WO2000035388A1 - System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefor - Google Patents
System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefor Download PDFInfo
- Publication number
- WO2000035388A1 WO2000035388A1 PCT/US1999/015340 US9915340W WO0035388A1 WO 2000035388 A1 WO2000035388 A1 WO 2000035388A1 US 9915340 W US9915340 W US 9915340W WO 0035388 A1 WO0035388 A1 WO 0035388A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- insert
- end portion
- expandable
- expandable insert
- expansion
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
- A61F2/446—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
- A61B17/888—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit the driver bit acting on the central region of the screw head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30138—Convex polygonal shapes
- A61F2002/30154—Convex polygonal shapes square
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/30199—Three-dimensional shapes
- A61F2002/30224—Three-dimensional shapes cylindrical
- A61F2002/30235—Three-dimensional shapes cylindrical tubular, e.g. sleeves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
- A61F2002/30408—Conical threadings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
- A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30579—Special structural features of bone or joint prostheses not otherwise provided for with mechanically expandable devices, e.g. fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30594—Special structural features of bone or joint prostheses not otherwise provided for slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30617—Visible markings for adjusting, locating or measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30706—Features concerning an interaction with the environment or a particular use of the prosthesis specially designed for children, e.g. having means for adjusting to their growth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30795—Blind bores, e.g. of circular cross-section
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30795—Blind bores, e.g. of circular cross-section
- A61F2002/30797—Blind bores, e.g. of circular cross-section internally-threaded
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
- A61F2002/30858—Threads interrupted by grooves or sidewalls, e.g. flat sidewalls
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/3085—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
- A61F2002/30863—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface the entry end surface having flutes, relief grooves, starter notches or bevelled indentations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2002/4635—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor using minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- 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
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4637—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for connecting or disconnecting two parts of a prosthesis
- A61F2002/4638—Tools for performing screwing, e.g. nut or screwdrivers, or particular adaptations therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
- A61F2230/0021—Angular shapes square
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0082—Additional features; Implant or prostheses properties not otherwise provided for specially designed for children, e.g. having means for adjusting to their growth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0097—Visible markings, e.g. indicia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
- Y10S623/902—Method of implanting
- Y10S623/908—Bone
Definitions
- This invention relates generally to medical devices and more specifically to intervertebral disk stabilization systems and methods of stabilizing the spine of living beings.
- some devices are prostheses, e.g., plates or other structures, formed of rigid materials of fixed sizes and volumes capable of being fastened, e.g., bolted, to the bony structure of vertebral column anteriorly and/or posteriorly through bores excavated in those vertebrae involved.
- the fasteners used in such devices or systems are commonly referred to as cortical bolts or medullary bolts, depending upon the type of thread of the bolt.
- parts of human bone from the patient himself/herself, or from bone banks or dehydrated human bone is used to aid in securing the prosthesis to the bony structure(s) of the vertebrae.
- traction exerted by movement of the patient may cause partial or 2 total detachment of one or more of the bone fixation bolts, which action may also result in the formation of traumatic lesions to adjacent anatomic structures and/or instability of part or all of the fixation system.
- spine stabilization or fixation devices of the patent literature may be generally suitable for their intended purposes, they still leave much to be desired from the standpoints of ease of use and effectiveness.
- some prior art spine fixation devices require excision of the anterior and/or posterior longitudinal ligaments, thereby destabilizing the spine.
- these systems require some mechanical means to fuse or fix the adjacent vertebrae to each other, e.g., removal or drilling of the bone to secure the device in position with respect to each vertebra with some type of mechanical bridge therebetween.
- fixation devices make use of hollow or apertured implants designed to be packed with bone chips or particles and placed into excavations through the exterior, hard cortical bone, into the soft interior cancel lous bone of opposed vertebrae to facilitate the ingrowth of bone into the implant and thus fuse the two vertebrae together.
- This type of fixation device may be prone to damage the immediately adjacent vertebrae due to compressive forces thereon.
- a system for stabilizing the vertebral column of a living being includes a variable expansion device and a deployment system for deploying the device.
- the stabilizing device basically comprises an expandable insert and an expansion insert.
- the expandable insert comprises a hollow cylindrical body having a longitudinal axis, an proximal end portion and a distal end portion. The proximal end portion has a pair of slots extending therethrough generally parallel to the longitudinal axis of the expandable insert.
- the slots extend partially into the distal end portion of the expandable insert.
- the distal end portion and at least a portion of the proximal end portion of the expandable insert have an outer surface about which an external, helical, self-tapping thread extends.
- the distal end portion and the at least a portion of the proximal end portion of the expandable insert are of a sufficient size to be screwed into the intervertebral space between the superior and inferior vertebrae, to an operative position and orientation. In the operative position and orientation the expandable insert is located at a desired depth within the intervertebral space and its slots are oriented in a plane generally perpendicular to the portion of the longitudinal axis of the being's vertebral column between the superior and inferior vertebrae.
- the self-tapping thread of the expandable insert is a sufficient height to cut into the cortical bone of the superior and inferior vertebrae contiguous to the intervertebral space, but not substantially into the cancellous bone.
- the proximal end portion of the expandable insert has an internally threaded, e.g., fine threaded, bore extending through it and into and through at least a portion of the distal end portion of the expandable insert.
- the internally threaded bore communicates with the slots in the expandable insert.
- the expansion insert has an externally threaded outer surface and is arranged to be screwed into the internally threaded bore in the proximal end portion of the expandable insert when the expandable insert is in the desired position and orientation.
- the outer surface of the expansion insert is tapered from the proximal end to the distal end.
- the deployment system in the preferred embodiment comprises two tools which are arranged to cooperate with each other.
- a first one of the tools has portion, e.g., an elongated hollow shaft having a pair of extending fingers, adapted to fit into at least one of the slots in the expansion insert to enable the tool to screw the expandable insert to the desired depth and orientation in the intervertebral space between the superior and inferior vertebrae and to hold it in the desired orientation at that depth.
- the second tool e.g., an elongated rod-like shaft arranged to extend through the hollow interior of the first tool, has a working end, e.g., a square head, adapted to engage a portion, e.g., a square slot, of the expansion insert to screw the expansion into the threaded bore in the proximal end portion of the expandable insert to cause the slots to spread apart, whereupon the device stabilizes the being's vertebral column.
- a working end e.g., a square head
- Fig.1 is an exploded isometric view of a vertebral column stabilizing device forming a portion of a system constructed in accordance with one preferred embodiment of the invention
- Fig. 2 is a reduced side elevational view of one tool of the system of this invention and which is arranged to insert an expandable insert forming a portion of the device shown in Fig. 1 ;
- Fig. 3 is a reduced top elevational view of the tool shown in Fig. 2;
- Fig. 4 is a reduced side elevational view of another tool of the system of this invention and which is arranged to insert an expansion insert, also forming a portion of the device of Fig. 1 , into the expandable insert of Fig. 1 ;
- Fig. 5 is a greatly enlarged view taken along line 5 - 5 of Fig. 3;
- Fig. 6A is a side elevational view of the expandable insert of Fig. 1 :
- Fig. 6B is an end view taken along line 6B - 6B of Fig. 6A;
- Fig. 6C is an end view taken along line 6C - 6C of Fig. 6A;
- Fig. 6D is a top elevational view of the expandable insert of Fig. 6A:
- Fig. 6E is an end view taken along line 6E - 6E of Fig. 6D;
- Fig. 6F is an end view taken along line 6F - 6F of Fig. 6D;
- Fig. 7A is an enlarged side elevational view of the expansion insert of Fig. 1 :
- Fig. 7B is an end view taken along line 7B - 7B of Fig. 7A;
- Fig. 8 is an illustration showing the expandable insert of Fig. 1 being inserted into the intervertebral space between a superior vertebra and an inferior vertebra using the deployment tool shown in Figs. 2 and 4;
- Fig. 9 is an illustration showing the expansion insert of Fig. 1 being inserted into the expandable insert once the expandable insert has been positioned in the intervertebral space between a superior vertebra and an inferior vertebra using the deployment tools shown in Figs. 2 , 3 and 4;
- Fig. 10 is an illustration showing the stabilizing device in place after it has been deployed in the intervertebral space between a superior vertebra and an inferior vertebra to stabilize those vertebrae;
- Fig. 11 is an enlarged view taken along line 11-11 of Fig. 4;
- Fig. 12A is a view similar to Fig. 6C but showing an alternative expandable insert constructed in accordance with this invention to facilitate visualization of the deployment of the insert;
- Fig. 12B is a view similar to Fig. 6B but showing the alternative expandable insert constructed of Fig. 12A.
- the system 20 basically comprises a stabilization device 22 and a deployment system 24 for the device.
- the stabilization device 22 is itself composed of two components, namely, a self-tapping expandable insert 26 and an expansion insert or screw 28 (see Fig. 1 ). The details of the insert
- insert 26 is arranged to be screwed into the intervertebral space 12 between a superior vertebrae 14A and an inferior vertebrae 14B at the location to be stabilized as selected by the surgeon. Insert 26 is screwed into place by a first one of two tools making up the deployment system 24.
- the first tool of the system 24 i.e., the tool for screwing the insert into the intervertebral space 12
- the first tool 30 is designated by the reference number 30 and includes a handle 32 and an elongated hollow shaft 32.
- the distal free end of the tool 30 is arranged for engaging the expandable insert 26 and driving (i.e., screwing) it into the intervertebral space 12 to the desired depth and so that the insert is at an appropriate orientation (as will be described later).
- the second tool of the system i.e., the tool for screwing the expansion screw 28 into the insert 26, is designated by the reference number 34.
- This tool is arranged to be inserted into a passageway (to be described later) in the tool 30 and to be guided thereby to carry the threaded screw 28 into the expandable insert and to screw the threaded screw to a desired depth therein.
- the structural details of both tools 30 and 34 will be described later.
- the expandable insert 26 basically comprises a cylindrical member or body having a distal end 36 and a proximal end 38.
- a threaded, cylindrical bore 40 extends into the member from the proximal end 38 to a point close to the distal end 36.
- the bore is centered about the central longitudinal axis of the insert.
- a pair of slots 42 and 44 are cut into the sidewall of the insert at diametrically opposed locations at the proximal end of the insert and communicate with the threaded bore 40.
- the slots extend from the proximal end 38 to a point close to the distal end 36 and are coplanar and centered about the central longitudinal axis of the insert.
- a self-tapping helical thread 46 extends about the periphery of the cylindrical outer surface 48 of the expandable member. The helical thread is interrupted at each slot. The helical thread tapers from its root, i.e., the cylindrical outer surface 48 to its apex 50, to form a sharp, bone-cutting, self-tapping edge.
- the height (i.e., distance from the root 48 to the apex 50) of the self-tapping thread 46 is selected so that it will readily cut into the hard, cortical bone 16 of the opposed vertebrae, but not substantially into the softer, interior cancellous bone 18.
