CN101909550B - 脊柱植入物及方法 - Google Patents
脊柱植入物及方法 Download PDFInfo
- Publication number
- CN101909550B CN101909550B CN200880123856.0A CN200880123856A CN101909550B CN 101909550 B CN101909550 B CN 101909550B CN 200880123856 A CN200880123856 A CN 200880123856A CN 101909550 B CN101909550 B CN 101909550B
- Authority
- CN
- China
- Prior art keywords
- sept
- axis
- retaining member
- extremity piece
- spinal implant
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000007943 implant Substances 0.000 title claims abstract description 267
- 238000000034 method Methods 0.000 title claims abstract description 106
- 230000008569 process Effects 0.000 claims abstract description 92
- 239000000463 material Substances 0.000 claims description 16
- 238000005452 bending Methods 0.000 claims description 12
- 230000004044 response Effects 0.000 claims description 10
- 238000013459 approach Methods 0.000 claims description 9
- 238000013519 translation Methods 0.000 claims description 8
- 230000006835 compression Effects 0.000 claims description 5
- 238000007906 compression Methods 0.000 claims description 5
- 238000012423 maintenance Methods 0.000 claims description 4
- 125000006850 spacer group Chemical group 0.000 abstract description 9
- 230000014759 maintenance of location Effects 0.000 abstract 3
- 210000000988 bone and bone Anatomy 0.000 description 49
- 238000003780 insertion Methods 0.000 description 11
- 230000037431 insertion Effects 0.000 description 11
- 238000012966 insertion method Methods 0.000 description 11
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 description 11
- 210000001519 tissue Anatomy 0.000 description 11
- 229920000642 polymer Polymers 0.000 description 9
- 238000005204 segregation Methods 0.000 description 8
- 239000000560 biocompatible material Substances 0.000 description 7
- 230000008468 bone growth Effects 0.000 description 7
- 229910052751 metal Inorganic materials 0.000 description 7
- 239000002184 metal Substances 0.000 description 7
- 230000001737 promoting effect Effects 0.000 description 7
- 238000000926 separation method Methods 0.000 description 7
- 210000004872 soft tissue Anatomy 0.000 description 7
- 239000000126 substance Substances 0.000 description 7
- 238000005516 engineering process Methods 0.000 description 6
- 208000020307 Spinal disease Diseases 0.000 description 5
- 230000006870 function Effects 0.000 description 5
- 210000003041 ligament Anatomy 0.000 description 5
- 230000007246 mechanism Effects 0.000 description 5
- 230000008859 change Effects 0.000 description 4
- 239000013536 elastomeric material Substances 0.000 description 4
- 230000012010 growth Effects 0.000 description 4
- 239000012781 shape memory material Substances 0.000 description 4
- 230000014616 translation Effects 0.000 description 4
- 238000000354 decomposition reaction Methods 0.000 description 3
- 230000004927 fusion Effects 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 230000008467 tissue growth Effects 0.000 description 3
- 210000002517 zygapophyseal joint Anatomy 0.000 description 3
- 241001125879 Gobio Species 0.000 description 2
- 229940121710 HMGCoA reductase inhibitor Drugs 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 238000009954 braiding Methods 0.000 description 2
- 229910000389 calcium phosphate Inorganic materials 0.000 description 2
- 239000001506 calcium phosphate Substances 0.000 description 2
- 235000011010 calcium phosphates Nutrition 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000013013 elastic material Substances 0.000 description 2
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 2
- 239000002471 hydroxymethylglutaryl coenzyme A reductase inhibitor Substances 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 229910001092 metal group alloy Inorganic materials 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 230000011164 ossification Effects 0.000 description 2
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 2
- VNTJGCYVIRTGMZ-PXGLAOGESA-N 2-[[2-[[(2s)-2-[[2-[[(2s)-2-[[(2s)-2-[[(2s,3r)-2-[[(2s)-2-[[2-[[(2s)-5-amino-2-[[(2s)-2-[[(2s)-6-amino-2-[[(2s)-2-[[(2s)-2-aminopropanoyl]amino]-4-methylpentanoyl]amino]hexanoyl]amino]-5-(diaminomethylideneamino)pentanoyl]amino]-5-oxopentanoyl]amino]acety Chemical compound C([C@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCCN=C(N)N)NC(=O)CNC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CCCN=C(N)N)NC(=O)[C@H](CCCCN)NC(=O)[C@@H](NC(=O)[C@H](C)N)CC(C)C)C(=O)NCC(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)NCC(=O)NCC(O)=O)C1=CC=C(O)C=C1 VNTJGCYVIRTGMZ-PXGLAOGESA-N 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 108090000723 Insulin-Like Growth Factor I Proteins 0.000 description 1
- 241000446313 Lamella Species 0.000 description 1
- 101800003595 Osteogenic growth peptide Proteins 0.000 description 1
- 108010077077 Osteonectin Proteins 0.000 description 1
- 102000009890 Osteonectin Human genes 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 229920000954 Polyglycolide Polymers 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- 206010039203 Road traffic accident Diseases 0.000 description 1
- 206010039509 Scab Diseases 0.000 description 1
- 102000013275 Somatomedins Human genes 0.000 description 1
- 229910000639 Spring steel Inorganic materials 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 238000003491 array Methods 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000036760 body temperature Effects 0.000 description 1
- -1 bone Chemical compound 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 229920002313 fluoropolymer Polymers 0.000 description 1
- 239000004811 fluoropolymer Substances 0.000 description 1
- 238000007499 fusion processing Methods 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 239000000017 hydrogel Substances 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 231100000862 numbness Toxicity 0.000 description 1
- RVTZCBVAJQQJTK-UHFFFAOYSA-N oxygen(2-);zirconium(4+) Chemical compound [O-2].[O-2].[Zr+4] RVTZCBVAJQQJTK-UHFFFAOYSA-N 0.000 description 1
- 238000005192 partition Methods 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229920000058 polyacrylate Polymers 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 239000004633 polyglycolic acid Substances 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 229920001470 polyketone Polymers 0.000 description 1
- 239000004626 polylactic acid Substances 0.000 description 1
- 229920000098 polyolefin Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 102000004196 processed proteins & peptides Human genes 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 238000007788 roughening Methods 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 210000000130 stem cell Anatomy 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 239000003356 suture material Substances 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
- 210000002435 tendon Anatomy 0.000 description 1
- 230000008719 thickening Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 239000002759 woven fabric Substances 0.000 description 1
- 229910001928 zirconium oxide Inorganic materials 0.000 description 1
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
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Materials For Medical Uses (AREA)
- Surgical Instruments (AREA)
Abstract
本发明提供用于放置在人体脊柱的相邻突起之间的脊柱植入物。在一些实施方式中,脊柱植入物包括间隔物和一个或多个保持构件。在一些实施方式中,保持构件相对于间隔物是固定的并且在其它实施方式中,保持构件是可从第一或紧凑或收起位置展开到第二或扩张或展开位置的。在一些实施方式中,间隔物是可从第一尺寸展开到第二尺寸的。在一些实施方式中,间隔物具有锥形本体。
Description
相关申请的交叉引用
本申请是2008年1月11日提交的、申请号为12/013,351、发明名称为“SPINAL IMPLANTS AND METHOD(脊柱植入物及方法)”的美国专利申请的部分继续申请,该美国专利申请是2005年12月2日提交的、申请号为11/293,438、发明名称为“INTERSPINOUS DISTRACTION DEVICE ANDASSOCIATED METHOD OF INSERTION(椎间分离装置及相关插入方法)”的美国专利申请的部分继续申请,其是2005年10月25日提交的、申请号为11/257,647、发明名称为“INTERSPINOUS DISTRACTION DEVICE ANDASSOCIATED METHOD OF INSERTION(椎间分离装置及相关插入方法)”的美国专利申请的部分继续申请,每个上述美国专利申请以引用的方式被全文结合到这里。
本申请也是2007年11月2日提交的、申请号为11/934,604、发明名称为“SPINOUS PROCESS IMPLANTS AND ASSOCIATED METHODS(棘突植入物及相关方法)”的美国专利申请的部分继续申请,其以引用的方式被全文结合到这里。
本申请进一步主张2007年1月11日提交的、申请号为60/884,581、发明名称为“SPINAL STABILIZATION(脊柱稳定器)”的美国临时申请,2004年10月25日提交的、申请号为60/621,712、发明名称为“INTERSPINOUSDISTRACTION DEVICES AND ASSOCIATED METHODS OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请,2004年12月3日提交的、申请号为60/633,112、发明名称为“INTERSPINOUS DISTRACTIONDEVICES AND ASSOCIATED METHOD OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请,2004年12月29日提交的、申请号为60/639,938、发明名称为“INTERSPINOUS DISTRACTION DEVICES ANDASSOCIATED METHODS OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请,2005年2月21日提交的、申请号为60/654,483、发明名称为“INTERSPINOUS DISTRACTION DEVICES AND ASSOCIATEDMETHODS OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请,2005年4月14日提交的、申请号为60/671,301、发明名称为“INTERSPINOUS DISTRACTION DEVICES AND ASSOCIATEDMETHODS OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请,2005年5月6日提交的、申请号为60/678,360、发明名称为“INTERSPINOUS DISTRACTION DEVICES AND ASSOCIATEDMETHODS OF INSERTION(椎间分离装置及相关插入方法)”的美国临时申请和2007年4月17日提交的、申请号为60/912,273、发明名称为“FUSIONPLATE WITH REMOVABLE OR ADJUSTABLE SPIKES(带有可拆卸的或可调节的长钉的融合板)”的美国临时申请的益处。每个上述美国临时申请以引用的方式被全文结合到这里。
技术领域
本发明涉及脊柱植入物及相关方法。
背景技术
人体脊柱的椎骨排列成柱状,其中一个椎骨位于下一个椎骨的顶部上。椎间盘位于相邻椎骨之间,用于在所述相邻椎骨之间传递力并在它们之间提供缓冲。椎间盘使脊柱可以弯曲和扭转。随着年龄的增长,椎盘开始损坏或退化,导致在盘内的流体的减少并且因此导致它们的挠性减少。同样地,盘变的更薄,使所述椎骨移动成更接近到一起。退化也可能导致盘的外层或环面出现破裂或裂缝。盘可能开始向外凸出。在更严重的情况下,盘的内部材料或核心(nucleus)甚至可能突出到盘的外面。除了盘的退化的变化以外,脊柱还可能因为车祸、坠落、举重物和其它活动造成的损伤而遭受变化。而且,在被称作椎管狭窄的过程中,由于过度的骨生长和/或管内组织(例如韧带)的变厚,椎管变窄。在所有这些情况下,供椎髓和椎神经根通过的空间可能变得狭小,导致压力作用在神经组织上,这能引起身体不同部位的疼痛、麻木、无力、甚至是瘫痪。最后,相邻椎骨之间的小面关节可能退化,引起局部疼痛和/或发散性疼痛。以上所有这些情况在本文中被共同称为脊柱疾病。
通常,外科医生通过企图恢复相邻椎骨之间的正常间隔来治疗脊柱疾病。这对于减轻受影响的神经组织的压力可能是足够的。然而,通常也需要用外科手术去除影响神经组织的盘材料、骨或其它组织,以及/或者清理小面关节。最通常的,通过将由骨、金属或塑料制成的刚性间隔物插入相邻椎骨之间的盘间隔内并允许所述椎骨生长到一起或融合成单个骨,来实现椎骨间隔的恢复。在这种融合过程中,典型地使用紧固到相邻椎骨的骨板和/或椎弓根螺钉来稳定椎骨。
在近些年,尽管用于放置椎间间隔物、板和椎弓根螺钉固定系统的技术已经变得侵入性较少,但是它们仍然需要将硬的构件深深地放置在邻近脊柱的手术部位内。从这种外科手术中恢复过来可能需要若干天的住院治疗以及长期的、缓慢的康复,才能达到正常行动水平。
最近,研究人员已经促进对运动保留植入物及技术的使用,在这种植入物和技术中,相邻椎骨被允许相对彼此移动。一种仅获得有限成功的这种植入物是人造盘植入物。这些人造盘植入物典型地包括被插入到盘间隔内的柔性材料或两件式用关节接合的关节。另一种这种植入物是棘突间隔物,其被插入到相邻椎骨的向后延伸的棘突之间,用于担当延伸限位,并且用于在脊柱延伸时保持棘突之间的最小间隔。当脊柱弯曲时,棘突间隔物允许相邻棘突移动分开。
附图说明
将参考附图讨论本发明的各个实施例。这些附图仅仅示出本发明的示例性的实施例,并且不被认为是对它的范围的限制。
图1是根据本发明的脊柱植入物的透视图;
图2是图1的脊柱植入物的横截面图,示出了处于第一位置的植入物;
图3是图1的脊柱植入物的横截面图,示出了处于第二位置的植入物;
图4是根据本发明的脊柱植入物的正视图,示出了处于第一位置的植入物;
图5是图4的脊柱植入物的正视图,示出了处于第二位置的植入物;
图6是根据本发明的脊柱植入物的透视图;
图7是图6的植入物的横截面图;
图8是根据本发明的脊柱植入物的透视图;
图9是图8的脊柱植入物的间隔物部件处于第一位置时的透视图;
图10是图8的脊柱植入物的间隔物部件处于第二位置时的透视图;
图11是图8的脊柱植入物的芯部部件处于第一位置时的正视图;
图12是根据本发明的脊柱植入物的透视图;
图13是图12的脊柱植入物的透视图,示出了一种插入方法;
图14是图12的脊柱植入物的透视图,示出了另一种插入方法;
图15是图12的脊柱植入物的保持构件的可选构造的透视图;
图16是根据本发明的脊柱植入物的透视图;
图17是根据本发明的脊柱植入物处于第一位置时的正视图;
图18是图17的脊柱植入物处于第二位置时的正视图;
图19是图17的脊柱植入物的一端的详细透视图,示出了叠加在彼此上的第一和第二位置;
图20是根据本发明的脊柱植入物的透视图;
图21是图20的脊柱植入物的透视图,示出了被植入为处于第一位置;
图22是图20的脊柱植入物的透视图,示出了被植入为处于第二位置;
图23是根据本发明的脊柱植入物处于第一位置时的透视图;
图24是图23的脊柱植入物处于第二位置时的透视图;
图25是根据本发明的脊柱植入物处于第一位置时的透视图;
图26是图24的脊柱植入物处于第二位置时的透视图;
图27是图26的脊柱植入物处于第三位置时的透视图;
图28是根据本发明的脊柱植入物处于第一位置时的横截面图;
图29是图28的脊柱植入物处于第二位置时的横截面图;
图30是根据本发明的脊柱植入物处于第一位置时的透视图;
图31是图30的脊柱植入物处于第一位置时的侧视图;
图32是图30的脊柱植入物处于第一位置时的前视图;
图33是图30的脊柱植入物处于第二位置时的透视图;
图34是根据本发明的脊柱植入物处于第一位置时的透视图;
图35是图34的脊柱植入物处于第二位置时的透视图;
图36是图34的脊柱植入物处于第三位置时的透视图;
图37是图34的脊柱植入物被植入在脊柱中时的透视图;
图38是根据本发明的脊柱植入物的透视图;
图39是图38的脊柱植入物被植入在脊柱中时的前视图;
图40是根据本发明的脊柱植入物被植入在脊柱中时的横截面图;
图41是根据本发明的脊柱植入物被植入在脊柱中时的横截面图;
图42是根据本发明的脊柱植入物的部件在被植入到脊柱中时的前视图;
图43是图42的完全组装后的植入物被植入在脊柱中时的前视图;
图44是根据本发明的脊柱植入物处于第一位置时的透视图;
图45是图44的脊柱植入物处于第二位置时的透视图;
图46是图44的脊柱植入物处于第三位置时的透视图;
图47是根据本发明的脊柱植入物处于第一位置时的透视图;
图48是图47的脊柱植入物处于第二位置时的透视图;
图49是根据本发明的脊柱植入物处于第一位置时的透视图;
图50是图49的脊柱植入物处于第二位置时的侧视图;
图51是根据本发明的脊柱植入物处于第一位置时的透视图;
图52是图51的脊柱植入物处于第二位置时的透视图;
图53是根据本发明的脊柱植入物处于第一位置时的透视图;
图54是图53的脊柱植入物处于第二位置时的透视图;
图55是根据本发明的脊柱植入物的分解的透视图;
图56是图55的脊柱植入物处于第一位置时的前视图;
图57是图55的脊柱植入物处于第二位置时的前视图;
图58是根据本发明的脊柱植入物的分解的透视图;
图59是根据本发明的脊柱植入物的分解的透视图;
图60是根据本发明的脊柱植入物的右透视图;
图61是图60的脊柱植入物的左透视图;
图62是根据本发明的脊柱植入物的左透视图;
图63是图62的脊柱植入物的右透视图;
图64是根据本发明的脊柱植入物的透视图;
图65是根据本发明的脊柱植入物的透视图;
图66是图65的脊柱植入物的前视图;
图67是根据本发明的脊柱植入物的前视图;
图68是根据本发明的脊柱植入物的插入方法的流程图;
图69是根据本发明的脊柱植入物的前视图;
图70是图69的脊柱植入物的另一实施方式的透视图。
具体实施方式
根据本发明的脊柱植入物的实施方式包括间隔物和一个或多个保持构件。贯穿整个说明书,在上下文中所述脊柱植入物将指棘突植入物。然而,应当理解,所述脊柱植入物可以被构造为用于插入到颈椎、胸椎、和/或腰椎的相邻棘突、横突、和/或其它椎骨结构之间。可以提供多种尺寸的间隔物以适应病人之间的身体构造上的差异和间隔校正的不同角度。间隔物可以包括开口,以便于组织生长进而将间隔物固定到椎骨本体上,例如从脊柱产生的组织生长。例如,间隔物可以被构造为便于组织从上棘突和下棘突生长出来,从而促成相邻棘突的融合。开口可以是相对大的,并且或者连通到间隔物的中空内部。中空内部可构造成用于接纳骨生长促进物质,例如将促进物质填装到中空内部内。开口可以是相对小的,并且/或者包括在间隔物表面的至少一部分上的小孔或互连的小孔。开口可被填充骨生长促进物质。
间隔物可以具有任何合适的横截面形状。例如,它可以是圆柱形的、楔形的、D形的、C形的、H形的,包括分离的悬臂梁,和/或任何其它合适的形状。所述形状可以包括倒角、圆角、平面、去除切口(relief cut)、和/或其它特征,以适合身体构造上的特征,例如板(laminae)和/或小面。
间隔物可以是不可压缩的、适度地可压缩的、高度地可压缩的,能从可压缩改变到不可压缩的,和/或任何其它构造。例如,间隔物可以是可压缩成紧凑构造的,用以插入到相邻骨之间,并且然后可膨胀以将骨头间隔开。可以允许间隔物弯曲以在骨之间提供弹性缓冲。间隔物可以被锁定在膨胀位置以防止它返回到紧凑构造。
保持构件可以相对于间隔物纵轴线从间隔物横向地延伸,以将间隔物保持在相邻棘突之间。单个保持构件可以在一个或多个方向上延伸,或者可以提供在多个方向上延伸的多个延伸部。一个或多个保持构件能相对于间隔物纵向和/或径向固定。一个或多个保持构件可以是相对于间隔物和/或其它保持构件可纵向地和/或径向地调节的,以允许保持构件相对棘突被定位。保持构件可以是可通过和/或从间隔物之内展开的,以允许以最低限度的侵入性的方式放置间隔物和展开保持构造。保持构件可以包括一个或多个螺钉、销、钉、螺栓、钩环、钩、板、翼、条、延伸部、细丝、线、环、带子、条带、缆绳、绳索、缝合线、和/或其它合适的保持构件。保持构件可以由金属、金属合金、聚合物、和/或其它合适的材料制成。保持构件可以卡住骨和/或软组织,邻接骨和/或软组织,便于组织在内生长和/或在上生长,和/或以其它方式保持植入物。
保持构件可以与同棘突和/或软组合相接合的紧固件合作。这种紧固件可以包括一个或多个螺钉、销、钉、铆钉、螺栓、卡钉、钩、缝合线、丝、条带、夹具、长钉、齿、粘结剂、和/或其它合适的紧固件。紧固件可以整合到保持构件中或者它们可以是模块化的。保持构件和/或紧固件可以是可调节的、可替换的、和/或者可拆卸的,并且可以被用在(employ)一个方向上和/或在植入物的一侧上或者被用在多个方向上和/或在植入物的多个侧上,使得能够适应相邻骨的固定的种类和特性。例如,植入物可以被放置使得它仅仅担当相邻骨之间的间隔物,担当相邻骨之间的弹性约束,或者担当相邻骨之间的刚性固定。间隔物、保持构件、和/或紧固件可以有利地由不同材料制成。
