Stiff guide wire with anchoring configuration
A device ( 10 ) which serves as a stiff guide wire for surgical procedures includes a tube ( 12 ) having an internal channel, and a central rod ( 14 ) in close-fitting sliding engagement within the tube. The tips of the tube and the central rod are in rigid mechanical engagement or interconnection. A region of the tube ( 112 ) is longitudinally slotted to form deflectable strips ( 18 ) so that advancing of the tube ( 12 ) relative to central the rod ( 14 ) causes outward deflection of the strips ( 18 ) to form an anchoring configuration. The central rod ( 14 ) and the tube ( 12 ) together define a stiff guide wire preferably having a length-to-width ratio in excess of 100:1.
1. A device comprising:
a tube having an internal channel;
a central rod deployed in close-fining sliding engagement within said internal channel of said tube, a distal end of said tube interconnected with a distal end of said central rod;
wherein a region of said tube is longitudinally slotted to form a plurality of deflectable strips so that advancement of said tube relative to said central rod causes outward deflection of said deflectable strips to form an anchoring configuration, and wherein said central rod and said tube together define a stiff guide wire; and
a detachable actuator configured for engagement with a proximal portion of said tube and with said central rod, said detachable actuator being responsive to a manually applied force to advance said tube relative to said central rod, said detachable actuator being detachable from said guide wire so as to make said guide wire accessible for over-the-wire deployment of a tool or implant.
2. The device of claim 1 , wherein an external diameter of said guide wire is in the range of 1-3 millimeters.
3. The device of claim 1 , wherein said region of said tube has an external diameter, and wherein said deflectable strips deflect outwards to span at least 2.5 times said external diameter.
4. The device of claim 1 , wherein each of said deflectable strips is formed with a thinned deflection region that lies between a proximal portion and a distal portion of said deflectable strip, said outward deflection generating bending of said deflectable strips in said deflection regions so that said proximal portion and said distal portion of each deflectable strip form an acute angle therebetween.
5. The device of claim 4 , wherein said deflectable strips are configured such that said bending of said deflectable strips occurs as a plastic deformation.
6. The device of claim 4 , wherein a length of said proximal portion differs from a length of said distal portion for at least one of said deflectable strips.
7. The device of claim 1 , wherein said stiff guide wire terminates in a pointed or chamfered tip.
8. The device of claim 1 , wherein said region slotted with slots of differing length so as to generate deflectable strips of differing lengths.
9. The device of claim 1 , wherein said region slotted with an asymmetric arrangement of slots so as to generate an asymmetric arrangement of deflectable strips.
10. A system comprising the device of claim 1 and at least one surgical tool having a bore for over-the-wire deployment, wherein said device is sized to allow over-the-wire advancing of said surgical tool with said device passing through said bore.
11. A method for performing a surgical procedure on target tissue in the body of a patient, the method comprising the steps of:
providing a device comprising a tube having an internal channel, a central rod deployed in close-fitting sliding engagement within said internal channel of said tube, a distal end of said tube interconnected with a distal end of said central rod, wherein a region of said tube is longitudinally slotted to form a plurality of deflectable strips so that advancement of said tube relative to said central rod causes outward deflection of said deflectable strips to form an anchoring configuration, and wherein said central rod and said tube together define a stiff guide wire;
providing a detachable actuator configured for engagement with a proximal portion of said tube and with said central rod, said detachable actuator being responsive to a manually applied force to advance said tube relative to said central rod, said detachable actuator being detachable from said guide wire so as to make said guide wire accessible for over-the-wire deployment;
creating an access opening through external tissue of the body;
positioning the guide wire extending through the access opening so that a distal tip of the guide wire is located in the target tissue and a proximal end of the guide wire projects from the body;
advancing said tube relative to said central rod so as to outwardly deflect said deflectable strips, thereby anchoring the guide wire in the target tissue;
introducing at least one tool or implant along the guide wire so as to bring at least part of the tool or the implant to a location within the target tissue;
retracting said tube relative to said central rod so as to retract said deflectable strips and release anchoring of the guide wire in the target tissue;
removing the guide wire from the body; and
closing the access opening.
12. The method of claim 11 , wherein said tool or implant is a tissue removal tool, the method further comprising employing said tissue removal tool to remove at least some of said target tissue adjacent to the guide wire proximal to said anchoring configuration.
13. The method of claim 11 , wherein said target tissue is a least part of an intervertebral disc.
14. The method of claim 11 , wherein said target tissue is a least part of a vertebra.
15. A device comprising:
a tube having an internal channel;
a central rod deployed in close-fitting sliding engagement within said internal channel of said tube, a distal end of said tube interconnected with a distal end of said central rod;
wherein a region of said tube is longitudinally slotted to form a plurality of deflectable strips so that advancement of said tube relative to said central rod causes outward deflection of said deflectable strips to form an anchoring configuration, and wherein said central rod and said tube together define a stiff guide wire; and
wherein each of said deflectable strips is formed with a thinned deflection region that lies between a proximal portion and a distal portion of said deflectable strip, said outward deflection generating bending of said deflectable strips in said deflection regions so that said proximal portion and said distal portion of each deflectable strip form an acute angle therebetween.
16. The device of claim 15 , wherein said deflectable strips are configured such that said bending of said deflectable strips occurs as a plastic deformation.
17. The device of claim 15 , wherein a length of said proximal portion differs from a length of said distal portion for at least one of said deflectable strips.
18. The device of claim 15 , further comprising a second plurality of deflectable strips spaced longitudinally apart from the plurality of deflectable strips.
19. The device of claim 15 , wherein said region slotted with slots of differing length so as to generate deflectable strips of differing lengths.
20. The device of claim 15 , wherein said region slotted with an asymmetric arrangement of slots so as to generate an asymmetric arrangement of deflectable strips.
21. The device of claim 15 , wherein said region slotted with an symmetric arrangement of slots so as to generate an symmetric arrangement of deflectable strips.