Title of Invention

A DEVICE FOR INTRODUCTION INTO A BODY VIA A GUIDE TO FORM A PREDEFINED CURVED CONFIGURATION

Abstract A device for introduction into a body in a straight configuration and assuming within the body a predefined curved configuration, includes an elongated element formed from a number of segments interconnected so as to form effective hinges therebetween. When the elongated element is confined to a straight state, the effective hinges transfer compressive forces from each segment to the aext so that tbe elongated element can be pushed to advance it through a coodak. When tbe elongated element is not confined to a straight state, the effective hiages allow deflection of each segment relative to adjacent segments until «*«*»*w surfaces of tbe segments come into abutment thereby defining a fully flexed sate of the elongated element with a predefined curved configuration. The device can be produced with a wide range of two-dimensional and three-dimensknal caved forms, and has both medical and non-medical applications.
Full Text

DEVICES FOR INTRODUCTION INTO A BODY VIA A SUBSTANTIALLY STRAIGHT CONDUTTTO FORM A PREDEFINED CURVED CONFIGURATION, AND METHODS
EMPLOYING SUCH DEVICES
FIELD AND BACKGROUND OF THE INVENTION
The present invention relates to devices for introduction into a body via a substantially straight conduit to form a predefined curved configuration, and methods employing such devices.
It is known to insert straight elements into various types of bodies. In the general field of mechanical engineering, this includes insertion of drills, nails, screws and rods of various kinds into structures such as walls, articles such as furnishings, other inanimate bodies, plant bodies such as wood, and animal or human bodies. In certain cases, the straight elements have structures or mechanisms for securing the elements against withdrawal from the body.
It is also known in certain contexts to insert elements with a fixed degree of curvature into a body. Examples of this kind include curved needles such as are used for sewing leather, and arcuate drills for medical applications, such as described in US Patent No. 4,312,337 to Donohue and US Patent No. 4,941,466 to Romano. Such structures are limited to a very superficial depth of penetration into the body, and generally channel through an arc of less than 180° within the body-In a third group of applications, primarily limited to the field of medical endoscopy, steerable flexible elements are introduced into a body. Steerable flexible elements can be introduced through straight conduits and can then be deflected whhin the body in order to steer them to a desired location, thereby allowing the elements to reach a location at an arbitrary desired depth within a body. These elements, however, do not generally assume a well defined curved configuration wkhin the body, and typically do not turn through aoagles of more than about 180°. In many cases, steerable elements are specifically kept away from their mechanical limit of flexing in order to avoid structural damage through over-flexing.
None of the above provide a structure or method through which a curved structure can be introduced into a body via a straight conduit and then assumes a

deployed position in a predefined curved configuration within the body, and particularly where the predefined curved structure turns through more than 180°, has a variable curvature and/or assumes a three dimensional (non-planar) geometry.
There is therefore a need for devices for introduction into a body via a substantially straight conduit to form a predefined curved configuration, and methods employing such devices.
SUMMARY OF THE INVENTION
The present invention is a device for introduction into a body via a substantially straight conduit to form a predefined curved configuration, and methods employing such a device.
According to the teachings of the present invention there is provided, a device for introduction into a body via a substantially straight conduit, the device assuming within die body a predefined curved configuration, the device comprising an elongated element formed primarily from a plurality of segments sequentially interconnected so as to form an effective hinge between adjacent of the segments, the segments and the effective hinges being configured such that; (a) when the elongated element is confined to a substantially straight state* the ^f&c&vc hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed so as to advance through the substantially straight conduit; and (b) when the elongated element is not confined to a substantially straight state, the effective hinges allow deflection of each segment relative to adjacent segments until at least one abutment surface of each of the segments comes into abutment with at least one corresponding abutment surface of each adjacent segment, thereby defining a fully flexed state of the elongated element, the fully flexed state corresponding to a predefined curved configuration of the elongated element
According to a further feature of the present invention, the predefined curved configuration includes an arc turning through an angle of at least 1 80°.

According 10 a further feature of the present invention, the predefined curved configuration includes a first region having a first radius of curvature and a second region having a second radius of curvature greater than the first radius of curvature.
According to a further feature of the present invention, the predefined curved configuration includes a conical spiral
According to a further feature of the present invention, the predefined curved configuration includes aheBx.
According to a further feature of the present invention, lateral surfaces of the segments are formed with complementary interlocking features so as to inhibit lateral displacement of successive coils of the helix.
According to a further feature of the present invention* the predefined curved configuration includes; (a) a first portion forming a planar spiral; and (b) a second portion forming a helix.
According to a further feature of the present invention, each of the effective hinges is formed by a flat connecting portion of flexible material interconnecting between adjacent of the segments.
According to a further feature of the present invention, each of the flat connecting portions is integrally formed with adjacent of the segments.
According to a forther feature of the present invention, all of the segments and the flat connecting portions are integrally formed
According to a further feature of the present invention, each of the flat connecting portions is resiliently biased to deflect the segments so that the elongated element tends to assume the fully flexed state.
According to a further feature of the present invention, each of the segments is formed as a non-hollow block of material.
According to a further feature of the present invention, each of the segments is filmed as a hollow block of material.
According to a further feature of die present invention, the elongated element further includes a beveled distal tip angled so as to tend to deflect the elongated

element into the folly flexed state as the elongated element advances through a medium.
According to a further feature of the present invention, the abutment surface of each of the segments and the corresponding abutment surface of each adjacent one of the segments are configured with interlocking features such thai, in the fully flexed state, the interlocking features help resist torsional deformation of the elongated element
According to a further feature of the present invention, there is also provided at least one fixation arrangement for fixing a part of the elongated element relative to the body such that the elongated element forms at least part of an implant
According to a further feature of the present invention, there is also provided a drilling element associated with a distal end of the elongated element
According to a further feature of the present invention, a length of the elongated element is at least tea times greater than each transverse dimension of the elongated element.
There is also provided according to the teachings of the present invention, a method for deploying a predefined curved configuration of a device within a body comprising the steps of. (a) providing an elongated element formed primarily from a plurality of segments sequentially interconnected so as to form an effective hinge between adjacent of the segments, the segments and the effective hinges being configured such that (i) when the elongated element is confined to a substantially straight state, the effective hinges transfer compressive forces from each segment to die next so that the elongated element can be pushed so as to advance through the substantially straight conduit; and (if) when the elongated element is not confined to a substantially straight state, the effective hinges allow deflection of each segment relative to adjacent segments until at least one abutment surface of each of the segments comes into abutment with at least one corresponding abutment surface of each adjacent segment, thereby defining a folly flexed state of the elongated element, die felly flexed state corresponding to a predefined curved configuration of fee elongated element; (b) introducing the elongated element into the body along a