可以使用环扎来稳定脊柱植入物和/或提供其它益处。例如,线、条带、带子、缆索、绳、和/或其它长形构件可以环绕椎弓根、板、棘突、横突、和/或其它脊柱结构。环扎可以是相对不可延伸的,以便为脊柱弯曲提供硬阻止,或者环扎可以是相对可延伸的,以便为弯曲提供逐渐增加的阻力。环扎可以是相对柔性的和可悬垂的(drapeable),例如为织造织物,或它可以是相对刚性的,例如为金属带。环扎可以具有在被植入后使它恢复到先前设定形状的形状记忆性能。环扎可以独立于棘突植入物,或者可以接合该棘突植入物。例如,环扎可以穿过棘突植入物的中空内部,并且/或者接合延伸部。
植入物可以被补充有骨生长促进物质,以促进棘突、板、横突、小面和/或其它脊柱结构之间的相邻椎骨的融合。骨生长促进物质可以是与植入物间隔开的,放置为邻近植入物的,夹在植入物和下面的骨之间的,放置在植入物内部的,涂覆在植入物上的,和/或相对于植入物以其它方式放置的。如果骨生长促进物质被涂覆在植入物上,它可以覆盖整个植入物,或者仅仅覆盖植入物的所选部分,例如间隔物、保持构件、紧固件,和/或其它部分。
如同这里所使用的那样,骨生长促进物质可以包括骨泥、骨碎片、骨条、结构骨移植片、从血小板中得到的生长因子、骨髓抽出物、干细胞、骨生长蛋白质、骨生长肽、骨连接蛋白质、骨连接肽、羟磷灰石、磷酸钙、他汀类(statins)、和/或其它合适的骨生长促进物质。
脊柱植入物和任何相关环扎或其它部件可以由任何合适的生物相容的材料制成,该生物相容的材料包括部分金属、可再吸收陶瓷、不可再吸收陶瓷、可再吸收聚合物和不可再吸收聚合物。一些具体的例子包括不锈钢、钛和它的合金包括镍钛合金、钽、羟磷灰石、磷酸钙、骨、氧化锆、铝、碳、生物玻璃、聚酯、聚乳酸、聚乙醇酸、聚烯烃、聚酰胺、聚酰亚胺、聚丙烯酸脂、聚酮、含氟聚合物,和/或其它合适的生物相容的材料以及它们的组合。
脊柱植入物可以在包括棘上韧带去除后进路(approach)、棘上韧带保留后进路、侧进路、和/或其它合适的进路的多种外科手术技术中使用,以用于治疗脊柱疾病。脊柱植入物可以被用来通过融合相邻椎骨或通过保留相邻椎骨之间的运动来治疗脊柱疾病。脊柱植入物可以仅包括例如间隔物的延伸限位,仅包括例如柔性环扎元件的弯曲限位,或者既包括弯曲限位又包括延伸限位。棘突植入物可以被用来减小作用在小面关节上的负荷,增大棘突间隔,减小作用在盘上的负荷,增大盘间隔,和/或以其它方式治疗脊柱疾病。用于脊柱植入物的技术可以包括不改变外科手术处的组织,或改变组织例如修剪,挫、变粗糙、和/或以其它方式改变植入物处的组织。
例如,图1-3示出了包括间隔物102以及第一和第二板延伸部104、105和可展开的保持构件106、108和110形式的多个保持构件的脊柱植入物100。间隔物102具有大体上圆柱形的本体112,该本体112具有近端114、远端116和在它们之间延伸的纵向间隔物轴线118。远端116朝着边缘逐渐变细以便于将间隔物102插入到两个骨、举例来说相邻棘突之间。由上小面120、下小面122和侧小面124(示出了一个)限定该远端。
第一板延伸部104紧邻近端地从间隔物102径向向外地伸出并且第二板延伸部105与第一板延伸部104处于相反方向地从间隔物102径向向外地伸出。板延伸部104、105与间隔物102可以是一体的,如同在图1-3中所示的那样,或者板延伸部104、105可以是模块化的并且是可从间隔物102分离的。板延伸部104、105通过邻接棘突126、128而提供插入限位。
可展开的保持构件106、108、110可以被预先安装在间隔物102内或者在进行外科手术时(intraoperatively)被插入到间隔102中。优选地,它们被预先安装并且缩进在间隔物102之内,如同在图2中所示的那样。各可展开的保持构件106、108、110被引导到沟槽130、132、134中,沟槽130、132、134从间隔物102的内部向外通过远端116连通到间隔物102的外部。可展开的保持构件106、108、110在它们的近端136处被连接在一起使得它们一起移动。间隔物的内部包括容纳处于未展开位置的可展开的保持构件106、108、110的腔137。该腔137带有螺纹并且以可轴向平移的关系接收致动螺杆138。
在使用中,脊柱植入物100被插入在相邻棘突126、128之间,如同所示的那样。然后转动致动螺杆138使得它沿着间隔物轴线平移并且推动可展开的保持构件106、108、110朝着远端地通过沟槽130、132、134。间隔物102在它的近端114处包括一对槽口139,用以接收当转动致动螺杆138时将反抗转矩应用到间隔物102的工具。沟槽130、132、134可以是弯曲的以使得可展开的保持构件106、108、110远离间隔物轴线118地弯曲并且抓住棘突126、128和/或周围软组织。可展开的保持构件106、108、110也可以被预先弯曲并且然后当它们被装入到图2的未展开位置时被弹性地伸直。当被展开时,它们然后可以返回到它们的预弯曲形状。可展开的保持构件106、108、110可以有利地由超弹性材料例如镍钛诺制成。它们也可以响应于病人的体温,以将形状从图2的伸直构造改变到图3的弯曲构造。随着时间的过去,软组织也可以围绕可展开的保持构件106、108、110生长、粘附到可展开的保持构件106、108、110、围绕可展开的保持构件106、108、110结疤、和/或以其它方式抓住可展开的保持构件106、108、110。可展开的保持构件110在它的远端处分开以形成环140,当被从间隔物102展开时该环140打开以便于组织生长到环140中并且围绕环140生长,用以增加保持强度。形成多个通过板延伸部104、105的孔142,用以接收将板延伸部104、105连接到周围骨和/或软组织的紧固件。这种紧固件可以包括上面所列的任何紧固件。在图3中,销144被示为在其中一个孔142中。
图4-5示出了在形式和功能上类似于图1-3的植入物的脊柱植入物200。脊柱植入物200包括间隔物202、可展开的保持构件204、和间隔物端件206。间隔物202和端件206是大体上圆柱形的并且是沿着间隔物轴线208相对准的并且通过与端件206螺纹地啮合的螺纹轴210连接。螺纹轴210被安装到间隔物202用以轴向转动并且包括驱动器接合端212。可展开的保持构件204被固定在间隔物202中并且被可滑动地接收在端件206的沟槽214中。
在使用中,脊柱植入物200被插入到相邻骨例如棘突220、222之间。驱动器(未示出)被接合到螺纹轴210的驱动器接合端212并且被转动以朝着间隔物202移动端件206,使得保持构件204远离间隔物轴线208地延伸到沟槽214外面,如同在图5中所示的那样。工具(未示出)可以与其中一个端件206中的一个或多个槽口224或者间隔物202中的切口226相接合,以在螺纹轴210转动时施加反转矩。
图6-7示出了在形式和功能上类似于图1-3的植入物的脊柱植入物300。脊柱植入物300包括间隔物302、芯部304、和从芯部304延伸的可展开的保持构件306。可展开的保持构件306包括在芯部304的各端处以径向阵列从芯部/间隔物轴线308伸出的多个线。在所示的例子中,其已经被设计成放置在椎间了,没有线在前面伸出以避免与小面和/或其它脊柱结构冲突。芯部304和可展开的保持构件306被接收在通过间隔物302的、平行于间隔物轴线308的通道309中。
在使用中,间隔物302被定位在相邻骨例如棘突310、312之间。如同在图7中所示的那样,可以部分地预先插入芯部304和可展开的保持构件306使得在间隔物302被定位之后推进芯部,以展开可展开的保持构件306。可选地,芯部和可展开的保持构件306可以是可从间隔物302分离的,并且在放置间隔物之后被插入。在任一情形中,可以任选地使用管314以在展开之前保持可展开的保持构件306和/或芯部304。如同在图7中所示的那样,管314可以与间隔物302相接合,与通道309和芯部304相对准,并且将可展开的保持构件306从管314推到通道309中直到可展开的保持构件306从通道309的相反端展开。管314可以被收回,以允许所保持的可展开的保持构件306展开。
图8-11示出了在形式和功能上类似于图1-3的植入物的脊柱植入物400。脊柱植入物400包括大体上圆柱形的中空间隔物402,该中空间隔物402具有第一端404、第二端406、和从第一端404延伸到第二端406的间隔物轴线408。芯部410可沿着间隔物轴线408被定位在间隔物402之内。任选地,多个可展开的保持构件412在芯部410的各端处远离间隔物轴线408地径向地伸出。间隔物402由可压缩的材料例如超弹性金属或聚合物制成,使得它能被压缩以便于插入。例如,如同在图9中所示的那样,工具(未示出)的叉子420可以被插入到间隔物402中并且伸展开以将间隔物402伸展成扁平的椭圆形状。间隔物402然后可以被插入,并且叉子被去除掉以允许间隔物恢复到它的原始形状。取决于间隔物402的模数以及周围的骨施加在它上的载荷,它可以恢复到它的插入前的整个高度并且分离骨,或者它可以仅仅部分地恢复。芯部410然后可以被插入,以将间隔物402维持在它的恢复后的高度。芯部410的大小可以被设置成能被压入到间隔物402中并且因此防止插入后的间隔物402的任何压缩,或者芯部的大小可以被设置成允许间隔物402的预定量的压缩以提供弹性间隔物。在图10所示的情形中,可以省略任选的可展开的保持构件412并且使用脊柱植入物400。优选地,芯部410包括丝形式的可展开的保持构件412,其能被展开为在芯部410的各端处从间隔物轴线408径向向外地伸出的环阵列。通过物理地妨碍收回,保持构件412可以将间隔物402保持在合适的位置处。由于围绕保持构件412生长的组织,保持构件412也可以保持间隔物402。
图11示出了一种可展开的保持构件412的布置方式。多个圈环422被安装在芯部410上,其中至少一个圈环422是可沿着芯部410轴向平移的。圈环通过围绕芯部410盘旋的多根丝424被连接在一起。
在使用中,间隔物402被插入在相邻骨例如相邻棘突之间,并且芯部410被插入到间隔物402中。至少一个圈环422朝着另一圈环422移动,使得丝424远离芯部地弯曲并且形成如同在图8中所示的那样的环阵列。可选地,可以类似于图7的实施方式那样地平行于间隔物轴线408向下折叠保持构件412。
图12-14示出了在形式和功能上类似于图1-3的植入物的脊柱植入物500。脊柱植入物500包括具有大体上圆柱形的中空本体504的间隔物502,该中空本体504具有第一端506、第二端508、和从第一端506延伸到第二端508的间隔物轴线510。间隔物502的端部逐渐变细以便于插入在相邻骨之间。多个沟槽512大体上平行于间隔物轴线510,从第一端506到第二端508地延伸通过本体504。可展开的保持构件514以可轴向滑动的关系与沟槽512相接合。在图12-14所示的例子中,沟槽512和可展开的保持构件514具有互补的长方形横截面形状。可展开的保持构件514弯曲以远离间隔物轴线510地径向延伸并且抓住棘突。
在使用中,可展开的保持构件514被伸直和/或缩回,以允许脊柱植入物500被插入在棘突之间。可以以多种方式实现这一点。如同在图13中所示的那样,可以通过沟槽512将可展开的保持构件514收回一半,强迫它们伸直。它们可以包括限位块以防止它们被完全收回。在间隔物502被插入在棘突间之后,可以通过沟槽512进给可展开的保持构件514并且允许它恢复到它们的弯曲构造。可选地,可展开的保持构件514可以被从间隔物502完全分离并且不被导入直到间隔物502已经被插入后。如同在图14中所示的那样,可展开的保持构件514可以被伸直并且脊柱植入物500被插入通过管520并被插入到棘突之间的间隔中。图12示出了插入后的脊柱植入物500,其中可展开的保持构件514被完全展开。
图15示出了类似于图12-14的植入物的脊柱植入物600。脊柱植入物600具有线形式的可展开的保持构件602,而不是图12-14的长方形的带式的可展开的保持构件514。
图16示出了类似于图12-14的植入物的脊柱植入物700。脊柱植入物700包括间隔物702,该间隔物702具有通过间隔物702、平行于间隔物轴线706的通道704。在间隔物702被插入在相邻棘突之间之后,预先形成的线形式的可展开的保持构件708从通道的第一端到第二端而被插入通过通道704,使得它从第二端露出并且返回到它的预先形成的形状,从而横向于间隔物轴线706地延伸超过间隔物702的外表面。可展开的保持构件的端部也可以在间隔物的第一端处横向于间隔物轴线706地延伸,使得可展开的保持构件可以在棘突的两侧上延伸以捕获棘突。可选地,可以提供固定螺钉或其它机构以在可展开的保持构件708已经被展开之后在通道704固定可展开的保持构件708。在所示的实施方式中,可展开的保持构件708被预先形成线圈。
图17-19示出了类似于前面的实施方式的脊柱植入物800。脊柱植入物800包括间隔物802,间隔物802具有第一端804和第二端806以及在它们之间延伸的间隔物轴线808。间隔物802可以是楔形的、圆柱形的、椭圆形的、长方形的、和/或任何其它合适的形状的。该形状可以基于人体构造考虑。提供从间隔物802的各端804、806延伸的终端部分810、812形式的可展开的保持构件。终端部分810、812具有如同在图17中所示的那样的更接近间隔物轴线808的紧凑位置或形状,和如同在图18中所示的那样的更远离间隔物轴线808的张开位置或形状。为了便于比较,图19示出了叠加在一起的紧凑位置和张开位置。在图17-19所示的实施方式中,终端部分810、812被提供为线圈,例如传统的螺旋弹簧线圈,并且紧凑位置相应于线圈被紧紧地缠绕,张开位置相应于线圈被松地缠绕。然而,根据设计选择,终端部分810、812可以被成形为凸缘、实心盘、突块、棒或者类似形状。在植入脊柱植入物800时,至少一个终端部分810、812处于紧凑位置。一旦被放置好了,允许一个终端部分张开或两个终端部分均张开。例如,由于它们本身的弹性张力,线圈可以展开。可选地,例如,可以通过加热启动线圈以使其张开。间隔物802分离相邻棘突,并且张开的终端部分810、812将间隔物802维持在棘突之间。
尽管终端部分810、812可以是分离的装置,在图17-19所示的实施方式中,终端部分810、812通过通道814被连接在一起,通道814被形成为沿着间隔物轴线808通过间隔物802。在这个实施方式中,终端部分810、812是放置在通道814之内的连续线圈的端部。线圈可以被设计成处于张紧状态,使得终端部分趋向于座靠在棘突上以将间隔物802稳固地保持在合适的位置处。
终端部分810、812可以由多种材料制成,但是超弹性材料,例如形状记忆金属合金或聚合物是有利的。尤其是,形状记忆材料能被设计成具有第一小形状以允许较少创伤地植入装置。一旦被植入了,激活形状记忆材料将使得终端部分810、812从紧凑位置移动到张开位置。而且,对于连续线圈的实施方式,线圈可以被构造成缩回并且因此将终端部分座靠在棘突上。
间隔物802可以被提供有一个或多个表面凹槽816以例如接收外科手术分离工具的叉子,使得在棘突已经被分离之后可以沿着叉子放置间隔物。
图20-22示出了图17-19的植入物的另一布置,其中脊柱植入物900包括间隔物902和围绕间隔物902的外侧缠绕的线圈904。线圈904可以具有形状记忆性能,允许它被从紧凑位置转变到张开位置,或者它可以总是朝着展开位置被偏压的。在它总是朝着展开位置被偏压的情形中,线圈904可以通过套筒906或者其它围绕结构而被维持在紧凑位置。在处于紧凑位置(图21)时,脊柱植入物900被放置在相邻骨,举例来说,棘突910、912之间,并且被允许或者被激励以转变到张开位置(图22),从而将间隔物902维持在骨之间。可选地,在脊柱植入物被植入之后,间隔物902可以被拆卸,或者可以完全省略掉间隔物902,使得仅仅由线圈904担当间隔物和保持构件。
图23-24示出了包括间隔物1002的脊柱植入物1000,该间隔物1002具有近端1004、远端1006、和在它们之间延伸的间隔物轴线1008。任选地,远端1006可以是如同所示的那样地逐渐变细的,以便于插入在相邻骨之间。脊柱植入物1000包括一个或多个可展开的保持构件,该一个或多个可展开的保持构件被可转动地安装到间隔物1002,用以在紧凑或收起位置(图23)和张开或展开位置(图24)之间转动。在图23-24所示的实施方式中,可展开的保持构件是安装到远离间隔物轴线1008地径向地延伸的支架1012的线1010形式。线1010大体上平行于间隔物轴线1008地在支架1012之间延伸,并且然后在近端和远端1004、1006处弯曲成横向于间隔物轴线1008。间隔物1002包括邻近远端的环形凹槽1014,并且当处于紧凑或收起位置时线1010在远端弯曲以接合凹槽1014。如同在图23中所示的那样,凹槽1014可以接收线1010,使得它们的弯曲部分被完全隐藏以易于植入。当处于紧凑或收起位置时,线1010的近端被定位在间隔物1002的近端1004的后面以易于植入。在脊柱植入物1000被插入在相邻骨,举例来说,棘突之间之后,线1010被从收起位置转动到展开位置,以将间隔物维持在骨之间。在图23-24所示的实施方式中,在被植入之后,能触及线的近端以转动线1010。由于与支架1012之间的摩擦,或者可以提供额外的锁定机构,线可以维持它们的位置。例如,可以提供定位槽1016以接收线并且帮助将它们维持在合适的位置处,举例来说,展开位置处。
图25-27示出了包括间隔物1102的脊柱植入物1100,该间隔物1102具有第一端1104、第二端1106、和在它们之间延伸的间隔物轴线1108。端件形式的一个或多个可展开的保持构件被安装到间隔物1102,用以在更接近间隔物轴线1108的收起位置和更远离间隔物轴线的展开位置之间转动。例如,脊柱植入物可以包括一对外端件1110和一对内端件1112,其中在间隔物的各端上都有一个外端件和一个内端件。外端件110被安装成围绕从间隔物轴线1108偏移的轴线1114转动,使得当它们转动时它们移动的更接近或者更远离间隔物轴线。例如,外端件1110可以被安装在共同轴1116上,使得它们一起转动。内端件1112可以被类似地安装成围绕共同轴1120上的偏移轴线1118转动。优选地,内件1112被安装在轴1120上,而轴1120从间隔物轴线1108和外端件1110被安装在其上的轴1116偏移,使得内端件和外端件1112、1110在不同的方向上远离间隔物轴线1108地移动。在图25-27的例子中,内端件1112已经被减轻了重量,举例来说,包括切口1122(图27),以不与外端件1110的轴相干涉,使得它们可以被转动到与间隔物1102共轴的收起位置,如同在图25中所示的那样。在使用中,当处于图25的收起位置时,脊柱植入物1100被插入在相邻骨,举例来说,棘突之间。一旦间隔物1102处于所期望的位置,一个或多个外端件和内端件1110、1112可以被转动到展开位置,以将间隔物1102维持在合适的位置处。提供驱动器接合槽口1124以便于转动端件。可以提供多个端件,直到并且包括整个间隔物由一系列端件构成的植入物1100。端件可以被选择性地转动以获得与相邻骨的所期望的配合。端件可以被安装到分离的轴,或者被以其它方式安装成独立地转动。端件可以被安装到轴,使得当到达转矩阈值时它们滑动。例如,端件可以被安装用于预定滑动,使得如果多个端件在共同轴上一起转动并且其中一个邻接骨时,邻接端件可以在轴上滑动并且因此允许其它端件被完全转动到展开位置。
图28-29示出了类似于图25-27的植入物的脊柱植入物1200。脊柱植入物1200包括间隔物1202、近端1204、远端1206、和在它们之间延伸的间隔物轴线1208。板形或者棒形延伸部1210形式的固定保持构件邻近近端1204、远离间隔物轴线1208地径向地延伸。端件1212形式的可展开的保持构件被安装在远端1206处。端件1212优选为是如同所示的那样地逐渐变细的以便于插入在相邻骨之间。端件1212被安装到间隔物1202,用以围绕横向于(transverse to)间隔物轴线1208的端件转动轴线1214转动。例如,间隔物的远端1206可以包括横向于(transverse to)间隔物轴线1208的远表面1216和垂直于远表面1216地向外伸出的耳轴1218。端件1212包括互补的近表面1220,其带有用于接收耳轴1218的槽1222。端件1212是可围绕转动轴线1214从如同图28所示的那样的紧凑或收起位置转动到如同图29中所示的那样的张开或展开位置的,当处于紧凑或收起位置时,端件1212大体上平行于间隔物轴线1288地延伸,当处于张开或展开位置时,端件212大体上横向于(transverse to)间隔物轴线1208地延伸。为了便于端件1212的转动,轴1224从端件1212延伸穿过间隔物1202中的通道1226到达近端1204。轴1224可以平行于转动轴线1214延伸,或者它可以如同所示的那样地弯曲。弯曲轴可以包括挠性部分,万向接头、伞齿轮、和/或一些其它装置以允许通过弯曲部传送转矩。驱动器接合槽口1228被提供在轴的端部处以接合工具,用以转动端件。
图30-33示出了类似于图28-29的植入物的脊柱植入物1300。脊柱植入物1300包括间隔物1302,该间隔物1302具有近端1304、远端1306、和在它们之间延伸的间隔物轴线1308。多个可展开的保持构件被设置在端件1310、1312形式的各端处,端件1310、1312被安装成围绕横向于间隔物轴线1308的轴线转动。如同通过图30中的间隔物1302的切开部分所展示的那样,端件被安装到齿轮1314,该齿轮1314啮合驱动轴1318上的另外的齿轮1316。当驱动轴1318转动时,端件1310、1312远离间隔物轴线1308地从图30-32的收起位置转动到图33的展开位置。
图34-37示出了包括间隔物1402的另一脊柱植入物1400,该间隔物1402具有第一端1404、第二端1406、和在它们之间延伸的间隔物轴线1408。间隔物1402是圆柱形的、长方形的、楔形的、圆锥形的、和/或一些其它合适的形状的形式,并且横向于间隔物轴线1408可压缩。在图34-37所示的例子中,间隔物是中空的并且由弹性材料、优选为超弹性和/或形状记忆材料制成。脊柱植入物1400包括一个或多个远离间隔物1402的端1404、1406延伸的臂1410。臂优选为也由弹性材料,例如超弹性和/或形状记忆材料制成。当处于紧凑或收起位置时(图34),间隔物1402被朝着间隔物轴向1408径向地压缩,并且臂1410大体上平行于间隔物轴线1408地向外延伸。当处于张开或展开位置时(图36),间隔物1402远离间隔物轴线1408地张开,并且臂1410横向于间隔物轴线1408地延伸。在使用中,当处于紧凑位置时,脊柱植入物1400被插入在相邻骨,举例来说,棘突1420、1422之间,并且被允许或者被激励以转变到张开位置(图37)。在图34-37所示的例子中,臂1410具有预先形成的形状,其中它们在间隔物1402之上弯成弓形或者向后弯曲,以抓住棘突。在所示的例子中,臂1410也具有孔1424,以接收类似于图1-3的实施方式的紧固件。间隔物1402也可以接收芯部(未示出),以维持类似于图9-12的实施方式的最小张开高度。
图38-39示出了包括间隔物1502的脊柱植入物1500,该间隔物1502具有一个或多个孔1504以接收类似于图1-3的实施方式的紧固件。在图38-39所示的例子中,间隔物1502是带有孔1504的中空圆柱体,该孔1504延伸通过圆柱体的壁并且被布置成围绕间隔物1502的端。通过孔1504放置紧固件可以固定间隔物1502并且将间隔物1502固定到一个或多个相邻骨中和/或周围软组织中。间隔物1502可以在一端处或者在两端处被固定到与一个相邻骨相关的组织,与多个相邻骨相关的组织,和/或固定装置的任何组合。在图39的例子中,间隔物1502被放置在相邻棘突之间并且在两端处都被固定到周围软组织1506。
图40示出了类似于图38-39的植入物的脊柱植入物1600。脊柱植入物1600包括大体上实心的间隔物1602并且包括一个或多个用于接收一个或多个紧固件1606的横向通道1604。优选地,通道1604横向于间隔物轴线、从间隔物的端部连通到间隔物的的外表面,如同所示的那样。间隔物1602可以被从一侧或者从两侧连接到一个相邻骨,两个相邻骨。例如,在单侧的方法中,紧固件可以被放置到仅仅一个骨中,以将间隔物1602维持在合适的位置处。可选地,紧固件可以被放置到各相邻骨中,以将间隔物1602维持在合适的位置处,并且也将相邻骨维持在相对于彼此的合适位置处。在图40的例子中,螺钉被从间隔物1602的各侧放置到相邻棘突1610、1612中。
图41示出了类似于图40的植入物的脊柱植入物1700。脊柱植入物1700包括间隔物1702、凸缘1704形式的保持构件、和穿过凸缘用以接收紧固件1708的孔1706。孔1706可以平行于间隔物轴线(如同所示的那样)或者横向于间隔物轴线。
图42-43示出了脊柱植入物1800,该脊柱植入物1800包括具有基座轴线1804的基座1802和钩1806,该钩1806具有大体上横向地延伸远离基座轴线1804的部分1808和大体上平行于基座轴线1804地延伸的部分1810。脊柱植入物1800进一步包括与基座1802相接合的间隔物1812。间隔物1812可以是圆柱形的、长方形的、圆锥形的、和/或任何其它合适的形状。在图42-43所示的例子中,间隔物1812是大体上圆锥形的并且以可轴向平移的关系螺纹地啮合基座1802。在使用中,钩1806被放置成围绕一个或多个相邻骨的一部分,举例来说,它可以被插入在相邻棘突之间以抓牢其中一个棘突,如同在图42中所示的那样。间隔物将它们间隔开一所期望的距离,如同在图43中所示的那样。脊柱植入物1800允许类似于前面的例子的那样的单侧并且最小侵入性地放置,并且由圆锥形间隔物1812的轴向位置确定的可调节间距。
图44-46示出了包括间隔物1902和可展开的保持构件1904的脊柱植入物1900。间隔物1902包括具有上表面1908和下表面1910的裂开本体(splitbody)1906。上表面1908和下表面1910被可移动地连接到驱动器1912。驱动器1912具有被连接到它并且在上表面1908和下表面1910之间从驱动器1912延伸到楔1918中的螺纹孔1916中的螺钉1914。在操作中,转动驱动器1912使得螺钉1914螺接到孔1916中,其使得楔1918在上表面1908和下表面1910之间移动。当楔1918进一步在表面1908、1910之间移动时,表面1908、1910分离以增大间隔物1902的高度。沟槽1920和肋1922的组合为楔1918相对于表面1908、1910的移动提供稳定性。使用上面所描述的线圈、凸缘、盘、线和/或其它突起可以实现间隔物1902的保持。例如,可被平行于间隔物轴线1924地折叠用以插入的弹性线形式的可展开的保持构件1904可以提供间隔物1902的侧向保持。
图47-48示出了包括间隔物2002的脊柱植入物2000。间隔物2002被大体上成形为具有孔2004的圆柱体或套筒。间隙2006或狭槽,在间隔物2002的长度上延伸。孔2004可以是完全通孔或者孔2004可以具有中心壁或者塞(未示出),用以稳定。脊柱植入物2000进一步包括具有大体上圆锥形状或者楔形状的端帽2010。当端帽2010被压到或者螺接到孔2004中时,帽2010的形状使得间隔物2002的直径张开,由于间隙2006该张开被允许。间隙2006能被填充以合适的弹性材料。作为成形的端帽2010的替代形式,帽2010能由可张开的材料,例如形状记忆合金、弹簧钢、树脂、聚合物或类似材料制成以获得相同的效果。使用上面和下面所描述的并且相对于这个实施方式不会被再次描述的线圈、凸缘、盘、线和/或其它突起可以实现间隔物的侧向保持。
图49-50示出了类似于图47-48的植入物的脊柱植入物2100。脊柱植入物2100具有盘绕的板片形式的间隔物2102。间隔物2102是可从紧凑位置(图49)移动到张开位置(图50)的,当处于紧凑位置时,盘绕的板片围绕它本身卷绕多圈并且更接近间隔物轴线2104,当处于张开位置时,展开间隔物使得它围绕它本身卷绕的圈数较少并且更远离间隔物轴线2104,举例来说,使得它形成单个连续的环。间隔物具有内和外钩形边缘2106、2108,如同在图50中所示的那样,内和外钩形边缘2106、2108能接合以限定间隔物2102的张开量。脊柱植入物2100也可以包括塞或芯部,如同在前面的例子中所示的那样,以支撑间隔物2102防止陷缩。使用上面和下面所描述的并且相对于这个实施方式不会被再次描述的线圈、凸缘、盘、线和/或其它突起可以实现间隔物的侧向保持。
图51-52示出了类似于图49-50的植入物的脊柱植入物2200。脊柱植入物2200包括盘绕的板片式的间隔物2202,该间隔物2202具有远离板片地伸出的凸片2204,用于接合狭槽2206从而限定间隔物2202的张开量。凸片2204和/或狭槽2206可以被定位在盘绕的间隔物2202的内边缘和外边缘处,或者它们可以被定位在边缘之间的一个或多个位置处。例如,间隔物可以具有在一端处的凸片2204和放置在多个位置处的狭槽,以允许间隔物被固定成不同的大小。脊柱植入物2200也可以包括塞或芯部,如同在前面的例子中所示的那样,以支撑间隔物2202防止陷缩。使用上面和下面所描述的并且相对于这个实施方式不会被再次描述的线圈、凸缘、盘、线和/或其它突起可以实现间隔物的侧向保持。
图53-54示出了包括间隔物2302的脊柱植入物2300,由弹性材料,例如聚合物或树脂材料制成,该间隔物2302具有间隔物轴线2303。例如,间隔物2302可以是水凝胶或者其它复合物或聚合物材料,例如硅树脂材料。芯部2304延伸通过间隔物2302到达基座2306中。基座2306被示为具有楔形或者圆锥形形状以便于插入,但是其能是任何形状,包括圆形或者钝形。弹性臂2308形式的可展开的保持构件被连接到基座2306。在使用中,基座2306被平行于间隔物轴线2303地插入在相邻骨,举例来说,棘突之间。当臂2308穿过棘突时,它们折叠到紧凑或收起的插入位置,当处于该位置时,它们更接近间隔物轴线2303并且沿着间隔物2302的侧面大体上平行于间隔物轴线地平放(图53)。一旦臂2308穿过了棘突,它们返回到张开或展开的保持位置,当处于该位置时,它们横向于间隔物轴线2303地向外伸出(图54)。优选地,一旦被插入了,臂2308仅仅在一个方向上折叠以提供增大的保持力。脊柱植入物2300进一步包括板2310,板2310具有凸块2312,例如螺纹轴,其可通过孔2304延伸并且螺纹地啮合基座2306。例如,将螺钉螺纹旋拧到基座2306中压缩间隔物2303,使得间隔物2302的直径增大,将分离力提供在棘突上。通过板2310和在棘突的任一侧上的远离间隔物轴线2303地延伸的臂2308提供侧向稳定性。
螺纹旋拧到基座2306中的螺钉的替代方案是,螺栓可以被连接到基座并且用螺母2314压缩板2310和间隔物2302。其它机构也能被用来压缩间隔物2302,包括棘齿、压配合、铆钉、和/或任何其它合适的机构。
图55-57示出了包括基座板2402和楔板2404的脊柱植入物2400。基座板2402被示为具有长方形的形状,但是任何形状都是可能的,包括圆形、椭圆形、正方形、半圆形、三角形、梯形、任意形状或类似形状。基座板2402具有通孔2406(在该例子中被示为正方形)和两个连接凸片2408。连接凸片具有孔2410。
