WO2009094493A3 - Spinal access systems and methods - Google Patents

Spinal access systems and methods Download PDF

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Publication number
WO2009094493A3
WO2009094493A3 PCT/US2009/031751 US2009031751W WO2009094493A3 WO 2009094493 A3 WO2009094493 A3 WO 2009094493A3 US 2009031751 W US2009031751 W US 2009031751W WO 2009094493 A3 WO2009094493 A3 WO 2009094493A3
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WO
WIPO (PCT)
Prior art keywords
spine
guide member
curved
location
cannula
Prior art date
Application number
PCT/US2009/031751
Other languages
French (fr)
Other versions
WO2009094493A4 (en
WO2009094493A2 (en
Inventor
Morteza Farr
Ephraim Akyuz
Wade T. Fallin
Daniel F. Justin
Joshua A. Butters
Daniel E. Gerbec
Original Assignee
Innovative Spine
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US12/357,596 external-priority patent/US8840621B2/en
Application filed by Innovative Spine filed Critical Innovative Spine
Publication of WO2009094493A2 publication Critical patent/WO2009094493A2/en
Publication of WO2009094493A3 publication Critical patent/WO2009094493A3/en
Publication of WO2009094493A4 publication Critical patent/WO2009094493A4/en

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    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006Special 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

Abstract

A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. The location may be at the L4-L5 vertebral level, and the curved path may lie in a plane oblique to the transverse, coronal and sagittal planes of the spine, and avoid the iliac crest. A targeting post may be inserted adjacent the spine to determine the location, and a guide member may be inserted to establish the curved path. A micrometer assembly may adjust a cephalad-caudal displacement between the post and the guide member. One or more intermediate cannulas may be inserted over the guide member to dilate tissues prior to insertion of the main cannula. An interbody device may be implanted into an intervertebral space through the cannula.
PCT/US2009/031751 2006-11-03 2009-01-23 Spinal access systems and methods WO2009094493A2 (en)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
US85668206P 2006-11-03 2006-11-03
US2303008P 2008-01-23 2008-01-23
US61/023,030 2008-01-23
US5052308P 2008-05-05 2008-05-05
US61/050,523 2008-05-05
US8694008P 2008-08-07 2008-08-07
US61/086,940 2008-08-07
US12/357,596 2009-01-22
US12/357,596 US8840621B2 (en) 2006-11-03 2009-01-22 Spinal access systems and methods

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103153215A (en) * 2010-08-18 2013-06-12 若译·迪尼斯·卡尔莫 Surgical set of instruments for precision cutting

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9011450B2 (en) 2012-08-08 2015-04-21 DePuy Synthes Products, LLC Surgical instrument
CN105012053B (en) * 2014-04-25 2017-02-22 上海微创骨科医疗科技有限公司 Direct insertion type guide device for hip replacement
CN105012054B (en) * 2014-04-25 2017-06-06 上海微创骨科医疗科技有限公司 The guidance system and its application method of a kind of hip replacement
TWI556798B (en) * 2014-05-27 2016-11-11 Metal Ind Res & Dev Ct The method of establishing three - dimensional image of tooth
CN105342670B (en) * 2015-09-25 2017-06-23 大连理工大学 A kind of Minimally Invasive Surgery clamp for treating thoracolumbar burst fractures
ES1238209Y (en) * 2019-09-27 2020-02-20 Neos Surgery Sl Chisel to place an anchor on a vertebra

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5458602A (en) * 1994-01-11 1995-10-17 Mitek Surgical Products, Inc. Surgical drill guide
US20030074005A1 (en) * 2001-10-17 2003-04-17 Roth Christoph A. Orthopedic implant insertion instruments
US20030229347A1 (en) * 1999-10-20 2003-12-11 Sherman Michael C. Instruments and methods for stabilization of bony structures
US20050256578A1 (en) * 2004-05-11 2005-11-17 Geoffrey Blatt Artificial spinal disc, insertion tool, and method of insertion
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5458602A (en) * 1994-01-11 1995-10-17 Mitek Surgical Products, Inc. Surgical drill guide
US20030229347A1 (en) * 1999-10-20 2003-12-11 Sherman Michael C. Instruments and methods for stabilization of bony structures
US20030074005A1 (en) * 2001-10-17 2003-04-17 Roth Christoph A. Orthopedic implant insertion instruments
US20050256578A1 (en) * 2004-05-11 2005-11-17 Geoffrey Blatt Artificial spinal disc, insertion tool, and method of insertion
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103153215A (en) * 2010-08-18 2013-06-12 若译·迪尼斯·卡尔莫 Surgical set of instruments for precision cutting
CN103153215B (en) * 2010-08-18 2016-11-23 若译·迪尼斯·卡尔莫 Surgical operating instrument set group for precision cutting

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