CA2189677C - Expandable fabric implant for stabilizing the spinal motion segment - Google Patents
Expandable fabric implant for stabilizing the spinal motion segment Download PDFInfo
- Publication number
- CA2189677C CA2189677C CA002189677A CA2189677A CA2189677C CA 2189677 C CA2189677 C CA 2189677C CA 002189677 A CA002189677 A CA 002189677A CA 2189677 A CA2189677 A CA 2189677A CA 2189677 C CA2189677 C CA 2189677C
- Authority
- CA
- Canada
- Prior art keywords
- bag
- tlle
- nnd
- disc
- bone
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7097—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants
- A61B17/7098—Stabilisers comprising fluid filler in an implant, e.g. balloon; devices for inserting or filling such implants wherein the implant is permeable or has openings, e.g. fenestrated screw
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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Abstract
An expandable, porous fabric implant for insertion into the interior of a reamed out disc which is packed with material to stabilize the spinal segment. The fabric pores allows for tissue ingrowth the implant.
Description
~ WO95/31948 218g677 r~l/u~ ~.r~79 EXPANDABLE FABRIC IMPLANT FOR STABILIZING
THE SPINAL MOTION SEGMENT
n .. 1~ ~. ou,,d of tllc InYcntion 1. Ficld Or th.. IIIYr~ntinn S Tilis invention relales to n method nnd deviee for stabilizin~ a ~1. I ;~,,,li,,~ spinnl motion segmen~ eomposed of two vertebrne adjaeent n dise.
THE SPINAL MOTION SEGMENT
n .. 1~ ~. ou,,d of tllc InYcntion 1. Ficld Or th.. IIIYr~ntinn S Tilis invention relales to n method nnd deviee for stabilizin~ a ~1. I ;~,,,li,,~ spinnl motion segmen~ eomposed of two vertebrne adjaeent n dise.
2. Deseription of the Rel ited Art . t Lo Y baek pain is n medieal eondilion nffeeting millions of humans. It is the most eommon eause of disability for tlle middle aged working populntion. In 10 addition to the diseomfort nnd pnin c~ ;cl~ccd by the individual, substantial eosts are borne by soeiety, ineluding eosts for tile dingnosis nnd treatment. nnd tlle eost of payments for diisability benerlts. Lost pro~iuctivi~y is more difFcult to qunntify, but we know that it is substanti;il. Any new i;no~vledge thnt lends to a ~greater u l ~,.,..li.~ or the eauses, prevention, or trentment of the low back p iin is n worthwhile and important ~5 ~ i..,, tO the welfare of individuals and society in general. Any i~ lLio.l that reduees or eliminates symptoms woul~i eonstitute a si~nirleant iJ~ uul 1~. That diseovery would improve the quality of life for eountless individuals and reduee the expenditure Or searee soeietal finaneial resources.
ReeeM medieal evidence indicates that tlle symptoms of low back pain 20 are most eommonly cnused by patl1ologic changes occurring in wllat is called the ~spinal motion se~ment." The spinnl motion segment consists of n unit of spinal anatomy bounded by two vertebMI bodies, containing those bodies and the interposed i.. i~.i.i,.,.l disc, ;Is well ns tlle :Ittaclled li~aments, muscles, ;Ind the faeet joints.
The disc eonsists of the eartilaginous end plates nt the top nnd bottom of 25 the YertebMI bones, tile nnnulus ~ïbrosis running eireumferentinlly around the nueleus, and the nucleus itself. In normnl dises. the nucleus acts ~s a dnmper to cushion applied loads, thus proteeting the other elements of the-motion segment. The nueleus contains hydrophilic (wnter nttMeting) ~u~uiloly~ ridc~ and a sma'il nmount of f~brous stMnds. Tlle nueleus is ;ll~oll~ )lc. It responds to CO~ u~a~;ùll rorces (ns in 30 sitting, stnnding wnlkin~ nnd lifting) by bulgin~ outwnrd ngainst the vertebral end plates and tlle annulus Flbrosis. Meeh:mieal forees aeting on the dise are substantial, i.e.
.I,U~JlU~ 1000 Ibs/in' when n lleavy load is lifted.
Tile annulus consists Or a woven r;lbric of colla~en rlbers and n smnller WO 95/31948 P~,lll 'C 179 nmount of elnstic fibers, botll of which r,re e~tremely strong in resisting tension forces.
Ul~ru-Lull~ ly tlle nnnulus is not very strong when it,ls required to withstnnd cu~ aa;ull nnd sl~enr forces. Tl~e verteb~l end;p!nte cnn deform slightly by bulging inlo Ihe verlebrnl bodies, ns long ns Ille npplied forces nre nol grent, nnd n long ns Ihe S force is dnmpened by II~e bulging of Ihe nnnulus.
Disc Dc~,."...~ r.
The primnry cnuse of low bnck pnin is u~ Liol~ of Ihe lumbnr discs.
For rensons lI~nt nre nol perfectly cle:lr, mnny if not most humnns develop pnLhologic 10 ch~n~es in the nucleus ns tl~ey nppronch middle nge. In about one tllird of individunls, the process is pninless. In tlle olher Iwo-lhirds, Ihe disense cnuses pnin vnrying from mild nnd iMermittent to severe nnd constnnt. As tlle nucleus begins to dry up, so to spenk, il frngmenls, nnd looses its' :Ibility to nct ns n cushion. This process is usunlly slow, but mny be r~pid if tlle disc is injured by tl~e npplicnlion of n very grent load; ns5 mny occur during nn nccident or by tl~e lifling of n grenl weighl, or ns n resull of Ihe ;.. \ of forces while slooping, bending, Iwisting or lifting.
Tllis condition of disc ici..r~ tio.~ is sometimes cnlled "isolnted disc resorption." Dehydrntion of Ille nucleus reduces ils' nbility to nct ns n cushion. As a result, londs nre trnnsferred to tlle nnnulus of the ~iisc nnd to the fncet joints. These 20 Imer SlrUCtUres are nol cnpnble of wiLll~L,I~ the npplied cù~ "~aaion nnd torsionnl loads, nnd they grndunlly deteriorntc. Effecls of Illis process includè nnrrowing of Ihe interspnce, bony spur formntion, f,.. ~,.. I .~i.. ,. of the nnnulus, frncture nnd d.,hl;u..,Liu,. of Ihe cnrlilnginous end plnles, nnd d.;~;u~ti~n of Ihe cnrtilnge of Ihe fncel joinls. Tl~e :Innulus nnd fncct joints loosc tlleir structurnl st:~bility wllile subtle but 25 pathologic motions occur between the spinnl bones - n condition known ns "segmentnl instnbility" occurs. Tile process is sometimes referred lo ns the rdc~,~",.""Li~"
cnscnde.~ Brenkdown producls Or Ille ciisc nnd fncet joinl, including Ill.l..luacu~J;c ellunks, I.,;c.U~.u,u;c pnrlicles, nnd noxious chemicnl subslnnces build up. These brenkdown prod~lcls stimulnle sensitive nerve endings in nnd nround Ihe disc, producing 30 low bnck pnin nnd somelimes, sciriticn. Affecled individunls experience muscle spnsms, reduced fiexibility of II~e low bnck, nnd pnin when ordinnry movemenls of t'ne ruck nre mlempled; e.g. stooping, bending, lifling, sLnnding, wnlking, or even rolling over in bed. Simpie nnd efrective cures do nol exisl. The process is irreversible.
2l8g677 WO 9'il31948 P.~ b t79
ReeeM medieal evidence indicates that tlle symptoms of low back pain 20 are most eommonly cnused by patl1ologic changes occurring in wllat is called the ~spinal motion se~ment." The spinnl motion segment consists of n unit of spinal anatomy bounded by two vertebMI bodies, containing those bodies and the interposed i.. i~.i.i,.,.l disc, ;Is well ns tlle :Ittaclled li~aments, muscles, ;Ind the faeet joints.
The disc eonsists of the eartilaginous end plates nt the top nnd bottom of 25 the YertebMI bones, tile nnnulus ~ïbrosis running eireumferentinlly around the nueleus, and the nucleus itself. In normnl dises. the nucleus acts ~s a dnmper to cushion applied loads, thus proteeting the other elements of the-motion segment. The nueleus contains hydrophilic (wnter nttMeting) ~u~uiloly~ ridc~ and a sma'il nmount of f~brous stMnds. Tlle nueleus is ;ll~oll~ )lc. It responds to CO~ u~a~;ùll rorces (ns in 30 sitting, stnnding wnlkin~ nnd lifting) by bulgin~ outwnrd ngainst the vertebral end plates and tlle annulus Flbrosis. Meeh:mieal forees aeting on the dise are substantial, i.e.
.I,U~JlU~ 1000 Ibs/in' when n lleavy load is lifted.
Tile annulus consists Or a woven r;lbric of colla~en rlbers and n smnller WO 95/31948 P~,lll 'C 179 nmount of elnstic fibers, botll of which r,re e~tremely strong in resisting tension forces.
Ul~ru-Lull~ ly tlle nnnulus is not very strong when it,ls required to withstnnd cu~ aa;ull nnd sl~enr forces. Tl~e verteb~l end;p!nte cnn deform slightly by bulging inlo Ihe verlebrnl bodies, ns long ns Ille npplied forces nre nol grent, nnd n long ns Ihe S force is dnmpened by II~e bulging of Ihe nnnulus.
Disc Dc~,."...~ r.
The primnry cnuse of low bnck pnin is u~ Liol~ of Ihe lumbnr discs.
For rensons lI~nt nre nol perfectly cle:lr, mnny if not most humnns develop pnLhologic 10 ch~n~es in the nucleus ns tl~ey nppronch middle nge. In about one tllird of individunls, the process is pninless. In tlle olher Iwo-lhirds, Ihe disense cnuses pnin vnrying from mild nnd iMermittent to severe nnd constnnt. As tlle nucleus begins to dry up, so to spenk, il frngmenls, nnd looses its' :Ibility to nct ns n cushion. This process is usunlly slow, but mny be r~pid if tlle disc is injured by tl~e npplicnlion of n very grent load; ns5 mny occur during nn nccident or by tl~e lifling of n grenl weighl, or ns n resull of Ihe ;.. \ of forces while slooping, bending, Iwisting or lifting.
Tllis condition of disc ici..r~ tio.~ is sometimes cnlled "isolnted disc resorption." Dehydrntion of Ille nucleus reduces ils' nbility to nct ns n cushion. As a result, londs nre trnnsferred to tlle nnnulus of the ~iisc nnd to the fncet joints. These 20 Imer SlrUCtUres are nol cnpnble of wiLll~L,I~ the npplied cù~ "~aaion nnd torsionnl loads, nnd they grndunlly deteriorntc. Effecls of Illis process includè nnrrowing of Ihe interspnce, bony spur formntion, f,.. ~,.. I .~i.. ,. of the nnnulus, frncture nnd d.,hl;u..,Liu,. of Ihe cnrlilnginous end plnles, nnd d.;~;u~ti~n of Ihe cnrtilnge of Ihe fncel joinls. Tl~e :Innulus nnd fncct joints loosc tlleir structurnl st:~bility wllile subtle but 25 pathologic motions occur between the spinnl bones - n condition known ns "segmentnl instnbility" occurs. Tile process is sometimes referred lo ns the rdc~,~",.""Li~"
cnscnde.~ Brenkdown producls Or Ille ciisc nnd fncet joinl, including Ill.l..luacu~J;c ellunks, I.,;c.U~.u,u;c pnrlicles, nnd noxious chemicnl subslnnces build up. These brenkdown prod~lcls stimulnle sensitive nerve endings in nnd nround Ihe disc, producing 30 low bnck pnin nnd somelimes, sciriticn. Affecled individunls experience muscle spnsms, reduced fiexibility of II~e low bnck, nnd pnin when ordinnry movemenls of t'ne ruck nre mlempled; e.g. stooping, bending, lifling, sLnnding, wnlking, or even rolling over in bed. Simpie nnd efrective cures do nol exisl. The process is irreversible.
2l8g677 WO 9'il31948 P.~ b t79
-3 -Fortunately, in some if not most cases, '~s the disease continues to run its' course, the body eventually re-stabilizes ti~e disc by stiffening the joints of the motion segment.
Then the pain may decrease or cense nltogether. u~lrO-Lu~ t~ly, in n signific;mt number of individuals (10-15%) the rP~hili7~tir~n process does not take place. EYen in the 5 group where rP~hili7~tir.~ occurs, tlle process requires several yenrs or even decndes to complete. During that time the pntients often experience recurrent bouts of disabling pain.
Dircct OiJ.~Iv.lliul.~ by otller ill~C~ ula iiurin~ e perrormnnce of lumbnr procedures have conf~rmed Ihe sensitiYity of certain lumbar tissues. In ~0 addition, the most extensive direct OiJa.. v..~iù..s of these phenomenn to determine the exact source of lumbar pain llave been performed and published by the inventor, Clinic~lly si~nirlcnnt low bnck pnin is derived, in the m~in, from p~tholo~ic stimulation of these, and only these structures: 1) the vertebMl end pl~te, 2) the outer layers Or the ~nnulus fibrosis, nnd to a lesser extent, 3) tlle c~lpsule of the 15 facet joint. J~ll of these structures produce typical low back pain when they are rubjected to mechanical forces that exceed ~ certain threshold. In addition, it is likely, based on recent ;-~v~Li~ iu~-~ into the bir~rhPmir~l milieu of the motion segment, that eertnin loeal cllemieal nhnrrm~litiP~ may play a role in lowering the threshold for the stimulation orpain ~,..,.~.":;li"~ fibers.
Surgeons have ~ievised seveMI methods to stabilize tlle motion segment.
These methods fall into the followin~ genernl cntegories:
I) Dccu.."u-.,s;ù., of tlle spinal canDI by removal of part or all Or the remaining nucleus, sometimes cnlled "partial discectomy" or "discec~omy."
~) D~u.nl".as;o.. ol tl~c spi~ l c;ln:ll by rcmoY;ll Or non-nuclcar tissues., e.~.
li~mrnt,lm finvum rcmov;~l or bone rcmov;ll, sometimes calle~ u~u~y"
or " ll~ ullly . "
3) Spinal fusion by a great Ynriety of teehniques.
rusion consists of the preparation of tile existing bone surfaces by dccù.tic.iliù.. (scrapin~ the surface Or the bone) nnd the deposition of additionnl bone 30 onto the prepnred surface. The fusion mny be posterior (from the back side of the pntient) or nnterior (from tlle front side of the pntient). Tllc bone mny be cortical (hard bone) or c;mcellous (soft bone) or n r~""l.:., :il~jl of the two (cortico-eancellous). Great .ullLIuv.,~y exists reg~rding tlle prcferred metllo~i Or pcrforming these fusions for ~oss/3l948 2~8~677 ;1 ir r~ 5179 ~
vnrious conditions of the spine. Sometimes non biolo~icnl mnterinl are used to augment and support the bone graft (rlxation systems). Sometimes the fixation isperformed from the posterior route (posterior fixation), or from the nnterior route ~anterior fix ttion), or eYen both si~ies (,tnterior posterior f x ttions or cil~u-., 5 fusion).
Bagby w~s the firsl to describe n method of stabilizing tl~e spine by irtterbody fusion using a rigid, I~ollow llousing cont~tining bone graft, wherein the bone ft is contained entirely within tlle housing or impl;tnt. My mn~lirir~!inn of that method of spinnl ~usion (U.S. Patent 5,015,255) ~ttempts to accomplish a fusion with 10 less damage to aulluul~di~ tissue and earlier 5~hili7~inn of the motion segment, and using special tools for safe insertion. Even th,tt method ~nd many others similar to it require the pl~cement of devices from both sides of the spine and the installation of a ftirly large implant thnt will not fit throu~l1 small portals. Examples include the implants described by Br;tntigtln in U.S. Patent 5,192,327; 4,878,915: 4,834,757 and 15 4,743,256. Two types or PYrqn~ h~ bone containing implants have been described.
One is that of Kuslicl~, U.S. Patent 5,059,193 consisting of a cyiindric,tl device that expands to from a reinforccd ;Irch when it is expanded in the interbody space. Kuslich 5,059,193 uses a netting to prevent its ribs from sinking into soft vertebMI bone. The other uses a memory metal (nickel-tit;mium alloy) that expands in the interspace when 20 the t..~ Lu.~ cl~:mges. Turn buckle type implants of Razian, U.S. Patent 4,401,112 and O~ilvie, U.S. P ttent 4,63G,217 cxpand, b~lt do not contain gMrt witl~in a housing.
Artilur Steffee describes an ~rtificial disc with an elastomeric core between fi;tt rigid pl~tes in U.S. Patent 5,071,437. An ~rtificial disc using a spring is described in Kostuik et nl, U.S. P:ltent 4,759,769. C;lsey Lec et ;1l, in U.S. Pntents 25 5,171.281 ;Ind 4.911,718 dcscribe ;..t.,~.,t~l.,.ll disc spacers. Rty et nl in U.S. P;ltent
Then the pain may decrease or cense nltogether. u~lrO-Lu~ t~ly, in n signific;mt number of individuals (10-15%) the rP~hili7~tir~n process does not take place. EYen in the 5 group where rP~hili7~tir.~ occurs, tlle process requires several yenrs or even decndes to complete. During that time the pntients often experience recurrent bouts of disabling pain.
Dircct OiJ.~Iv.lliul.~ by otller ill~C~ ula iiurin~ e perrormnnce of lumbnr procedures have conf~rmed Ihe sensitiYity of certain lumbar tissues. In ~0 addition, the most extensive direct OiJa.. v..~iù..s of these phenomenn to determine the exact source of lumbar pain llave been performed and published by the inventor, Clinic~lly si~nirlcnnt low bnck pnin is derived, in the m~in, from p~tholo~ic stimulation of these, and only these structures: 1) the vertebMl end pl~te, 2) the outer layers Or the ~nnulus fibrosis, nnd to a lesser extent, 3) tlle c~lpsule of the 15 facet joint. J~ll of these structures produce typical low back pain when they are rubjected to mechanical forces that exceed ~ certain threshold. In addition, it is likely, based on recent ;-~v~Li~ iu~-~ into the bir~rhPmir~l milieu of the motion segment, that eertnin loeal cllemieal nhnrrm~litiP~ may play a role in lowering the threshold for the stimulation orpain ~,..,.~.":;li"~ fibers.
Surgeons have ~ievised seveMI methods to stabilize tlle motion segment.
These methods fall into the followin~ genernl cntegories:
I) Dccu.."u-.,s;ù., of tlle spinal canDI by removal of part or all Or the remaining nucleus, sometimes cnlled "partial discectomy" or "discec~omy."
~) D~u.nl".as;o.. ol tl~c spi~ l c;ln:ll by rcmoY;ll Or non-nuclcar tissues., e.~.
li~mrnt,lm finvum rcmov;~l or bone rcmov;ll, sometimes calle~ u~u~y"
or " ll~ ullly . "
3) Spinal fusion by a great Ynriety of teehniques.
rusion consists of the preparation of tile existing bone surfaces by dccù.tic.iliù.. (scrapin~ the surface Or the bone) nnd the deposition of additionnl bone 30 onto the prepnred surface. The fusion mny be posterior (from the back side of the pntient) or nnterior (from tlle front side of the pntient). Tllc bone mny be cortical (hard bone) or c;mcellous (soft bone) or n r~""l.:., :il~jl of the two (cortico-eancellous). Great .ullLIuv.,~y exists reg~rding tlle prcferred metllo~i Or pcrforming these fusions for ~oss/3l948 2~8~677 ;1 ir r~ 5179 ~
vnrious conditions of the spine. Sometimes non biolo~icnl mnterinl are used to augment and support the bone graft (rlxation systems). Sometimes the fixation isperformed from the posterior route (posterior fixation), or from the nnterior route ~anterior fix ttion), or eYen both si~ies (,tnterior posterior f x ttions or cil~u-., 5 fusion).
Bagby w~s the firsl to describe n method of stabilizing tl~e spine by irtterbody fusion using a rigid, I~ollow llousing cont~tining bone graft, wherein the bone ft is contained entirely within tlle housing or impl;tnt. My mn~lirir~!inn of that method of spinnl ~usion (U.S. Patent 5,015,255) ~ttempts to accomplish a fusion with 10 less damage to aulluul~di~ tissue and earlier 5~hili7~inn of the motion segment, and using special tools for safe insertion. Even th,tt method ~nd many others similar to it require the pl~cement of devices from both sides of the spine and the installation of a ftirly large implant thnt will not fit throu~l1 small portals. Examples include the implants described by Br;tntigtln in U.S. Patent 5,192,327; 4,878,915: 4,834,757 and 15 4,743,256. Two types or PYrqn~ h~ bone containing implants have been described.
One is that of Kuslicl~, U.S. Patent 5,059,193 consisting of a cyiindric,tl device that expands to from a reinforccd ;Irch when it is expanded in the interbody space. Kuslich 5,059,193 uses a netting to prevent its ribs from sinking into soft vertebMI bone. The other uses a memory metal (nickel-tit;mium alloy) that expands in the interspace when 20 the t..~ Lu.~ cl~:mges. Turn buckle type implants of Razian, U.S. Patent 4,401,112 and O~ilvie, U.S. P ttent 4,63G,217 cxpand, b~lt do not contain gMrt witl~in a housing.
Artilur Steffee describes an ~rtificial disc with an elastomeric core between fi;tt rigid pl~tes in U.S. Patent 5,071,437. An ~rtificial disc using a spring is described in Kostuik et nl, U.S. P:ltent 4,759,769. C;lsey Lec et ;1l, in U.S. Pntents 25 5,171.281 ;Ind 4.911,718 dcscribe ;..t.,~.,t~l.,.ll disc spacers. Rty et nl in U.S. P;ltent
4,904,260 describes ~ disc c;lpsule wi~icll must block passnge or llumLln eells. Bao et al in U.S. P ttent 5,192,326 describes t l.~ L for the nucleus filled with hydrogeibeads. None Or these encourage or tllow through-growth of living eells.
Tlle art described in tllis seetion is not intended to eonstitute an 30 ~dmission thnt any patent, publication or otller inrormation referred to herein is "prior artr ~vitl1 respect to this invention, unless specifically designated as such. In addition, this section should not be construed tG meDn tllat n se trch has been m tde or that no other pertinent inrormttion ns defned in 37 C.F.R. 1.56(a) exists.
~ W095/:~1948 ~96~77 P~ 79 ~ummnrv Or t!-e Invention The invention provides n flexible fnbric implnnt thnt may be inserted into n cnvity formed in n ~ disc. Tlle flexibility Or the bag nllows it to be inserted througll n relntivcly smnll opening in n disc. Tlle baf, is ~hen positioned so its
Tlle art described in tllis seetion is not intended to eonstitute an 30 ~dmission thnt any patent, publication or otller inrormation referred to herein is "prior artr ~vitl1 respect to this invention, unless specifically designated as such. In addition, this section should not be construed tG meDn tllat n se trch has been m tde or that no other pertinent inrormttion ns defned in 37 C.F.R. 1.56(a) exists.
~ W095/:~1948 ~96~77 P~ 79 ~ummnrv Or t!-e Invention The invention provides n flexible fnbric implnnt thnt may be inserted into n cnvity formed in n ~ disc. Tlle flexibility Or the bag nllows it to be inserted througll n relntivcly smnll opening in n disc. Tlle baf, is ~hen positioned so its
5 fill opening mny receive biolo~ic~l fill mnterial. Tllis mnterial is pncked into the nexible bn~, c~usin~ the b:l~ to expnnd ;md conform to the clvity formed in Ihe disc.
Fill material is ndded until enough mnterinl is present to "inflnte" tlle disc to the desircd position. At this time, the bng fill opening is closed to prevent egress of the fill material.
The relatively open wenve of the bng allows the normal movement of body !luids througll the bng. It also allows the ingrowth of bony tMbecul~e and fibrous elements into and through tlle fexible bng. It does not allow the egress of the non-liquid fll materi~
In preferred rorms Or the invention, the llexible bng includes an 15 equatorinl band which is substimtially less ilexible thnn the remainder of the bag. This controls the shape of the bag and pressures within the bag by means of applying tension on the band and thereby restricting equntorinl expnnsion while ~ polar expansion along the long axis of the spine.
20 ~3rief DescriDtion of tllc Drn~vines A dctniled description of the invention is llerenfter described witl specific reference being mlde to the drnwings in wllich:
FIG. 1 is n top plnn view Or the device of the invention;
FIG. 2 is a side elevalion;ll view ~llereor ~lle invenlive device;
FIG. 3 i5 n fMgmentnry view Or n spinnl column unopeMted spine showing normnl nnd pnthologic discs;
FIG. 4 is n fMgmentnry view of n spinal motion segment after disc rlf~ l..,....1 is used, reamed out with parts cutnwny;
FIG. S is a fr.. ~;.. ll~lly view tllereof with insertion of the device of the30 invention;
FIG. 6 is n r,~-~;-,----l.-ly view thereof showing infntion of the device being innated with fill material;
FIG. ~n is n rrn~mentnry view tllereof showing n pnrtinl henling spinnl wo ss/3ls48 ~1~ 9 ~ 7 7 PCTIUS95/06179 motion segment nfter the method is complete:
FIG. ~b is n tMnsverse seclion showing insertion of the bng from ~nother direction;
FIG. 8 is nn Pmho~lim~ nt includin~ nn eq~mtori:ll bnnd;
FIG. 9 is ~ side elev~tionnl Yiew thereof of the ~ " ~,n~ 1 of FIG. 8;
FIG. 10 is ~ r~ ,.. ",y view thereof sllowing the device of FIG. 8 in position:
FIG. Il is ~ tr:msverse section showing nlternntive use of the inventive f~bric b~gs for po~...u~ fusion;
~0 FIG. 12 is n Ifln~it~ in~l view of nn nl!ernmive use ns in FIG. 11 thereof;
FIG. 13 is n sectional view of nn equntorinl bnnd Or FIG. 8;
FIG. 14 is nn nlternnte tû FIG. 13 in ~vhich the equntorinl bnnd is simply multiple f~bric Inyers;
FIG. 15 is n section~l view similnr to FIG. 13 in whicll the equ~tûrial bnnd is hollow;
FIG. 16 is n frngmentnry view of ~n nltern~tive closure device method thereof;
FIG. 17 is n frngmentnry view of nn nltermltive closure device method thereof;
FIG. 18 is n frngmentnry view of nn nlternative closure device thereof;
FIG. 19 is ~ ~r~gmentnry vicw of nn nlternntive closure device;
FIG. 20 is n rMgmentnry view of nn nltermtive closure device;
FIG. 21 sl~ows n t~evicc lor coupling tû n r~ll openin~ Or tlle device in order to inject in rll materinl;
FIG. æ SIIOWS thc b:lg inllntinS ns tlle rll mnteri~l is injected rrom the device ûf FIG. 21;
FIG. 23 shows closure Or the rlll opening with n cnp in the rll device of FIGS. 21 ~nd 22;
FIG. 24 shows n disensed disc nnd the rnnges of motion;
FIG. 25 shows n rr~mentnry, pnrti~lly cut-nwny spinnl motion segment r~stored wilh tlle invention;
FIG. 2G sllows tllc motion segment of FIG. 25 with biolo~icnl fluids ~l~g~77.
~ W0 95131948 , P~ .. ,.,.r~~79 ., ~
moving in nnd out of ~lle b~g;
rIG. 27 shows a c3rtridge loaded with fill m3terinl ror use in injecting material into the bng 3s in rIG. 21;
rlG. 28 is 3 cross-section31 Yiew ti~rougll lines 28-28 of rIG. 27;
rIG. 29 shows 3 press with the cnrtridge of rIGS. 27, 28 being loaded with material;
rIG. 30 shows a device ror accepting a cnrtridge of rIG. 27 to inject material:
rIG. 31 shows Ihe device of rIG. 30 wi!h plunger witlldrawn;
rIG. 32 is a pnrtial enl3rged vicw of rlG. 31 showing insertion of n cartridge;
rIG. 33 shows injection of m3terial through the device;
rIG. 34 shows filling of the b3g;
rIG. 35 shows 3 cross-section of tlle end Or the device of rIG. 34 filling of the bag;
rIG. 36 shows tlle b3g infi3ting;
rIG. 37 shows tlle bag nenrly fully innnted with the closure plug about to engage;
rIG. 38 shows rotntion of the insertion tool plunger to rotate the closure 20 plug;
rIG. 39 sllows the ciosure plug sccure~i;
rIG. 40 shows a rlll opening CO.I~LlUL,Liu~., rIG. 41 shows the rlll opening of rIG. 40 exploded;
rIG. 42 sllows 3 cross-section31 view tllrou~ll line 42-42 Or rIG. 40:
rIG. 43 sllows an 3nnulus witl~ nn opening to close;
rIG. 44 shows n puncll removing d;lmnged annulus m3terial down to raw bleeding bone;
rIG. 45 shows tlle nnnulus rendy to accept n pntch;
rIG. 46 shows a pntch stnpied in plnce;
rIG. 47 is a cross-sectionnl view of rlG. 46 showing tlle staples and pntch;
rIG. 48 is n view Or n spinnl segment showing nn opening to seal;
rIG. 49 shows thc spin31 segmeD~ Or rlG. 48 witll :I rep3ir pntch in WO95/31948 2189S77 ,~ P~ C5179 place:
FIG. 50 sllows an nlternative method to form the bag of the invention showing nn exploded bng;
rIG. 51 shows tlle bng of rIG. 50 nssembled;
rIG. 52 is a sectionnl view tnken nlong line 52-52 of rIG. 51;
rIG. 53 shows rllling, of the bng by an insertion tool;
FIG. 54 shows filling Or the ba~ by an insertion tool with the tool enîering the bag;
FIG. 55 shows the bng inflating, with the bng expanding to self-seal; and rIG. 56 sllows the insertion tool removed with internal pressure in the bag closing the insertion opening.
