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Balloon jack

Info

Publication number
WO1999059669A1
WO1999059669A1 PCT/US1999/011084 US9911084W WO1999059669A1 WO 1999059669 A1 WO1999059669 A1 WO 1999059669A1 US 9911084 W US9911084 W US 9911084W WO 1999059669 A1 WO1999059669 A1 WO 1999059669A1
Authority
WO
Grant status
Application
Patent type
Prior art keywords
balloon
jack
distraction
bone
space
Prior art date
Application number
PCT/US1999/011084
Other languages
French (fr)
Inventor
Vincent E. Bryan, Jr.
Original Assignee
Bryan Vincent E Jr
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

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape

Abstract

The invention relates to an inflatable balloon catheter (10) called a balloon jack, which serves to distract vertebral bodies (17, 18) or other anatomical structure at the site of an implant or other surgical procedure. The device is an alternative to a standard intervertebral body separator. It is designed to minimize damage to the cortical endplates during distraction. The balloon jack (10) is fabricated from non-compliant polyethylene terephthalate (PET), commonly used in urology, and cardiology balloon catheters. In addition, the balloon jack (10) may be used to separate other structures including bone at locations throughout the body.

Description

S P E C I F I C A T I O N

TITLE:

'BALLOON JACK"

FIELD OF THE INVENTION This utility application claims domestic priority from U.S. Provisional

Application Serial No. 60/085,896, filed May 18, 1998.

BACKGROUND OF THE INVENTION

This invention relates generally to separators for approximated bones,

and more specifically relates to intervertebral body separators. The invention also

relates to surgical procedures associated with the introduction of the balloon j ack

and the manner in which it is configured to relate to the surfaces upon which the

jack will act.

The distraction or separation of vertebral bodies on either side of the disc

space is undertaken to facilitate a surgical procedure between the two bones which

is best undertaken when the space is enlarged. This applies also to other joints.

Mechanical means of separating bones, in particular the vertebral bodies, usually

utilizes firm, usually metal, surfaces which apply a mechanical load to the

engaged bony surfaces, which in turn facilitates the separation of the two interposed surfaces. Often times, however, the surface upon which the

mechanical force is exerted is small, and frequently the bone surfaces not

configured to the form of the metallic surface acting on it. Consequently, as the distractor force is increased, mechanical disruption of the bony surface occurs

leading to uneven and compromised bone surfaces. This becomes especially important during implant procedures wherein the maintenance of the integrity of

the bone surface is essential to the proper performance of the functional implant device to be inserted.

In the past, Cloward and Smith-Robinson popularized anterior surgical spinal approaches, and, more recently, Ray and others have developed means to

distract the intervertebral disc spaces mechanically for the insertion of bone grafts,

fusion cages, hydrogel nuclei replacement, etcetera. In every instance, mechanical

devices have been utilized, including metallic spreaders, metallic shims, wedges,

and, in the case of Kaspar, distracters attached to posts inserted in the

approximating bone. In every instance, bone damage on the surface or in the

softer central portion of the bone itself may result if the distraction force on a

relatively small area exceeds the inherent strength of the bone at that area.

It is the primary aim of the present invention to provide a means of

distraction which will exert the forces required for such distraction over a larger

surface, and in a manner wherein that force can be configured, during the period

of distraction, to mate with the bone surface area. It is another object to maintain such distraction, once the desired degree of distraction has been achieved without loss of separation over time.

It is another object to be able to introduce the means of distraction, i.e.,

the balloon, through a very small opening, to inflate it to a much larger size than

the entry port, and to remove it through the same small opening without

compromising surrounding tissue.

It is yet another object to achieve the pressures within the balloon

necessary to fulfill the goal of distraction and have a means of determining what

such pressures are at any given time and, thereby, to limit excessive pressures

which might cause either failure of the balloon or deformation of the bony surface

upon which it is acting.

Other objects and advantages of the invention will become apparent upon reading the following detailed description and upon reference to the drawings.

Throughout the drawings, like reference numerals refer to like parts.

SUMMARY OF THE INVENTION

To accomplish these objects, the invention compromises an inflatable

balloon made of non-compliant polyethylene terephthalate (PET) designed to

distribute the force sufficient to provide the distraction in the intervertebral disc

space or in whatever joint space it might be placed, such that separation of the

opposing bony surfaces will take place as desired, although pressures on the bone

will be below pressures that would lead to bony deformation. Thus, the relationship of the size of the balloon to the insert space and the deformation

pressure factor can be computed for any given joint space, and the balloon sized

accordingly. The shape of the balloon is configured in a somewhat rectilinear or

cubical fashion, though it is not limited to such. The non-compliant (PET) sides limit the expansion of the balloon except in those areas of the opposing bones with the sides of the balloon being of such length as to allow the balloon jack to

be effective through the desired distraction range.

