Hydraulic device for the injection of bone cement in percutaneous vertebroplasty
View Patent ↗The present invention relates to the medical field, in particular relates to the practice of percutaneous vertebroplasty where a pair of syringes in the distal extreme of a lengthened hydraulic device, are united by a camera of intermediate connection of larger diameter (pressure exerting body) or modified inverted syringe tube with a bolster, a hydraulic connecting tube of flexible material that transmits the pressure of the smaller diameter manual or impulsion syringe in the proximal extreme of the device toward the intermediate cylindrical larger diameter camera (pressure exerting body), this camera is in an inverted position with regard to the first syringe (fluid control), this intermediate camera has a moving piston longitudinal to the axis of the cylinder that is controlled with the first syringe (manual) and in cooperation with the atmospheric pressure. The injecting syringe loaded with bone cement is coupled with the bolster of the body of pressure, and to the needle that drives the cement toward the interior of the bone. The intermediate camera (pressure exerting body) together with the hydraulic tube and the manual syringe form a hydraulic press system (F/A=f/a) that allows to increase in a potential way the pressure exerted in the first syringe and to make the injection of polymethylmethacrylate (PMMA) at an approximate distance of 1.0 m to 1.5 m.
1. A device for delivering a viscous bone cement material under fluoroscopy to a site in a patient, comprising:
an injection part for placement next to a patient having a chamber loaded with viscous bone cement prior to the viscous bone cement having set, an exit port connected to a bone needle, and a plunger that pushes the viscous bone cement through the exit port for injection into a vertebral body;
a hollow pressure part having a closed hydraulic space for transmitting pressure to the plunger;
a hydraulic pressure generator containing enough volume of an incompressible fluid to impel the plunger of the injection part to deposit the required quantity of viscous bone cement in the vertebral body; and
a hydraulic tube for pressure transmission connecting the hydraulic pressure generator to the pressure part;
wherein the hydraulic tube connecting the hydraulic pressure generator to the pressure part facilitates the generation of hydraulic pressure from a location outside a field of fluoroscopic imaging of the patient so that a flow of viscous bone cement can be hydraulically driven through the exit port to the desired injection site within the patient whilst reducing exposure of an operator to ionizing radiation.
2. The device of claim 1 , wherein the hydraulic tube is flexible and noncompliant.
3. The device of claim 1 , wherein the hydraulic tube is 1.0 meters to 1.5 metres in length.
4. The device of claim 1 , wherein the pressure part is a pressure exerting body connected to the hydraulic tube for applying the pressure from the incompressible fluid to the injection part for driving the flow of viscous bone cement.
5. The device of claim 4 , wherein a mechanical advantage is provided by the cooperation of the injection part, hydraulic tube and pressure exerting body.
6. The device of claim 1 , wherein the injection part holds at least 3 cc of viscous bone cement.
7. The device of claim 1 , wherein the injection part is made from a noncompliant material.
8. The device according to claim 1 , wherein the incompressible fluid is a fluid other than viscous bone cement.
9. The device according to claim 1 , wherein the injection part is an injecting syringe.
10. The device according to claim 1 , wherein the hydraulic pressure generator is a further syringe.