- the expandable insert 26 may be of any size consistent with the anatomy of the patient. Three particularly useful sizes are 8 mm, 9mm and 10mm, but such sizes are merely exemplary of any size insert which can be used. In any case, the outside diameter of the cylindrical portion 48 of the insert 26 is selected so that it will fit closely within the space between opposed vertebrae.
- the expansion screw 28 basically comprises a somewhat truncated, conically shaped body having a distal end 52 and a proximal end 54.
- the screw tapers linearly from its larger outside diameter proximal end to its smaller outside diameter distal end.
- a fine helical thread 56 extends about the tapering outer surface of the screw.
- the threads are of the same size and pitch as those making up the threaded bore 40 in the expandable insert 26.
- the outside diameter of the distal end 36 of the expansion screw is just slightly less than the inside diameter of the threaded bore 40 of the expandable insert to enable the distal end of the expansion screw to be introduced into the entrance to the bore and then screwed into the bore to whatever depth is desired to cause the expansion insert to spread apart, as will be described later.
- the proximal end 54 of the screw includes a square slot 58 centered on the central longitudinal axis.
- the slot 58 extends partially into the screw and is provided to receive a comparably shaped working end of the tool 34 to screw the screw 28 into the insert 26.
- the device 22 is arranged to be screwed into the intervertebral space from either the anterior or posterior (or even lateral ) side of the spinal column, depending upon the anatomic structures to be corrected and the wishes of the surgeon.
- the device is shown for insertion from the anterior aspect of the spinal column.
- the tool 30 includes a hollow handle 60 from which the heretofore identified elongated hollow shaft 32 extends.
- the distal end 62 of the shaft 32 terminates in a pair of opposed fingers or prongs 64.
- the fingers are linear members extending parallel to the longitudinal axis of the tool and are sized so that each fits into a respective one of the slots 42 and 44 in the proximal end of the expandable insert 26. This temporarily mounts the expandable insert 26 on the distal end of the tool 30.
- the tool can now be held by its handle 60 by the surgeon so that the distal end 36 of the insert 26 mounted thereon can be directed to face the intervertebral space 12 between the superior and inferior vertebrae, 14A and 14B, respectively.
- the handle 60 of the tool 30 can then be twisted in the clockwise direction while pushing inward along the longitudinal axis of the tool to cause the self- tapping threads 46 on the insert 26 to begin to cut into the hard cortical bone 16 of those vertebrae.
- a pair of sharp starter notches 66 are cut into the threads and contiguous distal end of the insert as shown in Figs. 6A, 6C, 6D and 6F. These starter notches enable the threads 46 to readily begin to cut into the cortical bone 16 when the distal end of the expandable insert 26 is screwed into the intervertebral space 12 by the rotary force imparted by the tool 30.
- inward pressure drives i.e., screws
- the threaded bore 40 in the expandable insert 26 is cylindrical and the threaded screw 28 is tapered, e.g., tapers at a 4° angle from its proximal end 54 to its distal end 56.
- the bore 40 may be tapered and the screw 28 cylindrical.
- the amount of taper between the bore and the screw can be selected to provide whatever amount of vertebral spreading is desired for any given amount of insertion of the screw within the bore.
- the screwing of the screw 28 into the threaded bore 40 of the insert 26 is best accomplished by first loading the screw 28 into the tool 30.
- the tool 30 includes the hollow shaft 32 and contiguous hollow handle 60.
- a central passageway 68 extends down the shaft and through the handle.
- the inner diameter of the passageway 68 is just slightly greater than the outside diameter of the widest portion of the screw 26, i.e., its proximal end 54.
- the screw 28 can be inserted in the passageway 68 so that its longitudinal central axis is coaxial with the central axis of the tool 30 and with the longitudinal central axis of the expandable insert 26.
- the screw 28 may be introduced into the central passageway 68 of the tool
- the screw 28 can be preloaded in the passageway 68. In either case, the screw is oriented so that its smaller diameter distal end is directed toward the free end 60 of the tool 30. As mentioned earlier, and as shown best in Figs. 7A and 7B, the proximal end
- the 54 of the screw 28 includes a square slot 58 therein to receive the working end of the tool 34. While the slot in this embodiment is shown as being square, it may be of any shape to accommodate the working end of the tool 34. In a preferred embodiment of the invention, the slot 58 tapers slightly, e.g., approximately 1 ° from the proximal end of the slot to its bottom. Other types of slots, such as a Phillips head slot, a straight slot, a Torx head slot, etc. , can be provided in the proximal end of the screw 28 to be engaged by a like shaped working end of the tool 34.
- the tool 34 like the tool 30, includes an elongated handle 72 and an elongated shaft 74 projecting from the handle. The distal end of the shaft 24 tapers downward at 76 to a square tip working end 78.
- the outside diameter of the shaft 74 of the tool 34 is slightly less than the inside diameter of the passageway 68 in the tool 30 since the shaft is arranged to be extended through that passageway while the tool 30 holds the expandable insert 26 at the desired orientation (i.e., the slots 42 and 44 being in a plane generally perpendicular to the portion of the midline or longitudinal axis "Y" of the spinal column between the superior and inferior vertebrae).
- the tool 34 can then be slid further inward through the passageway 68 until its square head 78 is received within the square slot 58 in the proximal end of the screw 28 located within the passageway 68 at the distal end thereof.
- Pushing inward on the screwdriver tool 34 while rotating it in the clockwise direction thus causes the screw 28 to enter into the threaded bore 40 in the insert 26. Continued rotation and inward pushing will drive the screw to the desired depth within the insert 26. All the while that the tool 34 is used to rotate the screw 28, the handle of the tool 30 is held stationary to ensure that the threaded insert 26 remains stationary (i.e., is not rotated) in its desired orientation. This feature is of considerable importance to maintain the slots 42 and 44 in the plane perpendicular to the midline axis Y of the patient's spine.
- the insert 26 is oriented so that not only are the plane of its slots disposed perpendicularly to the midline axis Y, but also its longitudinal axis is coincident with the "Z" axis (an axis which as shown in Figs.
- the insert 36 can be oriented so that its longitudinal central axis extends at some angle other than perpendicular to the transverse or "X" axis of the spinal column shown in Fig. 1 , so long as the slots 42 and 44 are in a plane perpendicular to the midline (Y) axis of the spine. This feature gives the surgeon considerable leeway for the angle of the insertion approach to be taken, based on the patient's particular vertebral anatomy.
- the deployment of the stabilization device 22 of this invention does not require the resection of either the anterior or posterior longitudinal ligaments.
- the surgeon has to do to deploy the device 22 from the anterior aspect is to merely temporarily displace the anterior ligament to the side or make a small incision in the ligament to access the disk.
- a small, longitudinally extending incision may be made in the ligament as an access way to the disk. This small incision should not compromise the strength of the ligament so long as it is made parallel to the longitudinal axis of the ligament.
- a small incision is then made into the annulus of the disk.
- the nucleus or a portion of the nucleus is then removed to relieve pressure on the nerve root.
- the annulus is left essentially intact. This provides additional support and cushioning for the vertebrae.
- the device 22 can be deployed into the intervertebral space 12 through the opening in the disk annulus, such as described above. Once the device is properly deployed, the tools of the deployment system 24 can be removed, allowing the anterior ligament to assume its normal shape and position. The tensioning of the anterior ligament, which results from the spreading of the adjacent vertebrae 14A and 14B, has the effect of stabilizing the spine.
- the expandable insert 26 and the screw 28 are each formed of wrought Titanium 6A 1 -4V ELI alloy.
- this material is merely exemplary of various other kinds of strong, biocompatible materials which may be utilized in the subject invention.
- the expandable insert can be made in various sizes.
- the screw can have an outer diameter, i.e., the diameter of the exterior self-tapping threads, of 8, 9 or 10 mm.
- the length of the insert can also be of any desired size, e.g., 10 mm, but should be sufficiently short so that it will not interfere with the nerve root when properly positioned.
- the thickness or width of the slots is approximately 1.9 mm and the length of the slots is approximately 8.5 mm for those exemplary inserts.
- the root 48 of the external threads 46 i.e., the outside diameter of the cylindrical body, is approximately 6 mm for the 8 mm size insert, 7 mm for the 9 mm size insert, and 8 mm for the 10 mm size insert. All of the inserts have the same self-tapping thread 46 pitch, namely, 2.75 mm.
- the threaded cylindrical bore is of the insert 26 of M-4 size.
- the expansion screw 28 is approximately 4.5 mm long.
- the square slot 58 in the proximal end of the screw 28 is approximately 1.4 mm and extends approximately 3.4 mm deep into the screw.
- the tool 30 has an elongated shaft of approximately 4.291 inches and an outside diameter of approximately .32 inch.
- the handle is approximately 3.5 inches long and .75 inches in diameter.
- the fingers 64 at the distal end of the insert driver 30 are approximately 0.3 inches long, approximately 0.09 inches wide and taper downward approximately 1 ° toward their free end.
- the width of the arch over the window 70 at the distal end of the expandable insert driver is approximately 0.1 inches wide.
- the tool 34 has an elongated shaft of approximately 7.625 inches with an outside diameter of 0.24 inches.
- the handle is approximately 3.5 inches long and approximately .75 inches in diameter.
- the shaft tapers downward to a square cross- sectional area of 1.4 mm to fit within the square slot 58 in the proximal end of the screw 28.
- the free distal end 78 of the screwdriver 34 is approximately 0.2 inches long and tapers at an angle of 1 ° to its terminus.
- the expandable insert 26 of this invention may be provided with a small opening or access port in the distal end of the expandable insert 26. This alternative embodiment of the expandable insert is shown in Fig.
- the access opening or port 82 is centered on the longitudinal axis Z and in communication with the bore 40 of the insert.
- This opening or port can also be used to facilitate endoscopic placement of the insert 26 after removal of the nucleus of the disk.
- the access opening or port should be of a sufficient size to permit the passage of an endoscope therethrough without compromising the strength or integrity of the device.
- an endoscope (not shown), either rigid or flexible, with a diameter smaller than the inside diameter of the passageway 68 in the tool and smaller than the diameter of the access port, can inserted through the passageway and through the access port in the expandable insert. This action will permit visualization of the placement of the expandable insert into the intervertebral space so that it is at the desired depth and orientation. Rotation of the tool 30 can be readily accomplished to achieve that end while the endoscope enables the surgeon to visually monitor the deployment of the expandable insert to ensure that placement of that insert avoids contact with any sensitive structures, e.g., the nerve root.
- a working channel in the endoscope could be used to effectuate irrigation and aspiration, as well as providing an access portal for the introduction of small instruments, e.g., instruments used to remove any vestiges of the nucleus which may still impinge on the nerve root.
- an access port 82 in the expandable insert 26 enables future entry and nerve decompression, without removal of the insert. To achieve that end all that is required is to gain access to the proximal end of the in-place expansion screw 28, either surgically or endoscopically. Once that has been achieved the expansion screw may be screwed out of the bore in the insert 26 by any suitable tool, e.g., the tool 34. After the expansion screw 28 has been removed the intervertebral space may be inspected and revised (if necessary), by use of an endoscope inserted through the bore 40 and communicating access port 82 in the insert 26.
