CN102166130A - 椎管间撑开器诊断平行气囊导管和使用方法 - Google Patents

椎管间撑开器诊断平行气囊导管和使用方法 Download PDF

Info

Publication number
CN102166130A
CN102166130A CN2011100470342A CN201110047034A CN102166130A CN 102166130 A CN102166130 A CN 102166130A CN 2011100470342 A CN2011100470342 A CN 2011100470342A CN 201110047034 A CN201110047034 A CN 201110047034A CN 102166130 A CN102166130 A CN 102166130A
Authority
CN
China
Prior art keywords
widening parts
main
parts
widening
far
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.)
Pending
Application number
CN2011100470342A
Other languages
English (en)
Inventor
布赖恩·J·奥扬
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic PLC
Original Assignee
Kyphon SARL
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Kyphon SARL filed Critical Kyphon SARL
Publication of CN102166130A publication Critical patent/CN102166130A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7065Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025Joint distractors
    • A61B2017/0256Joint distractors for the spine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1027Making of balloon catheters
    • A61M25/1029Production methods of the balloon members, e.g. blow-moulding, extruding, deposition or by wrapping a plurality of layers of balloon material around a mandril

Abstract

一种棘突间撑开器诊断平行气囊导管和方法。气囊导管具有全部可从收缩外形扩展为扩展外形,并且然后再次收缩到收缩外形的一个布置在另一个里面的多个主要可扩展部件、远端可扩展部件和近端可扩展部件。该器件可用来确定特定患者是否是植入棘突间撑开器以治疗腰椎管狭窄症的候选者,并且如指明,则确定这种撑开器的尺寸。

Description

椎管间撑开器诊断平行气囊导管和使用方法
技术领域
本发明一般涉及脊柱病症的治疗,并更特别涉及使用在邻近棘突(spinous processe)之间植入的器件治疗椎管狭窄(spinal stenosis)。
背景技术
腰椎管狭窄症引起的神经源性间歇跛行综合症是在下背中疼痛的频繁来源,导致步行受影响,并导致其它形式的老人疾病。尽管没有确定症状的腰椎管狭窄症的发病率和流行性,但该病症是年龄大于65岁的老人的椎管手术的最频繁指示。
腰椎管狭窄症是特征在于腰椎管窄化的椎管病症。由于椎管狭窄,因此椎管窄化并夹紧脊髓和神经,导致背部和腿疼痛。估计每年10,000人中近5人发生腰椎管狭窄症。为背部疼痛寻求医生帮助的患者近12%-15%诊断为具有腰椎管狭窄症。
腰椎管狭窄症的普通治疗包括物理疗法(包括改变姿势)、药物,以及偶尔手术。在姿势和物理疗法中的改变对于弯曲脊柱可有效,从而减压并扩大脊髓和神经可用的空间,因此解除夹紧的神经上的压力。药物例如NSAIDS和其它消炎药经常用来缓和疼痛,尽管它们通常不对导致疼痛的脊柱压迫有效。
外科治疗比药物或物理疗法更积极,并且在合适情况下,外科手术可以是实现腰椎管狭窄症症状减轻的最优方式。外科手术的主要目标是对中心脊椎管和神经孔减压,创造更多空间并消除脊神经根上的压力。治疗腰椎管狭窄症的最普通的外科手术是通过椎板切除术和部分椎间关节面切除术(partial facetectomy)直接减压。在该过程中,由于向患者做出切口从而接近脊柱,因此给予患者全身麻醉。移除一个或多个椎骨的薄层从而为神经创造更多空间。也可移除椎间盘,并且可融合邻近椎骨从而增强不稳定的区段。减压椎板切除术的成功率报告超过65%。在许多这些情况中也实现腰椎管狭窄症症状的显著减少。
近来,发展不同的外科手术技术,其中椎骨转移并且棘突间撑开器植入在邻近棘突之间,从而在区段之间维持期望的分离。当前,患者选择基于历史、物理检查和成像。这些诊断模式可能是敏感的并且对于腰椎管狭窄症是特异的,但它们在它们识别合适棘突间撑开器候选的能力方面受到限制。适当选择患者接受棘突间撑开器对于确保植入撑开器后的积极效果是重要的。
因此诊断器件和过程用来确定以下内容是有利的(i)棘突间撑开器是否为患者提供减轻,以及(ii)提供这种减轻所需的这种撑开器的尺寸。这样的诊断过程可在医生办公室或除标准医院环境之外的其它门诊环境中执行。
发明内容
在此描述的棘突间撑开器诊断平行气囊导管(“平行气囊导管”)可以是可置换的。它可经皮插入到棘间空间,从而暂时将识别的脊柱运动段减压,并且允许医生确定患者是否是植入棘突间撑开器的合适候选者。诊断患者从而确定它们是否是植入棘突间撑开器的合适候选者的方法也在此公开。
棘突间撑开器诊断平行气囊导管具有多个主要可扩展部件,每个都具有允许平行气囊导管的远端部分经皮传递到患者合适位点的第一收缩外形。主要可扩展部件具有不同可扩展直径,并因此可扩展到不同直径。主要可扩展部件相互布置在内,以使具有最小直径的主要可扩展部件是最里面的主要可扩展部件,并且放置在具有其次最小直径的另一主要可扩展部件内。具有最大直径的主要可扩展部件是最外的主要可扩展部件。具有较大直径的主要可扩展部件可能设置在具有较小直径的主要可扩展部件内。医生控制每个这些主要可扩展部件的扩展,从而向医生提供了对提供给诊断的具体患者的减压或转移量的控制。因此,使多个主要可扩展部件一个布置在另一个里面也向医生提供了允许医生确定许多不同尺寸的棘突间撑开器中哪个可适合植入的一种器件。
另外,两个额外可扩展部件邻近主要可扩展部件设置,其中额外可扩展部件中一个设置在主要可扩展部件的近端侧,并且第二额外可扩展部件设置在主要可扩展部件的远端侧。在扩展时两个额外可扩展部件将主要可扩展部件支撑在邻近棘突之间合适位置。主要可扩展部件可由相对非柔性的材料形成,而额外可扩展部件可由相对柔性的材料形成。
也提供使用在此描述的平行气囊导管的方法。一旦主要可扩展部件合适设置在患者内,那么额外可扩展部件首先扩展,从而将主要可扩展部件锁定在邻近棘突之间合适位置。如期望的话,近端或远端额外可扩展部件可在另一额外可扩展部件扩展之前扩展。此后,可以是最小主要可扩展部件的最内主要可扩展部件扩展。此时,平行气囊导管可被操纵以允许患者行走,从而确定是否缓和腰椎管狭窄症的症状。如否,那么可扩展具有较大直径的其次主要可扩展部件。然后患者可行走从而确定该器件对患者的效果。该过程继续直到症状缓和,或直到最外即具有最大直径的主要可扩展部件扩展。此后,全部可扩展部件可缩小到它们的初始收缩外形,并且将平行气囊导管从患者移除。如果患者在诊断过程期间意识到腰椎管狭窄症的症状减轻,那么医生可安排跟进的外科手术,从而植入在诊断过程期间基于向患者提供减轻疼痛的主要可扩展部件的直径确定的合适尺寸的棘突间撑开器。如果患者没有获得减轻,那么医生可确定患者可能不是植入棘突间撑开器的候选者,并且为患者估计其它选择。
附图说明
图1是完全扩展外形的棘突间撑开器诊断平行气囊导管的透视图;
图2A是在图1中示出的棘突间撑开器诊断平行气囊导管的沿线2-2的剖面图,图解导管腔的一种构造;
图2B是在图1中示出的棘突间撑开器诊断平行气囊导管的沿线2-2的剖面图,图解导管腔的第二构造;
图3A是沿在图2A中示出的棘突间撑开器诊断平行气囊导管的远端部分的线3A-3A的剖面图,其中可扩展部件处于收缩外形;
图3B是沿在图2A中示出的棘突间撑开器诊断平行气囊导管的线3B-3B的剖面图,其中可扩展部件处于收缩外形;
图4是相似于在图3B中示出的棘突间撑开器诊断平行气囊导管的远端部分的放大剖面图,但其中近端和远端气囊和最内主要可扩展部件扩展;
图5是相似于在图3A中示出的棘突间撑开器诊断平行气囊导管的远端部分的放大剖面图,但其中最内主要可扩展部件缩小并且最外主要可扩展部件扩展;
图6是棘突间撑开器诊断平行气囊导管的放大剖面图,其中远端和近端可扩展部件扩展并且主要可扩展部件缩小;
图7是相似于图6的放大剖面图,但也具有最内主要可扩展部件扩展外形;
图8是相似于图6的放大剖面图,但其中最内主要可扩展部件缩小并且最外主要可扩展部件扩展;以及
图9是描述使用棘突间撑开器诊断平行气囊导管的诊断方法的流程图。
具体实施方式
如在该说明书和权利要求中使用,单数形式“一个(a)”、“一个(an)”和“该(the)”包括复数对象,除上下文另外清楚指出。因此,例如,“部件”意图指单个部件或部件的结合,并且“材料”意图指一种或更多材料,或其结合。此外,术语“近端”和“远端”分别指接近或远离将医疗器件插入患者的操作员(例如,外科医生、医生、护士、技术员等等)的方向,其中器件的末端(即远端)首先插入患者。因此,例如,首先插入患者体内的该器件末端是器件的远端,而最后进入患者体内的是该器件的近端。
如在该说明书和权利要求中使用,术语“身体”在连同其中放置器件从而治疗腰椎管狭窄症的位置使用时,或从而教导或实践器件的植入方法时,意思是哺乳动物身体。例如,身体可以是患者身体,或尸体,或患者身体的部分或尸体的部分。
如在该说明书和权利要求中使用,术语“平行”在通常的制造公差或测量公差或类似公差情况下描述两个几何构造(例如,两条线、两个平面、线和平面、两个曲面、线和曲面等等)之间的关系,其中由于它们基本延伸到无限,因此该两个几何构造基本不交叉。例如,如在此使用,当线和曲面延伸到无限它们不交叉时就称该线平行于该曲面。相似地,当称平面(即二维表面)平行于线时,沿该线上每个点都与该表面的最近部分隔开基本相等的距离。两个几何构造在名义上相互平行时在此描述为相互“平行”或“基本平行”,例如在它们在公差内相互平行时。这样的公差可包括但不限于例如制造公差、测量公差等等。
如在该说明书和权利要求中使用,术语“正交”、“垂直”和“直交”描述在两个几何构造(例如,两条线、两个平面、线和平面、两个曲面、线和曲面等等)之间的关系,其中两个几何构造在至少一个平面内以接近90度的角度交叉。例如,如在此使用,在线和曲面在平面内以接近90度的角度交叉时,就称该线正交、垂直或直交于该曲面。两个几何构造在它们名义上相互90度正交时在此描述为相互“正交”、“垂直”、“直交”或“基本正交”、“基本垂直”、“基本直交”,例如在它们在公差内成90度时。这样的公差可包括例如制造公差、测量公差等等。
在附图中示出棘突间撑开器诊断平行气囊导管100的一个实施方式。气囊导管100配置为单侧插入患者而不需要转移在对侧上的组织。
如在附图中的图解实例,气囊导管100包括多个主要可扩展部件(“主要气囊”)20,其中具有最小直径的主要气囊20a(“最内主要气囊”)布置在是最外主要可扩展部件20b(“最外主要气囊”)的具有最大直径的主要气囊内。尽管附图仅示出两个主要可扩展部件,但应理解任何数量的其它可扩展部件都可布置在最外主要气囊20b中,从而在使用气囊导管100确定患者是否为棘突间撑开器的候选者时向医生提供更大灵活性。在这样的状况下,主要可扩展部件相互布置在其中,以使具有最小直径的主要可扩展部件最接近气囊导管100的轴布置,并且布置在具有其次最小直径的主要可扩展部件内。第二最小主要可扩展部件应当布置在具有其次最小直径的主要可扩展部件内,等等,其中具有最大直径的主要可扩展部件为最外主要可扩展部件。然而,应理解,前述不是操作器件的标准。使较大主要可扩展部件中的一个或多个布置在较小主要可扩展部件中的一个或多个中在本发明的范畴之内。气囊导管100也包括远端可扩展部件(“远端气囊”)25a,以及近端可扩展部件(“近端气囊”)25b。
所有这些可扩展部件都可以是由相对低柔性的塑料例如尼龙、聚乙烯(PE)或聚对苯二甲酸乙二酯(PET)形成。柔性基于从初始形成尺寸改变的量来量化。较低柔性的材料能够在故障之前伸展大约5%到大约50%之间,而较高柔性的材料例如聚氨酯能够改变大约300%。通常,气囊柔性越低,它的加压能力越高。尼龙和PET气囊能够经受大约300psi的最大压力。相反,较高柔性的聚氨酯气囊仅能够经受大约125psi的最大压力。
主要气囊20可由较低柔性材料形成,因此它的膨胀模式得到良好控制和了解。膨胀样式,例如最小到最大的每个不同主要气囊的气囊直径即D1到D2等等,用来确定棘间空间的高度,并因此确定植入患者从而治疗病症的任何永久棘突间撑开器的尺寸。同样,较低柔性材料的较高压力能力可有助于分离棘突和维持棘间空间。相反,远端气囊25a和近端气囊25b可由较高柔性的材料形成,例如聚氨酯、硅树脂或以ChronoPreneTM商标销售的热塑橡胶弹性体。远端气囊25a和近端气囊25b应当能够扩展到与主要气囊20相比明显更大的直径。柔性材料帮助最小化气囊导管100的远端部分的轮廓,并减小接近患者的解剖中特定位置必需的切口尺寸。然而,由相似于用来形成主要气囊20的材料的较低柔性材料形成远端气囊25a和近端气囊25b也在本发明范畴内。这会促进导管装配,但形成的器件需要较大进入通道。主要气囊20、远端气囊25a和近端气囊25b配置为使它们可从如在图3中图解的收缩或靠拢外形变动为如在图1和图4到8中图解的扩展或展开外形。
主要气囊20、远端气囊25a和近端气囊25b用标准方式固定到导管30。例如,可使用粘合剂、热连结、激光连结或粘合剂内衬热皱缩。为促进主要气囊20连结到导管30,主要气囊20可由三层气囊管形成,其中中间层是较低柔性材料,并且顶部和底层是相似于用来形成远端气囊25a和近端气囊25b的材料的较高柔性材料。
远端气囊25a和近端气囊25b可独立于主要气囊20膨胀,并且如期望的话,远端气囊25a和近端气囊25b可相互独立膨胀。这允许远端气囊25a和近端气囊25b首先膨胀从而将气囊导管100锁定在合适位置,其中主要气囊20设置在期望的邻近棘突之间。然后主要气囊20可单独地且独立地膨胀。主要气囊20的独立控制对于正确估量棘间空间的尺寸是必需的。可选地,远端气囊25a、主要气囊20中最内或最小主要气囊20,以及近端气囊25b可结合为单个气囊。这样的单一构造意思是该单个气囊具有较大直径的远端和近端部分以及较小中心部分的哑铃形状,这些部分同时膨胀。当然,其它气囊仍连同气囊的主要中心部分使用,从而提供不同直径的扩展的中心部分。
导管30包括延伸通过导管30并且用于扩展气囊导管100的多个气囊的多个管腔。例如,如在图2A中图解,管腔31a与最内主要气囊20a流体连通,管腔31b与最外主要气囊20b流体连通。另外,管腔32与远端气囊25a和近端气囊25b都流体连通。通过使管腔32与远端气囊25a和近端气囊25b都流体连通,两个气囊可同时扩展。管腔31a和31b分离从而允许一旦医生将气囊导管100的远端部分锁定在合适位置,那么最内主要气囊20a和最外主要气囊20b单独扩展。另外,导丝管腔37延伸通过导管30,从而允许气囊导管100经由导丝经皮插入。如需要,单个管腔可用来将所有主要气囊20膨胀。在这样的实施方式中,可选择每个较内主要气囊的材料以使在指定压力或体积,该较内最主要气囊会爆裂,允许膨胀流体开始将其次的主要气囊膨胀。
如在图2A中示出,管腔31a和31b都围绕导管30轴的独立部分延伸,管腔32围绕导管30轴的独立部分延伸,并且导丝管腔37在导管30内共轴布置。如需要,远端气囊25a和近端气囊25b可与分离管腔流体连通。这允许医生在患者中初始安置和调整气囊导管100的远端部分具体位置的更大灵活性。例如,如在图2B中示出,管腔32可分为两个分离管腔32a和32b,其中管腔32a可与近端气囊25b流体连通,并且管腔32b可与远端气囊25a流体连通,或反之亦然。如必需,这些分离管腔允许近端气囊25b首先膨胀并缩小,从而重新放置气囊导管100的远端部分。此后,远端气囊25a可膨胀。可选地,远端气囊25a如必需可在近端气囊25b膨胀之前膨胀和收缩。可选地,导管30中全部管腔可取向为使它们全部共轴。
气囊导管30的近端连接到其中具有至少一个开口的集中器40。使用的开口的数量取决于气囊导管100需要的管腔配置。例如,如使用三个管腔来将所有气囊膨胀,则需要三个开口,除导丝(若使用)所需的任何接近器件之外。见于图1。如图解,当使用图2A的管腔配置时,第一开口42、第二开口42、第三开口43和导丝开口47设置在集中器40上。第一开口41与管腔32流体连通。第二开口42与管腔31a流体连通。第三开口43与管腔31b流体连通。第一开口41、第二开口42和第三开口43每个可在其近端上包括路厄锁(luer lock),从而允许膨胀器件如注射器锁定到每个开口上。导丝开口47允许导丝50完全延伸通过导管30,从而有利于将气囊导管100合适放置在邻近棘突之间,如在下面更全面描述的。第一开口42、第二开口42和第三开口43每个都包括允许独立控制相关气囊的密封(未示出)。
在收缩外形时,主要气囊20、远端气囊25a和近端气囊25b每个都具有促进气囊导管100的远端插入患者到目标棘间空间的减小的轮廓。若需要,导丝50可首先插入患者,使其在调查的邻近棘突之间延伸。然后气囊导管100可经由导丝插入患者,其中导丝延伸通过管腔37,使得远端气囊25a延伸经过感兴趣的邻近棘突,并且是上棘突和下棘突的远端侧面的远端。在该位置,主要气囊20设置在邻近棘突之间,并且近端气囊25b设置在上棘突和下棘突的其它侧面的近端。在这点上,远端气囊25a和近端气囊25b可经由其中使用图2A的管腔配置的管腔32通过注射生物相容流体例如盐水扩展或“膨胀”。见图6。可选地,在远端气囊25a和近端气囊25b独立膨胀的情况,远端气囊25a或近端气囊25b可首先膨胀,从而将气囊导管100的远端部分临时支撑在合适位置,同时医生证实远端部分合适地设置。若没有,那么可缩小初始膨胀气囊,从而允许医生合适地重新设置气囊导管100的远端部分。该过程可重复,直到医生满意气囊导管100的放置。完全膨胀后,远端气囊25a和近端气囊25b在它们完全膨胀时具有大于邻近棘突之间空间并且大于主要气囊20高度的高度。由于远端气囊25a和近端气囊25b相对柔性,因此它们可更好贴合周围解剖结构,从而将气囊导管100支撑在合适位置。因此,通过完全膨胀的远端气囊25a和近端气囊25b,气囊导管100支撑在患者解剖结构中的合适位置,以使主要气囊20位于在邻近棘突之间。
通过合适放置主要气囊20,在使用图2A的管腔配置时医生然后可经由管腔31a通过注射生物相容流体例如盐水使最内主要气囊20膨胀。见图4和7。最内主要气囊20a具有固定体积的预定几何形状。因此,在最内主要气囊20a膨胀期间,医生可注意到注射进入最内主要气囊20a的流体的体积。在完全膨胀时对应于最内主要气囊20a的直径D1的该第一体积,医生可让患者行走并从患者获得反馈,从而确定通过注射到最内主要气囊20a的第一体积流体所代表的转移量是否为患者提供疼痛减轻。如果没有疼痛减轻,那么医生可缩小最内主要气囊20a,并且然后将一定体积流体注射到在完全膨胀时具有更大直径D2的最外主要气囊20b。见图5和8。D2大于D1。当然,最内气囊20a可能在最外气囊20b膨胀时保持膨胀。同样,额外流体注射到最内气囊20a从而导致它爆裂,因此接下来的气囊膨胀也是可能的。医生再次让患者行走并从患者获得关于任何疼痛的反馈。在额外气囊20可用的情况下,该过程继续直到患者体验到疼痛减轻,或直到最外主要气囊膨胀。如果患者体验到疼痛减轻,那么提供疼痛减轻的特定主要气囊的直径可匹配于永久植入患者的永久棘突间撑开器的直径。如果患者没有体验到疼痛减轻,那么医生可确定患者不是植入棘突间器件的候选者。
主要气囊20的几何形状包括代表邻近棘突之间距离的直径。该几何形状也包括主要气囊20的宽度,其应当大约是通常棘突宽度或稍大。这确保主要气囊20具有足够表面积,以与邻近棘突接合,并也防止源自沿邻近棘突较小部分集中的力。在这样的状况下,骨质疏松的骨头,或例如由于疾病或损伤弱化的骨头可能骨折。针对当主要气囊20、远端气囊25a和近端气囊25b收紧时气囊导管100具有小轮廓的期望,主要气囊20、远端气囊25a和近端气囊25b的性能特征应当平衡,从而有利于气囊导管100插入患者解剖结构的合适位置。
图9是图解使用棘突间撑开器诊断平行气囊导管确定具体患者是否为植入棘突间撑开器的候选者,从而缓和腰椎管狭窄症的症状的流程图。在调查的棘突间空间首先用导丝或套针接近,以使导丝或套针的近端邻近期望位置。然后气囊导管100经由导丝或通过套针经皮插入,从而将主要气囊20安置在棘突间空间中。若需要,可从患者移除导丝或套针。远端气囊25a和近端气囊25b极限扩展从而将气囊导管100的远端部分支撑在合适位置。然后最小直径的主要气囊20a扩展。然后患者步行从而确定最小直径的主要气囊20a是否对腰椎管狭窄症症状具有任何效果。如果疼痛缓和,那么医生注意最小直径的主要气囊20a提供了疼痛减轻,这允许医生确定患者将需要的永久棘突间撑开器的直径。然后从最小直径的主要气囊20a抽回流体,因此它收缩并且然后可从患者移除气囊导管100。医生使用源自该诊断过程的信息确定可用于治疗患者的棘突间撑开器的尺寸,并安排跟进手术以植入这样的器件。如果疼痛没有缓和,那么医生可扩展其次较大直径的主要气囊20b。较小的主要气囊在其次较大直径的主要气囊膨胀时可以缩小或可以不缩小,或可裂开。然后患者再次步行从而确定是否具有任何疼痛减轻。在具有额外主要气囊的情况下,该过程继续直到患者获得减轻或直到最外或最大直径的主要气囊膨胀。如果最大直径的主要气囊膨胀没有减轻疼痛,或如果医生如此判断,那么医生可推断患者不是棘突间撑开器治疗腰椎管狭窄症的候选者。然后医生可为患者评估其它治疗选择。
因为本文描述的单个平行气囊导管消除了对具有不同尺寸可扩展主要部件插入患者并然后移除以及如果先前可扩展主要部件不提供减轻则用更大可扩展主要部件替代的不同器件的需要,所以其更加有效。因为需要使用和执行额外材料和处理步骤以便使用在此描述的方法获得信息,所以使用单个器件评估邻近棘突之间的单一距离是较不期望的。
气囊导管100可连同活的患者使用,以便治疗各种脊柱疾病。气囊导管100也可用于非生命物体,例如在尸体、模型等等内使用。该非生命物体可用于测试、训练和示范目的中的一种或多种。气囊导管100的元件可安置在患者中以接触各椎骨部件。该接触可包括用气囊导管100实际触碰椎骨部件的直接接触,并且也可包括用气囊导管100与周围韧带和组织实际触碰的间接接触。在两种情况,气囊导管100都包括植入气囊导管100以便治疗脊柱病症的相似效果。
棘突间撑开器诊断平行气囊导管可用除在此阐述的方式之外的其它具体方式执行而不背离在此描述的范畴和基本特征。因此在所有方面将这些实施方式考虑为说明性的而不是限制性的,并且在所附权利要求的含义和等同范围内的所有变化都意图包括在内。

