Devices and methods for bone alignment, stabilization and distraction

• US 9,125,706 B2
• Filed: 11/24/2014
• Issued: 09/08/2015
• Est. Priority Date: 08/19/2009
• Status: Active Grant

• Current Assignee: Illuminoss Medical, Inc.
• Original Assignee: Illuminoss Medical, Inc.
• Inventors: Rabiner, Robert A., O'Leary, Anthony W., Chang, Narissa Y., Weiss, Arnold-Peter C., Bainbridge, Lionel C.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): SCHILLINGER, ANN M
• Application Number:
  US14/551,650
• Publication Number:
  US 20150080900A1
• Time in Patent Office: 288 Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/56 Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
• 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 17/8095 Wedge osteotomy devices
• 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 17/8833 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 2017/00411 actuated by application of energy from an energy source outside the body
• CPC Class Codes: A61B 2017/883 Means for indicating hardening of bone cement
• CPC Class Codes: A61F 2002/30583 filled with hardenable fluid, e.g. curable in-situ
• CPC Class Codes: A61F 2002/4696 optical
• CPC Class Codes: A61F 2210/0085 hardenable in situ, e.g. epoxy resins
• CPC Class Codes: A61N 5/0601 Apparatus for use inside the body
• CPC Class Codes: A61N 5/062 Photodynamic therapy, i.e. excitation of an agent

Abstract

An embodiment of a bone stabilization and distraction system of the present disclosure includes a light-sensitive liquid; a light source for providing light energy; a light-conducting fiber for delivering the light energy from the light source to cure the light-sensitive liquid; a delivery catheter having a proximal end in communication with the light-conducting fiber and the light-sensitive liquid, an inner lumen for passage of the light-conducting fiber, and an inner void for passage of the light-sensitive liquid; and an expandable body removably engaging a distal end of the delivery catheter, wherein the expandable body has a closed end, a sealable open end, an inner cavity for passage of the light-sensitive liquid, an external surface and an internal surface, and wherein the expandable body has an insertion depth with a fixed dimension, a width with a fixed dimension, and a thickness with a changeable dimension.

Claims

1. A method of maintaining distraction of a bone comprising:

providing temporary distraction to a fractured distal radius bone to provide a distraction gap;

delivering an expandable body in an unexpanded state into the distraction gap, the expandable body having an insertion depth with a fixed dimension, a width with a fixed dimension, and a the distraction thickness with a the changeable dimension wherein the insertion depth is a length between a sealable end and a closed end of the expandable body;

infusing a first fluid into the expandable body to expand the expandable body so that a desired amount of distraction is achieved at the distraction gap;

removing the first fluid from the expandable body;

determining an amount of the first fluid removed from the expandable body;

infusing an amount of a light-sensitive liquid through the open end into an open inner cavity of the expandable body that adjustably changes the distraction thickness of the expandable body without changing the insertion depth or width of the expandable body, wherein the amount of light-sensitive liquid is substantially equivalent to the amount of the first fluid;

curing the light-sensitive liquid in the expandable body to form a rigid photodynamic device; and

maintaining a desired amount of distraction at the distraction gap.

2. The method of claim 1, further comprising distracting the distal radius bone so that a radial length of the distal radius bone is returned to a normal range of about 12 mm.

3. The method of claim 1, further comprising distracting the distal radius bone so that a palmar tilt of the distal radius bone is returned to a normal range of about 11°

.

4. The method of claim 1, further comprising changing the changeable dimension of the distraction thickness of the expandable body by adding or removing the light sensitive liquid, without changing the dimension of the insertion depth and the dimension of the width of the expandable body.

5. The method of claim 1, wherein the insertion depth is a length between the sealable open end and the closed end of the expandable body.

6. A method of maintaining distraction of a fractured distal radius bone comprising:

providing temporary distraction to a fractured distal radius bone to provide a distraction gap;

delivering an expandable body in an unexpanded state into the distraction gap, the expandable body removably attached to a distal end of a delivery catheter, wherein the expandable body has a closed end, a sealable open end, an inner cavity for passage of the light-sensitive liquid, and wherein the expandable body has an insertion depth with a fixed dimension, a width with a fixed dimension, and a distraction thickness with a changeable dimension, wherein the insertion depth is a length between the sealable end and the closed end of the expandable body;

infusing an amount of a light-sensitive liquid through the open end into the inner cavity of the expandable body that adjustably changes the distraction thickness of the expandable body without changing the insertion depth or the width of the expandable body;

curing the light-sensitive liquid in the inner cavity of the expandable body;

removing the expandable body from the delivery catheter to form a rigid photodynamic device.

7. The method of claim 6 wherein the expandable body has an insertion depth with a fixed dimension, a width with a fixed dimension.

8. The method of claim 6 wherein implanting the photodynamic device into the distraction gap distracts the distal radius bone so that a radial length of the distal radius bone is returned to a normal range of about 12 mm.

9. The method of claim 6 wherein implanting the photodynamic device into the distraction gap distracts the distal radius bone so that a palmar tilt of the distal radius bone is returned to a normal range of about 11°

.