CN1964673A - 可张开的骨装置 - Google Patents

可张开的骨装置 Download PDF

Info

Publication number
CN1964673A
CN1964673A CNA2005800183891A CN200580018389A CN1964673A CN 1964673 A CN1964673 A CN 1964673A CN A2005800183891 A CNA2005800183891 A CN A2005800183891A CN 200580018389 A CN200580018389 A CN 200580018389A CN 1964673 A CN1964673 A CN 1964673A
Authority
CN
China
Prior art keywords
bone device
expandable bone
deformable
expandable
longitudinal axis
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
Application number
CNA2005800183891A
Other languages
English (en)
Other versions
CN100518681C (zh
Inventor
马克·M·莱维
伊兰·格林伯格
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Expanding Orthopedics Inc
Original Assignee
Expanding Orthopedics Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=34967928&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CN1964673(A) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Expanding Orthopedics Inc filed Critical Expanding Orthopedics Inc
Publication of CN1964673A publication Critical patent/CN1964673A/zh
Application granted granted Critical
Publication of CN100518681C publication Critical patent/CN100518681C/zh
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

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
    • A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • A61B17/8858—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc laterally or radially expansible
    • 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
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • 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
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary pins, nails or other devices
    • A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
    • A61B17/7258—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone
    • A61B17/7266—Intramedullary pins, nails or other devices with special means of locking the nail to the bone with laterally expanding parts, e.g. for gripping the bone with fingers moving radially outwardly
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • 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
    • A61F2/28—Bones
    • A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30159—Concave polygonal shapes
    • A61F2002/30179—X-shaped
    • 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. 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
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30785—Plurality of holes parallel
    • 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
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30787—Plurality of holes inclined obliquely with respect to each other
    • 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
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0058—X-shaped
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite

Abstract

一种可张开的骨装置，包括：沿纵轴延伸的单一主体，该主体包括可变形的远端部分，该远端部分具有收缩定位，用于邻近脊骨结构放置，可变形的远端部分包括由若干相对窄的切口构成的、相对宽的，互相连续支撑表面，支撑表面与单一主体的余下部分通过相对窄的可变形板条相接，可变形的远端部分具有张开定位，其中支撑表面被横向向外远离并大致平行于纵轴移动；以及致动器，它与可变形的远端部分连接并且可操作，以使可变形的远端部分在收缩定位和张开定位之间移动。

