Semi-biological intervertebral disc replacement system
The present invention is a system for a partially biological disc replacement that stimulates natural fibrous, cartilaginous or other tissue growth in the DDD cavity, resulting in a partial biological disc replacement. Multiplicities of fibronous pieces of fibro-cartilaginous tissue promoting material are inserted into the DDD cavity inducing tissue growth. The fibro-cartilaginous tissue
1 . A system for semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
an injection tube having a small diameter corresponding to a small entrance hole defined in the degenerated disc that is at least partially excavated to create a cavity;
a volume of tissue promoting material sufficient to fill at least a portion of the cavity; and
an insertion device operably coupled to the injection tube that dispenses the volume of tissue promoting material into the cavity in a piecemeal manner as a plurality of aliquots of the tissue promoting material.
2 . The nuclear replacement of claim 1 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
3 . The nuclear replacement of claim 1 wherein the tissue promoting material is a preparation of multilayered bands piled in a circular configuration.
4 . The nuclear replacement of claim 1 wherein the tissue promoting material is a preparation of tangled knots.
5 . The nuclear replacement of claim 1 wherein the tissue promoting material is a preparation of multiple fabric bands.
6 . The nuclear replacement of claim 1 wherein the tissue promoting material is combined with hydrogel.
7 . The nuclear replacement of claim 1 wherein the tissue promoting material is surrounded by a porous container.
8 . The nuclear replacement of claim 1 wherein the tissue promoting material is selected from a group consisting of: autograft, allograft, or xenograft of fascia, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells and any combination thereof.
9 . A system for semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
an injection tube having a small diameter corresponding to a small entrance hole defined in the degenerated disc that is at least partially excavated to create a cavity;
a volume of strands of tissue promoting material combined with hydrogel strands sufficient to fill at least a portion of the cavity; and
an insertion device operably coupled to the injection tube that dispenses the volume of strands of tissue promoting material combined with strands of hydrogel into the cavity in a piecemeal manner as a plurality of aliquots of the tissue promoting material and hydrogel strands.
10 . The nuclear replacement of claim 9 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
11 . The nuclear replacement of claim 9 wherein the tissue promoting material is a preparation of multilayered bands piled in a circular configuration.
12 . The nuclear replacement of claim 9 wherein the tissue promoting material is a preparation of tangled knots.
13 . The nuclear replacement of claim 9 wherein the tissue promoting material is a preparation of multiple fabric bands.
14 . The nuclear replacement of claim 9 wherein the tissue promoting material is surrounded by a porous container.
15 . The nuclear replacement of claim 9 wherein the tissue promoting material is selected from a group comprising: autograft, allograft, or xenograft of fascia, autograft, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells and any combination thereof.
16 . A system for semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
an injection tube having a small diameter corresponding to a small entrance hole defined in the degenerated disc that is at least partially excavated to create a cavity;
at least one strand of pliable tissue promoting material having an effective cross-sectional diameter less than the small diameter of the injection tube;
the at least one strand of pliable tissue promoting material having a volume sufficient to fill at least a portion of the cavity; and
an insertion device operably coupled to the injection tube that dispenses a length of the pliable tissue promoting material into the cavity such that the at least one strand is folded so as to fill at least a portion of the cavity.
17 . The nuclear replacement of claim 1 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
18 . The nuclear replacement of claim 16 wherein the tissue promoting material is a preparation of multilayered bands piled in a circular configuration.
19 . The nuclear replacement of claim 16 wherein the tissue promoting material is a preparation of tangled knots.
20 . The nuclear replacement of claim 16 wherein the tissue promoting material is a preparation of multiple fabric bands.
21 . The nuclear replacement of claim 16 wherein the tissue promoting material is combined with hydrogel.
22 . The nuclear replacement of claim 16 wherein the tissue promoting material is surrounded by a porous container.
23 . The nuclear replacement of claim 16 wherein the tissue promoting material is selected from a group comprising: autograft, allograft, or xenograft of fascia, autograft, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells and any combination thereof.