- the stabilizing device of the subject system makes use of a simple expandable cylindrical member including a self- tapping thread on its outside surface and a simple expansion screw.
- the device can be placed into the intervertebral space without requiring any bone boring.
- the height of the self-tapping thread on the expandable member is selected so that it cuts into the cortical bone, but not substantially into the cancellous bone. This feature makes it particularly suitable for use on children, since it should not impede bone growth.
- the expansion screw can be screwed as deeply as desired into the threaded bore enables the user to easily control and adjust the degree of expansion of the expandable member, and hence vertebral spacing.
- the co-acting tools making up the deployment system are particularly suited for deploying the expandable insert to the desired depth and orientation.
- one of the tools also includes a passageway for the other tool to extend therethrough to screw the threaded screw into the threaded bore to the desired depth while the first tool holds the expandable insert in the desired orientation. Once the screw is at the desired position, thereby effecting the desired amount of spreading of the expandable insert, both tools may be removed, leaving the device 22 in position stabilizing the spine.
- the device being adjustable, enables varying amounts of equalization of the height of the vertebral bodies to be tailored to the specific needs of each patient. Adjustment of the device may be verified intra- operatively with X-Ray. All of this is accomplished at any portion of the vertebral column without occupying space outside the spinal column, which action could result in pain or traumatic injury to adjacent anatomic structures. Once in place the device is very stable and resistant to displacement notwithstanding movement or traction forces exerted physiologically by the patient.
- the small diameter of the device 22 and the tools for deploying it render the system of this invention particularly suitable for use in minimally invasive and endoscopic surgical techniques.
- the system of the subject invention can be deployed through a relatively small, e.g., 14 French, introducer tube like that typically used for various types of minimally invasive surgical procedures.
- the device and its deployment system can be used in conventional cut-down surgical procedures.
- the subject system enables the stabilization of the spine, the re-establishment of physiological distance between vertebral bodies and the re-establishment of normal lordotic curve of the spinal column, without requiring fusion of the two vertebrae to each other either by means of an implant into which bone material is either applied or grows, or a device which mechanically fixes the two vertebrae to each other via plates, bars, rods, etc.
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU48652/99A AU4865299A (en) | 1998-12-14 | 1999-07-07 | System for stabilizing the vertebral column including deployment instruments andvariable expansion inserts therefor |
EP99932321A EP1139931A1 (en) | 1998-12-14 | 1999-07-07 | System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefor |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BRPI9805340-0 | 1998-12-14 | ||
BRPI9805340-0A BR9805340B1 (en) | 1998-12-14 | 1998-12-14 | variable expansion insert for spinal stabilization. |
US09/348,612 US6436142B1 (en) | 1998-12-14 | 1999-07-06 | System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefor |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000035388A1 true WO2000035388A1 (en) | 2000-06-22 |
Family
ID=4071102
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1999/015340 WO2000035388A1 (en) | 1998-12-14 | 1999-07-07 | System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefor |
Country Status (6)
Country | Link |
---|---|
US (2) | US6436142B1 (en) |
EP (1) | EP1139931A1 (en) |
AR (1) | AR021620A1 (en) |
AU (1) | AU4865299A (en) |
BR (1) | BR9805340B1 (en) |
WO (1) | WO2000035388A1 (en) |
Cited By (36)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1272130A2 (en) * | 2001-02-04 | 2003-01-08 | MICHELSON, Gary Karlin | Instrumentation and method for inserting and deploying an expandable interbody spinal fusion implant |
WO2002038062A3 (en) * | 2000-11-13 | 2003-02-27 | Frank H Boehm Jr | Device and method for lumbar interbody fusion |
US6652584B2 (en) | 2000-02-04 | 2003-11-25 | Gary K. Michelson | Expandable threaded arcuate interbody spinal fusion implant with lordotic configuration during insertion |
US6666891B2 (en) | 2000-11-13 | 2003-12-23 | Frank H. Boehm, Jr. | Device and method for lumbar interbody fusion |
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 |
EP1427358A1 (en) * | 1998-09-16 | 2004-06-16 | Wesley A. Nolan | Spinal implant device |
EP1504735A2 (en) * | 2001-02-04 | 2005-02-09 | MICHELSON, Gary Karlin | Instrumentation for inserting and deploying an expandable interbody spinal fusion implant |
AU2002227293B2 (en) * | 2000-11-13 | 2005-07-21 | Frank H. Boehm Jr. | Device and method for lumbar interbody fusion |
US6962606B2 (en) | 2000-02-04 | 2005-11-08 | Gary Karlin Michelson | Expandable push-in interbody spinal fusion implant |
US6972035B2 (en) | 2000-04-19 | 2005-12-06 | Michelson Gary K | Expandable threaded arcuate interbody spinal fusion implant with cylindrical configuration during insertion |
US7128760B2 (en) | 2001-03-27 | 2006-10-31 | Warsaw Orthopedic, Inc. | Radially expanding interbody spinal fusion implants, instrumentation, and methods of insertion |
WO2010074714A3 (en) * | 2008-12-23 | 2010-08-19 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US7824431B2 (en) | 2006-12-29 | 2010-11-02 | Providence Medical Technology, Inc. | Cervical distraction method |
US8267966B2 (en) | 2008-06-06 | 2012-09-18 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
EP2498686A2 (en) * | 2009-11-10 | 2012-09-19 | Smith & Nephew, Inc. | Tissue repair devices |
US8512347B2 (en) | 2008-06-06 | 2013-08-20 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US9005288B2 (en) | 2008-01-09 | 2015-04-14 | Providence Medical Techonlogy, Inc. | Methods and apparatus for accessing and treating the facet joint |
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 |
US9333086B2 (en) | 2008-06-06 | 2016-05-10 | Providence Medical Technology, Inc. | Spinal facet cage implant |
US9381049B2 (en) | 2008-06-06 | 2016-07-05 | Providence Medical Technology, Inc. | Composite spinal facet implant with textured surfaces |
US9877840B2 (en) | 2008-09-04 | 2018-01-30 | DePuy Synthes Products, Inc. | Adjustable intervertebral implant |
CN108784814A (en) * | 2018-08-08 | 2018-11-13 | 河北医科大学第三医院 | The padded device of combined type after a kind of gonitis Tibial osteotomy |
US10201375B2 (en) | 2014-05-28 | 2019-02-12 | Providence Medical Technology, Inc. | Lateral mass fixation system |
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 |
USD887552S1 (en) | 2016-07-01 | 2020-06-16 | Providence Medical Technology, Inc. | Cervical cage |
USD911525S1 (en) | 2019-06-21 | 2021-02-23 | Providence Medical Technology, Inc. | Spinal cage |
US11065039B2 (en) | 2016-06-28 | 2021-07-20 | Providence Medical Technology, Inc. | Spinal implant and methods of using the same |
USD933230S1 (en) | 2019-04-15 | 2021-10-12 | Providence Medical Technology, Inc. | Cervical cage |
US11224521B2 (en) | 2008-06-06 | 2022-01-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
USD945621S1 (en) | 2020-02-27 | 2022-03-08 | Providence Medical Technology, Inc. | Spinal cage |
US11272964B2 (en) | 2008-06-06 | 2022-03-15 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US11648128B2 (en) | 2018-01-04 | 2023-05-16 | Providence Medical Technology, Inc. | Facet screw and delivery device |
US11871968B2 (en) | 2017-05-19 | 2024-01-16 | Providence Medical Technology, Inc. | Spinal fixation access and delivery system |
Families Citing this family (300)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2753368B1 (en) | 1996-09-13 | 1999-01-08 | Chauvin Jean Luc | EXPANSIONAL OSTEOSYNTHESIS CAGE |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
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 |
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 |
US8128661B2 (en) * | 1997-01-02 | 2012-03-06 | Kyphon Sarl | Interspinous process distraction system and method with positionable wing and method |
US6695842B2 (en) * | 1997-10-27 | 2004-02-24 | St. Francis Medical Technologies, Inc. | Interspinous process distraction system and method with positionable wing and method |
US20080086212A1 (en) | 1997-01-02 | 2008-04-10 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US8343186B2 (en) | 2004-04-06 | 2013-01-01 | Arthrex, Inc. | Fully threaded suture anchor with transverse anchor pin |
US9521999B2 (en) | 2005-09-13 | 2016-12-20 | Arthrex, Inc. | Fully-threaded bioabsorbable suture anchor |
AUPQ366099A0 (en) * | 1999-10-26 | 1999-11-18 | Queensland University Of Technology | Ortho paedic screw |
US7993369B2 (en) | 2000-06-22 | 2011-08-09 | Arthrex, Inc. | Graft fixation using a plug against suture |
US6808537B2 (en) * | 2000-07-07 | 2004-10-26 | Gary Karlin Michelson | Expandable implant with interlocking walls |
US6595998B2 (en) | 2001-03-08 | 2003-07-22 | Spinewave, Inc. | Tissue distraction device |
US6849093B2 (en) | 2001-03-09 | 2005-02-01 | Gary K. Michelson | Expansion constraining member adapted for use with an expandable interbody spinal fusion implant and method for use thereof |
BR8100696U (en) * | 2001-04-10 | 2002-03-19 | Aziz Rassi Neto | Constructive arrangement introduced in surgical screw |