Description

可张开的骨装置
发明领域
本发明总的涉及可张开的骨装置，例如但不限于用于椎体重建(椎体成形术)(vertebroplasty)的装置，例如用于胸和腰脊椎区域压缩性骨折的治疗，或例如用于横移与脊骨相联的结构的可张开骨装置。
发明背景
已经研制出了各种仪器和方法用于压缩性骨折和其它骨质疏松的和/或非骨质疏松的疾病。在一种方法中，可在要治疗的骨骼中形成空腔，随后将膨胀的类似气囊的装置插入该骨腔中。该类似气囊装置的膨胀造成多孔骨的压紧和/或骨髓抵住骨骼的内皮层壁，以此造成骨腔的扩大和/或减少压缩性骨折。然后将该类似气囊装置缩小并从骨腔移出。有时将生物兼容性填充材料，例如甲基丙烯酸盐水泥或合成的骨代用品放入骨腔并使之变为硬的状态，以给骨骼提供内部结构的支撑。
气囊张开装置的一个例子是授予Beyar等人的美国专利6,127,597，其中描述了一种用于插入通过骨孔并进入骨髓内腔的骨固定设备。该骨固定设备包括直径张开、具有外圆周表面的金属球囊管。该管具有减小的第一直径，用于插入通过孔而进入骨髓内腔，并具有张开后的第二直径，其中当流体被注入所述的骨固定设备时，其直径径向增大，从减小的第一直径增加到张开后的第二直径。
然而，已经发现类似气囊装置的张开并不容易控制。而是，当这种类似气囊装置膨胀时，张开沿阻力最小的路径发生。结果，多孔骨的压紧的方向和/或压缩性骨折的减少是不可控制的，而且张开在多个方向并沿多个轴发生。
Foley等人的美国专利6,676,665描述了用于脊骨治疗的另一个装置。该装置包括一细长的构件，该构件具有可变形的远端部分，并至少部分由柔性并优选地为弹性材料制成。远端部分具有用于放置在邻近椎体的初始结构；和变形结构，该变形结构限定至少一个向外延伸的突起，用于移动至少部分椎体。该细长的构件优选地包括棒状构件，套筒构件和致动机构，该致动机构用于在棒状构件和套筒构件之间施加相对线性位移，以实现套筒构件远端部分的向外变形。在一个实施例中，该器械被用来压紧多孔骨以在椎体中形成空腔。在另一个实施例中，该器械被用来减少压缩性骨折。在另一个实施例中，该器械被用来在邻近椎体之间分出椎间盘。
Levy等人的美国专利6,554,833描述了一种用于稳定骨的装置，其包括具有第一和第二端区域的管状体，在第一和第二端区域之间限定出一纵轴。有多个板条从第一端区域伸出，这些板条包括连接到第一端区域的第一端，和布置与第一端区域远离的第二端，第二端可从通常的轴向收缩状态定向到基本横向张开的状态。有多个支撑臂连接到板条，而且有致动器连接到支撑臂，致动器相对细长体可轴向移动，从而造成支撑臂引导板条的第二端从收缩状态到张开状态。任选地，所述装置包括另一组板条，这些板条从第二端区域延伸出来或定位在管状体的中间区域。
发明内容
本发明寻求提供一种可张开的骨装置，如下文进一步详细描述的。下文描述的本发明的可张开的骨装置用于脊骨(例如椎弓根或脊骨骨突等)，但是要强调的是本发明不限于脊骨，并可用于任何骨骼，例如但不限于跟骨，桡骨远端，胫骨上端，手骨和骨骺。本发明可在治疗任何骨骼疾病，不适和问题中使用，例如但不限于骨折，外伤的预防或由于骨质疏松症，内分泌，新陈代谢造成的骨折或肿瘤骨骼疾病，AVN和外伤。本发明可作为支撑骨骼结构的“脚手架”，例如用于填充骨骼结构(例如，用骨水泥，骨移植，骨代用品或胶原质和其它材料)，并且根据手术需要可以或不可留在骨骼结构中。
这样根据本发明的实施例提供了一种可张开的骨装置，包括：沿纵轴延伸的单一主体，该主体包括可变形的远端部分，该远端部分具有收缩定位，用于邻近脊骨结构放置，可变形的远端部分包括由若干相对窄的切口构成的、相对宽的互相连续支撑表面，支撑表面与单一主体的余下部分通过相对窄的可变形板条相接，可变形的远端部分具有张开定位，其中所述支撑表面被横向向外远离并大致平行于纵轴移动；以及致动器，它与可变形的远端部分连接并且可操作，以使可变形的远端部分在收缩定位和张开定位之间移动。
可张开的骨装置可包括下列中的一个或多个特征。例如，支撑表面设置至少一对支撑表面，它们对称地或非对称地相对纵轴沿相反方向横向向外张开。所述窄的切口中的一些大致平行于纵轴。另外或选择性地，所述窄的切口中的一些相对于纵轴成非零的角度。可变形板条大致彼此沿纵轴等间隔或以不同的距离间隔开。
单一主体通常是圆柱形。或者，单一主体包括大致平坦的多边形形状，其围绕大致与纵轴横切的折叠轴折叠。
有桥元件可以连接在两个单一主体之间。可变形的远端部分包括至少一个非光滑表面，以适于与骨结构结合。单一主体包括不变形的末端，它位于可变形的远端部分的远端。
附图说明
本发明将通过下面详细的说明书及结合附图的描述而被更加全面的理解和明确，其中：
图1是可张开的骨装置的简化示意图，该可张开的骨装置根据本发明实施例构造和操作，处于收缩定位，并包括位于可变形的远端部分远端的不变形末端；
图2是可张开的骨装置的简化示意图，该装置根据本发明另一个实施例构造和操作，处于收缩定位，并没有不变形的末端；
图3A是图1的可张开的骨装置的简化示意图，处于张开定位；
图3B是图2的可张开的骨装置的简化示意图，处于张开定位；
图4A，4B和4C是图1的可张开的骨装置的简化示意图，通过椎弓根引入椎体，分别处于收缩，半张开和完全张开定位；
图4D，4E和4F是根据本发明实施例另一种形式的、用作椎骨根锚定装置的可张开的骨装置的简化示意图，分别处于收缩，张开和锁定定位；
图4G，4H，4I和4J是根据本发明实施例用作内部椎体融合装置的可张开的骨装置的简化示意图，其中图4G示出部分收缩定位，且图4G的实施例示出在图4H张开，而图4I和4J示出张开的其它不同形式；
图5A，5B和5C是可张开的骨装置的简化示意图，该装置根据本发明另一个实施例构造和操作，分别处于收缩，半张开和完全张开定位；
图6A是可张开的骨装置的简化示意图，该装置依然根据本发明另一个实施例构造和操作，处于收缩定位，并包括位于可变形的远端部分远端的不变形末端；
图6B是可张开的骨装置的简化示意图，该装置根据本发明另一个实施例构造和操作，处于收缩定位，而且没有不变形的末端；
图7A是图6A处于张开定位的可张开的骨装置的简化示意图；
图7B是图6B处于张开定位的可张开的骨装置的简化示意图；
图8是可张开的骨装置的简化示意图，该装置依然根据本发明另一个实施例构造和操作，处于收缩定位；
图9A，9B，10A和10B是可张开的骨装置的简化示意图，该装置根据本发明另一个实施例构造和操作，其中该装置张开到棱柱形状，分别示出处于收缩(图9A和10A)和张开(图9B和10B)的定位；以及
图11A，11B和11C是根据本发明不同实施例带有不同致动器的图1的可张开的骨装置的简化示意图，该致动器可使可变形的远端部分在收缩和张开定位之间移动。
具体实施方式
现参照图1，其示出可张开的骨装置10，该装置10根据本发明实施例构造和操作。
可张开的骨装置10包括单一主体12，沿纵轴14延伸。该装置10可包括可变形的远端部分16，该远端部分16具有收缩定位，用于邻近脊骨结构放置，可变形的远端部分16可包括由若干相对窄的切口20形成的、相对宽的，互相连续的支撑表面18。支撑表面18与单一主体12的余下部分通过相对窄的可变形板条22相接。
在图1所示的非限制性实施例中，单一主体12可以是通常圆柱的形状(但是其它形状也在本发明的范围内)，而可包括在可变形的远端部分16的远侧的不可变形末端24。不可变形末端24可以是与单一主体12的余下部分相连的环。一个或多个支撑表面18可以是不光滑的，用于增加与脊骨结构的结合。另外或可选择性地，一个或多个支撑表面18可以涂敷增加与骨骼结合的材料，例如但不限于羟磷灰石。在示出的实施例中的支撑表面是弓形的(与圆柱的形状轮廓一致)，但也可以是任意的其它形状和尺寸。
可张开的骨装置10可非限制地由医用安全的金属(例如，不锈钢，形状记忆合金，例如镍钛诺)或塑料构成，包括可再吸收的材料和形状记忆聚合物。
如图1看出的，一些窄的切口20可大致平行于纵轴14。另外或可选择性地，一些窄的切口20可与纵轴14成非零的角度。可变形板条22通常相等地间隔开，或彼此沿纵轴14间隔开不同的距离。
图1示出包括末端24的可张开的骨装置10一种形式。图2示出可张开的骨装置10另一种非限制形式，其被称作可张开的骨装置10’，该装置10’没有不变形末端24。图1和2都示出处于收缩定位的可张开的骨装置。
有致动器26可以与可变形的远端部分16连接。该致动器26可以使可变形的远端部分16在收缩定位和张开定位之间移动。非限制性地，致动器26可以类似于参照在美国专利6,554,833的图12-15D的实施例中示出和描述的致动器(也称为细长控制构件)。例如，致动器26可以是螺纹杆，与形成在单一主体12中的内螺纹匹配。螺纹杆的旋转可使螺纹杆向可变形的远端部分16远端地前进，如箭头23指示的。螺纹杆楔入可变形的远端部分16，并且造成支撑表面横向向外远离并大致平行于纵轴14移动，到达张开定位，如箭头25指示的。图3A和图3B分别示出处于张开定位的可张开的骨装置10和10’。
要强调的是本发明不限于上述的致动器26，并且可实现本发明而使用的张开可变形的远端部分16的其它方法，例如但不限于机械的(手动的或机动的)，气动，水力的或任何其它张开的方法。
如图3A和图3B看到的，支撑表面18被设置一对或多对，它们在相对纵轴14对称或非对称地向相反方向横向向外张开。对于对称的张开，可变形板条22的长度可以是相等的。对于不对称的张开，可变形板条22的长度可不同，造成相对纵轴14在不同或各个角度都可以张开。另外或可选择性地，通过使可变形板条22的长度从其近端到其远端大致逐渐变大或反之亦然，带有支撑表面18的可变形的远端部分16可变形成为若干不同非直的形状(例如楔形，凹形，凸形等)。
现参照图4A，4B和4C，其示出可张开的骨装置10可以受控的方式逐渐张开和收缩。图4A示出将可张开的骨装置10通过椎弓根32引入椎体30。这是用在脊柱手术中的公职的方法，被称为经椎弓根(transpedicular)方法，通常用于引导椎弓根螺丝和用于通过气囊或导管实施椎体成形术，例如用于使用骨水泥或其它材料填充脊柱体。
图4B示出处于半张开定位的可张开的骨装置10。图4C示出处于全张开定位的可张开的骨装置10。这种张开是可逆的，并且可通过在原位置用致动器或其它工具伸缩装置以被移出。这种张开的状态可被锁定。
可使用桥元件43(图3B)将两个单一主体12连接在一起。桥元件43可位于脊椎骨的后部区域，而张开装置10则在脊椎骨体的内部(脊椎骨的前部)。可以将任何数量的(而不只一个)可张开的骨装置10引入脊椎骨体或其它骨骼中。
据此，可张开装置可植入在左右侧并通过桥元件43用最小创伤的方式连接在同一水平。桥元件43包括但不限于，不同的装置(棒，线，管或任何直的或弯曲的结构)用于锁定或固定。
可张开的骨装置10可由例如经椎弓根方法引入，并可以被单独地锁定在周围结构或用桥元件43，例如但不限于，带或不带钉的垫圈，螺帽，螺丝，线材，内椎弓根额外件(extra piece)或其它适合的连接器相互连接在同一水平。“周围结构”包括但不限于，刺状的或侧面的骨突(process)，小关节峡部，或围绕椎弓根和椎板的支撑元件。
根据另一个实施例，桥元件43可以是刚性的，并可用于连接可张开装置10的后部额外椎弓根部分，将其与同一水平(例如对侧的)的或其它水平的(上或/和下的)周围结构连接，以实现固定用于融合。这种连接器包括但不限于，棒，开槽棒，迷你板，杆，线材或其它适于搭桥的结构。或者，桥元件43可包括动态元件，用于可张开装置10和用椎弓根螺钉，钩接近的其它椎骨或周围结构、或其它可张开装置之间的内部水平的连接，以便于固定而不融合。动态元件包括但不限于，由弹性体材料，例如硅树脂橡胶或聚氨酯制成的柔性带子，棒，条带或杆。
可张开装置10可用在椎骨体的粉碎性骨折中，以固定椎体，通过韧带均衡的帮助减少骨折。这可由以下实现：使可张开装置10张开并用标准椎弓根螺钉，钩或其它固定装置，通过与上和/或下水平连接将开张开装置10连接到其它装置上。
在本发明的另一个方面中，可张开装置10在后部的张开可被用来固定在后部围绕结构的装置，以此防止前部的移动。这种张开可或不可使装置的锁定机构参与后部围绕结构，装置的锁定机构下面进一步参考椎弓根锚定装置200描述。
可使用图4A-4C的(和本发明其它实施例的)可张开的骨装置10作为适于椎体压缩性骨折的体内可张开装置。如上所述，可张开装置10可通过最小创伤的经椎弓根方法置入，并且也可由最小创伤的、用于胸和腰椎侧面方法，以及用于任何水平的前部，侧部或后部的开口方法置入。可张开装置可以是有螺纹的，以用于容易插入椎弓根。
具体参照图4C，可设置可缩回套管15用于移出和收回可张开装置10。首先，如果已经使用闭锁元件闭锁可张开装置10到位，则必须将这些闭锁元件移开。接着，在闭锁元件移开后，可将缩回套管15(例如由金属或刚性塑料构成，其内径略微大于可张开装置10的单一主体12的外径)置入椎弓根，位于可张开装置10的圆柱形的近端部分上。缩回套管15可被远端地朝着可变形的远端部分16推动，并可被用于压缩或收缩支撑表面18，以便它们再一次与单一主体12的余下部分相连(或部分相连)。可张开装置10可通过拉或旋时的半圆运动抵住缩回套管15的边缘而被收回。
缩回套管15外面可有螺纹，以用于容易地插入椎弓根。缩回套管15内部可有螺纹，以用于与可张开装置10的外螺纹接合，在这种情况下，可张开装置10可通过旋入缩回套管15而被收回。
现参照图4D，4E和4F，其示出了根据本发明的实施例的可张开装置用作椎弓根锚定装置200的另一种方式。
如所述上文提到的可张开装置，椎弓根锚定装置200可包括带有支撑表面18的可变形的远端部分16。该椎弓根锚定装置200还可包括近侧部分202，其可带有螺纹(例如外螺纹)。如所述上文提到的可张开装置，椎弓根锚定装置200可通过椎弓根而置入椎体(如图4D所示的收缩定位)。可使用上述的致动器26(未示出)使支撑表面18向外张开(如图4E所示的张开定位)。支撑表面18可在椎体内张开，且充分张开，防止向近侧牵拉装置200，即，防止向外回到椎弓根管(椎体的几何形状/解剖允许)。椎弓根锚定装置200可由锁定机构204锁定在适当的位置，该锁定机构204适于限制椎弓根锚定装置200沿近侧和远侧方向移动(即向可变形的远端部分16和近侧部分202的移动)。锁定机构204可包括但不限于，可旋到近侧部分202上的螺纹固定件(例如可选地带有垫圈或锁定垫圈的螺帽)。近侧部分202的螺纹的部分可保持洁净，以与其它装置固定，例如上文所述的桥元件43。锁定的另一个方法可借助将张开的后部分通过连接器(例如线材，杆，螺丝或其它细长连接元件)与张开的远侧部分连接的方法。后部分可在安装或在原位置之前张开。两个张开部分并置在椎弓根管内，将椎弓根锚定装置200锁定在适当的位置，位于后部元件上。例如，可使用这种装置在健康的脊椎骨上和骨折的椎骨下，或用于校正变形，变形时需要多点连接以用于连接到若干坚固的杆上(例如，脊柱侧凸手术)。可以小创伤的方法或开口手术使用椎弓根锚定装置200。
现参照图4G，4H，4I和4J，示出可张开装置另一种的方式，在这里根据本发明的实施例作为椎体间融合装置220使用。
椎体间融合装置220可定位在脊骨的椎间盘中以促进融合。它可在收缩定位下置入，并且可张开到张开定位。图4G示出呈十字管的形状的致动器226，它开始推动缩回装置220。接着在图4H中示出张开定位。在图4I和4J中示出其它不同方式的张开。作为非限制性例子，收缩定位可在腰椎区域具有约8mm的周长，而在胸椎区域具有约6mm的周长，并可分别被张开到约12mm和9mm的周长。该装置可由最小创伤支撑方法置入，但也可以由胸侧最小创伤的方法置入。另外，可使用前开口或任何其它开口方法。
椎体间融合装置220可由任何适合装置张开，例如、但不限于，机械的(手动或自动)，气动，水力的或任何其它张开的方法。
图4G的实施例示出带有可选的内部十字，但可使用许多其它的结构。张开可考虑通过对称或非对称地张开以用于脊柱前弯症、驼背或脊柱侧凸的校正。张开物可包括棘或刺，这些棘或刺可与位于邻近椎骨端板的骨骼表面接合。装置的张开可造成椎间盘的一些分隔。在非限制性实施例中，整个装置可被包含于椎间盘中，且没有从椎间盘突出的自由端。
现参照图5A，5B和5C，其示出可张开的骨装置50，该装置50根据本发明另一个实施例构造和操作，分别处于收缩、半张开和完全张开定位。而在图1和2的实施例中有三个可变形的板条22用于每个支撑表面18，在图5A-5C的实施例中有两个可变形的板条52用于每个支撑表面18。本发明可使用任何数量的可变形的板条。在图1和2的实施例中，支撑表面18的近端与单一主体12的余下部分分隔开一间隙49。在图5A-5C的实施例中，没有这种间隙。
现参照图6A，该图是可张开的骨装置60的简化示意图，该装置60依然根据本发明另一个实施例构造和操作，处于收缩定位。
可张开的骨装置60与可张开的骨装置10类似，而且对相同的元件采用相同的附图标记。在可张开的骨装置60中，有若谈窄的切口62与纵轴14成非零的角度。图6B示出可张开的骨装置60的另一个非限制的方式，它被称作可张开的骨装置60’，没有不变形的末端24。图6A和6B都示出了处于收缩定位的可张开的骨装置。图7A和7B分别示出了处于张开定位的可张开的骨装置60和60’。
现参照图8，其示出了可张开的骨装置70，该装置70依然根据本发明另一个实施例构造和操作，处于收缩定位。可张开的骨装置70由单一主体72构成并具有大致平坦的多边形形状(例如矩形)，其中主体72围绕大致与纵轴75横切的折叠轴74折叠。该装置70包括可变形的远端部分76，其具有收缩定位，用于邻近脊骨结构放置。可变形的远端部分76可包括由若干相对窄的切口80构成的、相对宽的，互相连续支撑表面78。支撑表面78与单一主体12的余下部分通过若干相对窄的可变形板条82相接。有致动器(未示出)可以与可变形的远端部分76连接，用于使可变形的远端部分76在收缩定位和张开定位之间移动，如上文所述的那样。
现参照图9A和9B，以及图10A和10B，这些图示出了可张开的骨装置90和100，装置90和100根据本发明其它实施例构造和操作。可张开的骨装置90和100可被构造为类似支架(stent)，例如但不限于，编织支架(细丝或线材被缠绕或编织成特定的结构)，或网状支架(金属网弯曲或形成特定的形状)，以及其它支架(例如，支杆或其它形状和种类的连接元件)。由于通常带有支架，可张开的骨装置90和100可具有可变形部分92(相应的102)，其具有压缩(例如收缩，变形，紧缩或收缩)定位(分别是图9A和10A)，可张开到张开定位(分别是图9B和10B)，张开可通过弹簧的弹性，气囊或机械张开实现，或通过形状记忆合金(例如镍钛合金，例如镍钛诺)的热或压力诱发恢复的自身张开到达预置的张开构造实现。
根据本发明非限制实施例，装置90和100张开到棱柱形状。例如，装置90可张开成三维的矩形棱柱形状。装置100可张开成三维的梯形形状。这些只是两个非限制的例子，而且本发明不限于任何特定的形状。
在图9A和10A的收缩状态，装置可通过椎弓根置入，例如用已知带支架的护套或导管。该装置可有用于例如治疗骨折(其中不需要大尺寸的减小)，或可用于虚弱的未骨折脊椎骨的预防性治疗。
现参照图11A，11B和11C，这些图示出带有不同致动器(分别为结构114，116和118)的可张开的骨装置10，这些致动器可以与可变形的远端部分16连接，以使可变形的远端部分16在收缩定位和张开定位之间移动，该装置10根据本发明其它实施例构造和操作。注意，“连接”包括机械的直接和间接的链接以及非机械的连接，例如、但不限于电的，水力的和气动的。可张开的骨装置10可借助致动器张开，而致动器可留在适当位置以形成用于装置10的支撑结构。或者，可张开的骨装置10可张开形成骨骼结构，其中致动器在张开后被移除。
作为另一个选择，可不使用结构114，116和118作为致动器，而是作为支撑结构。也就是说，可张开的骨装置10可用其它一些致动器(此处未示出)张开，而结构114，116和118可被置入到可张开的骨装置10以在原位置提供额外支撑。
根据本发明的一个实施例，每个致动器(或支撑结构)均包括带有一个或多个刻痕线122的细长带120，带120可绕着刻痕线122弯曲以变成不同的形状和构型。例如，在图11A中，致动器(或支撑结构)具有弓形的张开形状(例如，回转椭圆体形状)。在图11B中，致动器(或支撑结构)具有多边形的张开形状(例如，菱形形状)。在图11C中，致动器(或支撑结构)具有另一个多边形的张开形状(例如，梯形的形状)。致动器可以具有这些形状或其它形状的任意组合。致动器(或支撑结构)可以由与可张开的骨装置10相同的或类似的材料制成，但具有不同的硬度，刚度或其它机械性能，或具有不同的尺寸(例如厚度和宽度)和形状。不同材料和性能的选择带来不同度的刚度，以用于支撑结构和整个系统，其可适用于不同的骨骼，患者年龄和人体参数，以满足在每种情况下适当固定的需要。致动器(或支撑结构)可有不同件的库存供应，这样医师可选择最好的用于工作。它们可以多种不同的方法锁定在适当的位置。
应该理解，为了清楚，本发明各个特征描述于各个实施例中，这些特征还可在单个实施例中以组合的形式提供。相反地，为了简明，本发明的各个特征描述于单个实施例中，这些特征还可以分开或以任何合适的子组合提供。

