WO2008058070A3 - Instrumentation and method for providing surgical access to a spine - Google Patents

Instrumentation and method for providing surgical access to a spine Download PDF

Info

Publication number
WO2008058070A3
WO2008058070A3 PCT/US2007/083625 US2007083625W WO2008058070A3 WO 2008058070 A3 WO2008058070 A3 WO 2008058070A3 US 2007083625 W US2007083625 W US 2007083625W WO 2008058070 A3 WO2008058070 A3 WO 2008058070A3
Authority
WO
WIPO (PCT)
Prior art keywords
spine
curved
cannula
guide member
instrumentation
Prior art date
Application number
PCT/US2007/083625
Other languages
French (fr)
Other versions
WO2008058070A2 (en
Inventor
Morteza Farr
Joshua Butters
T Wade Fallin
Original Assignee
Innovative Spine
Morteza Farr
Joshua Butters
T Wade Fallin
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
Application filed by Innovative Spine, Morteza Farr, Joshua Butters, T Wade Fallin filed Critical Innovative Spine
Priority to JP2009535492A priority Critical patent/JP2010508911A/en
Priority to KR1020097011509A priority patent/KR20090106466A/en
Priority to AU2007316454A priority patent/AU2007316454A1/en
Priority to EP07863903A priority patent/EP2083718A4/en
Priority to CA002668194A priority patent/CA2668194A1/en
Publication of WO2008058070A2 publication Critical patent/WO2008058070A2/en
Publication of WO2008058070A3 publication Critical patent/WO2008058070A3/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
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • 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
    • A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1604—Chisels; Rongeurs; Punches; Stamps
    • A61B17/1606—Chisels; Rongeurs; Punches; Stamps of forceps type, i.e. having two jaw elements moving relative to each other
    • A61B17/1608—Chisels; Rongeurs; Punches; Stamps of forceps type, i.e. having two jaw elements moving relative to each other the two jaw elements being linked to two elongated shaft elements moving longitudinally relative to each other
    • A61B17/1611—Chisels; Rongeurs; Punches; Stamps of forceps type, i.e. having two jaw elements moving relative to each other the two jaw elements being linked to two elongated shaft elements moving longitudinally relative to each other the two jaw elements being integral with respective elongate shaft elements
    • 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
    • A61B17/1642—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for producing a curved bore
    • 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
    • A61B17/1659—Surgical rasps, files, planes, or scrapers
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4684—Trial or dummy prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors 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
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2901—Details of shaft
    • A61B2017/2904—Details of shaft curved, but rigid
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30113—Rounded shapes, e.g. with rounded corners circular
    • A61F2002/30116—Rounded shapes, e.g. with rounded corners circular partial circles, i.e. circular segments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for modular
    • A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
    • A61F2002/4435—Support means or repair of the natural disc wall, i.e. annulus, e.g. using plates, membranes or meshes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4687—Mechanical guides for implantation instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0006—Rounded shapes, e.g. with rounded corners circular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation

Abstract

A system for accessing a spine from a curved postero-lateral approach may include a curved cannula positioned along a curved path from an opening in the skin to a location proximate the spine. A targeting post may be inserted adjacent the spine to determine the location. A peritoneal retractor and a guide member may be first inserted to establish the path between the tissues and fascia, and one or more intermediate cannulas may be temporarily inserted over the guide member to dilate the tissues prior to insertion of the main cannula. An interbody device may be implanted in an intervertebral space through the cannula. An endoscope may be inserted through the targeting post or the cannula. The system may include instruments with shafts which are flexible or are curved to match the curve of the curved cannula, including a rongeur, curette, rasp, distractor, trial implant, probe, tamp, and implant inserter.
PCT/US2007/083625 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine WO2008058070A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2009535492A JP2010508911A (en) 2006-11-03 2007-11-05 Apparatus and method for providing surgical access to the spine
KR1020097011509A KR20090106466A (en) 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine
AU2007316454A AU2007316454A1 (en) 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine
EP07863903A EP2083718A4 (en) 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine
CA002668194A CA2668194A1 (en) 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US85668206P 2006-11-03 2006-11-03
US60/856,682 2006-11-03
US11/831,698 US8025664B2 (en) 2006-11-03 2007-07-31 System and method for providing surgical access to a spine
US11/831,728 2007-07-31
US11/831,728 US8057481B2 (en) 2006-11-03 2007-07-31 System and method for providing surgical access to a spine
US11/831,698 2007-07-31
US11/934,636 US8597299B2 (en) 2006-11-03 2007-11-02 Instrumentation and method for providing surgical access to a spine
US11/934,636 2007-11-02