FR2828398B1 (en) * | 2001-08-08 | 2003-09-19 | Jean Taylor | VERTEBRA STABILIZATION ASSEMBLY |
FR2829689B1 (en) * | 2001-09-14 | 2004-06-25 | Frederic Fortin | NUCLEUS PROSTHESIS AND ITS INSERTION DEVICE AND ITS POSITIONING METHOD |
US7485134B2 (en) * | 2001-12-07 | 2009-02-03 | Simonson Rush E | Vertebral implants adapted for posterior insertion |
JP4193177B2 (en) | 2002-02-20 | 2008-12-10 | ジンマー インコーポレーテッド | Prosthesis and tibial implant device for knee arthroplasty |
US8388684B2 (en) | 2002-05-23 | 2013-03-05 | Pioneer Signal Technology, Inc. | Artificial disc device |
US7001433B2 (en) | 2002-05-23 | 2006-02-21 | Pioneer Laboratories, Inc. | Artificial intervertebral disc device |
US20040230194A1 (en) * | 2002-06-12 | 2004-11-18 | Urbanski Mark G. | Device and method for attaching soft tissue to bone |
WO2003105673A2 (en) * | 2002-06-17 | 2003-12-24 | Trimedyne, Inc. | Devices and methods for minimally invasive treatment of degenerated spinal discs |
FR2844179B1 (en) | 2002-09-10 | 2004-12-03 | Jean Taylor | POSTERIOR VERTEBRAL SUPPORT KIT |
DK1549379T3 (en) * | 2002-09-18 | 2014-01-20 | Asap Breathe Assist Pty Ltd | Nasal dilatation device |
US20140246023A1 (en) | 2006-02-28 | 2014-09-04 | Paz Maryanka | Nasal cavity dilator device |
US8070778B2 (en) | 2003-05-22 | 2011-12-06 | Kyphon Sarl | Interspinous process implant with slide-in distraction piece and method of implantation |
US7749252B2 (en) * | 2005-03-21 | 2010-07-06 | Kyphon Sarl | Interspinous process implant having deployable wing and method of implantation |
US8147548B2 (en) | 2005-03-21 | 2012-04-03 | Kyphon Sarl | Interspinous process implant having a thread-shaped wing and method of implantation |
US8048117B2 (en) | 2003-05-22 | 2011-11-01 | Kyphon Sarl | Interspinous process implant and method of implantation |
US20080021468A1 (en) | 2002-10-29 | 2008-01-24 | Zucherman James F | Interspinous process implants and methods of use |
US7549999B2 (en) | 2003-05-22 | 2009-06-23 | Kyphon Sarl | Interspinous process distraction implant and method of implantation |
US6773360B2 (en) | 2002-11-08 | 2004-08-10 | Taylor Made Golf Company, Inc. | Golf club head having a removable weight |
US7731603B2 (en) | 2007-09-27 | 2010-06-08 | Taylor Made Golf Company, Inc. | Golf club head |
US7186190B1 (en) | 2002-11-08 | 2007-03-06 | Taylor Made Golf Company, Inc. | Golf club head having movable weights |
US8235844B2 (en) | 2010-06-01 | 2012-08-07 | Adams Golf Ip, Lp | Hollow golf club head |
US7407447B2 (en) * | 2002-11-08 | 2008-08-05 | Taylor Made Golf Company, Inc. | Movable weights for a golf club head |
US8353786B2 (en) | 2007-09-27 | 2013-01-15 | Taylor Made Golf Company, Inc. | Golf club head |
US7744484B1 (en) | 2002-11-08 | 2010-06-29 | Taylor Made Golf Company, Inc. | Movable weights for a golf club head |
US8900069B2 (en) | 2010-12-28 | 2014-12-02 | Taylor Made Golf Company, Inc. | Fairway wood center of gravity projection |
US20040186577A1 (en) * | 2003-01-29 | 2004-09-23 | Ferree Bret A. | In situ artificaial disc replacements and other prosthetic components |
US7828849B2 (en) | 2003-02-03 | 2010-11-09 | Warsaw Orthopedic, Inc. | Expanding interbody implant and articulating inserter and method |
US7094257B2 (en) * | 2003-02-14 | 2006-08-22 | Zimmer Spine, Inc. | Expandable intervertebral implant cage |
MXPA05008653A (en) | 2003-02-14 | 2006-04-27 | Depuy Spine Inc | In-situ formed intervertebral fusion device and method. |
US8012212B2 (en) * | 2003-04-07 | 2011-09-06 | Nuvasive, Inc. | Cervical intervertebral disk prosthesis |
US8348982B2 (en) * | 2003-04-21 | 2013-01-08 | Atlas Spine, Inc. | Bone fixation plate |
US7481829B2 (en) * | 2003-04-21 | 2009-01-27 | Atlas Spine, Inc. | Bone fixation plate |
DE202004021290U1 (en) | 2003-05-14 | 2007-06-06 | Kraus, Kilian | Height-adjustable implant for insertion between vertebral bodies and handling tool |
US6997929B2 (en) * | 2003-05-16 | 2006-02-14 | Spine Wave, Inc. | Tissue distraction device |
AU2003285751A1 (en) * | 2003-10-20 | 2005-05-05 | Impliant Ltd. | Facet prosthesis |
US7691146B2 (en) | 2003-11-21 | 2010-04-06 | Kyphon Sarl | Method of laterally inserting an artificial vertebral disk replacement implant with curved spacer |
US7217291B2 (en) * | 2003-12-08 | 2007-05-15 | St. Francis Medical Technologies, Inc. | System and method for replacing degenerated spinal disks |
DE10357926B3 (en) * | 2003-12-11 | 2005-09-01 | Deltacor Gmbh | Length adjustable spinal implant |
US7468069B2 (en) * | 2004-02-10 | 2008-12-23 | Atlas Spine, Inc. | Static anterior cervical plate |
US8801541B2 (en) | 2007-09-27 | 2014-08-12 | Taylor Made Golf Company, Inc. | Golf club |
US7771291B1 (en) | 2007-10-12 | 2010-08-10 | Taylor Made Golf Company, Inc. | Golf club head with vertical center of gravity adjustment |
US20050203632A1 (en) * | 2004-03-09 | 2005-09-15 | Daniels Michael E. | Tibial implant with a through post |
US7585316B2 (en) * | 2004-05-21 | 2009-09-08 | Warsaw Orthopedic, Inc. | Interspinous spacer |
US7297162B2 (en) * | 2004-06-09 | 2007-11-20 | Zimmer Spine, Inc. | Expandable helical cage |
US7678148B2 (en) * | 2004-07-23 | 2010-03-16 | Warsaw Orthopedic, Inc. | Expandable spinal implant having interlocking geometry for structural support |
US7288095B2 (en) * | 2004-08-12 | 2007-10-30 | Atlas Spine, Inc. | Bone plate with screw lock |
US7875078B2 (en) | 2004-08-25 | 2011-01-25 | Spine Wave, Inc. | Expandable interbody fusion device |
US7799081B2 (en) | 2004-09-14 | 2010-09-21 | Aeolin, Llc | System and method for spinal fusion |
WO2006039818A1 (en) * | 2004-10-15 | 2006-04-20 | The University Of British Columbia | Orthopaedic helical coil fastener and apparatus and method for implantation thereof |
US8273108B2 (en) | 2004-10-20 | 2012-09-25 | Vertiflex, Inc. | Interspinous spacer |
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 |
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 |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
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 |
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 |
US9943734B2 (en) | 2004-11-08 | 2018-04-17 | Taylor Made Golf Company, Inc. | Golf club |
WO2009086010A2 (en) | 2004-12-06 | 2009-07-09 | Vertiflex, Inc. | Spacer insertion instrument |
US20060136062A1 (en) * | 2004-12-17 | 2006-06-22 | Dinello Alexandre | Height-and angle-adjustable motion disc implant |
US7438715B2 (en) * | 2005-01-06 | 2008-10-21 | Spinal Llc | Spinal implant kit |
US7322984B2 (en) * | 2005-01-06 | 2008-01-29 | Spinal, Llc | Spinal plate with internal screw locks |
US7655046B2 (en) * | 2005-01-20 | 2010-02-02 | Warsaw Orthopedic, Inc. | Expandable spinal fusion cage and associated instrumentation |
US20080039944A1 (en) * | 2005-02-17 | 2008-02-14 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US20060184248A1 (en) * | 2005-02-17 | 2006-08-17 | Edidin Avram A | Percutaneous spinal implants and methods |
US7988709B2 (en) * | 2005-02-17 | 2011-08-02 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8029567B2 (en) | 2005-02-17 | 2011-10-04 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8057513B2 (en) | 2005-02-17 | 2011-11-15 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8096994B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070055237A1 (en) * | 2005-02-17 | 2007-03-08 | Edidin Avram A | Percutaneous spinal implants and methods |
US7998174B2 (en) | 2005-02-17 | 2011-08-16 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8034080B2 (en) | 2005-02-17 | 2011-10-11 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20080288078A1 (en) * | 2005-02-17 | 2008-11-20 | Kohm Andrew C | Percutaneous spinal implants and methods |
US8100943B2 (en) | 2005-02-17 | 2012-01-24 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070276372A1 (en) * | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US8097018B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8038698B2 (en) * | 2005-02-17 | 2011-10-18 | Kphon Sarl | Percutaneous spinal implants and methods |
US8157841B2 (en) | 2005-02-17 | 2012-04-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070276493A1 (en) * | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous spinal implants and methods |
US8007521B2 (en) | 2005-02-17 | 2011-08-30 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20060241757A1 (en) * | 2005-03-31 | 2006-10-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
US11903849B2 (en) | 2005-04-12 | 2024-02-20 | Moskowitz Family Llc | Intervertebral implant and tool assembly |
US8034079B2 (en) * | 2005-04-12 | 2011-10-11 | Warsaw Orthopedic, Inc. | Implants and methods for posterior dynamic stabilization of a spinal motion segment |
US7942903B2 (en) | 2005-04-12 | 2011-05-17 | Moskowitz Ahmnon D | Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion |
US7727233B2 (en) | 2005-04-29 | 2010-06-01 | Warsaw Orthopedic, Inc. | Spinous process stabilization devices and methods |
FR2887434B1 (en) | 2005-06-28 | 2008-03-28 | Jean Taylor | SURGICAL TREATMENT EQUIPMENT OF TWO VERTEBRATES |
US20070055250A1 (en) * | 2005-07-11 | 2007-03-08 | Kamran Aflatoon | Cervical plates with spacer mechanism |
US8623088B1 (en) | 2005-07-15 | 2014-01-07 | Nuvasive, Inc. | Spinal fusion implant and related methods |
US7722674B1 (en) * | 2005-08-12 | 2010-05-25 | Innvotec Surgical Inc. | Linearly expanding spine cage for enhanced spinal fusion |
US8591583B2 (en) | 2005-08-16 | 2013-11-26 | Benvenue Medical, Inc. | Devices for treating the spine |
EP1924227B1 (en) | 2005-08-16 | 2014-12-17 | Benvenue Medical, Inc. | Spinal tissue distraction devices |
