274 results about "Human spine" patented technology

A hinged bone screw and tool set is used for implanting such bone screws in a human spine, followed by the implantation of a longitudinal connecting member into the bone screws. The hinged bone screw includes a shank with an upper portion and a receiver with integral arms forming a U-shaped channel. A lower curved seat partially defining the U-shaped channel cooperates with an upper portion of the bone screw shank for hinged movement of the shank with respect to the receiver. The tool set includes an insertion tool, a bone screw driver, a reduction tool and a closure starter. The insertion tool includes a bone screw attachment structure and a laterally opening channel. The insertion tool further includes a threaded portion for cooperation with the reduction tool to provide synchronized placement of a closure structure in the bone screw receiver while reducing and capturing a longitudinal connecting member within the receiver. Further alternative bone screws are hinged, polyaxial or fixed and include lordosing or kyphosing lateral surfaces.

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

The present invention is directed to an expandable spinal fusion intervertebral implant that provides for maintaining and creating lordosis in the human spine that can be filled with biologics while in situ to encourage spinal fusion. A threaded rod that traverses an insertion / injection handle can be rotated to operate a screw within the interbody cage that displaces opposing vertical tapped sliding wedges, causing them to converge towards each other. Such contact causes the operation of a horizontal wedge that acts as a lift to expand the interbody cage to one of various dimensions in a preferred range. At its desired expansion, the spinal fusion implant of the present invention is sized to fit within the disc space between two vertebral bodies and fill all voids left while the vertical and horizontal wedges operate within, due to the biologics being contained within the interbody cage.

A spinal plate system and method for fixation of the human spine is provided. In an embodiment, the spinal fixation system includes a plate, a coupling member, a locking system for substantially locking the coupling member in a desired position, and an anchoring system to secure the coupling member in the locking system. The plate may have a hole that allows the coupling member to couple the plate with a bone. At least a portion of the coupling member may swivel in the hole so that a bottom end of the member may extend at a plurality of angles substantially oblique to the plate. The locking system may lock the coupling member in desired positions relative to the plate. The anchoring system may secure the coupling member in the locking system to inhibit the coupling system from detaching from the locking system when stressed. An assembly tool may be used to engage and disengage the anchoring system during the installation or removal of the spinal fixation system.

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

A tool for implantation of a rod into a bone screw implanted in a human spine includes a guide member having a laterally opening channel disposed along an entire length thereof for side loading and receiving an implant fastener. A rod pushing member and a handle with a laterally opening channel are coaxial with the guide member, with the rod pushing member being rotatingly mateable to the guide member and the handle having a spring attachment mechanism for attaching the handle to the guide member. The guide member includes spring tabs for attachment to a bone screw, the tabs biased away from the bone screw. The rod pushing member includes a sleeve that extends substantially about the guide member, pressing the spring tabs toward the bone screw and into apertures on the bone screw arms. The rod pushing member sleeve also operatively functions as a rod pusher that abuts a rod as the sleeve is translated along the guide member and toward the bone screw. The handle lateral opening receives and supports a manipulation tool for inserting and installing an implant fastener for attaching the rod to the bone screw.

A dynamic spinal fixation plate assembly includes a spinal plate, a receiving member, and a fastener resulting in a low profile orthopedic device. The plate may comprise a hole for maintaining the receiving member. The relationship between the receiving member and the plate may allow the plate to adjust during graft settling. The receiving member may be locked to the plate utilizing the mechanical or chemical properties of the device, or the receiving member may be configured to move and rotate freely within the plate hole, even after the fastener has been secured to the bone. The receiving member may have a tapered sidewall defining a through hole to matingly engage the fastener, which may also have a tapered portion forming a tapered lock-fit therebetween. The receiving member may comprise a lip for retaining the fastener within said receiving member.

A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. For bone screw implantation, the end guide tools and intermediate guide tools are assembled with a multi-function installation tool and a bone screw driver. Both the installation tool and driver are coaxial with the guide tool and rotatingly mateable to the guide tool. The multi-function installation tool includes a sleeve that extends substantially about the guide tool providing stability during bone screw installation. The sleeve also operatively functions as a rod pusher that abuts the rod as the sleeve is translated along the guide tool and toward the bone screw. A method utilizing the tool set allows a surgeon to percutaneously implant the bone screws and the rod in the patient.

