Device to aid in the deployment of a shape memory instrument

• US 10,159,497 B2
• Filed: 12/28/2015
• Issued: 12/25/2018
• Est. Priority Date: 12/14/2012
• Status: Active Grant

• Current Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Synthes Products Incorporated (Johnson & Johnson)
• Inventors: Kuntz, Kyle, Mueller, Marc
• Primary Examiner(s): Tanner, Jocelin
• Application Number:
  US14/979,695
• Publication Number:
  US 20160106443A1
• Time in Patent Office: 1,093 Days
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/885 Tools for expanding or compacting bones or discs or cavities therein A61B17/8805, A61B17/7097 take precedence
• CPC Class Codes: A61B 2017/00331 with preformed bends
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/320044 Blunt dissectors
• CPC Class Codes: A61B 2017/320056 Tunnelers

Abstract

A system is configured to create or enlarge a cavity in a tissue body and generally includes a cannula, a friction reduction covering, and a cavity creation member. The cavity creation member includes an end portion that is configured to transition between a first shape and a second shape that is different from the first shape. In operation, retracting the friction reduction covering relative to end portion causes the end portion to change shape from the first shape to the second shape such that the cavity creation member is configured to create or enlarge a cavity in the tissue body as the second end portion exits the friction reduction member.

Claims

1. A method of creating or enlarging a cavity in a vertebral body, the method comprising steps of:

inserting a friction reduction covering and a cavity creation member toward the vertebral body, wherein the friction reduction covering defines a covering opening and the cavity creation member includes an end portion substantially disposed in the covering opening;

moving the cavity creation member relative to the friction reduction covering, while a cannula causes the friction reduction covering to remain stationary in the cannula, such that the end portion becomes increasingly displaced from the friction reduction covering; and

during the moving step, transitioning the end portion from a first shape to a second shape that is different from the first shape.

2. The method of claim 1, comprising a step of driving the cannula towards the vertebral body, wherein the cannula includes a cannula body and a cannula opening that extends through the cannula body, and the inserting step comprises inserting the friction reduction covering and the cavity creation member into the cannula opening toward the vertebral body.

3. The method of claim 2, wherein the inserting step comprises disposing the cavity creation member in the friction reduction covering before inserting the friction reduction covering and the cavity creation member into the cannula.

4. The method of claim 2, wherein the inserting step comprises inserting the friction reduction covering into the cannula before disposing the cavity creation member in the friction reduction covering.

5. The method of claim 2, further comprising a step of inserting a guidewire into the vertebral body, and the driving step comprises placing the cannula over the guidewire and advancing the cannula over the guidewire toward the vertebral body.

6. The method as recited in claim 2, wherein the step of moving the cavity creation member causes the friction reduction covering to move against the cannula until the cannula stops further movement of the friction reduction covering, and such that further movement of the cavity creation member causes the end portion of the cavity creation member to become increasingly displaced from the friction reduction covering.

7. The method of claim 2, wherein the moving step causes a portion of the friction reduction covering to mechanically interfere with the cannula, such that movement of the cannula proximally relative to the cavity creation member causes the friction reduction covering to travel with the cannula.

8. The method of claim 1, wherein the method comprises, before the moving step, causing the end portion of the cavity creation member to be biased against an inner covering surface of the friction reduction covering that defines the covering opening.

9. The method of claim 1, comprising transitioning the end portion from the first shape to the second shape such that the second shape is more curved than the first shape.

10. The method of claim 1, wherein:

the method comprises a step of moving an adjustable stop of a cavity creation device that includes the cavity creation member away from the friction reduction covering so as to define a gap between the adjustable stop and a proximal end of the friction reduction covering; and

the step of moving the cavity creation member comprises applying a biasing force to the cavity creation device so as to urge the adjustable stop to move relative to the friction reduction covering to a position against the friction reduction covering, thereby closing the gap.

11. The method of claim 10, wherein moving the adjustable stop comprises rotating an actuator of the adjustable stop about a drive member of the cavity creation device so as to cause the adjustable stop to move away from the friction reduction covering to thereby define the gap.

12. The method of claim 10, comprising moving the adjustable stop after the inserting step and before the moving step so as to define the gap.

13. The method of claim 10, comprising moving the adjustable stop before the inserting step so as to define the gap.

14. The method of claim 1, further comprising a step of rotating the cavity creation member to enlarge the cavity in the vertebral body.

15. The method of claim 1, wherein the moving step comprises overcoming a frictional force between the cavity creation member and the friction reduction covering to thereby urge the cavity creation member to move with respect to the friction reduction covering.

16. The method of claim 1, wherein the moving step causes the cavity creation member to enter the vertebra.

17. A method of creating or enlarging a cavity in a vertebral body, the method comprising steps of:

inserting a friction reduction covering and a cavity creation member towards the vertebral body, wherein the friction reduction covering defines a covering opening and the cavity creation member includes an end portion substantially disposed in the covering opening;

moving an adjustable stop away from both the friction reduction covering and the end portion of the cavity creation member so as to define a gap between the adjustable stop and a proximal end of the friction reduction covering;

moving the cavity creation member relative to the friction reduction covering such that the end portion becomes increasingly displaced from the friction reduction covering, the step of moving the cavity creation member comprising applying a biasing force to the cavity creation member so as to close the gap; and

during the step of moving the cavity creation member, transitioning the end portion from a first shape to a second shape that is different from the first shape.

18. The method of claim 17, wherein moving the adjustable stop comprises rotating an actuator of the adjustable stop about a drive member so as to cause the adjustable stop to move away from the friction reduction covering to thereby define the gap.

19. The method of claim 17, comprising moving the adjustable stop so as to define the gap after the step of inserting the friction reduction covering and the cavity creation member and before the step of moving the cavity creation member.

20. The method of claim 17, comprising moving the adjustable stop so as to define the gap before the step of inserting the friction reduction covering and the cavity creation member.