The stem assembly to the balloon must be of significant thickness to

allow the pressure required to perform the distraction and to inflate the balloon to

such pressures to be maintained without deformation of the stem. It is yet another object to provide a method of inserting the balloon jack through a narrow tube

such as might be used in microsurgery or endoscopic surgery.

To accomplish these objectives, the invention comprises an inflatable

balloon with attached catheter which serves to distract the vertebral bodies at the site of the implant. The insertable balloon catheter is preferably made of non- compliant polyethylene terephthalate (PET) and is fashioned in its shape and size

in accordance with the requirements of load and surface area described above.

Once inflated, the predetermined geometric shape conforms to the surrounding

bony surfaces. Continued inflation initiates the distraction process to the desired

degree.

To construct the balloon jack for any given application — as for specifically the intervertebral disc space — information is obtained regarding the

size, shape, and desired distraction of the vertebral bodies for a particular indication and then the balloon is fabricated to provide such distraction within the

framework of the load limitations described above — i.e., the compressibility

leading to deformation of the surrounding bony surfaces in that area. The length

of the stem is determined by the surgical technique, such that the surgeon may inflate the balloon through the stem while the hands are well free of the wound

area. It is important that the balloon, prior to insertion, be collapsible, and that its

width together with that of the stem be of such size that it can be readily passed

through the openings in the various tissue planes as well as through any canulus

which may provide access to the desired location.

DETAILED DESCRIPTION While initially described in connection with the preferred embodiment and procedure, it will be understood that it is not intended to limit the invention to

this embodiment or procedure. On the contrary, it is intended to cover all

alternatives, modifications and equivalents as may be included within the spirit

and scope of the invention as defined by the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is an isometric view of the novel balloon jack in its deflated

condition;

Figure 2 is an isometric view of the novel balloon jack in its inflated condition;

Figure 3 is a fragmentary elevational view showing the balloon jack in its

inflated, distracting condition between two vertebrae; and

Figure 4 is an isometric view of the enplaced balloon jack; adjacent

vertebrae, the balloon jack stem and a pressure-supplying syringe.

DETAILED DESCRIPTION Turning more specifically to the drawings, the deflated balloon jack 10

(and its attached stem 12) is shown in its inflated form in Figures 2-4 has been

placed into an intervertebral disc space 20 located between adjacent vertebral

bodies 17 and 18. The balloon jack can be inflated in the intervertebral disc space by liquid or gas delivered through a syringe 15 attached to the stem 12. Later, the balloon jack may be deflated and removed. Maintenance of the intervertebral disc

space may be sustained by means of a known retractor (not shown) placed into the

intervertebral disc space, the blades of which straddle the inflated balloon before

inflation, thereby allowing distraction to be mechanically maintained following

removal of the deflated balloon jack.

To encourage maximal distraction with minimal load applied to any

given segment of the opposing bones, it is the intention of the design of the

balloon jack to occupy the maximum area available between the opposing bones so as to spread the force over the maximum area, thereby decreasing bone

deformation. It should be noted that the surface of the deflated balloon 10, when expanded as shown in Figures 2-4, by the injection of a fluid from the syringe 15

through the stem 12, can, by the properties of the material, conform when under

load to the anatomical shape of the opposing bony surfaces.

Though the material described in the description (PET) is essentially non-expansile, any other polymeric material possessing similar properties may be

utilized in the manufacture of the balloon.

Claims

Claims:
1. An inflatable balloon catheter jack which serves as a jack
when inflated to distract opposing bones in a joint space, the balloon jack being
configurable as to size and shape such that the forces required to separate the
opposing bones can be spread over a large surface area of the opposing bones
when expanded to achieve the desired degree of expansion without causing damage or deformation to the opposing bone surfaces.
2. An inflatable balloon catheter jack according to Claim 1,
wherein said balloon is fabricated from non-compliant polyethylene terephthalate
(PET) material which may be collapsed or expanded to a predetermined size and
shape.
3. An inflatable balloon catheter jack according to Claim 1 ,
further including a stem attached to a syringe or other pressurizing system, the
stem providing for the introduction of a fluid or gas to expand said balloon for
purposes of distracting two opposing bony surfaces.
4. An inflatable balloon catheter according to Claim 1 , wherein
the inflated balloon has a rectilinear shape similar in shape and size available to
the surgical area after the balloon has been surgically entered so as to allow
maximum bony surface bearing of the applied distraction force over the greatest
available area to accomplish distraction without bony deformation.
PCT/US1999/011084 1998-05-18 1999-05-18 Balloon jack WO1999059669A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US8589698 true 1998-05-18 1998-05-18
US60/085,896 1998-05-18

