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WO2009152919A1 - Dispositif d'élimination de tissus osseux lors d'opérations endoscopiques - Google Patents

Dispositif d'élimination de tissus osseux lors d'opérations endoscopiques Download PDF

Info

Publication number
WO2009152919A1
WO2009152919A1 PCT/EP2009/003672 EP2009003672W WO2009152919A1 WO 2009152919 A1 WO2009152919 A1 WO 2009152919A1 EP 2009003672 W EP2009003672 W EP 2009003672W WO 2009152919 A1 WO2009152919 A1 WO 2009152919A1
Authority
WO
WIPO (PCT)
Prior art keywords
cutting
cutting tool
tool
distal
probe
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.)
Ceased
Application number
PCT/EP2009/003672
Other languages
German (de)
English (en)
Inventor
Rudolf MORGENSTERN LÓPEZ
Wolfgang Ries
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.)
Joimax GmbH
Original Assignee
Joimax GmbH
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
Application filed by Joimax GmbH filed Critical Joimax GmbH
Publication of WO2009152919A1 publication Critical patent/WO2009152919A1/fr
Anticipated expiration legal-status Critical
Ceased 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
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/1613—Component parts
    • A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • A61B17/1617—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material with mobile or detachable parts
    • 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
    • A61B17/1613—Component parts
    • A61B17/1615—Drill bits, i.e. rotating tools extending from a handpiece to contact the worked material
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • 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
    • A61B17/1637—Hollow drills or saws producing a curved cut, e.g. cylindrical
    • 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
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope

