Method and apparatus for delivering material to a desired location

• US 6,214,012 B1
• Filed: 11/13/1998
• Issued: 04/10/2001
• Est. Priority Date: 11/13/1998
• Status: Expired due to Fees

• Current Assignee: Robert R. Karpman, Stryker Spine
• Original Assignee: Harrington Arthritis Research Center
• Inventors: Karpman, Robert R., Brantley, Anna G. U., Hansen, Thomas M.
• Primary Examiner(s): Recla, Henry J.
• Assistant Examiner(s): Woo, Julian W.
• Application Number:
  US09/191,915
• Time in Patent Office: 879 Days
• Field of Search: 606/73, 606/71, 606/92, 606/93, 606/95, 604/890.1, 604/285, 604/264, 604/271, 128/898
• US Class Current: 606/93
• CPC Class Codes: A61B 17/7032 Screws or hooks with U-shaped head or back through which longitudinal rods pass
• CPC Class Codes: A61B 17/7037 wherein pivoting is blocked when the rod is clamped
• CPC Class Codes: A61B 17/7041 with single longitudinal rod offset laterally from single row of screws or hooks A61B17/7044 takes precedence
• CPC Class Codes: A61B 17/7061 for stabilising vertebrae or discs by improving the condition of their tissues, e.g. using implanted medication or fluid exchange intraosseous injection devices A61B17/3472
• CPC Class Codes: A61B 17/7098 wherein the implant is permeable or has openings, e.g. fenestrated screw hollow surgical screws A61B17/864
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 17/864 hollow, e.g. with socket or cannulated
• CPC Class Codes: A61M 2210/02 Bones

Abstract

A method and apparatus for the effective delivery of a material, such as cement, to a desired location in a human. In one embodiment of the invention, a bone screw, including a head portion, a cannulated slotted shaft portion and a tip portion, includes an injection site for removably attaching an injection device, such as a syringe. Since the shaft portion is slotted, injected material flows from the cannulated shaft and is able to exit into surrounding tissue through the slot in the shaft.

Claims

1. A device for forming fixation masses about a portion of a bone consisting of:

a head portion having an injection site for releasably attaching an injection device to said injection site;

a threaded shaft portion having a proximal portion and a distal portion, said shaft portion terminating at a tip portion;

a cannula extending along at least a portion of a length of said shaft portion from said injection site on said head portion substantially along a center-line within said shaft portion, said cannula configured to receive a fixation substance; and

at least one slot in said proximal portion and at least one slot in said distal portion, said slots in fluid communication with the cannula for delivery of said fixation substance about said device and in proximity to a cortex portion of the bone.

2. The device in accordance with claim 1, wherein said at least one slot is disposed proximate said head portion and said at least one slot is disposed proximate said tip portion.

3. The device in accordance with claim 2, wherein said cannula has a cross sectional area and each of said slots has a cross sectional area, the cross sectional area of said cannula less than the cross-sectional area of each of said slots.

4. The device in accordance with claim 1, wherein said cannula extends from said injection site on said head portion through said shaft portion and through said tip portion for delivery of said hardening substance to strengthen the fixation about an outer cortex portion of the bone.

5. The device in accordance with claim 1, wherein said head portion comprises means for engaging and turning said device for insertion and slot alignment into the bone.

6. The device in accordance with claim 1, wherein said head portion further includes an indicator to indicate the orientation of at least one of said at least one slot.

25. The device in accordance with claim 1 comprising two slots, a first slot disposed proximate said head portion for delivery of said fixation substance to strengthen an uppermost inner cortex portion of the bone, and a second slot disposed proximate said tip portion for delivery of said fixation substance to strengthen a lowermost inner cortex portion of the bone, and wherein said cannula extends from said injection site on said head portion through said shaft portion and through said tip portion for delivery of said fixation substance to strengthen an outer cortex portion of the bone.

30. The device in accordance with claim 6, wherein said fixation substance forms a fixation mass about a portion of the bone in compliance with an orientation of said slot.

31. The device in accordance with claim 30, wherein said orientation of said slot is optimized to strengthen the fixation of said device about the bone.

32. The device in accordance with claim 1, wherein said first slot delivers said fixation substance to form a fixation mass to strengthen the fixation about an inner cortex portion of the bone.