Claims (30)

1.一种可张开的骨装置，包括：
沿纵轴延伸的单一主体，该主体包括可变形的远端部分，该远端部分具有收缩定位，用于邻近骨结构放置，所述可变形的远端部分包括由相对窄的切口构成的、相对宽的互相连续支撑表面，所述支撑表面与单一主体的余下部分通过相对窄的可变形板条相接，所述可变形的远端部分具有张开定位，其中所述支撑表面被横向向外远离并大致平行于纵轴移动；以及
致动器，它与所述可变形的远端部分连接并且可操作，以使所述可变形的远端部分在收缩定位和张开定位之间移动。
2.如权利要求1所述的可张开的骨装置，其中所述支撑表面被设置成至少一对支撑表面，它们相对纵轴沿相反的方向横向向外张开。
3.如权利要求2所述的可张开的骨装置，其中至少一对支撑表面关于纵轴对称地沿相反方向横向向外张开。
4.如权利要求2所述的可张开的骨装置，其中至少一对支撑表面关于纵轴非对称地沿相反方向横向向外张开。
5.如权利要求1所述的可张开的骨装置，其中所述窄的切口中的一些大致平行于纵轴。
6.如权利要求1所述的可张开的骨装置，其中所述窄的切口中的一些相对于纵轴成非零的角度。
7.如权利要求1所述的可张开的骨装置，其中所述可变形板条沿纵轴大致等间隔地彼此间隔开。
8.如权利要求1所述的可张开的骨装置，其中至少一些所述可变形板条沿纵轴以不同的距离彼此间隔开。
9.如权利要求1所述的可张开的骨装置，其中所述单一主体包括大致平坦的多边形形状，其围绕大致与纵轴横切的折叠轴折叠。
10.如权利要求1所述的可张开的骨装置，其中还包括桥元件，将可张开装置的两个所述单一主体连接起来。
11.如权利要求1所述的可张开的骨装置，其中所述可变形的远端部分包括至少一个非光滑表面，以适于与骨结构结合。
12.如权利要求1所述的可张开的骨装置，其中所述单一主体包括不变形的末端，它位于所述可变形的远端部分的远端。
13.如权利要求1所述的可张开的骨装置，其中所述致动器包括带有至少一条刻痕线的细长带，细长带可绕着该刻痕线弯曲。
14.如权利要求13所述的可张开的骨装置，其中所述致动器具有弓形的张开形状和多边形的形状中的至少一种。
15.如权利要求1所述的可张开的骨装置，其中还包括支撑结构，以支撑所述可变形的远端部分，所述支撑结构包括带有至少一条刻痕线的细长带，细长带可绕着该刻痕线弯曲。
16.一种可张开的骨装置，包括：
沿纵轴延伸的单一主体，该主体包括可变形部分，该可变形部分具有收缩定位，用于邻近骨结构放置，并具有包括三维棱柱形状的张开定位。
17.如权利要求16所述的可张开的骨装置，其中所述可变形部分是可张开的气囊。
18.如权利要求16所述的可张开的骨装置，其中所述可变形部分借助于固有弹性的方式可张开。
19.如权利要求16所述的可张开的骨装置，其中所述可变形部分由形状记忆合金构成。
20.如权利要求16所述的可张开的骨装置，其中所述可变形部分可张开到三维棱柱形状。
21.如权利要求10所述的可张开的骨装置，其中所述可张开装置可通过经椎弓根方法引入，并借助所述桥元件可锁定到周围结构。
22.如权利要求10所述的可张开的骨装置，其中所述桥元件是刚性的并适于将可张开装置连接起来以实现融合的固定。
23.如权利要求10所述的可张开的骨装置，其中所述桥元件是柔性的并适于将可张开装置连接起来以实现没有融合的固定。
24.如权利要求10所述的可张开的骨装置，其中所述桥元件还可在与可张开装置的水平不同的脊柱水平上连接到其它装置上。
25.如权利要求1所述的可张开的骨装置，其中所述可张开的骨装置包括体内可张开装置，适于治疗椎体的压缩性骨折。
26.如权利要求1所述的可张开的骨装置，其中还包括可缩回套管，用于移出和缩回可张开骨装置，所述缩回套管适于被远端地朝着可变形的远端部分推动，用于收缩支撑表面。
27.如权利要求1所述的可张开的骨装置，其中还包括锁定机构，适于限制所述可张开骨装置向近端和远端的移动。
28.如权利要求26所述的可张开的骨装置，其中所述锁定机构包括旋在所述可张开骨装置的近端部分的螺纹固定器。
29.如权利要求1所述的可张开的骨装置，所述可张开骨装置包括可在脊柱椎间盘中定位的椎体内融合装置，以促进融合。
30.一种可张开的骨装置，包括：
沿纵轴延伸的单一主体，该主体包括可变形部分，该可变形部分具有收缩定位，用于邻近骨结构放置，并具有张开定位和锁定机构，该锁定机构适于限制所述可张开骨装置相对所述纵轴向近端和远端的移动。
CNB2005800183891A 2004-04-05 2005-04-05 可张开的骨装置 Expired - Fee Related CN100518681C (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/816,809 US7507241B2 (en) 2004-04-05 2004-04-05 Expandable bone device
US10/816,809 2005-12-13

Publications (2)

Publication Number Publication Date
CN1964673A true CN1964673A (zh) 2007-05-16
CN100518681C CN100518681C (zh) 2009-07-29

Family

ID=34967928

Family Applications (1)

Application Number Title Priority Date Filing Date
CNB2005800183891A Expired - Fee Related CN100518681C (zh) 2004-04-05 2005-04-05 可张开的骨装置

Country Status (7)

Country Link
US (2) US7507241B2 (zh)
EP (1) EP1744691B1 (zh)
JP (1) JP4621731B2 (zh)
CN (1) CN100518681C (zh)
AU (1) AU2005230734B2 (zh)
CA (1) CA2563246A1 (zh)
WO (1) WO2005096975A2 (zh)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105213010A (zh) * 2008-01-14 2016-01-06 康文图斯整形外科公司 用于骨折修补的装置和方法
CN105682582A (zh) * 2013-09-11 2016-06-15 维克辛姆公司 螺旋形骨固定装置
CN106420028A (zh) * 2016-11-24 2017-02-22 常州好利医疗科技有限公司 椎体复位成型器
CN107106303A (zh) * 2014-10-14 2017-08-29 维利欧蒙德股份公司 用于经皮穿刺椎体成形术的支架
CN107582220A (zh) * 2012-05-29 2018-01-16 神经保护科技有限公司 骨融合装置

