WO1999062416A1 - Expandable preformed structures for deployment in interior body regions - Google Patents

Expandable preformed structures for deployment in interior body regions Download PDF

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Publication number
WO1999062416A1
WO1999062416A1 PCT/US1999/012120 US9912120W WO9962416A1 WO 1999062416 A1 WO1999062416 A1 WO 1999062416A1 US 9912120 W US9912120 W US 9912120W WO 9962416 A1 WO9962416 A1 WO 9962416A1
Authority
WO
WIPO (PCT)
Prior art keywords
bone
region
expandable
elastomer material
cancellous bone
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.)
Ceased
Application number
PCT/US1999/012120
Other languages
English (en)
French (fr)
Inventor
Robert M. Scribner
Karen D. Talmadge
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Spine LLC
Original Assignee
Kyphon Inc
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=22211509&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=WO1999062416(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to CA002333761A priority Critical patent/CA2333761C/en
Priority to IL14001399A priority patent/IL140013A0/xx
Priority to EP99955201A priority patent/EP1083836B1/en
Priority to AT99955201T priority patent/ATE484247T1/de
Priority to NZ508401A priority patent/NZ508401A/en
Application filed by Kyphon Inc filed Critical Kyphon Inc
Priority to JP2000551679A priority patent/JP4393706B2/ja
Priority to DE69942858T priority patent/DE69942858D1/de
Priority to AU43250/99A priority patent/AU756969B2/en
Publication of WO1999062416A1 publication Critical patent/WO1999062416A1/en
Priority to NO20006089A priority patent/NO20006089L/no
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/002—Packages specially adapted therefor ; catheter kit packages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02—Dilators made of swellable material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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
    • A61B2017/00526—Methods of manufacturing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • 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
    • A61M—DEVICES 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/02—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1003—Spinal column
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1011—Multiple balloon catheters
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/907—Composed of particular material or coated
    • Y10S606/91—Polymer

Definitions

  • the 26 includes an exterior formed from compact cortical bone 28.
  • the cortical bone 28 encloses an interior volume of reticulated cancellous, or spongy, bone 32 (also called medullary bone or trabecular bone) .
  • the spinal canal 36 (see Fig. 1) , is located on the posterior (i.e., back) side of each vertebra 12.
  • the spinal cord (not shown) passes through the spinal canal 36.
  • the vertebral arch 40 surrounds the spinal canal 36. Left and right pedicles 42 of the vertebral arch 40 adjoin the vertebral body 26.
  • the spinous process 44 extends from the posterior of the vertebral arch 40, as do the left and right transverse processes 46.
  • An ultimate elongation of at least about 300% before material failure provides the ability to expand to the volume necessary to compact cancellous bone, as well as lift contiguous cortical bone.
  • a material with an ultimate elongation of less than about 300% is prone to exhibit failure at inflation volumes short of the desired bone compacting volume.
  • Shape Property A second desired property for the material of the structure 56 is the ability to predictably deform during expansion, so that the structure 56 consistently achieves a desired shape inside bone.
  • Another general guideline for the selection of the expanded shape of the structure 56 inside bone is the amount that the targeted fractured bone region has been displaced or depressed.
  • the controlled deformation diameter expansion of the structure 56 within the cancellous bone region inside a bone can elevate or push the fractured cortical wall back to or near its anatomic position occupied before fracture occurred.
  • inadequate compaction of cancellous bone results in less lifting of contiguous cortical bone.
  • the introduction of pressurized air A into the tube 16 causes the heat-softened region 22 to expand or billow outwardly in the cavity 24, as Fig. 7 shows.
  • the cavity 24 limits the extent to which the heat-softened region 22 can expand.
  • the region 22 will, upon expansion, conform to the geometry of the cavity 24.
  • the extension of the heat-softened material in the cavity 24 uniformly relieves material stress in the region 22, as the region 22 acquires a new expanded shape, having the enlarged diameter D3 shown in Fig. 4A.
