摘要:
A method of making an implantable medical device includes extruding a first ePTFE tube and a second ePTFE tube, cutting a plurality of slits in the first ePTFE tube, positioning a radially expandable support layer between the first and second ePTFE tubes so that the slits span portions of the support layer, and laminating the first ePTFE tube to the second ePTFE tube through openings in the support layer.
摘要:
Introduction of a bone filler material into at least a portion of the cancellous bone volume pressurizes the bone filler material and compresses the cancellous bone volume within the bone structure.
摘要:
Systems and methods provide for the fixation of osteoporotic and non-osteoporotic long bones, especially Colles' fractures. A cannula having a circumferential opening is inserted into cancellous bone and directed such that the circumferential opening faces the fracture. The cannula is further adapted to receive an expandable structure, the expandable structure being inserted through the cannula until it is in registration with the circumferential opening. The expandable structure is expanded through the circumferential opening into cancellous bone and toward the fracture. The expansion of the expandable structure through the circumferential opening toward the fracture causes compression of cancellous bone and moves fractured cortical bone, thus creating a cavity proximal to the fracture. The cavity is then filled with a flowable bone filling material and the material allowed to harden.
摘要:
A method and apparatus for creating or enlarging a cavity in a patient's body are provided. One implementation of the apparatus includes a head, a pushrod and a handle. The head is rotatable about a first axis and is configured to effectuate a medical procedure. The pushrod is attached at a distal end to the head and attached at a proximal end to a handle. The pushrod is configured to translate along a second axis substantially perpendicular to the first axis, where translation of the pushrod along the second axis rotates the head about the first axis. The handle includes a lever coupled at one first end to the pushrod and pivoting the lever about the third axis translates the pushrod along the second axis.
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 balloon structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable balloon structure is expanded and the tool withdrawn, leaving the expandable balloon structure expanded inside the cancellous bone. Expansion of the expandable balloon 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 selected 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 within cancellous bone.
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 mesh structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable mesh structure is expanded and the tool withdrawn, leaving the expandable mesh structure expanded inside the cancellous bone. Expansion of the expandable mesh 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 flexible covered stent includes a stent covered on a first surface by a first layer of biocompatible material and on a second surface by a second layer of biocompatible material, the first and second layers of biocompatible material being bonded to one another through a wall in the stent. The first layer of biocompatible material is longer than the second layer of biocompatible material such that at least a portion of the second surface of the stent is left uncovered, imparting flexibility to the stent. A mid portion of the second surface of the stent can be left uncovered to impart flexibility to the stent similar to that enjoyed by a bare stent.
摘要:
A percutaneous access path into a vertebral body is established. The vertebral body has an interior volume occupied, at least in part, by a cancellous bone. At least portion of the cancellous bone is compacted or otherwise conditioned, resulting in a cavity in the vertebral body. A bone filler material is conveyed into the cavity at a pressure less than approximately 400 pounds per square inch. The bone filler material can have a viscosity that resists extravazation in cancellous bone.
摘要:
A posterior percutaneous path is established into a bone having an interior volume occupied, at least in part, by a cancellous bone. An expandable structure is introduced into the cancellous bone by deployment of a tool through the posterior percutaneous path into the cancellous bone. The expandable structure is expanded by introducing a filler material into the structure within the cancellous bone. The tool is withdrawn through the posterior percutaneous access path, leaving the structure and filler material inside the cancellous bone.