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US20020016605A1 - Cutter for removing tissue - Google Patents

Cutter for removing tissue Download PDF

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Publication number
US20020016605A1
US20020016605A1 US09/901,179 US90117901A US2002016605A1 US 20020016605 A1 US20020016605 A1 US 20020016605A1 US 90117901 A US90117901 A US 90117901A US 2002016605 A1 US2002016605 A1 US 2002016605A1
Authority
US
United States
Prior art keywords
sleeve
cutter
inner bore
shank
cutter head
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
US09/901,179
Other versions
US6565587B1 (en
Inventor
Helmut Heckele
Eberhard Korner
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Richard Wolf GmbH
Original Assignee
Richard Wolf GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Richard Wolf GmbH filed Critical Richard Wolf GmbH
Assigned to RICHARD WOLF GMBH reassignment RICHARD WOLF GMBH ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: HECKELE, HELMUT, KORNER, EBERHARD
Publication of US20020016605A1 publication Critical patent/US20020016605A1/en
Application granted granted Critical
Publication of US6565587B1 publication Critical patent/US6565587B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613Component parts
    • A61B17/1633Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/16Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking

Definitions

  • the invention relates to a cutter for removing tissue, with a cutter head, with a cutter shank which carries the cutter head and to which the cutter head is connected in a rotationally fixed manner, and with a drive driving the cutter shank.
  • Cutters of the previously known type are known in surgery. They are used in order to remove bony or cartilaginous tissue. With this the cutter head may be arranged eccentric to the cutter shank. With this it is achieved that the cutter head with each revolution projects radially outwards over a defined angular path beyond a stationary sleeve or a stationary shank and may remove tissue.
  • the cutter according to the invention is characterised by a first rotatable sleeve which comprises an inner bore which is arranged eccentrically to the middle axis of this sleeve, and by a second stationary sleeve which is arranged in the inner bore of the first sleeve and which for the passage of the cutter shank comprises an inner bore which is arranged eccentrically to the middle axis of the second sleeve.
  • the handling of the cutter is simplified in that the second sleeve is connected to the drive or its housing in a rotationally fixed manner. Furthermore the first sleeve is preferably connected in a rotationally fixed manner to a rotatable handle; with the latter the effective eccentricity of the cutter head may be simply adjusted.
  • the eccentricity of the inner bore of the first sleeve and the eccentricity of the inner bore of the second sleeve are equally large. With this it is achieved that by way of a suitable rotation of the two sleeves to one another or of the first sleeve relative to the second stationary sleeve the eccentric projection of the cutter head may be adjusted from zero up to a maximum value.
  • the second sleeve with its outer diameter is arranged in the inner bore of the first sleeve with a clearance fit. Furthermore between the outer diameter of the second sleeve and the inner bore of the first sleeve there may be arranged a sliding bearing or this region may be designed as a sliding bearing.
  • the cutter head and the cutter shank are formed as one piece. Furthermore the cutter shank may be connected to the drive shaft by way of a positive-fit connection. Finally the cutter shank may be connected to the drive shaft further by way of a snap connection.
  • the first and/or the second sleeve is essentially designed as a solid component only in the region neighbouring the cutter head, and in the region neighbouring the drive as a hollow component.
  • FIG. 1 the cutter without an adjusted eccentricity
  • FIG. 2 the cutter with an adjusted maximal eccentricity of the cutter head with respect to the outer sleeve.
  • FIG. 1 there may be seen a cutter 1 which comprises a drive 4 which via a cutter shank 3 drives the cutter head 2 .
  • the cutter shank 3 is guided in a system of two sleeves 5 and 8 .
  • the first sleeve 5 with this comprises an inner bore 6 in which the second sleeve 8 is accommodated.
  • the second sleeve 8 has in turn an inner bore 9 which serves the passage and the mounting of the cutter shank 3 .
  • the first sleeve 5 as well as the second sleeve 8 carry their respective inner bores 6 and 9 eccentrically, that is to say the bore axes are not identical to the middle axis 7 and 10 of the sleeves 5 and 8 respectively.
  • the inner bore 6 is incorporated in the inner sleeve 5 with the eccentricity e 1
  • the second sleeve 8 carries its inner bore 9 with the eccentricity e 2 .
  • the first sleeve 5 is rotated or adjusted relative to the second sleeve such that there results no eccentricty of the cutter head 2 relative to the middle axis 7 of the first sleeve 7 .
  • the sleeves 5 and 8 are rotated to one another such that both eccentricities are lifted and the middle axis of the cutter shank 3 is identical to the middle axis 7 of the first sleeve 5 .
  • the cutter 1 is preferably suitable for removing cartilaginous or bony tissue in the region of the vertebral column. This is particularly the case for the endoscopic application of the cutter. For this it is the case especially of an exact removal. There is present a running with a balanced mass, and the adjusting of the necessary working eccentricity or working depth may be effected infinitely, exactly and in a simple way and manner.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Milling Processes (AREA)

