Angulated rings and bonded foils for use with balloons for fusion and dynamic stabilization

Patent metadata

Field	Value
Publication number	US-10828170-B2
Application number	US-201816165692-A
Country	US
Kind code	B2
Filing date	Oct 19, 2018
Priority date	Mar 14, 2013
Publication date	Nov 10, 2020
Grant date	Nov 10, 2020

Abstract

An inflatable and implantable balloon for treatment of degenerative disc disease, bones, lesions, spinal deformities and spinal motion segment instabilities. The balloon is comprised of adjustable and expandable volumes. Further disclosed are methods of forming, inserting, expanding, and implanting the multi-volume balloon for proper placement and stabilization of the spinal lesion or disease. Still further disclosed are kits for aligning and stabilizing elements of the spine.

First claim

What is claimed:

1. A method of aligning and stabilizing a vertebral column, the method comprising:
inserting a balloon-catheter containing a multi-volume balloon, wherein the multi-volume balloon is located at the distal end of the balloon-catheter, into a cavity of a vertebral column, wherein the cavity is selected from the group consisting of an intervertebral disc space and a space in a vertebral body;
expanding a first volume of the multi-volume balloon by inserting a fluid, wherein the expansion of the first volume restores height to the vertebral column; and
expanding a second volume of the multi-volume balloon by inserting a solidifying material, wherein the solidifying material hardens after insertion to maintain the height restoration created by the expansion of the first volume,
wherein the fluid is inserted into the first volume and the solidifying material is inserted into the second volume through separate lumens.

2. The method according to claim 1 , wherein the fluid is selected from the group consisting of: water, saline solution, contrast medium solution, and gel.

3. The method according to claim 1 , wherein the solidifying material is selected from the group consisting of: polymer, crystalline solid, elastomer, and glass.

4. The method according to claim 1 , wherein the multi-volume balloon contains a perforation site that enables separation of the first volume from the second volume, and the perforation site contains a guide wire to facilitate detachment of at least one of the volumes of the multi-volume balloon along the perforation site.

5. The method according to claim 4 further comprising:
after inflating the second volume of the multi-volume balloon tearing along the perforation site to remove the first volume;
retracting and removing the first volume from the cavity of the vertebral column; and
retaining the second volume of the multi-volume balloon containing the hardened polymer to maintain the height restoration created by the expansion of the first volume.

6. The method according to claim 1 , wherein the first volume and second volume are expanded to different heights.

7. The method according to claim 6 , wherein the expansion of the first volume is also to provide a cushioning effect, and wherein the first volume is expanded to a height greater than the second volume.

8. The method according to claim 1 , wherein the first volume fails to receive the solidifying material and the second volume fails to receive the fluid.

9. The method according to claim 1 , further comprising controlling placement of the multi-volume balloon by manipulating a guidewire that passes between the first and second volumes.

10. The method according to claim 9 , further comprising tearing off the perforation to remove the guidewire from the multi-volume balloon.

11. The method according to claim 1 , wherein tearing off the perforation separates the first volume from the second volume.

12. The method according to claim 1 , wherein the fluid remains in the first volume during expansion of the second volume.

13. The method according to claim 1 , further comprising emptying the first volume by removing the fluid therefrom.

14. The method according to claim 13 , wherein the first volume is emptied while the solidifying material is being inserted into the second volume.

15. The method according to claim 13 , further comprising refilling the first volume with one or more of the fluid, the solidifying material, or a second fluid.

16. The method according to claim 13 , wherein the first volume substantially surrounds the second volume.

17. A method of aligning and stabilizing a vertebral column, the method comprising:
inserting a balloon-catheter containing a multi-volume balloon, wherein the multi-volume balloon is located at the distal end of the balloon-catheter, into a cavity of a vertebral column, wherein the cavity is selected from the group consisting of an intervertebral disc space and a space in a vertebral body;
expanding a first volume of the multi-volume balloon by inserting a fluid, wherein the expansion of the first volume restores height to the vertebral column; and
expanding a second volume of the multi-volume balloon by inserting a solidifying material, wherein the solidifying material hardens after insertion to maintain the height restoration created by the expansion of the first volume,
wherein the multi-volume balloon contains a perforation site that enables separation of the first volume from the second volume, and the perforation site contains a guide wire to facilitate detachment of at least one of the volumes of the multi-volume balloon along the perforation site.

18. A method of aligning and stabilizing a vertebral column, the method comprising:
inserting a balloon-catheter containing a multi-volume balloon, wherein the multi-volume balloon is located at the distal end of the balloon-catheter, into a cavity of a vertebral column, wherein the cavity is selected from the group consisting of an intervertebral disc space and a space in a vertebral body;
expanding a first volume of the multi-volume balloon by inserting a fluid, wherein the expansion of the first volume restores height to the vertebral column;
expanding a second volume of the multi-volume balloon by inserting a solidifying material, wherein the solidifying material hardens after insertion to maintain the height restoration created by the expansion of the first volume; and
detaching the first volume from the second volume along a perforation site that separates the first and second volumes.

Assignees

• Depuy Synthes Products Inc

Inventors

• Teisen Jacques
• Richter Joern
• Wesselmann Matthias
• Quint Bodo
• Mueller Stefan

Classifications

• A61B17/8855

  inflatable, e.g. kyphoplasty balloons · CPC title

• A61F2002/30065

  thermoplastic, i.e. softening or fusing when heated, and hardening and becoming rigid again when cooled · CPC title

• A61F2002/30545

  for adjusting a diameter · CPC title

• A61F2002/30581

  having a pocket filled with fluid, e.g. liquid · CPC title

• A61B17/7097

  Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants (disc prostheses made of inflatable chambers or pockets filled with fluid A61F2/441; replacing the nucleus pulposus A61F2002/444) · CPC title