44 results about "Disc space" patented technology

Disclosed methods, devices, and systems are suitable for performing minimally-invasive procedures for accessing the intervertebral space along an oblique pathway with an insertion instrument that holds a disc implant, and reorienting the angular relationship between instrument and implant while the implant is inside the body (for example at or within the disc space).

The present technology includes patient-specific spinal fusion devices, which may include an interbody implant that is designed to be positioned within a disc space between two vertebral bodies and one or more fixation elements that can anchor the interbody implant to the vertebral bodies. The fusion devices include one or more retention mechanisms for retaining the fixation elements within corresponding lumens or bore holes extending through the interbody implant. Methods for designing and manufacturing patient-specific spinal fusion devices are also described herein.

Disclosed methods, devices, and systems are suitable for performing minimally-invasive procedures for accessing the intervertebral space along an oblique pathway with an insertion instrument that holds a disc implant, and reorienting the angular relationship between instrument and implant while the implant is inside the body (for example at or within the disc space).

An interbody device (100) for a surgical procedure having an outer body (164) made of a radiopaque material (160) and an insertion portion (116) having a first width at a first end of the insertion portion (116) that is less than a second width at a second end of the insertion portion (116). The insertion portion (116) configured for entering into a disc space (123) and the interbody device (100) including a top surface (124) having a convex shape.

A cervical disc instrument that includes a handle that defines a cavity therein, a trial head, and a blade. The trial head is removably coupled to the handle and configured for insertion into a disc space. The blade is disposed in the cavity of the handle and configured to cut a surface that at least partially defines the disc space when the trial head is located in the disc space.

A cervical disc instrument that includes a handle that defines a cavity therein, a trial head, and a blade. The trial head is removably coupled to the handle and configured for insertion into a disc space. The blade is disposed in the cavity of the handle and configured to cut a surface that at least partially defines the disc space when the trial head is located in the disc space.

A method and system for performing bone fusion and / or securing one or more bones, such as adjacent vertebra, are disclosed. The screws include a threaded tip connected to a main shaft and a threaded outer sleeve that rotates relative to the outer shaft until locked down. Independent rotation of the threaded outer sleeve relative to the threaded distal tip allows compression or distraction to modify the gap between the vertebral bodies. The screws are passed from the inferior to superior vertebra or superior to inferior, for example, through a trans-pedicular route to avoid neurological compromise. At the same time, the path of screw insertion is oriented to reach superior or inferior vertebra. An intervertebral cage of the system is configured for lateral expansion from a nearly straight configuration to form a large footprint in the disc space. The screws and cage may be combined for improved fixation with minimal invasiveness.

The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse to the disc space footprint. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted.

Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse to the disc space footprint. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted.

A cervical disc instrument that includes a handle that defines a cavity therein, a trial head, and a blade. The trial head is removably coupled to the handle and configured for insertion into a disc space. The blade is disposed in the cavity of the handle and configured to cut a surface that at least partially defines the disc space when the trial head is located in the disc space.

Methods and apparatus for providing correction of one or more maladies or conditions of the spinal column of a living being. In one embodiment, the apparatus includes an implant delivery instrument and an implant for use therewith. In one variant, the implant delivery instrument includes a non-detachable distraction member for distraction of the disc space and a track for slidable delivery of an implant to the distracted disc space. In another variant, the implant delivery instrument includes a detachable distraction member for distraction of the disc space and a track for slidable delivery of an implant to the distracted disc space. In the latter variant, the distraction member is co-implanted in the disc space with the implant.

A system for delivering flowable biomaterial to an intervertebral disc space between adjacent vertebral bodies includes a delivery body defining a proximal end, a distal end spaced from the proximal end along a longitudinal direction, a cannulation extending from the proximal end to an opening adjacent the distal end, and a distal region including a tip that extends to the distal end. The distal region defines a maximum height at a location proximal of the distal end and measured along a second direction perpendicular to the longitudinal direction. The distal region is for indicating a distance between the adjacent vertebral bodies. The system includes a carrier having a longitudinally elongate channel for carrying biomaterial and being insertable within the cannulation, as well as an advancement member configured for insertion within the cannulation to forcibly advance the biomaterial from the cannulation, through the opening, and into the disc space.

