CA2684461A1 - Interspinous spacer - Google Patents
Interspinous spacer Download PDFInfo
- Publication number
- CA2684461A1 CA2684461A1 CA002684461A CA2684461A CA2684461A1 CA 2684461 A1 CA2684461 A1 CA 2684461A1 CA 002684461 A CA002684461 A CA 002684461A CA 2684461 A CA2684461 A CA 2684461A CA 2684461 A1 CA2684461 A1 CA 2684461A1
- Authority
- CA
- Canada
- Prior art keywords
- spacer
- actuator
- arm
- assembly
- deployed configuration
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools therefor
-
- 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
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7065—Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00004—(bio)absorbable, (bio)resorbable, resorptive
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
-
- 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
- A61F2/0077—Special surfaces of prostheses, e.g. for improving ingrowth
Abstract
A novel implantable spacer for placement between adjacent spinous processes in a spinal motion segment is provided. The spacer includes a body defining a longitudinal passageway. A first arm and a second arm are connected to the body. Each arm has a pair of extensions and a saddle defining a U-shaped configuration for seating a spinous process therein. Each arm has a proximal camming surface and is capable of rotation with respect to the body. An actuator assembly is disposed inside the longitudinal passageway and connected to the body. When advanced, the actuator assembly contacts the camming surfaces of the arms to rotate them from an undeployed configuration to a deployed configuration. In the deployed configuration, the distracted adjacent spinous processes are seated in the U-shaped portion of the arms providing sufficient distraction to open the neural foramen to relieve pain. An insertion instrument is provided for implanting the interpsinous process spacer. The system is configured for quick implantation through a small percutaneous incision employing minimally invasive techniques.
Description
INTERSPINOUS SPACER
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional Patent Application Serial No. 60/923,971 entitled "Interspinous spacer" filed on April 17, 2007 and U.S.
Provisional Patent Application Serial No. 60/923,841 entitled "Spacer insertion instrument" filed on April 16, 2007, each of which is hereby incorporated by reference in its entirety. This application is also a continuation-in-part of U.S. Patent Application Serial No. 11/593,995 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on November 7, 2006 which is a continuation-in-part of U.S. Patent Application Serial No. 11/582,874 entitled "Minimally invasive tooling for delivery of interspinous spacer" filed on October 18, 2006 which is a continuation-in-part of U.S. Patent Application Serial No.
11/314,712 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on December 20, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/190,496 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on July 16, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/079,006 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on March 10, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/052,002 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on February 4, 2005 which is a continuation-in-part of U.S. Patent Application Serial No.
11/006,502 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on December 6, 2004 which is a continuation-in-part of U.S.
Patent Application Serial No. 10/970,843 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on October 20, 2004, all of which are hereby incorporated by reference in their entireties.
I
FIELD
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional Patent Application Serial No. 60/923,971 entitled "Interspinous spacer" filed on April 17, 2007 and U.S.
Provisional Patent Application Serial No. 60/923,841 entitled "Spacer insertion instrument" filed on April 16, 2007, each of which is hereby incorporated by reference in its entirety. This application is also a continuation-in-part of U.S. Patent Application Serial No. 11/593,995 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on November 7, 2006 which is a continuation-in-part of U.S. Patent Application Serial No. 11/582,874 entitled "Minimally invasive tooling for delivery of interspinous spacer" filed on October 18, 2006 which is a continuation-in-part of U.S. Patent Application Serial No.
11/314,712 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on December 20, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/190,496 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on July 16, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/079,006 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on March 10, 2005 which is a continuation-in-part of U.S. Patent Application Serial No. 11/052,002 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on February 4, 2005 which is a continuation-in-part of U.S. Patent Application Serial No.
11/006,502 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on December 6, 2004 which is a continuation-in-part of U.S.
Patent Application Serial No. 10/970,843 entitled "Systems and methods for posterior dynamic stabilization of the spine" filed on October 20, 2004, all of which are hereby incorporated by reference in their entireties.
I
FIELD
[0002] The present invention generally relates to medical devices, in particular, implants for placement between adjacent interspinous processes of a patient's spine.
BACKGROUND
BACKGROUND
[0003] With spinal stenosis, the spinal canal narrows and pinches the spinal cord and nerves, causing pain in the back and legs. Typically, with age, a person's ligaments may thicken, intervertebral discs may deteriorate and facet joints may break down-all contributing to the condition of the spine characterized by a narrowing of the spinal canal. Injury, heredity, arthritis, changes in blood flow and other causes may also contribute to spinal stenosis.
[0004] Doctors have been at the forefront with various treatments of the spine including medications, surgical techniques and implantable devices that alleviate and substantially reduce debilitating pain associated with-the back. In one surgical technique, a spacer is implanted between adjacent interspinous processes of a patient's spine. The implanted spacer opens the spinal canal, maintains the desired distance between vertebral body segments, increases the neural foramen space and as a result, avoids impingement of nerves and relieves pain. For suitable candidates, ari implantable interspinous spacer may provide significant benefits in terms of pain relief.
[0005] Any surgery is an ordeal. However, the type of device and how it is implanted has an impact. For example, one consideration when performing surgery to implant an interspinous spacer is the size of the incision that is required to allow introduction of the device. Small incisions and minimally invasive techniques are generally preferred as they affect less tissue and result in speedier recovery times. As such, there is a need for interspinous spacers that work well with surgical techniques that are minimally invasive for the patient. The present invention sets forth such a spacer and associated instrumentation.
SUMMARY
SUMMARY
[0006] According to one aspect of the invention, an implantable spacer for placement between adjacent interspinous processes in a spinal motion segment is disclosed. The spacer includes a body defining a longitudinal passageway and a longitudinal axis.
The spacer further includes a first arm and a second arm connected to the body and capable of rotation with respect to the body. Each arm has a pair of extensions and configured for containing a spinous process therein. Each arm has a proximal camming surface. The spacer further includes an actuator assembly connected to the body. The actuator assembly includes an actuator having a proximal end and a distal end. The actuator has at least one bearing surface at the distal end that is configured to engage each camming surface. The actuator is connected to the body and configured to move inside the longitudinal passageway relative to the body to contact each camming surface with the at least one bearing surface and thereby move the arms from an undeployed configuration in which the arms are substantially parallel to the longitudinal axis of the body to a deployed configuration in which the arms are substantially perpendicular to the longitudinal axis of the body to contain adjacent spinous processes when in the deployed configuration.
The spacer further includes a first arm and a second arm connected to the body and capable of rotation with respect to the body. Each arm has a pair of extensions and configured for containing a spinous process therein. Each arm has a proximal camming surface. The spacer further includes an actuator assembly connected to the body. The actuator assembly includes an actuator having a proximal end and a distal end. The actuator has at least one bearing surface at the distal end that is configured to engage each camming surface. The actuator is connected to the body and configured to move inside the longitudinal passageway relative to the body to contact each camming surface with the at least one bearing surface and thereby move the arms from an undeployed configuration in which the arms are substantially parallel to the longitudinal axis of the body to a deployed configuration in which the arms are substantially perpendicular to the longitudinal axis of the body to contain adjacent spinous processes when in the deployed configuration.
[0007] According to another aspect of the invention, an insertion instrument configured for delivering a spacer to an interspinous process space of a patient and deploying the spacer from an undeployed configuration to at least one deployed configuration to relieve pain is disclosed. The spacer includes a body, at least one arm connected to and movable with respect to the body and a spacer actuator having a proximal end and a distal end disposed at least partially inside the body. The spacer actuator is configured to move the at least one arm from an undeployed configuration to at least one deployed configuration. The insertion instrument includes a handle assembly, a first assembly connected to the handle assembly, a second assembly connected to the handle assembly and a third assembly connected to the handle assembly. The first assembly is configured to connect to the body of the spacer at the distal end of the insertion instrument. The first assembly has a first control at the handle assembly configured to connect and release the body of the spacer and the first assembly. The second assembly is configured to connect to the proximal end of the actuator of the spacer at the distal end of the insertion instrument. The second assembly has a second control at the handle assembly configured to connect and release the actuator and the second assembly. The third assembly is configured to move the second assembly relative to the body of the spacer for arranging the spacer from an undeployed configuration to at least one deployed configuration.
[0008] According to another aspect of the invention, a method for implanting a spacer between a superior spinous process and an adjacent inferior spinous process of a patient's spine is disclosed. The method includes the step of providing a spacer. The spacer includes a body having a proximal end, a distal end, and a longitudinal axis.
The spacer also includes a first arm and a second arm connected to the body at the distal end. The first and second arms are configured to contain the superior and inferior spinous processes. The spacer further includes an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis. The method includes the step of inserting the spacer into an interspinous process space from the posterior side of the patient and may be inserted through the superspinous ligament while in the undeployed configuration. The method includes the step of arranging the spacer into at least one deployed configuration.
The spacer also includes a first arm and a second arm connected to the body at the distal end. The first and second arms are configured to contain the superior and inferior spinous processes. The spacer further includes an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis. The method includes the step of inserting the spacer into an interspinous process space from the posterior side of the patient and may be inserted through the superspinous ligament while in the undeployed configuration. The method includes the step of arranging the spacer into at least one deployed configuration.
[0009] Other advantages will be apparent from the description that follows, including the drawings and claims.
BRIEF DESCRIPTION OF THE DRAWINGS
BRIEF DESCRIPTION OF THE DRAWINGS
[0010] The invention is best understood from the following detailed description when read in conjunction with the accompanying drawings. It is emphasized that, according to common practice, the various features of the drawings are not to-scale.
On the contrary, the dimensions of the various features are arbitrarily expanded or reduced for clarity.
On the contrary, the dimensions of the various features are arbitrarily expanded or reduced for clarity.
[0011] FIG. 1 a illustrates a perspective view of a spacer according to the present invention.
[0012] FIG. 1 b illustrates a side view of a spacer according to the present invention.
[0013] FIG. 1 c illustrates a top view of a spacer according to the present invention.
[0014] FIG. 1 d illustrates a cross-sectional view of the spacer of FIG. 1 c taken along line X according to the present invention.
[0015] FIG. 1 e illustrates an end view of a spacer according to the present invention.
[0016] FIG. 2a illustrates a perspective view of half of a body of a spacer according to the present invention.
[0017] FIG. 2b illustrates a side view of a half of a body of a spacer according to the present invention.
[0018] FIG. 2c illustrates a perspective view of another half of a body of a spacer according to the present invention.
[0019] FIG. 2d illustrates a side view of the other half of a body of a spacer according to the present invention.
[0020] FIG. 3a illustrates a perspective view of a superior arm of a spacer according to the present invention.
[0021] FIG. 3b illustrates a side view of a superior arm of a spacer according to the present invention.
[0022] FIG. 3c illustrates a perspective view of an inferior arm of a spacer according to the present invention.
[0023] FIG. 3d illustrates a side view of an inferior arm of a spacer according to the present invention.
[0024] FIG. 4 illustrates a side, semi-transparent view of a spacer in a deployed configuration according to the present invention.
[0025] FIG. 5 illustrates a side, semi-transparent view of a spacer in a partially deployed configuration according to the present invention.
[0026] FIG. 6 illustrates a side, semi-transparent view of a spacer in a deployed and extended configuration according to the present invention.
[0027] FIG. 7a illustrates a perspective view of an actuator assembly of a spacer according to the present invention.
[0028] FIG. 7b illustrates a side view of an actuator assembly of a spacer according to the present invention.
[0029] FIG. 8 illustrates a side view of an actuator assembly of a spacer according to the present invention.
[0030] FIG. 9a illustrates a perspective view of a spacer according to the present invention.
[0031] FIG. 9b illustrates a side view of a spacer according to the present invention.
[0032] FIG. 9c illustrates a top view of a spacer according to the present invention.
[0033] FIG. 9d illustrates a cross-sectional view of the spacer of FIG. 9c taken along line X according to the present invention.
[0034] FIG. 9e illustrates an end view of a spacer according to the present invention.
[0035] FIG. 10 illustrates a perspective view of a body of a spacer according to the present invention.
[0036] FIG. 11 a illustrates a perspective view of a superior arm of a spacer according to the present invention.
[0037] FIG. 11 b illustrates a perspective view of an inferior arm of a spacer according to the present invention.
[0038] FIG. 12a illustrates a perspective view of an actuator assembly of a spacer according to the present invention.
[0039] FIG. 12b illustrates a side view of an actuator assembly of a spacer according to the present invention.
[0040] FIG. 13a illustrates a perspective view of a spacer insertion instrument according to the present invention.
[0041] FIG. 13b illustrates a side view of a spacer insertion instrument according to the present invention.
[0042] FIG. 13c illustrates a cross-sectional view of a spacer insertion instrument according to the present invention.
[0043] FIG. 13d illustrates a perspective view of a clamp shaft of a spacer insertion instrument according to the present invention.
[0044] FIG. 14a illustrates side view of a spacer insertion instrument in juxtaposition to a spacer according to the present invention.
[0045] FIG. 14b illustrates a top view of a spacer insertion instrument in juxtaposition to a spacer according to the present invention.
[0046] FIG. 14c illustrates a cross-sectional view taken along line F-F of FIG. 14a of a spacer insertion instrument in juxtaposition to a spacer according to the present invention.
[0047] FIG. 14d illustrates a cross-sectional view taken along line G-G of FIG. 14b of a spacer insertion instrument in juxtaposition to a spacer according to the present invention.
[0048] FIG. 15a illustrates a side view of a spacer insertion instrument connected to a spacer according to the present invention.
[0049] FIG. 15b illustrates a top view of a spacer insertion instrument connected to a spacer according to the present invention.
[0050] FIG. 15c illustrates a cross-sectional view taken along line G-G of FIG. 15a of a spacer insertion instrument connected to a spacer according to the present invention.
[0051] FIG. 15d illustrates a cross-sectional view taken along line F-F of a FIG. 15b of a spacer insertion instrument connected to a spacer according to the present invention.
[0052] FIG. 16a illustrates a side view of a spacer insertion instrument connected to a spacer according to the present invention.
[0053] FIG. 16b illustrates a top view of a spacer insertion instrument connected to a spacer according to the present invention.
[0054] FIG. 16c illustrates a cross-sectional view taken along line G-G of FIG. 16a of a spacer insertion instrument connected to a spacer according to the present invention.
[0055] FIG. 16d illustrates a cross-sectional view taken along line F-F of FIG. 16b of a spacer insertion instrument connected to a spacer according to the present invention.
[0056] FIG. 17a illustrates a side view of a spacer insertion instrument connected to a spacer in a partially deployed configuration according to the present invention.
[0057] FIG. 17b illustrates a top view of a spacer insertion instrument connected to a spacer in a partially deployed configuration according to the present invention.
[0058] FIG. 17c illustrates a cross-sectional view taken along line G-G of FIG. 17a of a spacer insertion instrument connected to a spacer according to the present invention.
[0059] FIG. 17d illustrates a cross-sectional view taken along line F-F of FIG. 17b of a spacer insertion instrument connected to a spacer according to the present invention.
[0060] FIG. 18a illustrates a side view of a spacer insertion instrument connected to a spacer in a deployed configuration according to the present invention.
[0061] FIG. 18b illustrates a top view of a spacer insertion instrument connected to a spacer in a deployed configuration according to the present invention.
[0062] FIG. 18c illustrates a cross-sectional view taken along line G-G of FIG. 18a of a spacer insertion instrument connected to a spacer in a deployed configuration according to the present invention.
[0063] FIG. 18d illustrates a cross-sectional view taken along line F-F of FIG. 18b of a spacer insertion instrument connected to a spacer in a deployed configuration according to the present invention.
[0064] FIG. 19 illustrates a partial cross-sectional view of a spacer insertion instrument connected to a spacer in a deployed and extended configuration according to the present invention.
[0065] FIG. 20 illustrates a spacer according to the present invention deployed in an interspinous process space between two vertebral bodies and a supraspinous ligament.
DETAILED DESCRIPTION
DETAILED DESCRIPTION
[0066] Before the subject devices, systems and methods are described, it is to be understood that this invention is not limited to particular embodiments described, as such may, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting, since the scope of the present invention will be limited only by the appended claims.
[0067] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
[0068] It must be noted that as used herein and in the appended claims, the singular forms "a", "an", and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to "a spinal segment" may include a plurality of such spinal segments and reference to "the screw" includes reference to one or more screws and equivalents thereof known to those skilled in the art, and so forth.
[0069] All publications mentioned herein are incorporated herein by reference to disclose and describe the methods and/or materials in connection with which the publications are cited. The publications discussed herein are provided solely for their disclosure prior to the filing date of the present application. Nothing herein is to be construed as an admission that the present invention is not entitled to antedate such publication by virtue of prior invention. Further, the dates of publication provided may be different from the actual publication dates which may need to be independently confirmed.
[0070] The present invention is described in the accompanying figures and text as understood by a person having ordinary skill in the field of spinal implants and implant delivery instrumentation.
[0071] With reference to FIGs. 1 a-1 e, various views of a spacer 10 according to the present invention are shown. The spacer 10 includes a body 12 connected to a superior extension member or arm 14, an inferior extension member or arm 16, and an actuator assembly 18.
[0072] Turning now to FIGs. 2a-2d, the body 12 will now be described. The body is shown to have a clamshell construction with a left body piece 20 (shown in FIGs.
2a and 2b) joined to a right body piece 22 (shown in FIGs. 2c and 2d) to capture arms 14, 16 inside. With the right and left body pieces 20, 22 joined together, the body 12 is generally cylindrical. It has a cross-sectional size and shape that allows for implantation between adjacent spinous processes and facilitates delivery into a patient through a narrow port or cannula.
2a and 2b) joined to a right body piece 22 (shown in FIGs. 2c and 2d) to capture arms 14, 16 inside. With the right and left body pieces 20, 22 joined together, the body 12 is generally cylindrical. It has a cross-sectional size and shape that allows for implantation between adjacent spinous processes and facilitates delivery into a patient through a narrow port or cannula.
[0073] The inside of the body 12 defines an arm receiving portion 24 and an actuator assembly receiving portion 26 with features formed in each of the left and right body pieces 20, 22 that together define the arm and actuator assembly receiving portions 24, 26. In one variation, the arm receiving portion 24 includes slots 28 that receive pins formed on the arms 14, 16 such that the pins rotate and/or translate inside the slots 28. The actuator assembly receiving portion 26 includes a passageway 30.
Other features include a tongue 31 a and groove 31 b for mating with the opposite clamshell.
Other features include a tongue 31 a and groove 31 b for mating with the opposite clamshell.
[0074] The outside of the body 12 defines a ledge 32 along at least a portion of the periphery. Notches 34 are formed with the ledge 32 at opposite locations as shown in FIG. 1 c. The notches 34 are configured for pronged attachment to a spacer delivery instrument and, as seen in FIG. 1 c, are of different width to assist the clinician in orienting the spacer 10 with respect to the spacer delivery instrument. When joined together, the left and right body pieces 20, 22 define a proximal opening 36 (as seen in FIG. 1 e) and a distal opening 38 (as seen in FIG. 1 a) in the body 12. A
longitudinal scallop (of a type shown in FIG. 10 with reference number 78) extending from the proximal end of the spacer to the distal end on either one or both sides of the body and oppositely located, is formed to facilitate placement of the spacer between and to conform to the anatomy of adjacent interspinous processes.
longitudinal scallop (of a type shown in FIG. 10 with reference number 78) extending from the proximal end of the spacer to the distal end on either one or both sides of the body and oppositely located, is formed to facilitate placement of the spacer between and to conform to the anatomy of adjacent interspinous processes.