Publications (2)

Publication Number Publication Date
WO2008058070A2 WO2008058070A2 (en) 2008-05-15
WO2008058070A3 true WO2008058070A3 (en) 2008-10-30

Family

ID=39854412

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/083625 WO2008058070A2 (en) 2006-11-03 2007-11-05 Instrumentation and method for providing surgical access to a spine

Country Status (7)

Country Link
US (4) US8025664B2 (en)
EP (1) EP2083718A4 (en)
JP (1) JP2010508911A (en)
KR (1) KR20090106466A (en)
AU (1) AU2007316454A1 (en)
CA (1) CA2668194A1 (en)
WO (1) WO2008058070A2 (en)

Families Citing this family (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8105382B2 (en) 2006-12-07 2012-01-31 Interventional Spine, Inc. Intervertebral implant
US8062217B2 (en) 2007-01-26 2011-11-22 Theken Spine, Llc Surgical retractor with removable blades and method of use
US20080183192A1 (en) 2007-01-26 2008-07-31 Laurimed Llc Contralateral insertion method to treat herniation with device using visualization components
JP5271281B2 (en) 2007-02-09 2013-08-21 アルファテック スパイン， インコーポレイテッド Curved spine access method and device
US8900307B2 (en) 2007-06-26 2014-12-02 DePuy Synthes Products, LLC Highly lordosed fusion cage
US8597301B2 (en) * 2007-10-19 2013-12-03 David Mitchell Cannula with lateral access and directional exit port
EP2471493A1 (en) 2008-01-17 2012-07-04 Synthes GmbH An expandable intervertebral implant and associated method of manufacturing the same
FR2929099B1 (en) * 2008-03-28 2011-05-06 Jean Charles Persat DEVICE FOR THE INJECTION IN THE ORGANISM OF A VISCOUS FLUID
WO2009124192A1 (en) 2008-04-02 2009-10-08 Laurimed, Llc Methods and devices for delivering injections
BRPI0910325A8 (en) 2008-04-05 2019-01-29 Synthes Gmbh expandable intervertebral implant
US9357985B2 (en) * 2008-05-15 2016-06-07 Spinal Elements, Inc. Method for accessing a spinal facet joint
US20100076500A1 (en) * 2008-09-22 2010-03-25 Bray Robert S Insertion tool and guide system
US20110009694A1 (en) 2009-07-10 2011-01-13 Schultz Eric E Hand-held minimally dimensioned diagnostic device having integrated distal end visualization
US8992558B2 (en) 2008-12-18 2015-03-31 Osteomed, Llc Lateral access system for the lumbar spine
EP2376004A4 (en) * 2008-12-18 2014-04-30 Osteomed Llc Systems and methods for dilation and dissection of tissues
US20100198140A1 (en) * 2009-02-05 2010-08-05 Kevin Jon Lawson Percutaneous tools and bone pellets for vertebral body reconstruction
US9788869B2 (en) * 2009-02-27 2017-10-17 DePuy Synthes Products, Inc. Spinal fixation element rotation instrument
US20110319912A1 (en) * 2009-03-06 2011-12-29 Ntn Corporation Navigation system for remote-controlled actuator
US9526620B2 (en) 2009-03-30 2016-12-27 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
JP5627667B2 (en) * 2009-04-03 2014-11-19 ハーデンブルック、ミッチェル エイ．ＨＡＲＤＥＮＢＲＯＯＫ，Ｍｉｔｃｈｅｌｌ Ａ． Surgical retractor assembly
US8287597B1 (en) 2009-04-16 2012-10-16 Nuvasive, Inc. Method and apparatus for performing spine surgery
US8328587B2 (en) * 2009-04-20 2012-12-11 Bal Seal Engineering, Inc. In-line connector stack with testing capability
EP2451404B1 (en) 2009-07-09 2015-12-16 R Tree Innovations, LLC Flexible inter-body implant
AU2010274662A1 (en) * 2009-07-20 2012-03-08 The Adelman Research Ltd Surgical access device
JP5538795B2 (en) * 2009-09-28 2014-07-02 Ｎｔｎ株式会社 Remote control type actuator
US9028553B2 (en) 2009-11-05 2015-05-12 DePuy Synthes Products, Inc. Self-pivoting spinal implant and associated instrumentation
EP2496160B1 (en) 2009-11-06 2017-08-23 Mark Crawford Spinal surgery apparatus and method
JP2013510668A (en) * 2009-11-11 2013-03-28 アルファテック スパイン， インコーポレイテッド Method and device for securing a portal to a spine