US8366773B2 (en) | 2005-08-16 | 2013-02-05 | Benvenue Medical, Inc. | Apparatus and method for treating bone |
DE602006020094D1 (en) | 2005-09-12 | 2011-03-31 | Arthrex Inc | Ösennahtanker |
US7879098B1 (en) | 2005-10-19 | 2011-02-01 | Simmons Jr James W | Expandable lordosis stabilizing cage |
US8357181B2 (en) * | 2005-10-27 | 2013-01-22 | Warsaw Orthopedic, 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 |
US20070173823A1 (en) | 2006-01-18 | 2007-07-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US20070191838A1 (en) * | 2006-01-27 | 2007-08-16 | Sdgi Holdings, 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 |
US7682376B2 (en) | 2006-01-27 | 2010-03-23 | Warsaw Orthopedic, Inc. | Interspinous devices and methods of use |
DE102006010116A1 (en) * | 2006-02-27 | 2007-08-30 | Karl Storz Gmbh & Co.Kg | Anchor element for knot-free fixation of tissue to a bone |
US8262698B2 (en) | 2006-03-16 | 2012-09-11 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
GB2436293A (en) * | 2006-03-24 | 2007-09-26 | Galley Geoffrey H | Spinous processes insertion device |
FR2899788B1 (en) * | 2006-04-13 | 2008-07-04 | Jean Taylor | TREATMENT EQUIPMENT FOR VERTEBRATES, COMPRISING AN INTEREPINOUS IMPLANT |
US8118844B2 (en) | 2006-04-24 | 2012-02-21 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8048118B2 (en) | 2006-04-28 | 2011-11-01 | Warsaw Orthopedic, Inc. | Adjustable interspinous process brace |
US8062337B2 (en) * | 2006-05-04 | 2011-11-22 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
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 |
US7854562B2 (en) * | 2006-06-20 | 2010-12-21 | Wagner Spray Tech Corporation | Internal feed manual paint brush |
USD741488S1 (en) | 2006-07-17 | 2015-10-20 | Nuvasive, Inc. | Spinal fusion implant |
US8048119B2 (en) | 2006-07-20 | 2011-11-01 | Warsaw Orthopedic, Inc. | Apparatus for insertion between anatomical structures and a procedure utilizing same |
US8202295B2 (en) | 2006-07-20 | 2012-06-19 | Kaplan Lee D | Surgical instruments |
JP5323694B2 (en) * | 2006-07-20 | 2013-10-23 | リー ディー カプラン | Surgical instruments |
US20080086115A1 (en) * | 2006-09-07 | 2008-04-10 | Warsaw Orthopedic, Inc. | Intercostal spacer device and method for use in correcting a spinal deformity |
WO2008033457A2 (en) * | 2006-09-14 | 2008-03-20 | The University Of Toledo | Variable height vertebral body replacement implant |
US8715350B2 (en) | 2006-09-15 | 2014-05-06 | Pioneer Surgical Technology, Inc. | Systems and methods for securing an implant in intervertebral space |
EP2063817A4 (en) | 2006-09-15 | 2012-04-18 | Pioneer Surgical Technology Inc | Joint arthroplasty devices having articulating members |
US8845726B2 (en) | 2006-10-18 | 2014-09-30 | Vertiflex, Inc. | Dilator |
US8097019B2 (en) | 2006-10-24 | 2012-01-17 | Kyphon Sarl | Systems and methods for in situ assembly of an interspinous process distraction implant |
FR2908035B1 (en) | 2006-11-08 | 2009-05-01 | Jean Taylor | INTEREPINE IMPLANT |
US7879104B2 (en) | 2006-11-15 | 2011-02-01 | Warsaw Orthopedic, Inc. | Spinal implant system |
US8105382B2 (en) | 2006-12-07 | 2012-01-31 | Interventional Spine, Inc. | Intervertebral implant |
US7955392B2 (en) | 2006-12-14 | 2011-06-07 | Warsaw Orthopedic, Inc. | Interspinous process devices and methods |
EP2124778B1 (en) | 2007-02-21 | 2019-09-25 | Benvenue Medical, Inc. | Devices for treating the spine |
EP3300676A1 (en) * | 2007-03-12 | 2018-04-04 | Stout Medical Group, L.P. | Expandable attachment device |
AU2008224951A1 (en) | 2007-03-13 | 2008-09-18 | Synthes Gmbh | Adjustable intervertebral implant |
CA2684461C (en) | 2007-04-16 | 2015-06-30 | Vertiflex Inc. | Interspinous spacer |
US7967867B2 (en) * | 2007-05-31 | 2011-06-28 | Spine Wave, Inc. | Expandable interbody fusion device |
US8900307B2 (en) | 2007-06-26 | 2014-12-02 | DePuy Synthes Products, LLC | Highly lordosed fusion cage |
US20090005816A1 (en) * | 2007-06-26 | 2009-01-01 | Denardo Andrew J | Spinal rod, insertion device, and method of using |
US8052728B2 (en) * | 2007-07-31 | 2011-11-08 | Zimmer Spine, Inc. | Method for stabilizing a facet joint |
US8685099B2 (en) * | 2007-08-14 | 2014-04-01 | Warsaw Orthopedic, Inc. | Multiple component osteoimplant |
US8343194B2 (en) * | 2007-08-20 | 2013-01-01 | Kamran Aflatoon | Anterior cervical staple |
US8328818B1 (en) * | 2007-08-31 | 2012-12-11 | Globus Medical, Inc. | Devices and methods for treating bone |
US8894651B2 (en) * | 2007-09-11 | 2014-11-25 | Kamran Aflatoon | Method of lateral facet approach, decompression and fusion using screws and staples as well as arthroplasty |
WO2009055800A1 (en) | 2007-10-25 | 2009-04-30 | Smith & Nephew, Inc. | Anchor assembly |
US7753806B2 (en) | 2007-12-31 | 2010-07-13 | Taylor Made Golf Company, Inc. | Golf club |
US8206244B2 (en) | 2008-01-10 | 2012-06-26 | Adams Golf Ip, Lp | Fairway wood type golf club |
EP2244670B1 (en) | 2008-01-15 | 2017-09-13 | Vertiflex, Inc. | Interspinous spacer |
EP2471493A1 (en) | 2008-01-17 | 2012-07-04 | Synthes GmbH | An expandable intervertebral implant and associated method of manufacturing the same |
US20090198338A1 (en) | 2008-02-04 | 2009-08-06 | Phan Christopher U | Medical implants and methods |
US20090198241A1 (en) * | 2008-02-04 | 2009-08-06 | Phan Christopher U | Spine distraction tools and methods of use |
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 |
KR20110003475A (en) | 2008-04-05 | 2011-01-12 | 신세스 게엠바하 | Expandable intervertebral implant |
US8540589B2 (en) * | 2008-05-30 | 2013-09-24 | Acushnet Company | Golf club head and removable weight |
US8192302B2 (en) * | 2008-05-30 | 2012-06-05 | Acushnet Company | Golf club head and removable weight |
US9277910B2 (en) * | 2008-06-16 | 2016-03-08 | Cayenne Medical, Inc. | Anchors and methods for securing suture to bone |
CN102098969B (en) * | 2008-07-17 | 2013-07-17 | 史密夫和内修有限公司 | Surgical devices |
US20100030549A1 (en) * | 2008-07-31 | 2010-02-04 | Lee Michael M | Mobile device having human language translation capability with positional feedback |
US8114131B2 (en) | 2008-11-05 | 2012-02-14 | Kyphon Sarl | Extension limiting devices and methods of use for the spine |
US8535327B2 (en) | 2009-03-17 | 2013-09-17 | Benvenue Medical, Inc. | Delivery apparatus for use with implantable medical devices |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
US10357241B2 (en) * | 2009-04-19 | 2019-07-23 | Kyon Ag | Suture attachment apparatus |
US10517650B2 (en) * | 2009-05-01 | 2019-12-31 | Spinal Kinetics, Inc. | Spinal stabilization devices, systems, and methods |
WO2010129697A1 (en) | 2009-05-06 | 2010-11-11 | Thibodeau Lee L | Expandable spinal implant apparatus and method of use |
US8372117B2 (en) | 2009-06-05 | 2013-02-12 | Kyphon Sarl | Multi-level interspinous implants and methods of use |
US8157842B2 (en) | 2009-06-12 | 2012-04-17 | Kyphon Sarl | Interspinous implant and methods of use |
US8211178B2 (en) * | 2009-06-18 | 2012-07-03 | Warsaw Orthopedic | Intervertebral implant with a pivoting end cap |
US10245159B1 (en) | 2009-09-18 | 2019-04-02 | Spinal Surgical Strategies, Llc | Bone graft delivery system and method for using same |
US8906028B2 (en) | 2009-09-18 | 2014-12-09 | Spinal Surgical Strategies, Llc | Bone graft delivery device and method of using the same |
US10973656B2 (en) | 2009-09-18 | 2021-04-13 | Spinal Surgical Strategies, Inc. | Bone graft delivery system and method for using same |
USD731063S1 (en) | 2009-10-13 | 2015-06-02 | Nuvasive, Inc. | Spinal fusion implant |
US8709086B2 (en) | 2009-10-15 | 2014-04-29 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8771317B2 (en) | 2009-10-28 | 2014-07-08 | Warsaw Orthopedic, Inc. | Interspinous process implant and method of implantation |
US9393129B2 (en) | 2009-12-10 | 2016-07-19 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
US8317831B2 (en) | 2010-01-13 | 2012-11-27 | Kyphon Sarl | Interspinous process spacer diagnostic balloon catheter and methods of use |
US8114132B2 (en) | 2010-01-13 | 2012-02-14 | Kyphon Sarl | Dynamic interspinous process device |
US8147526B2 (en) | 2010-02-26 | 2012-04-03 | Kyphon Sarl | Interspinous process spacer diagnostic parallel balloon catheter and methods of use |
US8821312B2 (en) | 2010-06-01 | 2014-09-02 | Taylor Made Golf Company, Inc. | Golf club head having a stress reducing feature with aperture |
US8827831B2 (en) | 2010-06-01 | 2014-09-09 | Taylor Made Golf Company, Inc. | Golf club head having a stress reducing feature |
US9089749B2 (en) | 2010-06-01 | 2015-07-28 | Taylor Made Golf Company, Inc. | Golf club head having a shielded stress reducing feature |
US8979860B2 (en) | 2010-06-24 | 2015-03-17 | DePuy Synthes Products. LLC | Enhanced cage insertion device |
US9592063B2 (en) | 2010-06-24 | 2017-03-14 | DePuy Synthes Products, Inc. | Universal trial for lateral cages |
TW201215379A (en) | 2010-06-29 | 2012-04-16 | Synthes Gmbh | Distractible intervertebral implant |
US8814908B2 (en) | 2010-07-26 | 2014-08-26 | Warsaw Orthopedic, Inc. | Injectable flexible interspinous process device system |
US9474625B2 (en) | 2010-09-03 | 2016-10-25 | Globus Medical, Inc | Expandable fusion device and method of installation thereof |
US9402732B2 (en) | 2010-10-11 | 2016-08-02 | DePuy Synthes Products, Inc. | Expandable interspinous process spacer implant |
US9707457B2 (en) | 2010-12-28 | 2017-07-18 | Taylor Made Golf Company, Inc. | Golf club |
US10639524B2 (en) | 2010-12-28 | 2020-05-05 | Taylor Made Golf Company, Inc. | Golf club head |
US8888607B2 (en) | 2010-12-28 | 2014-11-18 | Taylor Made Golf Company, Inc. | Fairway wood center of gravity projection |
US9220953B2 (en) | 2010-12-28 | 2015-12-29 | Taylor Made Golf Company, Inc. | Fairway wood center of gravity projection |