According to a further feature of the present invention, the at least one hollow microneedle has a bcre for delivery of fluid into the biological barrier, the at least one hollow microneedle extending into the flexible biological barrier with the bore extending at an angle of no greater than 45 degrees to an initial plane of the surface of the fleadhle biological barrier.
There is also provided according to the teachings of the present invention a method for delivering a fluid into a flexible biological barrier, the method comprising: (a) providing a delivery device including a contact region and a relief region, the relief region having at least one hollow microneedle deployed thereon; (b) bringing the device against the biological barrier so that the contact region touches the biological bamer and the relief region does not contact the biological barrier; and (c) moving the device with a component of the motion parallel to the surface of the biological barrier so as to mechanically deform the biological barrier to bring the biological barrier into contact with at least part of the relief region such that the at least one microneedle penetrates into the biological terrier.
According to a further feature of the present invention, the contact region includes a substantially planar contact surface, and wherein the relief region includes a substantially planar relief surface, the contact surface and the relief surface forming between them an angle of no more than about 150 degrees.
According to a further feature of the piesent invention, the contact surface and the relief surface form between them an angle of no mere than about 130 degrees.
According to a further feature of the present invention, the contact surface and the relief surface are substantially orthogonal.
According to a fiather feature of the present invention, the contact surface and the ieBef surface meet at an edge region.
According to a further feature of the present invention, the at least one hollow microneedle has a bore for delivery of fluid into the biological barrier, the bore extending at an angle of no greater than 45 degrees to the contact surface.

According to a further feature of the present invention, the predefined curved form includes a plurality of coils each having a central axis aligned substantially perpendicular to an extensional direction of the spinal column.
According to a further feature of the present invention, the predefined curved form includes a plurality of coils of sequentially increasing diameter such that a spacing between die at least part of the two adjacent vertebrae is varied incrementally daring introduction of die elongated element
According to a further feature of die present invention, die predefined curved form includes a plurality of stacked coils each lying substantially in an axial plane such that a spacing between tbe at least part of the two adjacent vertebrae is varied incrementally daring introduction of die elongated element
According to a further feature of die present invention, the elongated element is foamed with lateral interlocking features configured such that successive coils of die plurality of stacked coils are interengaged to maintain a substantially cylindrical stack.
According to a further feature of die present invention, the elongated element has a distal portion configured to form a substantially planar spiral configuration.
According to a further feature of the present invention, die elongated element is introduced ipsilaterally between die adjacent vertebrae so as to at least partially correct scoliosis misalignment between die adjacent vertebrae.
According to a further feature of die present invention, die elongated element is introduced within a single vertebra, and wherein die predefined curved configuration is configured to increase an effective height of the vertebra.
According to a further feature of the present invention, the predefined curved configuration includes a plurality of coils together forming at least a partial enclosure, die method further comprising the step of introducing a quantity of biocompatible structural filler material into the at least partial enclosure.
According to a further feature of the present invention, die predefined curved configuration includes a plurality of coils together forming at least a partial enclosure, the method further comprising the step of introducing a quantity of a therapeutic agent into die at least partial enclosure.

According to a further feature of the present invention- after the step of introducing the elongated element, the elongated element is fixed by anchoring directly or indirectly to a pedicle of one of the vertebrae,
BRIEF DESCRIPTION OF THE DRAWINGS
The invention is herein described, by way of example only, with reference to the accompanying drawings* wherein:
FIG. 1 is an isometric view of a first implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined carved configuration;
FIG. 2 is a side view of the device of Figure 1 during insertion along a straight conduit, tbe conduit being cut-away for clarity of presentation;
FIG. 3 is a view similar to Figure 2 showing the device extending beyond the straight conduit and assuming a predefined curved configuration;
FIG. 4 is an isometric view of a second implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a hollow central channel;
FIG. 5 is a side view of the device of Figure 4 during insertion along a straight conduit* the conduit being cut-away for clarity of presentation;
KG. 6 is a view similar to Figure 5 showing the device extending beyond the straight con&rit and assuming a predefined curved configuration;
FIG. 7 is an isometric view of a third implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a circular cross-sectional shape;
FIG. 8 is an isometric view of a fourth implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a semicircular cross-sectional shape;

FIG. 9A. is a front view of a fifth implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device baying oblique effective hinges between adjacent segments;
FIG. 9B is an isometric view of the device of Figure 9A;
FIG. 10 is a view similar to Figure 9A showing the device in its predefined carved configuration;
FIG. 11 is a side view of a sixth implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a fast region configured to produce a predefined curved configuration with a first radius of curvature and a second region configured to produce a predefined curved configuration with a second radius of curvature;
FIGS. 12A, 12B aid I2C are side views of tbe device of Figure 11 at three stages during insertion along a straight conduit, the conduit being cut-away for clarity of presentation;
*
FIG. 13 is an isometric view of a seventh implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a predefined shape corresponding to a conical helix;
FIG* 14 is a front view of an eighth implementation of a device, constructed and operative according to the teachings of the present invention, for introduction into a body via a substantially straight conduit to form a predefined curved configuration, the device having a predefined curved shape including both a flat spiral with a closed cylindrical helix;
FIGS. 15A and 15B ate a partial schematic isometric view, and a partial schematic side view, of part of a device according to the present invention showing an arrangement for interlocking between adjacent segments of the device, the device being shown in its straight and curved states, respectively;

FIGS. I6A and 16B axe a partial schematic isometric views of part of a device according to the present invention showing an alternative arrangement for interlocking between adjacent segments of the device, for a solid and hollow device, respectively;
FIGS. 17A and 17B are isometric cut-away views of a device according to the present invention showing an arrangement for interlocking between adjacent coils of a predefined curved shape corresponding to a closed helix;
FIGS. 18A and 18B are schematic partial side views of a device according to the present invention in its predefined carved shape and its straightened shape, respectively, showing an implementation of hinged interconnection for an arbitrarily curved shape;
FIGS. 19A-19C are schematic isometric, longitudinal cross-sectional and end views, respectively, of an individual segment for use in a further implementation of a device according to the teachings of the present invention;
FIGS. 19D and 19E are schematic longitudinal caress-sectional views of a device formed from a plurality of the segments of Figures 19A-19C, the device being shown in its straightened state and predefined curved shape, respectively;
FIG. 20A is a schematic side view of components of a drill assembly, constructed and operative according to the teachings of the present invention;
FIG. 20B is a schematic side view of the drill assembly of Figure 20A assembled;
FIG. 20C is a schematic cross-sectional view through the drill assembly of Figure 20B;
FIGS. 2IA and 21B are schematic side views, taken at orthogonal angles, illustrating the operatic© of the drill assembly of Figure 20A;
FIGS- 22A-22C are schematic illustrations of an implementation of the present invention for posterior cervical bone anchoring using quadru-coitical bone engagement;
FIGS. 23A-23C are schematic illustrations of an implementation of the present invention for anterior cervical bone anchoring using quadru-cortical bone ) engagement;