A spinal plate selection and positioning system is provided for use in a spinal fusion procedure. The system may comprise an elongated guide member that is removably securable to an interbody cage by a holding rod. An interbody plate may be aligned and positioned above the interbody cage installed in a disc space. A drill guide may also be aligned and positioned above the interbody plate. The drill guide may be utilized to drill pilot holes in the vertebrae defining the disc space. Fasteners to secure the interbody plate may also by installed using the drill guide. The use of the guide member ensures that the interbody plate is properly aligned and positioned with respect to the interbody cage.

Expandable intervertebral fusion implants, system, and methods for coronal correction. The implant may include top and bottom endplates configured to engage adjacent vertebrae, a dual actuator assembly including a rotatable drive screw actuator and a rotatable actuator nut concentric to the drive screw actuator, and driving ramps positioned along the shaft of the drive screw actuator and engaged with the top and bottom endplates via complementary ramped surfaces. When inserted in a disc space, the implant has an ipsilateral side and a contralateral side, and rotation of the drive screw actuator and / or the actuator nut causes movement of one or more of the driving ramps, thereby causing independent expansion in height of the contralateral and / or ipsilateral sides of the implant to correct the coronal deformity.

An expandable interbody fusion device and an associated instrument for inserting the device into an intervertebral disc space, expanding the device and for use in delivering graft material into the device once expanded in the disc space. The device is small enough to fit through Kambin's triangle yet is capable of expanding both in the vertical direction to accommodate spinal lordosis and in the lateral direction to provide sufficient structural support for opposing vertebral bodies laterally within the disc space. A process of forming textured top and bottom surfaces of the device by initially laser ablating each surface with a nano-second pulsed laser followed by laser ablating those surfaces with a femto-second pulsed laser.

An interbody device for a surgical procedure having an outer body made of a radiopaque material and an insertion portion having a first width at a first end of the insertion portion that is less than a second width at a second end of the insertion portion. The insertion portion configured for entering into a disc space and the interbody device including a top surface having a convex shape.

A discectomy device for clearing material out of a disc space of a patient having a body, a first rotatable member at the distal portion of the body, and a second rotatable member at the distal portion of the body spaced from the first rotatable member. A transverse axis passes through the first and second rotatable members. A first mechanism is actuable to rotate the first and second rotatable members about the transverse axis. A mechanism can be provided to expand the rotatable members to increase the distance between the rotatable members. The rotatable members in some versions can be detached from the device for placement within the disc space.

An apparatus for use in preparing the intervertebral disc space. The apparatus includes a powered disc cutter that can be inserted through a tube and into the disc space. Once inside the disc space, the cutter can be rotated on its axis and articulated through the disc space to break up and disconnect the disc tissue from the surrounding disc tissue and disc annulus. The device is powered by a handheld driver that utilizes a motor to impart motion, such as rotary motion, to an elongated shaft assembly having a cutting tool or assembly pivotably attached to the distal end thereof. The cutting tool is mounted to the end of the drive shaft assembly by a linkage so that the shaft may be inserted in a straight configuration down a narrow access port. The cutting assembly can spin on its axis while being articulated providing access to the intervertebral space.

Disclosed herein are systems and methods for intervertebral body fusion that provide more robust support within the disc space. Intervertebral body fusion devices can have a unitary monolithic body including a plurality of body segments interconnected with each other by flexure members. Devices may be configured to be inserted through an opening in a compressed configuration and then expanded within the disc space to an expanded configuration. In the expanded configuration, devices can have a greater mediolateral or transverse footprint with regard to the disc space. This wider footprint provides greater support for the vertebrae relative to the size of the opening through which the device is inserted. In the event the device must be expanded or compressed multiple times during the insertion process, the flexures of the device are resistant to failure or fracture.

Embodiments of the present disclosure include in-situ formed or in-situ-manufactured expandable cages, expandable implants, and additive-manufacturing systems for printing spinal implants in-situ, and methods for printing the same. Some embodiments may include a robotic subsystem including scanning and imaging equipment configured to scan a patient's anatomy. Some embodiments may further include an armature having a dispensing component configured to dispense at least one printing material and a controller. The controller may be configured to control the scanning and imaging equipment to determine a target alignment of a patient's spine, and develop in-situ-forming instructions including an in-situ relocation plan. In some embodiments, the in-situ-forming instructions may be based on the target alignment of the patient's spine and an interbody access space which may only partially provide access to a disc space between adjacent vertebra of the patients spine. The controller may execute the in-situ-forming instructions to form an interbody cage.

A method for performing lumbar interbody fusion surgery may include forming an access corridor through a facet joint of a patient, removing disc material from a disc space of the patient via one or more instruments advanced through the access corridor, and advancing an interbody device through the access corridor and into the disc space.

