CANNULA AND METHOD FOR CONTROLLING DEPTH DURING SURGICAL PROCEDURES
A disc surgical system is provided having an elongated tubular member housing and an electrosurgical electrode for excising of or shrinking tissue. The instrument includes at least one cannula having an operative end for entering an operative field of a patient, at least one guide wire having a pointed end for piercing tissue, a tapered dilator configured to slide over a guide wire; and a trephine configured to slide over a guide wire. The operative end has threads on an exterior surface of the cannula for engagement with the tissue of the patient.
1 . An intervertebral disc surgical system for use with an electrosurgical instrument having an elongated tubular member housing and an electrosurgical electrode for excising of or shrinking tissue, comprising:
at least one cannula configured with a lumen to receive the elongated tubular member of the electrosurgical instrument, the cannula having an operative end for entering an operative field of a patient;
at least one guide wire having a pointed end for piercing tissue, wherein the guide wire is configured to fit within the lumen of the cannula;
a tapered dilator configured to slide over a guide wire; and
a trephine configured to slide over a guide wire,
wherein the operative end of the cannula has threads on an exterior surface of the cannula for engagement with the tissue of the patient.
2 . The system according to claim 1 , wherein the threads on the operative end extends a length along the cannula that corresponds to a depth to which the cannula is threaded into the tissue.
3 . The system according to claim 1 , wherein a distal end of the operative end has a face that is substantially perpendicular to an axis of the cannula.
4 . The system according to claim 1 , wherein a distal end of the operative end has a face that is not perpendicular to an axis of the cannula.
5 . A spinal procedure comprising the steps:
providing a cannula having an operative end for entering an operative field of a patient, wherein the cannula has threads on an exterior surface of the cannula for engagement with tissue of a patient.
providing a guide wire, a tapered dilator with a lumen, a trephine with a lumen, and an elongated electrosurgical instrument;
threading the guide wire through a lumen in a needle into a disc nucleus after the needle is inserted into a patient's back toward a spinal disc;
removing the spinal needle leaving the guide wire in place;
joining the cannula and dilator together and placing the cannula and dilator over the guide wire;
advancing the cannula and dilator together toward the annulus by rotating the cannula and engaging the threads into the tissue of the patient;
removing the dilator to create a portal into the disc,
advancing the electrosurgical instrument through the cannula and into a pulpous to remove, shrink or modulate pulpous tissue.