FIG. 24 is a schematic illustration of an Implementation of the present invention for inter-vertebral disc reinforcement;
FIGS. 25A-25C are schematic lateral, anterior and axial views, respectively, showing an implementation of the present invention for inler-v^tebral disc replacement;
FIG. 26A is a schematic lateral view showing an implementation of the present invention for inter-vertebral disc replacement with adjustable height rrsfcyation:
FIGS. 26B said 26C are axial cross-sectional views taken along fees B~B and C-C, respectively, in Figure 26A;
FIGS. 27A-27C are schematic posterior views of two adjacent vtztobcac *H«»»g progressive correction of scoliosis as a minimally invasive procedure according to the present invention;
FIGS. 28A-28C are schematic sagittal cross-sectional views fllusnaf?ng three variant implementations of multiple-segment vertebral body reinforcement according to the present invention;
FIG. 29 A is a sagittal cross-sectional view illustrating a spicai column with healthy vertebrae;
FIG. 29B is a view similar to Figure 29A illustrating a collapsed vertebra; and
FIG. 29C is a view of the spinal column of Figure 29B flftrtratmg schematically the restoration of vertebral height according to the teachings of the present invention,
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The • present invention is a device for introduction into a body via a substantially straight conduit to form a predefined c\jrved configuration, and methods employing such a device.
The principles and operation of devices and methods according to the present invention may be better understood wife reference to the drawings and the accompanying description.

By way of Introduction, the present invention provides a family of devices ail based on a common inventive concept but varying in their specific hr4>]emectHtionsf and most notably, in the specific predefined curved form which the devices are configured to assume when they are inserted into a body. The devices are denned geometrically by their structure, and mechanically by their properties, but are not limited to use in any specific field of technology or any specific appficatsoo. These devices will be described below wife reference to Figures 1-19E. Thee, ^ife reference to Figures 20A-29C, a small number of exemplary applications eearioying these devices will be presented, primarily in fee field of medical treatment of fee hsman body.
Referring now to fee drawings, Figures 1-3 show a first basic iButfratjoo of a device, constructed and operative according to the teachings of fee preset* invention, for introduction into a body via a substantially straight conduit 29, and «j«imjng within the body a predefined curved configuration.
In general terms, the device of each embodiment of the present invention includes an elongated element 10 formed primarily from a plurality of segments 12 sequentially interconnected so as to form an effective hinge 14 between adjacent segments 12. Segments 12 and effective hinges 14 are configured such feat (a) when the elongated element 10 is confined to a substantially straight state, effective hinges 14 transfer compressive forces from each segment 12 to the next so that fee elongated element 10 can be pushed so as to advance through substantially straight conduit 20; and (b) when elongated element 10 is not confined to a substantially straight state, effective hinges 14 allow deflection of each segment 12 relative to adjacent segments 12 until at least one abutment surface 16 of each segments comes into abutment wife at least one corresponding abutment surface 18 of each adjacent segmeat, thereby defining a felly flexed state of elongated element 10 corresponding to a predefined curved configuration of the elongated element
It will immediately be clear feat the device of the present invention thus defined is capable of insertion into a body to any desired depth, since it initially follows a substantially straight path, and then deploys within the body to form a

predefined curved structure in which adjacent segments are interconnected at an effective hinge and abut via at least one additional surface^ thereby providing considerable mechanical stability. Thus, a wide range of curved or convoluted structures can be introduced temporarily or permanently via an insertion opening which has dimensions corresponding to the cross-sectional dimensions of the elongated element making up the final shape.
The devices of the present invention may ttos be used for a wide raoge of applications inctudmg, but not limited to: forming a carved channel throogb a body; cutting-oat a sample of material from a body; providing a carved anebadag structure within a body; joining together two parts of a body; aligning two parts of a body; forming a reinforcing structure within a body; filling a region of a body; and expanding a spacing between parts of a body.
The transition from the substantially straight configuration of the device to the predefined curved configuration can be achieved in a number of ways. According to a
first set of implementations, elongated element 10 is resiliency biased so as to tend to

deflect towards its predefined curved state. This may be achieved through pre-biasing of effective hinges 14 or by addition of supplementary springs or other resilient elements (not shown). In an alternative set of implementations, the geometry of elongated element 10 is chosen such that mechanical resistance during insertion of element 10 into a body causes deflection of the device to its curved state. According to either of the.above options, flexing of the device is progressive^ occurring continuously as the device is extended beyond the delivery conduit 20. According to a further alternative, a selectively operable mechanism (not shown), such as one or more drawstring, may be provided for allowing a user to selectively induce deflection to the predefined curved configuration.
As already mentioned, the present invention can be used in a wide range of fields of application including, but not limited to, building, mining, industrial applications, carpentry, and medicine. Accordingly, die "body* within which the device is deployed may be any body, including but not limited to: a human body; an animal body; wood; other biological materials; walls; furniture; minerals; and other

inanimate objects. Clearlyy the dimensions, rralerials and other design parameters for the device of the present invention must be- selected to render it suited to fee intended application, as will be clear to one ordinarily skilled in the field of applications for which it is to be used
Turning now to structural features of specific implementations erf the device of the present invention, elongated element 10 as illustrated in Figure 1 is preferably formed from a single elongated rod of rectangular cross-section from wiadi a series of transverse slots are cut to subdivide die elongated dement into segment 12. The relatively thin connecting bridge of material left beneath the slots readers the interconnections flexible* thereby providing effective hinges 14. The sk« arc shown here as V-shape slots, corresponding to sloped end surfaces of segments 12. Other slot shapes, such as U-shaped slots, rectangular slots, and more complex shaped slots, may also be used
It will be appreciated that the structure shown provides all fee structural features of the device of the present invention in a very straightforward and easily manufactured manner, simply by forming appropriately shaped and positioned slots in a rectangular rod Effective hinges 14 are thus integrally formed as flat connecting portions of flexible material interconnecting between adjacent segments. The term "flat" is used in this context to refer to the cross-sectional shape* namely, ifei in cross-section along the effective axis of the hinge, the thickness of the integral hinge is significantly less than its width, thereby providing a well-defined direction of flexing. The integral hinge may have significant length extending between sepoeats 12 (as illustrated in certain examples below) or may have minimal length (such as illustrated here). Effective hinges 14 preferably provide resistance to relative motion of adjacent segments 12 other than the intended hinged motion, thereby avoiding unwanted torsional deformation of elongated element 10.
Clearly, if the device is constructed by cutting slots in an initially straight rod of material, and unless the elongated element is further treated to change its properties, the unstressed state of the elongated element will be in the straightened configuration. According to a particularly preferred option illustrated here, elongated