Claims (25)

1.一种棘突间撑开器诊断平行气囊导管,包含:
细长部件;
连接到所述细长部件远端部分的第一主要可扩展部件;
布置在所述第一主要可扩展部件里面,并连接到所述细长部件远端部分的第二主要可扩展部件;
连接到邻近所述第一主要可扩展部件远端的所述细长部件远端部分的远端可扩展部件;
连接到邻近所述第一主要可扩展部件近端的所述细长部件远端部分的近端可扩展部件;以及
布置在与所述第一主要可扩展部件、所述第二主要可扩展部件、所述远端可扩展部件和所述近端可扩展部件中一个或多个连通的所述细长部件中的多个管腔。
2.根据权利要求1所述的导管,其中所述第一主要可扩展部件和所述第二主要可扩展部件由相对非柔性的材料形成。
3.根据权利要求1所述的导管,其中所述远端可扩展部件和所述近端可扩展部件由相对柔性的材料形成。
4.根据权利要求2所述的导管,其中所述远端可扩展部件和所述近端可扩展部件由相对柔性的材料形成。
5.根据权利要求4所述的导管,其中所述第一主要可扩展部件、所述第二主要可扩展部件或两者都由具有中间层、内层和外层的三层材料形成。
6.根据权利要求5所述的导管,其中所述中间层是相对非柔性的材料。
7.根据权利要求6所述的导管,其中所述内层和所述外层是相对柔性的材料。
8.根据权利要求1所述的导管,其中所述管腔共轴。
9.根据权利要求1所述的导管,其中所述细长部件限定在其中延伸的至少两个管腔,其中一个管腔与所述远端可扩展部件和所述近端可扩展部件流体连通,以及一个管腔与所述第一主要可扩展部件、所述第二主要可扩展部件或两者流体连通。
10.根据权利要求9所述的导管,其中所述两个管腔在所述细长部件中共轴。
11.根据权利要求1所述的导管,其中所述细长部件限定在其中延伸的一个管腔,其中所述一个管腔与所述远端可扩展部件、所述第一主要可扩展部件、所述第二主要可扩展部件和所述近端可扩展部件流体连通。
12.根据权利要求11所述的导管,其中所述管腔在所述细长部件中共轴延伸。
13.根据权利要求1所述的导管,其中所述细长部件限定在其中延伸的至少三个管腔,其中一个管腔与所述远端可扩展部件流体连通,一个管腔与所述第一主要可扩展部件、所述第二主要可扩展部件或两者连通,以及一个管腔与所述近端可扩展部件流体连通。
14.一种诊断方法,包括:
将具有第一可扩展部件和第二可扩展部件的器件插入到患者,其中所述第一可扩展部件布置在所述第二可扩展部件中;
将所述第一可扩展部件扩展到第一扩展直径;
识别所述患者是否在所述第一可扩展部件扩展到所述第一直径时体验到疼痛减轻;
将所述第一可扩展部件收缩;
移除所述第一可扩展部件和所述第二可扩展部件;以及
将棘突间撑开器植入到所述患者。
15.根据权利要求14所述的方法,进一步包括在识别所述患者在所述第一可扩展部件扩展到所述第一直径时是否体验到疼痛减轻之后,将所述第二可扩展部件扩展到第二扩展直径。
16.根据权利要求15所述的方法,进一步包括在所述第二可扩展部件的扩展期间将所述第一可扩展部件裂开。
17.根据权利要求15所述的方法,其中所述第一可扩展部件在扩展所述第二可扩展部件之前收缩。
18.根据权利要求14所述的方法,其中所述器件包括绕所述第二可扩展部件布置的第三可扩展部件,并且进一步包括在识别所述患者在所述第二可扩展部件扩展到所述第二直径时是否体验到疼痛减轻之后,将所述第三可扩展部件扩展到第三扩展直径。
19.根据权利要求18所述的方法,其中所述第一可扩展部件和所述第二可扩展部件在扩展所述第三可扩展部件之前收缩。
20.根据权利要求18所述的方法,其中所述第一可扩展部件和所述第二可扩展部件在所述第三可扩展部件扩展期间裂开。
21.一种使用器件的诊断方法,所述器件具有细长部件、连接到所述细长部件远端部分的第一主要可扩展部件、布置在所述第一主要可扩展部件中的第二主要可扩展部件、连接到邻近所述第一主要可扩展部件远端的所述细长部件的远端部分的远端可扩展部件、连接到邻近所述第一主要可扩展部件近端的所述细长部件远端部分的近端可扩展部件;包括
将所述气囊导管的所述远端部分插入患者;
扩展所述远端可扩展部件或所述近端可扩展部件中的一个;
确定所述气囊导管的所述远端部分是否合适地放置;
缩小所述远端可扩展部件或所述近端可扩展部件中的一个;
重新放置所述气囊导管的所述远端部分;
使所述远端可扩展部件或所述近端可扩展部件中另一个膨胀;
使所述第二主要可扩展部件膨胀;
识别在所述第二主要可扩展部件用第一体积的流体扩展时所述患者是否体验到疼痛减轻;
将所述第一主要可扩展部件、所述近端可扩展部件和所述远端可扩展部件收缩;以及
从所述患者移除所述气囊导管。
22.根据权利要求21所述的方法,进一步包括基于所述第一可扩展部件或所述第二可扩展部件的直径将棘突间撑开器植入所述患者。
23.根据权利要求21所述的方法,进一步包括使所述第一可扩展部件膨胀,并识别所述患者在所述第一可扩展部件用第二体积的流体扩展时是否体验到疼痛减轻。
24.根据权利要求23所述的方法,其中所述第二可扩展部件在所述第一可扩展部件膨胀之前收缩。
25.根据权利要求23所述的方法,其中所述第二可扩展部件在所述第一可扩展部件膨胀期间裂开。。
CN2011100470342A 2010-02-26 2011-02-28 椎管间撑开器诊断平行气囊导管和使用方法 Pending CN102166130A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/714,173 2010-02-26
US12/714,173 US8147526B2 (en) 2010-02-26 2010-02-26 Interspinous process spacer diagnostic parallel balloon catheter and methods of use

Publications (1)

Publication Number Publication Date
CN102166130A true CN102166130A (zh) 2011-08-31

Family

ID=44010045

Family Applications (1)

Application Number Title Priority Date Filing Date
CN2011100470342A Pending CN102166130A (zh) 2010-02-26 2011-02-28 椎管间撑开器诊断平行气囊导管和使用方法

Country Status (6)

Country Link
US (2) US8147526B2 (zh)
EP (1) EP2361576A1 (zh)
JP (1) JP2011177509A (zh)
KR (1) KR20110098684A (zh)
CN (1) CN102166130A (zh)
AU (1) AU2011200640A1 (zh)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108697416A (zh) * 2015-10-05 2018-10-23 Bvw控股公司 包括微结构化表面的低法向力牵开器械

Families Citing this family (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8758409B2 (en) * 2006-01-23 2014-06-24 Pioneer Surgical Technology, Inc. Interlaminar stabilizing system
WO2009149079A1 (en) * 2008-06-02 2009-12-10 Synthes Usa, Llc Inflatable interspinous spacer
US7976578B2 (en) * 2008-06-04 2011-07-12 James Marvel Buffer for a human joint and method of arthroscopically inserting
US9402656B2 (en) * 2009-09-11 2016-08-02 Globus Medical, Inc. Spinous process fusion devices
RU2012123373A (ru) * 2009-11-06 2013-12-20 Зинтес Гмбх Минимально инвазивные межостистые спейсеры (имплантаты) и способы
US8317831B2 (en) * 2010-01-13 2012-11-27 Kyphon Sarl Interspinous process spacer diagnostic balloon catheter and methods of use
US20110295370A1 (en) * 2010-06-01 2011-12-01 Sean Suh Spinal Implants and Methods of Use Thereof
US8728081B2 (en) 2011-04-29 2014-05-20 Warsaw Orthopedic, Inc. Bone tamp and methods of use
US9149306B2 (en) 2011-06-21 2015-10-06 Seaspine, Inc. Spinous process device
US9839461B2 (en) * 2011-08-18 2017-12-12 Matthias Militz Expansion device for bone expansion and medical device for bone expansion
US9808233B2 (en) 2013-09-20 2017-11-07 Fred F. Naraghi Methods, systems, and devices for the treatment of stenosis
US11779380B2 (en) 2013-09-20 2023-10-10 Fred F Naraghi Methods, systems, and devices for the treatment of stenosis
US10022113B2 (en) 2013-09-20 2018-07-17 Fred F. Naraghi Methods, systems, and devices for the treatment of stenosis
US20160354130A1 (en) * 2015-06-02 2016-12-08 Kyphon SÀRL Bone tamp and method of use
CN105105891B (zh) * 2015-09-29 2017-03-01 天津市天津医院 置入椎间融合器的套管装置
CN110505841B (zh) * 2017-04-05 2022-09-23 美敦力瓦斯科尔勒公司 定尺寸导管、确定复杂解剖结构的尺寸的方法以及选择用于植入的假体的方法
US20240050024A1 (en) * 2021-01-05 2024-02-15 Cosm Medical Corp. Methods and systems for vaginal therapeutic device fitting
EP4313241A1 (en) * 2021-03-26 2024-02-07 DIXI Neurolab, Inc. Apparatus with double balloon for treating trigeminal neuralgia
US20240023999A1 (en) * 2022-07-19 2024-01-25 Globus Medical, Inc. Implantable distraction device and method of installation thereof
CN115487404A (zh) * 2022-09-29 2022-12-20 中国人民解放军总医院第一医学中心 一种消化道塑形装置

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5330429A (en) * 1989-05-09 1994-07-19 Toray Industries, Inc. Catheter with a balloon reinforced with composite yarn
US20080058934A1 (en) * 2005-02-17 2008-03-06 Malandain Hugues F Percutaneous spinal implants and methods
WO2009149079A1 (en) * 2008-06-02 2009-12-10 Synthes Usa, Llc Inflatable interspinous spacer