33. The device in accordance with claim 1, wherein said fixation substance comprises a hardening substance.

34. The device in accordance with claim 33, wherein said fixation substance comprises bone cement.

7. A bone anchoring system comprising:

a bone anchoring device;

including

a head portion at a proximal end of said anchoring device, the head portion having an attachment means for attaching an injection device and an engagement means for engaging with a tool for inserting said anchoring device;

an elongate shaft portion having an external threaded portion and a cannula extending along at least a portion of the shaft portion, said cannula suitably configured to internally deliver an anchoring substance;

a tip portion at a distal end of shaft portion; and

at least one delivery at said proximal end and at least one delivery port at said distal end, said delivery ports extending from said cannula to deliver said anchoring substance near a bone surface and to form an anchoring mass about said anchoring device and the bone, and a bone plate engaged with said head portion of said bone anchoring device, said bone plate having a surface for at least partial contact with the bone.

8. The bone anchoring system in accordance with claim 7, wherein said attachment means comprises a recess formed in said head portion, said recess threaded for engagement with an injection device.

9. The bone anchoring system in accordance with claim 7, further comprising a coupling assembly for attaching a fixation device to said head portion of said anchoring device.

10. The bone anchoring system in accordance with claim 7, wherein said tip portion comprises an opening in fluid communication with said cannula to deliver said anchoring substance near the bone surface.

11. The bone anchoring system in accordance with claim 7, comprising a plurality of delivery ports located along said shaft portion and extending from said cannula, for delivery of said anchoring substance to maintain optimum anchoring strength of the device.

12. The bone anchoring system in accordance with claim 7, wherein said head portion further includes an adapter device for forcing said anchoring substance through said cannula and out of said port.

13. The bone anchoring system in accordance with claim 7, where said screw further includes a plug for sealing said cannula after insertion of an injectable material therein.

14. A method for strengthening fixation of a fixation device to a bone comprising the steps of:

(a) providing a fixation device;

(b) drilling a pilot hole in the bone;

(c) inserting said fixation device into said pilot hole;

(d) injecting a fixation substance into a cannula of said fixation device;

(e) delivering said fixation substance about the bone through a plurality of slots extending outward from said cannula;

(f) forming areas of fixation masses near at least one of a proximal portion and a distal portion of said fixation device and the bone.

15. The method of claim 14 wherein said providing a fixation device step comprises at least one of or a combination thereof a bone screw, a plate, a pin, a wire, a rod or a nail.

16. The method of claim 14 wherein said providing step comprises pretreating said fixation device with a bone-growth agent.

17. The method of claim 14 further comprising the step of positioning said slots near a cortex portion of the bone.

18. The method of claim 17 wherein the step of positioning comprises a first slot positioned near an endosteum of a cortex portion of the bone and a second slot positioned near a periosteum of a cortex portion of the bone.

19. The method of claim 14 wherein the step of delivering comprises delivering said fixation substance in proximity to a cortex of the bone.

20. The method of claim 14 further comprising the steps of:

(a) attaching a delivery device comprising said fixation substance to a head of said fixation device prior to said injection step; and

(b) detaching said delivery device from said head of said fixation device after said delivering step.

21. A method of forming an anchor for an internal fixation device in a vertebral body comprising the steps of:

(a) inserting at least one fixation device into the vertebral body, said fixation device having a cannula and at least one slot extending outward from said cannula; and

(b) delivering through said slot an anchoring substance to form a mass about said fixation device and in proximity to an outermost region of a centrum area of the vertebral body.

22. The method of claim 21 further comprising the steps of:

(a) attaching a fixation component to a head of said fixation device; and

(b) aligning said fixation component and said fixation device for optimum support in the vertebral body.

23. The method of claim 21 further comprising the step of injecting said anchoring substance into a cannula of said fixation device.

24. The method of claim 21 further comprising the step of prefilling said fixation device with said anchoring substance prior to said inserting step.

26. A method for increasing the holding power of a bone fixation device comprising the steps of:

(a) engaging said device within the bone;

(b) disposing a bone cement through a bore in said device and through at least two openings in said device;

(c) disbursing said cement through a first opening proximate to a head portion of said device near an inner cortex portion of the bone, and through a second opening proximate to a tip potion of said device near an outer cortex portion of the bone; and

(d) curing said cement to form a cement mass about said device and the bone.

27. The method of claim 26, wherein said engaging step comprises predrilling a pilot hole and inserting into said pilot hole.

28. The method of claim 26, wherein said disposing step comprises disposing said cement through three opening in said device, and said disbursing step comprises disbursing through a first opening proximate to a head portion of said device near an upper inner cortex portion of the bone, and disbursing through a second opening proximate to a tip portion of said device near a lower inner cortex portion of the bone, and disbursing through a third opening proximate said tip portion near a lower outer cortex portion of the bone.

29. The method of claim 26, wherein said engaging step comprises placing a bone plate atop the bone and inserting at least one bone screw through said bone plate into the bone.