element 10 terminates in a beveled distal tip 22 angled so as to tend to deflect the elongated element into the fiiily flexed state as the elongated element advances through a medium. Specifically, the beveled distal tip 22 preferably has a leading edge on the side from which the slots are cut and a bevel surface feeing away irom the side of slots. This shape, when advanced into a compressible or displaceable medium, tends to be deflected so as to follow a curved path, thereby bending danptod element 10 progressively towards its fully flexed carved form as it advances beyond delivery conduit 20, as shown b Figure 3.
The dimensions of the device of the present invention are chosen accordmg to the intended application and the required predefined curved shape vfeieh is to be formed. Thus, at one extreme, for use in hollowing out a subterraneai tamd or so underwater tunnel, an element with a width and height of one meter or more may be used At the other extreme, certain delicate medical applications may use aa elongated element with a width and height of 5 millimeters or less. For a wide range of domestic and medical applications, lateral dimensions of 1-30 mm are suitable.
In terms of relative dimensions, elongated element 10 is termed "elongated" in the sense that its length is significantly longer than berth its width and its height. Most preferably, a length of elongated element 10 is at least ten times greater than each transverse dimension (height and width) of the elongated element Preferably, the device is configured to form a predefined curved configuration including an arc turning through an angle of at least 180°, and in many cases, passing through one or more complete revolutions as will be illustrated in a number of examples below.
The materials for the device of the present invention are also chosen according to the intended application and the mechanical and other properties which are required, and may be any suitable materials. For many applications, various metals and metal alloys (referred to collectively as metallic materials) are suitable. For some applications, various plastics and other polymer materials are suitable, Other possibilities include, but are not limited to, composite materials and ceramic materials. For medical applications, biocompatible are used, typically either metallic materials or polymers such as PEEKL

It will be noted that the terms *ttwo-dii"nensionar* and "planar" are 'csod 10 refer to the geometry of the predefined curved configuration of certain embodiments such as those of Figures 1-8 and 11-12C, whereas the terms "Ifaee-dimensioiiEr and ctnon-planar" are used to refer to the geometry of the predefined curved configuration of embodiments such as those of Figures 9A-10, 13 and 14. These tenas are used to classify the nature of the curvature exhibited, i.e., that a circle or Sat spiral is a "planar" geometry whereas a helix or cooe is a c*noorf>lanarw geometry, dearly, even the "planar" geometry implementations also occupy space in three dsBC&acK& doe to the width of the elements.
In the example of Figures 1-3, elongated element 10 is cut from a 3ofid rod such that each segment 12 is framed as a non-hollow block of material. Although the unitary construction with the effective hinges 14 integrally formed wfch fee segments 12 is believed to be advantageous, it should be noted that alternative hnpkmeatiekms of effective hinges 14 also fall within the scope of the present invention. By way of example, a first alternative implementation employs a flexible strip as a backbone for the device to which segments 12 (separate blocks) are attached by any suitable attachment technique. An example of this kind is illustrated below with rcferaice to Figures 19arl9R A second alternative implementation employs a pivotal interlocking hinge arrangement, of a type either wife or without a hinge pin, for connecting between initially separate segments 12.
Substantially straight conduit 20 may be any suitable conduit, preferably close-fitting to the external shape of elongated element 10 in its substantially strait configuration. Conduit 20 may be made of similar materials to elongated element 10, or may be made from any other materials which are compatible with the intended application. Furthermore, although conduit 20 is the preferred example of a structure for restricting elongated element to a substantially straight configuration during a first part of insertion into a body, it should be noted that other alternatives also fell within the general scope of the present invention. Thus, for example, in hollow implementations (such as will be described below with reference to Figures 4-6), &* equivalent effect may be achieved using a centrally deployed rail passing at least

partially within elongated element 10 which restricts a part of elongated element 10 to its straight configuration.
Turning now to Figures 4-6ft these show a second implementation of the device of Hie present invention. This implementation is generally similar to that of Figures 1-3, differing in two respects, as will now be detailed
Firstly, in this implementation, the slots are formed as rectangular dote, so tktf the abutment surfaces 16 and 18 are only along the upper edges of the adjacent segments. This foam has certain advantages of simplicity of manufacture, asd is afeo less sensitive to the presence of foreign matter between the abutment surfaces interfering with the curved configuration. On die other hand, the curved atoaUme has triangular lateral openings between adjacent segments which may be undeskable for certain applications.
Secondly, this implementation is formed from a hollow rod, resetting in an elongated element 10 in which each segment 12 is a hollow block of material The resulting central channel through elongated element 10 may be usefol for a wide range of functions, including but not limited to: cutting out a sample of material from a body; excavating a volume of material from a body; insertion of a flexible tool through elongated element 10 to reach a target location within a body; delivering a quantity of fluid or other material to a target location within a body; provkfiag a drive shaft for a drilling tool or other tool located at the distal end of elongated element 10; relaying illumination and/or images to/from a target location within a body; fflfmg with cement to fix a deployed configuration of elongated element 10; and fitting elongated element 10 wife other materials for imparting desired properties to elongated element 10 or surrounding regions of a body.
In all other respects, die structure and function of the implementation of Figures 4-6 can be folly understood by analogy with the structure and fiincticm of the implementation of Figures 1-3 described above.
Turning now to Figures 7 and 8, it should be noted that elongated dement 10 may be implemented with a wide range of different cross-sectional shapes, Tbas, by way of examples, Figure 7 shows an implementation in which elongated element 10 is