Family Cites Families (549)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US624969A (en) 1899-05-16 Peter peterson
US1153797A (en) 1915-04-29 1915-09-14 Jules Emile Kegreisz Expansion-anchor.
US1516347A (en) 1923-08-30 1924-11-18 Pataky Anton Coupling pin
US1870942A (en) 1928-05-26 1932-08-09 Gynex Corp Syringe
US2077804A (en) * 1936-05-19 1937-04-20 Morrison Gordon Monroe Device for treating fractures of the neck of the femur
US2248054A (en) 1939-06-07 1941-07-08 Becker Joseph Screw driver
US2299308A (en) 1941-08-15 1942-10-20 Russell A Creighton Self-locking spike
US2472103A (en) 1945-03-13 1949-06-07 Josef H Giesen Modified bone screw holder for surgical drills
US2485531A (en) 1948-01-13 1949-10-18 Dzus William Surgical toggle bolt
US2607370A (en) 1948-07-13 1952-08-19 Oscar F Anderson Pipe plug
US2685877A (en) 1952-03-20 1954-08-10 Dobelle Martin Femoral head prosthesis
US2677369A (en) 1952-03-26 1954-05-04 Fred L Knowles Apparatus for treatment of the spinal column
US3065659A (en) 1959-09-28 1962-11-27 Superior Concrete Accessories Expansion bolt
US3108595A (en) 1960-08-08 1963-10-29 Alfred P Overment Retention catheter
US3397699A (en) 1966-05-05 1968-08-20 Gerald C. Kohl Retaining catheter having resiliently biased wing flanges
US3426364A (en) * 1966-08-25 1969-02-11 Colorado State Univ Research F Prosthetic appliance for replacing one or more natural vertebrae
US3486505A (en) 1967-05-22 1969-12-30 Gordon M Morrison Orthopedic surgical instrument
US3604487A (en) 1969-03-10 1971-09-14 Richard S Gilbert Orthopedic screw driving means
US3648691A (en) * 1970-02-24 1972-03-14 Univ Colorado State Res Found Method of applying vertebral appliance
US3860969A (en) 1970-06-26 1975-01-21 Henri G Arion Retromammary prosthesis
SE391122B (sv) * 1971-01-25 1977-02-07 Cutter Lab Protes i form av en ryggradsbroskskiva och forfarande for framstellning derav
DE2112139B2 (de) 1971-03-13 1973-02-01 Fischer, Artur, 7241 Tumhngen Huelsenfoermiges verbindungselement fuer die kompressions-osteosynthese bei roehrenknochenfrakturen
US4011602A (en) * 1975-10-06 1977-03-15 Battelle Memorial Institute Porous expandable device for attachment to bone tissue
US4704057A (en) 1976-09-15 1987-11-03 Mechanical Plastics Corp. Fastening element
PL114098B1 (en) * 1978-04-14 1981-01-31 Wyzsza Szkola Inzynierska Apparatus for correcting spinal curvature
US4274324A (en) 1978-04-18 1981-06-23 Giannuzzi Louis Hollow wall screw anchor
CH628803A5 (en) 1978-05-12 1982-03-31 Sulzer Ag Implant insertable between adjacent vertebrae
US4237875A (en) 1979-02-23 1980-12-09 Towmotor Corporation Dynamic intramedullary compression nailing
US4327736A (en) 1979-11-20 1982-05-04 Kanji Inoue Balloon catheter
US4289123A (en) 1980-03-31 1981-09-15 Dunn Harold K Orthopedic appliance
GB2083754B (en) 1980-09-15 1984-04-26 Rezaian Seyed Mahmoud Spinal fixator
SU988281A1 (ru) 1981-06-26 1983-01-15 За витель Устройство дл фиксации позвоночника
US4646998A (en) * 1981-11-20 1987-03-03 Clairson International Corporation Wall-mounted shelf support clip
DE3235974A1 (de) * 1981-11-24 1983-06-01 Volkmar Dipl.-Ing. Merkel (FH), 8520 Erlangen Vorrichtung zur entfernung bzw. zur aufweitung von engstellen in koerperfluessigkeit fuehrenden gefaessen
US4423725A (en) * 1982-03-31 1984-01-03 Baran Ostap E Multiple surgical cuff
US4636195A (en) * 1982-04-02 1987-01-13 Harvey Wolinsky Method and apparatus for removing arterial constriction
US4484579A (en) * 1982-07-19 1984-11-27 University Of Pittsburgh Commissurotomy catheter apparatus and method
US4519100A (en) 1982-09-30 1985-05-28 Orthopedic Equipment Co. Inc. Distal locking intramedullary nail
US4509517A (en) 1982-09-30 1985-04-09 Zibelin Henry S Kidney stone instrument
US4541423A (en) 1983-01-17 1985-09-17 Barber Forest C Drilling a curved hole
US4499636A (en) * 1983-05-06 1985-02-19 Nifco Inc. Removable two-piece retaining means
US4822226A (en) * 1983-08-08 1989-04-18 Kennedy Arvest G Wing nut retainer and extractor
US4557259A (en) 1983-08-10 1985-12-10 Henry Ford Hospital Surgical method and apparatus for inserting wire into the spine
US4554914A (en) 1983-10-04 1985-11-26 Kapp John P Prosthetic vertebral body
US4553273A (en) 1983-11-23 1985-11-19 Henry Ford Hospital Vertebral body prosthesis and spine stabilizing method
GB8333442D0 (en) 1983-12-15 1984-01-25 Showell A W Sugicraft Ltd Devices for spinal fixation
US4611582A (en) 1983-12-27 1986-09-16 Wisconsin Alumni Research Foundation Vertebral clamp
US4604995A (en) 1984-03-30 1986-08-12 Stephens David C Spinal stabilizer
US4573454A (en) * 1984-05-17 1986-03-04 Hoffman Gregory A Spinal fixation apparatus
JPS60187737U (ja) 1984-05-23 1985-12-12 オリンパス光学工業株式会社 留置チユ−ブガイド装置
FR2575059B1 (fr) * 1984-12-21 1988-11-10 Daher Youssef Dispositif d'etaiement utilisable dans une prothese vertebrale
US4632101A (en) 1985-01-31 1986-12-30 Yosef Freedland Orthopedic fastener
US4721103A (en) * 1985-01-31 1988-01-26 Yosef Freedland Orthopedic device
US4824436A (en) * 1985-04-09 1989-04-25 Harvey Wolinsky Method for the prevention of restenosis
US4636217A (en) * 1985-04-23 1987-01-13 Regents Of The University Of Minnesota Anterior spinal implant
US4599086A (en) 1985-06-07 1986-07-08 Doty James R Spine stabilization device and method
SE458417B (sv) 1985-08-15 1989-04-03 Sven Olerud Fixationsinstrument avsett foer anvaendning vid ryggoperationer
US4662808A (en) 1985-10-02 1987-05-05 Lee-Rowan Company Wall anchor
US5112306A (en) * 1986-03-25 1992-05-12 American Medical Systems, Inc. Method and apparatus for valving body fluids
US4931055A (en) 1986-05-30 1990-06-05 John Bumpus Distraction rods
GB8620937D0 (en) 1986-08-29 1986-10-08 Shepperd J A N Spinal implant
US4969887A (en) 1986-09-08 1990-11-13 Sodhi Jitendra S Self-retaining nail kit for repairing a fractured neck of femur
US4787378A (en) 1986-09-08 1988-11-29 Sodhi Jitendra S Self-retaining nail for fracture of neck of femur
US4744366A (en) * 1986-09-10 1988-05-17 Jang G David Concentric independently inflatable/deflatable multiple diameter balloon angioplasty catheter systems and method of use
US4763654A (en) * 1986-09-10 1988-08-16 Jang G David Tandem independently inflatable/deflatable multiple diameter balloon angioplasty catheter systems and method of use
CA1283501C (en) 1987-02-12 1991-04-30 Thomas P. Hedman Artificial spinal disc
SU1484348A1 (ru) 1987-03-04 1989-06-07 Белорусский научно-исследовательский институт травматологии и ортопедии Фиксатор позвоночника
US4958634A (en) * 1987-05-06 1990-09-25 Jang G David Limacon geometry balloon angioplasty catheter systems and method of making same
FR2623085B1 (fr) * 1987-11-16 1992-08-14 Breard Francis Implant chirurgical pour limiter le mouvement relatif des vertebres
FR2625097B1 (fr) 1987-12-23 1990-05-18 Cote Sarl Prothese inter-epineuse composee dans une matiere semi-elastique et comportant un oeillet de transfilage a son extremite et de coussinets inter-epineux
US4862891A (en) 1988-03-14 1989-09-05 Canyon Medical Products Device for sequential percutaneous dilation
DE3809793A1 (de) 1988-03-23 1989-10-05 Link Waldemar Gmbh Co Chirurgischer instrumentensatz
CH674709A5 (zh) * 1988-04-27 1990-07-13 Sulzer Ag
EP0703757B1 (en) 1988-06-13 2003-08-27 Karlin Technology, Inc. Apparatus for inserting spinal implants
US5772661A (en) 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US5609635A (en) * 1988-06-28 1997-03-11 Michelson; Gary K. Lordotic interbody spinal fusion implants
US4892545A (en) * 1988-07-14 1990-01-09 Ohio Medical Instrument Company, Inc. Vertebral lock
IT215084Z2 (it) * 1988-08-03 1990-07-30 Torino A Cambra ad escursione variabile
AU624627B2 (en) 1988-08-18 1992-06-18 Johnson & Johnson Orthopaedics, Inc. Functional and biocompatible intervertebral disc spacer containing elastomeric material of varying hardness
US5328471A (en) * 1990-02-26 1994-07-12 Endoluminal Therapeutics, Inc. Method and apparatus for treatment of focal disease in hollow tubular organs and other tissue lumens
US4834600A (en) 1988-08-25 1989-05-30 Lemke Stuart H Fastener assembly
GB8825909D0 (en) 1988-11-04 1988-12-07 Showell A W Sugicraft Ltd Pedicle engaging means
US5019042A (en) * 1988-11-23 1991-05-28 Harvinder Sahota Balloon catheters
US4927425A (en) 1988-12-21 1990-05-22 Zimmer, Inc. Surgical rod pusher instrument
US5201734A (en) * 1988-12-21 1993-04-13 Zimmer, Inc. Spinal locking sleeve assembly
US4886405A (en) 1989-01-27 1989-12-12 Blomberg Ingvar M Wall mounting device
FR2642645B1 (fr) * 1989-02-03 1992-08-14 Breard Francis Stabilisateur intervertebral souple ainsi que procede et appareillage pour le controle de sa tension avant mise en place sur le rachis
US4969888A (en) 1989-02-09 1990-11-13 Arie Scholten Surgical protocol for fixation of osteoporotic bone using inflatable device
US5098433A (en) * 1989-04-12 1992-03-24 Yosef Freedland Winged compression bolt orthopedic fastener
US5097820A (en) 1989-04-25 1992-03-24 Shulman David H Articulating mouth-prop device for use in the diagnosis and/or treatment of patients suffering from trismus or other medical or dental problems or for other purposes
NL8901526A (nl) 1989-06-16 1991-01-16 Ordev Bv Zelf-instellende prothesebevestiging.
DE3922044A1 (de) 1989-07-05 1991-02-07 Richter Turtur Matthias Dr Instrumentarium zur wirbelbruchbehandlung
US4932975A (en) 1989-10-16 1990-06-12 Vanderbilt University Vertebral prosthesis
US5059193A (en) 1989-11-20 1991-10-22 Spine-Tech, Inc. Expandable spinal implant and surgical method
US5460610A (en) * 1990-01-12 1995-10-24 Don Michael; T. Anthony Treatment of obstructions in body passages
US5331975A (en) * 1990-03-02 1994-07-26 Bonutti Peter M Fluid operated retractors
US5454365A (en) * 1990-11-05 1995-10-03 Bonutti; Peter M. Mechanically expandable arthroscopic retractors
US5345927A (en) * 1990-03-02 1994-09-13 Bonutti Peter M Arthroscopic retractors
US5163949A (en) * 1990-03-02 1992-11-17 Bonutti Peter M Fluid operated retractors
DE4012622C1 (en) 1990-04-20 1991-07-18 Eska Medical Luebeck Medizintechnik Gmbh & Co, 2400 Luebeck, De Two-part metal vertebra implant - has parts locked by two toothed racks, pre-stressed by elastic cushion between both implant parts
EP0453393B1 (de) 1990-04-20 1993-10-06 SULZER Medizinaltechnik AG Implantat, insbesondere Zwischenwirbelprothese
US5540689A (en) 1990-05-22 1996-07-30 Sanders; Albert E. Apparatus for securing a rod adjacent to a bone
US5047055A (en) 1990-12-21 1991-09-10 Pfizer Hospital Products Group, Inc. Hydrogel intervertebral disc nucleus
US5356423A (en) 1991-01-04 1994-10-18 American Medical Systems, Inc. Resectable self-expanding stent
US5390683A (en) * 1991-02-22 1995-02-21 Pisharodi; Madhavan Spinal implantation methods utilizing a middle expandable implant
US5171278A (en) 1991-02-22 1992-12-15 Madhavan Pisharodi Middle expandable intervertebral disk implants
AU1454192A (en) 1991-02-22 1992-09-15 Pisharodi Madhavan Middle expandable intervertebral disk implant and method
SE470047B (sv) 1991-05-15 1993-11-01 Sven Olerud För kirurgisk användning avsedd klämback
DE4128332A1 (de) * 1991-08-27 1993-03-04 Man Ceramics Gmbh Wirbelknochenersatz
US5290312A (en) * 1991-09-03 1994-03-01 Alphatec Artificial vertebral body
FR2681525A1 (fr) 1991-09-19 1993-03-26 Medical Op Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure.
CH686610A5 (de) * 1991-10-18 1996-05-15 Pina Vertriebs Ag Kompressionsimplantat.
DE4208116C2 (de) * 1992-03-13 1995-08-03 Link Waldemar Gmbh Co Bandscheibenendoprothese
