Systems and methods for internal bone fixation

• US 7,879,041 B2
• Filed: 10/31/2008
• Issued: 02/01/2011
• Est. Priority Date: 11/10/2006
• Status: Active Grant

• Current Assignee: Illuminoss Medical, Inc.
• Original Assignee: Illuminoss Medical, Inc.
• Inventors: Drew, Mark A., Colleran, Dennis P., Dye, Justin G., Rabiner, Robert A., O'Leary, Anthony W.
• Primary Examiner(s): Philogene; Pedro
• Application Number:
  US12/262,411
• Publication Number:
  US 20090054900A1
• Time in Patent Office: 823 Days
• Field of Search: 606/62, 606/63, 606/64, 606/65, 606/66, 606/67, 606/68, 606/92, 606/93, 606/94, 604/21, 604/508
• US Class Current: 606/93
• 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 17/7097 Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants disc prostheses made of inflatable chambers or pockets filled with fluid A61F2/441; replacing the nucleus pulposus A61F2002/444
• CPC Class Codes: A61B 17/7275 with expanding cylindrical parts
• CPC Class Codes: A61B 17/7291 for small bones, e.g. in the foot, ankle, hand or wrist
• 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 17/8819 characterised by the introducer proximal part, e.g. cannula handle, or by parts which are inserted inside each other, e.g. stylet and cannula A61B17/8825 takes precedence
• CPC Class Codes: A61B 17/8833 Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
• CPC Class Codes: A61B 17/8836 for heating, cooling or curing of bone cement or fluid fillers
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2090/306 using optical fibres

Abstract

Internal bone fixation devices and methods for using the devices for repairing a weakened or fractured bone are disclosed herein. According to aspects illustrated herein, there is provided a device for repairing a fractured bone that includes a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, the delivery catheter having an inner void for passing at least one reinforcing material, and an inner lumen for accepting a light pipe, wherein a distal end of the inner lumen terminates in an optical lens; a conformable member releasably engaging the distal end of the delivery catheter, the conformable member moving from a deflated state to an inflated state when the at least one reinforcing material is delivered to the conformable member; and an adapter releasably engaging the proximal end of the delivery catheter for receiving the light pipe and the at least one reinforcing material.

Claims

1. A device for repairing a fractured bone comprising:

a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, the delivery catheter having an inner void for passing at least one reinforcing material, and an inner lumen;

a conformable member releasably engaging the distal end of the delivery catheter, the conformable member moving from a deflated state to an inflated state when the at least one reinforcing material is passed to the conformable member;

an optical fiber, wherein the optical fiber is sized to pass through the inner lumen of the delivery catheter and into the conformable member, and wherein at least a distal portion of the optical fiber is modified by removing a portion of a cladding surrounding the optical fiber; and

an adapter releasably engaging the proximal end of the delivery catheter for receiving the optical fiber and the at least one reinforcing material,

wherein, when the optical fiber is in the conformable member, the distal portion of the optical fiber is able to disperse light energy at a terminating face and along a length of the optical fiber to initiate hardening of the at least one reinforcing material within the conformable member.

2. The device of claim 1 wherein the conformable member is constructed from a polymer material.

3. The device of claim 1 wherein the optical fiber transmits the light energy from a light source to the conformable member.

4. The device of claim 1 further comprising an optical lens that transmits light energy from the optical fiber to the conformable member.

5. The device of claim 1 wherein the light energy is able to be dispersed in a radial direction.

6. The device of claim 1 wherein the cladding is removed from the optical fiber to create a helical design on a surface of the optical fiber to disperse light energy at the terminating face and along the length of the optical fiber in a helical pattern.

7. The device of claim 1 wherein the at least one reinforcing material is a UV curable glue.

8. The device of claim 1 wherein the cladding is removed to alter at least one of a direction, a propagation, an amount, an intensity, an angle of incidence, a uniformity or a distribution of the light energy.

14. The device of claim 7 wherein the cladding is removed to alter at least one of a direction, a propagation, an amount, an intensity, an angle of incidence, a uniformity or a distribution of the visible light energy.

9. A device for repairing a fractured bone comprising:

a delivery catheter having an elongated shaft with a proximal end, a distal end, and a longitudinal axis therebetween, the delivery catheter having an inner void for passing a light cure adhesive, and an inner lumen;

an optical fiber;

a conformable member releasably engaging the distal end of the delivery catheter, the conformable member having an inner lumen for accepting the optical fiber, the conformable member moving from a deflated state to an inflated state when the light cure adhesive is delivered to the conformable member; and

an adapter releasably engaging the proximal end of the delivery catheter for receiving the optical fiber and the light cure adhesive,

wherein the optical fiber is sized to pass through the inner lumen of the delivery catheter and into the inner lumen of the conformable member,

wherein at least a distal portion of the optical fiber is modified by removing a portion of a cladding surrounding the optical fiber, and

wherein, when the optical fiber is in the inner lumen of the conformable member, the distal portion of the optical fiber is able to disperse visible light energy at a terminating face and along a length of the optical fiber to initiate hardening of the light cure adhesive within the conformable member.

10. The device of claim 9 further comprising a light source for providing the visible light energy to the optical fiber.

11. The device of claim 9 wherein the dispersion of visible light energy is in a radial direction.

12. The device of claim 9 wherein the visible light energy is able to be dispersed in a radial direction.

13. The device of claim 9 wherein the cladding is removed from the optical fiber to create a helical design on a surface of the optical fiber to disperse light energy at the terminating face and along the length of the optical fiber in a helical pattern.

15. A method for repairing a fractured bone comprising:

gaining access to an inner cavity of the fractured bone;

providing a device for use in repairing the fractured bone, the device comprising a delivery catheter having an inner void for passing at least one reinforcing material and an inner lumen for accepting an optical fiber, the delivery catheter releasably engaging a conformable member having an inner lumen for passing the optical fiber;

positioning the conformable member spanning at least two bone segments of the fractured bone;

inserting the optical fiber into the inner lumen of the conformable member, wherein at least a distal portion of the optical fiber is modified by removing a portion of a cladding surrounding the optical fiber;

introducing the at least one reinforcing material through the inner void of the delivery catheter for infusing the reinforcing material within the conformable member, wherein the conformable member moves from a deflated state to an inflated state;

activating a light source that is connected to the optical fiber so the distal portion of the optical fiber disperses light energy at a terminating face and along a length of the optical fiber to communicate light energy into the inner lumen of the conformable member such that the at least one reinforcing material is hardened; and

releasing the hardened conformable member from the delivery catheter.

16. The method of claim 15 wherein the hardened conformable member remains in the inner cavity of the fractured bone to support the fractured bone and promote healing of the fractured bone.

17. The method of claim 15 wherein the light energy is dispersed along the length of the optical fiber by modifying a surface of the optical fiber.

18. The method of claim 17 wherein the dispersion of light energy is in a radial direction.

19. The method of claim 15 wherein the cladding is removed from the optical fiber to create a helical design on a surface of the optical fiber to disperse light energy at the terminating face and along the length of the optical fiber in a helical pattern.

20. The method of claim 15 wherein the cladding is removed to alter at least one of a direction, a propagation, an amount, an intensity, an angle of incidence, a uniformity or a distribution of the visible light energy.