WO2016089344A1 - Implant chirurgical et ensemble d'insertion d'implant chirurgical pour la translation et la fusion d'une articulation zygapophysaire de la colonne vertébrale - Google Patents

Implant chirurgical et ensemble d'insertion d'implant chirurgical pour la translation et la fusion d'une articulation zygapophysaire de la colonne vertébrale Download PDF

Info

Publication number
WO2016089344A1
WO2016089344A1 PCT/US2014/067869 US2014067869W WO2016089344A1 WO 2016089344 A1 WO2016089344 A1 WO 2016089344A1 US 2014067869 W US2014067869 W US 2014067869W WO 2016089344 A1 WO2016089344 A1 WO 2016089344A1
Authority
WO
WIPO (PCT)
Prior art keywords
facet
surgical implant
facet joint
implant device
inferior
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.)
Ceased
Application number
PCT/US2014/067869
Other languages
English (en)
Inventor
Robert E. Lins
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.)
minSURG International Inc
Original Assignee
minSURG International Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by minSURG International Inc filed Critical minSURG International Inc
Priority claimed from US14/556,319 external-priority patent/US9814494B2/en
Publication of WO2016089344A1 publication Critical patent/WO2016089344A1/fr
Anticipated expiration legal-status Critical
Ceased 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7055—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant connected to sacrum, pelvis or skull
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4405—Joints for the spine, e.g. vertebrae, spinal discs for apophyseal or facet joints, i.e. between adjacent spinous or transverse processes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30113—Rounded shapes, e.g. with rounded corners circular
    • A61F2002/30121—Rounded shapes, e.g. with rounded corners circular with lobes
    • A61F2002/30123—Rounded shapes, e.g. with rounded corners circular with lobes with two diametrically opposed lobes
    • 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
    • A61F2002/4677—Special tools for implanting artificial joints using a guide wire

