摘要:
A method and apparatus are provided to manipulate and revitalize a spinal column disc while minimizing or preventing the removal of material comprising the disc. The method allows a device to be inserted in the disc either through a pre-existing rupture or through an opening formed in the front, back, or sides of the disc. Increasing the space between the vertebra bounding the disc or removing disc material often is not necessary to insert the device in the disc. The device generates internal traction or other forces acting on the disc to alter the shape of the disc. The shape of the disc is altered to relieve pressure on nerves adjacent the disc. The shape of the disc is also altered to draw nuclear hernias back into the interior of the disc and to produce a disc shape that improves functioning of the disc.
摘要:
Systems and methods treat fractured or diseased bone by deploying more than a single therapeutic tool into the bone. In one arrangement, the systems and methods deploy an expandable body in association with a bone cement nozzle into the bone, such that both occupy the bone interior at the same time. In another arrangement, the systems and methods deploy multiple expandable bodies, which occupy the bone interior volume simultaneously. Expansion of the bodies form cavity or cavities in cancellous bone in the interior bone volume.
摘要:
The invention concerns an intervertebral disc prosthesis (10) with a first prosthesis plate (20) and a second prosthesis plate (30), wherein the first prosthesis plate (20) has on its side (20b) facing the second prosthesis plate (30) a concave recess (22) in which engages a convex projection (32) arranged on the side (30b) of the second prosthesis plate (30) facing the first prosthesis plate (10), wherein the convex projection (32) and/or the concave recess has at least one elastic element (35).
摘要:
An expandable device is introduced into a cancellous bone volume of a vertebral body through a percutaneous access path. The expandable device is expanded while disposed within the cancellous bone volume to create a cavity. A volume of filling material is placed within the cavity. The filling material includes a therapeutic substance.
摘要:
A method and apparatus are provided to manipulate and revitalize a spinal column disc while minimizing or preventing the removal of material comprising the disc. The method allows a device to be inserted in the disc either through a pre-existing rupture or through an opening formed in the front, back, or sides of the disc. Increasing the space between the vertebra bounding the disc or removing disc material often is not necessary to insert the device in the disc. The device generates internal traction or other forces acting on the disc to alter the shape of the disc. The shape of the disc is altered to relieve pressure on nerves adjacent the disc. The shape of the disc is also altered to draw nuclear hernias back into the interior of the disc and to produce a disc shape that improves functioning of the disc.
摘要:
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.
摘要:
An intervertebral prosthetic disc that is configured to be installed within an intervertebral space that can be established between an inferior vertebra and a superior vertebra is disclosed. The intervertebral prosthetic disc includes an inferior articular half that can be configured to engage the inferior vertebra and a superior articular half that can be configured to engage the superior vertebra. The inferior articular half can be configured to cooperate with the superior articular half to allow relative angular motion between the inferior vertebra and the superior vertebra when installed. Further, the intervertebral prosthetic device can be sized and shaped to pass through a psoas muscle without injuring a spinal cord or a sympathetic chain.
摘要:
A reverse shoulder prosthesis. The reverse shoulder prosthesis includes a humeral socket having a concave surface, and a glenoid component having a major diameter and a convex surface for articulating with the concave surface of the socket. The convex surface has a height from the major diameter that is less than a corresponding spherical surface height.
摘要:
An intervertebral disc prosthesis comprises a first plate designed for attachment to an upper vertebra and a second plate designed for attachment to a lower vertebra. A prosthesis core is positioned between the first plate and the second plate. At least one spring is connected between the first plate and the second plate. The spring comprises a U-shaped torsion bar including a first leg and a second leg. The first leg of the U-shaped torsion spring is attached to the first plate and the second leg is attached to the second plate. The spring provides a selected amount of resistance to movement of the first plate relative to the second plate. In one embodiment, the selected resistance is provided by the attachment locations of the spring to the plates. In another embodiment, the selected resistance is provided by a predetermined spring rate of the springs of the prosthesis.