Method and apparatus for treating intervertebral discs
First Claim
1. A method of treating an intervertebral disc comprising:
- delivering energy from an energy delivery device to the intervertebral disc to treat the intervertebral disc, the energy being delivered such that a greater amount of energy is delivered to an annulus fibrosus of the intervetebral disc than to a center of the intervertebral disc.
3 Assignments
0 Petitions
Accused Products
Abstract
A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter'"'"'s distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
305 Citations
24 Claims
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1. A method of treating an intervertebral disc comprising:
delivering energy from an energy delivery device to the intervertebral disc to treat the intervertebral disc, the energy being delivered such that a greater amount of energy is delivered to an annulus fibrosus of the intervetebral disc than to a center of the intervertebral disc. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method of treating an intervertebral disc comprising:
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providing a catheter having an energy delivery device adjacent a distal end of the catheter;
positioning the energy delivery device relative to the intervertebral disc; and
delivering energy from an energy delivery device to the intervertebral disc to treat the intervertebral disc, the energy being delivered such that a greater amount of energy is delivered to an annulus fibrosus of the intervertebral disc than to a center of the intervertebral disc. - View Dependent Claims (13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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Specification