Ultrasonic and growth factor bone-therapy: apparatus and method

• US 6,652,473 B2
• Filed: 03/21/2001
• Issued: 11/25/2003
• Est. Priority Date: 01/15/1999
• Status: Active Grant

• Current Assignee: Jonathan J. Kaufman
• Original Assignee: Jonathan J. Kaufman
• Inventors: Kaufman, Jonathan J., Chiabrera, Alessandro
• Primary Examiner(s): SHAW, SHAWNA JEANNINE
• Application Number:
  US09/814,088
• Publication Number:
  US 20010027278A1
• Time in Patent Office: 979 Days
• Field of Search: 601/2, 601/1, 601/15, 604/19-22, 604/890.1, 604/892.1, 604/289, 604/290, 600/439, 607/50, 607/51, 514/946, 514/947, 514/964, 514/965
• US Class Current: 601/1
• CPC Class Codes: A61B 2017/564 Methods for bone or joint treatment
• CPC Class Codes: A61N 7/00 Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

Non-invasive therapeutic treatment of bone in vivo using ultrasound in conjunction with application of a biochemical compound or bone growth factor is performed by subjecting bone to an ultrasound signal supplied to an ultrasound transducer placed on the skin of a bony member, and involving a repetitive finite duration signal consisting of plural frequencies that are in the ultrasonic range to 20 MHz. Concurrent with application of the ultrasound is the utilization of a bone growth factor applied to the skin of a bony member before stimulation with ultrasound. Ultrasonic stimulation is operative to transport the bone growth factor to the bone and then to synergistically enhance the interaction of the bone growth factor with the bone, whereby to induce healing, growth and ingrowth responses. In another embodiment, a vibrational or mechanical input together with a biochemical compound enhances both bone fracture healing and treats osteoporosis.

Claims

1. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to a bone graft material;

(b) surgically implanting said bone graft material including said bone growth factor within said bone tissue in said living body;

(c) applying an ultrasound stimulus to said bone tissue in said living body, wherein said bone tissue includes said bone graft material; and

(d) exposing said bone tissue to said ultrasound stimulus in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said ultrasound stimulus, and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

2. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to an orthopaedic implant;

(b) surgically implanting said orthopaedic implant including said bone growth factor within said bone tissue in said living body;

(c) applying an ultrasound stimulus to said bone tissue in said living body, wherein said bone tissue includes said orthopaedic implant; and

(d) exposing said bone tissue to said ultrasound stimulus in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said ultrasound stimulus, and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

3. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to a bone graft material;

(b) surgically implanting said bone graft material including said bone growth factor within said bone tissue in said living body;

(c) applying a mechanical stimulus at sub-ultrasonic frequencies to said bone tissue in said living body, wherein said bone tissue includes said bone graft material; and

(d) exposing said bone tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said mechanical stimulus at sub-ultrasonic frequencies and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

4. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to an orthopaedic implant;

(b) surgically implanting said orthopaedic implant including said bone growth factor within said bone tissue in said living body;

(c) applying a mechanical stimulus at sub-ultrasonic frequencies to said bone tissue in said living body, wherein said bone tissue includes said orthopaedic implant; and

(d) exposing said bone tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said mechanical stimulus at sub-ultrasonic frequencies and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

5. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to a bone graft material;

(b) surgically implanting said bone graft material including said bone growth factor within said bone tissue in said living body;

(c) applying an electromagnetic stimulus to said bone tissue in said living body, wherein said bone tissue includes said bone graft material; and

(d) exposing said bone tissue to said electromagnetic stimulus in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said electromagnetic stimulus and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

6. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying a prescribed amount of a bone growth factor to an orthopaedic implant;

(b) surgically implanting said orthopaedic implant including said bone growth factor within said bone tissue in said living body;

(c) applying an electromagnetic stimulus to said bone tissue in said living body, wherein said bone tissue includes said orthopaedic implant; and

(d) exposing said bone tissue to said electromagnetic stimulus in conjunction with said bone growth factor for a prescribed period of time,

to produce a nonlinear interaction between said bone tissue, said electromagnetic stimulus and said bone growth factor, and

to thereby synergistically promote bone tissue healing, growth, ingrowth and repair.

7. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a bone growth factor to said living body;

(b) applying an electromagnetic stimulus to said bone tissue in said living body; and

(c) exposing said bone tissue to said electromagnetic stimulus in conjunction with said bone growth factor for a prescribed time period,

to produce nonlinear interaction between said bone tissue, said electromagnetic stimulus, and said bone growth factor, said nonlinear interaction arising from a concurrent use of said electromagnetic stimulus and said bone growth factor during said prescribed time period, and

to synergistically promote bone tissue healing, growth, and repair.

8. The method according to claim 7, wherein said nonlinear interaction includes diffusion of molecules of said bone growth factor by said electromagnetic stimulus.

9. The method according to claim 7, wherein said nonlinear interaction includes microstirring of molecules of said bone growth factor by said electromagnetic stimulus.

10. The method according to claim 7, wherein said nonlinear interaction includes binding of molecules of said bone growth factor to cells in said bone tissue.

11. The method according to claim 7, wherein said nonlinear interaction includes a change in a binding constant associated with said bone growth factor and cells in said bone tissue.

12. The method according to claim 7, wherein said nonlinear interaction includes an increase in temperature.

13. The method according to claim 7, wherein said nonlinear interaction includes an increase in local blood flow.

14. The method according to claim 7, wherein said bone growth factor is a bone morphogenic protein.

15. The method according to claim 7, wherein said bone growth factor is TGF-E.

16. The method according to claim 7, wherein said bone growth factor is a fibroblast growth factor.

17. The method according to claim 7, wherein said bone growth factor is a platelet-derived growth factor.

18. The method according to claim 7, wherein said bone growth factor is an osteogenic protein.

19. The method according to claim 7, wherein said bone growth factor is DNA.

20. The method according to claim 7, wherein said bone growth factor is RNA.

21. The method according to claim 7, wherein said applying an electromagnetic stimulus is performed inductively.

22. The method according to claim 7, wherein said applying an electromagnetic stimulus is through electrodes in contact with said living body.

23. The method according to claim 7, wherein said bone growth factor is contained in a biocompatible matrix.

24. A method of therapeutically treating bone tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a bone growth factor to said living body;

(b) applying a mechanical stimulus at sub-ultrasonic frequencies to said bone tissue in said living body; and

(c) exposing said bone tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said bone growth factor for a prescribed time period,

to produce nonlinear interaction between said bone tissue, said mechanical stimulus at sub-ultrasonic frequencies, and said bone growth factor, said nonlinear interaction arising from a concurrent use of said mechanical stimulus at sub-ultrasonic frequencies and said bone growth factor during said prescribed time period, and

to thereby synergistically promote bone tissue healing, growth, and repair.

25. The method according to claim 24, wherein said nonlinear interaction includes diffusion of molecules of said bone growth factor by said mechanical stimulus at sub-ultrasonic frequencies.

26. The method according to claim 24, wherein said nonlinear interaction includes microstirring of molecules of said bone growth factor by said mechanical stimulus at sub-ultrasonic frequencies.

27. The method according to claim 24, wherein said nonlinear interaction includes binding of molecules of said bone growth factor to cells in said bone tissue.

28. The method according to claim 24, wherein said nonlinear interaction includes a change in a binding constant associated with said bone growth factor and cells in said bone tissue.

29. The method according to claim 24, wherein said nonlinear interaction includes an increase in temperature.

30. The method according to claim 24, wherein said nonlinear interaction includes an increase in local blood flow.

31. The method according to claim 24, wherein said bone growth factor is a bone morphogenic protein.

32. The method according to claim 24, wherein said bone growth factor is TGF-E.

33. The method according to claim 24, wherein said bone growth factor is a fibroblast growth factor.

34. The method according to claim 24, wherein said bone growth factor is a platelet-derived growth factor.

35. The method according to claim 24, wherein said bone growth factor is an osteogenic protein.

36. The method according to claim 24, wherein said bone growth factor is DNA.

37. The method according to claim 24, wherein said bone growth factor is RNA.

38. The method according to claim 24, wherein said bone growth factor is contained in a biocompatible matrix.

39. The method according to claim 24, wherein said mechanical stimulus at sub-ultrasonic frequencies is dynamization.

40. The method according to claim 24, wherein said mechanical stimulus at sub-ultrasonic frequencies is a vibrating platform.

41. The method according to claim 24, wherein said mechanical stimulus at sub-ultrasonic frequencies is a vibration shaker.

42. A method of therapeutically treating cartilage tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an ultrasound stimulus to said cartilage tissue in said living body; and

(c) exposing said cartilage tissue to said ultrasound stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said cartilage tissue, said ultrasound stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said ultrasound stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote cartilage tissue healing, growth, and repair.

