Bone treatment systems and methods

• US 10,278,754 B2
• Filed: 02/01/2017
• Issued: 05/07/2019
• Est. Priority Date: 08/22/2005
• Status: Active Grant

• Current Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Original Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Inventors: Truckai, Csaba, Shadduck, John, Luzzi, Robert
• Primary Examiner(s): Boles, Sameh R
• Application Number:
  US15/422,212
• Publication Number:
  US 20170135739A1
• Time in Patent Office: 825 Days
• Field of Search: None
• CPC Class Codes: A61B 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• CPC Class Codes: A61B 17/8805 for introducing fluid filler into bone or extracting it A61B17/7097, A61B17/8833 take precedence
• CPC Class Codes: A61B 17/8811 characterised by the introducer tip, i.e. the part inserted into or onto the bone
• CPC Class Codes: A61B 17/8816 characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
• CPC Class Codes: A61B 17/8822 characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum
• CPC Class Codes: A61B 17/8836 for heating, cooling or curing of bone cement or fluid fillers

Abstract

Systems and methods for treating bone, such as vertebral compression fractures are disclosed. A method includes controllably applying energy to a bone cement volume outside of a patient'"'"'s body to selectively accelerate the polymerization rate of the bone fill material volume prior to introduction into a bone. The method further includes sequentially introducing a plurality of cement carrying structures with the accelerated polymerization rate bone cement volume into the bone. A system for use in the method includes at least one elongated cement-carrying structure sized to carry a bone cement volume therein and an energy source operatively coupleable to the cement-carrying structure. The energy source applies energy to the bone cement volume to selectively accelerate a polymerization rate thereof. An elongated injector insertable into the bone has a passageway that removably receives the elongated cement-carrying structure to allow delivery of the accelerated polymerization rate bone cement into the bone.

Claims

1. A method for treating a bone comprising:

filling an elongated cement-carrying device with a volume of bone fill material;

disposing the elongated cement-carrying device carrying the volume of bone fill material therein within an elongated receiving channel of a housing, the housing further comprising a thermal energy emitter, wherein the housing is positioned outside of a patient'"'"'s body;

delivering energy from an energy source to the thermal energy emitter; and

controlling the thermal energy emitter to apply thermal energy from the thermal energy emitter to the contained volume of bone fill material.

2. The method of claim 1, wherein the thermal energy emitter is separate from the elongated cement-carrying device.

3. The method of claim 1, further comprising cooling the bone fill material in the elongated cement-carrying device disposed in the housing.

4. The method of claim 1, further comprising coupling at least a portion of the elongated cement-carrying device to an injector.

5. The method of claim 4, further comprising delivering the bone fill material into a bone through the injector.

6. The method of claim 5, wherein the bone is a vertebral body.

7. The method of claim 1, further comprising an injector sized to receive at least a portion of the elongated cement-carrying device therein.

8. The method of claim 1, further comprising controlling the application of thermal energy from the thermal energy emitter so that different levels of thermal energy are transmitted from the thermal energy emitter to the bone fill material.

9. The method of claim 1, further comprising two or more elongated cement-carrying devices, and controlling the polymerization rate of the bone fill material such that the bone fill material of the two or more elongated cement-carrying devices have different viscosities.

10. The method of claim 1, further comprising displaying at least one polymerization parameter.

11. The method of claim 1, further comprising maintaining the bone fill material at a generally constant temperature when the elongated cement-carrying device is within the elongated receiving channel of the housing.

12. The method of claim 1, further comprising maintaining the bone fill material at a generally constant viscosity when the elongated cement-carrying device is within the elongated receiving channel of the housing.

13. A method for treating bone comprising:

filling a cement-carrying device with a volume of bone fill material;

coupling the cement-carrying device carrying the volume of bone fill material therein to a housing, the housing further comprising a thermal energy emitter, wherein the housing is positioned outside of a patient'"'"'s body;

applying thermal energy to the bone fill material in the cement-carrying device after coupling the cement-carrying device to the housing; and

controlling the thermal energy emitter to selectively accelerate the polymerization rate of a selected volume of the bone fill material.

14. The method of claim 13, further comprising selectively accelerating the polymerization rate of the bone fill material prior to introduction of the bone fill material into a bone.

15. The method of claim 13, further comprising introducing the bone fill material with the accelerated polymerization rate into a bone.

16. The method of claim 13, further comprising coupling at least a portion of the cement-carrying device to an injector.

17. A method for treating bone comprising:

filling an elongated cement-carrying device with a volume of bone fill material;

disposing the elongated cement-carrying device carrying the volume of bone fill material therein within a housing comprising a thermal energy emitter, wherein the housing is positioned outside of a patient'"'"'s body; and

controlling the application of energy from an energy source to the thermal energy emitter so that different levels of thermal energy can be transmitted from the thermal energy emitter to the bone fill material.

18. The method of claim 17, wherein the different levels of thermal energy transmitted from the thermal energy emitter to the bone fill material prepares bone fill material having different levels of polymerization.

19. The method of claim 17, wherein the different levels of thermal energy transmitted from the thermal energy emitter to the bone fill material prepares bone fill material having different viscosities.

20. The method of claim 17, further comprising coupling at least a portion of the elongated cement-carrying device to an injector.