[0075] Turning now to FIGs. 3a and 3b, the superior arm 14 is shown and in FIGs. 3c and 3d, the inferior arm 16 is shown. The superior and inferior arms 14, 16 include pins 40 for mating with the body 12, in particular, for mating with the slots 28 of the arm receiving portion 24. Each of the superior and inferior arms 14, 16 includes at least one camming surface 41, 43, respectively, for contact with the actuator assembly 18. The superior and inferior arms 14, 16 include elongated superior extensions 42a, 42b and elongated inferior extensions 44a, 44b, respectively. Extensions 42a and 44a are located on the left adjacent to the left body piece 20 and extensions 42b and 44b are located on right adjacent to the right body piece 22. Superior extensions 42a, 42b extend substantially parallel to each other in both an undeployed configuration and in a fully-deployed configuration as do inferior extensions 44a, 44b. Extending between extensions 42a, 42b is a strut, bridge, bracket or saddle 46 that forms a superior substantially U-shaped configuration together with the extensions 42a, 42b that is sized and configured to receive a superior spinous process. As seen in FIG.
3b, the anterior face of the superior extensions 14 includes a slight concavity or curvature 45 for conforming to the bony anatomy of the superior spinous process and or lamina.
Also, as seen in FIG. 3d, the anterior face of the inferior extensions 16 includes a slight convexity or curvature 47 for conforming to the bony anatomy of the inferior spinous process and or lamina. Also, extending between inferior extensions 44a, 44b is a strut, bridge, bracket or saddle 48 that forms an inferior substantially U-shaped configuration together with the extensions 44a, 44b that is sized and configured to receive an inferior spinous process of a spinal motion segment.
3b, the anterior face of the superior extensions 14 includes a slight concavity or curvature 45 for conforming to the bony anatomy of the superior spinous process and or lamina.
Also, as seen in FIG. 3d, the anterior face of the inferior extensions 16 includes a slight convexity or curvature 47 for conforming to the bony anatomy of the inferior spinous process and or lamina. Also, extending between inferior extensions 44a, 44b is a strut, bridge, bracket or saddle 48 that forms an inferior substantially U-shaped configuration together with the extensions 44a, 44b that is sized and configured to receive an inferior spinous process of a spinal motion segment.
[0076] The superior and inferior arms 14, 16 are movably or rotatably connected to the body 12, for example by hinge means or the like to provide rotational movement from an undeployed configuration to a deployed configuration that arcs through approximately a 90 degree range or more. The arms 14, 16 are rotationally movable between at least an undeployed, collapsed or folded state (as shown in FIGs. 1 a-1 e) and at least a fully deployed state (as shown in FIGs. 4). One of many partially deployed states through which the arms move between the fully undeployed and fully deployed state is shown in FIG. 5. In the undeployed state, the arm pairs 14, 16 are aligned generally or substantially axially (i.e., axially with the longitudinal axis defined by the body 12 or to the translation path into the interspinous space of the patient) to provide a minimal lateral or radial profile. The longitudinal axis X of the body is shown in FIG. 1 c. In the deployed state, the arm pairs 14, 16 are positioned such that the U-shaped saddles are in a plane or have a U-shaped projection in a plane that is generally or substantially transverse to the longitudinal axis X
defined by the body 12 or to the collapsed position or to the translation path into the interspinous space of the patient. The arms 14, 16 may also be linearly moveable or translatable within the plane from a first deployed state to and from a second deployed state characterized by an additional extension of at least one of the arms 14, 16 along the direction of the arrows as shown in FIG. 6. More specifically, the arms 14, 16 can be extended in the general vertical direction along an axis substantially parallel to the spine wherein the arms 14, 16 are extended away from each other and away from the body 12 as denoted by the arrows in FIG. 6. This feature advantageously allows for the most minimally invasive configuration for the spacer without compromising the ability to seat and contain the spinous processes in between levels where the process anatomy in such that the interspinous process space increases in the anterior direction or without compromising the ability of the spacer to provide adequate distraction.
The arms 14, 16 are connected to the body 12 and/or to each other in a manner that enables them to be moved simultaneously or independently of each other, as well as in a manner that provides passive deployment and/or vertical extension or, alternatively, active or actuated deployment and/or vertical extension.
defined by the body 12 or to the collapsed position or to the translation path into the interspinous space of the patient. The arms 14, 16 may also be linearly moveable or translatable within the plane from a first deployed state to and from a second deployed state characterized by an additional extension of at least one of the arms 14, 16 along the direction of the arrows as shown in FIG. 6. More specifically, the arms 14, 16 can be extended in the general vertical direction along an axis substantially parallel to the spine wherein the arms 14, 16 are extended away from each other and away from the body 12 as denoted by the arrows in FIG. 6. This feature advantageously allows for the most minimally invasive configuration for the spacer without compromising the ability to seat and contain the spinous processes in between levels where the process anatomy in such that the interspinous process space increases in the anterior direction or without compromising the ability of the spacer to provide adequate distraction.
The arms 14, 16 are connected to the body 12 and/or to each other in a manner that enables them to be moved simultaneously or independently of each other, as well as in a manner that provides passive deployment and/or vertical extension or, alternatively, active or actuated deployment and/or vertical extension.
[0077] Turning now to FIGs. 7a and 7b, the actuator assembly 18 will now be described. The actuator assembly 18 includes an actuator 48 connected to a shaft 50.
The actuator 48 includes a distal end 54 and a proximal end 56 and at least two bearing surfaces 58. The bearing surfaces 58 angle towards each other from the proximal end 54 to the distal end 56. The shaft 50 has a substantially reduced cross-sectional area and includes a neck 60 for connection with a spacer insertion instrument. The actuator assembly is at least partially disposed inside the body and is configured for sliding engagement with respect to the body. The actuator 48 includes a slot 61 for receiving an actuator pin 52 seen in FIG. 1 d that is connected to the body. The actuator 48, with the pin 52 passed through the slot 61, is connected to the body in sliding engagement. The distal end of the actuator shaft is further configured to engage the superior and inferior arms 14, 16 such that forward translation of the actuator relative to the body effects deployment of the arms into at least one deployed configuration. The at least one deployed configuration can be selectively locked into position via the actuator pin 52 riding inside the slot in the actuator shaft and engaging several fingers 75 forming one or more constrictions along the slot path.
The constrictions are configured to lock the pin 52 keeping it fixed in at least one desired deployed configuration in a friction fit engagement. Four sets of fingers 75 grouped in two sets of two oppositely located sets of fingers 75 are shown in FIG. 7b and are configured such that the pin 52 is capable of entering two locked locations between the sets of fingers 75. Typically, a first locked location locks the arms in a deployed configuration and the second locked location locks the arms in an extended-deployed location wherein the pin 52 is resident between two oppositely located sets of fingers when in the at least one locked location. The fingers 75 flex to corral the pin in place.
The actuator 48 includes a distal end 54 and a proximal end 56 and at least two bearing surfaces 58. The bearing surfaces 58 angle towards each other from the proximal end 54 to the distal end 56. The shaft 50 has a substantially reduced cross-sectional area and includes a neck 60 for connection with a spacer insertion instrument. The actuator assembly is at least partially disposed inside the body and is configured for sliding engagement with respect to the body. The actuator 48 includes a slot 61 for receiving an actuator pin 52 seen in FIG. 1 d that is connected to the body. The actuator 48, with the pin 52 passed through the slot 61, is connected to the body in sliding engagement. The distal end of the actuator shaft is further configured to engage the superior and inferior arms 14, 16 such that forward translation of the actuator relative to the body effects deployment of the arms into at least one deployed configuration. The at least one deployed configuration can be selectively locked into position via the actuator pin 52 riding inside the slot in the actuator shaft and engaging several fingers 75 forming one or more constrictions along the slot path.
The constrictions are configured to lock the pin 52 keeping it fixed in at least one desired deployed configuration in a friction fit engagement. Four sets of fingers 75 grouped in two sets of two oppositely located sets of fingers 75 are shown in FIG. 7b and are configured such that the pin 52 is capable of entering two locked locations between the sets of fingers 75. Typically, a first locked location locks the arms in a deployed configuration and the second locked location locks the arms in an extended-deployed location wherein the pin 52 is resident between two oppositely located sets of fingers when in the at least one locked location. The fingers 75 flex to corral the pin in place.
[0078] Another variation of the actuator 48 is shown in FIG. 8. The actuator includes an actuator 48 connected to a shaft 50. The actuator assembly includes a distal end 54 and a proximal end 56 and at least two bearing surfaces 58. The bearing surfaces 58 angle towards each other from the proximal end 54 to the distal end 56.
The shaft 50 has a substantially reduced cross-sectional area and includes a neck 60 for connection with a spacer insertion instrument. The actuator includes several fingers 75 forming one or more constrictions along the slot 61 path. The constrictions are configured to lock the pin 52 keeping it fixed in at least one desired deployed configuration in a friction fit engagement. One set of fingers 75 are shown in FIG. 8 and are configured such that the pin 52 is pressed in the fingers when in one deployed configuration.
The shaft 50 has a substantially reduced cross-sectional area and includes a neck 60 for connection with a spacer insertion instrument. The actuator includes several fingers 75 forming one or more constrictions along the slot 61 path. The constrictions are configured to lock the pin 52 keeping it fixed in at least one desired deployed configuration in a friction fit engagement. One set of fingers 75 are shown in FIG. 8 and are configured such that the pin 52 is pressed in the fingers when in one deployed configuration.
[0079] With reference to FIGs. 9a-9e, various views of another variation of a spacer according to the present invention are shown wherein like reference numbers are used to describe like parts. The spacer 10 includes a body 12, a superior extension member or arm 14, an inferior extension member or arm 16, and an actuator assembly 18.
[0080] Turning now to FIG. 10, the body 12 will now be described. The body 12 is shown to have a one-piece construction; however, the body 12 may be configured into a clamshell with two mating pieces joined together as described above. The body 12 has a cross-sectional size and shape that allows for implantation between adjacent spinous processes and facilitates delivery into a patient through a narrow port or cannula.
[0081] The inside of the body 12 defines an arm receiving portion 24 and an actuator assembly receiving portion 26 with features formed therein that together define the arm and actuator assembly receiving portions 24, 26. In one variation, the arm receiving portion 24 includes slots 28 that receive one or more pins to capture the arms 14, 16 such that the arms can hinge about the pin. As shown in FIG. 10, the slots 28 are formed in flange-like extensions of the body. The actuator assembly receiving portion 26 includes a passageway 30 that conforms to the shape of the actuator.
[0082] Still referencing FIG. 10, the outside of the body 12 defines a ledge 32 along at least a portion of the periphery. Notches 34 (also shown in FIG. 9e) are formed with the ledge 32 at opposite locations. The notches 34 are configured for pronged attachment to a spacer delivery instrument such that a portion of the spacer delivery instrument securely connects with the body. The body 12 defines a proximal opening 36 and a distal opening 38. A longitudinal scallop 78 extending from the proximal end of the spacer to the distal end on either one or both sides and oppositely located, is formed to facilitate placement of the spacer 10 between and to conform to the anatomy of adjacent interspinous processes. The longitudinal scallops 78 are also shown in FIGs. 9a and 9e.
[0083] Turning now to FIGs. 11 a and 11 b, there are shown figures of the superior arm 14 and the inferior arm 16, respectively. The superior and inferior arms 14, 16 include apertures 39 for receiving a pin for pinned connection and rotation with respect to the body 12. Each of the superior and inferior arms 14, 16 includes at least one camming surface 41, 43, respectively, for contact with the actuator assembly 18.
The superior and inferior arms 14, 16 include elongated superior extensions 42a, 42b and elongated inferior extensions 44a, 44b, respectively. Extensions 42a and 44a are located on one side of the body and extensions 42b and 44b are located on the other side of the body. Superior extensions 42a, 42b extend substantially parallel to each other in both an undeployed configuration and in a deployed configuration as do inferior extensions 44a, 44b. Extending between extensions 42a, 42b is a strut, bridge, bracket or saddle 46 that forms a superior substantially U-shaped configuration together with the extensions 42a, 42b that is sized and configured to receive and seat or contain at least a portion a superior spinous process. As seen in FIG. 9b and 11 a, the anterior deployed face of the superior extensions 14 includes a slight concavity 45 for conforming to the bony anatomy of the superior spinous process and or lamina. Also, as seen in FIGs. 9b and 11 b, the anterior deployed face of the inferior extensions 16 includes a slight convexity 47 for conforming to the bony anatomy of the inferior spinous process and or lamina. Extending between inferior extensions 44a, 44b is a strut, bridge, bracket or saddle 48 that forms an inferior substantially U-shaped configuration together with the extensions 44a, 44b that is sized and configured to receive and seat at least a portion of an inferior spinous process of a spinal motion segment.
The superior and inferior arms 14, 16 include elongated superior extensions 42a, 42b and elongated inferior extensions 44a, 44b, respectively. Extensions 42a and 44a are located on one side of the body and extensions 42b and 44b are located on the other side of the body. Superior extensions 42a, 42b extend substantially parallel to each other in both an undeployed configuration and in a deployed configuration as do inferior extensions 44a, 44b. Extending between extensions 42a, 42b is a strut, bridge, bracket or saddle 46 that forms a superior substantially U-shaped configuration together with the extensions 42a, 42b that is sized and configured to receive and seat or contain at least a portion a superior spinous process. As seen in FIG. 9b and 11 a, the anterior deployed face of the superior extensions 14 includes a slight concavity 45 for conforming to the bony anatomy of the superior spinous process and or lamina. Also, as seen in FIGs. 9b and 11 b, the anterior deployed face of the inferior extensions 16 includes a slight convexity 47 for conforming to the bony anatomy of the inferior spinous process and or lamina. Extending between inferior extensions 44a, 44b is a strut, bridge, bracket or saddle 48 that forms an inferior substantially U-shaped configuration together with the extensions 44a, 44b that is sized and configured to receive and seat at least a portion of an inferior spinous process of a spinal motion segment.
[0084] The superior and inferior arms 14, 16 are movably or rotatably connected to the body 12, for example by a pin or hinge means or the like to provide rotational movement to and from an undeployed configuration to a deployed configuration that arcs through approximately a 90 degree range or more. The arms 14, 16 are rotationally movable between at least an undeployed, collapsed or folded state (as shown in FIGs. 9a-9e) and at least a fully deployed state (as shown in FIGs. 4 and 6).
A partially deployed state through which the arms move between the undeployed and deployed state is shown in FIG. 5. In the undeployed state, the arm pairs 14, 16 are aligned generally or substantially axially (i.e., axially with the longitudinal axis defined by the body 12 or to the translation path into the interspinous space of the patient) to provide a minimal lateral or radial profile. The longitudinal axis X of the body is shown in FIG. 9c. In the deployed state, the arm pairs 14, 16 are positioned in a plane generally or substantially transverse to the collapsed position (i.e., in a plane transverse to the longitudinal axis X defined by the body 12 or to the translation path into the interspinous space of the patient). The arms 14, 16 are connected to the body 12 and/or to each other in a manner that enables them to be moved simultaneously or independently of each other, as well as in a manner that provides passive deployment and/or vertical extension or, alternatively, active or actuated deployment and/or vertical extension.
A partially deployed state through which the arms move between the undeployed and deployed state is shown in FIG. 5. In the undeployed state, the arm pairs 14, 16 are aligned generally or substantially axially (i.e., axially with the longitudinal axis defined by the body 12 or to the translation path into the interspinous space of the patient) to provide a minimal lateral or radial profile. The longitudinal axis X of the body is shown in FIG. 9c. In the deployed state, the arm pairs 14, 16 are positioned in a plane generally or substantially transverse to the collapsed position (i.e., in a plane transverse to the longitudinal axis X defined by the body 12 or to the translation path into the interspinous space of the patient). The arms 14, 16 are connected to the body 12 and/or to each other in a manner that enables them to be moved simultaneously or independently of each other, as well as in a manner that provides passive deployment and/or vertical extension or, alternatively, active or actuated deployment and/or vertical extension.
[0085] Turning now to FIGs. 12a and 12b, the actuator assembly 18 will now be described. The actuator assembly 18 includes an actuator 48 connected to a shaft 50.
The actuator 48 includes a distal end 54 and a proximal end 56 and at least two bearing surfaces 58. The bearing surfaces 58 angle away from each other from the proximal end 54 to the distal end 56. Furthermore, the bearing surfaces are displaced laterally from each other. The shaft 50 has a substantially reduced cross-sectional area forming a neck or receiving portion 60 for connection with a spacer insertion instrument. The actuator assembly 18 is at least partially disposed inside the body and is configured for sliding engagement with respect to the body. The actuator 48 includes a slot 61 for receiving an actuator pin 52 seen in FIG. 9b and 9d that is connected to the body. The actuator 48, with the pin 52 passed through the slot 61, is connected to the body in sliding engagement. The distal end 54 of the actuator 48 is further configured to engage the superior and inferior arms 14, 16 such that forward translation of the actuator relative to the body 12 effects deployment of the arms 14, 16 into at least one deployed configuration. The at least one deployed configuration can be selectively locked into position via the actuator pin 52 riding inside the slot in the actuator shaft and engaging several fingers 75 forming one or more constrictions along the slot path. The constrictions are configured to lock the pin 52 keeping it and the deployed arms fixed in at least one desired deployed configuration in a friction fit engagement. One set of fingers 75 is shown in FIG. 12b which is configured such that the pin 52 is resident between the fingers when in one deployed configuration.
The actuator 48 includes a distal end 54 and a proximal end 56 and at least two bearing surfaces 58. The bearing surfaces 58 angle away from each other from the proximal end 54 to the distal end 56. Furthermore, the bearing surfaces are displaced laterally from each other. The shaft 50 has a substantially reduced cross-sectional area forming a neck or receiving portion 60 for connection with a spacer insertion instrument. The actuator assembly 18 is at least partially disposed inside the body and is configured for sliding engagement with respect to the body. The actuator 48 includes a slot 61 for receiving an actuator pin 52 seen in FIG. 9b and 9d that is connected to the body. The actuator 48, with the pin 52 passed through the slot 61, is connected to the body in sliding engagement. The distal end 54 of the actuator 48 is further configured to engage the superior and inferior arms 14, 16 such that forward translation of the actuator relative to the body 12 effects deployment of the arms 14, 16 into at least one deployed configuration. The at least one deployed configuration can be selectively locked into position via the actuator pin 52 riding inside the slot in the actuator shaft and engaging several fingers 75 forming one or more constrictions along the slot path. The constrictions are configured to lock the pin 52 keeping it and the deployed arms fixed in at least one desired deployed configuration in a friction fit engagement. One set of fingers 75 is shown in FIG. 12b which is configured such that the pin 52 is resident between the fingers when in one deployed configuration.
[0086] General assembly of the spacers 10 discussed above will now be described.
The arms 14, 16 are disposed in the arm receiving portion 24 of one body piece. The other of the left or right body piece 20, 22 is securely connected/welded to the one body piece thereby capturing the arms 14, 16 inside the arm receiving portion 24 such that the arms 14, 16 are capable of at least rotational movement with respect to the body 12 and in one variation, capable of rotational movement and translation with respect to the body 12. In the variation in which the body 12 is made of one piece, the arms 14, 16 are movably connected to the body 12 with a pin. The actuator assembly 18 is inserted into the passageway 30 of the body 12 and a pin 52 is passed through the body 12 and into the slot 61 of the actuator 48 securing the actuator assembly 18 to the body 12 such that the actuator 48 is allowed to slide with respect to the body 12.