Definitions

  • the present invention relates generally to a novel surgical implant device and surgical implant insertion assembly for treating spinal stenosis, facet arthropathy, degenerative disc disease, disc herniation, and the like. More specifically, the present invention relates to a novel surgical implant device and surgical implant insertion assembly for the translation/distraction and subsequent stabilization/fusion of a facet joint of the spine in the treatment of such conditions.
  • U.S. Patent No. 8,623,053 (Vestgaarden, issued January 7, 2014), which provides a spinal facet fusion implant that includes an elongated main body having a distal end, a proximal end, and a longitudinal axis extending between the distal end and the proximal end.
  • the main body has a cross-sectional profile characterized by a primary axis and a secondary axis. At least one stabilizer extends radially outwardly from the main body in the secondary axis.
  • the main body has a length along the primary axis that is less than the combined width of the spinal facets making up a facet joint.
  • the stabilizer has a width that is sized to make a press fit into the gap between the spinal facets making up a facet joint.
  • U.S. Patent No. 8,162,981 (Vestgaarden, issued April 24, 2012), which provides a spinal facet fusion implant including: an elongated body having a distal end, a proximal end, and a longitudinal axis extending between the distal end and the proximal end, the elongated body having a cross- sectional profile characterized by a primary axis and a secondary axis; and at least one stabilizer extending radially outwardly from the elongated body in the secondary axis; wherein the elongated body has a length along the primary axis which is less than the combined width of the spinal facets making up a facet joint; and further wherein the at least one stabilizer has a width which is sized to make a press fit into the gap between the spinal facets making up a facet joint
  • such displacement increases the size of the foramen, where the nerve roots exit the central spinal canal, thus addressing foraminal stenosis, which may cause leg symptoms.
  • Such displacement also addresses central spinal canal stenosis by unbuckling or stretching out the redundant ligamentum flavum that connect each spinal segment posteriorly.
  • Such displacement further unloads the posterior aspect of the intervertebral disc posteriorly, and may be used to address underlying degenerative disc disease, in addition to lumbar spinal stenosis, facet arthropathy (i.e. facet arthritis), and the like.
  • the surgical procedures of the present invention may be performed percutaneously, in a minimally invasive manner, or through two small incisions on the back, with or without a portal tube, one on each side, or in an open manner.
  • the goal of the surgical procedures of the present invention is to stabilize/fuse the facet joint in a desirable configuration that alleviates a given physical ailment or condition.
  • the various surgical implant devices of the present invention may be made of machined allograft (i.e.
  • bony material a surgically implantable polymeric material, a surgically implantable ceramic material, a surgically implantable metallic material, etc., and may optionally include one or more holes or bores for the impaction of another material that promotes the fusion of the superior and inferior facets of the facet joint.
  • the present invention provides a surgical implant device configured to be implanted in a facet joint of a spine, comprising: a substantially cylindrical central body portion; and a pair of substantially prismatic side portions extending in radially opposite directions disposed on either side of the substantially cylindrical central body portion; wherein the substantially cylindrical central body portion is configured to be disposed in a central hole formed across the facet joint and crossing a plane of an articulating surface of each of a superior facet and an inferior facet thereof; wherein each of the substantially prismatic side portions is configured to be disposed in a side hole parallel to the central hole formed across the facet joint and crossing the plane of the articulating surface of each of the superior facet and the inferior facet thereof; and wherein each of the side holes partially overlap the central hole.
  • the central body portion has a substantially circular cross- sectional shape.
  • each of the side portions has a substantially square or rectangular cross-sectional shape.
  • a lower leading edge of the central body portion has a tapered shape for aiding insertion of the surgical implant device into the central hole.
  • a lower leading edge of each of the side portions has a tapered shape for aiding insertion of the surgical implant device into the side holes.
  • the central hole and side holes are formed across the facet joint subsequent to translation of the articulating surfaces of the superior facet and the inferior facet with respect to one another. It should be noted that, as used herein, "hole” refers to any recess of any shape formed by any means, not simply a drilled circular channel. This definition applies equally to all embodiments.
  • the present invention provides a surgical method for implanting a surgical implant device in a facet joint of a spine, comprising: forming a central hole across the facet joint and crossing a plane of an articulating surface of each of a superior facet and an inferior facet thereof; forming a pair of side holes parallel to the central hole across the facet joint and crossing the plane of the articulating surface of each of the superior facet and the inferior facet thereof; wherein each of the side holes partially overlap the central hole; and disposing a surgical implant device in the central hole and side holes, wherein the surgical implant device comprises: a substantially cylindrical central body portion, wherein the substantially cylindrical central body portion is disposed in the central hole; and a pair of substantially prismatic side portions extending in radially opposite directions disposed on either side of the substantially cylindrical central body portion, wherein the substantially prismatic side portions are disposed in the side holes.