US9393129B2 (en) 2009-12-10 2016-07-19 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US8343045B2 (en) * 2010-04-05 2013-01-01 Intuitive Surgical Operations, Inc. Curved cannula
US8728162B2 (en) 2010-04-15 2014-05-20 Osteomed, Llc Direct lateral spine system instruments, implants 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
EP2588034B1 (en) 2010-06-29 2018-01-03 Synthes GmbH Distractible intervertebral implant
US8685052B2 (en) 2010-06-30 2014-04-01 Laurimed, Llc Devices and methods for cutting tissue
CN103068327B (en) 2010-06-30 2015-08-05 劳瑞弥徳有限责任公司 For excising and withdraw from the apparatus and method of tissue
CN103209650B (en) * 2010-09-20 2016-06-08 脊柱诊察公司 Bushing type cutter
US9402732B2 (en) 2010-10-11 2016-08-02 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
JP3165179U (en) 2010-10-21 2011-01-06 株式会社湊川金属テストピース製作所 Pedicle insertion instrument guide device
US9271754B2 (en) * 2010-12-16 2016-03-01 Boston Scientific Scimed, Inc. Movable curved needle for delivering implants and methods of delivering implants
CA2826653A1 (en) * 2011-02-11 2012-08-16 Terumo Kabushiki Kaisha Interspinous process spacing device
US8518087B2 (en) 2011-03-10 2013-08-27 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8394129B2 (en) 2011-03-10 2013-03-12 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
EP3485851B1 (en) 2011-03-22 2021-08-25 DePuy Synthes Products, LLC Universal trial for lateral cages
WO2013005532A1 (en) * 2011-07-04 2013-01-10 テルモ株式会社 Implant assembly
US9345472B2 (en) 2011-09-02 2016-05-24 Boston Scientific Scimed, Inc. Multi-arm tool for delivering implants and methods thereof
US9622779B2 (en) * 2011-10-27 2017-04-18 DePuy Synthes Products, Inc. Method and devices for a sub-splenius / supra-levator scapulae surgical access technique
US8795167B2 (en) 2011-11-15 2014-08-05 Baxano Surgical, Inc. Spinal therapy lateral approach access instruments
US9770289B2 (en) 2012-02-10 2017-09-26 Myromed, Llc Vacuum powered rotary devices and methods
US9226764B2 (en) 2012-03-06 2016-01-05 DePuy Synthes Products, Inc. Conformable soft tissue removal instruments
US10363140B2 (en) 2012-03-09 2019-07-30 Si-Bone Inc. Systems, device, and methods for joint fusion
US10507027B2 (en) 2012-08-03 2019-12-17 Boss Instruments, Ltd., Inc. Push button rongeur
JP6258935B2 (en) 2012-08-03 2018-01-10 ボス・インストゥルメンツ・リミテッド Push-button bone forceps
US20140067069A1 (en) 2012-08-30 2014-03-06 Interventional Spine, Inc. Artificial disc
WO2014041647A1 (en) 2012-09-12 2014-03-20 テルモ株式会社 Puncture assisting tool and puncture tool assembly
WO2014045331A1 (en) * 2012-09-18 2014-03-27 テルモ株式会社 Puncturing tool and puncturing-tool assembly
EP2732777B1 (en) * 2012-11-14 2015-09-16 Biedermann Technologies GmbH & Co. KG Targeting device for guiding a drill arrangement
US10022245B2 (en) 2012-12-17 2018-07-17 DePuy Synthes Products, Inc. Polyaxial articulating instrument
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US9277928B2 (en) 2013-03-11 2016-03-08 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US9993353B2 (en) 2013-03-14 2018-06-12 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
EP2886074B1 (en) * 2013-12-20 2016-09-14 Biedermann Technologies GmbH & Co. KG Rod insertion device
US9370295B2 (en) 2014-01-13 2016-06-21 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
US11547446B2 (en) 2014-01-13 2023-01-10 Trice Medical, Inc. Fully integrated, disposable tissue visualization device
US8815099B1 (en) 2014-01-21 2014-08-26 Laurimed, Llc Devices and methods for filtering and/or collecting tissue
US10166033B2 (en) 2014-09-18 2019-01-01 Si-Bone Inc. Implants for bone fixation or fusion
