JP2001520530A - 骨折骨または疾患骨の治療に関する手術的プロトコルにおいて使用される改良された膨張可能なデバイス - Google Patents
骨折骨または疾患骨の治療に関する手術的プロトコルにおいて使用される改良された膨張可能なデバイスInfo
- Publication number
- JP2001520530A JP2001520530A JP50209497A JP50209497A JP2001520530A JP 2001520530 A JP2001520530 A JP 2001520530A JP 50209497 A JP50209497 A JP 50209497A JP 50209497 A JP50209497 A JP 50209497A JP 2001520530 A JP2001520530 A JP 2001520530A
- Authority
- JP
- Japan
- Prior art keywords
- balloon
- bone
- inflated
- shape
- cavity
- Prior art date
- Legal status (The legal status 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 status listed.)
- Withdrawn
Links
Classifications
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Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 治療的物質を骨の治療部位へ投与する方法において、 中空で折り畳むことができ、膨らますことができるバルーンを提供することと 、 治療的物質をバルーンの外側表面に塗布することと、 バルーンを骨内の腔へ挿入することと、 バルーンを膨らませて、治療的物質を骨に投与することからなることを特徴と する方法。 2. 請求項1記載の方法において、さらに、 バルーンを十分な液体圧に膨らませて、少なくとも内部海綿骨の1部を圧縮す ることと、 治療的物質を圧縮された内部海綿骨に投与し、治療的物質を直接骨内に組込む ことからなることを特徴とする方法。 3. 請求項1記載の方法においてさらに、 患者の体の外側でバルーンを膨らませ、治療的物質を膨らませたバルーンの外 側表面に塗布することを特徴とする方法。 4. 請求項3記載の方法において、さらに、 バルーンを折りたたみ、経皮的侵入を通じてバルーン及び治療的物質を骨内の 腔へ運搬することからなることを特徴とする方法。 5. 請求項1記載の方法において、 塗布ステップがゲル処方薬をバルーンの外側表面に塗布することによって行な われることを特徴とする方法。 6. 請求項1記載の方法において、 塗布ステップがバルーンに粉末を塗布することによって行なわれることを特徴 とする方法。 7. 請求項2記載の方法において、 バルーンが骨内に腔を形成する方法と、さらに、骨の支持材料を腔内へ挿入す ることからなることを特徴とする方法。 8. 請求項1記載の方法において、 治療的物質が充填材料からなることと、さらに、 バルーンを膨らませて充填材料を割れ目に投与することにより、骨折した骨の 割れ目を埋めることからなることを特徴とする方法。 9. 請求項1記載の方法において、 治療的物質が骨成長因子からなることを特徴とする方法。 10. 請求項1記載の方法において、 治療的物質が抗生物質からなることを特徴とする方法。 11. 請求項1記載の方法において、さらに、 バルーンを十分な液体圧に膨らまし、骨に過度の圧力をかけることなく、海綿 骨の少なくとも70%を圧縮するステップからなることを特徴とする方法。 12. 請求項1記載の方法において、さらに、 バルーンを十分な液体圧に膨らまし、骨に過度の圧力をかけることなく、海綿 骨の少なくとも90%を圧縮するステップからなることを特徴とする方法。 13. 治療的物質を骨内の治療部位に投与するシステムにおいて、 凋んだ形状から膨張した形状に膨らませることができる柔軟な非弾性の素材と 、 内部海綿骨の少なくとも一部を圧縮するため膨らませた形状において、前以て 決められたサイズを持つバルーン本体と、 バルーンが前以て決められた形状以上に膨らむことを禁じる非弾性の素材と、 膨張液を本体内へ送り込むための外部表面及び内部経路を定義しているバルー ン本体と、 治療的物質をバルーンの外部表面に塗布するためのアプリケーターからなる中 空のバルーン本体からなることを特徴とするシステム。 14. 請求項13記載のシステムにおいて、 アプリケーターが、内部に治療的物質を貯蔵しておく小部屋を持つ容器と、 ゲル処方薬をバルーンの表面に一定量で供給するノズルからなることを特徴と するシステム。 15. 請求項13記載のシステムにおいて、 アプリケーターが乾燥粉末ディスペンサーからなることを特徴とする システム。 