Instrumentation and method for facilitating insertion of spinal implant

• US 6,042,582 A
• Filed: 05/20/1998
• Issued: 03/28/2000
• Est. Priority Date: 05/20/1997
• Status: Expired due to Term

• Current Assignee: Howmedica Osteonics Corp. (Stryker Corporation)
• Original Assignee: Surgical Dynamics Incorporated (Medtronic Plc)
• Inventors: Ray, Charles D.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Ho, Tan-Uyen Thi
• Application Number:
  US09/082,163
• Time in Patent Office: 678 Days
• Field of Search: 606/60, 606/61, 606/62, 623/17
• US Class Current: 606/86.00A
• CPC Class Codes: A61B 17/1757 for the spine
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61F 2/30744 End caps, e.g. for closing an endoprosthetic cavity
• CPC Class Codes: A61F 2/442 Intervertebral or spinal discs, e.g. resilient non-disc-shaped intervertebral inflatable pockets A61F2/441; non-disc-shaped intervertebral fusion implants A61F2/4455
• 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 2/446 having a circular or elliptical cross-section substantially parallel to the axis of the spine, e.g. cylinders or frustocones
• CPC Class Codes: A61F 2/4603 for insertion or extraction of endoprosthetic joints or of accessories thereof
• CPC Class Codes: A61F 2/4611 of spinal prostheses
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30235 tubular, e.g. sleeves
• CPC Class Codes: A61F 2002/30593 hollow
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/3085 with a threaded, e.g. self-tapping, bone-engaging surface, e.g. external surface
• CPC Class Codes: A61F 2002/448 comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
• CPC Class Codes: A61F 2002/4627 with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
• CPC Class Codes: A61F 2002/4649 Bone graft or bone dowel harvest sites
• CPC Class Codes: A61F 2230/0069 cylindrical

Abstract

A vertebral spacer apparatus includes an elongated member having proximal and distal end portions and defining a longitudinal axis and a vertebral spacer which is releasably mounted to the elongated member. The vertebral spacer includes an insertion end portion and a trailing end portion. The insertion end portion is configured to at least span an intervertebral space defined between adjacent vertebrae. The trailing end portion defines a dimension greater than a corresponding dimension of the insertion end portion and is sized to prevent entry thereof within the intervertebral space.

The insertion end portion preferably includes first and second opposed support surfaces wherein a dimension defined between the first and second support surfaces at least spans the intervertebral space between adjacent vertebrae. A method for implanting a fusion implant with the vertebral spacer apparatus is also disclosed.

Claims

1. A vertebral spacer apparatus, which comprises:

an elongated member having proximal and distal end portions and defining a longitudinal axis; and

a vertebral spacer releasably mounted to the elongated member, the vertebral spacer including an insertion end portion and a trailing end portion, the insertion end portion configured to at least span an intervertebral space defined between adjacent vertebrae to supportingly maintain the adjacent vertebrae in predetermined spaced relation, the trailing end portion defining a transverse dimension transverse to the longitudinal axis greater than a corresponding transverse dimension of the insertion end portion and being sized to prevent entry thereof within the intervertebral space, the insertion end portion having a first stationary spacer arm and a second stationary spacer arm, the first and second stationary spacer arms each defining first and second supporting surfaces for respectively engaging the adjacent vertebrae, wherein a dimension defined between the first and second supporting surfaces is sufficient to at least span an intervertebral space defined between adjacent vertebrae.

2. The apparatus according to claim 1 wherein the first and second supporting surfaces are substantially planar to increase surface area contact with adjacent vertebrae.

3. The apparatus according to claim 2 wherein the insertion end portion has a tapered end portion for facilitating insertion into the intervertebral space.

4. The apparatus according to claim 3 wherein the first and second supporting surfaces are in general parallel relation to the longitudinal axis of the elongated member.

5. The apparatus according to claim 4 wherein the trailing end portion defines a rectilinear cross-section.

6. The vertebral spacer according to claim 1 wherein the first and second spacer arms extend in a general longitudinal direction.

7. The apparatus according to claim 6 wherein each spacer arm defines an arm height between the first and second supporting surfaces thereof and the trailing end portion defines a transverse cross-sectional dimension, and wherein the magnitude of the height of each spacer arm is less than the magnitude of the transverse cross-sectional dimension of the trailing end portion.

8. The apparatus according to claim 7 wherein each spacer arm has a tapered end portion for facilitating insertion into the intervertebral space.

9. The apparatus according to claim 8 wherein the first and second supporting surfaces of each spacer arm are in general parallel relation to the longitudinal axis of the elongated member.

10. The apparatus according to claim 8 wherein the trailing end portion defines an arcuate transverse cross-sectional dimension transverse to the longitudinal axis.

11. The apparatus according to claim 1 wherein the elongated member and the vertebral spacer define corresponding threaded portions which cooperatively engage to releasably mount the vertebral spacer to the elongated member.

13. The apparatus according to claim 7 wherein the trailing end portion defines a bearing wall portion extending radially inwardly relative to the first and second retractor arms, the bearing wall portion dimensioned to prevent entry of the trailing end portion within the intervertebral space.

14. The apparatus according to claim 13 wherein the bearing wall portion includes an opening dimensioned to cooperate with the elongated member to mount the vertebral spacer thereto.

12. A vertebral spacer apparatus for maintaining a predetermined spacial distance between adjacent vertebrae during implant insertion comprising:

an elongated member having proximal and distal end portions, and defining a longitudinal axis; and

a vertebral spacer releasably mounted to the distal end portion of the elongated member, the vertebral spacer including a trailing end portion and an insertion end portion, the trailing end portion sized to prevent entry thereof within the intervertebral space, the trailing end portion having a circular cross-sectional dimension transverse to the longitudinal axis and defining a radius of curvature, the insertion end portion including a pair of opposed stationary arms extending along the longitudinal axis, the stationary arms having arcuate external surfaces extending from the trailing end portion with each external surface defining a radius of curvature substantially equal to the radius of curvature of the trailing end portion, the stationary arms each having a pair of parallel substantially planar upper and lower supporting surfaces for respectively engaging upper and lower vertebrae portions with the adjacent vertebrae to create a temporary span between the adjacent vertebrae.