Systems and methods for augmenting a vertebral body may include an optional access cannula, introducer device, and a stylet having a stylet shaft. The access cannula includes a hub portion and a cannula shaft extending from the cannula hub. The cannula shaft includes a distal end positionable within the vertebral body that defines a lumen along a longitudinal axis. The introducer device may be a telescoping or pivoting introducer device that is removably coupled to the hub portion of the access cannula. The introducer device controls the movement of the flexible distal portion of the stylet shaft and the flexible sheath from within the introducer device through the access cannula to within a target site in the vertebral body, wherein the flexible distal portion is moved from the constrained to the unconstrained state to displace cancellous bone within the target site.

The invention relates to an assembly (1) for positioning and positionally immobilizing an inflatable balloon (3) within a vertebral body, comprising an access piece (2) providing access to the vertebral body, which has a cannula and is of elongate shape, and an inflatable balloon (3) mounted at the end of a catheter (4) able to be connected to a fluid-delivery unit, the assembly comprising balloon (3) and catheter being designed to pass slidingly through the access piece (2), characterized in that the access piece (2) comprises means of anchorage in the vertebral body, the assembly further comprising means for positionally immobilizing the catheter provided with the balloon (3) on the access piece (2).

Systems and methods for augmenting a vertebral body. An introducer device includes a shaft having a flexible distal portion with a pre-set curve in an unconstrained state. An input provided to an actuator to tension a pulling element to move the pre-set curve to a constrained state in which the distal portion and a flexible sheath conforming to the shaft at least partially straighten. The introducer device is removable from the sheath remaining off-set from a longitudinal axis. A spacer hub facilitates proximal movement of the sheath relative to an access cannula expose a balloon through a syringe-style input. A hub of the access cannula may be adjustable to selectively adjust an interference surface relative to a datum. At least two radiopaque markers may be disposed on the sheath with relative positions between the markers viewable on lateral and A-P radiography to determine the location and/or curvature of the sheath.

A medical device for kyphoplasty procedures is disclosed. The medical device includes a trocar configured for insertion in a vertebral cavity, the trocar having a longitudinal axis that is perpendicular to a second axis, an orifice at a first end of the trocar in, the orifice configured for deploying a balloon tamponade, the balloon tamponade configured for inserting into a second end of the trocar, through the trocar and out of the orifice at a first end of the trocar, and, wherein the balloon tamponade is configured to be inflated such that the balloon tamponade inflates to a greater extent along the second axis than the longitudinal axis of the trocar.

Photodynamic devices for replacement of an articular head of a bone are provided. In an embodiment, a photodynamic device includes a photodynamic support member and an articular member attachable, either fixedly or removably, to the photodynamic support member and having a bearing surface. In an embodiment, the articular member includes a recess designed to receive the photodynamic support member. In an embodiment, the photodynamic support member includes an opening into which a shaft of the articular member can be inserted to attach the articular member to the photodynamic support member.

Photodynamic devices for replacement of an articular head of a bone are provided. In an embodiment, a photodynamic device includes a photodynamic support member and an articular member attachable, either fixedly or removably, to the photodynamic support member and having a bearing surface. In an embodiment, the articular member includes a recess designed to receive the photodynamic support member. In an embodiment, the photodynamic support member includes an opening into which a shaft of the articular member can be inserted to attach the articular member to the photodynamic support member.

A kyphoplasty system includes various instruments which can be selectively used in a surgical theater (e.g., during a surgical operation on a patient) or a surgical training environment. The kyphoplasty system can include one or more of a kyphoplasty apparatus, a prone table mat, a connector system, a bone introducer needle, and a biopsy device. The kyphoplasty system may also include a training system for use in the training environment.

A needle-mounted balloon system can include a cannula and a stylet. The cannula may include a handle and an outer sheath, and the outer sheath may be configured to retract and expose at least a portion of an expandable member. The stylet may include a stylet needle and a sharp distal tip portion. The stylet needle may be used to insert the system into a body structure, after which the stylet may be disengaged from the cannula. The expandable member may then be exposed and inflated to create a space in the body structure. Filler material may be injected through the cannula to the open space in an effort to stabilize an injured or otherwise destabilized portion of the body structure.

The invention as described herein provides methods for treating a bone of a patient, including locating a treatment volume in a bone of the patient, administering a sclerosing agent to the treatment volume, and, after administering the sclerosing agent, administering bone graft material to the treatment volume. In some embodiments, the sclerosing agent and the bone graft are administered in a minimally invasive manner using a delivery device. The placement of the delivery device and/or the administration of the sclerosing agent and/or bone graft can use imaging to guide the placement and/or administration. The patient can be a pediatric patient and the treatment volume can comprise a bone lesion, a unicameral bone cyst or an aneurysmal bone cyst.

A needle-mounted balloon system can include a cannula and a stylet. The cannula may include a handle and an outer sheath, and the outer sheath may be configured to retract and expose at least a portion of an expandable member. The stylet may include a stylet needle and a sharp distal tip portion. The stylet needle may be used to insert the system into a body structure, after which the stylet may be disengaged from the cannula. The expandable member may then be exposed and inflated to create a space in the body structure. Filler material may be injected through the cannula to the open space in an effort to stabilize an injured or otherwise destabilized portion of the body structure.