Abstract: A method for preparing a bone including percutaneously forming a path to the cancellous bone using a multi-lumen cannula, providing a first passage to the cancellous bone in a central lumen and a second passage in a concentric outer lumen, introducing a rinsing fluid in one of the passages to rinse bone marrow and other soft tissue from the cancellous bone, and removing the rinsed bone marrow from the other passage. Also, a method for percutaneously treating a tissue affected by a lesion, including introducing a rinsing fluid in one of the passages to rinse the lesion and removing the rinsed lesion from the other of the passages. Also, a method of treating tissue with a lesion including introducing a thick flowable material through one lumen of the cannula and applying suction through the other lumen of the cannula.

Abstract: A method of harvesting bone marrow, including percutaneously introducing a multi-lumen cannula into a cancellous bone, applying suction through a first passage defined in a first lumen of the cannula, injecting a thick flowable material into the bone from a second passage in a second lumen of the cannula, extruding the thick flowable material through a distal end of the cannula into the cancellous bone in order to displace the bone marrow and other bone fluids, the suction applied through the first passage providing a hydraulic force guiding the displaced bone marrow and collecting the displaced bone marrow for a therapeutic or diagnostic purpose. A thick flowable material for use in harvesting bone marrow in the cancellous portion of a bone and a method for percutaneously preparing a bone with a multi-lumen cannula and an inflatable device are also discussed.

Abstract: A method for preparing a bone including percutaneously forming a path to the cancellous bone using a multi-lumen cannula, providing a first passage to the cancellous bone in a central lumen and a second passage in a concentric outer lumen, introducing a rinsing fluid in one of the passages to rinse bone marrow and other soft tissue from the cancellous bone, and removing the rinsed bone marrow from the other passage. Also, a method for percutaneously treating a tissue affected by a lesion, including introducing a rinsing fluid in one of the passages to rinse the lesion and removing the rinsed lesion from the other of the passages. Also, a method of treating tissue with a lesion including introducing a thick flowable material through one lumen of the cannula and applying suction through the other lumen of the cannula.

Abstract: A method of harvesting bone marrow, including percutaneously introducing a multi-lumen cannula into a cancellous bone, applying suction through a first passage defined in a first lumen of the cannula, injecting a thick flowable material into the bone from a second passage in a second lumen of the cannula, extruding the thick flowable material through a distal end of the cannula into the cancellous bone in order to displace the bone marrow and other bone fluids, the suction applied through the first passage providing a hydraulic force guiding the displaced bone marrow and collecting the displaced bone marrow for a therapeutic or diagnostic purpose. A thick flowable material for use in harvesting bone marrow in the cancellous portion of a bone and a method for percutaneously preparing a bone with a multi-lumen cannula and an inflatable device are also discussed.

Abstract: A bone cement delivery system for vertebroplasty with a cannula having a rigid metal tubular inner wall surrounding a central conduit with a distal outlet port, a rigid metal tubular outer wall extending around the inner wall to define a peripheral conduit with a distal inlet port in the form of fenestrations defined in the tubular outer wall, unobstructed and directly exposed to an environment of the delivery system, a proximal inlet port in communication with the central conduit and a proximal outlet port in communication with the peripheral conduit. A vacuum pump communicating with the proximal outlet port of the peripheral conduit applies a pressure in the range of 10 to 100 KPa to create a pressure gradient between the central conduit and the peripheral conduit to produce a difference in flow rate between the conduits guiding the displacement of bone fluid and the flow of cement.

Abstract: A bone cement delivery unit having a rigid support structure with a first portion configured to engage and retain a bone cement reservoir against its casing, a second portion supporting a transmission system and a third portion supporting and guiding a slidable push rod along the injection direction. The delivery system may include a control unit sliding the push rod opposite to the injection direction before stopping the push rod if the quantity of the bone cement pushed out of the reservoir has reached at least a predetermined minimum value, such as to eliminate residual flow. Also, the delivery system may include an adaptor including members electrically connected to the control unit, with the cement reservoir including a sensor for monitoring curing of the bone cement in electrical contact with the members of the adaptor.