Definitions

  • the invention relates to a device for removing bone tissue during endoscopic operations, with at least one cutting tool arranged concentrically around an elongated probe.
  • the invention is particularly useful in the performance of endoscopic surgeries for the treatment of herniated discs, although the invention is not necessarily limited to this purpose.
  • a first elongated member having a blunt conical tip is first inserted to accommodate soft tissue close to the damaged disc to be treated.
  • a fine cannula is inserted over this, the inner diameter of which corresponds to the outer diameter of the first elongate element.
  • the Au The diameter of this cannula may be between 2 and 10 mm, the most common being that the cannulas have an outside diameter of 6 mm.
  • the cannula is blunt and may have various geometries at its distal end, with one distal edge generally generally oblique to the axis of the cannula, for better visibility of the working area.
  • the first elongate member is withdrawn leaving an open access channel open to the area of the damaged disc into which an optical probe is inserted which fits snugly into this channel and, in turn, channels of pressurized water for cleaning / aspiration of elements and, in some models, also working channels for various devices for treating or handling the tissue.
  • the previously known techniques offer three possible solutions.
  • the first is a cutting tool that is sized to be inserted into a working channel of the optical probe. This solution allows the user to cut bone tissue while maintaining visual control of its operations.
  • the tool necessarily has a very small diameter must be (a maximum of 1.5 mm in diameter) and that the operations to remove the bone tissue may take too long, which ultimately may even lead to harm to the patient.
  • a second known solution is to pull out the optical probe, and instead use a larger diameter cutting tool.
  • the problem is that the user is forced to perform the operations without a direct view of the soft tissues present, with the concomitant danger of damaging the nerve tissue associated with the epidural space.
  • the cutting tool is usually a cylinder whose distal end is perpendicular to the cylinder axis. Said distal end consists of a generally saw-shaped cutting area, the diameter of the tool substantially changing for each of the two possible solutions.
  • the invention includes an apparatus for removing bone tissue in endoscopic operations, comprising at least one cutting tool concentrically disposed about an elongated probe, wherein the cutting tool comprises a distal cutting portion having a conical geometry, the distal tapered surface having lateral cutting edges.
  • the cutting edges may be formed for right- and / or left-side cutting.
  • the new device has essentially two advantages over the previously known devices.
  • the tapered cutting area allows a progressive cut of the area to be removed.
  • there is a lateral cutting edge for cutting on the left and right
  • proper control of the cut of the tool is achieved, which cuts only when the tool is rotated in the direction in which the cut is made. In this way, in comparison to the previously known possibilities, both the
  • the conical distal region is at the
  • the cutting edges of the cutting tool are parallel to each other, and more preferably, they extend helically on the conical surface, leaving grooves for receiving the removed tissue.
  • the device in a simpler embodiment consists of a probe and a cutting tool, yet it can be supplemented with other devices known per se.
  • the device can furthermore have more than one cutting tool with the features described above. More precisely, the device can be a second
  • the taper of the first cutting tool is preferably less than the taper of the second. That is, the conical surface of the first tool has a smaller angle to the lower central axis than that of the second tool.
  • Fig.l is a perspective view of a schematic
  • Fig. 2 is a front view showing the distal end of said probe
  • Fig. 3 is a partially cutaway perspective view of a cutting tool for common use with the probe of Figs. 1 and 2;
  • Fig. 4 is a front view showing the distal end of said cutting tool
  • FIG. 5 is a perspective view of the tool of FIG. 3 and 4;
  • Fig. 6 is a partially cutaway perspective view of a second cutting tool for common use with the probe of Figs. 1 and 2 and the cutting tool of Figs. 3 to 5;
  • Fig. 7 is a front view showing the distal end of said cutting tool
  • FIG. 8 is a perspective view of the second cutting Tool shown in Figs. 6 and 7;
  • Fig. 9 shows the probe and a cutting tool in use arrangement
  • FIG 10 shows the probe and the second cutting tool in use arrangement.
  • FIGS 1 to 10 show a possible embodiment of the device according to the present invention, which is shown only schematically, with reference to the most important parts.
  • the device according to the invention comprises a probe 1 which has at least one channel 11, for example a guide channel 11 and / or an infiltration channel 111, or both, and a first and a second cutting tool 2, 3 which are concentric around the probe 1 are arranged.
  • Each cutting tool 2, 3 has a distal end 21, 31, which is conical or frusto-conical in shape and has an inner opening 23, which surrounds the probe 1 in use.
  • the conical regions 21, 31, 33 have numerous cutting edges, which run parallel to each other and helically.
  • the geometry of the cutting edges (angle of attack, cutting edge and entry) are such that lateral cutting takes place. follows (cut to the left or cut to the right) according to techniques known in the field of industrial milling. In this way, the tool cuts only when it is rotated in a certain direction.
  • the second cutting tool 3 has a larger outer diameter and also a greater conicity.
  • the furthest distal point 22, 32 of the cutting tools 2, 3 is rounded.
  • first the first cutting tool 2 is introduced, which thereby slides linearly along the probe, without any rotation in the cutting direction of the cutting tool.
  • the conical shape promotes penetration without damaging the soft tissue. After hitting the bone tissue to be removed, the tool is rotated in the cutting direction.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif d'élimination de tissus osseux lors d'opérations endoscopiques, comprenant au moins un outil de coupe (2, 3) disposé de façon concentrique autour d'une sonde allongée (1), le dispositif se caractérisant en ce que l'outil de coupe présente une zone de coupe distale (21, 31) de géométrie conique, la surface distale conique présentant des arêtes de coupe latérales.
PCT/EP2009/003672 2008-05-26 2009-05-25 Dispositif d'élimination de tissus osseux lors d'opérations endoscopiques Ceased WO2009152919A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES200801552A ES2334622B1 (es) 2008-05-26 2008-05-26 Dispositivo para eliminacion de tejido oseo en operaciones endoscopicas.
ESP200801552 2008-05-26

Publications (1)

Publication Number Publication Date
WO2009152919A1 true WO2009152919A1 (fr) 2009-12-23

Family

ID=41168782

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2009/003672 Ceased WO2009152919A1 (fr) 2008-05-26 2009-05-25 Dispositif d'élimination de tissus osseux lors d'opérations endoscopiques

Country Status (2)

Country Link
ES (1) ES2334622B1 (fr)
WO (1) WO2009152919A1 (fr)

Cited By (35)