24 . A method of constructing a semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
boring a small entrance hole into the degenerated disc;
creating a cavity by reaming the degenerated disc and at least partially removing a degenerated disc nucleus via the small entrance hole; and
inserting a plurality of pieces of tissue promoting material into the cavity to create the semi-biologic nuclear replacement for the degenerated disc by stimulating the tissue forming response in the mammalian body to the tissue promoting material.
25 . The method of claim 24 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
26 . The method of claim 24 wherein endplate cartilage is partially removed.
27 . The method of claim 24 wherein endplate cartilage is retained.
28 . The method of claim 24 wherein portions of an outer annulus are removed.
29 . The method of claim 24 wherein portions of an outer annulus are retained.
30 . The method of claim 24 wherein the tissue promoting material is selected from a group comprising: autograft, allograft, or xenograft of fascia, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells and any combination thereof.
31 . The method of claim 24 wherein the disc cavity surface is coated with a tissue promoting material.
32 . The method of claim 24 wherein the tissue promoting material is combined with hydrogel.
33 . The method of claim 24 further comprising:
inserting a porous container into the disc cavity;
said porous container adapted for tissue promoting material insertion therein.
34 . A method of constructing a semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
boring a small entrance hole into the degenerated disc;
creating a cavity by reaming the degenerated disc and at least partially removing a degenerated disc nucleus via the small entrance hole; and
inserting at least one strand of pliable tissue promoting material into the cavity such that a length of the at least one strand is folded within the cavity to create the semi-biologic nuclear replacement for the degenerated disc by stimulating the tissue forming response in the mammalian body to the tissue promoting material.
35 . The method of claim 34 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
36 . The method of claim 34 wherein endplate cartilage is partially removed.
37 . The method of claim 34 wherein the endplate cartilage is retained.
38 . The method of claim 34 wherein portions of an outer annulus are removed.
39 . The method of claim 34 wherein an outer annulus is retained.
40 . The method of claim 34 wherein the tissue promoting material is selected from a group consisting of: autograft, allograft, or xenograft of fascia lata, autograft, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells, and any combination thereof.
41 . The method of claim 34 wherein the disc cavity surface is coated with a tissue promoting material.
42 . The method of claim 34 wherein the tissue promoting material is combined with hydrogel.
43 . The method of claim 34 further comprising:
inserting a porous container into the disc cavity;
said porous container adpapted for tissue promoting material insertion therein.
44 . A method of constructing a semi-biologic nuclear replacement for a degenerated disc of a spine of a mammalian body comprising:
boring a small entrance hole into the degenerated disc;
creating a cavity by reaming the degenerated disc and at least partially removing a degenerated disc nucleus via the small entrance hole; and
inserting a plurality of pieces of tissue promoting material combined with a plurality of pieces of hydrogel into the cavity to create the semi-biologic nuclear replacement for the degenerated disc by stimulating the tissue forming response in the mammalian body to the tissue promoting material and hydrogel.
45 . The nuclear replacement of claim 44 wherein the tissue promoting material is selected from a group consisting of fibrous tissue promoting material, cartilaginous promoting material and any combination thereof.
46 . The method of claim 44 wherein endplate cartilage is partially removed.
47 . The method of claim 44 wherein the endplate cartilage is retained.
48 . The method of claim 44 wherein portions of an outer annulus are removed.
49 . The method of claim 44 wherein an outer annulus is retained.
50 . The method of claim 44 wherein the tissue promoting material is selected from a group consisting of: autograft, allograft, or xenograft of fascia lata, autograft, manmade polymeric fiber, talc, tissue promoting pharmaceuticals, tissue promoting minerals, tissue morphogenic protein, notochord cells, and any combination thereof.
51 . The method of claim 44 wherein the disc cavity surface is coated with a tissue promoting material.
52 . The method of claim 44 further comprising:
inserting a porous container into the disc cavity;
said porous container adapted for tissue promoting material insertion therein.