Abstract: an orthopedic tube for delivering medical fluids, having a viscosity of at least 1 Pa.S and not to exceed 10000 Pa.S, into a bone cavity comprising an elongated hollow stem having a smooth stem outer wall. The elongated hollow stem has an external diameter sufficient to be inserted into a bone cavity formed in a bone. The elongated hollow stem has a proximal end and a distal end with the proximal end adapted to be in communication with a pressurized medical fluid injector; and the elongated hollow stem has an internal diameter sufficiently large to permit a path of least resistance to a flow of the cement from the injector. The distal end of the elongated stem is closed. There is at least a fenestration zone defined on the stem wall spaced from the distal end, and a plurality of distinct ports distributed in a pattern in the fenestration zone.

Abstract: An apparatus for determining an initiation point of cement curing, with a vessel for containing at least a portion of freshly mixed cement, means for passing an electric signal through the cement, means for detecting an abrupt change in a dielectric or electric property of the cement as a result of the electric signal and a display unit for displaying the initiation point of polymerization of the cement from the abrupt change in the dielectric or electric property detected, the change in the dielectric or electric property being a phase shift in the electric signal passed through the cement or a change in capacitive properties of the cement or a change in resistivity of the cement.

Abstract: An apparatus for determining an initiation point of cement curing, with a vessel for containing at least a portion of freshly mixed cement, means for passing an electric signal through the cement, means for detecting an abrupt change in a dielectric or electric property of the cement as a result of the electric signal and a display unit for displaying the initiation point of polymerization of the cement from the abrupt change in the dielectric or electric property detected, the change in the dielectric or electric property being a phase shift in the electric signal passed through the cement or a change in capacitive properties of the cement or a change in resistivity of the cement.

Abstract: A system for monitoring a cement that undergoes polymerization during curing such as most bone and dental cements by passing an electrical signal through the cement to determine the swelling phase, the initiation of polymerization of the cement and the effective working phase. The system further can control the swelling phase to reduce the time from the mixing of the cement to the initiation of the polymerization by using a ultrasonic signal or by heating the cement and can control the effective working phase after the polymerization has been initiated in order to prolong the working phase by cooling the cement.

Abstract: A bone cement delivery unit having a rigid support structure with a first portion configured to engage and retain a bone cement reservoir against its casing, a second portion supporting a transmission system and a third portion supporting and guiding a slidable push rod along the injection direction. The delivery system may include a control unit sliding the push rod opposite to the injection direction before stopping the push rod if the quantity of the bone cement pushed out of the reservoir has reached at least a predetermined minimum value, such as to eliminate residual flow. Also, the delivery system may include an adaptor including members electrically connected to the control unit, with the cement reservoir including a sensor for monitoring curing of the bone cement in electrical contact with the members of the adaptor.

Abstract: An orthopedic kit includes a hollow cannula having a distal end including spiral thread for engaging a bone, an elongated probe extending through the hollow cannula, and a metering device for moving the probe such that a distal end of the probe is moved away from a proximal end of the hollow cannula to into the bone to form a channel in the bone whereby the metering device measures a force applied by the distal end of the probe and thus the mechanical strengh of the bone. A cement injector also forms part of the kit which passes though the hollow canula beyond the distal end of the cannula into the channel to inject cement into the surrounding bone structure. A pedicle screw may also form part of the kit to be placed in the channel before the cement is cured.

Abstract: A cement delivery system for vertebroplasty including a rigid cannula having a tubular inner wall defining a central conduit to deliver bone cement and a tubular outer wall extending around the inner wall and spaced apart therefrom to define a peripheral conduit for aspirating bone fluids. Aspirating means communicate with a proximal outlet port of the peripheral conduit to create a pressure gradient between the central conduit and the peripheral conduit to provide a hydraulic force guiding the displacement of bone fluid and the flow of cement. Also, a bone cement delivery system including a rigid cannula having a tubular inner wall defining a central conduit, a tubular outer wall extending around the inner wall and spaced apart therefrom to define a peripheral conduit, and a tubular middle wall extending between the inner and peripheral walls and spaced apart therefrom to define a middle conduit around the central conduit.