A tool set for implanting a rod in a human spine in conjunction with bone screws. The tool set includes a pair of end guide tools that receive opposite ends of the rod in channels and under manipulation by a surgeon facilitate transport of the rod toward the bone screws attached to the guide tools. Intermediate guide tools having guiding pass through slots are utilized to guide intermediate locations along the rod toward associated bone screws. An attachment structure operably connects the guide tools to the bone screws. The guide tools each include a lower guide and advancement structure to allow a closure top with mating structure to be rotated and driven downward against the rod and to cooperate with similar structure in the bone screw to seat and lock the rod therein. A method utilizing the tool set allows a surgeon to percutaneously implant the rod in the patient.

A tool set for implanting bone screws in a human spine, followed by the implantation of a rod into the bone screws includes end guide tools having flexible back wall flaps that receive opposite ends of the rod and intermediate guide tools that hold the rod in intermediate locations between the end guide tools. Both the end and intermediate guide tools include an attachment structure for operably connecting the guide tool to a bone screw. The attachment structure includes an undercut and / or recess so as to resist splaying and separation of the guide tool from an attached bone screw.

A stabilization system for a human spine is provided comprising at least two dynamic interbody device and at least one dynamic posterior stabilization system. In some embodiments the stabilization system comprises a pair of dynamic interbody devices and a pair of dynamic posterior stabilization systems. The dynamic interbody devices may work in conjunction with the dynamic posterior stabilization systems to allow for movement of vertebrae coupled to the stabilization system. The dynamic posterior stabilization systems may provide resistance to movement that mimics the resistance provided by a normal functional spinal unit. In some embodiments, a bridge may couple a dynamic interbody device to a dynamic posterior stabilization system.

A dynamic posterior stabilization system is provided to stabilize a human spine. In some embodiments, the dynamic posterior stabilization system includes a first bone fastener, a second bone fastener, and an elongated member coupled to the first bone fastener and the second bone fastener. The longitudinal position of the elongated member relative to the first bone fastener may be fixed. The longitudinal position of the second bone fastener relative to the elongated member may vary so that the dynamic posterior stabilization system can accommodate flexion / extension and / or lateral bending. The dynamic posterior stabilization system may also be able to accommodate axial rotation. Bias members may be coupled to the elongated member. The bias members may allow the dynamic posterior stabilization system to mimic the resistance behavior of a normal functional spinal unit.

A stabilization system for a human spine is provided comprising at least one dynamic interbody device and at least two dynamic posterior stabilization systems. The dynamic posterior stabilization system may be coupled on contralateral sides of vertebrae. In some embodiments, a bridge may couple a dynamic interbody device to a dynamic posterior stabilization system.

A tool set for implanting bone screws in a human spine, followed by the implantation of a longitudinal connecting member into the bone screws includes a pair of independently mountable and manipulatable elongate guide tools that form a unitary tool guide when desired. Each guide tool includes attachment structure for independent operable connection of the guide tool to an arm of the bone screw. The bone screw / guide tool attachment includes an undercut and / or recess so as to resist separation of the guide tool member from an attached bone screw. A removable stabilizer cooperating with the pair of guide tools places such tools in a set spaced relation to one another when desired. Further tools include a cooperating bone screw driver with an attached stabilizer, a closure starter / reduction tool, a closure driver and a counter torque tool.

A lordotic guard and method for guiding a bone removal device to form an implantation space in the human spine and, if desired, for inserting a spinal implant into the implantation space. The guard has a body having a first portion and a second portion in pivotal relationship to one another proximate the leading end between an open position and a closed position. The first and second portions define an opening for providing a protected pathway to the disc space and the adjacent vertebral bodies. At least one disc space penetrating extension extends from the leading end of the body adapted for insertion at least in part into the disc space. First and second portions of the extension are in pivotal relationship to one another about an axis that passes through at least a portion of the pathway.

A lordotic guard and method for guiding a bone removal device to form an implantation space in the human spine and, if desired, for inserting a spinal implant into the implantation space.

A stabilization system for a human spine is provided comprising at least one dynamic interbody device and at least one dynamic posterior stabilization system. In some embodiments the stabilization system comprises a pair of dynamic interbody devices and a pair of dynamic posterior stabilization systems. In some embodiments, a bridge may couple a dynamic interbody device to a dynamic posterior stabilization system. In some embodiments, an elongated member of the dynamic posterior stabilization system may be curved.