  • the central body portion has a substantially circular cross-sectional shape.
  • each of the side portions has a substantially square or rectangular cross-sectional shape.
  • a lower leading edge of the central body portion has a tapered shape for aiding insertion of the surgical implant device into the central hole.
  • a lower leading edge of each of the side portions has a tapered shape for aiding insertion of the surgical implant device into the side holes.
  • the surgical method also comprises translating the articulating surfaces of the superior facet and the inferior facet with respect to one another prior to forming the central hole and side holes across the facet joint.
  • the present invention provides a surgical implant insertion assembly for implanting a surgical implant device in a facet joint of a spine, comprising: an optional guide portion configured to be partially disposed within the facet joint, thereby locating the facet joint; a translation portion configured to securely engage the superior facet and the inferior facet of the facet joint and selectively rotate about the guide portion and/or a central axis, thereby translating articulating surfaces of the superior facet and the inferior facet with respect to one another; and a cannulated retention portion disposed about the translation portion and configured to selectively engage the facet joint and selectively secure the superior facet and the inferior facet of the facet joint in a translated configuration; wherein the cannulated retention portion defines an internal bore through which holes are formed in the superior facet and the inferior facet and a surgical implant device is inserted into the facet joint once one or more of the guide portion and the translation portion are removed from the cannulated retention portion.
  • the guide portion comprises one of an independent guide wire and a sharpened point coupled to an end of the translation portion.
  • the translation portion comprises a pair of opposed staple-like blade structures coupled to an end of the translation portion for securely engaging the superior facet and the inferior facet.
  • the retention portion comprises a pair of opposed protruding structures coupled to an end of the retention portion for engaging the facet joint.
  • the retention portion also comprises a plurality of spike structures coupled to an end of the retention portion for engaging the facet joint and securing the superior facet and the inferior facet of the facet joint in the translated configuration.
  • the internal bore of the retention portion comprises a central lobe and a pair of opposed side lobes partially intersecting the central bore.
  • the internal bore of the retention portion has a shape that substantially matches the shape of the surgical implant device disposed there through.
  • the present invention provides a surgical method for implanting a surgical implant device in a facet joint of a spine, comprising: translating articulating surfaces of a superior facet and an inferior facet of the facet joint with respect to one another using a surgical implant insertion assembly; securing the superior facet and the inferior facet in a translated configuration using the surgical implant insertion assembly; forming one or more holes across the facet joint and crossing a plane of an articulating surface of each of the superior facet and the inferior facet using the surgical implant insertion assembly as a guide; and disposing the surgical implant device in the one or more formed holes using the surgical implant insertion assembly as a guide.
  • the surgical implant insertion assembly comprises: a translation portion configured to securely engage the superior facet and the inferior facet of the facet joint and selectively rotate about a central axis, thereby translating the articulating surfaces of the superior facet and the inferior facet with respect to one another; and a cannulated retention portion disposed about the translation portion and configured to selectively engage the facet joint and selectively secure the superior facet and the inferior facet of the facet joint in the translated configuration; wherein the cannulated retention portion defines an internal bore through which the one or more holes are formed in the superior facet and the inferior facet and the surgical implant device is inserted into the facet joint once the translation portion is removed from the cannulated retention portion.
  • the translation portion comprises a pair of opposed staple-like blade structures coupled to an end of the translation portion for securely engaging the superior facet and the inferior facet.
  • the retention portion comprises a pair of opposed protruding structures coupled to an end of the retention portion for engaging the facet joint.
  • the retention portion also comprises a plurality of spike structures coupled to an end of the retention portion for engaging the facet joint and securing the superior facet and the inferior facet of the facet joint in the translated configuration.
  • the internal bore of the retention portion comprises a central lobe and a pair of opposed side lobes partially intersecting the central bore.
  • the internal bore of the retention portion has a shape that substantially matches the shape of the surgical implant device disposed there through.
  • FIG. 1 is a cross-sectional end view of one exemplary embodiment of the surgical implant device of the present invention
  • FIG. 2 is a perspective end view of one exemplary embodiment of the surgical implant device of the present invention
