Patent EA-002312-B1 (EA)
Title: Device and method for resecting body tissues
Inventor: LEV AVIGDOR
IPC: A61B17/28
Filed: 2000-03-23
Abstract: 1. A resecting device for use in tissue removal, comprising: (a) a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into a body and formed with at least one cutting opening having a cutting edge; (b) a rotating mechanism connectable through a shaft to said cannula for rotating said cannula around said longitudinal axis thereof, such that when contacted with a tissue and rotated, said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow of said cannula; and (c) a heating device, said heating device being for heating the tissue, said heating device including a friction element being contactable with a portion of said cannula, so as to generate heat thereat. 2. The resecting device of claim 1, wherein said rotating mechanism is for rotating said cannula in reciprocal rotary motion. 3. The resecting device of claim 2, wherein said cannula is formed with at least two cutting openings, said at least two cutting openings are positioned in an opposing configuration on at least a portion of said cannula. 4. The resecting device of claim 1, further comprising a non-rotating protective sleeve covering at least a portion of said shaft. 5. The resecting device of claim 1, further comprising a handpiece, said handpiece being for guiding said cannula into a preselected region of the body. 6. The resecting device of claim 1, further comprising a tissue collecting chamber, said chamber being in fluid communication with said hollow such that tissue collected in said hollow is transportable to said chamber. 7. The resecting device of claim 1, wherein a distal portion of said hollow serves as a tissue collecting chamber. 8. The resecting device of claim 7, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue into said distal portion of said hollow. 9. The resecting device of claim 8, wherein said conveying mechanism includes an Archimedes screw. 10. The resecting device of claim 6, wherein said chamber is in fluid communication with said hollow through a channel formed between said shaft and a sleeve covering said shaft. 11. The resecting device of Claim 6, wherein said chamber is in fluid communication with said hollow through a tube. 12. The resecting device of claim 6, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue from said cannula to said collecting chamber. 13. The resecting device of claim 12, wherein said conveying mechanism includes an Archimedes screw. 14. The resecting device of claim 13, wherein said Archimedes screw is counter rotatable relative to said cannula. 15. The resecting device of claim 13, wherein said Archimedes screw is stationary. 16. The resecting device of claim 6, further comprising a pump, said pump being in fluid communication with said collecting chamber and being for pumping the dissected tissue from said cannula and into said collecting chamber. 17. The resecting device of claim 5, wherein said handpiece includes a motor connected to said shaft, said motor serves for rotating said cannula. 18. The resecting device of claim 1, further comprising an imaging system for intrabody monitoring a procedure being effected by the resecting device. 19. The resecting device of claim 4, wherein both said sleeve and said shaft are flexible, so as to assist in spatial positioning of said cannula in the body. 20. The resecting device of claim 1, wherein said cannula is formed with a plurality of cutting openings, said plurality of cutting openings are circumferencely positioned on at least a portion of said cannula. 21. The resecting device of claim 1, wherein said cannula has a shape selected from the group consisting of a cone-shape, a cylindrical shape and a spherical shape. 22. The resecting device of claim 1, wherein said heating device includes a heating wire. 23. The resecting device of claim 1, further comprising a temperature sensor for sensing said heat. 24. A surgical procedure of tissue excision in a preselected region in a body, the procedure comprising the steps of: (a) providing a resecting device, including a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into the body and being formed with at least one cutting opening having a cutting edge, said resecting device further including a heating device, said heating device being for heating a tissue, said heating device including a friction element being contactable with a portion of said cannula, so as to generate heat thereat; (b) inserting said cannula into the preselected region in the body; and (c) contacting said cannula with a tissue to be excised and rotating said cannula via a rotating mechanism, such that said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow. 25. The surgical procedure of claim 24, selected from the group consisting of a urological procedure, a gynecological procedure, a gastrointestinal procedure, a cardiovascular procedure, a neurological procedure and an ophthalmologic procedure. 26. A resecting device for use in tissue removal, comprising: (a) a cannula having a hollow and a longitudinal axis, said cannula being sized for introduction into a body and formed with at least one cutting opening having a cutting edge; (b) a rotating mechanism connectable through a shaft to said cannula for rotating said cannula around said longitudinal axis thereof, such that when contacted with a tissue and rotated, said cutting edge of said at least one cutting opening dissects the tissue and directs the dissected tissue through said opening and into said hollow of said cannula, said shaft including at least one bendable portion; (c) a guiding mechanism for bending said at least one bendable portion of said shaft to thereby change a positional orientation between said cannula and said shaft, for allowing flexibility in guiding and positioning of said cannula; and (d) a heating device for heating the tissue, said heating device includes a friction element being contactable with a portion of said cannula, so as to generate heat thereat. 27. The resecting device of claim 26, wherein said rotating mechanism is for rotating said cannula in reciprocal rotary motion. 28. The resecting device of claim 27, wherein said cannula is formed with at least two cutting openings, said at least two cutting openings are positioned in an opposing configuration on at least a portion of said cannula. 29. The resecting device of claim 26, further comprising a non-rotating protective sleeve covering at least a portion of said shaft. 30. The resecting device of claim 26, further comprising a handpiece, said handpiece being for guiding said cannula into a preselected region of the body. 31. The resecting device of claim 26, further comprising a tissue collecting chamber, said chamber being in fluid communication with said hollow such that tissue collected in said hollow is transportable to said chamber. 32. The resecting device of claim 26, wherein a distal portion of said hollow serves as a tissue collecting chamber. 33. The resecting device of claim 32, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue into said distal portion of said hollow. 34. The resecting device of claim 33, wherein said conveying mechanism includes an Archimedes screw. 35. The resecting device of claim 31, wherein said chamber is in fluid communication with said hollow through a channel formed between said shaft and a sleeve covering said shaft. 36. The resecting device of claim 31, wherein said chamber is in fluid communication with said hollow through a tube. 37. The resecting device of claim 31, further comprising a conveying mechanism in said hollow of said cannula, said conveying mechanism being for conveying the dissected tissue from said cannula to said collecting chamber. 38. The resecting device of claim 37, wherein said conveying mechanism includes an Archimedes screw. 39. The resecting device of claim 38, wherein said Archimedes screw is counter rotatable relative to said cannula. 40. The resecting device of claim 38, wherein said Archimedes screw is stationary. 41. The resecting device of claim 31, further comprising a pump, said pump being in fluid communication with said collecting chamber and being for pumping the dissected tissue from said cannula and into said collecting chamber. 42. The resecting device of claim 30, wherein said handpiece includes a motor connected to said shaft, said motor serves for rotating said cannula. 43. The resecting device of claim 26, further comprising an imaging system for intrabody monitoring a procedure being effected by the resetting device. 44. The resecting device of claim 29, wherein both said sleeve and said shaft are flexible, so as to assist in spatial positioning of said cannula in the body. 45. The resecting device of claim 26, wherein said cannula is formed with a plurality of cutting openings, said plurality of cutting openings are circumferencely positioned on at least a portion of said cannula. 46. The resecting device of claim 26, wherein said cannula has a shape selected from the group consisting of a cone-shape, a cylindrical shape and a spherical shape. 47. The resecting device of claim 26, wherein said heating device includes a heating wire. 48. The resecting device of claim 26, further comprising a temperature sensor for sensing said heat.