Bone graft delivery system and method for using same

• US 10,123,849 B2
• Filed: 02/22/2018
• Issued: 11/13/2018
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Sierra Surgical, LLC, Surgentec, LLC
• Original Assignee: Surgentec, LLC
• Inventors: Greenhalgh, Travis, Lewis, Ryan
• Primary Examiner(s): Yang, Andrew
• Application Number:
  US15/902,851
• Publication Number:
  US 20180177608A1
• Time in Patent Office: 264 Days
• CPC Class Codes: A61B 17/1635 for grafts, harvesting or transplants
• CPC Class Codes: A61B 17/1659 Surgical rasps, files, planes, or scrapers
• CPC Class Codes: A61B 17/1671 for the spine
• CPC Class Codes: A61B 17/8805 for introducing fluid filler into bone or extracting it A61B17/7097, A61B17/8833 take precedence
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61B 90/57 Accessory clamps
• CPC Class Codes: A61F 2/4455 for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages intervertebral discs A61F2/442
• CPC Class Codes: A61F 2/4601 for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
• CPC Class Codes: A61F 2/4611 of spinal prostheses

Abstract

A bone graft delivery system can include an elongate tube and a handle having a trigger and a ratcheting mechanism. The trigger is actuated to deliver bone graft material through the tube. The bone graft delivery system can further include a distal tip at a distal end of the tube. The tip has one or more openings to deliver the bone graft material to a desired location and includes a surface suitable to act as a rasp for decorticating bone. A method for delivering bone graft material to a desired surgical location includes providing a bone graft delivery device, positioning the device adjacent the surgical location, decorticating bone, and delivering bone graft material to the surgical location.

Claims

1. A bone graft delivery system, comprising:

a bone graft delivery device comprising;

an elongate tube;

a lumen extending through the elongate tube, the lumen having a uniform cross-section along an entire length of the lumen from a proximal end of the lumen to a distal end of the lumen; and

a plunger configured to be received in the lumen, the plunger comprising a plurality of notches configured to be engaged to advance the plunger through the lumen of the elongate tube; and

an interbody device configured to be removably coupled to the bone graft delivery device;

wherein the plunger is configured to advance through the lumen of the elongate tube to advance bone graft material through the lumen.

2. The system of claim 1, wherein the interbody device comprises an interbody cage.

3. The system of claim 1, wherein the bone graft delivery device comprises an attachment member, wherein the interbody device is configured to be removably coupled to the attachment member.

4. The system of claim 1, wherein the distal end of the elongate tube is configured to be removably coupled to the interbody device.

5. The system of claim 4, wherein the distal end of the elongate tube comprises alternating ridges and recesses and the interbody device comprises corresponding recesses and ridges, wherein the ridges and recesses of the elongate tube are configured to mate with corresponding recesses and ridges of the interbody device.

6. The system of claim 1, further comprising a handle at the proximal end of the tube, the handle comprising a trigger configured to be actuated to deliver bone graft material through the tube.

7. The system of claim 1, wherein the interbody device comprises a plurality of openings.

8. The system of claim 1, wherein the interbody devices comprises a plurality of protrusions configured to engage adjacent intervertebral discs.

9. The system of claim 1, wherein the elongate tube is pre-loaded with a synthetic bone graft material.

10. The system of claim 1, further comprising a sleeve configured to slide over at least a portion of the elongate tube.

11. A method for delivering bone graft material to a surgical location, comprising:

placing an interbody device within a disc space of a patient;

mating a distal end of an elongate tube of a bone graft delivery device to the interbody device while the interbody device is positioned in the disc space or coupling the elongate tube to the interbody device by way of an attachment member while the interbody device is positioned in the disc space, wherein bone graft material is loaded in the bone graft delivery device; and

advancing the bone graft material through a lumen of the elongate tube of the bone graft delivery device using a plunger comprising a plurality of notches.

12. The method of claim 11, wherein the interbody device comprises an interbody cage.

13. The method of claim 11, further comprising delivering the bone graft material within the interbody device.

14. The method of claim 11, further comprising selecting the elongate tube from a plurality of elongate tubes for use in the bone graft delivery device, wherein coupling the elongate tube to the interbody device comprises coupling the selected elongate tube to the interbody device.

