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公开(公告)号:US6126682A
公开(公告)日:2000-10-03
申请号:US153552
申请日:1998-09-15
申请人: Hugh J. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
发明人: Hugh J. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
IPC分类号: A61B17/00 , A61B17/16 , A61B17/22 , A61B17/28 , A61B17/32 , A61B17/34 , A61B17/88 , A61B18/00 , A61B18/04 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/24 , A61B19/00 , A61F2/30 , A61F2/44 , A61F7/02 , A61M1/00 , A61M25/00 , A61M25/01 , A61M25/09 , A61N1/06 , A61N1/40 , A61F7/00
CPC分类号: A61B17/1671 , A61B17/320016 , A61B17/320068 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/082 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61M25/0133 , A61N1/06 , A61N1/40 , A61N1/403 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/24 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61B34/20 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09
摘要: A percutaneous method of repairing a fissure in the annulus pulposus includes placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70.degree. C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译: 修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃,并且足够的时间使胶原蛋白 焊接。 也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中,从而密封裂缝来治疗椎间裂。 另外可以通过在导管的远端提供具有远端,近端,纵向轴线和椎间盘内节段的导管来治疗椎间裂缝,在该导管的至少一个功能元件上。 下一步是向导管的近端施加一个力,这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸,但是哪个力不足以刺穿纤维环。 接下来,功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。 然后功能单元处理环形裂缝。 任选地,存在添加物质以密封裂缝的附加步骤。 还公开了一种外部引导性椎间盘装置。