楔板2404被示为具有类似于基座板2402的长方形形状,但是基座板2402和楔板2404不是必须具有相同的形状。而且,楔板2404可以具有多种可能的形状,如同参考基座板2402所解释的那样。楔突起2414从楔板2404的第一侧延伸。楔突起2414被示为具有直侧面的大体上三角形的形状,但是包括圆的、斜的、弯曲的、弓形的、凸起的、凹的或者类似侧面的其它形状是可能的。楔突起2414具有上表面2416和下表面2418,在它们远离楔板2404的方向上该上表面2416和下表面2418大体上会聚。楔突起2414具有延伸通过楔突起2424的一部分的沟槽孔2420。尽管不是必须的并且取决于人体构造的因素,沟槽孔2420可以被定位在上表面2416和下表面2418之间的中间处。如此设置楔突起2414和通孔2406的大小使得基座板2402和楔板2404能邻接,尽管在典型的植入构造中,基座板2402和楔板2404实事上将不邻接,因为骨,举例来说,棘突,将被插入到基座板2402和楔板2404之间,如同在图57中所示的那样。
如同在图56和57中最好地看到的那样,当楔突起2414驻留在通孔2406中时,连接凸片2408上的孔2410大体上与沟槽孔2420相对齐,使得在使用中连接件2422能延伸通过孔2410和沟槽孔2420以连接基座板2402和楔板2404。典型地,连接件2422包括螺钉和螺母,但是可以使用任何传统的连接件。当第一次被植入后,基座板2402和楔板2404围绕上棘突2450和下棘突2452相对齐。连接件2422连接该连接凸片2408和楔突起2414。理想地,但不是必须的,连接件2422未被拧紧,并且基座板2402和楔板2404可以相对于彼此移动,尽管在最初情形中它们仅仅能更接近地移动到一起。一旦板相对齐且正确地分离,连接件2422可以被拧紧以将脊柱植入物2400锁定在合适的位置处。理想地,但不是必须的,上脊柱韧带保持完整以抑制脊柱植入物向后地移动到棘突间的间隔的外面。替代地,并且可选地,基座板2402和楔板2404可以包括缝合孔2424(图57)。缝合线2426可以被连接到缝合孔2424并且横过上棘突2450和下棘突2452。而且,尽管仅仅一对孔被示为带有一对缝合线,但是可以提供更多的孔和缝合线。而且,缝合线2426通常应当被解释为指缆绳、线、带、或者其它柔性的生物相容的连接件。可以使用结、缆绳锁或者卷曲系紧或者锁定这种缝合线。
图58示出了在形式和功能上类似于图55-57的植入物的另一脊柱植入物2500。脊柱植入物2500包括基座板2502和楔板2504。基座板2502包括连接凸片2506和孔2508。楔板2504具有至少一个楔插板(prong)2510,但是为了改进装置的稳定性提供了两个楔插板2510。两个楔插板2510形成插板通道2512以接收连接凸片2506并且提供一些额外的稳定性。楔插板2510具有沟槽孔2514。尽管连接凸片2506和楔插板2510都被示为楔形的,但是它们都不必须是楔形的。孔2508和沟槽孔2514相对齐使得连接件2516能被配合在它们之间以将基座板2502和楔板2504连接在一起。可选地,孔2508可以被形成为沟槽孔并且沟槽孔2514可以被形成为孔,或者它们都可以是沟槽孔以允许板的侧向调节。
图59示出了类似于图58的植入物的另一脊柱植入物2600,但是代替孔和连接件,突起2602被形成在插板沟槽2604的内侧和连接凸片2606上。突起2602可以是肋、销、肩、倒刺、凸缘、断片、棘爪、沟槽、凹槽、齿和/或其它合适的突起。突起2602可以类似于棘齿地操作并且可以被构造成使得基座板和楔板能朝着彼此移动并且分离相邻骨,举例来说,棘突。在它们被压在一起之后,突起2602相接合使得板不能移动开。插板沟槽2604可以被加宽,举例来说,通过将它撬开,以脱离突起2602并且允许板被分离开。
图60-61示出了脊柱植入物2700。脊柱植入物2700包括间隔物,该间隔物具有间隔物轴线2701、第一部分2702、和第二部分2704。第一部分2702具有带有第一端2708和第二端2710的主本体2706。一个或多个侧向壁2712在第一端2708处横向于间隔物轴线2701地从第一部分2702延伸出来。壁2712适于在第一侧上沿着上棘突和下棘突延伸。第二端2710适于驻留在上棘突和下棘突之间的间隔中。第二部分2704包括主本体2714并且具有第一端2716和第二端2718。一个或多个侧向壁2720在第一端2716处横向于间隔物轴线2701地从第二部分2704延伸出来。壁2720适于在第二侧上沿着上棘突和下棘突延伸。第二端2718适于驻留在上棘突和下棘突之间的间隔中。侧向壁2712、2720可以被成形以适合身体构造。第一部分2702的第二端2710和第二部分2704的第二端2718邻接或者接合。可以提供多种特征以增强这种接合。例如,第二端可以包括一个或多个沟槽和/或配合在沟槽中的一个或多个突起。固定螺钉或类似件可以螺纹地啮合延伸通过第一和第二部分的孔,以将它们维持为相对齐。然而,如同下面所解释的那样,固定螺钉和孔是任选的。互锁沟槽和突起是任选的,因为端部可以仅仅邻接或者具有干涉表面。端可以是横向于间隔物轴线2701地倾斜的,如同所示的那样,以便于插入和/或以增大邻接面积。下面将相对于图62-67描述一些其它例子。
继续参考图60-61,一个或多个贯通沟槽或通孔2722延伸通过第一和第二部分2702、2704。引导线2732大体上平行于间隔物轴线2702地延伸通过沟槽2722。引导线2732可以由线、编织的或搓合的缆绳(由金属或聚合物带制成)、缝合材料、平金属或聚合物带(编织的或实心的),和/或其它合适的材料和构造制成。多个贯通沟槽可以允许引导线2732形成围绕第一端2702的环,如同在图61中所示的那样。引导线2732的端部可以被围绕第二端地连接,例如使用结、卷曲、打结、搓锁,缆绳锁,和/或其它合适的连接。当引导线2732不被形成环时,可以使用锁扣装置例如缆绳锁、卷曲、打结、和/或任何其它合适的锁装置将引导线2732锁靠在第一和第二端上,。引导线2732将第一和第二部分维持为锁在一起。
图62-63示出了类似于图60-61的植入物的脊柱植入物2800,除了它包括突起2804,突起2804从第二部分2704延伸以接合从第一部分2702延伸的狭槽2802,从而相对于彼此稳定第一和第二部分。
图64示出了类似于图60-61的植入物的脊柱植入物2900,除了第一部分2702限定狭槽2902且第二部分2704逐渐变细到接合狭槽2902的叶片类前端2904。
图65-66示出了类似于图60-61的植入物的脊柱植入物3000,除了第一部分2702限定了由中心楔形壁3004分离的逐渐变细的侧切口3002并且第二部分2704逐渐变细成楔形第二端3006。楔形第二端被凹槽3008分开。当第一和第二部分被压在一起时,壁3004接合凹槽3008并且楔形第二端3006接合侧切口3002。而且,在图65-66的实施方式中,第一和第二部分2702、2704具有一个或多个横向于间隔物轴线2701的孔3010、3012,用以接收紧固件以将第一和第二部分锁定在一起。
图67示出了类似于图60-66的植入物并且被示为处于植入后状态的脊柱植入物3100。用通过压接部(crimp)3104固定在各端处的单个引导线3102将第一和第二部分2702、2704固定在一起。提供通过侧向壁2712、2720的通道3106。缝合线、线、缆绳、带、或其它柔性的生物相容的材料3108可以延伸通过通道3106并且在棘突之上和/或通过棘突延伸。柔性的生物相容的材料3108可以在单个棘突(如同所示的在那样,在上棘突3110上)下或上形成环,可以围绕单个棘突(如同所示的那样,在下棘突3112上)形成环,或者可以围绕两个棘突形成环,或者它们的组合。可以使用类似于上面所解释的那些的锁定装置锁定柔性的生物相容的材料3108。柔性的生物相容的材料3108和引导线3102可以任选地是相同的元件。
图68是流程图,描述了一种用于植入图60-67的脊柱植入物的代表性的方法。首先,步骤3202,为病人做好植入脊柱植入物的准备。为病人做准备可以包括,例如,形成一个或多个提供到达脊柱段的通路的开口,放置引导线等。步骤3204,使用传统的分离工具分离外科手术处(或者当可以由间隔物本身引起分离时,测量外科手术处)。一旦已暴露,步骤3206,棘突间的间隔被准备好以接收脊柱植入物。这典型地包括准备棘突以接收脊柱植入物,其可以包括去除掉棘突的一些部分,并且去除掉可能与植入脊柱植入物相干涉和/或可能提供趋向于移开脊柱植入物的力的肌肉、腱、和韧带。步骤3208,脊柱植入物的第一部分在引导线之上或者与引导线一起通过切口等被插入到外科手术处。一旦已经在外科手术处,步骤3210,脊柱植入物的第一部分被定位或者被对齐使得侧向壁松散地邻接上棘突和下棘突的第一侧,并且第二端延伸到棘突间的间隔中。总的来说,这意味着通过棘突间的间隔植入第一部分。引导线,其被连接到脊柱植入物的第一部分,如同上面所解释的那样,从第一部分的第二端延伸并且被连接到脊柱植入物的第二部分。这样,步骤3212,外科医生沿着引导线插入第二部分。应当指出,可以使用工具定位第一部分和第二部分,或者外科医生可以使用手和手指放置第一和第二部分。步骤3124,使用引导线,第二部分上的突起(如果有的话)被插入到第一部分的沟槽中(如果有的话),以使得脊柱植入物的第一部分和第二部分相对齐。步骤3126,施加压缩力以使第一部分和第二部分相配合。可以通过卷曲引导线,螺纹拧动缆绳锁、独立夹具或者类似方式应用压缩力。一旦被充分压缩,步骤3218,第一部分和第二部分被锁定在一起。步骤3220,任选地,剩余的引导线可以被切断并且被去除掉或者围绕相邻的上棘突和下棘突形成环以提供固定的安置。一旦被配合在棘突间的间隔中,步骤3222,可以释放脊柱段的部分的分离,和步骤3224,可以闭合病人的外科手术处。
图69示出了脊柱植入物3300。脊柱植入物3300,包括上棘突座3302和下棘突座3304。如同所示的那样,座3302和3304形成U形和倒U形,但是其它形状是可能的,包括各座的正方形沟槽形状,C形,和/或其它合适的形状,尽管如同所示的那样的鞍形被认为将很好地工作。
座3302包括接触上棘突的表面3306和横过上棘突的各侧的壁3308以将上棘突卡位在座3302中。壁3308可以是会聚的,发散的或者相对平行的。壁3308可以是更类似于凸耳、肋或肩的以仅仅横过棘突的一小部分,或者可以是更长的以横过棘突的大部分。表面3306和壁3308可以是分离的或者被形成为类似于形成棘突能搁在其内的光滑表面的鞍。朝着下座3304延伸的竖直分离柱3310被连接到一个壁3308。尽管仅仅示出了一个竖直分离柱3310,但是,多个柱是可能的。而且,如果使用多个柱,竖直分离柱3310可以设置在上棘突座3302的相反侧上。尽管被示为直柱,但是,取决于身体构造或类似因素,竖直分离柱3310可以是弯曲的或者直的。
类似于座3302,座3304包括接触下棘突的表面3306和横过下棘突的各侧的壁3308以将下棘突卡位在座3304中。在相应于竖直分离柱3310的侧上,连接凸片3312被连接倒一个壁3308。连接凸片3312具有竖直分离柱3310从其延伸通的竖直孔3314。座3304沿着竖直分离柱3310能被移动的更接近或者更远离座3302。连接凸片3312也包括水平孔3316。水平孔3316与竖直孔3314相交叉。座装置3318是可插入到水平孔3316中的。如同所示的那样,水平孔3316带有螺纹以接收固定螺钉或类似件。
在使用中,外科医生将分离上棘突和下棘突并且植入脊柱植入物3300。座3302和3304例如将被设置在所期望的分离处并且,固定螺钉3319将被螺纹接合到水平孔3316中以施加固定力,从而将竖直分离柱3310设置在竖直孔3314中,将座3302和3304锁定在设定的分离距离处。
竖直分离柱3310和/或竖直孔3314可以被布置有突起3319或棘齿,以抑制竖直分离柱3310从竖直孔3314退出的能力。
图70示出了可选的座3400和3402。座3400和3402被设计成互套在一起或互锁。在此方面,座3400具有一个或多个第一桨叶3404或者多个间隔开的表面,使得第一间隙3406将第一桨叶3404分离开。座3402将类似地具有一个或多个第二桨叶3408或者多个表面。为了方便,座3402被示为具有单个第二叶片。第二板3408与第一间隙3406相对齐,使得座3400和3402可以互套在一起或者互锁。类似地,第一桨叶3404能与第二间隙(未示出)相对齐。第一桨叶3404(如同所示的那样)或第二桨叶3408可以被连接到竖直分离柱3410,并且第二桨叶3408(如同所示的那样)或第一桨叶3404可以被连接到连接凸片3412。
尽管已经详细描述和示出了脊柱植入物和它的使用的实施例,可以理解的是,它们仅仅是作为示例和例子,而并非作为限定的。已经以在间隔人体脊柱的相邻棘突中使用的脊柱植入物的形式示出了本发明。然而,脊柱植入物可以被构造为间隔脊柱的其它部分或者其它骨。因此,脊柱植入物和它的使用的变化和改进对本领域普通技术人员而言将是显然的。各种示例性的实施方式示出了各种部件例如间隔物、保持构件、额外的紧固件以及类似部件的可选的构造。在大多数情形中,并且本领域技术人员将容易理解,在一个实施方式中的部件的可选构造可以被另一实施方式的相似部件代替。例如,在一个实施例中的不同形状的或可张开的间隔物可以被另一实施例中的间隔物代替。类似地,用于展开保持构件或者用于提供额外的紧固件的各种机构可以互换。而且,在全部代表性的实施方式中,示出了成配合关系的部件,但是,如同本领域已知的那样,颠倒部件的种类也在本发明的范围之内。下面的权利要求旨在覆盖所有这种改进和等效物。
Claims (36)
1.一种用于放置在人体脊柱的相邻突起之间的脊柱植入物,其特征在于包括:
间隔物,所述间隔物具有第一端、第二端、和在所述第一端和第二端之间延伸的间隔物轴线,所述间隔物具有与所述间隔物轴线间隔开的外表面并具有腔;
至少一个能从第一位置移动到第二位置的可展开的保持构件,当处于所述第一位置时,所述保持构件被设置成至少部分在所述腔内,当处于所述第二位置时,所述保持构件从所述间隔物的第二端向外伸出超过所述外表面;和
板延伸部,所述板延伸部从所述间隔物的所述第一端向外伸出超过所述外表面,其中所述板延伸部包括紧固件,所述紧固件适于将所述板延伸部固定地连接到棘突。
2.如权利要求1所述的脊柱植入物,其特征在于所述保持构件包括环。
3.如权利要求1所述的脊柱植入物,其特征在于当处于所述第一位置时,所述保持构件被容纳在所述间隔物内。
4.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括被安装到所述间隔物的致动器,所述致动器响应于转动而相对于所述间隔物平移并且将所述保持构件从所述第一位置移动到所述第二位置。
5.如权利要求1所述的脊柱植入物,其特征在于所述保持构件被偏压成弯曲形状,并且其中当处于所述第一位置时所述保持构件被弹性伸直并且当处于所述第二位置时所述保持构件恢复到它的弯曲形状。
6.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括至少部分通过所述间隔物的通道,并且所述保持构件的至少一部分在所述通道内从所述第一位置移动到所述第二位置。
7.如权利要求6所述的脊柱植入物,其特征在于进一步包括与所述间隔物螺纹地啮合的致动螺杆,所述致动螺杆响应于转动而相对于所述间隔物平移并且将所述保持构件从所述第一位置移动到所述第二位置,所述保持构件在所述第二端附近向外伸出超过所述外表面。
8.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括弯曲通道,并且所述保持构件的至少一部分通过所述通道从所述第一位置移动到所述第二位置,使得所述一部分在它移动到第二位置时弯曲。
9.如权利要求1所述的脊柱植入物,其特征在于进一步包括至少一个端件,在处于所述第一位置时所述端件与所述间隔物间隔较远,并且在处于所述第二位置时所述端件与所述间隔物间隔较近,所述端件包括接收所述保持构件的至少一部分的通道用以通过其平移。
10.如权利要求9所述的脊柱植入物,其特征在于进一步包括将所述间隔物连接到所述端件的螺纹轴,所述螺纹轴响应于转动而将所述间隔物和轴移动至彼此更接近,并且因此使得所述保持构件伸出到所述端件之外并远离所述间隔物轴线。
11.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括从其延伸通过的通道,所述脊柱植入物进一步包括可接收在所述通道中的芯部,所述保持构件被安装到所述芯部。
12.如权利要求11所述的脊柱植入物,其特征在于所述保持构件以大体上向外定向的关系横向于所述间隔物轴线而被安装到所述芯部,所述保持构件能弹性地移动到大体上平行于所述间隔物轴线的位置,用于与所述芯部一起通过所述通道插入。
13.如权利要求12所述的脊柱植入物,其特征在于进一步包括管,所述管被可拆卸地接纳为围绕所述芯部和所述保持构件,将所述保持构件临时保持成大体上平行于所述间隔物轴线。
14.如权利要求11所述的脊柱植入物,其特征在于所述保持构件包括多个绳,所述绳能从沿着所述间隔物的侧部的方位移动至横向于所述间隔物轴线向外延伸的环图案。
15.如权利要求14所述的脊柱植入物,其特征在于所述绳包括第一和第二绳端,并且所述第一绳端被安装成用于平移至更接近所述第二绳端,所述绳响应于所述第一绳端的更接近所述第二绳端的平移而横向于所述间隔物轴线地向外伸出并且形成环图案。
16.如权利要求11所述的脊柱植入物,其特征在于所述间隔物能从横向于所述间隔物轴线的第一尺寸变形到横向于所述间隔物轴线的第二、较小的尺寸,便于在插入所述芯部之前插入在相邻突起之间。
17.如权利要求16所述的脊柱植入物,其特征在于所述间隔物响应于横向于所述间隔物轴线的伸展而从所述第一尺寸变形到所述第二尺寸。
18.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括大体上平行于所述间隔物轴线且延伸通过所述间隔物的通道,并且所述保持构件包括具有额定弯曲形状的材料带,当处于所述第一位置时,所述保持构件在所述通道的至少第一端处缩回到所述通道中,并且当处于第二位置时,所述保持构件从所述通道的所述第一端延伸。
19.如权利要求1所述的脊柱植入物,其特征在于所述间隔物包括从其延伸通过的通道,并且所述保持构件包括具有额定弯曲形状的材料带,通过所述通道插入所述保持构件而能将所述保持构件从所述第一位置移动到所述第二位置,所述保持构件可响应于从所述通道退出而返回到它的额定弯曲形状。
20.一种用于放置在人体脊柱的相邻突起之间的脊柱植入物,其特征在于包括:
间隔物,所述间隔物具有第一端、第二端、在所述第一端和所述第二端之间延伸的间隔物轴线,通过所述间隔物并具有第一通道端和第二通道端的通道,和与所述间隔物轴线间隔开的外表面;
至少一个可展开的保持构件,所述保持构件包括长形构件,所述长形构件被预成形为能横向于所述间隔物轴线从所述通道向外延伸超过所述外表面的额定形状,所述保持构件能通过所述通道从所述第一通道端到所述第二通道端而被接收,所述保持构件响应于从所述第二通道端出来而恢复它的额定形状并且向外延伸超过所述外表面;和
板延伸部,所述板延伸部从所述间隔物的所述第一端向外伸出超过所述外表面,其中所述板延伸部包括紧固件,所述紧固件适于将所述板延伸部固定地连接到棘突。
21.一种用于放置在人体脊柱的相邻突起之间的脊柱植入物,其特征在于包括:
间隔物,所述间隔物具有第一端、第二端、在所述第一端和所述第二端之间延伸的间隔物轴线、和与所述间隔物轴线间隔开的外表面;
至少一个可展开的保持构件,所述保持构件被安装成邻近所述第一端并且能从第一位置扩张到第二位置,当处于所述第一位置时所述保持构件被设置成大体上在所述外表面处或者大体上在所述外表面的内部,当处于所述第二位置时所述保持构件径向地向外伸出超过所述外表面;和
板延伸部,所述板延伸部从所述间隔物的所述第一端向外伸出超过所述外表面,其中所述板延伸部包括紧固件,所述紧固件适于将所述板延伸部固定地连接到棘突。
22.如权利要求21所述的脊柱植入物,其特征在于所述保持构件包括具有横向于所述间隔物的尺寸的线圈,当处于所述第一位置时所述线圈被相对紧地卷绕,并且当处于所述第二位置时所述线圈被相对松散地卷绕,当处于第二位置时所述线圈的横向于所述间隔物轴线的尺寸大于处于第一位置时的所述线圈的横向于所述间隔物轴线的尺寸。
23.如权利要求21所述的脊柱植入物,其特征在于所述保持构件包括臂,所述臂被安装成从所述第一位置转动到所述第二位置,当处于所述第一位置时所述臂更接近所述间隔物轴线,当处于所述第二位置时所述臂更远离所述间隔物轴线。
24.如权利要求23所述的脊柱植入物,其特征在于所述间隔物包括大体上圆柱形的本体并且所述保持构件包括长形构件,所述长形构件被安装到所述本体,用以围绕大体上平行于所述间隔物轴线的转动轴线转动,所述保持构件具有横向于所述转动轴线延伸的横向部分,所述保持构件能从第一位置转动到第二位置,当处于第一位置时所述横向部分更接近所述间隔物轴线,当处于第二位置时所述横向部分更远离所述间隔物轴线。
25.如权利要求21所述的脊柱植入物,其特征在于所述保持构件包括安装成围绕从所述间隔物轴线偏移的第一转动轴线转动的第一端件,所述第一端件能围绕所述第一转动轴线从更接近所述间隔物轴线的第一位置转动到更远离所述间隔物轴线的第二位置。
26.如权利要求25所述的脊柱植入物,其特征在于进一步包括安装成围绕从所述间隔物轴线和所述第一转动轴线这两者偏移的第二转动轴线转动的第二端件,所述第二端件能围绕所述第二转动轴线从更接近所述间隔物轴线的第一位置转动到更远离所述间隔物轴线的第二位置。
27.如权利要求26所述的脊柱植入物,其特征在于进一步包括第三和第四端件,所述第三端件被安装成与所述第一端件一起转动并且所述第四端件被安装成与所述第二端件一起转动,所述第一和第二端件被安装成邻近所述间隔物的所述第一端,并且所述第二和第四端件被安装成邻近所述间隔物的所述第二端。
28.如权利要求25所述的脊柱植入物,其特征在于进一步包括轴和第二端件,所述第一和第二端件被安装在所述轴上用以与所述轴一起围绕所述第一转动轴线转动,至少所述第一端件被安装成在预定转矩水平之上时相对于所述轴滑动,使得如果所述第一端件被卡住,则所述第二端件能继续与所述轴一起转动同时所述第二端件保持固定。
29.如权利要求21所述的脊柱植入物,其特征在于所述保持构件包括被安装成围绕横向于所述间隔物轴线的第一转动轴线转动的第一端件。
30.如权利要求29所述的脊柱植入物,其特征在于所述第一端件是长形的并且当处于所述第一位置时大体上平行于所述间隔物轴线地延伸并且当处于所述第二位置时大体上横向于所述间隔物轴线地延伸。
31.如权利要求30所述的脊柱植入物,其特征在于所述第一端件从邻近所述间隔物的第一尺寸逐渐变细到与所述间隔物间隔开的第二、较小的尺寸。
32.如权利要求30所述的脊柱植入物,其特征在于进一步包括致动器和邻近所述第二端的固定延伸部,所述固定延伸部离开所述间隔物轴线延伸超过所述外表面,所述致动器可操作地连接到所述第一端件并且能从所述第二端进行操作,所述致动器响应于致动而使所述第一端件围绕所述第一转动轴线转动。
33.如权利要求29所述的脊柱植入物,其特征在于进一步包括被安装成围绕横向于所述间隔物轴线和所述第一转动轴线的第二转动轴线转动的第二端件。
34.如权利要求33所述的脊柱植入物,其特征在于进一步包括安装到所述间隔物用以相对转动的轴,所述轴可操作地连接到所述第一和第二端件,所述轴响应于转动而同时使所述第一端件围绕所述第一转动轴线转动且使所述第二端件围绕所述第二转动轴线转动。
35.如权利要求33所述的脊柱植入物,其特征在于进一步包括安装成围绕横向于所述间隔物轴线的第三转动轴线转动的第三端件和安装成围绕横向于所述间隔物轴线的第四转动轴线转动的第四端件,所述第一和第二端件被安装成邻近所述间隔物的所述第一端并且所述第三和第四端件被安装成邻近所述间隔物的所述第二端,所述第一和第二端件可转动以相对于彼此在不同的方向上从所述间隔物轴线径向地向外伸出,并且所述第三和第四端件可转动以相对于彼此在不同的方向上从所述间隔物轴线径向地向外伸出。
36.如权利要求21所述的脊柱植入物,其特征在于所述间隔物包括朝向所述间隔物轴线可弹性压缩的管状构件,并且所述保持构件包括整体臂,当处于所述第二位置时所述整体臂横向于所述间隔物轴线、延伸离开所述间隔物,所述整体臂可弹性伸直的以呈现所述第一位置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/934,604 | 2007-11-02 | ||
US11/934,604 US8241330B2 (en) | 2007-01-11 | 2007-11-02 | Spinous process implants and associated methods |
US12/020,282 | 2008-01-25 | ||
US12/020,282 US9055981B2 (en) | 2004-10-25 | 2008-01-25 | Spinal implants and methods |
PCT/US2008/070353 WO2009058439A1 (en) | 2007-11-02 | 2008-07-17 | Spinal implants and methods |
Publications (2)
Publication Number | Publication Date |
---|---|
CN101909550A CN101909550A (zh) | 2010-12-08 |
CN101909550B true CN101909550B (zh) | 2014-09-24 |
Family
ID=40591397
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN200880123856.0A Expired - Fee Related CN101909550B (zh) | 2007-11-02 | 2008-07-17 | 脊柱植入物及方法 |
Country Status (8)
Country | Link |
---|---|
US (3) | US9055981B2 (zh) |
EP (1) | EP2214597A4 (zh) |
JP (1) | JP2011502573A (zh) |
CN (1) | CN101909550B (zh) |
AU (1) | AU2008319176A1 (zh) |
BR (1) | BRPI0818725A2 (zh) |
CA (1) | CA2704192A1 (zh) |
WO (1) | WO2009058439A1 (zh) |
Families Citing this family (147)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20080215058A1 (en) | 1997-01-02 | 2008-09-04 | Zucherman James F | Spine distraction implant and method |
US7959652B2 (en) * | 2005-04-18 | 2011-06-14 | Kyphon Sarl | Interspinous process implant having deployable wings and method of implantation |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
FR2897259B1 (fr) | 2006-02-15 | 2008-05-09 | Ldr Medical Soc Par Actions Si | Cage intersomatique transforaminale a greffon de fusion intervetebrale et instrument d'implantation de la cage |
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 |
CN1774220A (zh) | 2003-02-14 | 2006-05-17 | 德普伊斯派尔公司 | 原位成型的椎间融合器械和方法 |
RU2354334C2 (ru) | 2004-02-04 | 2009-05-10 | Лдр Медикаль | Протез межпозвоночного диска |
US9161783B2 (en) | 2004-10-20 | 2015-10-20 | Vertiflex, Inc. | Interspinous spacer |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
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 |
WO2009009049A2 (en) | 2004-10-20 | 2009-01-15 | Vertiflex, Inc. | Interspinous spacer |
US9119680B2 (en) | 2004-10-20 | 2015-09-01 | Vertiflex, Inc. | Interspinous spacer |
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 |
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 |
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 |
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 |
US9055981B2 (en) | 2004-10-25 | 2015-06-16 | Lanx, Inc. | Spinal implants and methods |
US8241330B2 (en) | 2007-01-11 | 2012-08-14 | Lanx, Inc. | Spinous process implants and associated methods |
WO2006058221A2 (en) | 2004-11-24 | 2006-06-01 | Abdou Samy M | Devices and methods for inter-vertebral orthopedic device placement |
CA2701050A1 (en) | 2004-12-06 | 2009-07-09 | Vertiflex, Inc. | Spacer insertion instrument |
