177 results about "Spinal implant" patented technology

An interbody spinal implant / fusion cage and implant inserter system for facilitating interbody fusion in the lumbar spine using bone graft while reducing the number of passes made through the patient's disc space and the sensitive surrounding tissue by integrating bone graft delivery into the inserter system. The system combines insertion of the interbody implant with bone graft delivery directly into the disc space. The system includes the interbody implant, an interbody cover plate, an implant inserter assembly, a cover plate inserter, a bone graft plunger and a bone graft funnel. The inserter assembly includes a large rectangular cannula which attaches to a large rectangular posterior opening in the interbody implant instead of a round cannula. The rectangular cannula approximates the shape of the annulotomy and provides a larger cross-sectional area for passage of a much larger quantity of bone graft material without jamming. Related methods and kits are also disclosed.

A spinal implant device is provided comprising a body structure with a central cavity and a movable lid configured to cover the central cavity. The movable lid is configured to be opened to pack a material in the central cavity. The movable lid can be connected to the body structure with a moveable joint. The spinal implant device can include a compressible feature. A method for treating the spine is provided comprising opening a movable lid of a spinal implant device, packing a material in a central cavity of a spinal implant device, closing the movable lid, and inserting the spinal implant device between vertebrae.

A bellows shaped spinal implant, comprising an upper plate, a lower plate and a bellows shaped shell extending between and joining the upper and lower plates. The bellows shaped shell is formed of titanium or an alloy comprising titanium and includes a wall extending therearound that defines a hollow interior. The wall has a thickness in the range of 0.5 mm to 1.0 mm to provide for radiographic imaging through the wall. The wall is angled or curved inwardly or outwardly between the upper and lower plates to provide stiffness mimicking the stiffness properties of a similarly sized polyetheretherketone (PEEK) implant. The upper and lower plates each comprise porous contact regions including a three-dimensional gyroid lattice structure defined by a plurality of struts and pores in communication with the hollow interior. The outer surfaces of at least a portion of the struts may comprise a laser ablated textured surface.

Expandable spinal implants, systems and methods are disclosed. An expandable spinal implant may include a first endplate, a second endplate, and a moving mechanism that is operably coupled to the first and second endplates. The moving mechanism may include a wedge, a first sliding frame and a second sliding frame disposed on opposite sides of the wedge, a screw guide housing a rotatable first set screw and a rotatable second set screw opposite the first set screw. The first set screw may be operably coupled to the second sliding frame and the second set screw may be operably coupled to the wedge. The moving mechanism may operably adjust a spacing between the first and second endplates upon simultaneous rotation of the first and second set screws and operably adjust an angle of inclination between the first and second endplates upon translating the first set screw or second set screw.

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.

A load sensing assembly for a medical implant is disclosed. The medical implant may include an upper surface, a side surface, a bottom surface, and a cavity housing various sensors and microelectronics. In other embodiments, the medical implant may include a port that is accessible through at least one of the bottom surface, side surface, and the upper surface. The port may be configured to receive an electronics assembly, package, or hermetically sealed enclosure. The electronics package may have a size and shape generally corresponding to the port. In various embodiments, electronic components and sensors may be powered by a local power source. In various embodiments, sensors may be chosen from: accelerometers, gyroscope, strain gauge, pressure sensor, pH sensor, impedance sensor, optical sensor, and / or a temperature sensor. In various embodiments, the medical implant may be chosen from: an interbody spinal implant, a pedicle screw, a connector, and / or a cross-link.

The disclosure herein relates to systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and / or procedures. In some embodiments, systems, methods, and devices described herein can comprise using artificial intelligence, machine learning, and / or predictive modeling to predict the outcome of a spinal surgery, one or more parameters of a spine of a patient after spinal surgery, for example after implantation of a spinal rod which can be patient-specific, and / or one or more parameters of one or more recommended patient-specific spinal rods. Furthermore, in some embodiments, systems, methods, and devices described herein can comprise intraoperative tracking for tracking and / or suggesting improvements during spinal surgery based on a pre-operatively determined surgical plan, for example in real-time or substantially real-time. In addition, in some embodiments, systems, methods, and devices described herein can comprise screw planning prior to spinal surgery.

A system for assessing spinal implants includes at least one processor, and a memory storing instructions for execution by the at least one processor that, when executed, cause the at least one processor to receive first image data of a spinal column of a patient, determine, based on the first image data, a property of first bony anatomy in at least a first portion of the spinal column, determine, based on the property of the first bony anatomy, an initial screw trajectory for inserting a screw into the spinal column, virtually insert the screw along the initial screw trajectory using the first image data to generate modified first image data, perform an initial loading simulation for the virtually inserted screw using the modified first image data, and determine, based on the initial loading simulation, a suitability of the initial screw trajectory for implanting the screw into the spinal column.

