申请人:Yeung Jeffrey E.
公开号:US10561503B2
公开(公告)日:2020-02-18
Disc degeneration and chronic back pain are caused by a transport hindrance of oxygen, nutrients and pH buffer from capillaries in endplates into mid-layer of the intervertebral disc. A fluid absorbing conduit is inserted into the intervertebral disc, drawing and delivering the oxygen, nutrients and pH buffer in fluid of body circulation from capillaries at endplates into the mid-layer of the disc. The disc undergoes thousands of relaxation and compression cycles each day from daily activity of the patient. During relaxation phase, the fluid of body circulation containing oxygen, nutrients, and pH buffer is infused into the fluid absorbing conduit. During compression phase, the oxygen, nutrients, and pH buffer in the fluid absorbing conduit is dispersed into the mid-layer of the disc. The pH buffer, bicarbonate, neutralizes the lactic acid to relieve the discogenic pain. Oxygen inhibits hypoxic inflammation and production of lactic acid to further reduce the discogenic pain. Nutrients nourish the disc cells to rebuild or regenerate the disc matrix.
Therapeutic agents can be added into the fluid absorbing conduit or injected into the disc implanted with the fluid absorbing conduit to expedite pain relief and disc regeneration. The therapeutic agents can be pH buffering agent, antibiotic, anti-inflammatory drug, anesthetic, antacid, nutrient, sulfate, anti-depressant, calcium channel blocker, growth factor, cells or other.
椎间盘退化和慢性背痛是由于氧气、营养物质和酸碱缓冲液从椎间盘终板毛细血管向椎间盘中层的运输受阻造成的。在椎间盘中插入液体吸收导管,将体循环液体中的氧气、营养物质和 pH 缓冲剂从终板毛细血管吸入并输送到椎间盘中层。椎间盘每天都会因患者的日常活动而经历数千次松弛和压缩循环。在松弛阶段,含有氧气、营养物质和 pH 缓冲剂的体循环液体注入液体吸收导管。在压缩阶段,液体吸收导管中的氧气、营养物质和 pH 缓冲剂分散到椎间盘的中层。pH 缓冲剂(碳酸氢盐)可中和乳酸,缓解椎间盘源性疼痛。氧气可抑制缺氧性炎症和乳酸的产生,进一步减轻椎间盘引起的疼痛。营养物质可滋养椎间盘细胞,重建或再生椎间盘基质。
治疗剂可添加到液体吸收导管中,或注射到植入液体吸收导管的椎间盘中,以加快疼痛缓解和椎间盘再生。治疗剂可以是 pH 缓冲剂、抗生素、消炎药、麻醉剂、抗酸剂、营养剂、硫酸盐、抗抑郁剂、钙通道阻滞剂、生长因子、细胞或其他。