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 |
US8034080B2 (en) * | 2005-02-17 | 2011-10-11 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8097018B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8100943B2 (en) * | 2005-02-17 | 2012-01-24 | Kyphon Sarl | Percutaneous spinal implants and methods |
KR20080021008A (ko) * | 2005-06-06 | 2008-03-06 | 신세스 게엠바하 | 척추 안정용 임플란트 및 그 사용 방법 |
JP4944111B2 (ja) | 2005-08-16 | 2012-05-30 | ベンベニュー メディカル, インコーポレイテッド | 脊柱組織伸延装置 |
US8366773B2 (en) | 2005-08-16 | 2013-02-05 | Benvenue Medical, Inc. | Apparatus and method for treating bone |
FR2891135B1 (fr) | 2005-09-23 | 2008-09-12 | Ldr Medical Sarl | Prothese de disque intervertebral |
US8083795B2 (en) | 2006-01-18 | 2011-12-27 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
US8118844B2 (en) | 2006-04-24 | 2012-02-21 | Warsaw Orthopedic, Inc. | Expandable device 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 (fr) | 2006-11-08 | 2009-05-01 | Jean Taylor | Implant interepineux |
WO2008070863A2 (en) | 2006-12-07 | 2008-06-12 | Interventional Spine, Inc. | Intervertebral implant |
US9265532B2 (en) | 2007-01-11 | 2016-02-23 | Lanx, Inc. | Interspinous implants and methods |
US8568453B2 (en) * | 2007-01-29 | 2013-10-29 | Samy Abdou | Spinal stabilization systems and methods of use |
EP2124778B1 (en) | 2007-02-21 | 2019-09-25 | Benvenue Medical, Inc. | Devices for treating the spine |
EP2124777A4 (en) | 2007-02-21 | 2013-06-05 | Benvenue Medical Inc | DEVICES FOR SPINE COLUMN TREATMENT |
US9545267B2 (en) * | 2007-03-26 | 2017-01-17 | Globus Medical, Inc. | Lateral spinous process spacer |
AU2008241447B2 (en) | 2007-04-16 | 2014-03-27 | Vertiflex, Inc. | Interspinous spacer |
JP5226066B2 (ja) * | 2007-05-01 | 2013-07-03 | スパイナル シンプリシティ エルエルシー | 棘間インプラントおよびそれを埋め込む方法 |
US8075593B2 (en) * | 2007-05-01 | 2011-12-13 | Spinal Simplicity Llc | Interspinous implants and methods for implanting same |
US8142479B2 (en) * | 2007-05-01 | 2012-03-27 | Spinal Simplicity Llc | Interspinous process implants having deployable engagement arms |
FR2916956B1 (fr) | 2007-06-08 | 2012-12-14 | Ldr Medical | Cage intersomatique,prothese intervertebrale,dispositif d'ancrage et instrumentation d'implantation |
US8900307B2 (en) | 2007-06-26 | 2014-12-02 | DePuy Synthes Products, LLC | Highly lordosed fusion cage |
WO2013103882A2 (en) * | 2012-01-05 | 2013-07-11 | Lanx, Inc. | Telescoping interspinous fixation device and methods of use |
WO2014106244A1 (en) | 2012-12-31 | 2014-07-03 | Lanx, Inc. | Interspinous implants |
AU2009206098B2 (en) | 2008-01-15 | 2014-10-30 | Vertiflex, Inc. | Interspinous spacer |
CN101909548B (zh) | 2008-01-17 | 2014-07-30 | 斯恩蒂斯有限公司 | 可膨胀椎间植入件以及制造它的相关方法 |
US20090198338A1 (en) | 2008-02-04 | 2009-08-06 | Phan Christopher U | Medical implants and methods |
TW200938157A (en) * | 2008-03-11 | 2009-09-16 | Fong-Ying Chuang | Interspinous spine fixing device |
US8114136B2 (en) | 2008-03-18 | 2012-02-14 | Warsaw Orthopedic, Inc. | Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment |
JP5441997B2 (ja) | 2008-04-05 | 2014-03-12 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 拡張可能な椎骨間インプラント |
US8114131B2 (en) * | 2008-11-05 | 2012-02-14 | Kyphon Sarl | Extension limiting devices and methods of use for the spine |
IT1392200B1 (it) * | 2008-12-17 | 2012-02-22 | N B R New Biotechnology Res | Stabilizzatore vertebrale modulare. |
US10045860B2 (en) | 2008-12-19 | 2018-08-14 | Amicus Design Group, Llc | Interbody vertebral prosthetic device with self-deploying screws |
CH700268A2 (de) * | 2009-01-21 | 2010-07-30 | Med Titan Spine Gmbh | Bandscheibenentlastungsstütze. |
US8945184B2 (en) * | 2009-03-13 | 2015-02-03 | Spinal Simplicity Llc. | Interspinous process implant and fusion cage spacer |
US9861399B2 (en) | 2009-03-13 | 2018-01-09 | Spinal Simplicity, Llc | Interspinous process implant having a body with a removable end portion |
US9757164B2 (en) | 2013-01-07 | 2017-09-12 | Spinal Simplicity Llc | Interspinous process implant having deployable anchor blades |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
EP2413825A4 (en) | 2009-03-31 | 2013-12-11 | Lanx Inc | DORNFORTSATZIMPLANTATE AND RELATED PROCEDURES |
CA2751288A1 (en) | 2009-04-13 | 2010-10-21 | Rlt Healthcare, Llc | Interspinous spacer and facet joint fixation device |
US9408715B2 (en) | 2009-04-15 | 2016-08-09 | DePuy Synthes Products, Inc. | Arcuate fixation member |
US8641766B2 (en) | 2009-04-15 | 2014-02-04 | DePuy Synthes Products, LLC | Arcuate fixation member |
AR073636A1 (es) * | 2009-05-04 | 2010-11-24 | Pixis S A | Implante distractor interespinoso |
US8372117B2 (en) | 2009-06-05 | 2013-02-12 | Kyphon Sarl | Multi-level interspinous implants and methods of use |
US8157842B2 (en) * | 2009-06-12 | 2012-04-17 | Kyphon Sarl | Interspinous implant and methods of use |
KR101805935B1 (ko) | 2009-09-17 | 2017-12-06 | 엘디알 홀딩 코포레이션 | 연장가능 골 고정 부재를 구비한 추간 임플란트 |
US8062375B2 (en) * | 2009-10-15 | 2011-11-22 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8771317B2 (en) * | 2009-10-28 | 2014-07-08 | Warsaw Orthopedic, Inc. | Interspinous process implant and method of implantation |
CN102596070B (zh) * | 2009-11-06 | 2016-08-03 | 新特斯有限责任公司 | 最小限度侵入棘突间分隔植入物和方法 |
US8764806B2 (en) | 2009-12-07 | 2014-07-01 | Samy Abdou | Devices and methods for minimally invasive spinal stabilization and instrumentation |
US9393129B2 (en) | 2009-12-10 | 2016-07-19 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
JP5647264B2 (ja) | 2009-12-31 | 2014-12-24 | エル・デ・エール・メデイカル | 固定装置、椎間インプラント、および移植器具 |
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 |
US8262697B2 (en) | 2010-01-14 | 2012-09-11 | X-Spine Systems, Inc. | Modular interspinous fixation system and method |
US8388656B2 (en) * | 2010-02-04 | 2013-03-05 | Ebi, Llc | Interspinous spacer with deployable members and related method |
US8147526B2 (en) | 2010-02-26 | 2012-04-03 | Kyphon Sarl | Interspinous process spacer diagnostic parallel balloon catheter and methods of use |
US8623024B2 (en) | 2010-03-12 | 2014-01-07 | Southern Spine, Llc | Implantation tools for interspinous process spacing device |
US8409287B2 (en) * | 2010-05-21 | 2013-04-02 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic systems, devices, and associated methods |
US9282979B2 (en) | 2010-06-24 | 2016-03-15 | DePuy Synthes Products, Inc. | Instruments and methods for non-parallel disc space preparation |
US8979860B2 (en) | 2010-06-24 | 2015-03-17 | DePuy Synthes Products. LLC | Enhanced cage insertion device |
WO2012003175A1 (en) | 2010-06-29 | 2012-01-05 | Synthes Usa, Llc | Distractible intervertebral implant |
EP2608713A4 (en) * | 2010-08-27 | 2014-01-08 | Milwaukee Electric Tool Corp | THERMAL DETECTION SYSTEMS, METHODS AND DEVICES |
US8758412B2 (en) | 2010-09-20 | 2014-06-24 | Pachyderm Medical, L.L.C. | Integrated IPD devices, methods, and systems |
EP2618756B1 (en) * | 2010-09-23 | 2017-11-22 | Alphatec Spine, Inc. | Clamping interspinous spacer apparatus |
US9402732B2 (en) * | 2010-10-11 | 2016-08-02 | DePuy Synthes Products, Inc. | Expandable interspinous process spacer implant |
US8545563B2 (en) | 2011-02-02 | 2013-10-01 | DePuy Synthes Product, LLC | Intervertebral implant having extendable bone fixation members |
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 |
US9149306B2 (en) | 2011-06-21 | 2015-10-06 | Seaspine, Inc. | Spinous process device |
US8814873B2 (en) | 2011-06-24 | 2014-08-26 | Benvenue Medical, Inc. | Devices and methods for treating bone tissue |
FR2977139B1 (fr) * | 2011-06-30 | 2014-08-22 | Ldr Medical | Implant inter-epineux et instrument d’implantation |
US20130103088A1 (en) * | 2011-09-16 | 2013-04-25 | Lanx, Inc. | Segmental Spinous Process Anchor System and Methods of Use |
US8845728B1 (en) | 2011-09-23 | 2014-09-30 | Samy Abdou | Spinal fixation devices and methods of use |
EP3222232B1 (en) * | 2011-10-03 | 2022-08-10 | In Queue Innovations, LLC | Interspinous process fusion device |
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 |
KR102174538B1 (ko) * | 2011-12-14 | 2020-11-05 | 디퍼이 신테스 프로덕츠, 인코포레이티드 | 골절부를 가로지른 압박용 장치 |
US20130226240A1 (en) | 2012-02-22 | 2013-08-29 | Samy Abdou | Spinous process fixation devices and methods of use |
JP5913727B2 (ja) | 2012-03-19 | 2016-04-27 | アミカス デザイン グループ、エルエルシー | 自己展開アンカーを用いた椎体間脊椎補綴整形固定デバイス |
US9566165B2 (en) | 2012-03-19 | 2017-02-14 | Amicus Design Group, Llc | Interbody vertebral prosthetic and orthopedic fusion device with self-deploying anchors |
WO2013141150A1 (ja) * | 2012-03-23 | 2013-09-26 | テルモ株式会社 | 棘突起間インプラント |
US9198767B2 (en) | 2012-08-28 | 2015-12-01 | Samy Abdou | Devices and methods for spinal stabilization and instrumentation |
EP2716261A1 (en) * | 2012-10-02 | 2014-04-09 | Titan Spine, LLC | Implants with self-deploying anchors |
US9320617B2 (en) | 2012-10-22 | 2016-04-26 | Cogent Spine, LLC | Devices and methods for spinal stabilization and instrumentation |
JP6215339B2 (ja) * | 2012-11-12 | 2017-10-18 | デピュイ・シンセス・プロダクツ・インコーポレイテッド | 椎体間干渉インプラント及び器具 |
US9522070B2 (en) | 2013-03-07 | 2016-12-20 | Interventional Spine, Inc. | Intervertebral implant |
US10085783B2 (en) | 2013-03-14 | 2018-10-02 | Izi Medical Products, Llc | Devices and methods for treating bone tissue |
US9675303B2 (en) | 2013-03-15 | 2017-06-13 | Vertiflex, Inc. | Visualization systems, instruments and methods of using the same in spinal decompression procedures |
FR3005569B1 (fr) | 2013-05-16 | 2021-09-03 | Ldr Medical | Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation |
MY165689A (en) | 2013-09-12 | 2018-04-20 | Khay Yong Saw Dr | Osteotomy below the tibial tuberosity by multiple drilling |
US9259249B2 (en) * | 2013-11-26 | 2016-02-16 | Globus Medical, Inc. | Spinous process fixation system and methods thereof |
FR3020756B1 (fr) | 2014-05-06 | 2022-03-11 | Ldr Medical | Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation |
WO2015171814A1 (en) | 2014-05-07 | 2015-11-12 | Vertiflex, Inc. | Spinal nerve decompression systems, dilation systems, and methods of using the same |
EP3142578B1 (en) | 2014-05-12 | 2019-03-13 | DePuy Synthes Products, Inc. | Sacral fixation system |
US10064670B2 (en) | 2014-05-12 | 2018-09-04 | DePuy Synthes Products, Inc. | Sacral fixation system |
WO2016088058A2 (en) * | 2014-12-04 | 2016-06-09 | Giuseppe Calvosa | Intervertebral distractor |
WO2016137983A1 (en) | 2015-02-24 | 2016-09-01 | X-Spine Systems, Inc. | Modular interspinous fixation system with threaded component |
US11426290B2 (en) | 2015-03-06 | 2022-08-30 | DePuy Synthes Products, Inc. | Expandable intervertebral implant, system, kit and method |
US10857003B1 (en) | 2015-10-14 | 2020-12-08 | Samy Abdou | Devices and methods for vertebral stabilization |
US11510788B2 (en) | 2016-06-28 | 2022-11-29 | Eit Emerging Implant Technologies Gmbh | Expandable, angularly adjustable intervertebral cages |
WO2018002715A2 (en) | 2016-06-28 | 2018-01-04 | Eit Emerging Implant Technologies Gmbh | Expandable and angularly adjustable articulating intervertebral cages |
WO2018035175A1 (en) * | 2016-08-15 | 2018-02-22 | In Queue Innovations, Llc | Bone fusion device, system and methods |
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 |
US10888433B2 (en) | 2016-12-14 | 2021-01-12 | DePuy Synthes Products, Inc. | Intervertebral implant inserter and related methods |
US10398563B2 (en) | 2017-05-08 | 2019-09-03 | Medos International Sarl | Expandable cage |
US11344424B2 (en) | 2017-06-14 | 2022-05-31 | Medos International Sarl | Expandable intervertebral implant and related methods |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
US11179248B2 (en) | 2018-10-02 | 2021-11-23 | Samy Abdou | Devices and methods for spinal implantation |
US11446156B2 (en) | 2018-10-25 | 2022-09-20 | Medos International Sarl | Expandable intervertebral implant, inserter instrument, and related methods |
US10835294B2 (en) * | 2019-02-20 | 2020-11-17 | Solco Biomedical Co., Ltd. | Spacer apparatus between spinous processes |
US11020154B2 (en) * | 2019-04-26 | 2021-06-01 | Warsaw Orthopedic, Inc. | Surgical instrument and methods of use |
US10881531B2 (en) * | 2019-05-10 | 2021-01-05 | Bret Michael Berry | Dual expandable spinal implant |
US11426286B2 (en) | 2020-03-06 | 2022-08-30 | Eit Emerging Implant Technologies Gmbh | Expandable intervertebral implant |
WO2021257484A1 (en) * | 2020-06-15 | 2021-12-23 | Nofusco Corporation | Intravertebral implant system and methods of use |
US11883300B2 (en) | 2020-06-15 | 2024-01-30 | Nofusco Corporation | Orthopedic implant system and methods of use |
US11850160B2 (en) | 2021-03-26 | 2023-12-26 | Medos International Sarl | Expandable lordotic intervertebral fusion cage |
US11752009B2 (en) | 2021-04-06 | 2023-09-12 | Medos International Sarl | Expandable intervertebral fusion cage |
US11723778B1 (en) | 2021-09-23 | 2023-08-15 | Nofusco Corporation | Vertebral implant system and methods of use |
CN116492117B (zh) * | 2023-06-27 | 2023-09-22 | 北京爱康宜诚医疗器材有限公司 | 一种自锁式椎间融合器 |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7201751B2 (en) * | 1997-01-02 | 2007-04-10 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device |
Family Cites Families (465)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US84815A (en) | 1868-12-08 | Improved instrument for treating fistula | ||
US465161A (en) | 1891-12-15 | Surgical instrument | ||