Abstract: A cannula assembly for injecting implant material into a bone, including an inner cannula defining a central conduit including a first proximal port in communication with the central conduit, an outer cannula surrounding the inner cannula to define a peripheral conduit, and a connector interconnecting the cannulas and detachable from at least one of the cannulas, and at least one of the connector, the first cannula and the second cannula including a second proximal port in communication with the peripheral conduit defined along a direction different than a longitudinal axis of the first and second cannulas.

Abstract: A cannula assembly for injecting implant material into a bone, including an inner cannula defining a central conduit including a first proximal port in communication with the central conduit, an outer cannula surrounding the inner cannula to define a peripheral conduit, and a connector interconnecting the cannulas and detachable from at least one of the cannulas, and at least one of the connector, the first cannula and the second cannula including a second proximal port in communication with the peripheral conduit defined along a direction different than a longitudinal axis of the first and second cannulas.

Abstract: A system for monitoring a cement that undergoes polymerization during curing such as most bone and dental cements by passing an electrical signal through the cement to determine the swelling phase, the initiation of polymerization of the cement and the effective working phase. The system further can control the swelling phase to reduce the time from the mixing of the cement to the initiation of the polymerization by using a ultrasonic signal or by heating the cement and can control the effective working phase after the polymerization has been initiated in order to prolong the working phase by cooling the cement.

Abstract: A cement delivery system for vertebroplasty including a rigid cannula having a tubular inner wall defining a central conduit to deliver bone cement and a tubular outer wall extending around the inner wall and spaced apart therefrom to define a peripheral conduit for aspirating bone fluids. Aspirating means communicate with a proximal outlet port of the peripheral conduit to create a pressure gradient between the central conduit and the peripheral conduit to provide a hydraulic force guiding the displacement of bone fluid and the flow of cement. Also, a bone cement delivery system including a rigid cannula having a tubular inner wall defining a central conduit, a tubular outer wall extending around the inner wall and spaced apart therefrom to define a peripheral conduit, and a tubular middle wall extending between the inner and peripheral walls and spaced apart therefrom to define a middle conduit around the central conduit.

Abstract: An injection system for injection of a relatively high viscous material into hard tissue surrounded by soft tissue in an animal body. The injection system comprising an elongated tubular member having a proximal section defining a syringe chamber and a distal section defining a cannula. The cannula having an inside diameter and an outside diameter and a length sufficient for insertion into the hard tissue. The proximal section defining the syringe chamber having an inside diameter greater than the inside diameter of the cannula, the proximal section adapted to be inserted in the soft tissue. The cannula having a bore communicating with the syringe chamber. The injection system comprising a syringe fitted for insertion within the syringe chamber of the proximal section. The syringe having an open end for communicating with the bore of the cannula.

Abstract: Combining an implant and cement for prophylactic and/or preventative use for femoral neck augmention. A hole is drilled into the femoral neck. The hole is filled with an uncured filler cement after loose materials have been removed from the hole. Then, an open-ended tube, an implant, having openings through its walls is inserted into the hole and attached to the bone. Finally, additional filler cement is provided under pressure to the inside of the tubular implant. The filler cement flows into spaces in the bone structure via the tube wall openings. A sliding leak-tight fit between the implant and a cement injection tube permits delivery of cement at preselected locations along the implant length. Pressure is maintained until the filler cement has hardened. A strengthening factor up to 3 was measured when osteoporotic bone was strengthened.

Abstract: Combining an implant and cement for prophylactic and/or preventative use for femoral neck augmention. A hole is drilled into the femoral neck. The hole is filled with an uncured filler cement after loose materials have been removed from the hole. Then, an open-ended tube, an implant, having openings through its walls is inserted into the hole and attached to the bone. Finally, additional filler cement is provided under pressure to the inside of the tubular implant. The filler cement flows into spaces in the bone structure via the tube wall openings. A sliding leak-tight fit between the implant and a cement injection tube permits delivery of cement at preselected locations along the implant length. Pressure is maintained until the filler cement has hardened. A strengthening factor up to was measured when osteoporotic bone was strengthened.