US20070213583A1
Expired / Lapsed
US
⏱️ 0.0 years remaining
Percutaneous access and visualization of the spine
Assignee: Spine View Inc
•
Filing: 2006-03-10
•
Granted: —
•
Expires: 2026-03-10
Abstract
Abstract Devices, systems and methods are provided for the percutaneous access and visualization of the spine for the purposes of diagnosing and/or treating a target area of the spine or the surrounding tissue.
Inventors
- 👤 Daniel Kim
- 👤 Singfatt Chin
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-22 22:07
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/0218; A61B18/00; A61B18/04; A61B18/12; A61B18/14; A61B90/00; A61B90/36; A61B90/37; A61B2090/373
Claims Analysis
Total Claims: 52
Claim 1
Independent Claim
84 words
1 . A method of percutaneously accessing a target site within the body, the method comprising: introducing into the body an access device comprising a tissue manipulation member and having direct visualization capability, wherein the tissue manipulation member is deployable from a distal portion of the access device; deploying the tissue manipulation member thereby displacing tissue adjacent the distal end of the access device to create a space within the tissue between the distal end and the target site; and directly visualizing the space.
Claim 2
Dependent Claim
84 words
1 . A method of percutaneously accessing a target site within the body, the method comprising: introducing into the body an access device comprising a tissue manipulation member and having direct visualization capability, wherein the tissue manipulation member is deployable from a distal portion of the access device; deploying the tissue manipulation member thereby displacing tissue adjacent the distal end of the access device to create a space within the tissue between the distal end and the target site; and directly visualizing the space.
Claim 3
Dependent Claim
19 words
2 . The method of claim 1 , wherein the tissue manipulation member is deployed in a distal direction.
Claim 4
Dependent Claim
19 words
3 . The method of claim 1 , wherein the tissue manipulation member is deployed in a lateral direction.
Claim 5
Dependent Claim
27 words
4 . The method of claim 1 , wherein the tissue displaced by the tissue manipulation member is distal to the distal end of the access device.
Claim 6
Dependent Claim
27 words
5 . The method of claim 1 , wherein the tissue displaced by the tissue manipulation member is lateral to the distal end of the access device.
Claim 7
Dependent Claim
27 words
6 . The method of claim 1 , wherein the tissue displaced by the tissue manipulation member is proximal to the distal end of the access device.
Claim 8
Dependent Claim
30 words
7 . The method of claim 6 , wherein the tissue displaced by the tissue manipulation member is also distal or lateral to the distal portion of the access device.
Claim 9
Dependent Claim
16 words
8 . The method of claim 1 , wherein the target site is at the spine.
Claim 10
Dependent Claim
16 words
9 . The method of claim 8 , wherein the target site is an intervertebral disc.
Claim 11
Dependent Claim
17 words
10 . The method of claim 1 , further comprising delivering an instrument to within the space.
Claim 12
Dependent Claim
28 words
11 . The method of claim 1 , further comprising deploying a second tissue manipulation member from the access device to stabilize the access device within the body.
Claim 13
Dependent Claim
73 words
12 . A method of percutaneously treating a target site within the body, the method comprising: percutaneously accessing an area of tissue adjacent the target site with an access device having a scope; expanding a wire from the a distal portion of the access device wherein a space is created adjacent the distal portion; visualizing the space with the scope; and advancing an instrument to within the space to treat the target site.
Claim 14
Dependent Claim
73 words
12 . A method of percutaneously treating a target site within the body, the method comprising: percutaneously accessing an area of tissue adjacent the target site with an access device having a scope; expanding a wire from the a distal portion of the access device wherein a space is created adjacent the distal portion; visualizing the space with the scope; and advancing an instrument to within the space to treat the target site.
Claim 15
Dependent Claim
14 words
13 . The method of claim 12 , wherein the wire defines a loop.
Claim 16
Dependent Claim
16 words
14 . The method of claim 12 , wherein the size of the loop is adjustable.
Claim 17
Dependent Claim
37 words
15 . The method of claim 12 , wherein the wire defines a frame which is compressible to an unexpanded condition, the method further comprising providing the access device loaded with the frame in an unexpanded condition.
Claim 18
Dependent Claim
16 words
16 . The method of claim 12 , wherein the wire defines a spiral or coil.
Claim 19
Dependent Claim
17 words
17 . The method of claim 12 , wherein a distal end of the wire is free.
Claim 20
Dependent Claim
21 words
18 . The method of claim 17 , wherein a distal end of the wire is affixed to the access device.
Claim 21
Dependent Claim
22 words
19 . The method of claim 12 , wherein at least one end of the wire is affixed to the access device.
Claim 22
Dependent Claim
13 words
20 . The method of claim 12 , wherein the wire comprises NITNOL.
Claim 23
Dependent Claim
75 words
21 . A method of percutaneously treating a target site within the body, the method comprising: percutaneously accessing an area of tissue adjacent the target site with an access device having a scope; expanding a plurality of bands from the a distal portion of the access device wherein a space is created adjacent the distal portion; visualizing the space with the scope; and advancing an instrument to within the space to treat the target site.
Claim 24
Dependent Claim
75 words
21 . A method of percutaneously treating a target site within the body, the method comprising: percutaneously accessing an area of tissue adjacent the target site with an access device having a scope; expanding a plurality of bands from the a distal portion of the access device wherein a space is created adjacent the distal portion; visualizing the space with the scope; and advancing an instrument to within the space to treat the target site.