~escrir)tion Or tl~e rreferred F...l.n.l ....1~
With reference to the I:igures, l~ig. 3 shows typical spinal motion 15 segments, with lumbar vertebrae 10, 12, 14 and 16 shown, separnted by three discs 18, 20 and 22. As depicted, disc 20 is d.t..;~ g. E~ch disc includes n nucleus 24, top and bottom end plntes 26, 2g and nn annulus ribrosis 30.
The implants of the invention offer n third method of expansion by means of injection o~ mnterial into n tcnsion-resisting ~nbric bng that expands to 20 IJLr~ l 1 dimensions when rllled to ~ull cnpacity. In nddition, the invention may consist of materinls tlmt arc eventunlly resorbed by the body, leaving no trace of forei~n substances.
Most of tlle factors that are known to produce or potenti~te pain production c,ln bc explnincd by tllc pntl~ologic disc dc~j."...~lion and tl~c se~mental 25 instability tl~nt rOllows its arrp:lran~P. Most Or the previously described methods of spinnl ~t~hili7a~inn have been developed with the expressed purpose of treating the condition o~ disc dc~..,...,~iu.. only arter irreversible clmnges have tnken place in the otller tissues of the motion segment.
Methods tl~nt will ncce~ernte tlle normnl rP~ahili7~inn process ought to 30 be i".l,l...,..,~. ~l during tlle early plmscs of disc ~if~;,, ...li~l" berore severe pathologic ch~nges occur in the aulluul~d;ll~ tissues, and be~ore the patient develops the physical and ~ay.llolOgi..ll dis~bilities nssociated with the normnl course of the condition. For instmce, the metllods described here may be used during routine removnl of disc W095/31948 21896'77 r~ l79 hernintions in order to preempt tlle furtller ~lr~ , "lin,~ and resultinf, back pain and irlstability that frequently results from these types of procedures. Sprangford et al reported 31.5% railure rates in terms of continued low back pain in spite of good results for scia~ic~ relief ~vilen disc herniations were treated by l ,;",, ~ ,Y. Acta.
5 Ortl!op. Scanda, 1972, 142 (Suppl.), 1-95.
The most of~en performed spinal fusions are classified as postero-lateral or interbody in order to specify tlle are~ of d~ulLi~ iuil and bone grnft ~rrlir~tirln Postero-lnteMI grarting is often effective but its fusion rate is low when more th~n one leYel is fused and the operation requires a lnrge exposure with resultant high blood 10 loss, long recovery time, long operation times nnd frequent episodes of lingering pain in spite of ;Ipparently solid fusion.
The mctilods nnd spinal implnnts of the invention nre designed to re-stabilize the spin~l motion seQvment in ~ Mpid and efrective manner. Tiley should lerd to relier of the low back pain nnd a .u". r..r.~ ;IIIIJIUY.l~ in the quality of life ror the patient. In addition, one might rensonably expect that these methods andimplants will nlso decrease the cost of medic~l c;lre :md a reduce the disability-associ~ted expenses to society.
Dr~scription of thc Dcviccs Tile inventive implant 40 consists Or a smnll (npprox. one to four cm diameter) fabric bag, rougllly spherical in shape, although elliptical shapes :md other geometric shapes may be used.(See I:igs. l, 2). One additional shape ~,l,l~; l. ,.,~;r would be the provision for an enl3r~ed or constricted and~or less compliant equ~torial band 42 th~lt would conrme tlle illtcrnal cavity morc securely at the center or equntor of the implnnt 40, at tlle point where tlle implnnt 40 is opposed to the :mnular wall, which is less rigid tllan tile cnncellous bone ~Ynll Or tl~e carved out cavity 44 of the vertebral bodies. The bag is pliable and maileable before its interior space is filled with the contents to be described. Wllile in tllis initial condition, the bag mny be passed, uninfiated, through a relatively small tube or portal, perhaps one cm or smaller in - 30 dinmeter. (See Figs. 5, 21). Tllis reature is importnnt because nccess to the iJ~.II disc is limited by anatomy nnd tl~ererore snfety rn"~ direct us to use the smallest possible portal of entry.
The bag 40 is constructed in a special 2nd noYel way. The ba~ fnbric WO 95/~il941 2 1 8 9 6 ~ 7 P~llu~ ~.r '179 may be ~Yoven or form-moidcd to ~ density thnt will nllow in~ress nnd egress of fiuids and solutions nnd will nllo~v the ingrowth and through-growth of blood vessels nnd fibrous tissue And bony tMbeculne, but ti~e wenve is tigllt enou~h to ret~in smnll particles of enclosed materinl, sucll ns ~round up bone ~Mft, olher tissues or solid 5 pieces of bone inducing mnterinl such ns ;,~ u.~ Lilc or other binff~mr~ihlf materinls known to promote bone formntion. CeneMlly, the pores of tlle fnbric will have n diameter of nbout 0.25 mm to about 5.0 mm. The size is selccted to allow tissue ingrowtll while contnining the mnterial packed into the bng.
The fabric is light, ~ u~ fexible nnd easiiy hnndled, but its 10 fabric is very strong in terms of resisting tension, ~nd thus uniikely to rip or tear during insertion and infiation. Wllen the device is infinted, the device expands to a L'l''i' `~ ,"",,~.1 shape, nnd in ~ioing so, it fills n previously excavnted spnce 44 between the vertebral bodies. Tilis fillin~ results in tlle separntion of tlle vertebral bodies along tbe crnnial-caudnl nxis, lPnf~thf-ninf~ nnci tightening the rlbers of the nnnulus fibrosis 3û, 15 and in the process, as we know from the teacllinf~s of Cloward and Bagby, results in the c~hili7~tinn of tlle spinnl motion segment. (See l~igs. 6, 7a).
The use of tlle term "rnbric" llerein is me:mt to include the usual definition of that term and to include any mnterial thnt functions like a fabric. that is, the "f~lbric" of the invention must hnve n plurality of pores through which materinl and 20 fluid fow is nllowed under the terms ns described, nnd the "fnbric" must be fexible enougll to allow it to be collapsed nnd inserted into nn openin~ smnller thnn tlle infi~ted bag size.
Accordin~ly, tlle "rnbric~ bng or implnnt 40 m~y be rormed from a polymeric b~lloon to wllicll n plurnlity Or perror:ltions nrc rormcd or ndded. It need not 25 be woven and mny be molded or otilerwise rormeci ns is well Icnown in tlle art. The prererred mnterinl may provicie tllc abilily to tailor bio..i,~ull,.,,l.. Mtes. Any suture-type mnterinl used medicnlly mny be useci to rorm tlle implnnt 40. The implant may be formed Or plnstic or even metnl. Tlle rill openinr~ mny be ~ bushin~ 72 tllat could be i,lf )~ sucll ns lly i~u7~ lJ.l~itr, or it could be n plnstic or metnl. The bag 40 30 could be formed rrom a solid mnterinl to whicll perfoMtions nre added. Tlle implant 40 mny be pnrtially or totnlly nbsorbable, metnl, plnstic, woven, solid, rilm or nn extruded balloon.
~ WO95/31948 21 89677 ~ u~ 79 The use of e.xtemnl elec~ricnl fileds to stimulnte bone ~rowth and repnir is well known. It is also possible to include metnl or other conductive fibers 50 in the wnlls Or the bng 40 sucll thnt an externnl electricnl rleld could nmpliry nnd stimulnte bone union nt the situs of the bng.
As will be described, it is nnticipnled thnt ~he bng 40 will be prefer~bly used in surgery in spines of humans ns well ns other nnimals.
Accordingly, the mnterinl of bng 40 should be l,;,,~ ..ti SURGIG~L METIIOD
10 1. Formrltion of Entrnncc Bore As indicn~ed, the bng 40 is prefernbly used in spinnl ~-~hili7~iAn surgery. FrG. 3 of the drawings shows vertebrne 12 nnd 14 sepnrated by disc mn~erial 20 thnt is pnthologic nnd in need of repnir.
The cnYity 44 in tl~e disc 20 mny be formed in nccordnnce with the 15 methods and deYices of U.S. Patent 5,059,1g3, tlle disclosure of which is illl,Ul~JUI ' ' herein by reference. Genernlly, after identifying a disensed disc 20, the surgeon forms n bore 46 through the nnnulus 30. The bore 46 is formed througll any Cullv...l~iu,u~l menns. The bore is sized such thnt the diameter of the bore 46 is .~ u~i..l~t~ly sizd to be the external dinmeter of tile implnnt body 40 when in tlle relnxed or first state ns 2û si~own in FIG. 5. The depth Or tlle bore 46 is controlled so thnt the nxinl length of the body 40 may be fully inserted within the bore, with the body 40 rully locnted between opposing vertebrne 12, 14.
Wllile the dinmeter of bûdy 40 nnd bore 46 will vnry from pntient to paticnt, ~here is zl prnctic.ll mnximum si7c Or Illc di;lme~cr Or borc 46 for nny givcn 25 pntient. This mnximum is nttributcd to tlle fnct thnt too Inrgc of n drill bit cDnnot be passed tllrougll tlle pntient's body :Ind pl;lce~i n~ninst disc tissue. If too Inrge n drill bit is used, the si_e of the bit will interfere nnd possibly dnmage other nnatomicnl pnrts.
ruch ns importnnt blood vessels, nerves, etc.
A typicnl selected di~meter Or body 40 (when in the first stnte) nnd bore 30 46 is prefernbly nbout 12 mm. Tllis dinmeter is selected for bore 46 to cut tllrough disc mnterial sep~rnting tlle fourtil nnd rlrtil lumbnr vertebrae in n humnn spine in n typicnl ndult lluman mnle. Tlle ~ieptll of the i";.. ~ l spacc between the fourth and rlfth lumbnr vertebrne in nn ,Idult llumnn mnle (mensured ns tlle nnterior-posterior wos~/3l948 ~18g677' r~ .~I79 dimension of Ihe vertebrae) is commonly about 35 mm. As a result, n preferred length of body 40 will be nbout 25 mm so that the body 40 mny be fully received within and between opposing vertebrne.
It wiil be npprecinted tlmt tlle foregoing dimensions and d~ have been given with respect to n particulnr vertebrne locntion in the spine of nn ndult human mtlle. It is tmticip~ted the present implnnt nnd method could be used on nny nnimal spine. Accordingly, the dimensions of the bng 40 nnd entrnnce bore 46 will vnry ~lU~ Li~ ly with increnses or decrGlses in spinnl anntomy between dirferent nnimal types. Also, in humnns, the dimension will vnry with numerous fnctors, includinganatomic region of the spine, age nnd sex. i or exnmple, the implant nnd surgical method is not limited to the lumbnr region, and mny be utilized in other regions of the spine where vertebrne dimensions mny be dirferent than those described. Therefore, several ~iifferent sizes of the bn~ 40 nre nnticipnted so n surgeon can select the optimum btlg 40 for ~ given pntient.
2. Formation of Enlarged Cl13mbcr With the entrance bore 46 formed ns describe~i, tlle surgeon then cuts tl hollow chamber 44 between the opposing vertebrae 12 nnd 14. The chnmber 44 is sr~ed to be cr~ .y to tlle exterior dimensions of the implnnt 40 in the enlargedstate.
Since the chnmber 44 lms grenter volume tllan n bore 46, tlle cutting of chamber 44 removes grenter nmounts o~ disc mnterial and exposes a grenter surface area of tile opposing vertebrne bone mnterinl. T!le exposure of the n~i~iitional surfnce nren increases tile probnbility of successful grnfting between the opposing vertebrne 12, 14.
Tile form~tion of tlle enlnrged spilericnl chnmber 44 cnn be forrned througll any suitnble teclmique. Prer~rllbly, lile cllambcr 44 is rorme~i tllrougll tlle use of ~n illL.~ t.i~l.,l reamer such ns tlmt shown and described in U.S. Pat. No.
5,015,255 and copendin~ U.S. P~t. applicntion Ser. No. 071350,050, filed on May 10, 19~9, which nnmes myself and Jnmes D. Corin ns joint inventors.
The diameter of tile clmmber 44 (nnd hence, the mnximum allowable diameter of the expnnded bng 40) is selected to provide n clearance so that the ch~mber 44 is not cut through the sides Or the vertebrne. Tilis dinmeter will vnry from patient to pntient, nn~i between locntions in the spinc. Mowever, to provide n clear~nce of W0 9~i131948 t 896 7.7, ., I r~"~ 79 about 5 to about 11 mm of the sides of ~lle vertebrae, the chnmber is preferably held to a mzximum dirmeter of about 20 to about 30 mm.
3. Insertion tnd Expansion Or Implnnt With the enlarged chamber 44 so formed. the surgeon pl~ces bag 40 in the collapsed, .~ ".,..l. .l state into bore 46 and into cavity 44. (See Fig. 5). The fill opening 48 of tlle bag 40 is positioned in bore 46.
In FIG. 5, Dn ~ (l bag 40 is shown inserted within an enlarged chamber 44. In the position shown in l;IG. 5, the bDg 40 is not urging vertebra 12, 14 10 apzrt. Accordingly, the nnnulus 30 (tlle flbrous outer c;~ul~lr~c~ portion of disc 20) connecting the vertebra 12, 14 is sllown in a relnxed or unstretclled state.With the bag 40 so inserted, tlle surgeon then fills the bag or implant 40 until inflated to the desired exten~ to cause tlle annulus îo stretch out and re-establish the proper distance between the vertebrae 12, 14.
Tlle surgeon continues to insert material until the b~g 40 is expanded to the fully expanded stnte. As it expands. tlle outer surfaces Or the bag 40 abut against the opposing surf:lces of the vertebMe 12, 14. Continued expansion of the bag 40causes tlle vertebrDe 12, 14 to stretc~l np~rt slightly. This stRtching acts to tighten the annulus 30 of disc 20, whicll lms not been removed through the formation of bore 46 20 and cllamber 44. Those skilled in the nrt will recognize tlle annulus 30 as being the fibrous outer cll~,ulllrtlc~l~iDl portion or the disc 20. Tlle stretching and tightening of the annulus provides initial ~ between the opposing Yertebrae. So that stretching will occur, the external dimensions of cllamber 44 are preferably sized to be about 3 mm less tl~an the cxternnl dimensions Or tlle ba~ 40 measured in the fully 25 expanded state. With the bDg 40 fully expnnded, the surgeon must close the bag opening 48 to prevent egress of tlle fll material.
In FIGS. 11 Dnd 12, a bag of tlle invention is depicted as a s~usage shaped container 146 whicll is not implanted into a disc cavity. Rather, one or more of tlle bag containers 146, prefilled witll fll materi~l 52, are positioned against the bone 30 of ndjacent vertebr~le. Tlle bone may be rougllened to a bleeding surface to hasten bone gro~vtll into the cont:liners 146. As time goes by, the contniners will become very rigid and will be nttnclled via bone in~rowth to both vertebrae where they contact native bone. Tllis will providc ;I SD~'C. simplc fusion. Tlle bags providc l .. ~ ;,.,.. l of Wo 9~/31948 - ' r~-,u.. 179 }i-tile bone-growth mmerial to ensure ti~nt tlle fusion ~akes place wilere inLiicated.
4. Use Or a Graft Medium Ti~e chnmber 44 is flled ~vitll n grnft medium 52 to fncilitnte fusion or 5 fibrous union between the opposing vertebrne 12, 14. The preferred grnft medium or fll mnterial 52 would be finely cllopped corticll or cnncellous bone chips ror fusion or comnective tissue when a fibrous union is desired.
In the forms of the inYention sllown in Figs. 8-10 and 16-29, tlle bng 40 may be filled by pncking the grnft medium 52 through a guide tube 54. Af~er the b~g 10 40 is flled as needed, the bag fill opening 48 is closed. Fig. 17 shows a simple staple 60 closure of opening 48. Figure 18 shows the fll opening 48 closed by tying a knot in the enti. Figure 19 SIIOWS n closure using a purse-string ~2 closure.
In the forms in which an equntorinl band 42 is employed a different fill opening and closure is possible. l:igures 13-15 show tiifferent ways in which the 15 equatorinl band 42 may be formed. As shown, tlle band 42 may be a molded plastic ~.;L,,IllllLlcllii.d band that is stiffer than tlle bag fabric to which i~ is attached. In the form of Fig. 15, the band 42 may be hollowed to form a cavity 64 into which boneeement or other material m.ly be ad~ied before or after insertion to increase the rigidity of the band. Fig. 14 shows thnt the bnnd 42 mny simply be multiple Inyers of the20 fnbric which forms the bng.
Figure 16 shows tlmt the simple band 42 of Fig. 15 may include a fill opening 66 and a slot G4 into wllich a free end 70 of band 42 may be inserted to close off tlle opening 66. In n more elnbornte closure, bnnd 42 as sllown in Fig. 20 may inclutie :I moltic~ re:l(ie~i busl~ing 72 Illrougll wllicll ~lle bn~ mny bc fille~i. Such a 25 tllrended buslling 72 is rea~iily closeti l~y n tllrende~i screw 74.
FIGS. 21-23, 30-39 sllow :l mc~llod ~or 3~imi~ling ~he graft medium 52 into cilamber 44. As shown, the bng 40 includes n threaded fill port 80 which has internnl threads 82 to receive n tllreaded screw 84. Preferably, a device 90 is used to nttach to the f~ll port ns shown. Device 90 is prefilled with tlle grnft medium 52 as 30 shown in Figs. 21-23. In Fi~s. 30-39, devicc 90 may accept a cnrtridge 92 which mny be packed with n press 102. Tlle cartritige 92 would typically include a plurality of side openings ~4 to allow nuid nn~i smnll particles to exit during filling.
The cnrtridge 92 is inserted inlo cicvice 90 in an opening 88. Tlle device ~ W095131948 ~1~!167? P1/~,",~,,1`-,79 90 is tllreaded or otherwise attached to fill port 80. A plunger 96 pushes the screw 84 toward the internal threads 82, pus~ling tlle graf~ medium 52 into the bag. As the stroke is completed, the plunger 96 is rotnted to turn the screw 84 in nnd se~l the implant 40. The plunger m~y contact tlle screw Yia a pair of studs 98 that project into 5 screw recesses 100. The deYice 90 is tllen withdrawn.
With the gMft medium in place, the surgeon can then close the patient through :my suitable technique. Tl~e gMfting of bone chips rcsults in Lt fusion between the YertebMe bodies 12, 14. Wllile tlle rusion process is tnking place, the surgeon may monitor tlle patient's progress if some portion Or tlle implant is radiopaque such as a 10 small wire frame on the leading and tMiling edges of the bag. Also, during the fusion process, the bng 40 is self-ret tining in a rigid, geneMlly spherical shape due to the fill rLmterial therewithin. The rigidity Or the enlarged, rllled bag 40, together with the stretching of the nnnulus, proYides stnbilization between Yertebrrle 12, 14 during the fusion process.
With reference to Figures 40-42, the b~g 40 is shown witll a formed fill opening 48 in which the fabric or other m tteriLIl of tlle bag is trapped between an iMer ring 106 and an outer ring 108 to provi~ie a thrended opening as shown. Outer ring 108 is thre~ded so it may be closed with a mating cnp. The coMection between thep~rts of FIGS. 40-42 mL~y be through tlle applic3tion of seiectiYe henting and cooling, 20 such th~t each ring is taken to ~ set t~ C-.-iulc ~t which expansion or contMction from its normal stnte occurs. At tllat time, ~l~e l~bric of the bng is ~.l..~.v;.I.~d ll,~.cl,.i~
and tile parts nre allowed to rebound to their normal shapes, causing t tight rlt as shown.
Witll rererencc to FiGS. 43-47, it will bc seen tllat an opening or hole in 25 the annulus 30 may be repnired. In FIC. 46, tlle opening in the aMulus may be closed off with a repair p:ltch lZ0. FIG. 44 shows a punch 122 wllich cuts out a pre-defined opening exposing bleeding bone 124. A biologic~l graft of connective tissue 120 such as bovine ~ diu~l or llumnn f~sci;l which may be ~L...I~;LI.~,.,Cd witll polymer layers is fashioned nnd placed oYer the derlned opening. S~aples 126 may be used to coMect - 30 the patch 120 in place. Tile pLltch 120 may be formed from multiple l~yers, with n first porous layer 128 through wllicll blood and other products mny pass, a second layer 130 defilLing strips to form ch~nnels and a third oYer-layer 132. The channels tvould allow ingrowth of corLnectiYe tissue to complete tlle repair. Before the patch 120 is WO 95/31948 2 ~ X ~ 6 7 7 r~ 0~l79 ~
-16- ~ `
positioned, dura ;s covered with fat. Tllis provides a bârrier to excessive scarformation. Sucll a pntcil may prevent recurrent disc hernia after routine disc excision.
FIGS. 48 nnd 49 show that an opening 140 cut into the distnl surface of vertebra 12 may be closed in a manner similar to that shown in FiGS. 43-47. The 5 opening may be closed by cutting into bone to provide n surface for a patch 142 which may then be secured by staples 126. Underlayers of fnt ns n cushion may be ndded ns indicated.
FiGS. 50-5G show a bag 10 construction in wllich the bag 40 is rormed from two l....li~yll..~ 160, 162 and a central band 164 . As shown in Figure 52, the 10 l~ayers of l...";~ .es 160, 162 and band 164 overlap to provide n three-ply equatorial band region which will be stiffer than otller nrens of the bng 40. The bag is completed by sealing, as by sutures 166 througll each Inyer. An unsealed region is used tointroduce ;m insertion tool 90.
Tllis unique design of Ille b~ag ns shown in Figs. 50-56 allows easy rllling 15 ;md self-sealing due to the internnl pressure in the filled bag 40. As shown in Fig. 53, the insertion tool 90 is simply pushed tllrough the triple f~bric layers of II~Illi >,Uil~lC~
160, 162 and bnnd 164. By compnring Figs. 54, 55 and 56, it will be readily seen that internal pressure generated as the bag fills with fill material 52 causes fabric edges 160, 162 to bow back and when the tool 90 is withdrnwn, the edges reseal as shown in Fig.
20 56. This fll port is very simple, and only involves passing the insertion tool 90 through an unsealed area (or wllere seal is opened). The .u.~ LLion will normally try to self-seal when pressure is appTied from tlle bag interior, as by filling.
iRE SULTS
E~pcriments in my l;lboratory llave conrlrmed tlle ~act tllat inllation Or 25 the prototype ~ievicc ~sing morscli7.cd hone grart r~repared in ;I bonc mill, undcr proper pressure Or inllation, rcsults in ;I rcm;lrk;lblc cll;lnge in thc mecllanical properties Or tlle implant. Namely, tlle device bccomes extremely rigid nnd relatively ;.,cu...~ ii,lc.
This C~ Or tlle innated condition explains the remarkable stability thnt is produced in the motion segment. Bnsed on tlle tenchings of several surgeons, we know 30 tlmt densely compacted bone grart, inserted into the properly prepared vertebral interspace, will result in the growth Or certain tissues into and through the graft materi~l, eventunlly resulting in n fbrous or bony rusion, effectively cementing the vertebral bones into a stable union that is known to be dcsirable in terms of reducing ~ WO9!j/31948 2~8g~ P~ 9 spin41 p4in 4nd improYin~ function.
The f4bric deYice of the inYention vould 41so produce this strbilizing fusion. rulLI~ lulc, the fnbric enc4sed gMft impl4n~ would have cert4in 4dY~mtages over the mere injection of gMft m4teri41 into tl~e i..;., ~ILcblLIl sp~lce without the 5 ~ncasing fnbric. N~lmely, the f4bric encased gr4ft would hnve less tendency to flow out of the i..t~.~.li.l,.41 c~vity, since its contents would be ret4ined by the walls of the f4bric b4~ dditionally, tl~e enc4sed gMft vould ret21in its mech~nic41 function for 4 mucll longer time, providing st~bility to tlle motion segment 4nd thus providing ~n ide~l milieu for tissue bondin~ bet~veen the vertebral bodies, ~û
Steps in thc Process of Spin41 IC/~ ;, /; . Usin~ this Method S~ep ,Y1. Expose 4nd remove tlle dise~sed nucleus nnd/or iMer 4nnulus by one of sever41 menns, including tlle use of the Kuslicll l~rnnr~nhlP Re4mer, U.S.
P~tent 5,015,255, tl~e disclosure of whicl~ is inco.l,u...;.d herein by reference.
Step iY2. Insert the ~ rrl device (I~ .lr F4bric B4g Device) ~D) into Ille c4vity between the Yertebr41 bones.
Step #3. Prep4re m4teri41 to be inserted (or injected into the EFBD).
This m lteri:~l might be one or more of the following, or ~ny oth~r b;v~ ;I .lr m~teri:ll judged to h:lYe the desired pl~ h)~;c response:
A) Morselized bone ~Mft, cortic:ll, c4ncellous, or cortico-c4ncellous, including4utogr4ft, 4110gMrt, or xenogMft.
B) Any bone graft substitute or rn...l.;, 'i~., of bone gMrt substitutes, or ~r,...l.: :;....c of bone grllft nnd bone gMft substitutes, or bone inducing substLmces, includin~ but not lin~itcd to:
~Iydlu~ .llit-Bone ~u~ o~ protcin C~lcirled or dec;llcifie~ bone dcriY4tiYe Step #4. Inject or insert the ~r4ft m4teri41 into the deYice using sufficient pressure to fill tlle intern:ll c4vity Or t~-e deYice, thus producing rigidily ~md tension on the w:lll of the deYice.
Step #5. Closure of the fill opening to preYent egress of inflation materi~l.
The deYices :md methods of the invention m:ly be used 4nytime in which Wo 95131948 2 ~ ~ 9 ~7 7 ~ 6179 a disc is being rep~ired or replnced. The deYice m~y be ndd~d ~o ~ cavity formedwllen the nucleus of the disc is excised, thereby restoring the proper height 2nd cushionin~. If the disc is to be replaced, portions of the disc may be left to confine the inventive device wllicll allo~vs rlbrous growth ~nd runctions as :I repnired disc, While 5 the disclosure has primnrily sllown ~enerally spherical bngs, it is cr~ tllat any shape, including figurc 8 sll~ped b:lgs, donut sh:lped b~gs :md the like are usable l~erein.
In ~ddition, the device of tlle invention may be used in "~ with other devices. For example, tlle device of my U.S. Paten~ 5,059,193 may be 10;~I~ulL~ L~d inside of the inventiYe b~g of this invention if the ~dvant~ges of th;lt invention are desired in ~ddition to those of the present invention.
While tllis invention m~y be embodied in many different forms, tllere nre shown in the dMwings :md described in detail herein specific preferred r~ o~ of the invention. The present disclosure is an exempliricntion of the principles of the 15 invention and is not intended to limit the invention to the p~rticular ~ .o~li.....
illustMted.
This completes the description of the prererred ~nd altern~te ",I.r.,l".. t~ of the invention. Those skilled in the art may recognize other equivalents to the speciric ~mho~lim~nl described llerein which equiv~lents ~re intended to be 20 ~ I by the cl~ims ntt;lched hereto.
.
2~8~677 ~ WO 95/31948 I ~l/u,. ~'~~179 R22.2-4~78 E:~PANDABLE FA.BRIC IMrLANT FOR STABILIZING THE SPINAL
MOTrON SEGMENT
Dr. S~ephen D. Kuslich RE~ERENCE NUMERAL LIST
10 lumbar Yertebrae 64 cavity in equatorial band 12 lumbar vertebMe 66 openin~ fig. 16 14 lumbar vertebrae 68 16 lumbnr vertebrae 70 end, ban~i 18 disc 72 bushing 20 disc (diseased) 74 threaded screw 22 disc 76 24 nucleus (disc) 78 26 top end plate (disc) 80 rlll port (fig. 21) 28 bottom end pla~e (disc) 82 internal threads 30 annulus fibrosis (disc) 84 threaded screw 34 88 opening 36 90 device- filler 38 92 cnrtridge 40 bag, implant 94 c~rtridge side openings 42 equatorial band 96 plunger 44 excav~ted space in disc (cavity) 98 studs 4G bore in :mnulus 100 screw recesses 48 fll opening 102 press 50 metal fibers 104 52 fill material 106 .inner ring 54 guide tube 108 outer ring 58 I;not 112 60 staple fiil opening closure 114 62 purse-string closure 116 ... ..
Woss/319~8 2189677 PCT/USg5/06179 K22.2~G78 E~rANDABLE FABRIC lI\IrL~NT FOR STA13ILIZING THE SPINAL
MOTION SEGMENT
REFERENCE I~UMERAL LIST
120 patch, fig 46 176 122 punch 178 124 bleeding bone 180 126 staples 182 128 1st layer patch 184 130 2d layer patch 186 13~ 3rd, outer layer patch 188 140 opening, distal, fig 48 142 patch, fig 49 146 container, fig. 11 160 hemisphere, upper 162 hemisphere, lower 164 band (Fig. 50) 166 sutures (rig. 51) vl< ~ r ~ 517
Fill material is ndded until enough mnterinl is present to "inflnte" tlle disc to the desircd position. At this time, the bng fill opening is closed to prevent egress of the fill material.
The relatively open wenve of the bng allows the normal movement of body !luids througll the bng. It also allows the ingrowth of bony tMbecul~e and fibrous elements into and through tlle fexible bng. It does not allow the egress of the non-liquid fll materi~
In preferred rorms Or the invention, the llexible bng includes an 15 equatorinl band which is substimtially less ilexible thnn the remainder of the bag. This controls the shape of the bag and pressures within the bag by means of applying tension on the band and thereby restricting equntorinl expnnsion while ~ polar expansion along the long axis of the spine.