WO2016130844A1 (en) 2015-02-13 2016-08-18 Trice Medical, Inc. Tissue visualization and modification devices and methods
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US20180049754A1 (en) * 2015-03-13 2018-02-22 Redemed S.R.L. Intervertebral prosthesis, apparatus for implanting intervertebral prostheses and surgical method for implanting intervertebral prostheses, particularly for percutaneous mini-invasive surgery procedures
AU2016262505B2 (en) 2015-05-11 2021-03-11 Providence Medical Technology, Inc. Bone screw and implant delivery device
US9943342B2 (en) 2015-05-11 2018-04-17 Providence Medical Technology, Inc. Methods for implanting a bone screw
US10312541B2 (en) * 2015-07-30 2019-06-04 Triad National Security, Llc Polyol-based compositions comprising cationic group-functionalized polyphenylene polymers
CN113243977A (en) 2015-08-11 2021-08-13 特里斯医疗有限公司 Fully integrated disposable tissue visualization device
US11602368B2 (en) 2015-09-04 2023-03-14 Jeffrey Scott Smith Posterior to lateral interbody fusion approach with associated instrumentation and implants
US10524819B2 (en) * 2015-09-04 2020-01-07 Jeffrey Scott Smith Posterior to lateral interbody fusion approach with associated instrumentation and implants
DE102015012171A1 (en) * 2015-09-23 2017-03-23 Joimax Gmbh Guide sleeve and sets with guide sleeve for spine surgery
US10368881B2 (en) 2016-06-03 2019-08-06 Quandary Medical, Llc Method and apparatus for minimally invasive posterolateral spinal fusion
US11596522B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable intervertebral cages with articulating joint
US11510788B2 (en) 2016-06-28 2022-11-29 Eit Emerging Implant Technologies Gmbh Expandable, angularly adjustable intervertebral cages
WO2018039228A1 (en) 2016-08-23 2018-03-01 Stryker European Holdings I, Llc Instrumentation for the implantation of spinal implants
WO2018067794A1 (en) * 2016-10-05 2018-04-12 Nuvasive, Inc. Surgical navigation system 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
US10966843B2 (en) 2017-07-18 2021-04-06 DePuy Synthes Products, Inc. Implant inserters and related methods
US11045331B2 (en) 2017-08-14 2021-06-29 DePuy Synthes Products, Inc. Intervertebral implant inserters and related methods
US11116519B2 (en) 2017-09-26 2021-09-14 Si-Bone Inc. Systems and methods for decorticating the sacroiliac joint
US11191532B2 (en) 2018-03-30 2021-12-07 Stryker European Operations Holdings Llc Lateral access retractor and core insertion
US10687828B2 (en) * 2018-04-13 2020-06-23 Surgentec, Llc Bone graft delivery system and method for using same
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
AU2020223180A1 (en) 2019-02-14 2021-07-22 Si-Bone Inc. Implants for spinal fixation and or fusion
US11564674B2 (en) 2019-11-27 2023-01-31 K2M, Inc. Lateral access system and method of use
WO2021120046A1 (en) 2019-12-18 2021-06-24 Covidien Lp Surgical stapling device with shipping cap
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
JP2023553120A (en) 2020-12-09 2023-12-20 エスアイ－ボーン・インコーポレイテッド Sacroiliac joint stabilization implants and implant methods
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
CN116784948B (en) * 2023-08-25 2023-10-27 四川省医学科学院·四川省人民医院 Sinus type wound surface treatment device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6796983B1 (en) * 1997-01-02 2004-09-28 St. Francis Medical Technologies, Inc. Spine distraction implant and method
WO2005032358A2 (en) * 2003-10-02 2005-04-14 Endius, Inc. Methods, systems and apparatuses for performing minimally invasive spinal procedures
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement

