CA2528346A1 - Implant for intervertebral disc annular defect - Google Patents
Implant for intervertebral disc annular defect Download PDFInfo
- Publication number
- CA2528346A1 CA2528346A1 CA002528346A CA2528346A CA2528346A1 CA 2528346 A1 CA2528346 A1 CA 2528346A1 CA 002528346 A CA002528346 A CA 002528346A CA 2528346 A CA2528346 A CA 2528346A CA 2528346 A1 CA2528346 A1 CA 2528346A1
- Authority
- CA
- Canada
- Prior art keywords
- implant
- cannula
- advancer
- intervertebral disc
- disc
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 239000007943 implant Substances 0.000 title claims abstract 57
- 230000007547 defect Effects 0.000 title claims 4
- 238000000034 method Methods 0.000 claims abstract 15
- 241000446313 Lamella Species 0.000 claims 3
- 230000008878 coupling Effects 0.000 claims 3
- 238000010168 coupling process Methods 0.000 claims 3
- 238000005859 coupling reaction Methods 0.000 claims 3
- 230000000642 iatrogenic effect Effects 0.000 claims 3
- 230000004888 barrier function Effects 0.000 claims 2
- 239000011800 void material Substances 0.000 claims 2
- 230000001747 exhibiting effect Effects 0.000 claims 1
- 230000001360 synchronised effect Effects 0.000 claims 1
- 238000002513 implantation Methods 0.000 abstract 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2002/4435—Support means or repair of the natural disc wall, i.e. annulus, e.g. using plates, membranes or meshes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
Abstract
The present invention relates generally to devices and methods for delivering medical devices, such as implants (100), to desired tissue sites, such as the intervertebral disc (315). In one aspect, an intervertebral disc repair and diagnostic device that is minimally invasive and that provides precise access to the desired site is provided. In some aspects, the device and method are adapted to deliver, position and expand implants that are initially oriented and compressed for minimally invasive, yet precise and effective implantation.
Claims (19)
1. A method of delivering and positioning an implant within an intervertebral disc comprising:
providing a cannula coupled to a depth stop, wherein said cannula is slideably engaged with an advancer coupled to an implant, wherein said implant is operable to exhibit a compressed profile along one or more axes;
compressing said implant along a first axis;
inserting said cannula into a interverterbral disc;
placing said depth stop at a position adjacent an external surface of an intervertebral disc and delivering said implant relative to said position;
positioning said cannula such that the implant is positioned beyond the innermost surface of the anulus;
rotating the cannula, thereby rotating implant in a range of about 80 degrees to about 120 degrees;
retracting the cannula, thereby initially expanding the implant;
advancing one or more expanders, thereby further expanding the implant;
advancing the cannula, thereby substantially completely expanding the implant;
uncoupling the implant from the advancer; and removing the cannula and the advancer from the disc.
providing a cannula coupled to a depth stop, wherein said cannula is slideably engaged with an advancer coupled to an implant, wherein said implant is operable to exhibit a compressed profile along one or more axes;
compressing said implant along a first axis;
inserting said cannula into a interverterbral disc;
placing said depth stop at a position adjacent an external surface of an intervertebral disc and delivering said implant relative to said position;
positioning said cannula such that the implant is positioned beyond the innermost surface of the anulus;
rotating the cannula, thereby rotating implant in a range of about 80 degrees to about 120 degrees;
retracting the cannula, thereby initially expanding the implant;
advancing one or more expanders, thereby further expanding the implant;
advancing the cannula, thereby substantially completely expanding the implant;
uncoupling the implant from the advancer; and removing the cannula and the advancer from the disc.
2. The method of Claim 1, wherein the step of compressing the implant comprises folding the implant.
3. The method of Claim 1, wherein the step of expanding the implant comprises unfolding the implant.
4. The method of Claim 1, wherein the implant is a barrier or patch.
5. The method of Claim 1, further comprising the step of inserting the implant through a defect or iatrogenic hole.
6. A method of delivering an implant within an intervertebral disc comprising:
providing an implant that is capable of exhibiting a compressed profile along one or more axes;
compressing said implant along a first axis;
inserting said implant within an intervertebral disc along a second axis and beyond the innermost lamella of all anulus lamella;
rotating the implant about an axis perpendicular to said second axis; and causing or allowing the implant to transform from a compressed profile to an expanded profile.
providing an implant that is capable of exhibiting a compressed profile along one or more axes;
compressing said implant along a first axis;
inserting said implant within an intervertebral disc along a second axis and beyond the innermost lamella of all anulus lamella;
rotating the implant about an axis perpendicular to said second axis; and causing or allowing the implant to transform from a compressed profile to an expanded profile.
7. A method of delivering an implant within an intervertebral disc comprising:
providing a delivery device having an elongate implant advancer carried within or alongside an elongate sleeve, wherein the advancer is releaseably coupled to an implant, wherein the implant is compressed within the sleeve at a distal end of the sleeve;
advancing the distal end of the sleeve with an intervertebral disc along a first axis;
rotating the advancer;
releasing the implant from the sleeve thereby decompressing the implant;
and releasing the implant from the advancer.
providing a delivery device having an elongate implant advancer carried within or alongside an elongate sleeve, wherein the advancer is releaseably coupled to an implant, wherein the implant is compressed within the sleeve at a distal end of the sleeve;
advancing the distal end of the sleeve with an intervertebral disc along a first axis;
rotating the advancer;
releasing the implant from the sleeve thereby decompressing the implant;
and releasing the implant from the advancer.