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP19990924363 EP1098672A4 (en) 1998-05-18 1999-05-18 Balloon jack

Publications (1)

Publication Number Publication Date
WO1999059669A1 true true WO1999059669A1 (en) 1999-11-25

Family

ID=22194698

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/011084 WO1999059669A1 (en) 1998-05-18 1999-05-18 Balloon jack

Country Status (2)

Country Link
EP (1) EP1098672A4 (en)
WO (1) WO1999059669A1 (en)

Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6419676B1 (en) 1997-01-02 2002-07-16 St. Francis Medical Technologies, Inc. Spine distraction implant and method
WO2003011147A1 (en) * 2001-07-30 2003-02-13 Sdgi Holdings, Inc. Methods and devices for interbody spinal stablization
WO2002102254A3 (en) * 2001-06-14 2003-05-22 Gerard Engh Apparatus and method for sculpting the surface of a bone joint
FR2851728A1 (en) * 2003-02-27 2004-09-03 Univ Joseph Fourier Distractor knee
US6796983B1 (en) 1997-01-02 2004-09-28 St. Francis Medical Technologies, Inc. Spine distraction implant and method
GB2460939A (en) * 2008-06-13 2009-12-23 Foundry Llc Apparatus for distracting a hip using an expandable member
WO2010037558A2 (en) * 2008-10-02 2010-04-08 Copf Franz Jr Instrument for measuring the distraction pressure between vertebral bodies
US7713303B2 (en) 2002-09-18 2010-05-11 Warsaw Orthopedic, Inc. Collagen-based materials and methods for augmenting intervertebral discs
US7731981B2 (en) 2002-11-15 2010-06-08 Warsaw Orthopedic, Inc. Collagen-based materials and methods for treating synovial joints
US8118779B2 (en) 2006-06-30 2012-02-21 Warsaw Orthopedic, Inc. Collagen delivery device
US8399619B2 (en) 2006-06-30 2013-03-19 Warsaw Orthopedic, Inc. Injectable collagen material
US8690919B2 (en) 2006-05-23 2014-04-08 Warsaw Orthopedic, Inc. Surgical spacer with shape control
US8721649B2 (en) 2009-12-04 2014-05-13 Pivot Medical, Inc. Hip joint access using a circumferential wire and balloon
US8840617B2 (en) 2010-02-26 2014-09-23 Warsaw Orthopedic, Inc. Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US8900243B2 (en) 2009-03-17 2014-12-02 Pivot Medical, Inc. Method and apparatus for distracting a joint, including the provision and use of a novel joint-spacing balloon catheter and a novel inflatable perineal post
US8926620B2 (en) 2006-08-25 2015-01-06 Kyphon Sarl Apparatus and methods for use of expandable members in surgical applications
US8956365B2 (en) 2009-03-17 2015-02-17 Pivot Medical, Inc. Method and apparatus for distracting a joint
US8974496B2 (en) 2007-08-30 2015-03-10 Jeffrey Chun Wang Interspinous implant, tools and methods of implanting
US8974462B2 (en) 2008-06-13 2015-03-10 Pivot Medical, Inc. Devices and methods for minimally invasive access into a joint
US9186181B2 (en) 2009-03-17 2015-11-17 Pivot Medical, Inc. Method and apparatus for distracting a joint

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5021043A (en) * 1989-09-11 1991-06-04 C. R. Bard, Inc. Method and catheter for dilatation of the lacrimal system
US5169386A (en) * 1989-09-11 1992-12-08 Bruce B. Becker Method and catheter for dilatation of the lacrimal system
US5645560A (en) * 1995-12-15 1997-07-08 Cardiovascular Dynamics, Inc. Fixed focal balloon for interactive angioplasty and stent implantation
US5843116A (en) * 1996-05-02 1998-12-01 Cardiovascular Dynamics, Inc. Focalized intraluminal balloons

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3800788A (en) * 1972-07-12 1974-04-02 N White Antral catheter for reduction of fractures
US5331975A (en) * 1990-03-02 1994-07-26 Bonutti Peter M Fluid operated retractors
US5888220A (en) * 1994-05-06 1999-03-30 Advanced Bio Surfaces, Inc. Articulating joint repair

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5021043A (en) * 1989-09-11 1991-06-04 C. R. Bard, Inc. Method and catheter for dilatation of the lacrimal system
US5169386A (en) * 1989-09-11 1992-12-08 Bruce B. Becker Method and catheter for dilatation of the lacrimal system
US5645560A (en) * 1995-12-15 1997-07-08 Cardiovascular Dynamics, Inc. Fixed focal balloon for interactive angioplasty and stent implantation
US5843116A (en) * 1996-05-02 1998-12-01 Cardiovascular Dynamics, Inc. Focalized intraluminal balloons