Family Cites Families (116)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3090386A (en) 1961-07-20 1963-05-21 Curtis Scott Company Surgical suturing instrument
US3556103A (en) 1968-03-15 1971-01-19 Edward J Calhoun Tracheotomy instrument
US3608539A (en) 1968-11-06 1971-09-28 Daniel G Miller Method for the biopsy of subcutaneous masses
US3570498A (en) 1970-03-09 1971-03-16 Charles Weighton Trocar and cannula for veterinary use
US3964480A (en) * 1974-10-03 1976-06-22 Froning Edward C Apparatus for sterotaxic lateral extradural disc puncture
US3941127A (en) 1974-10-03 1976-03-02 Froning Edward C Apparatus and method for stereotaxic lateral extradural disc puncture
US3946740A (en) 1974-10-15 1976-03-30 Bassett John W Suturing device
US3948274A (en) 1975-01-20 1976-04-06 Lanz Medical Products Corporation Tracheal tube with disposable cannula
US4265231A (en) 1979-04-30 1981-05-05 Scheller Jr Arnold D Curved drill attachment for bone drilling uses
US4335715A (en) 1980-06-20 1982-06-22 Kirkley William H Osteotomy guide
DE3025785C2 (en) 1980-07-08 1984-08-16 Storz, Karl, 7200 Tuttlingen Dilator, method for its use and device for carrying out the method
US4312337A (en) 1980-09-08 1982-01-26 Donohue Brian T Cannula and drill guide apparatus
US4545374A (en) 1982-09-03 1985-10-08 Jacobson Robert E Method and instruments for performing a percutaneous lumbar diskectomy
HU187011B (en) 1983-01-14 1985-10-28 Orvosi Mueszer Sz Trachea canula
US4541423A (en) 1983-01-17 1985-09-17 Barber Forest C Drilling a curved hole
US4511356A (en) 1983-02-22 1985-04-16 Edward C. Froning Cannula, obturator, stylet and needle hub connectors for lumbar disc puncture
US4573448A (en) 1983-10-05 1986-03-04 Pilling Co. Method for decompressing herniated intervertebral discs
CA1224097A (en) 1984-02-14 1987-07-14 Geoffrey S. Martin Biopsy catheter
US4722331A (en) 1985-09-03 1988-02-02 Fox James M Orthopaedic tool guide
US4686972A (en) 1986-04-30 1987-08-18 Kurland Kenneth Z Surgical deflector and drilling guide
US4883048A (en) 1986-10-03 1989-11-28 Purnell Mark L Apparatus and method for use in performing a surgical operation
DE8704901U1 (en) 1987-04-02 1987-07-23 Kluger, Patrick, Dr.Med., 3590 Bad Wildungen, De
US4863430A (en) 1987-08-26 1989-09-05 Surgical Dynamics, Inc. Introduction set with flexible trocar with curved cannula
US4926860A (en) 1988-02-05 1990-05-22 Flexmedics Corporation ARthroscopic instrumentation and method
US4862891A (en) * 1988-03-14 1989-09-05 Canyon Medical Products Device for sequential percutaneous dilation
CN1128944A (en) * 1988-06-13 1996-08-14 卡林技术公司 Apparatus and method of inserting spinal implants
US5484437A (en) * 1988-06-13 1996-01-16 Michelson; Gary K. Apparatus and method of inserting spinal implants
US5772661A (en) * 1988-06-13 1998-06-30 Michelson; Gary Karlin Methods and instrumentation for the surgical correction of human thoracic and lumbar spinal disease from the antero-lateral aspect of the spine
US5080662A (en) 1989-11-27 1992-01-14 Paul Kamaljit S Spinal stereotaxic device and method
US5300077A (en) 1990-07-16 1994-04-05 Arthrotek Method and instruments for ACL reconstruction
US5163940A (en) 1991-03-04 1992-11-17 American Cyanamid Company Surgical drill guide for tibia
US5285795A (en) * 1991-09-12 1994-02-15 Surgical Dynamics, Inc. Percutaneous discectomy system having a bendable discectomy probe and a steerable cannula
US5242444A (en) 1991-11-04 1993-09-07 University Of Florida Lumbosacral fixation and fusion method and device
US6277112B1 (en) 1996-07-16 2001-08-21 Arthrocare Corporation Methods for electrosurgical spine surgery
SE9200597D0 (en) 1992-02-28 1992-02-28 Astra Ab HIP JOINT PROSTHESIS II
ATE185062T1 (en) * 1993-02-10 1999-10-15 Sulzer Spine Tech Inc TOOL SET FOR STABILIZING THE SPINE
US5334205A (en) 1993-06-30 1994-08-02 The United States Of America As Represented By The Secretary Of The Air Force Sacroiliac joint fixation guide
US5330468A (en) 1993-10-12 1994-07-19 Burkhart Stephen S Drill guide device for arthroscopic surgery
US5458602A (en) 1994-01-11 1995-10-17 Mitek Surgical Products, Inc. Surgical drill guide
US5601562A (en) 1995-02-14 1997-02-11 Arthrex, Inc. Forked insertion tool and metnod of arthroscopic surgery using the same