The arms 14, 16 are disposed in the arm receiving portion 24 of one body piece. The other of the left or right body piece 20, 22 is securely connected/welded to the one body piece thereby capturing the arms 14, 16 inside the arm receiving portion 24 such that the arms 14, 16 are capable of at least rotational movement with respect to the body 12 and in one variation, capable of rotational movement and translation with respect to the body 12. In the variation in which the body 12 is made of one piece, the arms 14, 16 are movably connected to the body 12 with a pin. The actuator assembly 18 is inserted into the passageway 30 of the body 12 and a pin 52 is passed through the body 12 and into the slot 61 of the actuator 48 securing the actuator assembly 18 to the body 12 such that the actuator 48 is allowed to slide with respect to the body 12.
[0087] To deliver and deploy the spacer 10 within the patient, the spacer 10 is releasably attached to a delivery instrument at the proximal end of the spacer 10 via notches 34. The delivery instrument will now be described in greater detail.
[0088] Turning now to FIGs. 13a-13c, there is shown an insertion instrument according to the present invention. The insertion instrument 100 includes a first subassembly 102, a second subassembly 104 and a third subassembly 105 connected to a handle assembly 106.
[0089] The first subassembly 102 is configured to releasably clamp to the body 12 of the spacer 10 at a distal end 108 of the insertion instrument. Still referencing FIGs.
13a-13c, the first subassembly 102 includes a first clamp shaft 110 and a first outer shaft 112 configured for relative motion with respect to one another via a first control 1141ocated at the handle assembly 106. With particular reference to FIG. 13c, the first control 114 is threaded to the first outer shaft 112 such that rotation of the first control 114 moves the first outer shaft 112 along the longitudinal axis 116 of the insertion instrument 100. Reverse rotation of the first control 114 reverses the direction of translation of the first outer shaft 112. The first clamp shaft 110 is shown in FIG. 13d. The first clamp shaft 110 is a cannulated shaft fixed to the handle assembly 106 and configured to be received inside the cannulated first outer shaft 112. The first clamp shaft 110 includes two oppositely located, outwardly splayed prongs 118 that are permitted to flex inwardly and return to their outwardly splayed normal position as shown in FIG. 13d when released. The prongs 118 are configured to be clamped into the notches 34 formed in the spacer body 12 to clamp onto and securely hold the spacer 10 to the insertion instrument 100. As the first outer shaft 112 is translated distally in sliding motion with respect to the first clamp shaft 110 by rotating the first control 114 in one direction, the first outer shaft 112 is configured to advance over the outwardly splayed prongs 118 and deflect them inwardly to clamp into a properly oriented, juxataposed spacer body 12. When the first outer shaft 112 is translated proximally with respect to the first clamp shaft 110 by rotating the first control in an opposite direction, the first outer shaft 112 is configured to uncover the prongs 118 allowing them to flex outwardly to their normal outwardly splayed configuration to release a spacer 10 to which it is connected.
13a-13c, the first subassembly 102 includes a first clamp shaft 110 and a first outer shaft 112 configured for relative motion with respect to one another via a first control 1141ocated at the handle assembly 106. With particular reference to FIG. 13c, the first control 114 is threaded to the first outer shaft 112 such that rotation of the first control 114 moves the first outer shaft 112 along the longitudinal axis 116 of the insertion instrument 100. Reverse rotation of the first control 114 reverses the direction of translation of the first outer shaft 112. The first clamp shaft 110 is shown in FIG. 13d. The first clamp shaft 110 is a cannulated shaft fixed to the handle assembly 106 and configured to be received inside the cannulated first outer shaft 112. The first clamp shaft 110 includes two oppositely located, outwardly splayed prongs 118 that are permitted to flex inwardly and return to their outwardly splayed normal position as shown in FIG. 13d when released. The prongs 118 are configured to be clamped into the notches 34 formed in the spacer body 12 to clamp onto and securely hold the spacer 10 to the insertion instrument 100. As the first outer shaft 112 is translated distally in sliding motion with respect to the first clamp shaft 110 by rotating the first control 114 in one direction, the first outer shaft 112 is configured to advance over the outwardly splayed prongs 118 and deflect them inwardly to clamp into a properly oriented, juxataposed spacer body 12. When the first outer shaft 112 is translated proximally with respect to the first clamp shaft 110 by rotating the first control in an opposite direction, the first outer shaft 112 is configured to uncover the prongs 118 allowing them to flex outwardly to their normal outwardly splayed configuration to release a spacer 10 to which it is connected.
[0090] The second subassembly 104 is configured to releasably clamp to the actuator 48 of the spacer 10 at the distal end 108 of the insertion instrument 100. The second subassembly 104 includes a second clamp shaft 120 and a second outer shaft 122 configured for relative motion with respect to one another via a second control 124 located at the handle assembly 106. The second control 124 is threaded to the second outer shaft 122 such that rotation of the second control 124 moves the second outer shaft 122 along the longitudinal axis 116 of the insertion instrument 100.
Reverse rotation of the second control 124 reverses the direction of translation of the second outer shaft 122. The second clamp shaft 120 is shown in FIG. 13c and is similar to the first clamp shaft I 10 except that it is positioned approximately 90 degrees with respect to the first clamp shaft 110. The second clamp shaft 120 is a connected to the third subassembly 105 and configured to be received inside the cannulated second outer shaft 122. Both the second clamp shaft 120 and the second outer shaft 122 are located concentrically inside the first clamp shaft 110. The second subassembly 104 is located concentrically inside the first subassembly 102. The second clamp shaft 120 includes two oppositely located, outwardly splayed prongs 126 that are permitted to flex inwardly and return to their outwardly splayed normal position. The prongs 126 are configured to be clamped to the actuator 48 of the spacer 10, and in particular, to the proximal end 56 of the actuator 48 at the neck receiving portion 60 of the actuator shaft 50. Any suitable interface may be formed for connecting to the actuator 48. As the second outer shaft 122 is translated distally with respect to the second clamp shaft 120 by rotating the second control 124 in one direction, the second outer shaft 112 is configured to advance over the outwardly splayed prongs 126 and deflect them inwardly to connect to the actuator 48 of a juxataposed spacer 10. When the second outer shaft 122 is translated proximally with respect to the second clamp shaft 120 by rotating the second control 124 in an opposite direction, the second outer shaft 122 is configured to uncover the prongs 126 allowing them to flex outwardly to their normal outwardly splayed configuration to release the actuator 48 of the spacer 10 to which it is connected.
Reverse rotation of the second control 124 reverses the direction of translation of the second outer shaft 122. The second clamp shaft 120 is shown in FIG. 13c and is similar to the first clamp shaft I 10 except that it is positioned approximately 90 degrees with respect to the first clamp shaft 110. The second clamp shaft 120 is a connected to the third subassembly 105 and configured to be received inside the cannulated second outer shaft 122. Both the second clamp shaft 120 and the second outer shaft 122 are located concentrically inside the first clamp shaft 110. The second subassembly 104 is located concentrically inside the first subassembly 102. The second clamp shaft 120 includes two oppositely located, outwardly splayed prongs 126 that are permitted to flex inwardly and return to their outwardly splayed normal position. The prongs 126 are configured to be clamped to the actuator 48 of the spacer 10, and in particular, to the proximal end 56 of the actuator 48 at the neck receiving portion 60 of the actuator shaft 50. Any suitable interface may be formed for connecting to the actuator 48. As the second outer shaft 122 is translated distally with respect to the second clamp shaft 120 by rotating the second control 124 in one direction, the second outer shaft 112 is configured to advance over the outwardly splayed prongs 126 and deflect them inwardly to connect to the actuator 48 of a juxataposed spacer 10. When the second outer shaft 122 is translated proximally with respect to the second clamp shaft 120 by rotating the second control 124 in an opposite direction, the second outer shaft 122 is configured to uncover the prongs 126 allowing them to flex outwardly to their normal outwardly splayed configuration to release the actuator 48 of the spacer 10 to which it is connected.
[0091] The third subassembly 105 is configured to translate the entire second subassembly 104 with respect to the handle assembly 106 (or, in another variation, with respect to the first subassembly 102) to thereby translate the actuator 48 of a spacer 10 with respect to the body 12 of the spacer to arrange the spacer to and from deployed and undeployed configurations. The third subassembly 105 includes a proximally located third control 128 configured in the form of a removable drive handle threaded to the second assembly 104 and configured for effecting relative motion of the second assembly 104 with respect to the handle assembly 106 wherein rotation of the drive handle 128 moves the second assembly 104 along the longitudinal axis 116 of the insertion instrument 100. Reverse rotation of the drive handle 128 reverses the direction of translation of the second assembly 104.
Because the second assembly 104 is connected to the actuator 48 of the spacer 10 such longitudinal translation effects translation of the actuator 48 with respect to the body 12 of the spacer 10. In one variation, the third assembly 105 further includes a fourth control 130 for adjusting the position of the second assembly 104 relative to the handle assembly 106 such that differently-sized spacers are easily connectable to the insertion instrument at the distal end. For example, as shown in FIG. 13b, a setting of large L on the fourth control 130 positions the second assembly 104 proximally with respect to the handle assembly 106 such that a spacer with a longitudinally longer body 12 may be easily accepted and connected to the insertion instrument 100 at the distal end 108. A setting of small S on the fourth control 130 positions the second assembly 104 distally with respect to the handle assembly 106 such that a spacer with a longitudinally shorter body 12 may be easily accepted and connected to the insertion instrument 100 at the distal end 108. The fourth control 130 may also be employed simultaneously or independently of the third control 128 to arrange the spacer to and from deployed and undeployed configurations.
Because the second assembly 104 is connected to the actuator 48 of the spacer 10 such longitudinal translation effects translation of the actuator 48 with respect to the body 12 of the spacer 10. In one variation, the third assembly 105 further includes a fourth control 130 for adjusting the position of the second assembly 104 relative to the handle assembly 106 such that differently-sized spacers are easily connectable to the insertion instrument at the distal end. For example, as shown in FIG. 13b, a setting of large L on the fourth control 130 positions the second assembly 104 proximally with respect to the handle assembly 106 such that a spacer with a longitudinally longer body 12 may be easily accepted and connected to the insertion instrument 100 at the distal end 108. A setting of small S on the fourth control 130 positions the second assembly 104 distally with respect to the handle assembly 106 such that a spacer with a longitudinally shorter body 12 may be easily accepted and connected to the insertion instrument 100 at the distal end 108. The fourth control 130 may also be employed simultaneously or independently of the third control 128 to arrange the spacer to and from deployed and undeployed configurations.
[0092] Other features of the insertion instrument 100 include a lock 132 configured to lock the first and second subassemblies 102, 104 into position to prevent accidental release of the spacer body 12 or spacer actuator 12. A direction indicator 134 is provided on the instrument 100 for orientating the instrument 100 with respect to the patient anatomy. In one variation, for example, the direction indicator 134 indicates a cephalad orientation. Various depth markings 136 are also provided as well as connection arrows for lining up the spacer with respect to the instrument.
[0093] Turning now to FIGs. 14a-14d, the operation of the spacer 10 and insertion instrument 100 will now be discussed. In operation, the fourth control 130 is adjusted for the size of spacer 10 to be connected to the insertion instrument 100. If a longitudinally large spacer 10 is to be connected, the fourth control 130 is set to large.
If a longitudinally small spacer 10 is to be connected, the fourth control 130 is set to small. This selection positions the distal end of the second assembly 104 proximally or distally with respect to the distal end 108 of the instrument 10 for attachment to the actuator 48. The spacer 10 is then positioned proximate to the distal end 108 of the insertion instrument 100. The spacer 10 is provided or otherwise placed in its undeployed state next to the distal end 108 of the instrument. Initially, the prongs 118, 126 are not engaged as shown in FIGs. 14a-14d.
If a longitudinally small spacer 10 is to be connected, the fourth control 130 is set to small. This selection positions the distal end of the second assembly 104 proximally or distally with respect to the distal end 108 of the instrument 10 for attachment to the actuator 48. The spacer 10 is then positioned proximate to the distal end 108 of the insertion instrument 100. The spacer 10 is provided or otherwise placed in its undeployed state next to the distal end 108 of the instrument. Initially, the prongs 118, 126 are not engaged as shown in FIGs. 14a-14d.
[0094] Turning now to FIGs. 15a-15d, the first control 114 is activated at the handle of the insertion instrument 100 such that the first subassembly 102 is connected to the body 12 of the spacer 10. The first control 114 is rotated in one direction to advance the first outer shaft 112 over the first clamp shaft 110 deflecting the prongs inwardly into the notches 34 on the body of the spacer 12 to secure the spacer body 12 to the instrument as shown clearly in FIG. 15c. FIG. 15d shows that the prongs 126 of the second subassembly 104 are not connected to the actuator 48.
[0095] Turning now to FIGs. 16a-16d, the second control 124 is activated at the handle of the insertion instrument such that the second subassembly is connected to the actuator 48 of the spacer 10. The second control 124 is rotated in one direction to advance the second outer shaft 122 over the second clamp shaft 120 deflecting the prongs 126 inwardly to clanip onto the proximal end 56 of the actuator shaft 50 to secure the actuator 48 to the instrument 100 as shown clearly in FIG. 16d.
Although described such that the first subassembly 102 is first connected to the body 12, the instrument 100 may be employed such that the second subassembly 104 is connected first to the actuator and then the first subassembly 102 is connected to the body. With both the first and second subassemblies 102, 104 connected to the spacer 10, the lock 132 is pushed to lock the first and second subassemblies 102, 104 in place to prevent accidental detachment.
Although described such that the first subassembly 102 is first connected to the body 12, the instrument 100 may be employed such that the second subassembly 104 is connected first to the actuator and then the first subassembly 102 is connected to the body. With both the first and second subassemblies 102, 104 connected to the spacer 10, the lock 132 is pushed to lock the first and second subassemblies 102, 104 in place to prevent accidental detachment.
[0096] To deliver and deploy the spacer 10 within the patient, the spacer 10 is releasably attached to a delivery instrument 100 at the proximal end of the spacer 10 as described. A small midline or lateral-to-midline incision is made in the patient for minimally-invasive percutaneous delivery. In one variation, the supraspinous ligament is split longitudinally along the direction of the tissue fibers to create an opening for the instrument. Dilators may be further employed to create the opening.
In the undeployed state with the arms 14, 16 in a closed orientation and attached to a delivery instrument, the spacer 10 is inserted into a port or cannula, if one is employed, which has been operatively positioned in an interspinous space within a patient's back and the spacer is passed through the cannula to the interspinous space between two adjacent vertebral bodies. The spacer 10 is advanced beyond the end of the cannula or, alternatively, the cannula is pulled proximately to uncover the spacer connected to the instrument 100. Once in position, the third control 128 and/or fourth control 130 is rotated to begin the deployment of at least one of the superior arm 14 and inferior arm 16 or both simultaneously. FIGs. 17a-17d illustrate the superior arm 14 and the inferior arm 16 in a partially deployed position with the arms 14, 16 rotated away from the longitudinal axis 116 and the second subassembly advanced distally with respect to the body of the spacer 12. Distal advancement of the second subassembly 104 which is connected to the actuator 48, in turn, distally advances the actuator 48 whose bearing surfaces 58 contact the superior and inferior camming surfaces 41, 43 pushing the superior and inferior arms 14, 16 into rotation about the pins 40. The position of the arms 14, 16 in FIGs. 17a-17d may be considered to be one of many partially deployed configurations that are possible and from which the deployment of the arms 14, 16 is reversible with opposite rotation of the third and/or fourth controls 128, 130.
In the undeployed state with the arms 14, 16 in a closed orientation and attached to a delivery instrument, the spacer 10 is inserted into a port or cannula, if one is employed, which has been operatively positioned in an interspinous space within a patient's back and the spacer is passed through the cannula to the interspinous space between two adjacent vertebral bodies. The spacer 10 is advanced beyond the end of the cannula or, alternatively, the cannula is pulled proximately to uncover the spacer connected to the instrument 100. Once in position, the third control 128 and/or fourth control 130 is rotated to begin the deployment of at least one of the superior arm 14 and inferior arm 16 or both simultaneously. FIGs. 17a-17d illustrate the superior arm 14 and the inferior arm 16 in a partially deployed position with the arms 14, 16 rotated away from the longitudinal axis 116 and the second subassembly advanced distally with respect to the body of the spacer 12. Distal advancement of the second subassembly 104 which is connected to the actuator 48, in turn, distally advances the actuator 48 whose bearing surfaces 58 contact the superior and inferior camming surfaces 41, 43 pushing the superior and inferior arms 14, 16 into rotation about the pins 40. The position of the arms 14, 16 in FIGs. 17a-17d may be considered to be one of many partially deployed configurations that are possible and from which the deployment of the arms 14, 16 is reversible with opposite rotation of the third and/or fourth controls 128, 130.
[0097] Turning to FIGs. 18a-18d, there is shown an insertion instrument 100 connected to a spacer 10 in a first deployed configuration in which the arms 14, 16 are approximately 90 degrees perpendicular to longitudinal axis 116 or perpendicular the initial undeployed configuration. Continued rotation of third and fourth controls 128, 130 moves the second subassembly 104 further distally with respect to the body 12 of the spacer 10 pushing the bearing surfaces 58 further against the superior and inferior camming surfaces 41, 43. While in the first deployed configuration, the clinician can observe with fluoroscopy the positioning of the spacer 10 inside the patient and then choose to reposition the spacer if desired. Repositioning of the spacer may involve undeploying the arms 14, 16 rotating them into any one of the many undeployed configurations. The spacer may then be re-deployed into the desired location. This process can be repeated as necessary until the clinician has achieved the desired positioning of the spacer in the patient.
[0098] Even further advancement of the second subassembly 104 from the first deployed configuration results in the spacer assuming a second deployed configuration shown in FIG. 19. The second deployed configuration is an extended configuration in which the superior and inferior arms 14, 16 extend transversely with respect to the longitudinal axis 116 outwardly in the direction of the arrows in FIG.
19. Such extension is guided by the length and shape of the slots 28 in which the arms 14, 16 move. Once deployed, the superior arm 14 seats the superior spinous process and the inferior arm 16 seats the adjacent inferior spinous process.
Such extension may also provide some distraction of the vertebral bodies. As seen in this deployed configuration shown in FIG. 19, the actuator pin 52 is seated between the fingers 75 and locked therein.
19. Such extension is guided by the length and shape of the slots 28 in which the arms 14, 16 move. Once deployed, the superior arm 14 seats the superior spinous process and the inferior arm 16 seats the adjacent inferior spinous process.
Such extension may also provide some distraction of the vertebral bodies. As seen in this deployed configuration shown in FIG. 19, the actuator pin 52 is seated between the fingers 75 and locked therein.
[0099] Following deployment, the lock 132 is released to permit rotation of the first and second controls 114, 124 which are rotated in the opposite direction to release the body 12 and the actuator 48 from the instrument 100, respectively. The insertion instrument 100, thus released from the spacer, is removed from the patient leaving the spacer 10 implanted in the interspinous process space as shown in FIG. 20. In FIG.
20, the spacer 10 is shown with the superior arm 14 seating the superior spinous process 138 of a first vertebral body 142 and the inferior arm 16 seating the inferior spinous process 140 of an adjacent second vertebral body 144 providing sufficient distraction to open the neural foramen 146 to relieve pain. As mentioned above, the shape of the superior arm 14 is such that a superior concavity or curvature 45 is provided to conform to the widening of the superior spinous process 138 in an anterior direction toward the superior lamina 148 going in the anterior direction. In general, the superior arm 14 is shaped to conform to anatomy in the location in which it is seated. Likewise, as mentioned above, the shape of the inferior arm 16 is such that an inferior convexity or curvature 47 is provided to conform to the widening of the inferior spinous process 140 in an anterior direction toward the inferior lamina 150. The supraspinous ligament 152 is also shown in FIG. 20.
