CA2404916A1 - Methods and devices for treating fractured and/or diseased bone - Google Patents
Methods and devices for treating fractured and/or diseased bone Download PDFInfo
- Publication number
- CA2404916A1 CA2404916A1 CA002404916A CA2404916A CA2404916A1 CA 2404916 A1 CA2404916 A1 CA 2404916A1 CA 002404916 A CA002404916 A CA 002404916A CA 2404916 A CA2404916 A CA 2404916A CA 2404916 A1 CA2404916 A1 CA 2404916A1
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- Canada
- Prior art keywords
- balloon catheter
- cavity
- tube
- distal end
- vertebral body
- Prior art date
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4601—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1604—Chisels; Rongeurs; Punches; Stamps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
- A61B17/1671—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the spine
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- A—HUMAN NECESSITIES
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
- A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
- A61B17/8855—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc inflatable, e.g. kyphoplasty balloons
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- A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
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- A—HUMAN NECESSITIES
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8802—Equipment for handling bone cement or other fluid fillers
- A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
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- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
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- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
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- A61B90/06—Measuring instruments not otherwise provided for
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
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- A—HUMAN NECESSITIES
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30581—Special structural features of bone or joint prostheses not otherwise provided for having a pocket filled with fluid, e.g. liquid
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract
The present invention relates to devices and methods for treating fractured and/or diseased bone. More specifically, the present invention relates to devices and methods for repairing, reinforcing and/or treating fractured and/or diseased bone using various devices, including cavity-forming devices .
Claims (19)
1. A method for treating or preventing a vertebral compression fracture comprising the steps of:
inserting an insertion device percutaneously into a vertebral body;
inserting a cavity-forming device through the insertion device into an area of cancellous bone in the vertebral body;
displacing cancellous bone with the cavity-forming device to create a cavity and a barrier region of compressed cancellous bone substantially surrounding the cavity; and filling at least a portion of the cavity with a bone filler.
inserting an insertion device percutaneously into a vertebral body;
inserting a cavity-forming device through the insertion device into an area of cancellous bone in the vertebral body;
displacing cancellous bone with the cavity-forming device to create a cavity and a barrier region of compressed cancellous bone substantially surrounding the cavity; and filling at least a portion of the cavity with a bone filler.
2. The method of claim 1 further wherein, after the filling step, inserting a cavity-forming device into the cavity and compressing at least a portion of the bone filler against the barrier region.
3. The method of claim 1 wherein the needle assembly comprises a needle.
4. The method of claim 3 wherein the needle assembly comprises an eleven-gauge needle.
5. The method of claim 1 wherein the cavitation device is selected from the group consisting of a mechanical tamp, a reamer, a drill, a hole puncher and a balloon catheter.
6. The method of claim 1 wherein the cavitation device is a balloon catheter comprising:
a tube comprising a distal end and a proximal end;
an expandable structure; and a fitting comprising at least one port;
a tube comprising a distal end and a proximal end;
an expandable structure; and a fitting comprising at least one port;
7. The method of claim 6 wherein the tube of the balloon catheter is hollow and comprises at least one opening near the distal end of the tube.
8. The method of claim 7 wherein the expandable structure of the catheter is bonded to the distal end of the tube.
9. The method of claim 8 wherein the expandable structure is inflated with an inflation medium, thereby forming a cavity and a barrier surrounding the cavity within the vertebral body; and wherein the expandable structure is subsequently deflated and removed through the insertion device.
10. The method of claim 9 wherein the inflation medium is selected from the group consisting of air, nitrogen, saline, water and combinations thereof.
11. The method of claim 1 wherein the bone filler is a polymethylmethacrylate.
12. A method for treating or preventing a vertebral compression fracture comprising the steps of:
inserting a spinal needle of a needle assembly percutaneously through a pedicle into a vertebral body;
inserting a balloon catheter through the spinal needle into an area of cancellous bone within the vertebral body, so that the distal end of the balloon catheter extends out of the distal end of the spinal needle;
inflating the balloon catheter with an inflation medium such that inflation of the distal end of the balloon catheter extending from the spinal needle displaces cancellous bone around the inflating balloon, forming a barrier around the balloon catheter that at least partly closes large cracks or veins within the cancellous bone area of the vertebral body;
deflating the balloon catheter and leaving a cavity within the cancellous bone area of the vertebral body;
removing the balloon catheter from the vertebral body through the needle assembly; and filling the cavity with a bone filler.
inserting a spinal needle of a needle assembly percutaneously through a pedicle into a vertebral body;
inserting a balloon catheter through the spinal needle into an area of cancellous bone within the vertebral body, so that the distal end of the balloon catheter extends out of the distal end of the spinal needle;
inflating the balloon catheter with an inflation medium such that inflation of the distal end of the balloon catheter extending from the spinal needle displaces cancellous bone around the inflating balloon, forming a barrier around the balloon catheter that at least partly closes large cracks or veins within the cancellous bone area of the vertebral body;
deflating the balloon catheter and leaving a cavity within the cancellous bone area of the vertebral body;
removing the balloon catheter from the vertebral body through the needle assembly; and filling the cavity with a bone filler.