US5860973A (en) * 1995-02-27 1999-01-19 Michelson; Gary Karlin Translateral spinal implant
US6245072B1 (en) * 1995-03-27 2001-06-12 Sdgi Holdings, Inc. Methods and instruments for interbody fusion
US5613971A (en) 1995-08-11 1997-03-25 Depuy Inc. Ratcheting tibial and femoral guide
DE59505399D1 (en) 1995-11-30 1999-04-22 Siemag Transplan Gmbh Process for regulating a computer-controlled storage and retrieval machine
CA2199462C (en) * 1996-03-14 2006-01-03 Charles J. Winslow Method and instrumentation for implant insertion
JP2000511788A (en) 1996-03-22 2000-09-12 エスディージーアイ・ホールディングス・インコーポレーテッド Percutaneous surgical device and method
US5741261A (en) * 1996-06-25 1998-04-21 Sdgi Holdings, Inc. Minimally invasive spinal surgical methods and instruments
US6733496B2 (en) 2001-06-06 2004-05-11 Oratec Interventions, Inc. Intervertebral disc device employing flexible probe
US5725532A (en) 1996-09-10 1998-03-10 Shoemaker; Steven Integrated surgical reduction clamp and drill guide
EP1230902A1 (en) * 1996-11-15 2002-08-14 Advanced Bio Surfaces, Inc. Biomaterial system for in situ tissue repair
US6068630A (en) 1997-01-02 2000-05-30 St. Francis Medical Technologies, Inc. Spine distraction implant
US6042582A (en) * 1997-05-20 2000-03-28 Ray; Charles D. Instrumentation and method for facilitating insertion of spinal implant
US6226548B1 (en) 1997-09-24 2001-05-01 Surgical Navigation Technologies, Inc. Percutaneous registration apparatus and method for use in computer-assisted surgical navigation
US6224603B1 (en) 1998-06-09 2001-05-01 Nuvasive, Inc. Transiliac approach to entering a patient's intervertebral space
US6592559B1 (en) 1998-12-09 2003-07-15 Cook Incorporated Hollow, curved, superlastic medical needle
US6564078B1 (en) * 1998-12-23 2003-05-13 Nuvasive, Inc. Nerve surveillance cannula systems
EP1253854A4 (en) 1999-03-07 2010-01-06 Discure Ltd Method and apparatus for computerized surgery
AU4611899A (en) 1999-06-16 2001-01-02 Thomas Hoogland Method of and apparatus for decompressing herniated intervertebral discs
JP4326134B2 (en) 1999-10-20 2009-09-02 ウォーソー・オーソペディック・インコーポレーテッド Method and apparatus for performing a surgical procedure
US6530929B1 (en) * 1999-10-20 2003-03-11 Sdgi Holdings, Inc. Instruments for stabilization of bony structures
WO2001028469A2 (en) 1999-10-21 2001-04-26 Sdgi Holdings, Inc. Devices and techniques for a posterior lateral disc space approach
US6830570B1 (en) 1999-10-21 2004-12-14 Sdgi Holdings, Inc. Devices and techniques for a posterior lateral disc space approach
US6764491B2 (en) 1999-10-21 2004-07-20 Sdgi Holdings, Inc. Devices and techniques for a posterior lateral disc space approach
FR2804597B1 (en) 2000-02-04 2002-04-26 Soprane Sa HYPER-ELASTIC NEEDLE
US6740090B1 (en) 2000-02-16 2004-05-25 Trans1 Inc. Methods and apparatus for forming shaped axial bores through spinal vertebrae
US20030191474A1 (en) 2000-02-16 2003-10-09 Cragg Andrew H. Apparatus for performing a discectomy through a trans-sacral axial bore within the vertebrae of the spine
US6416465B2 (en) 2000-04-14 2002-07-09 Salvador A. Brau Surgical retractor and related surgical approach to access the anterior lumbar region
GB2366705B (en) * 2000-08-29 2004-07-14 Motorola Inc Communications system, communications unit and method of operation
US6824565B2 (en) 2000-09-08 2004-11-30 Nabil L. Muhanna System and methods for inserting a vertebral spacer
AU2434501A (en) 2000-09-07 2002-03-22 Sherwood Serv Ag Apparatus for and treatment of the intervertebral disc
EP1192908A3 (en) * 2000-10-02 2004-05-26 Howmedica Osteonics Corp. System and method for spinal reconstruction
US6669698B1 (en) 2000-10-24 2003-12-30 Sdgi Holdings, Inc. Vertebrae fastener placement guide
US6419678B1 (en) 2000-11-28 2002-07-16 Wilson T. Asfora Curved drill guide system
US6929606B2 (en) * 2001-01-29 2005-08-16 Depuy Spine, Inc. Retractor and method for spinal pedicle screw placement
US20020156420A1 (en) 2001-04-20 2002-10-24 Anderson Mark L. Fluid delivery cannula technology
US6638276B2 (en) 2001-06-06 2003-10-28 Oratec Interventions, Inc. Intervertebral disc device employing prebent sheath
US20040038242A1 (en) 2001-07-30 2004-02-26 Edmonds Brian Taylor Novel secreted proteins and their uses