DE59206917D1 (de) 1992-04-21 1996-09-19 Sulzer Medizinaltechnik Ag Künstlicher Bandscheibenkörper
US5306309A (en) 1992-05-04 1994-04-26 Calcitek, Inc. Spinal disk implant and implantation kit
DE4217660A1 (de) 1992-05-29 1993-12-02 Manfred Prof Dr Schneider Instrument zur percutanen dorsalen Verspannung von Wirbelsäulenverletzungen
US5316422A (en) 1992-06-01 1994-05-31 Qualcomm Incorporated Blind fastener
US5312405A (en) 1992-07-06 1994-05-17 Zimmer, Inc. Spinal rod coupler
FR2693364B1 (fr) * 1992-07-07 1995-06-30 Erpios Snc Prothese intervertebrale permettant une stabilisation des contraintes rotatoires et de flexion-extension.
US5415635A (en) * 1992-07-21 1995-05-16 Advanced Cardiovascular Systems, Inc. Balloon assembly with separately inflatable sections
US5342305A (en) * 1992-08-13 1994-08-30 Cordis Corporation Variable distention angioplasty balloon assembly
FR2695026B1 (fr) 1992-08-25 1994-10-28 Alexandre Worcel Dispositif pour le maintien en compression d'un os fracturé.
DE9213656U1 (zh) 1992-10-09 1992-12-03 Angiomed Ag, 7500 Karlsruhe, De
US5545170A (en) 1992-10-09 1996-08-13 Innovasive Devices, Inc. Surgical instrument
US5484440A (en) 1992-11-03 1996-01-16 Zimmer, Inc. Bone screw and screwdriver
US5562735A (en) 1992-11-09 1996-10-08 Hospital For Joint Diseases Spinal stabilization system and improved method
US5702395A (en) 1992-11-10 1997-12-30 Sofamor S.N.C. Spine osteosynthesis instrumentation for an anterior approach
EP1149560A3 (en) 1992-11-12 2002-03-06 ALLEYNE, Neville Spinal protection device
DE4243951C2 (de) 1992-12-23 1997-07-03 Plus Endoprothetik Ag Vorrichtung zur Versteifung eines aus wenigstens zwei Wirbeln bestehenden Wirbelsäulenabschnitts
US5306275A (en) 1992-12-31 1994-04-26 Bryan Donald W Lumbar spine fixation apparatus and method
US5527314A (en) 1993-01-04 1996-06-18 Danek Medical, Inc. Spinal fixation system
US5540703A (en) 1993-01-06 1996-07-30 Smith & Nephew Richards Inc. Knotted cable attachment apparatus formed of braided polymeric fibers
US5496318A (en) * 1993-01-08 1996-03-05 Advanced Spine Fixation Systems, Inc. Interspinous segmental spine fixation device
FR2700941A1 (fr) 1993-02-03 1994-08-05 Felman Daniel Implant de fixation intervertébral interépineux monobloc.
ES2141217T3 (es) 1993-02-10 2000-03-16 Sulzer Spine Tech Inc Juego de herramientas quirurgicas para estabilizacion de la columna vertebral.
US5308356A (en) * 1993-02-25 1994-05-03 Blackshear Jr Perry L Passive perfusion angioplasty catheter
US5415661A (en) 1993-03-24 1995-05-16 University Of Miami Implantable spinal assist device
FR2703239B1 (fr) 1993-03-30 1995-06-02 Brio Bio Rhone Implant Medical Agrafe pour prothèse inter-épineuse.
EP0621020A1 (de) 1993-04-21 1994-10-26 SULZER Medizinaltechnik AG Zwischenwirbelprothese und Verfahren zum Implantieren einer derartigen Prothese
FR2704745B1 (fr) 1993-05-07 1995-11-24 Erpios Dispositif de liaison des extrémités d'un ligament d'ostéosynthèse, notamment d'ostéosynthèse vertébrale.
FR2705227B1 (fr) 1993-05-18 1995-07-28 Felman Daniel Implant inter épineux à coque métallique double.
DE4417629B4 (de) * 1993-06-24 2006-03-16 SDGI Holdings, Inc., Wilmington Implantat für den Ersatz von Wirbelkörpern
FR2707864B1 (fr) 1993-07-23 1996-07-19 Jean Taylor Pince chirurgicale pour la mise en tension d'un ligament d'ostéosynthèse.
US5360430A (en) 1993-07-29 1994-11-01 Lin Chih I Intervertebral locking device
US5395374A (en) 1993-09-02 1995-03-07 Danek Medical, Inc. Orthopedic cabling method and apparatus
US5458641A (en) 1993-09-08 1995-10-17 Ramirez Jimenez; Juan J. Vertebral body prosthesis
BE1007549A3 (nl) 1993-09-21 1995-08-01 Beckers Louis Francois Charles Implantaat.
US5456689A (en) 1993-10-13 1995-10-10 Arnold J. Kresch Method and device for tissue resection
US5358487A (en) * 1993-10-15 1994-10-25 Cordis Corporation Frangible balloon catheter
US5439463A (en) 1993-11-12 1995-08-08 Lin; Chih-I Spinal clamping device
US5454812A (en) 1993-11-12 1995-10-03 Lin; Chih-I Spinal clamping device having multiple distance adjusting strands
US5403316A (en) * 1993-12-02 1995-04-04 Danek Medical, Inc. Triangular construct for spinal fixation
EP1464293B1 (en) * 1994-01-26 2007-05-02 Kyphon Inc. Improved inflatable device for use in surgical methods relating to fixation of bone
FR2715293B1 (fr) 1994-01-26 1996-03-22 Biomat Cage intersomatique vertébrale.
CA2144211C (en) 1994-03-16 2005-05-24 David T. Green Surgical instruments useful for endoscopic spinal procedures
US5653762A (en) 1994-03-18 1997-08-05 Pisharodi; Madhavan Method of stabilizing adjacent vertebrae with rotating, lockable, middle-expanded intervertebral disk stabilizer
US5893890A (en) 1994-03-18 1999-04-13 Perumala Corporation Rotating, locking intervertebral disk stabilizer and applicator
FR2717675B1 (fr) 1994-03-24 1996-05-03 Jean Taylor Cale inter-épineuse.
FR2719763B1 (fr) 1994-05-11 1996-09-27 Jean Taylor Implant vertébral.
US5571189A (en) 1994-05-20 1996-11-05 Kuslich; Stephen D. Expandable fabric implant for stabilizing the spinal motion segment
ES2144606T3 (es) 1994-05-23 2000-06-16 Sulzer Spine Tech Inc Implante para fusion intervertebral.
US5728068A (en) * 1994-06-14 1998-03-17 Cordis Corporation Multi-purpose balloon catheter
FR2721501B1 (fr) 1994-06-24 1996-08-23 Fairant Paulette Prothèses des facettes articulaires vertébrales.
DE4423257C2 (de) 1994-07-02 2001-07-12 Ulrich Heinrich Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule als Platzhalter
FR2722087A1 (fr) 1994-07-08 1996-01-12 Cahlik Marc Andre Implant chirurgical intervetebral pour stabilisation et limitation des mouvements relatifs des vertebres
FR2722088B1 (fr) 1994-07-08 1998-01-23 Cahlik Marc Andre Implant chirurgical de stabilisation de l'espace intervertebral
FR2722980B1 (fr) * 1994-07-26 1996-09-27 Samani Jacques Implant vertebral inter-epineux
DE9413471U1 (de) 1994-08-20 1995-12-21 Schaefer Micomed Gmbh Ventrales Zwischenwirbelimplantat
EP0700671B1 (en) 1994-09-08 2001-08-08 Stryker Technologies Corporation Hydrogel intervertebral disc nucleus
FR2724554B1 (fr) 1994-09-16 1997-01-24 Voydeville Gilles Dispositif de fixation d'une prothese ligamentaire
US5562736A (en) 1994-10-17 1996-10-08 Raymedica, Inc. Method for surgical implantation of a prosthetic spinal disc nucleus
JPH10507386A (ja) 1994-10-17 1998-07-21 レイメディカ, インコーポレイテッド 人工脊椎円板核
FR2725892A1 (fr) 1994-10-21 1996-04-26 Felman Daniel Crochet vertebral a effet memoire de forme
US5620457A (en) * 1994-11-23 1997-04-15 Medinol Ltd. Catheter balloon
FR2728159B1 (fr) 1994-12-16 1997-06-27 Tornier Sa Prothese discale elastique
FR2729556B1 (fr) 1995-01-23 1998-10-16 Sofamor Dispositif d'osteosynthese rachidienne a crochet median et appuis d'ancrage vertebral
US5665122A (en) 1995-01-31 1997-09-09 Kambin; Parviz Expandable intervertebral cage and surgical method
FR2730156B1 (fr) 1995-02-03 1997-04-30 Textile Hi Tec Cale inter epineuse
FR2730158B1 (fr) * 1995-02-06 1999-11-26 Jbs Sa Dispositif de maintien d'un ecartement normal entre les vertebres et destine au remplacement de vertebres manquantes
US5634936A (en) * 1995-02-06 1997-06-03 Scimed Life Systems, Inc. Device for closing a septal defect
US5665096A (en) 1995-03-07 1997-09-09 Yoon; Inbae Needle driving apparatus and methods of suturing tissue
ES2161865T3 (es) 1995-03-08 2001-12-16 Synthes Ag Implante intervertebral.
US5658335A (en) 1995-03-09 1997-08-19 Cohort Medical Products Group, Inc. Spinal fixator
FR2731643A1 (fr) 1995-03-16 1996-09-20 Jbs Sa Dispositif de tournevis angulaire pour le vissage et le devissage de vis difficilement accessibles, notamment dans le domaine chirurgical
US5728123A (en) * 1995-04-26 1998-03-17 Lemelson; Jerome H. Balloon actuated catheter
US5630816A (en) 1995-05-01 1997-05-20 Kambin; Parviz Double barrel spinal fixation system and method
US5702391A (en) 1995-05-16 1997-12-30 Lin; Chih-I Intervertebral fusion device
JP2000501624A (ja) 1995-06-06 2000-02-15 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 脊柱インストルメンテーションにおける隣接するロッドをリンク結合するための装置
US5667513A (en) 1995-06-07 1997-09-16 Smith & Nephew Dyonics Inc. Soft tissue anchor delivery apparatus
JPH0975381A (ja) 1995-09-18 1997-03-25 Nippon Electric Glass Co Ltd 脊椎固定用ブロック
US6102922A (en) 1995-09-22 2000-08-15 Kirk Promotions Limited Surgical method and device for reducing the food intake of patient
FR2741256A1 (fr) 1995-11-21 1997-05-23 Advanced Technical Fabrication Clou centromedullaire
US5690649A (en) 1995-12-05 1997-11-25 Li Medical Technologies, Inc. Anchor and anchor installation tool and method
US5645597A (en) 1995-12-29 1997-07-08 Krapiva; Pavel I. Disc replacement method and apparatus
US5662657A (en) 1996-01-17 1997-09-02 Sunmed, Inc. Intramedullary bone plug
DE19603887C2 (de) 1996-02-03 1998-07-02 Lerch Karl Dieter Anordnung zum Fixieren eines aus der Schädelkapsel zum Zwecke des operativen Eingriffs herausgetrennten Knochenstücks am verbliebenen Schädelbein
CA2199462C (en) 1996-03-14 2006-01-03 Charles J. Winslow Method and instrumentation for implant insertion
US5653763A (en) 1996-03-29 1997-08-05 Fastenetix, L.L.C. Intervertebral space shape conforming cage device
DE29606468U1 (de) 1996-04-09 1997-08-07 Link Waldemar Gmbh Co Wirbelsäulenfixateur
US5792085A (en) 1996-06-11 1998-08-11 Walters; David J. Pressure application unit for positioning vertebra
CA2229382A1 (en) 1996-06-18 1997-12-24 Marc D. Grynpas Bone prosthesis fixation device and methods of using same
US5746762A (en) 1996-06-24 1998-05-05 Bass; Lawrence S. Device and method for surgical flap dissection
US5702455A (en) 1996-07-03 1997-12-30 Saggar; Rahul Expandable prosthesis for spinal fusion
US5849004A (en) 1996-07-17 1998-12-15 Bramlet; Dale G. Surgical anchor
US6159214A (en) 1996-07-31 2000-12-12 Michelson; Gary K. Milling instrumentation and method for preparing a space between adjacent vertebral bodies
US5868707A (en) 1996-08-15 1999-02-09 Advanced Cardiovascular Systems, Inc. Protective sheath for catheter balloons
US6077273A (en) * 1996-08-23 2000-06-20 Scimed Life Systems, Inc. Catheter support for stent delivery
US5716416A (en) * 1996-09-10 1998-02-10 Lin; Chih-I Artificial intervertebral disk and method for implanting the same
US5810815A (en) 1996-09-20 1998-09-22 Morales; Jose A. Surgical apparatus for use in the treatment of spinal deformities
EP0835673A3 (en) * 1996-10-10 1998-09-23 Schneider (Usa) Inc. Catheter for tissue dilatation and drug delivery
US6190414B1 (en) * 1996-10-31 2001-02-20 Surgical Dynamics Inc. Apparatus for fusion of adjacent bone structures
US5893850A (en) * 1996-11-12 1999-04-13 Cachia; Victor V. Bone fixation device
AU7178698A (en) 1996-11-15 1998-06-03 Advanced Bio Surfaces, Inc. Biomaterial system for in situ tissue repair
DE19652608C1 (de) 1996-12-18 1998-08-27 Eska Implants Gmbh & Co Prophylaxe-Implantat gegen Frakturen osteoporotisch befallener Knochensegmente
US6514256B2 (en) * 1997-01-02 2003-02-04 St. Francis Medical Technologies, Inc. Spine distraction implant and method
US6451019B1 (en) 1998-10-20 2002-09-17 St. Francis Medical Technologies, Inc. Supplemental spine fixation device and method
US7959652B2 (en) 2005-04-18 2011-06-14 Kyphon Sarl Interspinous process implant having deployable wings and method of implantation
US7201751B2 (en) 1997-01-02 2007-04-10 St. Francis Medical Technologies, Inc. Supplemental spine fixation device
US20050245937A1 (en) 2004-04-28 2005-11-03 St. Francis Medical Technologies, Inc. System and method for insertion of an interspinous process implant that is rotatable in order to retain the implant relative to the spinous processes
