ES2267652T5 - Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para manipular el implante - Google Patents

Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para manipular el implante Download PDF

Info

Publication number
ES2267652T5
ES2267652T5 ES01126995T ES01126995T ES2267652T5 ES 2267652 T5 ES2267652 T5 ES 2267652T5 ES 01126995 T ES01126995 T ES 01126995T ES 01126995 T ES01126995 T ES 01126995T ES 2267652 T5 ES2267652 T5 ES 2267652T5
Authority
ES
Spain
Prior art keywords
implant
surgical instrument
threaded
fork
threaded ring
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
ES01126995T
Other languages
English (en)
Other versions
ES2267652T3 (es
Inventor
Carsten Dr.Med. Neumann
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.)
Ulrich GmbH and Co KG
Original Assignee
Ulrich GmbH and Co KG
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=7669147&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=ES2267652(T5) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Ulrich GmbH and Co KG filed Critical Ulrich GmbH and Co KG
Publication of ES2267652T3 publication Critical patent/ES2267652T3/es
Application granted granted Critical
Publication of ES2267652T5 publication Critical patent/ES2267652T5/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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 for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools for implanting artificial joints 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
    • A61F2/44—Joints for the spine, e.g. vertebrae or spinal discs
    • 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 for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • 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
    • A61F2/28—Bones
    • A61F2002/2835—Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30369—Limited lateral translation of the protrusion within a larger recess
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/3037—Translation along the common longitudinal axis, e.g. piston
    • A61F2002/30372—Translation along the common longitudinal axis, e.g. piston with additional means for limiting said translation
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30383—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove
    • A61F2002/3039—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by laterally inserting a protrusion, e.g. a rib into a complementarily-shaped groove with possibility of relative movement of the rib within the groove
    • A61F2002/30397—Limited lateral translation of the rib within a larger groove
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30405—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by screwing complementary threads machined on the parts themselves
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30492—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking pin
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30495—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking ring
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30507—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a threaded locking member, e.g. a locking screw or a set screw
    • 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
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/30523—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts by means of meshing gear teeth
    • 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
    • A61F2002/3055—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting length
    • 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
    • A61F2002/30574—Special structural features of bone or joint prostheses not otherwise provided for with an integral complete or partial collar or flange
    • 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
    • A61F2002/30593—Special structural features of bone or joint prostheses not otherwise provided for hollow
    • 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
    • A61F2002/30594—Special structural features of bone or joint prostheses not otherwise provided for slotted, e.g. radial or meridian slot ending in a polar aperture, non-polar slots, horizontal or arcuate slots
    • 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
    • A61F2002/30601—Special structural features of bone or joint prostheses not otherwise provided for telescopic
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30774—Apertures or holes, e.g. of circular cross section internally-threaded
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30777—Oblong apertures
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30785—Plurality of holes parallel
    • 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 for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools for implanting artificial joints 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 for implanting artificial joints 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 for implanting artificial joints
    • A61F2002/4631—Special tools for implanting artificial joints the prosthesis being specially adapted for being cemented
    • 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 for implanting artificial joints
    • A61F2002/4632—Special tools for implanting artificial joints using computer-controlled surgery, e.g. robotic surgery
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Transplantation (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Neurology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

Implante para insertar entre cuerpos vertebrales de la columna vertebral, como apartador para vértebras o porciones de vértebras, retiradas de la columna ver- tebral, con una primera parte (2) del implante, y una segunda parte (3) del implante, que pueden ajustarse una respecto a la otra en la dirección de su eje longitudinal co- axial, para la modificación de la longitud del implante (1), caracterizado porque a la primera parte (2) del implante está coordinado un anillo (4) roscado giratorio que en- grana con una rosca (5) anular en una rosca (6) coordinada a la segunda parte (3) del implante, y porque el anillo (4) roscado está provisto con un dentado (7) de rueda cónica.