substantially circular in cress-section. In this case, effective hinges 14 are preferably formed as integral hinges by leaving a portion corresponding to a chord of the circle bridging between adjacent segments 12. Figure 8 shows an implementation in which elongated element 10 is substantially semi-circular. Effective hinges 14 interconnecting segments 12 are preferably formed at the fiat side of the drafted element
Turning BOW to Figures 9A, 9B and 10, these illustrate an tmpleneafaiion of the device of the present invention generally similar to that of Figures 1-3 bat wherein the predefined curved configuration is a helix. To achieve this result the slots between adjacent segments 12, and therefore the axes of effective hinges 14, are at an obfiqee angle relative to a direction of elongation of elongated dement 10. This is seen most clearly in the plan view of Figure 9A where angle a denotes the inclination of the effective hinge axes relative to a line perpendicular to the direction of rartmsion of elongated element 10. The result of this oblique angle of the effective hinges 14 is that the predefined curved configuration includes a lateral component of curvature, thereby forming a helix as shown in Figure 10. Varying angle of inclination a varies the pitch of the helix, so that the helix can be designed to be either open as shown (Le., with space between adjacent coils of the helix) or closed (i.e^ where adjacent coils touch each other)*
Turning now to Figures 11 and 12A-12C, it should be noted that the predefined curved configuration of the devices of the present invention does not have to be & uniform configuration with constant curvature along the length of elongated element 10. Thus, by way of example, Figure 11 illustrates an elongated element 10 whidi produces a predefined curved configuration (visible in Figure 12C) including a first region 24 having a first radius of curvature i?/ and a second region 26 having a second radius of curvature R? greater than Rj. To achieve this result, the size of segments 12 and their spacing are varied between regions 24 and 26 so that a greater degree of deflection occurs between adjacent segments 12 and/or the segments are more closely spaced in region 24.

Figures 12A-12C illustrate rhe sequence of deployment of the device of Figure 11 as it is advanced from conduit 20. As the distal tip of elongated element 10 first advances beyond conduit 20, it occupies a height, dimension hi corresponding substantially to the corresponding dimension of the device in its substantially straight configuiaiioa (The up-down dimension as illustrated is referred to here fer convenience as "heigjbf5 although the device can clearly be used in any uuatfalkm.) As it advances, region 24 starts to assume its predefined curved configuration, thereby defining a pert of a substantially circular farm of diameter (and hence hesgfei) k2 which is twice the smaller radius of curvature Rh Then, as elongated element 18 is advanced further, region 26 progressively extends beyond conduit 20 to form an arc of tafias i?is and hence raising the overall height to h? (twice R2). The overall effect is gradual opening of a shape which is referred to herein as a spiral Clearly, this effect could be continued, for example by forming a third region of elongated element IS with more closely spaced segments configured to provide a yet larger radius of curvatwe.
It will be noted that the gradual increase in the effective height of the device, and in particular, during the transition from hi of Figure 12B to h$ of Figure 12C. renders the device useful as a mechanism for lifting a part of a body, or fix separating between two parts of a body. An example of such an application will be illustrated below.
It will be noted that the term "spiraf* is used herein in its colloquial sense to refer to any shape which spirals inwards/outwards, and is not limited to a geometric spiral which is referred to herein as a "perfect spiral*9. Tlie spiral fbtmed fiom a stepped increase in radius of curvature as described here may be preferred due to its simplicity of manufacture. Nevertheless, it will be appreciated that it is possible to vary segment six and/or inter-segment spacing in a continuous manner to achieve a close approximation to a perfect spiral, or any other varying curvature profile desired
Turning now to Figures 13 and 14, it should be noted that die principles of
lateral progression described above with reference to Figures 9A-10 and of variable
curvature described above with reference to Figures 11-12C can be combined to
i achieve an effectively unlimited range of convoluted three-dimensional structures in

which radius of curvature and axial progression arc arbitrarily chosen according to a specific desired application. Figures 13 and 14 illustrate two examples of particular importance which combine these principles.
Specifically, Figure 13 illustrates schematically a predefined curved configuration of an elongated element 10 which is formed as a conical spiral, i.e., a series of coils with sequentially increasing radius of curvature combined wife axial progression. As before, the variation of the radius of curvature may be either continuous (le«, varying between each adjaceci pair of segments) or may be varied in steps, such as every few segments, or every 9(f or 180° of a coiL
Figure 14 shows a further preferred example in which a dotal pat of ekxigpted element 10 is configured to form a planar spiral 30 (similar to Figure 12C) aad a second portion of elongated element 10 forms a helix 32. In this case, hefbc 32 is preferably a closed helix, i.e., where each cofl sits in contact with the adjacent cofls (referred to as "stacked coils"). This contact between coils readers the shape structurally strong so that the device can be used for lifting part of a body or separating between two parts of a body, even where considerable forces at involved At the same time, the presence of the planar spiral at fee distal end ensures that a flat surface contacts the body to be lifted, thereby avoiding heavy abrasion of the lifted body by the leading end of the elongated element An application, of this implementation of the device will be described below.
Turning now to Figures 15A-17B, it will be noted that various modrficaiioas of the shape of segments 12 may be made in order to provide various forms of interlocking, thereby improving mechanical stability of the predefined curved configurations of the present invention. Thus, Figures 15A and 15B show one possible modification in which abutment surfaces 16 and corresponding abutment surfaces 18 are configured with interlocking features such that, in the fully flexed state of Figure 15B, the interlocking features help resist torsional deformation of the elongated element In the example shown here, abubnestf stirfaces 16 are formed with slpts 34 while complementary abutment surfaces 18 are formed with projecting ridges 36 configured for engaging slots 34.

Figures 16A and 16B illustrate the same concept implemented without sharp ridges and slots, but rather with concavely and convexly curved abutment surfaces 16 and 18. Figure 16B illustrates the same structure as Figure 16A implemented in a hollow embodiment
Turning now to Figures 17A and 17B, these illustrate an additiooai option specifically for closed helical forms such as bdix 32 of Figure 14 in order to Striker stabilize the resulting stack of coils. According to this feature, lateral sadaees of segmeids 12 are framed with complementary interlocking features so as to mASbsi lateral displacement of successive coils of the helix. ha the example of Figse 17A, these complementaiy interlocking features are implemented as such as ridges 38 wod slots 40. In the example of Figure 17B, a single step or shoulder 42 is provided. Has second option is also useful for stabilizing a closed conical spiral where the ififlnnmc in radial dimensions between adjacent coils is equal to die width of the single step.
Turning now to Figures 18A and 18B, these illustrate schematically an alternative approach to implementing the device of the present invention which facilitates forming elongated elements with arbitrarily shaped predefined carved configurations in two or three dimensions, and which are biased to their curved configurations. Specifically, according to this approach, an elongated element typically having a uniform cross-section, is first formed into the desired predefined curved configuration by known techniques. These may include wire or bar shaping techniques for metallic material, and molding or extrusion for polymer materials. For three-dimensional shapes, a round cross-section is typically preferred The elongated element is then cut to form a plurality of slits 44 from the inside of the local curvature of the element outwards and, in the case of a round cross-section, a corresponding clearance channel 46 from the opposite side of the element Most preferably, a roimd bore 48 is formed at the base of each slit 44 to spread stresses within the material This structure thus defines an elongated element 10 with a plurality of segments 12 formed between slits 44 and effective hinges 14 formed between bores 48 and clearance channels 46, allowing the element to be opened up to a substantially straight configuration as shown in Figure 18B. Although the example shown here for

