摘要:
An expandable device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The expandable device is expanded while disposed within the cancellous bone volume. An expansion barrier placed in association with the expandable device directs expansion of the expandable device in a desired direction to create a cavity in the cancellous bone volume.
摘要:
An expandable device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The expandable device carries a therapeutic substance. The expandable device is expanded while disposed within the cancellous bone volume to incorporate the therapeutic substance in the cancellous bone volume.
摘要:
A method provides a void creation device including an expandable structure adapted to undergo expansion in the cancellous bone volume of a bone selected for treatment. The expandable structure has at least one dimension so that the expandable structure will assume a predetermined shape and size when substantially expanded that compacts only a first volume of the cancellous bone volume to form a void, leaving a second volume of the cancellous bone volume substantially uncompacted by the expandable structure. A filling material is placed within the void through the percutaneous access path.
摘要:
A vertebral body is selected for treatment. The vertebral body has a cortical wall enclosing a cancellous bone volume. The vertebral body has at least one cortical plate that is depressed due to fracture. At least one maximum dimension for the cancellous bone volume is ascertained. An expandable device is provided having an expanded configuration and an unexpanded configuration. The expandable device has a predefined dimension when substantially expanded that is less than the maximum dimension. The expandable device is introduced into the vertebral body through a percutaneous access path while in the unexpanded condition. The expandable device is expanded while disposed within the cancellous bone volume from the unexpanded configuration toward the expanded configuration to create a cavity that occupies less than the cancellous bone volume.
摘要:
An expandable device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The expandable device is expanded while disposed within the cancellous bone volume to create a cavity. A filling material including a biomaterial is placed within the cavity.
摘要:
A vertebral body is selected for treatment. The vertebral body has a cortical wall enclosing a cancellous bone volume. At least one maximum dimension for the cancellous bone volume is ascertained, and an expandable device is provided that has a predefined dimension when substantially expanded that is less than the maximum dimension. The expandable device is introduced into the vertebral body through a percutaneous access path while in an unexpanded condition. The expandable device is expanded while disposed within the cancellous bone volume from the unexpanded configuration toward the expanded configuration. An expansion barrier is provided in association with the expandable device that directs expansion of the expandable device in a desired direction to create a cavity in the cancellous bone volume.
摘要:
A balloon for use in compressing cancellous bone and marrow (also known as medullary bone or trabecular bone). The balloon comprises an inflatable balloon body for insertion into said bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and/or to restore the original position of the outer cortical bone, if fractured or collapsed. The balloon desirably incorporates restraints which inhibit the balloon from applying excessive pressure to various regions of the cortical bone. The wall or walls of the balloon are such that proper inflation of the balloon body is achieved to provide for optimum compression of the bone marrow. The balloon can be inserted quickly into a bone. The balloon can be made to have a suction catheter. The balloon can be used to form and/or enlarge a cavity or passage in a bone, especially in, but not limited to, vertebral bodies. Various additional embodiments facilitate directionally biasing the inflation of the balloon.
摘要:
An inelastic expandable device has an expanded configuration and an unexpanded configuration. The inelastic expandable device is sized and configured for introduction into a cancellous bone volume of a vertebral body through a percutaneous access path while in the unexpanded condition and for expansion while disposed within the cancellous bone volume from the unexpanded configuration toward the expanded configuration. The inelastic expandable device is sized and configured for controlling the expansion so that the expandable device expands more in an inferior-to-superior direction than in a lateral direction.
摘要:
A percutaneous path is created into a bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable structure is expanded and the tool withdrawn, leaving the expandable structure expanded inside the cancellous bone. Expansion of the expandable structure within cancellous bone can, e.g., compact cancellous bone, and/or create a cavity in cancellous bone, and/or move fractured cortical bone.
摘要:
A percutaneous path is established into a vertebral body, having an interior volume occupied, at least in part, by cancellous bone. A first bone filling material is conveyed through the percutaneous path into a region of the cancellous bone. A second bone filling material is conveyed through the percutaneous path into the region. The first and second bone filling materials can, e.g., incrementally create then enlarge a compressed region of cancellous bone, or displace the fractured cortical bone in increments.