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Methods of treating degenerative bone conditions

a bone degeneration and bone technology, applied in the field of bone degeneration treatment methods, can solve the problems of correlated bone fractures (particularly hip or vertebral fractures), the risk of bone fractures is expected to increase, and the ultrasonic is generally limited to the evaluation of the calcaneus bone and is not useful directly, so as to facilitate the carrying out of various inventive methods

Inactive Publication Date: 2017-02-02
AGNOVOS HEALTHCARE
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

This approach effectively increases bone mineral density and compressive strength, reducing fracture risk and maintaining improved bone quality for at least a year, with newly formed bone exhibiting T-scores indicative of normal or improved bone health.

Problems solved by technology

For example, ultrasound is generally limited to evaluation of the calcaneus bone and is not useful for directly measuring sites common to osteoporotic fracture, such as the hip and spine.
In general, the risk for bone fracture is expected to increase with every standard deviation below normal.
In the elderly, bone fracture (particularly hip or vertebral fractures) can be correlated to increased mortality.
Thus, improving BMD can be a goal of medical intervention in osteopenic and / or osteoporotic patients since BMD can be correlated to increased risk for fracture.
Estrogen treatment of postmenopausal women may slow onset and / or progression of bone degeneration.
Although such drugs may provide some level of usefulness, recent studies have suggested that long-term use of bisphosphonates can increase the risk of spontaneous subtrochanteric and femoral shaft fractures (i.e., atypical fractures).
Further, since the antibody alters the body's immune system, there has been evidence that use of the antibody can increase risk of serious infection in the patient.
Safety studies in rats indicated a possibly increased risk of osteosarcoma associated with use of rPTH.
Thus, there remains a need in the art for treatments that do not require long-term medication use with possible effects that, although unintended, may still be harmful.
Although such treatments can attend to the presenting fracture, the unnatural physical properties (i.e., hardness, modulus, etc.) of the bone after the treatment are believed to increase the possibility of fracture of adjacent bone, particularly where the adjacent bone is in an advanced state of osteoporosis.
Moreover, such treatments do not result in formation of natural bone in the fracture but rather function as non-resorbable bone replacements.

Method used

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  • Methods of treating degenerative bone conditions
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Examples

Experimental program
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Effect test

example 1

Resorption Characteristics of Tri-Phasic Bone Regenerative Material

[0175]An accelerated model illustrating the resorption characteristics of a tri-phasic bone regenerative material was carried out using pre-cast and weighed 4.8 mm×3.2 mm pellets of the bone regenerative material that is commercially available under the name PRO-DENSE®. The test was designed to illustrate the changes over time in the bone regenerative material for facilitating controlled in-growth of new bone material. The accelerated in vitro model is approximately six times faster than the resorption seen in vivo in a canine model, and the resorption rate of the in vitro model is even faster in relation to human models.

[0176]To begin the evaluation, the pellets were immersed in distilled water. For daily testing, the pellets were removed from the water, dried, and weighed to determine percent mass remaining. The pellets were placed in fresh aliquots of distilled water after measurements were taken. To analyze micro...

example 2

Comparative Fracture Resistance in Osteoporotic Bone Before and after Void Formation and Filling with Bone Regenerative Material

[0178]To evaluate the effect on fracture susceptibility immediately after performing a procedure according to the invention, cadaver studies were carried out using ten matched pairs of osteopenic or osteoporotic proximal femora. Initial DEXA scans were carried out at the femoral neck and Ward's area, and the T-scores for all tested bones were less than or equal to −2.0, which was indicative of the bone material being in an osteopenic or osteoporotic condition at the time of the testing. The matched pairs were the right and left femur from the same cadaver. In each test, a defect was created in one femur and filled with PRO-DENSE® graft material. The radiographs in FIG. 20 and FIG. 21 show, respectively, insertion of a debridement probe used in creation of the void in the proximal femur and the graft material in place (dark area) filling the formed void. The...

example 3

In Vivo Canine Study Using Bone Regeneration Material in a Large, Critically Sized, Longitudinal Proximal Humerus Model

[0180]A study was carried out to evaluate the I 3 and 26 week in vivo performance of bone regeneration materials in a critically sized canine longitudinal proximal humerus defect model. The biologic response, namely new bone formation, implant degradation, and biocompatibility, were evaluated qualitatively through radio graphs and histology slides.

[0181]In this study, 16 skeletally mature canine subjects each received bilateral longitudinal cylindrical defects (13 mm OD×50 mm) in their proximal humeri. All subjects received OSTEOSET® calcium sulfate bone graft substitute pellets (Wright Medical Technology, Inc., Arlington Tenn.) in one of the two defects. The contralateral defects were treated with either an injected bolus of flowable PRO-DENSE® graft material or preformed pellets of the PRO-DENSE® material, both of which are commercially available. Half of each exp...

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PUM

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Abstract

A combination suction and irrigation device for a medical procedure. The device includes an elongated body having a proximal end and a distal end and defines an open channel that extends from the proximal end to the distal end. The open channel is open at both the proximal end and the distal end. A suction port is in communication with the open channel and is connectable to a source of suction. An irrigation port is in communication with the open channel and is connectable to a source of irrigation fluid. A valve selectively opens and closes the open channel to flow relative to the suction port and to the open proximal end, and to flow relative to the irrigation port.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims the benefit under 35 U.S.C. §120 of U.S. application Ser. No. 13 / 173,701, entitled “METHODS OF TREATING DEGENERATIVE BONE CONDITIONS” filed on Jun. 30, 2011, which is herein incorporated by reference in its entirety. Application Ser. No. 13 / 173,701 claims priority under 35 U.S.C. §119(e) to U.S. Provisional Application Ser. No. 61 / 361,177, entitled “METHODS OF REPLACING DEGENERATIVE BONE” filed on Jul. 2, 2010, which is herein incorporated by reference in its entirety.FIELD OF THE INVENTION[0002]The present invention relates to methods of treating patients suffering from bone degeneration, such as osteopenia and osteoporosis. More particularly, the invention provides methods of treating patients suffering from bone degeneration by replacing at least a portion of the degenerated bone material.BACKGROUND[0003]Bone mineral density (BMD) is a term that is commonly recognized as relating to the amount of calcified matte...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61B17/16A61B17/17A61M1/00
CPCA61B17/16A61M1/0058A61M1/0035A61B2217/007A61B17/1659A61B17/17A61B2217/005A61B17/1668A61L24/0042A61L24/02A61L27/02A61L27/12A61L27/58A61L2400/06A61L2430/02A61M1/77A61L15/28A61L24/00A61L2430/00A61M1/743A61B5/6851A61B17/3421
Inventor SCHULZ, OLAFHOWE, JAMES G.SWAIM, RICKHUBER, BRYANBATTS, JOELHARNESS, DAVIDBELANEY, RYAN
Owner AGNOVOS HEALTHCARE
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