JP5675969B2 - 椎間関節治療のためのシステム - Google Patents
椎間関節治療のためのシステム Download PDFInfo
- Publication number
- JP5675969B2 JP5675969B2 JP2013515354A JP2013515354A JP5675969B2 JP 5675969 B2 JP5675969 B2 JP 5675969B2 JP 2013515354 A JP2013515354 A JP 2013515354A JP 2013515354 A JP2013515354 A JP 2013515354A JP 5675969 B2 JP5675969 B2 JP 5675969B2
- Authority
- JP
- Japan
- Prior art keywords
- implant
- guide
- cannula
- facet joint
- surface replacement
- 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.)
- Expired - Fee Related
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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- 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 ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
- A61B17/7067—Devices bearing against one or more spinous processes and also attached to another part of the spine; Tools therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/16—Indifferent or passive electrodes for grounding
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
-
- 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
-
- 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
-
- 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
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/3008—Properties of materials and coating materials radio-opaque, e.g. radio-opaque markers
-
- 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
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
- A61F2002/30321—The prosthesis having different structural features at different locations within the same prosthesis differing in roughness
-
- 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
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
- A61F2002/30322—The prosthesis having different structural features at different locations within the same prosthesis differing in surface structures
-
- 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
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30317—The prosthesis having different structural features at different locations within the same prosthesis
- A61F2002/30324—The prosthesis having different structural features at different locations within the same prosthesis differing in thickness
-
- 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
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30682—Means for preventing migration of particles released by the joint, e.g. wear debris or cement particles
- A61F2002/30685—Means for reducing or preventing the generation of wear particulates
-
- 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
- A61F2/30721—Accessories
- A61F2002/30754—Implants for interposition between two natural articular surfaces
-
- 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
-
- 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 or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4629—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof connected to the endoprosthesis or implant via a threaded connection
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physical Education & Sports Medicine (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Electromagnetism (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Description
本出願は、2010年6月15日に出願された米国仮特許第61/355,140号に対する優先権を主張し、その内容は、参照により本明細書に組み込まれる。
本発明の実施形態は、椎間関節痛を治療するためのシステムに関する。より具体的には、本発明は、椎間関節痛を治療するための埋込システムに関する。
所定の実施形態では、ガイドプローブシャフト202は、約5ミリメートル〜約20ミリメートルの幅を有する。他の実施形態では、ガイドプローブシャフト202は、約12ミリメートルの幅を有する。
通路282の幅は、埋込片挿入治具310の主要部分312の幅よりも小さい。所定の実施形態では、通路282の幅は、約3ミリメートル〜約15ミリメートルであり得る。他の実施形態では、通路282の幅は、約5ミリメートル〜約10ミリメートルである。
ハンドル部分314との交差点に近位で、主要部分312は、その少なくとも一側面から延在する肩320を含むことができる。肩320は、ガイドカニューレ260上の第2の停止機構272に係合することによって、送達カニューレの中に挿入され得る距離を制限するために使用され得る。
端表面334は、凹状の表面322から離間される。所定の実施形態では、端表面間の距離は、約1ミリメートル〜約10ミリメートルであり得る。他の実施形態では、端表面間の距離は、約3ミリメートルであり得る。
イドカニューレ260の中に挿入され得る距離を制限する。
一部の実施形態では、表面置換本体46がリーフレット284間に位置付けられるように離間した構成でリーフレット284を維持するリーフレット開大器(図示せず)を使用することが望ましい場合がある。リーフレット開大器の使用が望ましい場合、表面置換本体46が埋込片挿入治具310に取り付けられた後、埋込片挿入治具310が送達カニューレ280の中に挿入されるように、装填プロセスがわずかに変更され得る。
Claims (18)
- 上関節面および下関節面を含む、患者の椎間関節を治療するためのシステムであって、
椎間関節の上関節面と椎間関節の下関節面との間に配置可能であるとともに第1の係合特徴を備える埋込片と、
前記第1の係合特徴と嵌合することができる第2の係合特徴を備える埋込片挿入治具であって、嵌合後に前記第1の係合特徴と前記第2の係合特徴とを分離させる力は、少なくとも1ニュートンである、前記埋込片挿入治具と、
その遠位端を通って延在する内部通路を有する送達カニューレであって、前記送達カニューレ通路は、前記埋込片および前記埋込片挿入治具の少なくとも一部分を受容するように適合され、前記送達カニューレは、その遠位端から延びる一対のリーフレットを備え、前記リーフレットは、前記埋込片と前記上関節面との間、および前記埋込片と前記下関節面との間に位置決め可能となるようにそれぞれ構成され、前記リーフレットは、弾性材料から製作される、前記送達カニューレと、
内部を通って延在する内部通路を有するガイドカニューレであって、前記ガイドカニューレ通路が、前記送達カニューレを受容するように適合される、ガイドカニューレと、を備え、
前記埋込片挿入治具の長さは、前記ガイドカニューレの長さより長い、システム。 - 前記埋込片は、第1の埋込片部分と、第2の埋込片部分と、を備える、請求項1に記載のシステム。
- 前記埋込片は、比較的平坦な状態から、前記埋込片が前記上関節面のあらゆる多平面湾曲と実質的に一致する挿入状態に移行するのに十分な可撓性を示す、請求項1に記載のシステム。
- 前記埋込片は、少なくともその一表面に複数の歯を有する、請求項1に記載のシステム。
- 前記埋込片挿入治具は、
近位端および遠位端を有する主要部分と、
前記近位端に近位で前記主要部分に取り付けられるハンドル部分と、
前記主要部分の幅より大きい幅を有する、前記主要部分および前記ハンドル部分のうちの少なくとも1つから延在する肩部分と、をさらに備える、請求項1に記載のシステム。 - 前記埋込片および前記埋込片挿入治具は、前記ガイドカニューレに対して摺動可能に装着される、請求項1に記載のシステム。
- 前記ガイドカニューレは、凹状遠位表面を有する、請求項1に記載のシステム。
- ガイドプローブ先端部を含むガイドプローブアセンブリをさらに備え、前記ガイドプローブアセンブリは、前記ガイドカニューレ通路の幅より小さい幅を有し、かつ前記ガイドカニューレ通路の高さより低い高さを有する、請求項1に記載のシステム。
