Instrumentation kit for delivering viscous bone filler material
A bone filler delivery system comprises a longitudinal channel incorporates a perforated segment at least partially along, at or near its distal end. The channel can be sealed at its distal end so the filler material may be delivered only by the lumen and through the perforated segment. Optionally, said system comprises a permeable bag capable of being inserted into a bone while in collapsed configuration and then expanded when filled with bone voids filler. The mesh structure is designed to allow such permeable bag to expand to a predetermined size or shape under certain pressures and allows exudation of bone void filler through its walls. Extracting the permeable bag out of a treated body promotes flow of bone void filler through its pores into cancellous bone and/or cavity in the bone. The procedure promotes height restoration of the bone and introduces filler in a controlled manner.
1. A device for filling a void in a patient's bone with bone void filler, comprising:
a. a sleeve for receiving bone void filler;
b. a cannula for extending into the bone and for guiding the sleeve to the void; and
c. an elongate body insertable through the sleeve and configured to stretch the sleeve along a longitudinal axis thereof;
wherein the sleeve is adapted for retaining most of the bone void filler therein until the sleeve is withdrawn from the cannula.
2. The device of claim 1 , wherein said sleeve is permeable to the bone void filler so that the bone void filler may flow into the void when pressure is applied thereto.
3. The device of claim 1 , further comprising an injection needle for extending into said sleeve for injecting the bone void filler therein.
4. The device of claim 1 , further comprising a pressurizing device for delivering the bone void filler into said sleeve.
5. The device of claim 4 , wherein said pressurizing device delivers pressure exceeding about 20 Atm.
6. The device of claim 4 , wherein said pressurizing device delivers pressure exceeding about 100 Atm.
7. The device of claim 4 , wherein said pressurizing device delivers pressure exceeding about 200 Atm.
8. The device of claim 1 , wherein said sleeve comprises a mesh.
9. The device of claim 1 , wherein said sleeve comprises a biocompatible material.
10. The device of claim 1 , wherein the bone void filler sets into a hardened condition.
11. The device of claim 1 , wherein the bone void filler is a non-setting material.
12. The device of claim 1 , wherein said elongate body is a stylet.
13. The device of claim 8 , wherein said mesh comprises metallic fibers.
14. The device of claim 8 , wherein said mesh comprises synthetic fibers.
15. The device of claim 8 , wherein said mesh comprises aramid fibers.
16. The device of claim 1 , wherein the cannula includes a handle and a cannula body, and the elongate body is longer than the cannula body.
17. A method of introducing bone void filler into a void in a patient's bone, comprising:
a. inserting a cannula into the bone;
b. inserting a sleeve through the cannula into the bone;
c. inserting an elongate body into the sleeve and stretching the sleeve in a substantially longitudinal direction;
d. expanding the sleeve with bone void filler; and
e. extruding the bone void filler into the bone void by extracting the sleeve through the cannula.
18. The method of claim 17 , wherein the cannula has a passage therein having an inner diameter of about 2 mm or less.
19. The method of claim 17 , wherein the cannula has a passage therein having an inner diameter of about 4 mm or less.
20. The method of claim 17 , further comprising advancing the sleeve within the cannula using an advancing mechanism prior to expanding the sleeve with the bone void filler.
21. The method of claim 17 , wherein the bone comprises a vertebra and expanding the sleeve with bone void filler moves opposing endplates of the vertebra apart.
22. A device for filling a void in a patient's bone with bone void filler, comprising:
a. an injection element;
b. an expandable sleeve having proximal and distal ends; and
c. a cannula for extending into the bone and for guiding the sleeve to the void, the cannula having proximal and distal ends;
wherein when the cannula and the sleeve are inserted into a patient, the proximal end of the sleeve is coupled to a proximal end of the cannula and the injection element is configured to inject bone void filler into the sleeve to expand the sleeve.
23. The device of claim 22 , wherein the sleeve comprises a mesh.
24. The device of claim 22 , further comprising a first advancing element coupled to a proximal end of the cannula and a second advancing element coupled to the proximal end of the sleeve for translating the sleeve relative to the cannula.
25. The device of claim 24 , wherein the first advancing element comprises a nut and the second advancing element comprises a bolt.
26. The device of claim 22 , wherein when the distal end of the sleeve extends into the void, the proximal end of the cannula and the proximal end of the sleeve are positioned outside of the patient's body.