Description

Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para manipular el implante.
Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para la manipulación del implante según el preámbulo de la reivindicación 1.
La invención se refiere a un implante para insertar entre cuerpos vertebrales de la columna vertebral, como apartador para vértebras o porciones de vértebras, retiradas de la columna vertebral, con una primera parte del implante, y una segunda parte del implante, que pueden ajustarse una respecto a la otra en la dirección de su eje longitudinal coaxial, para la modificación de la longitud del implante. La invención se refiere, además, a un instrumento quirúrgico, con el que puede conseguirse la modificación de longitud del implante.
Un implante del tipo citado en el preámbulo, se conoce, por ejemplo, por el documento DE 44 23 257 A1, que se ha acreditado muy bien en la práctica, y con el que se pudieron obtener muy buenos éxitos curativos después de la implantación. Pero, no obstante, durante la implantación en la operación con la columna vertebral abierta, se ha mostrado como parcialmente problemático, que para el atornillado de la primera parte del implante respecto a la segunda parte del implante, se necesita un gran campo operativo, puesto que la rotación mutua tiene que conseguirse mediante movimientos de giro. Pero en todo caso, no se dispone de espacio suficiente para semejantes movimientos de giro, en especial, cuando en el sentido de una cirugía mínimamente invasiva, solamente se colocan accesos pequeños a la columna vertebral.
Por consiguiente la misión de la invención se basa en configurar un implante del tipo citado en el preámbulo, de manera que también pueda conseguirse una modificación de la longitud del implante, sin que para ello sea necesario un movimiento de giro del instrumento quirúrgico previsto para el accionamiento del implante. Además, es misión de la invención facilitar un instrumento quirúrgico que sea apropiado especialmente bien para la interacción con el implante según la invención.
La parte de la misión que se refiere al implante, se resuelve con un implante del tipo citado en el preámbulo, haciendo que a la primera parte del implante esté coordinado un anillo roscado giratorio que engrana con una rosca anular en una rosca coordinada a la segunda parte del implante, y que el anillo roscado esté provisto con un dentado de rueda cónica.
Este implante ofrece la gran ventaja de que a causa del dentado de rueda cónica, puede conseguirse una rotación de la segunda parte del implante mediante un instrumento quirúrgico aplicado de forma puramente radial al implante, tan sólo mediante su torsión. Con ello, para la modificación de la longitud es suficiente un acceso puntual al implante, con lo que se evita una herida aumentada tan sólo con el fin de la separación.
Según una forma preferente de realización de la invención, está previsto que la primera parte del implante y la segunda parte del implante estén moldeadas como casquillos tubulares, y que la primera parte del implante con el anillo roscado rodee por fuera la segunda parte del implante. Esta estructuración de la invención utilizando dos casquillos, ofrece la ventaja de que el espacio interior del implante está libre y puede utilizarse, por ejemplo, para rellenarlo con cemento para huesos o virutas óseas propias del paciente o ajenas, para dejar crecer eficazmente el implante. Para impedir un agarrotamiento o frenado automático de la rosca durante la modificación de la longitud del implante al atornillar la segunda parte del implante respecto a la primera parte del implante, el implante está estructurado de manera que en la segunda parte del implante esté configurada al menos una rendija de guía para el alojamiento de una espiga coordinada a la primera parte del implante. Con objeto de conseguir una guía mejorada, se ha acreditado aquí cuando la rendija de guía y la espiga están previstas por duplicado en disposición diametral.
Para facilitar el accionamiento del anillo roscado mediante un instrumento quirúrgico, en la pared de la primera parte del implante, de forma de casquillo, existe al menos una abertura que corta el borde coordinado al anillo roscado. Esta abertura puede utilizarse como un apoyo para el instrumento quirúrgico a aplicar al implante.
Para no tener que limitar la guía del instrumento quirúrgico al espesor de la pared del casquillo, alineados con la abertura, existen dos agujeros alargados en la segunda parte del implante. Estos agujeros alargados permiten también que opuesto a la abertura, en la pared de la primera parte del implante, esté configurado un taladro roscado, que entonces puede alcanzarse desde la abertura.
Con vistas a un crecimiento más rápido del implante se ha confirmado, además, como favorable, cuando en la segunda parte del implante, en el extremo más alejado de la primera parte del implante, está configurada una corona. Esta corona aumenta la superficie de apoyo de la segunda parte del implante en el cuerpo vertebral. Si la corona está dispuesta distanciada del extremo libre de la segunda parte del implante, puede servir como seguro para el cemento para huesos a aportar, y al mismo tiempo proteger la rosca contra el atasco por cemento para huesos. Como alternativa es posible igualmente que en la corona estén configurados agujeros que discurren paralelos al eje longitudinal del implante.
Para conseguir la mayor longitud posible de guía, del anillo roscado en la rosca, el implante está estructurado de manera que el anillo roscado presente un collarín anular en la periferia interior.
Para poder conseguir un aseguramiento de la posición del anillo roscado respecto a la primera parte del implante, el implante según la invención está estructurado, además, de tal manera que la primera parte del implante presente una ranura transversal configurada en el casquillo tubular, y que discurre perpendicular al eje longitudinal del implante. Por conveniencia, esta ranura transversal está situada paralela al eje de unión de la abertura y del taladro roscado. Además, es favorable cuando la ranura transversal está configurada a los dos lados del eje de unión, en el casquillo tubular de la primera parte del implante.
La parte de la misión que se refiere al instrumento quirúrgico se resuelve mediante un instrumento quirúrgico para la separación de un implante que presente un dentado de rueda cónica, y pueda ajustarse en longitud mediante una unión roscada, para insertar entre cuerpos vertebrales de la columna vertebral, como apartador para vértebras
o porciones de vértebras, retiradas de la columna vertebral, estando dispuesto en el extremo libre de un árbol, un piñón con un dentado de rueda cónica, coaxial al eje del árbol. Gracias a este instrumento quirúrgico, mediante el árbol que se aleja radialmente del implante, y que está orientado perpendicular al eje longitudinal del implante, solamente por torsión alrededor del eje longitudinal del árbol, puede girarse el dentado de rueda cónica del piñón, que al interaccionar con el dentado de rueda cónica del anillo roscado del implante, provoca la rotación necesaria de la primera parte del implante y de la segunda parte del implante, una con relación a la otra.
Para la manipulación más fácil del instrumento quirúrgico durante la operación, está previsto que el árbol esté apoyado giratorio en un mango, y para el accionamiento esté provisto con una rueda moleteada en el extremo más alejado del piñón.
Una forma especialmente preferente de realización del instrumento quirúrgico, está caracterizada porque el árbol está estructurado como árbol hueco en el que está apoyada una barra giratoria respecto al árbol hueco, que atraviesa el piñón con su extremo libre, y en la que está configurado un espárrago roscado que corresponde a la rosca del taladro roscado. Esto ofrece la ventaja de que puede asegurarse la posición de la primera parte del implante respecto al instrumento quirúrgico, mediante el espárrago roscado, de manera que al ejercer la presión necesaria del piñón para engranar el dentado de rueda cónica del piñón con el dentado de rueda cónica del anillo roscado, no se provoque una modificación de longitud del apartador ya colocado entre los cuerpos vertebrales de la columna vertebral.
Otra forma preferente de realización de la invención, está caracterizada porque el árbol está dispuesto en un casquillo fijado al mango, que en el extremo coordinado al piñón, presenta una horquilla con puntas de la horquilla que producen un aseguramiento de la posición axial mutua del anillo roscado y de la primera parte del implante. Aquí se ha demostrado como favorable cuando la horquilla presenta en total cuatro puntas de la horquilla que sujetan el implante, dos de las cuales se agrupan en un primer par de horquilla y están previstas para el apoyo en el anillo roscado, y dos se agrupan en un segundo par de horquilla, y están previstas para la introducción en las ranuras transversales. Con un instrumento quirúrgico semejante puede asirse el implante con mucha seguridad, y sujetarse en un lugar predefinido, no existiendo, a pesar de la torsión requerida del árbol para la modificación de la longitud, peligro ninguno de que el implante se corra en el campo de la operación, o que se desplacen el primer implante y el segundo implante uno respecto al otro, y así adopten una extensión longitudinal que no sea provocada por un giro del anillo roscado, y esté protegido por este.
Con vistas a condiciones higiénicas mejoradas en la desinfección, es conveniente cuando el árbol con la rueda moleteada, la barra y el mango con el casquillo, estén montados desmontables.
A continuación debe de explicarse la invención en detalle en un ejemplo de realización representado en el dibujo; figura 10, una representación en perspectiva del instrumento quirúrgico montado completamente y desarmado
se muestran:
Figura 1,
una representación en perspectiva del implante según la invención, al accionar mediante el instru
mento quirúrgico según la invención,
figura 2,
una representación en perspectiva del implante aislado,
figura 3,
una representación en perspectiva de la segunda parte del implante,
figura 4,
una representación en perspectiva de la primera parte del implante,
figura 5,
una representación en perspectiva de la primera parte del implante, desde un punto de vista opuesto
al de la figura 4,
figura 6,
un alzado lateral de la segunda parte del implante,
figura 7,
un alzado lateral de la segunda parte del implante, con representación girada 90º respecto a la figu
ra 6,
figura 8,
un corte transversal del anillo roscado que presenta el dentado de rueda cónica,
figura 9,
el instrumento quirúrgico según la invención, desarmado en sus piezas sueltas, en una vista en plan
ta desde arriba,
en sus piezas sueltas, figura 11, una representación en perspectiva de la horquilla del casquillo, y figura 12, la representación del detalle XII de la figura 1.
El implante 1 representado en la figura 1, sirve para la inserción entre cuerpos vertebrales de la columna vertebral, no representados en la propia figura, como apartador para vértebras o porciones de vértebras, retiradas de la columna vertebral. Este implante 1 presenta una primera parte 2 del implante y una segunda parte 3 del implante, las cuales pueden ajustarse una respecto a otra en la dirección de su eje longitudinal coaxial, para en el sentido de una separación de los cuerpos vertebrales, poder conseguir una modificación de longitud. La primera parte 2 del implante y la segunda parte 3 del implante, están moldeadas como casquillos tubulares, rodeando la primera parte 2 del implante, la segunda parte 3 del implante por la parte de fuera. A la primera parte 2 del implante está coordinado un anillo 4 roscado giratorio que, en su superficie periférica interior, presenta una rosca 5 anular con la que aquella engrana en una rosca 6 coordinada a la segunda parte 3 del implante. En la superficie periférica exterior, el anillo 5 roscado está provisto con un dentado 7 de rueda cónica (figura 8).
Como se reconoce en especial en las figuras 3 y 6, en la segunda parte 3 del implante están configuradas dos rendijas 8 opuestas de guía, en las que penetran espigas 9 coordinadas a la primera parte 2 del implante (figura 2).
Junto a estas espigas 9, la primera parte 2 del implante presenta, además, una abertura 10 que corta el borde 11 coordinado al anillo 4 roscado, y está situada en una recta con un taladro 12 roscado configurado en el lado opuesto. En la segunda parte 3 del implante, con la abertura 10 están alineados dos agujeros 13 alargados, a cuyo través puede alcanzarse el taladro 12 roscado en cualquier posición en altura de la segunda parte 3 del implante respecto a la primera parte 2 del implante.
En la segunda parte 3 del implante, distanciada de su extremo libre, en el lado más alejado de la primera parte 2 del implante, está configurada una corona 14 en la que están configurados agujeros 15 que discurren paralelos al eje longitudinal del implante 1.
El anillo 4 roscado presenta en la periferia interior, un collarín 16 anular, mientras la primera parte 2 del implante presenta una ranura 17 transversal configurada en el casquillo tubular, que discurre perpendicular al eje longitudinal del implante 1, y que está situada paralela al eje de unión de la abertura 10 y el taladro 12 roscado, estando prevista la ranura 17 transversal, en el ejemplo de realización representado en el dibujo, duplicada a los dos lados del eje de unión.
El collarín 16 anular configurado en el anillo 4 roscado, así como las ranuras 17 transversales, sirven para la mejor orientación y determinación de la posición de un instrumento 18 quirúrgico a describir en detalle a continuación, y que sirve para la manipulación y accionamiento del implante 1 en el ajuste de la longitud.
Para ello, el instrumento 18 quirúrgico presenta en el extremo libre de un árbol 19, un piñón 20 coaxial al eje del árbol. En este piñón 20 está configurado un dentado 21 de rueda cónica (figura 9, figura 10). El árbol 19 mismo está estructurado como árbol hueco en el que está apoyada una barra 22 giratoria respecto al árbol hueco. Esta barra 22 atraviesa el piñón 20, y presenta en su extremo libre, un espárrago 23 roscado que corresponde al taladro 12 roscado. El mismo árbol hueco está apoyado giratorio en un mango 24 que presenta, además, un casquillo 25 en el que está introducido el árbol hueco. Este casquillo 25 posee en el extremo coordinado al piñón 20, una horquilla 26 con cuatro puntas 27 de la horquilla, dos de las cuales están agrupadas para formar un primer par 28 de horquilla, y dos lo están para formar un segundo par 29 de horquilla.
Después de haber expuesto precedentemente la estructura del implante 1 y del instrumento 18 quirúrgico, a continuación debe de explicarse detalladamente su interacción.
Para colocar el implante 1 según la invención, como apartador entre dos cuerpos vertebrales, primeramente se mete el implante 1 en la horquilla 26, introduciéndose el segundo par 29 de horquilla en las dos ranuras 17 transversales, y llegando a apoyar el primer par 28 de horquilla en el anillo 4 roscado, y radialmente hacia dentro, en el collarín 16 anular, de manera que esté bloqueado un desplazamiento axial del anillo 4 roscado en el eje longitudinal del implante 1, respecto a la primera parte 2 del implante. A continuación se lleva la barra 22 con el espárrago 23 a través de la abertura 10 de la primera parte 2 del implante, así como de los dos agujeros 13 alargados de la segunda parte 3 del implante, y se atornilla en el taladro 12 roscado de la primera parte 2 del implante, de manera que el instrumento 18 quirúrgico no pueda retirarse más del implante 1 en dirección radial, con lo que la posición del instrumento 18 quirúrgico está asegurada globalmente respecto al implante 1. Gracias al atornillado del espárrago 23 en el taladro 12 roscado, se engrana al mismo tiempo el dentado 21 de rueda cónica del piñón 20, con el dentado 7 de rueda cónica del anillo 4 roscado, de manera que en la subsiguiente rotación del árbol 19 alrededor de su eje del árbol mediante una rueda 30 moleteada, se lleve a cabo una rotación del anillo 4 roscado alrededor del eje longitudinal del implante 1, girado 90º respecto al eje del árbol.
Después de la colocación correcta y de la separación del implante 1, puede soltarse de nuevo el instrumento 18 quirúrgico en el orden inverso lógico de las etapas antes descritas, del implante 1 que gracias a las rendijas 8 de guía entonces accesibles libremente, los agujeros 13 alargados y los taladros 12 roscados, así como la abertura 10, ofrece suficientes posibilidades de acceso en el interior de la primera parte 2 del implante y de la segunda par
5 te 3 del implante, de forma tubular, para introducir en el implante cemento para huesos o material óseo propio u homólogo.
La pieza adicional representada en la figura 1, designada con el símbolo 31 de referencia, sirve para el acoplamiento del instrumento 18 quirúrgico con transmisores de posición para la navegación computerizada.

