Spine distraction implant and method

• US 6,149,652 A
• Filed: 07/27/1999
• Issued: 11/21/2000
• Est. Priority Date: 01/02/1997
• Status: Expired due to Term

• Current Assignee: Kyphon SARL (Medtronic Plc)
• Original Assignee: St. Francis Medical Technologies, Inc. (Medtronic Plc)
• Inventors: Klyce, Henry A., Zucherman, James F., Fallin, T. Wade, Hsu, Ken Y.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): REIP, DAVID OWEN
• Application Number:
  US09/360,955
• Time in Patent Office: 483 Days
• Field of Search: 606/61, 606/99, 606/191, 606/192, 623/17
• US Class Current: 606/86.00A
• CPC Class Codes: A61B 17/66 Alignment, compression or distraction mechanisms
• CPC Class Codes: A61B 17/7062 Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs rib fixation devices A61B17/8076; Tools for such devices
• CPC Class Codes: A61B 17/7065 Devices with changeable shape, e.g. collapsible or having retractable arms to aid implantation; Tools therefor
• CPC Class Codes: A61B 17/7068 Devices comprising separate rigid parts, assembled in situ, to bear on each side of spinous processes; Tools therefor
• CPC Class Codes: A61B 17/7071 Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor
• CPC Class Codes: A61B 2017/0256 for the spine
• CPC Class Codes: A61K 31/37 Coumarins, e.g. psoralen

Abstract

A spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume in the spine canal and/or neural foramen. The implant provides a spinal extension stop while allowing freedom of spinal flexion.

Claims

1. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

including

filling the device with a fluid after the device is introduced between said spinous process and said another spinous process.

2. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which has flexible walls defining a cavity capable of receiving a material; and

including

filling the cavity with a fluid after the device is introduced between said spinous process and said another spinous process.

3. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which has a cavity that is adapted to be fillable with a fluid, and which conforms to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes introducing said device through a cannula; and

filling the cavity with fluid.

4. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which has a cavity that is adapted to be fillable with a fluid, and which is conformable in situ to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes introducing said device through a cannula; and

filling the cavity with a fluid.

5. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is pre-formed to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes introducing said device through a cannula.

6. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

wherein

the introducing step includes introducing said device through a cannula.

7. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which has flexible walls defining a cavity capable of receiving a material; and

wherein

the introducing step includes introducing said device through a cannula.

8. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which conforms to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

9. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is conformable in situ to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

10. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is pre-formed to the shape of at least one of said spinous process and said another spinous process; and

wherein

the introducing step includes placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

11. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

wherein

the introducing step includes placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

12. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which has flexible walls defining a cavity capable of receiving a material; and

wherein

the introducing step includes placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

13. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing a device encompassingly about one of said spinous process and said another spinous process; and

wherein the introducing step includes one of (1) introducing said device through a cannula; and

(2) placing said device over an insertion tool in order to introduce the device between said spinous process and said another spinous process.

14. The improved method of claim 13 wherein:

the introducing step causes the device to encircle said one of said spinous process and said another spinous process by at least about 180°

.

15. The improved method of claim 13 wherein:

the introducing step causes the device to grab onto said one of said spinous process and said another spinous process.

16. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

including

filling the device with a fluid in order to distract and/or maintain a distraction between said spinous process and said another spinous process.

17. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

including

filling the device with a material which is a fluid.

18. An improved method for stabilizing a spinous process relative to another spinous process, said method being of the type wherein a device is implanted between said spinous process and said another spinous process, wherein said improvement comprises:

introducing between said spinous process and said another spinous process a device which is fillable with a material; and

filling the device with a material in order to distract and/or maintain a distraction between said spinous process and said another spinous process; and

including

said filling step including using a material which is a fluid.

19. A method for relieving pain associated with the spine comprising the steps of:

introducing a device between a spinous process and another spinous process, which device includes a flexible wall which defines a cavity; and

filling the cavity with a material; and

wherein

said filling step includes using a fluid.

20. The method of claim 19 wherein:

said filling step occurs after the device is introduced between the spinous process and the another spinous process.

21. The method of claim 19 wherein:

said filling step is for distracting and/or maintaining a distraction between the spinous process and the another spinous process.

22. A method for relieving pain associated with the spine comprising the steps of:

introducing a device between a spinous process and another spinous process, which device includes a flexible wall which defines a cavity; and

filling the cavity with a material; and

wherein

said filling step causes the device to conform to at least one of the spinous process and the another spinous process.

23. A method for relieving pain associated with the spine comprising the steps of:

introducing a device between a spinous process and another spinous process, which device includes a flexible wall which defines a cavity; and

filling the cavity with a material; and

wherein

the introducing step includes introducing a device with a pre-shaped configuration; and

the filling step causes the device to expand to the pre-shaped configuration.

24. A method for relieving pain associated with the spine comprising the steps of:

introducing a device between a spinous process and another spinous process, which device includes a flexible wall which defines a cavity; and

filling the cavity with a material; and

wherein

at least one of said introducing step and said filling step is done through a cannula.

25. A method for relieving pain associated with the spine comprising the steps of:

introducing a device between a spinous process and another spinous process, which device includes a flexible wall which defines a cavity; and

filling the cavity with a material; and

wherein

the introducing step uses an insertion tool and the introducing step includes placing the device over the insertion tool prior to introducing the device between the spinous process and the another spinous process.

26. A method for relieving pain associated with the spine comprising the steps of:

introducing a device relative to a spinous process and another spinous process which device is able to dampen relative motion between the spinous process and the another spinous process; and

not connecting the device to either of the spinous process or the another spinous process; and

including the step of

filling the device with a material after the introducing step.

27. A method for relieving pain associated with the spine comprising the steps of:

introducing a device relative to a spinous process and another spinous process which device is able to dampen relative motion between the spinous process and the another spinous process; and

not connecting the device to either of the spinous process or the another spinous process; and

including the step of

filling the device with a material after the introducing step in order to distract and/or maintain a distraction between the spinous process and the another spinous process.