US9211153B2 (en) | 2011-01-04 | 2015-12-15 | DePuy Synthes Products, Inc. | Expansion screw bone tamp |
US8740980B2 (en) | 2011-01-27 | 2014-06-03 | Warsaw Orthopedic, Inc. | Expandable medical implant |
US8591548B2 (en) | 2011-03-31 | 2013-11-26 | Warsaw Orthopedic, Inc. | Spinous process fusion plate assembly |
US8591549B2 (en) | 2011-04-08 | 2013-11-26 | Warsaw Orthopedic, Inc. | Variable durometer lumbar-sacral implant |
ES2948066T3 (en) | 2011-04-16 | 2023-08-30 | Kyon Ag | Prosthetic system for orthopedic repair |
WO2012178018A2 (en) | 2011-06-24 | 2012-12-27 | Benvenue Medical, Inc. | Devices and methods for treating bone tissue |
US9113972B2 (en) | 2011-08-24 | 2015-08-25 | Pioneer Surgical Technology, Inc. | Apparatus and methods for immobilization and fusion of a synovial joint |
US9241807B2 (en) | 2011-12-23 | 2016-01-26 | Pioneer Surgical Technology, Inc. | Systems and methods for inserting a spinal device |
US9095753B2 (en) | 2011-12-27 | 2015-08-04 | Acushnet Company | Golf club having removable weight |
US11213730B2 (en) | 2018-12-13 | 2022-01-04 | Acushnet Company | Golf club head with improved inertia performance |
US9700770B2 (en) | 2011-12-27 | 2017-07-11 | Acushnet Company | Golf club having removeable weight |
US9205312B2 (en) | 2011-12-27 | 2015-12-08 | Acushnet Company | Golf club having removable weight |
WO2014078737A1 (en) | 2012-11-16 | 2014-05-22 | Lanx, Inc. | Oblique expanding fusion cage device and method |
US8715351B1 (en) | 2012-11-29 | 2014-05-06 | Spine Wave, Inc. | Expandable interbody fusion device with graft chambers |
US9522070B2 (en) | 2013-03-07 | 2016-12-20 | Interventional Spine, Inc. | Intervertebral implant |
US8900312B2 (en) | 2013-03-12 | 2014-12-02 | Spine Wave, Inc. | Expandable interbody fusion device with graft chambers |
US8828019B1 (en) | 2013-03-13 | 2014-09-09 | Spine Wave, Inc. | Inserter for expanding an expandable interbody fusion device |
US9480574B2 (en) | 2013-03-14 | 2016-11-01 | Benvenue Medical, Inc. | Spinal fusion implants and devices and methods for deploying such implants |
US10085783B2 (en) | 2013-03-14 | 2018-10-02 | Izi Medical Products, Llc | Devices and methods for treating bone tissue |
US10183143B2 (en) | 2013-03-15 | 2019-01-22 | Bitol Designs, Llc | Occlusion resistant catheter and method of use |
EP3711715B1 (en) | 2013-03-15 | 2024-04-24 | Spine Forward, Llc | Expandable fusion cage system |
US9788971B1 (en) | 2013-05-22 | 2017-10-17 | Nuvasive, Inc. | Expandable fusion implant and related methods |
US9801734B1 (en) | 2013-08-09 | 2017-10-31 | Nuvasive, Inc. | Lordotic expandable interbody implant |
US11452614B2 (en) | 2013-08-29 | 2022-09-27 | Adcura, Inc. | Expandable and adjustable lordosis interbody fusion system |
PT3038565T (en) * | 2013-08-29 | 2021-07-07 | Spineex Inc | Expandable and adjustable lordosis interbody fusion system |
US9302160B2 (en) | 2013-09-26 | 2016-04-05 | Acushnet Company | Adjustable weight for golf club head |
US10792146B2 (en) | 2013-10-25 | 2020-10-06 | Kyon Ag | Holding and adjustment mechanism for surgical tether |
US9861864B2 (en) | 2013-11-27 | 2018-01-09 | Taylor Made Golf Company, Inc. | Golf club |
US9839528B2 (en) | 2014-02-07 | 2017-12-12 | Globus Medical, Inc. | Variable lordosis spacer and related methods of use |
US9439783B2 (en) | 2014-03-06 | 2016-09-13 | Spine Wave, Inc. | Inserter for expanding body tissue |
US9107766B1 (en) | 2014-03-06 | 2015-08-18 | Spine Wave, Inc. | Expandable spinal interbody fusion device and inserter |
US9265623B2 (en) | 2014-03-06 | 2016-02-23 | Spine Wave, Inc. | Method of expanding a spinal interbody fusion device |
US9445921B2 (en) | 2014-03-06 | 2016-09-20 | Spine Wave, Inc. | Device for expanding and supporting body tissue |
US11065132B2 (en) | 2014-03-06 | 2021-07-20 | Spine Wave, Inc. | Method of expanding a space between opposing tissue surfaces |
AU2015269383B2 (en) | 2014-06-04 | 2017-12-07 | Wenzel Spine, Inc. | Bilaterally expanding intervertebral body fusion device |
CA2952261C (en) | 2014-06-20 | 2022-07-19 | Elizabeth Jane PEPPER | Nasal dilator devices |
US10314605B2 (en) | 2014-07-08 | 2019-06-11 | Benvenue Medical, Inc. | Apparatus and methods for disrupting intervertebral disc tissue |
US9907593B2 (en) | 2014-08-05 | 2018-03-06 | Woven Orthopedic Technologies, Llc | Woven retention devices, systems and methods |
US10034742B2 (en) | 2014-10-23 | 2018-07-31 | Medos International Sarl | Biceps tenodesis implants and delivery tools |
US10076374B2 (en) | 2014-10-23 | 2018-09-18 | Medos International Sárl | Biceps tenodesis delivery tools |
US10856966B2 (en) | 2014-10-23 | 2020-12-08 | Medos International Sarl | Biceps tenodesis implants and delivery tools |
US10751161B2 (en) | 2014-10-23 | 2020-08-25 | Medos International Sárl | Biceps tenodesis anchor implants |
US10729419B2 (en) | 2014-10-23 | 2020-08-04 | Medos International Sarl | Biceps tenodesis implants and delivery tools |
EP3217926A4 (en) | 2014-11-12 | 2018-10-24 | iOrthopedics, Inc. | Universally expanding cage |
US10363142B2 (en) | 2014-12-11 | 2019-07-30 | K2M, Inc. | Expandable spinal implants |
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 |
US9693856B2 (en) | 2015-04-22 | 2017-07-04 | DePuy Synthes Products, LLC | Biceps repair device |
WO2016191791A1 (en) | 2015-06-05 | 2016-12-08 | Asap Breatheassist Pty Ltd | Nasal dilators |
NZ738947A (en) | 2015-07-31 | 2023-06-30 | Asap Breatheassist Pty Ltd | Nasal devices |
EP3331459A4 (en) | 2015-08-05 | 2019-08-14 | Woven Orthopedic Technologies, LLC | Tapping devices, systems and methods for use in bone tissue |
US11291555B2 (en) * | 2015-10-01 | 2022-04-05 | Asfora Ip, Llc | Vertebral cage |
US9924935B2 (en) | 2015-10-23 | 2018-03-27 | Smith & Nephew, Inc. | Suture anchor assembly with slip fit tip |
US10035051B2 (en) | 2015-12-22 | 2018-07-31 | Acushnet Company | Golf club with movable weight |
US9914028B1 (en) | 2016-09-06 | 2018-03-13 | Acushnet Company | Golf club with movable weight |
US9975019B2 (en) | 2015-12-22 | 2018-05-22 | Acushnet Company | Golf club with movable weight |
US9744415B2 (en) | 2015-12-22 | 2017-08-29 | Acushnet Company | Golf club having removable weight |
US10231823B2 (en) | 2016-04-08 | 2019-03-19 | Medos International Sarl | Tenodesis implants and tools |
US10231824B2 (en) | 2016-04-08 | 2019-03-19 | Medos International Sárl | Tenodesis anchoring systems and tools |
CN105997310B (en) * | 2016-05-06 | 2018-03-23 | 北京市春立正达医疗器械股份有限公司 | Bone trabecula fusion device |
US10390936B2 (en) | 2016-05-25 | 2019-08-27 | Medos International Sarl | Overdrive prevention for expandable anchor |
CN109688980B (en) | 2016-06-28 | 2022-06-10 | Eit 新兴移植技术股份有限公司 | Expandable and angularly adjustable intervertebral cage with articulation joint |
EP4233801A3 (en) | 2016-06-28 | 2023-09-06 | Eit Emerging Implant Technologies GmbH | Expandable, angularly adjustable intervertebral cages |
US11395681B2 (en) | 2016-12-09 | 2022-07-26 | Woven Orthopedic Technologies, Llc | Retention devices, lattices and related systems and methods |
US10888433B2 (en) | 2016-12-14 | 2021-01-12 | DePuy Synthes Products, Inc. | Intervertebral implant inserter and related methods |
US10111755B2 (en) | 2017-02-24 | 2018-10-30 | Warsaw, Orthopedic, Inc. | Expanding interbody implant and articulating inserter and methods of use |
US10758286B2 (en) | 2017-03-22 | 2020-09-01 | Benvenue Medical, Inc. | Minimal impact access system to disc space |
AU2018243875B2 (en) * | 2017-03-30 | 2022-05-26 | K2M, Inc. | Bone anchor apparatus and method of use thereof |
US10470894B2 (en) | 2017-04-06 | 2019-11-12 | Warsaw Orthopedic, Inc. | Expanding interbody implant and articulating inserter and methods of use |
US20180303520A1 (en) * | 2017-04-21 | 2018-10-25 | Sharad Rajpal | Methods, implants, and tools for fusion of sacroiliac joints |
US10398563B2 (en) | 2017-05-08 | 2019-09-03 | Medos International Sarl | Expandable cage |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
US10441430B2 (en) | 2017-07-24 | 2019-10-15 | K2M, Inc. | Expandable spinal implants |
JP2020533070A (en) | 2017-09-08 | 2020-11-19 | パイオニア サージカル テクノロジー インコーポレイテッド | Intervertebral implants, instruments, and methods |
USD907771S1 (en) | 2017-10-09 | 2021-01-12 | Pioneer Surgical Technology, Inc. | Intervertebral implant |
WO2019148083A1 (en) | 2018-01-29 | 2019-08-01 | Benvenue Medical, Inc. | Minimally invasive interbody fusion |
WO2019178575A1 (en) | 2018-03-16 | 2019-09-19 | Benvenue Medical, Inc. | Articulated instrumentation and methods of using the same |
CN108420475A (en) * | 2018-03-20 | 2018-08-21 | 河北医科大学第三医院 | Gradual dilator after a kind of gonitis Tibial osteotomy |
US10653926B2 (en) | 2018-07-23 | 2020-05-19 | Taylor Made Golf Company, Inc. | Golf club heads |
US10369437B1 (en) | 2018-08-20 | 2019-08-06 | Acushnet Company | Wood-type golf club including center of gravity adjustment |
CN109009136B (en) * | 2018-08-30 | 2024-03-22 | 中国人民解放军第二军医大学第二附属医院 | Novel intervertebral measuring device |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
CN111134911B (en) * | 2018-11-06 | 2022-03-01 | 贵州澳特拉斯科技有限公司 | Bionic artificial spinal joint |
US11253372B2 (en) | 2019-03-09 | 2022-02-22 | Iorthopedics, Inc. | Universally expanding cages |
US11219531B2 (en) * | 2019-04-10 | 2022-01-11 | Wenzel Spine, Inc. | Rotatable intervertebral spacing implant |
MX2021013012A (en) * | 2019-04-25 | 2021-12-10 | Encore Medical L P D/B/A/ Djo Surgical | Glenoid implant. |
TWD206924S (en) | 2019-06-13 | 2020-09-01 | 澳大利亞商Asap呼吸援助有限公司 | Nasal dilator device |
