Delivery apparatus and methods for vertebrostenting

• US 8,623,025 B2
• Filed: 01/15/2010
• Issued: 01/07/2014
• Est. Priority Date: 12/15/2006
• Status: Active Grant

• Current Assignee: Globus Medical, Inc.
• Original Assignee: Gmedelaware 2 LLC (Globus Medical, Inc.)
• Inventors: Tan-Malecki, Francisca, Hamilton, John V., Sennett, Andrew R., Sahatjian, Ronald, Coyle, James, Cannon, James, Farrissey, Liam, Mugan, John, Bruggemann, Martin, Gallagher, Dion, Ryan, Damien
• Primary Examiner(s): Hammond, Ellen C
• Application Number:
  US12/688,437
• Publication Number:
  US 20100114111A1
• Time in Patent Office: 1,453 Days
• Field of Search: 623 111- 112, 623 1711- 1716, 606 92- 95, 606/86.R, 606/90, 606/99, 606/105
• US Class Current: 606/92
• CPC Class Codes: A61B 17/16 Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans arthroscopic bone cutters A61B17/320016; dental implant drills potentially for other surgical use A61C8/0089; bone grinders A61F2/4644, A22C17/06; A61B17/1662 takes precedence over all other subgroups except A61B17/17
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1637 Hollow drills or saws producing a curved cut, e.g. cylindrical A61B10/025, A61B17/1695 take precedence
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1671 for the spine
• 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 17/8808 with sealing collar for bone cavity
• 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 17/885 Tools for expanding or compacting bones or discs or cavities therein A61B17/8805, A61B17/7097 take precedence
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855

Abstract

The invention relates to a systems, devices and methods of delivering and deploying a stent into a curvilinear cavity within a vertebral body or other bony or body structure. In some instances, a system can include an elongate shaft for delivering a self-expanding, cement-directing stent. The elongate shaft can include at least one of an inner shaft, an outer shaft, a tubular sheath, a flexible guidewire, and an internal polymer extrusion. A rotational handle can be used to control movement of the elongate shaft. The rotational handle can incorporate one or more pins in slots associated with each of the components (e.g., inner shaft, outer shaft, and tubular sheath), such that upon rotation of the handle, the pins are forced to move in the direction of their respective slots.

Claims

1. A stent delivery system for deploying a stent within an enlarged curvilinear void created in a bony structure comprising:

a handle;

an elongate shaft adapted to releasably hold a self-expanding cement-directing stent at a distal end, wherein the elongate shaft includes an inner shaft, an outer shaft and a tubular sheath; and

at least one user control mechanism adapted to deploy the stent,

wherein the at least one user control mechanism includes a rotating user control mechanism and a stent release button, wherein the user control mechanism comprises a slot and a pin associated with each of the inner shaft, outer shaft and tubular sheath, such that rotation of the user control mechanism will force each pin along a direction determined by a respective slot,

whereing the at least one user control mechanism is positioned in the handle and is used to move the elongate shaft and deploy the stent.

2. The system of claim 1, wherein the at least one user control mechansim comprises a rotating cam mechanism.

3. The system of claim 2, wherein actuating the rotating cam mechansim retracts the sheath towards the handle.

4. The system of claim 3, wherein actuating the rotating cam mechanism simultaneously extends the distal end of at least one of the inner and the outer shaft away from the handle.

5. The system of claim 1, wherein a distal end of the handle comprises an interface element adapted to releasably engage at least a portion of the proximal end of a cannula.

6. The system of claim 1, wherein the stent is flexible and resilient.

7. A user control mechanism for a stent delievery device, comprising:

a support element, wherein the support element houses an elongate shaft comprising an inner shaft, an outer shaft and a tubular sheath;

at least one cam shaft helically positioned on the support element; and

at least one pin engaging the cam shaft corresponding to each of the inner shaft, outer shaft and tubular sheath, wherein the cam shaft is adapted to force the pin linearly along an axial extend of the user control mechanism upon a rotation of the support element,

whereing the user control mechanism is positioned in the support element and is used to move the elongate shaft and deploy a braided sheath.