15. The method of claim 11, wherein the distal end of the elongate tube comprises alternating ridges and recesses configured to mate with corresponding recesses and ridges of the interbody device, wherein mating the distal end of the elongate tube to the interbody device comprises mating the ridges and recesses of the distal end of the elongate tube to the corresponding recesses and ridges of the interbody device.

16. The method of claim 11, further comprising actuating a trigger to cause the distal advancement of the plunger within the lumen of the elongate tube.

17. The method of claim 11, wherein advancing the bone graft material through the lumen of the bone graft delivery device comprises engaging the plurality of notches of the plunger.

18. A bone graft delivery system, comprising:

a bone graft delivery device comprising;

an elongate tube;

a lumen extending through the elongate tube, the lumen having a uniform cross-section along an entire length of the lumen from a proximal end of the lumen to a distal end of the lumen;

a plunger configured to be received in the lumen;

a handle at a proximal end of the elongate tube; and

a trigger mechanically coupled to the handle, the trigger being movable relative to the handle to cause the plunger to be advanced distally within the lumen to deliver bone graft material through the tube; and

an interbody device configured to be removably coupled to the bone graft delivery device.

19. The system of claim 18, wherein the interbody device comprises an interbody cage.

20. The system of claim 18, wherein the bone graft delivery device comprises an attachment member, wherein the interbody device is configured to be removably coupled to the attachment member.

21. The system of claim 18, wherein the distal end of the elongate tube is configured to be removably coupled to the interbody device.

22. The system of claim 21, wherein the distal end of the elongate tube comprises alternating ridges and recesses and the interbody device comprises corresponding recesses and ridges, wherein the ridges and recesses of the elongate tube are configured to mate with corresponding recesses and ridges of the interbody device.

23. The system of claim 18, wherein the interbody device comprises a plurality of openings.

24. The system of claim 18, wherein the interbody devices comprises a plurality of protrusions configured to engage adjacent intervertebral discs.

25. The system of claim 18, wherein the elongate tube is pre-loaded with a synthetic bone graft material.

26. The system of claim 18, further comprising a sleeve configured to slide over at least a portion of the elongate tube.

27. The bone graft delivery device of claim 18, wherein the trigger comprises a lever moveable from a first position towards the handle to a second position to advance the bone graft material within the lumen of the elongate tube.

28. The bone graft delivery device of claim 18, wherein the trigger is configured to be repeatedly actuated to deliver a controlled amount of bone graft material during each actuation of the trigger.

29. A method for delivering bone graft material to a surgical location, comprising:

placing an interbody device within a disc space of a patient;

mating a distal end of an elongate tube of a bone graft delivery device to the interbody device while the interbody device is positioned in the disc space or coupling the elongate tube to the interbody device by way of an attachment member while the interbody device is positioned in the disc space, wherein bone graft material is loaded in the bone graft delivery device; and

advancing the bone graft material through a lumen of the elongate tube of the bone graft delivery device using a plunger, wherein the plunger is advanced through the lumen of the elongate tube by a trigger.

30. The method of claim 29, wherein the interbody device comprises an interbody cage.

31. The method of claim 29, further comprising delivering the bone graft material within the interbody device.

32. The method of claim 29, further comprising selecting the elongate tube from a plurality of elongate tubes for use in the bone graft delivery device, wherein coupling the elongate tube to the interbody device comprises coupling the selected elongate tube to the interbody device.

33. The method of claim 29, wherein the distal end of the elongate tube comprises alternating ridges and recesses configured to mate with corresponding recesses and ridges of the interbody device, wherein mating the distal end of the elongate tube to the interbody device comprises mating the ridges and recesses of the distal end of the elongate tube to the corresponding recesses and ridges of the interbody device.

34. The method of claim 29, wherein the bone graft delivery device comprises a handle at a proximal end of the elongate tube;

and

wherein the trigger is mechanically coupled to the handle and movable relative to the handle to advance the plunger through the lumen of the elongate tube.

35. The method of claim 34, further comprising:

performing a first actuation of the trigger to deliver a first controlled amount of bone graft material; and

performing a second actuation of the trigger to deliver a second controlled amount of bone graft material, wherein the second controlled amount of bone graft material is the same as the first controlled amount of bone graft material.