20, the spacer 10 is shown with the superior arm 14 seating the superior spinous process 138 of a first vertebral body 142 and the inferior arm 16 seating the inferior spinous process 140 of an adjacent second vertebral body 144 providing sufficient distraction to open the neural foramen 146 to relieve pain. As mentioned above, the shape of the superior arm 14 is such that a superior concavity or curvature 45 is provided to conform to the widening of the superior spinous process 138 in an anterior direction toward the superior lamina 148 going in the anterior direction. In general, the superior arm 14 is shaped to conform to anatomy in the location in which it is seated. Likewise, as mentioned above, the shape of the inferior arm 16 is such that an inferior convexity or curvature 47 is provided to conform to the widening of the inferior spinous process 140 in an anterior direction toward the inferior lamina 150. The supraspinous ligament 152 is also shown in FIG. 20.
[00100] Any of the spacers disclosed herein are configured for implantation employing minimally invasive techniques including through a small percutaneous incision and may or may not be through the supraspinous ligament. Implantation through the supraspinous ligament involves selective dissection of the supraspinous ligament in which the fibers of the ligament are separated or spread apart from each other in a manner to maintain as much of the ligament intact as possible. This approach avoids crosswise dissection or cutting of the ligament and thereby reduces the healing time and minimizes the amount of instability to the affected spinal segment. While this approach is ideally suited to be performed through a posterior or midline incision, the approach may also be performed through one or more incisions made laterally of the spine with or without affect to the supraspinous ligament. Of course, the spacer may also be implanted in a lateral approach that circumvents the supraspinous ligament altogether.
[00101] Other variations and features of the various mechanical spacers are covered by the present invention. For example, a spacer may include only a single arm which is configured to receive either the superior spinous process or the inferior spinous process. The surface of the spacer body opposite the side of the single arm may be contoured or otherwise configured to engage the opposing spinous process wherein the spacer is sized to be securely positioned in the interspinous space and provide the desired distraction of the spinous processes defining such space. The additional extension of the arm(s) subsequent to their initial deployment in order to seat or to effect the desired distraction between the vertebrae may be accomplished by expanding the body portion of the device instead of or in addition to extending the individual extension members 14, 16. In another variation, the spacer is configured such that arms are bifurcated side-to-side, instead of top-to-bottom for independent lateral deployment. For example in such a variation, the spacer includes a left arm and a right arm, instead of a superior arm and an inferior arm. The right arm includes extensions 42a and 44a and the left arm includes extensions 42b and 44b wherein extensions 42a and 44b are deployed independently of extension 42b, 44b on the other side of the spacer. This variation allows for the spacer to be inserted in the same manner as described above and one arm is deployed on one side of the both the superior and inferior spinous processes and the second arm is subsequently deployed on the other side of both the superior and inferior spinous processes.
[00102] The extension arms of the subject device may be configured to be selectively movable subsequent to implantation, either to a fixed position prior to closure of the access site or otherwise enabled or allowed to move in response to normal spinal motion exerted on the device after deployment. The deployment angles of the extension arms may range from less than 90 degrees (relative to the longitudinal axis defined by the device body) or may extend beyond 90 degrees. Each extension member may be rotationally movable within a range that is different from that of the other extension members. Additionally, the individual superior and/or inferior extensions 42a, 42b, 44a, 44b may be movable in any direction relative to the strut or bridge extending between an arm pair or relative to the device body in order to provide shock absorption and/or function as a motion limiter, or serve as a lateral adjustment particularly during lateral bending and axial rotation of the spine. The manner of attachment or affixation of the extensions to the arms may be selected so as to provide movement of the extensions that is passive or active or both. In one variation, the saddle or distance between extensions 42a and 42b or between 44a and 44b can be made wider to assist in seating the spinous process and then narrowed to secure the spinous process positioned between extensions 42a and 42b or between 44a and 44b.
[00103] The preceding merely illustrates the principles of the invention. It will be appreciated that those skilled in the art will be able to devise various arrangements which, although not explicitly described or shown herein, embody the principles of the invention and are included within its spirit and scope. Furthermore, all examples and conditional language recited herein are principally intended to aid the reader in understanding the principles of the invention and the concepts contributed by the inventors to furthering the art, and are to be construed as being without limitation to such specifically recited examples and conditions. Moreover, all statements herein reciting principles, aspects, and embodiments of the invention as well as specific examples thereof, are intended to encompass both structural and functional equivalents thereof. Additionally, it is intended that such equivalents include both currently known equivalents and equivalents developed in the future, i.e., any elements developed that perform the same function, regardless of structure.
The scope of the present invention, therefore, is not intended to be limited to the exemplary embodiments shown and described herein. Rather, the scope and spirit of present invention is embodied by the appended claims.
The scope of the present invention, therefore, is not intended to be limited to the exemplary embodiments shown and described herein. Rather, the scope and spirit of present invention is embodied by the appended claims.
[00104] 1. An implantable spacer for placement between adjacent interspinous processes in a spinal motion segment comprising: a body defining a longitudinal passageway and a longitudinal axis; a first arm and a second arm connected to the body and capable of rotation with respect to the body; each arm having a pair of extensions and configured for containing a spinous process therein; each arm having a proximal camming surface; an actuator assembly connected to the body; the actuator assembly comprising an actuator having a proximal end and a distal end; the actuator having at least one bearing surface at the distal end configured to engage each camming surface; the actuator is connected to the body and configured to move inside the longitudinal passageway relative to the body to contact each camming surface with the at least one bearing surface and thereby move the arms from an undeployed configuration in which the arms are substantially parallel to the longitudinal axis of the body to a deployed configuration in which the arms are substantially perpendicular to the longitudinal axis of the body to contain adjacent spinous processes in each arm when in the deployed configuration.
[00105] 2. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body in moving from an undeployed configuration to a deployed configuration.
[00106] 3. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body about a single axis in moving from an undeployed configuration to a deployed configuration.
[00107] 4. The spacer of claim 1 wherein each arm is configured to rotate with respect to the body about separate axes.
[00108] 5. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body in moving from an undeployed configuration to a first deployed configuration and then translate with respect to the body in moving from the first deployed configuration to a second deployed configuration.
[00109] 6. The spacer of claim 5 wherein the rotation is approximate 90 degrees from the undeployed configuration to the first deployed configuration.
[00110] 7. The spacer of claim 5 wherein each arm is configured to rotate outwardly into a planar space that is substantially transverse to the longitudinal axis;
and each arm is configured to translate in said plane away from the longitudinal axis in moving from the first deployed configuration to a second deployed configuration.
and each arm is configured to translate in said plane away from the longitudinal axis in moving from the first deployed configuration to a second deployed configuration.
[00111] 8. The spacer of claim 1 wherein the actuator includes an elongate slot and the actuator is connected to the body with a pin passed through the slot and connected to the body such that the actuator is configured to move longitudinally with respect to the body.
[00112] 9. The spacer of claim 8 wherein the elongate slot includes at least one constriction configured to lock the pin with respect to the actuator when the arms are positioned in at least one deployed configuration.
[00113] 10. The spacer of claim 1 wherein the actuator includes two bearing surfaces that converge towards the distal end of the actuator.
[00114] 11. The spacer of claim 1 wherein the actuator includes two bearing surface that diverge towards the distal end of the actuator.
[00115] 12. The spacer of claim 1 wherein the proximal end of the actuator is configured for attachment to an instrument for moving the actuator with respect to the body.
[00116] 13. The spacer of claim 1 wherein the first arm is configured to contain a superior spinous process and the second arm is configured to contain an inferior spinous process.
[00117] 14. The spacer of claim 1 wherein the first arm is configured to contain one side of the superior and inferior spinous processes and the second arm is configured to contain the other side of the superior and inferior spinous processes.
[00118] 15. The spacer of claim 1 wherein the body includes at least one longitudinal scallop extending along at least a portion of the body; the scallop is configured to provide a lower profile for the spacer for insertion between adjacent interspinous processes along a posterior midline approach while in the undeployed configuration relative to the at least one deployed configuration.
[00119] 16. An insertion instrument configured for delivering a spacer to an interspinous process space of a patient and deploying the spacer from an undeployed configuration to at least one deployed configuration to relieve pain; the spacer including a body, at least one arm connected to and movable with respect to the body and a spacer actuator having a proximal end and a distal end disposed at least partially inside the body that is configured to move the at least one arm from an undeployed configuration to at least one deployed configuration; the insertion instrument comprising: a handle assembly; a first assembly connected to the handle assembly, the first assembly being configured to connect to the body of the spacer at the distal end of the insertion instrument, the first assembly having a first control at the handle assembly configured to connect and release the body of the spacer and the first assembly; a second assembly connected to the handle assembly, the second assembly being configured to connect to the proximal end of the actuator of the spacer at the distal end of the insertion instrument, the second assembly having a second control at the handle assembly configured to connect and release the actuator and the second assembly; and a third assembly connected to the handle assembly; the third assembly being configured to move the second assembly relative to the body of the spacer for arranging the spacer from an undeployed configuration to at least one deployed configuration.
[00120] 17. The insertion instrument of claim 16 wherein the first assembly includes: a first outer shaft; a first clamp shaft connected to the first outer shaft and located concentrically inside the first outer shaft; the first clamp shaft having two first prongs configured to flex and connect to the spacer body; wherein the first outer shaft is configured to move relative to the first clamp shaft such that distal movement of the first outer shaft relative to the first clamp shaft deflects the first prongs inwardly for connecting with the spacer body and proximal movement of the first outer shaft relative to the first clamp shaft uncovers the first prongs allowing them to splay outwardly to their normal position to release the spacer body.
[00121] 18. The insertion instrument of claim 16 wherein the second assembly includes: a second outer shaft; a second clamp shaft connected to the second outer shaft and located concentrically inside the second outer shaft; the second clamp shaft having two second prongs configured to flex and connect to the spacer actuator;
wherein the second outer shaft is configured to move relative to the second clamp shaft such that distal movement of the second outer shaft relative to the second clamp shaft deflects the second prongs inwardly for connecting with the spacer actuator and proximal movement of the second outer shaft relative to the second clamp shaft uncovers the second prongs allowing them to splay outwardly to their normal position to release the spacer actuator.
wherein the second outer shaft is configured to move relative to the second clamp shaft such that distal movement of the second outer shaft relative to the second clamp shaft deflects the second prongs inwardly for connecting with the spacer actuator and proximal movement of the second outer shaft relative to the second clamp shaft uncovers the second prongs allowing them to splay outwardly to their normal position to release the spacer actuator.
[00122] 19. The insertion instrument of claim 16 wherein the second assembly is located concentrically inside the first assembly.
[00123] 20. A method for implanting a spacer between a superior spinous process and an adjacent inferior spinous process of a patient's spine comprising the steps of:
providing a spacer comprising: a body having a proximal end, a distal end, and a longitudinal axis; a first arm and a second arm connected to the body at the distal end, the first and second arms configured to contain the superior and inferior spinous processes; and an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis; inserting the spacer into an interspinous process space from the posterior side of the patient while in the undeployed configuration; and arranging the spacer into at least one deployed configuration.
providing a spacer comprising: a body having a proximal end, a distal end, and a longitudinal axis; a first arm and a second arm connected to the body at the distal end, the first and second arms configured to contain the superior and inferior spinous processes; and an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis; inserting the spacer into an interspinous process space from the posterior side of the patient while in the undeployed configuration; and arranging the spacer into at least one deployed configuration.
[00124] 21. The method of claim 20 further including the step of arranging the spacer from the at least one deployed configuration to a second deployed configuration in which the first and second arms move in a plane outwardly from longitudinal axis.
[00125] 22. The method of claim 20 wherein the first arm is configured to contain the superior spinous process and the second arm is configured to contain the inferior spinous process.
[00126] 23. The method of 20 wherein the first arm is configured to contain one side of both superior and inferior spinous processes and the second arm is configured to contain the other side of both superior and inferior spinous processes.
[00127] 24. The method of claim 20 wherein the step of inserting the spacer into an interspinous process space includes inserting the spacer through the supraspinous ligament.
Claims (24)
1. An implantable spacer for placement between adjacent interspinous processes in a spinal motion segment comprising:
a body defining a longitudinal passageway and a longitudinal axis;
a first arm and a second arm connected to the body and capable of rotation with respect to the body; each arm having a pair of extensions and configured for containing a spinous process therein; each arm having a proximal camming surface;
an actuator assembly connected to the body; the actuator assembly comprising an actuator having a proximal end and a distal end; the actuator having at least one bearing surface at the distal end configured to engage each camming surface; the actuator is connected to the body and configured to move inside the longitudinal passageway relative to the body to contact each camming surface with the at least one bearing surface and thereby move the arms from an undeployed configuration in which the arms are substantially parallel to the longitudinal axis of the body to a deployed configuration in which the arms are substantially perpendicular to the longitudinal axis of the body to contain adjacent spinous processes in each arm when in the deployed configuration.
a body defining a longitudinal passageway and a longitudinal axis;
a first arm and a second arm connected to the body and capable of rotation with respect to the body; each arm having a pair of extensions and configured for containing a spinous process therein; each arm having a proximal camming surface;
an actuator assembly connected to the body; the actuator assembly comprising an actuator having a proximal end and a distal end; the actuator having at least one bearing surface at the distal end configured to engage each camming surface; the actuator is connected to the body and configured to move inside the longitudinal passageway relative to the body to contact each camming surface with the at least one bearing surface and thereby move the arms from an undeployed configuration in which the arms are substantially parallel to the longitudinal axis of the body to a deployed configuration in which the arms are substantially perpendicular to the longitudinal axis of the body to contain adjacent spinous processes in each arm when in the deployed configuration.
2. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body in moving from an undeployed configuration to a deployed configuration.
3. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body about a single axis in moving from an undeployed configuration to a deployed configuration.
4. The spacer of claim 1 wherein each arm is configured to rotate with respect to the body about separate axes.
5. The spacer of claim 1 wherein the arms are configured to rotate with respect to the body in moving from an undeployed configuration to a first deployed configuration and then translate with respect to the body in moving from the first deployed configuration to a second deployed configuration.
6. The spacer of claim 5 wherein the rotation is approximate 90 degrees from the undeployed configuration to the first deployed configuration.
7. The spacer of claim 5 wherein each arm is configured to rotate outwardly into a planar space that is substantially transverse to the longitudinal axis; and each arm is configured to translate in said plane away from the longitudinal axis in moving from the first deployed configuration to a second deployed configuration.
8. The spacer of claim 1 wherein the actuator includes an elongate slot and the actuator is connected to the body with a pin passed through the slot and connected to the body such that the actuator is configured to move longitudinally with respect to the body.
9. The spacer of claim 8 wherein the elongate slot includes at least one constriction configured to lock the pin with respect to the actuator when the arms are positioned in at least one deployed configuration.
10. The spacer of claim 1 wherein the actuator includes two bearing surfaces that converge towards the distal end of the actuator.
11. The spacer of claim 1 wherein the actuator includes two bearing surface that diverge towards the distal end of the actuator.
12. The spacer of claim 1 wherein the proximal end of the actuator is configured for attachment to an instrument for moving the actuator with respect to the body.
13. The spacer of claim 1 wherein the first arm is configured to contain a superior spinous process and the second arm is configured to contain an inferior spinous process.
14. The spacer of claim 1 wherein the first arm is configured to contain one side of the superior and inferior spinous processes and the second arm is configured to contain the other side of the superior and inferior spinous processes.
15. The spacer of claim 1 wherein the body includes at least one longitudinal scallop extending along at least a portion of the body; the scallop is configured to provide a lower profile for the spacer for insertion between adjacent interspinous processes along a posterior midline approach while in the undeployed configuration relative to the at least one deployed configuration.
16. An insertion instrument configured for delivering a spacer to an interspinous process space of a patient and deploying the spacer from an undeployed configuration to at least one deployed configuration to relieve pain; the spacer including a body, at least one arm connected to and movable with respect to the body and a spacer actuator having a proximal end and a distal end disposed at least partially inside the body that is configured to move the at least one arm from an undeployed configuration to at least one deployed configuration; the insertion instrument comprising:
a handle assembly;
a first assembly connected to the handle assembly, the first assembly being configured to connect to the body of the spacer at the distal end of the insertion instrument, the first assembly having a first control at the handle assembly configured to connect and release the body of the spacer and the first assembly;
a second assembly connected to the handle assembly, the second assembly being configured to connect to the proximal end of the actuator of the spacer at the distal end of the insertion instrument, the second assembly having a second control at the handle assembly configured to connect and release the actuator and the second assembly; and a third assembly connected to the handle assembly; the third assembly being configured to move the second assembly relative to the body of the spacer for arranging the spacer from an undeployed configuration to at least one deployed configuration.
a handle assembly;
a first assembly connected to the handle assembly, the first assembly being configured to connect to the body of the spacer at the distal end of the insertion instrument, the first assembly having a first control at the handle assembly configured to connect and release the body of the spacer and the first assembly;
a second assembly connected to the handle assembly, the second assembly being configured to connect to the proximal end of the actuator of the spacer at the distal end of the insertion instrument, the second assembly having a second control at the handle assembly configured to connect and release the actuator and the second assembly; and a third assembly connected to the handle assembly; the third assembly being configured to move the second assembly relative to the body of the spacer for arranging the spacer from an undeployed configuration to at least one deployed configuration.
17. The insertion instrument of claim 16 wherein the first assembly includes:
a first outer shaft;
a first clamp shaft connected to the first outer shaft and located concentrically inside the first outer shaft; the first clamp shaft having two first prongs configured to flex and connect to the spacer body;
wherein the first outer shaft is configured to move relative to the first clamp shaft such that distal movement of the first outer shaft relative to the first clamp shaft deflects the first prongs inwardly for connecting with the spacer body and proximal movement of the first outer shaft relative to the first clamp shaft uncovers the first prongs allowing them to splay outwardly to their normal position to release the spacer body.
a first outer shaft;
a first clamp shaft connected to the first outer shaft and located concentrically inside the first outer shaft; the first clamp shaft having two first prongs configured to flex and connect to the spacer body;
wherein the first outer shaft is configured to move relative to the first clamp shaft such that distal movement of the first outer shaft relative to the first clamp shaft deflects the first prongs inwardly for connecting with the spacer body and proximal movement of the first outer shaft relative to the first clamp shaft uncovers the first prongs allowing them to splay outwardly to their normal position to release the spacer body.
18. The insertion instrument of claim 16 wherein the second assembly includes:
a second outer shaft;
a second clamp shaft connected to the second outer shaft and located concentrically inside the second outer shaft; the second clamp shaft having two second prongs configured to flex and connect to the spacer actuator;
wherein the second outer shaft is configured to move relative to the second clamp shaft such that distal movement of the second outer shaft relative to the second clamp shaft deflects the second prongs inwardly for connecting with the spacer actuator and proximal movement of the second outer shaft relative to the second clamp shaft uncovers the second prongs allowing them to splay outwardly to their normal position to release the spacer actuator.
a second outer shaft;
a second clamp shaft connected to the second outer shaft and located concentrically inside the second outer shaft; the second clamp shaft having two second prongs configured to flex and connect to the spacer actuator;
wherein the second outer shaft is configured to move relative to the second clamp shaft such that distal movement of the second outer shaft relative to the second clamp shaft deflects the second prongs inwardly for connecting with the spacer actuator and proximal movement of the second outer shaft relative to the second clamp shaft uncovers the second prongs allowing them to splay outwardly to their normal position to release the spacer actuator.
19. The insertion instrument of claim 16 wherein the second assembly is located concentrically inside the first assembly.