simplicity of visual representation is a two-dimensional form with curvature reversal. It will be appreciated that the curvature, and the corresponding hinge axis directions defined by slits 44 and clearance channels 46, can be rotated at arbitrarily chosen angles, allowing substantially any three-dimensional curved shape to be produced. Hie resulting structures can be opened up to a substantially straight confirmation as required bat are naturally pre-biased to retain to their predefined carved configuration.
Turning now to Figures 19A-19E, as mentioned earlier, the devices of fee presort invention may be implemented using a wide variety of structures for aegmeate 12 and effective hinges 14. By way of a further non-limiting example puttied fix certain applications, Figures 19A-19C show an impleroentatim of a segnarart 12 formed as a separate block, and Figures 19D ami 19E show an elongated ajeaoeat 1§ formed from a series of such blocks positioned in abutment along a sbeet-spdBg element 60. The sheet spring 60 passes through channels 62 formed in each 9*gm*r* 129 thereby aligning the segments. The sheet spring is preferably pre-biased to a curved form so that it returns resiliency to fee curved form of Figure 19E and cm be straightened to the form of Figure 19D. In the example shown here, each segment 10 further features a substantially cylindrical central opening 64, openings 64 being aligned in the elongated element to form a "hollow** element in die sense used above. This round central channel is particularly suited to applications such as the flexible drill shaft described below with reference to Figures 20A-21B.
Turning now to applications for the devices of the present invention, It should be noted that the invention may be used in any situation where it is useful to provide a structure with a predefined curved shape which can be straightened into an elongated structure for convenient delivery* such as along a conduit Examples of types of application for which fee present invention is useful include, but are not limited to: tunneling or drilling to form a channel; extracting material; anchoring to a body; clamping together two bodies; providing a reinforcing structure; as a filler structure; as an expander; and as a medical implant

Depending upon the physical properties of the body into which the device is introduced, the device may form its own channel by one or more process including compacting material, displacing material, or. in the case of hollow embodiments such as in Figures 4-6, cutting out a core of material which enters the hollow of the device Optionally, a mechanism (not shown) may be provided for mechanically advancing the device into the material. In other cases, it may be necessary or pceftoUe to provide the device with active drilling capabilities. One coafigprstim suiiabte fir implementing the Reject invention in combination with a drill is ifiaatated schematically in Figures 20A-21B.
Thus, turning to Figures 20A-20C, these show a curve-drilling affacfattmi, implemented according to the teachings of the present invention, for use with a conventional or slightly modified drill Hie attachment includes a art Ming driH element 50 formed from a rotatable drive shad of which at least a portkm 52 is flexible and which terminates in a drilling burr 54. The flexible portion 52 of fee shaft may be implemented as a helical spring as shown, or as various other flexible drive element effective for transferring rotational power to the drilling burr. The drill element 50 is located within a hollow implementation of elongated element 18 which is anchored around flexible portion 52 but does not rotate. Around elongated element 10 is an outer condnit 56 which is urged by a spring 58 towards drilling bar 54. As visible in Figure 20C, the elongated element 10 and outer conduit 56 of the preferred embodiment shown here are implemented with rectangular cross-sections.
Figures 21A and 21B illustrate the operation of the drill attachment As the drill is advanced into a body, outer conduit 56 is held bade, either by being too large to follow the drill element into the hole or due to a flange (not shown) located to define a straight-drilling depth. Once outer conduit 56 stops advancing, subsequent advancing of the drill element 50 allows the portion of elongated element 10 beyond tbe conduit to assume its predefined curved configuration, in this case an arc of a circle, thereby bending the flexible portion 52 so that drilling burr 54 follows an arcuate path as seen in Figure 21B. It should be noted that a drill attachment and corresponding drilling method according to these principles may be used in a wide variety of applications.

For example. In household applications, arcuate drilled channels may be used for anchoring to a wall or other object Similarly, in dental applications, this form of drilling may be important for anchoring implants within bone. Other non-limiting examples of applications will be discussed below.
Parcacdhetically, it will be noted that this drilling technique can be ^sed fix drilling mote complex three-dimensional structures. For example, if a beScai hollow elongated element is used, it is possible to drill a helical bore through sofid «nsffriri Such a bore may be valuable for various applications, including but not fim£ed to, forming a helical cooling channel for pumpbg a coolant within a cylindrical TOII of a cylinder.
Turning now to Figures 22A-22C and 23A-23C, these illustrate a forfeer medical application of the arcuate drilling technique of the present iuvmikm for providing bone anchoring. Particularly, the examples illustrated in these figures relate to anchoring in the cervical vertebrae, which are considered highly problematic due to the lack of cancellous bone volume. In contrast to conventional approaches, this preferred example of the present invention achieves effective anchoring by tsing focr non-collinear regions of engagement which pass through cortical bone (surfaces). This mode of anchoring is referred to herein as "quadru-cortjcal bone engagement*. The four regions of engagement are illustrated by numbered lines in Figures 22A aad 23A. In the case of Figures 22A-22C, posterior access cervical bone anchoring is shown, whereas in the case of Figures 23A-23C anterior approach cervical bone anchoring is shown, ha both cases, the anchoring element may be the elongated element 10 inserted during drilling. Alternatively, the entire drill assembly may be withdrawn and a separate anchoring element inserted in the channel
Turning now to Figure 24, this illustrates a related technique and corresponding structure for intear-vertebrai disc reinforcement Specifically, there is shown an elongated element 10 according to the present invention passing vertically in a semicircular arc between pedicle screws 66 in vertically adjacent vertebrae. The properties of elongated element 10, and specifically the capability of opening up toward a lower-curvature state, allow significant relative movement between vertebrae