20 ~3rief DescriDtion of tllc Drn~vines A dctniled description of the invention is llerenfter described witl specific reference being mlde to the drnwings in wllich:
FIG. 1 is n top plnn view Or the device of the invention;
FIG. 2 is a side elevalion;ll view ~llereor ~lle invenlive device;
FIG. 3 i5 n fMgmentnry view Or n spinnl column unopeMted spine showing normnl nnd pnthologic discs;
FIG. 4 is n fMgmentnry view of n spinal motion segment after disc rlf~ l..,....1 is used, reamed out with parts cutnwny;
FIG. S is a fr.. ~;.. ll~lly view tllereof with insertion of the device of the30 invention;
FIG. 6 is n r,~-~;-,----l.-ly view thereof showing infntion of the device being innated with fill material;
FIG. ~n is n rrn~mentnry view tllereof showing n pnrtinl henling spinnl wo ss/3ls48 ~1~ 9 ~ 7 7 PCTIUS95/06179 motion segment nfter the method is complete:
FIG. ~b is n tMnsverse seclion showing insertion of the bng from ~nother direction;
FIG. 8 is nn Pmho~lim~ nt includin~ nn eq~mtori:ll bnnd;
FIG. 9 is ~ side elev~tionnl Yiew thereof of the ~ " ~,n~ 1 of FIG. 8;
FIG. 10 is ~ r~ ,.. ",y view thereof sllowing the device of FIG. 8 in position:
FIG. Il is ~ tr:msverse section showing nlternntive use of the inventive f~bric b~gs for po~...u~ fusion;
~0 FIG. 12 is n Ifln~it~ in~l view of nn nl!ernmive use ns in FIG. 11 thereof;
FIG. 13 is n sectional view of nn equntorinl bnnd Or FIG. 8;
FIG. 14 is nn nlternnte tû FIG. 13 in ~vhich the equntorinl bnnd is simply multiple f~bric Inyers;
FIG. 15 is n section~l view similnr to FIG. 13 in whicll the equ~tûrial bnnd is hollow;
FIG. 16 is n frngmentnry view of ~n nltern~tive closure device method thereof;
FIG. 17 is n frngmentnry view of nn nltermltive closure device method thereof;
FIG. 18 is n frngmentnry view of nn nlternative closure device thereof;
FIG. 19 is ~ ~r~gmentnry vicw of nn nlternntive closure device;
FIG. 20 is n rMgmentnry view of nn nltermtive closure device;
FIG. 21 sl~ows n t~evicc lor coupling tû n r~ll openin~ Or tlle device in order to inject in rll materinl;
FIG. æ SIIOWS thc b:lg inllntinS ns tlle rll mnteri~l is injected rrom the device ûf FIG. 21;
FIG. 23 shows closure Or the rlll opening with n cnp in the rll device of FIGS. 21 ~nd 22;
FIG. 24 shows n disensed disc nnd the rnnges of motion;
FIG. 25 shows n rr~mentnry, pnrti~lly cut-nwny spinnl motion segment r~stored wilh tlle invention;
FIG. 2G sllows tllc motion segment of FIG. 25 with biolo~icnl fluids ~l~g~77.
~ W0 95131948 , P~ .. ,.,.r~~79 ., ~
moving in nnd out of ~lle b~g;
rIG. 27 shows a c3rtridge loaded with fill m3terinl ror use in injecting material into the bng 3s in rIG. 21;
rlG. 28 is 3 cross-section31 Yiew ti~rougll lines 28-28 of rIG. 27;
rIG. 29 shows 3 press with the cnrtridge of rIGS. 27, 28 being loaded with material;
rIG. 30 shows a device ror accepting a cnrtridge of rIG. 27 to inject material:
rIG. 31 shows Ihe device of rIG. 30 wi!h plunger witlldrawn;
rIG. 32 is a pnrtial enl3rged vicw of rlG. 31 showing insertion of n cartridge;
rIG. 33 shows injection of m3terial through the device;
rIG. 34 shows filling of the b3g;
rIG. 35 shows 3 cross-section of tlle end Or the device of rIG. 34 filling of the bag;
rIG. 36 shows tlle b3g infi3ting;
rIG. 37 shows tlle bag nenrly fully innnted with the closure plug about to engage;
rIG. 38 shows rotntion of the insertion tool plunger to rotate the closure 20 plug;
rIG. 39 sllows the ciosure plug sccure~i;
rIG. 40 shows a rlll opening CO.I~LlUL,Liu~., rIG. 41 shows the rlll opening of rIG. 40 exploded;
rIG. 42 sllows 3 cross-section31 view tllrou~ll line 42-42 Or rIG. 40:
rIG. 43 sllows an 3nnulus witl~ nn opening to close;
rIG. 44 shows n puncll removing d;lmnged annulus m3terial down to raw bleeding bone;
rIG. 45 shows tlle nnnulus rendy to accept n pntch;
rIG. 46 shows a pntch stnpied in plnce;
rIG. 47 is a cross-sectionnl view of rlG. 46 showing tlle staples and pntch;
rIG. 48 is n view Or n spinnl segment showing nn opening to seal;
rIG. 49 shows thc spin31 segmeD~ Or rlG. 48 witll :I rep3ir pntch in WO95/31948 2189S77 ,~ P~ C5179 place:
FIG. 50 sllows an nlternative method to form the bag of the invention showing nn exploded bng;
rIG. 51 shows tlle bng of rIG. 50 nssembled;
rIG. 52 is a sectionnl view tnken nlong line 52-52 of rIG. 51;
rIG. 53 shows rllling, of the bng by an insertion tool;
FIG. 54 shows filling Or the ba~ by an insertion tool with the tool enîering the bag;
FIG. 55 shows the bng inflating, with the bng expanding to self-seal; and rIG. 56 sllows the insertion tool removed with internal pressure in the bag closing the insertion opening.
~escrir)tion Or tl~e rreferred F...l.n.l ....1~
With reference to the I:igures, l~ig. 3 shows typical spinal motion 15 segments, with lumbar vertebrae 10, 12, 14 and 16 shown, separnted by three discs 18, 20 and 22. As depicted, disc 20 is d.t..;~ g. E~ch disc includes n nucleus 24, top and bottom end plntes 26, 2g and nn annulus ribrosis 30.
The implants of the invention offer n third method of expansion by means of injection o~ mnterial into n tcnsion-resisting ~nbric bng that expands to 20 IJLr~ l 1 dimensions when rllled to ~ull cnpacity. In nddition, the invention may consist of materinls tlmt arc eventunlly resorbed by the body, leaving no trace of forei~n substances.
Most of tlle factors that are known to produce or potenti~te pain production c,ln bc explnincd by tllc pntl~ologic disc dc~j."...~lion and tl~c se~mental 25 instability tl~nt rOllows its arrp:lran~P. Most Or the previously described methods of spinnl ~t~hili7a~inn have been developed with the expressed purpose of treating the condition o~ disc dc~..,...,~iu.. only arter irreversible clmnges have tnken place in the otller tissues of the motion segment.
Methods tl~nt will ncce~ernte tlle normnl rP~ahili7~inn process ought to 30 be i".l,l...,..,~. ~l during tlle early plmscs of disc ~if~;,, ...li~l" berore severe pathologic ch~nges occur in the aulluul~d;ll~ tissues, and be~ore the patient develops the physical and ~ay.llolOgi..ll dis~bilities nssociated with the normnl course of the condition. For instmce, the metllods described here may be used during routine removnl of disc W095/31948 21896'77 r~ l79 hernintions in order to preempt tlle furtller ~lr~ , "lin,~ and resultinf, back pain and irlstability that frequently results from these types of procedures. Sprangford et al reported 31.5% railure rates in terms of continued low back pain in spite of good results for scia~ic~ relief ~vilen disc herniations were treated by l ,;",, ~ ,Y. Acta.
5 Ortl!op. Scanda, 1972, 142 (Suppl.), 1-95.
The most of~en performed spinal fusions are classified as postero-lateral or interbody in order to specify tlle are~ of d~ulLi~ iuil and bone grnft ~rrlir~tirln Postero-lnteMI grarting is often effective but its fusion rate is low when more th~n one leYel is fused and the operation requires a lnrge exposure with resultant high blood 10 loss, long recovery time, long operation times nnd frequent episodes of lingering pain in spite of ;Ipparently solid fusion.
The mctilods nnd spinal implnnts of the invention nre designed to re-stabilize the spin~l motion seQvment in ~ Mpid and efrective manner. Tiley should lerd to relier of the low back pain nnd a .u". r..r.~ ;IIIIJIUY.l~ in the quality of life ror the patient. In addition, one might rensonably expect that these methods andimplants will nlso decrease the cost of medic~l c;lre :md a reduce the disability-associ~ted expenses to society.
Dr~scription of thc Dcviccs Tile inventive implant 40 consists Or a smnll (npprox. one to four cm diameter) fabric bag, rougllly spherical in shape, although elliptical shapes :md other geometric shapes may be used.(See I:igs. l, 2). One additional shape ~,l,l~; l. ,.,~;r would be the provision for an enl3r~ed or constricted and~or less compliant equ~torial band 42 th~lt would conrme tlle illtcrnal cavity morc securely at the center or equntor of the implnnt 40, at tlle point where tlle implnnt 40 is opposed to the :mnular wall, which is less rigid tllan tile cnncellous bone ~Ynll Or tl~e carved out cavity 44 of the vertebral bodies. The bag is pliable and maileable before its interior space is filled with the contents to be described. Wllile in tllis initial condition, the bag mny be passed, uninfiated, through a relatively small tube or portal, perhaps one cm or smaller in - 30 dinmeter. (See Figs. 5, 21). Tllis reature is importnnt because nccess to the iJ~.II disc is limited by anatomy nnd tl~ererore snfety rn"~ direct us to use the smallest possible portal of entry.
The bag 40 is constructed in a special 2nd noYel way. The ba~ fnbric WO 95/~il941 2 1 8 9 6 ~ 7 P~llu~ ~.r '179 may be ~Yoven or form-moidcd to ~ density thnt will nllow in~ress nnd egress of fiuids and solutions nnd will nllo~v the ingrowth and through-growth of blood vessels nnd fibrous tissue And bony tMbeculne, but ti~e wenve is tigllt enou~h to ret~in smnll particles of enclosed materinl, sucll ns ~round up bone ~Mft, olher tissues or solid 5 pieces of bone inducing mnterinl such ns ;,~ u.~ Lilc or other binff~mr~ihlf materinls known to promote bone formntion. CeneMlly, the pores of tlle fnbric will have n diameter of nbout 0.25 mm to about 5.0 mm. The size is selccted to allow tissue ingrowtll while contnining the mnterial packed into the bng.
The fabric is light, ~ u~ fexible nnd easiiy hnndled, but its 10 fabric is very strong in terms of resisting tension, ~nd thus uniikely to rip or tear during insertion and infiation. Wllen the device is infinted, the device expands to a L'l''i' `~ ,"",,~.1 shape, nnd in ~ioing so, it fills n previously excavnted spnce 44 between the vertebral bodies. Tilis fillin~ results in tlle separntion of tlle vertebral bodies along tbe crnnial-caudnl nxis, lPnf~thf-ninf~ nnci tightening the rlbers of the nnnulus fibrosis 3û, 15 and in the process, as we know from the teacllinf~s of Cloward and Bagby, results in the c~hili7~tinn of tlle spinnl motion segment. (See l~igs. 6, 7a).
The use of tlle term "rnbric" llerein is me:mt to include the usual definition of that term and to include any mnterial thnt functions like a fabric. that is, the "f~lbric" of the invention must hnve n plurality of pores through which materinl and 20 fluid fow is nllowed under the terms ns described, nnd the "fnbric" must be fexible enougll to allow it to be collapsed nnd inserted into nn openin~ smnller thnn tlle infi~ted bag size.
Accordin~ly, tlle "rnbric~ bng or implnnt 40 m~y be rormed from a polymeric b~lloon to wllicll n plurnlity Or perror:ltions nrc rormcd or ndded. It need not 25 be woven and mny be molded or otilerwise rormeci ns is well Icnown in tlle art. The prererred mnterinl may provicie tllc abilily to tailor bio..i,~ull,.,,l.. Mtes. Any suture-type mnterinl used medicnlly mny be useci to rorm tlle implnnt 40. The implant may be formed Or plnstic or even metnl. Tlle rill openinr~ mny be ~ bushin~ 72 tllat could be i,lf )~ sucll ns lly i~u7~ lJ.l~itr, or it could be n plnstic or metnl. The bag 40 30 could be formed rrom a solid mnterinl to whicll perfoMtions nre added. Tlle implant 40 mny be pnrtially or totnlly nbsorbable, metnl, plnstic, woven, solid, rilm or nn extruded balloon.
~ WO95/31948 21 89677 ~ u~ 79 The use of e.xtemnl elec~ricnl fileds to stimulnte bone ~rowth and repnir is well known. It is also possible to include metnl or other conductive fibers 50 in the wnlls Or the bng 40 sucll thnt an externnl electricnl rleld could nmpliry nnd stimulnte bone union nt the situs of the bng.
As will be described, it is nnticipnled thnt ~he bng 40 will be prefer~bly used in surgery in spines of humans ns well ns other nnimals.
Accordingly, the mnterinl of bng 40 should be l,;,,~ ..ti SURGIG~L METIIOD
10 1. Formrltion of Entrnncc Bore As indicn~ed, the bng 40 is prefernbly used in spinnl ~-~hili7~iAn surgery. FrG. 3 of the drawings shows vertebrne 12 nnd 14 sepnrated by disc mn~erial 20 thnt is pnthologic nnd in need of repnir.
The cnYity 44 in tl~e disc 20 mny be formed in nccordnnce with the 15 methods and deYices of U.S. Patent 5,059,1g3, tlle disclosure of which is illl,Ul~JUI ' ' herein by reference. Genernlly, after identifying a disensed disc 20, the surgeon forms n bore 46 through the nnnulus 30. The bore 46 is formed througll any Cullv...l~iu,u~l menns. The bore is sized such thnt the diameter of the bore 46 is .~ u~i..l~t~ly sizd to be the external dinmeter of tile implnnt body 40 when in tlle relnxed or first state ns 2û si~own in FIG. 5. The depth Or tlle bore 46 is controlled so thnt the nxinl length of the body 40 may be fully inserted within the bore, with the body 40 rully locnted between opposing vertebrne 12, 14.
Wllile the dinmeter of bûdy 40 nnd bore 46 will vnry from pntient to paticnt, ~here is zl prnctic.ll mnximum si7c Or Illc di;lme~cr Or borc 46 for nny givcn 25 pntient. This mnximum is nttributcd to tlle fnct thnt too Inrgc of n drill bit cDnnot be passed tllrougll tlle pntient's body :Ind pl;lce~i n~ninst disc tissue. If too Inrge n drill bit is used, the si_e of the bit will interfere nnd possibly dnmage other nnatomicnl pnrts.
ruch ns importnnt blood vessels, nerves, etc.
A typicnl selected di~meter Or body 40 (when in the first stnte) nnd bore 30 46 is prefernbly nbout 12 mm. Tllis dinmeter is selected for bore 46 to cut tllrough disc mnterial sep~rnting tlle fourtil nnd rlrtil lumbnr vertebrae in n humnn spine in n typicnl ndult lluman mnle. Tlle ~ieptll of the i";.. ~ l spacc between the fourth and rlfth lumbnr vertebrne in nn ,Idult llumnn mnle (mensured ns tlle nnterior-posterior wos~/3l948 ~18g677' r~ .~I79 dimension of Ihe vertebrae) is commonly about 35 mm. As a result, n preferred length of body 40 will be nbout 25 mm so that the body 40 mny be fully received within and between opposing vertebrne.
It wiil be npprecinted tlmt tlle foregoing dimensions and d~ have been given with respect to n particulnr vertebrne locntion in the spine of nn ndult human mtlle. It is tmticip~ted the present implnnt nnd method could be used on nny nnimal spine. Accordingly, the dimensions of the bng 40 nnd entrnnce bore 46 will vnry ~lU~ Li~ ly with increnses or decrGlses in spinnl anntomy between dirferent nnimal types. Also, in humnns, the dimension will vnry with numerous fnctors, includinganatomic region of the spine, age nnd sex. i or exnmple, the implant nnd surgical method is not limited to the lumbnr region, and mny be utilized in other regions of the spine where vertebrne dimensions mny be dirferent than those described. Therefore, several ~iifferent sizes of the bn~ 40 nre nnticipnted so n surgeon can select the optimum btlg 40 for ~ given pntient.
2. Formation of Enlarged Cl13mbcr With the entrance bore 46 formed ns describe~i, tlle surgeon then cuts tl hollow chamber 44 between the opposing vertebrae 12 nnd 14. The chnmber 44 is sr~ed to be cr~ .y to tlle exterior dimensions of the implnnt 40 in the enlargedstate.
Since the chnmber 44 lms grenter volume tllan n bore 46, tlle cutting of chamber 44 removes grenter nmounts o~ disc mnterial and exposes a grenter surface area of tile opposing vertebrne bone mnterinl. T!le exposure of the n~i~iitional surfnce nren increases tile probnbility of successful grnfting between the opposing vertebrne 12, 14.
Tile form~tion of tlle enlnrged spilericnl chnmber 44 cnn be forrned througll any suitnble teclmique. Prer~rllbly, lile cllambcr 44 is rorme~i tllrougll tlle use of ~n illL.~ t.i~l.,l reamer such ns tlmt shown and described in U.S. Pat. No.
5,015,255 and copendin~ U.S. P~t. applicntion Ser. No. 071350,050, filed on May 10, 19~9, which nnmes myself and Jnmes D. Corin ns joint inventors.
The diameter of tile clmmber 44 (nnd hence, the mnximum allowable diameter of the expnnded bng 40) is selected to provide n clearance so that the ch~mber 44 is not cut through the sides Or the vertebrne. Tilis dinmeter will vnry from patient to pntient, nn~i between locntions in the spinc. Mowever, to provide n clear~nce of W0 9~i131948 t 896 7.7, ., I r~"~ 79 about 5 to about 11 mm of the sides of ~lle vertebrae, the chnmber is preferably held to a mzximum dirmeter of about 20 to about 30 mm.
3. Insertion tnd Expansion Or Implnnt With the enlarged chamber 44 so formed. the surgeon pl~ces bag 40 in the collapsed, .~ ".,..l. .l state into bore 46 and into cavity 44. (See Fig. 5). The fill opening 48 of tlle bag 40 is positioned in bore 46.
In FIG. 5, Dn ~ (l bag 40 is shown inserted within an enlarged chamber 44. In the position shown in l;IG. 5, the bDg 40 is not urging vertebra 12, 14 10 apzrt. Accordingly, the nnnulus 30 (tlle flbrous outer c;~ul~lr~c~ portion of disc 20) connecting the vertebra 12, 14 is sllown in a relnxed or unstretclled state.With the bag 40 so inserted, tlle surgeon then fills the bag or implant 40 until inflated to the desired exten~ to cause tlle annulus îo stretch out and re-establish the proper distance between the vertebrae 12, 14.
Tlle surgeon continues to insert material until the b~g 40 is expanded to the fully expanded stnte. As it expands. tlle outer surfaces Or the bag 40 abut against the opposing surf:lces of the vertebMe 12, 14. Continued expansion of the bag 40causes tlle vertebrDe 12, 14 to stretc~l np~rt slightly. This stRtching acts to tighten the annulus 30 of disc 20, whicll lms not been removed through the formation of bore 46 20 and cllamber 44. Those skilled in the nrt will recognize tlle annulus 30 as being the fibrous outer cll~,ulllrtlc~l~iDl portion or the disc 20. Tlle stretching and tightening of the annulus provides initial ~ between the opposing Yertebrae. So that stretching will occur, the external dimensions of cllamber 44 are preferably sized to be about 3 mm less tl~an the cxternnl dimensions Or tlle ba~ 40 measured in the fully 25 expanded state. With the bDg 40 fully expnnded, the surgeon must close the bag opening 48 to prevent egress of tlle fll material.
In FIGS. 11 Dnd 12, a bag of tlle invention is depicted as a s~usage shaped container 146 whicll is not implanted into a disc cavity. Rather, one or more of tlle bag containers 146, prefilled witll fll materi~l 52, are positioned against the bone 30 of ndjacent vertebr~le. Tlle bone may be rougllened to a bleeding surface to hasten bone gro~vtll into the cont:liners 146. As time goes by, the contniners will become very rigid and will be nttnclled via bone in~rowth to both vertebrae where they contact native bone. Tllis will providc ;I SD~'C. simplc fusion. Tlle bags providc l .. ~ ;,.,.. l of Wo 9~/31948 - ' r~-,u.. 179 }i-tile bone-growth mmerial to ensure ti~nt tlle fusion ~akes place wilere inLiicated.
4. Use Or a Graft Medium Ti~e chnmber 44 is flled ~vitll n grnft medium 52 to fncilitnte fusion or 5 fibrous union between the opposing vertebrne 12, 14. The preferred grnft medium or fll mnterial 52 would be finely cllopped corticll or cnncellous bone chips ror fusion or comnective tissue when a fibrous union is desired.
In the forms of the inYention sllown in Figs. 8-10 and 16-29, tlle bng 40 may be filled by pncking the grnft medium 52 through a guide tube 54. Af~er the b~g 10 40 is flled as needed, the bag fill opening 48 is closed. Fig. 17 shows a simple staple 60 closure of opening 48. Figure 18 shows the fll opening 48 closed by tying a knot in the enti. Figure 19 SIIOWS n closure using a purse-string ~2 closure.
In the forms in which an equntorinl band 42 is employed a different fill opening and closure is possible. l:igures 13-15 show tiifferent ways in which the 15 equatorinl band 42 may be formed. As shown, tlle band 42 may be a molded plastic ~.;L,,IllllLlcllii.d band that is stiffer than tlle bag fabric to which i~ is attached. In the form of Fig. 15, the band 42 may be hollowed to form a cavity 64 into which boneeement or other material m.ly be ad~ied before or after insertion to increase the rigidity of the band. Fig. 14 shows thnt the bnnd 42 mny simply be multiple Inyers of the20 fnbric which forms the bng.
Figure 16 shows tlmt the simple band 42 of Fig. 15 may include a fill opening 66 and a slot G4 into wllich a free end 70 of band 42 may be inserted to close off tlle opening 66. In n more elnbornte closure, bnnd 42 as sllown in Fig. 20 may inclutie :I moltic~ re:l(ie~i busl~ing 72 Illrougll wllicll ~lle bn~ mny bc fille~i. Such a 25 tllrended buslling 72 is rea~iily closeti l~y n tllrende~i screw 74.
FIGS. 21-23, 30-39 sllow :l mc~llod ~or 3~imi~ling ~he graft medium 52 into cilamber 44. As shown, the bng 40 includes n threaded fill port 80 which has internnl threads 82 to receive n tllreaded screw 84. Preferably, a device 90 is used to nttach to the f~ll port ns shown. Device 90 is prefilled with tlle grnft medium 52 as 30 shown in Figs. 21-23. In Fi~s. 30-39, devicc 90 may accept a cnrtridge 92 which mny be packed with n press 102. Tlle cartritige 92 would typically include a plurality of side openings ~4 to allow nuid nn~i smnll particles to exit during filling.
The cnrtridge 92 is inserted inlo cicvice 90 in an opening 88. Tlle device ~ W095131948 ~1~!167? P1/~,",~,,1`-,79 90 is tllreaded or otherwise attached to fill port 80. A plunger 96 pushes the screw 84 toward the internal threads 82, pus~ling tlle graf~ medium 52 into the bag. As the stroke is completed, the plunger 96 is rotnted to turn the screw 84 in nnd se~l the implant 40. The plunger m~y contact tlle screw Yia a pair of studs 98 that project into 5 screw recesses 100. The deYice 90 is tllen withdrawn.
With the gMft medium in place, the surgeon can then close the patient through :my suitable technique. Tl~e gMfting of bone chips rcsults in Lt fusion between the YertebMe bodies 12, 14. Wllile tlle rusion process is tnking place, the surgeon may monitor tlle patient's progress if some portion Or tlle implant is radiopaque such as a 10 small wire frame on the leading and tMiling edges of the bag. Also, during the fusion process, the bng 40 is self-ret tining in a rigid, geneMlly spherical shape due to the fill rLmterial therewithin. The rigidity Or the enlarged, rllled bag 40, together with the stretching of the nnnulus, proYides stnbilization between Yertebrrle 12, 14 during the fusion process.
With reference to Figures 40-42, the b~g 40 is shown witll a formed fill opening 48 in which the fabric or other m tteriLIl of tlle bag is trapped between an iMer ring 106 and an outer ring 108 to provi~ie a thrended opening as shown. Outer ring 108 is thre~ded so it may be closed with a mating cnp. The coMection between thep~rts of FIGS. 40-42 mL~y be through tlle applic3tion of seiectiYe henting and cooling, 20 such th~t each ring is taken to ~ set t~ C-.-iulc ~t which expansion or contMction from its normal stnte occurs. At tllat time, ~l~e l~bric of the bng is ~.l..~.v;.I.~d ll,~.cl,.i~
and tile parts nre allowed to rebound to their normal shapes, causing t tight rlt as shown.
Witll rererencc to FiGS. 43-47, it will bc seen tllat an opening or hole in 25 the annulus 30 may be repnired. In FIC. 46, tlle opening in the aMulus may be closed off with a repair p:ltch lZ0. FIG. 44 shows a punch 122 wllich cuts out a pre-defined opening exposing bleeding bone 124. A biologic~l graft of connective tissue 120 such as bovine ~ diu~l or llumnn f~sci;l which may be ~L...I~;LI.~,.,Cd witll polymer layers is fashioned nnd placed oYer the derlned opening. S~aples 126 may be used to coMect - 30 the patch 120 in place. Tile pLltch 120 may be formed from multiple l~yers, with n first porous layer 128 through wllicll blood and other products mny pass, a second layer 130 defilLing strips to form ch~nnels and a third oYer-layer 132. The channels tvould allow ingrowth of corLnectiYe tissue to complete tlle repair. Before the patch 120 is WO 95/31948 2 ~ X ~ 6 7 7 r~ 0~l79 ~
-16- ~ `
positioned, dura ;s covered with fat. Tllis provides a bârrier to excessive scarformation. Sucll a pntcil may prevent recurrent disc hernia after routine disc excision.
FIGS. 48 nnd 49 show that an opening 140 cut into the distnl surface of vertebra 12 may be closed in a manner similar to that shown in FiGS. 43-47. The 5 opening may be closed by cutting into bone to provide n surface for a patch 142 which may then be secured by staples 126. Underlayers of fnt ns n cushion may be ndded ns indicated.
FiGS. 50-5G show a bag 10 construction in wllich the bag 40 is rormed from two l....li~yll..~ 160, 162 and a central band 164 . As shown in Figure 52, the 10 l~ayers of l...";~ .es 160, 162 and band 164 overlap to provide n three-ply equatorial band region which will be stiffer than otller nrens of the bng 40. The bag is completed by sealing, as by sutures 166 througll each Inyer. An unsealed region is used tointroduce ;m insertion tool 90.
Tllis unique design of Ille b~ag ns shown in Figs. 50-56 allows easy rllling 15 ;md self-sealing due to the internnl pressure in the filled bag 40. As shown in Fig. 53, the insertion tool 90 is simply pushed tllrough the triple f~bric layers of II~Illi >,Uil~lC~
160, 162 and bnnd 164. By compnring Figs. 54, 55 and 56, it will be readily seen that internal pressure generated as the bag fills with fill material 52 causes fabric edges 160, 162 to bow back and when the tool 90 is withdrnwn, the edges reseal as shown in Fig.
20 56. This fll port is very simple, and only involves passing the insertion tool 90 through an unsealed area (or wllere seal is opened). The .u.~ LLion will normally try to self-seal when pressure is appTied from tlle bag interior, as by filling.
iRE SULTS
E~pcriments in my l;lboratory llave conrlrmed tlle ~act tllat inllation Or 25 the prototype ~ievicc ~sing morscli7.cd hone grart r~repared in ;I bonc mill, undcr proper pressure Or inllation, rcsults in ;I rcm;lrk;lblc cll;lnge in thc mecllanical properties Or tlle implant. Namely, tlle device bccomes extremely rigid nnd relatively ;.,cu...~ ii,lc.
This C~ Or tlle innated condition explains the remarkable stability thnt is produced in the motion segment. Bnsed on tlle tenchings of several surgeons, we know 30 tlmt densely compacted bone grart, inserted into the properly prepared vertebral interspace, will result in the growth Or certain tissues into and through the graft materi~l, eventunlly resulting in n fbrous or bony rusion, effectively cementing the vertebral bones into a stable union that is known to be dcsirable in terms of reducing ~ WO9!j/31948 2~8g~ P~ 9 spin41 p4in 4nd improYin~ function.
The f4bric deYice of the inYention vould 41so produce this strbilizing fusion. rulLI~ lulc, the fnbric enc4sed gMft impl4n~ would have cert4in 4dY~mtages over the mere injection of gMft m4teri41 into tl~e i..;., ~ILcblLIl sp~lce without the 5 ~ncasing fnbric. N~lmely, the f4bric encased gr4ft would hnve less tendency to flow out of the i..t~.~.li.l,.41 c~vity, since its contents would be ret4ined by the walls of the f4bric b4~ dditionally, tl~e enc4sed gMft vould ret21in its mech~nic41 function for 4 mucll longer time, providing st~bility to tlle motion segment 4nd thus providing ~n ide~l milieu for tissue bondin~ bet~veen the vertebral bodies, ~û
Steps in thc Process of Spin41 IC/~ ;, /; . Usin~ this Method S~ep ,Y1. Expose 4nd remove tlle dise~sed nucleus nnd/or iMer 4nnulus by one of sever41 menns, including tlle use of the Kuslicll l~rnnr~nhlP Re4mer, U.S.
P~tent 5,015,255, tl~e disclosure of whicl~ is inco.l,u...;.d herein by reference.
Step iY2. Insert the ~ rrl device (I~ .lr F4bric B4g Device) ~D) into Ille c4vity between the Yertebr41 bones.
Step #3. Prep4re m4teri41 to be inserted (or injected into the EFBD).
This m lteri:~l might be one or more of the following, or ~ny oth~r b;v~ ;I .lr m~teri:ll judged to h:lYe the desired pl~ h)~;c response:
A) Morselized bone ~Mft, cortic:ll, c4ncellous, or cortico-c4ncellous, including4utogr4ft, 4110gMrt, or xenogMft.
B) Any bone graft substitute or rn...l.;, 'i~., of bone gMrt substitutes, or ~r,...l.: :;....c of bone grllft nnd bone gMft substitutes, or bone inducing substLmces, includin~ but not lin~itcd to:
~Iydlu~ .llit-Bone ~u~ o~ protcin C~lcirled or dec;llcifie~ bone dcriY4tiYe Step #4. Inject or insert the ~r4ft m4teri41 into the deYice using sufficient pressure to fill tlle intern:ll c4vity Or t~-e deYice, thus producing rigidily ~md tension on the w:lll of the deYice.
