Bone treatment systems and methods

• US 9,161,797 B2
• Filed: 06/13/2014
• Issued: 10/20/2015
• Est. Priority Date: 08/22/2005
• Status: Active Grant

• Current Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Original Assignee: Dfine Incorporated (Merit Medical Systems, Inc.)
• Inventors: Truckai, Csaba, Shadduck, John
• Primary Examiner(s): BOLES, SAMEH RAAFAT
• Application Number:
  US14/304,300
• Publication Number:
  US 20140303634A1
• Time in Patent Office: 494 Days
• Field of Search: 606 92- 94
• US Class Current: 1/1
• 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 kit for treating bone, comprising:

one or more elongated cement-carrying devices configured to receive a volume of mixed bone fill material therein;

an elongated bone fill material injector;

at least one housing configured to removably receive at least one of the one or more elongated cement-carrying devices in an elongated passage thereof, the housing further comprising an energy emitter configured to apply energy to the mixed bone fill material in the cement-carrying device disposed in the housing to selectively accelerate the polymerization rate of a selected volume of the mixed bone fill material to a selected endpoint; and

an energy source coupleable to the energy emitter to deliver energy thereto.

2. The kit of claim 1, wherein the energy emitter is separate from the one or more elongated cement-carrying devices and the elongated bone fill material injector.

3. The kit of claim 1, wherein the housing further comprises a cooling system configured to retard the polymerization rate of the mixed bone fill material in the cement-carrying device disposed in the housing.

4. The kit of claim 3, further comprising a controller, wherein the controller is configured to control at least one of the energy source and the cooling system.

5. The kit of claim 1, further comprising a bone fill source.

6. The kit of claim 1, wherein the bone fill material injector is sized to receive one of the one or more elongated cement-carrying device therein.

7. The kit of claim 1, wherein the cement-carrying device is not connected to the energy source when disposed in the bone fill material injector.

8. The kit of claim 1, wherein each elongated cement-carrying device has a corresponding housing.

9. A kit for treating bone, comprising:

an elongated cement-carrying device configured to receive a volume of bone fill material therein;

one or more bodies configured to removably receive the elongated cement-carrying device in an elongated receiving channel therein, the body further comprising an energy emitter;

an energy source coupleable to the energy emitter to deliver energy thereto; and

a controller operatively coupled to the energy source, wherein the energy source and the controller are configured to cause the energy emitter to apply thermal energy from the energy emitter to the contained volume of bone fill material to thereby accelerate polymerization of the bone fill material disposed within the cement carrying device.

10. The kit of claim 9, wherein the energy emitter is separate from the elongated cement-carrying device.

11. The kit of claim 9, wherein the body further comprises a cooling system configured to retard the polymerization rate of the bone fill material in the cement-carrying device disposed in the housing.

12. The kit of claim 11, wherein the controller is configured to control at least one of the energy source and the cooling system.

13. The kit of claim 9, further comprising a bone fill source.

14. The kit of claim 9, further comprising bone fill material injector sized to receive the elongated cement-carrying device therein.

15. The kit of claim 9, wherein the controller is configured to control the application of energy from the energy emitters so that different levels of energy are transmitted from the energy emitters in the respective bodies to the bone cement.

16. The kit of claim 9, wherein the controller can control the application of energy from the energy emitters so that same level of energy is transmitted from the energy emitters in the respective bodies to the bone cement.