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US8394129B2 (en) 2011-03-10 2013-03-12 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8852243B2 (en) 2011-03-10 2014-10-07 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US9277928B2 (en) 2013-03-11 2016-03-08 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US9522070B2 (en) 2013-03-07 2016-12-20 Interventional Spine, Inc. Intervertebral implant
US9839530B2 (en) 2007-06-26 2017-12-12 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US9883951B2 (en) 2012-08-30 2018-02-06 Interventional Spine, Inc. Artificial disc
US9895236B2 (en) 2010-06-24 2018-02-20 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US9913727B2 (en) 2015-07-02 2018-03-13 Medos International Sarl Expandable implant
US9931223B2 (en) 2008-04-05 2018-04-03 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9993349B2 (en) 2002-06-27 2018-06-12 DePuy Synthes Products, Inc. Intervertebral disc
US9993353B2 (en) 2013-03-14 2018-06-12 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10058433B2 (en) 2012-07-26 2018-08-28 DePuy Synthes Products, Inc. Expandable implant
US10390963B2 (en) 2006-12-07 2019-08-27 DePuy Synthes Products, Inc. Intervertebral implant
US10398563B2 (en) 2017-05-08 2019-09-03 Medos International Sarl Expandable cage
US10433977B2 (en) 2008-01-17 2019-10-08 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US10500062B2 (en) 2009-12-10 2019-12-10 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US10537436B2 (en) 2016-11-01 2020-01-21 DePuy Synthes Products, Inc. Curved expandable cage
US10548741B2 (en) 2010-06-29 2020-02-04 DePuy Synthes Products, Inc. Distractible intervertebral implant
US10888433B2 (en) 2016-12-14 2021-01-12 DePuy Synthes Products, Inc. Intervertebral implant inserter and related methods
US10940016B2 (en) 2017-07-05 2021-03-09 Medos International Sarl Expandable intervertebral fusion cage
US11344424B2 (en) 2017-06-14 2022-05-31 Medos International Sarl Expandable intervertebral implant and related methods
US11426286B2 (en) 2020-03-06 2022-08-30 Eit Emerging Implant Technologies Gmbh Expandable intervertebral implant
US11426290B2 (en) 2015-03-06 2022-08-30 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US11446156B2 (en) 2018-10-25 2022-09-20 Medos International Sarl Expandable intervertebral implant, inserter instrument, and related methods
US11452607B2 (en) 2010-10-11 2022-09-27 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US11510788B2 (en) 2016-06-28 2022-11-29 Eit Emerging Implant Technologies Gmbh Expandable, angularly adjustable intervertebral cages
US11596523B2 (en) 2016-06-28 2023-03-07 Eit Emerging Implant Technologies Gmbh Expandable and angularly adjustable articulating intervertebral cages
US11612491B2 (en) 2009-03-30 2023-03-28 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US11752009B2 (en) 2021-04-06 2023-09-12 Medos International Sarl Expandable intervertebral fusion cage
US11850160B2 (en) 2021-03-26 2023-12-26 Medos International Sarl Expandable lordotic intervertebral fusion cage
US11911287B2 (en) 2010-06-24 2024-02-27 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
USRE49973E1 (en) 2013-02-28 2024-05-21 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
US12090064B2 (en) 2022-03-01 2024-09-17 Medos International Sarl Stabilization members for expandable intervertebral implants, and related systems and methods
US12102348B2 (en) 2016-09-07 2024-10-01 Vertos Medical, Inc. Percutaneous lateral recess resection methods and instruments
US12324572B2 (en) 2022-06-16 2025-06-10 Vertos Medical, Inc. Integrated instrument assembly