- 前記ガイドプローブ先端部は、前記ガイドプローブアセンブリに着脱可能に装着される、請求項8に記載のシステム。
- 前記ガイドプローブ先端部の幅は、前記ガイドプローブアセンブリの幅より小さく、前記ガイドプローブ先端部の高さは、前記ガイドプローブアセンブリの高さより低い、請求項8に記載のシステム。
- 前記ガイドカニューレは、前記送達カニューレに対して摺動可能に装着され、前記埋込片および前記埋込片挿入治具は、前記送達カニューレに対して摺動可能に装着される、請求項1に記載のシステム。
- 前記埋込片挿入治具に係合することができる第1のハンドル区分と、
前記第1のハンドル区分に操作可能に接続される第2のハンドル区分であって、前記送達カニューレに係合することができる、第2のハンドル区分と、を備える、牽引治具をさらに備える、請求項1に記載のシステム。 - 前記第1のハンドル区分は、前記第2のハンドル区分に枢動可能に装着される、請求項12に記載のシステム。
- 前記埋込片の少なくとも一表面は、第1の主要面を含み、前記歯の少なくとも1つは、先導面および後面によって画定され、前記少なくとも1つの歯が、第2の反対方向と比較して、対応する椎間関節の関節面に対する前記対応する埋込片の第1の方向への移動により明らかに抵抗するように、前記先導面と前記第1の主要面の平面とによって画定される角度は、前記後面と前記第1の主要面の平面とによって画定される角度より小さい、請求項4に記載のシステム。
- 前記埋込片の少なくとも一表面は、第1の主要面を含み、前記複数の歯は、
第1の歯群であって、前記第1の歯群の各歯が前記第1の主要面に対する第1の延在の角度を画定する、第1の歯群と、
第2の歯群であって、前記第2の歯群の各歯が、前記第1の延在の角度とは異なる前記第1の主要面に対する延在の角度を画定する、第2の歯群と、を含む、請求項4に記載のシステム。 - 前記第1の歯群の各歯は、前記先導端により近位の先導面と、前記後端により近位の後面と、を含み、前記先導面および後面は、前記第1の主要面と反対側の先端部で交差し、さらに前記先導面の長さは、前記対応する歯が前記対応する埋込片の挿入の方向を前記先導端から前記後端に画定するように、前記後面の長さより長い、請求項15に記載のシステム。
- 前記埋込片は、基底ウェブを含み、同基底ウェブは、実質的に均一な厚さを画定し、前記複数の歯は、前記先導端に近位の第1の歯と、前記後端に近位の第2の歯と、を含み、前記第1の歯の高さは、前記第2の歯の高さより高い、請求項16に記載のシステム。
- 上関節面および下関節面を含む、患者の椎間関節を治療するためのシステムであって、
椎間関節の上関節面と椎間関節の下関節面との間に配置可能であるとともに第1の係合特徴を備える埋込片と、
前記第1の係合特徴と嵌合することができる第2の係合特徴を備える埋込片挿入治具であって、嵌合後に前記第1の係合特徴と前記第2の係合特徴とを分離させる力は、少なくとも1ニュートンである、前記埋込片挿入治具と、
その遠位端を通って延在する内部通路を有する送達カニューレであって、前記送達カニューレ通路は、前記埋込片および前記埋込片挿入治具の少なくとも一部分を受容するように適合され、前記送達カニューレは、その遠位端から延びる一対のリーフレットを備え、前記リーフレットは、弾性材料から製作される、前記送達カニューレと、
内部を通って延在する内部通路を有するガイドカニューレであって、前記ガイドカニューレ通路が、前記送達カニューレを受容するように適合される、ガイドカニューレと、を備え、
前記埋込片挿入治具の長さは、前記ガイドカニューレの長さより長く、
前記第1の係合特徴は、第1の開口領域および第2の開口領域を備え、前記第1の開口領域は、前記埋込片の縁と交差し、前記第1の開口領域は、前記第2の開口領域と連通するとともに第2の開口領域より小さい幅を有し、かつ
前記第2の係合特徴は、第1の延在領域および第2の延在領域を備え、前記第1の延在領域は、前記埋込片挿入治具に取り付けられ、前記第2の延在領域は、前記埋込片挿入治具とは反対側において前記第1の延在領域に連続し、
前記第1の延在領域は、前記第1の開口領域の幅より小さい幅を有し、前記第2の延在領域は、前記第1の開口領域の幅より大きく、前記第2の開口領域の幅より小さい幅を有する、システム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US35514010P | 2010-06-15 | 2010-06-15 | |
US61/355,140 | 2010-06-15 | ||
US13/084,104 US8663293B2 (en) | 2010-06-15 | 2011-04-11 | Systems and methods for facet joint treatment |
US13/084,104 | 2011-04-11 | ||
PCT/US2011/037737 WO2011159440A1 (en) | 2010-06-15 | 2011-05-24 | Systems for facet joint treatment |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013532024A JP2013532024A (ja) | 2013-08-15 |
JP2013532024A5 JP2013532024A5 (ja) | 2014-07-10 |
JP5675969B2 true JP5675969B2 (ja) | 2015-02-25 |
Family
ID=44504140
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2013515354A Expired - Fee Related JP5675969B2 (ja) | 2010-06-15 | 2011-05-24 | 椎間関節治療のためのシステム |
Country Status (10)
Country | Link |
---|---|
US (2) | US8663293B2 (ja) |
EP (1) | EP2582330A1 (ja) |
JP (1) | JP5675969B2 (ja) |
KR (1) | KR20130122929A (ja) |
CN (1) | CN103237525A (ja) |
AU (1) | AU2011265712B2 (ja) |
BR (1) | BR112012031947A2 (ja) |
CA (1) | CA2802791A1 (ja) |
RU (1) | RU2012155518A (ja) |
WO (1) | WO2011159440A1 (ja) |
Families Citing this family (62)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
US9504583B2 (en) | 2004-06-10 | 2016-11-29 | Spinal Elements, Inc. | Implant and method for facet immobilization |
US8696707B2 (en) | 2005-03-08 | 2014-04-15 | Zyga Technology, Inc. | Facet joint stabilization |
US20080161929A1 (en) | 2006-12-29 | 2008-07-03 | Mccormack Bruce | Cervical distraction device |
US8992533B2 (en) | 2007-02-22 | 2015-03-31 | Spinal Elements, Inc. | Vertebral facet joint drill and method of use |
EP2813190B1 (en) | 2007-02-22 | 2017-04-26 | Spinal Elements, Inc. | Vertebral facet joint drill |
US9005288B2 (en) | 2008-01-09 | 2015-04-14 | Providence Medical Techonlogy, Inc. | Methods and apparatus for accessing and treating the facet joint |
CA2725811A1 (en) | 2008-06-06 | 2009-12-10 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US8267966B2 (en) | 2008-06-06 | 2012-09-18 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
EP2361046B1 (en) | 2008-06-06 | 2019-04-24 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US9333086B2 (en) | 2008-06-06 | 2016-05-10 | Providence Medical Technology, Inc. | Spinal facet cage implant |
US9381049B2 (en) | 2008-06-06 | 2016-07-05 | Providence Medical Technology, Inc. | Composite spinal facet implant with textured surfaces |
US8361152B2 (en) | 2008-06-06 | 2013-01-29 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
US11224521B2 (en) | 2008-06-06 | 2022-01-18 | Providence Medical Technology, Inc. | Cervical distraction/implant delivery device |
US8961613B2 (en) | 2009-10-07 | 2015-02-24 | Zyga Technology, Inc. | Low friction resurfacing implant |
US9204906B2 (en) | 2009-10-22 | 2015-12-08 | Nuvasive, Inc. | Posterior cervical fusion system and techniques |
US10098674B2 (en) | 2009-10-22 | 2018-10-16 | Nuvasive, Inc. | System and method for posterior cervical fusion |
US9233006B2 (en) | 2010-06-15 | 2016-01-12 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
WO2012012327A1 (en) * | 2010-07-20 | 2012-01-26 | X-Spine Systems, Inc. | Composite orthopedic implant having a low friction material substrate with primary frictional features and secondary frictional features |
