Platform cannula for guiding the expansion of expandable bodies and method of use

• US 8,092,480 B2
• Filed: 04/06/2001
• Issued: 01/10/2012
• Est. Priority Date: 04/07/2000
• Status: Expired due to Fees

• Current Assignee: Orthophoenix, LLC (Marathon Patent Group, Inc.)
• Original Assignee: Kyphon SARL (Medtronic Plc)
• Inventors: Layne, Richard W., Scribner, Robert M., Ralph, Christopher R
• Primary Examiner(s): Bianco, Patricia M
• Assistant Examiner(s): NGUYEN, CAMTU TRAN
• Application Number:
  US09/828,470
• Publication Number:
  US 20020026195A1
• Time in Patent Office: 3,931 Days
• Field of Search: 623/17.12, 623/11.11, 623/17.11, 623/17.19, 623/7, 623/8, 606 91- 95, 606/86, 606/80, 606/99, 606/90, 606/193, 606/194, 606/192, 606/198, 606/98, 606/60, 606/61, 606/191, 604/264, 604/285, 604/912, 604/918, 604/921
• US Class Current: 606/192
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 17/68 Internal fixation devices , including fasteners and spinal fixators, even if a part thereof projects from the skin bone staples A61B17/0642
• 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 17/8855 inflatable, e.g. kyphoplasty balloons
• CPC Class Codes: A61B 17/8858 laterally or radially expansible inflatable A61B17/8855
• CPC Class Codes: A61B 17/8866 for gripping or pushing bones, e.g. approximators joint distractors A61B17/025
• CPC Class Codes: A61B 2017/00261 Discectomy
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/320048 Balloon dissectors
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: A61F 2/441 made of inflatable pockets or chambers filled with fluid, e.g. with hydrogel
• CPC Class Codes: A61F 2/4601 for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/4635 using minimally invasive surgery
• CPC Class Codes: A61F 2310/00353 Bone cement, e.g. polymethylmethacrylate or PMMA

Abstract

This invention relates to devices, such as cannulas or needles, which are used for inserting expandable structures, such as medical balloons, into interior regions of a human or animal body, as well as methods for their use. In various embodiments, insertion devices described herein are capable of flaring at their tip to ease insertion and removal of expandable structures and reduce the risk of damaging such expandable structures during their insertion, inflation and removal. In other embodiments, insertion devices described herein are capable of directionally guiding and/or inhibiting expansion of an expandable structure within an interior region of an animal or human body to create optimally placed cavities for repair, augmentation and/or treatment of fractured and/or diseased bone.

Claims

1. A method comprising:

providing a tool comprising a hollow body including a circumferential wall having a distal end, the tool also comprising an extension that protrudes from the circumferential wall beyond the distal end and forms a platform that is open in a radial direction to form a radial direction opening and in an axial direction to form an axial direction opening that is substantially transverse to the radial direction opening, the platform having a side surface facing in the radial direction;

providing an expandable structure;

introducing the tool and the expandable structure into a bone having an interior volume occupied, at least in part, by cancellous bone;

positioning the platform near the expandable structure, with the side surface of the platform located between the expandable structure and a first region of the cancellous bone which is not to be compressed;

securing the expandable structure to the platform in a manner to maintain a predetermined rotational orientation between the expandable structure and the platform;

forming a cavity in a second region of cancellous bone by expanding the expandable structure against the side surface of the platform with the platform serving as a barrier to induce the expandable structure to expand radially away from the side surface of the platform to compress the second region of the cancellous bone, while the first region of the cancellous bone remains substantially uncompressed, and

introducing a filler material into the cavity,

wherein forming the cavity in the second region of cancellous bone includes expanding the expandable structure in the axial direction through the axial direction opening of the platform such that the expandable structure expands in the axial direction beyond a distal end of the platform.