Families Citing this family (289)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7959652B2 (en) 2005-04-18 2011-06-14 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US8128661B2 (en) 1997-01-02 2012-03-06 Kyphon Sarl Interspinous process distraction system and method with positionable wing and method
US20080215058A1 (en) 1997-01-02 2008-09-04 Zucherman James F Spine distraction implant and method
US7201751B2 (en) 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US7306628B2 (en) 2002-10-29 2007-12-11 St. Francis Medical Technologies Interspinous process apparatus and method with a selectably expandable spacer
US20080086212A1 (en) 1997-01-02 2008-04-10 St. Francis Medical Technologies, Inc. Spine distraction implant
US6068630A (en) 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
US20080071378A1 (en) * 1997-01-02 2008-03-20 Zucherman James F Spine distraction implant and method
RU2296526C2 (ru) * 1998-10-26 2007-04-10 Икспэндинг Ортопедикс Инк. Расширяемое ортопедическое устройство
US8317798B2 (en) * 2002-06-25 2012-11-27 Warsaw Orthopedic Minimally invasive expanding spacer and method
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
FR2844179B1 (fr) 2002-09-10 2004-12-03 Jean Taylor Ensemble de soutien vertebral posterieur
US20080021468A1 (en) 2002-10-29 2008-01-24 Zucherman James F Interspinous process implants and methods of use
US8147548B2 (en) 2005-03-21 2012-04-03 Kyphon Sarl Interspinous process implant having a thread-shaped wing and method of implantation
US7749252B2 (en) * 2005-03-21 2010-07-06 Kyphon Sarl Interspinous process implant having deployable wing and method of implantation
US7833246B2 (en) * 2002-10-29 2010-11-16 Kyphon SÀRL Interspinous process and sacrum implant and method
US20060064165A1 (en) * 2004-09-23 2006-03-23 St. Francis Medical Technologies, Inc. Interspinous process implant including a binder and method of implantation
US8070778B2 (en) 2003-05-22 2011-12-06 Kyphon Sarl Interspinous process implant with slide-in distraction piece and method of implantation
US7909853B2 (en) 2004-09-23 2011-03-22 Kyphon Sarl Interspinous process implant including a binder and method of implantation
US8048117B2 (en) 2003-05-22 2011-11-01 Kyphon Sarl Interspinous process implant and method of implantation
US7549999B2 (en) 2003-05-22 2009-06-23 Kyphon Sarl Interspinous process distraction implant and method of implantation
US7335203B2 (en) 2003-02-12 2008-02-26 Kyphon Inc. System and method for immobilizing adjacent spinous processes
AU2004212942A1 (en) 2003-02-14 2004-09-02 Depuy Spine, Inc. In-situ formed intervertebral fusion device
US20040267367A1 (en) 2003-06-30 2004-12-30 Depuy Acromed, Inc Intervertebral implant with conformable endplate
AU2005206175A1 (en) 2004-01-16 2005-08-04 Expanding Orthopedics, Inc. Bone fracture treatment devices
US8636802B2 (en) 2004-03-06 2014-01-28 DePuy Synthes Products, LLC Dynamized interspinal implant
US7585316B2 (en) 2004-05-21 2009-09-08 Warsaw Orthopedic, Inc. Interspinous spacer
FR2871366A1 (fr) 2004-06-09 2005-12-16 Ceravic Soc Par Actions Simpli Implant expansible prothetique osseux
WO2006034436A2 (en) 2004-09-21 2006-03-30 Stout Medical Group, L.P. Expandable support device and method of use
US8012209B2 (en) 2004-09-23 2011-09-06 Kyphon Sarl Interspinous process implant including a binder, binder aligner and method of implantation
US8097018B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8096995B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8034080B2 (en) 2005-02-17 2011-10-11 Kyphon Sarl Percutaneous spinal implants and methods
US8092459B2 (en) 2005-02-17 2012-01-10 Kyphon Sarl Percutaneous spinal implants and methods
US7988709B2 (en) 2005-02-17 2011-08-02 Kyphon Sarl Percutaneous spinal implants and methods
US7998208B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8029549B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US8100943B2 (en) 2005-02-17 2012-01-24 Kyphon Sarl Percutaneous spinal implants and methods
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8157841B2 (en) 2005-02-17 2012-04-17 Kyphon Sarl Percutaneous spinal implants and methods
US7993342B2 (en) 2005-02-17 2011-08-09 Kyphon Sarl Percutaneous spinal implants and methods
US8007521B2 (en) 2005-02-17 2011-08-30 Kyphon Sarl Percutaneous spinal implants and methods
US7927354B2 (en) 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US8057513B2 (en) 2005-02-17 2011-11-15 Kyphon Sarl Percutaneous spinal implants and methods
US20070276373A1 (en) * 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous Spinal Implants and Methods
US20070276493A1 (en) 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous spinal implants and methods
US8038698B2 (en) 2005-02-17 2011-10-18 Kphon Sarl Percutaneous spinal implants and methods
US7998174B2 (en) 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8029567B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US9034041B2 (en) 2005-03-31 2015-05-19 Life Spine, Inc. Expandable spinal interbody and intravertebral body devices
US20060241757A1 (en) * 2005-03-31 2006-10-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US9801733B2 (en) 2005-03-31 2017-10-31 Life Spine, Inc. Expandable spinal interbody and intravertebral body devices
US7731751B2 (en) * 2005-03-31 2010-06-08 Life Spine, Inc. Expandable spinal devices and method of insertion
US8940048B2 (en) 2005-03-31 2015-01-27 Life Spine, Inc. Expandable spinal interbody and intravertebral body devices
US8066742B2 (en) 2005-03-31 2011-11-29 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US7862590B2 (en) 2005-04-08 2011-01-04 Warsaw Orthopedic, Inc. Interspinous process spacer
US8034079B2 (en) 2005-04-12 2011-10-11 Warsaw Orthopedic, Inc. Implants and methods for posterior dynamic stabilization of a spinal motion segment
US7780709B2 (en) * 2005-04-12 2010-08-24 Warsaw Orthopedic, Inc. Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment
US7789898B2 (en) * 2005-04-15 2010-09-07 Warsaw Orthopedic, Inc. Transverse process/laminar spacer
US7727233B2 (en) * 2005-04-29 2010-06-01 Warsaw Orthopedic, Inc. Spinous process stabilization devices and methods
US9060820B2 (en) 2005-05-18 2015-06-23 Sonoma Orthopedic Products, Inc. Segmented intramedullary fracture fixation devices and methods
US8961516B2 (en) 2005-05-18 2015-02-24 Sonoma Orthopedic Products, Inc. Straight intramedullary fracture fixation devices and methods
JP2008540037A (ja) 2005-05-18 2008-11-20 ソノマ・オーソペディック・プロダクツ・インコーポレイテッド 低侵襲で作動可能な骨固定装置、システムおよび使用方法
US8187327B2 (en) * 2005-05-18 2012-05-29 Kyphon Sarl Selectively-expandable bone scaffold
FR2887434B1 (fr) 2005-06-28 2008-03-28 Jean Taylor Materiel de traitement chirurgical de deux vertebres
KR20080047357A (ko) * 2005-07-07 2008-05-28 크로스트리스 메디칼, 인코포레이티드 골절 치료용 장치 및 방법
EP1903949A2 (en) 2005-07-14 2008-04-02 Stout Medical Group, L.P. Expandable support device and method of use
US8591583B2 (en) 2005-08-16 2013-11-26 Benvenue Medical, Inc. Devices for treating the spine
US8366773B2 (en) 2005-08-16 2013-02-05 Benvenue Medical, Inc. Apparatus and method for treating bone
AU2006279558B2 (en) 2005-08-16 2012-05-17 Izi Medical Products, Llc Spinal tissue distraction devices
US9028550B2 (en) 2005-09-26 2015-05-12 Coalign Innovations, Inc. Selectively expanding spine cage with enhanced bone graft infusion
US20070088436A1 (en) * 2005-09-29 2007-04-19 Matthew Parsons Methods and devices for stenting or tamping a fractured vertebral body
US8357181B2 (en) 2005-10-27 2013-01-22 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US7862591B2 (en) 2005-11-10 2011-01-04 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
CN101312696B (zh) 2005-11-23 2010-12-22 十字桅杆药品公司 治疗椎体骨折或塌陷的装置
US20070173823A1 (en) 2006-01-18 2007-07-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US7691130B2 (en) * 2006-01-27 2010-04-06 Warsaw Orthopedic, Inc. Spinal implants including a sensor and methods of use
US7837711B2 (en) 2006-01-27 2010-11-23 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US7682376B2 (en) 2006-01-27 2010-03-23 Warsaw Orthopedic, Inc. Interspinous devices and methods of use
US8262698B2 (en) 2006-03-16 2012-09-11 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US7985246B2 (en) 2006-03-31 2011-07-26 Warsaw Orthopedic, Inc. Methods and instruments for delivering interspinous process spacers
US8118844B2 (en) 2006-04-24 2012-02-21 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US8252031B2 (en) 2006-04-28 2012-08-28 Warsaw Orthopedic, Inc. Molding device for an expandable interspinous process implant
US20070270823A1 (en) 2006-04-28 2007-11-22 Sdgi Holdings, Inc. Multi-chamber expandable interspinous process brace
US8105357B2 (en) 2006-04-28 2012-01-31 Warsaw Orthopedic, Inc. Interspinous process brace
US8348978B2 (en) 2006-04-28 2013-01-08 Warsaw Orthopedic, Inc. Interosteotic implant
US7846185B2 (en) 2006-04-28 2010-12-07 Warsaw Orthopedic, Inc. Expandable interspinous process implant and method of installing same
US8048118B2 (en) 2006-04-28 2011-11-01 Warsaw Orthopedic, Inc. Adjustable interspinous process brace
WO2007131002A2 (en) 2006-05-01 2007-11-15 Stout Medical Group, L.P. Expandable support device and method of use
US8062337B2 (en) 2006-05-04 2011-11-22 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US20070276496A1 (en) 2006-05-23 2007-11-29 Sdgi Holdings, Inc. Surgical spacer with shape control
US8147517B2 (en) 2006-05-23 2012-04-03 Warsaw Orthopedic, Inc. Systems and methods for adjusting properties of a spinal implant
US8048119B2 (en) 2006-07-20 2011-11-01 Warsaw Orthopedic, Inc. Apparatus for insertion between anatomical structures and a procedure utilizing same
