System for use in treatment of vertebral fractures

• US 9,125,671 B2
• Filed: 04/29/2011
• Issued: 09/08/2015
• Est. Priority Date: 04/29/2010
• Status: Active Grant

• Current Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Original Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Inventors: Germain, Aaron, Shadduck, John H., Truckai, Csaba
• Primary Examiner(s): Waggle, Jr., Larry E
• Application Number:
  US13/098,116
• Publication Number:
  US 20110295262A1
• Time in Patent Office: 1,593 Days
• Field of Search: 600139-142, 604/264, 604/523, 604/528, 606 39- 40, 606/45, 606 48- 50, 606 79- 80, 606 83- 85, 606/86.R, 606 92- 94, 606/167, 606170-171, 606/180, 606184-185
• US Class Current: 1/1
• CPC Class Codes: A61B 17/1617 with mobile or detachable parts
• CPC Class Codes: A61B 17/1631 Special drive shafts, e.g. flexible shafts A61B17/1642, A61B17/164 take precedence
• CPC Class Codes: A61B 17/1642 for producing a curved bore
• CPC Class Codes: A61B 17/1644 using fluid other than turbine drive fluid
• CPC Class Codes: A61B 17/1671 for the spine
• 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 18/1477 Needle-like probes
• CPC Class Codes: A61B 2018/00101 low, i.e. thermally insulating
• CPC Class Codes: A61B 2018/00339 Spine, e.g. intervertebral disc
• CPC Class Codes: A61B 2018/00565 Bone
• CPC Class Codes: A61B 2018/00577 Ablation
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00642 with feedback, i.e. closed loop control
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/143 multiple needles
• CPC Class Codes: A61B 2018/1432 curved
• CPC Class Codes: A61B 2018/1435 Spiral
• CPC Class Codes: A61B 2018/1497 : Electrodes covering only part of the probe circumference
• CPC Class Codes: A61B 2217/007 : with irrigation system
• CPC Class Codes: A61B 2218/002 : Irrigation
• CPC Class Codes: A61B 2218/007 : Aspiration

Abstract

Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.

Claims

1. A medical device for treating a vertebral body, comprising:

a handle having a connector for electrically coupling the device to a power supply;

a shaft extending from the handle to a working end, where a first conductive portion of the shaft is electrically coupleable to a first pole of the power supply; and

an extendable element extendible from the shaft, where the extendable element is coupleable to a second pole of the power supply, such that when activated, current flows between the extendable element and the shaft;

an actuation mechanism operatively coupled to the handle and configured to deform and maintain the working end into an articulated shape, where the working end is configured to remain in the articulated shape upon application of a driving force such that the articulated shape of the working end creates a cavity; and

wherein an axially-extending surface portion of the working end comprises an electrical insulator positioned to direct current towards a side of the device opposite o the electrical insulator.

2. The medical device of claim 1, where the electrical insulator is disposed on an inner radius of the articulated shape.

3. The medical device of claim 1, where the driving force comprises an impact force and where the handle is configured to receive the impact force to cause the working end to create the cavity in bone.

4. The medical device of claim 1, further comprising a tip having an offset point configured to deflect the working end upon application of the driving force.

5. A medical device for treating a vertebral body, comprising:

a handle having a connector for electrically coupling the device to a power supply;

a shaft extending from the handle to a working end, where first and second conductive portions of the shaft are coupleable to first and second poles of a power supply;

an actuation mechanism operatively coupled to the handle and configured to deform and maintain the working end into an articulated shape, where the working end is configured to remain in the articulated shape upon application of a driving force such that the articulated shape of the working end creates a cavity; and

a lumen in the shaft coupleable to a source of insulative flowable media.

6. The medical device of claim 5, where the insulative flowable media comprises a electrical insulator.

7. The medical device of claim 5, where the insulative flowable media comprises a thermal insulator.

8. The medical device of claim 5, where the insulative flowable media comprises a gel.

9. The medical device of claim 5, further comprising a tip having an offset point configured to deflect the working end upon application of the driving force.

10. A medical device for treating a vertebral body, comprising:

a handle having a connector for electrically coupling the device to a power supply;

a shaft having an axis extending from the handle to a working end, where a first conductive portion of the shaft is electrically coupleable to a first pole of the power supply; and

a plurality of extendable elements extendible from the shaft, where the extendable elements are coupleable to a second pole of the power supply, such that when activated, current flows between the extendable elements and the shaft; and

wherein the extendable elements are radially asymmetric relative to the axis of the shaft positioned to direct current towards a side of the shaft from where the plurality of the extendable elements extend; and

an actuation mechanism operatively coupled to the handle and configured to deform and maintain the working end into an articulated shape, where the working end is configured to remain in the articulated shape upon application of a driving force such that the articulated shape of the working end creates a cavity.

11. The medical device of claim 10, where the extendable elements extend from an outer radius of the articulated shape.

12. The medical device of claim 10, where the extendable elements range in number from 2 to 10.

13. The medical device of claim 10, where the extendable elements extend from the shaft less than 10 mm.

15. The medical device of claim 10, further comprising a tip having an offset point configured to deflect the working end upon application of the driving force.

14. The medical device of 10, where the extendable elements extend from the shaft less than 5 mm.