Methods for limiting the movement of flowable material introduced into or between tissue layers of the human spine. The method can include inserting a member between tissue layers of the human spine. The member has a first configuration for insertion of the elongated member between tissue layers. The shape of the member is changed into a second configuration that defines a barrier that limits or directs the movement of flowable material. Flowable material is introduced to a selected location between the tissue layers and the barrier acts to limit or direct the movement of the flowable material.

A dynamic interbody device for a human spine is provided to stabilize a human spine. In some embodiments, the dynamic interbody device includes a first member and a second member. In some embodiments, dynamic interbody device includes a first member, a second member and a third member. In some embodiments, the dynamic interbody device may include a bridge. The bridge may be used to couple the dynamic interbody device to a posterior stabilization system. In some embodiments, two dynamic interbody devices may be placed in a disc space between vertebrae.

An intervertebral prosthesis for implantation between adjacent vertebrae of the human spine is shown. The prosthesis is formed as a unitary cage body configured and sized to be inserted between adjacent vertebrae in a single step implantation procedure. The cage body is banana shaped as viewed from above, the body having an exterior surface and an interior surface, the interior surface defining an internal recess for receiving cancellous bone material during an implantation procedure. The cage body can be formed as an interlinked mesh.

A device and method for use in a human spine to prepare a space between adjacent vertebral bodies and into the vertebral end plates to receive an implantable insert. The device includes a handle, a shaft, and a mounting member at one end of the shaft. An abrading element is mounted on the mounting member and is coupled to a drive mechanism. The drive mechanism is operable to move the abrading element in at least one degree of freedom to create surfaces having predetermined contours in the end plates of the adjacent vertebral bodies.

An intervertebral spacer adapted for implanting between adjacent vertebral bodies of a human spine as a load-bearing replacement for a spinal disc. The spacing member includes an external, non-porous, concavo-convex contour with respect to one dimension of the spacing member. The spacing member is preferably constructed from a rigid, non-resilient load-bearing material that is incapable of elastic deformation. The spacing member is inserted with the aid of a sheathed trocar device that is releasably attached to the spacer, to enable implantation and selective positioning of the spacer by the surgeon from the posterior side of the spine, without the need to retract the dural nerve or the posterior longitudinal ligament.

Vertebra bodies in the human spine are stabilized through the use of minimally invasive surgery for the implantation of an elongate implant plate assembly having spaced first and second screw receiving socket elements which are configured for respective attachment to first and second spaced vertebra with the aid of bone fixation screws and these elements are slidably received with respect to each other for adjustably changing the distance between the screw receiving socket elements. A lock assembly is also provided for selectively locking the first and second screw receiving elements from further relative sliding. An elongate insertion tool is releaseably secured to the plate assembly, and the insertion tool is configured for manipulating the plate assembly as a whole and for remotely manipulating the screw receiving socket elements for adjusting the distance therebetween. The plate assembly is inserted through an incision and manipulated and advanced with the insertion tool to provide minimally invasive insertion, and after fixation of the implant assembly with bone fixation screws is further utilized by remote manipulation to adjust the degree of compression on the vertebrae, and thereafter the implant is locked in position to prevent further relative movement between the screw receiving elements of the plate assembly.

Devices for limiting the movement of flowable material introduced into or between tissue layers of the human spine. The devices can include at least one generally elongated member having a pre-deployed configuration for insertion into or between tissue layers of the human spine and a deployed configuration in which the elongated member forms a barrier that limits the movement of flowable material introduced into or between the tissue layers.

Apparatus and method used to reduce the movement between vertebrae or fractured bones. The implantable device can be deformed from its shape-set configuration for ease of deployment and return to a pre-set shape upon completion of deployment. The apparatus can serve to stabilize fractured bones or as a distraction device and support structure between vertebrae. Device may be made of a material with shape memory and superelastic properties which facilitate the method of implantation. The pre-set shape of the device may include dimensions / geometries which are similar to the natural curvature of the human spine or bone without the use of hinging or connection between multiple pieces. Once deployed, the device can serve to constrain the flow of bone growth material between the inside and outside of the device.