20. A method for implanting a spacer between a superior spinous process and an adjacent inferior spinous process of a patient's spine comprising the steps of:
providing a spacer comprising:
a body having a proximal end, a distal end, and a longitudinal axis;
a first arm and a second arm connected to the body at the distal end, the first and second arms configured to contain the superior and inferior spinous processes; and an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis;
inserting the spacer into an interspinous process space from the posterior side of the patient while in the undeployed configuration; and arranging the spacer into at least one deployed configuration.
providing a spacer comprising:
a body having a proximal end, a distal end, and a longitudinal axis;
a first arm and a second arm connected to the body at the distal end, the first and second arms configured to contain the superior and inferior spinous processes; and an actuator configured to move the first and second arms from a low-profile undeployed configuration in which the first and second arms extend parallel to longitudinal axis to at least one deployed configuration in which the first and second arms are transverse to the longitudinal axis;
inserting the spacer into an interspinous process space from the posterior side of the patient while in the undeployed configuration; and arranging the spacer into at least one deployed configuration.
21. The method of claim 20 further including the step of arranging the spacer from the at least one deployed configuration to a second deployed configuration in which the first and second arms move in a plane outwardly from longitudinal axis.
22. The method of claim 20 wherein the first arm is configured to contain the superior spinous process and the second arm is configured to contain the inferior spinous process.
23. The method of 20 wherein the first arm is configured to contain one side of both superior and inferior spinous processes and the second arm is configured to contain the other side of both superior and inferior spinous processes.
24. The method of claim 20 wherein the step of inserting the spacer into an interspinous process space includes inserting the spacer through the supraspinous ligament.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US92384107P | 2007-04-16 | 2007-04-16 | |
US60/923,841 | 2007-04-16 | ||
US92397107P | 2007-04-17 | 2007-04-17 | |
US60/923,971 | 2007-04-17 | ||
PCT/US2008/004901 WO2008130564A1 (en) | 2007-04-16 | 2008-04-16 | Interspinous spacer |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2684461A1 true CA2684461A1 (en) | 2008-10-30 |
CA2684461C CA2684461C (en) | 2015-06-30 |
Family
ID=39875803
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2684461A Active CA2684461C (en) | 2007-04-16 | 2008-04-16 | Interspinous spacer |
Country Status (6)
Country | Link |
---|---|
US (4) | US8292922B2 (en) |
EP (1) | EP2155121B1 (en) |
AU (2) | AU2008241447B2 (en) |
CA (1) | CA2684461C (en) |
IL (1) | IL201538A0 (en) |
WO (1) | WO2008130564A1 (en) |
Families Citing this family (103)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7959652B2 (en) | 2005-04-18 | 2011-06-14 | Kyphon Sarl | Interspinous process implant having deployable wings and method of implantation |
US20080215058A1 (en) | 1997-01-02 | 2008-09-04 | Zucherman James F | Spine distraction implant and method |
US20080086212A1 (en) | 1997-01-02 | 2008-04-10 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US7549999B2 (en) | 2003-05-22 | 2009-06-23 | Kyphon Sarl | Interspinous process distraction implant 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 |
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 |
US8123782B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Interspinous spacer |
US7763074B2 (en) | 2004-10-20 | 2010-07-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8012207B2 (en) | 2004-10-20 | 2011-09-06 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8277488B2 (en) | 2004-10-20 | 2012-10-02 | Vertiflex, Inc. | Interspinous spacer |
US9119680B2 (en) | 2004-10-20 | 2015-09-01 | Vertiflex, Inc. | Interspinous spacer |
US8409282B2 (en) | 2004-10-20 | 2013-04-02 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US9023084B2 (en) | 2004-10-20 | 2015-05-05 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilizing the motion or adjusting the position of the spine |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
US8123807B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8425559B2 (en) | 2004-10-20 | 2013-04-23 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
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 |
US8945183B2 (en) | 2004-10-20 | 2015-02-03 | Vertiflex, Inc. | Interspinous process spacer instrument system with deployment indicator |
US8613747B2 (en) | 2004-10-20 | 2013-12-24 | Vertiflex, Inc. | Spacer insertion instrument |
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 |
US8241330B2 (en) | 2007-01-11 | 2012-08-14 | Lanx, Inc. | Spinous process implants and associated methods |
US9055981B2 (en) | 2004-10-25 | 2015-06-16 | Lanx, Inc. | Spinal implants and methods |
EP1814474B1 (en) | 2004-11-24 | 2011-09-14 | Samy Abdou | Devices for inter-vertebral orthopedic device placement |
EP2219538B1 (en) | 2004-12-06 | 2022-07-06 | Vertiflex, Inc. | Spacer insertion instrument |
US8029567B2 (en) | 2005-02-17 | 2011-10-04 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8038698B2 (en) | 2005-02-17 | 2011-10-18 | Kphon Sarl | Percutaneous spinal implants and methods |
US8096994B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8043335B2 (en) | 2005-02-17 | 2011-10-25 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8034080B2 (en) | 2005-02-17 | 2011-10-11 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8096995B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8007521B2 (en) | 2005-02-17 | 2011-08-30 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8100943B2 (en) | 2005-02-17 | 2012-01-24 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8097018B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070276493A1 (en) | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous spinal implants and methods |
US8157841B2 (en) | 2005-02-17 | 2012-04-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8066742B2 (en) | 2005-03-31 | 2011-11-29 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US8034079B2 (en) | 2005-04-12 | 2011-10-11 | Warsaw Orthopedic, Inc. | Implants and methods for posterior dynamic stabilization of a spinal motion segment |
US7727233B2 (en) | 2005-04-29 | 2010-06-01 | Warsaw Orthopedic, Inc. | Spinous process stabilization devices and methods |
US8083795B2 (en) | 2006-01-18 | 2011-12-27 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
US8262698B2 (en) | 2006-03-16 | 2012-09-11 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8118844B2 (en) | 2006-04-24 | 2012-02-21 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8105357B2 (en) | 2006-04-28 | 2012-01-31 | Warsaw Orthopedic, Inc. | Interspinous process brace |
US20070270823A1 (en) | 2006-04-28 | 2007-11-22 | Sdgi Holdings, Inc. | Multi-chamber expandable interspinous process brace |
US8252031B2 (en) | 2006-04-28 | 2012-08-28 | Warsaw Orthopedic, Inc. | Molding device for an expandable interspinous process implant |
US8048118B2 (en) | 2006-04-28 | 2011-11-01 | Warsaw Orthopedic, Inc. | Adjustable interspinous process brace |
US8062337B2 (en) | 2006-05-04 | 2011-11-22 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8048119B2 (en) | 2006-07-20 | 2011-11-01 | Warsaw Orthopedic, Inc. | Apparatus for insertion between anatomical structures and a procedure utilizing same |
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 |
US20080177312A1 (en) * | 2006-12-28 | 2008-07-24 | Mi4Spine, Llc | Interspinous Process Spacer Device |
US9247968B2 (en) | 2007-01-11 | 2016-02-02 | Lanx, Inc. | Spinous process implants and associated methods |
US9265532B2 (en) | 2007-01-11 | 2016-02-23 | Lanx, Inc. | Interspinous implants and methods |
WO2008130564A1 (en) | 2007-04-16 | 2008-10-30 | Vertiflex Inc. | Interspinous spacer |
US8840646B2 (en) * | 2007-05-10 | 2014-09-23 | Warsaw Orthopedic, Inc. | Spinous process implants and methods |
US9561060B2 (en) * | 2007-11-02 | 2017-02-07 | Zimmer Biomet Spine, Inc. | Interspinous implants with adjustable height spacer |
WO2009091922A2 (en) | 2008-01-15 | 2009-07-23 | Vertiflex, Inc. | Interspinous spacer |
US8105358B2 (en) | 2008-02-04 | 2012-01-31 | Kyphon Sarl | Medical implants and methods |
ITPI20080010A1 (en) * | 2008-02-07 | 2009-08-08 | Giuseppe Calvosa | INTERSTEIN VERTEBRAL DISTRACTOR FOR PERCUTANEOUS INSERTION |
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 |
US20100012068A1 (en) * | 2008-07-03 | 2010-01-21 | International Engine Intellectual Property Company , Llc | Prioritizing Use Of Engine Cold Start Aids To mitigate Effect Of Weakened Battery Bank |
US8114131B2 (en) | 2008-11-05 | 2012-02-14 | Kyphon Sarl | Extension limiting devices and methods of use for the spine |
US8372117B2 (en) | 2009-06-05 | 2013-02-12 | Kyphon Sarl | Multi-level interspinous implants and methods of use |
US9402656B2 (en) * | 2009-09-11 | 2016-08-02 | Globus Medical, Inc. | Spinous process fusion devices |
US9155571B2 (en) | 2009-11-06 | 2015-10-13 | DePuy Synthes Products, Inc. | Minimally invasive interspinous process spacer implants and methods |
US8795335B1 (en) * | 2009-11-06 | 2014-08-05 | Samy Abdou | Spinal fixation devices and methods of use |
US8764806B2 (en) | 2009-12-07 | 2014-07-01 | Samy Abdou | Devices and methods for minimally invasive spinal stabilization and instrumentation |
EP2512357B1 (en) * | 2009-12-15 | 2016-07-13 | Vertiflex, Inc. | Spinal spacer for cervical and other vertebra, and associated systems |
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 |
US8906092B2 (en) * | 2011-01-24 | 2014-12-09 | Samy Abdou | Spinous process fixation devices and methods of use |
US9308099B2 (en) | 2011-02-14 | 2016-04-12 | Imds Llc | Expandable intervertebral implants and instruments |
US8496689B2 (en) | 2011-02-23 | 2013-07-30 | Farzad Massoudi | Spinal implant device with fusion cage and fixation plates and method of implanting |
US8425560B2 (en) | 2011-03-09 | 2013-04-23 | Farzad Massoudi | Spinal implant device with fixation plates and lag screws and method of implanting |
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 |
US9149306B2 (en) | 2011-06-21 | 2015-10-06 | Seaspine, Inc. | Spinous process device |
US8845728B1 (en) | 2011-09-23 | 2014-09-30 | Samy Abdou | Spinal fixation devices and methods of use |
US11812923B2 (en) | 2011-10-07 | 2023-11-14 | Alan Villavicencio | Spinal fixation device |
EP2779925B1 (en) | 2011-11-17 | 2019-01-16 | Howmedica Osteonics Corp. | Interspinous spacers |
US20130226240A1 (en) | 2012-02-22 | 2013-08-29 | Samy Abdou | Spinous process fixation devices and methods of use |
US9693876B1 (en) | 2012-03-30 | 2017-07-04 | Ali H. MESIWALA | Spinal fusion implant and related methods |
US9198767B2 (en) | 2012-08-28 | 2015-12-01 | Samy Abdou | Devices and methods for spinal stabilization and instrumentation |
US9320617B2 (en) | 2012-10-22 | 2016-04-26 | Cogent Spine, LLC | Devices and methods for spinal stabilization and instrumentation |
US9675303B2 (en) | 2013-03-15 | 2017-06-13 | Vertiflex, Inc. | Visualization systems, instruments and methods of using the same in spinal decompression procedures |
AU2015256024B2 (en) | 2014-05-07 | 2020-03-05 | Vertiflex, Inc. | Spinal nerve decompression systems, dilation systems, and methods of using the same |
CN108024860B (en) | 2015-08-25 | 2020-02-07 | Imds公司 | Expandable intervertebral implant |
US10857003B1 (en) | 2015-10-14 | 2020-12-08 | Samy Abdou | Devices and methods for vertebral stabilization |
WO2018009671A1 (en) | 2016-07-07 | 2018-01-11 | Stern Mark S | Spinous laminar clamp assembly |
US10973648B1 (en) | 2016-10-25 | 2021-04-13 | Samy Abdou | Devices and methods for vertebral bone realignment |
US10744000B1 (en) | 2016-10-25 | 2020-08-18 | Samy Abdou | Devices and methods for vertebral bone realignment |
EP3531983A1 (en) | 2016-10-25 | 2019-09-04 | Imds Llc | Methods and instrumentation for intervertebral cage expansion |
US10945859B2 (en) | 2018-01-29 | 2021-03-16 | Amplify Surgical, Inc. | Expanding fusion cages |
US11179248B2 (en) | 2018-10-02 | 2021-11-23 | Samy Abdou | Devices and methods for spinal implantation |
US11432937B1 (en) | 2021-11-02 | 2022-09-06 | Linares Medical Devices, Llc | Expandable spinal jack for installation between upper and lower succeeding superior articular processes |
US20230255786A1 (en) * | 2022-02-15 | 2023-08-17 | Boston Scientific Neuromodulation Corporation | Interspinous spacer and methods and systems utilizing the interspinous spacer |
TWI819504B (en) * | 2022-02-25 | 2023-10-21 | 寶億生技股份有限公司 | Interspinous process device and device for stabilizing thereof |
Family Cites Families (457)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA268461A (en) | 1927-02-15 | H. Everett Claud | Storage battery | |
US1005835A (en) | 1908-06-10 | 1911-10-17 | Slip Scarf Company | Necktie. |
US1008058A (en) | 1910-01-26 | 1911-11-07 | Algernon S Phelps | Acetylene-generator. |
US2248054A (en) | 1939-06-07 | 1941-07-08 | Becker Joseph | Screw driver |
US2677369A (en) | 1952-03-26 | 1954-05-04 | Fred L Knowles | Apparatus for treatment of the spinal column |
US2933114A (en) * | 1957-09-16 | 1960-04-19 | Agnar F Bystrom | Screw-holding screw driver |
US3242120A (en) | 1960-03-22 | 1966-03-22 | Du Pont | Self-supporting gel shaped structures |
US3486505A (en) | 1967-05-22 | 1969-12-30 | Gordon M Morrison | Orthopedic surgical instrument |
US3648691A (en) | 1970-02-24 | 1972-03-14 | Univ Colorado State Res Found | Method of applying vertebral appliance |
US3780733A (en) | 1972-07-24 | 1973-12-25 | Manzor M Martinez | Catheter |
US3986383A (en) | 1974-01-02 | 1976-10-19 | Petteys Howard A | Expander tool |
SU988281A1 (en) | 1981-06-26 | 1983-01-15 | За витель | Vertical column fixing device |
US4545374A (en) | 1982-09-03 | 1985-10-08 | Jacobson Robert E | Method and instruments for performing a percutaneous lumbar diskectomy |
US4632101A (en) | 1985-01-31 | 1986-12-30 | Yosef Freedland | Orthopedic fastener |
US4685447A (en) | 1985-03-25 | 1987-08-11 | Pmt Corporation | Tissue expander system |
US5863948A (en) | 1985-06-14 | 1999-01-26 | Massachusetts Eye And Ear Infirmary | Increasing aqueous humor outflow |
GB8620937D0 (en) | 1986-08-29 | 1986-10-08 | Shepperd J A N | Spinal implant |
US5019081A (en) | 1986-12-10 | 1991-05-28 | Watanabe Robert S | Laminectomy surgical process |
US4799484A (en) | 1987-04-10 | 1989-01-24 | Ethicon, Inc. | Tapered I-beam surgical needles |
FR2623085B1 (en) | 1987-11-16 | 1992-08-14 | Breard Francis | SURGICAL IMPLANT TO LIMIT THE RELATIVE MOVEMENT OF VERTEBRES |
US5487739A (en) | 1987-11-17 | 1996-01-30 | Brown University Research Foundation | Implantable therapy systems and methods |
FR2625097B1 (en) | 1987-12-23 | 1990-05-18 | Cote Sarl | INTER-SPINOUS PROSTHESIS COMPOSED OF SEMI-ELASTIC MATERIAL COMPRISING A TRANSFILING EYE AT ITS END AND INTER-SPINOUS PADS |
US5195526A (en) | 1988-03-11 | 1993-03-23 | Michelson Gary K | Spinal marker needle |
US4986831A (en) | 1988-04-25 | 1991-01-22 | Angeion Corporation | Medical implant |
US4895564A (en) | 1988-06-08 | 1990-01-23 | Farrell Edward M | Percutaneous femoral bypass system |
US5484437A (en) | 1988-06-13 | 1996-01-16 | Michelson; Gary K. | Apparatus and method of inserting spinal implants |
EP0703757B1 (en) | 1988-06-13 | 2003-08-27 | Karlin Technology, Inc. | Apparatus for inserting spinal implants |
US5015247A (en) | 1988-06-13 | 1991-05-14 | Michelson Gary K | Threaded spinal implant |
US7452359B1 (en) | 1988-06-13 | 2008-11-18 | Warsaw Orthopedic, Inc. | Apparatus for inserting spinal implants |
CA1333209C (en) | 1988-06-28 | 1994-11-29 | Gary Karlin Michelson | Artificial spinal fusion implants |
FR2642645B1 (en) | 1989-02-03 | 1992-08-14 | Breard Francis | FLEXIBLE INTERVERTEBRAL STABILIZER AND METHOD AND APPARATUS FOR CONTROLLING ITS VOLTAGE BEFORE PLACEMENT ON THE RACHIS |
US5458638A (en) | 1989-07-06 | 1995-10-17 | Spine-Tech, Inc. | Non-threaded spinal implant |
FR2649312A1 (en) | 1989-07-10 | 1991-01-11 | Lacaffiniere Jean Yves | LATEST LOCKING DEVICE FOR CENTRO-MEDALLION PINS USED FOR OSTEOSYNTHESIS OF FRACTURES OF FEMUR, TIBIA AND HUMERUS |
JP3158405B2 (en) | 1989-07-21 | 2001-04-23 | ブラザー工業株式会社 | Communication management information processing device for facsimile machine |
US5059193A (en) | 1989-11-20 | 1991-10-22 | Spine-Tech, Inc. | Expandable spinal implant and surgical method |
US5331975A (en) | 1990-03-02 | 1994-07-26 | Bonutti Peter M | Fluid operated retractors |
US5040542A (en) | 1990-03-05 | 1991-08-20 | Norman Gray | Bone biopsy needle |
JPH03289951A (en) | 1990-04-05 | 1991-12-19 | Matsutani Seisakusho Co Ltd | Edged sewing needle |
