Periosteal distraction

• US 6,758,673 B2
• Filed: 12/05/2001
• Issued: 07/06/2004
• Est. Priority Date: 12/05/2001
• Status: Expired due to Fees

• Current Assignee: Ben-Zion Karmon, Ofir Fromovich
• Original Assignee: Ben-Zion Karmon, Ofir Fromovich
• Inventors: Fromovich, Ofir, Karmon, Ben-Zion
• Primary Examiner(s): Manahan, Todd E.
• Application Number:
  US10/002,135
• Publication Number:
  US 20030104339A1
• Time in Patent Office: 944 Days
• Field of Search: 433/215, 433/173, 433/189, 623/17.17, 623/8, 606/192, 606/198, 606/105
• US Class Current: 433/215
• CPC Class Codes: A61B 17/0281 Abdominal wall lifters
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00
• CPC Class Codes: A61C 8/0033 Expandable implants; Implants with extendable elements
• CPC Class Codes: A61C 8/0092 for sinus lifting

Abstract

Devices and methods for gradual displacing of the periosteal tissue covering bones. The gap developing between the bone and the displaced periosteal tissue will be filled with bone callus as it is in distraction osteogenesis. The devices and methods allow formation of bone in distraction osteogenesis without cutting a segment of the bone.

Claims

1. A method for expanding, stretching or displacing bone tissue comprising:

(i) inserting subperiostealy at least part of a displacing device comprising a movable subperiosteal element and a force inducing mechanism configured after activation so as to move said movable subperiosteal element;

said movable subperiosteal element is configured after activation of said force inducing mechanism so as to induce forces displacing at least part of said periosteal tissue and to create a space between said moveable subperiosteal element and the bone;

said device is configured to allow ingrowth of bone tissue inside said space;

(ii) activating said force inducing mechanism.

2. The method of claim 1, wherein said activation is performed in a plurality of stages separated by at least a number of hours, each stage incrementally displacing said periosteal tissue.

3. The method of claim 1, wherein said displacing is done continuously over a period of time.

4. The method of claim 1, wherein the speed of said displacing of said periosteal tissue is appropriate for formation of bone callus between said bone tissue and said periosteal tissue.

5. The method of claim 1, wherein said force inducing mechanism induces forces continuously.

6. The method of claim 1, wherein said force inducing mechanism is a pump.

7. The method of claim 1, wherein said force inducing mechanism is pressure beneath said movable subperiosteal element.

8. The method of claim 1, wherein said activation is done by introducing a biocompatible filling material beneath said movable subperiosteal element.

9. The method of claim 8, wherein said biocompatible filling material includes material for promoting the growth of bone.

10. The method of claim 1, wherein said displacing is combined with introducing a biocompatible filling material beneath said movable subperiosteal element.

11. The method of claim 9, wherein said biocompatible filling material includes material for promoting the growth of bone and said material for promoting the growth of bone is touching the hone.

12. The method of claim 1, wherein said displacing device includes a filling conduit partially inserted into the tissue.

13. The method of claim 12, wherein said tilling conduit includes a one-directional valve.

14. The method of claim 12, wherein said filling conduit includes a sealing means for sealing said filling conduit.

15. The method of claim 14, further comprising introducing disinfecting material into said filling conduit.

16. The method of claim 14, wherein said filling conduit includes at least one fixation component configured to allow fixation of said filling conduit to the tissue.

17. The method of claim 1, wherein said displacing device is formed at least in part from a bio-dissipative material.

18. The method of claim 1, wherein said displacing device is formed at least in part from a self-expanding material.

19. The method of claim 1, wherein said displacing device is configured to influence the direction of displacement of said periosteal tissue as said displacing device is activated.

20. The method of claim 19, wherein said displacing device is configured to prevent displacement of said periosteal tissue not in said direction.

21. The method of claim 1, wherein said displacing device is configured to take a specific shape as said force inducing mechanism is activated.

22. The method of claim 1, wherein said displacing device is configured to grow in a telescopic pattern.

23. The method of claim 1, wherein said displacing device is formed at least in part from a stretchable material.

24. The method of claim 1, wherein at least part of said periosteal tissue is covered by a rigid structure so as to guide said periosteal tissue to take the shape of said rigid structure as said periosteal tissue is displaced.

25. The method of claim 1, wherein said displacing device is formed with at least one fixation feature.

26. The method of claim 1, wherein said displacing device is glued to the tissue.

27. The method of claim 1, wherein said displacing device is inflatable.

28. The method of claim 1, wherein said displacing device becomes inflatable after insertion subperiostealy.

29. The method of claim 1, wherein said activating is done by turning a screw.

30. The method of claim 1, wherein said activating is done by taking an inhibiting component out.

31. The method of claim 1, wherein said activating is done by allowing a bio-dissipative inhibiting component to disperse.