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
None
See also references of EP1098672A4 *

Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6796983B1 (en) 1997-01-02 2004-09-28 St. Francis Medical Technologies, Inc. Spine distraction implant and method
US6419676B1 (en) 1997-01-02 2002-07-16 St. Francis Medical Technologies, Inc. Spine distraction implant and method
WO2002102254A3 (en) * 2001-06-14 2003-05-22 Gerard Engh Apparatus and method for sculpting the surface of a bone joint
WO2003011147A1 (en) * 2001-07-30 2003-02-13 Sdgi Holdings, Inc. Methods and devices for interbody spinal stablization
US8221460B2 (en) 2001-07-30 2012-07-17 Warsaw Orthopedic, Inc Methods and devices for interbody spinal stabilization
US7713303B2 (en) 2002-09-18 2010-05-11 Warsaw Orthopedic, Inc. Collagen-based materials and methods for augmenting intervertebral discs
US7731981B2 (en) 2002-11-15 2010-06-08 Warsaw Orthopedic, Inc. Collagen-based materials and methods for treating synovial joints
FR2851728A1 (en) * 2003-02-27 2004-09-03 Univ Joseph Fourier Distractor knee
WO2004078047A1 (en) * 2003-02-27 2004-09-16 Universite Joseph Fourier Knee distractor
US7635369B2 (en) 2003-02-27 2009-12-22 Preception Raisonnement Action En Medecine Knee distractor
US8690919B2 (en) 2006-05-23 2014-04-08 Warsaw Orthopedic, Inc. Surgical spacer with shape control
US8118779B2 (en) 2006-06-30 2012-02-21 Warsaw Orthopedic, Inc. Collagen delivery device
US8399619B2 (en) 2006-06-30 2013-03-19 Warsaw Orthopedic, Inc. Injectable collagen material
US8926620B2 (en) 2006-08-25 2015-01-06 Kyphon Sarl Apparatus and methods for use of expandable members in surgical applications
US8974496B2 (en) 2007-08-30 2015-03-10 Jeffrey Chun Wang Interspinous implant, tools and methods of implanting
GB2461201B (en) * 2008-06-13 2011-07-06 Foundry Llc Method and apparatus for joint distraction
GB2460939B (en) * 2008-06-13 2010-07-21 Foundry Llc Methods and apparatus for joint distraction
US9179904B2 (en) 2008-06-13 2015-11-10 Pivot Medical, Inc. Methods and apparatus for joint distraction
US9526486B2 (en) 2008-06-13 2016-12-27 Pivot Medical, Inc. Methods and apparatus for joint distraction
GB2461201A (en) * 2008-06-13 2009-12-30 Foundry Llc Apparatus for distracting a hip using an expandable member
US9033992B2 (en) 2008-06-13 2015-05-19 Pivot Medical, Inc. Methods and apparatus for joint distraction
US8986311B2 (en) 2008-06-13 2015-03-24 Pivot Medical, Inc. Methods and apparatus for joint distraction
GB2460939A (en) * 2008-06-13 2009-12-23 Foundry Llc Apparatus for distracting a hip using an expandable member
US8974462B2 (en) 2008-06-13 2015-03-10 Pivot Medical, Inc. Devices and methods for minimally invasive access into a joint
US9532864B2 (en) 2008-06-13 2017-01-03 Pivot Medical, Inc. Devices and methods for minimally invasive access into a joint
WO2010037558A2 (en) * 2008-10-02 2010-04-08 Copf Franz Jr Instrument for measuring the distraction pressure between vertebral bodies
WO2010037558A3 (en) * 2008-10-02 2010-06-03 Copf Franz Jr Instrument for measuring the distraction pressure between vertebral bodies
US8900243B2 (en) 2009-03-17 2014-12-02 Pivot Medical, Inc. Method and apparatus for distracting a joint, including the provision and use of a novel joint-spacing balloon catheter and a novel inflatable perineal post
US9186181B2 (en) 2009-03-17 2015-11-17 Pivot Medical, Inc. Method and apparatus for distracting a joint
US9492152B2 (en) 2009-03-17 2016-11-15 Pivot Medical, Inc. Method and apparatus for distracting a joint
US8956365B2 (en) 2009-03-17 2015-02-17 Pivot Medical, Inc. Method and apparatus for distracting a joint
US8721649B2 (en) 2009-12-04 2014-05-13 Pivot Medical, Inc. Hip joint access using a circumferential wire and balloon
US8840617B2 (en) 2010-02-26 2014-09-23 Warsaw Orthopedic, Inc. Interspinous process spacer diagnostic parallel balloon catheter and methods of use

Also Published As

Publication number Publication date Type
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EP1098672A1 (en) 2001-05-16 application

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