Abstract

The invention relates to a cutter for removing tissue, with a cutter head, with a cutter shank which carries the cutter head and to which the cutter head is connected in a rotationally fixed manner, and with a drive driving the cutter shank. For the adjustability of the effectiveness of the cutter with the removal of cartilaginous or bony tissue parts there is provided a first rotatable sleeve which comprises an inner bore which is arranged eccentrically to the middle axis of this sleeve, and a second stationary sleeve which is arranged in the inner bore of the first sleeve and which for the passage of the cutter shank comprises an inner bore which is arranged eccentrically to the middle axis of the second sleeve.

Description

    BACKGROUND OF THE INVENTION
  • The invention relates to a cutter for removing tissue, with a cutter head, with a cutter shank which carries the cutter head and to which the cutter head is connected in a rotationally fixed manner, and with a drive driving the cutter shank. [0001]
  • Cutters of the previously known type are known in surgery. They are used in order to remove bony or cartilaginous tissue. With this the cutter head may be arranged eccentric to the cutter shank. With this it is achieved that the cutter head with each revolution projects radially outwards over a defined angular path beyond a stationary sleeve or a stationary shank and may remove tissue. [0002]
  • With such cutters there however arises an unbalanced mass which is not insignificant and which impedes the machining accuracy. Furthermore the effective active regions of the cutter are very difficult to determine accurately so that inasmuch as this is concerned the accuracy of the tissue removal is limited. [0003]
  • BRIEF SUMMARY OF THE INVENTION
  • It is therefore the object of the invention to develop further a cutter of the initially mentioned type such that the safety and the accuracy with its use is increased and the tissue removal may be effected with an increased precision. Furthermore the efficiency of the removal is to be increased and the working range - exactly adjustable - is to be increased. [0004]
  • For achieving this object the cutter according to the invention is characterised by a first rotatable sleeve which comprises an inner bore which is arranged eccentrically to the middle axis of this sleeve, and by a second stationary sleeve which is arranged in the inner bore of the first sleeve and which for the passage of the cutter shank comprises an inner bore which is arranged eccentrically to the middle axis of the second sleeve. [0005]
  • The arrangement of two sleeves with in each case an eccentric bore for the radial mounting of the cutter shank is achieved in a simple manner in that by rotation of the two sleeves relative to one another the cutter head with respect to its radial projection beyond the outer circumference of the outer sleeve may be adjusted simply and continuously in an exact manner. The effective effect of the cutter head with the removal of tissue may thus be exactly adjusted. [0006]
  • The handling of the cutter is simplified in that the second sleeve is connected to the drive or its housing in a rotationally fixed manner. Furthermore the first sleeve is preferably connected in a rotationally fixed manner to a rotatable handle; with the latter the effective eccentricity of the cutter head may be simply adjusted. [0007]
  • Furthermore the eccentricity of the inner bore of the first sleeve and the eccentricity of the inner bore of the second sleeve are equally large. With this it is achieved that by way of a suitable rotation of the two sleeves to one another or of the first sleeve relative to the second stationary sleeve the eccentric projection of the cutter head may be adjusted from zero up to a maximum value. [0008]
  • Preferably the second sleeve with its outer diameter is arranged in the inner bore of the first sleeve with a clearance fit. Furthermore between the outer diameter of the second sleeve and the inner bore of the first sleeve there may be arranged a sliding bearing or this region may be designed as a sliding bearing. [0009]
  • With regard to manufacturing and assembly technology there results a simple embodiment when the cutter head and the cutter shank are formed as one piece. Furthermore the cutter shank may be connected to the drive shaft by way of a positive-fit connection. Finally the cutter shank may be connected to the drive shaft further by way of a snap connection. [0010]
  • For reducing the weight of the cutter the first and/or the second sleeve is essentially designed as a solid component only in the region neighbouring the cutter head, and in the region neighbouring the drive as a hollow component.[0011]
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • In the drawing there is shown one embodiment example of the invention which is described hereinafter. There are shown in [0012]
  • FIG. 1 the cutter without an adjusted eccentricity and [0013]
  • FIG. 2 the cutter with an adjusted maximal eccentricity of the cutter head with respect to the outer sleeve.[0014]
  • DETAILED DESCRIPTION OF THE INVENTION
  • In FIG. 1 there may be seen a [0015] cutter 1 which comprises a drive 4 which via a cutter shank 3 drives the cutter head 2. The cutter shank 3 is guided in a system of two sleeves 5 and 8. The first sleeve 5 with this comprises an inner bore 6 in which the second sleeve 8 is accommodated. The second sleeve 8 has in turn an inner bore 9 which serves the passage and the mounting of the cutter shank 3.
  • The [0016] first sleeve 5 as well as the second sleeve 8 carry their respective inner bores 6 and 9 eccentrically, that is to say the bore axes are not identical to the middle axis 7 and 10 of the sleeves 5 and 8 respectively. In FIG. 2 it is to be recognised that the inner bore 6 is incorporated in the inner sleeve 5 with the eccentricity e1, whilst the second sleeve 8 carries its inner bore 9 with the eccentricity e2.
  • In the position of the two [0017] sleeves 5 and 8 to one another represented in FIG. 2 there thus results as a total eccentricity of the axis of the cutter head 2 or cutter shank 3 with respect to the middle axis 7 of the first sleeve 5 a value of e=e1+e2.
  • In contrast to this in FIG. 1 the [0018] first sleeve 5 is rotated or adjusted relative to the second sleeve such that there results no eccentricty of the cutter head 2 relative to the middle axis 7 of the first sleeve 7. This is achieved in that both eccentricities e1, e2 are equally large, the sleeves 5 and 8 however are rotated to one another such that both eccentricities are lifted and the middle axis of the cutter shank 3 is identical to the middle axis 7 of the first sleeve 5. Thus there results no eccentric running of the cutter head 2 relative to the first sleeve 5.
  • By rotating the [0019] handle 11 which is connected to the first sleeve 5 in a rotationally fixed manner, then there may be infinitely adjusted an eccentricity between zero and e, by which means the cutter 1 may be adapted to the respective working conditions.
  • The [0020] cutter 1 is preferably suitable for removing cartilaginous or bony tissue in the region of the vertebral column. This is particularly the case for the endoscopic application of the cutter. For this it is the case especially of an exact removal. There is present a running with a balanced mass, and the adjusting of the necessary working eccentricity or working depth may be effected infinitely, exactly and in a simple way and manner.