US20080086115A1 (en) 2006-09-07 2008-04-10 Warsaw Orthopedic, Inc. Intercostal spacer device and method for use in correcting a spinal deformity
US8097019B2 (en) 2006-10-24 2012-01-17 Kyphon Sarl Systems and methods for in situ assembly of an interspinous process distraction implant
FR2908035B1 (fr) 2006-11-08 2009-05-01 Jean Taylor Implant interepineux
US20080114357A1 (en) * 2006-11-15 2008-05-15 Warsaw Orthopedic, Inc. Inter-transverse process spacer device and method for use in correcting a spinal deformity
US7879104B2 (en) 2006-11-15 2011-02-01 Warsaw Orthopedic, Inc. Spinal implant system
FR2908626B1 (fr) * 2006-11-16 2010-01-15 Newdeal Implant d'arthrodese inter-phalangienne,kit chirurgical et procede de fabrication correspondants
JP2010510040A (ja) 2006-11-22 2010-04-02 ソノマ・オーソペディック・プロダクツ・インコーポレイテッド 骨折固定装置、道具及び方法
US8105382B2 (en) 2006-12-07 2012-01-31 Interventional Spine, Inc. Intervertebral implant
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
WO2008103832A2 (en) * 2007-02-21 2008-08-28 Benvenue Medical, Inc. Devices for treating the spine
WO2008112308A1 (en) * 2007-03-12 2008-09-18 Stout Medical Group, L.P. Expandable attachment device and method
US11298241B2 (en) 2007-03-29 2022-04-12 Life Spine, Inc. Radially expandable spinal interbody device and implantation tool
US9610172B2 (en) 2007-03-29 2017-04-04 Life Spine, Inc. Radially expandable spinal interbody device and implantation tool
US10251759B2 (en) 2007-03-29 2019-04-09 Life Spine, Inc. Radially expandable spinal interbody device and implantation tool
US9138328B2 (en) 2007-03-29 2015-09-22 Life Spine, Inc. Radially expandable spinal interbody device and implantation tool
US8231656B2 (en) 2007-04-10 2012-07-31 Life Spine, Inc. Adjustable spine distraction implant
GB0707394D0 (en) * 2007-04-17 2007-05-23 Smith & Nephew Shape memory spine jack
WO2008137192A1 (en) * 2007-05-08 2008-11-13 Spinealign Medical, Inc. Systems, devices and methods for stabilizing bone
US20080281361A1 (en) * 2007-05-10 2008-11-13 Shannon Marlece Vittur Posterior stabilization and spinous process systems and methods
US8840646B2 (en) 2007-05-10 2014-09-23 Warsaw Orthopedic, Inc. Spinous process implants and methods
US20080294200A1 (en) * 2007-05-25 2008-11-27 Andrew Kohm Spinous process implants and methods of using the same
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
US8348976B2 (en) * 2007-08-27 2013-01-08 Kyphon Sarl Spinous-process implants and methods of using the same
EP2195087A1 (en) * 2007-09-14 2010-06-16 Crosstrees Medical, Inc. Material control device for inserting material into a targeted anatomical region
WO2009058736A1 (en) 2007-10-29 2009-05-07 Life Spine, Inc. Foldable orthopedic implant
EP2974672B1 (en) * 2007-11-02 2019-12-04 Stout Medical Group, L.P. Expandable attachment device
US9510885B2 (en) 2007-11-16 2016-12-06 Osseon Llc Steerable and curvable cavity creation system
US20090131867A1 (en) 2007-11-16 2009-05-21 Liu Y King Steerable vertebroplasty system with cavity creation element
US20090131886A1 (en) 2007-11-16 2009-05-21 Liu Y King Steerable vertebroplasty system
EP2074956B1 (en) * 2007-12-28 2012-06-27 Biedermann Technologies GmbH & Co. KG Implant for stabilizing vertebrae or bones
CA2710142A1 (en) 2008-01-17 2009-07-23 Beat Lechmann An expandable intervertebral implant and associated method of manufacturing the same
US20090198338A1 (en) 2008-02-04 2009-08-06 Phan Christopher U Medical implants and methods
US8932355B2 (en) 2008-02-22 2015-01-13 Coalign Innovations, Inc. Spinal implant with expandable fixation
US20100145455A1 (en) 2008-12-10 2010-06-10 Innvotec Surgical, Inc. Lockable spinal implant
US8992620B2 (en) 2008-12-10 2015-03-31 Coalign Innovations, Inc. Adjustable distraction cage with linked locking mechanisms
US8114136B2 (en) 2008-03-18 2012-02-14 Warsaw Orthopedic, Inc. Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment
WO2009124269A1 (en) 2008-04-05 2009-10-08 Synthes Usa, Llc Expandable intervertebral implant
WO2009125242A1 (en) * 2008-04-08 2009-10-15 Vexim Apparatus for restoration of the spine and methods of use thereof
US9301788B2 (en) 2008-04-10 2016-04-05 Life Spine, Inc. Adjustable spine distraction implant
JP2011523889A (ja) 2008-06-10 2011-08-25 ソノマ・オーソペディック・プロダクツ・インコーポレーテッド 骨折部を固定するデバイス、工具および方法
WO2009154791A2 (en) * 2008-06-18 2009-12-23 Alphatec Spine, Inc. Method and device for implant deployment
AU2009273934A1 (en) * 2008-07-23 2010-01-28 University Of Louisville Research Foundation, Inc. Device and method to prevent hip fractures
CA2738478A1 (en) 2008-09-26 2010-04-01 Sonoma Orthopedic Products, Inc. Bone fixation device, tools and methods
US8114131B2 (en) 2008-11-05 2012-02-14 Kyphon Sarl Extension limiting devices and methods of use for the spine
US20100211176A1 (en) 2008-11-12 2010-08-19 Stout Medical Group, L.P. Fixation device and method
WO2010056895A1 (en) 2008-11-12 2010-05-20 Stout Medical Group, L.P. Fixation device and method
JP5650128B2 (ja) * 2008-12-22 2015-01-07 ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング 拡張可能な椎体交換システム及び方法
CN102341066B (zh) * 2008-12-31 2014-07-02 奥马尔·F·希门尼斯 采用弯曲构件的用于椎体撑开及融合的装置
WO2010078520A2 (en) 2008-12-31 2010-07-08 Jimenez, Omar, F. Flexible joint arrangement incorporating flexure members
US8114135B2 (en) 2009-01-16 2012-02-14 Kyphon Sarl Adjustable surgical cables and methods for treating spinal stenosis
US20100217330A1 (en) * 2009-02-24 2010-08-26 Phan Christopher U Bone fixation devices and methods
BRPI0924440B8 (pt) 2009-03-12 2021-06-22 Vexim implante expansível vertebral
US8535327B2 (en) 2009-03-17 2013-09-17 Benvenue Medical, Inc. Delivery apparatus for use with implantable medical devices
US8628577B1 (en) 2009-03-19 2014-01-14 Ex Technology, Llc Stable device for intervertebral distraction and fusion
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US8012155B2 (en) * 2009-04-02 2011-09-06 Zimmer, Inc. Apparatus and method for prophylactic hip fixation
US20100298832A1 (en) 2009-05-20 2010-11-25 Osseon Therapeutics, Inc. Steerable curvable vertebroplasty drill
US8372117B2 (en) 2009-06-05 2013-02-12 Kyphon Sarl Multi-level interspinous implants and methods of use
US8157842B2 (en) 2009-06-12 2012-04-17 Kyphon Sarl Interspinous implant and methods of use
BRPI1014714B1 (pt) 2009-07-06 2020-05-19 Synthes Gmbh conjunto de fixação óssea expansível
WO2011011626A2 (en) 2009-07-22 2011-01-27 Spinex Tec, Llc Coaxial screw gear sleeve mechanism
US8998954B2 (en) * 2009-08-03 2015-04-07 Life Spine, Inc. Spinous process spacer
US8870965B2 (en) * 2009-08-19 2014-10-28 Illuminoss Medical, Inc. Devices and methods for bone alignment, stabilization and distraction
US20110077655A1 (en) * 2009-09-25 2011-03-31 Fisher Michael A Vertebral Body Spool Device
US8545499B2 (en) * 2009-09-28 2013-10-01 Zimmer, Inc. Expandable intramedullary rod
US8771317B2 (en) 2009-10-28 2014-07-08 Warsaw Orthopedic, Inc. Interspinous process implant and method of implantation
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US8636746B2 (en) 2009-12-31 2014-01-28 Spinex Tec, Llc Methods and apparatus for insertion of vertebral body distraction and fusion devices
US8317831B2 (en) 2010-01-13 2012-11-27 Kyphon Sarl Interspinous process spacer diagnostic balloon catheter and methods of use
US8114132B2 (en) 2010-01-13 2012-02-14 Kyphon Sarl Dynamic interspinous process device
WO2011088172A1 (en) 2010-01-15 2011-07-21 Brenzel Michael P Rotary-rigid orthopaedic rod
WO2011091052A1 (en) 2010-01-20 2011-07-28 Kyle Taylor Apparatus and methods for bone access and cavity preparation
US9220554B2 (en) 2010-02-18 2015-12-29 Globus Medical, Inc. Methods and apparatus for treating vertebral fractures
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US8906022B2 (en) 2010-03-08 2014-12-09 Conventus Orthopaedics, Inc. Apparatus and methods for securing a bone implant
CN102958456B (zh) 2010-04-29 2015-12-16 Dfine有限公司 用于治疗椎骨骨折的系统
US8535380B2 (en) 2010-05-13 2013-09-17 Stout Medical Group, L.P. Fixation device and method
US8608785B2 (en) 2010-06-02 2013-12-17 Wright Medical Technology, Inc. Hammer toe implant with expansion portion for retrograde approach
US9724140B2 (en) 2010-06-02 2017-08-08 Wright Medical Technology, Inc. Tapered, cylindrical cruciform hammer toe implant and method
US9498273B2 (en) 2010-06-02 2016-11-22 Wright Medical Technology, Inc. Orthopedic implant kit
US9592063B2 (en) 2010-06-24 2017-03-14 DePuy Synthes Products, Inc. Universal trial for lateral cages
US8979860B2 (en) 2010-06-24 2015-03-17 DePuy Synthes Products. LLC Enhanced cage insertion device
WO2012003175A1 (en) 2010-06-29 2012-01-05 Synthes Usa, Llc Distractible intervertebral implant
EP3017793A3 (en) * 2010-07-15 2016-08-17 Spine Wave, Inc. A plastically deformable inter-osseous device
JP5807928B2 (ja) 2010-07-15 2015-11-10 エヌエルティー スパイン エルティーディー． 拡張可能なインプラントを移植するための外科的システムおよび方法
US8814908B2 (en) 2010-07-26 2014-08-26 Warsaw Orthopedic, Inc. Injectable flexible interspinous process device system
EP2608747A4 (en) 2010-08-24 2015-02-11 Flexmedex Llc SUPPORT DEVICE AND METHOD FOR THEIR USE
US20120078372A1 (en) 2010-09-23 2012-03-29 Thomas Gamache Novel implant inserter having a laterally-extending dovetail engagement feature
US9402732B2 (en) 2010-10-11 2016-08-02 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US9149286B1 (en) 2010-11-12 2015-10-06 Flexmedex, LLC Guidance tool and method for use
US9138219B2 (en) 2010-12-29 2015-09-22 Tarsus Medical Inc. Methods and devices for treating a syndesmosis injury
US9358122B2 (en) 2011-01-07 2016-06-07 K2M, Inc. Interbody spacer
US8562650B2 (en) 2011-03-01 2013-10-22 Warsaw Orthopedic, Inc. Percutaneous spinous process fusion plate assembly and method
US8591548B2 (en) 2011-03-31 2013-11-26 Warsaw Orthopedic, Inc. Spinous process fusion plate assembly
