29 results about "Disc space" patented technology

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.

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.

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 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.

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.

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.

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.

The present technology includes patient-specific intervertebral fusion devices, which can include an interbody implant designed to be positioned in a disc space between two vertebral bodies and one or more fixation elements capable of securing the interbody implant to the vertebral bodies. The intervertebral fusion device includes one or more retention mechanisms for retaining the fixation elements within corresponding internal cavities or bore holes extending through the interbody implant. Methods for designing and manufacturing patient-specific intervertebral fusion devices are also described herein.

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.

Systems and methods for robotically preparing a disc space are provided for implantation of an intervertebral prosthetic disc. The system includes three-dimensional modeling to identify positions of vertebrae adjacent a surgical site and a disc selection interface in a computing system to allow the surgeon to select an intervertebral disc prosthesis for implantation. A bone cutting interface allows the surgeon to determine a bone cutting pattern tailored to both the three-dimensional positions of the vertebrae and the selected intervertebral disc. A robot controls a cutting device or guides a cutting device to cut the vertebral bone in the bone cutting pattern.

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.

Spinal surgical procedures for implanting intervertebral devices, and associated devices and systems are described herein. A representative spinal surgical procedure can include gaining access to a diseased disc of a spine of a patient via a minimally-invasive a lateral, transpedicular, transfacet, or transforaminal access pathway. Various instruments can be inserted through the trocar to (i) remove some or all of the diseased disc, (ii) expand a disc space around the diseased disc, (iii) insert an intervertebral device into the disc space, and / or (iv) fill the intervertebral device with a fill material. Each of the aforementioned steps can be performed through the minimally-invasive access pathway provided by the trocar. This can minimize disruption to the flesh of the patient—minimizing patient pain and recovery time.

A method of performing percutaneous interbody spinal fusion on adjacent vertebrae in a patient including the steps of: creating a percutaneous access opening on the patient, using indirect visualization to establish a surgical path through the access opening, creating a cavity in a disc space between the adjacent vertebra, without retraction, inserting an expandable implant into the cavity, the implant configured to fit through the access opening into the cavity, and expanding the implant within the cavity.

The present disclosure describes an intervertebral implant having a laterovertically-expanding shell operable for a reversible expansion from a collapsed state into an expanded state, the laterovertically-expanding shell having one or more connectors, and a pair of lateral extension elements that function to laterally expand the footprint of the implant within an intervertebal disc space.

A multi-pronged awl includes a shaft, a handle extending from a first end of the shaft, and a head extending from the shaft at a second end of the shaft opposite the first end. The head includes a housing and prongs mounted in a cavity of the housing. Activation of the handle portion moves the plurality of prongs between a retracted state within the housing and an extended state extending past an edge on a first side of the housing. A method of repairing a damaged disc space between two neighboring vertebrae defining the damaged disc space includes actuating a handle of thee multi-pronged awl to move the prongs from the retracted state to the extended state to contact and penetrate a predetermined distance into the endplate of the first vertebra while a back surface of the head presses against the endplate of the second vertebra.

Instrument that allows the retrieval of metallic foreign bodies lost in the disc space (Figure 1). This instrument has two jaws (Figure 2) which open like those of scissors but whose particularity is that one of the jaws is magnetized so that the metallic foreign body adheres to it (Figure 3), the second jaw then catches it by means of a conical clamping (Figure 4), which allows a capture on the spot of the foreign body while preventing it from escaping deep into the disc space. We propose a second configuration of the surgical instrument (Figure 6), which increases the functional clearance between the two jaws to allow for the retrieval of foreign bodies of varying thicknesses. This solution is equipped with three springs of different stiffnesses, positioned coaxially with the jaws' axis of rotation, with transverse displacement to accommodate different thicknesses of foreign body to be retrieved. The central spring maintains a minimal initial play, which gradually increases as the jaws close. Conversely, the two outer springs apply a clamping force that ensures the captured foreign object is immobilized. This instrument is very easy to use. With the jaws open, the instrument is inserted into the disc space parallel to the vertebral endplates. The foreign object will be attracted to the magnetic jaw. Once in place, and under fluoroscopic guidance, the surgeon closes the jaws of the forceps, allowing for safe retrieval of the foreign body. We propose that this instrument be included in the standard equipment of all spinal surgery operating rooms. Indeed, although rare, the loss of a metallic foreign body at the surgical site, particularly within the disc space (e.g., a broken instrument or scalpel blade), is potentially serious. The invented instrument represents a "life-saving tool" that helps to avoid further complications, including life-threatening situations.