  • the application of heat is terminated, and the region 22 is allowed to cool, while pressurized fluid is applied to maintain the enlarged diameter D3.
  • the region 22 can be cooled by an ambient external air flow, or by a pressurized stream of cooling air.
  • the cavity 24 can include interior passages through which a cooling fluid can be circulated. The speed at which cooling occurs affects the time of the overall process.
  • the wall thickness T4 at the distended geometry D4 is less than the minimum wall thickness T3 of the normally enlarged diameter D3.
  • the distended geometry generally maintains the preformed shape dictated by the cavity 24 (which, in the illustrated embodiment, is spherical) .
  • the regions 82 and 84 are separated by a tubular neck 98, which segments the structure 80 into two expandable regions 82 and 84.
  • the structure 80 When substantially collapsed under vacuum or not inflated, the structure 80 exhibits a low profile, ideal for insertion into the targeted cancellous bone region.
  • the introduction of fluid volume back into the tube 86 will cause each region 82 and 84 to return from the collapsed diameter D6 back to the normal, enlarged, but not distended geometry, having the shape and diameter shown in phantom lines D7 in Fig. 12.
  • the composite structure 130 includes an inner expandable body 132 made of a first material that meets one or more of the desired requirements of expansion and shape.
  • the composite structure 130 includes an outer expandable body or shell 134, which is made of a second material that meets the desired requirement of toughness.
  • the shell 134 encapsulates and protects the inner expandable body 132 from surface abrasion, tearing, or puncture due to contact with cancellous bone.
  • FIG. 8 shows, expansion of the structure 56 to its enlarged but not distended geometry (phantom line diameter D3 in Fig. 8) , and ultimately to its maximum distended geometry (diameter D4 in Fig. 8) sequentially compresses cancellous bone 32 in the vertebral body 26.
  • the compression forms an interior cavity 70 in the cancellous bone 32.
  • Fig. 9 shows, subsequent collapse and removal of the structure 56 leaves the cavity 70 in a condition to receive a filling material, e.g., bone cement.
  • the bone cement when hardened, provides improved interior structural support for cortical bone 32.
  • the compaction of cancellous bone 32 shown in Fig. 8 also exerts interior force upon the surrounding cortical bone 28.
  • the interior force can elevate or push broken and compressed bone back to or near its original prefracture, or other desired, condition.
  • the label 106 preferably also instructs the physician as to the use of the expandable structure 56 (or 80 or 130) for compacting cancellous bone in the manners previously described.
  • the label 106 instructs the physician to expand the structure inside bone to compact cancellous bone and form a cavity.
  • the label 106 can also instruct the physician to fill the cavity with a material, e.g., bone cement, allograft material, synthetic bone substitute, a medication, or a flowable material that sets to a hardened condition.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Child & Adolescent Psychology (AREA)
  • Vascular Medicine (AREA)
  • Materials For Medical Uses (AREA)
  • Prostheses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Surgical Instruments (AREA)
  • Laminated Bodies (AREA)
  • Manufacture Of Porous Articles, And Recovery And Treatment Of Waste Products (AREA)
  • Superconductors And Manufacturing Methods Therefor (AREA)
  • Investigation Of Foundation Soil And Reinforcement Of Foundation Soil By Compacting Or Drainage (AREA)
PCT/US1999/012120 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions Ceased WO1999062416A1 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
AU43250/99A AU756969B2 (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions
IL14001399A IL140013A0 (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions
EP99955201A EP1083836B1 (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions
AT99955201T ATE484247T1 (de) 1998-06-01 1999-06-01 Entfaltbare, vorgeformte strukturen zur auffaltung in regionen innerhalb des körpers
NZ508401A NZ508401A (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions
CA002333761A CA2333761C (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions
JP2000551679A JP4393706B2 (ja) 1998-06-01 1999-06-01 内部身体領域内の配置のための展開可能な予備形成された構造
DE69942858T DE69942858D1 (de) 1998-06-01 1999-06-01 Entfaltbare, vorgeformte strukturen zur auffaltung in regionen innerhalb des körpers
NO20006089A NO20006089L (no) 1998-06-01 2000-11-30 Ekspanderbare preformede strukturer for anbringelse i indre kroppsområder

