WO2005060534A3 - Methods and devices for minimally invasive spinal fixation element placement - Google Patents

Methods and devices for minimally invasive spinal fixation element placement Download PDF

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Publication number
WO2005060534A3
WO2005060534A3 PCT/US2004/039919 US2004039919W WO2005060534A3 WO 2005060534 A3 WO2005060534 A3 WO 2005060534A3 US 2004039919 W US2004039919 W US 2004039919W WO 2005060534 A3 WO2005060534 A3 WO 2005060534A3
Authority
WO
WIPO (PCT)
Prior art keywords
devices
minimally invasive
fixation element
spinal fixation
tool
Prior art date
Application number
PCT/US2004/039919
Other languages
French (fr)
Other versions
WO2005060534A2 (en
Inventor
David Greg Anderson
Christopher W Sicvol
George Joseph Ross
Sean P Selover
Nancy M Sheehy
Original Assignee
Depuy Spine Inc
David Greg Anderson
Christopher W Sicvol
George Joseph Ross
Sean P Selover
Nancy M Sheehy
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/738,130 external-priority patent/US7527638B2/en
Application filed by Depuy Spine Inc, David Greg Anderson, Christopher W Sicvol, George Joseph Ross, Sean P Selover, Nancy M Sheehy filed Critical Depuy Spine Inc
Priority to BRPI0417589-1A priority Critical patent/BRPI0417589A/en
Priority to JP2006545689A priority patent/JP2007513739A/en
Priority to CA2548729A priority patent/CA2548729C/en
Priority to MXPA06006783A priority patent/MXPA06006783A/en
Priority to NZ547435A priority patent/NZ547435A/en
Priority to EP04812446A priority patent/EP1694225A4/en
Priority to AU2004304934A priority patent/AU2004304934B2/en
Publication of WO2005060534A2 publication Critical patent/WO2005060534A2/en
Publication of WO2005060534A3 publication Critical patent/WO2005060534A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation 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
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
    • A61B17/7085—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1604—Chisels; Rongeurs; Punches; Stamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • 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
    • 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
    • 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
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • A61B17/708—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae with tubular extensions coaxially mounted on the bone anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
    • 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
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors

Abstract

Minimally invasive methods and devices for introducing a spinal fixation element into a surgical site in a patient’s spinal column are provided. In one embodiment, a dissection tool is provided for separating muscles along a muscle plane without causing damage to the muscles. The dissection tool can also include a lumen extending therethrough for receiving a guide wire. The tool allows the guide wire to be positioned relative to a vertebra, and once properly positioned, the tool can be removed to allow a spinal anchor to be delivered along the guide wire and implanted into the vertebra.
PCT/US2004/039919 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement WO2005060534A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
BRPI0417589-1A BRPI0417589A (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive placement of spinal fixation
JP2006545689A JP2007513739A (en) 2003-12-16 2004-11-29 Method and apparatus for placing a minimally invasive spinal fixation element
CA2548729A CA2548729C (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement
MXPA06006783A MXPA06006783A (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement.
NZ547435A NZ547435A (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement
EP04812446A EP1694225A4 (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement
AU2004304934A AU2004304934B2 (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/738,130 US7527638B2 (en) 2003-12-16 2003-12-16 Methods and devices for minimally invasive spinal fixation element placement
US10/738,130 2003-12-16
US10/711,704 2004-09-30
US10/711,704 US7708763B2 (en) 2003-12-16 2004-09-30 Methods and devices for minimally invasive spinal fixation element placement

Publications (2)

Publication Number Publication Date
WO2005060534A2 WO2005060534A2 (en) 2005-07-07
WO2005060534A3 true WO2005060534A3 (en) 2006-04-06

Family

ID=34713885

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/039919 WO2005060534A2 (en) 2003-12-16 2004-11-29 Methods and devices for minimally invasive spinal fixation element placement

Country Status (7)

Country Link
EP (1) EP1694225A4 (en)
JP (1) JP2007513739A (en)
KR (1) KR20070029650A (en)
AU (1) AU2004304934B2 (en)
BR (1) BRPI0417589A (en)
CA (1) CA2548729C (en)
WO (1) WO2005060534A2 (en)

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8685063B2 (en) 2003-09-24 2014-04-01 Stryker Spine Methods and devices for improving percutaneous access in minimally invasive surgeries
US8771318B2 (en) 2006-09-25 2014-07-08 Stryker Spine Rod inserter and rod with reduced diameter end
US8894655B2 (en) 2006-02-06 2014-11-25 Stryker Spine Rod contouring apparatus and method for percutaneous pedicle screw extension
US9220543B2 (en) 2010-07-26 2015-12-29 Spinal Usa, Inc. Minimally invasive surgical tower access devices and related methods
US9314274B2 (en) 2011-05-27 2016-04-19 DePuy Synthes Products, Inc. Minimally invasive spinal fixation system including vertebral alignment features
US9402663B2 (en) 2010-04-23 2016-08-02 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices and related methods
US9408716B1 (en) 2013-12-06 2016-08-09 Stryker European Holdings I, Llc Percutaneous posterior spinal fusion implant construction and method
US9498262B2 (en) 2006-04-11 2016-11-22 DePuy Synthes Products, Inc. Minimally invasive fixation system