US6547795B2 (en) 2001-08-13 2003-04-15 Depuy Acromed, Inc. Surgical guide system for stabilization of the spine
US7175633B2 (en) 2001-10-17 2007-02-13 Synthes (Usa) Orthopedic implant insertion instruments
US7008431B2 (en) * 2001-10-30 2006-03-07 Depuy Spine, Inc. Configured and sized cannula
US20050165405A1 (en) 2001-11-30 2005-07-28 Tsou Paul M. Minimal access apparatus for endoscopic spinal surgery
US20040153005A1 (en) 2002-01-03 2004-08-05 Krueger John A. Bone marrow aspiration device with curved tip
US6980849B2 (en) 2002-04-17 2005-12-27 Ricardo Sasso Instrumentation and method for performing image-guided spinal surgery using an anterior surgical approach
US20030208202A1 (en) 2002-05-04 2003-11-06 Falahee Mark H. Percutaneous screw fixation system
US20050261773A1 (en) 2002-05-15 2005-11-24 Ferree Bret A Lateral-approach artificial disc replacements
US7052497B2 (en) 2002-08-14 2006-05-30 Sdgi Holdings, Inc. Techniques for spinal surgery and attaching constructs to vertebral elements
US7074226B2 (en) * 2002-09-19 2006-07-11 Sdgi Holdings, Inc. Oval dilator and retractor set and method
US20040106997A1 (en) 2002-11-01 2004-06-03 Lieberson Robert E. Apparatus and method for creating a surgical channel
FR2846550B1 (en) 2002-11-05 2006-01-13 Ldr Medical INTERVERTEBRAL DISC PROSTHESIS
JP4158022B2 (en) * 2002-11-29 2008-10-01 ブリヂストンスポーツ株式会社 Two piece solid golf ball
JP2006510452A (en) 2002-12-17 2006-03-30 アメディカ コーポレイション Total disc implant
US7662128B2 (en) 2002-12-23 2010-02-16 Salcudean Septimiu E Steerable needle
US6875219B2 (en) 2003-02-14 2005-04-05 Yves P. Arramon Bone access system
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
US7473267B2 (en) 2003-04-25 2009-01-06 Warsaw Orthopedic, Inc. System and method for minimally invasive posterior fixation
US20050021040A1 (en) 2003-07-21 2005-01-27 Rudolf Bertagnoli Vertebral retainer-distracter and method of using same
US7905840B2 (en) 2003-10-17 2011-03-15 Nuvasive, Inc. Surgical access system and related methods
EP1691848B1 (en) 2003-10-23 2012-08-22 TRANS1, Inc. Tools and tool kits for performing minimally invasive procedures on the spine
US7597694B2 (en) 2004-01-30 2009-10-06 Warsaw Orthopedic, Inc. Instruments and methods for minimally invasive spinal stabilization
US20060064101A1 (en) 2004-02-12 2006-03-23 Arthrocare Corporation Bone access system
US20050209610A1 (en) 2004-03-03 2005-09-22 Scimed Life Systems, Inc. Radially adjustable tissue removal device
US7338527B2 (en) 2004-05-11 2008-03-04 Geoffrey Blatt Artificial spinal disc, insertion tool, and method of insertion
US7503920B2 (en) 2004-08-11 2009-03-17 Tzony Siegal Spinal surgery system and method
US20060036241A1 (en) 2004-08-11 2006-02-16 Tzony Siegal Spinal surgery system and method
US7396360B2 (en) 2004-09-29 2008-07-08 The Cleveland Clinic Foundation Minimally invasive method and apparatus for fusing adjacent vertebrae
US20060085010A1 (en) * 2004-09-29 2006-04-20 The Cleveland Clinic Foundation Minimally invasive method and apparatus for placing facet screws and fusing adjacent vertebrae
US7951153B2 (en) 2004-10-05 2011-05-31 Samy Abdou Devices and methods for inter-vertebral orthopedic device placement
US8348908B2 (en) 2004-12-16 2013-01-08 Smiths Medical Asd, Inc. Catheter with direction orientation
US20060195102A1 (en) 2005-02-17 2006-08-31 Malandain Hugues F Apparatus and method for treatment of spinal conditions
AU2006214169A1 (en) 2005-02-17 2006-08-24 Kyphon Sarl Percutaneous spinal implants and methods
US7559929B2 (en) 2005-02-18 2009-07-14 Warsaw Orthopedic, Inc. Implants and methods for positioning same in surgical approaches to the spine
US7588571B2 (en) * 2005-03-18 2009-09-15 Ron Anthon Olsen Adjustable splint for osteosynthesis with modular joint
US7763078B2 (en) 2005-03-28 2010-07-27 Warsaw Orthopedic, Inc. Spinal device including lateral approach
US7749269B2 (en) 2005-03-28 2010-07-06 Warsaw Orthopedic, Inc. Spinal system and method including lateral approach
US7325260B1 (en) 2007-01-22 2008-02-05 Hoyt Bruce E Bag and apparatus for retrofitting an extendable and retractable showerhead to existing fixed showerhead locations
US20080249531A1 (en) * 2007-02-27 2008-10-09 Warsaw Orthopedic, Inc. Instruments and methods for minimally invasive insertion of dynamic implants