A spinal implant device is provided comprising a body structure with a central cavity and a movable lid configured to cover the central cavity. The movable lid is configured to be opened to pack a material in the central cavity. The movable lid can be connected to the body structure with a moveable joint. The spinal implant device can include a compressible feature. A method for treating the spine is provided comprising opening a movable lid of a spinal implant device, packing a material in a central cavity of a spinal implant device, closing the movable lid, and inserting the spinal implant device between vertebrae.

A spinal implant device includes a unitary strand extending from a first end to a second end. The unitary strand includes an exterior surface defining an infill volume with an infill structure. The exterior surface extends from the first end to the second end. A first bead is formed in the strand has a first diameter. The second bead is formed in the strand has a second diameter. At least one joint is formed in the strand between the first bead and the second bead. The at least one joint has a third diameter that is less than the first diameter and less than the second diameter.

An implantable sensor assembly for use during spinal fusion. An implantable sensor assembly may include a component of an implantable prosthesis and an implantable cartridge associated with the component. The implantable cartridge may include at least one sensor capable of detecting one or more kinematic measurements associated with the patient and generating sensor data, and an antenna in electrical communication with the at least one sensor, where the antenna transmits the sensor data to a receiver at a remote location.

A spinal implant includes a base and a coating film disposed on the base and including a calcium phosphate-based material and an antimicrobial agent. A surface of the base includes a first region in which the coating film is disposed and a second region exposed from the coating film.

In some embodiments, a spinal implant (10, 110, 210, 310, 400) is provided and includes a body portion defining a longitudinal axis. The body portion includes a distal end portion, a proximal end portion, opposed side surfaces that extend between the distal and proximal end portions, and top and bottom surfaces configured and adapted to engage vertebral bodies. The top and bottom surfaces have a surface roughness between 3-4 μm. A cavity extends through the top and bottom surfaces defining a surface area that is at least 25% of a surface area of the top surface or the bottom surface. First orifices (24, 124, 224, 324, 426a) are defined through the top surface and second orifices (34, 134, 234, 334, 426b) are defined through the bottom surface. The second orifices are connected to the first orifices by a plurality of channels.

An apparatus includes a sleeve extending between a proximal end and a distal end. The sleeve defines a passage. An engagement portion includes an engagement surface extending from a first end to an opposing second end. The engagement portion includes a peg extending outwardly from the first end. An opening is in communication with the passage. A knob is coupled to the proximal end of the sleeve. A shaft includes a proximal end and an opposing distal end. The distal end of the shaft includes a mating portion. The mating portion extends through the opening. The proximal end of the shaft is coupled to the knob. The knob is rotatable relative to the sleeve to rotate the shaft relative to the sleeve. Systems and methods of use are disclosed.

Systems, devices and methods are provided for implanting medical devices into patients. The systems, devices and methods are particularly useful for orthopedic implants, such as spinal implants that facilitate fusion of bone segments. A fixation assembly for an implant comprises a screw having a head and a shaft, and a washer having at least one outer surface with one or more frictional elements for engaging a surface of the implant. The shaft includes one or more projections that cooperate with the washer to prevent the washer from sliding back down the screw, while allowing for easy application of the washer to ensure optimal placement and desired contact with the screw head. The washer and / or the screw head may also include interlocking cams that create a wedge effect that inhibits the screw from backing out or loosening from a hole in bone or other tissue.

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.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an internal chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by an integral porous structure.

Disclosed herein are an inserter instrument, a system including the inserter, a spinal implant, and fasteners for affixing the implant to the spine of a subject, and related methods for performing spinal procedures including insertion of spinal plates. The inserter includes a housing, an inner sleeve slidably disposed within the housing, and an awl slidably disposed within the housing and inner sleeve. The housing includes a rotatable portion configured to actuate translation of the inner sleeve proximally or distally relative to the housing along a central axis to releasably engage the spinal implant using a distal engagement portion of the inner sleeve. The awl is configured to form a pilot hole in a vertebra at the surgical site, which is configured to receive a fastener to fix the spinal plate to the spine.

Some embodiments relate to a pedicle screw implant construct kit, comprising: at least one pedicle screw including a head; an embracing structure shaped and sized for embracing at least a portion of the screw head; an upper fastener for mounting onto the embracing structure, the upper fastener having a polygonal profile at least on a face of the upper fastener facing a direction opposite the screw.

A spinal implant has a base and a coating disposed on the base and including a calcium phosphate material and an antibacterial agent, the surface of the base having a first region in which the coating is disposed and a second region in which the coating is exposed.

