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CA2548729A1 - Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale - Google Patents

Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale Download PDF

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Publication number
CA2548729A1
CA2548729A1 CA002548729A CA2548729A CA2548729A1 CA 2548729 A1 CA2548729 A1 CA 2548729A1 CA 002548729 A CA002548729 A CA 002548729A CA 2548729 A CA2548729 A CA 2548729A CA 2548729 A1 CA2548729 A1 CA 2548729A1
Authority
CA
Canada
Prior art keywords
spinal
fixation element
anchor
pathway
percutaneous
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.)
Granted
Application number
CA002548729A
Other languages
English (en)
Other versions
CA2548729C (fr
Inventor
David Greg Anderson
Christopher W. Sicvol
George Joseph Ross
Sean P. Selover
Nancy M. Sheehy
Ramon Alberto Ruberte
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DePuy Spine LLC
Original Assignee
Individual
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from US10/738,130 external-priority patent/US7527638B2/en
Application filed by Individual filed Critical Individual
Priority to CA2752539A priority Critical patent/CA2752539C/fr
Publication of CA2548729A1 publication Critical patent/CA2548729A1/fr
Application granted granted Critical
Publication of CA2548729C publication Critical patent/CA2548729C/fr
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7083—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements
    • A61B17/7085—Tools for guidance or insertion of tethers, rod-to-anchor connectors, rod-to-rod connectors, or longitudinal elements for insertion of a longitudinal element down one or more hollow screw or hook extensions, i.e. at least a part of the element within an extension has a component of movement parallel to the extension's axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1604—Chisels; Rongeurs; Punches; Stamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7074—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling
    • A61B17/7076—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation
    • A61B17/7077—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae
    • A61B17/708—Tools specially adapted for spinal fixation operations other than for bone removal or filler handling for driving, positioning or assembling spinal clamps or bone anchors specially adapted for spinal fixation for moving bone anchors attached to vertebrae, thereby displacing the vertebrae with tubular extensions coaxially mounted on the bone anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
    • A61B17/1757—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002—Longitudinal elements, e.g. rods
    • A61B17/7011—Longitudinal element being non-straight, e.g. curved, angled or branched
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • 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, e.g. stabilisers comprising fluid filler in an implant
    • A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • 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 or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8897—Guide wires or guide pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00261—Discectomy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Neurology (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
CA2548729A 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale Expired - Fee Related CA2548729C (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CA2752539A CA2752539C (fr) 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US10/738,130 2003-12-16
US10/738,130 US7527638B2 (en) 2003-12-16 2003-12-16 Methods and devices for minimally invasive spinal fixation element placement
US10/711,704 2004-09-30
US10/711,704 US7708763B2 (en) 2003-12-16 2004-09-30 Methods and devices for minimally invasive spinal fixation element placement
PCT/US2004/039919 WO2005060534A2 (fr) 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Related Child Applications (1)

Application Number Title Priority Date Filing Date
CA2752539A Division CA2752539C (fr) 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Publications (2)

Publication Number Publication Date
CA2548729A1 true CA2548729A1 (fr) 2005-07-07
CA2548729C CA2548729C (fr) 2012-01-10

Family

ID=34713885

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2548729A Expired - Fee Related CA2548729C (fr) 2003-12-16 2004-11-29 Procedes et dispositifs pour placer un element de fixation vertebrale avec effraction minimale

Country Status (7)

Country Link
EP (1) EP1694225A4 (fr)
JP (1) JP2007513739A (fr)
KR (1) KR20070029650A (fr)
AU (1) AU2004304934B2 (fr)
BR (1) BRPI0417589A (fr)
CA (1) CA2548729C (fr)
WO (1) WO2005060534A2 (fr)