US9271765B2 (en) | 2011-02-24 | 2016-03-01 | Spinal Elements, Inc. | Vertebral facet joint fusion implant and method for fusion |
US8740949B2 (en) | 2011-02-24 | 2014-06-03 | Spinal Elements, Inc. | Methods and apparatus for stabilizing bone |
US9668783B2 (en) * | 2011-09-06 | 2017-06-06 | Atul Goel | Devices and method for treatment of spondylotic disease |
USD739935S1 (en) | 2011-10-26 | 2015-09-29 | Spinal Elements, Inc. | Interbody bone implant |
US20140031948A1 (en) | 2012-07-26 | 2014-01-30 | Patrick M. Birmingham | Method and device for joint replacement |
USD732667S1 (en) | 2012-10-23 | 2015-06-23 | Providence Medical Technology, Inc. | Cage spinal implant |
USD745156S1 (en) | 2012-10-23 | 2015-12-08 | Providence Medical Technology, Inc. | Spinal implant |
EP2919717A1 (en) * | 2012-11-15 | 2015-09-23 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
WO2014159885A1 (en) * | 2013-03-14 | 2014-10-02 | Lumoptik, Inc. | Insertion tool guidance systems for vascular or joint access |
US9993353B2 (en) * | 2013-03-14 | 2018-06-12 | DePuy Synthes Products, Inc. | Method and apparatus for minimally invasive insertion of intervertebral implants |
US9820784B2 (en) | 2013-03-14 | 2017-11-21 | Spinal Elements, Inc. | Apparatus for spinal fixation and methods of use |
USD765853S1 (en) | 2013-03-14 | 2016-09-06 | Spinal Elements, Inc. | Flexible elongate member with a portion configured to receive a bone anchor |
US9421044B2 (en) | 2013-03-14 | 2016-08-23 | Spinal Elements, Inc. | Apparatus for bone stabilization and distraction and methods of use |
US9456855B2 (en) | 2013-09-27 | 2016-10-04 | Spinal Elements, Inc. | Method of placing an implant between bone portions |
US9839450B2 (en) | 2013-09-27 | 2017-12-12 | Spinal Elements, Inc. | Device and method for reinforcement of a facet |
CN107072697A (zh) | 2014-05-27 | 2017-08-18 | 普罗维登斯医疗技术公司 | 侧块固定植入件 |
AU2015267061B9 (en) | 2014-05-28 | 2020-08-13 | Providence Medical Technology, Inc. | Lateral mass fixation system |
CN103976808A (zh) * | 2014-05-28 | 2014-08-13 | 上海市杨浦区中心医院 | 单髁置换股骨假体植入指示器 |
WO2016044432A1 (en) | 2014-09-17 | 2016-03-24 | Spinal Elements, Inc. | Flexible fastening band connector |
AU2016212009C1 (en) | 2015-01-27 | 2021-02-25 | Spinal Elements, Inc. | Facet joint implant |
US9987052B2 (en) | 2015-02-24 | 2018-06-05 | X-Spine Systems, Inc. | Modular interspinous fixation system with threaded component |
EP3261560B1 (en) | 2015-02-26 | 2024-05-29 | Uncinate Joint, LLC | Uncinate joint stabilizers and associated systems and methods |
US10433829B2 (en) | 2015-02-26 | 2019-10-08 | Uncinate Joint, Llc | Stabilization of cervical spine utilizing stabilization of uncinate joints and across disc space |
WO2017046667A1 (en) * | 2015-09-14 | 2017-03-23 | Uri Arnin | Facet distraction and fusion prosthesis |
AU2016334403A1 (en) * | 2015-10-09 | 2018-05-10 | Christopher D. Chaput | Spinal multi-level intersegmental stabilization system and method for implanting |
CN108289689A (zh) | 2015-10-13 | 2018-07-17 | 普罗维登斯医疗技术公司 | 脊柱关节植入物输送装置和*** |
USD841165S1 (en) | 2015-10-13 | 2019-02-19 | Providence Medical Technology, Inc. | Cervical cage |
WO2017172806A1 (en) | 2016-03-29 | 2017-10-05 | Sturm Christopher | Facet joint replacement device and methods of use |
WO2018005548A1 (en) | 2016-06-28 | 2018-01-04 | Providence Medical Technology, Inc. | Spinal implant and methods of using the same |
USD887552S1 (en) | 2016-07-01 | 2020-06-16 | Providence Medical Technology, Inc. | Cervical cage |
CN106525041B (zh) * | 2016-08-31 | 2021-06-01 | 天津港湾水运工程有限公司 | 一种深水跨接管的测量方法 |
EP3624708A1 (en) | 2017-05-19 | 2020-03-25 | Providence Medical Technology, Inc. | Spinal fixation access and delivery system |
EP3415108A1 (en) | 2017-05-25 | 2018-12-19 | Stryker European Holdings I, LLC | Fusion cage with integrated fixation and insertion features |
US10507045B2 (en) * | 2017-12-06 | 2019-12-17 | Zygofix Ltd. | Facet distraction and fusion prosthesis |
US11648128B2 (en) | 2018-01-04 | 2023-05-16 | Providence Medical Technology, Inc. | Facet screw and delivery device |
USD933230S1 (en) | 2019-04-15 | 2021-10-12 | Providence Medical Technology, Inc. | Cervical cage |
WO2020236229A1 (en) | 2019-05-22 | 2020-11-26 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
US11457959B2 (en) | 2019-05-22 | 2022-10-04 | Spinal Elements, Inc. | Bone tie and bone tie inserter |
USD911525S1 (en) | 2019-06-21 | 2021-02-23 | Providence Medical Technology, Inc. | Spinal cage |
KR102352710B1 (ko) * | 2019-09-06 | 2022-01-18 | 서울대학교산학협력단 | 척추 교정 장치 |
US11304733B2 (en) | 2020-02-14 | 2022-04-19 | Spinal Elements, Inc. | Bone tie methods |
USD945621S1 (en) | 2020-02-27 | 2022-03-08 | Providence Medical Technology, Inc. | Spinal cage |
US11937869B1 (en) | 2023-01-20 | 2024-03-26 | Panacea Spine, LLC | Electrocautery rhizotomy using wanding of energized electrocautery probe |
Family Cites Families (190)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2677369A (en) | 1952-03-26 | 1954-05-04 | Fred L Knowles | Apparatus for treatment of the spinal column |
