Surgery – Miscellaneous – Methods
Patent
1997-06-24
2000-08-01
Nasser, Robert L.
Surgery
Miscellaneous
Methods
606 2, 606 15, 607 96, A61N 506
Patent
active
060951494
ABSTRACT:
A percutaneous method treats degenerate disc disease characterized by a circumferential bulge. The method provides a catheter having a distal end, a proximal end, and a longitudinal axis, the distal end having an intradiscal section with at least one energy delivery device. The next step is applying a force longitudinally to the proximal end of the catheter which is sufficient to advance the intradiscal section through a nucleus pulposus and around an inner wall of an annulus, but which force is insufficient for the intradiscal section to puncture the annulus fibrosus. Next the energy delivery device is positioned at a selected location of the annulus by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. The thermal energy delivery device is positioned adjacent the annulus and used to heat and stiffen the disc. Optionally, there is an additional step of adding a substance to reinforce the area. Optionally, access to the disc is provided by an introducer having an introducer lumen with an opening at a terminus of the introducer. An externally guidable intervertebral disc apparatus also is disclosed.
REFERENCES:
patent: 2090923 (1937-08-01), Wappler
patent: 3178728 (1965-04-01), Christensen
patent: 3579643 (1971-05-01), Morgan
patent: 3776230 (1973-12-01), Neefe
patent: 3856015 (1974-12-01), Iglesias
patent: 3867728 (1975-02-01), Substad et al.
patent: 3879767 (1975-04-01), Substad
patent: 3886600 (1975-06-01), Kahn et al.
patent: 3938198 (1976-02-01), Kahn et al.
patent: 3945375 (1976-03-01), Banko
patent: 3987499 (1976-10-01), Scharbach et al.
patent: 3992725 (1976-11-01), Homsy
patent: 4043342 (1977-08-01), Morrison, Jr.
patent: 4074718 (1978-02-01), Morrison
patent: 4085466 (1978-04-01), Goodfellow et al.
patent: 4129470 (1978-12-01), Homsy
patent: 4134406 (1979-01-01), Iglesias
patent: 4224696 (1980-09-01), Murray et al.
patent: 4224697 (1980-09-01), Murray et al.
patent: 4326529 (1982-04-01), Doss et al.
patent: 4344193 (1982-08-01), Kenny
patent: 4362160 (1982-12-01), Hiltebrandt
patent: 4375220 (1983-03-01), Matvias
patent: 4381007 (1983-04-01), Doss
patent: 4397314 (1983-08-01), Vaguine
patent: 4476862 (1984-10-01), Pao
patent: 4483338 (1984-11-01), Bloom et al.
patent: 4517965 (1985-05-01), Ellison
patent: 4517975 (1985-05-01), Garito et al.
patent: 4590934 (1986-05-01), Malis et al.
patent: 4593691 (1986-06-01), Lindstrom et al.
patent: 4597379 (1986-07-01), Kihn et al.
patent: 4601705 (1986-07-01), McCoy et al.
patent: 4651734 (1987-03-01), Doss et al.
patent: 4811733 (1989-03-01), Borsanyi et al.
patent: 4815462 (1989-03-01), Clark
patent: 4838859 (1989-06-01), Strassmann
patent: 4846175 (1989-07-01), Frimberger
patent: 4873976 (1989-10-01), Schreiber
patent: 4894063 (1990-01-01), Nashef
patent: 4895148 (1990-01-01), Bays et al.
patent: 4907585 (1990-03-01), Schachar
patent: 4907589 (1990-03-01), Cosman
patent: 4924865 (1990-05-01), Bays et al.
patent: 4944727 (1990-07-01), McCoy
patent: 4950234 (1990-08-01), Fujioka et al.
patent: 4955882 (1990-09-01), Hakky
patent: 4966597 (1990-10-01), Cosman
patent: 4976709 (1990-12-01), Sand
patent: 4976715 (1990-12-01), Bays et al.
patent: 4998933 (1991-03-01), Eggers et al.
patent: 5007908 (1991-04-01), Rydell
patent: 5009656 (1991-04-01), Reimels
patent: 5085657 (1992-02-01), Ben-Simhon
patent: 5085659 (1992-02-01), Rydell
patent: 5098430 (1992-03-01), Fleenor
patent: 5100402 (1992-03-01), Fan
patent: 5103804 (1992-04-01), Abele et al.
patent: 5114402 (1992-05-01), McCoy
patent: 5152748 (1992-10-01), Chastagner
patent: 5178620 (1993-01-01), Eggers et al.
patent: 5186181 (1993-02-01), Franconi et al.
patent: 5191883 (1993-03-01), Lennox et al.
patent: 5192267 (1993-03-01), Shapira et al.
patent: 5201729 (1993-04-01), Hertzmann et al.
patent: 5201730 (1993-04-01), Easley et al.
patent: 5213097 (1993-05-01), Zeindler
patent: 5230334 (1993-07-01), Klopotek
patent: 5242439 (1993-09-01), Larsen et al.
patent: 5242441 (1993-09-01), Avitall
patent: 5261906 (1993-11-01), Pennino et al.
patent: 5267994 (1993-12-01), Gentelia et al.
patent: 5275151 (1994-01-01), Shockey et al.
patent: 5279559 (1994-01-01), Barr
patent: 5284479 (1994-02-01), de Jong
patent: 5304169 (1994-04-01), Sand
patent: 5308311 (1994-05-01), Eggers et al.
