Kyphon Inc.

Kyphon Sarl

California Biotechnology Inc.

Other

Karen D Talmadge

Mark A Reiley

Arie Scholten

Ryan Boucher

Robert M Scribner

Richard W Layne

Reynaldo A Osorio

Marialulu Follmer

Joseph J Basista

Michael Lawrence Reo

Cesar Abalos Ico

Paul Reiss

Andrew Asher Protter

Peter J Kushner

John P Kane

Jean-Louis Vigne

Nenita Salom

Joanne B Mallory

Claire L Cofer

Jeffrey S Friedman

Sheila S Stevens

Lulu Follmer

A percutaneous path is established into a selected bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable mesh structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable mesh structure is expanded within cancellous bone by conveying a material into the mesh structure. Expansion of the mesh structure can, e.g., compact cancellous bone, and/or form a cavity in cancellous bone, and/or move fractured cortical bone.

Methods and devices for treating fractured and/or diseased bone using a mesh structure

Introduction of a bone filler material into at least a portion of the cancellous bone volume pressurizes the bone filler material and compresses the cancellous bone volume within the bone structure.

Methods for treating a fractured and/or diseased and/or weakened bone

A percutaneous path is established into a selected bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable stent structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable stent structure is expanded within cancellous bone.

Methods and devices for treating fractured and/or diseased bone using an expandable stent structure

A percutaneous path is established into a selected bone, e.g., a vertebral body, having an interior volume occupied, at least in part, by cancellous bone. A first bone filling material is conveyed through the percutaneous path into a region of the cancellous bone. A second bone filling material is conveyed through the percutaneous path into the region. The second bone filling material is different than the first bone filling material.

Methods for treating fractured and/or diseased bone by introduction of different bone filling materials

A percutaneous path is created into a bone having an interior volume occupied, at least in part, by a cancellous bone, e.g., a vertebral body. An expandable structure is introduced into the cancellous bone by deployment of a tool through the percutaneous path into the cancellous bone. The expandable structure is expanded and the tool withdrawn, leaving the expandable structure expanded inside the cancellous bone. Expansion of the expandable structure within cancellous bone can, e.g., compact cancellous bone, and/or create a cavity in cancellous bone, and/or move fractured cortical bone.

Methods and devices for treating fractured and/or diseased bone using an expandable structure that remains within the bone

An expandable body is inserted into an area of cancellous within a vertebral body through a percutaneous access path. A bone filler is conveyed into the expandable body to expand the expandable body and displace cancellous bone and create a cavity occupied at least in part by the expandable body and the bone filler. The expandable body and the bone filler are left within the cavity to strengthen the vertebral body.

Methods and devices for treating bone after high velocity and/or trauma fracture

An expandable structure carried at the end of a catheter tube assembly can be contracted and/or wrapped to present a reduced profile during deployment and/or removal from a targeted tissue site.

Expandable structures for deployment in interior body regions

A method provides a void creation device including an expandable structure adapted to undergo expansion in the cancellous bone volume of a bone selected for treatment. The expandable structure has at least one dimension so that the expandable structure will assume a predetermined shape and size when substantially expanded that compacts only a first volume of the cancellous bone volume to form a void, leaving a second volume of the cancellous bone volume substantially uncompacted by the expandable structure. A filling material is placed within the void through the percutaneous access path.

Method for treating a bone

A balloon for use in compressing cancellous bone and marrow (also known as medullary bone or trabecular bone). The balloon comprises an inflatable balloon body for insertion into said bone. The body has a shape and size to compress at least a portion of the cancellous bone to form a cavity in the cancellous bone and/or to restore the original position of the outer cortical bone, if fractured or collapsed. The balloon desirably incorporates restraints which inhibit the balloon from applying excessive pressure to various regions of the cortical bone. The wall or walls of the balloon are such that proper inflation of the balloon body is achieved to provide for optimum compression of the bone marrow. The balloon can be inserted quickly into a bone. The balloon can be made to have a suction catheter. The balloon can be used to form and/or enlarge a cavity or passage in a bone, especially in, but not limited to, vertebral bodies. Various additional embodiments facilitate directionally biasing the inflation of the balloon.

Inflatable device for use in surgical protocol relating to fixation of bone

Devices and methods compress cancellous bone. In one arrangement, the devices and methods make use of an expandable body that includes an internal restraint coupled to the body. The internal restraint directs expansion of the body. In one arrangement, a method for treating bone inserts the device having the internal restraint inside bone and causes directed expansion of the body in cancellous bone. Cancellous bone is compacted by the directed expansion.

Devices and methods using an expandable body with internal restraint for compressing cancellous bone

Systems and methods insert an expandable body in a collapsed configuration into a space defined between cortical bone surfaces. The space can, e.g., comprise a fracture or an intervertebral space. The systems and methods cause expansion of the expandable body within the space, thereby pushing apart the cortical bone surfaces to, e.g., reduce the fracture or push apart adjacent vertebral bodies as part of a therapeutic procedure.

Systems and methods using expandable bodies to push apart cortical bone surfaces

A structure adapted to assume an expanded geometry having a desired configuration when used in bone includes material that limits the expanded geometry. The structure undergoes stress when expanded during its first use in bone. As a result, the structure can not be relied upon to reach its desired configuration during subsequent use in bone. Accordingly, the structure is packaged in a sterile kit, which verifies to the physician or user that the device packaged within it is sterile and has not be subjected to prior use. The physician or user is thereby assured that the expandable structure meets established performance and sterility specifications, and will have the desired configuration when expanded for use.

Method for treating a vertebral body

Systems for treating a bone, e.g. a vertebral body, having an interior volume occupied, at least in part, by cancellous bone provide a first tool, a second tool, and a third tool. The first tool establishes a percutaneous access path to bone. The second tool is sized and configured to be introduced through the percutaneous access path to form a void that occupies less than the interior volume. The third tool places within the void through the percutaneous access path a volume of filling material. Related methods for treating a bone, e.g. a vertebral body, having an interior volume occupied, at least in part, by cancellous bone provide establishing a percutaneous access path to bone. A tool is introduced through the percutaneous access path and manipulated to form a void that occupies less than the interior volume. A volume of filling material is then placed within the void through the percutaneous access path.

An expandable structure made from an elastomer material is preformed to a desired geometry by exposure to heat and pressure. The structure undergoes controlled expansion and further distention in cancellous bone, with controlled deformation and without stress failure.

Growing community of inventors

Palo Alto, CA, United States of America

Karen D Talmadge