US3426364A (en) | 1966-08-25 | 1969-02-11 | Colorado State Univ Research F | Prosthetic appliance for replacing one or more natural vertebrae |
US3879767A (en) | 1972-01-26 | 1975-04-29 | Cutter Lab | Prosthesis for articulating body structures |
US4034746A (en) * | 1975-08-01 | 1977-07-12 | Williams Robert W | Retractor |
US4052753A (en) | 1976-08-02 | 1977-10-11 | Dedo Richard G | Knee spacer and method of reforming sliding body surfaces |
CA1146301A (en) | 1980-06-13 | 1983-05-17 | J. David Kuntz | Intervertebral disc prosthesis |
US4502161A (en) | 1981-09-21 | 1985-03-05 | Wall W H | Prosthetic meniscus for the repair of joints |
US4554914A (en) | 1983-10-04 | 1985-11-26 | Kapp John P | Prosthetic vertebral body |
US4553273A (en) | 1983-11-23 | 1985-11-19 | Henry Ford Hospital | Vertebral body prosthesis and spine stabilizing method |
US4877020A (en) | 1984-11-30 | 1989-10-31 | Vich Jose M O | Apparatus for bone graft |
ES283078Y (es) * | 1984-11-30 | 1985-12-16 | Otero Vich Jose M. | Inserto oseo para artrodesis intersomatica cervical |
US4636217A (en) | 1985-04-23 | 1987-01-13 | Regents Of The University Of Minnesota | Anterior spinal implant |
NZ215987A (en) | 1985-05-14 | 1989-07-27 | Mobil Oil Corp | Manufacture of zeolite |
US4599086A (en) | 1985-06-07 | 1986-07-08 | Doty James R | Spine stabilization device and method |
US4743256A (en) | 1985-10-04 | 1988-05-10 | Brantigan John W | Surgical prosthetic implant facilitating vertebral interbody fusion and method |
US4834757A (en) | 1987-01-22 | 1989-05-30 | Brantigan John W | Prosthetic implant |
US5147404A (en) | 1987-12-07 | 1992-09-15 | Downey Ernest L | Vertebra prosthesis |
FR2642645B1 (fr) | 1989-02-03 | 1992-08-14 | Breard Francis | Stabilisateur intervertebral souple ainsi que procede et appareillage pour le controle de sa tension avant mise en place sur le rachis |
USRE36221E (en) | 1989-02-03 | 1999-06-01 | Breard; Francis Henri | Flexible inter-vertebral stabilizer as well as process and apparatus for determining or verifying its tension before installation on the spinal column |
US5192327A (en) | 1991-03-22 | 1993-03-09 | Brantigan John W | Surgical prosthetic implant for vertebrae |
FR2681525A1 (fr) | 1991-09-19 | 1993-03-26 | Medical Op | Dispositif de stabilisation souple ou semi rigide du rachis notamment humain par voie posterieure. |
GB9125798D0 (en) | 1991-12-04 | 1992-02-05 | Customflex Limited | Improvements in or relating to spinal vertebrae implants |
US5156616A (en) | 1992-02-10 | 1992-10-20 | Meadows Bruce F | Apparatus and method for suture attachment |
US5306309A (en) | 1992-05-04 | 1994-04-26 | Calcitek, Inc. | Spinal disk implant and implantation kit |
FR2693364B1 (fr) | 1992-07-07 | 1995-06-30 | Erpios Snc | Prothese intervertebrale permettant une stabilisation des contraintes rotatoires et de flexion-extension. |
US5496318A (en) | 1993-01-08 | 1996-03-05 | Advanced Spine Fixation Systems, Inc. | Interspinous segmental spine fixation device |
DE9304368U1 (de) | 1993-03-18 | 1993-05-13 | AAP GmbH & Co. Betriebs KG, 1000 Berlin | Wirbelsäulenimplantat |
US5415661A (en) | 1993-03-24 | 1995-05-16 | University Of Miami | Implantable spinal assist device |
US5415659A (en) | 1993-12-01 | 1995-05-16 | Amei Technologies Inc. | Spinal fixation system and pedicle clamp |
US5491882A (en) | 1993-12-28 | 1996-02-20 | Walston; D. Kenneth | Method of making joint prosthesis having PTFE cushion |
CA2144211C (en) | 1994-03-16 | 2005-05-24 | David T. Green | Surgical instruments useful for endoscopic spinal procedures |
FR2717675B1 (fr) | 1994-03-24 | 1996-05-03 | Jean Taylor | Cale inter-épineuse. |
FR2721501B1 (fr) | 1994-06-24 | 1996-08-23 | Fairant Paulette | Prothèses des facettes articulaires vertébrales. |
US5681310A (en) | 1994-07-20 | 1997-10-28 | Yuan; Hansen A. | Vertebral auxiliary fixation device having holding capability |
US5527312A (en) | 1994-08-19 | 1996-06-18 | Salut, Ltd. | Facet screw anchor |
US5674296A (en) | 1994-11-14 | 1997-10-07 | Spinal Dynamics Corporation | Human spinal disc prosthesis |
US5665122A (en) | 1995-01-31 | 1997-09-09 | Kambin; Parviz | Expandable intervertebral cage and surgical method |
US5571191A (en) | 1995-03-16 | 1996-11-05 | Fitz; William R. | Artificial facet joint |
US5766253A (en) | 1996-01-16 | 1998-06-16 | Surgical Dynamics, Inc. | Spinal fusion device |
US5968098A (en) | 1996-10-22 | 1999-10-19 | Surgical Dynamics, Inc. | Apparatus for fusing adjacent bone structures |
EP1230902A1 (en) | 1996-11-15 | 2002-08-14 | Advanced Bio Surfaces, Inc. | Biomaterial system for in situ tissue repair |
US7618451B2 (en) | 2001-05-25 | 2009-11-17 | Conformis, Inc. | Patient selectable joint arthroplasty devices and surgical tools facilitating increased accuracy, speed and simplicity in performing total and partial joint arthroplasty |
US7468075B2 (en) | 2001-05-25 | 2008-12-23 | Conformis, Inc. | Methods and compositions for articular repair |
US6679915B1 (en) | 1998-04-23 | 2004-01-20 | Sdgi Holdings, Inc. | Articulating spinal implant |
WO1999053871A1 (en) | 1998-04-23 | 1999-10-28 | Cauthen Research Group, Inc. | Articulating spinal implant |