Claims (14)

  1. REIVINDICACIONES
    1. Implante para insertar entre cuerpos vertebrales de la columna vertebral, como apartador para vértebras o porciones de vértebras, retiradas de la columna vertebral, con una primera parte (2) del implante, y una segunda parte (3) del implante, que pueden ajustarse una respecto a la otra en la dirección de su eje longitudinal coaxial, para la modificación de la longitud del implante (1), en donde a la primera parte (2) del implante está coordinado un anillo (4) roscado giratorio, provisto con un dentado (7) de rueda cónica, que engrana con una rosca (5) anular en una rosca
    (6)
    coordinada a la segunda parte (3) del implante, y en donde en la pared de la primera parte (2) del implante está configurado un taladro (12) roscado, caracterizado porque la primera parte (2) del implante y la segunda parte (3) del implante están moldeadas como casquillos tubulares, y la primera parte (2) del implante con el anillo (4) roscado rodea por fuera la segunda parte (3) del implante, porque en la segunda parte (3) del implante está configurada al menos una rendija (8) de guía para el alojamiento de una espiga (9) coordinada a la primera parte (2) del implante, porque en la pared de la primera parte (2) del implante, de forma de casquillo, existe al menos una abertura (10) que corta el borde (11) coordinado al anillo (4) roscado, porque alineados con la abertura (10), existen dos agujeros (13) alargados en la segunda parte (3) del implante y porque opuesto a la abertura (10), en la pared de la primera parte
    (2)
    del implante, está configurado un taladro (12) roscado.
  2. 2.
    Implante según la reivindicación 1, caracterizado porque la rendija (8) de guía y la espiga (9) están previstas por duplicado en disposición diametral.
  3. 3.
    Implante según una de las reivindicaciones 1 a 2, caracterizado porque en la segunda parte (3) del implante, en el extremo más alejado de la primera parte (2) del implante, está configurada una corona (14).
  4. 4.
    Implante según la reivindicación 3, caracterizado porque la corona (14) está dispuesta distanciada del extremo libre de la segunda parte (3) del implante.
  5. 5.
    Implante según la reivindicación 3 ó 4, caracterizado porque en la corona (14) están configurados agujeros (15) que discurren paralelos al eje longitudinal del implante (1).
  6. 6.
    Implante según una de las reivindicaciones 1 a 5, caracterizado porque el anillo (4) roscado presenta en la periferia interior un collarín (16) anular.
  7. 7.
    Implante según una de las reivindicaciones 1 a 6, caracterizado porque la primera parte (2) del implante presenta una ranura (17) transversal configurada en el casquillo tubular, y que discurre perpendicular al eje longitudinal del implante (1).
  8. 8.
    Implante según la reivindicación 7, caracterizado porque la ranura (17) transversal está situada paralela al eje de unión de la abertura (10) y del taladro (12) roscado.
  9. 9.
    Implante según la reivindicación 8, caracterizado porque la ranura (17) transversal está configurada a los dos lados del eje de unión en el casquillo tubular de la primera parte (2) del implante.
  10. 10.
    Instrumento quirúrgico para la separación de un implante (1) que presenta un dentado (7) de rueda cónica, y puede ajustarse en longitud mediante una unión roscada, para insertar entre cuerpos vertebrales de la columna vertebral, como apartador para vértebras o porciones de vértebras, retiradas de la columna vertebral, según una de las reivindicaciones 1 a 9, caracterizado porque en el extremo libre de un árbol (19) está dispuesto un piñón (20) coaxial al eje del árbol, con un dentado (21) de rueda cónica, caracterizado porque el árbol (19) está estructurado como árbol hueco en el que está apoyada una barra (22) giratoria respecto al árbol hueco, que atraviesa el piñón
    (20) con su extremo libre, y en la que está configurado un espárrago (23) roscado que corresponde a la rosca del taladro (12) roscado.
  11. 11.
    Instrumento quirúrgico según la reivindicación 10, caracterizado porque el árbol (19) está apoyado giratorio en un mango (24), y para el accionamiento está provisto con una rueda (30) moleteada en el extremo más alejado del piñón (20).
  12. 12.
    Instrumento quirúrgico según la reivindicación 10 u 11, caracterizado porque el árbol (19) está dispuesto en un casquillo (25) fijado al mango (24), que en el extremo coordinado al piñón (20), presenta una horquilla (26) con puntas (27) de la horquilla que producen un aseguramiento de la posición axial mutua del anillo (4) roscado y de la primera parte (2) del implante.
  13. 13.
    Instrumento quirúrgico según la reivindicación 12, caracterizado porque la horquilla (26) presenta en total cuatro puntas (27) de la horquilla que sujetan el implante (1), dos de las cuales se agrupan para formar un primer par (28) de horquilla y están previstas para el apoyo en el anillo (4) roscado, y dos se agrupan para formar un segundo par
    (29) de horquilla, y están previstas para la introducción en las ranuras (17) transversales.
  14. 14. Instrumento quirúrgico según una de las reivindicaciones 10 a 13, caracterizado porque el árbol (19) con la rueda
    (30) moleteada, la barra (22) y el mango (24) con el casquillo (25), están montados desmontables.
ES01126995T 2000-12-27 2001-11-14 Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para manipular el implante Expired - Lifetime ES2267652T5 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10065232A DE10065232C2 (de) 2000-12-27 2000-12-27 Implantat zum Einsetzen zwischen Wirbelkörper sowie Operationsinstrument zur Handhabung des Implantats
DE10065232 2000-12-27

Publications (2)

Publication Number Publication Date
ES2267652T3 ES2267652T3 (es) 2007-03-16
ES2267652T5 true ES2267652T5 (es) 2012-05-11

Family

ID=7669147

Family Applications (2)

Application Number Title Priority Date Filing Date
ES01126995T Expired - Lifetime ES2267652T5 (es) 2000-12-27 2001-11-14 Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para manipular el implante
ES06016301.1T Expired - Lifetime ES2569227T3 (es) 2000-12-27 2001-11-14 Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para el manejo del implante

Family Applications After (1)

Application Number Title Priority Date Filing Date
ES06016301.1T Expired - Lifetime ES2569227T3 (es) 2000-12-27 2001-11-14 Implante para insertar entre cuerpos vertebrales, así como instrumento quirúrgico para el manejo del implante

Country Status (8)

Country Link
US (1) US6752832B2 (es)
EP (2) EP1219266B2 (es)
JP (1) JP4060589B2 (es)
AT (1) ATE340543T1 (es)
DE (5) DE10065232C2 (es)
DK (2) DK1721583T3 (es)
ES (2) ES2267652T5 (es)
PT (1) PT1219266E (es)