JPH0433794A (en) | 1990-05-30 | 1992-02-05 | Mitsubishi Heavy Ind Ltd | Brazing method in inert atmosphere |
FR2666981B1 (en) | 1990-09-21 | 1993-06-25 | Commarmond Jacques | SYNTHETIC LIGAMENT VERTEBRAL. |
CA2051716C (en) | 1990-10-01 | 2002-05-14 | James H. Lefiles | Copper hydroxide dry flowable bactericide/fungicide and method of making and using same |
US6471976B1 (en) | 1990-10-01 | 2002-10-29 | Evelyn J. Taylor | Copper complex bactericide/fungicide and method of making same |
FR2671972B1 (en) | 1991-01-25 | 1995-03-03 | Esteve Labor Dr | USE OF 1-H-AZOLE- (OMEGA- (4- (2-PYRIMIDINYL) -1-PIPERAZINYL) -ALKYL) DERIVATIVES FOR THE PREPARATION OF MEDICINAL PRODUCTS FOR THE TREATMENT OF COGNITIVE FUNCTION DISORDERS. |
US5390683A (en) | 1991-02-22 | 1995-02-21 | Pisharodi; Madhavan | Spinal implantation methods utilizing a middle expandable implant |
FR2681525A1 (en) | 1991-09-19 | 1993-03-26 | Medical Op | Device for flexible or semi-rigid stabilisation of the spine, in particular of the human spine, by a posterior route |
FR2681776A1 (en) | 1991-09-30 | 1993-04-02 | Fixano Sa | VERTEBRAL OSTEOSYNTHESIS DEVICE. |
US5762629A (en) | 1991-10-30 | 1998-06-09 | Smith & Nephew, Inc. | Oval cannula assembly and method of use |
US6277112B1 (en) | 1996-07-16 | 2001-08-21 | Arthrocare Corporation | Methods for electrosurgical spine surgery |
US5857996A (en) | 1992-07-06 | 1999-01-12 | Catheter Imaging Systems | Method of epidermal surgery |
FR2693364B1 (en) | 1992-07-07 | 1995-06-30 | Erpios Snc | INTERVERTEBRAL PROSTHESIS FOR STABILIZING ROTATORY AND FLEXIBLE-EXTENSION CONSTRAINTS. |
GB9217578D0 (en) | 1992-08-19 | 1992-09-30 | Surgicarft Ltd | Surgical implants,etc |
FR2697743B1 (en) | 1992-11-09 | 1995-01-27 | Fabrication Mat Orthopedique S | Spinal osteosynthesis device applicable in particular to degenerative vertebrae. |
FR2698261B1 (en) | 1992-11-24 | 1995-03-17 | Lacaffiniere Jean Yves De | Device for guiding a double screw of the neck of the femur for locked trochantero-diaphyseal nail. |
US5456722A (en) | 1993-01-06 | 1995-10-10 | Smith & Nephew Richards Inc. | Load bearing polymeric cable |
US5496318A (en) | 1993-01-08 | 1996-03-05 | Advanced Spine Fixation Systems, Inc. | Interspinous segmental spine fixation device |
US5415661A (en) | 1993-03-24 | 1995-05-16 | University Of Miami | Implantable spinal assist device |
FR2704745B1 (en) | 1993-05-07 | 1995-11-24 | Erpios | Device for connecting the ends of a ligament for osteosynthesis, in particular for vertebral osteosynthesis. |
ATE361028T1 (en) | 1994-01-26 | 2007-05-15 | Kyphon Inc | IMPROVED INFLATABLE DEVICE FOR USE IN SURGICAL METHODS OF FIXATION OF BONE |
WO1995025485A1 (en) | 1994-03-23 | 1995-09-28 | Schnorrenberg Chirurgiemechanik Gmbh | Positioning and support device for the spinal column |
FR2717675B1 (en) | 1994-03-24 | 1996-05-03 | Jean Taylor | Interspinous wedge. |
FR2719763B1 (en) | 1994-05-11 | 1996-09-27 | Jean Taylor | Vertebral implant. |
US5571189A (en) | 1994-05-20 | 1996-11-05 | Kuslich; Stephen D. | Expandable fabric implant for stabilizing the spinal motion segment |
AU695466B2 (en) | 1994-05-23 | 1998-08-13 | Zimmer Spine, Inc. | Intervertebral fusion implant |
FR2721501B1 (en) | 1994-06-24 | 1996-08-23 | Fairant Paulette | Prostheses of the vertebral articular facets. |
FR2722980B1 (en) | 1994-07-26 | 1996-09-27 | Samani Jacques | INTERTEPINOUS VERTEBRAL IMPLANT |
US5472452A (en) | 1994-08-30 | 1995-12-05 | Linvatec Corporation | Rectilinear anchor for soft tissue fixation |
DE69532856T2 (en) | 1994-10-17 | 2005-04-21 | Raymedica Inc | Spinal disc-GRAFT |
US5654599A (en) | 1994-12-29 | 1997-08-05 | The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration | Dynamically timed electric motor |
US5658335A (en) | 1995-03-09 | 1997-08-19 | Cohort Medical Products Group, Inc. | Spinal fixator |
US6602248B1 (en) | 1995-06-07 | 2003-08-05 | Arthro Care Corp. | Methods for repairing damaged intervertebral discs |
DE19529605C2 (en) | 1995-08-11 | 1997-10-09 | Bernhard Zientek | Intervertebral implant |
NZ272994A (en) | 1995-09-12 | 2001-06-29 | C G Surgical Ltd | Spinal prosthesis device which stabilises lamina after laminoplasty |
US5746720A (en) | 1995-10-18 | 1998-05-05 | Stouder, Jr.; Albert E. | Method and apparatus for insertion of a cannula and trocar |
US5700264A (en) | 1996-07-01 | 1997-12-23 | Zucherman; James F. | Apparatus and method for preparing a site for an interbody fusion implant |
FR2753368B1 (en) | 1996-09-13 | 1999-01-08 | Chauvin Jean Luc | EXPANSIONAL OSTEOSYNTHESIS CAGE |
US5893850A (en) | 1996-11-12 | 1999-04-13 | Cachia; Victor V. | Bone fixation device |
EP1230902A1 (en) | 1996-11-15 | 2002-08-14 | Advanced Bio Surfaces, Inc. | Biomaterial system for in situ tissue repair |
US7101375B2 (en) | 1997-01-02 | 2006-09-05 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US20080215058A1 (en) | 1997-01-02 | 2008-09-04 | Zucherman James F | Spine distraction implant 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 |
US20080071378A1 (en) | 1997-01-02 | 2008-03-20 | Zucherman James F | Spine distraction implant and method |
US20050245937A1 (en) * | 2004-04-28 | 2005-11-03 | St. Francis Medical Technologies, Inc. | System and method for insertion of an interspinous process implant that is rotatable in order to retain the implant relative to the spinous processes |
US6796983B1 (en) | 1997-01-02 | 2004-09-28 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6712819B2 (en) | 1998-10-20 | 2004-03-30 | St. Francis Medical Technologies, Inc. | Mating insertion instruments for spinal implants and methods of use |
US7306628B2 (en) | 2002-10-29 | 2007-12-11 | St. Francis Medical Technologies | Interspinous process apparatus and method with a selectably expandable spacer |
US6156038A (en) | 1997-01-02 | 2000-12-05 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6451019B1 (en) | 1998-10-20 | 2002-09-17 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device and method |
US7201751B2 (en) | 1997-01-02 | 2007-04-10 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device |
US5836948A (en) | 1997-01-02 | 1998-11-17 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US20080027552A1 (en) | 1997-01-02 | 2008-01-31 | Zucherman James F | Spine distraction implant and method |
US6514256B2 (en) | 1997-01-02 | 2003-02-04 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US20020143331A1 (en) | 1998-10-20 | 2002-10-03 | Zucherman James F. | Inter-spinous process implant and method with deformable spacer |
US6902566B2 (en) | 1997-01-02 | 2005-06-07 | St. Francis Medical Technologies, Inc. | Spinal implants, insertion instruments, and methods of use |
US5860977A (en) | 1997-01-02 | 1999-01-19 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US20080086212A1 (en) | 1997-01-02 | 2008-04-10 | 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 |
US6039761A (en) | 1997-02-12 | 2000-03-21 | Li Medical Technologies, Inc. | Intervertebral spacer and tool and method for emplacement thereof |
IL128261A0 (en) | 1999-01-27 | 1999-11-30 | Disc O Tech Medical Tech Ltd | Expandable element |
IES970411A2 (en) | 1997-06-03 | 1997-12-03 | Tecos Holdings Inc | Pluridirectional and modulable vertebral osteosynthesis device of small overall size |
US5972015A (en) | 1997-08-15 | 1999-10-26 | Kyphon Inc. | Expandable, asymetric structures for deployment in interior body regions |
DE19726141A1 (en) | 1997-06-19 | 1999-01-28 | Daum Gmbh | Device for inserting medical instrument into neuronal part of head |
US5928207A (en) | 1997-06-30 | 1999-07-27 | The Regents Of The University Of California | Microneedle with isotropically etched tip, and method of fabricating such a device |
GB9714580D0 (en) | 1997-07-10 | 1997-09-17 | Wardlaw Douglas | Prosthetic intervertebral disc nucleus |
US6225048B1 (en) | 1997-10-01 | 2001-05-01 | Oregon Health Sciences University | Dendritic-marker expressing macrophage cultures and methods of reactivating latent virus |
US5948017A (en) | 1997-10-12 | 1999-09-07 | Taheri; Syde A. | Modular graft assembly |
ES2297898T3 (en) | 1997-10-27 | 2008-05-01 | St. Francis Medical Technologies, Inc. | VERTEBRAL DISTRACTION IMPLANT. |
FR2770767B1 (en) | 1997-11-10 | 2000-03-10 | Dimso Sa | IMPLANT FOR VERTEBRA |
US6159215A (en) | 1997-12-19 | 2000-12-12 | Depuy Acromed, Inc. | Insertion instruments and method for delivering a vertebral body spacer |
EP1045669A1 (en) | 1998-01-05 | 2000-10-25 | Tegementa, L.L.C. | Distraction device for vertebral disc procedures |
US6149642A (en) | 1998-01-16 | 2000-11-21 | Medical Creative Technologies Inc. | Surgical instrument and method for use in hand-assisted laparoscopy |
FR2774581B1 (en) | 1998-02-10 | 2000-08-11 | Dimso Sa | INTEREPINOUS STABILIZER TO BE ATTACHED TO SPINOUS APOPHYSIS OF TWO VERTEBRES |
US5904636A (en) | 1998-02-17 | 1999-05-18 | Chen; Paul | Exerciser for surfing |
FR2775183B1 (en) | 1998-02-20 | 2000-08-04 | Jean Taylor | INTER-SPINOUS PROSTHESIS |
US6093185A (en) | 1998-03-05 | 2000-07-25 | Scimed Life Systems, Inc. | Expandable PMR device and method |
US6045552A (en) | 1998-03-18 | 2000-04-04 | St. Francis Medical Technologies, Inc. | Spine fixation plate system |
CA2342633C (en) | 1998-09-04 | 2007-11-13 | Spinal Dynamics Corporation | Peanut spectacle multi discoid thoraco-lumbar disc prosthesis |
IL126333A0 (en) | 1998-09-24 | 1999-05-09 | Super Dimension Ltd | System and method of recording and displaying in context of an image a location of at least one point-of-interest in body during an intra-body medical procedure |
US7029473B2 (en) | 1998-10-20 | 2006-04-18 | St. Francis Medical Technologies, Inc. | Deflectable spacer for use as an interspinous process implant and method |
US6652527B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device and method |
US7189234B2 (en) | 1998-10-20 | 2007-03-13 | St. Francis Medical Technologies, Inc. | Interspinous process implant sizer and distractor with a split head and size indicator and method |
US6652534B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Apparatus and method for determining implant size |
US6174311B1 (en) * | 1998-10-28 | 2001-01-16 | Sdgi Holdings, Inc. | Interbody fusion grafts and instrumentation |
FR2787018B1 (en) | 1998-12-11 | 2001-03-02 | Dimso Sa | INTERVERTEBRAL DISC PROSTHESIS WITH LIQUID ENCLOSURE |
BR9805340B1 (en) | 1998-12-14 | 2009-01-13 | variable expansion insert for spinal stabilization. | |
US6413228B1 (en) | 1998-12-28 | 2002-07-02 | Pro Duct Health, Inc. | Devices, methods and systems for collecting material from a breast duct |
WO2000045709A1 (en) | 1999-02-04 | 2000-08-10 | Sdgi Holdings, Inc. | Methods and instrumentation for vertebral interbody fusion |
US6746485B1 (en) | 1999-02-18 | 2004-06-08 | St. Francis Medical Technologies, Inc. | Hair used as a biologic disk, replacement, and/or structure and method |
US6582451B1 (en) | 1999-03-16 | 2003-06-24 | The University Of Sydney | Device for use in surgery |
US6328730B1 (en) | 1999-03-26 | 2001-12-11 | William W. Harkrider, Jr. | Endoluminal multi-luminal surgical sheath and method |
US6267763B1 (en) | 1999-03-31 | 2001-07-31 | Surgical Dynamics, Inc. | Method and apparatus for spinal implant insertion |
US6048345A (en) | 1999-04-08 | 2000-04-11 | Joseph J. Berke | Motorized reciprocating surgical file apparatus and method |
US6783529B2 (en) | 1999-04-09 | 2004-08-31 | Depuy Orthopaedics, Inc. | Non-metal inserts for bone support assembly |
US6387130B1 (en) | 1999-04-16 | 2002-05-14 | Nuvasive, Inc. | Segmented linked intervertebral implant systems |
US6805697B1 (en) | 1999-05-07 | 2004-10-19 | University Of Virginia Patent Foundation | Method and system for fusing a spinal region |
WO2002009626A1 (en) | 1999-07-26 | 2002-02-07 | Advanced Prosthetic Technologies, Inc. | Improved spinal surgical prosthesis |
US7717961B2 (en) | 1999-08-18 | 2010-05-18 | Intrinsic Therapeutics, Inc. | Apparatus delivery in an intervertebral disc |
USD433193S (en) | 1999-08-18 | 2000-10-31 | The Procter & Gamble Company | Sprayer |
US6783546B2 (en) | 1999-09-13 | 2004-08-31 | Keraplast Technologies, Ltd. | Implantable prosthetic or tissue expanding device |
FR2799640B1 (en) | 1999-10-15 | 2002-01-25 | Spine Next Sa | IMPLANT INTERVETEBRAL |
FR2799639B1 (en) | 1999-10-18 | 2002-07-19 | Dimso Sa | TOOTHED FACED INTERVERTEBRAL DISC PROSTHESIS |
US20030153976A1 (en) | 1999-10-20 | 2003-08-14 | Cauthen Joseph C. | Spinal disc annulus reconstruction method and spinal disc annulus stent |
US6974478B2 (en) | 1999-10-22 | 2005-12-13 | Archus Orthopedics, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
EP1223872B2 (en) | 1999-10-22 | 2007-09-26 | Archus Orthopedics Inc. | Facet arthroplasty devices |
US6716215B1 (en) | 1999-10-29 | 2004-04-06 | Image-Guided Neurologics | Cranial drill with sterile barrier |
US6336930B1 (en) | 2000-03-07 | 2002-01-08 | Zimmer, Inc. | Polymer filled bone plate |
FR2806616B1 (en) | 2000-03-21 | 2003-04-11 | Cousin Biotech | INTERPINEUSE SHIM AND FASTENING DEVICE ON THE SACRUM |
US6402750B1 (en) | 2000-04-04 | 2002-06-11 | Spinlabs, Llc | Devices and methods for the treatment of spinal disorders |
US6312431B1 (en) | 2000-04-24 | 2001-11-06 | Wilson T. Asfora | Vertebrae linking system |
FR2808181B1 (en) | 2000-04-28 | 2002-06-14 | Fixano | EXTERNAL FIXER FOR IMMOBILIZATION OF BONE FRAGMENTS, ESPECIALLY AT THE WRIST |
US6478800B1 (en) | 2000-05-08 | 2002-11-12 | Depuy Acromed, Inc. | Medical installation tool |
US6645207B2 (en) | 2000-05-08 | 2003-11-11 | Robert A. Dixon | Method and apparatus for dynamized spinal stabilization |
US20070191991A1 (en) * | 2000-06-05 | 2007-08-16 | Aqua Conserve, Inc. | Irrigation Controller Communication System |
US6875212B2 (en) | 2000-06-23 | 2005-04-05 | Vertelink Corporation | Curable media for implantable medical device |
FR2811543B1 (en) | 2000-07-12 | 2003-07-04 | Spine Next Sa | INTERSOMATIC IMPLANT |
FR2811540B1 (en) | 2000-07-12 | 2003-04-25 | Spine Next Sa | IMPORTING INTERVERTEBRAL IMPLANT |
US7114501B2 (en) | 2000-08-14 | 2006-10-03 | Spine Wave, Inc. | Transverse cavity device and method |
US6679886B2 (en) | 2000-09-01 | 2004-01-20 | Synthes (Usa) | Tools and methods for creating cavities in bone |
US6579281B2 (en) | 2000-10-11 | 2003-06-17 | Popcab, Llc | Instrument stabilizer for through-a-port surgery |
FR2816197B1 (en) | 2000-11-07 | 2003-01-10 | Jean Taylor | INTER-SPINABLE PROSTHESIS, TOOL AND PROCESS FOR PREPARING THE SAME |
FR2816195B1 (en) | 2000-11-07 | 2003-01-03 | Medicrea | VERTEBRAL ARTHRODESIS MATERIAL |
FR2816196B1 (en) | 2000-11-07 | 2003-01-03 | Medicrea | VERTEBRAL ARTHRODESIS MATERIAL |
US6579319B2 (en) | 2000-11-29 | 2003-06-17 | Medicinelodge, Inc. | Facet joint replacement |
FR2818530B1 (en) | 2000-12-22 | 2003-10-31 | Spine Next Sa | INTERVERTEBRAL IMPLANT WITH DEFORMABLE SHIM |
US6663637B2 (en) | 2001-01-02 | 2003-12-16 | Robert A Dixon | Vertebral distraction stabilizer |
US6645211B2 (en) | 2001-02-07 | 2003-11-11 | Howmedica Osteonics Corp. | Orthopedic support system and method of installation |
US7575576B2 (en) | 2001-07-16 | 2009-08-18 | Spinecore, Inc. | Wedge ramp distractor and related methods for use in implanting artificial intervertebral discs |
US6364883B1 (en) | 2001-02-23 | 2002-04-02 | Albert N. Santilli | Spinous process clamp for spinal fusion and method of operation |
US7229441B2 (en) | 2001-02-28 | 2007-06-12 | Warsaw Orthopedic, Inc. | Flexible systems for spinal stabilization and fixation |
FR2822051B1 (en) | 2001-03-13 | 2004-02-27 | Spine Next Sa | INTERVERTEBRAL IMPLANT WITH SELF-LOCKING ATTACHMENT |
US6565570B2 (en) | 2001-03-14 | 2003-05-20 | Electro-Biology, Inc. | Bone plate and retractor assembly |
US6478822B1 (en) | 2001-03-20 | 2002-11-12 | Spineco, Inc. | Spherical spinal implant |
US7128760B2 (en) | 2001-03-27 | 2006-10-31 | Warsaw Orthopedic, Inc. | Radially expanding interbody spinal fusion implants, instrumentation, and methods of insertion |
US6582433B2 (en) | 2001-04-09 | 2003-06-24 | St. Francis Medical Technologies, Inc. | Spine fixation device and method |
US6616673B1 (en) | 2001-04-19 | 2003-09-09 | Biomet, Inc. | Segmented joint distractor |
US20030149438A1 (en) | 2001-04-30 | 2003-08-07 | Howmedica Osteonics Corp. | Insertion instrument |
TW524094U (en) | 2001-05-02 | 2003-03-11 | Jung-Chiuan Ye | Retaining and recovering apparatus for spines |
US6702847B2 (en) | 2001-06-29 | 2004-03-09 | Scimed Life Systems, Inc. | Endoluminal device with indicator member for remote detection of endoleaks and/or changes in device morphology |
US6478801B1 (en) * | 2001-07-16 | 2002-11-12 | Third Millennium Engineering, Llc | Insertion tool for use with tapered trial intervertebral distraction spacers |
US6926728B2 (en) | 2001-07-18 | 2005-08-09 | St. Francis Medical Technologies, Inc. | Curved dilator and method |
US20030040746A1 (en) | 2001-07-20 | 2003-02-27 | Mitchell Margaret E. | Spinal stabilization system and method |
CN1835720B (en) | 2001-07-25 | 2011-09-28 | Disc整形外科技术股份有限公司 | Deformable tools and implants |