US6019792A (en) | 1998-04-23 | 2000-02-01 | Cauthen Research Group, Inc. | Articulating spinal implant |
WO1999060957A1 (en) | 1998-05-27 | 1999-12-02 | Nuvasive, Inc. | Methods and apparatus for separating and stabilizing adjacent vertebrae |
WO2000004851A1 (en) | 1998-07-22 | 2000-02-03 | Spinal Dynamics Corporation | Threaded cylindrical multidiscoid single or multiple array disc prosthesis |
US6132468A (en) | 1998-09-10 | 2000-10-17 | Mansmann; Kevin A. | Arthroscopic replacement of cartilage using flexible inflatable envelopes |
US6126688A (en) | 1998-12-21 | 2000-10-03 | Surgical Dynamics Inc. | Apparatus for fusion of adjacent bone structures |
US6123464A (en) | 1999-02-10 | 2000-09-26 | The Furukawa Electric Co., Ltd. | Optical module package and method for manufacturing the same |
US6368350B1 (en) | 1999-03-11 | 2002-04-09 | Sulzer Spine-Tech Inc. | Intervertebral disc prosthesis and method |
JP2003523784A (ja) | 1999-04-05 | 2003-08-12 | サージカル ダイナミックス インコーポレイテッド | 人工脊椎靭帯 |
US6478805B1 (en) | 1999-04-16 | 2002-11-12 | Nuvasive, Inc. | System for removing cut tissue from the inner bore of a surgical instrument |
US6893463B2 (en) | 1999-05-10 | 2005-05-17 | Barry M. Fell | Surgically implantable knee prosthesis having two-piece keyed components |
DE19922279A1 (de) | 1999-05-11 | 2000-11-16 | Friedrich Schiller Uni Jena Bu | Verfahren zur Generierung patientenspezifischer Implantate |
IL131197A (en) * | 1999-08-01 | 2009-12-24 | Assaf Dekel | Apparatus for spinal procedures |
ATE380529T1 (de) | 1999-10-22 | 2007-12-15 | Archus Orthopedics Inc | Facettenarthroplastiegeräte |
US6974478B2 (en) | 1999-10-22 | 2005-12-13 | Archus Orthopedics, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US7691145B2 (en) | 1999-10-22 | 2010-04-06 | Facet Solutions, Inc. | Prostheses, systems and methods for replacement of natural facet joints with artificial facet joint surfaces |
US20050027361A1 (en) | 1999-10-22 | 2005-02-03 | Reiley Mark A. | Facet arthroplasty devices and methods |
US6287313B1 (en) | 1999-11-23 | 2001-09-11 | Sdgi Holdings, Inc. | Screw delivery system and method |
WO2001041681A1 (en) | 1999-12-10 | 2001-06-14 | Nuvasive, Inc. | Facet screw and bone allograft intervertebral support and fusion system |
US7938836B2 (en) | 2003-10-23 | 2011-05-10 | Trans1, Inc. | Driver assembly for simultaneous axial delivery of spinal implants |
US6558390B2 (en) | 2000-02-16 | 2003-05-06 | Axiamed, Inc. | Methods and apparatus for performing therapeutic procedures in the spine |
AR027685A1 (es) | 2000-03-22 | 2003-04-09 | Synthes Ag | Forma de tejido y metodo para realizarlo |
US6575976B2 (en) | 2000-06-12 | 2003-06-10 | Arthrex, Inc. | Expandable tissue anchor |
US6610093B1 (en) | 2000-07-28 | 2003-08-26 | Perumala Corporation | Method and apparatus for stabilizing adjacent vertebrae |
CA2418941A1 (en) | 2000-08-10 | 2003-02-10 | Synthes (U.S.A.) | Device for the introduction of medical items |
US6458159B1 (en) | 2000-08-15 | 2002-10-01 | John S. Thalgott | Disc prosthesis |
CA2420898A1 (en) | 2000-08-28 | 2002-03-07 | Advanced Bio Surfaces, Inc. | Method for mammalian joint resurfacing |
US20020026244A1 (en) | 2000-08-30 | 2002-02-28 | Trieu Hai H. | Intervertebral disc nucleus implants and methods |
US6733531B1 (en) | 2000-10-20 | 2004-05-11 | Sdgi Holdings, Inc. | Anchoring devices and implants for intervertebral disc augmentation |
US6556857B1 (en) | 2000-10-24 | 2003-04-29 | Sdgi Holdings, Inc. | Rotation locking driver for image guided instruments |
US6544265B2 (en) | 2000-11-08 | 2003-04-08 | The Cleveland Clinic Foundation | Apparatus for implantation into bone related applications |
US20050080486A1 (en) | 2000-11-29 | 2005-04-14 | Fallin T. Wade | Facet joint replacement |
US6579319B2 (en) | 2000-11-29 | 2003-06-17 | Medicinelodge, Inc. | Facet joint replacement |
US6752831B2 (en) | 2000-12-08 | 2004-06-22 | Osteotech, Inc. | Biocompatible osteogenic band for repair of spinal disorders |
US20020169507A1 (en) | 2000-12-14 | 2002-11-14 | David Malone | Interbody spine fusion cage |
US7115132B2 (en) | 2001-07-16 | 2006-10-03 | Spinecore, Inc. | Static trials and related instruments and methods for use in implanting an artificial intervertebral disc |
WO2002065954A1 (en) | 2001-02-16 | 2002-08-29 | Queen's University At Kingston | Method and device for treating scoliosis |
US7229441B2 (en) | 2001-02-28 | 2007-06-12 | Warsaw Orthopedic, Inc. | Flexible systems for spinal stabilization and fixation |
US6652585B2 (en) | 2001-02-28 | 2003-11-25 | Sdgi Holdings, Inc. | Flexible spine stabilization system |
US6802844B2 (en) | 2001-03-26 | 2004-10-12 | Nuvasive, Inc | Spinal alignment apparatus and methods |
US7344539B2 (en) | 2001-03-30 | 2008-03-18 | Depuy Acromed, Inc. | Intervertebral connection system |
US6482209B1 (en) | 2001-06-14 | 2002-11-19 | Gerard A. Engh | Apparatus and method for sculpting the surface of a joint |
DE20112123U1 (de) | 2001-07-23 | 2001-09-27 | Aesculap Ag & Co Kg | Facettengelenkimplantat |
US8025684B2 (en) | 2001-11-09 | 2011-09-27 | Zimmer Spine, Inc. | Instruments and methods for inserting a spinal implant |
