51 results about "Intervertebral 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).

Minimally-invasive spinal surgery methods, devices, and systems for advancing a spinal implant through an oblique anterolateral retroperitoneal operative corridor to an intervertebral disc space located between the L5 and S1 vertebral bodies of a subject positioned in a lateral decubitus position are described. An example spinal implant system includes a retractor sized and shaped to establish at least a portion of the oblique anterolateral retroperitoneal operative corridor, a spinal implant sized and shaped to pass between the first and second unitary retractor blades of the retractor in connection with the spinal implant being introduced into the intervertebral disc space via the oblique anterolateral retroperitoneal operative corridor, and an introducer instrument configured to pass between the first and second unitary retractor blades of the retractor in connection with the introducer instrument introducing the spinal implant into the intervertebral disc space via the oblique anterolateral retroperitoneal operative corridor.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

A tissue graft delivery system and associated devices are described. The tissue graft delivery devices utilized a conveyor belt moved by an actuator mechanism to shuttle a tissue graft, such as bone graft material, from a chute containing the graft into a surgical site, such as an intervertebral disc space. The interactive system and devices eliminate graft packing, inefficient tissue delivery, and other difficulties arising from friction between the bone graft material and graft contact surfaces of existing prior art systems, such as bone funnels.

An expandable spinal implant includes a distal projection extending from only one side of the implant, ending in an anterior tip, the anterior portion and anterior tip defining an elongated distal end hook, which is wider than the proximal end. The distal end hook rotates around the spinal cord, aligning the implant with a desired pathway, then inserts into place in the disc space between the vertebrae. The elongated widened distal end hook provides a TLIF approach, distributes loads, provides anterior rim engagement, and creates lordosis.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

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.

Expandable intervertebral fusion implants, system, and methods. The expandable intervertebral implant is capable of being installed inside an intervertebral disc space to maintain disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The implant may include a central drive assembly configured to control left and right side assemblies. The expandable intervertebral implant may be configured to transition from a collapsed configuration having a first width and a first height to an expanded configuration having a second width and a second height.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device described herein is capable of being installed inside an intervertebral disc space at a minimum to no distraction height and for a fusion device capable of maintaining a normal distance between adjacent vertebral bodies when implanted.

Biomaterials, implants, methods of making the biomaterial and implants, methods of providing pain relief by administering the biomaterial or implant to a patient, and kits that include such biomaterials, implants, or components thereof. The biomaterials may include microparticles including one or more active pharmaceutical agents, such as anesthetics, antibiotics, and corticosteroids, which help to provide pain relief over an extended period of time. The biomaterials may be applied directly to the intervertebral disc or in the disc space to provide direct therapy for the management of disc pain.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

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.

Expandable intervertebral fusion implants, system, and methods. The expandable intervertebral implant is capable of being installed inside an intervertebral disc space to maintain disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The implant may include a central drive assembly configured to control left and right side assemblies. The expandable intervertebral implant may be configured to transition from a collapsed configuration having a first width and a first height to an expanded configuration having a second width and a second height.

Expandable fusion devices, systems, instruments, and methods thereof. The expandable fusion device is capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. The fusion device may include a body, a first endplate, and a second endplate. A drive screw may be rotated to move the first and second endplates outwardly and into an expanded configuration. Instruments may be provided to ensure the implant is inserted safely and as intended.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes body, a first endplate, and a second endplate, a middle ramp piece, a stem, and two ramp pins. The middle ramped piece is operable to move to generate lordotic expansion of the first and second endplates followed by parallel expansion. The fusion device is operable to be deployed down an endoscopic tube.

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.

One embodiment of the present invention is an interbody fixation device to be inserted into an intervertebral space between an upper vertebral body and a lower vertebral body. The interbody fixation device includes a plurality of independent elastic members each having a pair of upper and lower contact surfaces configured to be in contact with the endplates of the upper and lower vertebral bodies. Each of the plurality of elastic members has elasticity between the pair of upper and lower contact surfaces. When the vertebral endplates above and below an intervertebral disc space in which the interbody fixation device is implanted are partially fractured (damaged), an elastic member in contact with the fractured part sinks, while propagation of sinking to the other elastic members is suppressed, thereby ensuring stable retention. This makes it possible to provide an interbody fixation device that can be stably retained after implantation, even in cases in which vertebral body bones constituting the intervertebral disc space are fragile due to osteoporosis or the like.

