WO2002034148A3 - Systems and methods for reducing fractured bone using a fracture reduction cannula - Google Patents

Systems and methods for reducing fractured bone using a fracture reduction cannula Download PDF

Info

Publication number
WO2002034148A3
WO2002034148A3 PCT/US2001/045589 US0145589W WO0234148A3 WO 2002034148 A3 WO2002034148 A3 WO 2002034148A3 US 0145589 W US0145589 W US 0145589W WO 0234148 A3 WO0234148 A3 WO 0234148A3
Authority
WO
WIPO (PCT)
Prior art keywords
fracture
circumferential opening
cannula
expandable structure
systems
Prior art date
Application number
PCT/US2001/045589
Other languages
French (fr)
Other versions
WO2002034148A2 (en
Inventor
Christopher R Ralph
Richard W Layne
Paul M Sand
Robert M Scribner
Mark A Reiley
Original Assignee
Kyphon Inc
Christopher R Ralph
Richard W Layne
Paul M Sand
Robert M Scribner
Mark A Reiley
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kyphon Inc, Christopher R Ralph, Richard W Layne, Paul M Sand, Robert M Scribner, Mark A Reiley filed Critical Kyphon Inc
Priority to AT01988557T priority Critical patent/ATE448742T1/en
Priority to KR1020037005821A priority patent/KR100889416B1/en
Priority to AU2002225837A priority patent/AU2002225837B2/en
Priority to CA2426688A priority patent/CA2426688C/en
Priority to AU2583702A priority patent/AU2583702A/en
Priority to DE60140558T priority patent/DE60140558D1/en
Priority to EP01988557A priority patent/EP1328203B1/en
Priority to JP2002537204A priority patent/JP4348427B2/en
Publication of WO2002034148A2 publication Critical patent/WO2002034148A2/en
Publication of WO2002034148A3 publication Critical patent/WO2002034148A3/en
Priority to AU2007201697A priority patent/AU2007201697B2/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • A61B17/8855—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc inflatable, e.g. kyphoplasty balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1686—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the hand or wrist
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3472—Trocars; Puncturing needles for bones, e.g. intraosseus injections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8802—Equipment for handling bone cement or other fluid fillers
    • A61B17/8805—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33—Trays
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Prostheses (AREA)

Abstract

Systems and methods provide for the fixation of osteoporotic and non-osteoporotic long bones, especially Colles' fractures. A cannula having a circumferential opening is inserted into cancellous bone and directed such that the circumferential opening faces the fracture. The cannula is further adapted to receive an expandable structure, the expandable structure being inserted through the cannula until it is in registration with the circumferential opening. The expandable structure is expanded through the circumferential opening into cancellous bone and toward the fracture. The expansion of the expandable structure through the circumferential opening toward the fracture causes compression of cancellous bone and moves fractured cortical bone, thus creating a cavity proximal to the fracture. The cavity is then filled with a flowable bone filling material and the material allowed to harden.
PCT/US2001/045589 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula WO2002034148A2 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
AT01988557T ATE448742T1 (en) 2000-10-25 2001-10-25 SYSTEMS FOR REPOSITION OF BROKEN BONE USING A CANNULA FOR REPOSITION OF BONE FRACTURES
KR1020037005821A KR100889416B1 (en) 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula
AU2002225837A AU2002225837B2 (en) 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula
CA2426688A CA2426688C (en) 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula
AU2583702A AU2583702A (en) 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula
DE60140558T DE60140558D1 (en) 2000-10-25 2001-10-25 SYSTEMS FOR THE REPOSITION OF BROKEN BONE BY MEANS OF A CANNULA FOR THE REPONATION OF BONE FRACTURES
EP01988557A EP1328203B1 (en) 2000-10-25 2001-10-25 Systems for reducing fractured bone using a fracture reduction cannula
JP2002537204A JP4348427B2 (en) 2000-10-25 2001-10-25 System and method for reducing fractured bone using a fracture reduction cannula
AU2007201697A AU2007201697B2 (en) 2000-10-25 2007-04-17 Systems for reducing fractured bone using a fracture reduction cannula

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US24319400P 2000-10-25 2000-10-25
US60/243,194 2000-10-25

Publications (2)

Publication Number Publication Date
WO2002034148A2 WO2002034148A2 (en) 2002-05-02
WO2002034148A3 true WO2002034148A3 (en) 2002-08-08

Family

ID=22917713

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2001/045589 WO2002034148A2 (en) 2000-10-25 2001-10-25 Systems and methods for reducing fractured bone using a fracture reduction cannula

Country Status (10)

Country Link
US (4) US7153306B2 (en)
EP (1) EP1328203B1 (en)
JP (2) JP4348427B2 (en)
KR (3) KR100889416B1 (en)
CN (2) CN100522091C (en)
AT (1) ATE448742T1 (en)
AU (3) AU2583702A (en)
CA (1) CA2426688C (en)
DE (1) DE60140558D1 (en)
WO (1) WO2002034148A2 (en)

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US8454620B2 (en) 2013-06-04
KR100889416B1 (en) 2009-03-20
US7927339B2 (en) 2011-04-19
AU2007201697B2 (en) 2009-05-07
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US20110137319A1 (en) 2011-06-09
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CN100522091C (en) 2009-08-05
US20080065020A1 (en) 2008-03-13

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