WO2007067726A3 - Apparatus and methods for treating bone - Google Patents

Apparatus and methods for treating bone Download PDF

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Publication number
WO2007067726A3
WO2007067726A3 PCT/US2006/046822 US2006046822W WO2007067726A3 WO 2007067726 A3 WO2007067726 A3 WO 2007067726A3 US 2006046822 W US2006046822 W US 2006046822W WO 2007067726 A3 WO2007067726 A3 WO 2007067726A3
Authority
WO
WIPO (PCT)
Prior art keywords
bone
methods
vertebral body
implants
treating bone
Prior art date
Application number
PCT/US2006/046822
Other languages
French (fr)
Other versions
WO2007067726A2 (en
Inventor
Christof Dutoit
Andreas Appenzeller
Thierry Stoll
Alfred Benoit
Stefan Mathys
Simon Stucki
Original Assignee
Synthes Usa
Synthes Gmbh
Christof Dutoit
Andreas Appenzeller
Thierry Stoll
Alfred Benoit
Stefan Mathys
Simon Stucki
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
Priority claimed from US11/471,169 external-priority patent/US8080061B2/en
Priority claimed from US11/523,202 external-priority patent/US20070093822A1/en
Priority claimed from US11/527,280 external-priority patent/US20070093899A1/en
Priority claimed from US11/546,579 external-priority patent/US8157806B2/en
Application filed by Synthes Usa, Synthes Gmbh, Christof Dutoit, Andreas Appenzeller, Thierry Stoll, Alfred Benoit, Stefan Mathys, Simon Stucki filed Critical Synthes Usa
Priority to JP2008544526A priority Critical patent/JP2009518137A/en
Priority to BRPI0619585A priority patent/BRPI0619585A2/en
Priority to CA002632680A priority patent/CA2632680A1/en
Priority to EP06839198A priority patent/EP1956990A2/en
Priority to AU2006321837A priority patent/AU2006321837A1/en
Publication of WO2007067726A2 publication Critical patent/WO2007067726A2/en
Publication of WO2007067726A3 publication Critical patent/WO2007067726A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7097Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/686Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • A61B17/8858Tools 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • A61B17/8855Tools 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00491Surgical glue applicators
    • A61B2017/005Surgical glue applicators hardenable using external energy source, e.g. laser, ultrasound
    • 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
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Pathology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Implants and methods for minimally invasive augmentation and repositioning of vertebrae may comprise one or more expandable members, e.g., stents, implants, surrounding a balloon-tipped catheter or other expansion device, inserted into a vertebral body or other bone. 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 augment and stabilize the vertebral body or other bone.
PCT/US2006/046822 2005-12-08 2006-12-08 Apparatus and methods for treating bone WO2007067726A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2008544526A JP2009518137A (en) 2005-12-08 2006-12-08 Bone treatment apparatus and method
BRPI0619585A BRPI0619585A2 (en) 2005-12-08 2006-12-08 osteopathic augmentation apparatus
CA002632680A CA2632680A1 (en) 2005-12-08 2006-12-08 Apparatus and methods for treating bone
EP06839198A EP1956990A2 (en) 2005-12-08 2006-12-08 Apparatus and methods for treating bone
AU2006321837A AU2006321837A1 (en) 2005-12-08 2006-12-08 Apparatus and methods for treating bone

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US74837705P 2005-12-08 2005-12-08
US60/748,377 2005-12-08
US75378205P 2005-12-23 2005-12-23
US60/753,782 2005-12-23
US78995606P 2006-04-05 2006-04-05
US60/789,956 2006-04-05
US11/471,169 US8080061B2 (en) 2005-06-20 2006-06-19 Apparatus and methods for treating bone
US11/471,169 2006-06-19
US11/523,202 2006-09-18
US11/523,202 US20070093822A1 (en) 2005-09-28 2006-09-18 Apparatus and methods for vertebral augmentation using linked expandable bodies
US11/527,280 2006-09-25
US11/527,280 US20070093899A1 (en) 2005-09-28 2006-09-25 Apparatus and methods for treating bone
US11/546,579 US8157806B2 (en) 2005-10-12 2006-10-10 Apparatus and methods for vertebral augmentation
US11/546,579 2006-10-10

Publications (2)

Publication Number Publication Date
WO2007067726A2 WO2007067726A2 (en) 2007-06-14
WO2007067726A3 true WO2007067726A3 (en) 2007-10-18

Family

ID=39580354

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/046822 WO2007067726A2 (en) 2005-12-08 2006-12-08 Apparatus and methods for treating bone

Country Status (8)

Country Link
EP (1) EP1956990A2 (en)
JP (1) JP2009518137A (en)
KR (1) KR20080081911A (en)
AU (1) AU2006321837A1 (en)
BR (1) BRPI0619585A2 (en)
CA (1) CA2632680A1 (en)
TW (1) TW200727854A (en)
WO (1) WO2007067726A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8998923B2 (en) 2005-08-31 2015-04-07 Spinealign Medical, Inc. Threaded bone filling material plunger

Families Citing this family (43)