US20030208202A1 (en) | 2002-05-04 | 2003-11-06 | Falahee Mark H. | Percutaneous screw fixation system |
US20030220643A1 (en) | 2002-05-24 | 2003-11-27 | Ferree Bret A. | Devices to prevent spinal extension |
US20040010312A1 (en) | 2002-07-09 | 2004-01-15 | Albert Enayati | Intervertebral prosthesis |
US20050143825A1 (en) | 2002-07-09 | 2005-06-30 | Albert Enayati | Intervertebral prosthesis |
US7250054B2 (en) | 2002-08-28 | 2007-07-31 | Smith & Nephew, Inc. | Systems, methods, and apparatuses for clamping and reclamping an orthopedic surgical cable |
US7063725B2 (en) | 2002-10-21 | 2006-06-20 | Sdgi Holdings, Inc. | Systems and techniques for restoring and maintaining intervertebral anatomy |
JP2006504492A (ja) | 2002-10-31 | 2006-02-09 | スパイナル・コンセプツ・インコーポレーテッド | 可動椎間板インプラント |
JP4307387B2 (ja) | 2002-11-13 | 2009-08-05 | ジンテーズ ゲゼルシャフト ミト ベシュレンクテル ハフツング | 小関節面干渉ねじ |
EP1565130A2 (en) | 2002-11-26 | 2005-08-24 | RayMedica, Inc. | Prosthetic spinal disc nucleus with elevated swelling rate |
HUP0500738A2 (en) | 2002-12-17 | 2006-04-28 | Synthes Gmbh | Intervertebral implant and a method for the replacement of a damaged natural vertebral disk by the intervertebral implant |
KR101026936B1 (ko) | 2002-12-17 | 2011-04-04 | 신세스 게엠바하 | 롤 본체 상에 위치된 조인트 요소를 구비한 추간판 이식물 |
HUP0500746A2 (en) | 2002-12-17 | 2006-04-28 | Synthes Gmbh | Intervertebral implant and a method for the replacement of a damaged natural vertebral disk by the intervertebral implant |
US7101398B2 (en) | 2002-12-31 | 2006-09-05 | Depuy Acromed, Inc. | Prosthetic facet joint ligament |
US20040143334A1 (en) | 2003-01-08 | 2004-07-22 | Ferree Bret A. | Artificial disc replacements (ADRS) with features to enhance longevity and prevent extrusion |
US7608104B2 (en) | 2003-05-14 | 2009-10-27 | Archus Orthopedics, Inc. | Prostheses, tools and methods for replacement of natural facet joints with artifical facet joint surfaces |
US6986771B2 (en) | 2003-05-23 | 2006-01-17 | Globus Medical, Inc. | Spine stabilization system |
US20070067032A1 (en) | 2003-06-27 | 2007-03-22 | Felt Jeffrey C | Meniscus preserving implant method and apparatus |
US7326200B2 (en) | 2003-07-25 | 2008-02-05 | Warsaw Orthopedic, Inc. | Annulus repair systems, instruments and techniques |
US7621956B2 (en) | 2003-07-31 | 2009-11-24 | Globus Medical, Inc. | Prosthetic spinal disc replacement |
US7377942B2 (en) | 2003-08-06 | 2008-05-27 | Warsaw Orthopedic, Inc. | Posterior elements motion restoring device |
US9254137B2 (en) | 2003-08-29 | 2016-02-09 | Lanterna Medical Technologies Ltd | Facet implant |
US7955355B2 (en) | 2003-09-24 | 2011-06-07 | Stryker Spine | Methods and devices for improving percutaneous access in minimally invasive surgeries |
US7357880B2 (en) | 2003-10-10 | 2008-04-15 | Aichi Steel Corporation | Composite rare-earth anisotropic bonded magnet, composite rare-earth anisotropic bonded magnet compound, and methods for their production |
US6966930B2 (en) | 2003-10-20 | 2005-11-22 | Impliant Ltd. | Facet prosthesis |
EP1541096B1 (de) | 2003-12-09 | 2010-02-10 | BIEDERMANN MOTECH GmbH | Höheneinstellbares Zwischenwirbelimplantat |
US20050159746A1 (en) | 2004-01-21 | 2005-07-21 | Dieter Grob | Cervical facet resurfacing implant |
US20070278130A1 (en) * | 2004-02-04 | 2007-12-06 | Tschantz Michell C | Packaging System With Inflatable Cushion |
FR2865629B1 (fr) | 2004-02-04 | 2007-01-26 | Ldr Medical | Prothese de disque intervertebral |
US7846183B2 (en) | 2004-02-06 | 2010-12-07 | Spinal Elements, Inc. | Vertebral facet joint prosthesis and method of fixation |
JP4594332B2 (ja) | 2004-02-10 | 2010-12-08 | スパイナル・エレメンツ・インコーポレーテッド | 神経血管構造を保護するためのシステムおよび方法 |
US8562649B2 (en) | 2004-02-17 | 2013-10-22 | Gmedelaware 2 Llc | System and method for multiple level facet joint arthroplasty and fusion |
US20050197700A1 (en) | 2004-02-18 | 2005-09-08 | Boehm Frank H.Jr. | Facet joint prosthesis and method of replacing a facet joint |
US7264620B2 (en) | 2004-06-04 | 2007-09-04 | Depuy Spine, Inc. | Variable laminoplasty implant |
US9504583B2 (en) | 2004-06-10 | 2016-11-29 | Spinal Elements, Inc. | Implant and method for facet immobilization |
US8172904B2 (en) | 2004-06-30 | 2012-05-08 | Synergy Disc Replacement, Inc. | Artificial spinal disc |
US20060036323A1 (en) | 2004-08-03 | 2006-02-16 | Carl Alan L | Facet device and method |
US8456506B2 (en) | 2004-08-03 | 2013-06-04 | Applied Minds, Llc | Systems and methods for enhancing teleconferencing collaboration |
US7846184B2 (en) | 2004-08-13 | 2010-12-07 | Sasso Ricardo C | Replacement facet joint and method |
US20060041311A1 (en) | 2004-08-18 | 2006-02-23 | Mcleer Thomas J | Devices and methods for treating facet joints |
US20060044727A1 (en) * | 2004-08-30 | 2006-03-02 | Aboyade Oj | Thermal optical circuit interruption system |
US7396360B2 (en) | 2004-09-29 | 2008-07-08 | The Cleveland Clinic Foundation | Minimally invasive method and apparatus for fusing adjacent vertebrae |
US20060085075A1 (en) | 2004-10-04 | 2006-04-20 | Archus Orthopedics, Inc. | Polymeric joint complex and methods of use |
US20090088846A1 (en) | 2007-04-17 | 2009-04-02 | David Myung | Hydrogel arthroplasty device |