Step #5. Closure of the fill opening to preYent egress of inflation materi~l.
The deYices :md methods of the invention m:ly be used 4nytime in which Wo 95131948 2 ~ ~ 9 ~7 7 ~ 6179 a disc is being rep~ired or replnced. The deYice m~y be ndd~d ~o ~ cavity formedwllen the nucleus of the disc is excised, thereby restoring the proper height 2nd cushionin~. If the disc is to be replaced, portions of the disc may be left to confine the inventive device wllicll allo~vs rlbrous growth ~nd runctions as :I repnired disc, While 5 the disclosure has primnrily sllown ~enerally spherical bngs, it is cr~ tllat any shape, including figurc 8 sll~ped b:lgs, donut sh:lped b~gs :md the like are usable l~erein.
In ~ddition, the device of tlle invention may be used in "~ with other devices. For example, tlle device of my U.S. Paten~ 5,059,193 may be 10;~I~ulL~ L~d inside of the inventiYe b~g of this invention if the ~dvant~ges of th;lt invention are desired in ~ddition to those of the present invention.
While tllis invention m~y be embodied in many different forms, tllere nre shown in the dMwings :md described in detail herein specific preferred r~ o~ of the invention. The present disclosure is an exempliricntion of the principles of the 15 invention and is not intended to limit the invention to the p~rticular ~ .o~li.....
illustMted.
This completes the description of the prererred ~nd altern~te ",I.r.,l".. t~ of the invention. Those skilled in the art may recognize other equivalents to the speciric ~mho~lim~nl described llerein which equiv~lents ~re intended to be 20 ~ I by the cl~ims ntt;lched hereto.
.
2~8~677 ~ WO 95/31948 I ~l/u,. ~'~~179 R22.2-4~78 E:~PANDABLE FA.BRIC IMrLANT FOR STABILIZING THE SPINAL
MOTrON SEGMENT
Dr. S~ephen D. Kuslich RE~ERENCE NUMERAL LIST
10 lumbar Yertebrae 64 cavity in equatorial band 12 lumbar vertebMe 66 openin~ fig. 16 14 lumbar vertebrae 68 16 lumbnr vertebrae 70 end, ban~i 18 disc 72 bushing 20 disc (diseased) 74 threaded screw 22 disc 76 24 nucleus (disc) 78 26 top end plate (disc) 80 rlll port (fig. 21) 28 bottom end pla~e (disc) 82 internal threads 30 annulus fibrosis (disc) 84 threaded screw 34 88 opening 36 90 device- filler 38 92 cnrtridge 40 bag, implant 94 c~rtridge side openings 42 equatorial band 96 plunger 44 excav~ted space in disc (cavity) 98 studs 4G bore in :mnulus 100 screw recesses 48 fll opening 102 press 50 metal fibers 104 52 fill material 106 .inner ring 54 guide tube 108 outer ring 58 I;not 112 60 staple fiil opening closure 114 62 purse-string closure 116 ... ..
Woss/319~8 2189677 PCT/USg5/06179 K22.2~G78 E~rANDABLE FABRIC lI\IrL~NT FOR STA13ILIZING THE SPINAL
MOTION SEGMENT
REFERENCE I~UMERAL LIST
120 patch, fig 46 176 122 punch 178 124 bleeding bone 180 126 staples 182 128 1st layer patch 184 130 2d layer patch 186 13~ 3rd, outer layer patch 188 140 opening, distal, fig 48 142 patch, fig 49 146 container, fig. 11 160 hemisphere, upper 162 hemisphere, lower 164 band (Fig. 50) 166 sutures (rig. 51) vl< ~ r ~ 517
Claims (2)
1. A device for use in stabilizing a spinal motion segment comprising:
a generally hollow, flexible bag adapted for expansion solely by the introduction of graft material, said bag being further characterized by the absence of any other expansion means, said bag including at least one fill opening into which biological fill material for promoting bony or fibrous union may be inserted, said bag being filled with biological fill material to a rigid state, said flexible bag including a plurality of pores, said pores being sized to allow ingress and egress of liquids, solutions, small particle suspensions and ingrowth of bony trabeculae or fibrous elements into and through said device when said device is positioned in a hollowed region of an intervertebral space, said pores being sized to retain said fill material within said bag; said bag further including closure means for closing said fill opening to prevent egress of said fill material from said bag, wherein said bag is generally spherical in shape, having an equator defined by a line extending circumferentially around a periphery of the spherical shape, an axis and an equatorial band, said equatorial band having greater rigidity than the remainder of said bag causing a force to be directed in a predefined direction, e.g. normal to the axis of the equator of the device.
a generally hollow, flexible bag adapted for expansion solely by the introduction of graft material, said bag being further characterized by the absence of any other expansion means, said bag including at least one fill opening into which biological fill material for promoting bony or fibrous union may be inserted, said bag being filled with biological fill material to a rigid state, said flexible bag including a plurality of pores, said pores being sized to allow ingress and egress of liquids, solutions, small particle suspensions and ingrowth of bony trabeculae or fibrous elements into and through said device when said device is positioned in a hollowed region of an intervertebral space, said pores being sized to retain said fill material within said bag; said bag further including closure means for closing said fill opening to prevent egress of said fill material from said bag, wherein said bag is generally spherical in shape, having an equator defined by a line extending circumferentially around a periphery of the spherical shape, an axis and an equatorial band, said equatorial band having greater rigidity than the remainder of said bag causing a force to be directed in a predefined direction, e.g. normal to the axis of the equator of the device.
2. The device of claim 2 wherein said band has a height that approximates a height of normal interdiscal interval at or near a margin of the disc, and wherein said band is formed of a material with substantially less resilience that material forming the remainder of said bag.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/246,959 US5571189A (en) | 1994-05-20 | 1994-05-20 | Expandable fabric implant for stabilizing the spinal motion segment |
US08/246,959 | 1994-05-20 | ||
PCT/US1995/006179 WO1995031948A1 (en) | 1994-05-20 | 1995-05-17 | Expandable fabric implant for stabilizing the spinal motion segment |
Publications (2)
Publication Number | Publication Date |
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CA2189677A1 CA2189677A1 (en) | 1995-11-30 |
CA2189677C true CA2189677C (en) | 2000-01-25 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002189677A Expired - Lifetime CA2189677C (en) | 1994-05-20 | 1995-05-17 | Expandable fabric implant for stabilizing the spinal motion segment |
Country Status (12)
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US (2) | US5571189A (en) |
EP (1) | EP0764008B1 (en) |
JP (1) | JP3336317B2 (en) |
KR (1) | KR100403310B1 (en) |
AT (1) | ATE258772T1 (en) |
AU (1) | AU691925B2 (en) |
CA (1) | CA2189677C (en) |
DE (1) | DE69532528T2 (en) |
DK (1) | DK0764008T3 (en) |
ES (1) | ES2211906T3 (en) |
HU (1) | HU219272B (en) |
WO (1) | WO1995031948A1 (en) |
Families Citing this family (946)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7534254B1 (en) | 1988-06-13 | 2009-05-19 | Warsaw Orthopedic, Inc. | Threaded frusto-conical interbody spinal fusion implants |
US6120502A (en) | 1988-06-13 | 2000-09-19 | Michelson; Gary Karlin | Apparatus and method for the delivery of electrical current for interbody spinal arthrodesis |
US6241734B1 (en) * | 1998-08-14 | 2001-06-05 | Kyphon, Inc. | Systems and methods for placing materials into bone |
ATE361028T1 (en) | 1994-01-26 | 2007-05-15 | Kyphon Inc | IMPROVED INFLATABLE DEVICE FOR USE IN SURGICAL METHODS OF FIXATION OF BONE |
NZ279442A (en) * | 1994-01-26 | 1998-02-26 | Mark A Reiley | Bone treatment device; inflatable balloon for insertion into a bone; balloon details |
US20030229372A1 (en) * | 1994-01-26 | 2003-12-11 | Kyphon Inc. | Inflatable device for use in surgical protocols relating to treatment of fractured or diseased bone |
US6726691B2 (en) * | 1998-08-14 | 2004-04-27 | Kyphon Inc. | Methods for treating fractured and/or diseased bone |
US20060100635A1 (en) * | 1994-01-26 | 2006-05-11 | Kyphon, Inc. | Inflatable device for use in surgical protocol relating to fixation of bone |
US7044954B2 (en) * | 1994-01-26 | 2006-05-16 | Kyphon Inc. | Method for treating a vertebral body |
US6248110B1 (en) * | 1994-01-26 | 2001-06-19 | Kyphon, Inc. | Systems and methods for treating fractured or diseased bone using expandable bodies |
US6093207A (en) * | 1994-03-18 | 2000-07-25 | Pisharodi; Madhavan | Middle expanded, removable intervertebral disk stabilizer disk |
US6248131B1 (en) | 1994-05-06 | 2001-06-19 | Advanced Bio Surfaces, Inc. | Articulating joint repair |
US5888220A (en) * | 1994-05-06 | 1999-03-30 | Advanced Bio Surfaces, Inc. | Articulating joint repair |
AU2621295A (en) * | 1994-05-24 | 1995-12-18 | Smith & Nephew Plc | Intervertebral disc implant |
WO1996004954A1 (en) | 1994-08-17 | 1996-02-22 | Boston Scientific Corporation | Implant, and method and device for inserting the implant |
US5674296A (en) * | 1994-11-14 | 1997-10-07 | Spinal Dynamics Corporation | Human spinal disc prosthesis |
US6758849B1 (en) | 1995-02-17 | 2004-07-06 | Sdgi Holdings, Inc. | Interbody spinal fusion implants |
US6245072B1 (en) | 1995-03-27 | 2001-06-12 | Sdgi Holdings, Inc. | Methods and instruments for interbody fusion |
US20050131267A1 (en) * | 1995-06-07 | 2005-06-16 | Talmadge Karen D. | System and method for delivering a therapeutic agent for bone disease |
US20050131269A1 (en) * | 1995-06-07 | 2005-06-16 | Talmadge Karen D. | System and method for delivering a therapeutic agent for bone disease |
US6039762A (en) * | 1995-06-07 | 2000-03-21 | Sdgi Holdings, Inc. | Reinforced bone graft substitutes |
ES2278091T3 (en) * | 1995-11-08 | 2007-08-01 | Zimmer Gmbh | DEVICE FOR INTRODUCING AN IMPLANT, IN PARTICULAR AN INTERVERTEBRAL PROTESIS. |
US5865845A (en) * | 1996-03-05 | 1999-02-02 | Thalgott; John S. | Prosthetic intervertebral disc |
CA2199462C (en) * | 1996-03-14 | 2006-01-03 | Charles J. Winslow | Method and instrumentation for implant insertion |
FR2753368B1 (en) | 1996-09-13 | 1999-01-08 | Chauvin Jean Luc | EXPANSIONAL OSTEOSYNTHESIS CAGE |
US5782832A (en) * | 1996-10-01 | 1998-07-21 | Surgical Dynamics, Inc. | Spinal fusion implant and method of insertion thereof |
US5968098A (en) * | 1996-10-22 | 1999-10-19 | Surgical Dynamics, Inc. | Apparatus for fusing adjacent bone structures |
US6063088A (en) * | 1997-03-24 | 2000-05-16 | United States Surgical Corporation | Method and instrumentation for implant insertion |
US6190414B1 (en) | 1996-10-31 | 2001-02-20 | Surgical Dynamics Inc. | Apparatus for fusion of adjacent bone structures |
EP1230902A1 (en) | 1996-11-15 | 2002-08-14 | Advanced Bio Surfaces, Inc. | Biomaterial system for in situ tissue repair |
US5827328A (en) * | 1996-11-22 | 1998-10-27 | Buttermann; Glenn R. | Intervertebral prosthetic device |
US7201751B2 (en) | 1997-01-02 | 2007-04-10 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device |
US20020143331A1 (en) * | 1998-10-20 | 2002-10-03 | Zucherman James F. | Inter-spinous process implant and method with deformable spacer |
US20080086212A1 (en) * | 1997-01-02 | 2008-04-10 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6902566B2 (en) * | 1997-01-02 | 2005-06-07 | St. Francis Medical Technologies, Inc. | Spinal implants, insertion instruments, and methods of use |
US7101375B2 (en) * | 1997-01-02 | 2006-09-05 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6712819B2 (en) | 1998-10-20 | 2004-03-30 | St. Francis Medical Technologies, Inc. | Mating insertion instruments for spinal implants and methods of use |
US6695842B2 (en) | 1997-10-27 | 2004-02-24 | St. Francis Medical Technologies, Inc. | Interspinous process distraction system and method with positionable wing and method |
US7959652B2 (en) | 2005-04-18 | 2011-06-14 | Kyphon Sarl | Interspinous process implant having deployable wings and method of implantation |
US6514256B2 (en) | 1997-01-02 | 2003-02-04 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US7306628B2 (en) | 2002-10-29 | 2007-12-11 | St. Francis Medical Technologies | Interspinous process apparatus and method with a selectably expandable spacer |
US20080215058A1 (en) * | 1997-01-02 | 2008-09-04 | Zucherman James F | Spine distraction implant and method |
US5836948A (en) | 1997-01-02 | 1998-11-17 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US6796983B1 (en) * | 1997-01-02 | 2004-09-28 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US7618451B2 (en) * | 2001-05-25 | 2009-11-17 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty |
US5749916A (en) * | 1997-01-21 | 1998-05-12 | Spinal Innovations | Fusion implant |
IL128261A0 (en) * | 1999-01-27 | 1999-11-30 | Disc O Tech Medical Tech Ltd | Expandable element |
US20070282443A1 (en) * | 1997-03-07 | 2007-12-06 | Disc-O-Tech Medical Technologies Ltd. | Expandable element |
EP1905392B1 (en) * | 1997-03-07 | 2011-05-18 | Kyphon SÀRL | System for percutaneous bone and spinal stabilization, fixation and repair |
US6022376A (en) * | 1997-06-06 | 2000-02-08 | Raymedica, Inc. | Percutaneous prosthetic spinal disc nucleus and method of manufacture |
GB9713330D0 (en) * | 1997-06-25 | 1997-08-27 | Bridport Gundry Plc | Surgical implant |
GB9714580D0 (en) | 1997-07-10 | 1997-09-17 | Wardlaw Douglas | Prosthetic intervertebral disc nucleus |
US6241771B1 (en) | 1997-08-13 | 2001-06-05 | Cambridge Scientific, Inc. | Resorbable interbody spinal fusion devices |
US6589199B1 (en) | 1997-08-28 | 2003-07-08 | Boston Scientific Corporation | System for implanting a cross-linked polysaccharide fiber and methods of forming and inserting the fiber |
AU8913998A (en) | 1997-08-28 | 1999-03-22 | Boston Scientific Corporation | System for implanting a cross-linked polysaccharide fiber and methods of formingand inserting the fiber |
US6004326A (en) * | 1997-09-10 | 1999-12-21 | United States Surgical | Method and instrumentation for implant insertion |
US5865848A (en) * | 1997-09-12 | 1999-02-02 | Artifex, Ltd. | Dynamic intervertebral spacer and method of use |
ES2297898T3 (en) | 1997-10-27 | 2008-05-01 | St. Francis Medical Technologies, Inc. | VERTEBRAL DISTRACTION IMPLANT. |
US5932552A (en) | 1997-11-26 | 1999-08-03 | Keraplast Technologies Ltd. | Keratin-based hydrogel for biomedical applications and method of production |
US6482233B1 (en) | 1998-01-29 | 2002-11-19 | Synthes(U.S.A.) | Prosthetic interbody spacer |
US7087082B2 (en) * | 1998-08-03 | 2006-08-08 | Synthes (Usa) | Bone implants with central chambers |
AU741664B2 (en) * | 1998-03-30 | 2001-12-06 | J. Alexander Marchosky | Prosthetic system |
WO1999049818A1 (en) * | 1998-03-30 | 1999-10-07 | Marchosky J Alexander | Prosthetic system |
US6835208B2 (en) * | 1998-03-30 | 2004-12-28 | J. Alexander Marchosky | Prosthetic system |
US5997582A (en) * | 1998-05-01 | 1999-12-07 | Weiss; James M. | Hip replacement methods and apparatus |
US6241769B1 (en) | 1998-05-06 | 2001-06-05 | Cortek, Inc. | Implant for spinal fusion |
US6224630B1 (en) * | 1998-05-29 | 2001-05-01 | Advanced Bio Surfaces, Inc. | Implantable tissue repair device |
ES2354492T3 (en) * | 1998-06-01 | 2011-03-15 | Kyphon Sarl | PREFORMED STRUCTURES EXPANDABLE FOR DEPLOYMENT IN INTERNAL BODY REGIONS. |
US6132465A (en) * | 1998-06-04 | 2000-10-17 | Raymedica, Inc. | Tapered prosthetic spinal disc nucleus |
ATE363877T1 (en) | 1998-07-22 | 2007-06-15 | Warsaw Orthopedic Inc | SCREWED CYLINDRICAL MULTIDISCOID SINGLE OR MULTIPLE NETWORK PLATE PROSTHESIS |
US6206930B1 (en) | 1998-08-10 | 2001-03-27 | Charlotte-Mecklenburg Hospital Authority | Absorbable tissue expander |
US6187000B1 (en) | 1998-08-20 | 2001-02-13 | Endius Incorporated | Cannula for receiving surgical instruments |
CA2342633C (en) * | 1998-09-04 | 2007-11-13 | Spinal Dynamics Corporation | Peanut spectacle multi discoid thoraco-lumbar disc prosthesis |
US6749635B1 (en) | 1998-09-04 | 2004-06-15 | Sdgi Holdings, Inc. | Peanut spectacle multi discoid thoraco-lumbar disc prosthesis |
SE515572C2 (en) * | 1998-09-09 | 2001-09-03 | Lanka Ltd | Implants, ways of making it and using it |
US6652527B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device and method |
US7189234B2 (en) | 1998-10-20 | 2007-03-13 | St. Francis Medical Technologies, Inc. | Interspinous process implant sizer and distractor with a split head and size indicator and method |
US6652534B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Apparatus and method for determining implant size |
US7029473B2 (en) * | 1998-10-20 | 2006-04-18 | St. Francis Medical Technologies, Inc. | Deflectable spacer for use as an interspinous process implant and method |
US6193757B1 (en) | 1998-10-29 | 2001-02-27 | Sdgi Holdings, Inc. | Expandable intervertebral spacers |
US6146422A (en) * | 1999-01-25 | 2000-11-14 | Lawson; Kevin Jon | Prosthetic nucleus replacement for surgical reconstruction of intervertebral discs and treatment method |
US7621950B1 (en) | 1999-01-27 | 2009-11-24 | Kyphon Sarl | Expandable intervertebral spacer |
US6746485B1 (en) | 1999-02-18 | 2004-06-08 | St. Francis Medical Technologies, Inc. | Hair used as a biologic disk, replacement, and/or structure and method |
US6436143B1 (en) | 1999-02-22 | 2002-08-20 | Anthony C. Ross | Method and apparatus for treating intervertebral disks |
US6113638A (en) | 1999-02-26 | 2000-09-05 | Williams; Lytton A. | Method and apparatus for intervertebral implant anchorage |
CA2363254C (en) | 1999-03-07 | 2009-05-05 | Discure Ltd. | Method and apparatus for computerized surgery |
US6267763B1 (en) | 1999-03-31 | 2001-07-31 | Surgical Dynamics, Inc. | Method and apparatus for spinal implant insertion |
US6602291B1 (en) | 1999-04-05 | 2003-08-05 | Raymedica, Inc. | Prosthetic spinal disc nucleus having a shape change characteristic |
US6110210A (en) * | 1999-04-08 | 2000-08-29 | Raymedica, Inc. | Prosthetic spinal disc nucleus having selectively coupled bodies |
US6478805B1 (en) * | 1999-04-16 | 2002-11-12 | Nuvasive, Inc. | System for removing cut tissue from the inner bore of a surgical instrument |
US6428576B1 (en) * | 1999-04-16 | 2002-08-06 | Endospine, Ltd. | System for repairing inter-vertebral discs |
US6582446B1 (en) | 1999-05-06 | 2003-06-24 | J. Alexander Marchosky | Method and apparatus for percutaneous osteoplasty |
EP1191889B1 (en) * | 1999-05-07 | 2011-07-13 | University Of Virginia Patent Foundation | System for fusing a spinal region |
US6805697B1 (en) * | 1999-05-07 | 2004-10-19 | University Of Virginia Patent Foundation | Method and system for fusing a spinal region |
US6283998B1 (en) * | 1999-05-13 | 2001-09-04 | Board Of Trustees Of The University Of Arkansas | Alloplastic vertebral disk replacement |
US20070038231A1 (en) | 1999-05-28 | 2007-02-15 | Ferree Bret A | Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft |
US7273497B2 (en) | 1999-05-28 | 2007-09-25 | Anova Corp. | Methods for treating a defect in the annulus fibrosis |
US20060247665A1 (en) | 1999-05-28 | 2006-11-02 | Ferree Bret A | Methods and apparatus for treating disc herniation and preventing the extrusion of interbody bone graft |
US6969404B2 (en) * | 1999-10-08 | 2005-11-29 | Ferree Bret A | Annulus fibrosis augmentation methods and apparatus |
US6179840B1 (en) | 1999-07-23 | 2001-01-30 | Ethicon, Inc. | Graft fixation device and method |
US20020095157A1 (en) | 1999-07-23 | 2002-07-18 | Bowman Steven M. | Graft fixation device combination |
FR2897259B1 (en) | 2006-02-15 | 2008-05-09 | Ldr Medical Soc Par Actions Si | INTERSOMATIC TRANSFORAMINAL CAGE WITH INTERBREBAL FUSION GRAFT AND CAGE IMPLANTATION INSTRUMENT |
US7220281B2 (en) | 1999-08-18 | 2007-05-22 | Intrinsic Therapeutics, Inc. | Implant for reinforcing and annulus fibrosis |
US20040024465A1 (en) * | 1999-08-18 | 2004-02-05 | Gregory Lambrecht | Devices and method for augmenting a vertebral disc |
US7998213B2 (en) | 1999-08-18 | 2011-08-16 | Intrinsic Therapeutics, Inc. | Intervertebral disc herniation repair |
EP1328221B1 (en) | 1999-08-18 | 2009-03-25 | Intrinsic Therapeutics, Inc. | Devices for nucleus pulposus augmentation and retention |
US7972337B2 (en) | 2005-12-28 | 2011-07-05 | Intrinsic Therapeutics, Inc. | Devices and methods for bone anchoring |
EP1624832A4 (en) | 1999-08-18 | 2008-12-24 | Intrinsic Therapeutics Inc | Devices and method for augmenting a vertebral disc nucleus |
US6936072B2 (en) * | 1999-08-18 | 2005-08-30 | Intrinsic Therapeutics, Inc. | Encapsulated intervertebral disc prosthesis and methods of manufacture |
US7553329B2 (en) | 1999-08-18 | 2009-06-30 | Intrinsic Therapeutics, Inc. | Stabilized intervertebral disc barrier |
US8323341B2 (en) | 2007-09-07 | 2012-12-04 | Intrinsic Therapeutics, Inc. | Impaction grafting for vertebral fusion |
US7717961B2 (en) | 1999-08-18 | 2010-05-18 | Intrinsic Therapeutics, Inc. | Apparatus delivery in an intervertebral disc |
US6425919B1 (en) | 1999-08-18 | 2002-07-30 | Intrinsic Orthopedics, Inc. | Devices and methods of vertebral disc augmentation |
US6620169B1 (en) | 1999-08-26 | 2003-09-16 | Spineology Group, Llc. | Tools and method for processing and injecting bone graft |
US6371984B1 (en) | 1999-09-13 | 2002-04-16 | Keraplast Technologies, Ltd. | Implantable prosthetic or tissue expanding device |
US6783546B2 (en) | 1999-09-13 | 2004-08-31 | Keraplast Technologies, Ltd. | Implantable prosthetic or tissue expanding device |
US6964674B1 (en) * | 1999-09-20 | 2005-11-15 | Nuvasive, Inc. | Annulotomy closure device |
US20040186573A1 (en) * | 1999-10-08 | 2004-09-23 | Ferree Bret A. | Annulus fibrosis augmentation methods and apparatus |
US20050256582A1 (en) * | 1999-10-08 | 2005-11-17 | Ferree Bret A | Spinal implants, including devices that reduce pressure on the annulus fibrosis |
US20030040796A1 (en) * | 1999-10-08 | 2003-02-27 | Ferree Bret A. | Devices used to treat disc herniation and attachment mechanisms therefore |
US8679180B2 (en) * | 1999-10-08 | 2014-03-25 | Anova Corporation | Devices used to treat disc herniation and attachment mechanisms therefore |
US20030004574A1 (en) * | 1999-10-08 | 2003-01-02 | Ferree Bret A. | Disc and annulus augmentation using biologic tissue |
US6592625B2 (en) | 1999-10-20 | 2003-07-15 | Anulex Technologies, Inc. | Spinal disc annulus reconstruction method and spinal disc annulus stent |
CA2388382C (en) * | 1999-10-20 | 2009-09-29 | Anulex Technologies, Inc. | Spinal disc annulus reconstruction method and spinal disc annulus stent |
US7615076B2 (en) | 1999-10-20 | 2009-11-10 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
US8128698B2 (en) | 1999-10-20 | 2012-03-06 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
US8632590B2 (en) | 1999-10-20 | 2014-01-21 | Anulex Technologies, Inc. | Apparatus and methods for the treatment of the intervertebral disc |
US7004970B2 (en) | 1999-10-20 | 2006-02-28 | Anulex Technologies, Inc. | Methods and devices for spinal disc annulus reconstruction and repair |
US20030153976A1 (en) | 1999-10-20 | 2003-08-14 | Cauthen Joseph C. | Spinal disc annulus reconstruction method and spinal disc annulus stent |
US7935147B2 (en) | 1999-10-20 | 2011-05-03 | Anulex Technologies, Inc. | Method and apparatus for enhanced delivery of treatment device to the intervertebral disc annulus |
US7052516B2 (en) | 1999-10-20 | 2006-05-30 | Anulex Technologies, Inc. | Spinal disc annulus reconstruction method and deformable spinal disc annulus stent |
US7951201B2 (en) | 1999-10-20 | 2011-05-31 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
US6974478B2 (en) * | 1999-10-22 | 2005-12-13 | Archus Orthopedics, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US7691145B2 (en) | 1999-10-22 | 2010-04-06 | Facet Solutions, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
EP1223872B2 (en) | 1999-10-22 | 2007-09-26 | Archus Orthopedics Inc. | Facet arthroplasty devices |
US8187303B2 (en) | 2004-04-22 | 2012-05-29 | Gmedelaware 2 Llc | Anti-rotation fixation element for spinal prostheses |
US7674293B2 (en) | 2004-04-22 | 2010-03-09 | Facet Solutions, Inc. | Crossbar spinal prosthesis having a modular design and related implantation methods |
US6395034B1 (en) * | 1999-11-24 | 2002-05-28 | Loubert Suddaby | Intervertebral disc prosthesis |
ES2291228T3 (en) * | 1999-12-03 | 2008-03-01 | The University Of Leeds | REPAIR OF DAMAGED FABRIC. |
FR2801778B1 (en) * | 1999-12-03 | 2002-02-08 | Spinevision | CONNECTION ASSEMBLY FOR THE FIELD OF RACHIDIAN OSTEOSYNTHESIS |
JP4672947B2 (en) * | 1999-12-06 | 2011-04-20 | ウォーソー・オーソペディック・インコーポレーテッド | Intervertebral disc treatment apparatus and method |
US7641657B2 (en) | 2003-06-10 | 2010-01-05 | Trans1, Inc. | Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae |
EP1645248B8 (en) * | 2000-02-04 | 2010-06-16 | Warsaw Orthopedic, Inc. | Expandable interbody spinal fusion implant having pivotally attached blocker |
US6500205B1 (en) | 2000-04-19 | 2002-12-31 | Gary K. Michelson | Expandable threaded arcuate interbody spinal fusion implant with cylindrical configuration during insertion |
US6709458B2 (en) | 2000-02-04 | 2004-03-23 | Gary Karlin Michelson | Expandable push-in arcuate interbody spinal fusion implant with tapered configuration during insertion |