8. A method of delivering an implant in an intervertebral disc wherein the disc has a defect or iatrogenic hole forming a void in the anulus of the disc comprising:
providing a compressible implant having a first and second axis compressing an implant along a first axis;
orienting the implant to such that the short axis of the compressed implant presents a profile the is smaller than the largest dimension of the void;
inserting the implant beyond the defect or iatrogenic hole;
rotating the implant clockwise or counterclockwise about ninety degrees;
causing or allowing the implant to expand or unfold; and retracting at least a portion of the implant against an inner surface of the anulus.
providing a compressible implant having a first and second axis compressing an implant along a first axis;
orienting the implant to such that the short axis of the compressed implant presents a profile the is smaller than the largest dimension of the void;
inserting the implant beyond the defect or iatrogenic hole;
rotating the implant clockwise or counterclockwise about ninety degrees;
causing or allowing the implant to expand or unfold; and retracting at least a portion of the implant against an inner surface of the anulus.
9. A method of delivering an implant in an intervertebral disc along an innermost surface of an anulus of the disc comprising:
inserting the implant within the disc and beyond the innermost surface of the anulus;
retracting the implant toward the innermost surface of the anulus; and deflecting at least a portion of the implant against the innermost surface of the anulus, thereby causing the implant to advance laterally along said surface.
inserting the implant within the disc and beyond the innermost surface of the anulus;
retracting the implant toward the innermost surface of the anulus; and deflecting at least a portion of the implant against the innermost surface of the anulus, thereby causing the implant to advance laterally along said surface.
10. The method of Claim 9, further comprising expanding the implant.
11. The method of Claim 9, further comprising simultaneously retracting and deflecting the implant.
12. The method of Claim 9, further comprising simultaneously retracting and deflecting the implant in a synchronized manner.
13. The method of Claim 9, further comprising rotating the implant.
14. A device for delivering and positioning an implant within an intervertebral disc comprising:
a cannula having a proximal end and a distal end, wherein said distal end comprises one or more expanders operable to expand an implant positioned beyond the innermost lamella of a disc anulus; and an advancer having a proximal end and a distal end, wherein said advancer is positioned at least partially within the cannula;
wherein the distal end of said advancer comprises a coupling mechanism, wherein at least a portion of said coupling mechanism is coupled to the advancer and wherein at least a portion said coupling mechanism is coupled to the implant.
a cannula having a proximal end and a distal end, wherein said distal end comprises one or more expanders operable to expand an implant positioned beyond the innermost lamella of a disc anulus; and an advancer having a proximal end and a distal end, wherein said advancer is positioned at least partially within the cannula;
wherein the distal end of said advancer comprises a coupling mechanism, wherein at least a portion of said coupling mechanism is coupled to the advancer and wherein at least a portion said coupling mechanism is coupled to the implant.
15. The device of Claim 14, further comprising a depth stop for limiting or guiding the travel within the intervertebral disc.
16. The device of Claim 14, wherein the depth stop is rotatably coupled to the cannula thereby allowing it to rotate while the depth of the cannula is maintained.
17. The device of Claim 14, wherein the implant is a barrier or patch.
18. The device of Claim 14, wherein the implant is initially provided in a folded configuration.
19. The device of Claim 14, wherein said one or more expanders are operable to unfold the implant.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US48027603P | 2003-06-20 | 2003-06-20 | |
US60/480,276 | 2003-06-20 | ||
PCT/US2004/019811 WO2004112584A2 (en) | 2003-06-20 | 2004-06-21 | Implant for intervertebral disc annular defect |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2528346A1 true CA2528346A1 (en) | 2004-12-29 |
CA2528346C CA2528346C (en) | 2010-02-16 |
Family
ID=33539281
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2528346A Active CA2528346C (en) | 2003-06-20 | 2004-06-21 | Implant for intervertebral disc annular defect |
Country Status (11)
Country | Link |
---|---|
US (2) | US7727241B2 (en) |
EP (1) | EP1638485B1 (en) |
JP (1) | JP2007515988A (en) |
KR (1) | KR100828144B1 (en) |
AT (1) | ATE499910T1 (en) |
AU (1) | AU2004249291B2 (en) |
CA (1) | CA2528346C (en) |
DE (1) | DE602004031612D1 (en) |
DK (1) | DK1638485T3 (en) |
ES (1) | ES2360907T3 (en) |
WO (1) | WO2004112584A2 (en) |
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2004
- 2004-06-21 DE DE602004031612T patent/DE602004031612D1/en active Active
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US20040260305A1 (en) | 2004-12-23 |
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US20100298837A1 (en) | 2010-11-25 |
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DE602004031612D1 (en) | 2011-04-14 |
EP1638485B1 (en) | 2011-03-02 |
KR100828144B1 (en) | 2008-05-14 |
DK1638485T3 (en) | 2011-05-02 |
EP1638485A4 (en) | 2008-07-30 |
WO2004112584A2 (en) | 2004-12-29 |
ATE499910T1 (en) | 2011-03-15 |
AU2004249291A1 (en) | 2004-12-29 |
ES2360907T3 (en) | 2011-06-10 |
AU2004249291B2 (en) | 2009-07-23 |
US7727241B2 (en) | 2010-06-01 |
KR20060070489A (en) | 2006-06-23 |
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