Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent
申请人:Li (Jianmin) Jamie
公开号:US20060253069A1
公开(公告)日:2006-11-09
According to an aspect of the present invention, a medical device is provided, which comprises the following: (a) a hollow elongate body (e.g., a elongate cylinder, such as a needle) having distal and proximal ends; and (b) a rotatable member comprising a tissue morselizer and an elongate shaft (e.g., an auger-like tissue-drilling bit). In the devices of the present invention, the elongate shaft is disposed within the hollow elongate body and cooperates with the hollow elongate body to (i) advance material (e.g., morselated tissue) toward the proximal end of the hollow elongate body when the shaft is rotated in a first direction, and (ii) advance material (e.g., a therapeutic agent and/or a bulking agent) toward the distal end of the hollow elongate body when the shaft is rotated in a second direction that is opposite the first direction. According to another aspect of the invention a method of treatment is provided that comprises: (a) inserting the a medical device like that above into the tissue of a patient; (b) morselizing and removing tissue from within the patient while rotating the shaft in a first direction, thereby creating a void within the patient; and (c) introducing a therapeutic agent and/or a bulking agent into the void.
根据本发明的一个方面,提供了一种医疗器械,它包括以下部分:(a) 具有远端和近端的中空细长体(例如,细长圆柱体,如针头);以及 (b) 可旋转部件,包括组织咀嚼器和细长轴(例如,螺旋状组织钻头)。在本发明的设备中,细长轴设置在中空细长体内,并与中空细长体配合,以便:(i) 当轴沿第一方向旋转时,将材料(例如,切碎的组织)推向中空细长体的近端;(ii) 当轴沿与第一方向相反的第二方向旋转时,将材料(例如,治疗剂和/或膨松剂)推向中空细长体的远端。根据本发明的另一方面,提供了一种治疗方法,该方法包括:(a) 将类似上述的医疗器械插入患者的组织中;(b) 在沿第一方向旋转轴的同时,从患者体内切除组织,从而在患者体内形成空隙;(c) 将治疗剂和/或增容剂引入空隙中。