Claims (10)

1. A cutter for removing tissue, with a cutter head, with a cutter shank which carries the cutter head and to which the cutter head is connected in a rotationally fixed manner, and with a drive driving the cutter shank, characterised by a first rotatable sleeve which comprises an inner bore which is arranged eccentrically (e1) to the middle axis of this sleeve, and by a second stationary sleeve which is arranged in the inner bore of the first sleeve and which for the passage of the cutter shank comprises an inner bore which is arranged eccentrically (e2) to the middle axis of the second sleeve.
2. A cutter according to claim 1, wherein the second sleeve is connected to the housing of the drive in a rotationally fixed manner.
3. A cutter according to claim 1 or 2, wherein the first sleeve is rigidly connected to a rotatable handle.
4. A cutter according to one of the claims 1 to 3, wherein the eccentricity e1 of the inner bore of the first sleeve and the eccentricity e2 of the inner bore of the second sleeve are equally large.
5. A cutter according to one of the claims 1 to 4, wherein the second sleeve with its outer diameter is arranged with a clearance fit in the inner bore of the first sleeve.
6. A cutter according to one of the claims 1 to 5, wherein between the outer diameter of the second sleeve and the inner bore of the first sleeve there is provided a sliding bearing.
7. A cutter according to one of the claims 1 to 6, wherein the cutter head and the cutter shank are formed as one piece.
8. A cutter according to one of the claims 1 to 7, wherein the cutter shank is connected to the shaft of the drive by way of a positive-fit connection.
9. A cutter according to one of the claims 1 to 8, wherein the cutter shank is connected to the shaft of the drive by way of a snap connection.
10. A cutter according to one of the claims 1 to 9, wherein the first sleeve and the second sleeve essentially are formed as a solid component only in the region neighbouring the cutter head and in the region neighbouring the drive as a hollow component.
US09/901,179 2000-08-07 2001-07-09 Cutter for removing tissue Expired - Fee Related US6565587B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE10038480A DE10038480C2 (en) 2000-08-07 2000-08-07 Milling cutter for tissue
DE10038480.3 2000-08-07
DE10038480 2000-08-07