Families Citing this family (372)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080027552A1 (en) * 1997-01-02 2008-01-31 Zucherman James F Spine distraction implant and method
US20080039859A1 (en) 1997-01-02 2008-02-14 Zucherman James F Spine distraction implant and method
US6159179A (en) 1999-03-12 2000-12-12 Simonson; Robert E. Cannula and sizing and insertion method
AU2001246520B2 (en) * 2000-03-31 2005-08-25 Konigsee Implantate Und Instrumente Zur Osteosynthese Gmbh Variable-height vertebral implant
US6736816B2 (en) 2000-06-30 2004-05-18 Stephen Ritland Polyaxial connection device and method
US7166073B2 (en) 2000-09-29 2007-01-23 Stephen Ritland Method and device for microsurgical intermuscular spinal surgery
US6692434B2 (en) 2000-09-29 2004-02-17 Stephen Ritland Method and device for retractor for microsurgical intermuscular lumbar arthrodesis
DE10065232C2 (de) 2000-12-27 2002-11-14 Ulrich Gmbh & Co Kg Implantat zum Einsetzen zwischen Wirbelkörper sowie Operationsinstrument zur Handhabung des Implantats
US6929606B2 (en) * 2001-01-29 2005-08-16 Depuy Spine, Inc. Retractor and method for spinal pedicle screw placement
JP2005506098A (ja) * 2001-01-29 2005-03-03 デピュイ スパイン、インコーポレイテッド 脊髄椎弓根スクリュー配置用開創器及びその方法
US7169182B2 (en) 2001-07-16 2007-01-30 Spinecore, Inc. Implanting an artificial intervertebral disc
US6673113B2 (en) 2001-10-18 2004-01-06 Spinecore, Inc. Intervertebral spacer device having arch shaped spring elements
US8940047B2 (en) * 2001-02-15 2015-01-27 Spinecore, Inc. Intervertebral spacer device having recessed notch pairs for manipulation using a surgical tool
US7235081B2 (en) * 2001-07-16 2007-06-26 Spinecore, Inc. Wedge plate inserter/impactor and related methods for use in implanting an artificial intervertebral disc
US7575576B2 (en) 2001-07-16 2009-08-18 Spinecore, Inc. Wedge ramp distractor and related methods for use in implanting artificial intervertebral discs
US6989032B2 (en) 2001-07-16 2006-01-24 Spinecore, Inc. Artificial intervertebral disc
FR2824261B1 (fr) 2001-05-04 2004-05-28 Ldr Medical Prothese de disque intervertebral et procede et outils de mise en place
US6554864B2 (en) * 2001-07-16 2003-04-29 Spinecore, Inc Surgical method of treating scoliosis
US7722675B2 (en) * 2001-07-16 2010-05-25 Spinecore, Inc. Instruments for reorienting vertebral bones for the treatment of scoliosis
US7695478B2 (en) * 2001-07-16 2010-04-13 Spinecore, Inc. Insertion tool for use with intervertebral spacers
US7118599B2 (en) 2001-07-16 2006-10-10 Spinecore, Inc. Artificial intervertebral disc
US7811287B2 (en) * 2001-07-16 2010-10-12 Spinecore, Inc. Intervertebral spacer device having an engagement hole for a tool with an extendable post
US7160327B2 (en) 2001-07-16 2007-01-09 Spinecore, Inc. Axially compressible artificial intervertebral disc having limited rotation using a captured ball and socket joint with a solid ball and compression locking post
US7491241B2 (en) * 2001-07-16 2009-02-17 Spinecore, Inc. Intervertebral spacer device having recessed notch pairs for manipulation using a surgical tool
US6478801B1 (en) * 2001-07-16 2002-11-12 Third Millennium Engineering, Llc Insertion tool for use with tapered trial intervertebral distraction spacers
AU2002327801B2 (en) * 2001-09-28 2008-03-06 Stephen Ritland Connection rod for screw or hook polyaxial system and method of use
US6991632B2 (en) 2001-09-28 2006-01-31 Stephen Ritland Adjustable rod and connector device and method of use
US7713302B2 (en) 2001-10-01 2010-05-11 Spinecore, Inc. Intervertebral spacer device utilizing a spirally slotted belleville washer having radially spaced concentric grooves
US7771477B2 (en) 2001-10-01 2010-08-10 Spinecore, Inc. Intervertebral spacer device utilizing a belleville washer having radially spaced concentric grooves
US7824410B2 (en) * 2001-10-30 2010-11-02 Depuy Spine, Inc. Instruments and methods for minimally invasive spine surgery
US7008431B2 (en) 2001-10-30 2006-03-07 Depuy Spine, Inc. Configured and sized cannula
US6916330B2 (en) * 2001-10-30 2005-07-12 Depuy Spine, Inc. Non cannulated dilators
US6923830B2 (en) 2002-02-02 2005-08-02 Gary K. Michelson Spinal fusion implant having deployable bone engaging projections
US7763047B2 (en) 2002-02-20 2010-07-27 Stephen Ritland Pedicle screw connector apparatus and method
DE10210214B4 (de) * 2002-03-02 2005-01-05 Bernd Schäfer Distrahierbares Wirbelsäulenimplantat und Werkzeug zum Distrahieren
US20030187431A1 (en) * 2002-03-29 2003-10-02 Simonson Robert E. Apparatus and method for targeting for surgical procedures
US6966910B2 (en) 2002-04-05 2005-11-22 Stephen Ritland Dynamic fixation device and method of use
US8038713B2 (en) 2002-04-23 2011-10-18 Spinecore, Inc. Two-component artificial disc replacements
US20080027548A9 (en) 2002-04-12 2008-01-31 Ferree Bret A Spacerless artificial disc replacements
EP2457529A1 (en) 2002-05-08 2012-05-30 Stephen Ritland Dynamic fixation device and method of use
WO2004026187A1 (en) 2002-09-19 2004-04-01 Malan De Villiers Intervertebral prosthesis
US7588573B2 (en) 2002-09-23 2009-09-15 Warsaw Orthopedic, Inc. Expansion tool for adjustable spinal implant
JP2006501947A (ja) * 2002-10-08 2006-01-19 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 整形外科移植片の挿入装置と技法
US7909853B2 (en) * 2004-09-23 2011-03-22 Kyphon Sarl Interspinous process implant including a binder and method of implantation
FR2846550B1 (fr) 2002-11-05 2006-01-13 Ldr Medical Prothese de disque intervertebral
AU2002347178A1 (en) * 2002-12-06 2004-06-30 Synthes Ag Chur Intervertebral implant
US7887539B2 (en) 2003-01-24 2011-02-15 Depuy Spine, Inc. Spinal rod approximators
US7988698B2 (en) * 2003-01-28 2011-08-02 Depuy Spine, Inc. Spinal rod approximator
US6908484B2 (en) 2003-03-06 2005-06-21 Spinecore, Inc. Cervical disc replacement
DE10311477A1 (de) * 2003-03-15 2004-09-23 Ulrich Gmbh & Co. Kg Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule
US20040186569A1 (en) * 2003-03-20 2004-09-23 Berry Bret M. Height adjustable vertebral body and disc space replacement devices
WO2004084742A1 (en) 2003-03-24 2004-10-07 Theken Surgical Llc Spinal implant adjustment device
CA2524066C (en) 2003-04-28 2011-03-15 Michael Guetlin Intervertebral implant
US8568482B2 (en) 2003-05-14 2013-10-29 Kilian Kraus Height-adjustable implant to be inserted between vertebral bodies and corresponding handling tool
DE10324108B3 (de) * 2003-05-21 2005-01-27 Aesculap Ag & Co. Kg Wirbelkörperersatzimplantat
US8262571B2 (en) 2003-05-22 2012-09-11 Stephen Ritland Intermuscular guide for retractor insertion and method of use
KR101089581B1 (ko) 2003-05-27 2011-12-05 호야 가부시키가이샤 수술기구
DE10324319A1 (de) * 2003-05-27 2004-12-16 Ulrich Gmbh & Co. Kg Implantat sowie Instrument zur Platzierung und Distraktion des Implantates
DE602004029026D1 (de) 2003-05-27 2010-10-21 Spinalmotion Inc Bandscheibenprothese für die intervertebrale einführung
US7156849B2 (en) * 2003-06-16 2007-01-02 Depuy Spine, Inc. Rod reduction nut and driver tool
DE10328307A1 (de) * 2003-06-23 2005-02-03 Franz Rennebaum Wirbelkörperprothese
EP1504733B1 (de) * 2003-08-04 2007-06-06 Cervitech Inc. Zervikalprothese mit Einsetzinstrument
US7458988B2 (en) * 2003-11-05 2008-12-02 Warsaw Orthopedic, Inc. Compressible corpectomy device
DE10357926B3 (de) * 2003-12-11 2005-09-01 Deltacor Gmbh Längenverstellbares Wirbelsäulen-Implantat
US7842044B2 (en) 2003-12-17 2010-11-30 Depuy Spine, Inc. Instruments and methods for bone anchor engagement and spinal rod reduction
KR20060132619A (ko) * 2003-12-17 2006-12-21 디퍼이 스파인 인코포레이티드 뼈 고정기구 결합용 및 척주 로드 감소용 기구 및 방법
US7625379B2 (en) 2004-01-26 2009-12-01 Warsaw Orthopedic, Inc. Methods and instrumentation for inserting intervertebral grafts and devices
FR2865629B1 (fr) 2004-02-04 2007-01-26 Ldr Medical Prothese de disque intervertebral
ES2363154T3 (es) 2004-02-04 2011-07-22 Ldr Medical Prótesis de disco intervertebral.
US7393361B2 (en) * 2004-02-20 2008-07-01 Spinecore, Inc. Artificial intervertebral disc having a bored semispherical bearing with a compression locking post and retaining caps
AU2005216112B2 (en) * 2004-02-20 2010-07-08 Spinecore, Inc. Artificial intervertebral disc having a universal joint
FR2869528B1 (fr) 2004-04-28 2007-02-02 Ldr Medical Prothese de disque intervertebral
US7544208B1 (en) * 2004-05-03 2009-06-09 Theken Spine, Llc Adjustable corpectomy apparatus
JP2006000699A (ja) * 2004-06-15 2006-01-05 Canon Inc ガス処理方法およびその装置
US7909843B2 (en) 2004-06-30 2011-03-22 Thompson Surgical Instruments, Inc. Elongateable surgical port and dilator
US7585326B2 (en) 2004-08-06 2009-09-08 Spinalmotion, Inc. Methods and apparatus for intervertebral disc prosthesis insertion
US7776045B2 (en) * 2004-08-20 2010-08-17 Warsaw Orthopedic, Inc. Instrumentation and methods for vertebral distraction
US7455639B2 (en) 2004-09-20 2008-11-25 Stephen Ritland Opposing parallel bladed retractor and method of use
ATE524121T1 (de) 2004-11-24 2011-09-15 Abdou Samy Vorrichtungen zur platzierung eines orthopädischen intervertebralen implantats
US7736380B2 (en) 2004-12-21 2010-06-15 Rhausler, Inc. Cervical plate system
FR2879436B1 (fr) 2004-12-22 2007-03-09 Ldr Medical Prothese de disque intervertebral
US8083797B2 (en) 2005-02-04 2011-12-27 Spinalmotion, Inc. Intervertebral prosthetic disc with shock absorption
US7927354B2 (en) * 2005-02-17 2011-04-19 Kyphon Sarl Percutaneous spinal implants and methods
US7998208B2 (en) * 2005-02-17 2011-08-16 Kyphon Sarl Percutaneous spinal implants and methods
US8096994B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US8029567B2 (en) 2005-02-17 2011-10-04 Kyphon Sarl Percutaneous spinal implants and methods
US20070276373A1 (en) * 2005-02-17 2007-11-29 Malandain Hugues F Percutaneous Spinal Implants and Methods
US8034080B2 (en) 2005-02-17 2011-10-11 Kyphon Sarl Percutaneous spinal implants and methods
US20060184248A1 (en) * 2005-02-17 2006-08-17 Edidin Avram A Percutaneous spinal implants and methods
US8092459B2 (en) * 2005-02-17 2012-01-10 Kyphon Sarl Percutaneous spinal implants and methods
US8096995B2 (en) 2005-02-17 2012-01-17 Kyphon Sarl Percutaneous spinal implants and methods
US7993342B2 (en) 2005-02-17 2011-08-09 Kyphon Sarl Percutaneous spinal implants and methods
US7951175B2 (en) 2005-03-04 2011-05-31 Depuy Spine, Inc. Instruments and methods for manipulating a vertebra
US7951172B2 (en) 2005-03-04 2011-05-31 Depuy Spine Sarl Constrained motion bone screw assembly
JP2006253316A (ja) * 2005-03-09 2006-09-21 Sony Corp 固体撮像装置
US7942903B2 (en) 2005-04-12 2011-05-17 Moskowitz Ahmnon D Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion
US7704279B2 (en) 2005-04-12 2010-04-27 Moskowitz Mosheh T Bi-directional fixating transvertebral body screws, zero-profile horizontal intervertebral miniplates, expansile intervertebral body fusion devices, and posterior motion-calibrating interarticulating joint stapling device for spinal fusion
US11903849B2 (en) 2005-04-12 2024-02-20 Moskowitz Family Llc Intervertebral implant and tool assembly
US7575580B2 (en) * 2005-04-15 2009-08-18 Warsaw Orthopedic, Inc. Instruments, implants and methods for positioning implants into a spinal disc space
US8308802B2 (en) 2010-01-21 2012-11-13 Globus Medical, Inc. Expandable vertebral prosthesis
US7674296B2 (en) * 2005-04-21 2010-03-09 Globus Medical, Inc. Expandable vertebral prosthesis
US7811327B2 (en) 2005-04-21 2010-10-12 Globus Medical Inc. Expandable vertebral prosthesis
US8777959B2 (en) 2005-05-27 2014-07-15 Spinecore, Inc. Intervertebral disc and insertion methods therefor
US20060293692A1 (en) 2005-06-02 2006-12-28 Whipple Dale E Instruments and methods for manipulating a spinal fixation element
FR2887762B1 (fr) 2005-06-29 2007-10-12 Ldr Medical Soc Par Actions Si Instrumentation d'insertion de prothese de disque intervertebral entre des vertebres
AU2006269900A1 (en) 2005-07-19 2007-01-25 Stephen Ritland Rod extension for extending fusion construct
FR2891135B1 (fr) 2005-09-23 2008-09-12 Ldr Medical Sarl Prothese de disque intervertebral
US9028550B2 (en) * 2005-09-26 2015-05-12 Coalign Innovations, Inc. Selectively expanding spine cage with enhanced bone graft infusion
WO2007062080A2 (en) * 2005-11-21 2007-05-31 Philipp Lang Intervetebral devices and methods
FR2893838B1 (fr) 2005-11-30 2008-08-08 Ldr Medical Soc Par Actions Si Prothese de disque intervertebral et instrumentation d'insertion de la prothese entre les vertebres
JP5168695B2 (ja) 2006-01-19 2013-03-21 エム・エス・ディー・オス・ベー・フェー インプラントを挿入するためのアプリケータを組み立てるためのキット及びその方法
US8066714B2 (en) 2006-03-17 2011-11-29 Warsaw Orthopedic Inc. Instrumentation for distraction and insertion of implants in a spinal disc space
US7985246B2 (en) * 2006-03-31 2011-07-26 Warsaw Orthopedic, Inc. Methods and instruments for delivering interspinous process spacers
AU2007238092A1 (en) 2006-04-12 2007-10-25 Spinalmotion, Inc. Posterior spinal device and method
US20070270960A1 (en) * 2006-04-24 2007-11-22 Sdgi Holdings, Inc. Extendable anchor in a vertebral implant and methods of use
US8657882B2 (en) * 2006-04-24 2014-02-25 Warsaw Orthopedic, Inc. Expandable intervertebral devices and methods of use
US7794501B2 (en) * 2006-04-27 2010-09-14 Wasaw Orthopedic, Inc. Expandable intervertebral spacers and methods of use