32. The method of claim 1, wherein said force inducing mechanism comprising magnetic forces.

33. The method of claim 1, wherein said movable subperiosteal element is formed at least in part from a magnetic material.

34. The method of claim 33, wherein said displacing device is used to stabilize a denture.

35. The method of claim 1, wherein said activating is done outside the tissue.

36. The method of claim 1, wherein said activating is done inside the tissue.

37. The method of claim 1, wherein said force inducing mechanism comprising forces induced by turning a screw.

38. The method of claim 37, wherein said screw is hollow and perforated said activation of said force inducing mechanism is done by turning said hollow and perforated screw.

39. The method of claim 1, wherein said force inducing mechanism comprising a compressed element trying to become not compressed.

40. The method of claim 39, wherein said compressed element comprising a coil.

41. The method of claim 1, wherein said activation is made by a biocompatible material enclosed in a bio-dissipative casing;

said biocompatible material becomes active after said casing starts to disperse.

42. The method of claim 1, wherein said activation is made by temperature changes.

43. The method of claim 1, wherein said movable subperiosteal element is configured so as to allow passage of materials from said periosteal tissue.

44. The method of claim 1, wherein said device is configured to allow passage of materials between the exterior space of said device and the interior space of said device.

45. The method of claim 1, wherein said displacing device comprising a reference element and said force inducing mechanism induces forces between said reference element and said movable subperiosteal element.

46. The method of claim 45, wherein said reference element is fixated to the bone.

47. The method of claim 46, wherein said reference element is a bone implant.

48. The method of claim 46, wherein said reference element is fixated to a tooth.

49. The method of claim 46, wherein said reference element is fixated to a dental prosthesis.

50. The method of claim 46, wherein said reference element is formed at least in part from magnetic material.

51. The method of claim 50, wherein said reference element is gradually displaced.

52. The method of claim 45, wherein said reference element includes a ball socket and said force inducing mechanism includes a screw with a ball at its edge;

said ball is configured to fit inside said ball socket forming a joint so as to allow control on the position of said screw.

53. The method of claim 45, wherein said reference element is connected to said movable subperiosteal element by a hinge.

54. The method of claim 45, wherein said hinge configured as to allow movement only in one direction.

55. The method of claim 1, wherein said force inducing mechanism includes forces induced by manual pulling.

56. The method of claim 1, wherein said displacing device is a double sheet concave balloon.

57. The method of claim 1, wherein said displacing device is configured so as to prevent movement of said movable subperiosteal element towards said bone.

58. The method of claim 1, wherein at least part of said displacing device is configured to be pulled out easily from said tissue.

59. The method of claim 1, further comprising, prior to inserting said part of said displacing device, forming a subperiosteal tunnel for insertion of said part of said displacing device.

60. The method of claim 59, wherein after insertion of said part of said displacing device inside said tunnel, forming a hole in said periosteal tissue above said part of said displacing device and allowing part of said displacing device to protrude above said periosteal tissue.

61. The method of claim 59, wherein after insertion of said part of said displacing device inside said tunnel, forming a hole in said periosteal tissue above said part of said displacing device and connecting part of said displacing device to protrude above said periosteal tissue.

62. The method of claim 61, wherein said fixation element is in the shape of an arrow.

63. The method of claim 1, wherein said movable subperiosteal element includes a fixation element configured to attach said movable subperiosteal element to said periosteal tissue.

64. The method of claim 1 wherein said movable subperiosteal element includes a protruding element configured to protrude through said periosteal tissue.

65. The method of claim 33, wherein said movable subperiosteal element is enclosed in a biocompatible casing.

66. A device for expanding, stretching or displacing bone tissue comprising:

a biocompatible movable subperiosteal element for insertion subperiostealy and a force inducing mechanism configured after activation so as to displace said movable subperiosteal element;

said movable subperiosteal element is configured after activation of said force inducing mechanism so as to induce forces displacing at least part of the periosteal tissue and to create a space between said movable subperiosteal element and the bone;

said device is configured ingrowth of bone tissue inside said space;

said movable subperiosteal element includes a protruding element configured to protrude through said periosteal tissue.

67. The device of claim 66, wherein said device is configured to allow said activation to be performed in a plurality of stages separated by at least a number of hours, each stage incrementally displacing said movable subperiosteal element.

68. The device of claim 66, wherein said device is configured to allow continuous displacing of said movable subperiosteal element.

69. The device of claim 68, wherein the speed of said displacing of said movable subperiosteal element is appropriate for formation of bone callus between said bone tissue and said periosteal tissue.

70. The device of claim 66, wherein said force inducing mechanism is a pump.

71. The device of claim 66, wherein said device is formed at least in part from a bio-dissipative material.

72. The device of claim 66, wherein said device is formed at least in part from a self-expanding material.

73. The device of claim 66, wherein said device is configured so as to influence the direction of displacement of said periosteal tissue as said displacing device is activated.