43. The method according to claim 42, wherein said biochemical compound is sodium hyaluronate.

44. A method of therapeutically treating cartilage tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an electromagnetic stimulus to said cartilage tissue in said living body; and

(c) exposing said cartilage tissue to said electromagnetic stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said cartilage tissue, said electromagnetic stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said electromagnetic stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote cartilage tissue healing, growth, and repair.

45. The method according to claim 44, wherein said biochemical compound is sodium hyaluronate.

46. A method of therapeutically treating cartilage tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying a mechanical stimulus at sub-ultrasonic frequencies to said cartilage tissue in said living body; and

(c) exposing said cartilage tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said cartilage tissue, said mechanical stimulus at sub-ultrasonic frequencies, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said mechanical stimulus at sub-ultrasonic frequencies and said biochemical compound during said prescribed time period, and

to thereby synergistically promote cartilage tissue healing, growth, and repair.

47. The method of claim 46, wherein said biochemical compound is sodium hyaluronate.

48. A method of therapeutically treating ligament tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an ultrasound stimulus to said ligament tissue in said living body; and

(c) exposing said ligament tissue to said ultrasound stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said ligament tissue, said ultrasound stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said ultrasound stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote ligament tissue healing, growth, and repair.

49. A method of therapeutically treating ligament tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an electromagnetic stimulus to said ligament tissue in said living body; and

(c) exposing said ligament tissue to said electromagnetic stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said ligament tissue, said electromagnetic stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said electromagnetic stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote ligament tissue healing, growth, and repair.

50. A method of therapeutically treating ligament tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying a mechanical stimulus at sub-ultrasonic frequencies to said ligament tissue in said living body; and

(c) exposing said ligament tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said ligament tissue, said mechanical stimulus at sub-ultrasonic frequencies, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said mechanical stimulus at sub-ultrasonic frequencies and said biochemical compound during said prescribed time period, and

to thereby synergistically promote ligament tissue healing, growth, and repair.

51. A method of therapeutically treating tendon tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an ultrasound stimulus to said tendon tissue in said living body; and

(c) exposing said tendon tissue to said ultrasound stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said tendon tissue, said ultrasound stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said ultrasound stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote tendon tissue healing, growth, and repair.

52. A method of therapeutically treating tendon tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying an electromagnetic stimulus to said tendon tissue in said living body; and

(c) exposing said tendon tissue to said electromagnetic stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said tendon tissue, said electromagnetic stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said electromagnetic stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote tendon tissue healing, growth, and repair.

53. A method of therapeutically treating tendon tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying a mechanical stimulus at sub-ultrasonic frequencies to said tendon tissue in said living body; and

(c) exposing said tendon tissue to said mechanical stimulus at sub-ultrasonic frequencies in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said tendon tissue, said mechanical stimulus at sub-ultrasonic frequencies, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said mechanical stimulus at sub-ultrasonic frequencies and said biochemical compound during said prescribed time period, and

to thereby synergistically promote tendon tissue healing, growth, and repair.

54. A method of non-invasively applying a bone growth factor to bone tissue in a living body, using an ultrasound transducer and an ultrasound pulser, the method comprising the steps of:

(a) placing a prescribed amount of said bone growth factor on skin overlying said bone tissue in said living body;

(b) acoustically coupling said ultrasound transducer to said skin overlying said bone tissue of said living body;

(c) connecting said ultrasound pulser to said ultrasound pulser and thereby generating an ultrasound signal within said skin and said bone tissue; and

(d) transporting said bone growth factor through said skin to said bone tissue using said ultrasound signal, wherein said bone tissue receives non-invasively said bone growth factor.

55. A method of non-invasively applying sodium hyaluronate to cartilage tissue in a living body, using an ultrasound transducer and an ultrasound pulser, the method comprising the steps of:

(a) placing a prescribed amount of said sodium hyaluronate on skin overlying said cartilage tissue in said living body;

(b) acoustically coupling said ultrasound transducer to said skin overlying said bone tissue of said living body;

(c) connecting said ultrasound pulser to said ultrasound pulser and thereby generating an ultrasound signal within said skin and said cartilage tissue; and

(d) transporting said sodium hyaluronate through said skin to said cartilage tissue using said ultrasound signal, wherein said bone tissue receives non-invasively said sodium hyaluronate.

