Spinal Disc Ablator Tool with Integrated Impedance Control

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Solution Overview

Problem

Existing methods for removing spinal disc material, such as cannulae and rudimentary RF energy techniques, face limitations in visibility and tool efficiency during spinal decompression procedures, necessitating an improved tool and method for effectively ablating herniated discs.

Innovation Solution

An RF surgical system with an ablator tool featuring a first electrode and a return element, connected to a control unit that provides RF energy and measures impedance, along with irrigation and suction capabilities, to facilitate precise tissue ablation while minimizing damage to surrounding tissue.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Illumination intensity

If cannulae or retractors are used to remove spinal disc material, then the disc space can be accessed, but the amount of disc space viewable by the surgeon is limited

Engineering Contradiction:
Improvevisibility of disc spaceVSAvoiduse of specialized tools
Core Design Contradiction:
Illumination intensityVSDevice complexity

Solution Approach 1:

The patent combines the ablation electrode, irrigation channel, and visualization scope into a single integrated ablator tool. This merging of functions allows the surgeon to visualize the disc space directly through the tool while simultaneously performing ablation and irrigation, eliminating the need for separate cannulae or retractors and improving visibility of the working area.

Inventive Principle:
Principle #5Merging (Combining)

2Manufacturing precision

If rudimentary RF energy techniques are used for disc ablation, then tissue removal can be achieved, but the precision and control are insufficient

Engineering Contradiction:
Improveprecision of tissue ablationVSAvoidcomplexity of RF system
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The patent incorporates impedance sensing capability that provides real-time feedback during RF ablation. The system measures tissue impedance to detect when the electrode is in contact with bone versus soft tissue, automatically adjusting or stopping energy delivery to prevent bone damage. This feedback mechanism enables precise and safe tissue ablation without requiring complex external monitoring equipment.

Inventive Principle:
Principle #23Feedback

3Productivity

If RF energy is applied to ablate tissue, then disc material can be removed, but debris accumulation interferes with visualization and continues to cause pressure

Engineering Contradiction:
Improveefficiency of disc material removalVSAvoidvisibility at surgical site
Core Design Contradiction:
ProductivityVSIllumination intensity

Solution Approach 1:

The patent implements continuous irrigation through a dedicated channel in the ablator tool that flows fluid across the electrode tip and ablation site during the entire RF ablation process. This continuous irrigation washes away debris as it is generated, maintaining clear visualization of the surgical field and preventing re-compression of nerve roots by removed disc material throughout the procedure.

Inventive Principle:
Principle #20Continuity of useful action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system enables efficient and controlled removal of spinal disc material, ensuring accurate ablation and debris removal, thereby alleviating pressure on nerve roots and improving surgical outcomes.

Implementation Method 1

transferred energy from a first electrode, through tissue, and into a return element... The tissue can be ablated during the energy transfer from the first electrode through the tissue and into a second electrode

Methodology Applied
Scientific EffectRF energy transfer and tissue heating: Joule Heating

Implementation Method 2

the control unit... measures impedance between a first electrode and return element

Methodology Applied
Scientific EffectImpedance measurement: Electrical Impedance Tomography

Implementation Method 3

the irrigation may pour through an irrigation flow through hole in an electrode tip extending from the distal end of an ablator tool to wash away any debris from the tool

Methodology Applied
Scientific EffectFluid irrigation and debris removal: Fluid Spray

Data Source

PatentUS10070918B2Ablator for spinal disc removal
Publication Date: 2018.09.11 STRYKER EUROPEAN OPERATIONS HOLDINGS LLC
  • US10070918B2 patent drawing
  • US10070918B2 patent drawing
  • US10070918B2 patent drawing

AI summary

An ablator system includes a tool for insertion into a patient to ablate tissue. A system also includes a control unit and a pump system. A tool is adapted to receive RF energy from a control unit and ablate tissue between an electrode embedded in the tool and a return element. A control unit measures impedance between the electrode and return element and can disable the RF energy supply if the impedance is outside of an acceptable threshold value range. A tool has at least one port through which irrigation and suction are supplied by the pump system to remove debris. A tool houses a scope in an internal channel to provide visual feedback of the surgical site. A system therefore provides a tool that is visually guided to a surgical site, ablates tissue while utilizing active safety measures, and provides irrigation and suction to clear debris from the surgical site.