16. 請求項13記載のシステムにおいて、 アプリケーターが、バルーンの外側表面に粉末薬剤を煙霧状に散布するための 散布デバイスからなることを特徴とするシステム。 17. 請求項13記載のシステムにおいて、 前以て決められたサイズの膨らませた形状のバルーン本体を選んで、内部海綿 骨の実質的な部分を圧縮し、治療的物質を圧縮された海綿骨内へ直接組み込むこ とを特徴とするシステム。 18. 請求項17記載のシステムにおいて、さらに、 バルーンを骨内のスペース内へ運搬するための手段と、 スペース内でバルーンを膨らませて治療的物質をバルーンに運搬するための手 段からなることを特徴とするシステム。 19. 請求項13記載のシステムにおいて、 治療的物質が、バルーンを膨らまして充填材料を割れ目に投与することにより 、骨折した骨の割れ目を埋めるための充填材料からなることを特徴とするシステ ム。 20. 請求項13記載のシステムにおいて、 治療的物質が骨成長因子からなることを特徴とするシステム。 21. 請求項13記載のシステムにおいて、 治療的物質が抗生物質からなることを特徴とするシステム。 22. 請求項13記載のシステムにおいて、 膨らませた形状のバルーン本体を或るサイズと形にして、骨に実質的な圧力を かけることなく治療部位の海綿骨の少なくとも70%を圧縮することを特徴とする システム。 23. 請求項13記載のシステムにおいて、 膨らませた形状のバルーン本体を或るサイズと形にして、骨に実質的な圧力を かけることなく治療部位の海綿骨の少なくとも90%を圧縮することを特徴とする システム。 24. 請求項13記載のシステムにおいて、 膨らませた形状及び凋ませた形状におけるバルーン本体が実質的に同じ形を有 することを特徴とするシステム。 25. 患者の股関節部の治療に使用されるバルーンにおいて、 凋ませた形状から拡張させた形状へ膨らませることができる非弾性素材からな る中空で長円形のバルーン本体と、 膨張液を本体内へ導くための内部経路を特徴として持つバルーン本体からなり 、かつ、 膨らませた形状においてバルーン本体が前以て決められたサイズを持ち、患者 の大腿骨頭から大腿骨頚部を経て、近位大腿骨骨幹内へ延長しており、非弾性素 材によって前以て決められたバルーン本体のサイズ以上にバルーンが膨らむこと を防止していることを特徴とするバルーン。 26. 請求項25記載のバルーンにおいて、 膨らませた形状のバルーン本体が、大腿骨頚部を経て大腿骨頭の1部分へ延長 するようなサイズに作られた長く伸びた遠位部分と、 近位部分に対して直角方向に長く伸び、かつ膨らませた形状のとき大腿骨骨幹 の一部内へ延長するようなサイズに作られた近位部分と、 遠位及び近位部分を互いに結び付けているアーチ形の部分を含むことを特徴と するバルーン。 27. 請求項26記載のバルーンにおいて、さらに、 バルーン本体の近位部分を、近位及び遠位部分が実質的に互いに平行である導 入形状から、近位部分が近位大腿骨骨幹内へ延長している有効形状へと偏らせる ための手段を含むことを特徴とするバルーン。 28. 請求項27記載のバルーンにおいて、さらに、 バルーン本体が凋んでいる時の導入形状において、バルーンの近位部分を支え る束縛要素であり、バルーン本体を拡張した形状に膨らませた時、その束縛要素 が近位部分を開放するように適合されている少なくとも1つの束縛要素からなる ことを特徴とするバルーン。 29. 請求項25記載のバルーンにおいて、さらに、 膨らませた形状の時に前もって決められたサイズと形を有する長円形バルーン 本体を取り囲んでいる1つかそれ以上の非弾性のリング要素からなることを特徴 とするバルーン。 30. 請求項29記載のバルーンにおいて、 支持要素が、長円形バルーン本体を取り囲んでいる1つかそれ以上の非弾性リ ングと、 リング要素を連結している少なくとも1つの非弾性軸帯からなることを特徴と するバルーン。 31. 請求項25記載のバルーンにおいて、 膨らませた形状にあるバルーン本体が、大腿骨頭の端から約0.3〜0.7cmのとこ ろからスタートし、小転子を約5〜7cm過ぎた近位大腿骨骨幹内まで延長している ことを特徴とするバルーン。 32. 請求項25記載のバルーンにおいて、膨らませた形状にあるバルーン本体 が、約10〜20cmの長さ及び約1.0〜2.5cmの直径を持つことを特徴とするバルーン 。 33. 患者の股関節部を治療する方法において、 大腿骨頚部を経て大腿骨頭の少なくとも一部まで達する経路を形成することと 、 長円形のバルーン本体を経路内に配置することと、 長円形のバルーン本体を十分な液体圧に膨らませて、内部海綿骨の少なくとも 一部を圧縮することと、 バルーンを膨らませるに従い、バルーン本体によって、大腿骨頭から大腿骨頚 部を経て、下方の近位大腿骨骨幹まで伸びる腔を形成することからなることを特 徴とする方法。 34. 