body, a spring, an accordion-like structure, a balloon, grooves, a plurality of discrete circumferentially-spaced retention members, a bendable finger, one or more windows, slots or one or more movable retention members.
15. The method of claim 12 , wherein the retention member is formed of a deformable material or atraumatic material, or shaped with non-traumatic edges.
16. The method of claim 1 , wherein the distal tip of the inner and/or outer elongated body comprises a series of alternating cutting and relief segments and wherein the cutting segments and the relief segments alternative in a repeating pattern with constant spacing or with variable spacing.
17. The method of claim 16 , wherein at least some of the relief segments define a smooth curve between the two adjacent cutting segments.
18. The method of claim 1 , wherein the inner elongated body comprises a spring member configured to normally bias the outer elongated body distally relative to the inner elongated body, and the method further comprises causing the outer elongated body to move in a proximal direction relative to the inner elongated body as the outer elongated body is pressed against a skin of the donor area.
19. The method of claim 18 , wherein the outer elongated body comprises a slot and the inner elongated body comprises a pin, the method further comprises moving the pin axially within the slot.
20. The method of claim 1 , wherein the distal tip of the inner elongated body, the outer elongated body, or both has an internal or external taper.