AU2011364639A1 (en) 2011-04-07 2013-10-03 Vexim Sas Expandable orthopedic device
US8591549B2 (en) 2011-04-08 2013-11-26 Warsaw Orthopedic, Inc. Variable durometer lumbar-sacral implant
US8518114B2 (en) * 2011-04-21 2013-08-27 Warsaw Orthopedic, Inc. Expandable implant system and methods of use
US8814873B2 (en) 2011-06-24 2014-08-26 Benvenue Medical, Inc. Devices and methods for treating bone tissue
US8652136B2 (en) 2011-08-15 2014-02-18 Zimmer, Gmbh Femoral fracture fixation device
US8685096B2 (en) 2011-08-23 2014-04-01 Amendia, Inc. Lumbar fusion device
JP2014529445A (ja) 2011-08-23 2014-11-13 フレックスメデックス，エルエルシー 組織除去装置及び方法
US9248028B2 (en) 2011-09-16 2016-02-02 DePuy Synthes Products, Inc. Removable, bone-securing cover plate for intervertebral fusion cage
US9283006B2 (en) * 2011-09-22 2016-03-15 Mx Orthopedics, Corp. Osteosynthetic shape memory material intramedullary bone stent and method for treating a bone fracture using the same
CN103169551A (zh) * 2011-12-20 2013-06-26 财团法人金属工业研究发展中心 脊椎笼型支架
EP2606860B1 (en) * 2011-12-22 2016-07-20 Biedermann Technologies GmbH & Co. KG Expandable intervertebral implant
US9622876B1 (en) 2012-04-25 2017-04-18 Theken Spine, Llc Expandable support device and method of use
JP6101794B2 (ja) 2012-05-29 2017-03-22 エヌエルティー スパイン エルティーディー． 側方に偏向可能な移植物
US8940052B2 (en) 2012-07-26 2015-01-27 DePuy Synthes Products, LLC Expandable implant
US10258480B1 (en) 2012-10-20 2019-04-16 Carlos Andres Rodriguez Surgically implantable joint spacer
US9320611B2 (en) * 2012-10-20 2016-04-26 Carlos Andres Rodriguez Surgically implantable joint spacer
US9445918B1 (en) 2012-10-22 2016-09-20 Nuvasive, Inc. Expandable spinal fusion implants and related instruments and methods
US10271880B2 (en) 2012-12-05 2019-04-30 Beth Israel Deaconess Medical Center, Inc. Systems and methods for anisotropy restoring femoroplasty
US8945232B2 (en) 2012-12-31 2015-02-03 Wright Medical Technology, Inc. Ball and socket implants for correction of hammer toes and claw toes
US9717601B2 (en) 2013-02-28 2017-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US11304818B2 (en) 2013-03-13 2022-04-19 Life Spine, Inc. Expandable spinal interbody assembly
US10383741B2 (en) 2013-03-13 2019-08-20 Life Spine, Inc. Expandable spinal interbody assembly
US10154911B2 (en) 2013-03-13 2018-12-18 Life Spine, Inc. Expandable implant assembly
US10426632B2 (en) 2013-03-13 2019-10-01 Life Spine, Inc. Expandable spinal interbody assembly
US10085783B2 (en) 2013-03-14 2018-10-02 Izi Medical Products, Llc Devices and methods for treating bone tissue
US10149770B2 (en) 2013-07-09 2018-12-11 Seaspine, Inc. Orthopedic implant with adjustable angle between tissue contact surfaces
US9456856B2 (en) * 2013-09-26 2016-10-04 Warsaw Orthopedic, Inc. Intrabody osteotomy implant and methods of use
US9724139B2 (en) 2013-10-01 2017-08-08 Wright Medical Technology, Inc. Hammer toe implant and method
US9820865B2 (en) 2013-10-31 2017-11-21 Nlt Spine Ltd. Adjustable implant
US9474561B2 (en) 2013-11-19 2016-10-25 Wright Medical Technology, Inc. Two-wire technique for installing hammertoe implant
US10292833B2 (en) 2013-11-27 2019-05-21 Howmedica Osteonics Corp. Structurally supporting insert for spinal fusion cage
WO2015087285A1 (en) 2013-12-11 2015-06-18 Nlt Spine Ltd. Worm-gear actuated orthopedic implants & methods
US10022132B2 (en) 2013-12-12 2018-07-17 Conventus Orthopaedics, Inc. Tissue displacement tools and methods
FR3015221B1 (fr) 2013-12-23 2017-09-01 Vexim Systeme d'implant intravertebral expansible avec fixation pediculaire posterieure
US9545283B2 (en) * 2013-12-23 2017-01-17 Jmea Corporation Devices and methods for preparation of vertebral members
US9770278B2 (en) 2014-01-17 2017-09-26 Arthrex, Inc. Dual tip guide wire
US10213231B2 (en) 2014-01-28 2019-02-26 Life Spine, Inc. System and method for reducing and stabilizing a bone fracture
US9498266B2 (en) 2014-02-12 2016-11-22 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US9545274B2 (en) * 2014-02-12 2017-01-17 Wright Medical Technology, Inc. Intramedullary implant, system, and method for inserting an implant into a bone
US8940049B1 (en) 2014-04-01 2015-01-27 Ex Technology, Llc Expandable intervertebral cage
US9486328B2 (en) 2014-04-01 2016-11-08 Ex Technology, Llc Expandable intervertebral cage
WO2015198335A1 (en) 2014-06-25 2015-12-30 Nlt Spine Ltd. Expanding implant with hinged arms
US10314605B2 (en) 2014-07-08 2019-06-11 Benvenue Medical, Inc. Apparatus and methods for disrupting intervertebral disc tissue
EP3193788A4 (en) 2014-09-18 2018-09-05 Wright Medical Technology, Inc. Hammertoe implant and instrument
US9814499B2 (en) 2014-09-30 2017-11-14 Arthrex, Inc. Intramedullary fracture fixation devices and methods
CN105960211B (zh) 2014-12-19 2019-01-11 瑞特医疗技术公司 用于趾间关节固定术的髓内锚定件
US10022243B2 (en) 2015-02-06 2018-07-17 Benvenue Medical, Inc. Graft material injector system and method
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US9974581B2 (en) 2015-11-20 2018-05-22 Globus Medical, Inc. Expandable intramedullary systems and methods of using the same
US10111691B2 (en) 2015-11-20 2018-10-30 Globus Medical, Inc. Expandable intramedullary systems and methods of using the same
US9827025B2 (en) 2015-11-20 2017-11-28 Globus Medical, Inc. Expandable intramedullary systems and methods of using the same
WO2017147140A1 (en) * 2016-02-22 2017-08-31 Conventus Orthopaedics, Inc. Apparatus and methods for spine and sacroiliac joint repair
TWI589266B (zh) * 2016-03-14 2017-07-01 曾昌和 脊椎植入結構體及其套件
US11253369B2 (en) 2016-03-14 2022-02-22 Wiltrom Co., Ltd. Spinal implant structure and kit thereof
EP3228282B1 (en) 2016-04-07 2023-02-15 Howmedica Osteonics Corp. Expandable interbody implant
EP3245982B1 (en) 2016-05-20 2023-11-01 Howmedica Osteonics Corp. Expandable interbody implant with lordosis correction
CN109688980B (zh) 2016-06-28 2022-06-10 Eit 新兴移植技术股份有限公司 具有关节运动接头的可扩张和角度可调节的椎间笼
CN109688981A (zh) 2016-06-28 2019-04-26 Eit 新兴移植技术股份有限公司 可扩张的、角度可调整的椎间笼
EP3292841B8 (en) 2016-09-12 2023-05-31 Howmedica Osteonics Corp. Interbody implant with independent control of expansion at multiple locations
AU2017251734B2 (en) 2016-10-26 2022-10-20 Howmedica Osteonics Corp. Expandable interbody implant with lateral articulation
WO2018081279A1 (en) 2016-10-27 2018-05-03 Dfine, Inc. Articulating osteotome with cement delivery channel
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US11116570B2 (en) 2016-11-28 2021-09-14 Dfine, Inc. Tumor ablation devices and related methods
EP3551100B1 (en) 2016-12-09 2021-11-10 Dfine, Inc. Medical devices for treating hard tissues
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10779866B2 (en) 2016-12-29 2020-09-22 K2M, Inc. Rod reducer assembly
WO2018129180A1 (en) 2017-01-06 2018-07-12 Dfine, Inc. Osteotome with a distal portion for simultaneous advancement and articulation
US10631881B2 (en) 2017-03-09 2020-04-28 Flower Orthopedics Corporation Plating depth gauge and countersink instrument
US10758286B2 (en) 2017-03-22 2020-09-01 Benvenue Medical, Inc. Minimal impact access system to disc space
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
WO2019010252A2 (en) 2017-07-04 2019-01-10 Conventus Orthopaedics, Inc. APPARATUS AND METHODS FOR TREATING BONES
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11033403B2 (en) 2017-07-10 2021-06-15 Life Spine, Inc. Expandable implant assembly
US11896494B2 (en) 2017-07-10 2024-02-13 Life Spine, Inc. Expandable implant assembly
EP3456294A1 (en) 2017-09-15 2019-03-20 Stryker European Holdings I, LLC Intervertebral body fusion device expanded with hardening material
US10888363B2 (en) 2017-12-06 2021-01-12 Stout Medical Group, L.P. Attachment device and method for use
US10512495B2 (en) 2017-12-28 2019-12-24 Industrial Technology Research Institute Method for fabricating medical device and applications thereof
WO2019148083A1 (en) 2018-01-29 2019-08-01 Benvenue Medical, Inc. Minimally invasive interbody fusion
WO2019178575A1 (en) 2018-03-16 2019-09-19 Benvenue Medical, Inc. Articulated instrumentation and methods of using the same
US11129728B1 (en) 2018-10-03 2021-09-28 Guillermo Molina Surgically implantable joint spacer
TWM573218U (zh) * 2018-10-15 2019-01-21 謝瑞洋 用於植入個體骨體內或骨體間之支撐物及包含其之植入組件及植入系統
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
WO2020097339A1 (en) 2018-11-08 2020-05-14 Dfine, Inc. Tumor ablation device and related systems and methods
US11266513B2 (en) 2018-12-21 2022-03-08 Stryker European Operations Limited Device for measuring intervertebral space
US11497622B2 (en) 2019-03-05 2022-11-15 Ex Technology, Llc Transversely expandable minimally invasive intervertebral cage and insertion and extraction device
US11234835B2 (en) 2019-03-05 2022-02-01 Octagon Spine Llc Transversely expandable minimally invasive intervertebral cage
CN110141340B (zh) * 2019-04-01 2024-02-20 上海中医药大学附属龙华医院 一种脊柱骨折塌陷撑开装置
US11382764B2 (en) 2019-06-10 2022-07-12 Life Spine, Inc. Expandable implant assembly with compression features
CN110623722B (zh) * 2019-09-26 2022-07-26 河北医科大学第三医院 一种髓内钉主钉断钉取出装置
US11540926B2 (en) * 2019-11-01 2023-01-03 Stryker European Operations Limited Implant for restoring height of a vertebral body
TWI720677B (zh) 2019-11-05 2021-03-01 台灣微創醫療器材股份有限公司 脊椎植入結構體
US11684485B1 (en) 2020-02-04 2023-06-27 Guillermo Molina Surgically implantable joint spacer
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11857432B2 (en) 2020-04-13 2024-01-02 Life Spine, Inc. Expandable implant assembly
US11602439B2 (en) 2020-04-16 2023-03-14 Life Spine, Inc. Expandable implant assembly
US11602440B2 (en) 2020-06-25 2023-03-14 Life Spine, Inc. Expandable implant assembly
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage

