Expandable structures for deployment in interior body regions

• US 6,623,505 B2
• Filed: 07/31/2001
• Issued: 09/23/2003
• Est. Priority Date: 08/15/1997
• Status: Expired due to Term

• Current Assignee: Orthophoenix, LLC (Marathon Patent Group, Inc.)
• Original Assignee: Kyphon Incorporated (Medtronic Plc)
• Inventors: Scribner, Robert M., Reo, Michael L.
• Primary Examiner(s): TRUONG, KEVIN THAO
• Application Number:
  US09/918,942
• Publication Number:
  US 20020013600A1
• Time in Patent Office: 784 Days
• Field of Search: 606/192, 606/193, 606/195, 606/60, 606/94, 606/190, 606/200, 604/20, 604/96-1-1
• US Class Current: 606/192
• CPC Class Codes: A61B 10/025 for taking bone, bone marrow or cartilage samples
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/1204 temporary occlusion
• CPC Class Codes: A61B 17/12099 characterised by the location of the occluder
• CPC Class Codes: A61B 17/12109 in a blood vessel
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61B 17/7258 with laterally expanding parts, e.g. for gripping the bone
• CPC Class Codes: A61B 17/7275 with expanding cylindrical parts
• CPC Class Codes: A61B 17/74 Devices for the head or neck or trochanter of the femur trochanteric devices connected to the proximal part of an endoprosthetic femoral shaft A61F2/30739; endoprosthetic internal fixation devices for the head or neck of the femur A61F2/3601
• CPC Class Codes: A61B 17/744 the longitudinal elements coupled to an intramedullary nail
• CPC Class Codes: A61B 17/8855 inflatable, e.g. kyphoplasty balloons
• CPC Class Codes: A61B 2010/0258 Marrow samples
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2050/0065 Peelable cover
• CPC Class Codes: A61B 2050/3015 transparent
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61B 90/94 coded with symbols, e.g. text
• CPC Class Codes: A61F 2/28 Bones joints A61F2/30
• CPC Class Codes: A61F 2/2846 : Support means for bone substitute or for bone graft implants, e.g. membranes or plates for covering bone defects nets or sleeves applied to surface of endoprostheses A61F2/30907; bone plates A61B17/80; bone regeneration in dental surgery A61C8/0006
• CPC Class Codes: A61F 2/44 : for the spine, e.g. vertebrae, spinal discs
• CPC Class Codes: A61F 2/441 : made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• CPC Class Codes: A61F 2/4601 : for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• CPC Class Codes: A61F 2/4611 : of spinal prostheses
• CPC Class Codes: A61F 2002/2817 : Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2825 : Femur
• CPC Class Codes: A61F 2002/2828 : Femoral head
• CPC Class Codes: A61F 2002/2832 : Femoral neck
• CPC Class Codes: A61F 2002/2835 : Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/2853 : Humerus
• CPC Class Codes: A61F 2002/2871 : Radius
• CPC Class Codes: A61F 2002/2892 : Tibia
• CPC Class Codes: A61F 2002/30113 : circular
• CPC Class Codes: A61F 2002/30115 : circular-O-shaped
• CPC Class Codes: A61F 2002/30125 : elliptical or oval
• CPC Class Codes: A61F 2002/30133 : kidney-shaped or bean-shaped
• CPC Class Codes: A61F 2002/302 : toroidal, e.g. rings
• CPC Class Codes: A61F 2002/30225 : Flat cylinders, i.e. discs
• CPC Class Codes: A61F 2002/30228 : Cylinders of elliptical or oval basis
• CPC Class Codes: A61F 2002/30242 : spherical
• CPC Class Codes: A61F 2002/30245 : Partial spheres
• CPC Class Codes: A61F 2002/30253 : ellipsoidal or ovoid
• CPC Class Codes: A61F 2002/30285 : rugby-ball-shaped
• CPC Class Codes: A61F 2002/30288 : bottle-shaped
• CPC Class Codes: A61F 2002/30308 : banana-shaped
• CPC Class Codes: A61F 2002/30313 : pear-shaped
• CPC Class Codes: A61F 2002/30448 : using adhesives
• CPC Class Codes: A61F 2002/30462 : retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2002/30581 : having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30586 : having two or more inflatable pockets or chambers
• CPC Class Codes: A61F 2002/30599 : stackable
• CPC Class Codes: A61F 2002/30677 : Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
• CPC Class Codes: A61F 2002/30909 : Nets
• CPC Class Codes: A61F 2002/4217 : Calcaneum or calcaneus or heel bone
• CPC Class Codes: A61F 2002/4627 : with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2002/4685 : by means of vacuum
• CPC Class Codes: A61F 2220/005 : using adhesives
• CPC Class Codes: A61F 2220/0075 : sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2230/0006 : circular
• CPC Class Codes: A61F 2230/0008 : elliptical or oval
• CPC Class Codes: A61F 2230/0015 : Kidney-shaped, e.g. bean-shaped
• CPC Class Codes: A61F 2230/0063 : Three-dimensional shapes
• CPC Class Codes: A61F 2230/0065 : toroidal, e.g. ring-shaped, doughnut-shaped
• CPC Class Codes: A61F 2230/0069 : cylindrical
• CPC Class Codes: A61F 2230/0071 : spherical
• CPC Class Codes: A61F 2230/0076 : ellipsoidal or ovoid
• CPC Class Codes: A61F 2250/0063 : Nested prosthetic parts
• CPC Class Codes: A61F 2310/00293 : containing a phosphorus-containing compound, e.g. apatite
• CPC Class Codes: A61F 2310/00353 : Bone cement, e.g. polymethylmethacrylate or PMMA
• CPC Class Codes: A61F 2310/0097 : Coating or prosthesis-covering structure made of pharmaceutical products, e.g. antibiotics