US6716247B2 (en) | 2000-02-04 | 2004-04-06 | Gary K. Michelson | Expandable push-in interbody spinal fusion implant |
US6814756B1 (en) | 2000-02-04 | 2004-11-09 | Gary K. Michelson | Expandable threaded arcuate interbody spinal fusion implant with lordotic configuration during insertion |
US6383188B2 (en) | 2000-02-15 | 2002-05-07 | The Spineology Group Llc | Expandable reamer |
US6575979B1 (en) | 2000-02-16 | 2003-06-10 | Axiamed, Inc. | Method and apparatus for providing posterior or anterior trans-sacral access to spinal vertebrae |
US6558390B2 (en) | 2000-02-16 | 2003-05-06 | Axiamed, Inc. | Methods and apparatus for performing therapeutic procedures in the spine |
US7744599B2 (en) | 2000-02-16 | 2010-06-29 | Trans1 Inc. | Articulating spinal implant |
US7014633B2 (en) | 2000-02-16 | 2006-03-21 | Trans1, Inc. | Methods of performing procedures in the spine |
US6558386B1 (en) | 2000-02-16 | 2003-05-06 | Trans1 Inc. | Axial spinal implant and method and apparatus for implanting an axial spinal implant within the vertebrae of the spine |
US6899716B2 (en) | 2000-02-16 | 2005-05-31 | Trans1, Inc. | Method and apparatus for spinal augmentation |
US6790210B1 (en) | 2000-02-16 | 2004-09-14 | Trans1, Inc. | Methods and apparatus for forming curved axial bores through spinal vertebrae |
DK1578315T3 (en) | 2000-02-16 | 2008-10-06 | Trans1 Inc | Device for vertebral column distribution and fusion |
US6740093B2 (en) * | 2000-02-28 | 2004-05-25 | Stephen Hochschuler | Method and apparatus for treating a vertebral body |
US7258692B2 (en) * | 2000-03-07 | 2007-08-21 | Zimmer, Inc. | Method and apparatus for reducing femoral fractures |
US20030220644A1 (en) * | 2002-05-23 | 2003-11-27 | Thelen Sarah L. | Method and apparatus for reducing femoral fractures |
US6425923B1 (en) * | 2000-03-07 | 2002-07-30 | Zimmer, Inc. | Contourable polymer filled implant |
US6332894B1 (en) * | 2000-03-07 | 2001-12-25 | Zimmer, Inc. | Polymer filled spinal fusion cage |
US7488329B2 (en) * | 2000-03-07 | 2009-02-10 | Zimmer Technology, Inc. | Method and apparatus for reducing femoral fractures |
US20030220646A1 (en) * | 2002-05-23 | 2003-11-27 | Thelen Sarah L. | Method and apparatus for reducing femoral fractures |
US7485119B2 (en) * | 2000-03-07 | 2009-02-03 | Zimmer Technology, Inc. | Method and apparatus for reducing femoral fractures |
AR027685A1 (en) | 2000-03-22 | 2003-04-09 | Synthes Ag | METHOD AND METHOD FOR CARRYING OUT |
US6805695B2 (en) | 2000-04-04 | 2004-10-19 | Spinalabs, Llc | Devices and methods for annular repair of intervertebral discs |
US6402750B1 (en) * | 2000-04-04 | 2002-06-11 | Spinlabs, Llc | Devices and methods for the treatment of spinal disorders |
US6579291B1 (en) | 2000-10-10 | 2003-06-17 | Spinalabs, Llc | Devices and methods for the treatment of spinal disorders |
US6689125B1 (en) | 2000-04-04 | 2004-02-10 | Spinalabs, Llc | Devices and methods for the treatment of spinal disorders |
ATE390099T1 (en) | 2000-04-04 | 2008-04-15 | Link Spine Group Inc | INTERVERBEL PLASTIC IMPLANT |
ES2177391B1 (en) * | 2000-04-19 | 2004-08-16 | Felipe Lopez Oliva Muñoz | CERVICAL DISK PROTESIS. |
US6482234B1 (en) * | 2000-04-26 | 2002-11-19 | Pearl Technology Holdings, Llc | Prosthetic spinal disc |
US6869445B1 (en) | 2000-05-04 | 2005-03-22 | Phillips Plastics Corp. | Packable ceramic beads for bone repair |
WO2004043303A2 (en) | 2002-11-12 | 2004-05-27 | Regenex Ltd. | Expandable devices and methods for tissue expansion, regenerationand fixation |
US8622739B2 (en) * | 2001-05-09 | 2014-01-07 | Ben-Zion Karmon | Method for enlarging a jaw bone using a hollow dental implant having a side perforation |
US7771482B1 (en) * | 2000-05-09 | 2010-08-10 | Ben-Zion Karmon | Method for tissue expansion and regeneration using bioresorbable inflatable devices |
DE10024922C1 (en) * | 2000-05-19 | 2002-01-10 | Roland Minda | Artificial intervertebral disc |
US6964667B2 (en) | 2000-06-23 | 2005-11-15 | Sdgi Holdings, Inc. | Formed in place fixation system with thermal acceleration |
US6899713B2 (en) | 2000-06-23 | 2005-05-31 | Vertelink Corporation | Formable orthopedic fixation system |
US6875212B2 (en) | 2000-06-23 | 2005-04-05 | Vertelink Corporation | Curable media for implantable medical device |
US6749614B2 (en) | 2000-06-23 | 2004-06-15 | Vertelink Corporation | Formable orthopedic fixation system with cross linking |
US6821277B2 (en) | 2000-06-23 | 2004-11-23 | University Of Southern California Patent And Copyright Administration | Percutaneous vertebral fusion system |
KR100889414B1 (en) * | 2000-06-27 | 2009-03-20 | 키폰 에스에이알엘 | Systems and methods for injecting flowable materials into bones |
US7025771B2 (en) * | 2000-06-30 | 2006-04-11 | Spineology, Inc. | Tool to direct bone replacement material |
US6808537B2 (en) * | 2000-07-07 | 2004-10-26 | Gary Karlin Michelson | Expandable implant with interlocking walls |
US20080086133A1 (en) * | 2003-05-16 | 2008-04-10 | Spineology | Expandable porous mesh bag device and methods of use for reduction, filling, fixation and supporting of bone |
WO2003007853A1 (en) * | 2000-07-21 | 2003-01-30 | The Spineology Group, Llc | An expandable porous mesh bag device and its use for bone surgery |
EP1408888B1 (en) | 2001-07-20 | 2010-03-24 | The Spineology Group, LLC | An expandable porous mesh bag device and its use for bone surgery |
DE60141653D1 (en) | 2000-07-21 | 2010-05-06 | Spineology Group Llc | A STRONG, POROUS NET BAG DEVICE AND ITS USE IN BONE SURGERY |
US7056321B2 (en) * | 2000-08-01 | 2006-06-06 | Endius, Incorporated | Method of securing vertebrae |
EP1363565A2 (en) | 2000-08-08 | 2003-11-26 | SDGI Holdings, Inc. | Implantable joint prosthesis |
DE60140004D1 (en) | 2000-08-08 | 2009-11-05 | Warsaw Orthopedic Inc | DEVICE FOR STEREOTAKTIC IMPLANTATION |
US7601174B2 (en) * | 2000-08-08 | 2009-10-13 | Warsaw Orthopedic, Inc. | Wear-resistant endoprosthetic devices |
US7125380B2 (en) * | 2000-08-08 | 2006-10-24 | Warsaw Orthopedic, Inc. | Clamping apparatus and methods |
AU2001284857B2 (en) * | 2000-08-11 | 2005-09-29 | Warsaw Orthopedic, Inc. | Surgical instrumentation and method for treatment of the spine |
US7114501B2 (en) * | 2000-08-14 | 2006-10-03 | Spine Wave, Inc. | Transverse cavity device and method |
CN1192750C (en) * | 2000-08-28 | 2005-03-16 | 迪斯科动力学公司 | Prosthesis of vertebral disc |
JP2004521666A (en) | 2000-08-28 | 2004-07-22 | アドバンスト バイオ サーフェイシズ,インコーポレイティド | Methods and systems for enhancing mammalian joints |
US6620196B1 (en) | 2000-08-30 | 2003-09-16 | Sdgi Holdings, Inc. | Intervertebral disc nucleus implants and methods |
JP2004507318A (en) | 2000-08-30 | 2004-03-11 | エスディージーアイ・ホールディングス・インコーポレーテッド | Disc nucleus pulposus implant and method |
US20050154463A1 (en) * | 2000-08-30 | 2005-07-14 | Trieu Hal H. | Spinal nucleus replacement implants and methods |
US7503936B2 (en) * | 2000-08-30 | 2009-03-17 | Warsaw Orthopedic, Inc. | Methods for forming and retaining intervertebral disc implants |
US7204851B2 (en) * | 2000-08-30 | 2007-04-17 | Sdgi Holdings, Inc. | Method and apparatus for delivering an intervertebral disc implant |
US20020026244A1 (en) * | 2000-08-30 | 2002-02-28 | Trieu Hai H. | Intervertebral disc nucleus implants and methods |
US6649030B1 (en) | 2000-08-31 | 2003-11-18 | Endovascular Technologies, Inc. | Physical vapor deposition of radiopaque markings on a graft |
US6730252B1 (en) | 2000-09-20 | 2004-05-04 | Swee Hin Teoh | Methods for fabricating a filament for use in tissue engineering |
US6733531B1 (en) | 2000-10-20 | 2004-05-11 | Sdgi Holdings, Inc. | Anchoring devices and implants for intervertebral disc augmentation |
JP2004512097A (en) * | 2000-10-24 | 2004-04-22 | エスディージーアイ・ホールディングス・インコーポレーテッド | Apparatus and method for filling osteogenic material |
ES2238500T3 (en) * | 2000-10-27 | 2005-09-01 | Sdgi Holdings, Inc. | RING REPAIR SYSTEM. |
US6582467B1 (en) * | 2000-10-31 | 2003-06-24 | Vertelink Corporation | Expandable fusion cage |
US6579319B2 (en) | 2000-11-29 | 2003-06-17 | Medicinelodge, Inc. | Facet joint replacement |
WO2002043628A1 (en) * | 2000-12-01 | 2002-06-06 | Sabitzer Ronald J | Method and device for expanding a body cavity |
US6419703B1 (en) | 2001-03-01 | 2002-07-16 | T. Wade Fallin | Prosthesis for the replacement of a posterior element of a vertebra |
US6565605B2 (en) | 2000-12-13 | 2003-05-20 | Medicinelodge, Inc. | Multiple facet joint replacement |
US6896692B2 (en) | 2000-12-14 | 2005-05-24 | Ensure Medical, Inc. | Plug with collet and apparatus and method for delivering such plugs |
US6890343B2 (en) | 2000-12-14 | 2005-05-10 | Ensure Medical, Inc. | Plug with detachable guidewire element and methods for use |
US20020169507A1 (en) * | 2000-12-14 | 2002-11-14 | David Malone | Interbody spine fusion cage |
US8083768B2 (en) | 2000-12-14 | 2011-12-27 | Ensure Medical, Inc. | Vascular plug having composite construction |
US6846319B2 (en) | 2000-12-14 | 2005-01-25 | Core Medical, Inc. | Devices for sealing openings through tissue and apparatus and methods for delivering them |
US6623509B2 (en) | 2000-12-14 | 2003-09-23 | Core Medical, Inc. | Apparatus and methods for sealing vascular punctures |
US6712853B2 (en) * | 2000-12-15 | 2004-03-30 | Spineology, Inc. | Annulus-reinforcing band |
CA2365376C (en) | 2000-12-21 | 2006-03-28 | Ethicon, Inc. | Use of reinforced foam implants with enhanced integrity for soft tissue repair and regeneration |
ATE384500T1 (en) * | 2001-02-04 | 2008-02-15 | Warsaw Orthopedic Inc | INSTRUMENTS FOR INSERTING AND POSITIONING AN EXPANDABLE INTERVERBEL FUSION IMPLANT |
US6562045B2 (en) | 2001-02-13 | 2003-05-13 | Sdgi Holdings, Inc. | Machining apparatus |
WO2002065954A1 (en) * | 2001-02-16 | 2002-08-29 | Queen's University At Kingston | Method and device for treating scoliosis |
US6776800B2 (en) * | 2001-02-28 | 2004-08-17 | Synthes (U.S.A.) | Implants formed with demineralized bone |
US7229441B2 (en) * | 2001-02-28 | 2007-06-12 | Warsaw Orthopedic, Inc. | Flexible systems for spinal stabilization and fixation |
US6652585B2 (en) * | 2001-02-28 | 2003-11-25 | Sdgi Holdings, Inc. | Flexible spine stabilization system |
US6827743B2 (en) * | 2001-02-28 | 2004-12-07 | Sdgi Holdings, Inc. | Woven orthopedic implants |
US7090698B2 (en) | 2001-03-02 | 2006-08-15 | Facet Solutions | Method and apparatus for spine joint replacement |
US6595998B2 (en) | 2001-03-08 | 2003-07-22 | Spinewave, Inc. | Tissue distraction device |
US6478822B1 (en) * | 2001-03-20 | 2002-11-12 | Spineco, Inc. | Spherical spinal implant |
US6899734B2 (en) | 2001-03-23 | 2005-05-31 | Howmedica Osteonics Corp. | Modular implant for fusing adjacent bone structure |
US7128760B2 (en) | 2001-03-27 | 2006-10-31 | Warsaw Orthopedic, Inc. | Radially expanding interbody spinal fusion implants, instrumentation, and methods of insertion |
US7344539B2 (en) | 2001-03-30 | 2008-03-18 | Depuy Acromed, Inc. | Intervertebral connection system |
US6575978B2 (en) | 2001-04-05 | 2003-06-10 | Spineology, Inc. | Circumferential resecting reamer tool |
US20040083002A1 (en) * | 2001-04-06 | 2004-04-29 | Belef William Martin | Methods for treating spinal discs |
US20020147496A1 (en) | 2001-04-06 | 2002-10-10 | Integrated Vascular Systems, Inc. | Apparatus for treating spinal discs |
US20020147461A1 (en) * | 2001-04-06 | 2002-10-10 | Aldrich William N. | Apparatus and methods for closing openings in spinal discs |
US6582433B2 (en) | 2001-04-09 | 2003-06-24 | St. Francis Medical Technologies, Inc. | Spine fixation device and method |
US20030078579A1 (en) * | 2001-04-19 | 2003-04-24 | Ferree Bret A. | Annular repair devices and methods |
US6632235B2 (en) | 2001-04-19 | 2003-10-14 | Synthes (U.S.A.) | Inflatable device and method for reducing fractures in bone and in treating the spine |
US20050209629A1 (en) * | 2001-04-19 | 2005-09-22 | Kerr Sean H | Resorbable containment device and process for making and using same |
WO2002085262A1 (en) * | 2001-04-24 | 2002-10-31 | Galley Geoffrey H | Surgical restoration of an intervertebral disc |
FR2824261B1 (en) | 2001-05-04 | 2004-05-28 | Ldr Medical | INTERVERTEBRAL DISC PROSTHESIS AND IMPLEMENTATION METHOD AND TOOLS |
US6814734B2 (en) | 2001-06-18 | 2004-11-09 | Sdgi Holdings, Inc, | Surgical instrumentation and method for forming a passage in bone having an enlarged cross-sectional portion |
WO2003002040A1 (en) * | 2001-06-27 | 2003-01-09 | Mathys Medizinaltechnik Ag | Intervertebral disk prosthesis |
US7156877B2 (en) * | 2001-06-29 | 2007-01-02 | The Regents Of The University Of California | Biodegradable/bioactive nucleus pulposus implant and method for treating degenerated intervertebral discs |
US20090234457A1 (en) * | 2001-06-29 | 2009-09-17 | The Regents Of The University Of California | Systems, devices and methods for treatment of intervertebral disorders |
FR2827156B1 (en) | 2001-07-13 | 2003-11-14 | Ldr Medical | VERTEBRAL CAGE DEVICE WITH MODULAR FASTENING |
US7819918B2 (en) * | 2001-07-16 | 2010-10-26 | Depuy Products, Inc. | Implantable tissue repair device |
US6926728B2 (en) * | 2001-07-18 | 2005-08-09 | St. Francis Medical Technologies, Inc. | Curved dilator and method |
US6620162B2 (en) | 2001-07-20 | 2003-09-16 | Spineology, Inc. | Device for inserting fill material particles into body cavities |
WO2003007854A1 (en) | 2001-07-20 | 2003-01-30 | The Spineology Group, Llc | Device for inserting fill material particles into body cavities |
US20030028251A1 (en) * | 2001-07-30 | 2003-02-06 | Mathews Hallett H. | Methods and devices for interbody spinal stabilization |
US6375682B1 (en) | 2001-08-06 | 2002-04-23 | Lewis W. Fleischmann | Collapsible, rotatable and expandable spinal hydraulic prosthetic device |
US6736815B2 (en) * | 2001-09-06 | 2004-05-18 | Core Medical, Inc. | Apparatus and methods for treating spinal discs |
US6706069B2 (en) * | 2001-09-13 | 2004-03-16 | J. Lee Berger | Spinal grooved director with built in balloon |
FR2829689B1 (en) * | 2001-09-14 | 2004-06-25 | Frederic Fortin | NUCLEUS PROSTHESIS AND ITS INSERTION DEVICE AND ITS POSITIONING METHOD |
US20030083746A1 (en) | 2001-10-31 | 2003-05-01 | Kuslich Stephen D. | Vertebral spacer for spinal stabilization |
US20030083749A1 (en) * | 2001-10-31 | 2003-05-01 | Kuslich Stephen D. | Corpectomy device |
DE10154163A1 (en) | 2001-11-03 | 2003-05-22 | Advanced Med Tech | Device for straightening and stabilizing the spine |
US20030130738A1 (en) * | 2001-11-08 | 2003-07-10 | Arthrocare Corporation | System and method for repairing a damaged intervertebral disc |
GB2382028B (en) * | 2001-11-19 | 2006-11-01 | Aberdeen Orthopaedic Developme | Intervertebral disc prosthesis |
US6761723B2 (en) | 2002-01-14 | 2004-07-13 | Dynamic Spine, Inc. | Apparatus and method for performing spinal surgery |
US7708776B1 (en) | 2002-01-16 | 2010-05-04 | Nuvasive, Inc. | Intervertebral disk replacement system and methods |
US7105023B2 (en) * | 2002-01-17 | 2006-09-12 | Concept Matrix, L.L.C. | Vertebral defect device |
US8137402B2 (en) * | 2002-01-17 | 2012-03-20 | Concept Matrix Llc | Vertebral defect device |
US7011684B2 (en) * | 2002-01-17 | 2006-03-14 | Concept Matrix, Llc | Intervertebral disk prosthesis |
US6733534B2 (en) * | 2002-01-29 | 2004-05-11 | Sdgi Holdings, Inc. | System and method for spine spacing |
AR038680A1 (en) | 2002-02-19 | 2005-01-26 | Synthes Ag | INTERVERTEBRAL IMPLANT |
WO2003084449A1 (en) * | 2002-03-30 | 2003-10-16 | Cool Brace | Intervertebral device and method of use |
US7223289B2 (en) * | 2002-04-16 | 2007-05-29 | Warsaw Orthopedic, Inc. | Annulus repair systems and techniques |
AU2003228697B2 (en) * | 2002-04-25 | 2009-04-02 | Blackstone Medical, Inc. | Artificial intervertebral disc |
US8696749B2 (en) * | 2002-04-25 | 2014-04-15 | Blackstone Medical, Inc. | Artificial intervertebral disc |
US6960215B2 (en) * | 2002-05-08 | 2005-11-01 | Boston Scientific Scimed, Inc. | Tactical detachable anatomic containment device and therapeutic treatment system |
US7001433B2 (en) * | 2002-05-23 | 2006-02-21 | Pioneer Laboratories, Inc. | Artificial intervertebral disc device |
US8388684B2 (en) | 2002-05-23 | 2013-03-05 | Pioneer Signal Technology, Inc. | Artificial disc device |
DE10223332A1 (en) * | 2002-05-25 | 2003-12-04 | Efmt Entwicklungs Und Forschun | Medical implant |
US7033393B2 (en) * | 2002-06-27 | 2006-04-25 | Raymedica, Inc. | Self-transitioning spinal disc anulus occulsion device and method of use |
US6793678B2 (en) | 2002-06-27 | 2004-09-21 | Depuy Acromed, Inc. | Prosthetic intervertebral motion disc having dampening |
EP1536743A2 (en) * | 2002-08-27 | 2005-06-08 | SDGI Holdings, Inc. | Systems and methods for intravertebral reduction |
US20040054414A1 (en) | 2002-09-18 | 2004-03-18 | Trieu Hai H. | Collagen-based materials and methods for augmenting intervertebral discs |
US6932843B2 (en) | 2002-09-25 | 2005-08-23 | Medicinelodge, Inc. | Apparatus and method for the in-situ formation of a structural prosthesis |
US8679179B2 (en) * | 2002-10-03 | 2014-03-25 | Anova Corp. | Annular repair devices and methods |
US20040078090A1 (en) | 2002-10-18 | 2004-04-22 | Francois Binette | Biocompatible scaffolds with tissue fragments |
US7824701B2 (en) | 2002-10-18 | 2010-11-02 | Ethicon, Inc. | Biocompatible scaffold for ligament or tendon repair |
US7833246B2 (en) | 2002-10-29 | 2010-11-16 | Kyphon SÀRL | Interspinous process and sacrum implant and method |
US7909853B2 (en) | 2004-09-23 | 2011-03-22 | Kyphon Sarl | Interspinous process implant including a binder and method of implantation |
US7273496B2 (en) * | 2002-10-29 | 2007-09-25 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with crossbar spacer and method |
US7083649B2 (en) * | 2002-10-29 | 2006-08-01 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with translating pivot point |
US8070778B2 (en) | 2003-05-22 | 2011-12-06 | Kyphon Sarl | Interspinous process implant with slide-in distraction piece and method of implantation |
US7931674B2 (en) | 2005-03-21 | 2011-04-26 | Kyphon Sarl | Interspinous process implant having deployable wing and method of implantation |
US7549999B2 (en) | 2003-05-22 | 2009-06-23 | Kyphon Sarl | Interspinous process distraction implant and method of implantation |
US8048117B2 (en) | 2003-05-22 | 2011-11-01 | Kyphon Sarl | Interspinous process implant and method of implantation |
US7682392B2 (en) | 2002-10-30 | 2010-03-23 | Depuy Spine, Inc. | Regenerative implants for stabilizing the spine and devices for attachment of said implants |
JP2006505331A (en) * | 2002-11-05 | 2006-02-16 | スパインオロジー,インク. | Semi-artificial intervertebral disc replacement system |
FR2846550B1 (en) | 2002-11-05 | 2006-01-13 | Ldr Medical | INTERVERTEBRAL DISC PROSTHESIS |
JP2006515765A (en) | 2002-11-15 | 2006-06-08 | エスディージーアイ・ホールディングス・インコーポレーテッド | Collagen-based materials and methods for treating synovial joints |
WO2004047689A1 (en) * | 2002-11-21 | 2004-06-10 | Sdgi Holdings, Inc. | Systems and techniques for intravertebral spinal stablization with expandable devices |
CN1713863A (en) * | 2002-11-21 | 2005-12-28 | Sdgi控股股份有限公司 | Systems and techniques for interbody spinal stabilization with expandable devices |
US20040186471A1 (en) * | 2002-12-07 | 2004-09-23 | Sdgi Holdings, Inc. | Method and apparatus for intervertebral disc expansion |
US20040210310A1 (en) * | 2002-12-10 | 2004-10-21 | Trieu Hai H. | Implant system and method for intervertebral disc augmentation |
US6974479B2 (en) * | 2002-12-10 | 2005-12-13 | Sdgi Holdings, Inc. | System and method for blocking and/or retaining a prosthetic spinal implant |
TW554739U (en) * | 2002-12-18 | 2003-09-21 | Guan-Gu Lin | Flexible non-airtight medical filling device |
KR100710562B1 (en) | 2002-12-20 | 2007-04-24 | 워쏘우 오르쏘페딕 인코포레이티드 | Curable media for implantable medical device |
WO2004064990A2 (en) * | 2003-01-22 | 2004-08-05 | Vast Power Systems Inc. | Reactor |
EP2457541A1 (en) | 2003-02-06 | 2012-05-30 | Synthes GmbH | Implant between vertebrae |
US7335203B2 (en) | 2003-02-12 | 2008-02-26 | Kyphon Inc. | System and method for immobilizing adjacent spinous processes |
AU2004212942A1 (en) | 2003-02-14 | 2004-09-02 | Depuy Spine, Inc. | In-situ formed intervertebral fusion device |
DE20303642U1 (en) * | 2003-02-28 | 2003-04-30 | Aesculap Ag & Co Kg | Implant for reconstruction of human vertebra which has lost some of its load-carrying capacity or is broken consists of edgeless implant elements introduced singly |
US8197837B2 (en) | 2003-03-07 | 2012-06-12 | Depuy Mitek, Inc. | Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof |
US20080033446A1 (en) * | 2003-03-11 | 2008-02-07 | Kwan-Ku Lin | Flexible and breathable filler for medical application |
US20060264967A1 (en) | 2003-03-14 | 2006-11-23 | Ferreyro Roque H | Hydraulic device for the injection of bone cement in percutaneous vertebroplasty |
US7824444B2 (en) * | 2003-03-20 | 2010-11-02 | Spineco, Inc. | Expandable spherical spinal implant |
US7306610B2 (en) * | 2003-03-21 | 2007-12-11 | Cana Lab Corporation | Method and device for forming a hardened cement in a bone cavity |
WO2004084742A1 (en) | 2003-03-24 | 2004-10-07 | Theken Surgical Llc | Spinal implant adjustment device |
IL155146A0 (en) * | 2003-03-30 | 2003-10-31 | Expandis Ltd | Minimally invasive distraction device and method |
US8066713B2 (en) | 2003-03-31 | 2011-11-29 | Depuy Spine, Inc. | Remotely-activated vertebroplasty injection device |
US7819903B2 (en) | 2003-03-31 | 2010-10-26 | Depuy Spine, Inc. | Spinal fixation plate |
CA2534169C (en) * | 2003-04-14 | 2010-10-12 | Mathys Medizinaltechnik Ag | Intervertebral implant |
TWI221091B (en) * | 2003-04-18 | 2004-09-21 | A Spine Holding Group Corp | Spine filling device |
US6981989B1 (en) | 2003-04-22 | 2006-01-03 | X-Pantu-Flex Drd Limited Liability Company | Rotatable and reversibly expandable spinal hydraulic prosthetic device |
US7419505B2 (en) * | 2003-04-22 | 2008-09-02 | Fleischmann Lewis W | Collapsible, rotatable, and tiltable hydraulic spinal disc prosthesis system with selectable modular components |
US6969405B2 (en) | 2003-04-23 | 2005-11-29 | Loubert Suddaby | Inflatable intervertebral disc replacement prosthesis |
US7473267B2 (en) * | 2003-04-25 | 2009-01-06 | Warsaw Orthopedic, Inc. | System and method for minimally invasive posterior fixation |
TW587933B (en) * | 2003-04-30 | 2004-05-21 | A Spine Holding Group Corp | Device for anchoring bone tissue |
US7794456B2 (en) | 2003-05-13 | 2010-09-14 | Arthrocare Corporation | Systems and methods for electrosurgical intervertebral disc replacement |
US7608104B2 (en) | 2003-05-14 | 2009-10-27 | Archus Orthopedics, Inc. | Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces |
US20040230304A1 (en) | 2003-05-14 | 2004-11-18 | Archus Orthopedics Inc. | Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces |
TWI235055B (en) * | 2003-05-21 | 2005-07-01 | Guan-Gu Lin | Filling device capable of removing animal tissues |
TW587932B (en) * | 2003-05-21 | 2004-05-21 | Guan-Gu Lin | Removable animal tissue filling device |
US6966931B2 (en) * | 2003-05-21 | 2005-11-22 | Tain-Yew Shi | Artificial intervertebral disc with reliable maneuverability |
US7537617B2 (en) * | 2003-06-05 | 2009-05-26 | Warsaw Orthopedic, Inc. | Bone strip implants and method of making same |
US7351262B2 (en) * | 2003-06-05 | 2008-04-01 | Warsaw Orthopedic, Inc. | Bone implants and methods of making same |
US7252685B2 (en) * | 2003-06-05 | 2007-08-07 | Sdgi Holdings, Inc. | Fusion implant and method of making same |
US8415407B2 (en) | 2004-03-21 | 2013-04-09 | Depuy Spine, Inc. | Methods, materials, and apparatus for treating bone and other tissue |
WO2006011152A2 (en) | 2004-06-17 | 2006-02-02 | Disc-O-Tech Medical Technologies, Ltd. | Methods for treating bone and other tissue |
CN100423696C (en) * | 2003-06-20 | 2008-10-08 | 林冠谷 | Unbinding animal tissue filling device |
AU2004249291B2 (en) | 2003-06-20 | 2009-07-23 | Intrinsic Therapeutics, Inc. | Device and method for delivering an implant through an annular defect in an intervertebral disc |
US8226715B2 (en) | 2003-06-30 | 2012-07-24 | Depuy Mitek, Inc. | Scaffold for connective tissue repair |
US20040267367A1 (en) | 2003-06-30 | 2004-12-30 | Depuy Acromed, Inc | Intervertebral implant with conformable endplate |
KR20050004526A (en) * | 2003-07-02 | 2005-01-12 | 김현집 | Composited dressing case for having all make-up tools |
US7074238B2 (en) | 2003-07-08 | 2006-07-11 | Archus Orthopedics, Inc. | Prostheses, tools and methods for replacement of natural facet joints with artificial facet joint surfaces |
ATE347322T1 (en) * | 2003-07-08 | 2006-12-15 | A Spine Holding Group Corp | FILLABLE IMPLANT AND SYSTEM FOR TREATING A DEFORMED OR PATHOLOGICALLY ALTERED SPINE |
US7326200B2 (en) * | 2003-07-25 | 2008-02-05 | Warsaw Orthopedic, Inc. | Annulus repair systems, instruments and techniques |
US6958077B2 (en) * | 2003-07-29 | 2005-10-25 | Loubert Suddaby | Inflatable nuclear prosthesis |
WO2005013852A2 (en) | 2003-08-07 | 2005-02-17 | Dynamic Spine, Inc. | Intervertebral prosthetic device and associated devices and methods for implanting the intervertebral prosthetic device |
