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US20060111779A1 - Minimally invasive facet joint fusion - Google Patents

Minimally invasive facet joint fusion Download PDF

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Publication number
US20060111779A1
US20060111779A1 US10/992,720 US99272004A US2006111779A1 US 20060111779 A1 US20060111779 A1 US 20060111779A1 US 99272004 A US99272004 A US 99272004A US 2006111779 A1 US2006111779 A1 US 2006111779A1
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US
United States
Prior art keywords
bone
component
facet joint
facet
joint
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.)
Abandoned
Application number
US10/992,720
Other languages
English (en)
Inventor
David Petersen
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.)
Orthopedic Development Corp
Original Assignee
Orthopedic Development Corp
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=36461924&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20060111779(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Orthopedic Development Corp filed Critical Orthopedic Development Corp
Priority to US10/992,720 priority Critical patent/US20060111779A1/en
Priority to US11/232,519 priority patent/US7708761B2/en
Priority to KR1020077013287A priority patent/KR20070088693A/ko
Priority to CA002586352A priority patent/CA2586352A1/fr
Priority to EP05849150A priority patent/EP1814497A4/fr
Priority to BRPI0518056-2A priority patent/BRPI0518056A/pt
Priority to JP2007543326A priority patent/JP2008520377A/ja
Priority to AU2005309758A priority patent/AU2005309758A1/en
Priority to RU2007123464/14A priority patent/RU2007123464A/ru
Priority to CNA200580039815XA priority patent/CN101083958A/zh
Priority to PCT/US2005/042073 priority patent/WO2006057943A2/fr
Priority to MX2007006115A priority patent/MX2007006115A/es
Publication of US20060111779A1 publication Critical patent/US20060111779A1/en
Priority to IL182925A priority patent/IL182925A0/en
Priority to ZA200703665A priority patent/ZA200703665B/en
Priority to MA29927A priority patent/MA29035B1/fr
Priority to NO20072727A priority patent/NO20072727L/no
Priority to US12/238,255 priority patent/US8021392B2/en
Priority to US12/404,273 priority patent/US7837713B2/en
Priority to US12/719,290 priority patent/US20100222829A1/en
Priority to US13/235,978 priority patent/US20120010620A1/en
Abandoned legal-status Critical Current

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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
    • 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
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A61B17/7064—Devices acting on, attached to, or simulating the effect of, vertebral facets; Tools therefor
    • 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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1662—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1671—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans for particular parts of the body for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3604—Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
    • A61L27/3608—Bone, e.g. demineralised bone matrix [DBM], bone powder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • 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
    • A61F2/28—Bones
    • 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
    • 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
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30785—Plurality of holes parallel
    • 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
    • A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
    • A61F2002/30879—Ribs
    • A61F2002/30881—Circumferential ribs, flanges or fins
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00359—Bone or bony tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00—Materials or treatment for tissue regeneration
    • A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

