Kyphoplasty system and method
A kyphoplasty system disclosed herein includes various instruments which can be selectively used to perform a kyphoplasty operation on a patient. For example, in some embodiments the kyphoplasty system includes an inflation plunger that is used to deliver a balloon inflation medium to enlarge an implantable balloon device. Further, some embodiments described herein include a connection system between the implantable balloon device and its delivery shaft that is simple to construct and easy to use. For example, in some embodiments one or more sutures are used to releasably connect the implantable balloon device to its delivery shaft.
1. A kyphoplasty implant system comprising:
a balloon implant member comprising a balloon configured to expand while in a vertebral body and coaxially mounted on a balloon shaft so that the balloon shaft extends distally of a distal-most end of the balloon and proximally of a proximal-most end the balloon, wherein the balloon shaft includes one or more inflation ports along a circumferential wall of the balloon shaft to deliver bone cement into an interior of the balloon; and
a balloon implant detachment shaft having a distal end that is releasably and threadably attached to a proximal end the balloon shaft, wherein the balloon shaft and the balloon implant detachment shaft jointly define a central lumen extending to an open distal end defined by the balloon shaft; and
an inflation plunger configured to convey the bone cement into the interior of the balloon and being removably insertable into the central lumen jointly defined by the balloon shaft and the balloon implant detachment shaft so that one or more inflation plunger apertures of the inflation plunger align with said one or more inflation ports along the circumferential wall of the balloon shaft, wherein an exterior of the inflation plunger engages against said balloon shaft when the inflation plunger conveys the bone cement into the interior of the balloon.
2. The system of claim 1 , wherein the balloon implant detachment shaft is configured to deliver the balloon implant member into the vertebral body while the distal end of the balloon implant detachment shaft is releasably and threadably mated with a proximal end of the balloon shaft.
3. The system of claim 2 , wherein the distal end of the balloon implant detachment shaft is detachable from the proximal end the balloon shaft while the bone cement is arranged in the interior of the balloon of the balloon implant member in the vertebral body.
4. The system of claim 1 , wherein each of said one or more inflation ports along the circumferential wall of the balloon shaft includes a one-way valve to seal the bone cement in the interior of the balloon.
5. The system of claim 4 , wherein the inflation plunger comprises an interior lumen sized to convey the bone cement to the one or more inflation plunger apertures of the inflation plunger.
6. The system of claim 5 , wherein the one or more inflation plunger apertures of the inflation plunger are positioned along an exterior circumferential surface of the inflation plunger that is oriented toward an interior circumferential surface of the circumferential wall of the balloon shaft.
7. The system of claim 5 , wherein the inflation plunger is configured to convey the bone cement into the interior of the balloon at a pressure of about 150 psi to about 250 psi.
8. The system of claim 1 , wherein the balloon shaft is coaxially aligned and positioned through the interior of the balloon so that the open distal end of the balloon shaft is positioned distally of the distal-most end of the balloon and a proximal end of the balloon shaft is positioned proximally of the proximal-most end the balloon.
9. The system of claim 8 , further comprising a bone introducer needle sized to slidably receive the balloon implant member therethrough while the balloon of the balloon implant member is in a collapsed condition.
10. The system of claim 9 , wherein an inner portion of the bone introducer needle is removable from an outer portion of the bone introducer needle while a distal end the bone introducer needle is positioned at the vertebral body.
11. The system of claim 10 , further comprising at least a drill and a curette that are insertable through the outer portion of the bone introducer needle utilized to create a cavity in the vertebral body.
12. The system of claim 10 , wherein the balloon implant member is insertable through the outer portion of the bone introducer needle while the balloon implant detachment shaft is releasably and threadably mated with the proximal end of the balloon shaft.
13. The system of claim 8 , wherein the open distal end defined by the balloon shaft is sized output a second delivery of bone cement into the vertebral body distally of an exterior of the balloon.
14. The system of claim 1 , further comprising an elongate needle to deliver bone cement through the open distal end of the balloon shaft and into the vertebral body exterior to the balloon, wherein the elongate needle is insertable through the central lumen jointly defined by the balloon shaft and the balloon implant detachment shaft.
15. The system of claim 14 , wherein the elongate needle is a 13 gauge needle insertable through the central lumen jointly defined by the balloon shaft and the balloon implant detachment shaft.
16. The system of claim 1 , further comprising the bone cement.
17. The system of claim 16 , wherein the bone cement is a contrast bone cement that is deliverable into the interior of the balloon.
18. The system of claim 16 , wherein the bone cement comprises at least one of polymethyl methacrylate, calcium phosphate, magnesium phosphate, amorphous magnesium phosphate.
19. The system of claim 1 , wherein the inflation plunger comprises at least one seal surface to engage with an interior circumferential surface of the circumferential wall of the balloon shaft.