US10583220B2 (en) | 2003-08-11 | 2020-03-10 | DePuy Synthes Products, Inc. | Method and apparatus for resurfacing an articular surface |
US20050131417A1 (en) * | 2003-08-22 | 2005-06-16 | Ahern James W. | Kit for treating bony defects |
DE10340150A1 (en) * | 2003-08-26 | 2005-03-31 | Aesculap Ag & Co. Kg | Implant for closing an opening of the annulus fibrosus |
US7226482B2 (en) * | 2003-09-02 | 2007-06-05 | Synthes (U.S.A.) | Multipiece allograft implant |
US20050065613A1 (en) * | 2003-09-24 | 2005-03-24 | Gross Jeffrey M. | Reinforced fusion implant |
US20050065607A1 (en) * | 2003-09-24 | 2005-03-24 | Gross Jeffrey M. | Assembled fusion implant |
US8579908B2 (en) | 2003-09-26 | 2013-11-12 | DePuy Synthes Products, LLC. | Device for delivering viscous material |
TW200511970A (en) * | 2003-09-29 | 2005-04-01 | Kwan-Ku Lin | A spine wrapping and filling apparatus |
WO2005034781A1 (en) * | 2003-09-29 | 2005-04-21 | Promethean Surgical Devices Llc | Devices and methods for spine repair |
US7655010B2 (en) * | 2003-09-30 | 2010-02-02 | Depuy Spine, Inc. | Vertebral fusion device and method for using same |
US7361183B2 (en) | 2003-10-17 | 2008-04-22 | Ensure Medical, Inc. | Locator and delivery device and method of use |
US8852229B2 (en) | 2003-10-17 | 2014-10-07 | Cordis Corporation | Locator and closure device and method of use |
EP1523963B1 (en) * | 2003-10-17 | 2007-12-12 | Co-Ligne AG | Fusion implant |
WO2005039390A2 (en) | 2003-10-20 | 2005-05-06 | Arthrocare Corporation | Electrosurgical method and apparatus for removing tissue within a bone body |
US9445916B2 (en) | 2003-10-22 | 2016-09-20 | Pioneer Surgical Technology, Inc. | Joint arthroplasty devices having articulating members |
AU2004283727A1 (en) | 2003-10-23 | 2005-05-06 | Trans1 Inc. | Tools and tool kits for performing minimally invasive procedures on the spine |
EP1694228B1 (en) * | 2003-10-23 | 2011-08-31 | TRANS1, Inc. | Spinal mobility preservation apparatus |
US20050177155A1 (en) * | 2003-10-28 | 2005-08-11 | Neville Alleyne | Anterior adhesion resistant barrier for spine |
WO2005041760A2 (en) * | 2003-10-31 | 2005-05-12 | University Of Southern California | Device and method for radial delivery of a structural element |
US7837732B2 (en) | 2003-11-20 | 2010-11-23 | Warsaw Orthopedic, Inc. | Intervertebral body fusion cage with keels and implantation methods |
US7670377B2 (en) | 2003-11-21 | 2010-03-02 | Kyphon Sarl | Laterally insertable artifical vertebral disk replacement implant with curved spacer |
US7316822B2 (en) | 2003-11-26 | 2008-01-08 | Ethicon, Inc. | Conformable tissue repair implant capable of injection delivery |
US7901461B2 (en) | 2003-12-05 | 2011-03-08 | Ethicon, Inc. | Viable tissue repair implants and methods of use |
US7217291B2 (en) | 2003-12-08 | 2007-05-15 | St. Francis Medical Technologies, Inc. | System and method for replacing degenerated spinal disks |
US7588590B2 (en) | 2003-12-10 | 2009-09-15 | Facet Solutions, Inc | Spinal facet implant with spherical implant apposition surface and bone bed and methods of use |
US20050131406A1 (en) | 2003-12-15 | 2005-06-16 | Archus Orthopedics, Inc. | Polyaxial adjustment of facet joint prostheses |
US20050171541A1 (en) * | 2003-12-19 | 2005-08-04 | Boehm Frank H.Jr. | Device for lumbar surgery |
US8328876B2 (en) | 2003-12-31 | 2012-12-11 | Warsaw Orthopedic, Inc. | Bone matrix compositions and methods |
WO2005071190A2 (en) * | 2004-01-09 | 2005-08-04 | Yundt Kent D | Method, system and apparatus for interbody fusion |
FR2865629B1 (en) | 2004-02-04 | 2007-01-26 | Ldr Medical | INTERVERTEBRAL DISC PROSTHESIS |
ES2547532T3 (en) | 2004-02-04 | 2015-10-07 | Ldr Medical | Intervertebral disc prosthesis |
US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
US11395865B2 (en) * | 2004-02-09 | 2022-07-26 | DePuy Synthes Products, Inc. | Scaffolds with viable tissue |
US7641664B2 (en) * | 2004-02-12 | 2010-01-05 | Warsaw Orthopedic, Inc. | Surgical instrumentation and method for treatment of a spinal structure |
US8562649B2 (en) | 2004-02-17 | 2013-10-22 | Gmedelaware 2 Llc | System and method for multiple level facet joint arthroplasty and fusion |
US8353933B2 (en) | 2007-04-17 | 2013-01-15 | Gmedelaware 2 Llc | Facet joint replacement |
US7993373B2 (en) | 2005-02-22 | 2011-08-09 | Hoy Robert W | Polyaxial orthopedic fastening apparatus |
US7513797B2 (en) * | 2004-02-27 | 2009-04-07 | 3M Innovative Properties Company | Connector apparatus |
US20050197711A1 (en) * | 2004-03-03 | 2005-09-08 | Cachia Victor V. | Catheter deliverable foot implant and method of delivering the same |
US20050216025A1 (en) * | 2004-03-22 | 2005-09-29 | Cana Lab Corporation | Device for forming a hardened cement in a bone cavity |
DE102004016397A1 (en) * | 2004-03-26 | 2005-10-13 | Ossacur Ag | Application aid for the treatment of bone defects |
WO2005092247A1 (en) * | 2004-03-26 | 2005-10-06 | Nuvasive Inc. | Prosthetic spinal disc |
WO2005092248A1 (en) * | 2004-03-26 | 2005-10-06 | Nuvasive Inc. | Porous implant for spinal disc nucleus replacement |
DE102004016032B4 (en) * | 2004-03-30 | 2006-07-13 | Hjs Gelenk System Gmbh | Artificial intervertebral disc |
WO2005096970A2 (en) * | 2004-03-31 | 2005-10-20 | Advanced Biomaterial Systems, Inc. | Methods and devices for cavity creation in mammalian bone tissue |
US7507241B2 (en) * | 2004-04-05 | 2009-03-24 | Expanding Orthopedics Inc. | Expandable bone device |
US7909873B2 (en) | 2006-12-15 | 2011-03-22 | Soteira, Inc. | Delivery apparatus and methods for vertebrostenting |
US7465318B2 (en) | 2004-04-15 | 2008-12-16 | Soteira, Inc. | Cement-directing orthopedic implants |
US8221780B2 (en) | 2004-04-20 | 2012-07-17 | Depuy Mitek, Inc. | Nonwoven tissue scaffold |
US8137686B2 (en) | 2004-04-20 | 2012-03-20 | Depuy Mitek, Inc. | Nonwoven tissue scaffold |
US7051451B2 (en) | 2004-04-22 | 2006-05-30 | Archus Orthopedics, Inc. | Facet joint prosthesis measurement and implant tools |
ES2351521T3 (en) * | 2004-04-22 | 2011-02-07 | Crosstrees Medical, Inc. | REMOVABLE DEVICE WITH FILLING TO INSERT A MEDICINAL PRODUCT IN AN ANIMAL FABRIC. |
US7406775B2 (en) | 2004-04-22 | 2008-08-05 | Archus Orthopedics, Inc. | Implantable orthopedic device component selection instrument and methods |
US8992618B2 (en) | 2004-04-26 | 2015-03-31 | DePuy Synthes Products, LLC | Intervertebral prosthesis or disk prosthesis |
US20080071284A1 (en) * | 2004-04-26 | 2008-03-20 | Beat Lechmann | Device for Manipulating and Supplying Hollow or Intervertebral or Disk Prosthesis With Flowable Osteocementum |
FR2869528B1 (en) | 2004-04-28 | 2007-02-02 | Ldr Medical | INTERVERTEBRAL DISC PROSTHESIS |
US7544208B1 (en) | 2004-05-03 | 2009-06-09 | Theken Spine, Llc | Adjustable corpectomy apparatus |
US20080269900A1 (en) * | 2004-05-20 | 2008-10-30 | Christopher Reah | Surgical Implants |
US7749268B2 (en) | 2004-05-26 | 2010-07-06 | Warsaw Orthopedic, Inc. | Methods for treating the spine |
US8142462B2 (en) | 2004-05-28 | 2012-03-27 | Cavitech, Llc | Instruments and methods for reducing and stabilizing bone fractures |
US7588578B2 (en) | 2004-06-02 | 2009-09-15 | Facet Solutions, Inc | Surgical measurement systems and methods |
US8764801B2 (en) | 2005-03-28 | 2014-07-01 | Gmedelaware 2 Llc | Facet joint implant crosslinking apparatus and method |
US20060095138A1 (en) | 2004-06-09 | 2006-05-04 | Csaba Truckai | Composites and methods for treating bone |
US7744635B2 (en) * | 2004-06-09 | 2010-06-29 | Spinal Generations, Llc | Spinal fixation system |
US9504583B2 (en) | 2004-06-10 | 2016-11-29 | Spinal Elements, Inc. | Implant and method for facet immobilization |
DE102004030347B4 (en) * | 2004-06-18 | 2006-08-03 | Aesculap Ag & Co. Kg | implant |
US7776073B2 (en) * | 2004-06-30 | 2010-08-17 | Depuy Spine, Inc. | In-situ formed posterolateral fusion system |
CN101115450A (en) * | 2004-07-09 | 2008-01-30 | 先锋实验室公司 | Skeletal reconstruction device |
US7172628B2 (en) * | 2004-07-27 | 2007-02-06 | Lonnie Jay Lamprich | Spinal disc prosthesis and methods |
US7862617B2 (en) * | 2004-07-27 | 2011-01-04 | Lamprich Medical, Llc | Spinal disc prosthesis apparatus and placement method |
WO2006017641A2 (en) * | 2004-08-03 | 2006-02-16 | Vertech Innovations, L.L.C. | Spinous process reinforcement device and method |
US8114158B2 (en) | 2004-08-03 | 2012-02-14 | Kspine, Inc. | Facet device and method |
US20060036259A1 (en) * | 2004-08-03 | 2006-02-16 | Carl Allen L | Spine treatment devices and methods |
US7658753B2 (en) | 2004-08-03 | 2010-02-09 | K Spine, Inc. | Device and method for correcting a spinal deformity |
US20060036241A1 (en) * | 2004-08-11 | 2006-02-16 | Tzony Siegal | Spinal surgery system and method |
JP2008510518A (en) | 2004-08-18 | 2008-04-10 | アーカス・オーソペディクス・インコーポレーテッド | Adjoint level articulating device, spinal stabilization system and method |
DE102004041354A1 (en) * | 2004-08-25 | 2006-03-30 | Buck, Alfred | Implant for surgical use in humans or vertebrates |
US20060106459A1 (en) * | 2004-08-30 | 2006-05-18 | Csaba Truckai | Bone treatment systems and methods |
US7749230B2 (en) * | 2004-09-02 | 2010-07-06 | Crosstrees Medical, Inc. | Device and method for distraction of the spinal disc space |
US7641688B2 (en) | 2004-09-16 | 2010-01-05 | Evera Medical, Inc. | Tissue augmentation device |
WO2006034436A2 (en) * | 2004-09-21 | 2006-03-30 | Stout Medical Group, L.P. | Expandable support device and method of use |
US7303074B2 (en) * | 2004-09-22 | 2007-12-04 | Dombrowski Trudy M | Foldable organizer device |
US8012209B2 (en) | 2004-09-23 | 2011-09-06 | Kyphon Sarl | Interspinous process implant including a binder, binder aligner and method of implantation |
US20060068362A1 (en) * | 2004-09-27 | 2006-03-30 | Ormco Corporation | Endodontic instrument with depth markers |
US20060085073A1 (en) * | 2004-10-18 | 2006-04-20 | Kamshad Raiszadeh | Medical device systems for the spine |
US8277488B2 (en) | 2004-10-20 | 2012-10-02 | Vertiflex, Inc. | Interspinous spacer |
US8123782B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Interspinous spacer |
US8273108B2 (en) | 2004-10-20 | 2012-09-25 | Vertiflex, Inc. | Interspinous spacer |
US8613747B2 (en) | 2004-10-20 | 2013-12-24 | Vertiflex, Inc. | Spacer insertion instrument |
US8152837B2 (en) | 2004-10-20 | 2012-04-10 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8409282B2 (en) | 2004-10-20 | 2013-04-02 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8167944B2 (en) | 2004-10-20 | 2012-05-01 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8425559B2 (en) | 2004-10-20 | 2013-04-23 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8012207B2 (en) | 2004-10-20 | 2011-09-06 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8317864B2 (en) | 2004-10-20 | 2012-11-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8123807B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
US8945183B2 (en) | 2004-10-20 | 2015-02-03 | Vertiflex, Inc. | Interspinous process spacer instrument system with deployment indicator |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
US9119680B2 (en) | 2004-10-20 | 2015-09-01 | Vertiflex, Inc. | Interspinous spacer |
US9023084B2 (en) | 2004-10-20 | 2015-05-05 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilizing the motion or adjusting the position of the spine |
US7763074B2 (en) | 2004-10-20 | 2010-07-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US20060089719A1 (en) * | 2004-10-21 | 2006-04-27 | Trieu Hai H | In situ formation of intervertebral disc implants |
WO2006047645A2 (en) * | 2004-10-25 | 2006-05-04 | Heneveld Scott H Sr | Expandable implant for repairing a defective intervertebral nucleus |
EP1809214B1 (en) | 2004-10-25 | 2017-07-12 | Gmedelaware 2 LLC | Spinal prothesis having a modular design |
US8048083B2 (en) | 2004-11-05 | 2011-11-01 | Dfine, Inc. | Bone treatment systems and methods |
US7799078B2 (en) * | 2004-11-12 | 2010-09-21 | Warsaw Orthopedic, Inc. | Implantable vertebral lift |
US8663225B2 (en) | 2004-11-12 | 2014-03-04 | Medtronic, Inc. | Hydrogel bone void filler |
US20060106381A1 (en) * | 2004-11-18 | 2006-05-18 | Ferree Bret A | Methods and apparatus for treating spinal stenosis |
EP2219538B1 (en) | 2004-12-06 | 2022-07-06 | Vertiflex, Inc. | Spacer insertion instrument |
US7601170B2 (en) * | 2004-12-13 | 2009-10-13 | Kyphon Sarl | Inter-cervical facet implant and method |
US8029540B2 (en) | 2005-05-10 | 2011-10-04 | Kyphon Sarl | Inter-cervical facet implant with implantation tool |
US8118838B2 (en) | 2004-12-13 | 2012-02-21 | Kyphon Sarl | Inter-cervical facet implant with multiple direction articulation joint and method for implanting |
US20060247650A1 (en) | 2004-12-13 | 2006-11-02 | St. Francis Medical Technologies, Inc. | Inter-cervical facet joint fusion implant |
US8100944B2 (en) * | 2004-12-13 | 2012-01-24 | Kyphon Sarl | Inter-cervical facet implant and method for preserving the tissues surrounding the facet joint |
US20060247633A1 (en) | 2004-12-13 | 2006-11-02 | St. Francis Medical Technologies, Inc. | Inter-cervical facet implant with surface enhancements |
US8066749B2 (en) | 2004-12-13 | 2011-11-29 | Warsaw Orthopedic, Inc. | Implant for stabilizing a bone graft during spinal fusion |
US9788978B2 (en) * | 2004-12-20 | 2017-10-17 | Nicholas A. Rojo | Implantable systems and stents containing cells for therapeutic uses |
FR2879436B1 (en) | 2004-12-22 | 2007-03-09 | Ldr Medical | INTERVERTEBRAL DISC PROSTHESIS |
PE20060861A1 (en) * | 2005-01-07 | 2006-10-25 | Celonova Biosciences Inc | IMPLANTABLE THREE-DIMENSIONAL BONE SUPPORT |
US8911498B2 (en) * | 2005-02-10 | 2014-12-16 | DePuy Synthes Products, LLC | Intervertebral prosthetic disc |
US7690381B2 (en) * | 2005-02-10 | 2010-04-06 | Depuy Spine, Inc. | Intervertebral prosthetic disc and method for installing using a guidewire |
US8057513B2 (en) | 2005-02-17 | 2011-11-15 | Kyphon Sarl | Percutaneous spinal implants and methods |
CN101132748B (en) * | 2005-03-01 | 2010-06-16 | 斯拜恩塞尔有限公司 | Intervertebral disc restoration |
US7722647B1 (en) | 2005-03-14 | 2010-05-25 | Facet Solutions, Inc. | Apparatus and method for posterior vertebral stabilization |
US8496686B2 (en) | 2005-03-22 | 2013-07-30 | Gmedelaware 2 Llc | Minimally invasive spine restoration systems, devices, methods and kits |
US8083798B2 (en) | 2005-04-04 | 2011-12-27 | Warsaw Orthopedic, Inc. | Non-circular stabilization sphere and method |
WO2006113586A2 (en) | 2005-04-15 | 2006-10-26 | Musculoskeletal Transplant Foundation | Vertebral disc repair |
US7674296B2 (en) | 2005-04-21 | 2010-03-09 | Globus Medical, Inc. | Expandable vertebral prosthesis |
US20060247780A1 (en) * | 2005-04-27 | 2006-11-02 | Bert Jeffrey K | Expandable artificial disc and associated methods and instrumentation |
US20060247657A1 (en) * | 2005-04-27 | 2006-11-02 | Sdgi Holdings, Inc. | Methods and systems for characterizing intervertebral disc space |
US7632313B2 (en) | 2005-04-29 | 2009-12-15 | Jmea Corporation | Disc repair system |
US20060247781A1 (en) * | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Implant |
US8702718B2 (en) | 2005-04-29 | 2014-04-22 | Jmea Corporation | Implantation system for tissue repair |
US7608108B2 (en) | 2005-04-29 | 2009-10-27 | Jmea Corporation | Tissue repair system |
US8926654B2 (en) | 2005-05-04 | 2015-01-06 | Cordis Corporation | Locator and closure device and method of use |
US8088144B2 (en) | 2005-05-04 | 2012-01-03 | Ensure Medical, Inc. | Locator and closure device and method of use |
WO2006124764A1 (en) | 2005-05-18 | 2006-11-23 | Sonoma Orthopedic Products, Inc. | Minimally invasive actuable bone fixation devices, systems and methods of use |
US8961516B2 (en) | 2005-05-18 | 2015-02-24 | Sonoma Orthopedic Products, Inc. | Straight intramedullary fracture fixation devices and methods |
US9060820B2 (en) | 2005-05-18 | 2015-06-23 | Sonoma Orthopedic Products, Inc. | Segmented intramedullary fracture fixation devices and methods |
US8187327B2 (en) * | 2005-05-18 | 2012-05-29 | Kyphon Sarl | Selectively-expandable bone scaffold |
US20070049849A1 (en) * | 2005-05-24 | 2007-03-01 | Schwardt Jeffrey D | Bone probe apparatus and method of use |
US20070042326A1 (en) * | 2005-06-01 | 2007-02-22 | Osseous Technologies Of America | Collagen antral membrane expander |
US8007535B2 (en) * | 2005-06-02 | 2011-08-30 | Zimmer Spine, Inc. | Interbody fusion ring and method of using the same |
US7628800B2 (en) | 2005-06-03 | 2009-12-08 | Warsaw Orthopedic, Inc. | Formed in place corpectomy device |
WO2006133130A2 (en) * | 2005-06-03 | 2006-12-14 | Nuvasive, Inc. | Fibrous spinal implant and method of implantation |
GB0514891D0 (en) * | 2005-07-20 | 2005-08-24 | Pearsalls Ltd | Improvements in and relating to implants |
US7988735B2 (en) * | 2005-06-15 | 2011-08-02 | Matthew Yurek | Mechanical apparatus and method for delivering materials into the inter-vertebral body space for nucleus replacement |
US8021426B2 (en) * | 2005-06-15 | 2011-09-20 | Ouroboros Medical, Inc. | Mechanical apparatus and method for artificial disc replacement |
US20070162135A1 (en) * | 2005-06-15 | 2007-07-12 | Jerome Segal | Mechanical apparatus and method for artificial disc replacement |
US7442210B2 (en) | 2005-06-15 | 2008-10-28 | Jerome Segal | Mechanical apparatus and method for artificial disc replacement |
US7547319B2 (en) | 2005-06-15 | 2009-06-16 | Ouroboros Medical | Mechanical apparatus and method for artificial disc replacement |
US7601172B2 (en) | 2005-06-15 | 2009-10-13 | Ouroboros Medical, Inc. | Mechanical apparatus and method for artificial disc replacement |
US20060293561A1 (en) * | 2005-06-24 | 2006-12-28 | Abay Eustaquio O Ii | System and methods for intervertebral disc surgery |
US20070010889A1 (en) * | 2005-07-06 | 2007-01-11 | Sdgi Holdings, Inc. | Foldable nucleus replacement device |
KR20080047357A (en) * | 2005-07-07 | 2008-05-28 | 크로스트리스 메디칼, 인코포레이티드 | Devices and methods for the treatment of bone fracture |
US20070078436A1 (en) * | 2005-07-07 | 2007-04-05 | Leung Andrea Y | Balloon assisted apparatus and method for accessing an intervertebral disc |
US20070021835A1 (en) * | 2005-07-11 | 2007-01-25 | Edidin Avram A | Systems and methods for providing prostheses |
JP5081822B2 (en) | 2005-07-14 | 2012-11-28 | スタウト メディカル グループ,エル.ピー. | Expandable support device and system |
US9381024B2 (en) | 2005-07-31 | 2016-07-05 | DePuy Synthes Products, Inc. | Marked tools |
US9918767B2 (en) | 2005-08-01 | 2018-03-20 | DePuy Synthes Products, Inc. | Temperature control system |
US20070055379A1 (en) * | 2005-08-03 | 2007-03-08 | Stone Corbett W | Annular access devices |
DE102005038381A1 (en) * | 2005-08-13 | 2007-02-15 | Amedo Gmbh | Spongy implant |
CN101242791A (en) * | 2005-08-15 | 2008-08-13 | 康隆有限公司 | A tissue prosthesis and a method of, and equipment for, forming a tissue prosthesis |
US8366773B2 (en) | 2005-08-16 | 2013-02-05 | Benvenue Medical, Inc. | Apparatus and method for treating bone |
US7670375B2 (en) | 2005-08-16 | 2010-03-02 | Benvenue Medical, Inc. | Methods for limiting the movement of material introduced between layers of spinal tissue |
FR2891135B1 (en) | 2005-09-23 | 2008-09-12 | Ldr Medical Sarl | INTERVERTEBRAL DISC PROSTHESIS |
US20070093900A1 (en) * | 2005-09-26 | 2007-04-26 | Williams Lytton A | Modular articulating and fusion spinal disc implant system |
US20070093899A1 (en) * | 2005-09-28 | 2007-04-26 | Christof Dutoit | Apparatus and methods for treating bone |
US8167915B2 (en) | 2005-09-28 | 2012-05-01 | Nuvasive, Inc. | Methods and apparatus for treating spinal stenosis |
EP1948072A2 (en) * | 2005-10-04 | 2008-07-30 | Stout Medical Group, L.P. | Expandable support device and method of use |
US20070093906A1 (en) * | 2005-10-26 | 2007-04-26 | Zimmer Spine, Inc. | Nucleus implant and method |
WO2007053850A2 (en) | 2005-11-01 | 2007-05-10 | Osteotech, Inc. | Bone matrix compositions and methods |
US7744630B2 (en) * | 2005-11-15 | 2010-06-29 | Zimmer Spine, Inc. | Facet repair and stabilization |
WO2007062080A2 (en) * | 2005-11-21 | 2007-05-31 | Philipp Lang | Intervetebral devices and methods |
AU2006318531A1 (en) * | 2005-11-22 | 2007-05-31 | Bonwrx | Method and composition for repair and reconstruction of intervertebral discs and other reconstructive surgery |
US8360629B2 (en) | 2005-11-22 | 2013-01-29 | Depuy Spine, Inc. | Mixing apparatus having central and planetary mixing elements |
CN101312696B (en) * | 2005-11-23 | 2010-12-22 | 十字桅杆药品公司 | Devices for the treatment of bone fracture |
FR2893838B1 (en) | 2005-11-30 | 2008-08-08 | Ldr Medical Soc Par Actions Si | PROSTHESIS OF INTERVERTEBRAL DISC AND INSTRUMENTATION OF INSERTION OF THE PROSTHESIS BETWEEN VERTEBRATES |
US7862592B2 (en) * | 2005-12-06 | 2011-01-04 | Nuvasive, Inc. | Methods and apparatus for treating spinal stenosis |
US20070135921A1 (en) * | 2005-12-09 | 2007-06-14 | Park Kee B | Surgical implant |
WO2007126428A2 (en) | 2005-12-20 | 2007-11-08 | Archus Orthopedics, Inc. | Arthroplasty revision system and method |
EP1962919A1 (en) * | 2005-12-23 | 2008-09-03 | Zimmer GmbH | Coated textiles |
US20070162132A1 (en) | 2005-12-23 | 2007-07-12 | Dominique Messerli | Flexible elongated chain implant and method of supporting body tissue with same |
US8506633B2 (en) * | 2005-12-27 | 2013-08-13 | Warsaw Orthopedic, Inc. | Rehydration and restoration of intervertebral discs with polyelectrolytes |
US8801790B2 (en) * | 2005-12-27 | 2014-08-12 | Warsaw Orthopedic, Inc. | Intervertebral disc augmentation and rehydration with superabsorbent polymers |
US20070161962A1 (en) * | 2006-01-09 | 2007-07-12 | Edie Jason A | Device and method for moving fill material to an implant |
US7645301B2 (en) * | 2006-01-13 | 2010-01-12 | Zimmer Spine, Inc. | Devices and methods for disc replacement |
US20070173822A1 (en) * | 2006-01-13 | 2007-07-26 | Sdgi Holdings, Inc. | Use of a posterior dynamic stabilization system with an intradiscal device |
ES2551782T3 (en) | 2006-01-17 | 2015-11-23 | Transcend Medical, Inc. | Device for the treatment of glaucoma |
US7799079B2 (en) | 2006-01-18 | 2010-09-21 | Zimmer Spine, Inc. | Vertebral fusion device and method |
US7901409B2 (en) * | 2006-01-20 | 2011-03-08 | Canaveral Villegas Living Trust | Intramedullar devices and methods to reduce and/or fix damaged bone |
US7662183B2 (en) | 2006-01-24 | 2010-02-16 | Timothy Haines | Dynamic spinal implants incorporating cartilage bearing graft material |
US20070191861A1 (en) * | 2006-01-30 | 2007-08-16 | Sdgi Holdings, Inc. | Instruments and methods for implanting nucleus replacement material in an intervertebral disc nucleus space |
US20070191860A1 (en) * | 2006-01-30 | 2007-08-16 | Sdgi Holdings, Inc. | Intervertebral prosthetic disc inserter |
US20070179614A1 (en) * | 2006-01-30 | 2007-08-02 | Sdgi Holdings, Inc. | Intervertebral prosthetic disc and method of installing same |
US20070179615A1 (en) * | 2006-01-31 | 2007-08-02 | Sdgi Holdings, Inc. | Intervertebral prosthetic disc |
US20070179618A1 (en) * | 2006-01-31 | 2007-08-02 | Sdgi Holdings, Inc. | Intervertebral prosthetic disc |
WO2007098288A2 (en) * | 2006-02-27 | 2007-08-30 | Synthes (U.S.A.) | Intervertebral implant with fixation geometry |
US7918889B2 (en) * | 2006-02-27 | 2011-04-05 | Warsaw Orthopedic, Inc. | Expandable spinal prosthetic devices and associated methods |
US20070233258A1 (en) * | 2006-02-28 | 2007-10-04 | Zimmer Spine, Inc. | Vertebroplasty- device and method |
US7879034B2 (en) | 2006-03-02 | 2011-02-01 | Arthrocare Corporation | Internally located return electrode electrosurgical apparatus, system and method |
US7993404B2 (en) * | 2006-03-29 | 2011-08-09 | Warsaw Orthopedic, Inc. | Transformable spinal implants and methods of use |
US20070233245A1 (en) * | 2006-03-31 | 2007-10-04 | Sdgi Holdings, Inc. | Methods and instruments for delivering intervertebral devices |
US20070232905A1 (en) * | 2006-04-04 | 2007-10-04 | Francis Tom J | Unconstrained Balloon Sizer |
ATE538740T1 (en) * | 2006-04-20 | 2012-01-15 | Depuy Spine Inc | INSTRUMENT SET FOR DISPENSING A VISCOUS BONE FILLER MATERIAL |
US8118844B2 (en) * | 2006-04-24 | 2012-02-21 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US20070255406A1 (en) * | 2006-04-27 | 2007-11-01 | Sdgi Holdings, Inc. | Devices, apparatus, and methods for bilateral approach to disc augmentation |
US20070255286A1 (en) * | 2006-04-27 | 2007-11-01 | Sdgi Holdings, Inc. | Devices, apparatus, and methods for improved disc augmentation |
US8133279B2 (en) * | 2006-04-27 | 2012-03-13 | Warsaw Orthopedic, Inc. | Methods for treating an annulus defect of an intervertebral disc |
US8348978B2 (en) | 2006-04-28 | 2013-01-08 | Warsaw Orthopedic, Inc. | Interosteotic implant |
US8105357B2 (en) | 2006-04-28 | 2012-01-31 | Warsaw Orthopedic, Inc. | Interspinous process brace |
US20070270823A1 (en) * | 2006-04-28 | 2007-11-22 | Sdgi Holdings, Inc. | Multi-chamber expandable interspinous process brace |
US7846185B2 (en) | 2006-04-28 | 2010-12-07 | Warsaw Orthopedic, Inc. | Expandable interspinous process implant and method of installing same |
US8252031B2 (en) | 2006-04-28 | 2012-08-28 | Warsaw Orthopedic, Inc. | Molding device for an expandable interspinous process implant |
US8048118B2 (en) | 2006-04-28 | 2011-11-01 | Warsaw Orthopedic, Inc. | Adjustable interspinous process brace |