patent: 5311858 (1994-05-01), Adair
patent: 5320115 (1994-06-01), Kenna
patent: 5323778 (1994-06-01), Kandarpa et al.
patent: 5334193 (1994-08-01), Nardella
patent: 5342357 (1994-08-01), Nardella
patent: 5348554 (1994-09-01), Imran et al.
patent: 5352868 (1994-10-01), Denen et al.
patent: 5354331 (1994-10-01), Schachar
patent: 5364395 (1994-11-01), West, Jr.
patent: 5366443 (1994-11-01), Eggers et al.
patent: 5366490 (1994-11-01), Edwards et al.
patent: 5382247 (1995-01-01), Cimino et al.
patent: 5397304 (1995-03-01), Truckai
patent: 5401272 (1995-03-01), Perkins
patent: 5415633 (1995-05-01), Lazarus et al.
patent: 5423806 (1995-06-01), Dale et al.
patent: 5433739 (1995-07-01), Sluijter et al.
patent: 5437661 (1995-08-01), Rieser
patent: 5437662 (1995-08-01), Nardella
patent: 5451223 (1995-09-01), Ben-Shimhon
patent: 5458596 (1995-10-01), Lax et al.
patent: 5464023 (1995-11-01), Viera
patent: 5465737 (1995-11-01), Schachar
patent: 5484403 (1996-01-01), Yoakum et al.
patent: 5484432 (1996-01-01), Sand
patent: 5484435 (1996-01-01), Fleenor et al.
patent: 5487757 (1996-01-01), Truckai et al.
patent: 5500012 (1996-03-01), Brucker et al.
patent: 5507812 (1996-04-01), Moore
patent: 5514130 (1996-05-01), Baker
patent: 5524338 (1996-06-01), Martyniuk et al.
patent: 5542920 (1996-08-01), Cheikh
patent: 5569242 (1996-10-01), Lax et al.
patent: 5599356 (1997-02-01), Edwards et al.
patent: 5630839 (1997-05-01), Corbett, III et al.
patent: 5681282 (1997-10-01), Eggers et al.
patent: 5683366 (1997-11-01), Eggers et al.
patent: 5688270 (1997-11-01), Yates et al.
patent: 5697909 (1997-12-01), Eggers et al.
Auhull, Richard A., "The Use of the Resectoscope in Gynecology." Biomedical Business International, Oct. 11, 1990, pp. 91-93.
Christian, C. et al., "Allograft Anterior Cruciate Ligament Reconstruction with Patellar Tendon: An Endoscopic Technique" Operative Techniques in Sports Medicine, vol. 1, No. 1, Jan. 1993, pp. 50-57.
Houpt, J. et al., "Experimental Study of Temperature Distributions and Thermal Transport During Radiofrequencey Current Therapy of the Intevertebral Disc", Spine, vol. 21, No. 15, (1996), pp. 1808-1813.
Troussier, B. et al., "Percutaneous Intradiscal Radio-Frequency Thermocoagulation: A Cadaveric Study", Spine, vol. 20, No. 15, (Aug. 1995), pp. 1713-1718.
Beadling, L., "Bi-Polar electrosurgical devices: Sculpting the future of arthroscopy", Orthopedics today, vol. 17, No. 1, Jan. 1997, 4 pages.
Ellman International Mfg., Inc., 1989, Catalog, pp. 1-15, 20.
Cosset, J.M., Resistive Radiofrequencey (Low Frequencey) Interstitial Heating (RF Technique), Interstitial Hyperthermian, Dec. 6, 1993, pp. 3-5, 37.
Attachment I: Competitive Literature on Generators with Bipolar Capabilities, IME Co., Ltd., pp. 60-86.
Attachment II: Competitive Literature on Bipolar Forceps and Footswitch Controls, IME Co., Ltd. pp. 87-104.
Buchelt et al., Lasers in Surgery and Medicine:Erb:YAG and Hol:YAG Laser Ablation of Meniscus and Intervertebral Discs, vol. 12, No. 4, (1992) pp. 375-381.
Leu et al., Der Orthopade: Endoskopie der Wirbelsaule: Minimal-invasive Therapie, vol. 21, (1992) pp. 267-272.
Phillips et al., JMRI: MR Imaging of Ho: YAG Laser Diskectomy with Histologic Correlation, vol. 3, No. 3, May/Jun. 1993.
Bromm et al., Human Neurobiology: Nerve Fibre Discharges, Cerebral Potentials and Sensations Induced by CO2 laser Stimulation, vol. 3, (1984) pp. 33-40.
Kolarik et al., Photonucleolysis of Intervertebral Disc and it's Herniation, vol. 51, (1990) pp. 69-71.
Vorwerck et al., Laserablation des Nucleus Pulposus: Optische Eigenschaften von Degeneriertem Bandscheibengewebe im Wellenlangenbereich von 200 bis 2200nm, vol. 151 No. 6, (1989) pp. 725-728.
Wolgin et al., Excimer Ablation of Human Intervertebral Disc at 308 Nanometers, vol. 9, (1989) pp. 124-131.
Davis, Early experience with
Ashley John
Saal Jeffrey A.
Saal Joel
Sharkey Hugh R.
Nasser Robert L.
Oratec Interventions, Inc.
LandOfFree
Method for treating intervertebral disc degeneration does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Method for treating intervertebral disc degeneration, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Method for treating intervertebral disc degeneration will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-654188