US7575601B2 (en) * 2006-04-27 2009-08-18 Warsaw Orthopedic, Inc. Locking expandable implant and method
US7981157B2 (en) 2006-04-27 2011-07-19 Warsaw Orthopedic, Inc. Self-contained expandable implant and method
US7879096B2 (en) * 2006-04-27 2011-02-01 Warsaw Orthopedic, Inc. Centrally driven expandable implant
US8187331B2 (en) * 2006-04-27 2012-05-29 Warsaw Orthopedic, Inc. Expandable vertebral implant and methods of use
US7914581B2 (en) 2006-04-27 2011-03-29 Warsaw Orthopedic, Inc. Expandable implant, instrument, and method
US7758648B2 (en) 2006-04-27 2010-07-20 Warsaw Orthopedic, Inc. Stabilized, adjustable expandable implant and method
US7708779B2 (en) 2006-05-01 2010-05-04 Warsaw Orthopedic, Inc. Expandable intervertebral spacers and methods of use
US8303601B2 (en) 2006-06-07 2012-11-06 Stryker Spine Collet-activated distraction wedge inserter
US7959564B2 (en) * 2006-07-08 2011-06-14 Stephen Ritland Pedicle seeker and retractor, and methods of use
ES2390567T3 (es) * 2006-07-14 2012-11-14 Biedermann Technologies Gmbh & Co. Kg Separador para inserción entre dos vértebras
WO2008033457A2 (en) * 2006-09-14 2008-03-20 The University Of Toledo Variable height vertebral body replacement implant
US7815683B2 (en) * 2006-10-16 2010-10-19 Warsaw Orthopedic, Inc. Implants with helical supports and methods of use for spacing vertebral members
US20080177298A1 (en) * 2006-10-24 2008-07-24 St. Francis Medical Technologies, Inc. Tensioner Tool and Method for Implanting an Interspinous Process Implant Including a Binder
US20080140204A1 (en) * 2006-12-07 2008-06-12 Warsaw Orthopedic, Inc. Vertebral Implant Systems and Methods of Use
US7955392B2 (en) 2006-12-14 2011-06-07 Warsaw Orthopedic, Inc. Interspinous process devices and methods
US8465546B2 (en) 2007-02-16 2013-06-18 Ldr Medical Intervertebral disc prosthesis insertion assemblies
JP2010519985A (ja) 2007-03-07 2010-06-10 ウルリッヒ ゲーエムベーハー・アンド・カンパニー カーゲー 弾性部分を有する椎間インプラント
CN101631516A (zh) 2007-03-13 2010-01-20 新特斯有限责任公司 可调节椎间植入物
US8172847B2 (en) * 2007-03-29 2012-05-08 Depuy Spine, Inc. In-line rod reduction device and methods
US9237954B2 (en) * 2007-03-29 2016-01-19 Life Spine, Inc. Height adjustable spinal prostheses
US8062304B2 (en) * 2007-04-25 2011-11-22 Spinal Elements, Inc. Spinal implant distractor/inserter
US8454622B2 (en) * 2007-04-25 2013-06-04 Spinal Elements, Inc. Spinal implant distractor/inserter
FI122996B (fi) * 2007-05-10 2012-09-28 Teliasonera Ab Palveluun liittyvän pyynnön käsittely
FR2916956B1 (fr) 2007-06-08 2012-12-14 Ldr Medical Cage intersomatique,prothese intervertebrale,dispositif d'ancrage et instrumentation d'implantation
US7887541B2 (en) * 2007-07-26 2011-02-15 Depuy Spine, Inc. Spinal rod reduction instruments and methods for use
US20090043391A1 (en) 2007-08-09 2009-02-12 Spinalmotion, Inc. Customized Intervertebral Prosthetic Disc with Shock Absorption
US12539219B2 (en) 2007-08-21 2026-02-03 Moskowitz Family Llc Intervertebral implant and tool assembly
US8328818B1 (en) 2007-08-31 2012-12-11 Globus Medical, Inc. Devices and methods for treating bone
US8790348B2 (en) 2007-09-28 2014-07-29 Depuy Spine, Inc. Dual pivot instrument for reduction of a fixation element and method of use
WO2009055481A1 (en) 2007-10-22 2009-04-30 Spinalmotion, Inc. Dynamic spacer device and method for spanning a space formed upon removal of an intervertebral disc
US20090112325A1 (en) * 2007-10-30 2009-04-30 Biospine, Llc Footplate member and a method for use in a vertebral body replacement device
DE102007052042A1 (de) * 2007-10-30 2009-05-14 Kilian Kraus Höhenverstellbares Wirbelsäulenimplantat
DE102007052173B4 (de) * 2007-10-30 2012-01-12 Kilian Kraus Handhabungswerkzeug für ein medizinisches Implantat
US8182537B2 (en) 2007-10-30 2012-05-22 Aesculap Implant Systems, Llc Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
US8591587B2 (en) 2007-10-30 2013-11-26 Aesculap Implant Systems, Llc Vertebral body replacement device and method for use to maintain a space between two vertebral bodies within a spine
US8142441B2 (en) 2008-10-16 2012-03-27 Aesculap Implant Systems, Llc Surgical instrument and method of use for inserting an implant between two bones
US8241363B2 (en) 2007-12-19 2012-08-14 Depuy Spine, Inc. Expandable corpectomy spinal fusion cage
US8241294B2 (en) * 2007-12-19 2012-08-14 Depuy Spine, Inc. Instruments for expandable corpectomy spinal fusion cage
US20090198241A1 (en) * 2008-02-04 2009-08-06 Phan Christopher U Spine distraction tools and methods of use
US8323345B2 (en) * 2008-02-14 2012-12-04 U.S. Spine, Inc. Anterior lumbar interbody fusion cage device and associated method
US8709015B2 (en) 2008-03-10 2014-04-29 DePuy Synthes Products, LLC Bilateral vertebral body derotation system
US8608746B2 (en) 2008-03-10 2013-12-17 DePuy Synthes Products, LLC Derotation instrument with reduction functionality
US8864770B2 (en) * 2008-03-12 2014-10-21 Spinal Elements, Inc. Offset opposing arm spinal implant distractor/inserter
AU2009257987B2 (en) * 2008-03-28 2014-04-03 K2M, Inc. Expandable cage
EP2271289A4 (en) * 2008-03-28 2013-01-09 K2M Inc EXTENDABLE CAGE WITH LOCKING DEVICE
EP2278941A1 (en) 2008-05-05 2011-02-02 Spinalmotion Inc. Polyaryletherketone artificial intervertebral disc
US10973556B2 (en) 2008-06-17 2021-04-13 DePuy Synthes Products, Inc. Adjustable implant assembly
KR101496197B1 (ko) 2008-09-04 2015-02-26 신세스 게엠바하 조절가능한 추간 임플란트
US8114088B2 (en) 2008-09-19 2012-02-14 Zimmer Spine, Inc. Geared spinal implant inserter-distractor
US8545566B2 (en) * 2008-10-13 2013-10-01 Globus Medical, Inc. Articulating spacer
US8128701B2 (en) 2008-10-24 2012-03-06 Ulrich Gmbh & Co. Kg Implant for use between spiral vertebrae
US8114131B2 (en) 2008-11-05 2012-02-14 Kyphon Sarl Extension limiting devices and methods of use for the spine
US10045860B2 (en) 2008-12-19 2018-08-14 Amicus Design Group, Llc Interbody vertebral prosthetic device with self-deploying screws
WO2010078520A2 (en) 2008-12-31 2010-07-08 Jimenez, Omar, F. Flexible joint arrangement incorporating flexure members
US8721723B2 (en) * 2009-01-12 2014-05-13 Globus Medical, Inc. Expandable vertebral prosthesis
US8142435B2 (en) * 2009-02-19 2012-03-27 Aesculap Implant Systems, Llc Multi-functional surgical instrument and method of use for inserting an implant between two bones
US9687357B2 (en) 2009-03-12 2017-06-27 Nuvasive, Inc. Vertebral body replacement
US9387090B2 (en) * 2009-03-12 2016-07-12 Nuvasive, Inc. Vertebral body replacement
US8628577B1 (en) 2009-03-19 2014-01-14 Ex Technology, Llc Stable device for intervertebral distraction and fusion
US8292963B2 (en) 2009-04-23 2012-10-23 Warsaw Orthopedic, Inc. Expandable implant for supporting skeletal structures
US8876905B2 (en) * 2009-04-29 2014-11-04 DePuy Synthes Products, LLC Minimally invasive corpectomy cage and instrument
US8206394B2 (en) 2009-05-13 2012-06-26 Depuy Spine, Inc. Torque limited instrument for manipulating a spinal rod relative to a bone anchor
ES2653567T3 (es) 2009-07-22 2018-02-07 Spinex Tec, Llc Mecanismo de manguito de engranaje de tornillo coaxial
US9668882B2 (en) * 2009-10-02 2017-06-06 Amedica Corporation Biomedical implant inserters and related apparatus, systems, and methods
US8709086B2 (en) 2009-10-15 2014-04-29 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11103366B2 (en) 2009-10-15 2021-08-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10806596B2 (en) 2009-10-15 2020-10-20 Globus Medical, Inc. Expandable fusion device and method installation thereof
US8062375B2 (en) * 2009-10-15 2011-11-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10098758B2 (en) 2009-10-15 2018-10-16 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10327917B2 (en) 2009-10-15 2019-06-25 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9216095B2 (en) 2009-10-15 2015-12-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8556979B2 (en) 2009-10-15 2013-10-15 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9155628B2 (en) 2009-10-15 2015-10-13 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11344430B2 (en) 2009-10-15 2022-05-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8679183B2 (en) 2010-06-25 2014-03-25 Globus Medical Expandable fusion device and method of installation thereof
US11564807B2 (en) 2009-10-15 2023-01-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8685098B2 (en) 2010-06-25 2014-04-01 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9138217B2 (en) 2009-11-11 2015-09-22 Nu Vasive, Inc. Surgical access system and related methods
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US8636746B2 (en) 2009-12-31 2014-01-28 Spinex Tec, Llc Methods and apparatus for insertion of vertebral body distraction and fusion devices
US8353963B2 (en) 2010-01-12 2013-01-15 Globus Medical Expandable spacer and method for use thereof
US9913726B2 (en) 2010-02-24 2018-03-13 Globus Medical, Inc. Expandable intervertebral spacer and method of posterior insertion thereof
US8147526B2 (en) 2010-02-26 2012-04-03 Kyphon Sarl Interspinous process spacer diagnostic parallel balloon catheter and methods of use
US9271842B2 (en) * 2010-04-12 2016-03-01 Globus Medical, Inc. Expandable trial assembly for expandable vertebral implant
US8591585B2 (en) 2010-04-12 2013-11-26 Globus Medical, Inc. Expandable vertebral implant
US8282683B2 (en) 2010-04-12 2012-10-09 Globus Medical, Inc. Expandable vertebral implant
US9301850B2 (en) 2010-04-12 2016-04-05 Globus Medical, Inc. Expandable vertebral implant
US8870880B2 (en) 2010-04-12 2014-10-28 Globus Medical, Inc. Angling inserter tool for expandable vertebral implant
US9579211B2 (en) * 2010-04-12 2017-02-28 Globus Medical, Inc. Expandable vertebral implant
DE102010018379B4 (de) * 2010-04-26 2018-10-18 Peter Metz-Stavenhagen Wirbelsäulenimplantat und Werkzeug hierfür
US9597200B2 (en) 2010-06-25 2017-03-21 Globus Medical, Inc Expandable fusion device and method of installation thereof
US9066814B2 (en) 2010-08-02 2015-06-30 Ulrich Medical Usa, Inc. Implant assembly having an angled head
US10945858B2 (en) 2010-09-03 2021-03-16 Globus Medical, Inc. Expandable interspinous process fixation device
US10512550B2 (en) 2010-09-03 2019-12-24 Globus Medical, Inc. Expandable interspinous process fixation device
US8845734B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8852279B2 (en) 2010-09-03 2014-10-07 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8845731B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9351848B2 (en) 2010-09-03 2016-05-31 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9855151B2 (en) 2010-09-03 2018-01-02 Globus Medical, Inc Expandable fusion device and method of installation thereof
US12370057B2 (en) 2010-09-03 2025-07-29 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11793654B2 (en) 2010-09-03 2023-10-24 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8632595B2 (en) 2010-09-03 2014-01-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9907673B2 (en) 2010-09-03 2018-03-06 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9566168B2 (en) 2010-09-03 2017-02-14 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10869768B2 (en) 2010-09-03 2020-12-22 Globus Medical Inc. Expandable fusion device and method of installation thereof
US8435298B2 (en) 2010-09-03 2013-05-07 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US12059358B2 (en) 2010-09-03 2024-08-13 Globus Medical Inc. Expandable fusion device and method of installation thereof
US11446162B2 (en) 2010-09-03 2022-09-20 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10709573B2 (en) 2010-09-03 2020-07-14 Globus Medical Inc. Expandable fusion device and method of installation thereof
US10835387B2 (en) 2010-09-03 2020-11-17 Globus Medical Inc. Expandable fusion device and method of installation thereof
US10779957B2 (en) 2010-09-03 2020-09-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10758367B2 (en) 2010-09-03 2020-09-01 Globus Medical Inc. Expandable fusion device and method of installation thereof
US8491659B2 (en) 2010-09-03 2013-07-23 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8845732B2 (en) 2010-09-03 2014-09-30 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US10085849B2 (en) 2010-09-03 2018-10-02 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US9474625B2 (en) 2010-09-03 2016-10-25 Globus Medical, Inc Expandable fusion device and method of installation thereof
US10842644B2 (en) 2010-09-03 2020-11-24 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US8876866B2 (en) 2010-12-13 2014-11-04 Globus Medical, Inc. Spinous process fusion devices and methods thereof
US20120179258A1 (en) * 2010-12-28 2012-07-12 Paul Glazer Spinal spacer devices, tools, and methods
US8377140B2 (en) 2011-01-12 2013-02-19 Ebi, Llc Expandable spinal implant device
US8740980B2 (en) 2011-01-27 2014-06-03 Warsaw Orthopedic, Inc. Expandable medical implant
DE102011002076A1 (de) * 2011-04-15 2012-10-18 Z.-Medical Gmbh & Co. Kg Zwischenwirbelimplantat und Vorrichtung zum Einbringen
DE102011018695B4 (de) 2011-04-26 2022-08-25 Peter Metz-Stavenhagen Wirbelsäulenimplantat und Werkzeug hierfür