  • FIG. 3 is a perspective side view of one exemplary embodiment of the surgical implant device of the present invention.
  • FIG. 4 is a perspective side view of one exemplary embodiment of the surgical implant insertion assembly of the present invention in a assembled state
  • FIG. 5 is a partial perspective side view of one exemplary embodiment of the surgical implant insertion assembly of the present invention in a partially assembled state
  • FIG. 6 is a perspective side view of one exemplary embodiment of the surgical implant insertion assembly of the present invention in a disassembled state
  • FIG. 7 is a partial perspective end view of one exemplary embodiment of the translation member of the surgical implant insertion assembly of the present invention.
  • FIG. 8 is a partial perspective side view of one exemplary embodiment of the translation member and the guide member of the surgical implant insertion assembly of the present invention in an assembled state;
  • FIG. 9 is a partial perspective end view of another exemplary embodiment of the translation member of the surgical implant insertion assembly of the present invention.
  • FIG. 10 is a partial perspective side view of one exemplary embodiment of the translation member of the surgical implant insertion assembly of the present invention.
  • FIG. 11 is a partial perspective end view of one exemplary embodiment of the retention member and the translation member of the surgical implant insertion assembly of the present invention in a partially assembled state;
  • FIG. 12 is a perspective side view of one exemplary embodiment of the retention member of the surgical implant insertion assembly of the present invention.
  • FIG. 13 is a partial perspective side view of one exemplary embodiment of the retention member of the surgical implant insertion assembly of the present invention.
  • FIG. 14 is a partial perspective side view of one exemplary embodiment of the retention member of the surgical implant insertion assembly of the present invention.
  • FIG. 15 is a perspective end view of one exemplary embodiment of the retention member of the surgical implant insertion assembly of the present invention.
  • FIG. 16 is a perspective end view of one exemplary embodiment of the retention member of the surgical implant insertion assembly and the surgical implant device of the present invention in a disassembled state.
  • the surgical implant device 10 is disposed generally between the superior facet 12 and the inferior facet 14 of the facet joint 16 of the spine.
  • the surgical implant device 10 includes a body portion 18 that has a substantially circular cross-sectional shape and a pair of protruding side portions 20 each having a substantially rectangular shape that extend radially from the body portion 18. It will be readily apparent to those of ordinary skill in the art that any number of protruding side portions 20 may be used and that each may have another suitable shape.
  • the body portion 18 is disposed, or press fit, within a central hole 22 drilled in and between the superior facet 12 and the inferior facet 14; the body portion 18 breaking the plane of the associated articulating surfaces.
  • Each of the protruding side portions 20 is disposed, or press fit, within a side hole 24 drilled in and between the superior facet 12 and the inferior facet 14; each of the side holes 24 overlapping and mating with the central hole 22; each of the protruding side portions 20 breaking the plane of the associated articulating surfaces. It will be readily apparent to those of ordinary skill in the art that, although drilled holes 22 and 24 are illustrated and described herein, appropriate recesses in the articulating surfaces of the superior facet 12 and the inferior facet 14 may be formed by other means as well.
  • the surgical implant device 10 is slightly larger than the holes formed to contain it, thereby creating a snug press fit.
  • all portions 18 and 20 of the surgical implant device 10 impinge upon the purposefully excavated articulating surfaces of the superior facet 12 and the inferior facet 14 and no portions 18 and 20 are merely press fit into the natural gap of the facet joint 16.
  • All portions 18 and 20 of the surgical implant device 10 are sized accordingly, with each of the protruding side portions 20 being substantially “thicker" than the natural gap of the facet joint 16.
  • the surgical implant device 10 has overall dimensions on the order of several millimeters, and may be made of machined allograft (i.e.
  • the surgical implant device 10 may include one or more holes or bores along its major axis and/or perpendicular to its major axis for the impaction of another material that promotes the fusion of the superior and inferior facets 12 and 14 of the facet joint 16.
  • the body portion 18 of the surgical implant device 10 may have a threaded portion or other attachment means for receiving one or more tools by which it is tamped into the facet joint 16. It should be noted that the body portion 18 and the protruding side portions 20 may be integrally formed or otherwise rigidly joined together.
  • each of the protruding side portions 20 may include a point, taper, or bevel 26 to promote advancement of the surgical implant device 10 into the formed holes 22 and 24 (FIG. 1). All other edges of the surgical implant device 10 may also be beveled, as desired.
  • the surgical implant device 10 is designed to securely hold the superior facet 12 (FIG. 1) with respect to the inferior facet 14 (FIG. 1), preferably in a translated state, such that the articulating surfaces of the superior facet 12 and the inferior facet 14 may not slide with respect to one another.
