Tissue extraction devices and related methods
In accordance with an aspect of the present disclosure, a tissue extraction device may include a bag having an interior and a plurality of cutting elements extending through the interior of the bag. The cutting elements can have a common end.
1. A tissue extraction device, comprising:
an inner bag having an interior;
an outer bag disposed about the inner bag;
a plurality of elongate cutters extending through the interior of the inner bag along an inner surface of the inner bag, wherein each of the plurality of elongate cutters includes a strand and at least one cutting element on the strand, wherein the at least one cutting element includes a cutting edge to cut tissue as the cutter is drawn across tissue, wherein each of the plurality of elongate cutters is configured to be used individually from the other cutters to cut through a tissue specimen disposed in the inner bag using a reciprocating sawing motion; and
a rolling retractor ring, wherein a proximal portion of the inner bag is configured to be rolled around the rolling retractor ring to pull the inner bag away from the outer bag and to pull the tissue specimen against the inner surface of the inner bag adjacent the plurality of cutters to facilitate engagement between each cutter of the plurality of cutters and the tissue specimen.
2. The tissue extraction device of claim 1 , wherein the cutting element includes a blade on the strand.
3. The tissue extraction device of claim 1 , further including a layer of material coupled to the inner surface of the inner bag, such that a channel is defined between the layer of material and the interior surface of the inner bag, wherein at least one of the elongate cutters extends through the channel.
4. The tissue extraction device of claim 1 , wherein each of the elongate cutters includes eyelets.
5. The tissue extraction device of claim 4 , wherein each of the elongate cutters further includes handles, and further wherein the handles are removably coupled to the eyelets.
6. The tissue extraction device of claim 1 , wherein the rolling retractor ring includes a ring body defining at least one protrusion to engage a portion of the inner bag.
7. The tissue extraction device of claim 6 , wherein a proximal portion of the inner bag defines one or more holes to receive the at least one protrusion of the rolling retractor ring.
8. The tissue extraction device of claim 1 , further comprising a frame including at least one fastener to couple to and retain the rolling retractor ring in place against the frame after the inner bag has been rolled about the rolling ring a plurality of times.
9. The tissue extraction device of claim 8 , wherein the frame defines a downwardly depending wound protector that in turn defines a central opening therethrough to permit the passage of the cutter therethrough, and at least one retainer to secure the cutter in place on the frame.
10. The tissue extraction device of claim 1 , wherein the rolling retractor ring is configured to permit a user to evert the rolling retractor ring one or more times to induce tension on an inner layer of the inner bag so that the inner layer of the bag pulls a tissue specimen in the inner bag away from the outer layer of the bag and firmly hold onto the tissue specimen in preparation for cutting.
11. The tissue extraction device of claim 1 , further comprising an inner ring that fits within an outer ring, wherein the rolling retractor ring is removably coupled to the outer ring by way of at least one fastener about a circumference of the outer ring.
12. The tissue extraction device of claim 11 , wherein the inner ring is removably coupled to the outer ring by one or more further fasteners.
13. The tissue extraction device of claim 11 , wherein the outer ring includes at least one retractor detent to receive a retractor arm of a retractor.
14. The tissue extraction device of claim 11 , wherein the outer ring includes a plurality of retractor detents, each said retractor detent being configured to receive a retractor arm of a retractor, wherein edges of retractor blades disposed on the retractors overlap one another to cooperatively form an annulus proximate an incision in a patient.
15. The tissue extraction device of claim 1 , wherein each of the plurality of elongate cutters includes a handle that bears indicia indicative of an order of progression for using each cutter.