56. A method of therapeutically treating musculoskeletal tissue in a living body, the method comprising the steps of:

(a) applying exogenously a prescribed amount of a biochemical compound to said living body;

(b) applying a biophysical stimulus to said musculoskeletal tissue in said living body; and

(c) exposing said musculoskeletal tissue to said biophysical stimulus in conjunction with said biochemical compound for a prescribed time period,

to produce nonlinear interaction between said musculoskeletal tissue, said biophysical stimulus, and said biochemical compound, said nonlinear interaction arising from a concurrent use of said biophysical stimulus and said biochemical compound during said prescribed time period, and

to thereby synergistically promote musculoskeletal tissue healing, growth, and repair.

57. The method according to claim 56, wherein said musculoskeletal tissue includes bone tissue, said biochemical compound includes a bone growth factor, and said biophysical stimulus includes ultrasound.

58. The method according to claim 57, wherein said nonlinear interaction includes diffusion of molecules of said bone growth factor by said ultrasound stimulus.

59. The method according to claim 57, wherein said nonlinear interaction includes microstirring of molecules of said bone growth factor by said ultrasound stimulus.

60. The method according to claim 57, wherein said nonlinear interaction includes binding of molecules of said bone growth factor to cells in said bone tissue.

61. The method according to claim 57, wherein said nonlinear interaction includes a change in a binding constant associated with said bone growth factor and cells in said bone tissue.

62. The method according to claim 57, wherein said nonlinear interaction includes an increase in temperature.

63. The method according to claim 57, wherein said nonlinear interaction includes an increase in local blood flow.

64. The method according to claim 57, wherein said bone growth factor is a bone morphogenic protein.

65. The method according to claim 57, wherein said bone growth factor is TGF-β

.

66. The method according to claim 57, wherein said bone growth factor is a fibroblast growth factor.

67. The method according to claim 57, wherein said bone growth factor is a platelet-derived growth factor.

68. The method according to claim 57, wherein said bone growth factor is an osteogenic protein.

69. The method according to claim 57, wherein said bone growth factor is DNA.

70. The method according to claim 57, wherein said bone growth factor is RNA.

71. The method according to claim 57, wherein said ultrasound stimulus is a broadband exponentially damped sinusoidal signal.

72. The method according to claim 57, wherein said ultrasound stimulus is a sine wave having a decreasing amplitude over time.

73. The method according to claim 57, wherein said ultrasound stimulus is a continuous sinusoidal signal.

74. The method according to claim 57, wherein said ultrasound stimulus is a pulsed sinusoidal signal.

75. The method according to claim 57, wherein said ultrasound stimulus is a broadband repetitive pulse.

76. The method according to claim 57, wherein said ultrasound stimulus is an amplitude-modulated waveform.

77. The method according to claim 57, wherein said ultrasound stimulus is a frequency-modulated waveform.

78. The method according to claim 56, wherein said bone growth factor is contained in a biocompatible matrix.

79. The method of claim 56, wherein said biophysical stimulus is an ultrasound stimulus.

80. The method of claim 56, wherein said biophysical stimulus is a mechanical stimulus at sub-ultrasonic frequencies.

81. The method of claim 56, wherein said biophysical stimulus is an electromagnetic stimulus.

82. The method of claim 56, wherein said musculoskeletal tissue is bone tissue.

83. The method of claim 56, wherein said musculoskeletal tissue is cartilage tissue.

84. The method of claim 56, wherein said musculoskeletal tissue is ligament tissue.

85. The method of claim 56, wherein said musculoskeletal tissue is tendon tissue.

86. The method of claim 56, wherein said biophysical stimulus is an ultrasound stimulus and wherein said musculoskeletal tissue is bone tissue.

87. The method of claim 86, wherein said bone tissue contains a surgically implanted bone graft material.

88. The method of claim 87, wherein said biochemical compound is a bone growth factor.

89. The method of claim 88, wherein said applying exogenously a prescribed amount of a bone growth factor to said living body includes applying said prescribed amount of said bone growth factor to said bone graft material.

90. The method of claim 86, wherein said bone tissue contains a surgically implanted orthopaedic implant.

91. The method of claim 90, wherein said biochemical compound is a bone growth factor.

92. The method of claim 91, wherein said applying exogenously a prescribed amount of a bone growth factor to said living body includes applying said prescribed amount of said bone growth factor to said orthopaedic implant.