74. The device of claim 73, wherein said device is configured to prevent displacement of said periosteal tissue not in said direction.

75. The device of claim 66, wherein said device is configured to take a specific shape as said force inducing mechanism is activated.

76. The device of claim 66, wherein said device is configured to grow in a telescopic pattern.

84. The device of claim 66, wherein said device is formed with at least one fixation feature.

85. The device of claim 66, wherein said device is inflatable.

86. The device of claim 66, wherein said device is configured so as to becomes inflatable after insertion subperiostealy.

87. The device of claim 66, wherein said movable subperiosteal element is configured so as to allow passage of materials from said periosteal tissue.

88. The device of claim 66, wherein said device is configured to allow passage of materials between the exterior space of said device and the interior space of said device.

90. The device of claim 66, wherein said device is configured so as to be glued to the tissue.

91. The device of claim 66, wherein said force inducing mechanism is configured so as to induce force by turning a screw.

92. The device of claim 91, wherein said screw is hollow and perforated.

93. The device of claim 66, wherein said device includes an inhibiting component configured to prevent activation of said force inducing mechanism.

94. The device of claim 93, wherein said inhibiting component configured so as to be taken out.

95. The device of claim 94, wherein said inhibiting component is a wire.

96. The device of claim 93, wherein said inhibiting component is formed at least in part from a bio-dissipative material.

97. The device of claim 66, wherein said movable subperiosteal element is formed at least in part from a magnetic material.

98. The device of claim 97, wherein said movable subperiosteal element is enclosed in a biocompatible casing.

99. The device of claim 66, wherein said force inducing mechanism comprising magnetic forces.

100. The device of claim 66, wherein said force inducing mechanism comprising a compressed element trying to become not compressed.

101. The device of claim 100, wherein said compressed element includes a coil.

102. The device of claim 66, wherein said force inducing mechanism includes a material that changes its shape by temperature changes.

103. The device of claim 66, wherein said device includes a reference element and said force inducing mechanism configured so as to induces forces between said reference element and said movable subperiosteal element.

104. The device of claim 103, wherein said reference element is configured so as to be fixated to the bone.

105. The device of claim 104, wherein said reference element is a bone implant.

106. The device of claim 103, wherein said reference element is connected to said movable subperiosteal element by a hinge.

107. The device of claim 106, wherein said hinge configured as to allow movement only in one direction.

108. The device of claim 103, wherein said reference element is configured so as to be fixed to a tooth.

109. The device of claim 103, wherein said reference element is configured so as to be fixed to a dental prosthesis.

110. The device of claim 109, wherein said reference element is formed at least in part from a magnetic material.

111. The device of claim 110, wherein said reference element is configured so as to be gradually displaced.

112. The device of claim 103, wherein said reference element includes a ball socket and said force inducing mechanism includes a screw with a ball at its edge;

said ball is configured to fit inside said ball socket forming a joint so as to allow control on the position of said screw.

113. The device of claim 66, wherein said device is a double sheet concave balloon.

114. The device of claim 66, wherein said device is configured so as to prevent movement of said movable subperiosteal element towards said bone.

115. The device of claim 66, wherein at least part of said displacing device is configured so as to be pulled out easily from said tissue.

116. The device of claim 66, wherein said device includes a protruding element configured so as to be connected to said device after insertion subperiostealy and protrude outside the tissue.

117. The device of claim 116, wherein said protruding element is configured to allow connection to other elements.

118. The device of claim 117, wherein said protruding element is configured to allow introducing of materials beneath said movable subperiosteal element.

119. The device of claim 66, wherein said movable subperiosteal element includes fixation element configured so as to attach said movable subperiosteal element to said periosteal tissue.

120. The device of claim 119, wherein said fixation element is in the shape of an arrow.

121. The device of claim 66, wherein said device includes an active biocompatible material enclosed in a bio-dissipative casing.

77. The device of claim 77, wherein said device includes a filling conduit configured for insertion of material beneath said movable subperiosteal element;

said filling conduit configured so as to be accessible from outside said periosteal tissue.

78. The device of claim 77, wherein said filling conduit is the protruding element.

79. The device of claim 77, wherein said filling conduit is configured to allow said material to touch the bone.

80. The device of claim 77, wherein said filling conduit includes a one-directional valve.

81. The device of claim 77, wherein said filling conduit includes a sealing means.

82. The device of claim 81, wherein said filling conduit comprising a chamber for receiving disinfecting material.

83. The device of claim 77, wherein said filling conduit includes at least one fixation component configured to allow fixation of said conduit to the tissue.

89. The device of claim wherein said device is formed at least in part from a stretchable material.