Abstract

Devices intended for deployment into interior body regions employ a catheter tube, which carries an expandable structure. The catheter tube extends along a first axis, while the expanded geometry of the structure is oriented about a second axis, which is not aligned with the first axis. The asymmetry between the two axes permits deployment of the expandable structure in a symmetric fashion with respect to the natural axis of a targeted interior body region, even when the targeted interior body region is either asymmetric in geometry or otherwise requires access along a path that is not aligned with the natural axis. The structure can include spaced apart end regions, which provide a non-conical diameter transition between the diameter of the catheter tube and the larger diameter of the expanded structure. The non-conical diameter transition mitigates the tradeoff, present in conventional structures, between achieving a desired maximum expanded diameter without undesired reduction in the effective length of the structure.

Claims

1. A device for deployment into bone comprising

an outer catheter tube having a distal end,

an inner catheter tube extending at least in part within the outer catheter tube and having a distal end region that extends at least in part beyond the distal end of the outer catheter tube,

an inflatable structure having a proximal end secured to the outer catheter tube and a distal end secured to the inner catheter tube, the inflatable structure extending outside and beyond the outer catheter tube and at least partially enclosing the inner catheter tube, and

a flow passage between the outer and inner catheter tubes communicating with the inflatable structure and adapted to convey an inflation medium into the inflatable structure to inflate the inflatable structure.

2. A device according to claim 1

wherein the outer catheter tube has an axis, and

wherein inflation of the inflatable structure is asymmetric about the axis.

3. A device according to claim 1

wherein the inflatable structure is adapted and configured to compress cancellous bone upon inflation of the inflatable structure in bone.

4. A device according to claim 1

wherein the inner catheter tube is moveable in relation to the outer catheter tube.

5. A device for deployment into bone comprising

an outer catheter tube having a distal end,

an inner catheter tube extending at least in part within the outer catheter tube and having a distal end region that extends at least in part beyond the distal end of the outer catheter tube,

an inflatable structure having a proximal end secured to the outer catheter tube and a distal end secured to the inner catheter tube, the inflatable structure extending outside and beyond the outer catheter tube and at least partially enclosing the inner catheter tube, the inflatable structure being sized and configured for passage within a cannula into bone when the inflatable structure is in a collapsed condition, and

a flow passage between the outer and inner catheter tubes communicating with the inflatable structure and adapted to convey an inflation medium into the inflatable structure to expand the inflatable structure.

6. A device according to claim 5

wherein the outer catheter tube has an axis, and

wherein inflation of the inflatable structure is asymmetric about the axis.

7. A device according to claim 5

wherein the inflatable structure is adapted and configured to compress cancellous bone upon inflation of the inflatable structure in bone.

8. A device according to claim 5

wherein the inner catheter tube is moveable in relation to the outer catheter tube.

9. A system for treating bone comprising

a cannula,

an outer catheter tube having a distal end,

an inner catheter tube extending at least in part within the outer catheter tube and having a distal end region that extends at least in part beyond the distal end of the outer catheter tube,

an inflatable structure having a proximal end secured to the outer catheter tube and a distal end secured to the inner catheter tube, the inflatable structure extending outside and beyond the outer catheter tube and at least partially enclosing the inner catheter tube, the inflatable structure being sized and configured for passage within the cannula into bone, and

a flow passage between the outer and inner catheter tubes communicating with the inflatable structure and adapted to convey an inflation medium into the inflatable structure to expand the inflatable structure.

10. A system according to claim 9

wherein the outer catheter tube has an axis, and

wherein inflation of the inflatable structure is asymmetric about the axis.

11. A system according to claim 9

wherein the inflatable structure is adapted and configured to compress cancellous bone upon inflation of the inflatable structure in bone.

12. A system according to claim 9

wherein the inner catheter tube is moveable in relation to the outer catheter tube.