Bone treatment systems and methods

• US 8,430,887 B2
• Filed: 04/30/2008
• Issued: 04/30/2013
• Est. Priority Date: 04/30/2007
• Status: Active Grant

• Current Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Original Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Inventors: Truckai, Csaba, Shadduck, John H., Luzzi, Robert
• Primary Examiner(s): Boles, Sameh
• Application Number:
  US12/112,477
• Publication Number:
  US 20080269761A1
• Time in Patent Office: 1,826 Days
• Field of Search: 606 92- 94
• US Class Current: 606/94
• CPC Class Codes: A61B 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• CPC Class Codes: A61B 17/8805 for introducing fluid filler into bone or extracting it A61B17/7097, A61B17/8833 take precedence
• CPC Class Codes: A61B 17/8811 characterised by the introducer tip, i.e. the part inserted into or onto the bone
• 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 17/8836 for heating, cooling or curing of bone cement or fluid fillers

Abstract

Systems and methods for treating bone, such as vertebral compression fractures are disclosed. A method includes controllably applying energy to a bone cement volume outside of a patient'"'"'s body to selectively accelerate the polymerization rate of the bone fill material volume prior to introduction into a bone. The method further includes sequentially introducing a plurality of cement carrying structures with the accelerated polymerization rate bone cement volume into the bone. A system for use in the method includes at least one elongated cement-carrying structure sized to carry a bone cement volume therein and an energy source operatively coupleable to the cement-carrying structure. The energy source applies energy to the bone cement volume to selectively accelerate a polymerization rate thereof. An elongated injector insertable into the bone has a passageway that removably receives the elongated cement-carrying structure to allow delivery of the accelerated polymerization rate bone cement into the bone.

Claims

1. A system for treating a vertebra, comprising:

at least one elongated cement-carrying structure having an interior space for receiving a bone fill material;

an energy source operatively coupleable to an energy emitter configured to apply energy to the cement-carrying structure while the cement-carrying structure is outside of a patient'"'"'s body, the energy emitter configured to apply thermal energy to the bone fill material to selectively accelerate a polymerization rate of the bone fill material; and

an elongated injector, at least a portion of which is insertable into a vertebral body, the elongated injector comprising a passageway sized to removably receive at least a portion of the elongated cement-carrying structure so as to allow delivery of the bone fill material with said accelerated polymerization rate through the injector into the vertebral body, wherein the energy emitter is separate from the cement-carrying structure and the elongated injector, wherein the energy source is coupleable to a housing, the housing comprising the energy emitter and configured for releasably and mainly receiving the at least one cement-carrying structure in an elongated passage thereof.

2. The system of claim 1, wherein the energy source is coupleable to a controller.

3. The system of claim 2, further comprising a cooling system operatively coupled to a housing, wherein the controller is configured to control the cooling system to selectively retard the polymerization of the bone fill material.

4. The system of claim 2, further comprising a data acquisition system coupleable to the controller, wherein the data acquisition system is configured to communicate with the controller and provide a signal of at least one polymerization parameter of the bone fill material.

5. The system of claim 1, further comprising a pressure mechanism operatively coupleable to the elongated cement-carrying structure for moving the bone fill material through the cement-carrying structure and injector into the vertebral body.

6. The system of claim 1, wherein the energy source comprises a resistive heat source.

7. The system of claim 1, wherein the energy source comprises a positive temperature coefficient of resistance (PTCR) constant temperature heat source.

8. The system of claim 1, wherein the selectively accelerated polymerization rate increases the viscosity of the bone fill material.

9. A system for treating bone comprising:

an elongated injector, at least a portion of which insertable into a bone;

at least one elongated cement-carrying structure configured to contain a volume of a mixed bone fill material, the cement carrying structure releasably coupleable to the injector; and

at least one housing member comprising an energy emitter and sized to removably and mainly receive the at least one cement-carrying structure in an elongated passage thereof, the energy emitter configured to apply thermal energy to the bone fill material outside of a patient'"'"'s body when the cement-carrying structure is coupled to the housing and prior to coupling of the cement-carrying structure to the elongated injector to thereby selectively accelerate polymerization of the mixed bone fill material, wherein the housing member is separate from the elongated injector.

10. The system of claim 9, wherein ihe at least one cement-carrying structure comprises a plurality of cement-carrying structures and wherein the at least one housing member comprises a plurality of housing members corresponding to the plurality of cement-carrying structures.

11. The system of claim 10, wherein the energy source is coupleable to a controller, wherein the controller is configured to controlt he energy emitter to accelerate the rate of polymerization of the mixed bone fill material.

12. The system of claim 11, further comprising a cooling system coupled to the housing,t he controller connected to the cooling system and configured to control the operation of the cooling system to retard the polymerization of bone fill material.

13. The system of claim 11, further comprising a data acquisitions ystem coupleable to the controller, whereint he data acquisition system is configured to communicate with the controller and provide a signal of at least one polymerization parameter of the bone fill material.

14. The system of claim 9, wherein the energy emitter is coupleable to an energy source.

15. The system of claim 9, wherein the energy emitter comprises a resistive heat source.

16. The system of claim 9, wherein the energy emitter comprises a positive temperature coefficient of resistance (PTCR) constant temperature heat source.

17. The system of claim 9, wherein the selectively accelerated polymerization increases the viscosity of the mixed bone fill material.