DE602007002583D1 (en) * | 2006-04-28 | 2009-11-12 | Concept Matrix Llc | Two-vertebral fixation device |
WO2007131002A2 (en) | 2006-05-01 | 2007-11-15 | Stout Medical Group, L.P. | Expandable support device and method of use |
US8062337B2 (en) | 2006-05-04 | 2011-11-22 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
WO2007133214A1 (en) * | 2006-05-17 | 2007-11-22 | Massachusetts General Hospital | Prosthetic disc nuclear replacement and soft-tissue reconstruction devices |
US20070276496A1 (en) * | 2006-05-23 | 2007-11-29 | Sdgi Holdings, Inc. | Surgical spacer with shape control |
US8147517B2 (en) | 2006-05-23 | 2012-04-03 | Warsaw Orthopedic, Inc. | Systems and methods for adjusting properties of a spinal implant |
WO2007140315A2 (en) | 2006-05-26 | 2007-12-06 | Stryker Corporation | System and method for delivering an agglomeration of solid beads and cement to the interior of a bone in order to form an implant within the bone |
US8226722B2 (en) * | 2006-06-08 | 2012-07-24 | Francis Pflum | Sac for use in spinal surgery |
US10143560B2 (en) | 2006-06-08 | 2018-12-04 | Francis Pflum | Sac for use in spinal surgery |
US8834496B2 (en) | 2006-06-13 | 2014-09-16 | Bret A. Ferree | Soft tissue repair methods and apparatus |
US9232938B2 (en) | 2006-06-13 | 2016-01-12 | Anova Corp. | Method and apparatus for closing fissures in the annulus fibrosus |
US8764835B2 (en) | 2006-06-13 | 2014-07-01 | Bret A. Ferree | Intervertebral disc treatment methods and apparatus |
US8821549B2 (en) | 2006-06-13 | 2014-09-02 | Anova Corporation | Methods and apparatus for anulus repair |
US8399619B2 (en) | 2006-06-30 | 2013-03-19 | Warsaw Orthopedic, Inc. | Injectable collagen material |
US8118779B2 (en) | 2006-06-30 | 2012-02-21 | Warsaw Orthopedic, Inc. | Collagen delivery device |
US20080021457A1 (en) * | 2006-07-05 | 2008-01-24 | Warsaw Orthopedic Inc. | Zygapophysial joint repair system |
US8048119B2 (en) | 2006-07-20 | 2011-11-01 | Warsaw Orthopedic, Inc. | Apparatus for insertion between anatomical structures and a procedure utilizing same |
EP2076220A2 (en) | 2006-07-25 | 2009-07-08 | Musculoskeletal Transplant Foundation | Packed demineralized cancellous tissue forms for disc nucleus augmentation, restoration, or replacement and methods of implantation |
US20080082104A1 (en) * | 2006-07-27 | 2008-04-03 | Lanx, Llc | Methods and apparatuses for facilitating percutaneous fusion |
US8034110B2 (en) | 2006-07-31 | 2011-10-11 | Depuy Spine, Inc. | Spinal fusion implant |
US7758649B2 (en) * | 2006-08-04 | 2010-07-20 | Integrity Intellect Inc. | Reversibly deformable implant |
US8834526B2 (en) * | 2006-08-09 | 2014-09-16 | Rolando Garcia | Methods and apparatus for treating spinal stenosis |
WO2008019397A2 (en) | 2006-08-11 | 2008-02-14 | Archus Orthopedics, Inc. | Angled washer polyaxial connection for dynamic spine prosthesis |
US8043377B2 (en) | 2006-09-02 | 2011-10-25 | Osprey Biomedical, Inc. | Implantable intervertebral fusion device |
US20080086115A1 (en) * | 2006-09-07 | 2008-04-10 | Warsaw Orthopedic, Inc. | Intercostal spacer device and method for use in correcting a spinal deformity |
US8506636B2 (en) | 2006-09-08 | 2013-08-13 | Theken Spine, Llc | Offset radius lordosis |
US9642932B2 (en) | 2006-09-14 | 2017-05-09 | DePuy Synthes Products, Inc. | Bone cement and methods of use thereof |
US20080113008A1 (en) * | 2006-09-14 | 2008-05-15 | Karen Roche | Absorbent fabric implant |
US8715350B2 (en) | 2006-09-15 | 2014-05-06 | Pioneer Surgical Technology, Inc. | Systems and methods for securing an implant in intervertebral space |
WO2008039497A2 (en) * | 2006-09-25 | 2008-04-03 | Nuvasive, Inc | Embroidery using soluble thread |
US8066750B2 (en) | 2006-10-06 | 2011-11-29 | Warsaw Orthopedic, Inc | Port structures for non-rigid bone plates |
CN101616642A (en) | 2006-10-16 | 2009-12-30 | 先锋外科技术公司 | Fusing device |
US8845726B2 (en) | 2006-10-18 | 2014-09-30 | Vertiflex, Inc. | Dilator |
WO2008047371A2 (en) | 2006-10-19 | 2008-04-24 | Depuy Spine, Inc. | Fluid delivery system |
US20080107711A1 (en) * | 2006-11-08 | 2008-05-08 | Alexis Paul Shelokov | Bioabsorbable Implantable Material Fortified with Antibiotics for Localized Delivery of Drugs |
US20080114357A1 (en) * | 2006-11-15 | 2008-05-15 | Warsaw Orthopedic, Inc. | Inter-transverse process spacer device and method for use in correcting a spinal deformity |
US9737414B2 (en) | 2006-11-21 | 2017-08-22 | Vertebral Technologies, Inc. | Methods and apparatus for minimally invasive modular interbody fusion devices |
CA2670263A1 (en) | 2006-11-22 | 2008-05-29 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
US8105382B2 (en) | 2006-12-07 | 2012-01-31 | Interventional Spine, Inc. | Intervertebral implant |
US7871440B2 (en) | 2006-12-11 | 2011-01-18 | Depuy Products, Inc. | Unitary surgical device and method |
US7875079B2 (en) * | 2006-12-14 | 2011-01-25 | Warsaw Orthopedic, Inc. | Vertebral implant containment device and methods of use |
US9192397B2 (en) | 2006-12-15 | 2015-11-24 | Gmedelaware 2 Llc | Devices and methods for fracture reduction |
US9480485B2 (en) | 2006-12-15 | 2016-11-01 | Globus Medical, Inc. | Devices and methods for vertebrostenting |
US8298286B2 (en) * | 2006-12-19 | 2012-10-30 | Warsaw Orthopedic, Inc. | Non-linear vertebral mesh |
US7905922B2 (en) | 2006-12-20 | 2011-03-15 | Zimmer Spine, Inc. | Surgical implant suitable for replacement of an intervertebral disc |
US20080154374A1 (en) * | 2006-12-20 | 2008-06-26 | Robert David Labrom | Joint implant and a surgical method associated therewith |
US8663328B2 (en) | 2006-12-21 | 2014-03-04 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing component of an orthopedic implant device by inserting a malleable device that hardens in vivo |
US8758407B2 (en) | 2006-12-21 | 2014-06-24 | Warsaw Orthopedic, Inc. | Methods for positioning a load-bearing orthopedic implant device in vivo |
US7771476B2 (en) | 2006-12-21 | 2010-08-10 | Warsaw Orthopedic Inc. | Curable orthopedic implant devices configured to harden after placement in vivo by application of a cure-initiating energy before insertion |
US8480718B2 (en) | 2006-12-21 | 2013-07-09 | Warsaw Orthopedic, Inc. | Curable orthopedic implant devices configured to be hardened after placement in vivo |
US7972382B2 (en) * | 2006-12-26 | 2011-07-05 | Warsaw Orthopedic, Inc. | Minimally invasive spinal distraction devices and methods |
US20080161929A1 (en) | 2006-12-29 | 2008-07-03 | Mccormack Bruce | Cervical distraction device |
US8974496B2 (en) | 2007-08-30 | 2015-03-10 | Jeffrey Chun Wang | Interspinous implant, tools and methods of implanting |
EP2114273B1 (en) | 2007-01-10 | 2013-11-06 | Facet Solutions, Inc. | Taper-locking fixation system |
US7824427B2 (en) * | 2007-01-16 | 2010-11-02 | Perez-Cruet Miquelangelo J | Minimally invasive interbody device |
US7942104B2 (en) * | 2007-01-22 | 2011-05-17 | Nuvasive, Inc. | 3-dimensional embroidery structures via tension shaping |
US7946236B2 (en) * | 2007-01-31 | 2011-05-24 | Nuvasive, Inc. | Using zigzags to create three-dimensional embroidered structures |
IL181211A0 (en) * | 2007-02-07 | 2007-07-04 | Nmb Medical Applic Ltd | Device and methods for strengthening long bones |
WO2008098125A2 (en) * | 2007-02-08 | 2008-08-14 | Nuvasive, Inc. | Medical implants with pre-settled cores and related methods |
US8753391B2 (en) * | 2007-02-12 | 2014-06-17 | The Trustees Of Columbia University In The City Of New York | Fully synthetic implantable multi-phased scaffold |
US8465546B2 (en) | 2007-02-16 | 2013-06-18 | Ldr Medical | Intervertebral disc prosthesis insertion assemblies |
EP2124777A4 (en) | 2007-02-21 | 2013-06-05 | Benvenue Medical Inc | Devices for treating the spine |
EP2124778B1 (en) | 2007-02-21 | 2019-09-25 | Benvenue Medical, Inc. | Devices for treating the spine |
US8652137B2 (en) | 2007-02-22 | 2014-02-18 | Spinal Elements, Inc. | Vertebral facet joint drill and method of use |
US8992533B2 (en) | 2007-02-22 | 2015-03-31 | Spinal Elements, Inc. | Vertebral facet joint drill and method of use |
PL2124831T3 (en) | 2007-03-15 | 2017-03-31 | Ortho-Space Ltd. | Prosthetic devices |
US20090054898A1 (en) * | 2007-03-26 | 2009-02-26 | Joe Gleason | Articulating Shaper |
WO2008130564A1 (en) | 2007-04-16 | 2008-10-30 | Vertiflex Inc. | Interspinous spacer |
MX2009012552A (en) | 2007-05-21 | 2010-03-18 | Aoi Medical Inc | Articulating cavitation device. |
US20080300684A1 (en) * | 2007-05-31 | 2008-12-04 | Shelokov Alexis P | System and method for controlled delivery of bone morphogenic protein and other bone graft substitutes for bone formation, repair and healing |
WO2008154313A1 (en) | 2007-06-06 | 2008-12-18 | Vertech, Inc. | Medical device and method to correct deformity |
FR2916956B1 (en) | 2007-06-08 | 2012-12-14 | Ldr Medical | INTERSOMATIC CAGE, INTERVERTEBRAL PROSTHESIS, ANCHORING DEVICE AND IMPLANTATION INSTRUMENTATION |
US20100191333A1 (en) * | 2007-06-08 | 2010-07-29 | Morrison Iii Thomas J | Load-bearing spinal interbody device |
CA2945295C (en) | 2007-06-15 | 2020-01-14 | Warsaw Orthopedic, Inc. | Method of treating tissue |
US9554920B2 (en) | 2007-06-15 | 2017-01-31 | Warsaw Orthopedic, Inc. | Bone matrix compositions having nanoscale textured surfaces |
CA2690457C (en) | 2007-06-15 | 2018-02-20 | Osteotech, Inc. | Bone matrix compositions and methods |
WO2008157492A2 (en) | 2007-06-15 | 2008-12-24 | Osteotech, Inc. | Osteoinductive demineralized cancellous bone |
US8900307B2 (en) | 2007-06-26 | 2014-12-02 | DePuy Synthes Products, LLC | Highly lordosed fusion cage |
CA2693069C (en) * | 2007-07-03 | 2013-12-10 | Spine Tek, Inc. | Interspinous mesh |
US9492278B2 (en) | 2007-07-10 | 2016-11-15 | Warsaw Orthopedic, Inc. | Delivery system |
WO2009015238A1 (en) * | 2007-07-23 | 2009-01-29 | Kamshad Raiszadeh | Drug delivery device and method |
US8282681B2 (en) * | 2007-08-13 | 2012-10-09 | Nuvasive, Inc. | Bioresorbable spinal implant and related methods |
CA2695240C (en) * | 2007-08-13 | 2017-03-28 | Arch Day Design, Llc | Tissue positioning device |
WO2009032695A1 (en) * | 2007-08-29 | 2009-03-12 | Trinity Orthopedics, Llc | Annulus fibrosus repair device and methods |
US20110196492A1 (en) | 2007-09-07 | 2011-08-11 | Intrinsic Therapeutics, Inc. | Bone anchoring systems |
WO2009036466A1 (en) * | 2007-09-14 | 2009-03-19 | Crosstrees Medical, Inc. | Material control device for inserting material into a targeted anatomical region |
US8177813B2 (en) * | 2007-09-20 | 2012-05-15 | Life Spine, Inc. | Expandable spinal spacer |
US8540772B2 (en) * | 2007-09-20 | 2013-09-24 | Said G. Osman | Transpedicular, extrapedicular and transcorporeal partial disc replacement |
KR100895527B1 (en) | 2007-10-05 | 2009-04-30 | 부산대학교 산학협력단 | Prothesis for Interspious Space of Vertebra |
US20090099660A1 (en) * | 2007-10-10 | 2009-04-16 | Warsaw Orthopedic, Inc. | Instrumentation to Facilitate Access into the Intervertebral Disc Space and Introduction of Materials Therein |
US8202539B2 (en) | 2007-10-19 | 2012-06-19 | Warsaw Orthopedic, Inc. | Demineralized bone matrix compositions and methods |
US8043381B2 (en) * | 2007-10-29 | 2011-10-25 | Zimmer Spine, Inc. | Minimally invasive interbody device and method |
US20090112332A1 (en) * | 2007-10-31 | 2009-04-30 | Alexis Paul Shelokov | Bone graft and bone graft substitutes with antibiotics for sustained, localized release of antibiotics for reducing postoperative surgical wound infection in spinal and other bone surgery |
US8122510B2 (en) * | 2007-11-14 | 2012-02-21 | Bank Of America Corporation | Method for analyzing and managing unstructured data |
US8556949B2 (en) * | 2007-11-14 | 2013-10-15 | DePuy Synthes Products, LLC | Hybrid bone fixation element and methods of using the same |
US9510885B2 (en) | 2007-11-16 | 2016-12-06 | Osseon Llc | Steerable and curvable cavity creation system |
EP2214580B1 (en) | 2007-11-16 | 2013-05-22 | Synthes GmbH | Porous containment device for stabilization of vertebral compression fractures |
US20090131886A1 (en) | 2007-11-16 | 2009-05-21 | Liu Y King | Steerable vertebroplasty system |
KR20100105580A (en) | 2007-11-16 | 2010-09-29 | 신세스 게엠바하 | Low profile intervertebral implant |
US20090131867A1 (en) | 2007-11-16 | 2009-05-21 | Liu Y King | Steerable vertebroplasty system with cavity creation element |
US8591584B2 (en) * | 2007-11-19 | 2013-11-26 | Nuvasive, Inc. | Textile-based plate implant and related methods |
US20090177206A1 (en) * | 2008-01-08 | 2009-07-09 | Zimmer Spine, Inc. | Instruments, implants, and methods for fixation of vertebral compression fractures |
WO2009089367A2 (en) | 2008-01-09 | 2009-07-16 | Providence Medical Technology, Inc. | Methods and apparatus for accessing and treating the facet joint |
ES2751997T3 (en) | 2008-01-14 | 2020-04-02 | Conventus Orthopaedics Inc | Fracture repair apparatus |
WO2009091922A2 (en) | 2008-01-15 | 2009-07-23 | Vertiflex, Inc. | Interspinous spacer |
EP2237748B1 (en) | 2008-01-17 | 2012-09-05 | Synthes GmbH | An expandable intervertebral implant |
US8292961B2 (en) * | 2008-01-23 | 2012-10-23 | Osman Said G | Biologic vertebral reconstruction |
US20090198329A1 (en) | 2008-02-01 | 2009-08-06 | Kesten Randy J | Breast implant with internal flow dampening |
US9445854B2 (en) | 2008-02-01 | 2016-09-20 | Dfine, Inc. | Bone treatment systems and methods |
US8487021B2 (en) | 2008-02-01 | 2013-07-16 | Dfine, Inc. | Bone treatment systems and methods |
US8992620B2 (en) * | 2008-12-10 | 2015-03-31 | Coalign Innovations, Inc. | Adjustable distraction cage with linked locking mechanisms |
US20090222096A1 (en) * | 2008-02-28 | 2009-09-03 | Warsaw Orthopedic, Inc. | Multi-compartment expandable devices and methods for intervertebral disc expansion and augmentation |
US8202299B2 (en) | 2008-03-19 | 2012-06-19 | Collabcom II, LLC | Interspinous implant, tools and methods of implanting |
US20090242081A1 (en) * | 2008-03-26 | 2009-10-01 | Richard Bauer | Aluminum Treatment Composition |
US8333804B1 (en) * | 2008-03-27 | 2012-12-18 | Spinelogik, Inc. | Intervertebral fusion device and method of use |
EP3366318B1 (en) | 2008-03-28 | 2020-02-05 | Warsaw Orthopedic, Inc. | Delivery system attachment |
US8377135B1 (en) | 2008-03-31 | 2013-02-19 | Nuvasive, Inc. | Textile-based surgical implant and related methods |
CA2720580A1 (en) | 2008-04-05 | 2009-10-08 | Synthes Usa, Llc | Expandable intervertebral implant |
US8062368B2 (en) * | 2008-04-24 | 2011-11-22 | Warsaw Orthopedic, Inc. | Expandable vertebral implants and methods of use |
US20110125158A1 (en) | 2008-05-01 | 2011-05-26 | Ashish Dhar Diwan | Systems, methods and apparatuses for formation and insertion of tissue prostheses |
US9615938B2 (en) | 2008-05-07 | 2017-04-11 | Mighty Oak Medical, Inc. | Methods and apparatus for insertion of implant material |
CA2846942C (en) * | 2008-05-07 | 2018-03-20 | George A. Frey | Methods and apparatus for insertion of intervertebral implants and devices therefor |
WO2016044824A1 (en) * | 2008-05-07 | 2016-03-24 | George Frey | Configurable intervertebral implant |
US20090299373A1 (en) * | 2008-05-30 | 2009-12-03 | Cook Incorporated | Kyphoplasty banded balloon catheter |
JP5615809B2 (en) * | 2008-06-02 | 2014-10-29 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | Inflatable interspinous spacer |
US7976578B2 (en) * | 2008-06-04 | 2011-07-12 | James Marvel | Buffer for a human joint and method of arthroscopically inserting |
US9381049B2 (en) | 2008-06-06 | 2016-07-05 | Providence Medical Technology, Inc. | Composite spinal facet implant with textured surfaces |
EP2328492B1 (en) | 2008-06-06 | 2018-03-28 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US9333086B2 (en) | 2008-06-06 | 2016-05-10 | Providence Medical Technology, Inc. | Spinal facet cage implant |
US11224521B2 (en) | 2008-06-06 | 2022-01-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US8361152B2 (en) | 2008-06-06 | 2013-01-29 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
WO2010030994A2 (en) | 2008-06-06 | 2010-03-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US8267966B2 (en) | 2008-06-06 | 2012-09-18 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
WO2009152273A1 (en) | 2008-06-10 | 2009-12-17 | Sonoma Orthopedic Products, Inc. | Fracture fixation device, tools and methods |
US20090326657A1 (en) * | 2008-06-25 | 2009-12-31 | Alexander Grinberg | Pliable Artificial Disc Endplate |
US9364338B2 (en) | 2008-07-23 | 2016-06-14 | Resspond Spinal Systems | Modular nucleus pulposus prosthesis |
JP5462874B2 (en) | 2008-07-23 | 2014-04-02 | マック アイ マルバーグ | Modular nucleus pulposus prosthesis |
GB0813659D0 (en) | 2008-07-25 | 2008-09-03 | Smith & Nephew | Fracture putty |
US8246627B2 (en) * | 2008-08-07 | 2012-08-21 | Stryker Corporation | Cement delivery device for introducing cement into tissue, the device having a cavity creator |
US20100042219A1 (en) * | 2008-08-14 | 2010-02-18 | Mark Darryl Antonacci | Expandable cage for intervertebral body fusion |
US8814937B2 (en) | 2008-09-18 | 2014-08-26 | Peter L. Mayer | Intervertebral disc prosthesis, method for assembling, method for implanting prosthesis, and method for explanting |
CA2738478A1 (en) | 2008-09-26 | 2010-04-01 | Sonoma Orthopedic Products, Inc. | Bone fixation device, tools and methods |
US8163022B2 (en) | 2008-10-14 | 2012-04-24 | Anulex Technologies, Inc. | Method and apparatus for the treatment of the intervertebral disc annulus |
WO2010045491A1 (en) * | 2008-10-15 | 2010-04-22 | Replication Medical, Inc. | Swellable interspinous stabilization implant |
US8702808B2 (en) | 2008-10-17 | 2014-04-22 | Osteopore International Pte Ltd | Resorbable scaffolds for bone repair and long bone tissue engineering |
WO2010054208A1 (en) | 2008-11-07 | 2010-05-14 | Synthes Usa, Llc | Vertebral interbody spacer and coupled plate assembly |
US8828058B2 (en) | 2008-11-11 | 2014-09-09 | Kspine, Inc. | Growth directed vertebral fixation system with distractible connector(s) and apical control |
WO2010056895A1 (en) | 2008-11-12 | 2010-05-20 | Stout Medical Group, L.P. | Fixation device and method |
US20100211176A1 (en) | 2008-11-12 | 2010-08-19 | Stout Medical Group, L.P. | Fixation device and method |
US7805920B2 (en) * | 2008-11-13 | 2010-10-05 | The Toro Company | Lawn mower having steeply inclined exit tunnel and battery access through rear face of mower cutting deck |
US8246682B2 (en) * | 2008-12-16 | 2012-08-21 | Depuy Spine, Inc. | Methods and devices for expanding a spinal canal using balloons |
CA2748751C (en) * | 2008-12-31 | 2018-03-27 | Spineology, Inc. | System and method for performing percutaneous spinal interbody fusion |
US8721723B2 (en) | 2009-01-12 | 2014-05-13 | Globus Medical, Inc. | Expandable vertebral prosthesis |
DE102009004730B4 (en) * | 2009-01-15 | 2017-02-02 | Aesculap Ag | Intervertebral implant and manipulation instrument for this intervertebral implant |
US9011539B2 (en) | 2009-01-21 | 2015-04-21 | Warsaw Orthopedic, Inc. | Spinal nucleus replacement implant |
US9066816B2 (en) | 2009-01-21 | 2015-06-30 | Warsaw Orthopedic, Inc. | Spinal nucleus replacement implants |
US8157865B2 (en) * | 2009-01-22 | 2012-04-17 | Stephen Hochschuler | Apparatus and method for stabilizing adjacent bone portions |
US9011537B2 (en) | 2009-02-12 | 2015-04-21 | Warsaw Orthopedic, Inc. | Delivery system cartridge |
US8221420B2 (en) | 2009-02-16 | 2012-07-17 | Aoi Medical, Inc. | Trauma nail accumulator |
CN102421383B (en) * | 2009-02-26 | 2014-06-04 | 德普伊国际有限公司 | Support structure implant for a bone cavity |
CN102413783B (en) * | 2009-02-26 | 2014-04-09 | 德普伊国际有限公司 | Bone cavity support structure assembly |
US8292962B2 (en) | 2009-03-04 | 2012-10-23 | Warsaw Orthopedic, Inc. | Spinal nucleus replacement implants |
US8535327B2 (en) | 2009-03-17 | 2013-09-17 | Benvenue Medical, Inc. | Delivery apparatus for use with implantable medical devices |
US8357182B2 (en) | 2009-03-26 | 2013-01-22 | Kspine, Inc. | Alignment system with longitudinal support features |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
EP2416716B1 (en) * | 2009-04-06 | 2020-03-04 | Alphatec Spine, Inc. | Expandable spinal support device with attachable members |
US8636803B2 (en) | 2009-04-07 | 2014-01-28 | Spinal Stabilization Technologies, Llc | Percutaneous implantable nuclear prosthesis |
CN102448393A (en) | 2009-04-09 | 2012-05-09 | 斯恩蒂斯有限公司 | Minimally invasive spine augmentation and stabilization system and method |
US8123808B2 (en) * | 2009-04-16 | 2012-02-28 | Warsaw Orthopedic, Inc. | Vertebral endplate connection implant and method |
US8998924B2 (en) | 2009-04-16 | 2015-04-07 | Coalign Innovations, Inc. | Insertion handle for surgical implants |
US20100298832A1 (en) | 2009-05-20 | 2010-11-25 | Osseon Therapeutics, Inc. | Steerable curvable vertebroplasty drill |
EP2438868B1 (en) * | 2009-06-05 | 2014-10-08 | Weixing Shao | Vertebra filler |
CN102510742B (en) | 2009-06-17 | 2015-03-25 | 三位一体整形有限责任公司 | Expanding intervertebral device and methods of use |
US8828053B2 (en) | 2009-07-24 | 2014-09-09 | Depuy Mitek, Llc | Methods and devices for repairing and anchoring damaged tissue |
US8814903B2 (en) | 2009-07-24 | 2014-08-26 | Depuy Mitek, Llc | Methods and devices for repairing meniscal tissue |
US9168071B2 (en) | 2009-09-15 | 2015-10-27 | K2M, Inc. | Growth modulation system |
BR112012005663A2 (en) | 2009-09-17 | 2021-07-27 | Synthes Gmbh | intervertebral implant with expandable bone fixation limbs |
US8211126B2 (en) | 2009-09-22 | 2012-07-03 | Jmea Corporation | Tissue repair system |
US8827986B2 (en) * | 2009-10-19 | 2014-09-09 | Pharmaco-Kinesis Corporation | Remotely activated piezoelectric pump for delivery of biological agents to the intervertebral disc and spine |
US9526538B2 (en) | 2009-12-07 | 2016-12-27 | Globus Medical, Inc. | Methods and apparatus for treating vertebral fractures |
US8734458B2 (en) * | 2009-12-07 | 2014-05-27 | Globus Medical, Inc. | Methods and apparatus for treating vertebral fractures |
US9326799B2 (en) | 2009-12-07 | 2016-05-03 | Globus Medical, Inc. | Methods and apparatus for treating vertebral fractures |
US11090092B2 (en) | 2009-12-07 | 2021-08-17 | Globus Medical Inc. | Methods and apparatus for treating vertebral fractures |
US9358058B2 (en) | 2012-11-05 | 2016-06-07 | Globus Medical, Inc. | Methods and apparatus for treating vertebral fractures |
US9168138B2 (en) | 2009-12-09 | 2015-10-27 | DePuy Synthes Products, Inc. | Aspirating implants and method of bony regeneration |
US9393129B2 (en) | 2009-12-10 | 2016-07-19 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
EP2512357B1 (en) | 2009-12-15 | 2016-07-13 | Vertiflex, Inc. | Spinal spacer for cervical and other vertebra, and associated systems |
US9833331B2 (en) | 2009-12-31 | 2017-12-05 | Ldr Medical | Anchoring device and system for an intervertebral implant, intervertebral implant and implantation instrument |
US8652153B2 (en) | 2010-01-11 | 2014-02-18 | Anulex Technologies, Inc. | Intervertebral disc annulus repair system and bone anchor delivery tool |
US8114132B2 (en) | 2010-01-13 | 2012-02-14 | Kyphon Sarl | Dynamic interspinous process device |
US8317831B2 (en) | 2010-01-13 | 2012-11-27 | Kyphon Sarl | Interspinous process spacer diagnostic balloon catheter and methods of use |
US20110178520A1 (en) | 2010-01-15 | 2011-07-21 | Kyle Taylor | Rotary-rigid orthopaedic rod |
US8961518B2 (en) | 2010-01-20 | 2015-02-24 | Conventus Orthopaedics, Inc. | Apparatus and methods for bone access and cavity preparation |
US9220554B2 (en) | 2010-02-18 | 2015-12-29 | Globus Medical, Inc. | Methods and apparatus for treating vertebral fractures |
US8147526B2 (en) | 2010-02-26 | 2012-04-03 | Kyphon Sarl | Interspinous process spacer diagnostic parallel balloon catheter and methods of use |
WO2011112615A1 (en) | 2010-03-08 | 2011-09-15 | Krinke Todd A | Apparatus and methods for securing a bone implant |
US9039769B2 (en) * | 2010-03-17 | 2015-05-26 | Globus Medical, Inc. | Intervertebral nucleus and annulus implants and method of use thereof |
US8870880B2 (en) | 2010-04-12 | 2014-10-28 | Globus Medical, Inc. | Angling inserter tool for expandable vertebral implant |
US8591585B2 (en) | 2010-04-12 | 2013-11-26 | Globus Medical, Inc. | Expandable vertebral implant |
US8282683B2 (en) | 2010-04-12 | 2012-10-09 | Globus Medical, Inc. | Expandable vertebral implant |
US9301850B2 (en) | 2010-04-12 | 2016-04-05 | Globus Medical, Inc. | Expandable vertebral implant |
BR112012027242A2 (en) | 2010-04-27 | 2017-07-18 | Synthes Gmbh | mounting bracket including an expandable anchor |
US9743919B2 (en) | 2010-04-27 | 2017-08-29 | DePuy Synthes Products, Inc. | Stitch lock for attaching two or more structures |
US9451938B2 (en) | 2010-04-27 | 2016-09-27 | DePuy Synthes Products, Inc. | Insertion instrument for anchor assembly |
US9597064B2 (en) | 2010-04-27 | 2017-03-21 | DePuy Synthes Products, Inc. | Methods for approximating a tissue defect using an anchor assembly |
CN102958456B (en) | 2010-04-29 | 2015-12-16 | Dfine有限公司 | Be used for the treatment of the system of vertebral fracture |
US8535380B2 (en) | 2010-05-13 | 2013-09-17 | Stout Medical Group, L.P. | Fixation device and method |
US8979838B2 (en) | 2010-05-24 | 2015-03-17 | Arthrocare Corporation | Symmetric switching electrode method and related system |