請求項33記載の方法において、 腔の形成ステップにおいて、外側大腿骨皮質から大腿骨頚部を経て、大腿骨頭 へ達する実質的に直線の経路をドリルであけることが含まれることを特徴とする 方法。 35. 請求項34記載の方法において、 バルーンの配置ステップにおいて、長円形のバルーン本体を経皮的侵入を通じ て、該直線経路内へ送り届けることが含まれることを特徴とする方法。 36. 請求項34記載の方法において、さらに、 膨らますステップにおいて、 バルーン本体の近位部分が近位大腿骨骨幹内の内 部海綿骨を圧縮するように、バルーンの近位部分を近位大腿骨骨幹の方へ偏らせ ることからなることを特徴とする方法。 37. 請求項33記載の方法において、さらに、 長円形のバルーン本体が、前もって決められたサイズ及び形以上に膨らむこと を抑制しており、そのため皮質骨にバルーンによる過度の圧力がかかることを防 止していることからなることを特徴とする方法。 38. 損傷を受けた骨を一時的に支持しかつ補強しているシステムにおいて、 凋ませた形状から拡張した形状へ膨らますことができる柔軟で非弾性の素材か らなる中空のバルーン本体と、 膨らませた形状の時に前もって決められたサイズを持ち、外部皮質骨の補強の ために、内部海綿骨の少なくとも一部を外部皮質骨内へ圧縮するべく選択された バルーン本体と、 バルーンを膨らませた形状の時、外部皮質骨を一時的に支持することができる バルーン本体の非弾性素材と、 膨張液体をバルーン本体内へ通過させるため、内部経路を特徴として持つバル ーン本体と、 バルーンを膨らませた形状の時、外部皮質骨のため一時的な支持構造を提供す るため、バルーン本体の内部経路を密閉する方法からなることを特徴とするシス テム。 39. 請求項38記載のシステムにおいて、 密閉する手段が内部経路を密閉するよう該経路内に適合するプラグからなるこ とを特徴とするシステム。 40. 請求項38記載のシステムにおいて、 密閉する手段が内部経路を閉じて、バルーン内部の小部屋に液体を閉じ込める ためのクリップからなることを特徴とするシステム。 41. 請求項38記載のシステムにおいて、 バルーン本体が内部海綿骨を外部皮質骨内へ圧縮することによって腔が形成さ れ、密閉手段が腔の外側及び患者の体内にあることを特徴とするシステム。 42. 請求項38記載のシステムにおいて、 損傷した骨が骨折した皮質骨だあり、骨折した皮質骨が治癒するまで、バレー ン本体が該皮質骨を支持することができることを特徴とするシステム。 43. 骨折した骨または崩壊した骨を一時的に支持し補強する方法において、 患者の内部海綿骨内に中空のバルーン本体を配置することと、 バルーン本体を十分な液体圧に膨らまして、内部海綿骨の少なくとも一部を圧 縮し、その内部に腔を形成することと、 バルーン本体を患者内に密閉し、外部皮質骨に対して一時的な構造上の支持を 提供することからなることを特徴とする方法。 44. 請求項43記載の方法において、さらに、 外部皮質骨が治癒した後に該皮質骨を補強するため、内部海綿骨の大部分を外 部皮質骨内へ圧縮することからなる方法。 45. 請求項43記載の方法において、 膨らませるステップが膨張液を内部経路を通してバルーン本体内の内部小部屋 へ送り込むことによって実施され、かつ液体を内部小部屋に閉じ込めるため、密 閉ステップが内部経路にクリップを取り付けることからなることを特徴とする方 法。 46. 請求項43記載の方法において、 密閉ステップがバルーン本体の内部経路をプラグで密閉することからなること を特徴とする方法。 47. 請求項43記載の方法において、さらに、 密閉ステップの後、バルーンを腔内に残しておき、皮質骨が治癒する間、内部 ギプスとして役立たせることからなることを特徴とする方法。 からなることを特徴とする方法。 48. 請求項47記載の方法において、さらに、 バルーンを凋ませ、バルーンを腔から取り出すことからなることを特徴とする 方法。
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US08/485,394 | 1995-06-07 | ||
PCT/US1996/009933 WO1996039970A1 (en) | 1994-01-26 | 1996-06-06 | Improved inflatable device for use in surgical protocols relating to treatment of fractured or diseased bone |
US08/788,786 US6235043B1 (en) | 1994-01-26 | 1997-01-23 | Inflatable device for use in surgical protocol relating to fixation of bone |