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Cited By (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9993349B2 (en) 2002-06-27 2018-06-12 DePuy Synthes Products, Inc. Intervertebral disc
US10583015B2 (en) 2006-12-07 2020-03-10 DePuy Synthes Products, Inc. Intervertebral implant
US10398566B2 (en) 2006-12-07 2019-09-03 DePuy Synthes Products, Inc. Intervertebral implant
US11712345B2 (en) 2006-12-07 2023-08-01 DePuy Synthes Products, Inc. Intervertebral implant
US11660206B2 (en) 2006-12-07 2023-05-30 DePuy Synthes Products, Inc. Intervertebral implant
US11642229B2 (en) 2006-12-07 2023-05-09 DePuy Synthes Products, Inc. Intervertebral implant
US11497618B2 (en) 2006-12-07 2022-11-15 DePuy Synthes Products, Inc. Intervertebral implant
US11432942B2 (en) 2006-12-07 2022-09-06 DePuy Synthes Products, Inc. Intervertebral implant
US10390963B2 (en) 2006-12-07 2019-08-27 DePuy Synthes Products, Inc. Intervertebral implant
US11273050B2 (en) 2006-12-07 2022-03-15 DePuy Synthes Products, Inc. Intervertebral implant
US9839530B2 (en) 2007-06-26 2017-12-12 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US10973652B2 (en) 2007-06-26 2021-04-13 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US11622868B2 (en) 2007-06-26 2023-04-11 DePuy Synthes Products, Inc. Highly lordosed fusion cage
US10449058B2 (en) 2008-01-17 2019-10-22 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US10433977B2 (en) 2008-01-17 2019-10-08 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US11737881B2 (en) 2008-01-17 2023-08-29 DePuy Synthes Products, Inc. Expandable intervertebral implant and associated method of manufacturing the same
US11712342B2 (en) 2008-04-05 2023-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12023255B2 (en) 2008-04-05 2024-07-02 DePuy Synthes Products, Inc. Expandable inter vertebral implant
US11712341B2 (en) 2008-04-05 2023-08-01 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11707359B2 (en) 2008-04-05 2023-07-25 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9993350B2 (en) 2008-04-05 2018-06-12 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12440346B2 (en) 2008-04-05 2025-10-14 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11617655B2 (en) 2008-04-05 2023-04-04 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11701234B2 (en) 2008-04-05 2023-07-18 DePuy Synthes Products, Inc. Expandable intervertebral implant
US9931223B2 (en) 2008-04-05 2018-04-03 DePuy Synthes Products, Inc. Expandable intervertebral implant
US10449056B2 (en) 2008-04-05 2019-10-22 DePuy Synthes Products, Inc. Expandable intervertebral implant
US11602438B2 (en) 2008-04-05 2023-03-14 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12011361B2 (en) 2008-04-05 2024-06-18 DePuy Synthes Products, Inc. Expandable intervertebral implant
US12097124B2 (en) 2009-03-30 2024-09-24 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US11612491B2 (en) 2009-03-30 2023-03-28 DePuy Synthes Products, Inc. Zero profile spinal fusion cage
US10500062B2 (en) 2009-12-10 2019-12-10 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US11607321B2 (en) 2009-12-10 2023-03-21 DePuy Synthes Products, Inc. Bellows-like expandable interbody fusion cage
US11872139B2 (en) 2010-06-24 2024-01-16 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US10966840B2 (en) 2010-06-24 2021-04-06 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US12318304B2 (en) 2010-06-24 2025-06-03 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
US11911287B2 (en) 2010-06-24 2024-02-27 DePuy Synthes Products, Inc. Lateral spondylolisthesis reduction cage
US9895236B2 (en) 2010-06-24 2018-02-20 DePuy Synthes Products, Inc. Enhanced cage insertion assembly
US11654033B2 (en) 2010-06-29 2023-05-23 DePuy Synthes Products, Inc. Distractible intervertebral implant
US10548741B2 (en) 2010-06-29 2020-02-04 DePuy Synthes Products, Inc. Distractible intervertebral implant
US11452607B2 (en) 2010-10-11 2022-09-27 DePuy Synthes Products, Inc. Expandable interspinous process spacer implant
US11484420B2 (en) 2011-03-10 2022-11-01 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US9486149B2 (en) 2011-03-10 2016-11-08 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8394129B2 (en) 2011-03-10 2013-03-12 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8852242B2 (en) 2011-03-10 2014-10-07 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US11547442B2 (en) 2011-03-10 2023-01-10 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US11547443B2 (en) 2011-03-10 2023-01-10 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10729462B2 (en) 2011-03-10 2020-08-04 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10743915B2 (en) 2011-03-10 2020-08-18 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10111759B2 (en) 2011-03-10 2018-10-30 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8852243B2 (en) 2011-03-10 2014-10-07 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10743914B2 (en) 2011-03-10 2020-08-18 DePuy Snythes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US8597333B2 (en) 2011-03-10 2013-12-03 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10744004B2 (en) 2011-03-10 2020-08-18 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10743913B2 (en) 2011-03-10 2020-08-18 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10736661B2 (en) 2011-03-10 2020-08-11 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US11484418B2 (en) 2011-03-10 2022-11-01 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US11484419B2 (en) 2011-03-10 2022-11-01 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10182842B2 (en) 2011-03-10 2019-01-22 DePuy Synthes Products, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US9492194B2 (en) 2011-03-10 2016-11-15 Interventional Spine, Inc. Method and apparatus for minimally invasive insertion of intervertebral implants
US10058433B2 (en) 2012-07-26 2018-08-28 DePuy Synthes Products, Inc. Expandable implant
US9883951B2 (en) 2012-08-30 2018-02-06 Interventional Spine, Inc. Artificial disc
USRE49973E1 (en) 2013-02-28 2024-05-21 DePuy Synthes Products, Inc. Expandable intervertebral implant, system, kit and method
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