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6796983B1 (en) * 1997-01-02 2004-09-28 St. Francis Medical Technologies, Inc. Spine distraction implant and method
WO2005032358A2 (en) * 2003-10-02 2005-04-14 Endius, Inc. Methods, systems and apparatuses for performing minimally invasive spinal procedures
US20060149278A1 (en) * 2004-11-24 2006-07-06 Abdou Amy M Devices and methods for inter-vertebral orthopedic device placement

Also Published As

Publication number Publication date
US8057481B2 (en) 2011-11-15
US8025664B2 (en) 2011-09-27
US20090012568A1 (en) 2009-01-08
WO2008058070A2 (en) 2008-05-15
EP2083718A2 (en) 2009-08-05
US8632550B2 (en) 2014-01-21
US8597299B2 (en) 2013-12-03
AU2007316454A1 (en) 2008-05-15
KR20090106466A (en) 2009-10-09
US20080306481A1 (en) 2008-12-11
US20120022537A1 (en) 2012-01-26
JP2010508911A (en) 2010-03-25
US20080255563A1 (en) 2008-10-16
EP2083718A4 (en) 2012-12-05
CA2668194A1 (en) 2008-05-15

Similar Documents

Publication Publication Date Title
WO2008058070A3 (en) Instrumentation and method for providing surgical access to a spine
CN101815475B (en) Dilation system
AU6630900A (en) Minimal exposure posterior spinal interbody instrumentation and technique
WO2007067909A3 (en) Instruments and techniques for delivering non-rigid implant members in surgical procedures
DE60334716D1 (en) INTRODUCTION SYSTEM FOR MINIMALLY INVASIVE OPERATING INSTRUMENTS
WO2008070262A3 (en) Apparatus and method for targeting a body tissue
US9241722B2 (en) Surgical pin guide and methods of use
WO2007124352A3 (en) Monorail system for use in spinal fusion surgery
WO2009067433A3 (en) Anal surgical instrument guides
ATE300916T1 (en) INSTRUMENT FOR SPINAL SURGERY
WO2005020827A3 (en) Devices and techniques for a minimally invasive disc space preparation and implant insertion
US8979861B2 (en) Method and system for performing spinal surgical procedures using natural orifices
WO2007002251A3 (en) Surgical access instruments for use with spinal or orthopedic surgery
WO2006050225A3 (en) Apparatus and methods for performing brain surgery
WO2011019699A3 (en) Intervertebral implant with integrated fixation
WO2006014385A3 (en) Sequential dilator system
WO2005032358A3 (en) Methods, systems and apparatuses for performing minimally invasive spinal procedures
WO2004032807A3 (en) Insertion device and techniques for orthopaedic implants
WO2003094741A3 (en) Minimally invasive instruments and methods for inserting implants
WO2004096055A3 (en) Minimally invasive instruments for preparing vertebral endplates
WO2008088645A3 (en) Trans urinary bladder access device and method
CA2670438A1 (en) Curved orthopedic tool
WO2007140449A3 (en) Bifurcated endoscopy cannula
US20210378774A1 (en) Tissue protector and method of use
WO2007002392A3 (en) Expandable surgical site access system

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 07863903

Country of ref document: EP

Kind code of ref document: A2

ENP Entry into the national phase

Ref document number: 2009535492

Country of ref document: JP

Kind code of ref document: A

WWE Wipo information: entry into national phase

Ref document number: 2668194

Country of ref document: CA

NENP Non-entry into the national phase

Ref country code: DE

WWE Wipo information: entry into national phase

Ref document number: 2007863903

Country of ref document: EP

WWE Wipo information: entry into national phase

Ref document number: 2007316454

Country of ref document: AU

WWE Wipo information: entry into national phase

Ref document number: 3631/DELNP/2009

Country of ref document: IN

Ref document number: 1020097011509

Country of ref document: KR

ENP Entry into the national phase

Ref document number: 2007316454

Country of ref document: AU

Date of ref document: 20071105

Kind code of ref document: A