  • the surgical implant insertion assembly 30 includes a guide portion 32 configured to localize the facet joint 16 (FIG. 1) and drilling site; a cannulated translation portion 34 configured to be disposed about the guide portion 32, engage the superior facet 12 (FIG. 1) and the inferior facet 14 (FIG. 1), and rotate about the guide portion 32 to translate the articulating surfaces of the superior facet 12 and the inferior facet 14 with respect to one another prior to drilling and insertion of the surgical implant device 10 (FIGS.
  • the guide portion 32 consists of a conventional guide wire or the like including a sharpened point that is disposed in or adjacent to the facet joint 16 such that the facet joint 16 can be localized and the translation portion 34 and the retention portion 36 can be disposed about the guide wire or the like and positioned adjacent to the facet joint 16.
  • the translation portion 34 includes a handle portion 38 for manipulating the translation portion 34, impacting it into the facets 12 and 14, rotating it such that the facets 12 and 14 are translated, and removing it from the retention portion 36.
  • the handle portion 38 may be disposed at any desired angle with respect to the shaft of the translation portion 34.
  • the retention portion 36 includes a handle portion 40 for manipulating the retention portion 36, impacting it into the facet joint 16, impacting it into the facets 12 and 14, and removing it.
  • the handle portion 40 may be disposed at any desired angle with respect to the shaft of the retention portion 36.
  • the guide portion 32, the translation portion 34, and the retention portion 36 are illustrated in a disassembled configuration in FIG. 6, which shows their nested cannulated configuration.
  • the end portion of the translation portion 34 a pair of sharpened protrusions 42 that are configured to be selectively impacted into the superior facet 12 (FIG. 1) and the inferior facet 14 (FIG. 1) of the facet joint 16 (FIG. 1) surrounding the guide portion 32 (FIG. 4).
  • the translation portion 34 is then rotated, rotating the sharpened protrusions 42 about the guide portion 32, thereby translating the superior facet 12 with respect to the inferior facet 14.
  • a pair of guide protrusions 44 are disposed within the natural gap of the facet 16, thereby securing the retention portion 36 with respect to the facet joint 16.
  • FIG. 7 further illustrates the configuration of the substantially cylindrical cannulated translation portion 34, including the pair of sharpened protrusions 42, which, in the exemplary embodiment illustrated, resemble sharpened staple-like blades. It will be readily apparent to those of ordinary skill in the art that other shapes may be utilized.
  • FIG. 8 further illustrates the configuration of the substantially cylindrical cannulated translation portion 34, including the pair of sharpened protrusions 42, with the guide portion 32 disposed through the translation portion 34 and between the pair of sharpened protrusions 42.
  • the substantially cylindrical translation portion 34 includes a sharpened point 44 disposed between the pair of sharpened protrusions 42, the sharpened point 44 taking the place and serving the function of the guide portion 32 (FIGS. 4, 6, and 8) and serving to localize the facet joint 16 (FIG. 1).
  • the substantially cylindrical translation portion 34 (whether cannulated or non-cannulated) includes one or more guide protrusions 46 along its shaft relatively adjacent to the handle portion 38.
  • These guide protrusions 46 are configured to engage one or more recesses (not illustrated) manufactured into the interior bore of the substantially cylindrical cannulated retention portion 36 (FIGS. 4-6) that control and guide the depth of penetration and degree of rotation of the translation portion 34 with respect to the retention portion 36, and with respect to the facet joint 16 (FIG. 1).
  • the guide protrusions 46 selectively rotationally lock the translation portion 34 and the retention portion 36 together, such impaction of the surgical implant insertion assembly 30 (FIGS.
  • FIG. 11 further highlights the insertion of the translation portion 34 and the guide protrusions 46 into the retention portion 36 via a hole 48 extending through the handle portion 40 and into the interior bore of the retention portion 36.
  • FIG. 12 further highlights the design of the retention portion 36 and handle portion 40
  • FIGS. 13-15 further highlight the design of the guide protrusions 44 and sharpened spikes 46 of the retention portion 36.
  • FIG. 16 more clearly illustrates the drill guide 60 of the retention portion 36 and the associated handle portion 40, defining a central drilling lobe and two overlapping side lobes, all of which intersect a portion of the superior facet 12 and the inferior facet 14.
  • the present invention provides a surgical method for implanting a surgical implant device in a facet joint of a spine, including: one or more of distracting (i.e. separating) and translating articulating surfaces of a superior facet and an inferior facet of the facet joint with respect to one another; forming one or more holes or recesses across the facet joint and crossing a plane of the articulating surface of each of the superior facet and the inferior facet thereof; and disposing a surgical implant device in the one or more holes or recesses to secure the facet joint in one or more of a distracted configuration and a translated configuration. It should be noted here that distracting the facet joint will result in translation of the facet joint.
  • the one or more of distracting and translating the articulating surfaces of the superior facet and the inferior facet are performed using one or more of a keel structure (as described above), a clamp device disposed on one or more of the superior facet and the inferior facet, and a separation structure disposed between the superior facet and the inferior facet.
  • This surgical method may be performed using an open surgical approach.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Neurosurgery (AREA)
  • Dentistry (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Prostheses (AREA)

