JP5356217B2 - 骨に補強材を配送する装置および方法 - Google Patents
骨に補強材を配送する装置および方法 Download PDFInfo
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- JP5356217B2 JP5356217B2 JP2009507782A JP2009507782A JP5356217B2 JP 5356217 B2 JP5356217 B2 JP 5356217B2 JP 2009507782 A JP2009507782 A JP 2009507782A JP 2009507782 A JP2009507782 A JP 2009507782A JP 5356217 B2 JP5356217 B2 JP 5356217B2
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- 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
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
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- A—HUMAN NECESSITIES
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- 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
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- 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
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
- A61B17/7275—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with expanding cylindrical parts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/8811—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the introducer tip, i.e. the part inserted into or onto the bone
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
- A61B17/8816—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it characterised by the conduit, e.g. tube, along which fluid flows into the body or by conduit connections
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- 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
- A61B17/8827—Equipment for handling bone cement or other fluid fillers for introducing fluid filler into bone or extracting it with filtering, degassing, venting or pressure relief means
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- A—HUMAN NECESSITIES
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- 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
- A61B17/8833—Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means
- A61B17/8836—Osteosynthesis tools specially adapted for handling bone cement or fluid fillers; Means for supplying bone cement or fluid fillers to introducing tools, e.g. cartridge handling means for heating, cooling or curing of bone cement or fluid fillers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- 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
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- A61L29/00—Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
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- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/036—Abutting means, stops, e.g. abutting on tissue or skin abutting on tissue or skin
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- A61B90/03—Automatic limiting or abutting means, e.g. for safety
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- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
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- A—HUMAN NECESSITIES
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- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants
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- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
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- Optics & Photonics (AREA)
- Epidemiology (AREA)
- Fluid Mechanics (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
Description
Claims (13)
- 補強混合物を長骨に配送する装置であって、
近位端、遠位端、およびその間の長手方向軸を有し、骨補強混合物を通過させる少なくとも1つの内腔を含むチューブと、
前記チューブの遠位端に係合し、前記補強混合物が入ると、略収縮状態から略膨張状態に拡張するバルーンと、
光をバルーン内に誘導して前記補強混合物を照明し硬化させるために前記チューブを通って前記バルーン内に延在する少なくとも1つの光導体と、
前記チューブをバルーンから分離するために前記チューブの遠位端に設けた切欠きからなる分離領域と、
前記光をチューブ内に誘導するために前記チューブの近位端に隣接する光学テーパとを備え、
前記バルーンは、骨折した長骨の空洞にて前記補強混合物により膨張状態にしたとき、前記骨折した長骨の破片を整列させることを特徴とする装置。 - 前記チューブに前記光を提供する光源をさらに備えることを特徴とする請求項1の装置。
- 前記光源が紫外線光をチューブに提供することを特徴とする請求項2の装置。
- 前記光源が可視光をチューブに提供することを特徴とする請求項2の装置。
- 前記バルーンの遠位端に放射線不透過性マーカをさらに備えることを特徴とする請求項1の装置。
- 前記バルーンを囲む外側バルーンをさらに備えることを特徴とする請求項1の装置。
- 前記骨補強混合物の少なくとも1部が硬化前にバルーンから除去されることを特徴とする請求項1の装置。
- 前記骨補強混合物が加圧下でバルーンに入るとバルーンが膨張することを特徴とする請求項1の装置。
- 前記バルーンの表面が略滑らかであることを特徴とする請求項1の装置。
- 前記バルーンの表面が前記骨の空洞内に含まれるように予め形成されていることを特徴とする請求項1の装置。
- 前記バルーンが前記骨の空洞の壁にほぼ一致するように成形されていることを特徴とする請求項1の装置。
- 前記骨は、中手骨、手根骨、中足骨、鎖骨、尺骨または橈骨であることを特徴とする請求項1に記載の装置。
- 前記バルーンの補強材の中に配置された光学ロッドをさらに備える請求項1の装置。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US79562606P | 2006-04-26 | 2006-04-26 | |
US60/795,626 | 2006-04-26 | ||
US85820206P | 2006-11-10 | 2006-11-10 | |
US60/858,202 | 2006-11-10 | ||
US88064607P | 2007-01-16 | 2007-01-16 | |
US60/880,646 | 2007-01-16 | ||
PCT/US2007/010050 WO2007127260A2 (en) | 2006-04-26 | 2007-04-26 | Apparatus and methods for delivery of reinforcing materials to bone |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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JP2012267585A Division JP5544411B2 (ja) | 2006-04-26 | 2012-12-06 | 骨に補強材を配送する装置および方法 |
Publications (3)
Publication Number | Publication Date |
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JP2009535100A JP2009535100A (ja) | 2009-10-01 |
JP2009535100A5 JP2009535100A5 (ja) | 2010-05-06 |
JP5356217B2 true JP5356217B2 (ja) | 2013-12-04 |
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Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP2009507782A Active JP5356217B2 (ja) | 2006-04-26 | 2007-04-26 | 骨に補強材を配送する装置および方法 |
JP2012267585A Active JP5544411B2 (ja) | 2006-04-26 | 2012-12-06 | 骨に補強材を配送する装置および方法 |
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Application Number | Title | Priority Date | Filing Date |
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JP2012267585A Active JP5544411B2 (ja) | 2006-04-26 | 2012-12-06 | 骨に補強材を配送する装置および方法 |
Country Status (8)
Country | Link |
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EP (2) | EP2010075B1 (ja) |
JP (2) | JP5356217B2 (ja) |
CN (1) | CN101431951B (ja) |
AU (1) | AU2007243358B2 (ja) |
CA (1) | CA2650497C (ja) |
ES (1) | ES2462551T3 (ja) |
HK (1) | HK1130171A1 (ja) |
WO (1) | WO2007127260A2 (ja) |
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2007
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- 2007-04-26 CA CA2650497A patent/CA2650497C/en active Active
- 2007-04-26 WO PCT/US2007/010050 patent/WO2007127260A2/en active Application Filing
- 2007-04-26 JP JP2009507782A patent/JP5356217B2/ja active Active
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CA2650497A1 (en) | 2007-11-08 |
EP2010075A4 (en) | 2012-08-29 |
ES2462551T3 (es) | 2014-05-23 |
CN101431951A (zh) | 2009-05-13 |
JP2013078599A (ja) | 2013-05-02 |
EP2740423A1 (en) | 2014-06-11 |
EP2010075A2 (en) | 2009-01-07 |
EP2740423B1 (en) | 2020-03-11 |
EP2010075B1 (en) | 2014-02-26 |
WO2007127260A3 (en) | 2008-07-10 |
JP2009535100A (ja) | 2009-10-01 |
AU2007243358B2 (en) | 2012-07-26 |
WO2007127260A2 (en) | 2007-11-08 |
CA2650497C (en) | 2015-02-10 |
HK1130171A1 (en) | 2009-12-24 |
AU2007243358A1 (en) | 2007-11-08 |
CN101431951B (zh) | 2012-03-14 |
JP5544411B2 (ja) | 2014-07-09 |
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