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.

To provide an expandable fusion device capable of maintaining a normal intervertebral disc spacing by being installed in a disk space, recovering spinal stability, and thereby urging intervertebral fusion.SOLUTION: A fusion device described in the specification can be installed at a minimum, unobtrusive height in a disk space, and when being implanted for the fusion device, a normal distance between adjacent vertebral bodies can be maintained.SELECTED DRAWING: Figure 2

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.

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.

The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

The invention discloses a minimally invasive ultrasonic guided percutaneous rabbit intervertebral disc degeneration modeling mode, and relates to the technical field of ultrasonic modeling, and the method comprises the following steps: fixing an experimental rabbit on an operation table in a prostrate manner in an anesthetic state, and raising the abdomen to maintain lumbar lordosis; an ultrasonic probe is used for scanning along the longitudinal axis of the spine, and the L5 transverse process is recognized upwards from the highest point of the crista iliaca; positioning an L5 / 6 intervertebral disc gap in the cross section ultrasonic image by taking the identified L5 transverse process as an anatomical reference; a stable high-echo target spot formed by fascia is confirmed in the intersection area of the L5 transverse process head side and the superior articular process ventral side; marking a puncture needle insertion position on the skin surface according to the high-echo target spot; percutaneous puncture is conducted under ultrasonic real-time guidance along the marked position, the needle tip slides into the L5 / 6 intervertebral disc along the superior zygopophysis bone surface, and it is confirmed that the needle tip is located in the nucleus pulposus through viscous resistance and the unlocking hand feeling; the needle tip is controlled to stay in the intervertebral disc for 10 seconds, the puncture depth is kept at 5 mm, and mechanical disturbance is completed to induce the intervertebral disc to retreat.

A lateral retractor system for forming a pathway to a patient's intervertebral disc space includes a single dilator and a retractable dual-tapered-blade assembly. The dilator may feature a narrow rectangular body for insertion at an insertion orientation parallel to the fibers of the patient's psoas muscle, at an approximate 45-degree angle to the patient's spine. The retractable dual-tapered-blade assembly consists of only two blade subassemblies, each having a blade bordered by adjustable wings, along with built-in lighting and video capabilities. The dual-tapered-blade assembly may be passed over the single dilator at the insertion orientation and rotated approximately 45-50 degrees to a final rotated orientation parallel to the intervertebral disc space before the two blade subassemblies are retracted away from one another to create the surgical pathway, while simultaneously and continuously assessing for encroachment upon one or more nerve structures within 360-degrees of the instrument. Other embodiments are also disclosed.

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 lateral retractor system for forming a pathway to a patient's intervertebral disc space includes a single dilator and a retractable dual-tapered-blade assembly. The dilator may feature a narrow rectangular body for insertion at an insertion orientation parallel to the fibers of the patient's psoas muscle, at an approximate 45-degree angle to the patient's spine. The retractable dual-tapered-blade assembly consists of only two blade subassemblies, each having a blade bordered by adjustable wings, along with built-in lighting and video capabilities.The dual-tapered-blade assembly may be passed over the single dilator at the insertion orientation and rotated approximately 45-50 degrees to a final rotated orientation parallel to the intervertebral disc space before the two blade subassemblies are retracted away from one another to create the surgical pathway, while simultaneously and continuously assessing for encroachment upon one or more nerve structures within 360-degrees of the instrument. Other embodiments are also disclosed.

Articulating expandable fusion devices, systems, instruments, and methods thereof. The articulating expandable fusion implant having a plurality of links is capable of being deployed and articulated inside an intervertebral disc space link by link. After the links are articulated into a polygonal shape, the links may be expanded outwardly into an expanded configuration. Instruments may be provided to articulate and expand the implant.

The utility model discloses a device for rotating an orthopedic track in scoliosis deformity surgery, which comprises two forceps arms hinged with each other, the two ends of each forceps arm are respectively a clamping end and a holding end, and the hinge point between the two forceps arms is positioned between the clamping end and the holding end of each forceps arm. The clamping end of each clamp arm is provided with two clamping arms capable of moving close to or away from each other. The utility model aims to provide the device for rotating the orthopedic track in the scoliosis deformity operation, and the device can enable two adjacent vertebral bodies with overlarge intervertebral space to move close to each other, so that the space between the two vertebral bodies is reduced to meet the requirement.