Definitions

  • the present invention relates generally to minimally invasive spine surgery and, more particularly, to using an arthroscopic type portal or open facet joint fusion surgical method, instrumentation and either pre-made, pre-shaped synthetic cortical bone or harvested and compacted iliac crest grafts, autologous or cadaveric allografts.
  • the instrumentation, graft and fusion method is limited to the forty-eight facet joints located on the spine, C1-C2 through L5-S1.
  • pre-shaped, harvested or synthetic bone as a structural fixation for facet joint fusion offers three distinct advantages over pedicle or compression screws, which are presently used in facet fusion procedures: (1) using bone instead of metal allows for natural bone ingrowth and a stronger, permanent fusion; (2) the natural or synthetic graft cannot work its way loose over time, a concern with screw type fixation; and, (3) the graft is self-leveling, which eliminates any concern of vertebral tilting.
  • the instrumentation, grafts and method are specifically designed for use in an arthroscopic type portal for stand-alone procedures and provides a stronger, unique and superior fusion when used as an adjunct to instrumented vertebral fusion by eliminating the risk of collateral post-operative facet joint pain resulting from additional stress placed on facet joints by the instrumentation itself.
  • a minimally invasive facet joint fusion for the treatment of a diseased or painful facet joint that is not appropriate for resurfacing or replacement comprises a method, instrumentation and autograft, cadaveric allograft or FDA approved pre-made, pre-shaped synthetic cortical bone graft for use in minimally invasive, outpatient, arthroscopic spine surgery or classic open surgery and, more specifically, to fuse spinal facet joints from C1-C2 through L5-S1. This method serves as a primary or a revision surgery.
  • the present invention accomplishes a superior spinal facet joint fusion by providing a method, instrumentation and grafting alternatives to facilitate fusion using Arthroscopic portal or open surgical techniques of the C1-C2 through L5-S1 spinal facet joints.
  • the Arthroscopic Facet Joint Fusion method comprises a punch or drill that creates a hole through both levels of the facet joint in a conical pattern.
  • the hole is filled with either the patient's own harvested and compacted bone plug using iliac crest autograft, pre-made, pre-shaped shaped cortical cadaveric allograft (the autograft or allograft formed by a unique bone plug press or machining) or FDA approved pre-made, pre-shaped synthetic grafts.
  • the punch or drill may include any number of components capable of performing the creation of a hole through both sides of the spinal facet joint using an arthroscope or similar portal to access the joint or during classic open surgery.
  • the punch may include a hand actuator that will create sufficient pressure to create a specific sized hole through both sides of the spinal facet joint using a mechanical arrangement similar to that of common pliers resized to work through an arthroscopic opening.
  • a drill guide may be placed and a specifically sized and shaped drill head may be used to create the opening.
  • the bone plug press may include any number of components capable of using harvested autograft, cadaveric allograft cortical bone or a synthetic alternative to match the bone tunnel made by the punch or drill.
  • the bone plug press may include a mechanism similar to common pliers or a more standard hand press that will transfer sufficient force to form bone plugs by squeezing the handles together to form the bone plug and compress the bone or synthetic alternative to the proper density and shape.
  • the impactor or press may include any number of components capable of pushing and compressing the bone plug into the bone tunnels.
  • a suture or metallic overlay may also be applied to provide additional structural stability to the joint during graft incorporation.
  • FIG. 1 represents the punch and press mechanism described herein according to the present invention.
  • FIG. 3 represents a properly completed procedure and the resultant facet joint fusion.
  • One of the root causes of back pain, particularly the persistent and disabling kind, are facet joints, small joints located behind adjacent vertebrae in the spine that allow for spinal motion.
  • the present invention is directed at overcoming, or at least improving upon, the disadvantages of the prior art by achieving the following:
  • the present invention is directed at overcoming, or at least improving upon, the disadvantages of the prior art.
  • FIG. 1 illustrates a bone punch instrument as an embodiment of the invention shown without representation of a press accessory, which can be attached to the punch tips ( 4 ) and used to press a bone plug more completely described in FIG. 3 ( 6 ) into place.
  • the instrument is specifically invented to be used through an arthroscopic type portal ( 1 ) allowing access to the joint through a small incision and progressive dilation of the intervening soft tissue.
  • the instrument design does not preclude its use in a classic open surgery or by access to the facet joint through an otherwise limited incision.
  • a separating handle ( 2 ) is specifically designed to provide sufficient mechanical advantage to the punch tips ( 4 ). Punch tips of different sizes to create an appropriate opening to receive the sized bone plug selected by a physician. The opening is marginally smaller than the bone plug to create proper fixation of the plug and the joint. Mechanical advantage created by pressure on the handle is transferred to the punch tips using an “X” type joint ( 3 ).
  • FIG. 2 illustrates a specially designed osteotome as an embodiment of the invention, which accesses the facet joint through an arthroscopic type portal ( 5 ) and is used to make a thin slice into the bone on each of the inner surfaces of the joint to prepare the surface to heal together in a permanent fusion.
  • the osteotome is equipped with a specifically sized single use blade ( 6 ) shown in situ in the correct aspect into a facet joint ( 7 ).
  • the osteotome is impacted with a slap-hammer ( 8 ) to make the cuts and is properly positioned using a loop ( 9 ) on the osteotome shaft.
  • a protective stop ( 10 ) is provided to ensure that the osteotome blade does not penetrate to an unsafe depth.
  • FIG. 3 illustrates a fused facet joint ( 11 ) with one shaped autograft, cadaveric allograft or FDA approved synthetic pre-made, pre-shaped cortical bone plug ( 12 ).
  • the posterior end of the plug is 2 mm to 3 mm ( 13 ) and the anterior end of the plug is 3 mm to 4 mm ( 14 ) in a conical shape with the wider portion located in the anterior portion to facilitate fixation during bone graft incorporation.
  • the procedure is envisioned to require only one bone plug. Permanent fixation occurs when bone in-growth occurs into the joint itself and into the plug ( 15 ) over time.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Neurology (AREA)
  • Chemical & Material Sciences (AREA)
  • Dentistry (AREA)
  • Transplantation (AREA)
  • Urology & Nephrology (AREA)
  • Botany (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Dermatology (AREA)
  • Medicinal Chemistry (AREA)
  • Zoology (AREA)
  • Epidemiology (AREA)
  • Cardiology (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
US10/992,720 2004-11-22 2004-11-22 Minimally invasive facet joint fusion Abandoned US20060111779A1 (en)

Priority Applications (20)