US7887538B2 (en) * | 2005-10-15 | 2011-02-15 | Baxano, Inc. | Methods and apparatus for tissue modification |
US8192435B2 (en) * | 2004-10-15 | 2012-06-05 | Baxano, Inc. | Devices and methods for tissue modification |
US7452369B2 (en) | 2004-10-18 | 2008-11-18 | Barry Richard J | Spine microsurgery techniques, training aids and implants |
US8152837B2 (en) | 2004-10-20 | 2012-04-10 | The Board Of Trustees Of The Leland Stanford Junior University | Systems and methods for posterior dynamic stabilization of the spine |
US8128662B2 (en) | 2004-10-20 | 2012-03-06 | Vertiflex, Inc. | Minimally invasive tooling for delivery of interspinous spacer |
US7935134B2 (en) | 2004-10-20 | 2011-05-03 | Exactech, Inc. | Systems and methods for stabilization of bone structures |
US20060111780A1 (en) | 2004-11-22 | 2006-05-25 | Orthopedic Development Corporation | Minimally invasive facet joint hemi-arthroplasty |
US20060111779A1 (en) | 2004-11-22 | 2006-05-25 | Orthopedic Development Corporation, A Florida Corporation | Minimally invasive facet joint fusion |
US20060122701A1 (en) | 2004-11-23 | 2006-06-08 | Kiester P D | Posterior lumbar interbody fusion expandable cage with lordosis and method of deploying the same |
EP1824427A4 (en) | 2004-12-13 | 2010-05-05 | Kyphon Sarl | BETWEEN FACET IMPLANT |
US20070016196A1 (en) * | 2005-05-10 | 2007-01-18 | Winslow Charles J | Inter-cervical facet implant with implantation tool |
US7591851B2 (en) | 2004-12-13 | 2009-09-22 | Kyphon Sarl | Inter-cervical facet implant and method |
US8172877B2 (en) | 2004-12-13 | 2012-05-08 | Kyphon Sarl | Inter-cervical facet implant with surface enhancements |
US8118838B2 (en) | 2004-12-13 | 2012-02-21 | Kyphon Sarl | Inter-cervical facet implant with multiple direction articulation joint and method for implanting |
US20060190081A1 (en) | 2005-02-09 | 2006-08-24 | Gary Kraus | Facet stabilization schemes |
US8696707B2 (en) | 2005-03-08 | 2014-04-15 | Zyga Technology, Inc. | Facet joint stabilization |
US20060235403A1 (en) | 2005-03-17 | 2006-10-19 | Jason Blain | Flanged interbody fusion device with locking plate |
WO2006102443A2 (en) | 2005-03-22 | 2006-09-28 | Archus Orthopedics, Inc. | Minimally invasive spine restoration systems, devices, methods and kits |
US20060217754A1 (en) * | 2005-03-23 | 2006-09-28 | Boehm Frank H Jr | Expandable intervertebral disc dilating cannula |
US7942903B2 (en) | 2005-04-12 | 2011-05-17 | Moskowitz Ahmnon D | Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion |
US7291169B2 (en) | 2005-04-15 | 2007-11-06 | Zimmer Technology, Inc. | Cartilage implant |
US20060241758A1 (en) | 2005-04-20 | 2006-10-26 | Sdgi Holdings, Inc. | Facet spacers |
US20060276790A1 (en) | 2005-06-02 | 2006-12-07 | Zimmer Spine, Inc. | Minimally invasive facet joint repair |
US20070179608A1 (en) | 2005-07-29 | 2007-08-02 | Arthrosurface, Inc. | System and method for articular surface repair |
US20070035795A1 (en) | 2005-08-04 | 2007-02-15 | Hubbard Jason R | Artificial facet joint and a method of making same |
US7753938B2 (en) | 2005-08-05 | 2010-07-13 | Synthes Usa, Llc | Apparatus for treating spinal stenosis |
US7799057B2 (en) | 2005-09-02 | 2010-09-21 | Zimmer Spine, Inc. | Translaminar facet augmentation and flexible spinal stabilization |
US20070055373A1 (en) | 2005-09-08 | 2007-03-08 | Zimmer Spine, Inc. | Facet replacement/spacing and flexible spinal stabilization |
US8403985B2 (en) | 2005-11-02 | 2013-03-26 | Zimmer, Inc. | Joint spacer implant |
WO2007062079A2 (en) | 2005-11-21 | 2007-05-31 | Philipp Lang | Devices and methods for treating facet joints, uncovertebral joints, costovertebral joints and other joints |
US20070118218A1 (en) | 2005-11-22 | 2007-05-24 | Hooper David M | Facet joint implant and procedure |
US20070135814A1 (en) | 2005-12-12 | 2007-06-14 | Sdgi Holdings, Inc. | Facet spacer |
US7662183B2 (en) | 2006-01-24 | 2010-02-16 | Timothy Haines | Dynamic spinal implants incorporating cartilage bearing graft material |
JP4990296B2 (ja) | 2006-02-23 | 2012-08-01 | ファネウイル イノベーションズ インベスティメント エル ティー デー. | 椎間板置換装置 |
US7985246B2 (en) * | 2006-03-31 | 2011-07-26 | Warsaw Orthopedic, Inc. | Methods and instruments for delivering interspinous process spacers |
US20080027543A1 (en) | 2006-06-28 | 2008-01-31 | Sdgi Holdings, Inc. | Prosthesis and method for replacing degenerative vertebral portions |
US9089347B2 (en) | 2006-07-07 | 2015-07-28 | Orthophoenix, Llc | Medical device with dual expansion mechanism |
US20080027547A1 (en) | 2006-07-27 | 2008-01-31 | Warsaw Orthopedic Inc. | Prosthetic device for spinal joint reconstruction |
US20080051901A1 (en) | 2006-07-28 | 2008-02-28 | Spinalmotion, Inc. | Spinal Prosthesis with Multiple Pillar Anchors |
US7972382B2 (en) | 2006-12-26 | 2011-07-05 | Warsaw Orthopedic, Inc. | Minimally invasive spinal distraction devices and methods |
US20080161929A1 (en) * | 2006-12-29 | 2008-07-03 | Mccormack Bruce | Cervical distraction device |
WO2008085985A2 (en) | 2007-01-05 | 2008-07-17 | Trans1 Inc. | Percutaneous delivery of facet screws using depth control indicator |