US5836948A (en) 1997-01-02 1998-11-17 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US6068630A (en) 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
US6695842B2 (en) * 1997-10-27 2004-02-24 St. Francis Medical Technologies, Inc. Interspinous process distraction system and method with positionable wing and method
US7306628B2 (en) 2002-10-29 2007-12-11 St. Francis Medical Technologies Interspinous process apparatus and method with a selectably expandable spacer
US6712819B2 (en) 1998-10-20 2004-03-30 St. Francis Medical Technologies, Inc. Mating insertion instruments for spinal implants and methods of use
US7101375B2 (en) 1997-01-02 2006-09-05 St. Francis Medical Technologies, Inc. Spine distraction implant
US5860977A (en) * 1997-01-02 1999-01-19 Saint Francis Medical Technologies, Llc Spine distraction implant and method
US20020143331A1 (en) 1998-10-20 2002-10-03 Zucherman James F. Inter-spinous process implant and method with deformable spacer
US5725341A (en) * 1997-01-08 1998-03-10 Hofmeister; Oskar Self fusing fastener
US5749916A (en) 1997-01-21 1998-05-12 Spinal Innovations Fusion implant
WO2001054598A1 (en) 1998-03-06 2001-08-02 Disc-O-Tech Medical Technologies, Ltd. Expanding bone implants
JP2001527437A (ja) 1997-03-07 2001-12-25 ベイヤー、モルデキイ 経皮的骨および脊椎安定化、固定および修復のためのシステム
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
US20060271061A1 (en) 2001-07-25 2006-11-30 Disc-O-Tech, Ltd. Deformable tools and implants
US5800549A (en) 1997-04-30 1998-09-01 Howmedica Inc. Method and apparatus for injecting an elastic spinal implant
US6042582A (en) 1997-05-20 2000-03-28 Ray; Charles D. Instrumentation and method for facilitating insertion of spinal implant
US6022376A (en) * 1997-06-06 2000-02-08 Raymedica, Inc. Percutaneous prosthetic spinal disc nucleus and method of manufacture
US5972368A (en) 1997-06-11 1999-10-26 Sdgi Holdings, Inc. Bone graft composites and spacers
US6086595A (en) 1997-08-29 2000-07-11 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
ATE380509T1 (de) 1997-10-27 2007-12-15 St Francis Medical Tech Inc Wirbelsäulen distraktionsimplantat
FR2771282B1 (fr) 1997-11-25 2000-01-28 Jean Taylor Implant vertebral adapte pour etre introduit par voie posterieure dans un espace intervertebral
US5980523A (en) 1998-01-08 1999-11-09 Jackson; Roger Transverse connectors for spinal rods
US5941881A (en) 1998-01-09 1999-08-24 Medidea, Llc Bone fastening apparatus and related procedures
FR2774581B1 (fr) 1998-02-10 2000-08-11 Dimso Sa Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres
FR2775183B1 (fr) 1998-02-20 2000-08-04 Jean Taylor Prothese inter-epineuse
US6224631B1 (en) 1998-03-20 2001-05-01 Sulzer Spine-Tech Inc. Intervertebral implant with reduced contact area and method
US6241729B1 (en) 1998-04-09 2001-06-05 Sdgi Holdings, Inc. Method and instrumentation for posterior interbody fusion
DE19816782A1 (de) * 1998-04-16 1999-10-28 Ulrich Gmbh & Co Kg Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule
DE19818143A1 (de) * 1998-04-23 1999-10-28 Medinorm Ag Vorrichtung zur Verbindung von Wirbeln der Wirbelsäule
WO1999059669A1 (en) 1998-05-18 1999-11-25 Bryan Vincent E Jr Balloon jack
US6171339B1 (en) 1998-05-19 2001-01-09 Sulzer Spine-Tech Inc. Multi-lumen spinal implant guide and method
US6126689A (en) 1998-06-15 2000-10-03 Expanding Concepts, L.L.C. Collapsible and expandable interbody fusion device
DE69917026T2 (de) 1998-06-23 2004-10-28 Dimso Distribution Medicale Du Sud Ouest Intersomatisches wirbelsäulenimplantat mit verankerungselementen
US6264658B1 (en) 1998-07-06 2001-07-24 Solco Surgical Instruments Co., Ltd. Spine fixing apparatus
FR2782632B1 (fr) 1998-08-28 2000-12-29 Materiel Orthopedique En Abreg Cage de fusion intersomatique expansible
US6352537B1 (en) * 1998-09-17 2002-03-05 Electro-Biology, Inc. Method and apparatus for spinal fixation
US7410489B2 (en) 1998-09-28 2008-08-12 Daos Limited Internal cord fixation device
US6368326B1 (en) 1998-09-28 2002-04-09 Daos Limited Internal cord fixation device
ES2317604T3 (es) 1998-10-02 2009-04-16 Synthes Gmbh Separador de espacio intervertebral.
US7029473B2 (en) * 1998-10-20 2006-04-18 St. Francis Medical Technologies, Inc. Deflectable spacer for use as an interspinous process implant 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
US6261289B1 (en) 1998-10-26 2001-07-17 Mark Levy Expandable orthopedic device
US6554833B2 (en) * 1998-10-26 2003-04-29 Expanding Orthopedics, Inc. Expandable orthopedic device
US6174311B1 (en) 1998-10-28 2001-01-16 Sdgi Holdings, Inc. Interbody fusion grafts and instrumentation
CA2348441C (en) 1998-10-30 2008-01-22 Ian Ross Griggs Fixation device
BR9805340B1 (pt) 1998-12-14 2009-01-13 inserto de expansço variÁvel para estabilizaÇço de coluna vertebral.
WO2000042898A2 (en) 1999-01-25 2000-07-27 Michelson Gary K Instrument and method for creating an intervertebral space for receiving an implant
US7621950B1 (en) 1999-01-27 2009-11-24 Kyphon Sarl Expandable intervertebral spacer
US6214037B1 (en) * 1999-03-18 2001-04-10 Fossa Industries, Llc Radially expanding stent
US6113602A (en) 1999-03-26 2000-09-05 Sulzer Spine-Tech Inc. Posterior spinal instrument guide and method
US6607530B1 (en) 1999-05-10 2003-08-19 Highgate Orthopedics, Inc. Systems and methods for spinal fixation
US6214050B1 (en) * 1999-05-11 2001-04-10 Donald R. Huene Expandable implant for inter-bone stabilization and adapted to extrude osteogenic material, and a method of stabilizing bones while extruding osteogenic material
US6520991B2 (en) * 1999-05-11 2003-02-18 Donald R. Huene Expandable implant for inter-vertebral stabilization, and a method of stabilizing vertebrae
US6245107B1 (en) 1999-05-28 2001-06-12 Bret A. Ferree Methods and apparatus for treating disc herniation
US6969404B2 (en) 1999-10-08 2005-11-29 Ferree Bret A Annulus fibrosis augmentation methods and apparatus
US6419704B1 (en) 1999-10-08 2002-07-16 Bret Ferree Artificial intervertebral disc replacement methods and apparatus
US6770096B2 (en) 1999-07-01 2004-08-03 Spinevision S.A. Interbody spinal stabilization cage and spinal stabilization method
US6159212A (en) 1999-08-02 2000-12-12 Schoedinger, Iii; George R. Surgical tool and method to reduce vertebral displacement
US7815590B2 (en) * 1999-08-05 2010-10-19 Broncus Technologies, Inc. Devices for maintaining patency of surgically created channels in tissue
CA2425951C (en) 1999-08-18 2008-09-16 Intrinsic Therapeutics, Inc. Devices and method for nucleus pulposus augmentation and retention
US6964674B1 (en) * 1999-09-20 2005-11-15 Nuvasive, Inc. Annulotomy closure device
FR2799640B1 (fr) 1999-10-15 2002-01-25 Spine Next Sa Implant intervetebral
US6530929B1 (en) 1999-10-20 2003-03-11 Sdgi Holdings, Inc. Instruments for stabilization of bony structures
EP2204144B1 (en) 1999-10-22 2013-04-03 Gmedelaware 2 LLC Facet arthroplasty devices and methods
FR2799948B1 (fr) 1999-10-22 2002-03-29 Transco Esquisse Barre de liaison pour l'ancrage d'une prothese inter epineuse
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
US6471672B1 (en) * 1999-11-10 2002-10-29 Scimed Life Systems Selective high pressure dilation balloon
AU774717B2 (en) 1999-11-11 2004-07-08 Synthes Gmbh Radially expandable intramedullary nail
EP1272112A4 (en) 2000-01-03 2003-05-14 Yosef Freedland DEVICE FOR RETAINING A FABRIC WITH A MOBILE FIN
US6558390B2 (en) 2000-02-16 2003-05-06 Axiamed, Inc. Methods and apparatus for performing therapeutic procedures in the spine
US6293949B1 (en) 2000-03-01 2001-09-25 Sdgi Holdings, Inc. Superelastic spinal stabilization system and method
US6336930B1 (en) * 2000-03-07 2002-01-08 Zimmer, Inc. Polymer filled bone plate
FR2806616B1 (fr) 2000-03-21 2003-04-11 Cousin Biotech Cale interepineuse et dispositif de fixation sur le sacrum
US6485500B1 (en) * 2000-03-21 2002-11-26 Advanced Cardiovascular Systems, Inc. Emboli protection system
US6402750B1 (en) * 2000-04-04 2002-06-11 Spinlabs, Llc Devices and methods for the treatment of spinal disorders
US6432130B1 (en) 2000-04-20 2002-08-13 Scimed Life Systems, Inc. Fully sheathed balloon expandable stent delivery system
US6645207B2 (en) 2000-05-08 2003-11-11 Robert A. Dixon Method and apparatus for dynamized spinal stabilization
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
FR2811540B1 (fr) 2000-07-12 2003-04-25 Spine Next Sa Implant intervertebral amortissant
FR2812186B1 (fr) 2000-07-25 2003-02-28 Spine Next Sa Piece de liaison souple pour la stabilisation du rachis
US6511508B1 (en) * 2000-08-04 2003-01-28 Environmental Robots, Inc. Surgical correction of human eye refractive errors by active composite artificial muscle implants
US6447546B1 (en) 2000-08-11 2002-09-10 Dale G. Bramlet Apparatus and method for fusing opposing spinal vertebrae
AU2001284857B2 (en) 2000-08-11 2005-09-29 Warsaw Orthopedic, Inc. Surgical instrumentation and method for treatment of the spine
US6733531B1 (en) 2000-10-20 2004-05-11 Sdgi Holdings, Inc. Anchoring devices and implants for intervertebral disc augmentation
AU2002243270B2 (en) 2000-10-25 2006-03-09 Warsaw Orthopedic, Inc. Vertically expanding intervertebral body fusion device
US6582467B1 (en) 2000-10-31 2003-06-24 Vertelink Corporation Expandable fusion cage
FR2816197B1 (fr) 2000-11-07 2003-01-10 Jean Taylor Prothese inter-epineuse, outil et procede pour sa preparation
US6666891B2 (en) 2000-11-13 2003-12-23 Frank H. Boehm, Jr. Device and method for lumbar interbody fusion
US6579319B2 (en) 2000-11-29 2003-06-17 Medicinelodge, Inc. Facet joint replacement
US6419703B1 (en) 2001-03-01 2002-07-16 T. Wade Fallin Prosthesis for the replacement of a posterior element of a vertebra
US6743257B2 (en) 2000-12-19 2004-06-01 Cortek, Inc. Dynamic implanted intervertebral spacer
FR2818530B1 (fr) 2000-12-22 2003-10-31 Spine Next Sa Implant intervertebral a cale deformable
DE10065232C2 (de) 2000-12-27 2002-11-14 Ulrich Gmbh & Co Kg Implantat zum Einsetzen zwischen Wirbelkörper sowie Operationsinstrument zur Handhabung des Implantats
US7179251B2 (en) * 2001-01-17 2007-02-20 Boston Scientific Scimed, Inc. Therapeutic delivery balloon
GB0102141D0 (en) 2001-01-27 2001-03-14 Davies John B C Improvements in or relating to expandable bone nails
US6602260B2 (en) 2001-02-02 2003-08-05 Ams Research Corporation Powered bone screw device
US6364883B1 (en) * 2001-02-23 2002-04-02 Albert N. Santilli Spinous process clamp for spinal fusion and method of operation
FR2822051B1 (fr) 2001-03-13 2004-02-27 Spine Next Sa Implant intervertebral a fixation auto-bloquante
US6565570B2 (en) 2001-03-14 2003-05-20 Electro-Biology, Inc. Bone plate and retractor assembly
US20040083002A1 (en) * 2001-04-06 2004-04-29 Belef William Martin Methods for treating spinal discs
US6582433B2 (en) 2001-04-09 2003-06-24 St. Francis Medical Technologies, Inc. Spine fixation device and method
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
US6616673B1 (en) * 2001-04-19 2003-09-09 Biomet, Inc. Segmented joint distractor
EP1427341A1 (en) * 2001-07-20 2004-06-16 Spinal Concepts Inc. Spinal stabilization system and method
US6375682B1 (en) * 2001-08-06 2002-04-23 Lewis W. Fleischmann Collapsible, rotatable and expandable spinal hydraulic prosthetic device
FR2828398B1 (fr) 2001-08-08 2003-09-19 Jean Taylor Ensemble de stabilisation de vertebres
JP4947879B2 (ja) 2001-08-20 2012-06-06 ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング 棘突起間プロテーゼ