US20030028251A1 (en) | 2001-07-30 | 2003-02-06 | Mathews Hallett H. | Methods and devices for interbody spinal stabilization |
US6375682B1 (en) | 2001-08-06 | 2002-04-23 | Lewis W. Fleischmann | Collapsible, rotatable and expandable spinal hydraulic prosthetic device |
FR2828398B1 (en) | 2001-08-08 | 2003-09-19 | Jean Taylor | VERTEBRA STABILIZATION ASSEMBLY |
CA2495119C (en) | 2001-08-20 | 2010-02-02 | Synthes (U.S.A.) | Interspinal prosthesis |
EP1437989A2 (en) | 2001-08-27 | 2004-07-21 | James C. Thomas, Jr. | Expandable implant for partial disc replacement and reinforcement of a disc partially removed in a discectomy and for reduction and maintenance of alignment of cancellous bone fractures and methods and apparatuses for same. |
US8025684B2 (en) | 2001-11-09 | 2011-09-27 | Zimmer Spine, Inc. | Instruments and methods for inserting a spinal implant |
FR2832917B1 (en) | 2001-11-30 | 2004-09-24 | Spine Next Sa | ELASTICALLY DEFORMABLE INTERVERTEBRAL IMPLANT |
US20030105466A1 (en) | 2001-11-30 | 2003-06-05 | Ralph James D. | Spacer device and insertion instrument for use in anterior cervical fixation surgery |
US6726690B2 (en) | 2002-01-17 | 2004-04-27 | Concept Matrix, Llc | Diskectomy instrument and method |
FR2835173B1 (en) | 2002-01-28 | 2004-11-05 | Biomet Merck France | INTERTEPINEOUS VERTEBRAL IMPLANT |
US6733534B2 (en) | 2002-01-29 | 2004-05-11 | Sdgi Holdings, Inc. | System and method for spine spacing |
JP4064122B2 (en) | 2002-02-13 | 2008-03-19 | 任天堂株式会社 | Collection card that can be linked with electronic game machine and game system using the collection card |
GB2385791B (en) | 2002-02-28 | 2005-03-30 | Alexander Craig Wille Campbell | Surgical device |
US20030176921A1 (en) | 2002-03-13 | 2003-09-18 | Lawson Kevin Jon | Two-part prosthetic nucleus replacement for surgical reconstruction of intervertebral discs |
FR2837094B1 (en) | 2002-03-15 | 2004-11-26 | Fixano | INTERVERTEBRAL IMPLANT |
AU2003218189A1 (en) | 2002-03-18 | 2003-10-08 | American Osteomedix, Inc. | Minimally invasive bone manipulation device and method of use |
US7223289B2 (en) | 2002-04-16 | 2007-05-29 | Warsaw Orthopedic, Inc. | Annulus repair systems and techniques |
JP4388468B2 (en) | 2002-05-06 | 2009-12-24 | ウォーソー・オーソペディック・インコーポレーテッド | Instrument for separating adjacent vertebrae |
US7572276B2 (en) | 2002-05-06 | 2009-08-11 | Warsaw Orthopedic, Inc. | Minimally invasive instruments and methods for inserting implants |
US7048736B2 (en) | 2002-05-17 | 2006-05-23 | Sdgi Holdings, Inc. | Device for fixation of spinous processes |
AU2003233588A1 (en) | 2002-05-21 | 2003-12-12 | Warsaw Orthopedic, Inc. | Device for distracing bone segments |
US6840944B2 (en) | 2002-05-21 | 2005-01-11 | Loubert Suddaby | Vertebral body end plate cutter |
US8388684B2 (en) | 2002-05-23 | 2013-03-05 | Pioneer Signal Technology, Inc. | Artificial disc device |
US20030220643A1 (en) | 2002-05-24 | 2003-11-27 | Ferree Bret A. | Devices to prevent spinal extension |
US20030233098A1 (en) | 2002-06-18 | 2003-12-18 | Stryker Spine | Variable depth drill guide |
US7070598B2 (en) | 2002-06-25 | 2006-07-04 | Sdgi Holdings, Inc. | Minimally invasive expanding spacer and method |
US7087055B2 (en) | 2002-06-25 | 2006-08-08 | Sdgi Holdings, Inc. | Minimally invasive expanding spacer and method |
WO2004006987A2 (en) | 2002-07-17 | 2004-01-22 | Tyco Healthcare Group Lp | Surgical cobra head suture needle |
US20040087947A1 (en) | 2002-08-28 | 2004-05-06 | Roy Lim | Minimally invasive expanding spacer and method |
WO2006047598A1 (en) | 2002-09-27 | 2006-05-04 | Surgifile, Inc. | Surgical file system |
EP1549199A4 (en) | 2002-09-27 | 2010-08-25 | Surgitech Llc | Shielded reciprocating surgical file |
FR2845587B1 (en) | 2002-10-14 | 2005-01-21 | Scient X | DYNAMIC DEVICE FOR INTERVERTEBRAL CONNECTION WITH MULTIDIRECTIONALLY CONTROLLED DEBATMENT |
US7497859B2 (en) | 2002-10-29 | 2009-03-03 | Kyphon Sarl | Tools for implanting an artificial vertebral disk |
US20060264939A1 (en) | 2003-05-22 | 2006-11-23 | St. Francis Medical Technologies, Inc. | Interspinous process implant with slide-in distraction piece and method of implantation |
US7083649B2 (en) | 2002-10-29 | 2006-08-01 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with translating pivot point |
US20060064165A1 (en) | 2004-09-23 | 2006-03-23 | St. Francis Medical Technologies, Inc. | Interspinous process implant including a binder and method of implantation |
US7549999B2 (en) | 2003-05-22 | 2009-06-23 | Kyphon Sarl | Interspinous process distraction implant and method of implantation |
US8070778B2 (en) | 2003-05-22 | 2011-12-06 | Kyphon Sarl | Interspinous process implant with slide-in distraction piece and method of implantation |
US20060271194A1 (en) * | 2005-03-22 | 2006-11-30 | St. Francis Medical Technologies, Inc. | Interspinous process implant having deployable wing as an adjunct to spinal fusion 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 |
US20080221692A1 (en) | 2002-10-29 | 2008-09-11 | Zucherman James F | Interspinous process implants and methods of use |
US20050075634A1 (en) | 2002-10-29 | 2005-04-07 | Zucherman James F. | Interspinous process implant with radiolucent spacer and lead-in tissue expander |
US7931674B2 (en) | 2005-03-21 | 2011-04-26 | Kyphon Sarl | Interspinous process implant having deployable wing and method of implantation |
US7273496B2 (en) | 2002-10-29 | 2007-09-25 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with crossbar spacer and method |
US7909853B2 (en) | 2004-09-23 | 2011-03-22 | Kyphon Sarl | Interspinous process implant including a binder 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 |
US20040106997A1 (en) | 2002-11-01 | 2004-06-03 | Lieberson Robert E. | Apparatus and method for creating a surgical channel |
US20040148028A1 (en) | 2002-12-19 | 2004-07-29 | Ferree Bret A. | Artificial disc replacement (ADR) extraction methods and apparatus |
US6869398B2 (en) | 2003-01-06 | 2005-03-22 | Theodore G. Obenchain | Four-blade surgical speculum |
US7828849B2 (en) | 2003-02-03 | 2010-11-09 | Warsaw Orthopedic, Inc. | Expanding interbody implant and articulating inserter and method |
US7335203B2 (en) | 2003-02-12 | 2008-02-26 | Kyphon Inc. | System and method for immobilizing adjacent spinous processes |
FR2851154B1 (en) | 2003-02-19 | 2006-07-07 | Sdgi Holding Inc | INTER-SPINOUS DEVICE FOR BRAKING THE MOVEMENTS OF TWO SUCCESSIVE VERTEBRATES, AND METHOD FOR MANUFACTURING THE SAME THEREOF |
US20040176764A1 (en) | 2003-03-03 | 2004-09-09 | Centerpulse Spine-Tech, Inc. | Apparatus and method for spinal distraction using a flip-up portal |
ITFI20030084A1 (en) | 2003-03-28 | 2004-09-29 | Cousin Biotech S A S | INTERLAMINARY VERTEBRAL PROSTHESIS |
US7491204B2 (en) | 2003-04-28 | 2009-02-17 | Spine Solutions, Inc. | Instruments and method for preparing an intervertebral space for receiving an artificial disc implant |
AU2004249291B2 (en) | 2003-06-20 | 2009-07-23 | Intrinsic Therapeutics, Inc. | Device and method for delivering an implant through an annular defect in an intervertebral disc |
US7803162B2 (en) | 2003-07-21 | 2010-09-28 | Spine Solutions, Inc. | Instruments and method for inserting an intervertebral implant |
DE602004023039D1 (en) | 2003-07-23 | 2009-10-22 | Ebi Llc | Expandable intervertebral implant |
KR100582768B1 (en) | 2003-07-24 | 2006-05-23 | 최병관 | Insert complement for vertebra |
DE112004001370B8 (en) | 2003-07-25 | 2010-06-10 | Impliant Ltd. | Elastomeric nucleus replacement |
US7753958B2 (en) * | 2003-08-05 | 2010-07-13 | Gordon Charles R | Expandable intervertebral implant |
US7794476B2 (en) | 2003-08-08 | 2010-09-14 | Warsaw Orthopedic, Inc. | Implants formed of shape memory polymeric material for spinal fixation |
US7976464B2 (en) | 2003-08-26 | 2011-07-12 | Zimmer Spine, Inc. | Access systems and methods for minimally invasive surgery |
US7252673B2 (en) | 2003-09-10 | 2007-08-07 | Warsaw Orthopedic, Inc. | Devices and methods for inserting spinal implants |
FR2860428B1 (en) | 2003-10-02 | 2006-05-12 | Fixano | INTERVERTEBRAL IMPLANT |
US20050090822A1 (en) | 2003-10-24 | 2005-04-28 | Dipoto Gene | Methods and apparatus for stabilizing the spine through an access device |
US6966930B2 (en) | 2003-10-20 | 2005-11-22 | Impliant Ltd. | Facet prosthesis |
US7588588B2 (en) | 2003-10-21 | 2009-09-15 | Innovative Spinal Technologies | System and method for stabilizing of internal structures |
EP1694228B1 (en) | 2003-10-23 | 2011-08-31 | TRANS1, Inc. | Spinal mobility preservation apparatus |
US7520899B2 (en) | 2003-11-05 | 2009-04-21 | Kyphon Sarl | Laterally insertable artificial vertebral disk replacement implant with crossbar spacer |
ES2287686T3 (en) | 2003-11-07 | 2007-12-16 | Impliant Ltd. | VERTEBRAL PROTESIS. |
US7699852B2 (en) | 2003-11-19 | 2010-04-20 | Zimmer Spine, Inc. | Fenestrated bone tap and method |
US7670377B2 (en) | 2003-11-21 | 2010-03-02 | Kyphon Sarl | Laterally insertable artifical vertebral disk replacement implant with curved spacer |
US7862586B2 (en) | 2003-11-25 | 2011-01-04 | Life Spine, Inc. | Spinal stabilization systems |
US20050209603A1 (en) | 2003-12-02 | 2005-09-22 | St. Francis Medical Technologies, Inc. | Method for remediation of intervertebral disks |
US20050154462A1 (en) | 2003-12-02 | 2005-07-14 | St. Francis Medical Technologies, Inc. | Laterally insertable artificial vertebral disk replacement implant with translating pivot point |
US7217291B2 (en) | 2003-12-08 | 2007-05-15 | St. Francis Medical Technologies, Inc. | System and method for replacing degenerated spinal disks |
US20050125066A1 (en) | 2003-12-08 | 2005-06-09 | Innovative Spinal Technologies | Nucleus replacement securing device and method |
US20050131406A1 (en) | 2003-12-15 | 2005-06-16 | Archus Orthopedics, Inc. | Polyaxial adjustment of facet joint prostheses |
US20050216087A1 (en) | 2004-01-05 | 2005-09-29 | St. Francis Medical Technologies, Inc. | Disk repair structures for positioning disk repair material |
WO2005072301A2 (en) | 2004-01-26 | 2005-08-11 | Reiley Mark A | Percutaneous spine distraction implant systems and methods |
US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
US7763028B2 (en) | 2004-02-13 | 2010-07-27 | Warsaw Orthopedic, Inc. | Spacer with height and angle adjustments for spacing vertebral members |
US7248988B2 (en) | 2004-03-01 | 2007-07-24 | Transmeta Corporation | System and method for reducing temperature variation during burn in |
US8070750B2 (en) | 2004-03-05 | 2011-12-06 | Depuy Mitek, Inc. | Tunnel notcher and guidewire delivery device |
ATE387165T1 (en) | 2004-03-08 | 2008-03-15 | Impliant Ltd | SPINAL PROSTHESIS |
US7763073B2 (en) | 2004-03-09 | 2010-07-27 | Depuy Spine, Inc. | Posterior process dynamic spacer |
FR2870107B1 (en) | 2004-05-11 | 2007-07-27 | Spine Next Sa | SELF-LOCKING DEVICE FOR FIXING AN INTERVERTEBRAL IMPLANT |
US7585316B2 (en) | 2004-05-21 | 2009-09-08 | Warsaw Orthopedic, Inc. | Interspinous spacer |
US20060036258A1 (en) | 2004-06-08 | 2006-02-16 | St. Francis Medical Technologies, Inc. | Sizing distractor and method for implanting an interspinous implant between adjacent spinous processes |
FR2871366A1 (en) | 2004-06-09 | 2005-12-16 | Ceravic Soc Par Actions Simpli | PROSTHETIC EXPANSIBLE BONE IMPLANT |
US7297162B2 (en) | 2004-06-09 | 2007-11-20 | Zimmer Spine, Inc. | Expandable helical cage |
US7776091B2 (en) | 2004-06-30 | 2010-08-17 | Depuy Spine, Inc. | Adjustable posterior spinal column positioner |
US7594919B2 (en) | 2004-07-23 | 2009-09-29 | Warsaw Orthopedic, Inc. | Artificial disc inserter |
EP1778104A1 (en) | 2004-07-29 | 2007-05-02 | X-Sten, Corp. | Spinal ligament modification devices |
US8012209B2 (en) | 2004-09-23 | 2011-09-06 | Kyphon Sarl | Interspinous process implant including a binder, binder aligner and method of implantation |
US7547309B2 (en) | 2004-09-23 | 2009-06-16 | Spine Solutions, Inc. | Distractor for lumbar insertion instrument |
US20060074431A1 (en) | 2004-09-28 | 2006-04-06 | Depuy Spine, Inc. | Disc distraction instrument and measuring device |
US7575600B2 (en) | 2004-09-29 | 2009-08-18 | Kyphon Sarl | Artificial vertebral disk replacement implant with translating articulation contact surface and method |
US7481840B2 (en) | 2004-09-29 | 2009-01-27 | Kyphon Sarl | Multi-piece artificial spinal disk replacement device with selectably positioning articulating element |
CN101065363B (en) | 2004-09-30 | 2012-05-02 | 詹森药业有限公司 | Novel benzimidazole derivatives useful as selective androgen receptor modulators (sarms) |
US20060084976A1 (en) | 2004-09-30 | 2006-04-20 | Depuy Spine, Inc. | Posterior stabilization systems and methods |
US7738969B2 (en) | 2004-10-15 | 2010-06-15 | Baxano, Inc. | Devices and methods for selective surgical removal of tissue |
US20060122458A1 (en) | 2004-10-15 | 2006-06-08 | Baxano, Inc. | Devices and methods for tissue access |
US20060085073A1 (en) | 2004-10-18 | 2006-04-20 | Kamshad Raiszadeh | Medical device systems for the spine |
US8123782B2 (en) | 2004-10-20 | 2012-02-28 | 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 |
US8613747B2 (en) | 2004-10-20 | 2013-12-24 | Vertiflex, Inc. | Spacer insertion instrument |
US8277488B2 (en) | 2004-10-20 | 2012-10-02 | Vertiflex, Inc. | Interspinous spacer |
US8012207B2 (en) | 2004-10-20 | 2011-09-06 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US9119680B2 (en) | 2004-10-20 | 2015-09-01 | Vertiflex, Inc. | Interspinous spacer |
US8123807B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8167944B2 (en) | 2004-10-20 | 2012-05-01 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8945183B2 (en) | 2004-10-20 | 2015-02-03 | Vertiflex, Inc. | Interspinous process spacer instrument system with deployment indicator |
US8425559B2 (en) | 2004-10-20 | 2013-04-23 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
US9023084B2 (en) | 2004-10-20 | 2015-05-05 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilizing the motion or adjusting the position of the spine |
US8273108B2 (en) | 2004-10-20 | 2012-09-25 | Vertiflex, Inc. | Interspinous spacer |
US8409282B2 (en) | 2004-10-20 | 2013-04-02 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
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 |
US7763074B2 (en) | 2004-10-20 | 2010-07-27 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8226690B2 (en) | 2005-07-22 | 2012-07-24 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for stabilization of bone structures |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
US9055981B2 (en) * | 2004-10-25 | 2015-06-16 | Lanx, Inc. | Spinal implants and methods |
JP4549164B2 (en) | 2004-11-17 | 2010-09-22 | 住友ゴム工業株式会社 | Pneumatic tire and manufacturing method thereof |
CA2587857C (en) | 2004-11-23 | 2017-10-10 | Pneumrx, Inc. | Steerable device for accessing a target site and methods |
EP2219538B1 (en) | 2004-12-06 | 2022-07-06 | Vertiflex, Inc. | Spacer insertion instrument |
US7187064B2 (en) | 2004-12-09 | 2007-03-06 | Domintech Co., Ltd. | Electrical-interference-isolated transistor structure |
US8118838B2 (en) | 2004-12-13 | 2012-02-21 | Kyphon Sarl | Inter-cervical facet implant with multiple direction articulation joint and method for implanting |
US7601170B2 (en) | 2004-12-13 | 2009-10-13 | Kyphon Sarl | Inter-cervical facet implant and method |
US8066749B2 (en) | 2004-12-13 | 2011-11-29 | Warsaw Orthopedic, Inc. | Implant for stabilizing a bone graft during spinal fusion |
US20070016196A1 (en) | 2005-05-10 | 2007-01-18 | Winslow Charles J | Inter-cervical facet implant with implantation tool |
US20060247633A1 (en) | 2004-12-13 | 2006-11-02 | St. Francis Medical Technologies, Inc. | Inter-cervical facet implant with surface enhancements |
JP2008522787A (en) | 2004-12-13 | 2008-07-03 | セント フランシス メディカル テクノロジーズ インコーポレイテッド | Intervertebral implant |
US8100944B2 (en) | 2004-12-13 | 2012-01-24 | Kyphon Sarl | Inter-cervical facet implant and method for preserving the tissues surrounding the facet joint |
US20060247650A1 (en) | 2004-12-13 | 2006-11-02 | St. Francis Medical Technologies, Inc. | Inter-cervical facet joint fusion implant |
WO2006064356A1 (en) | 2004-12-16 | 2006-06-22 | Doellinger Horst | Implant for the treatment of lumbar spinal canal stenosis |
US20070276373A1 (en) | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US20070055237A1 (en) | 2005-02-17 | 2007-03-08 | Edidin Avram A | 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 |
US8096994B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20060195102A1 (en) | 2005-02-17 | 2006-08-31 | Malandain Hugues F | Apparatus and method for treatment of spinal conditions |
US8034080B2 (en) | 2005-02-17 | 2011-10-11 | Kyphon Sarl | Percutaneous spinal implants and methods |
CA2597923A1 (en) | 2005-02-17 | 2006-08-24 | Kyphon Inc. | Percutaneous spinal implants and methods |
US7988709B2 (en) | 2005-02-17 | 2011-08-02 | 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 |
US8057513B2 (en) | 2005-02-17 | 2011-11-15 | Kyphon Sarl | Percutaneous spinal implants and methods |