for flexion or translation. At the same time, the opposition of the element against bending tighter than its predefined curved form provides significant vertical load-bearing ability, thereby maintaining spacing between the vertebrae and relieving pressure from the inter-vertebral disc (not shown). Optionally, additional resilient material 68 may be incorporated into elongated element 10 so as to provide an additional cushioning effect
Taming now to Figures 25A-2SC, these Illustrate an application of & helical elongated elemect of the present invention as an inter-vertebral disc replacement. In this case, the element 10 is preferably insetted via a single pedicle screw 66 to which it is fixated after insertion. The external footprint: of the helical mmiaat is approximately cylindrical, and is positioned with its axis directed laterally, thereby providing support between adjacent vertebrae while allowing flexion motion.
Turning now to Figures 26A-26C, these illustrate a further preferred implementation of the present invention employing die structure of Figse 14 fix inter-vertebral disc replacement with adjustable height restoration. In this case^ the device is introduced directly between the pedicles into the inter-vertebral volume, preferably previously evacuated by a discectomy. As the elongated element it is introduced, the distal part of the elongated element first forms a flat spiral, thereby providing a non-abrasive contact surface for the upper (or lower) vertebra. Then, as the element is advanced further, the closed helix begins to accumulate^ gradually lifting the upper vertebra away from the lower one until the desired height restoration is achieved. The elongated element is then anchored to a single pedicle screw 66 and severed to provide an anchored disc replacement
Turning now to Figures 27A-27C, these show schematically a minimally invasive procedure according to the present invention for progressive correction of scoliosis. In the implementation illustrated here, a spiral implementation of an elongated element is introduced through a pedicle delivery screw on the side of the spinal column where vertebral separation is required. As successive coils of the spiral form, the increasing diameter of the structure progressively life the side of the upper vertebra away fis>m the lower vertebra. This process can be performed in parallel for a

number of vertebrae. If the procedure is performed using only local anesthetic, the patient can be asked to stand between adjustments of the vertebral correction, and the adjustments can be performed iteratively until optimal correction is achieved. Here too, once the required correction has been achieved, the elements are fixated to the pedicle screw and severed, remaining as implants.
Turning now to Figures 2SA-28C, these illustrate the use of elongated befical implementations of the present invention as multipk^segraent vertebral body reinforcements. Specifically, by employing m elongated element 10 wife a tig£* helical form, it is possible to introduce a rdnforcmg element via a single ped&e screw which will then extend vertically tiffougfa the vertebral bodies and discs of multiple adjacent vertebrae. This provides reinforcement and support for the spinal column while preserving flexibility. The element may extend upwards as rfwwn in Figure 28A or downwards as shown in Figure 28B. Since only one pedicfc is seeded for introduction of each element, it is farther possible to introduce one ekaao* via a first pedicle extending upwards and second via the other pedicle extending downwards, as illustrated in Figure 28C.
Turning now to Figures 29A-29C, an implementation of the present invention for vertebral height restoration will now be described. Like in the height restoration for an intervertebral disc described above with reference to Figures 26A-26C, ths aspect of the present invention is also advantageously implemented using the form of elongated element described above with reference to Figure 14, and in a manner analogous to that described m Figures 26A-26C.
Figures 29A and 29B contrast a spinal column with healthy vertebrae against another with a collapsed vertebra. Figure 29C illustrates the spinal column of Figure 29B after introduction of an elongated element 10 according to the teachings of the present invention- Ike blade lines overlaid over the vertebrae adjacent to foe collapsed vertebra of Figures 29B and 29C show clearly the vertebral height restoration achieved Optionally, the internal volume within die deployed element may be filled with suitable biocompatible material to impart additional structural or therapeutic properties. Examples of structural filling materials include, but are not limited to, bone

cement flexible biocompatible fillers and osteoinductive agents for promoting bone growth, including bone grafts and bone marrow. Examples of therapeutic materials which can be introduced into the internal volume include, but are not limited to? antibiotics, anti-neoplastic agents and antimitotic agents.
Although only a very limited set of examples of applications of the present invention have been presented, it will be clear that it may be used in numctoas other procedures and treatments in the medical SekL, as well as in other fields. Far aonpie. the various hallow implementations of the elongated element may optionally be used ibr sampling tissue, such as for a biopsy, or for removing tissue, socfa as for a discectomy.
It will be appreciated that the above descriptions arc intended only to serve as examples, and that many other embodiments are possible within the scope of the present invention as defined in the appended claims.











WHAT IS CLAIMED IS:
1. A device for introduction into a body via a substantially straight conduit,
the device assuming within the body a predefined curved configuration, the device
comprising:
an elongated dement formed primarily from a plurality of segaeats sequentially interconnected so as to form an effective hinge between arijftftfflf of the segments, the segments and the effective hinges being caaBgased such that:
(a) when the elongated element is confined to a substantially straight stale, the effective hinges transfer compressive farces from each stfimM to the next so that the elongated element can be pushed so as to advance through the substantially straight conduit; and
(b) when the elongated element is not confined to a substantially stnigjbt state, the effective hinges allow deflection of each segment relative to adjacent segments until at least erne abutment surface of each of the segments comes into abutment with at least one corresponding abutment surface of each adjacent segment, thereby defining a fully flexed stale of the elongated element, the fully flexed state corresponding to a predefined curved configuration of die elongated element.

2. The device of claim 1, wherein the predefined curved configuration includes an arc turning through an angle of at least 180°.
3. The device of claim 1, wherein the predefined curved configuration includes a first region having a first radius of curvature and a second region having a second radius of curvature greater than the first radius of curvature.
4. The device of claim 1, wherein the predefined curved configuration includes a conical spiral.

5. The device of claira 1, wherein the predefined curved configuration includes a helix.
6. The device of claim 5, wherein lateral surfaces of the segments are formed with complementary interlocking features so as to inhibit lateral displacement of successive coils of the helix.
7. The device of claim 1, wherein the predefined curved coniigffafcn includes:

(a) a first portion forming a planar spiral; and
(b) a second portion forming a helix.

