US20020016605A1 - Cutter for removing tissue - Google Patents
Cutter for removing tissue Download PDFInfo
- 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
Links
- 239000007787 solid Substances 0.000 claims description 2
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000003754 machining Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1613—Component parts
- A61B17/1633—Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention 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.
Landscapes
- 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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- In the drawing there is shown one embodiment example of the invention which is described hereinafter. There are shown in
- FIG. 1 the cutter without an adjusted eccentricity and
- FIG. 2 the cutter with an adjusted maximal eccentricity of the cutter head with respect to the outer sleeve.
- In FIG. 1 there may be seen a
cutter 1 which comprises adrive 4 which via acutter shank 3 drives thecutter head 2. Thecutter shank 3 is guided in a system of two 5 and 8. Thesleeves first sleeve 5 with this comprises aninner bore 6 in which thesecond sleeve 8 is accommodated. Thesecond sleeve 8 has in turn aninner bore 9 which serves the passage and the mounting of thecutter shank 3. - The
first sleeve 5 as well as thesecond sleeve 8 carry their respective 6 and 9 eccentrically, that is to say the bore axes are not identical to theinner bores 7 and 10 of themiddle axis 5 and 8 respectively. In FIG. 2 it is to be recognised that thesleeves inner bore 6 is incorporated in theinner sleeve 5 with the eccentricity e1, whilst thesecond sleeve 8 carries itsinner bore 9 with the eccentricity e2. - In the position of the two
5 and 8 to one another represented in FIG. 2 there thus results as a total eccentricity of the axis of thesleeves cutter head 2 orcutter shank 3 with respect to themiddle axis 7 of the first sleeve 5 a value of e=e1+e2. - In contrast to this in FIG. 1 the
first sleeve 5 is rotated or adjusted relative to the second sleeve such that there results no eccentricty of thecutter head 2 relative to themiddle axis 7 of thefirst sleeve 7. This is achieved in that both eccentricities e1, e2 are equally large, the 5 and 8 however are rotated to one another such that both eccentricities are lifted and the middle axis of thesleeves cutter shank 3 is identical to themiddle axis 7 of thefirst sleeve 5. Thus there results no eccentric running of thecutter head 2 relative to thefirst sleeve 5. - By rotating the
handle 11 which is connected to thefirst sleeve 5 in a rotationally fixed manner, then there may be infinitely adjusted an eccentricity between zero and e, by which means thecutter 1 may be adapted to the respective working conditions. - 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.
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.
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 |
Family
ID=7651589
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US09/901,179 Expired - Fee Related US6565587B1 (en) | 2000-08-07 | 2001-07-09 | Cutter for removing tissue |
Country Status (3)
| Country | Link |
|---|---|
| US (1) | US6565587B1 (en) |
| DE (1) | DE10038480C2 (en) |
| GB (1) | GB2367498B (en) |
Families Citing this family (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
Family Cites Families (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| US5913867A (en) * | 1996-12-23 | 1999-06-22 | Smith & Nephew, Inc. | Surgical instrument |
| US6001112A (en) * | 1998-04-10 | 1999-12-14 | Endicor Medical, Inc. | Rotational atherectomy device |
| US6287114B1 (en) * | 1999-06-09 | 2001-09-11 | X-Tip Technologies, Llc | Disposable anesthesia delivery system with shortened outer sleeve and inner solid drill |
-
2000
- 2000-08-07 DE DE10038480A patent/DE10038480C2/en not_active Expired - Fee Related
-
2001
- 2001-07-09 US US09/901,179 patent/US6565587B1/en not_active Expired - Fee Related
- 2001-07-20 GB GB0117761A patent/GB2367498B/en not_active Expired - Fee Related
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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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 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 |