Abstract

Un implant chirurgical conçu pour être implanté dans une articulation zygapophysaire de la colonne vertébrale comprend : une partie corps centrale sensiblement cylindrique; et une paire de parties latérales sensiblement prismatiques s'étendant dans des directions radialement opposées disposées de chaque côté de la partie corps centrale sensiblement cylindrique; la partie corps centrale sensiblement cylindrique est conçue pour être disposée dans un trou central formé dans l'articulation zygapophysaire et croisant un plan d'une surface d'articulation de chacune des facettes supérieure et inférieure de celle-ci; chacune des parties latérales sensiblement prismatiques est conçue pour être disposée dans un trou latéral parallèle au trou central formé dans l'articulation zygapophysaire et croisant le plan de la surface d'articulation de chacune des facettes supérieure et inférieure de celle-ci; et chaque trou latéral chevauche partiellement le trou central.
PCT/US2014/067869 2014-12-01 2014-12-01 Implant chirurgical et ensemble d'insertion d'implant chirurgical pour la translation et la fusion d'une articulation zygapophysaire de la colonne vertébrale Ceased WO2016089344A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/556,319 2014-12-01
US14/556,319 US9814494B2 (en) 2009-09-03 2014-12-01 Surgical implant device and surgical implant insertion assembly for the translation and fusion of a facet joint of the spine

Publications (1)

Publication Number Publication Date
WO2016089344A1 true WO2016089344A1 (fr) 2016-06-09

Family

ID=56092113

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/067869 Ceased WO2016089344A1 (fr) 2014-12-01 2014-12-01 Implant chirurgical et ensemble d'insertion d'implant chirurgical pour la translation et la fusion d'une articulation zygapophysaire de la colonne vertébrale

Country Status (1)

Country Link
WO (1) WO2016089344A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100234905A1 (en) * 2009-03-13 2010-09-16 John Sledge Facet joint resurfacing implant and associated surgical methods
US20110152953A1 (en) * 2009-11-20 2011-06-23 Deru Gmbh Surgical guide instrument and method for working the articular processes of vertebral bodies
US20120035727A1 (en) * 2009-09-03 2012-02-09 Lins Robert E Surgical implant device for the translation and fusion of a facet joint of the spine

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100234905A1 (en) * 2009-03-13 2010-09-16 John Sledge Facet joint resurfacing implant and associated surgical methods
US20120035727A1 (en) * 2009-09-03 2012-02-09 Lins Robert E Surgical implant device for the translation and fusion of a facet joint of the spine
US20110152953A1 (en) * 2009-11-20 2011-06-23 Deru Gmbh Surgical guide instrument and method for working the articular processes of vertebral bodies

Similar Documents

Publication Publication Date Title
US9814494B2 (en) Surgical implant device and surgical implant insertion assembly for the translation and fusion of a facet joint of the spine
US11813172B2 (en) Facet screw and delivery device
US20230139017A1 (en) Lateral mass fixation system
US20250072908A1 (en) Vertebral joint access and decortication devices and methods of using
US9357985B2 (en) Method for accessing a spinal facet joint
US8623053B2 (en) Method and apparatus for spinal facet fusion
US10111690B2 (en) Arthrodesis implant and buttressing apparatus and method
US8882818B1 (en) Method for deploying a fusion device for sacroiliac joint fusion
EP2556803B1 (fr) Guide d'indexation orienté de colonne vertébrale
WO2016105648A1 (fr) Procédés et systèmes de fusion de l'articulation sacro-iliaque
US8814907B2 (en) Surgical implant device for the translation and fusion of a facet joint of the spine
US20250009396A1 (en) Apparatus and method for fusing a sacroiliac joint
KR20230136630A (ko) 천장관절을 치료하기 위한 시스템 및 방법
US20120035727A1 (en) Surgical implant device for the translation and fusion of a facet joint of the spine
US12539219B2 (en) Intervertebral implant and tool assembly
WO2016089344A1 (fr) Implant chirurgical et ensemble d'insertion d'implant chirurgical pour la translation et la fusion d'une articulation zygapophysaire de la colonne vertébrale
WO2013058737A2 (fr) Dispositif d'implant chirurgical pour la translation et la fusion d'une facette vertébrale lombaire de la colonne
US20250339156A1 (en) Methods and apparatus for implanting a fusion device into a sacroiliac joint
US11903849B2 (en) Intervertebral implant and tool assembly

Legal Events

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

Ref document number: 14907293

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 14907293

Country of ref document: EP

Kind code of ref document: A1