Systems and methods for anti-microbial effect for bones

• US 10,226,642 B2
• Filed: 11/04/2016
• Issued: 03/12/2019
• Est. Priority Date: 11/06/2015
• Status: Active Grant

• Current Assignee: ABL Medical Incorporated
• Original Assignee: Illuminoss Medical, Inc.
• Inventors: Rabiner, Robert A., Rabiner, Daniel E., DiPoto, Gene P., Shanahan, Augustus C., Shuler, Franklin D.
• Primary Examiner(s): Coley, Zade
• Application Number:
  US15/343,738
• Publication Number:
  US 20170128742A1
• Time in Patent Office: 858 Days
• CPC Class Codes: A61M 2210/02 Bones
• CPC Class Codes: A61M 25/10 Balloon catheters A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02; inflatable balloons for placing stents or stent-grafts A61F2/958 ; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00
• CPC Class Codes: A61N 2005/007 for cooling the patient
• CPC Class Codes: A61N 2005/063 comprising light transmitting means, e.g. optical fibres
• CPC Class Codes: A61N 2005/0662 Visible light
• CPC Class Codes: A61N 2005/0665 Reflectors
• CPC Class Codes: A61N 5/0601 Apparatus for use inside the body
• CPC Class Codes: A61N 5/062 Photodynamic therapy, i.e. excitation of an agent
• CPC Class Codes: A61N 5/0624 for eliminating microbes, germs, bacteria on or in the body
• CPC Class Codes: A61N 5/067 using laser light

Abstract

Systems and methods for restructure and stabilization of bones that provide an anti-microbial effect are disclosed herein. A device includes a delivery catheter having an inner void for passing at least one light sensitive liquid, and an inner lumen; an expandable member releasably engaging the distal end of the delivery catheter; at least one channel positioned in the expandable member; and a light conducting fiber sized to pass through the inner lumen of the delivery catheter and into the expandable member, wherein, when the light conducting fiber is in the at least one channel, the light conducting fiber is able to disperse light energy to provide an anti-microbial effect. When the light conducting fiber is in the expandable member, the light conducting fiber is able to disperse the light energy to initiate hardening of the light sensitive liquid within the expandable member to form a photodynamic implant.

Claims

1. A system for providing an anti-microbial effect on a bone comprising:

a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, an inner void for passing at least one light sensitive liquid, and an inner lumen;

an expandable member releasably engaging the distal end of the delivery catheter, the expandable member being configured to be placed into a space within a bone and capable of moving from a deflated state to an inflated state by infusing the at least one light sensitive liquid into the expandable member

at least one ridge disposed on the outer surface of the expandable member, the at least one ridge shaped longitudinally along the expandable member and extending from a first end to a second end of the expandable member;

a light conducting fiber sized to pass through the inner lumen of the delivery catheter; and

at least one channel defined in each of the at least one ridge, the at least one channel sized to accept the light conducting fiber.

2. The system of claim 1, wherein the at least one ridge is a plurality of ridges and each of the plurality of ridges includes at least one channel.

3. The system of claim 2, wherein, when the light conducting fiber is in the at least one channel of the plurality of ridges, the light conducting fiber is configured to disperse light energy to provide the anti-microbial effect, prior to infusing the at least one light sensitive liquid in the expandable member.

4. The system of claim 1, wherein the expandable member is designed to be at least partially placed into the space within the bone.

5. The system of claim 1, wherein the light conducting fiber is able to disperse light energy to provide the anti-microbial effect prior to infusing the at least one light sensitive liquid in the expandable member.

6. The system of claim 1, wherein the at least one light sensitive liquid is passed in and out of the expandable member to form fit the expandable member to a surface contact area within the space of the bone.

7. The system of claim 1, wherein an amount of the light sensitive liquid is hardened within the expandable member, such that a size and a shape of the formed photodynamic implant has a size and a shape of the space inside the bone, so the bone is restructured to a substantially original size and an original shape around the formed photodynamic implant.

8. The system of claim 1, wherein the dispersion of light energy to provide the anti-microbial effect is about 400 seconds, less than 400 seconds, or about 400 seconds to about 800 seconds.

9. A system for providing an anti-microbial effect on a bone comprising:

a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, an inner void for passing at least one light sensitive liquid, and an inner lumen;

an expandable member releasably engaging the distal end of the delivery catheter, the expandable member is being configured to be placed into a space within a bone and having an outer surface and an inner surface, wherein the inner surface defines a cavity, the expandable member movable from a deflated state to an inflated state when the at least one light sensitive liquid is passed into the cavity of the expandable member;

at least one ridge disposed on the outer surface of the expandable member, the at least one ridge shaped longitudinally along the expandable member and extending from a first end to a second end of the expandable member;

a light conducting fiber sized to pass through the inner lumen of the delivery catheter; and

one or more channel defined in each of the at least one ridge, the one or more channel sized to accept the light conducting fiber.

10. The system of claim 9, wherein the expandable member is designed to be at least partially placed into the space within the bone, directly in contact with the bone and to form fit to a surface contact area within the space of the bone.

11. The system of claim 9, wherein an amount of the light sensitive liquid is hardened within the expandable member, such that a size and a shape of the formed photodynamic implant has a size and a shape of the space inside the bone, so the bone is restructured to a substantially original size and an original shape around the formed photodynamic implant.