A system for assessing a status of a spinal implant includes a reader device, a wearable body sensor, and a spinal implant. The wearable body sensor includes a first short-range receiver, a first short-range transmitter, and an inertial measurement unit. The wearable body sensor is configured to be positioned over a portion of a spine of a wearer, and measure movement information corresponding to spinal motion of the wearer while the wearer performs one or more movements while wearing the wearable body sensor. The spinal implant includes one or more sensors configured to measure implant information comprising one or more characteristics of a fusion status of the spinal implant, a second short-range receiver, and a second short-range transmitter. The wearable body sensor is configured to communicate movement information to the reader device. The spinal implant is configured to communicate implant information to the reader device via the second transmitter.

An extendable spinal implant includes a stationary plate having a housing and a first plate body defining a tissue-engaging surface, a bearing nut having internal threading and including a collar and a tube body, and an extendable plate including a threaded shaft and a second plate body defining a second tissue-engaging surface. First and second one-way ratchet interfaces of the housing and the collar, respectively, are configured to engage one another permitting rotation of the bearing nut in a first rotational direction and inhibiting rotation thereof in a second, opposite rotational direction. Thus, axial extension of the extendable plate from the housing which rotates the bearing nut in the first rotational direction is permitted while axial retraction of the extendable plate into the housing is inhibited by the engagement of the first and second one-way ratchet interfaces inhibiting rotation of the bearing nut in the second, opposite rotational direction.

An expandable spinal implant is provided having a frame with a distal wall for retaining an expansion plug such that bone growth promoting material may be introduced to a proximal portion of the implant after expansion. Various implants, systems and methods are disclosed.

Disclosed are devices for the fixation and support of vertebrae, particularly spinal implant devices supporting and / or securing removed vertebral bodies of the spine.

A spinal implant device for placement between vertebral bodies includes a housing, at least one screw member in the housing, and at least one drive shaft operably engageable with the screw member. The housing includes a first shell member and a second shell member. At least the first shell member has step tracking comprising a plurality of individual riser members for receiving the at least one screw member. The height of the plurality of individual riser members may change along the step tracking. The drive shaft may be operable to rotate the at least one screw member, causing the at least one screw member to move on the plurality of individual riser members. The at least one screw member comprises an external helical thread having a thickness configured to fit in the gaps between adjacent individual riser members, and is engageable with the first and second shell members, whereby the first and second shell members move relative to each other in response to the rotation of the at least one screw member to effect an expansion of the housing or a contraction of the housing from the expansion by reversing the rotation of the at least one screw member.

A spinal construct comprises a fastener including a head. A member includes an inner surface defining a cavity configured for disposal of the head and a groove configured for disposal of a band that is engageable with the head to connect the fastener and the member. The member includes a transverse rod. A coupling member is engageable with the inner surface. Implants, systems, instruments and methods are disclosed.

A spinal implant comprising a cage part and a plate-like part attached to one side of the cage part, which is held in a positionally adjustable position relative to the cage part in a first state and fixed in a positionally fixed position in a second state, wherein the positional adjustability includes pivotability in the lateral direction and pivotability in the vertical direction, wherein a pivot axis Z for pivotability in the lateral direction and / or a pivot axis X for pivotability in the vertical direction is / are located in orthogonal projection closer to the side of the plate-like part facing away from the cage part than to the side of the plate-like part facing the cage part, and / or wherein an anti-rotation device is provided that restricts rotation of the plate-like part relative to the cage part about an axial axis Y extending predominantly, in particular completely, in the direction of the cross product of the directions Z, X of the two pivot axes.

Adjustable spinal devices, instruments for assessing and measuring the dimensions of an intervertebral space, and instruments for deploying the spinal devices are described. The spinal devices may comprise temporary trial devices or permanent spinal implants, and may be configured for placement between two vertebral bodies. A surgical instrument is described which comprises an elongate shaft having a proximal handle and a distal end portion, a first mating feature for securing the distal end portion of the shaft to the device and a second mating feature for engaging a translation member within the spinal fusion device. The instrument further comprises an adjustment device for moving the translation member to adjust an angle between upper and lower endplates of the device. The instrument may further comprise a third mating feature and a second adjustment device for adjusting a height of the device.

An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body extending from an upper surface to a lower surface. The body has a front end, a rear end and a pair of spaced apart first and second side walls extending between the front and rear walls such that an interior chamber is defined within the front and rear ends and the first and second walls. The body defines an outer perimeter and an inner perimeter extending about the internal chamber. At least one of the side walls is defined by a solid support structure and an integral porous structure, the porous structure extending from the outer perimeter to the inner perimeter. The porous structure embeds or encapsulates at least a portion of the solid support structure.