Systems and methods for treating vertebral bodies

• US 7,252,671 B2
• Filed: 08/14/2003
• Issued: 08/07/2007
• Est. Priority Date: 08/14/1998
• Status: Expired due to Fees

• Current Assignee: Orthophoenix, LLC (Marathon Patent Group, Inc.)
• Original Assignee: Kyphon Incorporated (Medtronic Plc)
• Inventors: Reo, Michael L., Boucher, Ryan P, Reiley, Mark A, Sand, Paul M, Scribner, Robert M
• Primary Examiner(s): Robert; Edjardo C.
• Assistant Examiner(s): Reimers; Annette
• Application Number:
  US10/640,790
• Publication Number:
  US 20040049203A1
• Time in Patent Office: 1,454 Days
• Field of Search: 606/93, 604/218, 604/222
• US Class Current: 606/86.00R
• CPC Class Codes: A61B 17/1631 Special drive shafts, e.g. flexible shafts A61B17/1642, A61B17/164 take precedence
• CPC Class Codes: A61B 17/1662 for particular parts of the body
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 17/3403 Needle locating or guiding means guides for suture needles A61B17/0482; guiding or tracking by nuclear magnetic resonance G01R33/285
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• CPC Class Codes: A61B 17/7095 the filler comprising unlinked macroscopic particles
• CPC Class Codes: A61B 17/8816 characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
• CPC Class Codes: A61B 17/8822 characterised by means facilitating expulsion of fluid from the introducer, e.g. a screw pump plunger, hydraulic force transmissions, application of vibrations or a vacuum
• CPC Class Codes: A61B 17/8855 inflatable, e.g. kyphoplasty balloons
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2050/0065 Peelable cover
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 2090/3933 Liquid markers
• CPC Class Codes: A61B 2090/3937 : Visible markers
• 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 90/90 : Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61F 2/44 : for the spine, e.g. vertebrae, spinal discs
• 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 2/4603 : for insertion or extraction of endoprosthetic joints or of accessories thereof
• 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 2002/2835 : Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/3008 : radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2002/30581 : having a pocket filled with fluid, e.g. liquid
• CPC Class Codes: A61F 2002/30677 : Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2002/4662 : for measuring penetration depth
• CPC Class Codes: A61F 2002/4685 : by means of vacuum
• CPC Class Codes: A61F 2250/0098 : radio-opaque, e.g. radio-opaque markers
• CPC Class Codes: A61F 2310/00353 : Bone cement, e.g. polymethylmethacrylate or PMMA

Abstract

A filler instrument comprises a first chamber section having a first cross sectional area and a second chamber section having a second cross sectional area less than the first cross sectional area. The second chamber section communicates with the first chamber section. The first chamber section includes an inlet for receiving a material into the filler instrument, and the second chamber section includes an outlet for discharging the material from the filler instrument. A first plunger is sized to pass through the first chamber section and not the second chamber section. A second plunger is sized to pass through an interior bore of the first plunger and into the second chamber section. In use, the first plunger displaces material residing in the first chamber section through the second chamber section toward the outlet, and the second plunger displaces material residing in the second chamber section through the outlet.

Claims

1. A method comprising

accessing cancellous bone through a percutaneous access path in soft tissue,

forming a cavity in cancellous bone including providing a cavity forming tool, advancing the cavity forming tool through the percutaneous access path into cancellous bone, and manipulating the cavity forming tool to form the cavity,

providing an instrument for introducing a filling material into the cavity comprising a first chamber section having a first volume and a second chamber section having a second volume less than the first volume, the first and second chamber sections being in series relation with the second chamber section being distal of the first chamber section,

inserting at least a portion of the second chamber section through the percutaneous access path, and

delivering a first volume of bone filling material into the cavity through the subcutaneous access path by advancing a first plunger through the first chamber section to express filling material from the first chamber section through the second chamber section into the cavity, the first plunger being too large to enter the second chamber section,

delivering a second volume of bone filling material into the cavity through the subcutaneous access path by advancing a second plunger through the second chamber section to express filling material residing in the second chamber section into the cavity, the second volume being less than the first volume.

2. A method according to claim 1

wherein the cavity forming tool that is provided includes an expandable body.

3. A method according to claim 2

wherein the expandable body expands by inflation.

4. A method according to claim 2

wherein the expandable body comprises a balloon.

5. A method according to claim 1

wherein manipulating the cavity forming tool compresses cancellous bone.

6. A method according to claim 1

wherein manipulating the cavity forming tool moves fractured cortical bone.

7. A method according to claim 1

wherein the cavity forming tool that is provided includes an elongate member sized and configured to pass through the access path.

8. A method according to claim 7

wherein the elongate member comprises a catheter.