US10/044,843 US20030032963A1 (en) | 2001-10-24 | 2002-01-11 | Devices and methods using an expandable body with internal restraint for compressing cancellous bone |
US10/265,922 US7261720B2 (en) | 2002-01-11 | 2002-10-07 | Inflatable device for use in surgical protocol relating to fixation of bone |
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JP50209497A Withdrawn JP2001520530A (ja) | 1994-01-26 | 1996-06-06 | 骨折骨または疾患骨の治療に関する手術的プロトコルにおいて使用される改良された膨張可能なデバイス |
JP2004341300A Withdrawn JP2005161047A (ja) | 1994-01-26 | 2004-11-25 | 骨折骨または疾患骨の治療に関する手術的プロトコルにおいて使用される改良された膨張可能なデバイス |
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- 1996-06-06 AT AT96921483T patent/ATE274847T1/de not_active IP Right Cessation
- 1996-06-06 WO PCT/US1996/009933 patent/WO1996039970A1/en active IP Right Grant
- 1996-06-06 JP JP50209497A patent/JP2001520530A/ja not_active Withdrawn
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2007533360A (ja) * | 2003-06-13 | 2007-11-22 | トライバスキュラー・インコーポレイテッド | 人体への移植に適した膨張可能かつ拡張可能な移植片、人体の局部内部温度の上昇に適した膨張可能かつ拡張可能な移植片、人体の管状部分ルーメンの体液の流れを制御するバルビングアセンブリ、および移植部位での人体への移植に適し、移植部位から除去されるのに適当な、膨張可能かつ拡張可能な移植片 |
JP2010520798A (ja) * | 2007-03-12 | 2010-06-17 | マーフィー, キーラン・ピィ | 骨内の案内および骨の増強のための方法およびキット |
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NO963115D0 (no) | 1996-07-25 |
US5827289A (en) | 1998-10-27 |
WO1996039970A1 (en) | 1996-12-19 |
AU6270096A (en) | 1996-12-30 |
WO1995020362A1 (en) | 1995-08-03 |
NZ311383A (en) | 2000-01-28 |
EP1426075A3 (en) | 2005-12-14 |
EP0836435A4 (en) | 1999-04-14 |
DE69633286T2 (de) | 2005-01-13 |
JPH09508292A (ja) | 1997-08-26 |
CA2180556A1 (en) | 1995-08-03 |
DE69633286D1 (de) | 2004-10-07 |
JP3333211B2 (ja) | 2002-10-15 |
EP0741547A4 (en) | 1998-02-11 |
ATE274847T1 (de) | 2004-09-15 |
NO963115L (no) | 1996-09-25 |
JP2005161047A (ja) | 2005-06-23 |
EP1426075A2 (en) | 2004-06-09 |
EP0741547A1 (en) | 1996-11-13 |
CA2180556C (en) | 2007-08-07 |
EP0836435A1 (en) | 1998-04-22 |
AU713014B2 (en) | 1999-11-18 |
CA2222144A1 (en) | 1996-12-19 |
NZ279442A (en) | 1998-02-26 |
CA2222144C (en) | 2010-01-12 |
EP0836435B1 (en) | 2004-09-01 |
EP0741547B1 (en) | 2005-04-20 |
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