EP4013358A4 (en) | 2019-08-15 | 2023-08-23 | Adcura, Inc. | Translating dual axis adjustable interbody fusion spinal system |
AU2020331030A1 (en) | 2019-08-15 | 2022-03-03 | Adcura, Inc. | Dual-axis adjustable spinal systems and interbody fusion devices with fixation |
WO2021061662A1 (en) | 2019-09-24 | 2021-04-01 | Spineex, Inc. | Surgical instrument for operating spinal implant system with dual axis adjustability and method of operating same |
CN110693631B (en) * | 2019-10-17 | 2023-06-27 | 徐州市中心医院 | Intervertebral fusion device under inverse insertion type intervertebral foramen mirror |
CN111150526B (en) * | 2020-01-02 | 2022-02-22 | 左威 | Neck 1-2 side block internode resetting and fusing device |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
CN112426251A (en) * | 2020-10-16 | 2021-03-02 | 暨南大学 | Kit of biological self-locking artificial intervertebral disc system and implantation method thereof |
WO2022077446A1 (en) * | 2020-10-16 | 2022-04-21 | 暨南大学 | Biologically self-locking artificial disc system kit, and method for implanting same |
US11406881B2 (en) | 2020-12-28 | 2022-08-09 | Taylor Made Golf Company, Inc. | Golf club heads |
US11759685B2 (en) | 2020-12-28 | 2023-09-19 | Taylor Made Golf Company, Inc. | Golf club heads |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US11918489B2 (en) | 2021-04-02 | 2024-03-05 | Nuvasive Inc. | Expansion driver |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
US11389303B1 (en) * | 2021-10-07 | 2022-07-19 | Zavation Medical Products, Llc | Externally threaded expandable orthopedic implant |
Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4863476A (en) | 1986-08-29 | 1989-09-05 | Shepperd John A N | Spinal implant |
WO1996027348A1 (en) * | 1995-03-08 | 1996-09-12 | Synthes Ag, Chur | Intervertebral implant |
US5591235A (en) | 1995-03-15 | 1997-01-07 | Kuslich; Stephen D. | Spinal fixation device |
US5653762A (en) | 1994-03-18 | 1997-08-05 | Pisharodi; Madhavan | Method of stabilizing adjacent vertebrae with rotating, lockable, middle-expanded intervertebral disk stabilizer |
US5653763A (en) | 1996-03-29 | 1997-08-05 | Fastenetix, L.L.C. | Intervertebral space shape conforming cage device |
US5653761A (en) | 1994-03-18 | 1997-08-05 | Pisharodi; Madhavan | Method of lumbar intervertebral disk stabilization |
US5693100A (en) | 1991-02-22 | 1997-12-02 | Pisharodi; Madhavan | Middle expandable intervertebral disk implant |
US5713904A (en) | 1997-02-12 | 1998-02-03 | Third Millennium Engineering, Llc | Selectively expandable sacral fixation screw-sleeve device |
WO1998010722A1 (en) * | 1996-09-13 | 1998-03-19 | Cage Concepts Llc | Expansive osteosynthesis sheath |
DE19634698C1 (en) * | 1996-08-28 | 1998-04-23 | Aesculap Ag & Co Kg | Surgical closure for closing trepanned hole in skull capsule |
US5782832A (en) | 1996-10-01 | 1998-07-21 | Surgical Dynamics, Inc. | Spinal fusion implant and method of insertion thereof |
WO1998048738A1 (en) * | 1997-04-25 | 1998-11-05 | Stryker France S.A. | Two-part intersomatic implant |
Family Cites Families (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN85100563B (en) * | 1985-04-01 | 1987-03-04 | 南京工学院 | High power he-ne laser |
CA1333209C (en) | 1988-06-28 | 1994-11-29 | Gary Karlin Michelson | Artificial spinal fusion implants |
US5055104A (en) * | 1989-11-06 | 1991-10-08 | Surgical Dynamics, Inc. | Surgically implanting threaded fusion cages between adjacent low-back vertebrae by an anterior approach |
EP0599766A1 (en) | 1992-09-07 | 1994-06-01 | José Vicente Barbera Alacreu | Cervical vertebral fusion system |
RU2063730C1 (en) * | 1992-11-02 | 1996-07-20 | Научно-практический центр имплантатов с памятью формы "Доктор" | Device for spondylodesis |
DE4323956C1 (en) | 1993-07-19 | 1994-10-27 | Eska Medical Gmbh & Co | Fusion dowel for vertebrae |
CN1156255C (en) * | 1993-10-01 | 2004-07-07 | 美商-艾克罗米德公司 | Spinal implant |
ES2099008B1 (en) | 1993-10-07 | 1997-11-16 | Alacreu Jose Vicente Barbera | IMPROVEMENTS IN THE CERVICAL VERTEBRAL FUSION SYSTEMS AND DEVICE FOR ITS PRACTICE. |
FR2719763B1 (en) | 1994-05-11 | 1996-09-27 | Jean Taylor | Vertebral implant. |
DE9407806U1 (en) | 1994-05-11 | 1994-07-14 | Aesculap Ag | Intervertebral implant |
DE19529605C2 (en) | 1995-08-11 | 1997-10-09 | Bernhard Zientek | Intervertebral implant |
US6120506A (en) | 1997-03-06 | 2000-09-19 | Sulzer Spine-Tech Inc. | Lordotic spinal implant |
US5865848A (en) | 1997-09-12 | 1999-02-02 | Artifex, Ltd. | Dynamic intervertebral spacer and method of use |
US6117174A (en) * | 1998-09-16 | 2000-09-12 | Nolan; Wesley A. | Spinal implant device |
US6174311B1 (en) * | 1998-10-28 | 2001-01-16 | Sdgi Holdings, Inc. | Interbody fusion grafts and instrumentation |
-
1998
- 1998-12-14 BR BRPI9805340-0A patent/BR9805340B1/en not_active IP Right Cessation
-
1999
- 1999-07-06 US US09/348,612 patent/US6436142B1/en not_active Expired - Fee Related
- 1999-07-07 WO PCT/US1999/015340 patent/WO2000035388A1/en not_active Application Discontinuation
- 1999-07-07 AU AU48652/99A patent/AU4865299A/en not_active Abandoned
- 1999-07-07 EP EP99932321A patent/EP1139931A1/en not_active Withdrawn
- 1999-12-09 AR ARP990106300A patent/AR021620A1/en unknown
-
2002
- 2002-06-17 US US10/174,362 patent/US6905512B2/en not_active Expired - Fee Related
Patent Citations (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4863476A (en) | 1986-08-29 | 1989-09-05 | Shepperd John A N | Spinal implant |
US5693100A (en) | 1991-02-22 | 1997-12-02 | Pisharodi; Madhavan | Middle expandable intervertebral disk implant |
US5653762A (en) | 1994-03-18 | 1997-08-05 | Pisharodi; Madhavan | Method of stabilizing adjacent vertebrae with rotating, lockable, middle-expanded intervertebral disk stabilizer |
US5653761A (en) | 1994-03-18 | 1997-08-05 | Pisharodi; Madhavan | Method of lumbar intervertebral disk stabilization |
WO1996027348A1 (en) * | 1995-03-08 | 1996-09-12 | Synthes Ag, Chur | Intervertebral implant |
US5591235A (en) | 1995-03-15 | 1997-01-07 | Kuslich; Stephen D. | Spinal fixation device |
US5653763A (en) | 1996-03-29 | 1997-08-05 | Fastenetix, L.L.C. | Intervertebral space shape conforming cage device |
DE19634698C1 (en) * | 1996-08-28 | 1998-04-23 | Aesculap Ag & Co Kg | Surgical closure for closing trepanned hole in skull capsule |
WO1998010722A1 (en) * | 1996-09-13 | 1998-03-19 | Cage Concepts Llc | Expansive osteosynthesis sheath |
US5782832A (en) | 1996-10-01 | 1998-07-21 | Surgical Dynamics, Inc. | Spinal fusion implant and method of insertion thereof |
US5713904A (en) | 1997-02-12 | 1998-02-03 | Third Millennium Engineering, Llc | Selectively expandable sacral fixation screw-sleeve device |
WO1998048738A1 (en) * | 1997-04-25 | 1998-11-05 | Stryker France S.A. | Two-part intersomatic implant |
Cited By (85)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1427358A1 (en) * | 1998-09-16 | 2004-06-16 | Wesley A. Nolan | Spinal implant device |
EP1427358A4 (en) * | 1998-09-16 | 2005-10-26 | Wesley A Nolan | Spinal implant device |
US7008453B1 (en) | 2000-02-04 | 2006-03-07 | Sdgi Holdings, Inc. | Expandable push-in arcuate interbody spinal fusion implant with cylindrical configuration during insertion |
US6793679B2 (en) | 2000-02-04 | 2004-09-21 | Gary Karlin Michelson | Expandable push-in arcuate interbody spinal fusion implant with tapered configuration during insertion |
US6962606B2 (en) | 2000-02-04 | 2005-11-08 | Gary Karlin Michelson | Expandable push-in interbody spinal fusion implant |
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 |
US7118598B2 (en) | 2000-02-04 | 2006-10-10 | Sdgi Holdings, Inc. | Expandable push-in arcuate interbody spinal fusion implant with cylindrical configuration during insertion |
US9345584B2 (en) | 2000-02-04 | 2016-05-24 | Warsaw Orthopedic, Inc. | Expandable push-in orthopedic implant |
US8075621B2 (en) | 2000-02-04 | 2011-12-13 | Warsaw Orthopedic, Inc. | Expandable push-in arcuate interbody spinal fusion implant with tapered configuration during insertion |
US6652584B2 (en) | 2000-02-04 | 2003-11-25 | Gary K. Michelson | Expandable threaded arcuate interbody spinal fusion implant with lordotic configuration during insertion |
US6972035B2 (en) | 2000-04-19 | 2005-12-06 | Michelson Gary K | Expandable threaded arcuate interbody spinal fusion implant with cylindrical configuration during insertion |
US6730126B2 (en) | 2000-11-13 | 2004-05-04 | Frank H. Boehm, Jr. | Device and method for lumbar interbody fusion |
AU2002227293B2 (en) * | 2000-11-13 | 2005-07-21 | Frank H. Boehm Jr. | Device and method for lumbar interbody fusion |
WO2002038062A3 (en) * | 2000-11-13 | 2003-02-27 | Frank H Boehm Jr | Device and method for lumbar interbody fusion |
US6666891B2 (en) | 2000-11-13 | 2003-12-23 | Frank H. Boehm, Jr. | Device and method for lumbar interbody fusion |
US8080041B2 (en) | 2000-11-13 | 2011-12-20 | Warsaw Orthopedic, Inc. | Device and method for lumbar interbody fusion |
EP1504735A2 (en) * | 2001-02-04 | 2005-02-09 | MICHELSON, Gary Karlin | Instrumentation for inserting and deploying an expandable interbody spinal fusion implant |
AU2002236928B2 (en) * | 2001-02-04 | 2007-03-15 | Warsaw Orthopedic, Inc. | Instrumentation and method for inserting and deploying an expandable interbody spinal fusion implant |
EP1504735A3 (en) * | 2001-02-04 | 2005-02-16 | MICHELSON, Gary Karlin | Instrumentation for inserting and deploying an expandable interbody spinal fusion implant |
EP1272130A4 (en) * | 2001-02-04 | 2003-05-14 | Michelson Gary K | Instrumentation and method for inserting and deploying an expandable interbody spinal fusion implant |
