SPINAL DIAGNOSTIC METHODS AND APPARATUS

• US 20080077117A1
• Filed: 12/26/2006
• Published: 03/27/2008
• Est. Priority Date: 04/16/2004
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Kyphon Incorporated
• Inventors: Campbell, Peter F., Alamin, Todd, Miller, David R.
• Granted Patent: US 7,905,874 B2
• Time in Patent Office: Days
• US Class Current: 604/508
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00469 for insertion of instruments, e.g. guide wire, optical fibre
• CPC Class Codes: A61B 2017/3488 Fixation to inner organ or inner body tissue

Abstract

Methods, devices and systems facilitate diagnosis, and in some cases treatment, of back pain originating in intervertebral discs. Methods generally involve introducing one or more substances into one or more discs using a catheter device. In one embodiment, a patient assumes a position that causes back pain, and a substance such as an anesthetic or analgesic is introduced into the disc to determine whether the substance relieves the pain. Injections into multiple discs may optionally be performed, to help pinpoint a disc as a source of the patient'"'"'s pain. In some embodiments, the catheter device is left in place, and possibly coupled with another implantable device, to provide treatment of one or more discs. A catheter device includes at least one anchoring member for maintaining a distal portion of the catheter within a disc.

Claims

1. A method comprising:

inserting a catheter into an intervertebral disc in a patient'"'"'s body, wherein the catheter includes at leas one radiopaque marker;

determining the position of the catheter within the intervertebral disc through visualizing the location of the radio marker; and

injecting an anesthetic into the spinal disc through the catheter.

2. The method according to claim 1, further comprising:

anchoring the catheter in the intervertebral disc prior to injecting the anesthetic.

3. The method according to claim 1, further comprising:

identifying the intervertebral disc as a source of the patient'"'"'s pain.

4. The method of claim 3, wherein identifying comprises having the patient reposition his or her spine in a manner which would be expected to cause pain in the intervertebral disc.

5. The method according to claim 1, wherein the anesthetic is injected through the catheter while the patient repositions his or her spine.

6. The method according to claim 1, wherein anchoring the catheter comprises expanding an anchoring member located on the catheter.

7. A method for placement of a catheter in an intervertebral disc comprising:

percutaneously inserting a distal portion of a catheter into the intervertebral disc, wherein the distal portion of the catheter comprises an anchor; and

releasing the anchor from constraint to anchor the distal portion of the catheter in the intervertebral disc.

8. The method according to claim 7, wherein the anchor comprises a spring loaded member.

9. The method according to claim 7, wherein the anchor comprises a shape memory member.

10. The method according to claim 7, further comprising:

injecting a substance through the catheter into the intervertebral disc.

11. The method according to claim 10, wherein the substance comprises an anesthetic.

12. The method according to claim 11, further comprising:

identifying the intervertebral disc as a source of pain.

13. The method according to claim 12, wherein identifying comprises having the patient reposition his or her spine in a manner which would be expected to cause pain in the intervertebral disc.

14. A method comprising:

percutaneously inserting a distal portion of a catheter into an intervertebral disc, wherein the catheter comprises an outer shaft, and inner shaft, and an anchoring member coupled with both the outer shaft and the inner shaft; and

deploying the anchoring member within the intervertebral disc.

15. The method according to claim 14, wherein deploying the anchoring member comprises moving the shafts relative to each other to buckle the member outwardly.

16. The method according to claim 14, further comprising:

injecting a substance into the intervertebral disc through the catheter.

17. The method according to claim 16, wherein the substance comprises an anesthetic.

18. The method according to claim 17, further comprising:

identifying the intervertebral disc as a source of the patient'"'"'s pain.

19. The method according to claim 18, wherein identifying comprises having the patient reposition his or her spine in a manner which would be expected to cause pain in the intervertebral disc.

20. A method comprising:

percutaneously inserting a distal portion of a catheter into an intervertebral disc through a split-away introducer device, wherein the distal portion of the catheter comprises an expandable anchor; and

removing the split-away introducer device.

21. The method according to claim 22, further comprising:

deploying the expandable anchor in the intervertebral disc.

22. The method according to claim 20, further comprising:

injecting a substance into the intervertebral disc through the catheter.

23. The method according to claim 22, wherein the substance comprises an anesthetic.

24. The method according to claim 23, further comprising:

identifying the intervertebral disc as a source of the patient'"'"'s pain.

25. The method according to claim 24, wherein identifying comprises having the patient reposition his or her spine in a manner which would be expected to cause pain in the intervertebral disc.

26. A catheter device comprising:

an elongated flexible catheter body having a proximal end and a distal end, and a first lumen for introducing one or more substance into an intervertebral disc, the outer diameter of the catheter body is less than 2 mm;

a radiopaque marker located within a distal portion of the catheter body; and

an anchoring member disposed on the catheter body, the anchoring member being configured to anchor the distal portion of the catheter body in the intervertebral disc, the catheter body further having a second lumen for deploying the anchoring member.

27. The catheter device according to claim 26, further comprising:

an introducer device configured to receive the elongated flexible catheter and introduce the elongated flexible catheter into the intervertebral disc.

28. The catheter device according to claim 26, wherein the anchoring member comprises an expandable member.

29. The catheter device according to claim 26, wherein the anchoring member comprises an inflatable balloon.

30. The catheter device according to claim 26, wherein the anchoring member is configured to increase a cross-sectional diameter of the elongated flexible catheter body at one or more locations on the elongated flexible catheter body.