US242443A (en) | 1881-06-07 | Edward b | ||
US765879A (en) | 1904-05-13 | 1904-07-26 | Wilber A K Campbell | Dilator. |
US832201A (en) | 1904-12-12 | 1906-10-02 | Samuel L Kistler | Dilator. |
US1137585A (en) | 1915-02-05 | 1915-04-27 | Thornton Craig Jr | Dental appliance. |
US1331737A (en) | 1918-03-30 | 1920-02-24 | Ylisto Emil | Dilator |
US1400648A (en) | 1920-06-04 | 1921-12-20 | Robert H Whitney | Dilator |
US1725670A (en) | 1925-09-07 | 1929-08-20 | Novack William | Douche-nozzle detail |
US1737488A (en) | 1928-12-06 | 1929-11-26 | John P Zohlen | Dilator |
US2137121A (en) | 1936-04-18 | 1938-11-15 | Greenwald Company Inc I | Surgical instrument |
US2677389A (en) * | 1950-02-07 | 1954-05-04 | Mission Mfg Co | Pumping system for washing machines |
US2677369A (en) | 1952-03-26 | 1954-05-04 | Fred L Knowles | Apparatus for treatment of the spinal column |
US2689568A (en) | 1952-08-14 | 1954-09-21 | Charlie E Wakefield | Dilator |
US2774350A (en) | 1952-09-08 | 1956-12-18 | Jr Carl S Cleveland | Spinal clamp or splint |
US2789860A (en) * | 1956-02-14 | 1957-04-23 | Fred L Knowles | Manually operated surgical instrument |
US3025853A (en) | 1958-07-07 | 1962-03-20 | Christopher A Mason | Fixation device for fractured femur |
US3039468A (en) | 1959-01-07 | 1962-06-19 | Joseph L Price | Trocar and method of treating bloat |
US3242922A (en) | 1963-06-25 | 1966-03-29 | Charles B Thomas | Internal spinal fixation means |
GB1127325A (en) | 1965-08-23 | 1968-09-18 | Henry Berry | Improved instrument for inserting artificial heart valves |
US3628535A (en) | 1969-11-12 | 1971-12-21 | Nibot Corp | Surgical instrument for implanting a prosthetic heart valve or the like |
US3648691A (en) | 1970-02-24 | 1972-03-14 | Univ Colorado State Res Found | Method of applying vertebral appliance |
US3648961A (en) | 1970-04-30 | 1972-03-14 | William H Farrow | Wall tie for concrete forms |
US3789852A (en) | 1972-06-12 | 1974-02-05 | S Kim | Expandable trochar, especially for medical purposes |
US3788318A (en) | 1972-06-12 | 1974-01-29 | S Kim | Expandable cannular, especially for medical purposes |
US4092788A (en) | 1977-06-23 | 1978-06-06 | St. Francis Hospital, Inc. | Cardiopulmonary resuscitation teaching aid |
US4274401A (en) | 1978-12-08 | 1981-06-23 | Miskew Don B W | Apparatus for correcting spinal deformities and method for using |
US4269178A (en) | 1979-06-04 | 1981-05-26 | Keene James S | Hook assembly for engaging a spinal column |
US4409968A (en) | 1980-02-04 | 1983-10-18 | Drummond Denis S | Method and apparatus for engaging a hook assembly to a spinal column |
US4369769A (en) | 1980-06-13 | 1983-01-25 | Edwards Charles C | Spinal fixation device and method |
PL127121B1 (en) | 1980-07-30 | 1983-09-30 | Wyzsza Szkola Inzynierska | Surgical strut for treating spinal affections |
US4448191A (en) | 1981-07-07 | 1984-05-15 | Rodnyansky Lazar I | Implantable correctant of a spinal curvature and a method for treatment of a spinal curvature |
US4554914A (en) | 1983-10-04 | 1985-11-26 | Kapp John P | Prosthetic vertebral body |
FR2553993B1 (fr) | 1983-10-28 | 1986-02-07 | Peze William | Procede et appareil de correction dynamique des deformations rachidiennes |
US4570618A (en) | 1983-11-23 | 1986-02-18 | Henry Ford Hospital | Intervertebral body wire stabilization |
US4573454A (en) | 1984-05-17 | 1986-03-04 | Hoffman Gregory A | Spinal fixation apparatus |
US4636217A (en) | 1985-04-23 | 1987-01-13 | Regents Of The University Of Minnesota | Anterior spinal implant |
US4599086A (en) | 1985-06-07 | 1986-07-08 | Doty James R | Spine stabilization device and method |
US4773402A (en) | 1985-09-13 | 1988-09-27 | Isola Implants, Inc. | Dorsal transacral surgical implant |
US5007909A (en) | 1986-11-05 | 1991-04-16 | Chaim Rogozinski | Apparatus for internally fixing the spine |
FR2623085B1 (fr) * | 1987-11-16 | 1992-08-14 | Breard Francis | Implant chirurgical pour limiter le mouvement relatif des vertebres |
CA1333209C (en) * | 1988-06-28 | 1994-11-29 | Gary Karlin Michelson | Artificial spinal fusion implants |
US4892545A (en) | 1988-07-14 | 1990-01-09 | Ohio Medical Instrument Company, Inc. | Vertebral lock |
JPH0620466B2 (ja) | 1989-03-31 | 1994-03-23 | 有限会社田中医科器械製作所 | 脊柱変形矯正固定装置 |
US5062850A (en) | 1990-01-16 | 1991-11-05 | University Of Florida | Axially-fixed vertebral body prosthesis and method of fixation |
US5030220A (en) | 1990-03-29 | 1991-07-09 | Advanced Spine Fixation Systems Incorporated | Spine fixation system |
US5390683A (en) * | 1991-02-22 | 1995-02-21 | Pisharodi; Madhavan | Spinal implantation methods utilizing a middle expandable implant |
US5269797A (en) | 1991-09-12 | 1993-12-14 | Meditron Devices, Inc. | Cervical discectomy instruments |
FR2692471B1 (fr) | 1992-06-19 | 1998-07-17 | Pierre Roussouly | Appareil de traitement du rachis. |
FR2693364B1 (fr) | 1992-07-07 | 1995-06-30 | Erpios Snc | Prothese intervertebrale permettant une stabilisation des contraintes rotatoires et de flexion-extension. |
GB9217578D0 (en) | 1992-08-19 | 1992-09-30 | Surgicarft Ltd | Surgical implants,etc |
US5306275A (en) | 1992-12-31 | 1994-04-26 | Bryan Donald W | Lumbar spine fixation apparatus and method |
US5540703A (en) | 1993-01-06 | 1996-07-30 | Smith & Nephew Richards Inc. | Knotted cable attachment apparatus formed of braided polymeric fibers |
US5496318A (en) * | 1993-01-08 | 1996-03-05 | Advanced Spine Fixation Systems, Inc. | Interspinous segmental spine fixation device |
US5413576A (en) | 1993-02-10 | 1995-05-09 | Rivard; Charles-Hilaire | Apparatus for treating spinal disorder |
JP2606035Y2 (ja) | 1993-12-24 | 2000-09-11 | 京セラ株式会社 | 脊椎矯正用プレート装置 |
ES2144606T3 (es) | 1994-05-23 | 2000-06-16 | Sulzer Spine Tech Inc | Implante para fusion intervertebral. |
FR2721501B1 (fr) | 1994-06-24 | 1996-08-23 | Fairant Paulette | Prothèses des facettes articulaires vertébrales. |
US5503617A (en) | 1994-07-19 | 1996-04-02 | Jako; Geza J. | Retractor and method for direct access endoscopic surgery |
FR2722980B1 (fr) * | 1994-07-26 | 1996-09-27 | Samani Jacques | Implant vertebral inter-epineux |
US5527312A (en) | 1994-08-19 | 1996-06-18 | Salut, Ltd. | Facet screw anchor |
EP0797411B1 (en) | 1994-11-16 | 2002-03-27 | ADVANCED SPINE FIXATION SYSTEMS, Inc. | Segmental lamina grapple hooks |
US5716358A (en) | 1994-12-02 | 1998-02-10 | Johnson & Johnson Professional, Inc. | Directional bone fixation device |
DE69534042T2 (de) | 1994-12-09 | 2006-04-13 | SDGI Holdings, Inc., Wilmington | Anpassbarer wirbelkörperersatz |
FR2729556B1 (fr) | 1995-01-23 | 1998-10-16 | Sofamor | Dispositif d'osteosynthese rachidienne a crochet median et appuis d'ancrage vertebral |
US5658335A (en) | 1995-03-09 | 1997-08-19 | Cohort Medical Products Group, Inc. | Spinal fixator |
US6780186B2 (en) | 1995-04-13 | 2004-08-24 | Third Millennium Engineering Llc | Anterior cervical plate having polyaxial locking screws and sliding coupling elements |
US5800550A (en) * | 1996-03-13 | 1998-09-01 | Sertich; Mario M. | Interbody fusion cage |
US6679833B2 (en) | 1996-03-22 | 2004-01-20 | Sdgi Holdings, Inc. | Devices and methods for percutaneous surgery |
US5792044A (en) | 1996-03-22 | 1998-08-11 | Danek Medical, Inc. | Devices and methods for percutaneous surgery |
US5653763A (en) * | 1996-03-29 | 1997-08-05 | Fastenetix, L.L.C. | Intervertebral space shape conforming cage device |
FR2747034B1 (fr) | 1996-04-03 | 1998-06-19 | Scient X | Systeme de contention et de fusion intersomatique |
US6156038A (en) | 1997-01-02 | 2000-12-05 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US20080027552A1 (en) | 1997-01-02 | 2008-01-31 | Zucherman James F | Spine distraction implant and method |
US7101375B2 (en) | 1997-01-02 | 2006-09-05 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6514256B2 (en) | 1997-01-02 | 2003-02-04 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US6451019B1 (en) | 1998-10-20 | 2002-09-17 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device and method |
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 |
US20020143331A1 (en) | 1998-10-20 | 2002-10-03 | Zucherman James F. | Inter-spinous process implant and method with deformable spacer |
US6068630A (en) | 1997-01-02 | 2000-05-30 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US20080086212A1 (en) | 1997-01-02 | 2008-04-10 | St. Francis Medical Technologies, Inc. | Spine distraction implant |
US6902566B2 (en) | 1997-01-02 | 2005-06-07 | St. Francis Medical Technologies, Inc. | Spinal implants, insertion instruments, and methods of use |
US7959652B2 (en) * | 2005-04-18 | 2011-06-14 | Kyphon Sarl | Interspinous process implant having deployable wings and method of implantation |
US20080071378A1 (en) | 1997-01-02 | 2008-03-20 | Zucherman James F | Spine distraction implant and method |
US8128661B2 (en) | 1997-01-02 | 2012-03-06 | Kyphon Sarl | Interspinous process distraction system and method with positionable wing and method |
US20080215058A1 (en) | 1997-01-02 | 2008-09-04 | Zucherman James F | 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 |
US5860977A (en) | 1997-01-02 | 1999-01-19 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US6796983B1 (en) | 1997-01-02 | 2004-09-28 | St. Francis Medical Technologies, Inc. | Spine distraction implant and method |
US5836948A (en) | 1997-01-02 | 1998-11-17 | Saint Francis Medical Technologies, Llc | Spine distraction implant and method |
US7306628B2 (en) * | 2002-10-29 | 2007-12-11 | St. Francis Medical Technologies | Interspinous process apparatus and method with a selectably expandable spacer |
US6695842B2 (en) | 1997-10-27 | 2004-02-24 | St. Francis Medical Technologies, Inc. | Interspinous process distraction system and method with positionable wing and method |
IL128261A0 (en) | 1999-01-27 | 1999-11-30 | Disc O Tech Medical Tech Ltd | Expandable element |
US20070282443A1 (en) | 1997-03-07 | 2007-12-06 | Disc-O-Tech Medical Technologies Ltd. | Expandable element |
US5976146A (en) | 1997-07-11 | 1999-11-02 | Olympus Optical Co., Ltd. | Surgical operation system and method of securing working space for surgical operation in body |
CA2307888C (en) | 1997-10-27 | 2007-09-18 | Saint Francis Medical Technologies, Inc. | Spine distraction implant |
DE19802229C2 (de) | 1998-01-22 | 2000-05-04 | Impag Gmbh Medizintechnik | Plattenförmiger Riegel zur Ruhigstellung einer Fraktur des Beckens |
FR2774581B1 (fr) | 1998-02-10 | 2000-08-11 | Dimso Sa | Stabilisateur interepineux a fixer a des apophyses epineuses de deux vertebres |
DE19807236C2 (de) * | 1998-02-20 | 2000-06-21 | Biedermann Motech Gmbh | Zwischenwirbelimplantat |
FR2775183B1 (fr) | 1998-02-20 | 2000-08-04 | Jean Taylor | Prothese inter-epineuse |
US6045552A (en) | 1998-03-18 | 2000-04-04 | St. Francis Medical Technologies, Inc. | Spine fixation plate system |
US6099527A (en) | 1998-04-30 | 2000-08-08 | Spinal Concepts, Inc. | Bone protector and method |
US6067390A (en) | 1998-06-01 | 2000-05-23 | Prc Inc. | Ambient load waveguide switch |
DE19832513A1 (de) | 1998-07-20 | 2000-02-17 | Impag Gmbh Medizintechnik | Befestigungsanordnung |
EP1102568A1 (en) | 1998-08-06 | 2001-05-30 | SDGI Holdings, Inc. | Composited intervertebral bone spacers |
US6187000B1 (en) | 1998-08-20 | 2001-02-13 | Endius Incorporated | Cannula for receiving surgical instruments |
FR2783411B1 (fr) | 1998-09-18 | 2000-12-01 | Eurosurgical | Dispositif d'osteosynthese rachidienne posterieure |
US6652534B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Apparatus and method for determining implant size |
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 |
US6652527B2 (en) | 1998-10-20 | 2003-11-25 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device and method |
US7029473B2 (en) | 1998-10-20 | 2006-04-18 | St. Francis Medical Technologies, Inc. | Deflectable spacer for use as an interspinous process implant and method |
US6045442A (en) | 1998-11-18 | 2000-04-04 | Bounds; Richard W | Non-rotating, heavy duty game hoist |
US6321764B1 (en) | 1998-12-21 | 2001-11-27 | Iit Research Institute | Collapsible isolation apparatus |
US5989256A (en) | 1999-01-19 | 1999-11-23 | Spineology, Inc. | Bone fixation cable ferrule |
US6102950A (en) * | 1999-01-19 | 2000-08-15 | Vaccaro; Alex | Intervertebral body fusion device |
US6547823B2 (en) | 1999-01-22 | 2003-04-15 | Osteotech, Inc. | Intervertebral implant |
DE19903762C1 (de) | 1999-01-30 | 2000-11-16 | Aesculap Ag & Co Kg | Chirurgisches Instrument zum Einführen von Zwischenwirbelimplantaten |
US6416776B1 (en) | 1999-02-18 | 2002-07-09 | St. Francis Medical Technologies, Inc. | Biological disk replacement, bone morphogenic protein (BMP) carriers, and anti-adhesion materials |
AU2999900A (en) | 1999-02-18 | 2000-09-04 | Ken Y. Hsu | Hair used as a biologic disk, replacement, and/or structure and method |
US20010007070A1 (en) | 1999-04-05 | 2001-07-05 | Medtronic, Inc. | Ablation catheter assembly and method for isolating a pulmonary vein |
US6277094B1 (en) | 1999-04-28 | 2001-08-21 | Medtronic, Inc. | Apparatus and method for dilating ligaments and tissue by the alternating insertion of expandable tubes |
US6200322B1 (en) | 1999-08-13 | 2001-03-13 | Sdgi Holdings, Inc. | Minimal exposure posterior spinal interbody instrumentation and technique |
US6231610B1 (en) | 1999-08-25 | 2001-05-15 | Allegiance Corporation | Anterior cervical column support device |
