摘要:
A percutaneous path is established into a selected bone, e.g., 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 second bone filling material is different than the first bone filling material.
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 method and apparatus for filling a cavity in a patient's body with a material are provided. The apparatus can include a flexible tube, a barrel and a plunger. The flexible tube has a first end, a second end, and a lumen extending from the first end to the second end and operable to hold a material for conveyance through the first end into a cavity. The barrel is in fluid communication with the second end of the flexible tube and includes a lumen configured to receive material for delivery into the flexible tube. The plunger is configured to advance material through the lumen in the barrel and into the flexible tube. In one implememtation, there is substantially a one to one ratio of advancement of the plunger to a volume of material advanced from the rigid first end of the flexible tube.
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 cannula establishes a subcutaneous path into bone. A tamping instrument can be manipulated independent of the cannula to enable insertion of the tamping instrument into the cannula, advancement of the tamping terminus in the cannula to urge material residing in the cannula into bone, and withdrawal of the tamping terminus from the cannula. The tamping instrument includes at least one marking to visually gauge the advancement of a terminus of the tamping instrument relative to a distal end of the cannula.
摘要:
A cannula establishes a subcutaneous path into bone. The cannula includes at least one predetermined marking. A tamping instrument is advanced through the cannula to deliver material into the bone by grasping an enlarged handle portion formed on the tamping instrument. The advancement is visually gauged by observing at least one predetermined marking on the tamping instrument to determine a position of a terminus of the tamping instrument relative to a distal end of the cannula.
摘要:
Cancellous bone is accessed through a subcutaneous access path in soft tissue. A cavity is formed in cancellous bone by a cavity forming tool that is advanced through the subcutaneous access path into cancellous bone and manipulated to form the cavity. A measured volume of bone filling material is delivered into the cavity through the subcutaneous access path by a nozzle having an interior bore defining an interior volume sized for containing bone filling material, which is advanced through the subcutaneous access path. A nested instrument is formed while clearing residual bone filling material from the interior bore by an auxiliary tool that can be manipulated independently of the nozzle, which is advanced through the interior bore of the nozzle.
摘要:
A cannula establishes a subcutaneous path into bone. The cannula includes at least one radiopaque marker. A tamping instrument having a tamping terminus is sized and configured for manipulation independent of the cannula to enable insertion of the tamping instrument into the cannula, advancement of the tamping terminus in the cannula to urge material residing in the cannula into bone, and withdrawal of the tamping terminus from the cannula.
摘要:
A cannula establishes a subcutaneous path into bone. A tamping instrument having a tamping terminus is sized and configured for manipulation independent of the cannula to enable insertion of the tamping instrument into the cannula, advancement of the tamping terminus in the cannula to urge material residing in the cannula into bone, and withdrawal of the tamping terminus from the cannula.