Device For Injecting Bone Cement
In a device for injecting bone cement, the discharge direction of the bone cement after insertion of the cannula should be controllable in a certain region. This is made possible through a radial exit aperture (5) which is provided on the front end of the cannula (3). Since the cannula is inserted with the aid of a guide wire (1), it has an orifice (4) on its front end, which orifice must be closed off by means of a ball (15) prior to the injection. A plunger serves to insert the ball (15). So that the situation of the radial aperture (5) is known at all times, even with inserted cannula, the handle (17) of the cannula has an asymmetrical shape.
Latest DePuy Synthes Products, LLC Patents:
This is a continuation application of U.S. patent application Ser. No. 11/293,289 filed Dec. 1, 2005, which is a divisional of U.S. patent application Ser. No. 10/311,978 filed Dec. 23, 2002, now U.S. Pat. No. 6,997,930 issued Feb. 14, 2006, which is a national phase under 35 U.S.C. §371 of PCT Application No. PCT/CH2000/000355 filed Jun. 30, 2000, the entire contents of each application is incorporated herein by reference.
BACKGROUNDThe invention relates to a device for injecting bone cement, containing a guide wire and a cannula fitting snugly on the guide wire at least with the inner diameter of its front axial orifice.
Augmenting osteoporotic bones with injected bone cement for fracture prophylaxis is already known. With the injection cannulae used so far with axial exit aperture, the filling cannot be placed with the desired precision in many cases.
SUMMARYIt is therefore an object of the invention to propose a device for injecting bone cement in which the discharge direction of the bone cement after insertion of the cannula is able to be guided into a particular area.
According to a first variant of the invention, this object is achieved in that there are closing off means with which the front, axial orifice of the cannula is closable after removal of the guide wire and in that the cannula has a radial aperture, for exit of the bone cement, near the front, axial orifice.
According to a special embodiment of this variant, the closing off means is an inner cannula, closed on its front end, which inner cannula is insertable in the cannula in such a way that its front end closes the orifice of the cannula tightly and has a radial aperture near its front, closed end.
According to another, especially preferred embodiment of the first variant, the diameter of the front, axial orifice of the cannula is smaller than the inner diameter of the cannula and the closing off means is a stopper, the largest diameter of which is larger than the diameter of the front, axial orifice of the cannula. When the orifice is closed off by the stopper, the entire inner cross-section of the cannula is available for the passage of the bone cement so that in this embodiment the flow resistance for the bone cement is considerably less than with the previously mentioned embodiment.
According to a second variant of the invention, this object is achieved in that an inner cannula is provided, closed at its front end, which has near the front, closed end a radial aperture for exit of the bone cement and which fits snugly in the front axial orifice of the cannula at least in a region close to the edge, remote from its front end, of the radial aperture, whereby, after removal of the guide wire, the inner cannula is insertable so far into the cannula that its radial aperture extends beyond the cannula.
Special embodiments of the invention will be explained in the following, by way of example, with reference to the attached drawings.
According to the embodiment example according to FIGS. la to ld, a cannula 3 is pushed over the guide wire. This cannula 3 has at its front end an orifice 4 with a sharply ground circumferential edge whose inner diameter fits snugly over the guide wire. By means of this design, bone tissue is prevented from getting into the interior of the cannula 3 during forwards pushing of the cannula 3. Disposed on the rear (in the drawing left) end of the cannula is a handle 6. The orifice 4 of the cannula can be slightly reduced and the remaining inner diameter of the cannula can be 3.1 mm, for example. The outer diameter of the cannula 3 can be 4 mm, for instance, and its length up to the handle 130 mm. Disposed in the cannula near the orifice 4 is a radial aperture 5, the width of which is somewhat smaller than the inner diameter of the cannula. The length of this radial aperture 5 is at least the same as that of the aperture of the inner cannula 9 described further below. The handle is of asymmetrical shape, for instance with a pointer-like form the tip of which is aligned with the radial aperture 5, so that the surgeon knows the angular position of the radial opening 5 at all times. The handle 6 has moreover a recess 7 and a coupling 8, the function of which will be explained further below.