Claim 25
Dependent Claim
23 words
22 . The method of claim 21 , wherein the plurality of bands expand orthogonally to a longitudinal axis of the access device.
Claim 26
Dependent Claim
23 words
23 . The method of claim 21 , wherein the plurality of bands expand parallel to a longitudinal axis of the access device.
Claim 27
Dependent Claim
19 words
24 . The method of claim 21 , wherein the plurality of bands expand radially from the access device.
Claim 28
Dependent Claim
27 words
25 . The method of claim 21 , wherein the plurality of bands are flush with an outer surface of the access device prior to be expanded.
Claim 29
Dependent Claim
32 words
26 . The method of claim 21 , wherein the plurality of bands provide a donut configuration when deployed and define a central opening through which the scope has an unobstructed view.
Claim 30
Dependent Claim
68 words
27 . A method of percutaneously accessing a target site at the spine, the method comprising: introducing into the body an access device comprising a tissue manipulation member and having direct visualization capability, wherein the tissue manipulation member is deployable from a distal portion of the access device; deploying the tissue manipulation member into the tissue; and proximally pulling the tissue manipulation member thereby stabilizing the access device.
Claim 31
Dependent Claim
68 words
27 . A method of percutaneously accessing a target site at the spine, the method comprising: introducing into the body an access device comprising a tissue manipulation member and having direct visualization capability, wherein the tissue manipulation member is deployable from a distal portion of the access device; deploying the tissue manipulation member into the tissue; and proximally pulling the tissue manipulation member thereby stabilizing the access device.
Claim 32
Dependent Claim
73 words
28 . A system for accessing a target site within the body, the system comprising: a cannula having at least one lumen; a scope deliverable through the at least one cannula lumen; and at least one strut deployable from a distal portion of the cannula, where deployment of the at least one strut creates a space within tissue adjacent the distal portion of the cannula wherein the space facilitates visualization by the scope.
Claim 33
Dependent Claim
73 words
28 . A system for accessing a target site within the body, the system comprising: a cannula having at least one lumen; a scope deliverable through the at least one cannula lumen; and at least one strut deployable from a distal portion of the cannula, where deployment of the at least one strut creates a space within tissue adjacent the distal portion of the cannula wherein the space facilitates visualization by the scope.
Claim 34
Dependent Claim
24 words
29 . The system of claim 28 , wherein the at least one strut is deployed distally of the distal portion of the cannula.
Claim 35
Dependent Claim
24 words
30 . The system of claim 28 , wherein the at least one strut is deployed laterally of the distal portion of the cannula.
Claim 36
Dependent Claim
17 words
31 . The system of claim 28 , wherein the each strut defines a loop when deployed
Claim 37
Dependent Claim
20 words
32 . The system of claim 28 , the at least one strut defines a spiral or coil when deployed.
Claim 38
Dependent Claim
19 words
33 . The system of claim 28 , wherein the at least one strut defines a frame when deployed.
Claim 39
Dependent Claim
35 words
34 . The system of claim 28 , further comprising a plurality of struts wherein the struts, when deployed, define a donut configuration having a central opening through which the scope has an unobstructed view.
Claim 40
Dependent Claim
68 words
35 . A system for accessing a target site within the body, the system comprising: a cannula having at least one lumen; a scope deliverable through the at least one cannula lumen; and a wire deployable from a distal portion of the cannula, wherein deployment of the wire creates a space within tissue adjacent the distal portion of the cannula wherein the space facilitates visualization by the scope.
Claim 41
Dependent Claim
68 words
35 . A system for accessing a target site within the body, the system comprising: a cannula having at least one lumen; a scope deliverable through the at least one cannula lumen; and a wire deployable from a distal portion of the cannula, wherein deployment of the wire creates a space within tissue adjacent the distal portion of the cannula wherein the space facilitates visualization by the scope.
Claim 42
Dependent Claim
21 words
36 . The system of claim 35 , wherein the wire is deployed distally of the distal portion of the cannula.
Claim 43
Dependent Claim
21 words
37 . The system of claim 35 , wherein the wire is deployed laterally of the distal portion of the cannula.
Claim 44
Dependent Claim
16 words
38 . The system of claim 35 , wherein the wire defines a loop when deployed
Claim 45
Dependent Claim
16 words
39 . The system of claim 38 , wherein the size of the loop is adjustable.
Claim 46
Dependent Claim
17 words
40 . The system of claim 35 , the wire defines a spiral or coil when deployed.
Claim 47
Dependent Claim
16 words
41 . The system of claim 35 , wherein the wire defines a frame when deployed.
Claim 48
Dependent Claim
22 words
42 . The system of claim 35 , wherein the frame is positioned substantially laterally of the distal end of the scope.
Claim 49
Dependent Claim
17 words
43 . The system of claim 35 , wherein a distal end of the wire is free.
Claim 50
Dependent Claim
20 words
44 . The system of claim 43 , wherein a distal end of the wire is affixed to the cannula.
Claim 51
Dependent Claim
21 words
45 . The system of claim 35 , wherein at least one end of the wire is affixed to the cannula.
Claim 52
Dependent Claim
13 words
46 . The system of claim 35 , wherein the wire comprises NITNOL.
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