A method of controllably heating the annulus of an intervertebral disc is disclosed. The method comprises the steps of forming an access channel through the annulus, inserting a light source into the intervertebral disc, activating the light source to emit diffuse light, optically measuring the temperature of tissue near the light source, and modifying the intensity of the light emitted from the source according to the measured temperature.
This application claims the benefit of U.S. Provisional Application Ser. No. 60/210,756, filed Jun. 12, 2000.
This application is related to the copending U.S. patent application Ser. No. 09/878,372, filed Jun. 11, 2001, which is hereby incorporated herein by reference.
An optical fiber for use with a laser device including a source of light energy, as well as a method of making same, where the optical fiber has a proximal end in communication with the light source and a distal end positionable at a treatment site. The optical fiber includes: a core having a proximal portion, a distal portion and a distal face proximate the distal end of the optical fiber, a layer of cladding radially surrounding the core from the core proximal portion to a designated point adjacent the core distal portion; a sleeve radially surrounding the cladding layer composed essentially of a predetermined type of material; and, a tip diffuser positioned at the distal end of the optical fiber.
An optical fiber for use with a laser device including a source of light energy, as well as a method of making such optical fiber, where the optical fiber has a proximal end in communication with the light source and a diffuser portion positionable at a treatment site. The optical fiber includes: a core having a proximal portion, a distal portion and a distal face proximate the diffuser portion of the optical fiber; a layer of cladding radially surrounding the core from the core proximal portion to a point adjacent the core distal portion; a layer of optical coupling material radially surrounding at least a portion of the core distal portion; a slug including a light-scattering material therein positioned adjacent the distal face of the core and a distal end of the optical coupling layer, wherein the light-scattering material fluoresces in a temperature dependent manner upon being stimulated by light; and, a sleeve radially surrounding the cladding layer, the optical coupling layer and the slug, wherein the sleeve is composed essentially of a predetermined type of material; wherein the light-scattering material of the slug is molded with substantially the same type of material utilized for the sleeve.
The present invention relates generally to devices and methods for delivering medical devices, such as implants, to desired tissue sites, such as the intervertebral disc. In one aspect, an intervertebral disc repair and diagnostic device that is minimally invasive and that provides precise access to the desired site is provided. In some aspects, the device and method are adapted to deliver, position and expand implants that are initially oriented and compressed for minimally invasive, yet precise and effective implantation.
Devices for implantation into an intervertebral disc can include a membrane support member to augment a disc having a defect. A defect in the anulus of a disc can be repaired using a prosthesis such as a barrier. The barrier can include a sealant and an enlarger. The barrier can be implanted into the disc using a delivery cannula, an advancer and at least one control filament to control the positioning of the barrier. A stiffening element can be included within the barrier to impart stiffness to the barrier. The support member can also be connected to an anchor.