13. The method of claim 12 wherein the inflation medium comprises sterile saline.
14. The method of claim 13 wherein the bone filler is polymethylmethacrylate.
15. A balloon catheter comprising:
a tube comprising a distal end and a proximal end;
a lumen within the tube;
an expandable material;
an opening formed in the tube, the opening communication with the lumen; wherein at least a portion of the expandable material is located within the lumen.
a tube comprising a distal end and a proximal end;
a lumen within the tube;
an expandable material;
an opening formed in the tube, the opening communication with the lumen; wherein at least a portion of the expandable material is located within the lumen.
16. The balloon catheter of claim 15 further comprising at least one opening in a wall of the tube near a distal end of the tube.
17. The balloon catheter of claim 16 wherein an inflation medium may be pumped into the expandable material, out of the expandable material, or both into and out of the expandable material, through the at least one opening near the distal end of the tube.
18. The balloon catheter of claim 15 wherein the expandable material is polyurethane.
19. The balloon catheter of claim 15 wherein the fitting is a Leur T-Fitting comprising two ports.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US19468500P | 2000-04-05 | 2000-04-05 | |
US60/194,685 | 2000-04-05 | ||
PCT/US2001/011456 WO2001076514A2 (en) | 2000-04-05 | 2001-04-05 | Methods and devices for treating fractured and/or diseased bone |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2404916A1 true CA2404916A1 (en) | 2001-10-18 |
CA2404916C CA2404916C (en) | 2009-12-22 |
Family
ID=22718531
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002404916A Expired - Fee Related CA2404916C (en) | 2000-04-05 | 2001-04-05 | Methods and devices for treating fractured and/or diseased bone |
Country Status (11)
Country | Link |
---|---|
US (25) | US6726691B2 (en) |
EP (1) | EP1272131B1 (en) |
JP (2) | JP4584526B2 (en) |
KR (1) | KR100717224B1 (en) |
CN (1) | CN1427700B (en) |
AT (1) | ATE318559T1 (en) |
AU (4) | AU5326701A (en) |
CA (1) | CA2404916C (en) |
DE (1) | DE60117524T2 (en) |
ES (1) | ES2262642T3 (en) |
WO (1) | WO2001076514A2 (en) |
Families Citing this family (409)
Publication number | Priority date | Publication date | Assignee | Title |
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US20030032963A1 (en) | 2001-10-24 | 2003-02-13 | Kyphon Inc. | Devices and methods using an expandable body with internal restraint for compressing cancellous bone |
US20030229372A1 (en) * | 1994-01-26 | 2003-12-11 | Kyphon Inc. | Inflatable device for use in surgical protocols relating to treatment of fractured or diseased bone |
US20060100635A1 (en) * | 1994-01-26 | 2006-05-11 | Kyphon, Inc. | Inflatable device for use in surgical protocol relating to fixation of bone |
KR100355207B1 (en) * | 1994-01-26 | 2003-01-24 | 마크 에이 레일리 | Improved inflatable device for use in surgical protocol relating to fixation of bone |
US20070282443A1 (en) * | 1997-03-07 | 2007-12-06 | Disc-O-Tech Medical Technologies Ltd. | Expandable element |
US6440138B1 (en) * | 1998-04-06 | 2002-08-27 | Kyphon Inc. | Structures and methods for creating cavities in interior body regions |
US6719773B1 (en) * | 1998-06-01 | 2004-04-13 | Kyphon Inc. | Expandable structures for deployment in interior body regions |
ES2354492T3 (en) | 1998-06-01 | 2011-03-15 | Kyphon Sarl | PREFORMED STRUCTURES EXPANDABLE FOR DEPLOYMENT IN INTERNAL BODY REGIONS. |
DE60206274T2 (en) * | 1998-10-26 | 2006-06-08 | Expanding Orthopedics Inc., Boston | SPREADABLE DEVICE FOR ORTHOPEDICS |
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