Family Cites Families (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4969888A (en) * 1989-02-09 1990-11-13 Arie Scholten Surgical protocol for fixation of osteoporotic bone using inflatable device
US5454365A (en) * 1990-11-05 1995-10-03 Bonutti; Peter M. Mechanically expandable arthroscopic retractors
US5514153A (en) * 1990-03-02 1996-05-07 General Surgical Innovations, Inc. Method of dissecting tissue layers
US5163989A (en) * 1990-08-27 1992-11-17 Advanced Cardiovascular Systems, Inc. Method for forming a balloon mold and the use of such mold
FR2668695B1 (fr) * 1990-11-06 1995-09-29 Ethnor Instrument chirurgical endoscopique pour le deplacement de tissus ou organes.
US5456667A (en) * 1993-05-20 1995-10-10 Advanced Cardiovascular Systems, Inc. Temporary stenting catheter with one-piece expandable segment
US5480400A (en) * 1993-10-01 1996-01-02 Berger; J. Lee Method and device for internal fixation of bone fractures
RU2147213C1 (ru) * 1994-01-26 2000-04-10 А. Рейли Марк Усовершенствованное наполняемое устройство для использования в хирургическом протоколе применительно к фиксации кости
US5571189A (en) * 1994-05-20 1996-11-05 Kuslich; Stephen D. Expandable fabric implant for stabilizing the spinal motion segment
US6264655B1 (en) * 1995-06-07 2001-07-24 Madhavan Pisharodi Cervical disk and spinal stabilizer
EP0857042B1 (de) * 1995-10-20 2001-11-07 SYNTHES AG, Chur Zwischenwirbel-implantat mit komprimierbarem hohlkörperprofil
US5782832A (en) * 1996-10-01 1998-07-21 Surgical Dynamics, Inc. Spinal fusion implant and method of insertion thereof
US5695515A (en) * 1996-12-26 1997-12-09 Orejola; Wilmo C. Mitral valve dilator
IL128261A0 (en) * 1999-01-27 1999-11-30 Disc O Tech Medical Tech Ltd Expandable element
CA2283190A1 (en) * 1997-03-07 1998-09-11 Mordechay Beyar Systems for percutaneous bone and spinal stabilization, fixation and repair
US5972015A (en) * 1997-08-15 1999-10-26 Kyphon Inc. Expandable, asymetric structures for deployment in interior body regions
US6013055A (en) * 1997-11-13 2000-01-11 Boston Scientific Corporation Catheter balloon having selected folding characteristics
US6132465A (en) * 1998-06-04 2000-10-17 Raymedica, Inc. Tapered prosthetic spinal disc nucleus
US6030406A (en) 1998-10-05 2000-02-29 Origin Medsystems, Inc. Method and apparatus for tissue dissection
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6582451B1 (en) * 1999-03-16 2003-06-24 The University Of Sydney Device for use in surgery
US6602291B1 (en) * 1999-04-05 2003-08-05 Raymedica, Inc. Prosthetic spinal disc nucleus having a shape change characteristic
AU5701200A (en) 1999-07-02 2001-01-22 Petrus Besselink Reinforced expandable cage
DE69925169T2 (de) * 1999-11-11 2006-02-23 Synthes Ag Chur, Chur Radial aufweitbarer marknagel
AU8485701A (en) * 2000-08-11 2002-02-25 Sdgi Holdings Inc Surgical instrumentation and method for treatment of the spine
US6827743B2 (en) * 2001-02-28 2004-12-07 Sdgi Holdings, Inc. Woven orthopedic implants
US6632235B2 (en) * 2001-04-19 2003-10-14 Synthes (U.S.A.) Inflatable device and method for reducing fractures in bone and in treating the spine
EP1437989A2 (en) 2001-08-27 2004-07-21 James C. Thomas, Jr. Expandable implant for partial disc replacement and reinforcement of a disc partially removed in a discectomy and for reduction and maintenance of alignment of cancellous bone fractures and methods and apparatuses for same.
US20040049283A1 (en) * 2002-06-04 2004-03-11 Tushar Patel Medical implant and method of reducing back pain
US7087055B2 (en) * 2002-06-25 2006-08-08 Sdgi Holdings, Inc. Minimally invasive expanding spacer and method
US20050113836A1 (en) * 2003-11-25 2005-05-26 Lozier Antony J. Expandable reamer

