CA2548729C - Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale - Google Patents

Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale Download PDF

Info

Publication number: CA2548729C
Authority: CA; Canada
Prior art keywords: spinal; fixation element; spinal fixation; access device; anchor
Prior art date: 2003-12-16
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

Application number

CA2548729A

Other languages

English (en)

Other versions

CA2548729A1 (fr

Inventor

David Greg Anderson

Christopher W. Sicvol

George Joseph Ross

Sean P. Selover

Nancy M. Sheehy

Ramon Alberto Ruberte

Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)

DePuy Spine LLC

Original Assignee

DePuy Spine LLC

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.)

2003-12-16

Filing date

2004-11-29

Publication date

2012-01-10

2003-12-16 Priority claimed from US10/738,130 external-priority patent/US7527638B2/en

2004-11-29 Application filed by DePuy Spine LLC filed Critical DePuy Spine LLC

2004-11-29 Priority to CA2752539A priority Critical patent/CA2752539C/fr

2005-07-07 Publication of CA2548729A1 publication Critical patent/CA2548729A1/fr

2012-01-10 Application granted granted Critical

2012-01-10 Publication of CA2548729C publication Critical patent/CA2548729C/fr

2024-11-29 Anticipated expiration legal-status Critical

Status Expired - Fee Related legal-status Critical Current

Links

238000000034 method Methods 0.000 title abstract description 54
230000007704 transition Effects 0.000 claims description 4
210000003205 muscle Anatomy 0.000 abstract description 33
238000002224 dissection Methods 0.000 abstract description 10
230000037361 pathway Effects 0.000 description 24
239000007943 implant Substances 0.000 description 14
230000007246 mechanism Effects 0.000 description 14
210000001519 tissue Anatomy 0.000 description 13
210000000988 bone and bone Anatomy 0.000 description 11
238000001356 surgical procedure Methods 0.000 description 7
238000003780 insertion Methods 0.000 description 5
230000037431 insertion Effects 0.000 description 5
230000006835 compression Effects 0.000 description 4
238000007906 compression Methods 0.000 description 4
210000003195 fascia Anatomy 0.000 description 4
208000014674 injury Diseases 0.000 description 4
230000013011 mating Effects 0.000 description 4
238000002360 preparation method Methods 0.000 description 4
230000008569 process Effects 0.000 description 4
230000008733 trauma Effects 0.000 description 4
238000004873 anchoring Methods 0.000 description 3
230000000399 orthopedic effect Effects 0.000 description 3
238000013459 approach Methods 0.000 description 2
230000000712 assembly Effects 0.000 description 2
238000000429 assembly Methods 0.000 description 2
238000002594 fluoroscopy Methods 0.000 description 2
238000011084 recovery Methods 0.000 description 2
208000004550 Postoperative Pain Diseases 0.000 description 1
230000001133 acceleration Effects 0.000 description 1
230000015572 biosynthetic process Effects 0.000 description 1
238000004132 cross linking Methods 0.000 description 1
230000007423 decrease Effects 0.000 description 1
230000010339 dilation Effects 0.000 description 1
230000004927 fusion Effects 0.000 description 1
230000035876 healing Effects 0.000 description 1
238000003384 imaging method Methods 0.000 description 1
238000002513 implantation Methods 0.000 description 1
230000002401 inhibitory effect Effects 0.000 description 1
230000001681 protective effect Effects 0.000 description 1
239000000523 sample Substances 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
- 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 or setting implements
- 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, e.g. 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
- 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 or setting implements
- 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
- A61B17/16—Instruments for performing osteoclasis; 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
- 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
- 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 or setting implements
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- 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, e.g. 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
- 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 or setting implements
- 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, e.g. 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
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; 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
- 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 or setting implements
- 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, e.g. 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
- 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 or setting implements
- 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, e.g. 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
- 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 or setting implements
- 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
- A61B17/00234—Surgical instruments, devices or methods 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
- A61B17/32—Surgical cutting instruments
- A61B2017/320044—Blunt dissectors

Landscapes

Health & Medical Sciences (AREA)
Orthopedic Medicine & Surgery (AREA)
Surgery (AREA)
Life Sciences & Earth Sciences (AREA)
Neurology (AREA)
Animal Behavior & Ethology (AREA)
Public Health (AREA)
Heart & Thoracic Surgery (AREA)
Medical Informatics (AREA)
Molecular Biology (AREA)
Engineering & Computer Science (AREA)
General Health & Medical Sciences (AREA)
Biomedical Technology (AREA)
Veterinary Medicine (AREA)
Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
Dentistry (AREA)
Oral & Maxillofacial Surgery (AREA)
Pathology (AREA)
Surgical Instruments (AREA)
Prostheses (AREA)

CA2548729A 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale Expired - Fee Related CA2548729C (fr)

Priority Applications (1)

Application Number	Priority Date	Filing Date	Title
CA2752539A CA2752539C (fr)	2003-12-16	2004-11-29	Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Applications Claiming Priority (5)

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 US7708763B2 (en)	2003-12-16	2004-09-30	Methods and devices for minimally invasive spinal fixation element placement
US10/711,704		2004-09-30
PCT/US2004/039919 WO2005060534A2 (fr)	2003-12-16	2004-11-29	Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Related Child Applications (1)

Application Number	Title	Priority Date	Filing Date
CA2752539A Division CA2752539C (fr)	2003-12-16	2004-11-29	Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Publications (2)

Publication Number	Publication Date
CA2548729A1 CA2548729A1 (fr)	2005-07-07
CA2548729C true CA2548729C (fr)	2012-01-10

Family

ID=34713885

Family Applications (1)

