Devices and methods for the treatment of spinal disorders

Abstract

Devices and methods for treating a damaged intervertebral disc to reduce or eliminate associated back pain. Dynamic bias devices and reinforcement devices are disclosed, which may be used individually or in combination, to eliminate nerve impingement associated with the damaged disc, and/or to reinforce the damaged disc, while permitting relative movement of the vertebrae adjacent the damaged disc.

1 - 20 . (canceled)  
   
   
       21 . A device comprising: 
 a hollow delivery cannula having a distal end and a proximal end, said cannula dimensioned to fit within an iatrogenic hole or naturally occurring lesion in an anulus fibrosus;    an advancer coupled to a probe member housed within said cannula, said probe member having a proximal end connected to said advancer and distal end connected to a probe tip, said probe member capable of being advanced outward from said distal end of said cannula; and    a curved passage within said distal end of said cannula wherein said probe member travels through said passage and may be advanced outward therefrom at an angle between 30 and 150 degrees with respect to the longitudinal axis of the cannula and wherein the passage restricts travel of the probe with respect to the axis of the cannula substantially perpendicular to the longitudinal axis thereby preventing rotation of the probe.    
   
   
       22 . The device of  claim 21 , further comprising: 
 a means for measuring the distance advanced by the probe, said means coupled to said advancer; and    a means for measuring the distance advanced by the cannula within said anulotomy or said lesion coupled to said cannula.    
   
   
       23 . The device of  claim 21 , wherein the probe member has a noncircular cross-sectional geometry.  
   
   
       24 . The device of  claim 21 , wherein the probe member has an ablation element coupled to said probe member proximal to said tip.  
   
   
       25 . The device of  claim 21 , wherein the probe member comprises nitinol.  
   
   
       26 . The device of  claim 21 , wherein the tip is selected from the group consisting of: a blunt-shaped tip, a sharpened tip, a scoop-shaped tip, and a chisel-shaped tip.  
   
   
       27 . The device of  claim 21 , wherein the tip is curved backward facing towards the interior of the disc.  
   
   
       28 . The device of  claim 21 , wherein the probe tip is curved downward with respect to the longitudinal axis and curved around until it faces the insertion device such that an interior aspect of the intervertebral disc is exposed only to a curved surface as the probe is deployed.  
   
   
       29 . A device for treating the spine, comprising: 
 an elongate guide having a longitudinal axis;    an axially movable actuator, carried by the guide;    a probe, movable with the actuator; and    a deflection surface carried by the guide;    a passage adjacent the deflection surface;    wherein axial movement of the actuator causes the probe to advance along the deflection surface and through the passage at an angle relative to the longitudinal axis and wherein the passage restricts movement of the probe substantially perpendicular to the longitudinal axis there by preventing rotation of the probe.    
   
   
       30 . A device for treating the spine as in  claim 29 , wherein the guide comprises an elongate tubular body having at least one lumen extending therethrough.  
   
   
       31 . A device for treating the spine as in  claim 30 , wherein the actuator extends through at least a portion of the guide.  
   
   
       32 . A device for treating the spine as in  claim 29 , wherein the probe comprises and elongate, flexible body attached to the actuator.  
   
   
       33 . A device for treating the spine as in  claim 32 , wherein the probe is biased in a nonlinear configuration.  
   
   
       34 . A device for treating the spine as in  claim 33 , wherein the probe comprises a nickel titanium alloy.