DE50114037D1 (de) * 2001-08-24 2008-07-31 Zimmer Gmbh Künstliche Bandscheibe
US6736815B2 (en) 2001-09-06 2004-05-18 Core Medical, Inc. Apparatus and methods for treating spinal discs
JP4539900B2 (ja) 2001-09-12 2010-09-08 Hoya株式会社 環軸椎固定用スペーサ
US6652533B2 (en) 2001-09-20 2003-11-25 Depuy Acromed, Inc. Medical inserter tool with slaphammer
US20030114853A1 (en) 2001-10-12 2003-06-19 Ian Burgess Polyaxial cross connector
WO2003037230A2 (de) 2001-10-29 2003-05-08 Waldemar Link (Gmbh & Co.) Instrumentarium zum einsetzen einer zwischenwirbelprothese
US7008431B2 (en) 2001-10-30 2006-03-07 Depuy Spine, Inc. Configured and sized cannula
FR2832917B1 (fr) * 2001-11-30 2004-09-24 Spine Next Sa Implant intervertebral a cale elastiquement deformable
US6572653B1 (en) 2001-12-07 2003-06-03 Rush E. Simonson Vertebral implant adapted for posterior insertion
EP1465538A4 (en) 2001-12-13 2008-04-23 Warsaw Orthopedic Inc INSTRUMENT AND METHOD FOR PROVIDING AN IMPLANT IN AN INTERVERTEBRAL SPACE
US6656155B2 (en) * 2001-12-17 2003-12-02 Scimed Life Systems, Inc. Catheter for endoluminal delivery of therapeutic agents that minimizes loss of therapeutic
US20030120328A1 (en) 2001-12-21 2003-06-26 Transneuronix, Inc. Medical implant device for electrostimulation using discrete micro-electrodes
AU2002360783A1 (en) 2001-12-27 2003-07-24 Osteotech Inc. Orthopedic/neurosurgical system and method for securing vertebral bone facets
FR2835173B1 (fr) 2002-01-28 2004-11-05 Biomet Merck France Implant vertebral inter-epineux
US6733534B2 (en) * 2002-01-29 2004-05-11 Sdgi Holdings, Inc. System and method for spine spacing
US6923830B2 (en) * 2002-02-02 2005-08-02 Gary K. Michelson Spinal fusion implant having deployable bone engaging projections
JP3708883B2 (ja) 2002-02-08 2005-10-19 昭和医科工業株式会社 椎体間隔保持具
US20040106927A1 (en) 2002-03-01 2004-06-03 Ruffner Brian M. Vertebral distractor
US6669729B2 (en) 2002-03-08 2003-12-30 Kingsley Richard Chin Apparatus and method for the replacement of posterior vertebral elements
US6808538B2 (en) 2002-03-15 2004-10-26 Stryker Spine Vertebral body spacer having variable wedged endplates
EP1346708A1 (en) * 2002-03-20 2003-09-24 A-Spine Holding Group Corp. Three-hooked device for fixing spinal column
DE60334897D1 (de) 2002-03-30 2010-12-23 Infinity Orthopaedics Co Ltd Medizinische Intervertebrale Vorrichtung
JP4388468B2 (ja) 2002-05-06 2009-12-24 ウォーソー・オーソペディック・インコーポレーテッド 隣接する椎骨を離すための器具
US7048736B2 (en) 2002-05-17 2006-05-23 Sdgi Holdings, Inc. Device for fixation of spinous processes
US20030220643A1 (en) 2002-05-24 2003-11-27 Ferree Bret A. Devices to prevent spinal extension
US7087055B2 (en) 2002-06-25 2006-08-08 Sdgi Holdings, Inc. Minimally invasive expanding spacer and method
US8317798B2 (en) 2002-06-25 2012-11-27 Warsaw Orthopedic Minimally invasive expanding spacer and method
US7070598B2 (en) 2002-06-25 2006-07-04 Sdgi Holdings, Inc. Minimally invasive expanding spacer and method
US20040010312A1 (en) * 2002-07-09 2004-01-15 Albert Enayati Intervertebral prosthesis
US20040087947A1 (en) 2002-08-28 2004-05-06 Roy Lim Minimally invasive expanding spacer and method
FR2844179B1 (fr) 2002-09-10 2004-12-03 Jean Taylor Ensemble de soutien vertebral posterieur
CA2499183A1 (en) 2002-09-20 2004-04-01 Sdgi Holdings, Inc. Instrument and method for extraction of an implant
US7063725B2 (en) 2002-10-21 2006-06-20 Sdgi Holdings, Inc. Systems and techniques for restoring and maintaining intervertebral anatomy
US7833246B2 (en) 2002-10-29 2010-11-16 Kyphon SÀRL Interspinous process and sacrum implant and method
US20060064165A1 (en) * 2004-09-23 2006-03-23 St. Francis Medical Technologies, Inc. Interspinous process implant including a binder and method of implantation
US7549999B2 (en) * 2003-05-22 2009-06-23 Kyphon Sarl Interspinous process distraction implant and method of implantation
US7931674B2 (en) 2005-03-21 2011-04-26 Kyphon Sarl Interspinous process implant having deployable wing and method of implantation
EP3222231A1 (en) 2002-10-30 2017-09-27 Zimmer Spine, Inc. Spinal stabilization system insertion
US6723126B1 (en) * 2002-11-01 2004-04-20 Sdgi Holdings, Inc. Laterally expandable cage
US6685742B1 (en) * 2002-11-12 2004-02-03 Roger P. Jackson Articulated anterior expandable spinal fusion cage system
US6733533B1 (en) 2002-11-19 2004-05-11 Zimmer Technology, Inc. Artificial spinal disc
WO2004047689A1 (en) 2002-11-21 2004-06-10 Sdgi Holdings, Inc. Systems and techniques for intravertebral spinal stablization with expandable devices
JP2006510400A (ja) 2002-11-21 2006-03-30 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 拡張可能デバイスを用いた椎体間の脊椎安定化のためのシステムおよび手法
FR2850009B1 (fr) 2003-01-20 2005-12-23 Spine Next Sa Ensemble de traitement de la degenerescence d'un disque intervertebral
US20040186577A1 (en) 2003-01-29 2004-09-23 Ferree Bret A. In situ artificaial disc replacements and other prosthetic components
US7335203B2 (en) * 2003-02-12 2008-02-26 Kyphon Inc. System and method for immobilizing adjacent spinous processes
FR2851154B1 (fr) 2003-02-19 2006-07-07 Sdgi Holding Inc Dispositif inter-epineux pour freiner les mouvements de deux vertebres successives, et procede de fabrication d'un coussin lui etant destine
WO2004080356A2 (en) * 2003-03-07 2004-09-23 Smart Disc, Inc. Spinal implant with securement spikes
US7824444B2 (en) 2003-03-20 2010-11-02 Spineco, Inc. Expandable spherical spinal implant
ITFI20030084A1 (it) 2003-03-28 2004-09-29 Cousin Biotech S A S Protesi vertebrale interlaminare
EP1620019B1 (en) * 2003-05-08 2018-10-31 Covidien LP Balloon dissector with balloon anchor cannula
KR101089581B1 (ko) 2003-05-27 2011-12-05 호야 가부시키가이샤 수술기구
KR20050004526A (ko) 2003-07-02 2005-01-12 김현집 디스크 치료용 보형물 및 그 보형물 시술방법
US20050015140A1 (en) * 2003-07-14 2005-01-20 Debeer Nicholas Encapsulation device and methods of use
KR100582768B1 (ko) 2003-07-24 2006-05-23 최병관 척추 가시돌기 삽입용 보철물
US6958077B2 (en) 2003-07-29 2005-10-25 Loubert Suddaby Inflatable nuclear prosthesis
CN2638760Y (zh) 2003-08-04 2004-09-08 邹德威 用于在椎体中形成空腔的扩张器
US7377942B2 (en) * 2003-08-06 2008-05-27 Warsaw Orthopedic, Inc. Posterior elements motion restoring device
US7252673B2 (en) 2003-09-10 2007-08-07 Warsaw Orthopedic, Inc. Devices and methods for inserting spinal implants
US7905840B2 (en) 2003-10-17 2011-03-15 Nuvasive, Inc. Surgical access system and related methods
US6857343B1 (en) 2003-09-30 2005-02-22 Codman & Shurtleff, Inc. Spring-loaded threaded fastener holder
US20050085814A1 (en) * 2003-10-21 2005-04-21 Sherman Michael C. Dynamizable orthopedic implants and their use in treating bone defects
US20050090824A1 (en) 2003-10-22 2005-04-28 Endius Incorporated Method and surgical tool for inserting a longitudinal member
PL1675513T3 (pl) 2003-10-24 2013-09-30 Cousin Biotech S A S Podpora między-płytkowa
ATE363250T1 (de) * 2003-11-07 2007-06-15 Impliant Ltd Wirbelsäulenprothesen
WO2005048856A1 (en) 2003-11-10 2005-06-02 Umc Utrecht Holding B.V. Expandable implant for treating fractured and/or collapsed bone
US7341587B2 (en) 2003-11-20 2008-03-11 Warsaw Orthopedic, Inc. Methods and devices for inserting and engaging vertebral implants in minimally invasive procedures
US7217293B2 (en) 2003-11-21 2007-05-15 Warsaw Orthopedic, Inc. Expandable spinal implant
WO2005072301A2 (en) 2004-01-26 2005-08-11 Reiley Mark A Percutaneous spine distraction implant systems and methods
US7641664B2 (en) 2004-02-12 2010-01-05 Warsaw Orthopedic, Inc. Surgical instrumentation and method for treatment of a spinal structure
GB0405059D0 (en) 2004-03-05 2004-04-07 Benoist Girard Sas Prosthetic acetabular cup inserter
US8636802B2 (en) 2004-03-06 2014-01-28 DePuy Synthes Products, LLC Dynamized interspinal implant
US7763073B2 (en) 2004-03-09 2010-07-27 Depuy Spine, Inc. Posterior process dynamic spacer
US7458981B2 (en) 2004-03-09 2008-12-02 The Board Of Trustees Of The Leland Stanford Junior University Spinal implant and method for restricting spinal flexion
DE102004011685A1 (de) 2004-03-09 2005-09-29 Biedermann Motech Gmbh Stabförmiges Element für die Anwendung in der Wirbelsäulen- oder Unfallchirurgie und Stabilisierungseinrichtung mit einem solchen stabförmigen Element
US7507241B2 (en) 2004-04-05 2009-03-24 Expanding Orthopedics Inc. Expandable bone device
US7524324B2 (en) 2004-04-28 2009-04-28 Kyphon Sarl System and method for an interspinous process implant as a supplement to a spine stabilization implant
FR2870107B1 (fr) 2004-05-11 2007-07-27 Spine Next Sa Dispositif autobloquant de fixation d'un implant intervertebral
JP4382092B2 (ja) 2004-05-17 2009-12-09 ウリドル スパイン ヘルス インスティチュート シーオー. 脊椎間挿入体
US7585316B2 (en) 2004-05-21 2009-09-08 Warsaw Orthopedic, Inc. Interspinous spacer
US7344564B2 (en) 2004-06-08 2008-03-18 Spinal Generations, Llc Expandable spinal stabilization device
FR2871366A1 (fr) * 2004-06-09 2005-12-16 Ceravic Soc Par Actions Simpli Implant expansible prothetique osseux
US20050277934A1 (en) 2004-06-10 2005-12-15 Vardiman Arnold B Rod delivery device and method
JP2008504895A (ja) * 2004-06-29 2008-02-21 スパイン・ウェイブ・インコーポレーテッド 椎間板の欠陥及び損傷を治療する方法
US7776091B2 (en) * 2004-06-30 2010-08-17 Depuy Spine, Inc. Adjustable posterior spinal column positioner
US20060015181A1 (en) * 2004-07-19 2006-01-19 Biomet Merck France (50% Interest) Interspinous vertebral implant
US7462182B2 (en) 2004-08-10 2008-12-09 Warsaw Orthopedic, Inc. Reducing instrument for spinal surgery
EP1796599B1 (de) 2004-08-13 2008-09-10 Synthes GmbH Interspinales implantat
US7763053B2 (en) * 2004-08-30 2010-07-27 Gordon Jeffrey D Implant for correction of spinal deformity
WO2006041963A2 (en) 2004-10-05 2006-04-20 Abdou M S Devices and methods for inter-vertebral orthopedic device placement
US20060085073A1 (en) 2004-10-18 2006-04-20 Kamshad Raiszadeh Medical device systems for 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
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
US8012207B2 (en) 2004-10-20 2011-09-06 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization 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
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
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. 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
US8162985B2 (en) 2004-10-20 2012-04-24 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
US20060265074A1 (en) 2004-10-21 2006-11-23 Manoj Krishna Posterior spinal arthroplasty-development of a new posteriorly inserted artificial disc, a new anteriorly inserted artifical disc and an artificial facet joint
US7918875B2 (en) 2004-10-25 2011-04-05 Lanx, Inc. Interspinous distraction devices and associated methods of insertion
US9055981B2 (en) 2004-10-25 2015-06-16 Lanx, Inc. Spinal implants and methods
US8241330B2 (en) 2007-01-11 2012-08-14 Lanx, Inc. Spinous process implants and associated methods
WO2006047562A2 (en) 2004-10-25 2006-05-04 Lins Robert E Interspinous distraction devices and associated methods of insertion
US20060095136A1 (en) 2004-11-03 2006-05-04 Mcluen Design, Inc. Bone fusion device
US20060106381A1 (en) 2004-11-18 2006-05-18 Ferree Bret A Methods and apparatus for treating spinal stenosis
WO2006058221A2 (en) 2004-11-24 2006-06-01 Abdou Samy M Devices and methods for inter-vertebral orthopedic device placement
US7655044B2 (en) 2004-12-13 2010-02-02 Depuy Spine, Inc. Artificial facet joint device having a compression spring
US8403959B2 (en) 2004-12-16 2013-03-26 Med-Titan Spine Gmbh Implant for the treatment of lumbar spinal canal stenosis