FR2799640B1 (fr) | 1999-10-15 | 2002-01-25 | Spine Next Sa | Implant intervetebral |
US6740090B1 (en) | 2000-02-16 | 2004-05-25 | Trans1 Inc. | Methods and apparatus for forming shaped axial bores through spinal vertebrae |
US6514255B1 (en) | 2000-02-25 | 2003-02-04 | Bret Ferree | Sublaminar spinal fixation apparatus |
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 |
WO2002000124A1 (fr) | 2000-06-30 | 2002-01-03 | Sdgi Holdings, Inc. | Dispositif de liaison intervertebral |
FR2811540B1 (fr) | 2000-07-12 | 2003-04-25 | Spine Next Sa | Implant intervertebral amortissant |
US20030120274A1 (en) | 2000-10-20 | 2003-06-26 | Morris John W. | Implant retaining device |
EP1502552A3 (en) | 2000-10-24 | 2005-03-16 | The Spineology Group, LLC | Tension band clip |
US6419703B1 (en) | 2001-03-01 | 2002-07-16 | T. Wade Fallin | Prosthesis for the replacement of a posterior element of a vertebra |
US6746404B2 (en) | 2000-12-18 | 2004-06-08 | Biosense, Inc. | Method for anchoring a medical device between tissue |
FR2818530B1 (fr) | 2000-12-22 | 2003-10-31 | Spine Next Sa | Implant intervertebral a cale deformable |
US6451021B1 (en) | 2001-02-15 | 2002-09-17 | Third Millennium Engineering, Llc | Polyaxial pedicle screw having a rotating locking element |
US6364883B1 (en) | 2001-02-23 | 2002-04-02 | Albert N. Santilli | Spinous process clamp for spinal fusion and method of operation |
US20020120335A1 (en) | 2001-02-28 | 2002-08-29 | Angelucci Christopher M. | Laminoplasty implants and methods of use |
FR2822051B1 (fr) | 2001-03-13 | 2004-02-27 | Spine Next Sa | Implant intervertebral a fixation auto-bloquante |
US6582433B2 (en) | 2001-04-09 | 2003-06-24 | St. Francis Medical Technologies, Inc. | Spine fixation device and method |
NL1017932C2 (nl) | 2001-04-24 | 2002-10-29 | Paul De Windt | Fixeerinrichting voor het fixeren van werveldelen. |
US6926728B2 (en) | 2001-07-18 | 2005-08-09 | St. Francis Medical Technologies, Inc. | Curved dilator and method |
JP2004537354A (ja) | 2001-07-20 | 2004-12-16 | スパイナル・コンセプツ・インコーポレーテッド | 脊椎安定化システムおよび方法 |
AU2002317605B2 (en) | 2001-08-01 | 2008-09-25 | Covidien Lp | Radially dilatable percutaneous access apparatus with introducer seal in handle |
US6375682B1 (en) | 2001-08-06 | 2002-04-23 | Lewis W. Fleischmann | Collapsible, rotatable and expandable spinal hydraulic prosthetic device |
FR2828398B1 (fr) | 2001-08-08 | 2003-09-19 | Jean Taylor | Ensemble de stabilisation de vertebres |
CN1271974C (zh) | 2001-08-20 | 2006-08-30 | 库尔斯恩蒂斯股份公司 | 脊椎之间的假体 |
FR2829919B1 (fr) | 2001-09-26 | 2003-12-19 | Spine Next Sa | Dispositif de fixation vertebral |
US7008431B2 (en) | 2001-10-30 | 2006-03-07 | Depuy Spine, Inc. | Configured and sized cannula |
US20030139812A1 (en) | 2001-11-09 | 2003-07-24 | Javier Garcia | Spinal implant |
FR2832917B1 (fr) | 2001-11-30 | 2004-09-24 | Spine Next Sa | Implant intervertebral a cale elastiquement deformable |
US6733534B2 (en) | 2002-01-29 | 2004-05-11 | Sdgi Holdings, Inc. | System and method for spine spacing |
JP2003220071A (ja) | 2002-01-31 | 2003-08-05 | Kanai Hiroaki | 骨接ぎ用固定具 |
JP3708883B2 (ja) | 2002-02-08 | 2005-10-19 | 昭和医科工業株式会社 | 椎体間隔保持具 |
US6682563B2 (en) | 2002-03-04 | 2004-01-27 | Michael S. Scharf | Spinal fixation device |
US6669729B2 (en) | 2002-03-08 | 2003-12-30 | Kingsley Richard Chin | Apparatus and method for the replacement of posterior vertebral elements |
US7048736B2 (en) | 2002-05-17 | 2006-05-23 | Sdgi Holdings, Inc. | Device for fixation of spinous processes |
US20030220643A1 (en) | 2002-05-24 | 2003-11-27 | Ferree Bret A. | Devices to prevent spinal extension |
AU2002321153A1 (en) | 2002-07-01 | 2004-01-19 | Faceworks Solutions & Technologies Ltd. | Radial osteogenic distractor device |
FR2844179B1 (fr) | 2002-09-10 | 2004-12-03 | Jean Taylor | Ensemble de soutien vertebral posterieur |
US7074226B2 (en) | 2002-09-19 | 2006-07-11 | Sdgi Holdings, Inc. | Oval dilator and retractor set and method |
JP3743513B2 (ja) | 2002-09-26 | 2006-02-08 | セイコーエプソン株式会社 | 半導体装置の製造方法 |
US6849064B2 (en) | 2002-10-25 | 2005-02-01 | James S. Hamada | Minimal access lumbar diskectomy instrumentation and method |
US20060064165A1 (en) | 2004-09-23 | 2006-03-23 | St. Francis Medical Technologies, Inc. | Interspinous process implant including a binder and method of implantation |
US7833246B2 (en) | 2002-10-29 | 2010-11-16 | Kyphon SÀRL | Interspinous process and sacrum implant and method |
US20080221692A1 (en) | 2002-10-29 | 2008-09-11 | Zucherman James F | Interspinous process implants and methods of use |
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 |
US7909853B2 (en) | 2004-09-23 | 2011-03-22 | Kyphon Sarl | Interspinous process implant including a binder 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 |
US7083649B2 (en) | 2002-10-29 | 2006-08-01 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with translating pivot point |
US20080021468A1 (en) | 2002-10-29 | 2008-01-24 | Zucherman James F | Interspinous process implants and methods of use |
US6966929B2 (en) | 2002-10-29 | 2005-11-22 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with a spacer |
US8147548B2 (en) | 2005-03-21 | 2012-04-03 | Kyphon Sarl | Interspinous process implant having a thread-shaped wing and method of implantation |
US7497859B2 (en) | 2002-10-29 | 2009-03-03 | Kyphon Sarl | Tools for implanting an artificial vertebral disk |
US7549999B2 (en) | 2003-05-22 | 2009-06-23 | Kyphon Sarl | Interspinous process distraction implant and method of implantation |
US7931674B2 (en) | 2005-03-21 | 2011-04-26 | Kyphon Sarl | Interspinous process implant having deployable wing and method of implantation |
US20050075634A1 (en) | 2002-10-29 | 2005-04-07 | Zucherman James F. | Interspinous process implant with radiolucent spacer and lead-in tissue expander |
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 |
US7273496B2 (en) | 2002-10-29 | 2007-09-25 | St. Francis Medical Technologies, Inc. | Artificial vertebral disk replacement implant with crossbar spacer and method |
US8048117B2 (en) | 2003-05-22 | 2011-11-01 | Kyphon Sarl | Interspinous process implant and method of implantation |
EP1558157B1 (en) * | 2002-10-30 | 2012-11-21 | Zimmer Spine, Inc. | Spinal stabilization system insertion |
US20040086698A1 (en) | 2002-10-31 | 2004-05-06 | Collins Robert H. | Method and apparatus for the application and control of a continuous or intermittent tail seal |
US7887539B2 (en) | 2003-01-24 | 2011-02-15 | Depuy Spine, Inc. | Spinal rod approximators |
US7335203B2 (en) | 2003-02-12 | 2008-02-26 | Kyphon Inc. | System and method for immobilizing adjacent spinous processes |
FR2851154B1 (fr) | 2003-02-19 | 2006-07-07 | Sdgi Holding Inc | Dispositif inter-epineux pour freiner les mouvements de deux vertebres successives, et procede de fabrication d'un coussin lui etant destine |
US7326216B2 (en) | 2003-04-02 | 2008-02-05 | Warsaw Orthopedic, Inc. | Methods and instrumentation for positioning implants in spinal disc space in an anterior lateral approach |
JP4976014B2 (ja) | 2003-05-16 | 2012-07-18 | Hoya株式会社 | 棘間スペーサ |
US6986771B2 (en) | 2003-05-23 | 2006-01-17 | Globus Medical, Inc. | Spine stabilization system |
EP1627616A4 (en) | 2003-05-27 | 2010-12-01 | Hoya Corp | OPERATION INSTRUMENT |
KR100582768B1 (ko) | 2003-07-24 | 2006-05-23 | 최병관 | 척추 가시돌기 삽입용 보철물 |
FR2858929B1 (fr) | 2003-08-21 | 2005-09-30 | Spine Next Sa | "implant intervertebral pour l'articulation lombo-sacree" |
DE20321245U1 (de) | 2003-08-26 | 2006-06-14 | Synthes Gmbh | Knochenplatte |
US8007514B2 (en) | 2003-10-17 | 2011-08-30 | St. Jude Medical Puerto Rico Llc | Automatic suture locking device |
CA2544288A1 (en) | 2003-10-30 | 2005-05-12 | Synthes Gmbh | Intervertebral implant |
US7320707B2 (en) | 2003-11-05 | 2008-01-22 | St. Francis Medical Technologies, Inc. | Method of laterally inserting an artificial vertebral disk replacement implant with crossbar spacer |
US7011685B2 (en) | 2003-11-07 | 2006-03-14 | Impliant Ltd. | Spinal prostheses |
US7837732B2 (en) | 2003-11-20 | 2010-11-23 | Warsaw Orthopedic, Inc. | Intervertebral body fusion cage with keels and implantation methods |
US20050149192A1 (en) | 2003-11-20 | 2005-07-07 | St. Francis Medical Technologies, Inc. | Intervertebral body fusion cage with keels and implantation method |
US7670377B2 (en) | 2003-11-21 | 2010-03-02 | Kyphon Sarl | Laterally insertable artifical vertebral disk replacement implant with curved spacer |
US20050283237A1 (en) | 2003-11-24 | 2005-12-22 | St. Francis Medical Technologies, Inc. | Artificial spinal disk replacement device with staggered vertebral body attachments |
US7503935B2 (en) | 2003-12-02 | 2009-03-17 | Kyphon Sarl | Method of laterally inserting an artificial vertebral disk replacement with translating pivot point |
US7481839B2 (en) | 2003-12-02 | 2009-01-27 | Kyphon Sarl | Bioresorbable interspinous process implant for use with intervertebral disk remediation or replacement implants and procedures |
US20050143826A1 (en) | 2003-12-11 | 2005-06-30 | St. Francis Medical Technologies, Inc. | Disk repair structures with anchors |
US7527638B2 (en) | 2003-12-16 | 2009-05-05 | Depuy Spine, Inc. | Methods and devices for minimally invasive spinal fixation element placement |
US20050216087A1 (en) | 2004-01-05 | 2005-09-29 | St. Francis Medical Technologies, Inc. | Disk repair structures for positioning disk repair material |
US20050149196A1 (en) | 2004-01-07 | 2005-07-07 | St. Francis Medical Technologies, Inc. | Artificial spinal disk replacement device with rotation limiter and lateral approach implantation method |
WO2005072301A2 (en) * | 2004-01-26 | 2005-08-11 | Reiley Mark A | Percutaneous spine distraction implant systems and methods |
US7850733B2 (en) * | 2004-02-10 | 2010-12-14 | Atlas Spine, Inc. | PLIF opposing wedge ramp |
AU2005211797B2 (en) * | 2004-02-10 | 2010-10-28 | Spinal Elements, Inc. | System and method for protecting neurovascular structures |
US8636802B2 (en) | 2004-03-06 | 2014-01-28 | DePuy Synthes Products, LLC | Dynamized interspinal implant |
US7763073B2 (en) | 2004-03-09 | 2010-07-27 | Depuy Spine, Inc. | Posterior process dynamic spacer |
US7458981B2 (en) | 2004-03-09 | 2008-12-02 | The Board Of Trustees Of The Leland Stanford Junior University | Spinal implant and method for restricting spinal flexion |
US7524323B2 (en) | 2004-04-16 | 2009-04-28 | Kyphon Sarl | Subcutaneous support |
US7410480B2 (en) | 2004-04-21 | 2008-08-12 | Acclarent, Inc. | Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders |
US7524324B2 (en) | 2004-04-28 | 2009-04-28 | Kyphon Sarl | System and method for an interspinous process implant as a supplement to a spine stabilization implant |
FR2870107B1 (fr) | 2004-05-11 | 2007-07-27 | Spine Next Sa | Dispositif autobloquant de fixation d'un implant intervertebral |
WO2005110258A1 (en) | 2004-05-17 | 2005-11-24 | Wooridul Spine Health Institute Co. | Spine insert |
US7585316B2 (en) | 2004-05-21 | 2009-09-08 | Warsaw Orthopedic, Inc. | Interspinous spacer |
FR2870719B1 (fr) | 2004-05-27 | 2007-09-21 | Spine Next Sa | Systeme d'arthroplastie rachidienne |
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 |
US7776091B2 (en) | 2004-06-30 | 2010-08-17 | Depuy Spine, Inc. | Adjustable posterior spinal column positioner |
US7485133B2 (en) | 2004-07-14 | 2009-02-03 | Warsaw Orthopedic, Inc. | Force diffusion spinal hook |
US20060015181A1 (en) | 2004-07-19 | 2006-01-19 | Biomet Merck France (50% Interest) | Interspinous vertebral implant |
WO2006017641A2 (en) | 2004-08-03 | 2006-02-16 | Vertech Innovations, L.L.C. | Spinous process reinforcement device and method |
US20060036324A1 (en) | 2004-08-03 | 2006-02-16 | Dan Sachs | Adjustable spinal implant device and method |
US20060036259A1 (en) | 2004-08-03 | 2006-02-16 | Carl Allen L | Spine treatment devices and methods |
US8012209B2 (en) | 2004-09-23 | 2011-09-06 | Kyphon Sarl | Interspinous process implant including a binder, binder aligner and method of implantation |
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 |
US8409282B2 (en) | 2004-10-20 | 2013-04-02 | Vertiflex, Inc. | 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 |
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 |
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 |
US8012207B2 (en) * | 2004-10-20 | 2011-09-06 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8123807B2 (en) | 2004-10-20 | 2012-02-28 | Vertiflex, Inc. | Systems and methods for posterior dynamic stabilization of the spine |
US8425559B2 (en) | 2004-10-20 | 2013-04-23 | 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 |
US8277488B2 (en) | 2004-10-20 | 2012-10-02 | Vertiflex, Inc. | Interspinous spacer |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
WO2009009049A2 (en) | 2004-10-20 | 2009-01-15 | Vertiflex, Inc. | Interspinous spacer |
US9055981B2 (en) | 2004-10-25 | 2015-06-16 | Lanx, Inc. | Spinal implants and methods |
US7918875B2 (en) | 2004-10-25 | 2011-04-05 | Lanx, Inc. | Interspinous distraction devices and associated methods of insertion |
US8241330B2 (en) | 2007-01-11 | 2012-08-14 | Lanx, Inc. | Spinous process implants and associated methods |
WO2006047562A2 (en) | 2004-10-25 | 2006-05-04 | Lins Robert E | Interspinous distraction devices and associated methods of insertion |