* Cited by examiner, † Cited by third party
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WO2004073563A2 (en) 2003-02-14 2004-09-02 Depuy Spine, Inc. In-situ formed intervertebral fusion device
US8057544B2 (en) 2005-08-16 2011-11-15 Benvenue Medical, Inc. Methods of distracting tissue layers of the human spine
US8366773B2 (en) 2005-08-16 2013-02-05 Benvenue Medical, Inc. Apparatus and method for treating bone
WO2008070863A2 (en) 2006-12-07 2008-06-12 Interventional Spine, Inc. Intervertebral implant
EP2124777A4 (en) 2007-02-21 2013-06-05 Benvenue Medical Inc Devices for treating the spine
WO2008103832A2 (en) 2007-02-21 2008-08-28 Benvenue Medical, Inc. Devices for treating the spine
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
EP2173268B1 (en) 2007-06-29 2011-09-28 Spinealign Medical, Inc. Devices for stabilizing bone compatible for use with bone screws
EP2237748B1 (en) 2008-01-17 2012-09-05 Synthes GmbH An expandable intervertebral implant
WO2009124269A1 (en) 2008-04-05 2009-10-08 Synthes Usa, Llc Expandable intervertebral implant
WO2010063111A1 (en) * 2008-12-03 2010-06-10 The Royal Institution For The Advancement Of Learning/Mcgill University Device and method for percutaneous intravertebral osteotomy
WO2010098544A2 (en) * 2009-02-27 2010-09-02 (주)세원메디텍 Apparatus for forming hole in spongelike bone
US8535327B2 (en) 2009-03-17 2013-09-17 Benvenue Medical, Inc. Delivery apparatus for use with implantable medical devices
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
CN102548511B (en) * 2009-08-19 2015-07-15 斯恩蒂斯有限公司 Method and apparatus for augmenting bone
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US8979860B2 (en) 2010-06-24 2015-03-17 DePuy Synthes Products. LLC Enhanced cage insertion device
US9907560B2 (en) 2010-06-24 2018-03-06 DePuy Synthes Products, Inc. Flexible vertebral body shavers
US8623091B2 (en) 2010-06-29 2014-01-07 DePuy Synthes Products, LLC Distractible intervertebral implant
RU2437631C1 (en) * 2010-08-23 2011-12-27 Александр Ильич Тома Apparatus of vertebra balloon kyphoplasty (versions)
US9402732B2 (en) 2010-10-11 2016-08-02 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
WO2012178018A2 (en) 2011-06-24 2012-12-27 Benvenue Medical, Inc. Devices and methods for treating bone tissue
WO2013096197A1 (en) 2011-12-22 2013-06-27 Depuy Spine, Inc. Length-adjustable vertebral body balloon
US9717601B2 (en) 2013-02-28 2017-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US10085783B2 (en) 2013-03-14 2018-10-02 Izi Medical Products, Llc Devices and methods for treating bone tissue
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
JP7023877B2 (en) 2016-06-28 2022-02-22 イーアイティー・エマージング・インプラント・テクノロジーズ・ゲーエムベーハー Expandable and angle-adjustable range-of-motion intervertebral cage
CN109688981A (en) 2016-06-28 2019-04-26 Eit 新兴移植技术股份有限公司 Distensible, adjustable angle intervertebral cage
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11793560B2 (en) * 2017-12-28 2023-10-24 Cardio Voyage Innovations, Llc Directional kyphoplasty device and method of using such a device
TWM573218U (en) 2018-10-15 2019-01-21 謝瑞洋 Support for implanting in or between bones of an individual and implant assembly and implant system therewith
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
CN110680493A (en) * 2019-11-14 2020-01-14 蒋长伟 Accurate fixed position's wound orthopedics fixing forceps that resets
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
CN111166451A (en) * 2020-03-28 2020-05-19 苏州爱得科技发展股份有限公司 Balloon catheter system with bracket for vertebroplasty
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage
US12090064B2 (en) 2022-03-01 2024-09-17 Medos International Sarl Stabilization members for expandable intervertebral implants, and related systems and methods
WO2024137925A2 (en) * 2022-12-22 2024-06-27 Masal Inc. Spinal stability system

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US6127597A (en) * 1997-03-07 2000-10-03 Discotech N.V. Systems for percutaneous bone and spinal stabilization, fixation and repair
US20030088249A1 (en) * 2001-11-03 2003-05-08 Sebastian Furderer Device for straightening and stabilizing the vertebral column
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WO2005009299A1 (en) * 2003-07-25 2005-02-03 Impliant Ltd. Elastomeric spinal disc nucleus replacement
US20050070911A1 (en) * 2003-09-29 2005-03-31 Scimed Life Systems, Inc. Apparatus and methods for reducing compression bone fractures using high strength ribbed members

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US5693100A (en) * 1991-02-22 1997-12-02 Pisharodi; Madhavan Middle expandable intervertebral disk implant
US6127597A (en) * 1997-03-07 2000-10-03 Discotech N.V. Systems for percutaneous bone and spinal stabilization, fixation and repair
US20030088249A1 (en) * 2001-11-03 2003-05-08 Sebastian Furderer Device for straightening and stabilizing the vertebral column
WO2004047689A1 (en) * 2002-11-21 2004-06-10 Sdgi Holdings, Inc. Systems and techniques for intravertebral spinal stablization with expandable devices
WO2005009299A1 (en) * 2003-07-25 2005-02-03 Impliant Ltd. Elastomeric spinal disc nucleus replacement
US20050070911A1 (en) * 2003-09-29 2005-03-31 Scimed Life Systems, Inc. Apparatus and methods for reducing compression bone fractures using high strength ribbed members

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8998923B2 (en) 2005-08-31 2015-04-07 Spinealign Medical, Inc. Threaded bone filling material plunger

Also Published As

Publication number Publication date
CA2632680A1 (en) 2007-06-14
BRPI0619585A2 (en) 2019-09-24
EP1956990A2 (en) 2008-08-20
JP2009518137A (en) 2009-05-07
AU2006321837A1 (en) 2007-06-14
KR20080081911A (en) 2008-09-10
WO2007067726A2 (en) 2007-06-14
TW200727854A (en) 2007-08-01

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