Application Number	Title	Priority Date	Filing Date
CA2548729A Expired - Fee Related CA2548729C (fr)	2003-12-16	2004-11-29	Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Country Status (7)

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

Families Citing this family (31)

* 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
US7955355B2 (en)	2003-09-24	2011-06-07	Stryker Spine	Methods and devices for improving percutaneous access in minimally invasive surgeries
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
CA2637684C (fr)	2006-02-06	2011-09-13	Stryker Spine	Appareil de contournage de tringle et methode d'extension a vis de pedicule percutanee
JP5146447B2 (ja) *	2006-04-11	2013-02-20	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	最小侵襲性固定システム
US8157809B2 (en)	2006-09-25	2012-04-17	Stryker Spine	Percutaneous compression and distraction system
US7686809B2 (en)	2006-09-25	2010-03-30	Stryker Spine	Rod inserter and rod with reduced diameter end
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
US9808281B2 (en)	2009-05-20	2017-11-07	DePuy Synthes Products, Inc.	Patient-mounted retraction
US8535318B2 (en)	2010-04-23	2013-09-17	DePuy Synthes Products, LLC	Minimally invasive instrument set, devices and related methods
US8603094B2 (en)	2010-07-26	2013-12-10	Spinal Usa, Inc.	Minimally invasive surgical tower access devices and related methods
US8740949B2 (en)	2011-02-24	2014-06-03	Spinal Elements, Inc.	Methods and apparatus for stabilizing bone
WO2012166495A1 (fr)	2011-05-27	2012-12-06	Synthes Usa, Llc	Système de fixation vertébrale minimalement invasif comprenant des caractéristiques d'alignement vertébral
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
US9510875B2 (en)	2013-03-14	2016-12-06	Stryker European Holdings I, Llc	Systems and methods for percutaneous spinal fusion
US9827020B2 (en)	2013-03-14	2017-11-28	Stryker European Holdings I, Llc	Percutaneous spinal cross link system and method
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
US9408716B1 (en)	2013-12-06	2016-08-09	Stryker European Holdings I, Llc	Percutaneous posterior spinal fusion implant construction and method
US9622795B2 (en)	2013-12-13	2017-04-18	Stryker European Holdings I, Llc	Tissue retraction and vertebral displacement devices, systems, and methods for posterior spinal fusion
WO2016044432A1 (fr)	2014-09-17	2016-03-24	Spinal Elements, Inc.	Raccord de bande de fixation souple
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
US11457959B2 (en)	2019-05-22	2022-10-04	Spinal Elements, Inc.	Bone tie and bone tie inserter
AU2020278453A1 (en)	2019-05-22	2022-01-20	Spinal Elements, Inc.	Bone tie and bone tie inserter
US11304733B2 (en)	2020-02-14	2022-04-19	Spinal Elements, Inc.	Bone tie methods
WO2023108007A2 (fr)	2021-12-10	2023-06-15	Spinal Elements, Inc.	Attache osseuse et portail

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number	Priority date	Publication date	Assignee	Title
US2248054A (en) *	1939-06-07	1941-07-08	Becker Joseph	Screw driver
DE29901611U1 (de) *	1999-01-30	1999-04-22	Aesculap AG & Co. KG, 78532 Tuttlingen	Chirurgisches Instrument zum Einführen von Zwischenwirbelimplantaten
US6530929B1 (en) *	1999-10-20	2003-03-11	Sdgi Holdings, Inc.	Instruments for stabilization of bony structures
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
US6849064B2 (en) *	2002-10-25	2005-02-01	James S. Hamada	Minimal access lumbar diskectomy instrumentation and method
ES2629431T3 (es) *	2002-10-30	2017-08-09	Zimmer Spine, Inc.	Sistema de estabilización espinal por inserción
US7588588B2 (en) *	2003-10-21	2009-09-15	Innovative Spinal Technologies	System and method for stabilizing of internal structures

2004
- 2004-11-29 KR KR1020067014264A patent/KR20070029650A/ko not_active Withdrawn
- 2004-11-29 BR BRPI0417589-1A patent/BRPI0417589A/pt not_active IP Right Cessation
- 2004-11-29 JP JP2006545689A patent/JP2007513739A/ja active Pending
- 2004-11-29 EP EP04812446A patent/EP1694225A4/fr not_active Withdrawn
- 2004-11-29 CA CA2548729A patent/CA2548729C/fr not_active Expired - Fee Related
- 2004-11-29 WO PCT/US2004/039919 patent/WO2005060534A2/fr not_active Ceased
- 2004-11-29 AU AU2004304934A patent/AU2004304934B2/en not_active Ceased

Also Published As

Publication number	Publication date
AU2004304934B2 (en)	2008-10-16
EP1694225A4 (fr)	2008-12-31
WO2005060534A2 (fr)	2005-07-07
AU2004304934A1 (en)	2005-07-07
EP1694225A2 (fr)	2006-08-30
CA2548729A1 (fr)	2005-07-07
BRPI0417589A (pt)	2007-03-20
WO2005060534A3 (fr)	2006-04-06
KR20070029650A (ko)	2007-03-14
JP2007513739A (ja)	2007-05-31

Legal Events

Date	Code	Title	Description
2006-06-06	EEER	Examination request
2018-01-10	MKLA	Lapsed	Effective date: 20171129

Publication	Publication Date	Title
US11426216B2 (en)	2022-08-30	Methods and devices for minimally invasive spinal fixation element placement
US11241262B2 (en)	2022-02-08	Methods and devices for spinal fixation element placement
CA2548729C (fr)	2012-01-10	Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale
US9179926B2 (en)	2015-11-10	Minimally invasive spinal fixation guide systems and methods