US20060106381A1 (en) | 2004-11-18 | 2006-05-18 | Ferree Bret A | Methods and apparatus for treating spinal stenosis |
US8597331B2 (en) | 2004-12-10 | 2013-12-03 | Life Spine, Inc. | Prosthetic spinous process and method |
EP1824403A1 (de) * | 2004-12-16 | 2007-08-29 | Horst Döllinger | Implantat zur behandlung der lumbalen spinalkanalstenose |
US8096995B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US7998174B2 (en) | 2005-02-17 | 2011-08-16 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8007521B2 (en) | 2005-02-17 | 2011-08-30 | Kyphon Sarl | Percutaneous spinal implants and methods |
US7927354B2 (en) | 2005-02-17 | 2011-04-19 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8100943B2 (en) | 2005-02-17 | 2012-01-24 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8096994B2 (en) * | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20080039944A1 (en) | 2005-02-17 | 2008-02-14 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US8097018B2 (en) | 2005-02-17 | 2012-01-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US7988709B2 (en) * | 2005-02-17 | 2011-08-02 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20060184248A1 (en) | 2005-02-17 | 2006-08-17 | Edidin Avram A | Percutaneous spinal implants and methods |
US8043335B2 (en) | 2005-02-17 | 2011-10-25 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8038698B2 (en) | 2005-02-17 | 2011-10-18 | Kphon Sarl | Percutaneous spinal implants and methods |
US8057513B2 (en) | 2005-02-17 | 2011-11-15 | 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 |
US20070276372A1 (en) | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US8029567B2 (en) | 2005-02-17 | 2011-10-04 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070276493A1 (en) | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous spinal implants and methods |
US7993342B2 (en) | 2005-02-17 | 2011-08-09 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8157841B2 (en) | 2005-02-17 | 2012-04-17 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8034080B2 (en) | 2005-02-17 | 2011-10-11 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8092459B2 (en) | 2005-02-17 | 2012-01-10 | Kyphon Sarl | Percutaneous spinal implants and methods |
US20070055237A1 (en) | 2005-02-17 | 2007-03-08 | Edidin Avram A | Percutaneous spinal implants and methods |
US20070276373A1 (en) | 2005-02-17 | 2007-11-29 | Malandain Hugues F | Percutaneous Spinal Implants and Methods |
US20080288078A1 (en) | 2005-02-17 | 2008-11-20 | Kohm Andrew C | Percutaneous spinal implants and methods |
US7998208B2 (en) | 2005-02-17 | 2011-08-16 | Kyphon Sarl | Percutaneous spinal implants and methods |
US8568461B2 (en) | 2005-02-17 | 2013-10-29 | Warsaw Orothpedic, Inc. | Percutaneous spinal implants and methods |
US8470039B2 (en) | 2005-03-17 | 2013-06-25 | Spinal Elements, Inc. | Flanged interbody fusion device with fastener insert and retaining ring |
US8066742B2 (en) | 2005-03-31 | 2011-11-29 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US20060241757A1 (en) | 2005-03-31 | 2006-10-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
US7862590B2 (en) | 2005-04-08 | 2011-01-04 | Warsaw Orthopedic, Inc. | Interspinous process spacer |
CN103479419B (zh) | 2005-04-08 | 2017-04-12 | 帕拉迪格脊骨有限责任公司 | 棘突间脊椎和腰骶稳定装置及使用方法 |
US7846188B2 (en) | 2005-04-12 | 2010-12-07 | Moskowitz Nathan C | Bi-directional fixating transvertebral body screws, zero-profile horizontal intervertebral miniplates, total intervertebral body fusion devices, and posterior motion-calibrating interarticulating joint stapling device for spinal fusion |
US7789898B2 (en) | 2005-04-15 | 2010-09-07 | Warsaw Orthopedic, Inc. | Transverse process/laminar spacer |
DE202005021834U1 (de) | 2005-04-16 | 2010-06-10 | Aesculap Ag | Bandscheibenentlastungsimplantat zum Aufrichten und Entlasten eines Bandscheibenfachs |
US20060247623A1 (en) | 2005-04-29 | 2006-11-02 | Sdgi Holdings, Inc. | Local delivery of an active agent from an orthopedic implant |
US7727233B2 (en) | 2005-04-29 | 2010-06-01 | Warsaw Orthopedic, Inc. | Spinous process stabilization devices and methods |
US20060247634A1 (en) | 2005-05-02 | 2006-11-02 | Warner Kenneth D | Spinous Process Spacer Implant and Technique |
US20060271055A1 (en) | 2005-05-12 | 2006-11-30 | Jeffery Thramann | Spinal stabilization |
KR20060124851A (ko) | 2005-05-26 | 2006-12-06 | 메딕스얼라인 주식회사 | 척추 협착증 치료용 로드형 고정기 |
KR20080021008A (ko) | 2005-06-06 | 2008-03-06 | 신세스 게엠바하 | 척추 안정용 임플란트 및 그 사용 방법 |
US7695496B2 (en) * | 2005-06-10 | 2010-04-13 | Depuy Spine, Inc. | Posterior dynamic stabilization Y-device |
US7837688B2 (en) | 2005-06-13 | 2010-11-23 | Globus Medical | Spinous process spacer |
US20070005064A1 (en) | 2005-06-27 | 2007-01-04 | Sdgi Holdings | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
ATE541528T1 (de) | 2005-07-11 | 2012-02-15 | Kyphon Sarl | System zum einführen von biokompatiblen füllmaterialien in innere körperregionen |
FR2888744B1 (fr) | 2005-07-21 | 2007-08-24 | Charles Khalife | Dispositif inter epineux rotatoire |
ITPD20050231A1 (it) | 2005-07-28 | 2007-01-29 | 2B1 Srl | Apparato per il trattamento neurochirurgico-ortopedico di patologie della colonna vertebrale umana |
FR2889438B1 (fr) | 2005-08-04 | 2008-06-06 | Scient X Sa | Implant intervertebral a double forme |
US8870890B2 (en) | 2005-08-05 | 2014-10-28 | DePuy Synthes Products, LLC | Pronged holder for treating spinal stenosis |
US7753938B2 (en) | 2005-08-05 | 2010-07-13 | Synthes Usa, Llc | Apparatus for treating spinal stenosis |
WO2007018114A1 (ja) | 2005-08-11 | 2007-02-15 | National University Corporation Kobe University | 棘突起間の開大を目的とした低侵襲インプラントとそれを用いて棘突起間を経皮的に拡大する方法 |
FR2889937B1 (fr) | 2005-08-26 | 2007-11-09 | Abbott Spine Sa | Implant intervertebral pour l'articulation lombo-sacree |
PL377136A1 (pl) | 2005-09-19 | 2007-04-02 | Lfc Spółka Z Ograniczoną Odpowiedzialnością | Dystansowy implant międzywyrostkowy |
WO2007034516A1 (en) | 2005-09-21 | 2007-03-29 | Sintea Biotech S.P.A. | Device, kit and method for intervertebral stabilization |
ES2482790T3 (es) | 2005-09-27 | 2014-08-04 | Paradigm Spine, Llc | Dispositivos de estabilización vertebral interespinosa |
US8167915B2 (en) * | 2005-09-28 | 2012-05-01 | Nuvasive, Inc. | Methods and apparatus for treating spinal stenosis |
US20070093823A1 (en) | 2005-09-29 | 2007-04-26 | Nuvasive, Inc. | Spinal distraction device and methods of manufacture and use |
WO2007044705A2 (en) | 2005-10-07 | 2007-04-19 | Abdou Samy M | Devices and methods for inter-verterbral orthopedic device placement |
US8357181B2 (en) | 2005-10-27 | 2013-01-22 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US7862591B2 (en) | 2005-11-10 | 2011-01-04 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US7998173B2 (en) | 2005-11-22 | 2011-08-16 | Richard Perkins | Adjustable spinous process spacer device and method of treating spinal stenosis |
US7699873B2 (en) | 2005-11-23 | 2010-04-20 | Warsaw Orthopedic, Inc. | Spinous process anchoring systems and methods |
JP2007167621A (ja) | 2005-11-24 | 2007-07-05 | Olympus Biomaterial Corp | 棘突起スペーサ |
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 |
EP1965713A2 (en) | 2005-12-28 | 2008-09-10 | Stout Medical Group, L.P. | Expandable support device and method of use |
KR100756472B1 (ko) | 2006-01-03 | 2007-09-07 | 주식회사 엘지화학 | 크로스바 고정 장치 |
US7922745B2 (en) | 2006-01-09 | 2011-04-12 | Zimmer Spine, Inc. | Posterior dynamic stabilization of the spine |
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 |
US8083795B2 (en) | 2006-01-18 | 2011-12-27 | Warsaw Orthopedic, Inc. | Intervertebral prosthetic device for spinal stabilization and method of manufacturing same |
US20070173823A1 (en) | 2006-01-18 | 2007-07-26 | Sdgi Holdings, Inc. | Intervertebral prosthetic device for spinal stabilization and method of implanting same |
US7837711B2 (en) | 2006-01-27 | 2010-11-23 | Warsaw Orthopedic, Inc. | Artificial spinous process for the sacrum and methods of use |
US20070233088A1 (en) | 2006-01-27 | 2007-10-04 | Edmond Elizabeth W | Pedicle and non-pedicle based interspinous and lateral spacers |
US20070191838A1 (en) | 2006-01-27 | 2007-08-16 | Sdgi Holdings, Inc. | Interspinous devices and methods of use |
US7682376B2 (en) | 2006-01-27 | 2010-03-23 | Warsaw Orthopedic, Inc. | Interspinous devices and methods of use |
US7691130B2 (en) | 2006-01-27 | 2010-04-06 | Warsaw Orthopedic, Inc. | Spinal implants including a sensor and methods of use |
US20070185490A1 (en) | 2006-01-31 | 2007-08-09 | Dante Implicito | Percutaneous interspinous distraction device and method |
EP1978900B1 (en) | 2006-02-01 | 2012-03-07 | Synthes GmbH | Interspinous process spacer |
US20070233096A1 (en) | 2006-02-13 | 2007-10-04 | Javier Garcia-Bengochea | Dynamic inter-spinous device |
WO2007098423A2 (en) | 2006-02-17 | 2007-08-30 | Paradigm Spine, L.L.C. | Method and system for performing interspinous space preparation for receiving an implant |
US20070233068A1 (en) | 2006-02-22 | 2007-10-04 | Sdgi Holdings, Inc. | Intervertebral prosthetic assembly for spinal stabilization and method of implanting same |
US8262698B2 (en) * | 2006-03-16 | 2012-09-11 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
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 |
GB2436292B (en) * | 2006-03-24 | 2011-03-16 | Galley Geoffrey H | Expandable spacing means for insertion between spinous processes of adjacent vertebrae |
US20090043342A1 (en) | 2006-03-28 | 2009-02-12 | Yosef Freedland | Flat Shaft Fasteners |
US20070233077A1 (en) | 2006-03-31 | 2007-10-04 | Khalili Farid B | Dynamic intervertebral spacer assembly |
US7985246B2 (en) | 2006-03-31 | 2011-07-26 | Warsaw Orthopedic, Inc. | Methods and instruments for delivering interspinous process spacers |
TW200738209A (en) | 2006-04-07 | 2007-10-16 | Chung-Chun Yeh | Apparatus for holding open the vertebral spinous process |
FR2899788B1 (fr) | 2006-04-13 | 2008-07-04 | Jean Taylor | Materiel de traitement de vertebres, comprenant un implant interepineux |
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 |
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 |
US8252031B2 (en) | 2006-04-28 | 2012-08-28 | Warsaw Orthopedic, Inc. | Molding device for an expandable interspinous process implant |
US8048118B2 (en) | 2006-04-28 | 2011-11-01 | Warsaw Orthopedic, Inc. | Adjustable interspinous process brace |
US7846185B2 (en) | 2006-04-28 | 2010-12-07 | Warsaw Orthopedic, Inc. | Expandable interspinous process implant and method of installing same |
US8105357B2 (en) | 2006-04-28 | 2012-01-31 | Warsaw Orthopedic, Inc. | Interspinous process brace |
US20070270824A1 (en) | 2006-04-28 | 2007-11-22 | Warsaw Orthopedic, Inc. | Interspinous process brace |
DE202006006898U1 (de) | 2006-04-29 | 2006-07-27 | Metz-Stavenhagen, Peter, Dr. Med. | Wirbelsäulenimplantat |
US8062337B2 (en) | 2006-05-04 | 2011-11-22 | Warsaw Orthopedic, Inc. | Expandable device for insertion between anatomical structures and a procedure utilizing same |
US8021394B2 (en) | 2006-05-09 | 2011-09-20 | Life Spine, Inc. | Stenotic device |
US8147517B2 (en) | 2006-05-23 | 2012-04-03 | Warsaw Orthopedic, Inc. | Systems and methods for adjusting properties of a spinal implant |
US20070272259A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings, Inc. | Surgical procedure for inserting a device between anatomical structures |
US20070276497A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings. Inc. | Surgical spacer |
US20070276496A1 (en) | 2006-05-23 | 2007-11-29 | Sdgi Holdings, Inc. | Surgical spacer with shape control |
US8048120B1 (en) | 2006-05-31 | 2011-11-01 | Medicine Lodge, Inc. | System and method for segmentally modular spinal plating |
US8172882B2 (en) | 2006-06-14 | 2012-05-08 | 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 |
EP2040632B1 (fr) | 2006-07-03 | 2010-05-05 | Sami Khalife | Systeme de stabilisation inter-epineux |
WO2008007196A2 (en) | 2006-07-07 | 2008-01-17 | Precimed, S.A. | Bone plate with complex, adjacent holes joined by a relief-space |
US7860655B2 (en) | 2006-07-14 | 2010-12-28 | Westerngeco L.L.C. | Electromagnetically detecting thin resistive bodies in shallow water and terrestrial environments |
US8048119B2 (en) | 2006-07-20 | 2011-11-01 | Warsaw Orthopedic, Inc. | Apparatus for insertion between anatomical structures and a procedure utilizing same |
DE102006034756A1 (de) | 2006-07-24 | 2008-01-31 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument zum Schneiden von Gewebe |
US8303630B2 (en) * | 2006-07-27 | 2012-11-06 | Samy Abdou | Devices and methods for the minimally invasive treatment of spinal stenosis |
US8834526B2 (en) | 2006-08-09 | 2014-09-16 | Rolando Garcia | Methods and apparatus for treating spinal stenosis |
CN100539959C (zh) | 2006-08-21 | 2009-09-16 | 叶中权 | 侧片脊椎棘突撑开装置 |
US20080051896A1 (en) | 2006-08-25 | 2008-02-28 | Loubert Suddaby | Expandable Spinous Process Distractor |
FR2905848B1 (fr) | 2006-09-18 | 2008-12-05 | Spineart Sa | Prothese inter-epineuse lombaire et ses applications. |
US20080071380A1 (en) | 2006-09-19 | 2008-03-20 | Thomas Sweeney | Systems and Methods for Percutaneous Placement of Interspinous Process Spacers |
US20080082172A1 (en) | 2006-09-29 | 2008-04-03 | Jackson Roger P | Interspinous process spacer |
US20080161856A1 (en) | 2006-10-06 | 2008-07-03 | Mingyan Liu | Spinal stabilization system |