WO2006105121A2 (en) | 2005-03-28 | 2006-10-05 | Minnow Medical, Llc | Intraluminal electrical tissue characterization and tuned rf energy for selective treatment of atheroma and other target tissues |
US20060241757A1 (en) | 2005-03-31 | 2006-10-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
WO2006105437A2 (en) | 2005-03-31 | 2006-10-05 | Life Spine, Inc. | Expandable spinal interbody and intravertebral body devices |
US8066742B2 (en) | 2005-03-31 | 2011-11-29 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US20060276801A1 (en) | 2005-04-04 | 2006-12-07 | Yerby Scott A | Inter-cervical facet implant distraction tool |
FR2884136B1 (en) | 2005-04-08 | 2008-02-22 | Spinevision Sa | INTERVERTEBRAL SURGICAL IMPLANT FORMING BALL |
US7862590B2 (en) | 2005-04-08 | 2011-01-04 | Warsaw Orthopedic, Inc. | Interspinous process spacer |
US8034079B2 (en) | 2005-04-12 | 2011-10-11 | Warsaw Orthopedic, Inc. | Implants and methods for posterior dynamic stabilization of a spinal motion segment |
US7780709B2 (en) | 2005-04-12 | 2010-08-24 | Warsaw Orthopedic, Inc. | Implants and methods for inter-transverse process dynamic stabilization of a spinal motion segment |
US20060235386A1 (en) | 2005-04-14 | 2006-10-19 | Sdgi Holdings, Inc. | Magnetic manipulation of a cable in blind approach |
US7789898B2 (en) | 2005-04-15 | 2010-09-07 | Warsaw Orthopedic, Inc. | Transverse process/laminar spacer |
CN2794456Y (en) | 2005-04-22 | 2006-07-12 | 强生(上海)医疗器材有限公司 | Hand aid device for cavity mirror |
US7727233B2 (en) | 2005-04-29 | 2010-06-01 | Warsaw Orthopedic, Inc. | Spinous process stabilization devices and methods |
US20060247773A1 (en) | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Instrumented implant for diagnostics |
US20060247623A1 (en) | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Local delivery of an active agent from an orthopedic implant |
US20060271055A1 (en) | 2005-05-12 | 2006-11-30 | Jeffery Thramann | Spinal stabilization |
JP4624851B2 (en) | 2005-05-17 | 2011-02-02 | 株式会社東海理化電機製作所 | Wiper control device and correction method in wiper control device |
US7967844B2 (en) | 2005-06-10 | 2011-06-28 | Depuy Spine, Inc. | Multi-level posterior dynamic stabilization systems and methods |
US7837688B2 (en) | 2005-06-13 | 2010-11-23 | Globus Medical | Spinous process spacer |
FR2887434B1 (en) | 2005-06-28 | 2008-03-28 | Jean Taylor | SURGICAL TREATMENT EQUIPMENT OF TWO VERTEBRATES |
FR2888744B1 (en) | 2005-07-21 | 2007-08-24 | Charles Khalife | ROTARY INTERINEABLE DEVICE |
US20070027464A1 (en) | 2005-07-29 | 2007-02-01 | X-Sten, Corp. | Device for resecting spinal tissue |
FR2889438B1 (en) | 2005-08-04 | 2008-06-06 | Scient X Sa | DOUBLE-SHAPED INTERVERTEBRAL IMPLANT |
US7753938B2 (en) | 2005-08-05 | 2010-07-13 | Synthes Usa, Llc | Apparatus for treating spinal stenosis |
US8870890B2 (en) * | 2005-08-05 | 2014-10-28 | DePuy Synthes Products, LLC | Pronged holder for treating spinal stenosis |
US7722674B1 (en) | 2005-08-12 | 2010-05-25 | Innvotec Surgical Inc. | Linearly expanding spine cage for enhanced spinal fusion |
DE102005044364A1 (en) | 2005-09-09 | 2007-03-15 | Karl Storz Gmbh & Co. Kg | Spacer for a medical instrument |
PL377136A1 (en) | 2005-09-19 | 2007-04-02 | Lfc Spółka Z Ograniczoną Odpowiedzialnością | Intervertebral space implant |
WO2007038475A2 (en) | 2005-09-27 | 2007-04-05 | Paradigm Spine, Llc | Interspinous vertebral stabilization devices |
US7879074B2 (en) | 2005-09-27 | 2011-02-01 | Depuy Spine, Inc. | Posterior dynamic stabilization systems and methods |
US8357181B2 (en) | 2005-10-27 | 2013-01-22 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US20070100366A1 (en) | 2005-10-28 | 2007-05-03 | Sara Dziedzic | Minimally invasive tissue expander systems and methods |
US20070123904A1 (en) | 2005-10-31 | 2007-05-31 | Depuy Spine, Inc. | Distraction instrument and method for distracting an intervertebral site |
US7699873B2 (en) | 2005-11-23 | 2010-04-20 | Warsaw Orthopedic, Inc. | Spinous process anchoring systems and methods |
US20070198091A1 (en) | 2005-12-06 | 2007-08-23 | Boyer Michael L | Facet joint prosthesis |
US7862592B2 (en) | 2005-12-06 | 2011-01-04 | Nuvasive, Inc. | Methods and apparatus for treating spinal stenosis |
US8430911B2 (en) | 2005-12-14 | 2013-04-30 | Spinefrontier Inc | Spinous process fixation implant |
EP1968466A2 (en) | 2005-12-19 | 2008-09-17 | M. S. Abdou | Devices for inter-vertebral orthopedic device placement |
US7585313B2 (en) | 2005-12-22 | 2009-09-08 | Depuy Spine, Inc. | Rotatable interspinous spacer |
WO2007078692A2 (en) | 2005-12-23 | 2007-07-12 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for fixation of bone with an expandable device |
US7922745B2 (en) | 2006-01-09 | 2011-04-12 | Zimmer Spine, Inc. | Posterior dynamic stabilization of the spine |
US20070173822A1 (en) | 2006-01-13 | 2007-07-26 | Sdgi Holdings, Inc. | Use of a posterior dynamic stabilization system with an intradiscal device |
US20070173821A1 (en) | 2006-01-13 | 2007-07-26 | Sdgi Holdings, Inc. | Materials, devices, and methods for treating multiple spinal regions including the posterior and spinous process regions |
US20070173823A1 (en) | 2006-01-18 | 2007-07-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US20070233084A1 (en) | 2006-01-25 | 2007-10-04 | Spinemedica Corporation | Implantable spinous process prosthetic devices, including cuffs, and methods of fabricating same |
US7682376B2 (en) | 2006-01-27 | 2010-03-23 | Warsaw Orthopedic, Inc. | Interspinous devices and methods of use |
US20070233088A1 (en) | 2006-01-27 | 2007-10-04 | Edmond Elizabeth W | Pedicle and non-pedicle based interspinous and lateral spacers |
US7837711B2 (en) | 2006-01-27 | 2010-11-23 | Warsaw Orthopedic, Inc. | Artificial spinous process for the sacrum and methods of use |
US20070185490A1 (en) | 2006-01-31 | 2007-08-09 | Dante Implicito | Percutaneous interspinous distraction device and method |
US7766918B2 (en) | 2006-01-31 | 2010-08-03 | Warsaw Orthopedic, Inc. | Spinal disc replacement surgical instrument and methods for use in spinal disc replacement |
US8500778B2 (en) | 2006-02-01 | 2013-08-06 | DePuy Synthes Products, LLC | Interspinous process spacer |
US20070233096A1 (en) | 2006-02-13 | 2007-10-04 | Javier Garcia-Bengochea | Dynamic inter-spinous device |
US20070233089A1 (en) | 2006-02-17 | 2007-10-04 | Endius, Inc. | Systems and methods for reducing adjacent level disc disease |
US9011441B2 (en) | 2006-02-17 | 2015-04-21 | Paradigm Spine, L.L.C. | Method and system for performing interspinous space preparation for receiving an implant |
US20070198045A1 (en) | 2006-02-21 | 2007-08-23 | John Morton | System to Facilitate the Use of a Surgical Instrument |
US20070233068A1 (en) | 2006-02-22 | 2007-10-04 | Sdgi Holdings, Inc. | Intervertebral prosthetic assembly for spinal stabilization and method of implanting same |
US20070208366A1 (en) | 2006-03-03 | 2007-09-06 | Richard Pellegrino | Minimally invasive tissue expander systems and methods |
US8262698B2 (en) | 2006-03-16 | 2012-09-11 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US7871426B2 (en) | 2006-03-21 | 2011-01-18 | Spinefrontier, LLS | Spinous process fixation device |
US8361116B2 (en) | 2006-03-24 | 2013-01-29 | U.S. Spine, Inc. | Non-pedicle based interspinous spacer |
GB0605960D0 (en) | 2006-03-24 | 2006-05-03 | Galley Geoffrey H | Expandable spinal prosthesis |
GB2436293A (en) | 2006-03-24 | 2007-09-26 | Galley Geoffrey H | Spinous processes insertion device |
GB2436292B (en) | 2006-03-24 | 2011-03-16 | Galley Geoffrey H | Expandable spacing means for insertion between spinous processes of adjacent vertebrae |
US7985246B2 (en) | 2006-03-31 | 2011-07-26 | Warsaw Orthopedic, Inc. | Methods and instruments for delivering interspinous process spacers |
US20070233077A1 (en) | 2006-03-31 | 2007-10-04 | Khalili Farid B | Dynamic intervertebral spacer assembly |
US8251900B2 (en) | 2009-03-06 | 2012-08-28 | Ethicon Endo-Surgery, Inc. | Surgical access devices and methods providing seal movement in predefined paths |
US7766967B2 (en) | 2006-04-06 | 2010-08-03 | Warsaw Orthopedic Inc. | Intervertebral disc nucleus replacement implants and methods |
US7806911B2 (en) | 2006-04-14 | 2010-10-05 | Warsaw Orthopedic, Inc. | Fixation plate and method of use |
US8118844B2 (en) | 2006-04-24 | 2012-02-21 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8105357B2 (en) | 2006-04-28 | 2012-01-31 | Warsaw Orthopedic, Inc. | Interspinous process brace |
US7846185B2 (en) | 2006-04-28 | 2010-12-07 | Warsaw Orthopedic, Inc. | Expandable interspinous process implant and method of installing same |
US8048118B2 (en) | 2006-04-28 | 2011-11-01 | Warsaw Orthopedic, Inc. | Adjustable interspinous process brace |
US20070270822A1 (en) | 2006-04-28 | 2007-11-22 | Sdgi Holdings, Inc. | Bone fixation grommet |
US8252031B2 (en) | 2006-04-28 | 2012-08-28 | Warsaw Orthopedic, Inc. | Molding device for an expandable interspinous process implant |
US20070270824A1 (en) | 2006-04-28 | 2007-11-22 | Warsaw Orthopedic, Inc. | Interspinous process brace |
US8348978B2 (en) | 2006-04-28 | 2013-01-08 | Warsaw Orthopedic, Inc. | Interosteotic implant |
US20070270823A1 (en) | 2006-04-28 | 2007-11-22 | Sdgi Holdings, Inc. | Multi-chamber expandable 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 |
US7942830B2 (en) | 2006-05-09 | 2011-05-17 | Vertos Medical, Inc. | Ipsilateral approach to minimally invasive ligament decompression procedure |
US8529626B2 (en) | 2006-05-09 | 2013-09-10 | Centinel Spine, Inc. | Systems and methods for stabilizing a functional spinal unit |
US20070272259A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings, Inc. | Surgical procedure for inserting a device between anatomical structures |
US8147517B2 (en) | 2006-05-23 | 2012-04-03 | Warsaw Orthopedic, Inc. | Systems and methods for adjusting properties of a spinal implant |
US20070276496A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings, Inc. | Surgical spacer with shape control |
US20070276497A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings. Inc. | Surgical spacer |
US20070276369A1 (en) | 2006-05-26 | 2007-11-29 | Sdgi Holdings, Inc. | In vivo-customizable implant |
US20080058808A1 (en) | 2006-06-14 | 2008-03-06 | Spartek Medical, Inc. | Implant system and method to treat degenerative disorders of the spine |
US7862569B2 (en) | 2006-06-22 | 2011-01-04 | Kyphon Sarl | System and method for strengthening a spinous process |
US7857815B2 (en) | 2006-06-22 | 2010-12-28 | Kyphon Sarl | System and method for strengthening a spinous process |
AU2007276694A1 (en) | 2006-07-17 | 2008-01-24 | Commonwealth Scientific And Industrial Research Organisation | CO2 capture using solar thermal energy |
US20080051896A1 (en) | 2006-08-25 | 2008-02-28 | Loubert Suddaby | Expandable Spinous Process Distractor |
US20080071380A1 (en) | 2006-09-19 | 2008-03-20 | Thomas Sweeney | Systems and Methods for Percutaneous Placement of Interspinous Process Spacers |
US8845726B2 (en) | 2006-10-18 | 2014-09-30 | Vertiflex, Inc. | Dilator |
US20080108990A1 (en) * | 2006-11-02 | 2008-05-08 | St. Francis Medical Technologies, Inc. | Interspinous process implant having a fixed wing and a deployable wing and method of implantation |
US20080114455A1 (en) | 2006-11-15 | 2008-05-15 | Warsaw Orthopedic, Inc. | Rotating Interspinous Process Devices and Methods of Use |
AR064013A1 (en) | 2006-11-30 | 2009-03-04 | Paradigm Spine Llc | VERTEBRAL, INTERLAMINAR, INTERESPINOUS STABILIZATION SYSTEM |
US7955392B2 (en) | 2006-12-14 | 2011-06-07 | Warsaw Orthopedic, Inc. | Interspinous process devices and methods |
WO2008139260A2 (en) | 2006-12-15 | 2008-11-20 | The Adelman Research Ltd. | Technique and device for laminar osteotomy and laminoplasty |
US20080177312A1 (en) | 2006-12-28 | 2008-07-24 | Mi4Spine, Llc | Interspinous Process Spacer Device |
US20080167657A1 (en) | 2006-12-31 | 2008-07-10 | Stout Medical Group, L.P. | Expandable support device and method of use |
US20080167655A1 (en) | 2007-01-05 | 2008-07-10 | Jeffrey Chun Wang | Interspinous implant, tools and methods of implanting |
US8034081B2 (en) | 2007-02-06 | 2011-10-11 | CollabComl, LLC | Interspinous dynamic stabilization implant and method of implanting |
EP2117470B1 (en) | 2007-02-06 | 2013-03-06 | Pioneer Surgical Technology, Inc. | Intervertebral implant devices |
US8142461B2 (en) | 2007-03-22 | 2012-03-27 | Ethicon Endo-Surgery, Inc. | Surgical instruments |
WO2008130564A1 (en) | 2007-04-16 | 2008-10-30 | Vertiflex Inc. | Interspinous spacer |
JP5226066B2 (en) * | 2007-05-01 | 2013-07-03 | スパイナル シンプリシティ エルエルシー | Interspinous implant and method of embedding it |
CA2698718C (en) | 2007-09-07 | 2015-10-06 | Vertiflex, Inc. | Interspinous spacer |
US20090118833A1 (en) | 2007-11-05 | 2009-05-07 | Zimmer Spine, Inc. | In-situ curable interspinous process spacer |
WO2009091922A2 (en) | 2008-01-15 | 2009-07-23 | Vertiflex, Inc. | Interspinous spacer |
AU2009206394A1 (en) | 2008-01-23 | 2009-07-30 | Vertiflex, Inc. | Dilator |
EP2262434A2 (en) | 2008-03-12 | 2010-12-22 | Vertiflex, Inc. | Interspinous process spacer instrument system with deployment indicator |
US8313512B2 (en) | 2008-03-26 | 2012-11-20 | Depuy Spine, Inc. | S-shaped interspinous process spacer having tight access offset hooks |
EP2189124A1 (en) * | 2008-11-19 | 2010-05-26 | Christian Röbling | Thorn removal set implant |
WO2010080497A2 (en) | 2008-12-18 | 2010-07-15 | IMDS, Inc. | Systems and methods for dilation and dissection of tissues |
US8945184B2 (en) * | 2009-03-13 | 2015-02-03 | Spinal Simplicity Llc. | Interspinous process implant and fusion cage spacer |
US20100261972A1 (en) | 2009-04-08 | 2010-10-14 | Ethicon Endo-Surgery, Inc. | Surgical Access Device with One Time Seal |
US9622792B2 (en) * | 2009-04-29 | 2017-04-18 | Nuvasive Specialized Orthopedics, Inc. | Interspinous process device and method |
USD618796S1 (en) | 2009-07-28 | 2010-06-29 | Vertos Medical, Inc. | Lockable articulating base plate |
EP2512357B1 (en) | 2009-12-15 | 2016-07-13 | Vertiflex, Inc. | Spinal spacer for cervical and other vertebra, and associated systems |
WO2011123703A1 (en) | 2010-03-31 | 2011-10-06 | Smart Medical Devices, Inc. | Depth controllable and measurable medical driver devices |
US8518087B2 (en) | 2011-03-10 | 2013-08-27 | Interventional Spine, Inc. | Method and apparatus for minimally invasive insertion of intervertebral implants |
US8834508B2 (en) | 2011-05-27 | 2014-09-16 | Spinefrontier Inc | Methods, tools and devices for percutaneous access in minimally invasive spinal surgeries |
US20130289399A1 (en) | 2012-04-27 | 2013-10-31 | Vertiflex, Inc. | Decompression systems and methods of using the same |
US9675303B2 (en) | 2013-03-15 | 2017-06-13 | Vertiflex, Inc. | Visualization systems, instruments and methods of using the same in spinal decompression procedures |
AU2015256024B2 (en) | 2014-05-07 | 2020-03-05 | Vertiflex, Inc. | Spinal nerve decompression systems, dilation systems, and methods of using the same |
JP2016157863A (en) | 2015-02-25 | 2016-09-01 | 株式会社ミツトヨ | Laser light source device and adjustment method therefor |
-
2008
- 2008-04-16 WO PCT/US2008/004901 patent/WO2008130564A1/en active Application Filing
- 2008-04-16 US US12/148,104 patent/US8292922B2/en active Active
- 2008-04-16 EP EP08742949.4A patent/EP2155121B1/en active Active
- 2008-04-16 CA CA2684461A patent/CA2684461C/en active Active
- 2008-04-16 AU AU2008241447A patent/AU2008241447B2/en active Active
-
2009
- 2009-10-15 IL IL201538A patent/IL201538A0/en unknown
-
2012
- 2012-09-14 US US13/616,547 patent/US9572603B2/en active Active
-
2014
- 2014-06-23 AU AU2014203394A patent/AU2014203394C1/en not_active Ceased
-
2017
- 2017-02-21 US US15/437,720 patent/US10166047B2/en active Active
-
2018
- 2018-12-27 US US16/234,213 patent/US10835297B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
CA2684461C (en) | 2015-06-30 |
US9572603B2 (en) | 2017-02-21 |
AU2014203394C1 (en) | 2017-02-23 |
US20170258501A1 (en) | 2017-09-14 |
US10835297B2 (en) | 2020-11-17 |
AU2008241447B2 (en) | 2014-03-27 |
US8292922B2 (en) | 2012-10-23 |
US20130150886A1 (en) | 2013-06-13 |
IL201538A0 (en) | 2010-05-31 |
EP2155121B1 (en) | 2015-06-17 |
US20190201057A1 (en) | 2019-07-04 |
AU2008241447A1 (en) | 2008-10-30 |
WO2008130564A1 (en) | 2008-10-30 |
EP2155121A1 (en) | 2010-02-24 |
AU2014203394A1 (en) | 2014-07-10 |
AU2014203394B2 (en) | 2016-11-03 |
US20080195152A1 (en) | 2008-08-14 |
US10166047B2 (en) | 2019-01-01 |
EP2155121A4 (en) | 2012-08-01 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US10835297B2 (en) | Interspinous spacer | |
US20230124277A1 (en) | Interspinous spacer | |
US9956011B2 (en) | Interspinous spacer | |
US8277488B2 (en) | Interspinous spacer | |
CA2711955A1 (en) | Interspinous spacer | |
AU2008275708B2 (en) | Interspinous spacer | |
CA2697628C (en) | Interspinous spacer |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request |
Effective date: 20130308 |