Multistate-curvature device and method for delivering a curable material into bone

• US 8,690,884 B2
• Filed: 05/30/2012
• Issued: 04/08/2014
• Est. Priority Date: 11/18/2005
• Status: Active Grant

• Current Assignee: Stryker Corporation
• Original Assignee: Carefusion 2200 Corporation (Becton, Dickinson & Co)
• Inventors: Linderman, Evan D., Ray, John
• Primary Examiner(s): Philogene, Pedro
• Application Number:
  US13/483,899
• Publication Number:
  US 20120239050A1
• Time in Patent Office: 678 Days
• Field of Search: 606 92- 94, 606/185, 606/264, 623/23.62, 604/264, 604/272, 604/164.01, 604/506, 604/164.11, 604/187, 604/95.01, 604/82, 222/386.5, 222/399
• US Class Current: 606/94
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/3472 for bones, e.g. intraosseus injections
• 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 17/8819 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 17/8836 for heating, cooling or curing of bone cement or fluid fillers
• CPC Class Codes: A61B 2017/00331 with preformed bends
• CPC Class Codes: A61B 2017/00455 Orientation indicators, e.g. recess on the handle
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61B 2090/062 penetration depth

Abstract

A curable material delivery cannula device and method are disclosed. The device includes a cannula and a hub. The cannula includes an open proximal end, a deflectable segment forming a plurality of pre-set curves, each of which corresponds to a pre-determined temperature of the cannula, a lumen, and side orifice(s) adjacent, and proximally spaced from, the distal end and fluidly connected to the lumen. When distally extended from the guide cannula, and upon being heated to a predetermined temperature (before, during, or after extension), the deflectable segment assumes a curved shape, which may be used to create a void in the bone for receiving curable material. The distal cannula end includes a blunt tip for non-traumatic interface with bodily material. During use, curable material, such as bone cement, is delivered from the side orifice(s) in a radial direction relative to the lumen.

Claims

1. A system for injecting curable material to a delivery site within a bone structure, the system comprising:

a guide cannula including a generally straight body longitudinally encompassing and defining a guide cannula lumen; and

a delivery cannula with a longitudinal tubular body dimensioned to be disposed through, and to extend beyond a distal end of the guide cannula lumen, the delivery cannula including;

an open, proximal end,

a deflectable distal segment, opposite the proximal end, including a distal tip,

a delivery cannula lumen extending from the proximal end;

where the delivery cannula body comprises a memory metal material such that the delivery cannula body includes

a first state at a first temperature where the delivery cannula body is generally longitudinally straight, substantially defining a longitudinal axis;

a second state at a second temperature, greater than the first temperature, where the memory metal is configured such that the distal segment forms a first curved shape having a first degree of curvature away from the longitudinal axis; and

a third state at a third temperature, greater than the second temperature, where the memory metal is configured such that the distal segment forms a second curved shape having a second degree of curvature away from the longitudinal axis.

2. The system of claim 1, where the first temperature is about 15°

C. to about 38°

C.

3. The system of claim 1, where the first temperature is about 20°

C. to about 23°

C.

4. The system of claim 1, where the delivery cannula includes a closed blunt tip distal end that is axially closed to the delivery cannula lumen and at least one side orifice formed adjacent to, and proximally spaced from, the distal end where the at least one side orifice is fluidly connected to the lumen,

where the delivery cannula lumen defines an inside diameter, and

further where the at least one side orifice has at least one orifice dimension that is greater than the inside diameter of the delivery cannula lumen;

where the deflectable segment, when subjected to a temperature corresponding to the first or second curved shape, defines an interior bend side and an exterior bend side, and at least one side orifice is open relative to the exterior bend side, opposite the interior bend side.

5. The system of claim 1, where the delivery cannula body comprises a polymer.

6. The system of claim 1, where the delivery cannula and guide cannula are sized for use in a vertebroplasty procedure.

7. The system of claim 1, further comprising curable material preloaded in the delivery cannula lumen.

8. The system of claim 1, further comprising a controller configured to provide heat energy to the delivery cannula.

9. The system of claim 8, where said controller includes indicia corresponding to the temperature and/or curvature desired for the delivery cannula.

10. The system of claim 1, further comprising a fourth state at a fourth temperature, greater than the third temperature, where the memory metal is configured such that the distal segment forms a third curved shape having a third degree of curvature away from the longitudinal axis.

11. They system of claim 1, further comprising a plurality of side orifices generally lengthwise along the deflectable distal length.

12. The system of claim 11, where the plurality of side orifices is on the outside bend of the curve of the first curved shape in the second state and the second curved shape.

13. A method of delivering curable material into a bone structure with a system according to claim 1, the method comprising steps of:

locating a distal tip of a guide cannula within the bone structure;

inserting the delivery cannula within the guide cannula lumen;

distally advancing the delivery cannula such that the distal end segment projects distal of the guide cannula distal tip so that the distal end of the delivery cannula extends outside the guide cannula;

heating the delivery cannula to the second temperature, such that the distal deflectable segment curves out of the longitudinal axis substantially defined by the delivery cannula'"'"'s first state;

manipulating the delivery cannula such that at least a portion of the distal segment creates one or more voids in soft body tissue within the bone structure;

heating the delivery cannula to the third temperature, such that the distal deflectable segment curves further out of the longitudinal axis substantially defined by the delivery cannula'"'"'s first state; and

delivering the curable material to the delivery site wherein the curable material is delivered to the one or more voids in the soft body tissue created by the distal segment.

14. The method of claim 13 where manipulating the delivery cannula comprises retracting at least a portion of the delivery cannula from the delivery site relative to the guide cannula and distally advancing the delivery cannula relative to the guide cannula in a reciprocating manner such that at least a portion of the distal segment creates voids in soft body tissue within the bone structure.

15. The method of claim 14, where the deflectable distal delivery segment is curved to define a bend of at least 90 degrees.

16. The method of claim 13, where manipulating the delivery cannula comprises rotating the delivery cannula with the distal portion in the second state, the third state, or both—

sequentially—

such that at least a portion of the distal segment creates voids in the soft body tissue within the bone structure.

17. The method of claim 16, where the distal delivery segment is deflectable, and includes a shape memory characteristic such that it deflects to a substantially straightened shape when within the guide cannula and assumes a curved shape in longitudinal extension when outside the guide cannula, and where, during the step of manipulating the delivery cannula, the deflectable distal delivery segment is curved to define a bend of about 20 degrees to about 135 degrees.

18. The method of claim 13 wherein the distal segment of the delivery cannula terminates in a closed end and the delivery cannula further comprises a side orifice fluidly connected to the lumen.

19. The method of claim 13 further comprising the step of preloading the delivery cannula with curable material prior to inserting the delivery cannula into the guide cannula.

20. A curable material structure deposited accorded to the method of claim 13 and configured for stabilizing a vertebral body.