WO2007002108A3 - Apparatus and methods for treating bone - Google Patents

Apparatus and methods for treating bone Download PDF

Info

Publication number
WO2007002108A3
WO2007002108A3 PCT/US2006/024009 US2006024009W WO2007002108A3 WO 2007002108 A3 WO2007002108 A3 WO 2007002108A3 US 2006024009 W US2006024009 W US 2006024009W WO 2007002108 A3 WO2007002108 A3 WO 2007002108A3
Authority
WO
WIPO (PCT)
Prior art keywords
vertebral body
bone
thread
coiled
endplates
Prior art date
Application number
PCT/US2006/024009
Other languages
French (fr)
Other versions
WO2007002108A2 (en
Inventor
Andreas Appenzeller
Christof Dutoit
Alfred Benoit
Thierry Stoll
Erich Rothlisberger
Stefan Mathys
Original Assignee
Hfsc Co
Synthes Gmbh
Andreas Appenzeller
Christof Dutoit
Alfred Benoit
Thierry Stoll
Erich Rothlisberger
Stefan Mathys
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 Hfsc Co, Synthes Gmbh, Andreas Appenzeller, Christof Dutoit, Alfred Benoit, Thierry Stoll, Erich Rothlisberger, Stefan Mathys filed Critical Hfsc Co
Priority to BRPI0612286-8A priority Critical patent/BRPI0612286A2/en
Priority to CA2612548A priority patent/CA2612548C/en
Priority to EP06785200A priority patent/EP1919380B1/en
Priority to DE602006017391T priority patent/DE602006017391D1/en
Priority to AU2006262301A priority patent/AU2006262301A1/en
Priority to JP2008518323A priority patent/JP5037504B2/en
Priority to AT06785200T priority patent/ATE483413T1/en
Priority to CN2006800302999A priority patent/CN101287417B/en
Publication of WO2007002108A2 publication Critical patent/WO2007002108A2/en
Publication of WO2007002108A3 publication Critical patent/WO2007002108A3/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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/74—Devices for the head or neck or trochanter of the femur
    • A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
    • 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
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7094—Solid vertebral fillers; devices for inserting such fillers
    • A61B17/7095—Solid vertebral fillers; devices for inserting such fillers the filler comprising unlinked macroscopic particles
    • 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
    • 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
    • A61B17/8858—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 laterally or radially expansible
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine

Abstract

Implants and methods for bone treatment, preferably minimally invasive treatment, including repositioning of vertebrae may comprise insertion of a bobbin having a wire, string, thread or band, coiled around the bobbin. During coiling, the diameter of the bobbing/band complex may increase. Such increase in diameter can push against the inner side of the endplates of the vertebral body, and augment the vertebral body to its original height. The implant may also take the form of a coiled sleeve which when inserted into the vertebral body is uncoiled. The force of the uncoiling sleeve pushes against the inner side o the endplates of the vertebral body, restoring the vertebral body to its original height. The implant may also take the form of fibrous masses comprised of a thread or other relatively thin structure, for example a fiber or strand, of any biocompatible material having desired characteristics, for example a shape memory alloy, titanium, stainless steel, another metal or metal alloy, a ceramic, a composite or any combination thereof. The, strand, thread or other fiber may be coiled, woven, matted, tangled or otherwise formed into a wool-like mass or body having a desired configuration. Expansion of the expandable member within the vertebral body or other bone may reposition the fractured bone to a desired height and augment the bone to maintain the desired height. A bone cement or other filler can be added to further treat and stabilize the vertebral body or other bone.
PCT/US2006/024009 2005-06-20 2006-06-20 Apparatus and methods for treating bone WO2007002108A2 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
BRPI0612286-8A BRPI0612286A2 (en) 2005-06-20 2006-06-20 bone treatment system
CA2612548A CA2612548C (en) 2005-06-20 2006-06-20 Apparatus and methods for treating bone
EP06785200A EP1919380B1 (en) 2005-06-20 2006-06-20 Apparatus for treating bone
DE602006017391T DE602006017391D1 (en) 2005-06-20 2006-06-20 Device for the treatment of bones
AU2006262301A AU2006262301A1 (en) 2005-06-20 2006-06-20 Apparatus and methods for treating bone
JP2008518323A JP5037504B2 (en) 2005-06-20 2006-06-20 Bone treatment system
AT06785200T ATE483413T1 (en) 2005-06-20 2006-06-20 DEVICE FOR TREATING BONE
CN2006800302999A CN101287417B (en) 2005-06-20 2006-06-20 Apparatus for treating bone

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US69240805P 2005-06-20 2005-06-20
US60/692,408 2005-06-20
US71518805P 2005-09-08 2005-09-08
US60/715,188 2005-09-08
US73364705P 2005-11-04 2005-11-04
US60/733,647 2005-11-04

Publications (2)

Publication Number Publication Date
WO2007002108A2 WO2007002108A2 (en) 2007-01-04
WO2007002108A3 true WO2007002108A3 (en) 2007-03-29

Family

ID=37103333

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/024009 WO2007002108A2 (en) 2005-06-20 2006-06-20 Apparatus and methods for treating bone

Country Status (11)

Country Link
US (1) US8080061B2 (en)
EP (2) EP1919380B1 (en)
JP (1) JP5037504B2 (en)
KR (1) KR20080030034A (en)
AT (1) ATE483413T1 (en)
AU (1) AU2006262301A1 (en)
BR (1) BRPI0612286A2 (en)
CA (1) CA2612548C (en)
DE (1) DE602006017391D1 (en)
TW (1) TW200714247A (en)
WO (1) WO2007002108A2 (en)

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AU2006262301A1 (en) 2007-01-04
TW200714247A (en) 2007-04-16
EP1919380A2 (en) 2008-05-14
DE602006017391D1 (en) 2010-11-18
EP2206469B1 (en) 2013-07-24
CA2612548C (en) 2014-06-10
US8080061B2 (en) 2011-12-20
EP1919380B1 (en) 2010-10-06
BRPI0612286A2 (en) 2010-11-03
EP2206469A2 (en) 2010-07-14
CA2612548A1 (en) 2007-01-04
ATE483413T1 (en) 2010-10-15
KR20080030034A (en) 2008-04-03
US20070055274A1 (en) 2007-03-08
EP2206469A3 (en) 2010-11-17
JP5037504B2 (en) 2012-09-26
JP2008543501A (en) 2008-12-04

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