Publications (2)

Publication Number Publication Date
US20020016605A1 true US20020016605A1 (en) 2002-02-07
US6565587B1 US6565587B1 (en) 2003-05-20

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US09/901,179 Expired - Fee Related US6565587B1 (en) 2000-08-07 2001-07-09 Cutter for removing tissue

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US (1) US6565587B1 (en)
DE (1) DE10038480C2 (en)
GB (1) GB2367498B (en)

Families Citing this family (10)

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US20060135959A1 (en) * 2004-03-22 2006-06-22 Disc Dynamics, Inc. Nuclectomy method and apparatus
US20090264939A9 (en) * 2004-12-16 2009-10-22 Martz Erik O Instrument set and method for performing spinal nuclectomy
EP1702573B1 (en) * 2005-03-02 2008-11-12 Arthrex, Inc. Endoscopic rotary abrader
US7597699B2 (en) * 2005-07-25 2009-10-06 Rogers William G Motorized surgical handpiece
US20070276287A1 (en) * 2006-05-12 2007-11-29 General Electric Company Catheter
US20080009720A1 (en) * 2006-05-12 2008-01-10 General Electric Company Catheter connector
US20070276491A1 (en) * 2006-05-24 2007-11-29 Disc Dynamics, Inc. Mold assembly for intervertebral prosthesis
US8092536B2 (en) * 2006-05-24 2012-01-10 Disc Dynamics, Inc. Retention structure for in situ formation of an intervertebral prosthesis
US8382809B2 (en) * 2008-10-17 2013-02-26 Omni Surgical Poly-axial pedicle screw implements and lock screw therefor
CN102688081A (en) * 2012-06-04 2012-09-26 刘新平 Femoral head medulla core decompression drill bit

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FR2044535A5 (en) * 1969-05-23 1971-02-19 Peugeot & Renault
US4951690A (en) * 1984-01-31 1990-08-28 Baker John W Method of drilling through a bone structure
DE3808410A1 (en) * 1988-03-14 1989-09-28 Werner Weinmueller Bone cutter
DE8814941U1 (en) * 1988-12-01 1989-02-02 Lieke, Michael, Dipl.-Ing. Dr., 7835 Teningen Special milling cutters for use in implant technology
CA2075973A1 (en) * 1991-02-19 1992-08-20 Robert E. Fischell Apparatus and method for atherectomy
GB9124423D0 (en) * 1991-11-16 1992-01-08 Strover Angus E Surgical tool
US5643297A (en) * 1992-11-09 1997-07-01 Endovascular Instruments, Inc. Intra-artery obstruction clearing apparatus and methods
US5634933A (en) * 1994-09-29 1997-06-03 Stryker Corporation Powered high speed rotary surgical handpiece chuck and tools therefore
US5591170A (en) * 1994-10-14 1997-01-07 Genesis Orthopedics Intramedullary bone cutting saw
US5569254A (en) * 1995-04-12 1996-10-29 Midas Rex Pneumatic Tools, Inc. Surgical resection tool having an irrigation, lighting, suction and vision attachment
IT1289301B1 (en) * 1996-10-31 1998-10-02 Scuola Superiore Di Studi Universitari E Di Perfezionamento Sant Anna MANUAL DRILL FOR ORTHOPEDIC USE WITH INCIPIENT ADVANCE AND BREAK-OUT CONTROL
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Also Published As

Publication number Publication date
GB2367498A (en) 2002-04-10
GB2367498B (en) 2003-11-05
DE10038480C2 (en) 2002-07-18
US6565587B1 (en) 2003-05-20
DE10038480A1 (en) 2002-03-14
GB0117761D0 (en) 2001-09-12

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AS Assignment

Owner name: RICHARD WOLF GMBH, GERMANY

Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:HECKELE, HELMUT;KORNER, EBERHARD;REEL/FRAME:011983/0673

Effective date: 20010509

FPAY Fee payment

Year of fee payment: 4

REMI Maintenance fee reminder mailed
LAPS Lapse for failure to pay maintenance fees
STCH Information on status: patent discontinuation

Free format text: PATENT EXPIRED DUE TO NONPAYMENT OF MAINTENANCE FEES UNDER 37 CFR 1.362

FP Lapsed due to failure to pay maintenance fee

Effective date: 20110520