DE102011018694B4 (de) 2011-04-26 2022-08-25 Peter Metz-Stavenhagen Wirbelsäulenimplantat und Werkzeug hierfür
DE102011018692B4 (de) 2011-04-26 2016-06-23 Peter Metz-Stavenhagen Wirbelsäulenimplantat, Werkzeug hierfür und Verfahren zur Distraktion des Wirbelsäulenimplantats
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US8864833B2 (en) 2011-09-30 2014-10-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
US9566165B2 (en) 2012-03-19 2017-02-14 Amicus Design Group, Llc Interbody vertebral prosthetic and orthopedic fusion device with self-deploying anchors
WO2013141990A1 (en) 2012-03-19 2013-09-26 Amicus Design Group, Llc Interbody vertebral prosthetic and orthopedic fusion device with self-deploying anchors
US8771277B2 (en) 2012-05-08 2014-07-08 Globus Medical, Inc Device and a method for implanting a spinous process fixation device
US9044342B2 (en) 2012-05-30 2015-06-02 Globus Medical, Inc. Expandable interbody spacer
US9173695B2 (en) * 2012-07-24 2015-11-03 Paradigm Spine, Llc Bone fastener assembly instrument
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
US10350081B2 (en) 2012-12-11 2019-07-16 Globus Medical, Inc. Expandable vertebral implant
US10299934B2 (en) 2012-12-11 2019-05-28 Globus Medical, Inc Expandable vertebral implant
US9198697B2 (en) 2013-03-13 2015-12-01 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9011493B2 (en) 2012-12-31 2015-04-21 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9486251B2 (en) 2012-12-31 2016-11-08 Globus Medical, Inc. Spinous process fixation system and methods thereof
US9402738B2 (en) 2013-02-14 2016-08-02 Globus Medical, Inc. Devices and methods for correcting vertebral misalignment
US10105239B2 (en) 2013-02-14 2018-10-23 Globus Medical, Inc. Devices and methods for correcting vertebral misalignment
US9585765B2 (en) 2013-02-14 2017-03-07 Globus Medical, Inc Devices and methods for correcting vertebral misalignment
US9782265B2 (en) 2013-02-15 2017-10-10 Globus Medical, Inc Articulating and expandable vertebral implant
US10117754B2 (en) 2013-02-25 2018-11-06 Globus Medical, Inc. Expandable intervertebral implant
US9770343B2 (en) 2013-03-01 2017-09-26 Globus Medical Inc. Articulating expandable intervertebral implant
US10004607B2 (en) 2013-03-01 2018-06-26 Globus Medical, Inc. Articulating expandable intervertebral implant
US9204972B2 (en) 2013-03-01 2015-12-08 Globus Medical, Inc. Articulating expandable intervertebral implant
US9198772B2 (en) 2013-03-01 2015-12-01 Globus Medical, Inc. Articulating expandable intervertebral implant
US9554918B2 (en) 2013-03-01 2017-01-31 Globus Medical, Inc. Articulating expandable intervertebral implant
US12193948B2 (en) 2013-03-13 2025-01-14 Life Spine, Inc. Expandable implant assembly
US10426632B2 (en) 2013-03-13 2019-10-01 Life Spine, Inc. Expandable spinal interbody assembly
CA2845613C (en) * 2013-03-13 2018-04-24 Coalign Innovations, Inc. Selectively expanding spine cage with enhanced bone graft infusion
US9707096B2 (en) 2013-03-14 2017-07-18 K2M, Inc. Spinal fixation device
US10292832B2 (en) 2013-03-14 2019-05-21 Ohio State Innovation Foundation Spinal fixation device
US9233009B2 (en) 2013-03-15 2016-01-12 Globus Medical, Inc. Expandable intervertebral implant
US9034045B2 (en) 2013-03-15 2015-05-19 Globus Medical, Inc Expandable intervertebral implant
US9572677B2 (en) 2013-03-15 2017-02-21 Globus Medical, Inc. Expandable intervertebral implant
US9186258B2 (en) 2013-03-15 2015-11-17 Globus Medical, Inc. Expandable intervertebral implant
US9456906B2 (en) 2013-03-15 2016-10-04 Globus Medical, Inc. Expandable intervertebral implant
US9968460B2 (en) 2013-03-15 2018-05-15 Medsmart Innovation Inc. Dynamic spinal segment replacement
US9149367B2 (en) 2013-03-15 2015-10-06 Globus Medical Inc Expandable intervertebral implant
US9211193B2 (en) 2013-08-30 2015-12-15 Aesculap Implant Systems, Llc Prosthesis, system and method
US9808354B2 (en) * 2014-01-17 2017-11-07 Stryker European Holdings I, Llc Implant insertion tool
US9662224B2 (en) 2014-02-07 2017-05-30 Globus Medical, Inc. Variable lordosis spacer and related methods of use
US9839528B2 (en) 2014-02-07 2017-12-12 Globus Medical, Inc. Variable lordosis spacer and related methods of use
US9402739B2 (en) 2014-02-07 2016-08-02 Globus Medical, Inc. Variable lordosis spacer and related methods of use
US9486328B2 (en) 2014-04-01 2016-11-08 Ex Technology, Llc Expandable intervertebral cage
US8940049B1 (en) 2014-04-01 2015-01-27 Ex Technology, Llc Expandable intervertebral cage
US9901459B2 (en) 2014-12-16 2018-02-27 Globus Medical, Inc. Expandable fusion devices and methods of installation thereof
US9775719B2 (en) 2015-03-23 2017-10-03 Musc Foundation For Research Development Expandable vertebral body replacement device and method
US9814602B2 (en) 2015-05-14 2017-11-14 Globus Medical, Inc. Expandable intervertebral implants and methods of installation thereof
US10631997B2 (en) 2015-05-21 2020-04-28 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US10765532B2 (en) 2015-05-21 2020-09-08 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US10433975B2 (en) 2015-05-21 2019-10-08 Globus Medical, Inc. Device and method for deployment of an anchoring device for intervertebral spinal fusion
US9848996B2 (en) 2015-06-17 2017-12-26 Globus Medical, Inc. Variable lordotic interbody spacer
US11045326B2 (en) 2015-07-17 2021-06-29 Global Medical Inc Intervertebral spacer and plate
US10016282B2 (en) 2015-07-17 2018-07-10 Globus Medical, Inc. Intervertebral spacer and plate
US10034768B2 (en) 2015-09-02 2018-07-31 Globus Medical, Inc. Implantable systems, devices and related methods
US10137009B2 (en) 2015-09-02 2018-11-27 Globus Medical, Inc. Expandable intervertebral fusion devices and methods of installation thereof
US9757250B2 (en) * 2015-09-14 2017-09-12 Warsaw Orthopedic, Inc. Spinal implant system and method
EP3349695B1 (en) * 2015-09-18 2020-11-18 K2M, Inc. Corpectomy device
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
US10219914B2 (en) 2015-11-10 2019-03-05 Globus Medical, Inc. Stabilized expandable intervertebral spacer
US10524928B2 (en) 2015-12-15 2020-01-07 Globus Medical, Inc Stabilized intervertebral spacer
US10369004B2 (en) 2015-12-16 2019-08-06 Globus Medical, Inc. Expandable intervertebralspacer
US10251663B2 (en) 2016-01-11 2019-04-09 Kambiz Behzadi Bone preparation apparatus and method
US11375975B2 (en) 2016-01-11 2022-07-05 Kambiz Behzadi Quantitative assessment of implant installation
US10426540B2 (en) * 2016-01-11 2019-10-01 Kambiz Behzadi Prosthesis installation
US11241248B2 (en) 2016-01-11 2022-02-08 Kambiz Behzadi Bone preparation apparatus and method
US12193951B2 (en) 2016-01-11 2025-01-14 Kambiz Behzadi Quantitative assessment of prosthesis press-fit fixation
US11298102B2 (en) 2016-01-11 2022-04-12 Kambiz Behzadi Quantitative assessment of prosthesis press-fit fixation
US11291426B2 (en) 2016-01-11 2022-04-05 Kambiz Behzadi Quantitative assessment of implant bone preparation
US11331069B2 (en) 2016-01-11 2022-05-17 Kambiz Behzadi Invasive sense measurement in prosthesis installation
US11751807B2 (en) 2016-01-11 2023-09-12 Kambiz Behzadi Invasive sense measurement in prosthesis installation and bone preparation
US11399946B2 (en) 2016-01-11 2022-08-02 Kambiz Behzadi Prosthesis installation and assembly
US11234840B2 (en) 2016-01-11 2022-02-01 Kambiz Behzadi Bone preparation apparatus and method
US9974575B2 (en) 2016-02-02 2018-05-22 Globus Medical, Inc. Expandable spinal fixation system
US9844446B2 (en) 2016-05-05 2017-12-19 Globus Medical, Inc. Expandable vertebral implant
US9974662B2 (en) 2016-06-29 2018-05-22 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US12544236B2 (en) 2016-06-29 2026-02-10 Globus Medical Inc. Expandable fusion device and method of installation thereof
US10052215B2 (en) 2016-06-29 2018-08-21 Globus Medical, Inc. Expandable fusion device and method of installation thereof
US11596526B2 (en) 2016-09-14 2023-03-07 Globus Medical Inc. Systems and methods for expandable corpectomy spacer implantation
US12161563B2 (en) 2016-09-14 2024-12-10 Globus Medical, Inc. Systems and methods for expandable corpectomy spacer implantation
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
JP2020500677A (ja) 2016-11-28 2020-01-16 エムユーエスシー ファウンデーション フォー リサーチ ディベロップメントＭｕｓｃ Ｆｏｕｎｄａｔｉｏｎ Ｆｏｒ Ｒｅｓｅａｒｃｈ Ｄｅｖｅｌｏｐｍｅｎｔ 伸縮式椎体置換装置および方法
US10758365B2 (en) 2017-05-08 2020-09-01 Zavation Medical Products, Llc Expandable spinal cage assemblies for supporting bone structures
US11896494B2 (en) 2017-07-10 2024-02-13 Life Spine, Inc. Expandable implant assembly
US10463404B2 (en) * 2017-07-27 2019-11-05 Warsaw Orthopedic, Inc. Spinal implant system and method
US10709569B2 (en) 2017-11-09 2020-07-14 Globus Medical, Inc. Expandable intervertebral implant
US10966762B2 (en) 2017-12-15 2021-04-06 Medos International Sarl Unilateral implant holders and related methods
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
US11969336B2 (en) 2018-10-08 2024-04-30 Kambiz Behzadi Connective tissue grafting
CN109745115A (zh) * 2019-02-21 2019-05-14 江苏双羊医疗器械有限公司 一种骨科微创上钉器
US11497622B2 (en) 2019-03-05 2022-11-15 Ex Technology, Llc Transversely expandable minimally invasive intervertebral cage and insertion and extraction device
US11234835B2 (en) 2019-03-05 2022-02-01 Octagon Spine Llc Transversely expandable minimally invasive intervertebral cage
US11291481B2 (en) 2019-03-21 2022-04-05 Medos International Sarl Rod reducers and related methods
US11291482B2 (en) 2019-03-21 2022-04-05 Medos International Sarl Rod reducers and related methods
USD1004774S1 (en) 2019-03-21 2023-11-14 Medos International Sarl Kerrison rod reducer
JP2022531020A (ja) 2019-05-07 2022-07-05 スパイナル・エレメンツ・インコーポレーテッド 頸部プレートおよびインサーター
EP3979951A1 (en) 2019-06-10 2022-04-13 Life Spine, Inc. Expandable implant assembly with compression features
US12042395B2 (en) 2019-06-11 2024-07-23 Life Spine, Inc. Expandable implant assembly
US11622864B2 (en) 2019-06-28 2023-04-11 Innovasis, Inc. Expandable intervertebral implant
US11179242B2 (en) 2019-07-18 2021-11-23 Globus Medical, Inc. Expanding intervertebral implants
US11259933B2 (en) 2019-09-06 2022-03-01 Globus Medical Inc. Expandable motion preservation spacer
US11337824B2 (en) 2019-12-20 2022-05-24 Globus Medical, Inc. Stabilizing vertebrae with articulating implants
US11154405B2 (en) 2020-01-23 2021-10-26 Globus Medical, Inc. Articulating expandable interbody fusions devices
US11191650B2 (en) 2020-02-03 2021-12-07 Globus Medical Inc. Expandable fusions devices, instruments, and methods thereof
WO2021174247A1 (en) 2020-02-24 2021-09-02 Musc Foundation For Research Development Expandable vertebral body replacement device and method
US11857432B2 (en) 2020-04-13 2024-01-02 Life Spine, Inc. Expandable implant assembly
US11602439B2 (en) 2020-04-16 2023-03-14 Life Spine, Inc. Expandable implant assembly
US11911282B2 (en) * 2020-04-24 2024-02-27 Warsaw Orthopedic, Inc. Spinal implant system and method
US12336917B2 (en) 2020-05-15 2025-06-24 Life Spine, Inc. Steerable implant assembly
US11298240B2 (en) 2020-06-16 2022-04-12 Globus Medical, Inc. Expanding intervertebral implants
US11602440B2 (en) 2020-06-25 2023-03-14 Life Spine, Inc. Expandable implant assembly
US11357640B2 (en) 2020-07-08 2022-06-14 Globus Medical Inc. Expandable interbody fusions devices
US12589007B2 (en) 2020-07-09 2026-03-31 Globus Medical, Inc. Intradiscal fixation systems
US11491020B2 (en) 2020-07-09 2022-11-08 Globus Medical, Inc. Articulating and expandable interbody fusions devices
US11554020B2 (en) 2020-09-08 2023-01-17 Life Spine, Inc. Expandable implant with pivoting control assembly
EP4240262B1 (en) 2020-11-09 2024-12-04 Medos International Sàrl Biplanar forceps reducers
US12097126B2 (en) 2021-09-29 2024-09-24 Ex Technology, Llc Expandable intervertebral cage
EP4384121A1 (en) 2021-10-08 2024-06-19 Seaspine, Inc. Expandable vertebral implant
JP2024538403A (ja) 2021-11-19 2024-10-18 メドス・インターナショナル・エスエイアールエル 整復係止機構
US12324748B2 (en) 2021-12-02 2025-06-10 Globus Medical, Inc. Expandable fusion device with integrated deployable retention spikes
US11712346B2 (en) 2021-12-02 2023-08-01 Globus Medical, Inc. Expandable fusion device with integrated deployable retention spikes
WO2023196246A1 (en) 2022-04-05 2023-10-12 Spine Wave, Inc. Steerable and expandable interbody fusion device and associated instrumentation
US12011364B2 (en) 2022-06-15 2024-06-18 Globus Medical, Inc Expandable footprint implant
US11883080B1 (en) 2022-07-13 2024-01-30 Globus Medical, Inc Reverse dynamization implants
US12011365B2 (en) 2022-07-18 2024-06-18 Octagon Spine Llc Transversely expandable minimally invasive inter vertebral cage
WO2024112602A1 (en) 2022-11-22 2024-05-30 Alphatec Spine, Inc Vertebral body replacement and insertion device
US12396867B2 (en) 2023-03-21 2025-08-26 Globus Medical, Inc. Expandable footprint implant
US12427038B2 (en) 2023-06-27 2025-09-30 Globus Medical Inc. Expandable intervertebral interbody implants
US12485020B2 (en) 2023-06-27 2025-12-02 Globus Medical, Inc. Expandable intervertebral interbody implants
US12396866B2 (en) 2023-09-27 2025-08-26 Globus Medical, Inc. Expandable anterior lumbar implants