Families Citing this family (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8002798B2 (en) 2003-09-24 2011-08-23 Stryker Spine System and method for spinal implant placement
US7955355B2 (en) 2003-09-24 2011-06-07 Stryker Spine Methods and devices for improving percutaneous access in minimally invasive surgeries
US8177817B2 (en) * 2005-05-18 2012-05-15 Stryker Spine System and method for orthopedic implant configuration
US7497869B2 (en) * 2006-01-27 2009-03-03 Warsaw Orthopedic, Inc. Methods and devices for a minimally invasive placement of a rod within a patient
EP1981422B1 (fr) 2006-02-06 2018-10-24 Stryker European Holdings I, LLC Appareil de contournage de barre de fixation pour vis pédiculaire percutanée
AU2013200549C1 (en) * 2006-02-06 2016-10-06 Stryker European Holdings I, Llc Rod contouring apparatus and method for percutaneous pedicle screw extension
AU2007238129A1 (en) 2006-04-11 2007-10-25 Synthes Gmbh Minimally invasive fixation system
US7686809B2 (en) 2006-09-25 2010-03-30 Stryker Spine Rod inserter and rod with reduced diameter end
WO2008039447A1 (fr) 2006-09-25 2008-04-03 Stryker Spine système de compression et de distraction percutané
US8734452B2 (en) * 2006-12-15 2014-05-27 Spinefrontier, Inc Guidance system,tools and devices for spinal fixation
US8206306B2 (en) * 2009-05-07 2012-06-26 Hitachi Aloka Medical, Ltd. Ultrasound systems and methods for orthopedic applications
EP2432407B1 (fr) 2009-05-20 2013-04-17 Synthes GmbH Ecarteur monté sur patient
US8535318B2 (en) 2010-04-23 2013-09-17 DePuy Synthes Products, LLC Minimally invasive instrument set, devices and related methods
US8603094B2 (en) 2010-07-26 2013-12-10 Spinal Usa, Inc. Minimally invasive surgical tower access devices and related methods
US8740949B2 (en) 2011-02-24 2014-06-03 Spinal Elements, Inc. Methods and apparatus for stabilizing bone
WO2012166495A1 (fr) 2011-05-27 2012-12-06 Synthes Usa, Llc Système de fixation vertébrale minimalement invasif comprenant des caractéristiques d'alignement vertébral
US9125703B2 (en) 2012-01-16 2015-09-08 K2M, Inc. Rod reducer, compressor, distractor system
US9011450B2 (en) 2012-08-08 2015-04-21 DePuy Synthes Products, LLC Surgical instrument
US9827020B2 (en) 2013-03-14 2017-11-28 Stryker European Holdings I, Llc Percutaneous spinal cross link system and method
US9510875B2 (en) 2013-03-14 2016-12-06 Stryker European Holdings I, Llc Systems and methods for percutaneous spinal fusion
US9408716B1 (en) 2013-12-06 2016-08-09 Stryker European Holdings I, Llc Percutaneous posterior spinal fusion implant construction and method
US9744050B1 (en) 2013-12-06 2017-08-29 Stryker European Holdings I, Llc Compression and distraction system for percutaneous posterior spinal fusion
US10159579B1 (en) 2013-12-06 2018-12-25 Stryker European Holdings I, Llc Tubular instruments for percutaneous posterior spinal fusion systems and methods
AU2014274626B2 (en) 2013-12-13 2019-12-12 Vb Spine Us Opco Llc Tissue retraction and vertebral displacement devices, systems, and methods for posterior spinal fusion
WO2016044432A1 (fr) 2014-09-17 2016-03-24 Spinal Elements, Inc. Raccord de bande de fixation souple
CA3008161C (fr) 2014-12-09 2023-09-26 John A. Heflin Systeme d'alignement de colonne vertebrale
US10779866B2 (en) 2016-12-29 2020-09-22 K2M, Inc. Rod reducer assembly
JP2022535698A (ja) * 2019-05-22 2022-08-10 スパイナル・エレメンツ・インコーポレーテッド 骨タイおよび骨タイ・インサータ
WO2021163313A1 (fr) 2020-02-14 2021-08-19 Spinal Elements, Inc. Procédés d'attaches osseuses
WO2023108007A2 (fr) 2021-12-10 2023-06-15 Spinal Elements, Inc. Attache osseuse et portail

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2248054A (en) * 1939-06-07 1941-07-08 Becker Joseph Screw driver
DE29901611U1 (de) * 1999-01-30 1999-04-22 Aesculap AG & Co. KG, 78532 Tuttlingen Chirurgisches Instrument zum Einführen von Zwischenwirbelimplantaten
US6530929B1 (en) * 1999-10-20 2003-03-11 Sdgi Holdings, Inc. Instruments for stabilization of bony structures
US7572276B2 (en) * 2002-05-06 2009-08-11 Warsaw Orthopedic, Inc. Minimally invasive instruments and methods for inserting implants
US7306603B2 (en) * 2002-08-21 2007-12-11 Innovative Spinal Technologies Device and method for percutaneous placement of lumbar pedicle screws and connecting rods
US6648888B1 (en) * 2002-09-06 2003-11-18 Endius Incorporated Surgical instrument for moving a vertebra
US6849064B2 (en) * 2002-10-25 2005-02-01 James S. Hamada Minimal access lumbar diskectomy instrumentation and method
AU2003287273C1 (en) * 2002-10-30 2010-01-07 Zimmer Spine, Inc. Spinal stabilization system insertion and methods
US7588588B2 (en) * 2003-10-21 2009-09-15 Innovative Spinal Technologies System and method for stabilizing of internal structures

Also Published As

Publication number Publication date
JP2007513739A (ja) 2007-05-31
EP1694225A2 (fr) 2006-08-30
KR20070029650A (ko) 2007-03-14
AU2004304934A1 (en) 2005-07-07
WO2005060534A3 (fr) 2006-04-06
WO2005060534A2 (fr) 2005-07-07
CA2548729C (fr) 2012-01-10
AU2004304934B2 (en) 2008-10-16
BRPI0417589A (pt) 2007-03-20
EP1694225A4 (fr) 2008-12-31

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Effective date: 20171129