Families Citing this family (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8002798B2 (en) 2003-09-24 2011-08-23 Stryker Spine System and method for spinal implant placement
US8177817B2 (en) * 2005-05-18 2012-05-15 Stryker Spine System and method for orthopedic implant configuration
US7497869B2 (en) 2006-01-27 2009-03-03 Warsaw Orthopedic, Inc. Methods and devices for a minimally invasive placement of a rod within a patient
AU2013200549C1 (en) * 2006-02-06 2016-10-06 Stryker European Holdings I, Llc Rod contouring apparatus and method for percutaneous pedicle screw extension
DE602007014385D1 (en) 2006-09-25 2011-06-16 Stryker Spine PERCUTANEOUS COMPRESSION AND DISTRACTION SYSTEM
US8734452B2 (en) * 2006-12-15 2014-05-27 Spinefrontier, Inc Guidance system,tools and devices for spinal fixation
US8206306B2 (en) * 2009-05-07 2012-06-26 Hitachi Aloka Medical, Ltd. Ultrasound systems and methods for orthopedic applications
WO2010135537A2 (en) 2009-05-20 2010-11-25 Synthes Usa, Llc Patient-mounted retraction
US9125703B2 (en) 2012-01-16 2015-09-08 K2M, Inc. Rod reducer, compressor, distractor system
US9011450B2 (en) 2012-08-08 2015-04-21 DePuy Synthes Products, LLC Surgical instrument
US9827020B2 (en) 2013-03-14 2017-11-28 Stryker European Holdings I, Llc Percutaneous spinal cross link system and method
US9510875B2 (en) 2013-03-14 2016-12-06 Stryker European Holdings I, Llc Systems and methods for percutaneous spinal fusion
US9744050B1 (en) 2013-12-06 2017-08-29 Stryker European Holdings I, Llc Compression and distraction system for percutaneous posterior spinal fusion
US10159579B1 (en) 2013-12-06 2018-12-25 Stryker European Holdings I, Llc Tubular instruments for percutaneous posterior spinal fusion systems and methods
CA2874390C (en) 2013-12-13 2018-03-06 Stryker European Holdings I, Llc Tissue retraction and vertebral displacement devices, systems, and methods for posterior spinal fusion
US10034690B2 (en) 2014-12-09 2018-07-31 John A. Heflin Spine alignment system
US10779866B2 (en) 2016-12-29 2020-09-22 K2M, Inc. Rod reducer assembly

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US7572276B2 (en) * 2002-05-06 2009-08-11 Warsaw Orthopedic, Inc. Minimally invasive instruments and methods for inserting implants
US7306603B2 (en) * 2002-08-21 2007-12-11 Innovative Spinal Technologies Device and method for percutaneous placement of lumbar pedicle screws and connecting rods
US6648888B1 (en) * 2002-09-06 2003-11-18 Endius Incorporated Surgical instrument for moving a vertebra
ES2629431T3 (en) * 2002-10-30 2017-08-09 Zimmer Spine, Inc. Insertion spinal stabilization system
US7588588B2 (en) * 2003-10-21 2009-09-15 Innovative Spinal Technologies System and method for stabilizing of internal structures

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US6849064B2 (en) * 2002-10-25 2005-02-01 James S. Hamada Minimal access lumbar diskectomy instrumentation and method

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8685063B2 (en) 2003-09-24 2014-04-01 Stryker Spine Methods and devices for improving percutaneous access in minimally invasive surgeries
US8894655B2 (en) 2006-02-06 2014-11-25 Stryker Spine Rod contouring apparatus and method for percutaneous pedicle screw extension
US8979851B2 (en) 2006-02-06 2015-03-17 Stryker Spine Rod contouring apparatus for percutaneous pedicle screw extension
US9119684B2 (en) 2006-02-06 2015-09-01 Stryker Spine Rod contouring method for percutaneous pedicle screw extension
US9247977B2 (en) 2006-02-06 2016-02-02 Stryker European Holdings I, Llc Rod contouring apparatus for percutaneous pedicle screw extension
US9498262B2 (en) 2006-04-11 2016-11-22 DePuy Synthes Products, Inc. Minimally invasive fixation system
US8771318B2 (en) 2006-09-25 2014-07-08 Stryker Spine Rod inserter and rod with reduced diameter end
US9402663B2 (en) 2010-04-23 2016-08-02 DePuy Synthes Products, Inc. Minimally invasive instrument set, devices and related methods
US9220543B2 (en) 2010-07-26 2015-12-29 Spinal Usa, Inc. Minimally invasive surgical tower access devices and related methods
US9314274B2 (en) 2011-05-27 2016-04-19 DePuy Synthes Products, Inc. Minimally invasive spinal fixation system including vertebral alignment features
US9408716B1 (en) 2013-12-06 2016-08-09 Stryker European Holdings I, Llc Percutaneous posterior spinal fusion implant construction and method

Also Published As

Publication number Publication date
AU2004304934A1 (en) 2005-07-07
AU2004304934B2 (en) 2008-10-16
JP2007513739A (en) 2007-05-31
KR20070029650A (en) 2007-03-14
BRPI0417589A (en) 2007-03-20
CA2548729C (en) 2012-01-10
EP1694225A2 (en) 2006-08-30
EP1694225A4 (en) 2008-12-31
WO2005060534A2 (en) 2005-07-07
CA2548729A1 (en) 2005-07-07

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