US20060142858A1 (en) 2004-12-16 2006-06-29 Dennis Colleran Expandable implants for spinal disc replacement
US20060149242A1 (en) 2004-12-17 2006-07-06 Gary Kraus Spinal stabilization systems supplemented with diagnostically opaque materials
US20060149136A1 (en) * 2004-12-22 2006-07-06 Kyphon Inc. Elongating balloon device and method for soft tissue expansion
DE102005005694A1 (de) 2005-02-08 2006-08-17 Henning Kloss Dornfortsatzspreizer
US20060195102A1 (en) 2005-02-17 2006-08-31 Malandain Hugues F Apparatus and method for treatment of spinal conditions
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US7998174B2 (en) * 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US20060184248A1 (en) 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
CN101573086A (zh) * 2005-02-17 2009-11-04 尼卡斯特有限公司 可膨胀医疗设备
US20070276493A1 (en) 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous spinal implants and methods
US7927354B2 (en) * 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US8038698B2 (en) 2005-02-17 2011-10-18 Kphon Sarl Percutaneous spinal implants and methods
US7611316B2 (en) 2005-02-17 2009-11-03 Illinois Tool Works Inc. Heavy duty toggle bolt fastener for accommodating long screws and having properly positioned toggle nut component
US8100943B2 (en) * 2005-02-17 2012-01-24 Kyphon Sarl Percutaneous spinal implants and methods
US8066742B2 (en) 2005-03-31 2011-11-29 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US20060241757A1 (en) 2005-03-31 2006-10-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
EP1863415A4 (en) 2005-03-31 2012-04-04 Life Spine Inc EXPANDED INTERCORPORAL AND INTERVERTEBRAL SPINAL BODY DEVICES
FR2884136B1 (fr) 2005-04-08 2008-02-22 Spinevision Sa Implant chirurgical intervertebral formant rotule
CN103479419B (zh) 2005-04-08 2017-04-12 帕拉迪格脊骨有限责任公司 棘突间脊椎和腰骶稳定装置及使用方法
US7402168B2 (en) * 2005-04-11 2008-07-22 Xtent, Inc. Custom-length stent delivery system with independently operable expansion elements
US7780709B2 (en) 2005-04-12 2010-08-24 Warsaw Orthopedic, Inc. Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment
US7575580B2 (en) 2005-04-15 2009-08-18 Warsaw Orthopedic, Inc. Instruments, implants and methods for positioning implants into a spinal disc space
US7789898B2 (en) 2005-04-15 2010-09-07 Warsaw Orthopedic, Inc. Transverse process/laminar spacer
US9237908B2 (en) 2005-04-21 2016-01-19 Spine Wave, Inc. Dynamic stabilization system for the spine
US7727233B2 (en) 2005-04-29 2010-06-01 Warsaw Orthopedic, Inc. Spinous process stabilization devices and methods
US20060247623A1 (en) 2005-04-29 2006-11-02 Sdgi Holdings, Inc. Local delivery of an active agent from an orthopedic implant
US7951169B2 (en) 2005-06-10 2011-05-31 Depuy Spine, Inc. Posterior dynamic stabilization cross connectors
US7837688B2 (en) 2005-06-13 2010-11-23 Globus Medical Spinous process spacer
US7442210B2 (en) 2005-06-15 2008-10-28 Jerome Segal Mechanical apparatus and method for artificial disc replacement
US20070005064A1 (en) * 2005-06-27 2007-01-04 Sdgi Holdings Intervertebral prosthetic device for spinal stabilization and method of implanting same
FR2887434B1 (fr) 2005-06-28 2008-03-28 Jean Taylor Materiel de traitement chirurgical de deux vertebres
US7383639B2 (en) * 2005-07-12 2008-06-10 Medtronic Spine Llc Measurement instrument for percutaneous surgery
FR2889438B1 (fr) * 2005-08-04 2008-06-06 Scient X Sa Implant intervertebral a double forme
US7753938B2 (en) * 2005-08-05 2010-07-13 Synthes Usa, Llc Apparatus for treating spinal stenosis
EP1968465A1 (en) 2005-09-21 2008-09-17 Sintea Biotech S.p.A. Device, kit and method for intervertebral stabilization
US20080183209A1 (en) 2005-09-23 2008-07-31 Spinal Kinetics, Inc. Spinal Stabilization Device
US7879074B2 (en) * 2005-09-27 2011-02-01 Depuy Spine, Inc. Posterior dynamic stabilization systems and methods
US7604652B2 (en) 2005-10-11 2009-10-20 Impliant Ltd. Spinal prosthesis
US8357181B2 (en) 2005-10-27 2013-01-22 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
WO2007052975A1 (en) 2005-11-03 2007-05-10 Dong-Kyu Chin Fixing device for spinous process
US7862591B2 (en) 2005-11-10 2011-01-04 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US7998173B2 (en) 2005-11-22 2011-08-16 Richard Perkins Adjustable spinous process spacer device and method of treating spinal stenosis
JP2009525060A (ja) 2005-12-06 2009-07-09 グローバス メディカル インコーポレイティッド 椎間関節プロテーゼ
US7942847B2 (en) * 2005-12-16 2011-05-17 Interface Associates, Inc. Multi-layer balloons for medical applications and methods for manufacturing the same
US7699894B2 (en) * 2005-12-22 2010-04-20 Depuy Spine, Inc. Nucleus pulposus trial device and technique
US20070173822A1 (en) 2006-01-13 2007-07-26 Sdgi Holdings, Inc. Use of a posterior dynamic stabilization system with an intradiscal device
US20070173823A1 (en) 2006-01-18 2007-07-26 Sdgi Holdings, Inc. Intervertebral prosthetic device for spinal stabilization and method of implanting same
US8083795B2 (en) 2006-01-18 2011-12-27 Warsaw Orthopedic, Inc. Intervertebral prosthetic device for spinal stabilization and method of manufacturing same
US20070233084A1 (en) 2006-01-25 2007-10-04 Spinemedica Corporation Implantable spinous process prosthetic devices, including cuffs, and methods of fabricating same
US7682376B2 (en) 2006-01-27 2010-03-23 Warsaw Orthopedic, Inc. Interspinous devices and methods of use
US7691130B2 (en) 2006-01-27 2010-04-06 Warsaw Orthopedic, Inc. Spinal implants including a sensor and methods of use
US20070233088A1 (en) 2006-01-27 2007-10-04 Edmond Elizabeth W Pedicle and non-pedicle based interspinous and lateral spacers
US20070191838A1 (en) 2006-01-27 2007-08-16 Sdgi Holdings, Inc. Interspinous devices and methods of use
US7837711B2 (en) 2006-01-27 2010-11-23 Warsaw Orthopedic, Inc. Artificial spinous process for the sacrum and methods of use
US20070233089A1 (en) 2006-02-17 2007-10-04 Endius, Inc. Systems and methods for reducing adjacent level disc disease
US20070233068A1 (en) 2006-02-22 2007-10-04 Sdgi Holdings, Inc. Intervertebral prosthetic assembly for spinal stabilization and method of implanting same
US8262698B2 (en) 2006-03-16 2012-09-11 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US20070225810A1 (en) 2006-03-23 2007-09-27 Dennis Colleran Flexible cage spinal implant
US7985246B2 (en) 2006-03-31 2011-07-26 Warsaw Orthopedic, Inc. Methods and instruments for delivering interspinous process spacers
US20070270874A1 (en) 2006-04-24 2007-11-22 Sdgi Holdings, Inc. Surgical distraction device and procedure
US8118844B2 (en) 2006-04-24 2012-02-21 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US20070270823A1 (en) 2006-04-28 2007-11-22 Sdgi Holdings, Inc. Multi-chamber expandable interspinous process brace
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
US7846185B2 (en) 2006-04-28 2010-12-07 Warsaw Orthopedic, Inc. Expandable interspinous process implant and method of installing same
US8105357B2 (en) 2006-04-28 2012-01-31 Warsaw Orthopedic, Inc. Interspinous process brace
US20070270824A1 (en) 2006-04-28 2007-11-22 Warsaw Orthopedic, Inc. Interspinous process brace
US8348978B2 (en) 2006-04-28 2013-01-08 Warsaw Orthopedic, Inc. Interosteotic implant
US8062337B2 (en) 2006-05-04 2011-11-22 Warsaw Orthopedic, Inc. Expandable device for insertion between anatomical structures and a procedure utilizing same
US20070276497A1 (en) 2006-05-23 2007-11-29 Sdgi Holdings. Inc. Surgical spacer
US8147517B2 (en) 2006-05-23 2012-04-03 Warsaw Orthopedic, Inc. Systems and methods for adjusting properties of a spinal implant
US20070276496A1 (en) 2006-05-23 2007-11-29 Sdgi Holdings, Inc. Surgical spacer with shape control
US20070272259A1 (en) 2006-05-23 2007-11-29 Sdgi Holdings, Inc. Surgical procedure for inserting a device between anatomical structures
US20070276369A1 (en) 2006-05-26 2007-11-29 Sdgi Holdings, Inc. In vivo-customizable implant
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
US20080114358A1 (en) 2006-11-13 2008-05-15 Warsaw Orthopedic, Inc. Intervertebral Prosthetic Assembly for Spinal Stabilization and Method of Implanting Same
US7879104B2 (en) 2006-11-15 2011-02-01 Warsaw Orthopedic, Inc. Spinal implant system
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
US20080271360A1 (en) 2006-11-28 2008-11-06 Troy Barfield Device for holding fish
DE202006018978U1 (de) 2006-12-08 2007-02-15 Aesculap Ag & Co. Kg Implantat und Implantatsystem
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
US9192397B2 (en) * 2006-12-15 2015-11-24 Gmedelaware 2 Llc Devices and methods for fracture reduction
US20080161929A1 (en) * 2006-12-29 2008-07-03 Mccormack Bruce Cervical distraction device
US20080167685A1 (en) 2007-01-05 2008-07-10 Warsaw Orthopedic, Inc. System and Method For Percutanously Curing An Implantable Device
US9265532B2 (en) 2007-01-11 2016-02-23 Lanx, Inc. Interspinous implants and methods
US8382801B2 (en) 2007-01-11 2013-02-26 Lanx, Inc. Spinous process implants, instruments, and methods
US8435268B2 (en) 2007-01-19 2013-05-07 Reduction Technologies, Inc. Systems, devices and methods for the correction of spinal deformities
US8568453B2 (en) 2007-01-29 2013-10-29 Samy Abdou Spinal stabilization systems and methods of use
US20080183218A1 (en) 2007-01-31 2008-07-31 Nuvasive, Inc. System and Methods for Spinous Process Fusion
US8034081B2 (en) 2007-02-06 2011-10-11 CollabComl, LLC Interspinous dynamic stabilization implant and method of implanting
US9545267B2 (en) 2007-03-26 2017-01-17 Globus Medical, Inc. Lateral spinous process spacer
CA2684461C (en) 2007-04-16 2015-06-30 Vertiflex Inc. Interspinous spacer
US7799058B2 (en) 2007-04-19 2010-09-21 Zimmer Gmbh Interspinous spacer
US7822465B2 (en) 2007-04-25 2010-10-26 Warsaw Orthopedic, Inc. Device and method for image-based device performance measurement
US8142479B2 (en) 2007-05-01 2012-03-27 Spinal Simplicity Llc Interspinous process implants having deployable engagement arms
US8840646B2 (en) 2007-05-10 2014-09-23 Warsaw Orthopedic, Inc. Spinous process implants and methods
US20080281361A1 (en) 2007-05-10 2008-11-13 Shannon Marlece Vittur Posterior stabilization and spinous process systems and methods
US8348976B2 (en) * 2007-08-27 2013-01-08 Kyphon Sarl Spinous-process implants and methods of using the same
WO2009036156A1 (en) 2007-09-14 2009-03-19 Synthes Usa, Llc Interspinous spacer
US8551171B2 (en) 2007-10-12 2013-10-08 Globus Medical, Inc. Methods of stabilizing the sacroiliac joint
US20090105773A1 (en) 2007-10-23 2009-04-23 Warsaw Orthopedic, Inc. Method and apparatus for insertion of an interspinous process device
WO2009083276A1 (en) 2008-01-03 2009-07-09 Andrea Fontanella Percutaneous interspinous process spacer
ITPI20080010A1 (it) 2008-02-07 2009-08-08 Giuseppe Calvosa Distrattore vertebrale interspinoso per inserimento percutaneo
TW200938157A (en) 2008-03-11 2009-09-16 Fong-Ying Chuang Interspinous spine fixing device
US8114136B2 (en) 2008-03-18 2012-02-14 Warsaw Orthopedic, Inc. Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment
JP2011517595A (ja) 2008-04-14 2011-06-16 ジョセフ ギンズバーグ,ハワード 棘状突起の安定化装置および方法
US8361152B2 (en) * 2008-06-06 2013-01-29 Providence Medical Technology, Inc. Facet joint implants and delivery tools
EP2430995B1 (en) 2008-08-08 2016-03-30 Alphatec Spine, Inc. Spinous process device
CN102164552A (zh) 2008-08-13 2011-08-24 斯恩蒂斯有限公司 棘突间间隔件组件
US8317831B2 (en) * 2010-01-13 2012-11-27 Kyphon Sarl Interspinous process spacer diagnostic balloon catheter and methods of use