Family Cites Families (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3023942C2 (de) * 1980-06-26 1985-05-15 Waldemar Link (Gmbh & Co), 2000 Hamburg Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule und Zange zum Einsetzen und Distrahieren desselben
FR2575059B1 (fr) * 1984-12-21 1988-11-10 Daher Youssef Dispositif d'etaiement utilisable dans une prothese vertebrale
JPH02261446A (ja) * 1989-04-03 1990-10-24 Kawasaki Steel Corp 人工椎体
US5236460A (en) * 1990-02-12 1993-08-17 Midas Rex Pneumatic Tools, Inc. Vertebral body prosthesis
DE9101603U1 (de) * 1991-02-12 1991-05-02 Eska Medical Lübeck Medizintechnik GmbH & Co, 2400 Lübeck Wirbelkörperimplantat
JP2561401B2 (ja) * 1991-07-05 1996-12-11 株式会社神戸製鋼所 金属製人工椎体
ES2041221B1 (es) * 1992-04-24 1994-05-16 Alacreu Jose Vicente Barbera Procedimiento para la substitucion vertebral protesica en la cirugia de los tumores malignos y protesis para la practica de dicho procedimiento.
US5533863A (en) * 1993-03-26 1996-07-09 Allied Signal Inc Self positioning nut
DE4423257C2 (de) 1994-07-02 2001-07-12 Ulrich Heinrich Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule als Platzhalter
DE19509317B4 (de) * 1995-03-15 2006-08-10 Heinrich Ulrich Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule als Platzhalter
US5782919A (en) * 1995-03-27 1998-07-21 Sdgi Holdings, Inc. Interbody fusion device and method for restoration of normal spinal anatomy
DE19622827B4 (de) * 1996-06-07 2009-04-23 Ulrich, Heinrich Implantat zum Einsetzen zwischen Wirbelkörper als Platzhalter
US5702455A (en) * 1996-07-03 1997-12-30 Saggar; Rahul Expandable prosthesis for spinal fusion
US6190414B1 (en) * 1996-10-31 2001-02-20 Surgical Dynamics Inc. Apparatus for fusion of adjacent bone structures
JP3955883B2 (ja) * 1997-04-15 2007-08-08 ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング 伸縮式椎体プロテーゼ
DE19804765C2 (de) * 1998-02-06 2000-09-28 Biedermann Motech Gmbh Platzhalter mit einstellbarer axialer Länge
JP4087568B2 (ja) * 1998-10-15 2008-05-21 ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング 入れ子式の脊椎人工補装具
GB9824822D0 (en) * 1998-11-13 1999-01-06 Business Lines Limited A position indicator assembly
AU2001246520B2 (en) * 2000-03-31 2005-08-25 Konigsee Implantate Und Instrumente Zur Osteosynthese Gmbh Variable-height vertebral implant
DE10065398C2 (de) 2000-12-27 2002-11-14 Biedermann Motech Gmbh Längenverstellbarer Platzhalter zum Einsetzen zwischen zwei Wirbelkörper
DE10065232C2 (de) 2000-12-27 2002-11-14 Ulrich Gmbh & Co Kg Implantat zum Einsetzen zwischen Wirbelkörper sowie Operationsinstrument zur Handhabung des Implantats
DE20109599U1 (de) 2001-06-08 2001-08-23 Aesculap AG & Co. KG, 78532 Tuttlingen Wirbelersatzkörper