A surgical tube for spinal surgical procedures allows for lateral access to the L4 / L5 disc space in the presence of a high iliac crest without going through the ilium. The tube has an angled jog that positions the distal portion of the tube on the cephalad side of the ilium. The angled tube can include fixation pin channels on the cephalad and caudal sides on the tube, going into the L4 and L5 vertebral bodies respectively. The L5 pin channel can have an angled inward portion corresponding to the jog of the tube, towards the center of L5. The L4 pin channel can be angled so that it starts at the caudal side of the tube at the proximal end of the tube and exits the tube on the cephalad side at the distal end of the tube.

The present invention includes a novel procedure and corresponding medical devices for a Purcutaneous Spinal Interbody Fusion (PSIF). In PSIF, the surgeon performs the entire operation percutaneously without the use of a microscope, endoscope, or magnifying loupes. An adjustable retractor system is disclosed that enables the surgeon to percutaneously perform the surgery through accessing the facet joint (and later disc space) that was created by said retractor system. This retractor system provides the surgeon a safe area to work and operate without fear of damaging nerves, blood vessels, or other tissue. An expanding trial may be inserted into and removed from the disc space through the interior of the retractor system to determine the proper size for the expandable cage. The retractor system also enables the expandable cage to be inserted into the disc space.

A bone anchor based retractor / distractor assembly for simultaneous tissue retraction and disc space distraction utilizing an adjustable, flexible wire to secure the bone anchors during the distraction process. The assembly includes first and second modular retractor / distractor blades that can be detached for securing to the bone anchor. Each blade has a pivot pin and blade connector with a rotatable knob for adjusting of a wire releasably securable to a bone anchor. The blade connectors are attached to the first and second arm elements, each having a stabilizing arm that is movable in relation to each other by a threaded draw rod having an adjustment knob for activating movement. A main body is secured to a medial retraction blade by an arm having a gear member operatively associated with a gear knob for incremental movement of the medial retraction blade.

The present technology includes patient-specific spinal fusion devices, including interbody implants that are designed to be positioned within a disc space between two vertebral bodies. The interbody implants can include a superior-facing endplate and an inferior-facing endplate each having a patient-specific topography. The superior-facing endplate and the inferior-facing endplate can also have different sizes or footprints based on a size and desired implant coverage of the corresponding vertebral body endplate each implant endplate is designed to contact when implanted. Methods for designing and manufacturing patient-specific spinal fusion devices are also described herein.

Internal fixation systems and methods for prone lateral spinal surgery on a patient. The system includes a lateral lumbar interbody fusion (LLIF) retractor and a posterior compressor / distractor including a posterior distractor rack assembly having a rack and a posterior distractor carriage assembly configured to operably engage the posterior distractor rack assembly. The posterior distractor rack assembly includes a first swivel tube subassembly having a first swivel tube and the posterior distractor carriage assembly includes a second swivel tube subassembly having a second swivel tube. The first and second swivel tubes are each configured to receive a pedicle screw and a screw tower therein. The first and second swivel tube subassemblies are configured to move and position relative to each other such that a surgeon can access the disc space of a patient from the left and right sides without the need for a bolster.

A surgical bone cutting system includes a trajectory guide and an osteotome or trepanation tool with a generally square cutting tip that creates a corridor through bone, for example, in the context of spine, through a facet joint or other vertebral structure and to the disc space between two vertebrata for any of a variety of surgical procedures, including but not limited to disc prep and cage insertion. The osteotome fits into the trajectory guide to contact bone and effect creating a bony corridor. In some embodiments, the trajectory guide includes a cylindrical allograft collection chamber, and the trajectory guide and osteotome fit into standard tubular retractors and are agnostic with respect to receiving standard drill bits or a powered auger insertable through a center through channel.

An additive-manufacturing system for printing spinal implants in-situ, within a patient, is disclosed. The system may include a robotic subsystem having scanning and imaging equipment and an armature including at least one dispensing nozzle and a controller apparatus having a processor and a non-transitory computer-readable medium. The controller may control the scanning and imaging equipment to determine a target alignment of a patients spine, develop an in-situ-printing plan including an in-situ material selection plan based on the target alignment of the patients spine, an interbody access space, and a disc space between adjacent vertebra of the patients spine, and execute the in-situ-printing plan. The controller may further control the armature to dispense at least one material chosen from a rigid material and a pliable material to form at least one motion-sparing implant.