Transverse cavity device and method

• US 20050182413A1
• Filed: 03/07/2005
• Published: 08/18/2005
• Est. Priority Date: 08/14/2000
• Status: Active Grant

• Current Assignee: Spine Wave Incorporated
• Original Assignee: Spine Wave Incorporated
• Inventors: Wales, Lawrence W., Johnson, Wesley, Hektner, Thomas, Fuller, Larry, Barber, Deborah A.
• Granted Patent: US 7,234,468 B2
• Time in Patent Office: Days
• US Class Current: 606/79
• 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 17/8855 inflatable, e.g. kyphoplasty balloons
• CPC Class Codes: A61B 2017/00261 Discectomy

Abstract

A method for treating a compression fracture in a bone includes the step of forming a transverse cavity and then applying a force within the cavity generally normal to a surface of the bone to restore it substantially to its normal anatomic shape. In certain embodiments, the force is applied by an expandable device.

Claims

1-44. -44. (canceled)

45. A method of treating a compression fracture in a bone, comprising the steps of:

forming a transverse cavity within said bone defined by at least one surface lying substantially in a transverse plane formed by and communicating with said transverse cavity; and

applying a force within said transverse cavity generally normal to said surface to displace said surface and restore said bone to its substantially normal anatomic position.

46. The method of claim 45, wherein said force is applied by a device expandable within said transverse cavity.

47. The method of claim 46, wherein said expandable device is configured to reach a substantially broad area of said surface upon immediate expansion and before applying said force to said surface.

48. The method of claim 47, wherein said expandable device is a hydraulic lifting device.

49. The method of claim 47, wherein said expandable device is a balloon.

50. The method of claim 46, further including the step of removing said expandable device from said transverse cavity.

51. The method of claim 46, further including the step of permanently retaining said expandable device within said transverse cavity.

52. The method of claim 46, further including the step of introducing a bone filler into said transverse cavity.

53. The method of claim 52, wherein said bone filler is introduced into said transverse cavity after applying said anatomic restoration force.

54. The method of claim 45, wherein said transverse cavity is formed by a tool inserted into said bone, said tool having a movable element capable of movement in said transverse plane, said method further including the step of activating said element to move in said transverse plane to thereby form said transverse cavity.

55. The method of claim 45, wherein the compression fractures to be treated are selected from the group consisting of vertebral compression fractures, tibial plateau fractures, distal radius fractures, calcaneous fractures, distal tibial fractures and humeral fractures.

56. A method of treating a compression fracture in a vertebral body of the spine to substantially restore normal vertebral body height, comprising the steps of:

forming within said vertebral body a transverse cavity defined by at least one surface lying in a transverse plane extending substantially normal to the axis of the spine;

introducing an expandable device into said transverse cavity in an unexpanded condition;

deploying said expandable device to substantially occupy said transverse cavity; and

expanding said expandable device against said surface to cause said surface to move generally along said axis of the spine to thereby restore the vertebral body height to its substantially normal anatomic height.

57. The method of claim 56, wherein said expandable device is configured to reach a substantially broad area of said surface upon immediate deployment of said device.

58. The method of claim 57, wherein said device applies a force generally normal to said surface.

59. The method of claim 58, wherein said expandable device is a hydraulic lifting device.

60. The method of claim 58, wherein said expandable device is a balloon.

61. The method of claim 56, further including the step of removing said expandable device from said transverse cavity.

62. The method of claim 56, further including the step of permanently retaining said expandable cavity within said transverse cavity.

63. The method of claim 56, further including the step of introducing a bone filler into said transverse cavity.

64. The method of claim 61, further including the step of introducing a bone filler into said transverse cavity after removing said expandable device.

65. The method of claim 56, wherein said transverse cavity is formed at a location relatively near a fracture in the vertebral body.

66. The method of claim 65, wherein said location is relatively near the anterior portion of said vertebral body.

67. The method of claim 56, wherein said transverse cavity is formed by a tool inserted into said bone, said tool having a cross-sectional area upon insertion smaller than the cross-sectional area of the transverse cavity.

68. The method of claim 67, wherein said tool has an expanse movable within said body in said transverse plane.

69. The method of claim 67, wherein said tool is inserted into said vertebral body in a transpedicular approach.

70. The method of claim 67, wherein said tool is inserted into said vertebral body in an extrapedicular approach.