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105213010A (zh) * 2008-01-14 2016-01-06 康文图斯整形外科公司 用于骨折修补的装置和方法
CN107582220A (zh) * 2012-05-29 2018-01-16 神经保护科技有限公司 骨融合装置
CN107582220B (zh) * 2012-05-29 2021-11-30 神经保护科技有限公司 骨融合装置
CN105682582A (zh) * 2013-09-11 2016-06-15 维克辛姆公司 螺旋形骨固定装置
CN105682582B (zh) * 2013-09-11 2018-12-25 维克辛姆公司 螺旋形骨固定装置
US10405890B2 (en) 2013-09-11 2019-09-10 Vexim S.A. Helical bone fixation device
CN107106303A (zh) * 2014-10-14 2017-08-29 维利欧蒙德股份公司 用于经皮穿刺椎体成形术的支架
CN106420028A (zh) * 2016-11-24 2017-02-22 常州好利医疗科技有限公司 椎体复位成型器

Also Published As

Publication number Publication date
WO2005096975A3 (en) 2006-01-26
AU2005230734B2 (en) 2010-03-04
US7507241B2 (en) 2009-03-24
US8894656B2 (en) 2014-11-25
CN100518681C (zh) 2009-07-29
AU2005230734A1 (en) 2005-10-20
WO2005096975A2 (en) 2005-10-20
JP4621731B2 (ja) 2011-01-26
US20090163918A1 (en) 2009-06-25
EP1744691B1 (en) 2016-08-17
JP2008502374A (ja) 2008-01-31
CA2563246A1 (en) 2005-10-20
US20050228391A1 (en) 2005-10-13
EP1744691A2 (en) 2007-01-24

Similar Documents

Publication Publication Date Title
CN100518681C (zh) 可张开的骨装置
US11065045B2 (en) Devices and methods for treating bone
US20070149978A1 (en) Minimally invasive distraction device and method
US8133232B2 (en) Expandable bone device
KR101657732B1 (ko) 척추 뼈 복원 장치 및 사용 방법
US8864773B2 (en) Devices and methods for treating vertebral fractures
US10624675B2 (en) Spinal stabilization system
US20070270822A1 (en) Bone fixation grommet
WO2003059180A2 (en) Minimally invasive modular support implant device and method
CA2487227A1 (en) Distractable body augmenter capable of being planted through a pedicle for vertebral body reconstruction

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20090729

Termination date: 20180405

CF01 Termination of patent right due to non-payment of annual fee