Also Published As

Publication number Publication date
EP1219266B2 (de) 2012-01-11
JP4060589B2 (ja) 2008-03-12
EP1721583A2 (de) 2006-11-15
EP1721583A3 (de) 2007-05-09
EP1219266B1 (de) 2006-09-27
DK1219266T3 (da) 2007-01-29
EP1219266A1 (de) 2002-07-03
DE10065232A1 (de) 2002-07-18
ES2267652T3 (es) 2007-03-16
DE20122641U1 (de) 2006-11-16
DE10065232C2 (de) 2002-11-14
DE20121560U1 (de) 2003-01-02
DE50111089D1 (de) 2006-11-09
US6752832B2 (en) 2004-06-22
ES2569227T3 (es) 2016-05-09
US20020082695A1 (en) 2002-06-27
EP1721583B1 (de) 2016-04-20
PT1219266E (pt) 2006-12-29
JP2002238929A (ja) 2002-08-27
ATE340543T1 (de) 2006-10-15
DK1721583T3 (en) 2016-05-09
DE20121355U1 (de) 2002-09-05

Similar Documents

Publication Publication Date Title
ES2267652T3 (es) Implante para insertar entre cuerpos vertebrales, asi como instrumento quirurgico para manipular el implante.
ES2668075T3 (es) Componente de fijación externa
ES2484990T3 (es) Dispositivo quirúrgico de anclaje óseo y sistema de fijación de la columna vertebral
ES2386163T3 (es) Implante para la espina dorsal regulable en altura
ES2265950T3 (es) Tornillo de huesos para una union variable angularmente con un larguero.
ES2283896T3 (es) Dispositivo para introducir en la posicion correcta un alambre guia para una herramienta de taladrar en un hueso.
ES2967459T3 (es) Instrumento quirúrgico
ES2550304T3 (es) Implante de columna vertebral y herramienta para dicho implante
ES2215832T3 (es) Tornillo oseo.
JP6334543B2 (ja) 挿入ツール
ES2435294T3 (es) Dispositivo quirúrgico con tornillo de osteosíntesis.
ES2676172T3 (es) Instrumento quirúrgico con sistema de engranajes planetarios
ES2658118T3 (es) Implantes de proceso interespinosos con brazos de acoplamiento desplegables
ES2262900T3 (es) Dispositivo ortopedico de fijacion.
ES2813277T3 (es) Kit de implante ortopédico
ES2712857T3 (es) Destornillador médico y caña para el destornillador médico
ES2595034T3 (es) Elemento de fijación para un implante dental
ES2968019T3 (es) Un medidor de grapas para determinar los tamaños de grapas quirúrgicas
ES2940489T3 (es) Tornillo de bloqueo ortopédico
ES2326972T3 (es) Tornillo oseo.
ES2590463T3 (es) Implante de columna vertebral, herramienta para este implante y procedimiento para realizar la distracción del implante de columna vertebral
ES2233078T3 (es) Herramienta de fijacion para guia de broca medica.
ES2248959T3 (es) Conjunto de implantes dentales e implante dental utilizado para el mismo.
ES2654526T3 (es) Dispositivo de osteosíntesis
ES2446541T3 (es) Llave dinamométrica, en particular para el campo de la medicina