摘要:
An elongated shaft is sized and configured to establish an access path to bone having an interior volume occupied, at least in part, by cancellous bone. The elongated shaft includes a distal end portion having a side opening. A first tool is sized and configured to be carried by the shaft and includes a region that is capable of being controllably advanced by a user through the side opening to project outside the distal end portion and contact cancellous bone. Contact between the region and cancellous bone can modify cancellous bone for introduction of bone filling material, e.g., by creating at least one flow path for the bone filling material.
摘要:
An apparatus is described including an elongate member having at least one finger positioned at a distal region of the elongate member. The finger, which can be detachable, is arranged and configured for cutting or scraping. In implementations including two or more fingers, distal ends of two or more fingers can be interconnected either directly or by both being connected to a distal tip of the elongate member.
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 The expandable structure is expanded and the tool withdrawn, leaving the expandable structure expanded inside the cancellous bone.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.
摘要:
A flow path is established into cancellous bone within a vertebral body through a percutaneous path. A bone filling material is conveyed into the flow path in a volume and at a pressure that results in an enlargement of the flow path volume. The enlargement can create a cavity and/or move a fractured cortical plate of the vertebral body toward a desired anatomic position. The bone filling material can comprise, e.g., a bone cement.
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 stent structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable stent structure is expanded and the tool withdrawn, leaving the expandable stent structure expanded inside the cancellous bone. Expansion of the expandable stent 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:
In one embodiment, an apparatus includes an elongate body and an expandable member coupled to the elongate body. The expandable member is configured to be disposed within an interior of a vertebral body having a first portion that includes cancellous bone and having a second portion that includes sclerotic bone distinct from an endplate of the vertebral body. The expandable member is configured to exert a first pressure on the first portion of the vertebral body and a second pressure different from the first pressure on the second portion of the vertebral body. The second pressure is sufficient to move the second portion of the vertebral body in a direction away from the expandable member when the expandable member is expanded within the interior of the vertebral body.
摘要:
Tissue distractor devices, systems, and methods for soft tissue expansion in order to create a space between the tissue to improve visualization and for increased working space during surgery are disclosed. One method for separating soft tissues for cannula access to a treatment site within a patient body comprises providing a catheter having a tissue distractor on a distal end thereof and positioning the catheter between the soft tissues near the treatment site. Once properly positioned, the tissue distractor is expanded so as to separate the soft tissues. The tissue distractor is then elongated by mechanical actuation so as to provide cannula access to the treatment site. The cannula forms a working channel for surgical procedures, particularly minimally invasive surgical procedures.
摘要:
Several embodiments of cutting tips for tools for creating voids in interior body regions are provided. The cutting tips provide for rotational and translational cutting. An actuator mechanism for deploying a cutting tip converts the rotational movement of a wheel into translational movement of a plunger rod. The actuator mechanism provides positive cutting action as the cutting tip is moved from a first, non-deployed position to a second, deployed position and from the second, deployed position to the first, non-deployed position. Methods of creating a void in bone provide one or more mechanical cutting tools that may be used in combination with one or more expandable void-creating structures to form a void of a desired size and configuration.