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US006520967B1
(12) United States Patent ao) Patent No.: us 6,520,967 Bi
Cauthen (45) Date of Patent: Feb. 18,2003
(54) SPINAL IMPLANT INSERTION
INSTRUMENT FOR SPINAL INTERBODY
PROSTHESES
(75) Inventor: Joseph C. Cauthen, Gainesville, FL
(US)
(73) Assignee: Cauthen Research Group, Inc.,
Gainesville, FL (US)
( * ) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(b) by 0 days.
(21) Appl. No.: 09/570,648
(22) Filed: May 15, 2000
Related U.S. Application Data
(60) Provisional application No. 60/160,711, filed on Oct. 20, 1999.
(51) Int. CI.7 A61B 17/58
(52) U.S. CI 606/99; 606/86; 606/90;
606/96; 600/219; 600/235
(58) Field of Search 606/53, 90, 57,
606/86, 60, 61, 99, 104; 600/201, 204-206, 210, 213-216, 218-222, 224-226, 235;
623/17.16
(56) References Cited
U.S. PATENT DOCUMENTS
3,916,907 A 11/1975 Peterson 128/345
4,545,374 A * 10/1985 Jacobson 128/303
4,772,287 A 9/1988 Ray et al 623/17
4,898,161 A 2/1990 Grandei 606/105
5,015,247 A 5/1991 Michelson 606/61
5,020,519 A * 6/1991 Hayes et al 128/96
5,431,658 A 7/1995 Moskovich 606/99
5,484,437 A 1/1996 Michelson 606/61
5,540,697 A * 7/1996 Rehmann et al 606/91
5,720,751 A * 2/1998 Jackson 606/86
5,741,253 A 4/1998 Michelson 606/61
5,755,732 A 5/1998 Green et al 606/170
5,785,647 A 7/1998 Tompkins et al 600/201
5,797,909 A 8/1998 Michelson 606/61
5,803,904 A 9/1998 Mehdizadeh 600/235
5,885,300 A 3/1999 Tokuhashi et al 606/99
6,080,155 A 6/2000 Michelson 600/61
6,096,044 A * 8/2000 Boyd et al 606/96
FOREIGN PATENT DOCUMENTS
EP 739614 A 10/1996
WO 9801091 1/1998
WO 9817209 4/1998
WO 0001293 1/2000
* cited by examiner
Primary Examiner—David J. Isabella
Assistant Examiner—Umi Chattopadhyay
(74) Attorney, Agent, or Firm—Saliwanchik, Lloyd &
Saliwanchik
(57) ABSTRACT
A spinal implant insertion instrument for intervertebral implant surgery formed from a hollow first element of various external diameters, including a channel to accommodate and incorporate a vertebral pedicle, and a second element joined by a hinge to the first element, allowing reduction of the external diameter of the leading edge of the spinal implant insertion element sufficient to allow the passage of the spinal implant insertion instrument into the inteivertebral disc space in a safe fashion, as the first maneuver, to be followed by activation of the second element upon the first, restoring the internal diameter of the spinal implant insertion instrument to a sufficient radius to allow successive passage of cutting, reaming, tapping instruments, and subsequent implantation of a spinal interbody implant device. The design of this instrument reduces traction uponsensitive neural elements, allows controlled removal of the medial portion of the vertebral pedicle, distracts the intervertebral disc space, and allows safe passage of reaming, tapping, and spinal implant insertion devices through the expanded bore of the spinal implant insertion instrument.
10 Claims, 11 Drawing Sheets