US20080177298A1 (en) | 2006-10-24 | 2008-07-24 | St. Francis Medical Technologies, Inc. | Tensioner Tool and Method for Implanting an Interspinous Process Implant Including a Binder |
US8097019B2 (en) | 2006-10-24 | 2012-01-17 | Kyphon Sarl | Systems and methods for in situ assembly of an interspinous process distraction implant |
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 |
US20080114358A1 (en) | 2006-11-13 | 2008-05-15 | Warsaw Orthopedic, Inc. | Intervertebral Prosthetic Assembly for Spinal Stabilization and Method of Implanting Same |
US20080114357A1 (en) * | 2006-11-15 | 2008-05-15 | Warsaw Orthopedic, Inc. | Inter-transverse process spacer device and method for use in correcting a spinal deformity |
US7879104B2 (en) | 2006-11-15 | 2011-02-01 | Warsaw Orthopedic, Inc. | Spinal implant system |
US20080114455A1 (en) | 2006-11-15 | 2008-05-15 | Warsaw Orthopedic, Inc. | Rotating Interspinous Process Devices and Methods of Use |
AR064013A1 (es) * | 2006-11-30 | 2009-03-04 | Paradigm Spine Llc | Sistema de estabilizacion vertebral, interlaminar, interespinoso |
WO2008070863A2 (en) * | 2006-12-07 | 2008-06-12 | Interventional Spine, Inc. | Intervertebral implant |
DE102006059395A1 (de) | 2006-12-08 | 2008-06-19 | Aesculap Ag & Co. Kg | Implantat und Implantatsystem |
US7955392B2 (en) * | 2006-12-14 | 2011-06-07 | Warsaw Orthopedic, Inc. | Interspinous process devices and methods |
US7879039B2 (en) | 2006-12-28 | 2011-02-01 | Mi4Spine, Llc | Minimally invasive interspinous process spacer insertion device |
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 |
US8974496B2 (en) | 2007-08-30 | 2015-03-10 | Jeffrey Chun Wang | Interspinous implant, tools and methods of implanting |
US9265532B2 (en) | 2007-01-11 | 2016-02-23 | Lanx, Inc. | Interspinous implants and methods |
US8382801B2 (en) | 2007-01-11 | 2013-02-26 | Lanx, Inc. | Spinous process implants, instruments, and methods |
WO2008086533A2 (en) * | 2007-01-11 | 2008-07-17 | Lanx, Inc. | Spinal implants and methods |
WO2008091112A1 (en) | 2007-01-23 | 2008-07-31 | Bio-Smart Co., Ltd | Spacer for use in a surgical operation for spinous process of spine |
US8568453B2 (en) | 2007-01-29 | 2013-10-29 | Samy Abdou | Spinal stabilization systems and methods of use |
US20080183218A1 (en) | 2007-01-31 | 2008-07-31 | Nuvasive, Inc. | System and Methods for Spinous Process Fusion |
US8034081B2 (en) | 2007-02-06 | 2011-10-11 | CollabComl, LLC | Interspinous dynamic stabilization implant and method of implanting |
EP2586403B1 (en) | 2007-02-06 | 2023-12-27 | Pioneer Surgical Technology, Inc. | Intervertebral implant devices |
US8252026B2 (en) | 2007-02-21 | 2012-08-28 | Zimmer Spine, Inc. | Spinal implant for facet joint |
WO2008106140A2 (en) | 2007-02-26 | 2008-09-04 | Abdou M Samy | Spinal stabilization systems and methods of use |
WO2008109872A2 (en) | 2007-03-07 | 2008-09-12 | Spinealign Medical, Inc. | Systems, methods, and devices for soft tissue attachment to bone |
US8828061B2 (en) | 2007-03-19 | 2014-09-09 | Us Spine, Inc. | Vertebral stabilization devices and associated surgical methods |
US9545267B2 (en) | 2007-03-26 | 2017-01-17 | Globus Medical, Inc. | Lateral spinous process spacer |
US20080249569A1 (en) | 2007-04-03 | 2008-10-09 | Warsaw Orthopedic, Inc. | Implant Face Plates |
US8163026B2 (en) | 2007-04-05 | 2012-04-24 | Zimmer Spine, Inc. | Interbody implant |
US8187306B2 (en) | 2007-04-10 | 2012-05-29 | Medicine Ledge Inc | Interspinous process spacers |
US8231656B2 (en) * | 2007-04-10 | 2012-07-31 | Life Spine, Inc. | Adjustable spine distraction implant |
AU2008241447B2 (en) | 2007-04-16 | 2014-03-27 | Vertiflex, Inc. | Interspinous spacer |
US20080262619A1 (en) | 2007-04-18 | 2008-10-23 | Ray Charles D | Interspinous process cushioned spacer |
US7799058B2 (en) * | 2007-04-19 | 2010-09-21 | Zimmer Gmbh | Interspinous spacer |
US8241362B2 (en) | 2007-04-26 | 2012-08-14 | Voorhies Rand M | Lumbar disc replacement implant for posterior implantation with dynamic spinal stabilization device and method |
US8075593B2 (en) * | 2007-05-01 | 2011-12-13 | Spinal Simplicity Llc | Interspinous implants and methods for implanting same |
US8142479B2 (en) | 2007-05-01 | 2012-03-27 | Spinal Simplicity Llc | Interspinous process implants having deployable engagement arms |
US20090012614A1 (en) | 2007-05-08 | 2009-01-08 | Dixon Robert A | Device and method for tethering a spinal implant |
US9173686B2 (en) | 2007-05-09 | 2015-11-03 | Ebi, Llc | Interspinous implant |
US20080281361A1 (en) | 2007-05-10 | 2008-11-13 | Shannon Marlece Vittur | Posterior stabilization and spinous process systems and methods |
US8840646B2 (en) | 2007-05-10 | 2014-09-23 | Warsaw Orthopedic, Inc. | Spinous process implants and methods |
EP1994900A1 (fr) | 2007-05-22 | 2008-11-26 | Flexismed SA | Implant vertébral inter-épineux |
US20080294199A1 (en) | 2007-05-25 | 2008-11-27 | Andrew Kohm | Spinous process implants and methods of using the same |
TWM325094U (en) | 2007-05-30 | 2008-01-11 | Kwan-Ku Lin | Implanting device for spine medical treatment |
US8070779B2 (en) | 2007-06-04 | 2011-12-06 | K2M, Inc. | Percutaneous interspinous process device and method |
US20090005873A1 (en) | 2007-06-29 | 2009-01-01 | Michael Andrew Slivka | Spinous Process Spacer Hammock |
US8348976B2 (en) | 2007-08-27 | 2013-01-08 | Kyphon Sarl | Spinous-process implants and methods of using the same |
WO2009039464A1 (en) | 2007-09-20 | 2009-03-26 | Life Spine, Inc. | Expandable spinal spacer |
US20090093883A1 (en) | 2007-10-05 | 2009-04-09 | Mauricio Rodolfo Carrasco | Interspinous implant |
US20090093843A1 (en) | 2007-10-05 | 2009-04-09 | Lemoine Jeremy J | Dynamic spine stabilization system |
US8172852B2 (en) | 2007-10-05 | 2012-05-08 | Spartek Medical, Inc. | Systems and methods for injecting bone filler into the spine |
US9095384B2 (en) | 2007-10-17 | 2015-08-04 | Aro Medical Aps U/Stiftelse | Methods, systems and apparatuses for torsional stabilization |
US20090105773A1 (en) | 2007-10-23 | 2009-04-23 | Warsaw Orthopedic, Inc. | Method and apparatus for insertion of an interspinous process device |
US20090112266A1 (en) | 2007-10-25 | 2009-04-30 | Industrial Technology Research Institute | Spinal dynamic stabilization device |
DE102007052799A1 (de) | 2007-11-02 | 2009-05-07 | Taurus Gmbh & Co.Kg. | Implantat |
US20090118833A1 (en) | 2007-11-05 | 2009-05-07 | Zimmer Spine, Inc. | In-situ curable interspinous process spacer |
US8480680B2 (en) | 2007-12-07 | 2013-07-09 | Adam Lewis | Spinal decompression system and method |
US8202300B2 (en) | 2007-12-10 | 2012-06-19 | Custom Spine, Inc. | Spinal flexion and extension motion damper |
AU2008345132A1 (en) | 2007-12-28 | 2009-07-09 | Osteomed Spine, Inc. | Bone tissue fixation device and method |
AU2009206098B2 (en) | 2008-01-15 | 2014-10-30 | Vertiflex, Inc. | Interspinous spacer |
US20090198338A1 (en) | 2008-02-04 | 2009-08-06 | Phan Christopher U | Medical implants and methods |
US20090198241A1 (en) | 2008-02-04 | 2009-08-06 | Phan Christopher U | Spine distraction tools and methods of use |
US8252029B2 (en) | 2008-02-21 | 2012-08-28 | Zimmer Gmbh | Expandable interspinous process spacer with lateral support and method for implantation |
TW200938157A (en) | 2008-03-11 | 2009-09-16 | Fong-Ying Chuang | Interspinous spine fixing device |
US8114136B2 (en) | 2008-03-18 | 2012-02-14 | Warsaw Orthopedic, Inc. | Implants and methods for inter-spinous process dynamic stabilization of a spinal motion segment |
US8202299B2 (en) | 2008-03-19 | 2012-06-19 | Collabcom II, LLC | Interspinous implant, tools and methods of implanting |
US8025678B2 (en) | 2008-03-26 | 2011-09-27 | Depuy Spine, Inc. | Interspinous process spacer having tight access offset hooks |
US8313512B2 (en) | 2008-03-26 | 2012-11-20 | Depuy Spine, Inc. | S-shaped interspinous process spacer having tight access offset hooks |
US20090248081A1 (en) | 2008-03-31 | 2009-10-01 | Warsaw Orthopedic, Inc. | Spinal Stabilization Devices and Methods |
US20090259316A1 (en) | 2008-04-15 | 2009-10-15 | Ginn Richard S | Spacer Devices and Systems for the Treatment of Spinal Stenosis and Methods for Using the Same |
US8523910B2 (en) | 2008-04-22 | 2013-09-03 | Globus Medical, Inc. | Lateral spinous process spacer |
BRPI0801855A2 (pt) | 2008-04-25 | 2009-12-29 | Gm Dos Reis Jr | dispositivo interespinhoso |
US8308769B2 (en) | 2008-05-07 | 2012-11-13 | Innovative Spine LLC. | Implant device and method for interspinous distraction |
ES2378142T3 (es) | 2008-05-20 | 2012-04-09 | Zimmer Spine | Sistema para estabilizar al menos tres vertebras |
US20090297603A1 (en) | 2008-05-29 | 2009-12-03 | Abhijeet Joshi | Interspinous dynamic stabilization system with anisotropic hydrogels |
DE102008032685B4 (de) | 2008-07-04 | 2016-06-23 | Aesculap Ag | Implantat zur gegenseitigen Abstützung der Dornfortsätze von Wirbelkörpern |
US20100010548A1 (en) | 2008-07-11 | 2010-01-14 | Elias Humberto Hermida Ochoa | Instruments and Method of Use for Minimally Invasive Spine Surgery in Interspine Space Through Only One Side |
US20100010546A1 (en) | 2008-07-11 | 2010-01-14 | Elias Humberto Hermida Ochoa | Minimally Invasive Instruments and Methods for the Micro Endoscopic Application of Spine Stabilizers in the Interspinous Space |
EP2346422A1 (en) * | 2008-08-08 | 2011-07-27 | Alphatec Spine, Inc. | Spinous process device and method of use |
EP2323574B1 (en) | 2008-08-13 | 2012-02-15 | Synthes GmbH | Interspinous spacer assembly |
WO2010085809A1 (en) | 2009-01-26 | 2010-07-29 | Life Spine, Inc. | Flexible and static interspinous/inter-laminar spinal spacers |
EP2413825A4 (en) | 2009-03-31 | 2013-12-11 | Lanx Inc | DORNFORTSATZIMPLANTATE AND RELATED PROCEDURES |
US8721686B2 (en) | 2009-06-23 | 2014-05-13 | Osteomed Llc | Spinous process fusion implants and insertion, compression, and locking instrumentation |
MX2012001849A (es) | 2009-08-10 | 2012-05-08 | Lanx Inc | Implantes intraespinales y metodos. |
US9179944B2 (en) | 2009-09-11 | 2015-11-10 | Globus Medical, Inc. | Spinous process fusion devices |
US8262697B2 (en) | 2010-01-14 | 2012-09-11 | X-Spine Systems, Inc. | Modular interspinous fixation system and method |
US8388656B2 (en) | 2010-02-04 | 2013-03-05 | Ebi, Llc | Interspinous spacer with deployable members and related method |
US20110264221A1 (en) | 2010-04-24 | 2011-10-27 | Custom Spine, Inc. | Interspinous Fusion Device and Method |
US9072549B2 (en) | 2010-06-16 | 2015-07-07 | Life Spine, Inc. | Spinal clips for interspinous decompression |
US9913668B2 (en) | 2010-07-15 | 2018-03-13 | Spinefrontier, Inc | Interspinous fixation implant |
US9149306B2 (en) | 2011-06-21 | 2015-10-06 | Seaspine, Inc. | Spinous process device |
-
2008
- 2008-01-25 US US12/020,282 patent/US9055981B2/en not_active Expired - Fee Related
- 2008-07-17 CN CN200880123856.0A patent/CN101909550B/zh not_active Expired - Fee Related
- 2008-07-17 BR BRPI0818725A patent/BRPI0818725A2/pt not_active IP Right Cessation
- 2008-07-17 JP JP2010532090A patent/JP2011502573A/ja active Pending
- 2008-07-17 WO PCT/US2008/070353 patent/WO2009058439A1/en active Application Filing
- 2008-07-17 EP EP08845923A patent/EP2214597A4/en not_active Withdrawn
- 2008-07-17 AU AU2008319176A patent/AU2008319176A1/en not_active Abandoned
- 2008-07-17 CA CA2704192A patent/CA2704192A1/en not_active Abandoned
-
2015
- 2015-06-15 US US14/739,170 patent/US9770271B2/en not_active Expired - Fee Related
-
2017
- 2017-08-30 US US15/690,926 patent/US20170360485A1/en not_active Abandoned
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7201751B2 (en) * | 1997-01-02 | 2007-04-10 | St. Francis Medical Technologies, Inc. | Supplemental spine fixation device |
Also Published As
Publication number | Publication date |
---|---|
AU2008319176A2 (en) | 2010-07-01 |
EP2214597A1 (en) | 2010-08-11 |
CA2704192A1 (en) | 2009-05-07 |
AU2008319176A1 (en) | 2009-05-07 |
US9055981B2 (en) | 2015-06-16 |
EP2214597A4 (en) | 2012-04-11 |
CN101909550A (zh) | 2010-12-08 |
WO2009058439A1 (en) | 2009-05-07 |
JP2011502573A (ja) | 2011-01-27 |
BRPI0818725A2 (pt) | 2018-05-29 |
US20150351813A1 (en) | 2015-12-10 |
US20080177306A1 (en) | 2008-07-24 |
US20170360485A1 (en) | 2017-12-21 |
US9770271B2 (en) | 2017-09-26 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN101909550B (zh) | 脊柱植入物及方法 | |
AU2021282492B2 (en) | Device and method for reinforcement of a facet | |
EP2512357B1 (en) | Spinal spacer for cervical and other vertebra, and associated systems | |
US10561447B2 (en) | Interspinous implants with deployable wing | |
EP2094195B1 (en) | Systems for posterior dynamic stabilization of the spine | |
CN101677828B (zh) | 棘突植入物及相关方法 | |
US6387130B1 (en) | Segmented linked intervertebral implant systems | |
US9561060B2 (en) | Interspinous implants with adjustable height spacer | |
US20030187509A1 (en) | Modulus plating system and method | |
JP2012500057A (ja) | 棘突起間スペーサ組立体 | |
CA2520456A1 (en) | Minimally invasive distraction device and method | |
CN104220017A (zh) | 可套入的棘突间固定装置及使用方法 | |
EP2117450B1 (en) | Spinal implants | |
CN102573706A (zh) | 棘突间植入物及方法 | |
CN104869927A (zh) | 用于棘突间间隔装置的连接系统 | |
JP2021176518A (ja) | 椎弓根ベースの椎間板内固定装置および方法 | |
WO2014106243A1 (en) | Interspinous implants with adjustable height spacer |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20140924 Termination date: 20180717 |