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5330429A (en) * 1989-05-09 1994-07-19 Toray Industries, Inc. Catheter with a balloon reinforced with composite yarn
US20080058934A1 (en) * 2005-02-17 2008-03-06 Malandain Hugues F Percutaneous spinal implants and methods
WO2009149079A1 (en) * 2008-06-02 2009-12-10 Synthes Usa, Llc Inflatable interspinous spacer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108697416A (zh) * 2015-10-05 2018-10-23 Bvw控股公司 包括微结构化表面的低法向力牵开器械

Also Published As

Publication number Publication date
EP2361576A1 (en) 2011-08-31
JP2011177509A (ja) 2011-09-15
KR20110098684A (ko) 2011-09-01
US20110213301A1 (en) 2011-09-01
US8147526B2 (en) 2012-04-03
AU2011200640A1 (en) 2011-09-15
US20120136393A1 (en) 2012-05-31
US8840617B2 (en) 2014-09-23

Similar Documents

Publication Publication Date Title
CN102166130A (zh) 椎管间撑开器诊断平行气囊导管和使用方法
US20220323054A1 (en) Methods and apparatus for joint distraction
US9168072B2 (en) Inflatable interspinous spacer
US6616673B1 (en) Segmented joint distractor
US20230012760A1 (en) Surgical probe incorporating a dilator
US8057513B2 (en) Percutaneous spinal implants and methods
US7985246B2 (en) Methods and instruments for delivering interspinous process spacers
US8177813B2 (en) Expandable spinal spacer
US20090118833A1 (en) In-situ curable interspinous process spacer
US8814908B2 (en) Injectable flexible interspinous process device system
US20130238038A1 (en) Angled inflatable composite balloon and method
US10478240B2 (en) Device for performing a surgical procedure and methods of use
US9254157B2 (en) Bone fracture reduction device and methods using same
US20120191193A1 (en) Interbody implant system and methods of use
US8317831B2 (en) Interspinous process spacer diagnostic balloon catheter and methods of use
US20060206182A1 (en) Apparatus and method for displacing tissue obstructions
US20160278822A1 (en) Surgical injection system and method
US10368931B2 (en) Spacer, implant assembly including the same, manufacturing method of spacer, and surgical method for spacer indwelling
CN103705322A (zh) 间隔件以及扩张设备
US20240032976A1 (en) Methods, systems, and devices for the treatment of stenosis
JP2013188433A (ja) インプラント留置装置及びインプラント拡張システム
JP2016532479A (ja) バルーン補助による椎骨補強システム

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C10 Entry into substantive examination
SE01 Entry into force of request for substantive examination
C02 Deemed withdrawal of patent application after publication (patent law 2001)
WD01 Invention patent application deemed withdrawn after publication

Application publication date: 20110831