US20110295370A1 (en) * | 2010-06-01 | 2011-12-01 | Sean Suh | Spinal Implants and Methods of Use Thereof |
US8979860B2 (en) | 2010-06-24 | 2015-03-17 | DePuy Synthes Products. LLC | Enhanced cage insertion device |
US9907560B2 (en) | 2010-06-24 | 2018-03-06 | DePuy Synthes Products, Inc. | Flexible vertebral body shavers |
AU2011271465B2 (en) | 2010-06-29 | 2015-03-19 | Synthes Gmbh | Distractible intervertebral implant |
US8641769B2 (en) | 2010-07-15 | 2014-02-04 | Spine Wave, Inc. | Plastically deformable inter-osseous device |
WO2012010327A1 (en) * | 2010-07-23 | 2012-01-26 | Privelop-Spine Ag | Surgical implant |
US8814908B2 (en) | 2010-07-26 | 2014-08-26 | Warsaw Orthopedic, Inc. | Injectable flexible interspinous process device system |
RU2437630C1 (en) | 2010-08-23 | 2011-12-27 | Александр Ильич Тома | Apparatus for vertebra balloon kyphoplasty |
EP2608747A4 (en) | 2010-08-24 | 2015-02-11 | Flexmedex Llc | Support device and method for use |
WO2012047859A2 (en) | 2010-10-05 | 2012-04-12 | Alphatec Spine, Inc. | Intervertebral device and methods of use |
JP6077998B2 (en) | 2010-10-05 | 2017-02-08 | ロリオ,モーガン,ピー. | Minimally invasive intervertebral system and method |
US9402732B2 (en) | 2010-10-11 | 2016-08-02 | DePuy Synthes Products, Inc. | Expandable interspinous process spacer implant |
US11291483B2 (en) | 2010-10-20 | 2022-04-05 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants |
US11058796B2 (en) | 2010-10-20 | 2021-07-13 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications |
US11484627B2 (en) | 2010-10-20 | 2022-11-01 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications |
US10525168B2 (en) | 2010-10-20 | 2020-01-07 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications |
US10525169B2 (en) | 2010-10-20 | 2020-01-07 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications |
EP2629780A4 (en) | 2010-10-20 | 2014-10-01 | 206 Ortho Inc | Implantable polymer for bone and vascular lesions |
US11207109B2 (en) | 2010-10-20 | 2021-12-28 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications |
US20120116515A1 (en) * | 2010-10-25 | 2012-05-10 | Semler Eric J | Demineralized cortical bone implants |
US9149286B1 (en) | 2010-11-12 | 2015-10-06 | Flexmedex, LLC | Guidance tool and method for use |
US20120123481A1 (en) * | 2010-11-15 | 2012-05-17 | Lin Chih I | Bone fixation device |
US9241809B2 (en) | 2010-12-21 | 2016-01-26 | DePuy Synthes Products, Inc. | Intervertebral implants, systems, and methods of use |
WO2012088238A2 (en) | 2010-12-21 | 2012-06-28 | Synthes Usa, Llc | Intervertebral implants, systems, and methods of use |
WO2012105649A1 (en) * | 2011-02-04 | 2012-08-09 | Hoya株式会社 | Implement for surgery |
US9271765B2 (en) | 2011-02-24 | 2016-03-01 | Spinal Elements, Inc. | Vertebral facet joint fusion implant and method for fusion |
USD724733S1 (en) | 2011-02-24 | 2015-03-17 | Spinal Elements, Inc. | Interbody bone implant |
US8740949B2 (en) | 2011-02-24 | 2014-06-03 | Spinal Elements, Inc. | Methods and apparatus for stabilizing bone |
EP3733099B1 (en) * | 2011-02-28 | 2022-08-31 | DePuy Synthes Products, Inc. | Modular tissue scaffolds |
CN103781429B (en) | 2011-06-03 | 2017-02-15 | 科斯班公司 | Spinal correction system actuators |
KR101260507B1 (en) | 2011-06-07 | 2013-05-02 | 광주과학기술원 | Bone-regenerative, Biodegradable Pocket for Bone Chip Graft |
WO2012177759A1 (en) | 2011-06-20 | 2012-12-27 | Rdc Holdings, Llc | System and method for repairing joints |
US8998925B2 (en) | 2011-06-20 | 2015-04-07 | Rdc Holdings, Llc | Fixation system for orthopedic devices |
WO2012178018A2 (en) | 2011-06-24 | 2012-12-27 | Benvenue Medical, Inc. | Devices and methods for treating bone tissue |
WO2013028808A1 (en) | 2011-08-23 | 2013-02-28 | Flexmedex, LLC | Tissue removal device and method |
US9241806B2 (en) | 2011-09-26 | 2016-01-26 | Globus Medical, Inc. | Flexible anchoring and fusion devices and methods of using the same |
US9289307B2 (en) * | 2011-10-18 | 2016-03-22 | Ortho-Space Ltd. | Prosthetic devices and methods for using same |
USD739935S1 (en) | 2011-10-26 | 2015-09-29 | Spinal Elements, Inc. | Interbody bone implant |
US9468469B2 (en) | 2011-11-16 | 2016-10-18 | K2M, Inc. | Transverse coupler adjuster spinal correction systems and methods |
WO2014172632A2 (en) | 2011-11-16 | 2014-10-23 | Kspine, Inc. | Spinal correction and secondary stabilization |
US9468468B2 (en) | 2011-11-16 | 2016-10-18 | K2M, Inc. | Transverse connector for spinal stabilization system |
US9451987B2 (en) | 2011-11-16 | 2016-09-27 | K2M, Inc. | System and method for spinal correction |
US8920472B2 (en) | 2011-11-16 | 2014-12-30 | Kspine, Inc. | Spinal correction and secondary stabilization |
US8632593B2 (en) * | 2011-11-23 | 2014-01-21 | Globus Medical, Inc. | Stabilizing vertebrae with expandable spacers |
US9198769B2 (en) | 2011-12-23 | 2015-12-01 | Pioneer Surgical Technology, Inc. | Bone anchor assembly, bone plate system, and method |
US20130218278A1 (en) * | 2012-02-21 | 2013-08-22 | Steve Wolfe | Device and method for performing spinal interbody fusion |
FR2987256B1 (en) | 2012-02-24 | 2014-08-08 | Ldr Medical | ANCHORING DEVICE FOR INTERVERTEBRAL IMPLANT, INTERVERTEBRAL IMPLANT AND IMPLANTATION INSTRUMENTATION |
US9155578B2 (en) | 2012-02-28 | 2015-10-13 | DePuy Synthes Products, Inc. | Expandable fastener |
EP2819620A4 (en) | 2012-02-29 | 2015-11-04 | 206 Ortho Inc | Method and apparatus for treating bone fractures, including the use of composite implants |
US9510953B2 (en) | 2012-03-16 | 2016-12-06 | Vertebral Technologies, Inc. | Modular segmented disc nucleus implant |
US9393126B2 (en) | 2012-04-20 | 2016-07-19 | Peter L. Mayer | Bilaterally placed disc prosthesis for spinal implant and method of bilateral placement |
US9364339B2 (en) | 2012-04-30 | 2016-06-14 | Peter L. Mayer | Unilaterally placed expansile spinal prosthesis |
CN104582639A (en) * | 2012-05-29 | 2015-04-29 | Nlt-脊椎有限公司 | Laterally deflectable implant |
GB201209809D0 (en) * | 2012-06-01 | 2012-07-18 | Depuy Ireland Ltd | Surgical instrument |
EP2877129B1 (en) | 2012-07-25 | 2017-10-11 | Spineology, Inc. | Mesh spacer hybrid |
WO2014035835A1 (en) | 2012-08-27 | 2014-03-06 | Lorio Morgan Packard | Intervertebral cage apparatus and system and methods of using the same |
US9034044B2 (en) | 2012-09-13 | 2015-05-19 | H & M Innovations, Llc | Bone infusion apparatus and methods for interbody grafts |
CN102835995B (en) * | 2012-09-17 | 2015-07-29 | 浙江微度医疗器械有限公司 | A kind of bone cement fill balloon-system |
ITPI20120106A1 (en) * | 2012-10-19 | 2014-04-20 | Giancarlo Guizzardi | DEVICE AND SYSTEM FOR VERTEBRAL ARTHRODES |
TWI503097B (en) * | 2012-10-23 | 2015-10-11 | Spirit Spine Holdings Corp Inc | Bone fixation device |
USD732667S1 (en) | 2012-10-23 | 2015-06-23 | Providence Medical Technology, Inc. | Cage spinal implant |
USD745156S1 (en) | 2012-10-23 | 2015-12-08 | Providence Medical Technology, Inc. | Spinal implant |
US10786235B2 (en) | 2012-10-31 | 2020-09-29 | Anchor Innovation Medical, Inc. | Method and apparatus for closing a fissure in the annulus of an intervertebral disc, and/or for effecting other anatomical repairs and/or fixations |
DE202013012321U1 (en) | 2012-12-26 | 2016-04-25 | Scott A. Koss | Arrangement, kit and vertebral implant for percutaneous disc recovery |
US9034052B2 (en) * | 2013-01-14 | 2015-05-19 | Warsaw Orthopedic, Inc. | Delivery systems containing bioactive materials |
US9192420B2 (en) * | 2013-01-24 | 2015-11-24 | Kyphon Sarl | Surgical system and methods of use |
US9737294B2 (en) | 2013-01-28 | 2017-08-22 | Cartiva, Inc. | Method and system for orthopedic repair |
EP2948068A4 (en) | 2013-01-28 | 2016-09-28 | Cartiva Inc | Systems and methods for orthopedic repair |
US9522070B2 (en) | 2013-03-07 | 2016-12-20 | Interventional Spine, Inc. | Intervertebral implant |
US9283013B2 (en) * | 2013-03-14 | 2016-03-15 | Warsaw Orthopedic, Inc. | Filling systems for bone delivery devices |
US9820784B2 (en) | 2013-03-14 | 2017-11-21 | Spinal Elements, Inc. | Apparatus for spinal fixation and methods of use |
US9295479B2 (en) | 2013-03-14 | 2016-03-29 | Spinal Stabilization Technologies, Llc | Surgical device |
US10085783B2 (en) | 2013-03-14 | 2018-10-02 | Izi Medical Products, Llc | Devices and methods for treating bone tissue |
WO2014159225A2 (en) | 2013-03-14 | 2014-10-02 | Baxano Surgical, Inc. | Spinal implants and implantation system |
US9345577B2 (en) * | 2013-03-14 | 2016-05-24 | Microaire Surgical Instruments Llc | Balloon implant device |
US9421044B2 (en) | 2013-03-14 | 2016-08-23 | Spinal Elements, Inc. | Apparatus for bone stabilization and distraction and methods of use |
US20140277467A1 (en) | 2013-03-14 | 2014-09-18 | Spinal Stabilization Technologies, Llc | Prosthetic Spinal Disk Nucleus |
USD765853S1 (en) | 2013-03-14 | 2016-09-06 | Spinal Elements, Inc. | Flexible elongate member with a portion configured to receive a bone anchor |
EP2777632B1 (en) * | 2013-03-15 | 2020-04-22 | Howmedica Osteonics Corp. | Adjustable distraction cage with linked locking mechanisms. |
US9675303B2 (en) | 2013-03-15 | 2017-06-13 | Vertiflex, Inc. | Visualization systems, instruments and methods of using the same in spinal decompression procedures |
US9987163B2 (en) * | 2013-04-16 | 2018-06-05 | Novartis Ag | Device for dispensing intraocular substances |
US20140324013A1 (en) * | 2013-04-26 | 2014-10-30 | Medtronic-Xomed, Inc. | Delivery device for graft material |
AU2014268380B2 (en) | 2013-05-23 | 2019-06-27 | 206 Ortho, Inc. | Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants |
PL225171B1 (en) * | 2013-07-25 | 2017-02-28 | Bartłomiej Iwańczyk | A resorbable mesh expansion implant partially coated with a barrier membrane |
AU2014306454B2 (en) | 2013-08-16 | 2019-06-13 | Suture Concepts Inc. | Method and apparatus for closing a fissure in the annulus of an intervertebral disc, and/or for effecting other anatomical repairs and/or fixations |
US9539041B2 (en) | 2013-09-12 | 2017-01-10 | DePuy Synthes Products, Inc. | Minimally invasive biomaterial injection system |
US9468471B2 (en) | 2013-09-17 | 2016-10-18 | K2M, Inc. | Transverse coupler adjuster spinal correction systems and methods |
US9839450B2 (en) | 2013-09-27 | 2017-12-12 | Spinal Elements, Inc. | Device and method for reinforcement of a facet |
US9456855B2 (en) | 2013-09-27 | 2016-10-04 | Spinal Elements, Inc. | Method of placing an implant between bone portions |
US9393057B2 (en) | 2013-10-08 | 2016-07-19 | Pioneer Surgical Technology, Inc. | Surgical system and method |
JP6539652B2 (en) | 2013-12-12 | 2019-07-03 | コンベンタス オーソピディックス, インコーポレイテッド | Tissue displacement tools and methods |
US9770278B2 (en) | 2014-01-17 | 2017-09-26 | Arthrex, Inc. | Dual tip guide wire |
WO2015120165A1 (en) | 2014-02-05 | 2015-08-13 | Marino James F | Anchor devices and methods of use |
US9439773B2 (en) | 2014-05-07 | 2016-09-13 | Perumala Corporation | Enhanced artificial disk |
AU2015256024B2 (en) | 2014-05-07 | 2020-03-05 | Vertiflex, Inc. | Spinal nerve decompression systems, dilation systems, and methods of using the same |
US9198768B1 (en) * | 2014-05-07 | 2015-12-01 | Perumala Corporation | Enhanced artificial disk |
WO2015184018A1 (en) | 2014-05-28 | 2015-12-03 | Providence Medical Technology, Inc. | Lateral mass fixation system |
WO2015187937A1 (en) | 2014-06-04 | 2015-12-10 | Wenzel Spine, Inc. | Bilaterally expanding intervertebral body fusion device |
US10314605B2 (en) | 2014-07-08 | 2019-06-11 | Benvenue Medical, Inc. | Apparatus and methods for disrupting intervertebral disc tissue |
US11478275B2 (en) | 2014-09-17 | 2022-10-25 | Spinal Elements, Inc. | Flexible fastening band connector |
US9814499B2 (en) | 2014-09-30 | 2017-11-14 | Arthrex, Inc. | Intramedullary fracture fixation devices and methods |
US9867718B2 (en) | 2014-10-22 | 2018-01-16 | DePuy Synthes Products, Inc. | Intervertebral implants, systems, and methods of use |
EP3215069B1 (en) | 2014-11-04 | 2023-03-08 | Spinal Stabilization Technologies LLC | Percutaneous implantable nuclear prosthesis |
EP3215067B1 (en) | 2014-11-04 | 2020-06-10 | Spinal Stabilization Technologies LLC | Percutaneous implantable nuclear prosthesis |
JP2018502693A (en) | 2015-01-27 | 2018-02-01 | スパイナル・エレメンツ・インコーポレーテッド | Facet joint implant |
US10022243B2 (en) | 2015-02-06 | 2018-07-17 | Benvenue Medical, Inc. | Graft material injector system and method |
US11426290B2 (en) | 2015-03-06 | 2022-08-30 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
US9730773B2 (en) | 2015-04-22 | 2017-08-15 | Maxillent Ltd. | Bone graft injection methods |
KR20180072675A (en) | 2015-08-30 | 2018-06-29 | 모건 피. 로리오 | Expanded intervertebral cage device with living hinge, system and method of manufacturing the same |
PL3344156T3 (en) | 2015-09-01 | 2020-07-27 | Spinal Stabilization Technologies Llc | Implantable nuclear prosthesis |
US9814496B2 (en) | 2015-09-15 | 2017-11-14 | Hydra Medical, LLC | Interspinous stabilization implant |
USD841165S1 (en) | 2015-10-13 | 2019-02-19 | Providence Medical Technology, Inc. | Cervical cage |
US10682243B2 (en) | 2015-10-13 | 2020-06-16 | Providence Medical Technology, Inc. | Spinal joint implant delivery device and system |
IL243401A (en) | 2015-12-29 | 2017-12-31 | Zion Karmon Ben | Devices and methods for elevating the schneiderian membrane |
US10905795B2 (en) | 2016-02-16 | 2021-02-02 | Children's Medical Center Corporation | Autonomously growing implantable device |
AU2017222462A1 (en) * | 2016-02-22 | 2018-09-27 | Conventus Orthopaedics, Inc. | Apparatus and methods for spine and sacroiliac joint repair |
KR101653734B1 (en) | 2016-03-11 | 2016-09-02 | (주)대양씨아이에스 | Unmanned locker management system and method |
AU2017202280B2 (en) | 2016-04-07 | 2021-04-01 | Howmedica Osteonics Corp. | Surgical insertion instruments |
US11596523B2 (en) | 2016-06-28 | 2023-03-07 | Eit Emerging Implant Technologies Gmbh | Expandable and angularly adjustable articulating intervertebral cages |
TW201806562A (en) | 2016-06-28 | 2018-03-01 | 普羅維登斯醫療科技公司 | Spinal implant and methods of using the same |
EP3474783B1 (en) | 2016-06-28 | 2023-05-03 | Eit Emerging Implant Technologies GmbH | Expandable, angularly adjustable intervertebral cages |
USD887552S1 (en) | 2016-07-01 | 2020-06-16 | Providence Medical Technology, Inc. | Cervical cage |
IL248472A0 (en) | 2016-10-13 | 2017-01-31 | Zion Karmon Ben | Devices for tissue regeneration |
CN109862834B (en) | 2016-10-27 | 2022-05-24 | Dfine有限公司 | Bendable osteotome with cement delivery channel |
DE102016222602A1 (en) | 2016-11-16 | 2018-05-17 | Aesculap Ag | Implant and kits for treating a bone defect |
DE102016222603A1 (en) | 2016-11-16 | 2018-05-17 | Aesculap Ag | Implant and a kit for treating a bone defect |
WO2018098433A1 (en) | 2016-11-28 | 2018-05-31 | Dfine, Inc. | Tumor ablation devices and related methods |
EP3551100B1 (en) | 2016-12-09 | 2021-11-10 | Dfine, Inc. | Medical devices for treating hard tissues |
US10888433B2 (en) | 2016-12-14 | 2021-01-12 | DePuy Synthes Products, Inc. | Intervertebral implant inserter and related methods |
US10660656B2 (en) | 2017-01-06 | 2020-05-26 | Dfine, Inc. | Osteotome with a distal portion for simultaneous advancement and articulation |
US10631881B2 (en) | 2017-03-09 | 2020-04-28 | Flower Orthopedics Corporation | Plating depth gauge and countersink instrument |
US10758286B2 (en) | 2017-03-22 | 2020-09-01 | Benvenue Medical, Inc. | Minimal impact access system to disc space |
US10398563B2 (en) | 2017-05-08 | 2019-09-03 | Medos International Sarl | Expandable cage |
JP2020521536A (en) | 2017-05-19 | 2020-07-27 | プロビデンス メディカル テクノロジー インコーポレイテッド | Spinal fixation access and delivery system |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
WO2019010252A2 (en) | 2017-07-04 | 2019-01-10 | Conventus Orthopaedics, Inc. | Apparatus and methods for treatment of a bone |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
WO2019051260A1 (en) | 2017-09-08 | 2019-03-14 | Pioneer Surgical Technology, Inc. | Intervertebral implants, instruments, and methods |
EP3456297B1 (en) | 2017-09-15 | 2023-10-04 | Howmedica Osteonics Corp. | Instruments for expandable interbody implants |
USD907771S1 (en) | 2017-10-09 | 2021-01-12 | Pioneer Surgical Technology, Inc. | Intervertebral implant |
DE102017220710A1 (en) | 2017-11-20 | 2019-05-23 | Aesculap Ag | Implant and kit for treating and / or biologically reconstructing a bone defect |
WO2019136263A1 (en) | 2018-01-04 | 2019-07-11 | Providence Medical Technology, Inc. | Facet screw and delivery device |
US11419733B2 (en) | 2018-01-12 | 2022-08-23 | Percheron Spine, Llc | Spinal disc implant and device and method for percutaneous delivery of the spinal disc implant |
CA3029952A1 (en) * | 2018-01-24 | 2019-07-24 | Smed-Ta/Td, Llc | Orthopaedic implant with porous structural member |
US11583327B2 (en) | 2018-01-29 | 2023-02-21 | Spinal Elements, Inc. | Minimally invasive interbody fusion |
US11903814B2 (en) * | 2018-03-06 | 2024-02-20 | Mentor Worldwide Llc | Delivery sleeve |
US11311369B2 (en) | 2018-03-06 | 2022-04-26 | Mentor Worldwide Llc | Delivery sleeve |
WO2019178575A1 (en) | 2018-03-16 | 2019-09-19 | Benvenue Medical, Inc. | Articulated instrumentation and methods of using the same |
EP3578140B1 (en) | 2018-06-07 | 2023-12-13 | Stryker European Operations Holdings LLC | Surgical instrument with a torque limiting mechanism. |
KR20210070985A (en) | 2018-09-04 | 2021-06-15 | 스파이널 스태빌라이제이션 테크놀로지스, 엘엘씨 | Implantable nuclear prostheses, kits, and related methods |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
EP3876857A4 (en) | 2018-11-08 | 2022-08-03 | Dfine, Inc. | Ablation systems with parameter-based modulation and related devices and methods |
US11344433B2 (en) * | 2019-02-13 | 2022-05-31 | Warsaw Orthopedic, Inc. | Spinal implant system and method |
US11344425B2 (en) | 2019-03-22 | 2022-05-31 | Nimesis Technology | Vertebral spacer |
US11129727B2 (en) | 2019-03-29 | 2021-09-28 | Medos International Sari | Inflatable non-distracting intervertebral implants and related methods |
US11219531B2 (en) | 2019-04-10 | 2022-01-11 | Wenzel Spine, Inc. | Rotatable intervertebral spacing implant |
USD933230S1 (en) | 2019-04-15 | 2021-10-12 | Providence Medical Technology, Inc. | Cervical cage |
JP2022535698A (en) | 2019-05-22 | 2022-08-10 | スパイナル・エレメンツ・インコーポレーテッド | Bone ties and bone tie inserters |
US11457959B2 (en) | 2019-05-22 | 2022-10-04 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
USD911525S1 (en) | 2019-06-21 | 2021-02-23 | Providence Medical Technology, Inc. | Spinal cage |
US11529149B2 (en) | 2019-09-20 | 2022-12-20 | Spineology Inc. | Percutaneous discectomy kit and method |
US10821002B1 (en) | 2019-12-10 | 2020-11-03 | Spica Medical Technologies, Llc | Inflatable spinal implants and related systems and methods |
WO2021163313A1 (en) | 2020-02-14 | 2021-08-19 | Spinal Elements, Inc. | Bone tie methods |
USD945621S1 (en) | 2020-02-27 | 2022-03-08 | Providence Medical Technology, Inc. | Spinal cage |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
US11786360B2 (en) | 2020-07-01 | 2023-10-17 | Mentor Worldwide Llc | Encoded cinching mechanism for use with an implant delivery sleeve |
CN116390699A (en) * | 2020-11-12 | 2023-07-04 | 赫苏斯·布尔格斯·弗洛里斯 | Implant for intervertebral disc space for the treatment of scoliosis, kyphosis, spinal stenosis and fracture |
US11944553B2 (en) | 2021-01-08 | 2024-04-02 | DePuy Synthes Products, Inc. | Expanding spinal fusion cage |
WO2022159681A1 (en) * | 2021-01-25 | 2022-07-28 | Osteon Medical LLC | Kyphoplasty system |
US11103290B1 (en) | 2021-01-25 | 2021-08-31 | Osteon Medical LLC | Kyphoplasty system and method |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
US11903628B1 (en) | 2023-04-20 | 2024-02-20 | Osteon Medical LLC | Kyphoplasty system and method |
Family Cites Families (32)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE391122B (en) * | 1971-01-25 | 1977-02-07 | Cutter Lab | PROTESTS IN THE FORM OF A SPINE BONIC DISC AND PROCEDURES FOR MANUFACTURE THEREOF |
US3875595A (en) * | 1974-04-15 | 1975-04-08 | Edward C Froning | Intervertebral disc prosthesis and instruments for locating same |
US4655777A (en) * | 1983-12-19 | 1987-04-07 | Southern Research Institute | Method of producing biodegradable prosthesis and products therefrom |
US4743260A (en) * | 1985-06-10 | 1988-05-10 | Burton Charles V | Method for a flexible stabilization system for a vertebral column |
US4735625A (en) * | 1985-09-11 | 1988-04-05 | Richards Medical Company | Bone cement reinforcement and method |
US4743256A (en) | 1985-10-04 | 1988-05-10 | Brantigan John W | Surgical prosthetic implant facilitating vertebral interbody fusion and method |
US4755184A (en) * | 1986-01-09 | 1988-07-05 | Mark Silverberg | Bone augmentation implant |
CH671691A5 (en) * | 1987-01-08 | 1989-09-29 | Sulzer Ag | |
US4834757A (en) | 1987-01-22 | 1989-05-30 | Brantigan John W | Prosthetic implant |
US4863477A (en) * | 1987-05-12 | 1989-09-05 | Monson Gary L | Synthetic intervertebral disc prosthesis |
US5306311A (en) * | 1987-07-20 | 1994-04-26 | Regen Corporation | Prosthetic articular cartilage |
US5108438A (en) * | 1989-03-02 | 1992-04-28 | Regen Corporation | Prosthetic intervertebral disc |
US4772287A (en) * | 1987-08-20 | 1988-09-20 | Cedar Surgical, Inc. | Prosthetic disc and method of implanting |
FR2625097B1 (en) * | 1987-12-23 | 1990-05-18 | Cote Sarl | INTER-SPINOUS PROSTHESIS COMPOSED OF SEMI-ELASTIC MATERIAL COMPRISING A TRANSFILING EYE AT ITS END AND INTER-SPINOUS PADS |
AU624627B2 (en) * | 1988-08-18 | 1992-06-18 | Johnson & Johnson Orthopaedics, Inc. | Functional and biocompatible intervertebral disc spacer containing elastomeric material of varying hardness |
FR2639823A1 (en) * | 1988-12-06 | 1990-06-08 | Garcia Alain | Replacement of the nucleus of the intervertebral disc by a polyurethane polymerised in situ |
US5015255A (en) * | 1989-05-10 | 1991-05-14 | Spine-Tech, Inc. | Spinal stabilization method |
US4936848A (en) * | 1989-09-22 | 1990-06-26 | Bagby George W | Implant for vertebrae |
US4932975A (en) * | 1989-10-16 | 1990-06-12 | Vanderbilt University | Vertebral prosthesis |
DE8912648U1 (en) * | 1989-10-23 | 1990-11-22 | Mecron Medizinische Produkte Gmbh, 1000 Berlin, De | |
US5059193A (en) * | 1989-11-20 | 1991-10-22 | Spine-Tech, Inc. | Expandable spinal implant and surgical method |
FR2659226B1 (en) * | 1990-03-07 | 1992-05-29 | Jbs Sa | PROSTHESIS FOR INTERVERTEBRAL DISCS AND ITS IMPLEMENTATION INSTRUMENTS. |
EP0453393B1 (en) * | 1990-04-20 | 1993-10-06 | SULZER Medizinaltechnik AG | Implant, particularly intervertebral prosthesis |
FR2662073A1 (en) * | 1990-05-18 | 1991-11-22 | Bfl Medical Sarl | Implant for spinal ligament correction and reinforcement |
US5192326A (en) * | 1990-12-21 | 1993-03-09 | Pfizer Hospital Products Group, Inc. | Hydrogel bead intervertebral disc nucleus |
US5192327A (en) | 1991-03-22 | 1993-03-09 | Brantigan John W | Surgical prosthetic implant for vertebrae |
JP3007903B2 (en) * | 1991-03-29 | 2000-02-14 | 京セラ株式会社 | Artificial disc |
US5306307A (en) * | 1991-07-22 | 1994-04-26 | Calcitek, Inc. | Spinal disk implant |
DE4128332A1 (en) * | 1991-08-27 | 1993-03-04 | Man Ceramics Gmbh | SPINE BONE REPLACEMENT |
GB9204263D0 (en) * | 1992-02-28 | 1992-04-08 | Limbs & Things Ltd | Artificial spinal disc |
US5306309A (en) * | 1992-05-04 | 1994-04-26 | Calcitek, Inc. | Spinal disk implant and implantation kit |
EP0621020A1 (en) * | 1993-04-21 | 1994-10-26 | SULZER Medizinaltechnik AG | Intervertebral prosthesis and method of implanting such a prosthesis |
-
1994
- 1994-05-20 US US08/246,959 patent/US5571189A/en not_active Expired - Lifetime
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1995
- 1995-03-01 US US08/396,625 patent/US5549679A/en not_active Expired - Lifetime
- 1995-05-17 AT AT95920479T patent/ATE258772T1/en active
- 1995-05-17 EP EP95920479A patent/EP0764008B1/en not_active Expired - Lifetime
- 1995-05-17 WO PCT/US1995/006179 patent/WO1995031948A1/en active IP Right Grant
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- 1995-05-17 CA CA002189677A patent/CA2189677C/en not_active Expired - Lifetime
- 1995-05-17 JP JP53039195A patent/JP3336317B2/en not_active Expired - Fee Related
- 1995-05-17 ES ES95920479T patent/ES2211906T3/en not_active Expired - Lifetime
- 1995-05-17 AU AU25920/95A patent/AU691925B2/en not_active Expired
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AU2592095A (en) | 1995-12-18 |
KR100403310B1 (en) | 2004-08-25 |
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CA2189677A1 (en) | 1995-11-30 |
AU691925B2 (en) | 1998-05-28 |
JPH10501710A (en) | 1998-02-17 |
DE69532528D1 (en) | 2004-03-11 |
HU219272B (en) | 2001-03-28 |
WO1995031948A1 (en) | 1995-11-30 |
DE69532528T2 (en) | 2005-01-05 |
US5549679A (en) | 1996-08-27 |
US5571189A (en) | 1996-11-05 |
HUT77219A (en) | 1998-03-02 |
EP0764008B1 (en) | 2004-02-04 |
KR970703115A (en) | 1997-07-03 |
DK0764008T3 (en) | 2004-05-17 |
ES2211906T3 (en) | 2004-07-16 |
EP0764008A1 (en) | 1997-03-26 |
JP3336317B2 (en) | 2002-10-21 |
EP0764008A4 (en) | 1999-06-09 |
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