8. The device of claim I, wherein each of the effective hinges is fanned by a flat connecting portion of flexible material interconnecting between adjacent of the segments.
9. The device of claim 85 wherein each of the flat connecting portions is integrally formed with adjacent of the segments.
10. Ike device of claim 8, wherein all of the segments and the flat connecting portions are integrally formed.
11. The device of claim 8, wherein each of the flat connecting porticos is resiliency biased to deflect the segments so that the elongated element tends to assume the folly flexed state.
12- The device of claim 1, wherein each of the segments is formed as a non-hollow block of material.
13. The device of claim 1» wherein each of the segments is formed as a hollow block of material

14. The device of claim L wherein the elongated element further Includes a beveled distal tip angled so as to tend to deflect the elongated element into the fully flexed state as the elongated element advances through a medhim.
15. The device of claim 1, wherein the abutment surface of each of tbe segments and the corresponding abutment surface of each adjacent one of tbe segments are configured with interlocking features such thai, in die ftiUy flexed state,
16. The device of claim 1, further comprising at least one frration arrangement for fixing a part of the elongated dement relative to the body sucfe that the elongated element forms at least part of an implant
17. The device of claim 1, further comprising a drilling element Maociirtcri with a distal end of the elongated element
18. The device of claim 1, wherein a length of the elongated eiemeat is at least ten times greater than each transverse dimension of the elongated element
19. A method for deploying a predefined curved configuration of a device within a body comprising the steps o£
(a) providing an elongated element formed primarily from a plurality of segments sequentially interconnected so as to form an effective hinge between adjacent of tbe segments, tbe segments and the effective binges being configured such that:
(i) when the elongated element is confined to a substantially straight state, the effective hinges transfer compressive forces from each segment to the next so that the elongated element can be pushed so as to advance through the substantially straight ctmduit; and (ii) when the elongated element is not confined to a substantially straight state, the effective hinges allow deflection of each

segment relative to adjacent segments until at least one abutment surface of each of the segments comes into abutment with at least one corresponding abutment surface of each adjacent segment, thereby defining a fully flexed state of the elongated elemait, the fully flexed state corresponding to a predefined coved configuration of the elongated dement,
(b) introducing the elongated dement into the body along a substaaataBy straight conduit so as to confine the elongated element to the substantially straight state; and
(c) causing the elongated element to assume the predefined carved configuration within the body.

20. The method of claim 19, wherein the predefined carved configuration is such that die elongated element follows an arcuate path so that a distal end of die elongated element re-exits the body.
21. Tlie method of claim 19> wherein the elongated element is formed wih a solid distal tip configured to displace and compress material of the body as it advances through the body,
22* The method of claim 19, wherein the elongated element is formed with a hollow distal tip configured to cot a sample of material from the body.
23. The method of claim 19, further comprising anchoring the elongated element to a part of the body in at least one region.
24. The method of claim 19, wherein the predefined curved configuration includes a substantially helical portion.

25. The method of claim 19, wherein the body is a human body, and wherein the elongated element is introduced into the spinal column of the hinnan body.
26* Hie method of claim 25, wherein the elongated element is intro&iced so as to pass through at least two vertebrae of the human body.
27. Hie method of claim 26, wherein the elongated element is infoodBred through a first vertebra and a distal end of the elongated element exits via a second vertebra.
28. The method of claim 27, wherein the elongated element engages fbor cortical regions of bone.
29. The method of claim 26, wherein the elongated element is introduced through a pedicle of a first vertebra and assumes a substantially helical reinforcing structure passing through a plurality of adjacent vertebrae.
30. The method of claim 25, wherein the elongated element is introduced so as to increase a sparing between at least part of two adjacent vertebrae.
31. The method of claim 30, wherein the predefined curved form iodndes a plurality of coils each having a central axis aligned substantially perpendicular to an extension*! direction of the spinal column.
32. The method of claim 30, wherein the predefined curved form includes a plurality of coils of sequentially increasing diameter such that a spacing between the at least part of the two adjacent vertebrae is varied incrementally during introchjction of the elongated element
33. The method of claim 30, wherein the predefined curved form includes a plurality of stacked coils each tying substantially in an axial plane such that a spacing

between the at least part of the two adjacent vertebrae :'s varied incrementally during introduction of the elongated element.
34. The method of claim 33, wherein the elongsted element is formed with
lateral interlocking features configured such that successive coils of the plurality of
stacked coils are interengaged to maintain a substantially cylindrical stack.
35. The method of claim 33, wherein the elongated element has a &stdi
portion configured to form a substantially planar spiral configuration,
36. The method of claim 30, wherein the elongated element is iiriiyriwcwi ipsilaterally between the adjacent vertebrae so as to at least partially correct stotioui misalignment between the adjacent vertebrae.
37. The method of claim 25, wherein the elongated dement is introdoced
within a single vertebra, and wherein the predefined curved configuration is
configured to increase an effective height of the vertebra,
38. The method of claim 25, wherein the predefined curved configuration
includes a plurality of coils together forming at least a partial enclosure, the method
further comprising the step of introducing a quantify of biocompatible structural filler
material into the at least partial enclosure.
39. The method of claim 25, wherein the predefined curved configuration
includes a plurality of coils together forming at least a partial enclosure, the method
further comprising the step of introducing a quantity of a therapeutic agent into the si
least partial enclosure.
40. The method of claim 25, further comprising, after the step of introducing
the elongated element, fbdng the elongated element by anchoring directly or indirectly
to a pedicle of one of the vertebrae.


Documents:

2982-CHENP-2007 AMENDED PAGES OF SPECIFICATION 02-08-2011.pdf

2982-CHENP-2007 AMENDED CLAIMS 02-08-2011.pdf

2982-chenp-2007 form-1 02-08-2011.pdf

2982-chenp-2007 form-3 02-08-2011.pdf

2982-CHENP-2007 OTHER PATENT DOCUMENT 02-08-2011.pdf

2982-chenp-2007 other patent document 1 02-08-2011.pdf

2982-CHENP-2007 CORRESPONDENCE OTHERS 02-08-2011.pdf

2982-CHENP-2007 FORM-6 28-04-2009.pdf

2982-CHENP-2007 POWER OF ATTORNEY 06-09-2010.pdf

2982-chenp-2007-abstract.pdf

2982-chenp-2007-claims.pdf

2982-chenp-2007-correspondnece-others.pdf

2982-chenp-2007-description(complete).pdf

2982-chenp-2007-drawings.pdf

2982-chenp-2007-form 1.pdf

2982-chenp-2007-form 3.pdf

2982-chenp-2007-form 5.pdf

2982-chenp-2007-pct.pdf


Patent Number 249241
Indian Patent Application Number 2982/CHENP/2007
PG Journal Number 41/2011
Publication Date 14-Oct-2011
Grant Date 12-Oct-2011
Date of Filing 04-Jul-2007
Name of Patentee NONLINEAR TECHNOLOGIES LTD.
Applicant Address YONI NETANYAHU 6, ST. OR YEHUDA 60376
Inventors:
# Inventor's Name Inventor's Address
1 SIEGAL, TZONY 23 SHOEVA, MOSHAV SHOEVA 90855
PCT International Classification Number A61B17/00
PCT International Application Number PCT/IL05/01393
PCT International Filing date 2005-12-28
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/689,570 2005-06-13 U.S.A.
2 11/028,655 2005-01-05 U.S.A.