EP2813190B1 (en) | 2007-02-22 | 2017-04-26 | Spinal Elements, Inc. | Vertebral facet joint drill |
US8992533B2 (en) | 2007-02-22 | 2015-03-31 | Spinal Elements, Inc. | Vertebral facet joint drill and method of use |
EP2152205A4 (en) | 2007-04-18 | 2013-05-01 | Nuvasive Inc | SURGICAL IMPLANT BASED ON TEXTILE AND METHODS RELATING THERETO |
EP2173265A4 (en) | 2007-06-29 | 2012-10-17 | Nuvasive Inc | FAZTENGELENKIMPLANTAT AND RELEVANT PROCEDURES |
US8343189B2 (en) | 2007-09-25 | 2013-01-01 | Zyga Technology, Inc. | Method and apparatus for facet joint stabilization |
DE202007015081U1 (de) | 2007-10-30 | 2008-01-03 | Aesculap Ag & Co. Kg | Implantat zum Ersetzen einer Facettengelenkfläche |
US9005288B2 (en) | 2008-01-09 | 2015-04-14 | Providence Medical Techonlogy, Inc. | Methods and apparatus for accessing and treating the facet joint |
US8764833B2 (en) | 2008-03-11 | 2014-07-01 | Spinalmotion, Inc. | Artificial intervertebral disc with lower height |
WO2009143496A1 (en) | 2008-05-22 | 2009-11-26 | Trinity Orthopedics, Llc | Devices and methods for spinal reduction, displacement and resection |
US8267966B2 (en) * | 2008-06-06 | 2012-09-18 | Providence Medical Technology, Inc. | Facet joint implants and delivery tools |
EP2367507B1 (en) | 2008-11-25 | 2017-05-31 | Synthes GmbH | Visco-elastic facet joint implant |
US8366748B2 (en) * | 2008-12-05 | 2013-02-05 | Kleiner Jeffrey | Apparatus and method of spinal implant and fusion |
US9220547B2 (en) | 2009-03-27 | 2015-12-29 | Spinal Elements, Inc. | Flanged interbody fusion device |
EP2421454A4 (en) | 2009-04-23 | 2013-12-11 | Spinal Elements Inc | TRANSVERSE CONNECTORS |
DE102009021134A1 (de) | 2009-05-13 | 2010-11-18 | Aesculap Ag | Facettengelenkimplantat |
DE202009006906U1 (de) | 2009-05-13 | 2009-07-23 | Aesculap Ag | Facettengelenkimplantat |
US8394125B2 (en) | 2009-07-24 | 2013-03-12 | Zyga Technology, Inc. | Systems and methods for facet joint treatment |
-
2011
- 2011-04-11 US US13/084,104 patent/US8663293B2/en not_active Expired - Fee Related
- 2011-05-24 BR BR112012031947A patent/BR112012031947A2/pt not_active IP Right Cessation
- 2011-05-24 WO PCT/US2011/037737 patent/WO2011159440A1/en active Application Filing
- 2011-05-24 JP JP2013515354A patent/JP5675969B2/ja not_active Expired - Fee Related
- 2011-05-24 KR KR1020137001034A patent/KR20130122929A/ko not_active Application Discontinuation
- 2011-05-24 AU AU2011265712A patent/AU2011265712B2/en not_active Ceased
- 2011-05-24 EP EP11723831.1A patent/EP2582330A1/en not_active Withdrawn
- 2011-05-24 RU RU2012155518/14A patent/RU2012155518A/ru not_active Application Discontinuation
- 2011-05-24 CN CN2011800389495A patent/CN103237525A/zh active Pending
- 2011-05-24 CA CA2802791A patent/CA2802791A1/en not_active Abandoned
-
2013
- 2013-08-21 US US13/972,060 patent/US9314277B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
CA2802791A1 (en) | 2011-12-22 |
JP2013532024A (ja) | 2013-08-15 |
US8663293B2 (en) | 2014-03-04 |
WO2011159440A1 (en) | 2011-12-22 |
EP2582330A1 (en) | 2013-04-24 |
AU2011265712B2 (en) | 2015-10-08 |
US20140243896A1 (en) | 2014-08-28 |
BR112012031947A2 (pt) | 2017-04-18 |
US9314277B2 (en) | 2016-04-19 |
RU2012155518A (ru) | 2014-07-20 |
KR20130122929A (ko) | 2013-11-11 |
US20110307061A1 (en) | 2011-12-15 |
AU2011265712A1 (en) | 2013-02-14 |
CN103237525A (zh) | 2013-08-07 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP5675969B2 (ja) | 椎間関節治療のためのシステム | |
US9233006B2 (en) | Systems and methods for facet joint treatment | |
US9833328B2 (en) | System and methods for facet joint treatment | |
JP5379305B2 (ja) | 椎間関節治療のためのシステムおよび方法 | |
JP4852680B2 (ja) | 椎間関節安定化処置 | |
US8388657B2 (en) | Spinous process spacer | |
US20120239089A1 (en) | Interspinous process implant and method of implantation | |
JP2007537834A (ja) | 機能的脊椎単位プロテーゼ |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A521 | Written amendment |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20130805 |
|
A521 | Written amendment |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20140526 |
|
A621 | Written request for application examination |
Free format text: JAPANESE INTERMEDIATE CODE: A621 Effective date: 20140526 |
|
A871 | Explanation of circumstances concerning accelerated examination |
Free format text: JAPANESE INTERMEDIATE CODE: A871 Effective date: 20140526 |
|
A975 | Report on accelerated examination |
Free format text: JAPANESE INTERMEDIATE CODE: A971005 Effective date: 20140623 |
|
A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20140729 |
|
A521 | Written amendment |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20141029 |
|
TRDD | Decision of grant or rejection written | ||
A01 | Written decision to grant a patent or to grant a registration (utility model) |
Free format text: JAPANESE INTERMEDIATE CODE: A01 Effective date: 20141202 |
|
A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20141224 |
|
R150 | Certificate of patent or registration of utility model |
Ref document number: 5675969 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
LAPS | Cancellation because of no payment of annual fees |