Application Number Priority Date Filing Date Title
US10/992,720 US20060111779A1 (en) 2004-11-22 2004-11-22 Minimally invasive facet joint fusion
US11/232,519 US7708761B2 (en) 2004-11-22 2005-09-22 Spinal plug for a minimally invasive facet joint fusion system
MX2007006115A MX2007006115A (es) 2004-11-22 2005-11-21 Tapon espinal para sistema de fusion de articulacion de faceta minimamente invasiva.
CNA200580039815XA CN101083958A (zh) 2004-11-22 2005-11-21 最低程度侵入的面关节融合装置的脊椎塞
PCT/US2005/042073 WO2006057943A2 (fr) 2004-11-22 2005-11-21 Bouchon spinal pour systeme de fusion de facettes articulaires a invasion minimale
CA002586352A CA2586352A1 (fr) 2004-11-22 2005-11-21 Bouchon spinal pour systeme de fusion de facettes articulaires a invasion minimale
EP05849150A EP1814497A4 (fr) 2004-11-22 2005-11-21 Bouchon spinal pour systeme de fusion de facettes articulaires a invasion minimale
BRPI0518056-2A BRPI0518056A (pt) 2004-11-22 2005-11-21 tampão espinal para um sistema de fusão de articulação de faceta minimamente invasivo
JP2007543326A JP2008520377A (ja) 2004-11-22 2005-11-21 最小侵襲性面関節癒合システムの脊椎プラグ
AU2005309758A AU2005309758A1 (en) 2004-11-22 2005-11-21 Spinal plug for a minimally invasive facet joint fusion system
RU2007123464/14A RU2007123464A (ru) 2004-11-22 2005-11-21 Пробка для артродеза фасеточного сустава
KR1020077013287A KR20070088693A (ko) 2004-11-22 2005-11-21 최소 침습 추간관절 융합계용 스파이널 플러그
IL182925A IL182925A0 (en) 2004-11-22 2007-05-02 Spinal plug for a minimally invasive facet joint fusion system
ZA200703665A ZA200703665B (en) 2004-11-22 2007-05-07 Spinal plug for a minimally invasive facet joint fusion system
MA29927A MA29035B1 (fr) 2004-11-22 2007-05-22 Bouchon spinal pour systeme de fusion de facettes articulaires a invasion minimale
NO20072727A NO20072727L (no) 2004-11-22 2007-05-29 Spinal plugg for et minimalt invasivt fasettledd fusjonssystem
US12/238,255 US8021392B2 (en) 2004-11-22 2008-09-25 Methods and surgical kits for minimally-invasive facet joint fusion
US12/404,273 US7837713B2 (en) 2004-11-22 2009-03-13 Methods and surgical kits for minimally-invasive facet joint fusion
US12/719,290 US20100222829A1 (en) 2004-11-22 2010-03-08 Spinal plug for a minimally invasive joint fusion system
US13/235,978 US20120010620A1 (en) 2004-11-22 2011-09-19 Methods and surgical kits for minimally-invasive facet joint fusion

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US10/992,720 US20060111779A1 (en) 2004-11-22 2004-11-22 Minimally invasive facet joint fusion

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/232,519 Continuation-In-Part US7708761B2 (en) 2004-11-22 2005-09-22 Spinal plug for a minimally invasive facet joint fusion system

Publications (1)

Publication Number Publication Date
US20060111779A1 true US20060111779A1 (en) 2006-05-25

Family

ID=36461924

Family Applications (3)

Application Number Title Priority Date Filing Date
US10/992,720 Abandoned US20060111779A1 (en) 2004-11-22 2004-11-22 Minimally invasive facet joint fusion
US11/232,519 Expired - Fee Related US7708761B2 (en) 2004-11-22 2005-09-22 Spinal plug for a minimally invasive facet joint fusion system
US12/719,290 Abandoned US20100222829A1 (en) 2004-11-22 2010-03-08 Spinal plug for a minimally invasive joint fusion system

Family Applications After (2)

Application Number Title Priority Date Filing Date
US11/232,519 Expired - Fee Related US7708761B2 (en) 2004-11-22 2005-09-22 Spinal plug for a minimally invasive facet joint fusion system
US12/719,290 Abandoned US20100222829A1 (en) 2004-11-22 2010-03-08 Spinal plug for a minimally invasive joint fusion system

Country Status (15)

Country Link
US (3) US20060111779A1 (fr)
EP (1) EP1814497A4 (fr)
JP (1) JP2008520377A (fr)
KR (1) KR20070088693A (fr)
CN (1) CN101083958A (fr)
AU (1) AU2005309758A1 (fr)
BR (1) BRPI0518056A (fr)
CA (1) CA2586352A1 (fr)
IL (1) IL182925A0 (fr)
MA (1) MA29035B1 (fr)
MX (1) MX2007006115A (fr)
NO (1) NO20072727L (fr)
RU (1) RU2007123464A (fr)
WO (1) WO2006057943A2 (fr)
ZA (1) ZA200703665B (fr)

Cited By (151)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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CA2586352A1 (fr) 2006-06-01
US7708761B2 (en) 2010-05-04
ZA200703665B (en) 2008-06-25
BRPI0518056A (pt) 2008-10-28
MX2007006115A (es) 2007-10-04
AU2005309758A1 (en) 2006-06-01
IL182925A0 (en) 2007-09-20
US20100222829A1 (en) 2010-09-02
KR20070088693A (ko) 2007-08-29
MA29035B1 (fr) 2007-11-01
EP1814497A2 (fr) 2007-08-08
EP1814497A4 (fr) 2011-10-19
NO20072727L (no) 2007-05-29
RU2007123464A (ru) 2008-12-27
WO2006057943A2 (fr) 2006-06-01
CN101083958A (zh) 2007-12-05
WO2006057943A3 (fr) 2007-02-01
US20060111782A1 (en) 2006-05-25
JP2008520377A (ja) 2008-06-19

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