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US8845998A 1998-06-01 1998-06-01
US09/088,459 1998-06-01

Publications (1)

Publication Number Publication Date
WO1999062416A1 true WO1999062416A1 (en) 1999-12-09

Family

ID=22211509

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1999/012120 Ceased WO1999062416A1 (en) 1998-06-01 1999-06-01 Expandable preformed structures for deployment in interior body regions

Country Status (12)

Country Link
US (5) US6607544B1 (https=)
EP (1) EP1083836B1 (https=)
JP (2) JP4393706B2 (https=)
AT (1) ATE484247T1 (https=)
AU (1) AU756969B2 (https=)
CA (1) CA2333761C (https=)
DE (1) DE69942858D1 (https=)
ES (1) ES2354492T3 (https=)
IL (1) IL140013A0 (https=)
NO (1) NO20006089L (https=)
NZ (1) NZ508401A (https=)
WO (1) WO1999062416A1 (https=)

Cited By (30)

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WO2001076514A3 (en) * 2000-04-05 2002-05-02 Kyphon Inc Methods and devices for treating fractured and/or diseased bone
WO2001097721A3 (en) * 2000-06-20 2002-07-25 Kyphon Inc Systems and methods for treating vertebral bodies
WO2003022165A1 (en) * 2001-09-11 2003-03-20 Kyphon Inc. Systems and methods treating bone
US6607544B1 (en) 1994-01-26 2003-08-19 Kyphon Inc. Expandable preformed structures for deployment in interior body regions
US6641587B2 (en) 1998-08-14 2003-11-04 Kyphon Inc. Systems and methods for treating vertebral bodies
WO2003059213A3 (en) * 1994-01-26 2003-12-04 Kyphon Inc Inflatable device for use in surgical protocol relating to fixation of bone
US6719773B1 (en) 1998-06-01 2004-04-13 Kyphon Inc. Expandable structures for deployment in interior body regions
US6899719B2 (en) 1994-01-26 2005-05-31 Kyphon Inc. Systems and methods for treating fractured or diseased bone using expandable bodies
US7153306B2 (en) 2000-10-25 2006-12-26 Kyphon Inc. Systems and methods for reducing fractured bone using a fracture reduction cannula
US7153307B2 (en) 1998-08-14 2006-12-26 Kyphon Inc. Systems and methods for placing materials into bone
US7261720B2 (en) 2002-01-11 2007-08-28 Kyphon Inc. Inflatable device for use in surgical protocol relating to fixation of bone
US7465318B2 (en) 2004-04-15 2008-12-16 Soteira, Inc. Cement-directing orthopedic implants
US7815649B2 (en) 2000-04-07 2010-10-19 Kyphon SÀRL Insertion devices and method of use
US7901409B2 (en) 2006-01-20 2011-03-08 Canaveral Villegas Living Trust Intramedullar devices and methods to reduce and/or fix damaged bone
US8092480B2 (en) 2000-04-07 2012-01-10 Kyphon Sarl Platform cannula for guiding the expansion of expandable bodies and method of use
US8287538B2 (en) 2008-01-14 2012-10-16 Conventus Orthopaedics, Inc. Apparatus and methods for fracture repair
EP1948064A4 (en) * 2005-11-10 2013-03-06 Zimmer Inc MINIMALLY INVASIVE ORTHOPEDIC DEVICES AND TOOLS
US8900620B2 (en) 2005-10-13 2014-12-02 DePuy Synthes Products, LLC Drug-impregnated encasement
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
US8961518B2 (en) 2010-01-20 2015-02-24 Conventus Orthopaedics, Inc. Apparatus and methods for bone access and cavity preparation
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US9192397B2 (en) 2006-12-15 2015-11-24 Gmedelaware 2 Llc Devices and methods for fracture reduction
US9237916B2 (en) 2006-12-15 2016-01-19 Gmedeleware 2 Llc Devices and methods for vertebrostenting
US9381683B2 (en) 2011-12-28 2016-07-05 DePuy Synthes Products, Inc. Films and methods of manufacture
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WO2017037491A1 (en) * 2015-09-04 2017-03-09 Terumo Europe N.V. Ethyleneoxide assisted expansion of tubing
US9730739B2 (en) 2010-01-15 2017-08-15 Conventus Orthopaedics, Inc. Rotary-rigid orthopaedic rod
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
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ES2287635T3 (es) * 1994-01-26 2007-12-16 Kyphon Inc. Dispositivo inflamable mejorado para uso en metodos quirurgicos relacinados a la fijacion de hueso.
US20030157074A1 (en) * 1994-11-16 2003-08-21 Mitrani Eduardo N. Vitro micro-organs, and uses related thereto
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US20050131268A1 (en) * 1995-06-07 2005-06-16 Talmadge Karen D. System and method for delivering a therapeutic agent for bone disease
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US6645213B2 (en) * 1997-08-13 2003-11-11 Kyphon Inc. Systems and methods for injecting flowable materials into bones
US7687057B2 (en) * 1998-01-09 2010-03-30 Yissum Research Development Company Of The Hebrew University Of Jerusalem In vitro micro-organs, and uses related thereto
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ES2341641T3 (es) 2000-07-21 2010-06-24 The Spineology Group, Llc Un dispositivo de bolsa de malla porosa expansible y su uso para cirugia osea.
US20080086133A1 (en) * 2003-05-16 2008-04-10 Spineology Expandable porous mesh bag device and methods of use for reduction, filling, fixation and supporting of bone
GB0019107D0 (en) * 2000-08-03 2000-09-27 Ranier Ltd Balloon-free uninary catheter
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US20040011532A1 (en) * 2002-07-16 2004-01-22 White Jack D. Combined rod guide and rod rotator device
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US6932843B2 (en) 2002-09-25 2005-08-23 Medicinelodge, Inc. Apparatus and method for the in-situ formation of a structural prosthesis
US9782572B2 (en) 2002-09-30 2017-10-10 Nordson Corporation Apparatus and methods for treating bone structures, tissues and ducts using a narrow gauge cannula system
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US20040267271A9 (en) 2004-12-30
EP1083836A4 (en) 2008-04-09
EP1083836A1 (en) 2001-03-21
CA2333761A1 (en) 1999-12-09
US6979341B2 (en) 2005-12-27
DE69942858D1 (de) 2010-11-25
IL140013A0 (en) 2002-02-10
CA2333761C (en) 2008-05-27
US20040010263A1 (en) 2004-01-15
US6607544B1 (en) 2003-08-19
JP4393706B2 (ja) 2010-01-06
JP2002516697A (ja) 2002-06-11
EP1083836B1 (en) 2010-10-13
US20080065139A1 (en) 2008-03-13
AU4325099A (en) 1999-12-20
NO20006089D0 (no) 2000-11-30
NO20006089L (no) 2001-01-24
AU756969B2 (en) 2003-01-30
JP2008161697A (ja) 2008-07-17
ES2354492T3 (es) 2011-03-15
NZ508401A (en) 2003-07-25
US20020156482A1 (en) 2002-10-24
ATE484247T1 (de) 2010-10-15
US20060095064A1 (en) 2006-05-04
JP4812786B2 (ja) 2011-11-09

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