An inner cannula 9 is inserted in the cannula 3 in
A bone cement injection with this first embodiment of the device according to the invention runs as follows. First, the guide wire 1 is driven in, as mentioned above. Then the cannula 3 is pushed over the guide wire 1 and pressed in until its radial aperture 5 sits at the place where the injection is supposed to take place. Now the guide wire 1 is pulled out and the inner cannula 9 is inserted in the cannula 3. After the two handles 6 and 12 are locked together by means of the snap in locking device and a needle with bone cement is connected with the coupling 14, the injection can begin. Thanks to the inventive design of the device, the physician is able to control the discharge direction of the bone cement into an area-even during the injection by turning the two handles 6 and 12, locked together, and thus also the two radial apertures 5 and 11, aligned with one another.
This second embodiment type of the device according to the invention has the big advantage over the other embodiment types that no inner cannula is necessary and thus the entire inner cross-section of the cannula 3 is available for the flow of the bone cement. This results in a considerably lower pressure loss during injecting.
In the third embodiment example illustrated in
With this third embodiment of the invention a bone cement injection runs at the beginning the same way as with both other embodiments in that first the guide wire 1 is driven in and then the cannula 20 is pushed over the guide wire 1. After removal of the guide wire 1, the bone tissue is pushed back and compressed with the obturator 22 in the region of the orifice 24 so far that then the inner cannula 25 can be inserted without too much resistance. After insertion of the inner cannula 20<sic. 25>, its radial aperture is aligned as desired through turning of the handle 26, and the bone cement is injected with a needle connected by means of the coupling 14.
All three embodiments described of the device according to the invention thus allow an exact placement of the bone cement filling in that the discharge direction of the bone cement can be determined by turning the respective cannula and can even be changed during the injection.
So that both the cannula 3 according to the first embodiment example and the cannula 20 according to the third embodiment example can also be used for axial injection of bone cement, their handles 6 and 21 have a coupling 8 for direct attachment of a needle. The range of cannulae is thereby kept small.
Claims
1. Device for injecting bone cement, containing a guide wire (1) and a cannula (3) fitting snugly on the guide wire (1) at least with the inner diameter of its front axial orifice (4), characterized in that there are closing off means (9, 15) with which the front axial orifice (4) of the cannula (3) is closable after removal of the guide wire (1), and in that the cannula (3) has a radial aperture (5), near the front, axial orifice (4), for exit of the bone cement.
2. Device according to claim 1, characterized in that the closing off means is an inner cannula (9) closed at its front end, which inner cannula is insertable into the cannula (3) in such a way that its front end (10) tightly closes off the orifice (4) of the cannula (3) and has a radial aperture (11) near its front, closed end (10).
3. Device according to claim 1, characterized in that the diameter of the front, axial orifice of the cannula is smaller than the inner diameter of the cannula and in that the closing off means is a stopper (15) the largest diameter of which is greater than the diameter of the front, axial orifice (4) of the cannula.
4. Device according to claim 3, characterized in that the stopper (15) has the shape of a ball.
5. Device for injecting bone cement, containing a guide wire (1) and a cannula (20) fitting snugly on the guide wire at least with the inner diameter of its front axial orifice (24), characterized by an inner cannula (25), closed at its front end (27), which inner cannula has near the front closed end (27) a radial aperture (28) for the exit of the bone cement, and which, at least in a region near the edge remote from its front end, of the radial aperture (28) fits snugly in the front axial orifice (24) of the cannula, whereby, after the removal of the guide wire (1), the inner cannula (25) is insertable so far into the cannula (20) that its radial aperture extends beyond the axial orifice (24) of the cannula.
Type: Application
Filed: Mar 10, 2014
Publication Date: Jul 3, 2014
Applicant: DePuy Synthes Products, LLC (Raynham, MA)
Inventors: Kurt Jaggi (Bern), Paul Heini (Wabern)
Application Number: 14/202,488