EP1272130A2 (en) * | 2001-02-04 | 2003-01-08 | MICHELSON, Gary Karlin | Instrumentation and method for inserting and deploying an expandable interbody spinal fusion implant |
US8262736B2 (en) | 2001-03-27 | 2012-09-11 | Warsaw Orthopedic, Inc. | Radially expanding implants |
US7410501B2 (en) | 2001-03-27 | 2008-08-12 | Warsaw Orthopedic, Inc. | Radially expanding interbody spinal fusion implants, instrumentation, and method of insertion |
US7445636B2 (en) | 2001-03-27 | 2008-11-04 | Warsaw Orthopedic, Inc. | Instrumentation for use with radially expanding interbody spinal fusion implant |
US7128760B2 (en) | 2001-03-27 | 2006-10-31 | Warsaw Orthopedic, Inc. | Radially expanding interbody spinal fusion implants, instrumentation, and methods of insertion |
US10219910B2 (en) | 2006-12-29 | 2019-03-05 | Providence Medical Technology, Inc. | Cervical distraction method |
US11285010B2 (en) | 2006-12-29 | 2022-03-29 | Providence Medical Technology, Inc. | Cervical distraction method |
US8348979B2 (en) | 2006-12-29 | 2013-01-08 | Providence Medical Technology, Inc. | Cervical distraction method |
US9622873B2 (en) | 2006-12-29 | 2017-04-18 | Providence Medical Technology, Inc. | Cervical distraction method |
US7824431B2 (en) | 2006-12-29 | 2010-11-02 | Providence Medical Technology, Inc. | Cervical distraction method |
US8834530B2 (en) | 2006-12-29 | 2014-09-16 | Providence Medical Technology, Inc. | Cervical distraction method |
US9005288B2 (en) | 2008-01-09 | 2015-04-14 | Providence Medical Techonlogy, Inc. | Methods and apparatus for accessing and treating the facet joint |
US11559408B2 (en) | 2008-01-09 | 2023-01-24 | Providence Medical Technology, Inc. | Methods and apparatus for accessing and treating the facet joint |
US10588672B2 (en) | 2008-06-06 | 2020-03-17 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US10226285B2 (en) | 2008-06-06 | 2019-03-12 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8753377B2 (en) | 2008-06-06 | 2014-06-17 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8828062B2 (en) | 2008-06-06 | 2014-09-09 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8834472B2 (en) | 2008-06-06 | 2014-09-16 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8753347B2 (en) | 2008-06-06 | 2014-06-17 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8623054B2 (en) | 2008-06-06 | 2014-01-07 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US9011492B2 (en) | 2008-06-06 | 2015-04-21 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US11890038B2 (en) | 2008-06-06 | 2024-02-06 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US11344339B2 (en) | 2008-06-06 | 2022-05-31 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US9333086B2 (en) | 2008-06-06 | 2016-05-10 | Providence Medical Technology, Inc. | Spinal facet cage implant |
US8512347B2 (en) | 2008-06-06 | 2013-08-20 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US9381049B2 (en) | 2008-06-06 | 2016-07-05 | Providence Medical Technology, Inc. | Composite spinal facet implant with textured surfaces |
US9622874B2 (en) | 2008-06-06 | 2017-04-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US9622791B2 (en) | 2008-06-06 | 2017-04-18 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8425558B2 (en) | 2008-06-06 | 2013-04-23 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US9629665B2 (en) | 2008-06-06 | 2017-04-25 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US8267966B2 (en) | 2008-06-06 | 2012-09-18 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US10039649B2 (en) | 2008-06-06 | 2018-08-07 | Providence Medical Technology, Inc. | Composite spinal facet implant with textured surfaces |
US11272964B2 (en) | 2008-06-06 | 2022-03-15 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US10149673B2 (en) | 2008-06-06 | 2018-12-11 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US10172721B2 (en) | 2008-06-06 | 2019-01-08 | Providence Technology, Inc. | Spinal facet cage implant |
US11224521B2 (en) | 2008-06-06 | 2022-01-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US11141144B2 (en) | 2008-06-06 | 2021-10-12 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US8361152B2 (en) | 2008-06-06 | 2013-01-29 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US8753345B2 (en) | 2008-06-06 | 2014-06-17 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US10238501B2 (en) | 2008-06-06 | 2019-03-26 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US10456175B2 (en) | 2008-06-06 | 2019-10-29 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US10568666B2 (en) | 2008-06-06 | 2020-02-25 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
US11058553B2 (en) | 2008-06-06 | 2021-07-13 | Providence Medical Technology, Inc. | Spinal facet cage implant |
US9877840B2 (en) | 2008-09-04 | 2018-01-30 | DePuy Synthes Products, Inc. | Adjustable intervertebral implant |
WO2010074714A3 (en) * | 2008-12-23 | 2010-08-19 | Providence Medical Technology, Inc. | Vertebral joint implants and delivery tools |
EP2498686B1 (en) * | 2009-11-10 | 2024-01-10 | Smith & Nephew, Inc. | Tissue repair devices |
EP2498686A2 (en) * | 2009-11-10 | 2012-09-19 | Smith & Nephew, Inc. | Tissue repair devices |
USD732667S1 (en) | 2012-10-23 | 2015-06-23 | Providence Medical Technology, Inc. | Cage spinal implant |
USRE48501E1 (en) | 2012-10-23 | 2021-04-06 | Providence Medical Technology, Inc. | Cage spinal implant |
USD745156S1 (en) | 2012-10-23 | 2015-12-08 | Providence Medical Technology, Inc. | Spinal implant |
US11058466B2 (en) | 2014-05-28 | 2021-07-13 | Providence Medical Technology, Inc. | Lateral mass fixation system |
US10201375B2 (en) | 2014-05-28 | 2019-02-12 | Providence Medical Technology, Inc. | Lateral mass fixation system |
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 |
USD884895S1 (en) | 2015-10-13 | 2020-05-19 | Providence Medical Technology, Inc. | Cervical cage |
US11065039B2 (en) | 2016-06-28 | 2021-07-20 | Providence Medical Technology, Inc. | Spinal implant and methods of using the same |
USD887552S1 (en) | 2016-07-01 | 2020-06-16 | Providence Medical Technology, Inc. | Cervical cage |
US11871968B2 (en) | 2017-05-19 | 2024-01-16 | Providence Medical Technology, Inc. | Spinal fixation access and delivery system |
US11813172B2 (en) | 2018-01-04 | 2023-11-14 | Providence Medical Technology, Inc. | Facet screw and delivery device |
US11648128B2 (en) | 2018-01-04 | 2023-05-16 | Providence Medical Technology, Inc. | Facet screw and delivery device |
CN108784814A (en) * | 2018-08-08 | 2018-11-13 | 河北医科大学第三医院 | The padded device of combined type after a kind of gonitis Tibial osteotomy |
USD933230S1 (en) | 2019-04-15 | 2021-10-12 | Providence Medical Technology, Inc. | Cervical cage |
USD911525S1 (en) | 2019-06-21 | 2021-02-23 | Providence Medical Technology, Inc. | Spinal cage |
USD945621S1 (en) | 2020-02-27 | 2022-03-08 | Providence Medical Technology, Inc. | Spinal cage |
Also Published As
Publication number | Publication date |
---|---|
EP1139931A1 (en) | 2001-10-10 |
US6905512B2 (en) | 2005-06-14 |
AR021620A1 (en) | 2002-07-31 |
BR9805340B1 (en) | 2009-01-13 |
BR9805340A (en) | 2000-04-18 |
US20020151977A1 (en) | 2002-10-17 |
US6436142B1 (en) | 2002-08-20 |
AU4865299A (en) | 2000-07-03 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US6905512B2 (en) | System for stabilizing the vertebral column including deployment instruments and variable expansion inserts therefore | |
ES2289640T3 (en) | APPLIANCE THAT INCLUDES A GUARD MEMBER THAT HAS A STEP WITH A NON-CIRCULAR SECTION TO PROVIDE PROTECTED ACCESS TO THE VERTEBRAL COLUMN. | |
US8753395B2 (en) | Monorail system | |
CA2199462C (en) | Method and instrumentation for implant insertion | |
US6042582A (en) | Instrumentation and method for facilitating insertion of spinal implant | |
US10016286B2 (en) | Method of inserting an interbody fusion device | |
ES2535438T3 (en) | Interlaminar-interspinous vertebral stabilization system | |
US8632550B2 (en) | System and method for providing surgical access to a spine | |
US8043334B2 (en) | Articulating facet fusion screw | |
US6290724B1 (en) | Methods for separating and stabilizing adjacent vertebrae | |
US7553313B2 (en) | Apparatus and method for preparing a spinal implant surgical site for receiving a spinal fusion implant | |
US8043376B2 (en) | Percutaneous posterior lateral in-situ cage | |
US20060276790A1 (en) | Minimally invasive facet joint repair | |
US20090171394A1 (en) | Devices And Methods For The Treatment Of Facet Joint Disease | |
US20030004573A1 (en) | Bone implant and method | |
US10080592B2 (en) | Access assembly for anterior and lateral spinal procedures | |
JP2002540882A (en) | Spinal implant insertion method and instrument | |
JP2014512883A (en) | Percutaneous joint fixation method and system | |
JPH078514A (en) | Equipment and method for inserting vertebral implant | |
US20200093610A1 (en) | Spinal Implant | |
AU765839B2 (en) | Method and instrumentation for implant insertion |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): AE AL AM AT AU AZ BA BB BG BR BY CA CH CN CU CZ DE DK EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT UA UG US UZ VN YU ZA ZW |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): GH GM KE LS MW SD SL SZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
WWE | Wipo information: entry into national phase |
Ref document number: 1999932321 Country of ref document: EP |
|
WWP | Wipo information: published in national office |
Ref document number: 1999932321 Country of ref document: EP |
|
REG | Reference to national code |
Ref country code: DE Ref legal event code: 8642 |
|
WWW | Wipo information: withdrawn in national office |
Ref document number: 1999932321 Country of ref document: EP |